보행 시 노인의 상체 움직임에 대한 3차원적 분석

김희수,윤희중,류지선,김태삼 한국운동역학회 2004 한국운동역학회지 Vol.14 No.3

H. S. KIM, H. J. YOON, J. S. RYU, T. S. KIM. The Three Dimensional Analysis of the Upper Body's Segments of the Elderly during Walking. Korean Journal of Sport Biomechanics, Vol. 14, No. 3, pp. 1-15, 2004. The purpose of this study was to investigate the kinematic variables of the upper part of the body for 8 elderly men during walking. For this study, kinematic data were collected using a six-camera (240Hz) Qualisys ProReflex system. The room coordinate system was right-handed and fixed in space, with righted orthogonal segment coordinate systems defined for the head, trunk, and pelvis. Based on a rigid body model, reflective marker triads were attached on the 3 segments. Three-dimensional Cartesian coordinates for each marker were determined at the time of recording using a nonlinear transformation(NLT) technique with ProReflex software (Qualisys, Inc.). Coordinate data were low-pass filtered using a fourth-order Butterworth with cutoff frequency of 6Hz. Three-dimensional angles of the head, trunk, and pelvis segment were determined using a Cardan method. On the basis of each segment angle, angle-angle plot used to estimated the movement coordinations between segments. The conclusions were as follows; (1) During the support phase of walking, the elderly people generally kept their head the flexional and abductional posture. Particularly, the elderly displayed little internal/external rotation. (2) The elderly people showed extensional and external rotation postures in the trunk movement. Particularly, It showed the change from adduction into abduction at the heel contact event of the stance phase. (3) The elderly people showed almost same pelvis movement from the flexion into extension, from the abduction into adduction, and from internal rotation into external rotation at the mid stance and toe off of the stance phase.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

한국인 관상동맥의 변화양상에 대한 형태학적 연구

권태정,이상용,이한영,고영창,권기석,조재홍,김태공,김유훈,조갑래,서중석,이원태 內務部 國立科學搜査硏究所 2001 國立 科學 搜査 硏究所 年報 Vol.33 No.-

척수압박으로 발현된 급성 골수성 백혈병에 동반된 과립구성 육종 1 례

윤상준,김영곤,김희종,박유환,정춘해,김양수,김태균,박영진,전호종 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

저자들은 척수압박으로 하지마비를 보인 환자에서 수술 후에 급성 백혈병에 동반된 과립구성 육종으로 진단된 환자 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Granulocytic sarcoma(GS) is an uncommon tumor composed of immature cells of the granulocytic series. Most case of GS occur in the course of acute leukemia and the blast crisis of chronic leukemia, Rarely, however, it may present before leukemia becomes clinically apparent. It may also occur in patients with myeloproliferative disoders. GS has been reported that it occurs in 3% to 9% of patients with acute myelogenous leukemia(AML) and the incidence of GS is reported to be higher in patients with t(8;21). GS occurs relatively commonly in africa and has been reported to affect 10-25% of black children presenting with AML. This is very rare case of granulocytic sarcoma with AML(FAB M5) presented with spinal cord compression which was supported by decompression laminectomy.

우리나라 사람면역결핍바이러스(Human Immunodeficiency Virus) 감염환자에서 발병한 악성종양

최평균,송진수,조재현,김성한,박경화,방지환,박완범,김홍빈,김동완,김태유,허대석,오명돈,김남중,최강원 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background : Since highly active antiretroviral therapy has lengthened the life span of individuals infected with human immunodeficiency virus (HIV), the importance of malignancy associated with HIV has been increased. The relative frequencies of malignancies in HIV infected patients may vary in different race and region. The aim of this study is to determine the prevalence and characteristics of malignancies in patients with HIV infection in South Korea. Materials and Methods : To identify HIV patients with malignancy, we reviewed the electronic database of pathological reports for all HIV-infected patients seen from January 1986 to December 2005 at the Seoul National University Hospital. We retrospectively reviewed the medical records of them. Results : Among 850 patients infected with HIV, 33 episodes of malignant diseases were diagnosed in 32 patients (3.76%). Thirty were males, and median age was 46 years (range 29-70). At the time of the diagnosis of malignancy, median CD4^(+) lymphocytes count was 100/uL (range 5-620) and in 27 (82%) patients, CD4^(+) lymphocytes count were less than 200/uL. For 13 patients (40%), malignancy was initial presentation of HIV infection. Excluding patients initially diagnosed as malignancy, median follow-up duration from the first visit to diagnosis of malignancy was 36 months (range 3-96). Non-Hodgkin's lymphoma was the most frequent malignancy (13 patients), followed by Kaposi's sarcoma (7), Hodgkin‘s disease (3), acute myeloid leukemia (1), and other solid cancer (9) including one case of anal cancer associated with human papillomavirus. Among 13 patients with non- Hodgkin's lymphoma, 4(31%) achieved the complete remission after chemotherapy and/or radiation therapy, and had been followed without evidence of recurrence. Conclusion : Malignancy was diagnosed in 3.76% of patients infected with HIV. Non-Hodgkin‘s lymphoma is the most prevalent malignancy in HIV patients in South Korea. 목적 : 효과적인 항레트로바이러스 다제요법이 도입됨에 따라, HIV 감염환자들의 수명이 증가되었고, 이에 따라 HIV 감염환자에서 악성종양의 중요성 또한 증가하고 있다. 본 연구의 목적은 우리나라 HIV 감염환자에서 악성종양의 유병률과 호발하는 악성종양의 특성을 밝히는 것이다. 재료 및 방법 : 1986년부터 2005년까지 서울대학교병원에서 치료를 받은 HIV 감염환자의 의무기록을 후향적으로 분석하였고, 병리학적 검사 결과를 검토하여 악성종양이 진단된 환자들을 대상으로 연구를 시행하였다. 결과 : 총 850명의 환자 중, 32명(3.76%)에서 33예의 악성종양이 진단되어, 악성종양의 발병률은 1,000인년 당13.0명(95% 신뢰구간: 8.6∼17.4명)이었다. 그 중 남자는 30명이었고, 악성종양 진단 당시 연령의 중간값은 46 (29-70)세이었다. 악성종양 진단받을 당시, CD4 림프구 수의 중간값은 lOO/uL (5-620 uL) 이었고, CD4 림프구수가 200/ uL 미만인 환자가 27명(82%)이었다. 악성종양에 대한 검사 도중에 HIV 감염사실이 밝혀진 환자가 13명(40%)이었다. HIV를 진단 받은 후 악성종양이 발병한 환자들에서, HIV 진단 후 악성종양의 발병까지는 평균 36개월(3-96개월)이 걸렸다. 13명의 HIV 감염 환자에서 진단된 비호지킨림프종이 가장 흔한 악성종양이었고, 이외에 카포시육종이 7명, 호지킨병이 3명, HPV와 연관된 항문암이 1명의 HIV 환자에서 진단되었다. 그 밖에 급성백혈병, 방광암, 췌장장, 폐암, 진행성위암, 갑상선암, 간세포암, 후두암이 각각 1예씩 진단되었다. 비호지킨림프종이 진단된13명 환자 중, 4명(31%)은 항암치료 및 방사선치료를 받아 완전관해가 되었고, 현재 재발의 증거 없이 외래에서 경과 관찰 중이다. 결론 : 우리나라 HIV 감염환자에서 악성종양의 유병률은 3.76%이었고, 비호지킨림프종이 가장 흔한 악성종양이었다.

접사함요에서 기원한 후비공 용종 1례

김중강,신무진,류태선,오춘석,김덕준 啓明大學校 醫科大學 1994 계명의대학술지 Vol.13 No.4

Choanal polyps can be defined as paranasal sinus polyps that pass through sinus ostia and protrude into the boundary between the nasal cavity and nasopharynx-the choana. The most common choanal polyp is the antrochoanal polyp, but sphenochoanal and ethmoidochoanal polyps are rarer. We experienced a case of choanal polyp originating from the nasal mucosa of the sphenoethmoid recess, not from the paranasal sinuses. It was removed with intranasal endoscopy, and 6 months follow-up has not shown any recurrence. So we report this very rare case with review of literatures.

주형을 이용한 실리카 나노구조체 합성

김효중,곽중협,서태수,서동수 한국화학공학회 2002 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.40 No.3

나노미터 직경을 갖는 침상형의 주형(hydroxyapatite)을 이용한 새로운 접근 방법으로 실리카 나노구조체를 졸-겔법을 근간으로 합성하였다. 본 합성법은 나노전구체(실리카 피복 주형) 제조, 나노전구체 소성 및 주형제거 과정으로 구성되어 있다. 나노전구체에 대한 주사 전자현미경(SEM), 투과 전자현미경(TEM), X-선 회절 분석(XRD) 및 광전자 분광 분석(XPS) 결과를 통해 주형 표면에 실리카가 피복되어 있음을 확인할 수 있었다. 또한, 고분해능 XPS 분석에 의해 관찰되는 넓고 비대칭적인 O 1s 스펙트럼의 curve-fitting을 검토한 결과 나노전구체 표면에 여러 종류의 산소가 존재함을 보였다. 또한, 에너지 분산 X-선 분석(EDS)을 통해 나노구조체는 실리콘과 산소로 조성되어 있음을 확인할 수 있었다. 실리카 나노구조체 직경은 대부분 50-200㎚ 정도로 주형의 직경과 동일한 양상을 보였다. 이상의 결과를 통해 본 연구에서 제안한 방법이 나노구조체의 새로운 합성방법으로써 적용 가능함을 확인할 수 있었다. A novel technique for the synthesis of silica nanostructures with needle-like template, hydroxyapatite, having nanometer diameter was investigated in this study. The synthetic method consisted of the following main steps: the preparation of nanoprecursor(silica-coated templates), the calcination of nanoprecursor and the removal of templates. The analysis results of scanning electron microscopy(SEM), transmission electron microscopy(TEM), X-ray diffraction(XRD) and X-ray photo-electron spectroscopy(XPS) for nanoprecursor revealed that silica particles were deposited onto the surface of templates. Further examinations(curve-fitting processing) of the asymmetrical broadening of O 1s peaks in the XPS spectra indicate the presence of multiple oxygen species on the surface. Energy dispersive X-ray spectroscopy(EDS) result confirmed that nanostructures were composed of silicon and oxygen. The diameters of the synthesized nanostructures, mainly in the range of 50-200㎚, correspond to the diameters of the templates. The results confirm that the proposed technique in this study can be utilized as a new method to fabricate the nanostructures.

차량의 방송 수신 전파 환경 분석에 관한 연구

김의태,김성철,이중근,양승완,전인학 漢陽大學校 工學技術硏究所 2001 工學技術論文集 Vol.10 No.-

본 논문에서는 이동 중인 차량의 수신 성능에 영향을 주는 전파 환경 측정을 위한 측정 셋업을 구성하고, 측정 결과 분석을 통한 수신 이상 현상의 원인을 밝혔다. 이를 위해 필요한 측정 파라메터의 정량적 설정과 측정 및 분석 방법을 제시하였다. In this paper we constitute the measurement setup of electromagnetic environment which has an effect on the radio receiver of vehicles an analyzed causes. This paper proposes various measurement and analysis methods for uncovering noise mechanism of vehicle receiver system.

키랄 HPLC를 이용한 라세미 케토프로펜의 광학분할

김소영,이중기,서성섭,최민호,박태진,박달근 한국화학공학회 2001 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.39 No.6

케토프로펜은 비스테로이드 계통의 진통 및 소염제로서 류마티즘, 관절염 등을 위한 진통제나 해열제로 널리 사용되고 있다. 그러나 케토프로펜이 치료약으로 사용될 때 S-(+)-Ketoprofen이 주로 약리적 활성을 나타내고 R-(-)-Ketoprofen은 불활성이거나 오히려 부작용을 일으키는 문제점을 나타내고 있다. 본 연구에서는 케토프로펜 대장체(enantiomer)를 다양한 키랄 HPLC 칼럼을 이용하여 광학분할을 수행하면서 적합한 분리조건을 조사하였다. 고정상을 찾는 실험에서는 β-CD(β-cyclodextrin) BR®과 Kromasil® 칼럼을 이용하여 실험을 하였고, 이동상의 최적의 조성비를 찾는 실험도 수행하였다. 이 과정에서 라세미 Ketoprofen의 분리도는 사용된 키랄 고정상과 이동상의 조성비에 크게 영향을 받는다는 것을 알 수 있었다. 따라서 고정상으로는 Kromasil® 칼럼을 선택하고 이동상의 유속, 주입부피 그리고 주입농도가 라세미 Ketoprofen의 분리에 미치는 영향을 조사하였다. 실험결과 주입부피가 증가함에 따라서 분리도는 감소하였으나 이동상 유속이 증가함에 따라서 주입부피의 증가가 분리도에 미치는 영향은 점차 감소하는 것을 알 수 있었다. Ketoprofen, a phenylpropionic acid derivative, is a non-steroidal anti-inflammatory drug(NSAID) that has analgesic, anti-inflammatory and antipyretic properties. Pharmacological activity has been attributed mainly to the S-(+)-enantiomer, while the R-(-)-enantiomer is either inactive or has side effect. The optical separation of Ketoprofen enantiomers was carried out by various chiral HPLC(chiral high-performance liquid chromatography) columns and most compatible separation conditions of Ketoprofen enantiomers were investigated. The resolution and enantio selectivity of Ketoprofen were found to be strongly influenced by the employed chiral stationary phases(CSPs) and composition of eluents. The employed chiral stationary phases(CSPs) in this study were β-CD BR® and Kromasil®. The optimum composition of eluent was obtained differently for stationary material phase. The effects of process variables such as flow rate, injection volume, and concentration of eluent on Ketoprofen enantiomers separation were investigated using Kromasil® columns. The resolution decreased with the increase of injection volume, however, the effect became insignificant at higher flow rate.

자가 말초혈액 조혈모세포 이식술의 임상적용

김혁,안명주,오석중,이영열,김인순,정태준,최일영,오미란,임호준,이항,김신규 한양대학교 의과대학 1999 한양의대 학술지 Vol.19 No.1

Responses to chemotherapy correlate with the increased dose of chemotherapeutic agents in some cancers, e.g. breast cancer, Ewing's sarcoma, Hodgkin's disease(HD) and non-Hodgkin's lymphoma(NHL), then for the improvement of the chemotherapy responsiveness, high-dose chemotherapy(HDCT) was proposed. But, it's application was limited due to complications, especially bone marrow suppression. HDCT and succeeding autologous peripheral blood stem cell transplantation(APBSCT) was introduced to overcome this problem. This study was designed to determine the clinical pictures including clinical parameters and the responsiveness of HDCT followed by APBSCT in Hanyang University Hospital. Ten patients were enrolled. They were 8 adults (3 breast cancers, 3 multiple myelomas, 1 HD, 1 NHL) and 2 children (1 acute myelogenous leukemia (AML), 1 neuroblastoma). Mobilization chemocherapy(MCT) followed by Granulocyte Colony Stimulating Factor(G-CSF) was administered to mobilize stem cells from bone marrow to peripheral blood. The stem cells were collected by using CS-3000 and cryopreserved at -196℃ with programmed controlled rate freezer as the mixture with 10% dimethyl sulfoxide(DMSO). HDCT was administered and cryopreserved peripheral stem cells were infused on day 0 as planned. Patients' mean age was 41 years old. After induction chemotherapy three patients achieved complete response and 5 partial response. The median time for bone marrow recovery after MCT was 11.5 days for neutrophil(〉500/㎣) and 4.8 days for platelet(〉20,000/㎣). There were three cases of neutropenic fever and one case of gingivitis. After HDCT with APBSCT, one patient was converted partial response to complete response, and one patient achieved complete response after HDCT without induction chemotherapy. The median time for bone marrow recovery was 12.7 days for neutrophil(〉500/㎣) and 14.7 days for platelet(〉20,000/㎣). Eight patients developed neutropenic fever and required systemic antibiotics. Transfusion was required 1.6 pints for packed red cell and 23.4 pints for platelet concentrates. Toxicity consisted mainly of vomiting, diarrhea, and mucositis which were mild. HDCT with APBSCT can be performed safely with minimal complications. For the evaluation of the exact role of HDCT with APBSCT in malignant diseases, further studies are required as a large scale of patients and lung-term follow up.