• 제목/요약/키워드: 인제

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편의점 안전상비의약품 판매 허용 이후 치료 약물 중독 (Pharmaceutical Drug Poisoning after Deregulation of Over the Counter Drug Sales: Emergency Department Based In-depth Injury Surveillance)

  • 김성호;김현종;이지숙;박준석;김경환;신동운;김훈;박준민;전우찬
    • 대한임상독성학회지
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    • 제16권2호
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    • pp.141-148
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    • 2018
  • Purpose: The Korean government approved selected nonprescription drugs (Over-The-Counter drug; OTC drug) to be distributed in convenience stores from 15. Nov. 2012. This study examined the changes in the incidence and the clinical outcome of acute pharmaceutical drug poisoning after the deregulation of OTC drug sales. Methods: This study analyzed the data of Emergency Department based Injury In-depth Injury Surveillance (EDIIS), Korea Centers for Disease Control and Prevention, from 2011 to 2014. The following items were examined: age, gender, intention, alcohol association, pharmaceutical drugs resulting acute poisoning, the clinical outcomes in emergency department, and the admission rate of intensive care unit (ICU). This is a retrospective cross section observational study. Results: A total of 10,162 patients were subject to pharmaceutical drug poisoning. Acute poisoning by acetaminophen and other drugs were 1,015 (10.0%) and 9,147 (90.0%) patients, respectively. After the deregulation of OTC drug sales, acute poisoning by other drugs increased from 4,385 to 4,762 patients but acute poisoning by acetaminophen decreased from 538 to 477 patients (p<0.05). The rate of admission of acetaminophen poisoning increased from 36.1% (194/538) to 46.8% (223/477). The admission rate to the ICU by acetaminophen poisoning increased from 4.6% (25/538) to 11.3% (54/477) after the deregulation of OTC drug sales (p<0.05). Conclusion: Since the deregulation of OTC drugs sales, pharmaceutical drug poisoning has increased but acetaminophen poisoning has decreased. The rate of hospitalization and ICU admission by pharmaceutical drug poisoning with or without acetaminophen has also increased.

약물중독 환자에서 Neutrophil Lymphocyte Ratio의 흡인성폐렴 발생 예측인자로서의 고찰 (Neutrophil-to-lymphocyte Ratio as A Predictor of Aspiration Pneumonia in Drug Intoxication Patients)

  • 이정범;이선화;윤성종;류석용;최승운;김혜진;강태경;오성찬;조석진;서범석
    • 대한임상독성학회지
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    • 제16권2호
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    • pp.61-67
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    • 2018
  • Purpose: To evaluate the association between neutrophil-to-lymphocyte ratio (NLR) and occurrence of aspiration pneumonia in drug intoxication (DI) patients in the emergency department (ED) and to evaluate the relationship between NLR and length of hospital admission/intensive care unit (ICU) admission Methods: A total of 466 patients diagnosed with DI in the ED from January 2016 to December 2017 were included in the analysis. The clinical and laboratory results, including NLR, were evaluated as variables. NLR was calculated as the absolute neutrophil count/absolute lymphocyte count. To evaluate the prognosis of DI, data on the development of aspiration pneumonia were obtained. Also, we evaluated the relationship between NLR and length of hospital admission and between NLR and length of ICU admission. Statistically, multivariate logistic regression analyses, receiver-operating characteristic (ROC) curve analysis, and Pearson's correlation (${\rho}$) were performed. Results: Among the 466 DI patients, 86 (18.5%) developed aspiration pneumonia. Multivariate logistic regression analysis revealed NLR as an independent factor in predicting aspiration pneumonia (odds ratio, 1.7; p=0.001). NLR showed excellent predictive performance for aspiration pneumonia (areas under the ROC curves, 0.815; cut-off value, 3.47; p<0.001) with a sensitivity of 86.0% and a specificity of 72.6%. No correlations between NLR and length of hospital admission (${\rho}=0.195$) and between NLR and length of ICU admission (${\rho}=0.092$) were observed. Conclusion: The NLR is a simple and effective marker for predicting the occurrence of aspiration pneumonia in DI patients. Emergency physicians should be alert for aspiration pneumonia in DI patients with high NLR value (>3.47).

학령전기 소아에서 추락으로 인한 경증 두부손상의 특징에 대한 후향적 관찰 연구 (The characteristics of mild head injuries in preschool-age children fall: a retrospective observational study)

  • 성민석;이지숙;전우찬;박준석;김경환;신동운;김훈;박준민;김현종
    • 대한응급의학회지
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    • 제29권5호
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    • pp.423-429
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    • 2018
  • Objective: Falling is a common cause of head injury in preschool aged children. We investigated the characteristics of mild head injuries caused by falling and the association between body weight and occurrence of traumatic brain injuries (TBI). Methods: This retrospective observational study was conducted on head-injured preschool-aged children that visited the emergency department from January 2012 to December 2015. Characteristics such as age, sex, weight, free fall height, floor type, and presence of TBI, as defined as cerebral hemorrhage or skull fracture, were investigated. We calculated body weight percentiles by calibrating age and weight and categorized them into four quartile ranges. We grouped all included cases into two groups according to the presence of TBI. The characteristics of the two groups were compared by using chi-square test, and the association with TBI was investigated by using binomial logistic regression. Results: A total of 701 children were included, and TBI was observed in 95 children. Children with TBI were younger. The proportion of children with TBI was higher in the third and fourth quartiles of the body weight group as well as according to soft floor and fall from high height (${\geq}1m$). The odds of soft floor being associated with TBI was higher than the odds for hard floor (odds ratio, 2.734; 95% confidence interval [CI], 1.597-4.680). The odds of high height (${\geq}1m$) being associated with TBI was higher than that for low height (odds ratio, 2.306; 95% CI, 1.155-4.601), and the odds ratio for the weight percentile group was 1.228 (95% CI, 1.005-1.499). Conclusion: Prevalence of TBI after falling in preschool-aged children might be associated with high fall-height and body weight quartiles.

흰점박이꽃무지 유충 추출물이 Co-60 감마선에 조사된 수컷 흰쥐의 혈구 및 전립선에 미치는 방사선 방호효과 (Radiation Protection Effect of Protaetia Brevitarsis Larvae Extracts on Blood and Prostate in Male Rats Irradiated with Co-60 Gamma-ray)

  • 정근우;김장오;이윤지;김해숙;전찬희;최제경;주성현;민병인
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권2호
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    • pp.117-122
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    • 2021
  • This study is desinged to examine for radiation protection effect of Protaetia Brevitarsis Larvae extracts on the blood and prostate of male rat as a natural radiation protection agent. 5 groups were classified using 90 male rat as experimental animals. Each group was clssified as normal control group (NC Group), the group administered protaetia brevitarsis larvae extracts (PBE Group), irradiated group (IR Group), irradiated group after administration of protaetia brevitarsis larvae extracts (PBE+IR Group), the group administered protaetia brevitarsis larvae extracts after irradiaton (IR+PBE Group). In IR Group, 7 Gy/h of Co-60 gamma ray was irradiated to SD rats. In PBE+IR Group, protaetia brevitarsis larvae extacts wewe injected at 200 mg/kg/day for 14 days before irradiation, In IR+PBE Group, protaetia brevitarsis larvae extract was injeted after irradiation. On the 1, 7 and 21 days after irradiation, the experimental animals were sacrificed to evaluate the changes in blood cell component, superoxide dismutase (SOD) activity, histopathological evaluation of the liver and prostate gland. As a result, the PBE+IR Group and IR+PBE Group showed a significantly recovery of white blood cell (p<0.01, p<0.01), platelet (p<0.01, p<0.01) than the IR Group. It was also confirmed that SOD activity of PBE+IR Group (p<0.01) and IR+PBE Group (p<0.01) was significantly increased than the IR Group. Also PBE+IR Group and IR+PBE Group showed less inflammatory reactions of cystoplasm in the prostate gland than the IR Group. In conclusion, the protaetia brevitarsis larvae have radioprotection effect against blood and prostate gland. It is expected to be useful for research of radiation protection agent.

구불창자간막 혈종으로 발현한 회충증: 증례 보고 (Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report)

  • 김지은;배경은;김현정;배병노;이지혜;강미진;김지영;김재형
    • 대한영상의학회지
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    • 제81권4호
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    • pp.1013-1018
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    • 2020
  • 회충증은 Ascaris lumbricoides에 의하여 유발되는 장 질환이다. 대부분의 회충증 환자는 무증상이지만 장내 유충이 많은 경우에는 장 폐색, 폐쇄성 황달, 담관염, 담낭염, 췌장염과 같은 합병증이 생길 수 있다. 저자들은 컴퓨터단층촬영(이하 CT)에서 구불창자간막에 혈종과 활동성 출혈이 발생하여 회충증으로 진단된 74세 남자의 사례를 경험하였다. 이후에 환자가 시행한 CT에서는 이와 더불어 구불창자의 천공 발생이 확인되었다. 복강경을 통한 저위전방절제술이 시행되었고 구불창자간막에 큰 혈종이 있었으며 장간막 지방 조직에서 현미경적으로 회충이 확인되었다. 이러한 회충증의 드문 임상적, 영상의학적 소견은 기생충이 장관의 내강 안에서 복강 내로 이동하는 과정에서 발생한 순차적인 합병증들을 보여준다.

Prohibitin 2와 근위축성 측삭 경화증 원인 단백질인 Kinesin Superfamily Protein 5A의 결합 (Interaction Between Prohibitin 2 and Kinesin Superfamily Protein 5A Causes Amyotrophic Lateral Sclerosis)

  • 김명훈;표세영;정은주;강미리;정영주;박성우;서미경;이원희;엄상화;김무성;석대현
    • 생명과학회지
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    • 제34권10호
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    • pp.723-729
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    • 2024
  • Kinesin superfamily protein (KIF5A)은 키네신-1의 운동 단백질이며 KIF5B 혹은 KIF5C와 결합하고, 또한 비운동 단백질인 키네신 경쇄(KLC)와 결합하여 이종사량체 복합체를 형성한다. 근위축성 측삭 경화증(ALS) 원인 유전자인 KIF5A의 단일 뉴클레오타이드 변이는 엑손 27 근처에 클러스터링되어 있으며, 이 영역은 키네신 5A의 카르복시(C)-말단 영역에 해당된다. 근위축성 측삭 경화증 환자에서 미토콘드리아막 단백질인 prohibitin 1 (Phb1)과 Phb2는 척수에서 발현량이 감소한다. 본 연구에서는 Phb2는 KIF5A와 결합한다는 것을 확인하였다. Phb2는 KIF5A의 C-말단 영역에 결합하였고, KIF5A는 Phb2의 C-말단 영역에 결합하지만, KIF5A는 Phb1과는 결합하지 않았다. 인간배아신장 세포-293T에서 EGFP-Phb2와 myc-KIF5A 플라스미드를 공동 발현한 결과, Phb2는 키네신-1의 모터 단백질인 KIF5A와 KIF5B, 그리고 KLC1과 공동 면역침강하였다. 또한, EGFP-Phb2와 myc-KIF5A는 세포 내의 동일한 위치에서 발현하였다. 이러한 결과는 KIF5A는 Phb2와 결합하며, 키네신-1과 미토콘드리아의 결합을 매개하는 역할을 시사한다.

VD Special-21세기의 독립투쟁과 벤처인

  • 이석봉
    • 벤처다이제스트
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    • 통권51호
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    • pp.6-7
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    • 2004
  • “이겼다는 소리를 들어보지 못한 우리의 고막은 깊은 밤 전승의 방울소리에 터질 듯 찢어질 듯. 침울한 어둠 속에 짓눌렸던 고토(故土)의 하늘도 올림픽 거화(炬火)를 켜든 것처럼 화다닥 밝으려 하는구나.…… 오오 나는 외치고 싶다! 마이크를 쥐고 전 세계의 인류를 향해서 외치고 싶다. 인제도 인제도 너희들은 우리를 약한 족속이라고 부를 터이냐…” -손기정 선생 묘비에 쓰인 심훈 선생의 글 중에서-

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캠퍼스이색학과 - 인제대 광(光)공학과

  • 조관식
    • 과학과기술
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    • 제32권6호통권361호
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    • pp.24-25
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    • 1999
  • 광공학이라고 하면 다소 생소하지만 빛을 연구하고 가르치고 응용하며 레이저를 다루는 학문이다. 인제대 광공학과는 98년 신설된 이색학과로 레이저와 광반도체 기술을 훈련해 필요한 광통신소자 제조업체에 필요한 인력을 양성하고 있다. 일본에서는 63년 도카이대학에 처음 설립되었으며 지금은 10여개 대학에서 유사한 학과를 개설하여 운영하고 있다.

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