원위 대퇴골의 고립성 골연골종에서 발생한 속발성 연골 육종 1례 보고

정필현,황장수,강석,김용민,오형호,채동주,김종필 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

연골육종은 비교적 서서히 자라며 늦게 전이하는 악성 연골 종양으로 알려져 있다. 골 연골종에서 발생한 속발성 연골육종은 발생빈도는 드물며 타부위로의 전이가 적고 악성도가 낮은 경우가 많아 적합한 수술적 치료로서 좋은 예후를 보이는 것으로 보고되고 있다. 본 동국대학교 정형외과학 교실에서는 우측 대퇴골 원위부 골간단부에 생긴 고립성 골 연골종에서 이차적으로 발생한 연골육종을 치험한 바 문헌고찰과 함께 보고하는 바이다. A case of Secondary Chondrosarcoma Arising from Solitary Osteochondroma of the Distal Femur Department of Orthopaedic Surgery, College of Medicine, DongGuk University Phil Hyun Chung M.D., Jung Su Hwang M.D., Suk Kang M.D., Yang Mln Kim M.D., Hyung Ho Oh M.D., Dong Ju Chae M.D., Jong Pil Kim M.D. Chondrpsarcoma is a malignant cartilage-forming tumor that grows slowly and metastasis of this tumor occurs in late stage. Secondary chondrosarcomas arising from a solitary osteocartilaginous exostosis are rare and those have a better prognosis than other chondrosarcomas, and they rarely metastasize. We present our experience with a case of secondary chondrpsarcoma arising in solitary osteochondroma of distal metaphysis of right femur with clinical details.

선천성 완전방실차단이 동반된 신생아 루프스 1예

정재현,이은지,이은주,황진원,송영진,최병진,김일환,김종윤,허민영,김동욱 인제대학교 2009 仁濟醫學 Vol.30 No.-

Neonatal lupus is a rare syndrome occurring In neonates with tranplacentally acquired maternal autoantibodies, In particular anti-SSA/Ro-SSB/Ra antibodies. Manifestations include congenital heart block, cutaneous lesions, thrombocytopenia, neutropenia, pulmonary or neurological disease and hepatitis. The non-cardiac manifestations resolve by 6 months of age, congenital heart block is irreversible. We experienced a case of neonatal lupus with congenital complete heart block in a newborn of asyptomatic mother with anti-SSA/Ro-SSB/Ra antibodies.

조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

활성탄 제조용 하수슬러지 활성탄화로 개발

정동현,이우주,전영남 조선대학교 환경공해연구소 2007 環境公害硏究 Vol.20 No.1

Sludge treatment has been studied with many researcher since disposal problem of sewage sludge was became powerfully. But there was still the problem of secondary pollution and heavy metal leaching in the sewage sludge treatment process. To solve the problem, the treatment was to produce active carbon through the carbonization and the steam activation. In this study attempts to optimum design a activated carbonizer and optimum operation conditions and the technology as changing the variables. parametric screening studies were carried out for variations of the following variables : input of steam "10∼80 g/min" and carbonized time "12∼31.2 min". At the result of this is chosen, that input of steam "35 g/min" and carbonized time "31.2 min". At this time, Iodine adsorptivity and output particle diameter shown that 245.5 ㎎/g and under 4 mm. And also, by using photograph and SEM were confirmed the pore development.

Computer Program에 의한 란탄계 선택성 막전극의 감응전위 측정

정학진,정오진,서혁춘,장동주 조선대학교 기초과학연구소 1985 自然科學硏究 Vol.8 No.1

Having made the selective membrane electrodes with lanthanide fluoride and lanthanide oxalate, the response potentials of 〔F^-〕 and 〔C_2O^2-_4〕 were measured with the selective membrane electrodes and the measured data were treated by using computer program. It was concluded that the analytical experiment done by the application of A/D converter to the personal computer reduced the analytical error and enhanced the reproductivity by means of the development project of computer program. The results were as follows: 1. When the additional ratio of matrixes is 0.1%, the response potentials of 0.1% matrixes were better than 0.3% in the response potentials. 2. The response values of the membrane electride mixed with silicon rubber as matrix is higher than those of the electrode mixed with PVC. 3. The response values of the membrane electrode with reference electrodes were better than that of membrane electrode with calomel electrodes and membrane electrodes. 4. Contrary to the calomel and membrane electrodes the denser concentration of the reference electrode, the less-the electric potential. 5. The response potentials of the insoluble membrane electrodes were inveresely proportional to the size of metallic ions. 6. The stability was the highest, as membrane eletrodes were in to the solution over 24 hours. 7. The response potential of La_2(C_2O_4)_3 and LaF_3 were stable between the range of pH 4.5∼8.0 and pH 3.5∼7.5 respectively.

고위험 유방암환자에서 CPB(Cyclophosphamide, Cisplatin, BCNU) 고용량 화학요법과 자가조혈모세포이식술 : A Phase II Multi-Center Trial

최정혜,안명주,조은경,신동복,이재훈,이문희,김철수 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.2

배경: 림프절 전이가 많은 고위험군 유방암환자에서 CPB(cyclophosphamide, cisplatin, BCNU)를 이용한 고용량화학요법 및 자가조혈모세포이식술이 무병생존율에 미치는 영향과 안전성을 규명하기 위하여 연구를 시행하였다. 방법: 1998년 2000년 까지 한양대학병원, 가천의대병원과 인하대학병원에서 4개 이상 림프절을 침범한 유방암으로 근치적 절제술 시행 후 고용량 화학요법과 자가조혈모세포이식을 시행 받은 13명의 환자를 대상으로 하였고 대조군은 4개 이상 림프절을 침범한 유방암으로 보조화학요법을 받은 환자들 중 39명을 무작위로 선택하여 비교분석하였다. 고용량 화학요법은 제-6일에 BCNU 450 mg/m², 제-5일부터 3일까지 cyclophosphamide 2.0 g/m²와 cisplatin 55 mg/m²를 각각 투여하였다. 결과: 채집된 단핵구수의 중앙값은 8.5 x 10^(8)/kg (범위 2.44-17.90)이었고 CD34양성세포수의 중앙값은 11.0 x 10^(6)/kg (범위 0.8-78.35)이었다. 모든 환자가 이식 후 중앙치 10.0일(범위 8-15)에 말초혈액 과립구가 500 /mm³에 도달하였고 중앙치 9.0일(범위 0-18)에 혈소판이 20,000 /mm³에 도달하였다. 고용량 화학요법을 시행 받은 환자군의 추적기간의 중앙값은 24.6 개월 (범위 15.5-40.5)이었으며 총 13명의 환자 중 1명이 뇌전이로 인하여 사망하였으며 3명(23.1%)에서 재발이 관찰되었다. 대조군은 재발율이 25.6%이었고 무병생존율은 고용량 화학요법을 시행 받은 군(70.5%)과 대조군(78.8%) 사이에서 통계학적으로 의미 있는 차이를 나타내지 않았다 (P=0.744). 고용량 화학요법을 시행 받은 환자 중 10명 76.9%에서 발열이 관찰되었고 WHO 기준 3도 및 4도의 부작용은 혈액학적 부작용이 6예, 소화기적 부작용이 6예에서 관찰되었다. 결론: 고위험군 유방암 환자에서 CPB를 이용한 고용량화학요법 및 자가조혈모세포이식술은 안전하게 적용할 수 있는 치료의 한 방법이나 고용량 화학요법의 효과에 대해서는 앞으로 발표될 대규모 3상 연구의 결과를 주시해야 할 것으로 생각된다. Background: Despite the improvement of prognosis by multimodality therapy for the treatment of breast cancer, primary breast cancer patients with multiple involved axillary lymph node still have a high risk of recurrence. Methods: Between January 1998 and May 2000, we treated 13 women with histologically proven stage II or III breast cancer with 4 or more axillary lymph nodes at the time of primary mastectomy with high-dose chemotherapy and autologous stem cell transplantation. Results: The median age was 45 years (range: 32-57) and the median number of involved lymph node was 13 (range: 6-31). Ten patients were premenopausal state and 40 percent were positive hormone receptor. Seven patients received radiation therapy. Patients were treated with high-dose CPB (cyclophosphamide 2 g/m² D-5--3, cisplatin 55 mg/m² D-5--3, BCNU 450 mg/m² D-6) with autologous peripheral blood stem cell transplantation after 2-4 cycles of adjuvant chemotherapy (CAF, CEF or AC). We compared those patients with age and other clinical factors-matched 39 patients who received conventional adjuvant chemotherapy. The median follow-up for surviving patients who received high-dose chemotherapy was 25.6 months. The relapse rate and 2-year relapse-free survival was 23.1%, 25.6% and 70.5%, 78.8% for high-dose and conventional dose chemotherapy, respectively, but there was no significant difference between two groups (P>0.05). Conclusion: Further follow-up and additional studies are required to resolve the role of high-dose chemotherapy with autologous stem cell transplantation in high-risk breast cancer.

벽 일체형 채광장치의 성능평가 연구

송규동,이주윤,유정연 대한건축학회 2004 대한건축학회논문집 Vol.20 No.12

Recently, various daylighting systems have been developed and applied to buildings However, existing daylighting systems are of no practical use due to a high initial cost and difficulties in maintenance In addition, there is a main problem of securing sufficient additional space for collecting daylight and to be available in the overcast sky A wall-integrated daylighting system, which is the subject of this study and doesn't need additional space for collecting daylight, is a very useful daylighting system, because it can substitute for a vertical wall of a building The purpose of this study was to evaluate the daylighting performance of the wall-integrated daylighting system using two mock-up models The performance of the general windows were compared with that of the wall-integrated daylighting system placed on the windows in terms of illuminance distribution on the work plane at the height of 75cm and illuminance distribution on the south wall Also The purpose of this study is to find methods to minimize glare problems of a newly developed wall-integrated daylighting system A total of six glare reduction methods were comparatively tested through measurements with physical scale models The six glare reduction methods included light-guiding ceiling, planer light shelf, parabolic light shelf, horizontal louvers, vertical louvers and prismatic panel, all of which were attached to the wall-integrated daylighting system The measurements were conducted under direct sunlit conditions for the winter solstice, summer solstice and the equinox

전문비서란 무엇인가? : Its Concept and Function

김주연,용주현,신동희,유민,최정윤 이화여자대학교 법정대학 비서학과 1995 비서학연구 Vol.- No.15

만성적 스트레스 및 불규칙적인 운동이 심혈관 질환의 위험인자에 미치는 영향

송영주,권대근,장창현,정영미,황정윤,성동진 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.20 No.1

This study was conducted to invastigate the effect of everyday life stress level and temporary physical activity by the stress on stress-related hematologic indices. The subjects were 83 male older aged men and they were received a questionaire about everyday life stress level and temporary physical activity by the stress and collected whole blood after overnight fasting state. Obtained results were as follows: 1. CRP level CRP level of MS group was significantly increased compared to SS group(p<.05). However, CRP level between PA and NP was not significant difference. 2. Cholesterol, triglyceride, phospholipid level Cholesterol, triglyceride, phospholipid level of MS group was significantly increased compared to SS group(p<.05). However, Cholesterol, triglyceride, phospholipid level between PA and NP was not significant difference. 3. WBC counts WBC counts of MS group was significantly increased compared to SS group(p<.05). However, WBC counts between OP and PA was not significant difference. From these results, increased stress in everyday life aggravate blood components related cardiovascular risk factors and immune system. In addition, acute exercise for stress attenuation does not improve blood components related cardiovascular risk factors and immune system. In summary, regular exercise and optimal nutrition and rest will be attenuate cardiovascular risk factors and immune system.

Tetracyclic Isoquinoline유도체의 합성

조수동,정윤성,김정주,안철진,신동수 Institute of Genetic Engineering Changwon National 1998 Gene and Protein Vol.2 No.1

To develop new pharmacological charactization of isoquinoline derivatives, we have synthesized 3-benzyl-9,10-dimethoxy-6,7,11b,12-tetrahydropyridazino [4',5': 5,6] [1,4] -oxazino [3,4-а]isoqinolin-4(3H) -one. We have developed a convenient cyclization of novel isoquinoline derivatives starting from 3,4-dimethoxy phenethylamine using boron trifluoride diethyl etherate.