에폭시 수지 복합재료의 트래킹열화에 미치는 충전제와 자외선의 영향

박용관,조한구,김희곤 成均館大學校 科學技術硏究所 1994 論文集 Vol.45 No.1

This paper studies on the effect of ultraviolet light and filler on the tracking characteristics of epoxy resin which is widely used to enhance the insulation capability of materials. The specimens employed in the study were bisphenol and cycloaliphatic epoxy resins filled with Si0_2. A low-pressure mercury lamp was used as the source of UV light. In order to see the phenomena of tracking of the specimen, the expoerimentation is performed to the tracking apparatus(IEC, Publication 587) which mainly used under severe ambient conditions.

요골동맥과 복재정맥을 이용한 관상동맥우회술의 조기성적

김관창,원태희,한재진,최수승,안재호 이화여자대학교 의과학연구소 2008 EMJ (Ewha medical journal) Vol.31 No.2

Background:Increasing interest and use of arterial conduits is based on the better patency of left internal thoracic artery(LITA) than that of saphenous vein(SV) graft. We compared the early result of coronary artery bypass grafting(CABG) using LITA and radial artery(RA group) with CABG using LITA and SV only(SV group). Material and Method:We compared the early operative results of 6 cases in RA group with 18 cases in SV group selected from 24 cases that had CABG between January 2006 and December 2006. We analyzed each group on the preoperative risk factors and operative results. Results:We can’t find significant differences in clinical and hemodynamic characteristics before surgery. There were no statically significant difference between two groups in operative mortality and each morbidities(postoperative intraaortic balloon pump insertion, bleeding, stroke, perioperative myocardial infarction, wound dehiscence), respectively. However, the overall incidence of conventional CABG using cardiopulmonary bypass was higher in RA group compared to SV group(p=0.016). Accordingly, RA group had longer duration of ventilation time(p=0.004) and ICU stay(p=0.003) than SV group with statically significant difference between two groups in hospital stay. The graft patency on postoperative coronary angiography or computerized tomographic angiography at 7-14 days after operation in both group patients were 100%(includeing LITA, RA and SV). Conclusion:We had early good operative results in RA group and SV group. 관상동맥우회술에서 내흉동맥의 장기개통률이 복재정맥보다 우수하다는 것이 알려짐과 더불어 두 개의 내흉동맥을 이용한 군에서의 장기 임상 성적이 하나의 내흉동맥만을 이용한 군에서의 성적보다 우월하다 것이 알려지면서 최근에는 동맥이식편의 사용이 증가하고 있다1)2). 좌내흉동맥이 동맥이식편중 가장 많이 그리고 오래 전부터 사용되어왔고 그 장기 개통률이 매우 우수한 것으로 증명되면서, 이식편으로 사용 가능한 다른 동맥이식편에 대한 사용이 늘어나고 있는 추세이다. 좌내흉동맥 이외에 사용될 수 있는 동맥이식편으로는 요골동맥, 우내흉동맥, 우위망막동맥 등이 있다. 이 중 우내흉동맥은 좌내흉동맥과 같이 사용한 경우 장기 생존율이 높다는 보고도 있지만 가용길이가 짧아 이용에 한계가 있고 수술시간이 길어지며 상처 합병증과 기술적인 문제 등이 있다2). 요골동맥은 Carpentier 등3)에 의해 1970년대 초 처음 이식편으로 소개되었으나 추적 관상동맥조영술상 높은 이식편 부전으로 인해 사용이 중단되었다가 1989년 다시 소개되어 주목을 받게 되었고4), 요골동맥박리술의 기술적인 변형과 항연축제의 사용으로 요골동맥의 연축을 최소화하여 사용하면서 많은 저자들에 의해 좋은 임상 성적과 높은 개통률을 보이고 있다5-7). 본 이화여자대학교 목동병원 흉부외과에서도 요골동맥을 좌내흉동맥에 이은 두 번째 동맥이식편으로 사용하고 있는데 본 연구에서는 본원에서 경험한 요골동맥을 사용하여 시행한 관상동맥우회술의 임상 성적과 수술 후 관상동맥조영술 혹은 컴퓨터 단층 혈관조영술 결과를 분석해 보고 아울러 이를 요골동맥을 사용하지 않고 내흉동맥과 복재정맥만을 이용한 군의 성적과 비교 분석해 보았다.

진행성 위암환자에서 Capecitabine/Cisplatin 치료군과 Fluorouracil/Cisplatin 치료군 간의 삶의 질 비교

유희원,신은정,이광자,한현주,손인자 韓國病院藥師會 2004 병원약사회지 Vol.21 No.1

The improvement of medical treatment and anticancer drug has led a complete recovery and prolonged survival time of cancer patients. And recent study of cancer has included evaluation of quality of life. This study was performed to evaluate quality of life between Capecitabine/Cisplatin arm and Fluorouracil/Cisplatin arm. This study was performed in the Seoul National University Hospital from August to October 2003. A total of 8 AGC patients on adjuvant chemotherapy successfully completed this study. Method of study is questionnairing by EORTC QLQ-C30, cancer specific questionnaire. The questionnaire consists of Functional, Symptom, Global health quality of life scale. Patients eligible for this study had histologically confirmed stage III or IV AGC. Patients were to be between 18 and 60 years old, and have performance status of 1. Patients were ineligible if they had a history of 6 months prior or concomitant chemotherapy, radiotherapy. Statistically significant differences favoring the Fluorouracil/Cisplatin arm was noted in the physical scale. In addition, patients in the Fluorouracil/Cisplatin arm reported an improvement in physical functioning after one cycle chemotherapy.

장을 이용한 요로전환술 후 요석형성 위험인자의 변화

신관희,한광희,정원일,이형래,이상철,김원재 충북대학교 의학연구소 2002 忠北醫大學術誌 Vol.12 No.2

연구목적: 장을 이용한 요로전환술을 받은 환자들에게는 여러 가지 대사적 장애에 따른 합병증이 발생하게 되는데 그 중 하나인 요석형성의 위험인자에 대해 대사적 검사를 실시하였다. 대상 및 방법: 장을 이요한 요로전환술을 시행 받은 후 적어도 6개월간 추적관찰이 가능했던 30명(회장 도관술 24명, Mainz pouch 4명, 방광 확대술 2명)을 환자군으로 하였고 요석의 과거력이 없는 건강한 38명을 대조군으로 선정하였다. 요로감염이나 항생제를 투여하는 경우에는 대상에서 제외하였고 식이 제한을 하지 않은 상태에서 24시간 소변을 외래에서 모았다. 소변량, 나트륨, 인, 요산, 크레아티닌, 칼슘, 마그네슘, 수산, 구연산 등의 요검사 항목을 조사하여 환자군과 대조군의 측정치 및 크레아티닌으로 보정한 측정값을 각 성별에 따라 비교하였다. 결과: 혈중 칼슘, 인, 요산, 나트륨, 칼륨, 크레아티닌, 혈액요소질소 (BUN) 등 대부분의 혈중 검사 항목들은 환자군과 대조군 사이에 차이가 없었으나 혈중 단백질 수치만이 차이를 보였다. 23명의 남성 환자에게서 수산의 요 배설량이 대조군에 비해 현저히 높았으며 반대로 구연산과 요산은 대조군에 비해 낮았다 (p=0.006, p=0.001, and p=0.005, respectively). 또한, 남성 환자의 칼슘의 요 배설량은 대조군보다 오히려 적게 나타나 환자군의 칼슘/수산 비가 현저히 감소하였다 (p<0.001). 요중 칼슘, 나트륨, 인 및 요산은 크레아티닌의 농도와 관련성을 보였으며, 오직 수산만이 크레아티닌 보정 후에도 남성 환자군과 대조군 사이에 유의한 차이를 보였다. 한편, 7명의 여성 환자들에게서 대조군에 비해 마그네슘의 배설이 감소한 것 이외에 유의한 차이는 나타나지 않았다 (p=0.04). 결론: 본 연구의 결과로 볼 때 요로전환술을 받은 환자에게 요중 칼슘, 마그네슘, 구연산 등이 요석형성에 영향을 끼치는 인자로 작용하지만, 요중 수산 배설의 증가와 이에 따른 칼슘/수산 비율의 감소가 보다 더 주된 위험 요인이라 할 수 있다. Purpose: The present study was performed to assess the risk factors for urolithiasis in patients receiving urinary intestinal diversion due to certain underlying etiology. Materials and Methods: This study included 30 patients who had undergone various forms of urinary intestinal diversion (24 of ileal conduits, 4 of Mainz continent diversions, and 2 of augmentation cystoplasties) with post-operative duration of at least 6 months and 38 age-matched normal controls. Urine samples (24-hour) were randomly collected on an outpatient basis without any dietary restriction when the patients were free of urinary tract infection or antibiotics. Investigation of urinary analytes comprised urine volume, sodium, phosphorus, uric acid, creatinine, calcium, magnesium, oxalate, and citrate. Data were compared in original values and adjusted values by creatinine in each sex. Results: Almost serum analytes such as calcium, phosphorus, uric acid, sodium, potassium, creatinine, and BUN were not significantly different between patients and controls except protein. In 23 male patients, mean urinary excretion of oxalate was significantly greater than control group and conversely in that of citrate and uric acid (p=0.006, p=0.001 and p=0.005, respectively). Unexpectedly, urinary excretion of calcium in male patients was lower than in control (p=0.002) resulting in significant decrease in the ratio of calcium to oxalate (p<0.001). Among the urinary analytes, excretions of calcium, sodium, phosphorus, and uric acid were significantly correlated with that of creatinine. Oxalate was only different analyte when adjusted by creatinine between male patients and controls. In 7 female patients, decreased excretion of magnesium was observed when compared to control (p=0.04). Conclusions: Our study indicated that urinary intestinal diversion cause increased excretion of urinary oxalate leading to decreased calcium to oxalate ratio, as major metabolic alteration for urolithiasis, although urinary calcium, magnesium, or citrate may take a role.

개에서 실리콘고무를 골막으로 싸서 안면골 위에 이식시 그 골막에 일어나는 조직학적 변화

박관규,강진성,함희정,한기환,최동원 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.3

Bony depression in the face may occur doe to congenital failure of development trauma or excessive surgical resection. Various materials, autogenous bone, autogenous cartilage and silicone rubber have been employed for bony contour restoration. Since autogenous bone grafts become consolidated with the underlying recipient bones, the incidence of extrusion or deviation of the graft is much fewer. But they may be easily fractured at the time of carving because of their rigidity. Autogenous cartilage grafts do not require contact with the nasal bony framework, but they tend to curl and bend. Using silicone rubber is a simple and fast procedure, but the prosthesis itself is a foreign body which causes occasional foreign body reaction or exposure of the prosthesis. Therefore, the materials, which have such nature as consolidation, complete contact and convenience without complication are considered to be ideal for augmentation of the bony depression. It may be an ideal material for prevention of the complication of the implants, if a new bone formation at the gratted periosteum wrapping the silicone rubber implants develops. To confirm the possibility, biological test with dogs was initiated. Six samples of periosteum and fascia wrapping the silicone rubber implants, respectively were collected from 9dogs at 8, 16 and 24 weeks. Grossly, difference between translucent periosteum and whitish fascia was noticeable at 8 weeks after implantation. However, it is difficult to distinguish between fascia and periosteum at 24 weeks. Histologically, fibrous capsule developed at 8 weeks and there was a marked thickening at 24 weeks on both periosteum and fascia. At one of 6 samples of 24 weeks periosteum, wrapping the silicone rubber implant, formed a new bone. In conclusion it is possible for the grafted periosteum wrapping the silicone rubber implants to make a new bone. Therefore the periosteum and fascia wrapping the silicone rubber are well taken at the recipient site. Also, they play a good role of barrier against exposure of implant. Especially the periosteum is better than the fascia, because of its bony formation and easier obtaining

인체 방광암에서 p33^ING1의 발현 변화

이석영,신관희,한광희,이상철,김용태,김원재 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.7

병렬 VOD 서버의 확장을 위한 스트라이핑 정책

최숙영,최현호,한주희,유관종 한국정보전략학회 1999 추계공동학술대회 논문집 Vol.- No.01

본 논문에서는 확장 가능한 병렬 VOD서버 모델을 제시하고, 이 별렬 VOD 서버에서 기존의 디스크 공간이 부족하여 새로운 병렬 서버를 추가할 경우, 데이터 분배 문제를 고려한다. 새로운 서버에 미디어 파일을 추가할 경우, 특정 서버에 부하가 몰리는 것을 방지하기 위해 기존의 서버에 저장되어 있는 일부 데이터들을 이동 시켜서 각 서버의 사용가능한 디스크 공간을 조정한 뒤, 각 디스크 부하를 최소화 하도록 고려하여 데이터를 저장하는 스트라이핑 방법을 제시한다.

여성 요도증후군에서 Terazocin의 효과에 대한 연구

우승효,신관희,한광희,정원일,이형래,이상철,김용태,김원재 충북대학교 의학연구소 2000 忠北醫大學術誌 Vol.10 No.2

연구목적: 여성 요도증후군을 보이는 환자에서 교감신경차단제인 terazocin을 복용한 후 치료 효과에 대한 각 증상의 변화와 부작용을 알아보고자 하였다. 대상 및 방법: 1997년부터 1999년까지 충북대학교병원 비뇨기과에 내원한 35명의 여성 중 요검사 및 요배양 검사, 그리고 다른 이학적 검사에서 이상이 없는 요도증후군 환자를 대상으로 간질성방광염 증상점수(ICSS)를 terazocin (3mg/day for 3 months) 투여 전후에 조사하였고, 치료 후 3개월과 1년에 Likert scale 점수를 조사하였다. 결과: ICSS는 비치료군은 18.3±5.9점, 치료군은 16.5±6.8점으로 두군간의 차이는 없는 것으로 나타났다(p=0.52). 치료군은 치료 후 3개월에 시행한 ICSS가 9.9±7.8점으로 치료 전에 비해 현격히 증상이 호전되는 것으로 나타났다(p=0.0001). 특히 3개월에 시행한 Likert scale에서는 주간 및 야간빈뇨, 절박뇨, 배뇨통의 횟수 및 강도, 그리고 전체적인 증상정도에서 40-70% 가량 호전된 것으로 밝혀졌으며 이는 1년 후에도 증상의 호전이 지속되는 것으로 나타났다. 비치료군에서의 1년 후 Likert scale은 6명 중 2명이 전체적인 증상의 호전이 있는 것으로 나타났다. 결론: Terazocin은 환자의 약 70%가량에서 증상의 호전을 가져왔고, 비치료군에서도 환자의 33%가 저절로 증상이 좋아진 것으로 보아 Terazocin은 여성 요도증후군에서 분명히 효과가 있으나 증상이 심할 경우 보조적인 치료로 이용되는 것이 바람직할 것으로 사료된다. Purpose: We performed to assess the effects and complications of terazocin in women with chronic female urethral syndrome. Materials and Methods : Thirty-five women with chronic female urethral syndrome were studied from March 1997 to August 1999. The subjects exhibited normal findings without the pyuria and bacteriuria in urinalysis and urine culture and were invested the interstitial symptom score(ICSS). 29 subjects of them took a terazocin 1-4 mg/day for 3 months. They were reevaluated for the ICSS and Likert scale after 3 months and for Likert scale after 1 year. Results: The ICSS before treatment were showed 18.3±5.9 in the untreated patient group and 16.5±6.8 in the treated patient group, and no statistically difference between both patient groups(p=0.52). In the treated patient group, the ICSS after treatment were showed 9.9±7.8, significant difference between before and after treatment(p=0.0001). The Likert scale was showed at 3 months after treatment that frequency, nocturia, urgency, pain frequency, pain intensity, daily activities, and overall symptoms were improved in 65.5%, 55.2%, 24.1%, 41.4%, 41.4%, 70%, 70%, and 70% of 29 subjects, each other. Overall symptom score assessed at 1 year were showed that 3 subjects was aggravated. In untreated patient group, 2 of 6 was improved in overall symptom score. Conclusion: Terazocin was effective above 70% in the treated group, and symptoms were improved spontaneously in a third of the untreated group. So, we thought that terazocin would be useful as supportive treatment in period of severe symptoms.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

금속사출성형에 의한 중합금 소결체 부품 제조에 관한 연구

여환균,김병진,김길수,김성훈,송준호,한관희 嶺南大學校 工業技術硏究所 2003 工業技術硏究所論文集 Vol.31 No.2

In this study we demonstrate that a small complex part of a tungsten-based heavy alloy (W-Ni-Cu) can be readily manufactured by utilizing the metal injection molding (MIM) technology. We use a simple thermoplastic binder system, containing low density polyethylene, paraffin wax, and stearic acid. To remove the organic binder from the molded part, we employ the solvent extraction and thermal debinding processes. Densification of debound parts is achieved by sintering in hydrogen atmosphere. The experimental results of the optimization of process variables to manufacture the heavy alloy part are described, with a brief discussion.