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영아 담도폐쇄증 진단에서 Tc-99m DISIDA 간담도주사와 경피간침생검의 의의
김우석,박우현,최순옥,김상표,Kim, Woo-Suk,Park, Woo-Hyun,Choi, Soon-Ok,Kim, Sang-Pyo 대한소아외과학회 1997 소아외과 Vol.3 No.1
본 저자들은 1992년 3월부터 1996년 4월까지 신생아 울체성 황달의 감별진단, 특히 신생아담도폐쇄증과 신생아 간염의 감별진단에 있어 Tc-99m DISIDA 간담도주사와 경피간침생검을 시행하여 다음과 같은 결과를 얻었다. 질환별로 볼 때 전체 60예의 환아 중에서 담도패쇄증이 23예, 신생아 감염이 34예였으며 경정맥고영양법으로 인한 황달이 2예, Alagille 증후군이 1예였다. Tc-99m DISIDA 간담도주사는 60명의 환아를 대상으로 실시하였다. BA 진단에 대한 민감도와 특이도는 각각 96%와 32%로서 높은 민감도를 보인 반면 특이도는 낮게 나타났으며 전체적인 진단 정확도는 57%였다. 경피간침생검은 Tc-99m DISIDA 간담도주사를 실시한 60명의 환아중 장관내 방사능이 나타나지 않았던 38명의 환아에서 40회 실시하였는데, 경피간침생검에 BA 진단에 대한 민감도는 88%, 특이도는 96%로 모두 높았으며 전체적인 진단 정확도는 93%였다. 본 연구를 요약하면 Tc-99m DISIDA 간담도주사는 특이도 32%, 양성예측율 47%로서 Tc-99m DlSIDA 간담도주사에서 장관내 방사능이 배설이 되지 않을 때는 경피간침생검이 반드시 필요하리라 생각되며, 일단 장관내 방사능이 배출되면 BA는 배제할 수 있으리라 생각된다. 경피간침생검은 전체적인 진단율이 93%로 높으나, BA 환아에서 8주전에 경피간침생검시는 NH와 감별이 어려울 수 있으며, 또 일부 NH, 경정맥고영양법 관련 울체성 황달에서는 경피간침생검시 BA와 감별이 어려울 수 있으므로, 임상경과를 보아서 의심스러우면 재 경피간침생검을 시행하던지 타 진단법을 응용해서 참고하여야 할 것으로 생각된다. To differentiate biliary atresia from intraheaptic cholestasis, Tc-99m DlSIDA hepatobiliary scintigraphies and percutaneous needle biopsies of 60 consecutive infants were evaluated retrospectively. Twenty three patients had biliary atresia and 37 patients intraheaptic cholestasis(neonatal hepatitis 34, TPN induced jaundice 2 and Dubin-Johnson syndrome 1). All sixty patients underwent Tc-99m DlSIDA hepatobiliary scintigraphy with phenobarbital pretreatment. Of 23 patients with biliary atresia, 22 were correctly interpreted showing 96% sensitivity while of 37 patients with intraheaptic cholestasis, only 12 had intestinal excretion of radionuclide showing 32% specificity. Among the forty needle biopsies, 17 of biliary atresia and 23 of intrahepatic cholestasis, 37 were correctly interpreted as either having biliary atresia or intrahepatic cholestasis. The overall diagnostic accuracy was 93%. Of 3 misdiagnosed cases, the histologic findings of two patients with biliary atresia(aged 43 days and 54 days at the first needle biopsy) were essentially the same as those of neonatal hepatitis. Follow-up biopsies, however, showed findings consistent with biliary atresia. The third one(VLBW premie with history of 8 weeks of TPN) showed mild ductal proliferation and portal fibrosis. This was interpreted as suspicious for biliary atresia. Jaundice resolved gradually. In summary, patients who have intestinal excretion of radionuclide on Tc-99m DlSIDA hepatobiliary scintigraphy, biliary atresia can be ruled out. But the patients who do not have intestinal excretion of radionuclide should have further investigation by needle biopsy. Judicious use of Tc-99m DISIDA hepatobiliary scintigraphy and percutaneous needle biopsy can give a diagnostic accuracy of 95% or more in cases of infantile cholestasis.
순환골재를 사용한 고강도 철근콘크리트보의 휨거동에 관한 연구
김우석,여진동,곽윤근,강현구,홍성걸,Kim, Woo-Suk,Yeo, Jin-Dong,Kwak, Yoon-Keun,Kang, Thomas H.K.,Hong, Sung-Gul 대한건축학회 2012 대한건축학회논문집 Vol.28 No.3
Currently, approximately 90% of waste concrete is being used solely for landfills. Of the total waste concrete only about 14% is made into aggregate and recycled. Such usage is a very low-efficiency method of recycling these materials, under-utilizing an important and valuable asset. Common engineering practice has thus far failed to promote the design of structural members using recycled aggregates. Moreover, appropriate structural design standards for such materials have not been established, despite the number of domestic research studies which have been, and are being, conducted. Such practices overlook the fact that the recycling of aggregate from demolished concrete structures is both structurally and economically beneficial. In making full use of recycled concrete aggregates (RCA) it is necessary to understand its mechanical properties such as compressive, tensile and flexural strengths, and bond strength, as well as its structural performance. The main objectives of this research study are the investigation of flexural performance and the evaluation of the potential applications of RCA on concrete structures. For this, flexural tests of 12 reinforced high-strength concrete beams with RCA were performed. The current test data were examined in terms of flexural strength, along with the data from previously tested reinforced concrete beams with RCA. It is anticipated that this research will play a role of establishing the structural design standards for concrete members with RCA.
비분산 적외선 분광법을 이용한 Co<sub>2</sub>농도 고속 분석기의 Sampling Module 특성에 관한 실험적 연구
김우석,손덕영,박영무,유재석,이종화,Kim, Woo-Seok,Shon, Deok-Young,Park, Young-Moo,Yoo, Jae-Suk,Lee, Jong-Hwa 대한기계학회 2003 大韓機械學會論文集B Vol.27 No.3
A fast response analyzer for measuring carbon dioxide concentration has been developed for transient characteristic and researches tested on internal combustion engine. The analyzer uses the well known NDIR(Non-Dispersive Infrared) method with miniaturized detection system, giving a time constant of approximately 30 microsecond, and sampling module consists of capillary tube. Since the transit time and the time constant of the sampling system depend on the sampling conditions, it is necessary to investigate the characteristics of sampling system before applied to exhaust gas measurement in engine. A unique method was designed to study the influence of the diameter of transfer sample line and operating conditions of the FRNDIR on transit time and time constant. A database of transit time and time constant was built up for different measured and simulated pressure conditions. The database can be used for correcting eventual $CO_2$ concentration measurement.
파라계 아라미드섬유 보강 순환굵은골재 RC보의 구조성능평가
김우석 ( Kim Woo-suk ),이헌석 ( Lee Heon-seok ),아지모프엘리욧 ( Azimov Elyorjon ) 한국구조물진단유지관리공학회 2019 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.23 No.1
In this study, structural tests were performed for the para-aramid fiber-reinforced RC beams using Recycled Coarse Aggregates (RCA) according to the main parameters which are RCA replacement ratio (0 and 30%) and para-aramid fiber volume fraction (0, 0.75 and 1.0%). Experimental results show that by reinforcing para-aramid fibers, compared with the natural coarse aggregate, the RCA, which exhibited low structural performance, improved load carrying capacity and ductility.
목차 : 고층아파트 화재시 발코니 확장에 따른 화재 위험성에 관한 실험 연구
김우석 ( Woo Suk Kim ),김화중 ( Wha Jung Kim ),이광원 ( Gwang Won Lee ),이지희 ( Ji Hee Lee ) 한국안전학회(구-한국산업안전학회) 2012 한국안전학회지 Vol.27 No.2
Changes in the styles of communities are leading of increases in the number of high-rise apartments and commercial-apartment structures. Tall high-rise structures, while presenting unique economies of scale and cost effectiveness tend to be highly engineered and complex structures. In the event of a fire, this complexity in design also results in a complexity in the behavior of fire propagation and control. High-rise structures are among the most potentially dangerous due to the high population density in the building, and the inherent limitations on evacuation and on fire control services. One of the most critical points of fire propagation is the movement of fire through the outer wall structures. Controlling such propagation is essential in controlling the spread of the fire throughout the building itself, as well as controlling the potential for its spread to adjacent buildings. In this study, we will be examining the potential for fire control design and effects mitigation using a 1/4.5 scale model. The primary focus of the study will be the effects of extended balconies into the structure of high-rise apartments. The authors will also consider the effectiveness of reduced-scale model tests.
김우석(Woo Suk Kim),한광령(Kwang Leong Han) 한국여성체육학회 2010 한국여성체육학회지 Vol.24 No.4
The purpose of this study is to examine the role of sports in the cultural adaptation and to prepare theoretical foundation of how the sports can be utilized as a communication tool in multi-cultural society, based on the cultural adaptation process of Berry (1997). The detail research problems for this include firstly What is the role of sports in cultural adaptation? secondly, What is the role of cultural adaptation appeared through sports activities? and thirdly What is the role of sports in the process of cultural adaptation? To examine these, theoretical foundation was established based on the research on the cultural adaptation of Berry (1997) and the qualitative research method were adopted as the most appropriate method to perform this study. According to 3 factors, mobility, spontaneity and perpetuity which arise from cultural contact, 6 marriage migrant women who were regularly participating in the sports activities for over 5 years in Korea were selected. To analyze the data, sub category and core category which are related to the research problems were derived through. domain analysis and taxonomic out of ethnography research methods and the contents can be summarized as follows. The role of sports in the cultural adaptation of marriage migrant women can be categorized into cultural personality, behavioral change and cultural adaptation stress. First, cultural personality was classified into absolute acceptance. Second, behavioral change was classified into activities for understanding cultural difference and health. Third, cultural adaptation stress was classified into information sharing, consolation and encouragement. The roles of cultural adaptation appeared through sports activity of marriage migrant women are divided into cultural personality, psychological adaptation and Social adaptation. First, cultural personality was classified into positive recognition change. Second, psychological adaptation was classified into blowing off stress and formation of cultural homogeneity. Third, social adaptation was classified into formation of human relationship. The role of sports in the process of cultural adaptation of marriage migrant women was observed as a mean for cultural adaptation. It means that the sports as a mean for cultural adaptation lead the marriage migrant women to meeting and exchange with Korean or the person from 3rd countries and plays role of overcoming mutual conflicts and understanding cultural difference. Especially, the participants in this study were observed to participate in the sports as a mean for cultural adaptation. They not only understand Korea and feel cultural homogeneity but they. utilize as a mean to deliver their cultures and to overcome personal agony and problem through the sports activity.