• 제목/요약/키워드: 이진환

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불응성 가와사키병 환아에서 infliximab 사용 후 발생한 패혈증 (Gram-negative Septicemia after Infliximab Treatment in an Infant with Refractory Kawasaki Disease)

  • 이진환;윤정민;임재우;고경옥;천은정
    • Pediatric Infection and Vaccine
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    • 제21권3호
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    • pp.225-230
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    • 2014
  • 최근 가와사키병에서 tumor necrosis factor-alpha(TNF-alpha) blocker인 infliximab 단일 정주 요법이 불응성 가와사키병 환자들에게 유용한 치료제로 여겨지고 있다. 장기적인 TNF-alpha blocker 사용이 기회감염의 위험을 증가시킬 수 있지만, 가와사키병 환자들에게 infliximab 사용이 심각한 부작용을 초래하지 않으며 안전하게 사용된 증례들이 보고된 바 있다. 불응성 가와사키병을 앓고 있는 5개월 된 영아에서 infliximab (5 mg/kg) 단일 정주 요법을 사용하였고 가와사키 증상이 호전되었으나 infliximab 치료 후 Acinetobacter lwoffii에 의한 패혈증이 발생하였다. 그래서 저자들은 불응성 가와사키병을 앓은 영아에서 infliximab 치료 후 발생한 패혈증의 첫 사례를 보고하며 infliximab 치료 선택에 있어 기회 감염의 위험성에 대해 고려할 것을 당부하는 바이다.

국소마취제(局所麻醉劑)가 Sulfanilamide의 직장내(直腸內) 흡수(吸收)에 미치는 영향 (The Influence of the Local Anesthetics on the Absorption of Sulfanilamide through the Rectum)

  • 하춘자;이진환;최준식
    • 대한약리학회지
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    • 제9권1호
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    • pp.53-58
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    • 1973
  • Author attempts to determine the absorption of the sulfanilamide by the various suppositorial bases contained the local anesthetics through the rectum of the rabbit. The types of bases examined are four of lipophillic, hydrophillic and emulsion types such as oil in water and water in oil, otherwise the local anesthetics are procaine and lidocaine each other 2 and 20 percent in a suppository. The results are as follows; 1. The absorption of sulfanilamide is higher when they are combined with the local anesthetics than when single drugs of them are used. 2. The promotion of absorption by the local anesthetics, both the procaine and lidocaine, are higher when they are used 20 percent than 2 percent as the concentration. 3. In excellency of the suppositorial base, the order of the blood level is polyethylene glycol, oil in water, water in oil as emulson type and cacao butter.

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CATV 망을 통한 디지털 TV 전송에 대한 성능 분석 (Performance Analysis on Digital TV Transmission Through CATV Networks)

  • 손원;이재련;이진환
    • 방송공학회논문지
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    • 제5권2호
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    • pp.159-166
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    • 2000
  • 이 논문은 아날로그 CATV망을 이용하여 디지털 TV신호를 전송할 때의 성능을 분석하였다. 채널손상 요소로는 랜덤잡음, 극소반사(microreflection), 및 CTB(Composite Tripple Beats)를 고려하였으며, 랜덤잡음과 CTB에 대한 채널 모형화는 가우시안과 와이블 분포를 각각 적용하였다. 극소반사에 대한 채널 모형화는 지연시간에 따라 세 가지의 경우로 구분하였으며, 극소반사의 영향을 최소화하기 위해서 수신단에서 반송파 복원기와 블라인더 등화기를 적용하였다. 설정된 채널모형에 대한 디지털 전송성능을 분석하기 위하여, DVB-C 규격을 적용한 컴퓨터 모의장치를 구현하였으며, 모의실험을 통하여 각 채널 형상에 대한 성능을 알기 위해 $E_{b}$/$N_{o}$값에 대한 BER값을 구하였다.

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입체 카메라의 자동 초점 제어를 위한 웨이블릿 변환을 이용한 제어 변수 추출 (Control Parameter Extraction using Wavelet Transform for Auto-Focus Control of Stereo Camera)

  • 엄기문;허남호;김형남;조진호;이진환
    • 방송공학회논문지
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    • 제5권2호
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    • pp.239-246
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    • 2000
  • 본 논문에서는 입체 카메라의 자동 초점 제어에 필요한 제어 변수 추출 방법을 제안한다. 일반적으로 카메라로 획득한 입체 영상에서 관심 있는 피사체가 영상의 중심부에 있다고 가정을 한다. 이 경우에 획득된 영상에서 특정한 크기의 중심 영역에 대해서만 2D 웨이블릿 변환을 한다. 변환을 거친 신호 중에서 고역 성분 (HH)에 대한 Ll Norm을 이용하여 필요한 초점제어 변수를 추출한다. 실험결과를 통해 제안된 방식이 기존의 DCT를 이용한 방식에 비해 입체카메라의 자동 초점 제어에 효과적으로 적용될 수 있음을 보인다.

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2002-2007년 통영바다목장해역에서 식물플랑크톤 현존량 및 생체량에 따른 우점종의 변동 및 관계 (Variation and Relationship between Standing Crops and Biomass of Phytoplankton Dominant Species in the Marine Ranching Ground of Tongyeong Coastal Waters from 2000 to 2007)

  • 정승원;권오윤;이진환
    • ALGAE
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    • 제23권1호
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    • pp.53-61
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    • 2008
  • In order to understand variation and relationship between standing crops and biomass of phytoplankton dominant species for the long term periods, this study was seasonally investigated in the marine ranching ground of Tongyeong coastal waters from 2000 to 2007. Total 268 taxa representing 217 Bacillariophyceae, 46 Dinophyceae, 4 Dictychophyceae, 1 Euglenophyceae were observed in phytoplankton communities. Dominant species consisted of 5 species as standard in standing crops: Chaetoceros curvisetus (18.01%), Chaetoceros socialis (12.95%), Skeletonema costatum (8.39%), Chaetoceros compressus (6.87%), Asterionellopsis glacialis (5.02%). However, to determine dominant species as biomass concept, Ditylum brightwellii, Guinardia striata, Rhizosolenia spp. and Skeletonema costatum were occupied with dominant species (19.67%). As determining for cell sizes, dominant species were divided with two groups such as micro- and nanophytoplankton (standing crops) and mesophytoplankton (biomass). However, Skeletonema costatum in anophytoplankton was associated to affect fluctuation between standing crops and biomass.

극심한 두통과 불면을 호소하는 만성 운동 틱 장애 환자1례 보고 (One Case Report of Chronic Motor Tic Disorder Patient with Extreme Headache and Insomnia.)

  • 김자영;강현선;이진환;성우용;정다운
    • 동의신경정신과학회지
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    • 제19권3호
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    • pp.219-229
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    • 2008
  • Tics are sudden, painless, nonrhythmic behaviors that are either motor or vocal. As to DSM- VI diagnostic criteria, chronic tic disorder is either single or multiple motor or phonic tics, but not both, which are present for more than a year. In this case, a male patient was diagnosed tics disorder at 8 years old. He has suffered for 15 years and his symptom was simple motor tics of neck, both arms and both legs, not vocal tics. So we diagnosed him as the chronic tic disorder. The severity score headache was assessed using the Visual Analog Scales. The severity score tics was assessed at baseline using the Yale Global Tic Severity Scale (YGTSS) and we compared score of before with after treatment. We treated him with oriental medication( herbal medicine, acupuncture, cry cupping) and progressive muscle relaxation. After this treatment, chronic insomnia and extreme headache were disappeard and the symptoms of tics were mildly decreased.

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고혈압(高血壓) 치료제(治療劑)의 개발(開發)에 관(關)한 연구(硏究)(I) -등심초(燈心草)의 혈압강하(血壓降下) 작용(作用) 및 기전(機轉)- (A Study on the Development of Hypotensive Agent (I) -Hypotensive Action and Mechanism of Junci Herba in the Rabbit-)

  • 문영희;고석태;이진환;김성원;하춘자
    • 생약학회지
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    • 제6권4호
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    • pp.211-217
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    • 1975
  • The blood pressure response to Junci Herba water and methanol extracts in rabbit and $LD_{50}$ to Junci Herba water extract in mouse were investigated in order to develop a hypotensive agent from natural resources. $LD_{50}$ of Junci Herba water extract (WE) was 600 mg/kg in mouse, when WE was injected intraperitonealy. Junci Herba water and methanol extract, when injected into the vein of rabbit, produced a fall of blood pressure. Hypotensive effect of WE was suppressed by atropine and potentiated by phentolamine, while not affected by avil, propranolol, and phenoxybenzamine. Intravenous injection of chlorisondamine weakened the hypotensive effect of WE, and WE produced hypertensive effect in this rabbit. Intravenous injection of bretylium did not affect the hypotensive effect of WE, but WE produced hypertensive effect in this rabbit. In the rabbit treated with chlorisondamine, hypertensive effect of WE was suppressed by methysergide or bretylium, but not affected by atropine or phenoxybenzamine.

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세파졸린피발로일옥시메칠에스텔의 합성 및 생물약제학적 연구 (Synthesis and Biopharmaceutical Studies of Cefazolin Pivaloyloxymethyl Ester, A Novel Prod rug of Cefazolin)

  • 안선엽;이진환;최준식;범진필
    • Journal of Pharmaceutical Investigation
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    • 제22권2호
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    • pp.139-148
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    • 1992
  • A prodrug of cefazolin pivaloyloxymethyl ester (CFZ-PV) was synthesized to improve oral absorption and bioavailability of parent drug by esterification of sodium cefazolin (CFZ) with chloromethyl pivalate. The successful synthesis of CFZ-PV was confirmed by spectroscopic analysis. Partition coefficient studies showed that CFZ-PV is more lipophilic than CFZ. The pharmacokinetic characteristics of CFZ-PV and CFZ preparations were compared following oral administrations of these compounds to rabbits. The analysis of CFZ in plasma was conducted by HPLC method. The ester compound (prod rug) was not detected in plasma following oral administration of CFZ-PV, and although CFZ-PV had not microbiological activity in vitro, the plasma taken after CFZ-PV administration had microbiological activity. From above observations, it was noted that CFZ-PV is rapidly hydrolyzed to CFZ in the body. And it was found that the oral absorption of CFZ-PV was increased, yielding 2-fold higher bioavailability than CFZ. From the results of this experiment, it was concluded that CFZ-PV could be a novel prodrug of CFZ which can improve the oral bioavailability of CFZ.

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세파졸린프탈리딜 에스텔 프로드럭의 합성 및 생물약제학적 연구 (Synthesis and Biopharmaceutical Studies of Cefazolin Phthalidyl Ester Prodrug)

  • 이진환;김가나
    • Journal of Pharmaceutical Investigation
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    • 제23권2호
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    • pp.61-69
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    • 1993
  • Prodrug of cefazolin (CFZ) was prepared with the objective of improving its oral bioavailability. Cefazolin phthalidyl ester (CFZ-PT) was synthesized and evaluated as potential prodrug form. The successful synthesis of CFZ-PT was identified by spectroscopic analysis. Partition coefficient studies showed that CFZ-PT is more lipophilic than CFZ and the ester was hydrolyzed enzymatically into the parent drug in blood, liver and intestinal homogenates. The pharmacokinetic characteristics of CFZ-PT and CFZ were compared following oral administrations to rabbits. Serum CFZ concentration was determined by HPLC method and the ester compound (prodrug) was not detected in serum following oral administration of CFZ-PT. CFZ-PT did not have antimicrobial activity in vitro against Bacillus subtilis ATCC 6633, whereas CFZ-PT in serum after oral administration to rabbits had antimicrobial activity. From above observations, it was noted that CFZ-PT is rapidly hydrolyzed to CFZ in the body and the bioavailability of CFZ-PT was increased by 3.5-fold than that of CFZ. From these results of this study, it was concluded that CFZ-PT may be a novel prodrug of CFZ which can improve the oral absorption of CFZ.

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세파졸린의 경구투여를 위한 프로드럭의 개발 -세파졸린 에톡시카보널에칠 에스텔의 합성, 분배계수 및 항균력- (Development of Cefazolin Prodrug for Oral Administration -Synthesis, Partition Coefficient and Antibacterial Activity of Cefazolin Ethoxycarbonylethyl Ester-)

  • 정영국;범진필;최준식;이진환
    • Journal of Pharmaceutical Investigation
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    • 제24권4호
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    • pp.265-271
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    • 1994
  • Cefazolin ethoxycarbonylethyl ester (CFZ-ET) was synthesized to improve oral absorption and bioavailability of the parent drug by esterification of sodium cefazolin (CFZ-Na). The successful synthesis of CFZ-ET was identified with analysis of UV spectra, FT-lR spectra and NMR spectra. Partition coefficient studies showed that CFZ-ET was more lipophilic than CFZ-Na and the ester was hydrolyzed into the parent drug in vivo. Although CFZ-ET did not have antimicrobial activity in vitro, the plasma taken after the oral administration of CFZ-ET had antimicrobial activity. Based on above observations, CFZ-ET might be rapidly hydrolyzed to CFZ in the body. Therefore, it may be concluded that CFZ-ET could be a novel prodrug of CFZ which can improve the bioavailability of CFZ-Na.

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