간경변증과 간세포암 환자에서 원인에 따른 Child-Pugh 점수, PGA 지수와 MELD 점수간의 상관관계

문병식,안혁수,안득수,이승옥 대한간학회 2003 Clinical and Molecular Hepatology(대한간학회지) Vol.9 No.2

서론: 간경증변의 정도를 정량적으로 측정하는 것은 여러 면에서 매우 중요하며, 이의 척도로 Child-Pugh 점수를 가장 보편적으로 이용되고 있고, 또 다른 척도로서 PGA 지수와 MELD 점수가 이용되고 있다. 이에 저자들은 간경변 환자와 이에 동반된 간세포암 환자에서 각각 알콜에 의한 경우와 바이러스성 간염에 의한 경우로 나누고, 각각에서의 Child-Pugh 점수, PGA 지수와 MELD 점수를 측정하고, 이들 척도간의 상관 관계와 각각의 원인에 따른 척도간의 차이를 비교 분석하였다. 대상과 방법: 2000년 3월부터 2002년 7월까지 알코올과 B형 간염바이러스에 의한 간경변증 또는 간세포암으로 진단된 339명의 환자에 대해 챠트를 분석하여, 간경변증과 이에 병발된 간세포암으로 진단된 경우로 구분하고 각 원인에 따라 네가지군으로 분류하였다: 알코올에 의한 간경변증 환자군: LC-Al, B형 간염 바이러스에 의한 간경변증 환자군: LC-B, 알코올에 의한 간경변증에 병발된 간세포암 환자군: HCC-Al,B형 간염 바이러스에 의한 간경변증에 병발된 간세포암 환자군: HCC-B. 각 네군 환자의 Child-Pugh 점수, PGA 지수와 MELD 점수를 측정하여 이를 비교 분석하였다. 결과: 총 399명 중 간경변으로만 진단된 환자는 201명 (LC-Al: 100명, LC-B: 101명)이었고, 간경변을 동반한 간세포암으로 진단된 환자는 138명 (HCC-Al: 31명, HCC-B: 107명)이었다. Child-Pugh 점수, PGA 지수 및 MELD 점수의 평균값은 각 군간의 통계학적인 차이가 없었다. 모든 환자군에서의 Child-Pugh 점수와 PGA 지수간의 상관관계는 정비례 관계를 보였으며(LC-Al 0.602, LC-B 0.770, HCC-Al 0.435, HCC-B 0.502), Child-Pugh 점수와 MELD 점수간의 상관 관계는 또한 정비례 관계이었다(0.548, 0.794, 0.708, 0.670). PGA 지수와 MELD 점수간의 상관 관계는 HCC-Al 군을 제외한(0.236) 다른 세 군에서 정비례 관계를 보였다(0.419, 0.622, 0.348). 질환별 상관 관계는 간세포암이 병발된 환자군보다 간경변증만 있는 환자군에서 상관계수 값이 더 높은 경향을 보였고, 원인별 상관 관계는 알코올에 의한 환자군보다 B형 간염 바이러스에 의한 경우에 상관계수 값이 더 높은 경향을 보였다. 결론: 간경변증 환자와 간세포암 환자에서 Child-Pugh 점수, PGA 지수와 MELD 점수간의 상관 관계는 정비례하였다. 간경변증만 있는 환자에서 간세포암 환자에 비해 각지수간의 상관계수 값이 높은 경향을 보였고, 원인이 B형 간염 바이러스인 경우에 알코올인 경우 보다 상관계수 값이 높은 경향을 보였다. Background/Aims: to determine the treatment modalities and the prognosis of a patient with liver cirrhosis, quantitative estimation of liver function is important. We assessed the Child-Pugh score (CPS), the common method as a severity index for the cirrhosis, the Promthombin, Υ-GT, and Apolipoprotein Al (PGA) index and model for end-stage liver disease(MELD) score. The purpose of this study was to evaluate the correlation between these indices in the patients with cirrhosis only and hepatocellular carcinoma (PHC), according to underlying causes (HBV and alcohol). Methods: We reviewed medical records of 339 cirrhotic patients with/without hepatocellular carcinoma and divided patient groups by disease and underlying cause: cirrhosis caused by alcohol; LC-Al, hepatocellular carcinoma with cirrhosis caused by HBV; HCC-B. We assessed the CPS, PGA index and MELD score and calculated the correlation coefficient between these scores. Results: Among the total of 399 patients, 201 patients were diagnosed on the liver cirrhosis only, and 138 patients on the hepatocellular carcinoma with cirrhosis. In each groups, mean score values were not significantly different in CPS, PGA index and MELD score. The correlation of CPS, PGA index and MELD score in all groups, except for the correlation of PGA index and MELD score in HCC-Al group, was significantly positive (p<0.05). Compared to correlation coefficients between three indices, the patients with cirrhosis only had higher tendencies than the patients with hepatocellular carcinoma. The patients by HBV had higher tendencies than by alcohol. Conclusions: The correlations between CPS, PGA index and MELD score showed significantly positive correlations in the patients with liver cirrhosis only and hepatocellular carcinoma with cirrhosis (except in HCC-Al group). The patients with cirrhosis only had higher correlation coefficients than the patients with PHC and patients by HBV had higher than by alcohol.

다공성 실리콘의 제작 및 특성 연구

문병훈,최석호 慶熙大學校 材料科學技術硏究所 1994 材料科學技術硏究論集 Vol.7 No.-

Microstructure, photoluminescence(PL) spectra, persistent photocurrent(PPC), adsorbates and bias effects on current, and FTIR(Fourier Transform Infrared Spectroscopy) spectra have been studied for porous silicon(PS) samples fabricated under various preparation conditions. There has been found no relation between pore size of PS and its PL peak energy, but strong relation between metastable effects such as current changes due to light, air and bias and chemical adsorption of air molecules on its surface. These experimental results are explained based upon adsorbates related band scheme.

多色發光形 AC 薄膜電場發光素子

羅炳旭,李相潤,孫相豪,朴汶圭 慶北大學校 自然科學大學 1986 自然科學論文集 Vol.4 No.-

Multi-colored AC thin film electroluminescence devices have been fabricated by electron beam evaporation. The green and red light emission were observed and the emission brightness B were measured as the function of applied voltage V, frequency f and concentration of the rare-earth materials. The brightest emission was observed for the ZnS:TbF_3 devices and the value was 700f-L.

Carboxymethyl-chitin 제조공정의 단순화

한상문,안병제,김용우,김용범,유국현,이승진 대한화학회 2001 대한화학회지 Vol.45 No.4

CM-chitin은 화장품 분야에서 보습제, 유연제, 피부관리를 위한 세포활성제 및 미백제등으로 다양하게 이용되고 있는 것으로 알려져 있다. 본 연구에서는 CM-chitin제조공정을 기존의 방법에서 몇가지 절차를 배재하여 단순화 하였다. Chitin분말을 NaOH와 혼합하고 16hrs 동안 동결 및 교반을 통해 CICH_(2)COONa와 isopropyl alcohol혼합액을 첨가하였다. 그 결과 높은 치환도의 CM-chitin을 얻을 수 있었다. The water soluble carboxymethyl-chitin(CM-chitin) has been well known to be very useful to the cosmetic field as a moisturizer, a smoothener, a cell activater and a cleaner for face skin conditioning. In this study, the preparation process of CM-chitin was simplified with elimination of some procedures in the conventional method. The chitin powder was mixed with sodium hydroxide solution. And then a mixture of sodium monochloroacetate(or monochloroacetic acid) and isopropyl alcohol(or a mixed solution with water and isopropyl alcohol) was added to thorough the agitation and the freezing during 16 hours. The CM-chitin with a high degree of substitution by the improved process was obtained.

전주산업단지 및 주변지역 VOCs 및 악취물질 모니터링

김용문,박비오,고영삼,심재정,송병식,양고수 전북대학교 공학연구원 ( 구 전북대학교 공업기술연구소 ) 2002 工學硏究 Vol.33 No.-

Important main odorous compounds and VOCs(volatile organic compounds) possibly emitted from the Jeon-Ju Industrial Sites were identified and measured in amount through making air sampling over Jeon-Ju Industrial Sites and analyzing them with the sate of the art analytical instrument. Sampling sites were chosen 8 points by considering the industrial characteristics for the 1,2 Industrial Sites and 2 points for the 3 Industrial. Site Sampling times were two times, the first one was March. 2002 - April. 2002, and the second was May. 2002 - July. 2002. Canister sampling units and polyester bags were used to collect 6 liters air samples during 1hour or 3minutes for VOCs and polyester bags were used to sample 10 - 50 liters of air for 3 minutes depending on analytic characteristics of odor compounds. The important main VOCs were measured as acetone, ethyl benzene, n-hexane, m,p-xylene, toluene, M.E.K.(methyl ethyl ketone), isopropanol, ethyl acetate, o-xylene, n-butyl acetate, ethanol, benzene as in order of average concentration for the Industrial Sites. The main odorous compounds were COS, H2S, CS2, MM(methyl mercaptan), form aldehyde, acetaldehyde for the 1,2 Industrial Sites and COS, H2S, form aldehyde, acetaldehyde were measured as main species for the 3 Industrial Site. NH3 was measured as below the detection limit of the instrument. The concentrations of sulfide compounds for the 1,2 Industrial Sites were relatively higher than ones for the 3 Industrial Site. Among aldehydes, form aldehyde, acetaldehyde were detected very highly as 0.1- 1ppm over all the Industrial Sites.

반도체스위치에 의한 고장전류제한기의 성능해석 모델

한병문 明知大學校 産業技術硏究所 1997 産業技術硏究所論文集 Vol.16 No.-

This paper describes a simulation model to analyze the perfomance of a solid-state resonant FCL(fault current limiter) on the power distribution system to reduce the short-circuit current through the distribution line. A single-phases equivalent circuit for a typical power distribution system is proposed for modelling purpose. The proposed FCL is assumed to be inserted in series with the distribution line to verify the current-limiting performance. Analysis results show that the resonant FCL with GTO is very effective considering present technological status of solid-state switching devices. The proposed resonant GTO FCL will be generally used in the power distribution system as more sensitive loads are involved and higher rating GTO will be developed continuously.

메탄올 혼입에 의한 디젤 연소실 벽면에서의 열유속 특성

김문헌,오병진,김학영 崇實大學校 生産技術硏究所 1994 論文集 Vol.24 No.-

The effect of methanol fumigation on instantaneous surface temperature and heat flux in combustion chamber wall of direct injection diesel engine have been investigated. Instantaneous surface temperature and heat flux on the combustion chamber wall in diesel engine are increased as engine speed increse, and the instantaneous surface temperature difference of combustion wall surface is appeared about 60K by position. The instantaneous surface temperature and heat flux of combustion chamber well are decreased according to increase methanol fumigation. Maximum heat flux at methanol volume ratio 30% decrease 2.3 MW/㎡ and maximum heat flux reduction rate decrease 39% than that of diesel engine.

고가선로 연변 고체전달음에 관한 실험적 연구

김병삼,문상돈 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

To take appropriate measures how to reduce the influence that vibration and noise occurring on the railroad have on neighboring facility is an important issue. And if the vibration raised by the train travelling is input a building structure, its vibration and noise will affect on the building as a whole. In particular, the structure-borne noise, which raises the problem of noise by the vibration propagated into the inside of structural body and the sound radiated from the surfaces of interior wall, floor and ceiling, etc, has a complicated characteristics that repeats the increase and decrease during the process of vibration and sound transfer, it is not easy to take measures. From this situation, the level of noise radiation was reviewed by using the vibration data actually measured to understand the level of structure-borne noise that has been focused as a cause of civil appeals from the residents located railroad vicinity.

친환경 방염액의 연구

이순홍,김병량,문명욱,이대정,정영호 안양대학교 산업기술연구소 2004 自然科學硏究 Vol.11 No.1

대구 지하철 참사 이후 사회 전반적으로 방염에 대한 관심이 증대되어 방염제에 대한 연구가 활발하게 진행되고 있는 실정이다. 기존의 할로겐화 방염제는 방염제 자체의 독성으로 인해 인간의 건강과 환경에 유해성이 확인됨에 따라 이를 대체할 친환경 방염제의 연구가 부각되고 있는 시점이다. 본 연구에서는 친환경 대체 방염제의 일환으로 인계와 무기계 방염제를 혼합 사용하여 우수한 방염성능 및 연소시 유독가스가 발생되지 않는 친환경 방염제의 조성을 설계하고자 하였다. 인계 방염제로서 제1인산암모늄, 제2인산암모늄을 사용하였으며, 무기계 방염제로서 붕산과 붕사를 사용하여 각 조성 배합비의 함량 변화 실험을 통한 방염 특성 평가를 수행하였다. 이와 더불어 방염제의 부착률에 따라서 방염효과가 달라지는데, 최적의 조성으로 부착률을 달리하여 경제성과 법적인 측면을 고려하여 가장 효율적인 부착률을 알아보았다. The purpose of this research is to make a non toxic flame retardants as a substitute material for toxic halogen type, and to evaluate burning area, adhesion rate and flammability of non toxic flame retardants. The non toxic flame retardants were prepared by mixing processes of ammonium phosphate monobasic, ammonium phosphate dibasic, boric acid and borax under the various preparation conditions. Flammability of polyester fabrics treated with these mixed flame retardants was investigated through measurement of burning area and adhesion rate. The burning area values were decreased with increase of the Ammonium phosphate monobasic and ammonium phosphate dibasic content of flame retardants. For economic and legal reasons, the optimum adhesion rate of flame retardants on the polyester fabrics was 50%.

卷柏의 혈액암세포주에서 抗癌作用에 대한 연구

남항우,이성원,이병주,권칠용,문연자,안성훈,우원홍 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

The Sellaginella Tarmariscina is widely used in the traditional oriental herbal medicine for its anti-inflammatory, antioxidant effects. The effects of aqueous extracts of Sellaginella Tarmariscina on the viability and induction of apoptotic cell death were investigated in HL-60 cells. The cell viability after treating with extract of Sellaginella Tarmariscina was quantified by MTT assay. The results showed that could inhibit the proliferation of HL-60 cells and caused a 40% inhibition of HL-60 cells at concentrations of 400 ㎍/ml. The cancericidic effect of Sellaginella Tarmariscina was mediated by apoptosis. Thus, HL-60 cells exposed to Sellaginella Tarmariscina displayed the DNA fragmentation ladder and nucleus chromatin condensation characteristic for apoptosis. In conclusion, our results suggest that the extract of Sellaginella Tarmariscina may induce the apoptotic death in HL-60 cells.