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      • A1₂O₂/CuO 혼합분말의 수소환원 거동 및 미세조직 특성

        오승탁 서울産業大學校 2005 논문집 Vol.54 No.1

        분산상Cu3 CuO 및 Cu-nitrate로 선택하여 제조한 Al₂0₃/Cu0 혼합분말에서의 나노금속 입자 형성기구를 정량적으로 해석하여, 분말제조 공정과 산화물 환원거동의 관계 및 이러한 거동이 최종 소결체의 미세조직과 특성에 미치는 영향에 대하여 고찰하였다. Al₂O₃/Cu-nitrate를 원료분말로 사용한 경우에서, 수소환원 후에 미세한 Cu 입자의 균일한 분포를 갖는 복합분말을 제조할 수 있었으며, 최종 소결체에서도 증가된 파괴강도를 나타내었다. 이러한 차이는 주로 원료분말의 환원특성에 따른 것으로 해석하였다.

      • KCI등재

        의식이 명료한 경증 두부 외상환자에서 뇌 전산화단층촬영의 의의

        허탁,김성근,민용일 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

        A standardized approch to serious head injury employing immediate CT scanning and aggressive medical and surgical therapy has improved outcomes in cases of intracranial lesions. Unfortunately, there is less agreement on how patients with mild head injury should be handled when first seen in an emergency department setting. The ideal policy in mild head injury would be diagnosis or rule-out intracranial lesions as quickly as possible. We reviewed the records of 126 mild head injury patients admitted during 6-month period to the Chonnam University Hospital to identify a group of mild head injury patients having lesions on brain CT scanning and to investigate the risk factors affecting abnormal lesions on brain CT scanning. All patients had alert mental status without neurological deficit and signs of skull fracture. Routine brain CT scans were obtained on all patients. Fifteen patients(12%) had 17 lesions on brain CT scans. Three patients needed surgery for their intracranial lesions. The initial Glasgow Coma Scale(GCS) was 15 in 107 patients and 14 in 19 patients. The incidence of abnormal brain CT lesions for each GCS was 9% in 15 and 26% in 14. The common symptoms of patients who had abnormal brain CT lesions were headache in 7(47%) cases, loss of consciousness in 7(47%) cases, amnesia in 4(27%) cases, dizziness in 4(27%) cases, vomiting in 3(20%) cases, and lethargy in 3(20%) cases. These data suggest that early brain CT scanning is necessary in alert patients who have GCS in 14, headache, loss of consciousness, amnesia, dizziness, vomiting, or lethargy following mild head injury.

      • 진행성 폐 종양 환자에서 종양 내 OK-432 주입술의 효과

        정수현,김성빈,박진희,탁희상,옥철호,장태원,정만홍,천봉권 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2

        Background: Intratumoral injection of OK-432 produced significant antitumor effects. There are reports that OK-432 was injected directly into tumor tissue on gastrointestinal tracts and HCC tissue, producing decrease in serum alpha-fetoprotein level. We adopted this technique for treating locally advanced lung cancer. The object of this study is to evaluate the local therapeutic efficacy, side effects of injection for treating symptomatic mass. Methods: Twenty lung cancer patients (13 males and 7 females) underwent sonography guided OK-432 injection. We analyzed relationships between response of OK-432 and response of skin test, histology and age. Pain that patients feel was evaluated by VAS (Visual Analog scale). Results: A significant decrease of tumor size was observed. The mean pre-injection diameter of the lesions was 54.7±11.3mm, PR rate were 15.0% (3/20) and minimal change (50%<tumor size decreased.) patients were 35.0% (7/20). The VAS score before injecting OK-432 into the lesion was 5±3, this was decreased to 2.5±1.5 (p=0.04). Object response was significantly correlated with skin response, adenocarcinoma, and age. Conclusion: A significant decrease of tumor size and pain was observed. So OK-432 is a valuable treatment option for patients with symptomatic lesion from advanced lung cancer who are not amenable to further therapy.

      • KCI등재

        혈액암환자에서 조혈모세포 이식 후 따르는 헤르페스 바이러스 감영 양상

        이호섭,탁희상,신성훈,김양수,남성진,김혜수,박진희,정수현,김성빈,김예나 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.1

        배경 : 헤르페스바이러스과에는 단순포진 바이러스(HERPES SIMPLEX VIRUS, HSV), 수두대상포진 바이러스 (VARICELLA-ZOSTER VIRUS, VZV), 엡스타인-바 바이러스 (EPSTEIN-BARR VIRUS, EBV), 그리고 거대세포 바이러스 (CYTOMEGALOVIRUS, CMV) 등이 있다. 헤르페스바이러스 감염은 혈액암환자에서 조혈모세포 이식 환자에서 전파 (dissemination), 이차감염, 세균 중복 감염의 심각한 합병증을 일으킬 수 있다. 하지만 항암약물치료를 받는 림파종 환자에서 항 바이러스 약제의 사용 용량과 기간에 대한 concensus는 없다. 헤르페스바이러스 감염에 대한 발생율과 위험인자를 후향성으로 분석하였다. 방법 : 고신대학교 복음 병원에서 1995년 6월부터 2009 년 2월 사이에 새롭게 진단되어 조혈모세포 이식을 받은 전체 58명의 환자들이 후향적으로 현 연구에 등록했다. 헤르페스 바이러스 감염은 임상적 진단, 혈청학적 검사 또는 병리학적 진단에 기초하여 확진한다. 환자들의 특성은 다음과 같다: 평균 연령은 44세 (범위 19-62세)였고 남녀비는 30:28이었다. 등록된 질환은 백혈병 (n=9, 15.5%), 림프종 (n=30, 51.7%), 다발성 골수종 (n=12, 20.7%), 재생불량성 빈혈 (n=6, 10.3%) 그리고 골수이형성증후군 (n=1, 1.7%)이 포함되었다. 결과는 chi-squre test나 independent samples T test를 사용하여 분석되었다. Multivariate analysises에 대해 logistic regression test를 사용하였다. 결과 : 15명의 환자들 (25.9%)에서 조혈모세포 이식후 헤르페스 바이러스 감염이 발생하였다. 조혈모세포 이식 5년간 누적 발생율은 53.9%였다. Univariate analyses에서 헤르페스 바이러스 감염에 대한 유의한 위험 인자는 없었다. 하지만 조혈모세포 이식후 생존 기간(40.18 ± 30.14 months vs 20.06 ± 26.67 months, p=0.018)은 헤르페스 바이러스 감염의 낮은 발병율과 유의한 관련성이 있었다. 이식 편대 숙주질환 (GVHD)의 존재 (37.5% in developed GVHD vs 0% in no GVHD, p=0.200), 동종조혈 모세포 이식에서 면역억제요법의 기간 (15.98 ± 14.02 months vs 6.78 ± 3.67 months, p = 0.374)은 헤르페스 바이러스 감염에 대한 위험인자가 아니었다. 결론 : 조혈모세포 이식 후 생존 기간은 어사이클로비어 예방을 받은 혈액암 환자에서 헤르페스 바이러스 감염의 낮은 발병율과 연관성이 있는 것으로 보인다. 저용량의 어사이클로비어 예방은 헤르페스 바이러스 감염의 고위험군인 조혈모세포 이식을 받은 혈액암 환자에 필요하리라 생각된다. Background : Herpesviridae family includes herpes simplex virus, varicella zoster virus, Epstein-Barr virus, and cytomegalovirus, etc. Herpesviridae viral infection (HVI) can lead to serious complications including dissemination, secondary infection, bacterial superinfection in patients with hematologic malignancy following hematopoietic stem cell transplantation (HSCT). But there was no consensus on the dose and duration of antiviral agents prophylaxis in patients undergoing chemotherapy. We retrospectively analyzed the incidence and the risk factors for HVI. Method : A total of 58 patients who newly diagnosed and received HSCT with prophylaxis of acyclovir at the Kosin University Gospel Hospital, Busan, Korea between June 1995 and February 2009 were enrolled retrospectively in the current study. HVI was confirmed based on clinical diagnosis, serologic test or pathologic diagnosis. The characteristics of the patients were as follows: the median age was 44 years (range 19-62 years) with a female-to-male ratio of 30:28. The enrolled diseases included leukemia (n=9, 15.5%), lymphoma (n=30, 51.7%), multiple myeloma (n=12, 20.7%), aplastic anemia (n=6, 10.3%) and myelodysplastic syndrome (n=1, 1.7%). The results were analyzed using a chi-square test and independent samples T test. For the multivariate analysis, we used logistic regression test. Results : Fifteen patients (25.9%) developed HVI after HSCT. The cumulative incidence of HVI was 53.8% at 5 years after HSCT. In univariate analysis, there was no significant risk factor for HVI. The presence of graft-versus-host disease (GVHD) (37.5% in developed GVHD vs. 0% in no GVHD, p=0.200), duration of immunosuppressive therapy (IST) in allo-SCT (15.98 ± 14.02 months vs. 6.78 ± 3.67 months, p = 0.374) were not risk factors for HVI. Conclusion : The incidence of HVI was similar to that in historical other studies. There was no risk factor associated with development of HVI. Most of the HVI occurred within the first 24 months after transplantation. So long term use of antiviral prophylaxis may be needed to prevention of HVI after HSCT.

      • KCI등재
      • 대학생의 무도 수련과 성격형성의 관계

        전윤수,이성탁 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

        In this research, we survey the effects of martial art to character formation of university students statistically, and to collect data supporting them we ask questions to two groups of students who major in police administration in nation: one group have 350 holders of a rank in judo and fencing and the other have 100 students with no rank. For data analysis, mean and standard deviation of students are used, and T-test also analyzed for statistical significance test. The results are as follows: First, we study the effects of judo training with two group of students, more than one ranked group and no ranked group. In the case of rank one, male students with rank have more all the factors than students with no rank Female ranked students have more Dominance, Impulsiveness, and Maculinity than no ranked students. In contrast, no ranked students have more General activity, Reflectiveness, and Sociability then ranked students. In the case of rank two, male students with rank also have more all the factors than students with no rank. Female ranked students have more all the factor but impulsiveness than students with no rank. Second, we study the effects of Fencing training with two group of students, more than one ranked group and no ranked group. In the case of rank one, male students with rank have more General activity, Dominance, Reflectiveness and Sociality than students with no rank, and students with no rank more Impulsiveness and Masculinity. Female ranked students have more General activity, Maculinity and Sociality than others. Third, in comparison between students with rank in judo, more than one ranked male students have more all the factors but Masculinity than one ranked students. And more than one ranked Female students have more all the factors but impulsiveness. In the case of fencing, more than two ranked students have more all the factor but Reflectiveness than students with no rank.

      • KCI등재후보

        복합레진 수복시 와동의 크기 및 수복 방법이 교두 굴곡에 미치는 영향

        이미라,이인복,석창인,이상탁,엄정문 大韓齒科保存學會 2004 Restorative Dentistry & Endodontics Vol.29 No.6

        The aim of this study was to measure the cusp deflection during composite restoration for MOD cavity in premolar and to examine the influence of cavity dimension, C-factor and restoration method on the cusp deflection. Thirty extracted maxillary premolar were prepared to four different sizes of MOD cavity and divided into six groups. The width and depth of the cavity were as follows. Group 1; 1.5 × 1 ㎜, Group 2; 1.5 × 2 ㎜, Group 3; 3 × 1 ㎜, and Group 4-6; 3 × 2 ㎜ respectively. Group 1-4 were restored using bulk filling method with Z-250 composite. However, Group 5 was restored incrementally, and Group 6 was restored with an indirect resin inlay. The cusp deflection was recorded at the buccal and lingual cusp tips using LVDT probe for 10,000 seconds. The measured cusp deflections were compared between groups, and the relationship between the cube of the length of cavity wall/the cube of the thickness of cavity wall (L³ / T³), C-factor and cusp deflection or %flexure (100 × cuspal deflection / cavity width) was analyzed. The cusp deflection of Group 1-4 were 12.1 ㎛, 17.2 ㎛, 16.2 ㎛ and 26.4 ㎛ respectively. The C-factor was related to the %flexure rather than the cusp deflection. There was a strong positive correlationship between the L³ / T³ and the cusp deflection. The cusp deflection of Group 5 and 6 were 17.4 ㎛ and 17.9 ㎛ respectively, which are much lower value than that of Group 4.

      • KCI등재후보

        수직 진동형 Rheometer를 이용한 복합레진의 유변학적 성질의 측정

        이인복,조병훈,손호현,이상탁,엄정문 大韓齒科保存學會 2004 Restorative Dentistry & Endodontics Vol.29 No.6

        Objective: The purpose of this study was to investigate the viscoelastic properties related to handling characteristics of composite resins. Methods: A custom designed vertical oscillation rheometer (VOR) was used for rheological measurements of composites. The VOR consists of three parts: (1) a measuring unit, (2) a deformation induction unit and (3) a force detecting unit. Two medium viscous composites, Z100 and Z250 and two packable composites, P60 and SureFil were tested. The viscoelastic material function, including complex modulus E* and phase angle δ, were measured. A dynamic oscillatory test was used to evaluate the storage modulus (E′), loss modulus (E″) and loss tangent (tanδ) of the composites as a function of frequency (ω) from 0.1 to 20 ㎐ at 23℃. Results: The E′and E″ increased with increasing frequency and showed differences in magnitude between brands. The E*s of composites at ω= 2 ㎐, normalized to that of Z100, were 2.16 (Z250), 4.80 (P60) and 25.21 (SureFil). The magnitudes and patterns of the change of tanδof composites with increasing frequency were significantly different between brands. The relationships between the complex modulus E*, the phase angle δ and the frequency ωwere represented by frequency domain phasor form, E* (ω) = E*e^(iδ)= E*∠δ. Conclusions: The viscoelasticity of composites that influences handling characteristics is significant different between brands. The VOR is a relatively simple device for dynamic, mechanical analysis of high viscous dental composites. The locus of frequency domain phasor plots in a complex plane is a valuable method of representing the viscoelastic properties of composites.

      • KCI등재후보

        단량체 및 무기질 filler 조성 변화에 따른 복합레진의 유변학적 특성

        이인복,이종혁,조병훈,손호현,이상탁,엄정문 大韓齒科保存學會 2004 Restorative Dentistry & Endodontics Vol.29 No.6

        Objectives. The aim of this study was to investigate the effect of monomer and filler compositions on the rheological properties related to the handling characteristics of resin composites. Methods. Resin matrices that Bis-GMA as base monomer was blended with TEGDMA as diluent at various ratio were mixed with the Barium glass (0.7 um and 1.0 um), 0.04 um fumed silica and 0.5 um round silica. All used fillers were silane treated. In order to vary the viscosity of experimental composites, the type and content of incorporated fillers were changed. Using a rheometer, a steady shear test and a dynamic oscillatory shear test were used to evaluate the viscosity (η) of resin matrix, and the storage shear modulus (G′), the loss shear modulus (G″), the loss tangent (tanδ) and the complex viscosity (η*) of the composites as a function of frequency ω= 0.1-100 rad/s. To investigate the effect of temperature on the viscosity of composites, a temperature sweep test was also undertaken. Results. Resin matrices were Newtonian fluid regardless of diluent concentration and all experimental composites exhibited pseudoplastic behavior with increasing shear rate. The viscosity of composites was exponentially increased with increasing filler volume%. In the same filler volume, the smaller the fillers were used, the higher the viscosities were. The effect of filler size on the viscosity was increased with increasing filler content. Increasing filler content reduced tanδby increasing the G′further than the G″. The viscosity of composites was decreased exponentially with increasing temperature.

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