동종 골수이식 후 만성 이식편대숙주반응 환자에서 발생한 폐렴구균에 의한 수막뇌염 1예

신완식,김병욱,유진홍,김동집,김춘추,박종원,이종욱,김동욱,강문원,김양리 대한감염학회 1993 감염 Vol.25 No.3

Graft-versus-host disease (GVHD) is a frequent complication after bone marrow transplantation. Infectious complications are common in GVHD patients due to defect in cell-mediated immunity. A rare case of S. pneumoniae meningoencephalitis occured in a patient with extensive form of chronic GVHD after allogeneic bone marrow transplantation. He was immediately treated with full dosage of ceftriaxone and ampicillin. He suffered from various complications such as sepsis, acute renal failure, atelectasis, and seizure. Despite of aggressive treatment, he died probably due to renal shutdown and massive subacute cerebral infarction of left cerebral hemisphere. This report showed two unusual and rare features. First, the infection site was CNS rather than respiratory system. Second, the causative organism was S. pneumoniae, which is rare cause of CNS infection in immunocompromised patients.

응급실을 내원한 65세 이상 노인 환자의 분석

김진년,김태훈,강양욱,오명,김상철,김성훈,권계형,남홍우,이홍순,유형준 대한노인병학회 2001 대한노인병학회지 Vol.5 No.3

내시경적 점막절제술로 치험한 식도 과립상 세포종 1례

강혁주,김성욱,최석진,이중현,장재식,서영범,윤병구,박건욱,김성자,김용섭,강승완,이구,양창헌,이창우,김욱년,이광헌,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

과립상 세포종은 Schwann 세포 기원으로 생각되며 인체에 비교적 드물게 발생한다. 과립상 세포종은 전신 어느 곳에서나 발견될 수 있으나 주로 혀, 구강, 피부 혹은 유방 등에서 호발하며 드물게 위장관에서 발견된다. 위장관에서는 식도에서 가장 호발하며 다음으로 위, 대장 순이다. 과립상 세포종은 대부분, 특히 위장관에서는 양성이며 소수의 악성 병변이 보고되었다. 이러한 이유와 함께 수술 전의 진단이 어렵기 때문에 과립상 세포종에 대한 근본적인 치료는 현재까지 외과적 절제술이다. 최근에 시도되는 치료방법들로는 내시경적 레이저 치료, 용종절제술, 내시경적 점막 절제술 등이 있다. 저자들은 상부 소화관 내시경검사를 시행하여 식도 과립상 세포종을 진단하고 내시경적 점막 절제술을 시행하여 합병증 없이 퇴원하여 현재 재발없이 경과 관찰중인 1례를 경험하였기에 보고하는 바이다. Granular cell tumors, which occur infrequently, are probably of Schwann cell origin. They can occur almost anywhere in the body but usually affect the tongue, oral cavity, skin, or breasts and are rarely found in the gastrointestinal tracts. The esophagus is the most frequent gastrointestinal site, followed by the stomach and the colon. Granular cell tumors are generally benign, especially in the gastrointestinal tract, some malignant lesions have been reported. For this reason, and also because preoperative diagnosis is difficult, the standard treatment for granular cell tumor has until now been surgical excision. In recent years, other therapeutic methods is endoscopic laser therapy (ELT), polypectiomy, endoscopic mucosal resection (EMR). We report a case of esophageal granular cell tumor which was diagnosed by an endoscopy and managed using an endoscopic mucosal resection without complication.

PTT단위를 갖는 액정중합체의 합성 및 블렌드

김원,최유성,이태양,최재곤,홍완해,조병욱 조선대학교 생산기술연구소 2003 生産技術硏究 Vol.25 No.1

This study explores the potential of improving the physical properties of poly(trimethylene terephthalate) (PTT) by inducing thermotropic liquid crystalline polymers. The TLCP was synthesized by polycondensation reaction of terephthaloyl chloride with corresponding diols. The TLCP used was copolymers containing random PTT groups on the polymer backbone. The PTT moieties were used to increse compatibility between the PTT and the TLCP. The TLCP showed the nematic phase above those melting temperature(T_m) The TLCP seems to act as plasticizers and nucleating agents in the matrix polymers Liquid crystalline phase did not reaveal any significant macrophase separation and thermal degradaton under the temperature of processing condition.

The Study on Medicinal Flora of Several Uninhabited Islands in Jindo-gun, Chonnam province

Yang,Hyo-Sik,Kim,Jong-Wook,Oh,Man-Ho 한국자원식물학회 2003 Plant Resources Vol.6 No.1

The medicinal plants in 22 unhabited islands of Jindo-gun, Chonnam provincde were investigated from March 2000 to October 2002. The medicinal plants in 22 uninhabited islands of Jindo-gun were consisted 366 taxa; 95 families, 269 genus, 309 species, 52 varieties, 3 forma, and 2 subspecies. Important medicinal plants on survey area were Lemmaphyllum microphyllum, Dendropanax morbifera, Ficus erecta, Farfugium japonicum, Machilus thunbergii, Juniperus chinensis var. procumbens, Dendrobium moniliforme, Pyrrhosia tricuspis, Cinnamomum japonicum, Pittosporum tobira, Kadsura japonica, and Daphniphyllum macropodum, This result can be used as basic information data for medicinal research and the conservation of uninhabited islands.

雪嶽山 森林植生의 植物現存量과 一次純生産力의 推定

任良宰,金泰旭,白順達 서울大學校 農科大學 1984 서울대농학연구지 Vol.9 No.2

雪嶽山 地域의 植生構造 및 機能을 把握하기 위하여 綠地自然度(degree of green naturalily, DGN), 一次純生産力과 植物現存量을 推定하였다. 綠地自然度는 地形圖(1:50,000)에 362개의 1km×1km의 mesh를 그은 다음 等級을 査定하였다. 總 362 mesh 중 DGN 8이 全體의 63.8%인 231 mesh를 占하였고 이는 自然林에 가까운 二次林이 大部分인 것을 意味한다. DGN 9인 自然林은 溫量指數에 依해 區分한 惡寒帶地域에 分布하였다. 一次純生産力은 麟蹄, 襄陽, 束草의 氣象資料를 反映하여 Miami model (Lieth 1972, 1973)에 의해 推定하였는 바 東(外)雪嶽, 西(外)雪嶽, 西雪嶽의 값은 各各 1,397, 1,541, 1,518 g/㎡/yr이었고 平均値는 1,455 g/㎡/gr이었다. 雪嶽山 全體의 年間 一次純生産量은 504,405,81 ton/yr이었으며 이를 實際面積으로 換算하면 約 55萬ton이 蓄積되어 가는 것이라 할 수 있다. 雪嶽山의 植物現存量은 25,075,974.8㎥이었으며 이는 다시 約 2,300,000 ton으로 推定할 수 있었다. 그러나 葉量이나 根量이 除外되어 있음을 考慮하면 3,000,000 ton 以上이 蓄積되어 있는 것으로 推定되며 이는 素(C)의 平均停滯 約 55年間인 것으로 推定된다. 한편 Choi & Yim (1984)에 依하면 雪嶽山의 5대 優占種의 順位는 신갈나무 소나무 당단풍나무 졸참나무 서어나무 順이었다. To evaluate the functional feature of Mt. Seolag area, the maps of degree of green naturality. (DGN) and net primary productivity and the estimation of total phytomass were made. DGN map was made by scoring the value of DGN rank in topography map (scale 1:25,000) divided into 362 meshes of Km?? size. In the map, the higher values in DGN rank were found at high elevation area, which is the subarctic zone determined by warmth index isopleth. Of total meshes, 231 meshes (63.8%) were the degree 8 in DGN rank which is secondary forest closed to natural forest vegetation. The net primary productivity was calculated by Miami model (Lieth 1972, 1973) using the data measured at Inje, Sogcho and Yangyang meteorological station . The estimated values of eastern, western and southern Seolag were 1,397, 1,451 and 1,518g/m²/yr, respectively, and the mean of them was 1,455/m²/yr. The amount of annual net primary production in the whole Mt. Seolag was 504,405.81tons/yr obtained by multiplication of net primary productivity and practical land area (plane area x mean inclination of 25 degree: 1/cosine20°). The mean 25°was the value obtained by the analysis of topographic map with 5535 meshes of 250m×250m size mesh. The Phytomass of whole Mt, Seolag area, 25,075,974.8m³, was estimated from the data of sample area (30,250m²). The Phytomass will be over 3,000,000 tons if it would be considered the phytomass increased by the increase of area (converted to practical area)and the one of leaf and root system. It means the accumulated amount of C for 55 years. On the other hand, according to choi & Yim (1984), Quercus mongolica, Pinus densiflora, Acer pseudosieboldianum Quercus serrata, Carpinus laxiflora etc. Were found as dominant species in order of species sequence of Mt, Seolag.

Global-MAHN에서 라우팅 오버헤드 개선에 대한 연구

張良根,金玄旭,李光培,吳世德,裵振勝,金在浩 明知大學校 産業技術硏究所 2007 産業技術硏究所論文集 Vol.26 No.-

In this Paper, we studied the mechanism that increases the network reliability and decreases network load in GMAHN environment based on the AODV routing protocol. This proposed algorithm is the research on the algorithm, minimizing network overhead by preventing unnecessary network overhead previously and adapting Local repair mechanism to efficient data transmission when route error happens in network, in GMAHN environment. To evaluate the proposed algorithm's performance, we analyzed the proposed algorithm and adapting in various experiment environment according to 5 experiment viewpoint such as node movement, gateway network zone, mobile node number, flow number. After evaluating the experiment, we confirmed better network improvement altogether through following result such as total average data reception rate's increase, average data transmission time's decrease, network overhead's decrease than existing GMAHN algorithm.

NOD/SCID 마우스 모델을 이용한 인간 제대혈 혼합이식에서의 생착 양상 분석

정양조,김동욱,조빈,강영주,박보배,김혜정,김태규,오일환 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.2

연구배경: 제대혈은 골수에 비해 많은 장점을 가지고 있음에도, 이식 후 성적에 있어 총세포수에 의해 좌우되며, 한 개의 태반으로부터 얻을 수 있는 총세포수의 한계가 있어 주로 소아에 국한되고 있다. 따라서 제대혈 응용의 확대를 위해 생착량을 늘이기 위한 방법으로 다중공여자에 의한 제대혈 혼합이식을 늘일 수 있는지 연구하기 위하여, 본 연구에서는 주조직적합성 형별로 조합된 제대혈을 NOD/ SCID 생쥐에 이식하는 방법으로, 혼합생착의 가능성을 연구하였다. 방법: 조합된 2개 공여자로부터 얻어진 제대혈들을 단일이식 및 혼합이식하여, 혼합이식된 숙주에 생착된 세포를 PCR-SSOP 방법을 사용하여 공여자 별로 추적하였다. 또한 각 공여자세포의 상대적 생착비율을 대조군인 단일제대혈 이식에서 얻어진 생착량과 비교하는 정량적 비교도 함께 하였다. 결과: 총단핵구를 혼합이식한 실험군에서는 주조직적합성의 일치도에 관계없이 한쪽공여자의 세포가 다른쪽에 비해 우세한 편향생착을 보였다. 그러나 임파구를 비롯한 Lineage 양성세포를 제거한 실험군에서는 주조직적합성의 불일치에도 불구하고 뚜렸한 생착의 공존이 관찰되었다. 결론: 본 연구는 제대혈의 생착량을 증가를 목적으로 총단핵구를 혼합이식할 경우 한쪽공여자의 세포에 의해 편중되며, 이것을 이식 후 생착과정에서의 두 종류의 세포의 경쟁에 의해 초래된다는 것을 보이고 있다. 또한 이러한 경쟁은 제대혈에 포함되어 있던 임파구들에 의한 것이며, 생착공존을 위하여는 공여자간 주조직적합성의 일치도 보다, 임파구의 제거가 더 중요하다는 것을 보여주고 있다. Background: Although umbilical cord blood (UCB) has been an attractive alternatives for bone marrow cells, application is limited to pediatric case due to limitation in total number of nucleated cells, that is a single most important factor for outcomes of UCB transplantation. Therefore, increasing overall engraftment by mixed transplantation of UCB derived from multiple donor should comprise one strategy to circumvent the posed limitation of UCB transplantation. In order to investigate the feasibility of establishing co-engraftment by multi-donor UCB cells, we carried out a xenotransaplantation study using NOD/SCID mice for systemic analysis of results on the input-based control of single unit transplantation. Methods: UCB units with various extent of HLA-matchings were co-transplanted into NOD/SCID mice along with single unit transplantation control. The relative contributions of engraftment by cells from each donor-derived were analyzed by HLA polymorphism using PCR-SSOP. Results: In all HLA-based mixed transplantation of total nucleated UCB cells, engraftment of one donor predominated over the other despite that equivalent amount of engraftments were achieved by single donor transplantation. When lineage depleted UCB units were co-transplanted, significant degree of co-engraftments were observed regardless of HLA disparity. Conclusion: Our result show that one donor cells dominate over the other in mixed UCB transplantation and that it is due to competition between donor cells during post-transplantation process. Our results suggest that immune cells contained in UCB unit mediate such competitioin and that 6 locus HLA matching would not be sufficient to prevent the competition.

고빌리루빈혈증을 동반한 자가면역성 간염 1례

서영범,김성욱,장재식,강혁주,이중현,윤병구,김욱년,이광헌,이구,유석동,양창헌,이정호,이영현,이창우,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

자가면역성 간염은 대개 만성 경과를 가지며, 혈중 자가면역항체와 혈청 글로불린치의 상승, 그리고 조직학적으로 괴사 염증성 변화를 특징으로 하는 질환으로 아직 정확한 병인이 밝혀져 있지 않은 상태이다. 발병연령은 대개 젊은 영자(15-25세)에서 호발한다. 이 질환은 급성 간염의 임상경과를 보일 수 있으나, 심한 급성 간염이나 전격성 간염으로도 나타날 수 있는데, 이 경우 아주 나쁜 예후를 보인다고 한다. 치료는 자가면역성 간염 임상 경과의 다양성이나 병인, 병리기전의 불확실성에도 불구하고 대개 steroid 치료에 반응하는 것으로 알려져 있으며 대개 80%의 관해율을 나타내며 궁극적으로 간경변으로의 진행을 막을 수 있는 것으로 보인다. 저자들은 58세 남자에서 발생한 급성의 경과를 가지고 심한 황달을 동반한 자가면역성 간염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Autoimmune hepatitis (AIH) is a chronic necroinflammatory liver disorder of unknown cause associated with circulating autoantibodies and a high serum globulin level. The age of onset of AIH show a peak between the age of 15 and 25 years. AIH can develop and be manifested as acute hepatitis, but severe form of acute hepatitis or fulminant hepatic failure has a poor prognosis. Although AIH is likely to progress from chronic active hepatitis to cirrhosis, steroid therapy can control the disease activity, prolong survival, improve the quality of life , and defer liver transplantation. In the present report we describe a 58-year-old man who admitted because of progressive jaundice and fatigue. He was diagnosed with AIH from laboratory test result showing positivity for antinuclear antibodies, anti-smooth muscle antibodies, and negativity for hepatitis viral markers and from liver biopsy. Steroid therapy, oral administration of prednisolone, was effective in improving the liver function test. Following liver biopsy 6 months after onset shows markedly improved necroinflammatory activity.

GMAHN 환경에서의 TCP 프로토콜 성능 분석

吳世德,金玄旭,李光培,張良根,裵振勝,金在浩 明知大學校 産業技術硏究所 2007 産業技術硏究所論文集 Vol.26 No.-

Recently, GMAHN that provides interface between MANET and Wired Network has been focused in Mobile Communication. It is necessary that The technology provide reliable data transmission technology between mobile node and wired network in MANET environment that varing by the node movement. In this paper, using the TCP protocol(Tahoe, Reno, Vegas, SACK)that increases reliability between source and destination, we applied the TCP protocol mechanism to various environment, and compared result, and also proposed the efficient TCP mechanism by comparing each mechanism.