췌장의 점액성 낭선암 1예

송현주,김도영,정혜경,남승현,문일환,구혜수 梨花女子大學校 醫科大學 醫科學硏究所 2002 EMJ (Ewha medical journal) Vol.25 No.2

Nowadays increasing use of abdominal ultrasound in routine check-up may increase the detection rate asymtomatic cystic lesions of pancreas. Even through the majority of the cystic lesions of pancreas is pseudocyst, about 10-15% of those lesions are caused by pancreatic cystic tumor. In the pancreatic cystic tumor, especially, mucinous cystic tumor should be exicised due to its malignant potential, while the pancreatic pseudocyst or serous cystic tumon can be observed for a period or treated medically. Several clinical, radiological, biochemical and pathologic guidelines have been developed in order to distinguish among them. Among pancreatic cystic tumors, mucinous cystic adenocarcinoma is very rare and accounts for only 1% of all pancreatic neoplasms. Unlike extremely poor prognosis of pancreatic adenocarcinoma, mucinous cystic adenocarcinoma has an indolent course and shows a good prognosis after its curative resection. Recently we experienced a 69-year-old woman who had a mucinous cystic adenocarcinoma of the pancreas. We report this case with a review of literature.

관동맥연축의 비침습적 진단에 있어 Ergonovine Echocardiogrpahy의 유용성

송재관,박성욱,김재중,두영철,김원호,박승정,이종구 울산대학교 의과대학 1992 울산의대학술지 Vol.1 No.1

관동맥연축의 비침습적인 진단방법의 확립은 침습적인 관동맥조영술 및 연축유발검사에 비해 반복적용이 가능한 이론적인 장점이 있어 선별검사(screening test)로서의 기능뿐만 아니라 치료로 이용되는 약물의 효과비교 및 추적검사를 통한 관동맥연축의 임상ㄹ활동도 평가등에 손쉽게 이용될 수 있으라라 예상된다. 이에 저자들은 ergonovine 투여시 기록된 좌심실벽운동장애 유무가 갖는 관동맥연축에 의한 심근허혈의 진단적 가치를 평가하기 위해 Beside Ergonovine Echocardiography Test를 시행하였다. 관동맥조영술 및 연축유발검사에서 변이형협심증으로 증명된 30명(남자 27명, 평균연령 54세)과 비특이적인 흉통질환군 20명(여자 12명, 평균연령 55세)을 대상으로 관동맥조영술 다음날 ergonovine test를 시행하였다. 운동부하검사가 음성인 환자들을 대상으로 6시간 공복시킨 뒤 앙와위에서 상지정맥을 통하여 25-50microgram(이하 mcg)을 5뷴 간격으로 투여하여 흉통의 유무, 심전도 및 이면성심초음파를 5분마다 기록하였으며 총투여량이 350mcg에 도달하거나 양성반응을 보이는 경우 nitroglycerin 250mcg 정주 및 설하투여로 종료하였다. 좌심실벽운동의 분석은 side-by-side continuous cine-loop display가 가능한 QUAD screen 방법으로 판별하였다. 가역적인 심전도 변화나 국소적인 심실벽운동장애가 유발되는 경우를 양성으로 판정하였다. Ergonovine Echocardiography의 전체 민감도는 90%, 특이도는 100%로 동시에 기록된 심전도 변화의 민감도(73%)보다 높았으며 특히 흉통이 있으나 심전도 변화가 전혀 없었던 5례 모두에서 좌심실벽운동장애가 관찰되어 본 검사법의 우월성을 확인할 수 있었다. 양성반응을 보인 ergonovine 평균 투여량이 173±95mcg 이었으며 흉통발작의 빈도를 기준으로한 임상활동도가 높은 경우 활동도가 낮은 군에 비해 양성반응을 의한 총 ergonovine 투여량이 적었으며(123±86 vs 213±83mcg, p<0.01) 관동맥협착이 연축에 동반되어 있는 경우 정상 관동맥에 연축이 있는 경우보다 민감도가 더 높았다(100% va 60%, P=0.02). Ergonovine 투여로 혈압은 기저치 보다 약 17%정도 증가되었으나 맥박수는 큰 변화를 나타내지 않아 안전하게 시행될수 있었으며 오심, 두통, 견갑부통증, 심실기외수축, 방실차단 등이 소수례에서 관찰되었으나 검사로 인한 사망례는 없었다. Ergonovine 주입후 기록된 좌심실벽운동동장애는 심전도 변화보다 더 민감하게 관동맥연축에 의한 심근허혈을 진단할 수 있었으며 Ergonovine Echocardiography는 운동부하검사 등으로 심한 관동맥협착이 배제된 선별된 흉통환자들에서 관동맥연축의 진단에 안전하게 시행될 수 있는 민감하고 특이도가 높은 검사방법이며 변이형협심증의 임상활동도와 관동맥협착의 동반유무가 본 검사법의 결과에 영향을 미칠 수 있으리라 사료된다. The purpose of this study was to evaluate the clinical feasibility of bedside intravenous ergonovine test with echocardiography as a noninvasive diagnostic method for coronary vasospasm. Bedside ergonovine test was performed in 50 patients with chest pain one day after coronary angiography with spasm provocation test;30 patients showed positive results of provocation test while in 20 patients there was no evidence of coronary vasospasm. A bolus of ergonovine maleate(.025 or .05mg) was injected at 5 min intervals up to total cumulative dosage of 0.35mg, and 12-leads ECG and 2-D Echo were recorded every 3min after each injection. Left ventricular wall motion was analyzed with a commercially available ' QUAD' system. The positive criteria of beside ergonovine test included reversible ST segment elevation or depression, T wave changes in ECG(ECG criteria) and reversible regional wall motion abnormalities(RWMA) in Echo(Echo criteria). The overall sensitivity and specificity of ECG criteria were 73%(22/30) and 100% respectively ; The sensitivity of Echo criteria increased up to 90%(27/30) without the change of the specificity. Among 22 patients with reversible ECG changes only 73%(16/22) showed typical ST segment elevation while ST depression was recorded in 2 patients(9%) and minor T wave peaking or flattening without ST segment displacement in 4 patients(18%). Concomitant fixed coronary lesion does increase the sensitivity of the test compared to pure coronary vasospasm with ECG criteria(100% vs 60%, p<0.05). Mean does of ergonovine with positive results was 173±95 microgram(mcg) and the amount of does of ergonovine for positive result was significantly larger in patients with low disease activity (chest pain <5times/자) than those with high disease activity(213±83 vs 123±86mcg, p<0.01). There was no procedure related mortality or fatal arrhythmias. Ergonovine echocardiography is a highly sensitive and specific test for coronary vasospasm and is safe in selected patients in whom the exercise test is negative and severe fixed coronary artery disease has been excluded. Presence of concomitant fixed coronary artery disease and the degree of clinical activity of coronary vasospasm may influence the results of this test.

好氣性處理時 流入廢水 濃度에 따른 物質代謝 速度變化

宋勝久,朴泰朱 부산대학교 환경문제 연구소 1985 環境硏究報 Vol.3 No.-

Design equations for many different types of biological treatment process can be developed by applying material balances to the particular system of interest. Derivatives that indicate the rate of substrate utilization and rate of growth are involved in these material balance equations. In McKinney's approach, the rate of substrate utilization is dependent upon the substrate concentration and the metabolism factor(Km).This model particularly differs from the point that the biomass concentration does not appear in the substrate utilization term. This study was,there,made to evaluate some constant metabolism factors with varying influent substrate concentration. The substrate used for the bench-scale complete mixing activated sludge(CMAS) operations was a mixture of sewage, night-soil and septage. The results obtained were as follows; 1) The variations of metabolism factor were indicated marked influence by varying influent substrate concentration. 2) The removal rates of substrate were decrdeased as the influent substrate concentration increased, but the removal rate of substrate was respectively constant in the range of influent concentration from 3,000 to 30,000㎎/ℓBOD. 3) The metabolism constant factors at the different influent substrate concentration were estimated as follows: range(㎎/ℓBOD) metabolism factor(Km, h??) 3,000∼30,000 around 0.45 600∼1,000 1.0∼2.0 300 or less 3.0 or more

수증기 활성화법으로 제조된 영월 석탄계 활성탄의 특성 연구

이송우,권태훈,나영수,최동훈,류동춘,송승구 한국환경과학회 2000 한국환경과학회지 Vol.9 No.4

Activated carbons were prepared from Youngwall coal by steam activation in this study. The feasibility of the Youngwall coal to commercial activated carbon was examined. The variation of pore structures and the development of porosity in activated carbons were investigated by changing activation conditions in batch type apparatus. The values of BET surface area and adsorption capacity of iodine and methylene blue of the resulting activated carbons were obtained as high as 1,000㎡/g, 900㎎/g, 150㎖/g, respectively. Youngwall activated carbon prepared in this study showed much higher pore volume in pore diameter over l0Å than that of commercial reference activated carbon(Ningxia Taihua ZJ-15C) produced from China anthracite.

폴리에틸렌 담체에 부착된 협기성 생물막 부착 특성

이승란,김도한,나영수,이창한,박영식,윤태경,송승구 한국환경과학회 2002 한국환경과학회지 Vol.11 No.4

Optical microscope, SEM (Scanning Electron Microscopy) and fluorescent microscope were used for qualitative and morphological studies of the attached biomass on PE (polyethylene) substratum under anaerobic condition. It was shown by the observation of optical microscope that the initial attachment of biomass began in crevices of the surface of PE. The shape and structure of the attached biofilm could be observed by SEM photographs, but species of bacteria were and methanogens were not classified. A large number of methanogenic bacteria were identified on the surface of PE substratum by fluorescence under 480㎚ of radiation. It was estimated that methanogenic bacteria was also related to initial attachment of biomass under anaerobic condition.

성형조건에 따른 무연탄계 활성탄의 세공특성

이송우,나영수,김도한,류동춘,최동훈,류병순,송승구 한국화학공학회 2002 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.40 No.1

본 연구는 무연탄으로 활성탄을 제조할 경우 성형이 세공특성에 미치는 효과를 고찰한 것이다. 3가지 다른 방법으로 활성탄(파쇄형 활성탄, 압축성형 활성탄, 압축성형 활성탄)을 제조하여 특성을 비교했다. 이중에서 25%의 콜타르와 7%의 물을 혼합하여 압출 성형한 활성탄이 비표면적, 세공부피, 그리고 경도에서 가장 좋은 물성을 나타내었다. 압축 및 압출 성형체의 표면은 무연탄 원탄과는 달리 무연탄 분말이 바인더와 혼합되어 있으므로 매우 거친 상태를 나타내었고, 활성화시 거칠게 형성되어 있는 입자사이로 활성화제인 수증기가 쉽게 침투하여 많은 세공을 형성시킴을 알 수 있었다. 이렇게 형성된 세공을 통해 수증기 활성화반응이 잘 일어나 직경 3,000-50,000Å 범위의 거대세공이 발달하였다. 파쇄형 활성탄에 비해 약 2배의 거대세공(macropore)부피를 가지고 있었으며 경도도 30%에서 95% 이상으로 상승되었다. This study was to investigate the effect of granulation process on pore characteristics in manufacturing anthracitebased activated carbons. The activated carbons were made by three different methods to compare characteristics: the crushed activated carbon, the compressed activated carbon, and the extruded activated carbon. Among these activated carbons, the extruded activated carbon using a binder that consists of 25% coal tar and 7% water showed the best characteristics in specific surface area, pore volume, and hardness. Since the compressed and the extruded substances had coarser surfaces than a raw material, steam could penetrate easily through particles and produce macropores especially in the diameter ranges of 3,000-50,000Å during activation process. The extruded activated carbon showed about twice more macropore volumes than the crushed activated carbon and the hardness was increased from 30% up to 95%.

협기성 생물막 반응기의 초기 운전특성

이승란,김도한,나영수,이창한,박영식,윤태경,송승구 한국환경과학회 2002 한국환경과학회지 Vol.11 No.3

The lab-scale anaerobic continuous reactor which was filled with the sludge of anaerobic digestion from Suyoung wastewater treatment plant was operated by feeding of various concentrations and flow rates. This experiment indicated that more than 6,870 ㎎COD/L of substrate concentration was required to promote good metabolism and growth of anaerobic biomass. And increasing loading rate slowly was also required in order to treat substrate of higher concentration and higher loading rate. The substrate concentration of about 10,000 ㎎COD/L was adequate to generate biogas efficiently. The pH was sharply decreased at the onset of higher loading rate, but the pH was restabilized soon at 8. During the experiment, the amount of the attached biomass was kept constant.

선형회귀모형에서 다수이상치 탐색 방법에 관한 연구

김승구,송민구 尙志大學校 1998 論文集 Vol.19 No.-

We consider the problem of identifying and testing multiple outlier in weighted linear regression models. When case wieights are given because of variance heterogeneity, we can estimate efficiently regression parameters using weighted least squares estimators are sensitive to outliers like ordinary least squares estimations. Thus, in this paper, We propose some statistics for regression diagnostics in weighted least square regression. On the other hand, we introduce testing procedures for the detection of multiple outliers that appear to be less sensitive to this problem. Both procedures attempt to separate the data into a set of "Clean" data points and a set of points that contain the potential outliers. The potential outliers are then tested to see how extreme they are relative to the clean subset, using an appropriately scaled version of the prediction error. As the outlier-detection methods of H.S(HadiandSimonoff), in this study, we would like to suggest that we uses σ² which definite of back and forth is trimmed instead of σ² is used on the second step of H.S method after arranging γ², in order.

수증기 활성화법으로 제조된 활성탄의 탄화온도에 따른 세공구조 고찰

이송우,나영수,김도한,최동훈,류동춘,송승군 한국환경과학회 2000 한국환경과학회지 Vol.9 No.4

Activated carbons were prepared from Korean coal by steam activation in this study. The variation of pore structure of the activated carbons were investigated according to different carbonization temperatures. Yield, surface area, pore volume and pore structure of this activated carbon were compared with those of activated carbon prepared without carbonization. The investigated carbonization temperature ranged from 700℃ to 1,000℃. Carbonization was carried out in nitrogen atmosphere for 70 minutes and activation was performed by steam at 950℃ for 210 minutes. Surface area and pore volume of the resulting activated carbons increased with carbonization temperature. Also pore volume increased by 20% compared to the activated carbon without carbonization. Especially, in mesopore region, the activated carbon carbonized at 900℃ had more pores by 60% than that of activated carbon carbonized at other temperature.

내·외단열공법 및 온도조건별 냉동냉장창고 외피의 적정 단열계획

강승희,구보경,송승영 대한건축학회 2003 대한건축학회논문집 Vol.19 No.3

It is very important to apply the reasonable insulation method to refrigerated warehouse since temperature difference between storage and outside is so great. However, insulation method for refrigerated warehouse is not expressly provided in the Korean building code and there are few examinations for evaluation of each insulation method. Thus, this study aims to evaluate the economical efficiency of the refrigerated warehouse envelope with different insulation method(inside and outside insulation), temperature condition(0℃, -6℃ and -15℃) and insulation thickness(100㎜, 150㎜ and 200㎜ / 50㎜ or 250㎜). As results, it is proved to have the best economical efficiency when outside insulation method with thickness of 100㎜(0℃ and -6℃) and 150㎜ urethane(-15℃) is applied.