예혼합 난류유동장내 점화핵의 난류화염두께 및 난류화염속도의 예측

조성찬,문희장 한국항공대학교 항공우주산업기술연구소 2003 航空宇宙産業技術硏究所 硏究誌 Vol.13 No.-

The propagation of a flame front subjected in a given intensity of turbulent flow is numerically investigated using the presumed PDF methods. The main characteristics of a turbulent flame thickness is also calculated in order to capture the basic behavior of a turbulent flame. It was found that the proposed models can achieve the prediction of these fundamental properties of turbulent flame, and demonstrate the capacity of probability density function based statistical model. A spherical coordinate is used to simulate the on growing kernel characteristics at the early stage of spark event. The result shown for the turbulent flame thickness allowed us that this method have the potential and can be extended to low Damko¨hler number regime. A more concrete analysis is expected in the future with a more elaborated chemical reaction model.

산발성 장형 위선암 환자의 Microsatellite Instability와 병리학적 양상

조창희,홍유찬,안지현,최경현,이상호,신영명,윤기영,정민정,장희경 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Background : Through many researches, microsatellite is expected to be a good diagnositic and prognostic factor in colorectal cancer, endometrial cancer, gastric cancer, and the others. The prevalence of microsatellite instability (MSI) in gastric carcinoma has reported variously, 13~44%. Purpose : We aimed to determine the prevalence of MSI-high and the relationship between MSI and pathological characteristics of sporadic intestinal type adenocarcinoma of stomach. Material and Methods : We analyzed 106 sporadic intestinal type adenocarcinoma specimens excised from patients who were over thirty-five years old to determine the statue of microsatellite by DNA sequencing. The tissues were formalin-fixed and paraffin embedded. DNA were extracted and amplified by polymerase chain reaction (PCR). MSI was determined using five markers recommended by National Cancer Institute (NCI). Specimens were also studied with five patholical factors-differenciation of tumor cells, depth of invasion, lymph node metastasis, vessel invasion, and perineural invasion- to determine pathological state. Result : The microsatellite statue was determined as MSI-High in 5 cases (4.7%), no MSI-low, and MSS (microsatellite stable) in 101 cases (95.3%). Within the frequency, there was no large gap in the distinction of gender in MSI cases, but in MSS cases, there was three-times more cases in male. MSI cases had moderate-to-poor differenciation and trend to invade toward serosa. All MSI cases showed no perineural invasion. But we could not find any statistical significance between MSI and pathological characteristics of sporadic intestinal type adenocarcinoma. Conclusion : Results suggest that MSI can not make any certain pathological significance in sporadic intestinal type adenocarcinoma. Even though less than 5% of sporadic intestinal type adenocarcinoma patients showed MSI, it can be used as a influential prediagnostic factor of gastric cancer. Further study with large scale of cases will be followed to verify these results.

超音波根管形成方法의 根管象牙質 削除能力

張熙鮮,曺圭澄 慶北大學校 齒科大學 1987 慶北齒大論文集 Vol.4 No.1

The quantitative dentin-removing ability of ultrasonic synergistic system was studied to compare with conventional techniques such as hand instrumentation and Giromatic preparation. Standardized seventy-two extracted, single-rooted human teeth were divided into six groups of equal numbers. The instrmentation with number 40 for each group was done for 1 minute, as follows; Group 1:root canals were instrumented by the hand, H-file, push-pull stroke. Group 2:root canals were instrumented by the automated Giromatic, H-file, a quarter-turn push-pull motion. Group 3:root acanals were instrumented by the ultrasonics, H-file,push-pull action. Group 4:root canals were instrumented by the hand, K-reamer, push-pull stroke. Group 5:root canals were instrumented by the automated Giromatic, K-reamer, a quarter-turn push-pull motion. Group 6:root canals were instrumented by the ultrasonics, K-reamer, push-pull action. The mean weight loss on each group was statistically compared with each other by use of Student's t-test. The results were as follows: Ultrasonic techniques were significantly superior to conventional techniques, especially using of H-file. There was no statistically significant difference in ability of the hand and Giromatic techniques to remove intracanal dentin. The qroups used H-file instrumentation were more efficient than those of K-reamer in general.

영어중간문의 의미적 특성에 관한 연구

조문천,이고희,허장융 조선대학교 사범대학 부설 교과교육연구소 2002 敎科敎育硏究 Vol.23 No.2

인간 면역부전 바이러스(HIV) 감염자 사이에서의 1기 및 2기 매독의 유행

장희창,조재현,박완범,이기덕,이창섭,김홍빈,오명돈,최강원 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

목적 : 국내 HIV 감염자 사이에서 발생한 매독의 유행을 보고하고, 그 역학적 특성을 규명하고자 하였다. 재료 및 방법 : 1999년 7월부터 2003년 9월까지 서울대학교 병원에서 추적 관찰을 받아온 HIV 감염자를 대상으로 하여 1기 및 2기 매독의 발생을 조사하였다. 발생률을 정확히 구하기 위해 추적 관찰을 받은 모든 HIV 감염자의 인년을 6개월 간격으로 구하였다. 결과 : 51개월 동안, 465명의 HIV 감염자가 서울대학교 병원에서 추적 관찰을 받았다. 이중 38명이 1기 및 2기 매독으로 진단되었다. 1기 및 2기 매독의 발생률은 이기간 동안 100인년 당 4.1명이었다. 1999년 7월부터 2001년 12월 사이에는 발생자가 없었으나, 이후 발생률은 꾸준히 증가하여 2003년 9월에는 100인년 당 18.8명이 되었다. 1기 및 2기 매독의 발생률은 동성애자 및 양성애자에서 이성애자에서보다 4.3배 높았고, HAART로 치료를 받지 않은 환자에서 HAART로 치료를 받고 있던 환자에서 보다 10.9배 높았다. 결론 : 2002년부터 국내 HIV 감염자 사이에서 1기 및 2기 매독이 유행하기 시작하였고, 이러한 유행은 동성애자와 양성애자 및 HAART로 치료를 받고 있지 않던 사람 사이에서 발생하였다. Background : This study was performed to characterize the epidemiologic and clinical features of outbreak of syphilis among HIV sero-positive patients in Korea. Materials and Methods : A retrospective case review of patients diagnosed with primary and secondary syphilis from July 1999 to September 2003 was carried out at Seoul National University Hospital in Korea. To estimate the incidence, person-years (PYs) of all HIV sero-positive patients, who visited the hospital in the same period, were calculated every 6 months. Results : In a 51 month period, 465 HIV-positive patients were followed up at Seoul National University Hospital. 38 cases of primary and secondary syphilis were diagnosed. The incidence of primary and secondary syphilis was 4.1 per 100 PYs during the study period. There was no case from July 1999 to December 2001, and then the incidence rose until September 2003 from 5.5 per 100 PYs in 1999 to 18.8 per 100 PYs in 2003. The rate of primary and secondary syphilis was 4.3 times higher among homosexual and bisexual men than heterosexual men (95% CI 1.87 to 11.17), and 10.9 times higher among patients who did not receive HAART than patients who were receiving HAART (95% CI 5.47 to 21.79). Conclusion : The outbreak of primary and secondary syphilis among HIV-positive patients started in 2002 and has been escalating, especially among homosexual/bisexual men and in patients who did not receive HAART.

MHC class Ⅰ분자들에 의해 제시되는 Epitope을 인지하는 CD8+ T림프구의 결핵균 감염에 대한 면역반응의 연구 : 결핵환자와 PPD+ 건강개체에 존재하는 결핵균 항원에 특정한 CD8+ T세포 Evidence of M. tuberculosis Specific CD8+ T Cells in TB Patients and PPD+ Healthy Individuals

조장은,이경화,박승규,천선희,조상래,조성애 Official Journal of the Korean society for immunol 2003 Immune Network Vol.3 No.3

정신분열병 환자의 인지기능 평가

장계호,이철,조희수,이창욱,백인호 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

목 적 : 본 연구의 목적은 정신분열병 환자의 인지적 결함을 정상 대조군과 비교하여 평가하고, 환자의 인지적 결함과 다른 임상변인들과의 연관성을 알아보고자 함이다. 방 법 : 총 25명의 환자들과 19명의 정상 대조군이 전산화 신경심리 검사를 완수하였다. 환자들은 양성 및 음성 증상평가척도와 추체외로증상평가척도를 사용한 반구조화된 정신과적 면담을 통하여 평가되었다. 환자의 나이, 성별, 교육수준, 유병기간, 임상아형, 약물투여 상대 및 유전적 소인들에 대해서도 조사하였다. 결 과 : 정신분열병 환자들은 인식력검사, 주의력검사, 표준도형지능검사에서 정상 대조군보다 낮은 수행능력을 보였고 이것은 환자의 성별, 유전적 소인, 추체외로 증상, 양성 및 음성증상, 유병기간과 무관하였다. 정신분열병 환자의 인지적 결함은 주로 이들의 교육수준 및 임상아형과 상관있었다. 결 론 : 정신분열병 환자들 중 일부는 인지적 결함을 보이며, 이러한 결함은 주로 교육수준 및 임상아형과 상관있다고 판단된다. 정신분열병 환자들의 적절한 치료를 위해서는 이들의 인지적 기능에 대한 주의깊은 평가가 필요하다. Objectives : This study was designed to evaluate the cognitive function in schizophrenic pathents. We also examined the correlation of cognitive impairment with other clinical variables. Methods : A total of 25 patients and 19 normal controls completed Vienna Test System, a computerized neuropsychological test. These included Cognitrone test, continuous attention test, standard progressive matrices. We separately assessed the patient group on the Positive and Negative Syndrome Scale(PANSS) and Extrapyramidal Symptom Rating Scale(EPS scale). The other clinical variables included in this study were age, sex, education level, disease duration, clinical subtype, medication state and genetic factor. Results : Schizophrenic patients had poorer performance than normal controls on the tests of cognitrone, continuous attention, and standard progressive matrices, independent of sex, genetic factors, EPS scale scores, PANSS scores, disease duration . The cognitive impairment in schizophrenics was mainly associated with their education levels and clinical subtypes. Conclusion : In light of our results, it seemed that some schizophrenics perform poorly on cognitive tasks, and this poor performance may be associated with education levels and clinical subtypes. The more careful evaluation of cognitive function in schizophrenic patients would be needed for their proper management.

노년기 치매와 우울증의 유병률 및 위험인자

서국희,김장규,연병길,박수경,유근영,양병국,김용식,조맹제 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.5

경기도 연천군에 거주하는 만 65세이상 노인 1,037명을 대상으로 1996년 12월부터 1997년 8월까지 9개월간에 걸쳐 치매와 노년기 우울장애의 유병률과 위험인자에 관한 이 단계 역학조사(일차선별검사후 이차 진단적 면접)를 수행하였다. 다단계 층화집락표본추출에 의한 확률표본법으로 대상자 선정을 하였고, 반응률은 85.2%이 었다. 일차선별검사에는 노인정신장애 평가척도 한국어판(K-PAS)을 사용하였고, 일상생활 능력척도(ADL) 및 수단적 일상생활 능력척도(IADL)를 사용하여 기능을 평가했고, 지지도 척도(APGAR)를 사용하여 사회적 지지정도를 평가하였다. 이차 진단적 면접에서는 진 신장애의 진단 및 통계편람 제3판 개정판(DSM-III-R)의 진단기준을 따라 임상 진단을 확정하였다. 감별진단 및 장애 정도의 평가를 위하여 보조적인 진단도구들을 사용하였다. 1) 연령 보정된 치매의 유병률(%)[95% 신뢰구간]은 6.83[6.12∼7.54](남자 6.34[5.29∼7.40], 여자7.09[6.14∼8.04]이었다. 이중 알쯔하이머형 치매의 유병률(%)[95% 신뢰구간]은 4.17[3.61∼4.74] (남자 2.42[1.76∼3.08], 여자 5.31[4.48∼6.14]이었고, 혈관성치매의 유별률(%)[95% 신뢰구간]은2.38[1.95∼2.81](남자 3.46[2.67∼4.25], 여자 1.63[1.16∼2.10])이었다. 2) 연령 보정된 우울장애의 유병률(%)[95% 신뢰구간]은 10.99[10.11∼11.87](남자 7.59[6.44∼8.73], 여자 13.46[12.20∼14.73])이었다. 진단별로는 주요 우울장애의 유병률(%)[95% 신뢰구간] 이 7.50[6.76∼8.26](남자 4.42[3.54∼5.31], 여자 9.78[8.68∼10.88]), 기분부전장애의 유병률(%)[95% 신뢰구간]이 2.02[1.62∼2.42](남자 1.37[0.86∼1.87], 여자 2.46[1.88∼3.03], 달리 특정되지 않은 우울장애 유병률 (%)[95% 신뢰구간]이 1.49[1.15∼1.83](남자 1.85[1.47∼2.23], 여자 1.28[0.96∼1.60])이었다. 3) 알쯔하이머형 치매의 통계적으로 유의한 5가지 위험인자는 85셍상의 고령(O.R.= 10.27), 무학(O.R.= 4.01), 흡연[흡연년수 0.1∼30년(O.R.= 3.11), 흡연년수 30년 이상 (O.R.= 4.60)], 알코올남용(O.R.= 2.98)과 치매의 가족력 (O.R.= 4.85)이었다. 4) 혈관성 치매의 통계적으로 유의한 3가지 위험인자는 '무학' (O.R.= 3.78), 흡연[40년 이상 흡연년수 (O.R.= 11.15)]과 '뇌졸중의 과거력 (O.R.= 26.76)'이었다. 5) 우울장애의 통계적으로 유의한 3가지 위험인자는 '75∼79세 연령군' (O.R.= 2.87), '뇌졸중의 과거력' (O.R.= 3.33)과 '우울장애의 가족력' (O.R.= 7.16)이었다. 중심단어:알쯔하이머형 치매·혈관성 치매·우울장애·유병률·위험인자·흡연. An epidemiological survey was conducted to estimate the prevalence of and identify the risk factors of dementia and depression in the elderly between December 1997 and August 1998 in Yonchon County, Korea. A total of 1,037 elderly aged 65 years and over underwent a two phase diagnocstc procedure. Multiple stage, random cluster sampling method was used to select the subjects. Response rate was 85.4%. For the Ist stage screening survey, the Korean Psych-ogeriatric Assessment Scale was used as a primary screening tool, which had already been standardized in Korea, and functioning and social support were assessed by ADL, IADL and APGAR. At the 2nd stage, diagnoses were confirmed according to the DSM-Ⅲ-R. And several other scales were used as supporting information for differential diagnoses and for evaluating severity. 1) Age-sex adjusted prevalence(%)[95% C.I] of dementia was 6.83[6.12-7.54](male 6.34 [5.29-7.40], female 7.09[6.14-8.04]). Prevalence of the dementia of the Alzheimer's type was 4.17[3.61-4.74](male 2.42[1.76-3.08], female 5.31[4.48-6.14]) and that of the va-scular dementia was 2.38[1.95-2.81](male 3.46[2.67-4.25],female 1.63[1.16-2.10]). 2) Age-sex adjusted prevalence(%)[95% C.I.] of depressive disorder was 10.99[10.11-11.87](male 7.59[6.44-8.73], female 1346[12.20-14.73]. Among depressive disorders, prev-alence(%)[95% C.I.] of major depressive disorder was 7.50[6.76-8.26](male 4.42[3.54-5.31], female 9.78[8.68-10.88]), that of dysthymic disorder was 2.02[1.62-2.42](male 1.37[0.86-1.87], female 2.46[1.88-3.03]) and that of depressive disorder NOS was 1.49[1.15-1.83](male 1.85[1.47-2.23], female 1.28[0.96-1.60]). 3) Five statistically significant risk factors of the dementia of the Alzheimer's type were identified : age over 85(O.R. = 10.27), illiteracy (O.R. = 4.01), alcohol abuse (O.R. = 2.98), smoking [0 < pack year ≤30(O.R. = 3.11), pack year>30(O.R. = 4.60)] and family history of dementia (O.R. = 4.85). 4) Three statistically significant risk factors of the vascular dementia were identified : illiteracy (O.R. = 3.78), history of CVA(O.R. = 26.76) and smoking over 40 pack year(O.R. = 11.15). 5) Three statistically significant risk factors of the depressive disorder were identifed : age between 75 and 79(O.R. = 2.87), past history of CVA(O.R. = 3.33) and family history of depressive disorder(O.R. = 7.16). KEY WORDS:Dementia of the Alzheimer's Type·Vascular dementia·Depressive disorder·Prevalence·Risk factor·Smoking.

서울지역 노인 급식 프로그램 수혜자의 만족도 및 요구도 분석

서희재,홍민지,장영애,김복희,이행신,김초일 대한영양사협회 2003 대한영양사협회 학술지 Vol.9 No.2

In the process of devising an efficient meal service system for the elderly, 478 elderly were interviewed at 6 different social centers with the elderly meal service program in Seoul area to monitor degree of satisfaction and/or needs of the beneficiaries regarding the program. The survey was conducted during the month of December 2002 by well-trained interviewers using self-developed questionnaire. Results were analyzed statistically using SAS package program. Most of the beneficiaries were low economic class and 76% of them had doctor diagnosed disease(s). Mean satisfaction score of the beneficiaries of congregate meal service was 3.72 out of 5. For most of the questions, female elderly and healthy elderly responded with higher score than male elderly and unhealthy elderly, respectively(p<0.05, p<0.01). On the other hand, beneficiaries of the home-delivered meal service were little bit less satisfied with the service(3.54 out of 5). Compared to the beneficiaries of congregate meal service, larger portion of beneficiaries of home-delivered meal service wanted more meats(28.5% vs. 17.1%) and vegetables(23.2% vs. 12.3%) as side dishes. On the other hand, the most preferred type of cooking and/or seasoning was stewing for both cases. Based on these findings, it is suggested that more fresh foods should be used than processed foods in the preparation of meals for the elderly and, more fish-, meat- and vegetable- dishes should be served to come up to the needs of the elderly. Onto this, mainly Korean style meals with some intermittent Western, Japanese or Chinese style meals served at the right temperature would suffice most of the elderly needs.

DTBP 분해를 이용한 난류연소 모델링 가능성 연구

문희장,조성찬 한국항공대학교 항공우주산업기술연구소 2003 航空宇宙産業技術硏究所 硏究誌 Vol.13 No.-

Flame propagation is analysed with the use of simple statistical model in a one dimensional spherical coordinate. The objective of this study is the use of novel fuel which is decomposed in an inert gas atmosphere making the reaction with a single step chemical kinetics. DTBP(Di-Tert-Butyl-Peroxide) chemical kinetics is a potential candidate for the study of turbulent combustion since this fuel may be used in conjunction with the development of turbulent combustion models. It was found that the proposed model results approach that of experimental results of DTBP decomposition. The fact that its heat release is at a low level compared to other substances as hydrocarbon fuel, makes the modeling study with DTBP promising. Results of turbulent flame propagation speed by the numerical study under work show that the general trend of the flame propagation is achieved, however numerical results could not simulate the time increase rate of the turbulent flame speed found by experiments.