Sarcomatoid Carcinoma Arising from Mature Cystic Teratoma

Ho-Chang Lee1, Seung-Myoung Son, Yong-Moon Lee, Ji Hae Koo, Song-Yi Choi, Ok-Jun Lee, Eun-Hwan Jeong 충북대학교 동물의학연구소 2012 Journal of Biomedical and Translational Research Vol.13 No.2

Malignant transformation of mature cystic teratoma (MCT) is rare. Sarcomatoid carcinoma is a neoplasm comprising malignant mesenchymal cells and a conventional carcinomatous area. Here, we report on a case of sarcomatoid carcinoma arising from an MCT in the left ovary of a 45-year-old female. A unilocular cyst consistent with MCT was observed; however, a nodule within the cyst was confirmed from the resected ovary. Microscopically, the nodule showed both squamous cell carcinoma and pleomorphic sarcomatous components admixing with each other. Lining epithelial cells at the periphery of the main tumor showed squamous metaplasia. When a sarcomatous component is observed in the ovary tumor, it is important to find a squamous cell component, either benign or malignant.

당뇨병과 동반된 화농성 간농양의 임상상 및 예후인자

오은숙,강무일,이원영,오기원,임동준,이소영,이정민,고승현,김성래,안유배,손현식,윤건호,차봉연,이광우,손호영,강성구 대한당뇨병학회 2000 임상당뇨병 Vol.1 No.1

연구배경: 감염질환은 혈관질환과 함께 당뇨병의 중요한 사망원인의 하나이며, 혈당조절이 불량할수록 감염 빈도가 증가됨은 잘 알려져 있다. 간농양의 발생이 있어서도 당뇨병은 중요한 기저질환 중의 하나이다. 일반적으로 간농양의 가장 흔한 원인균은 Escherichi coli라고 알려져 있으나, 최근 당뇨병을 가진 간농양 환자에서 Klesiella pneumoniae의 검출이 증가되고 있다. 또 최근 연구에 의하면 K.pneumonie가 간농양의 가장 흔한 원인균이며, K. pneumoniae에 의한 간농양은 K.pneumoniae 이외의 균주에 의한 간농양보다 당뇨병과 밀접히 관련되어 있다고 보고된 바 있다. 이에 저자들은 간농양 환자를 대상으로 당뇨병환자의 빈도를 알아보고, 그 원인균 및 특징을 비당뇨병 환자들의 경우와 비교해 보고자 하였다. 방법: 1992년 1월부터 1999년 6월까지 방사선학적 검사 혹은 수술에 의해 간농양이 확인되거나, 경피적 천자나 수술을 통한 배농액 배양, 혹은 혈액 검사에서 원인균이 증명된 182명의 환자를 대상으로 후향적 임상고찰을 실시하였다. 결과: 화농성 농양을 가진 167명의 환자(남:94명, 여:73명)중 당뇨병을 가진 환자는 54명 (남:30명, 여:24명)으로 32.3%를 차지하였다. 환자의 평균나이는 당뇨군에서 62.1 ± 13.4세, 비당뇨군에서는 55.1 ±15.5세로 당뇨군에서 높았으며(p=0.0021), 남녀간의 평균나이 비교 시 두 군 모두 여성의 나이가 의미있게 높았다. 비당뇨군에 비하여 당뇨군의 경우 저알부민혈증의 빈도와 aspartate transaminase가 증가되어있었다. 원인균주는 K. pneumoniae (당뇨군54%, 비당뇨군 39.1%), E. coli(당뇨군 17.5%, 비당뇨군 18.8%), Pseudomonas aeruginosa, Streptococcus viridans, Enterococcus 순이었으며 두 군간의 의미는 차이는 없었으나 K. pneumoniae의 경우 다른 균종에 비해 단독감염의 빈도가 높았다(82.8%). 사망률은 당뇨군에서 16.7%, 비당뇨군에서 7.1%로 당뇨군에서 의미있게 높았으며(p=0.019), 당뇨군에서의 사망환자는 모두 패혈증이 동반되어 있었다. 당뇨환자의 사망군은 생존군에 비해 당뇨병 이환기간이 길고 혼합감염의 빈도가 높았다(p=0.046). 검사실 소견에서는 총 빌리루빈 및 알카리성 포스파타제의 증가가 관찰되어 있었다. 결론: E. coli가 간농양의 주된 원인균이라는 기존 보고와는 달리 당뇨군과 비당뇨군 모두 K. pneumoniae가 간농양의 주된 원인균이었다. 또한 당뇨 유병기간이 길고 당뇨조절이 불량한 환자에서 혼합감염이며 총 빌리루빈 및 알카리성 포스파타제의 증가등과 같은 위험인자가 존재할 경우 사망률이 증가될 수 있으므로 이들 군에서는 적극적인 치료가 필요할 것으로 사료된다. Background: Liver abscesses are commonly associated with underlying disease, particularly diabete mellitus. The number of the liver abscesses caused by Klebslella pneumoniae in diabetic patient has been increased in Korea nowadays. This study was conducted to clarify the clinical presentation and prognostic factors of pyogenic liver abscesses, especially in diabetic patients and to determine the proportion of K. pneunomiae as a pathogen in liver abscess in Korea. Methods: Medical records of 167 patients treated for pyogenic liver abscess from January, 1992 through June, 1999 were reviewed retrospectively in detail. Major Pathogenic organism, clinical manifestations, prognostic factors, the importance of diabetes mellilus as an underlying disease and its effect on clinical features and prognosis were analyzed. Results: Among 167 cases of pyogenic liver abscess, underlying diabetes mellitus was present in 32.3%. The mean age of patients was 62.7 13.4 years in diabetic liver abscess group and 55.1 15.5 years in non-diabetic liver abscess group. Most liver abscesses were cryptogenic in origin or secondary to the billary tree diseases. The clinical presentations among the two groups were not significantly different. When compared to patients without diabetes, patients with diabetes had significantly higher proportions of hypoalbuminemia and elevated aspartate transaminase level. The most common organism of the pyogenic abscess was K. pneumoniae in both groups. Percutaneous drainage of the abscess with appropriate antibiotics was the most commonly used therapeutic modality in liver abscess. The mortality rate of diabetic liver abscess is 16.1 % and 7.1% in nondiabetic liver abscess. Complications, especially septicemla, were found more frequently in patients with diabetes than in patients without diabetes (64.8% vs 28.3%, septicemia : 31.5% vs 9.7%). The factors influencing mortality in the diabetic liver abscess were disease duration, mixed infection, presence of septicemia, elevated bilirubin and alkaline phosphatase. Conclusions: In contrast to prior report that the E. coli was the most common pathogen in liver abscess, we found that K. pneumoniae was the most common organism cultured in liver abscess. Diabetic patients have more complications and higher mortality than patients without diabetes. Early detection and proper treatment are needed to improve the outcome for diabetic patient with liver abscess.

목재셀룰로오스의 산촉매 가수분해 반응속도론

이민규,송승구 제주대학교 1991 논문집 Vol.33 No.-

목재셀룰로오스의 가수분해에서 세가지 반응속도모델을 검토한 결과, 가수분해 반응은 A(셀룰로오스)→B(글루코오스)→C(분해물질)의 비가역 연속 1차반응으로 근사됨을 보여주었으며, 황산농도 4∼12%, 반응온도 170∼190℃에서 구한 반응속도 상수는 다음과 같았다. 셀룰로오스의 가수분해(A→B): k₁=6.6x10¹??(S)¹??exp(-39,500/RT) 글루코오스의 분해(B→A): k₂=6.4x10¹??(S)¹??¹exp(-30,800/RT) 반응속도식 결과에 의하면 당생성 수율 및 당농도는 반응온도 및 산농도가 증가함에 따라 증가하였으나. 그에 따른 반응시간의 감축으로 공정 취급상의 어려움을 안고 있었다. The experimental analysis of batch hydrolysis of wood cellulose at moderate sulfuric acid concentration showed that the hydorlysis of wood cellulose could be modeled by consecutive irreversible first order reactions. The kinetic parameters were evaluated covering the conditions of 170 to 190℃ and 4.4∼12.2% sulfuric acid. Hydrolysis of cellulose: k₁=6.6X10¹??(S)¹??exp(-39,500/RT) Decomposition of glucose: k₂=6.4X10¹??(S)¹??¹exp(-30,800/RT) Results showed that the sugar yield and concentration would increase with reaction temperature and acid concentration.

졸 - 겔법에 의한 다공성 알루미나 미분체 제조에 관한 연구 : 2 . 물과 알콕시드의 비가 알루미나 미분체의 결정화 공정에 미치는 영향 2 . The Effect of [ H2O ] / [ Al - alkoxide ]on The Crystallization Mechanism of As - Prepared Particles

이성원,박형상,윤호성,황운연,구기갑,유승준,김용렬,이정운 한국화학공학회 2001 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.39 No.2

알루미늄 알콕시드의 반응속도를 제어하기 위한 혼합용매와 입자제조 과정에서의 응집을 방지하기 위한 분산제로 HPC를 첨가하는 방법에 의하여 구형의 다공성 알루미나 미분체를 제조하였으며, XRD, FT-IR 및 TG-DTA 분석을 통하여 공정변수로 선정한 물과 알루미늄 알콕시드의 비가 제조된 미분체의 결정화 공정에 미치는 영향에 대하여 고찰하였다. 축중합 반응에 첨가된 물과 Al-알콕시드의 비는 제조된 미분체 및 하소 공정을 거친 미분체의 결정구조에 영향을 미침을 알 수 있었다. [H₂O]/[ASB]의 비가 증가할수록 제조된 미분체는 비정질의 Al(OH)₃로부터 점진적으로 AlO(OH)의 화학조성을 갖는 의사-보헤마이트로 결정성이 바뀌었다. 그리고 건조 공정을 거친 미분체의 결정성이 좋을수록 δ와 θ-Al₂O₃는 저온에서 생성되었으나, α-Al₂O₃는 고온에서 생성되었다. 이와 같은 결과는 Al^(3+)이온의 결정 내에서의 배위체 변화와 관계됨을 알 수 있었다. 그리고 [H₂O]/[ASB]=2의 조건에서 제조된 입자는 다른 시료와 달리 600℃에서 η-Al₂O₃로 1,100℃에서 α-Al₂O₃2로 상전이 되었다. Spherical porous alumina particles were prepared by mixed solvent to control the reaction rate of Al-alkoxide and the particle shape with hydroxy-propyl cellulose(HPC). HPC was used as a dispersant to prevent aggregation during the formation of particles. The effect of [H₂O]/[ASB] ratio on the crystallization reactions of as-prepared particles was studied by XRD, FT-IR, and TG-DTA analysis. The mole ratio of water and Al-alkoxide added in the condensation reaction had an important effect on the crystal structure of as-prepared particles and the calcined particles. As the [H₂O]/[ASB] ratio increase, the crystal structure of as-prepared particles was continuously varied from amorphous Al(OH)₃ to pseudo-boehmite with chemical composition of AIO(OH). The samples which have higher crystallinite after drying process were transformed into the δ- and θ-Al₂O₃ at lower calcination temperature, but these sample were transformed into α-Al₂O₃ at higher calcination temperature. This result was thought to be the transformation of the coordination number of Al^(3+) ion in the crystal structure. The particles prepared by [H₂O]/[ASB]=2 condition crystallized to α-Al₂O₃at 600℃ and converted to η-Al₂O₃at 1,100℃ without intermediate phases.

글루코오스의 분해반응에 미치는 금속이온의 영향

이민규,허목,이송우,송승구 濟州大學校工科大學附屬産業技術硏究所 1991 尖端技術硏究所論文集 Vol.2 No.-

The objective of this research was to study the chemical kinetics of the decomposition of glucose in the presence of acid catalyst and metal ion. In this experiment, the range of variables investigated was covered temperature from 160℃ to 180℃ and concentration of 4% to 11%(W/V) sulfuric acid and metal sulfate concentrations, ?? to ??g㏖/l. It is shown that glucose disappearance follows a first-order reaction. mechanism and the glucose decomposition reaction is dependent on both the reaction temperature and the catalyst concentration. And the presence of chromic ion accelerates the decomposition reaction of glucose, but presence of ferric and nickel ion rarely influence the reaction.

정보통신 표준화 지수측정 모형 개발 연구

이승환,박명철,이상우,구경철 한국경영과학회 2003 經營 科學 Vol.20 No.2

The standard issue in the information and telecommunication industry is increasingly important with the rapid development of technology. This paper proposes an index model which can measure the degree of standardrzation in the Korean information and telecommunication field We first classified ICT sector into 14 sub-sectors. Then for each sub-sector, we considered a Set of important determinants to measure the level of standardization, and constructed a linear equation using this set of determinants Finally we estimated the relative degree of importance of each determinant using the AHP methodology The proposed model found that overall level of standardization In the Korean ICT industry is relatively low, and "IMT-2000 technology" and "computer network technology" among 14 sub-sectors are highly standardized sub-sectors The validity of the proposed model was also partially proved using two different methods, holistic and historical approach.

달리기 질주속도 체감 및 질주동작 변용에 영향을 미치는 체력적 요인분석 : on the Upper Limbs

이승훈,신범철,이일구 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.6

The purpose of this story was to clarify the physical fitness factors influencing the decrease in speed and the change of motion during running with reference to the role of upper limbs. The subjects were twelve track and field athletes(decathletes). Running speed and kinematics parameters were obtained at the first phase and the final phase during the running with maximal effort. The subjects were examined Wingate anaerobic test(pedaling and arm cranking) and isokinetic muscular endurance test on three joints (shoulder, Knee and hip). The results were summarized as follows; 1) The higher anaerobic endurance capacity in arm cranking was, the smaller the reduction of running speed between the first phase and the final phase of running was. 2) There was significant correlation between the amount of difference about minimum hip angle and the muscular endurance rate of shoulder flexion(p<0.05). These results suggest that the anaerobic endurance capacity of upper limbs influences the decrease in running speed and the change of running motion during running. In addition, it is necessary to build up the anaerobic endurance capacity of not only lower limbs but also upper limbs in running.

양안 근점거리의 분포형

구정완,오민화,이승한 가톨릭대학산업의학센타 산업의학연구소 1991 韓國의 産業醫學 Vol.30 No.2

Near point distance for both eyes of 71 healthy subjects. who no special eye conditions, were measured in order to clarify their distribution form and to select a measure that is suited to continuous observation of visual fatigue of VDT workers. The results were as follows: 1. Near point distance for both eyes(appear. disappear) followed normal distribution only after natural log-transformation(Shapiro-Wilk test). 2. The variance and the coefficient of variation of near point distance(appear) were 0.04 and 4.13, respectively, while they were 0.08 and 6.30 in near point distance(disappear). The findings suggested that near point distance(appear) could be a preferable measure to near point distance(disappear)in the sequential monitoring of visual fatigue. 3. The mean near point distance(appear, disappear)for both eyes of study subjects were 138,82 mm in the age4 group of 20-29 years and were 156,97 mm in the age group of 30-39 years. respectively.

한국인에게 적절한 기관삽관 위치

이승한,최옥경,정구영,정성필 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Endotracheal intubation is one of the important procedures in ED and various fields. Endobronchial intubation can lead to hypoxemia secondary to tension pneumothorax of intubated side and atelectasis of contralateral side. The placement of tube beyond the vocal cords may results in inadvertent extubation, larygeal spasm and aspiration pneumonia. The conformation methods of endotracheal intubation are auscultation of the chest, observation of a vapor trail, oximetry and capnography, and radiologic evaluation. Owen and associates recommended that oral intubation tubes at the upper incisor teeth at the 23cm in men and the 21cm in women of average adult size would have led to proper placement. We studied that whether the proper depth of endotracheal tube in American is appropriate to Korean. We studied adult patients admitted to ED (of both hospitals during March in 1995. Endotracheal tubes in men were positioned at the 23cm and women had positioned at the 21cm at the upper incisor teeth. The distance of the tip of the endotracheal tube to the tracheal carina on the postintubation chest X-ray then determined. Correct placement of intubation was defined with the tip of the tube≥3cm above the carina and below the level of the larynx. Fifty adult patients were enrolled in the study ; 29 men (58%) and 31 women (42%). Mean height and weight were 170±5.2cm, 68±9kg in men and 158±6.5cm, 56±10kg in women. Reasons for intubation were ; respiratory failure(38%), trauma(16%), increased intracramial pressare(16%), drug intoxication(12%), shock(8%), cardiac arrest(7%)and others(3%). The mean distance from the tip to carina on chest X-ray was 4.13±1.5cm in men and 3.45±2.1cm in women. Proper position was 27/29(93%) in men, 14/21(67%) in women or 41/50(82%). this means the placement of endotracheal tube of our patients was positioned deeper than prion study group(97.6%).(p<.05) We recommend that the 22cm tube mark for men and 20cm tube mard for women at upper incisor teeth would have led to proper placement in Korean adult patient.

설계추진단계별 설계VE의 효율적 적용 방안

이승훈,서용칠,구교진,현창택 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

The purpose of this study is to propose an efficient design-VE job plan and applicable methods in each phase of design process. This is for more effective and practical use of VE in design phase. This study focuses on differences of the VE target selection phase and function analysis phase in each phase of design process. In the phase of preliminary design, conceptual sketch, size, use, or major spaces of project are selected for VE target and function assessment step is skipped because present cost and function cost cannot be produced easily in early in early phase of design. At the end of preliminary design phase, function review phase is added which consists of function satisfactory indices review step and unsatisfactory function removal step.