• 한방안이비인후피부과학회지
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• 제21권3호
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• pp.1-9
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• 2008

Objective : Prolonged use of systemic corticosteroids negatively impacts skin barrier function. Corticosteroids have a major role in the practical management of many diseases, so it is necessary to find the drug or supplement which could keep the skin healthy during the systemic corticosteroids therapy. Seed of Trichossnthcs kiiilowii was commonly used for pulmonary disease in traditional Chinese medicine. Many studies have investigated and found that seed of Trichosanthes kirilowii has anti-bacterial, anti-HIV, anti-tumor and immunoregulatory functions. This study was performed to investigate the effect of seed of Trichosmthes kirilowii on the Skin Barrier Method : Triamcinolone 0.4mg was injected male hairless mice for 5 weeks ( 2 times a week, totally 10 times), Just before the first injection, hairless mice were divided into 3 groups; Control ( normal saline medicated group ), GroupA( seed of Trichosuuhes kirilowii qd/day medicated group ) and GroupB( seed of Trichosuuhes kiiilowii bid/day medicated group ), Body weight of all the groups were checked during the experiment, After $10^{th}$ injection, TEWL (Transeidermal water loss) of 3 groups were artificially increased by 9 times tape stripping and the changes of TEWL were checked at before stripping, right after, 2h, 4h, 6h, 24h, 48 and 72h later after stripping, AST, ALT and CBC were also checked. Indeed, stratum corneum of 3 groups were also examined and compared with that of normal hairless mouse. Results : 1. GroupB showed significantly lower body weight among three groups 2, There was no statistical difference at AST, ALT and CBC among three groups 3. GroupB was showed significantly lower TEWL than TEWL of Control at 48h later. 4 GroupB recovered it's TEWL of before tape stripping at 24h later, GroupA recovered that at 48h and Control recovered that at 72h later at the same condition 5. Stratum corneum of GroupA and GroupB were looked almost normal and healthy. On the contrary, stratum corneum of Control was looked thin and unhealthy. Conclusions : Seed of Ttichossnthes kirilowii has some effects on skin barrier function, especially TEWL of high dose corticosteroids injected hairless mouse and the efficacy seemed to be related with the dosage.

• 한국사회복지학
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• 제58권1호
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• pp.291-318
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• 2006

본 연구는 도시지역 미취업노인들의 취업의사결정 요인들을 규명하기 위하여 노인들의 취업의사와 인구사회학적인 요인, 건강 및 심리사회적 요인, 그리고 노동 및 경제적 요인들과의 관계를 분석하였다. 본 연구는 서울시 소재 노인종합복지관을 이용하시는 60세 이상의 노인들 중에서 총 220명을 편의 모집(Purposive Sampling)하여 구조화된 설문지로 면접자에 의한 설문을 실시하였고, 최종 194명을 분석에 활용하였다. 본 연구의 분석방법으로는 취업의사여부에 따른 조사대상들의 특성은 빈도, 백분율, 평균, $X^2$ 및 t-test 등의 통계를 통해서 산출하였고, 취업의사결정에 영향을 미치는 요인들을 규명하기 위하여 로지스틱 회귀분석(Logistic Regression)을 사용하였다. 본 연구의 주요 결과로는 도시거주 미취업 노인들의 취업의사여부는 노인들의 성별, 연령, 학력, 자녀수, 신체적 건강상태, ADL, 자아 효능감, 경제적 스트레스, 노동 총 종사기간 부동산 소득, 가족후원금 및 연금 급여수준 등 다양한 요인들에 의하여 결정된다는 것이 조사되었다. 이러한 노인취업의사결정에 영향을 미치는 다양한 요인들을 고려안 노인고용관련 정책, 제도 및 프로그램 개발 및 운영이 필요하다. 끝으로 본 연구결과를 바탕으로 고령사회에 대비한 노인취업 활성화를 위한 제언 및 함의를 개괄적으로 제시하였다.

• 동아시아식생활학회지
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• 제18권4호
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• pp.554-562
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• 2008

본 연구에서는 복령 분말을 $1{\sim}5%$ 첨가한 식빵을 제조한 후, 일반 성분을 분석하였고, 복령 분말 첨가에 따른 식빵의 변화와 관능검사를 조사하였다. 복령의 수분 함량은 7.67%, 조단백질 함량은 0.61%, 조지방 함량은 0.58%, 조회분 함량은 0.32%이었고, 조섬유 함량은 0.30%로 나타났다. 폴링 넘버는 대조구보다 복령 분말의 첨가량이 증가할수록 폴링 넘버의 수치는 증가하게 나타났다. 비용적과 반죽 수율은 복령 분말 첨가량이 증가할수록 증가하였다. 주사전자현미경(SEM) 관찰은 복령 분말 첨가량이 증가할수록 기공이 크고 불균일 하였다. 색도는 복령 분말의 첨가량이 증가할수록 L값은 낮아졌으며, a값과 b값은 증가하였다. 굽기 손실률은 대조군이 가장 높았으며, 복령 분말의 첨가량이 증가할수록 유의적으로 감소하였다. 조직감 측정 결과 견고성, 부착성은 대조군이 가장 낮았으며, 복령 분말 첨가량이 증가할수록 유의적으로 증가하였다. 점착성과 씹힘성은 대조군이 가장 높게 나타났으며, 복령 분말 첨가량이 증가할수록 감소하였다. 탄력성과 응집성은 대조구와 첨가구간의 유의적인 차이가 없었다. 관능검사 결과, 맛과 향미에 대한 기호도의 경우 대조구보다 3% 복령 분말의 첨가구가 높게 나타났으며, 4% 이상에서는 기호가 감소하였다. 따라서 복령 분말을 $2{\sim}3%$ 정도 첨가하여 식빵을 제조할 경우 식빵의 품질과 기호성 향상에 도움이 될 수 있는 제품을 얻을 수 있었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제34권3호
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• pp.365-369
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• 2008

This study analyzed the incidence of wound infection after the operation of mandibular third molar extraction in relation with antibiotic prophylaxis with the object of young and healthy patients. The study object was 1,177 mandibular third molars of 850 men of 20 to 25 years old without any specific systemic disease. Three methods of preventive antibiotic medication were selected according to the preventive antibiotic medication previously reported; three experimental groups were selected based on them, and the antibiotic used was amoxicillin($^{(R)}Kymoxin$, Yuhanyanghaeng, Seoul). The group 1 includes the patients that took the antibiotic orally before the operation(one hour earlier, 500mg) and for three days after the operation(250mg per time, three times/day), the group 2 is the ones that took the same antibiotic orally only once about one hour before the operation(500mg), and the group 3 did not take any antibiotics before and after the operation. And to compare the difficulties and the degrees of extraction during operations which can be possibly related to the wound infection after the operations, the mandibular third molars' impacted depths and extraction methods were investigated as well. To check if the wound was infected, observations with an internal of one week were performed twice after the operation, and the meaningfulness of the infection incidence was verified through Chi-square test using SPSS program(SPSS Inc., IL, USA). There was no statistically significant difference between the antibiotic medication methods and the wound infection incidence after the operation among the experimental groups. As examining the relations between the mandibular third molar operation methods and the wound infection incidence after the operation, there existed a statistically meaningful difference in the infection incidence according to the operation methods(p=0.020). And there was no statistically significant difference in the wound infection incidence according to the impacted depth of the mandibular third molar. Therefore, it is thought that there exists little necessity of prophylatic antibiotics medication when extracting the mandibular third molar of young and healthy men without any systemic disease in general; however, in case when it is expected that the possibility of infection will be high or the wound on the tissue will be severe, it is sure that the prophylactic antibiotics medication will be necessary.

• Clinical and Experimental Reproductive Medicine
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• 제17권1호
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• pp.29-44
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• 1990

In 105 patients with the past history of poor response to the previous controlled ovarian hyperstimulation(COH) due to poor follicular growth or premature LH surge, the effectiveness of pituitary suppression with gonadotropin-releasing hormone agonist(GnRH agonist) in IVF/GIFT program was evaluated in 112 cycles of COH using a combination regimen of Leuprolide acetate (Lupron TAP Pharmaceuticals, USA) and FSH/hMG or pure FSH from May to December, 1989 at SNUH. Starting on day 21 of the menstrual cycle(MCD #21, Day 1), Lupron (1.0mg/day, subcutaneous) was administered once a day till next MCD #3(suppression phase). After the confirmation of pituitary suppression, ovarian follicular growth was stimulated with FSH/hMG or pure FSH from MCD #3(Day + 1), and Lupron was continued with hMG or FSH until hCG administration (D 0) (stimulation phase). After suppression phase, serum E2 level decreased from 183.7${\pm}$95.1(Day 1) to 17.4${\pm}$12.3pg/ml (Day +1), and serum progesterone level from 19.17${\pm}$8.67 to 0.12${\pm}$0.05ng/ml. But there was no decresas in serum LH and FSH levels; LH from 12.74${\pm}$6.21 to 15.49${\pm}$4.93mIU/ml,FSH from 7.60${\pm}$3.84 to 8.58${\pm}$3.15 rnlU/ml. There was no occurrence of premature LH surge during COH. Eleven cycles(9.8%) were cancelled due to poor follicular growth during stimulation phase, and 3 cycles (3.0%) failed in the transvaginal oocytes fretrieval. Serum E2 level was 1366.8${\pm}$642.4 on D 0 and 1492.3${\pm}$906.9pg/ml on D+1. 7.00${\pm}$3.32 follicles(FD${\geq}$12mm) were observed on D 0, and 6.11${\pm}$4.15 oocytes were retrieved, with the oocyte retrieval rate per follicle of 95.0%. 3.59${\pm}$2.57 oocytes were fertilized and cleaved with the oocyte cleavage rate of 55.7%. In 83 IVF patients, 4.08${\pm}$2.39 embryos were transferred, and 16 pregnancies were obtained with the pregnancy rate per ET 2.39 mebryos were transferred, and 16 pregnancies were obtained with the pregnancy rate per ET of 19.3%. In 6 GIFT patients, 7.83${\pm}$3.31 oocytes were retrieved and transferred with maximum number of 6, but no pregnancy was obtained. When compared with the previous 108 cycles of COH using FSH/hMG or pure FSH regimen, the cancellation rate during COH was significantly decreased, and all the parameters of the outcome of COH including the pregnancy rate were increased. These data suggest that GnRH agonist therapy for pituitary suppression is an effective adjunct to the current gonadotropin regimens for COH in IVF/GIFT and can increase the probability of oocytes retrieval and pregnancy, especially in the previous poor responders.

• Journal of Chest Surgery
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• 제37권3호
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• pp.235-244
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• 2004

동맥전환술은 대혈관전위증이나 Taussig-Bing 기형의 가장 보편적인 수술법으로 인정되고 있다. 동맥전환술 후 수술사망에 영향을 미치는 위험인자와 함께 관상동맥 이식 수기변형의 유효성을 알아보고자 하였다. 1994년부터 2002년 7월까지 동맥전환술을 동아대학교 병원에서 한 명의 외과의에 의하여 시행된 85예의 대혈관전위증과 양대혈관 우심실기시증 환아를 대상으로 후향적 조사를 하였다. 관상동맥이식 수기변형 등 수술(병원)사망에 관여한다고 생각하는 여러 인자들을 다변량 회귀분석을 통해 수술사망에 미치는 위험인자들을 파악하였다. 전체 수술사망(병원사망)은 모두 17예(20%)였으며 수술사망률이 98년 이전은 31.0% (13/42), 98년 이후는 9.3% (4/43)로 감소하였다. 대동맥궁 기형을 동반하지 않은 경우는 전체 사망률이 12.5% (9/72)였으나 동반된 경우는 61.5% (8/13)로 높은 사망률을 보였다. 관상동맥이식 수기변형을 하지 않은 경우 사망률은 28.1%(18/64)를 보인 반면 관상동맥이식 수기변형을 한 경우는 4.8% (1/21)로 많은 사망률의 감소가 관찰되었다. 다변량 회귀분석에서 심폐기가동시간($\geq$ 250분), 대동맥차단시간($\geq$ 150분), 대동맥궁기형이 동반된 경우, 수술 전 사건(event)이 있었던 경우, 개방 관상동맥 이식술(open coronary reimplantation technique)이 수술사망의 위험인자로 파악되었다. 동맥전환술의 수술사망률은 수술시기가 경과함에 따라 감소하였으며, 대동맥궁 기형의 동반과 술 전 사건(event)이 수술사망의 중요 위험인자였다. 비전형적 관상동맥 형태는 수술사망의 위험요소가 아니었으며 관상동맥 이식의 수기변형이 수술사망을 낮추는 데 매우 유효하였던 것으로 생각된다.

• 농약과학회지
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• 제2권3호
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• pp.21-27
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• 1998

25종 콩과식물 종자의 메탄올 추출물을 대상으로 기주식물상의 온실실험조건에서 6종의 주요 식물병원균에 대해 방제효과를 조사한 그 효과는 콩과식물의 종류에 따라 커다란 차이를 보였다. 25종의 공시종자를 5 mg/pot 농도로 처리하였을 때 결명자 (C. obtusifolia), 소리테(G. max var. solitae), 약콩(G. max var. yagkong), 흑태(G. max var. hooktae), (P. multiflorusf), (P. radiatus var. aurea)과 (V. sinensis) 추출물들은 오이잿빛곰팡이병, 밀붉은녹병 및 보리횐가루병에 대하여 80% 이상의 방제효과를 나타내었을 뿐 아니라, 잿빛곰팡이병의 살균제 저항성 균주에 대해서도 높은 활성을 보였다. 그러나, 공시종자 모두 벼도열병, 벼잎집무늬마름병 및 Phytophthora infestans병에 대해서는 거의 활성이 없거나 활성이 낮았다. 이상의 결과로부터 잿빛곰팡이병, 밀녹병 및 보리흰가루병 등에 높은 방제효과를 보인 상기 종자추출물들은 식물병 방제제로서 사용 가능성이 예상되었으며, 특히 살균제 저항성 잿곰팡이병에 높은 활성을 보여 시설원예재배에서 문제시되고 있는 잿빛곰팡이병의 방제에도 크게 이용할 수 있을 것으로 기대되었다.

• 대한바이러스학회지
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• 제26권2호
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• pp.273-283
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• 1996

In order to search for anti-influenza virus type A agents from Korean traditional prescriptions (herb complexes), we selected 63 traditional prescriptions, based on a review of the Korean traditional medicine books. Both methanol extracts and boiling-water extracts were tested, by means of the Haemagglutination Inhibition Test (HIT). Three of the 63 methanol extracts: CM-22, CM-26, CM-48 (see explanation of nomenclature below), showed efficacy against influenza virus type ACM-22 showed anti-influenza virus type A activity at the range of $313{\mu}g/ml$ to $9.75{\mu}g/ml$, CM-26 showed antiviral activity at the range of $156{\mu}l/ml$ to $4.87{\mu}g/ml$, CM-48 showed anti-influenza virus type A activity at the range of $625{\mu}g/ml$ to $19.5{\mu}g/ml$, respectively. Three of the water extracts: CW-14, CW-34, CW-61 were active. CW-14 showed anti-influenza virus type A activity at the range of l0mg/ml to $78{\mu}g/ml$, CW-34 showed antiviral activity at the range of 10mg/ml to $625{\mu}g/ml$ and CW-61 showed anti-influenza virus type A activity at the range of l0mg/ml to $313{\mu}g/ml$, respectively. In order to determine cytotoxicity of each extracts, chicken red blood cells were incubated with the various concentration of extracts of Korean traditional prescriptions. CW-14, CW-34 and CW-61 did not show cytotoxic effect against red blood cells whereas CM-22, CM-26 and CM-48 showed cytotoxic effect against red blood cells at the range of l0mg/ml to $625{\mu}g/ml$, 10mg/ml to $313{\mu}g/ml$ and 10mg/ml to $313{\mu}g/ml$, respectively. These results indicated that Korean traditional pres criptions may be inhibit either attachment of virus to cell surface receptor or penetration of the virus into cell during the initial stage of infection.

• Journal of Acupuncture Research
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• 제25권2호
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• pp.227-242
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• 2008

Objectives : To compare the efficacy of local acupoint with distal acupuncture at relieving pain and improving function in knee osteoarthritis. Designs : A randomized, single-blinded, crossover clinical trial. Settings : One outpatient clinic(department of acupuncture & moxibustion) located in academic teaching hospital, South Korea. Patients : 17 patients with osteoarthritis of the knee(mean age 62.76[$SD{\pm}4.37$] years). Interventions : The trial had 4 stages : baseline(2weeks), phase I and II(each 2weeks), washout period(2weeks). Patients were randomly assigned to either group A or group B. Group A received acupuncture at local acupoints during phase I, then acupuncture at distal acupoints in phase II. Group B received the treatments in reverse order. In each phase, the patients were treated with acupuncture for 6 times. Measurements : The primary outcome was subjective pain as measured by a 100mm visual analogue scale(VAS) ranging from 0(no pain) to 10(worst pain ever). Secondary outcomes were changes in the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) total and pain scores. Measurements were obtained at baseline, 1st day of phase I and II, and 2 days after last treatment of phase I and II. Results : The 17 participants in 2 groups were well matched for age, sex, target knees, baseline VAS score, WOMAC pain score and WOMAC score. Participants in local acupoint group experienced greater improvement than distal acupoint group at 2 days after last treatment in WOMAC total score(mean difference, -10.65[95% CI, -20.56 to -0.74] ; P=0.036) but not in VAS(mean difference, -12.41[95% CI, -29.56 to 4.73] P=0.15) and WOMAC pain score(mean difference, -1.82[95% CI, -3.98 to 0.33] ; P=0.094). Conclusions : Local acupoints are more effective than distal acupoints at relieving pain and improving function in knee osteoarthritis.

• 대한한의학방제학회지
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• 제16권1호
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• pp.95-107
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• 2008

Objectives : Hwangnyeonhaedok-tang(HNHDT) is the one of well-known traditional herbal formula and has been widely used for the treatment of various diseases in Korea. For the quality improvement of commercial traditional herbal formula, we investigated the quality of prepared HNHDT. Methods: We measured the contents of baicalin, berberine and geniposide in the HNHDT Ex preparations on the market by HPLC and compared with the official notice of ingredients. Results: In 3 preparations of HNHDT covered with the national health insurance(NHI), the content of baicalin was various from 32.83mg to 185.05mg, the total berberine was $12.0{\sim}50.75mg$ and geniposide was $12.57{\sim}44.84mg$. Contents of marker ingredients in NHI Preparations were below the standard and showed a large variation. In 7 non NHI Preparations of HNHDT and the standard(STD) HNHDT manufactured in laboratory, the content of baicalin was $37.16{\sim}115.69mg$, the total berberine was $5.62{\sim}28.43mg$ and geniposide was $10.98{\sim}113.47mg$. But, because composition of non-NHI preparations is different from NHI preparations, every maker's contents were up to the notice for baicalin and berberine. There was newly enforced standard regulations of geniposide in non-NHI preparations, so contents of geniposide was up to that standard only in JI and STD. Conclusions: There was a large variation of contents in the HNHDT Ex preparations on the market and the quality differences were existed between NHI and non-NHI preparations of HNHDT. Further studies for evaluation of efficacy differences and standardization of manufacturing processes are necessary.