급성 심근허혈에 의해 윤발된 승모판 폐쇄부전의 기전에 관한 실험적 연구

강덕현,송현,송재관,김현숙,이재환,임희영,이재원,박성욱,박승정,송명근 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.8

A field study of colloid transport in surface and subsurface flows

Zhang, Wei,Tang, Xiang-Yu,Xian, Qing-Song,Weisbrod, Noam,Yang, Jae E.,Wang, Hong-Lan Elsevier, etc 2016 Journal of hydrology Vol.542 No.-

<P><B>Abstract</B></P> <P>Colloids have been recognized to enhance the migration of strongly-sorbing contaminants. However, few field investigations have examined combined colloid transport via surface runoff and subsurface flows. In a headwater catchment of the upper Yangtze River, a 6m (L) by 4m (W) sloping (6°) farmland plot was built by cement walls to form no-flow side boundaries. The plot was monitored in the summer of 2014 for the release and transport of natural colloids via surface runoff and subsurface flows (i.e., the interflow from the soil-mudrock interface and fracture flow from the mudrock-sandstone interface) in response to rain events. The water sources of the subsurface flows were apportioned to individual rain events using a two end-member model (i.e., mobile pre-event soil water extracted by a suction-cup sampler <I>vs</I>. rainwater (event water)) based on <I>δ</I> <SUP>18</SUP>O measurements. For rain events with high preceding soil moisture, mobile pre-event soil water was the main contributor (generally >60%) to the fracture flow. The colloid concentration in the surface runoff was 1–2 orders of magnitude higher than that in the subsurface flows. The lowest colloid concentration was found in the subsurface interflow, which was probably the result of pore-scale colloid straining mechanisms. The rainfall intensity and its temporal variation govern the dynamics of the colloid concentrations in both surface runoff and subsurface flows. The duration of the antecedent dry period affected not only the relative contributions of the rainwater and the mobile pre-event soil water to the subsurface flows but also the peak colloid concentration, particularly in the fracture flow. The <10μm fine colloid size fraction accounted for more than 80% of the total suspended particles in the surface runoff, while the colloid size distributions of both the interflow and the fracture flow shifted towards larger diameters. These results highlight the need to avoid the application of strongly-sorbing agrochemicals (e.g., pesticides, phosphorus fertilizers) immediately before rainfall following a long no-rain period because their transport in association with colloids may occur rapidly over long distances via both surface runoff and subsurface flows with rainfall.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Subsurface flow was apportioned into rainwater and mobile pre-event soil water. </LI> <LI> The duration of no-rain period affects peak colloid concentration. </LI> <LI> Rainfall intensity and its temporal variation govern colloid discharge dynamics. </LI> </UL> </P>

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

Paraquat 독성에 미치는 Dicumarol과 Allopurinol의 병합 투여 효과

송명화,정미숙,오순식,박재윤,차종희 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

Despite intensive investigation into paraquat toxicity, neither the final cytotoxic mechanism nor a clinically useful antidote has been discovered. The mechanism of paraquat cytotoxicity is also debatable, but it is generally accepted that a redox reaction occurs between reduced paraquat and molecular oxygen. The intracellular reduction of paraquat occurs by various enzymes, such as DT-diaphorase, xanthine oxidase and glutathione reductase. In present study, we investigated that the effects of allopurinol, a xanthine oxidase inhibitor, and dicumarol, a DT-diaphorase inhibitor, in paraquat-intoxicated rats. The survivals of paraquat-intoxicated rats were increased by allopurinol treatment compared to paraquat-treated control rats , but not effected by dicumarol treatment. The activity of xanthine oxidase in the liver of allopurinol-treated rats was decreased and DT-diaphorase activity in liver of dicumarol treated rats was also decreased compared to normal control rats. The contents of glutathione in liver of paraquat treated rats was decreased but in paraquat+allopurinol treated rats, the decrements of glutathione contents was reduced but in paraquat+dicumarol treated rats, liver glutathione level was not changed compared to paraquat-treated rats. These results suggest that paraquat toxicity maybe reduced by administration of allopurinol but dicumarol did not have such effects .

PWR 발전소에서의 방사선장 특성

송명재,김희근,김봉환,장시영 대한방사선 방어학회 1992 방사선방어학회지 Vol.17 No.2

국내 원전의 주종인 가압경수로를 대상으로 스펙트로메트리 기법에 의한 감마, 중성자 그리고 베타 방사선장애 대한 특성조사를 수행하였다. 감마선장의 경우, HPGe 반도체 검출기로 구성된 휴대용 감마 스펙트로메타를 사용하여 측정한 결과, 평균 에너지 값의 분포는 가동정지중일 때 원전의 격납용기내에서 440∼780keV, 가동중일 때 원전의 보조건물내에서 280∼760keV로 나타났다. 가동중인 원전의 격납용기내 operation deck를 중심으로 5개 지점에 대하여 BMSS(Bonner Multiple Spectrometry System)을 사용하여 중성자선장을 조사하였다. BUNKI 코드를 사용하여 측정스펙트럼을 분해하였으며, 측정 장소에서의 평균 에너지 값의 분포는 20∼210keV이었다. 베타피폭원인 오염에 대하여 가동정지 상태인 원전의 격납용기내와 보조건물의 총 14개 지점의 고 방사성 오염지역에서 smearing 시료를 채취하여 표면장벽형 Si 반도체 검출기를 사용하여 에너지 스펙트럼을 측정하였다. 그 결과 부식생성물 60Co에 의한 베타 에너지가 지배적인 것으로 나타났다. Pheton, neutron and beta radiation fields were measurement at PWR plants which are the representative types of nuclear power plant operated in Korea. The photon energy spectra were measurement at locations in the auxiliary building during operation period and in the containment vessel(C/V) during shutdown period using a portable gamma spectrometer with a HPGe detector. The distribution of average energy was found to range from 440 to 780 keV in the C/V and from 280keV to 760keV in the auxiliary building respectively. The average neutron energy measured at the five locations round the operation deck in the C/V in operation using a BMSS(Bonn Multi-Sphere Spectrometer)ranged from 20 keV to 210keV. A computer code, BUNKI was used to unfold the spectrum. The beta energy spectra in the C/V asnd in the auxiliary building in annual outage were determined using 14 smear samples taken from the highly contaminated areas. The analysis showed that representative corrosion product, ??Co made main contribution to the beta energy field.

Baculovirus를 이용한 Aujeszky's Disease Virus gⅢ 단백질 발현

송재영,이중복,현방훈,박종현,김병한,권창희,전무형,안수환 충남대학교 생물공학연구소 1993 생물공학연구지 Vol.3 No.-

The g Ⅲ gene located in U_L region of Yangsan strain, a field isolate of Aujeszky's disease virus (ADV) in Korea, was cloned into pTZ18R and sequenced. The gⅢ gene consisting of 1,437 nucleotides showed 98% sequence homology with that of Becker strain, a reference strain of ADV. The gene encoding gⅢ of Yangsan strain was placed under the control of Autographa californica nucleopolyhedrosis virus (AcNPV) polyhedrin promoter, and expressed by the derived recombinant baculovirus using Spodoptera frugiperda 9 (Sf9) cells. The expressed gⅢ was a protein with molecular weight of 72kd determined by immunoprecipitation and Western blotting assay using anti-ADV polyclonal antibodies and anti-gⅢ monoclonal antibody. The partially purified gⅢ protein was utilized as antigen in the radial immunodiffusion enzyme assay (RIDEA) to detect to specific antibody against ADV in pig sera. The results indicated that the sensitivity of RIDEA with the recombinant gⅢ protein antigen (98%) was as high as that with the conventional glycoprotein antigen extracted from the ADV infected cells. In addition, the false positive and false nagative reactions in gⅢ RIDEA were significantly reduced than the conventional glycoprotein RIDEA as judged from the results of standard serum neutralization test.

각종 악성종양질환에서의 세포면역 기능에 대한 연구 : 말초 혈액 T 임파구 아형 분포 및 지연형 과민반응에 대한 검색 Delayed Cutaneous Hypersensitivity and Peripheral Blood T-lymphocyte Subsets

송재화,이복희 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1

The author studied delayed cutaneous hypersensitivity and peripheral blood T-lymphocyte subpopulations in 54 patients with malignant tumors. 1. The number and total score of positive reactions in delayed cutaneous hypersensitivity were significantly decreased in cancer patients(p<0.005, p<0.05). 2. Percent OKT4^+ T-lymphocyte in cancer patients were significantly decreased compared to normal control subjects (p <0. 05), and it had positive correlation with total score of delayed cutaneous hypersensitivity reactions(r=0.768). 3. Percent OKT8^+ cells were not different from that of normal control subjects. 4. The ratio of OKT4^+/OKT8^+ in cancer patients were not different from that of normal control subjects except in patients with colorectal carcinoma and malignant lymphomas. 5. Markers of activated T-lymphocyte, OKT10^+ and OKIal^+ cells were increased in all the patient groups. 6. Leu7^+ cells, reflecting natural killer cells, were not different from normal control subjects These results suggest that the cancer patients have depressed cellular immune functions, which mainly results from the decrease of helper T lymphocyte number. Short of functional assays of cellular immunity, the author concluded that the testing of delayed cutaneous hypersensitivity and enumeration of peripheral blood lymphocyte subsets, especially OKT4^+ cells and activated T cells provide useful informations on cellular immune reactivity in cancer patients. Further studies on prognostic value of these parameters should be pursued.

지역사회획득 폐렴의 치료지침 권고안

송재훈,정기석,강문원,김도진,배현주,서지영,심태선,안중현,안철민,우준희,이남용,이동건,이미숙,이상무,이영선,이혁민,정두련,지역사회획득 폐렴 치료지침 제정위원회 대한감염학회 2009 감염과 화학요법 Vol.41 No.3

A successful therapy of community-acquired pneumonia requires appropriate empirical antimicrobial therapy. Etiology and antimicrobial susceptibility of major pathogens of pneumonia can differ by country. Therefore, an ideal treatment guideline of community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia in immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.

과립구 감소 환자의 감염시 Imipenem/cilastatin 단독요법의 치료효과 : Piperacillin-amikin 병합요법과의 무작위 비교

송재훈,최승원,박수길,고윤석,서철원,이규형,이정신,문희법,김상희 대한화학요법학회 1991 대한화학요법학회지 Vol.9 No.2

To evaluate the efficacy of the single agent therapy for the initial management of fever in neutropenic patients, we conducted a prospective randomized trial comparing imipenem/cilastatin alone with a combination of piperacillin and amikacin. Among 40 evauable episodes of fever, stratum A(hematologic malignancy, n=30) consisted of 15 imipenem group and 15 piperacillin plus amikacin group and stratum B consisted of 10 cases with solid tumor. There was no difference in age, sex, duration of neutropenia, initial granulocyte count and number of cases with severe neutropenia(<100/㎣) between two groups. Overall response rate to imipenem was higher(86.6%) than combination therapy group(53.5%) in stratum A, but statistical difference was not found. Overall response rate to imipenem in solid tumor was 100% whereas to combination therapy group was 40%. There was no serious toxicity on imipenem use. We conclude that imipenem monotherapy could be an effective & safe empirical therapy in the treatment of febrile neutropenic patients.

열형광선량계에 의한 선량평가 알고리즘 개발

송명재,김희근,하정우,이태영,윤석철 대한방사선 방어학회 1992 방사선방어학회지 Vol.17 No.2

본 연구의 목적은 ANSI N13. 11-1983의 시험기준에서 제시한 개인선량계의 선량평가 시험범주를 모두 만족시킬 수 있는 선량평가 알고리즘을 개발하는데 있다. 알고리즘 개발 대상 개인선량계로는 Teledyne Isotopes사의 PB-3 열형광선량계로 하였다. 개발된 알고리즘에 대한 미국 Atlan-Tech사와의 2차례의 검증결과, 본 알고리즘은 ANSI N-13. 11-1983의 선량평가 범주를 모두 만족시키는 것으로 나타났다. The purpose of this study is to develop an algorithm of TLD dose evaluation to meet all requirements stated in ANSI N13. 11-1983. It made the PB-3 TLD of Teledyne Isotopes an object of the development. Personal dosimetry performance testings of the development algorithm have been performed twice through the Atlan-Tech, INC. in accordance with the criteria of testing described in ANSI N13. 11-1983. As a result, it is assured that the developed algorithm has complied with all requirements stated in ANSI N13-1983.