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      • KCI등재후보

        초음파 뇨량검출 센서의 제작 및 방광 벽간거리와 뇨량과의 상관관계에 관한 연구

        최흥호,이응혁 한국센서학회 2000 센서학회지 Vol.9 No.4

        In this paper, we studied the ultrasonic urine volume sensor of urinary alarm system for home use to detect the time of urination as a assistive methodology for the incontinence patients and the correlation between urine volume and bladder interwall distance by using developed sensor. The developed sensor was designed to minimize the measurement error by using ultrasound with 2.25 MHz center frequency which provides higher resolution as well as longer penetration depth. To verify usefulness of the developed sensor, we performed a preliminary experiment of estimating bladder volume from the measured distance between interior and posterior wall of bladder. In the preliminary experiment, bladder volume estimated from the result using a commercial ultrasonography system. The experimental results show there exists god correlation between the actual urine volume and the measured interwall distance of the bladder. In conclusion, the developed ultrasound bladder volume sensor can be applied to an urine alarm system which provides patient the exact time of urination, it will be contribute in health care and welfare society.

      • KCI등재후보

        인공판막 재대치험예에서의 판막실패의 양상

        박영배,김유호,서정돈,최윤식,이영우,오병희,도문홍,최동주,전은석 대한내과학회 1987 대한내과학회지 Vol.32 No.3

        In order to observe the aspects of prosthetic cardiac valve failure, we analyzed 26 cases of Redo operation among 1081 cases of valve replacemant performed from Jan. 1961. to July 1986. The results are as follows; 1) Crude Redo operation rate was 2.4%. 2) The most common cause or prosthetic cardiac valve failure was the primary tissue failure (73%) 8r the PVE was the 2nd (15.4%). 3) Mean valve implantation time was 47.7 months. Implantation time in the child group was shorter than in adult by 6.8 months, In the primary tissue failure group (19 cases) implantation time in the child was 42.8 months 8z in adult, 66.8 months. (P$lt;0.05) In conclusion, the durability of tissue valves was significantly decreased in the child age group because of increased propensity for calcification, so the preference of tissue valves especially in this age group should be reconsidered.

      • KCI등재후보

        Castleman 씨 병에 동반된 신유전분증

        김연수,한진석,이정상,김병국,이중건,정윤철,이진학,최영진,안규리,김성권,이현순 대한내과학회 1994 대한내과학회지 Vol.46 No.2

        Castlemam's disease is an asymptomatic and benign lymph node hyperplasia which is frequently manifested as mediastinal mass in over 70% of cases. Amyloidosis is rarely associated with Castleman's disease. Recently we experienced a patient with nephrotic syndrome due to renal amyloidosis who had been previously diagnosed as Castleman's disease of retroperitoneal lymph node enlargement. A 47-year old woman was admitted because of generalized edema and chest tightness. Five months ago she diagnosed as Castlman's disease-plasma cell type, of retroperitoneal lymph node enlargement. The patient was followed up through outpatient department without any specific medication. Physical examination showed pale conjunctivae, palpable mass on epigastric area and pretibial pitting edema. The hemoglobin, leukocyte count and erythrocyte sedimentation rate were 96 g/L, 5.9×109/L and 127 mm/hour, respectively. The blood urea nitogen was 3.6 mmol/L and creatinine was 88 umol/L. The urinalysis showed 3 positive for albumin. Twentyfour hour urine contained 16.6 grams of protein. A computerized tomographic (CT) scan of the abdomen disclosed multiple lymph node enlargement at mesentery. Percutaneous needle biopsy of kidney showed massive infiltration of pale pinkish amorphous material in the glomerular tuft forming large nodules. Ultrastructural examination exhibited heavy deposition of amyloid fibrils in the mesangium and perpendicular to glomerular basement membrane. Polarizing microscopy with Congo-red stain revealed prominent yellow green birefringence in glomeruli, tubules and interstitium.

      • KCI등재

        지하철의 사상사고 및 운전장애 분석에 관한 연구

        이동훈,목연수,장성록,권혁무,윤원영,옥영석,최용석,배동철 한국산업안전학회 1999 한국안전학회지 Vol.14 No.3

        The purpose of this study is to analyze death injuries and operation troubles of urban transit. No difference was shown in death rates between Line 1 of Pusan urban transit and Line 5, 7, and 8 of Seoul metropolitan transit. And relief time by another train did not depend upon the number of crews. We concluded that thorough inspection and preventive maintenance of trains and facilities are necessary for safe and timely service of urban transit.

      • SCOPUSKCI등재
      • SCOPUSKCI등재
      • KCI등재후보

        가토에서 CCNU 로 유발된 골수 저형성증의 혈액학적 소견과 골수스캔의 변화에 관한 연구

        김승택,이명철,최두혁,고창순,김병국,이문호,박선양,최성재,김노경,최영희 대한내과학회 1986 대한내과학회지 Vol.30 No.1

        To understand systematically the hematological changes including the bone marrow changes in chemotherapeutic agent-induced bone marrow hypoplasia and to define the relationship between hematological and bone marrow scan findings and prognosis of the hypoplasia, CCNU (lomustine) was given orally to 44 rabbits to induce hypoplasia of the bone marrow. And serial changes of peripheral blood and bone marrow findings and (111)In Cl(3)((111)In scan)/(99m)Tc tin colloid bone marrow scan((99m)Tc scan) were checked before and after induction of hypoplasia. With assessment of 28 evaluable rabbits, the following results were obtained: 1) Significant hypoplasia of the bone marrow developed around day 4 of CCNU administration and recovered around day 14(cellularity 51,4±13.5% and 24. 5±14.97o before and after CCNU respectively, p<005). Megakaryocyte count was significantly depressed from 95.67,26% to 36.7$gt;31.82%(P$lt;0.005). M: E ratio was decreased from 162±1.19 to 0, 0.5$lt;0. 43(p±0.005). Shift to left(475), maturation a(40%), naked nucleus and degenerated cells(20%), increase of lymphocytes(47%), monocytes and reticulum cells were also found. 2) The uptake ratio of the 99(m)Tc tin colloid bone marrow scan was markedly increased in contrast to the depression of the bone marrow(4.4±2.12 and 14.1±7.06 before and 4 days after CCNU, respectively, p40. 005). Tc scan uptake ratio was inversely related to the cellularity(r=-0.442, p$lt;0.05) and megakaryocyte number of the bone marrow(r= 0.89, p< 0.01) and peripheral blood granulocyte (r = 0. 54. Pg0.01) and platelet count(r=0.40, p$lt;0.05). There was not significant correlation between (111)In scan uptake ratio and hematologic parameters. 3) The amplitude of the change of the (99m)Tc scan uptake ratio was significantly related to the prognosis of the rabbits with experimentally induced hypoplasia of the bone marrow(dead 5.1±2,67, survivors 2,5±0.96, P<0.01). The change of the (111)In scan uptake ratio was not related to the prognosis of these rabbits. In experimentally induced rrow hypoplasia, morphologic changes in addition to the numerical changes of the bone marrow elements were observed. And serial (99)Tc scan of the bone marrow appears to be helpful assessing the severity and predicting the outcome of bone marrow hypoplasia.

      • KCI등재후보

        급성 심근경색증 초기 진단에 latex 응집을 이용한 혈청 myoglobin 측정의 임상적 의의

        박영배,서정돈,최윤식,이영우,오병희,손대원,임하진,김유우,박명희 대한내과학회 1987 대한내과학회지 Vol.32 No.2

        We evaluated the diagnostic usefulness of latexagglutination test for elevated serum myoglobin as a screening test in the early phase of acute myocardial infarction and 21 patients with chest pain mimicking acute myocardial infarction were included in this study. Result was compared with serum myoglobin level measured by radioimmunoassay (RIA) in every case. The Following results were obtained: 1) When serum myoglobin levels measured by RIA below 85ng/㎖ were regarded as normal, this test showed sensitivity of 82%, specificity of 95%. 2) In latex-agglutionation test for elevated serum myoglobin, test results were interpreted as negative, weakly positive and positive. If we regard weakly positive tests as positive, sensitivity was 93% and specificity was 62%. In contrast, if we regard weakly positive tests as negative specificity rose to 100% while sensitivity reduced to 75%. 3) Agreement rate of both test was k=0.59. It is suggested that latex-agglutination test for elevated serum myoglobin is helpful in ruling out acute myocardial infarction when test result is negative, and that it can be used as a screening test in the early phase of acute myocardial infarction because of its rapidity and simplicity in performing the procedure.

      • MANNOPROTEIN 과 GLUCAN 의 첨가가 쥐의 성장과 NATURAL KILLER CELL ACTIVITY 에 미치는 영향

        손광수,조광근,최윤재,윤연화,김재영,한영근,문태현,김성찬 한국영양사료학회 1999 韓國營養飼料學會誌 Vol.23 No.6

        본 연구의 목적은 효모 세포벽, 또는 효모의 세포벽으로부터 본 연구에서 확립한 방법으로 분리한 mannoprotein(MP)과 glucan(Glu)을 동물에 급여하므로써 동물의 일당중체량, 일당사료섭취량과 사료:중체량의 비율, 그리고 동물이 가지고 있는 면역기능의 활성화정도를 조사하는데 있다. 산업적 측면에서 대량 추출하기 위하여 기존에 있는 방법을 개선하여 변형된 방법으로 효모세포벽제제를 분리하였다. 본 연구에서 분리된 효모세포벽제제(cell wall, mannoprotein glucan)와 시판중인 효모세포벽제제(Bio-Mos^(TM))를 0.1%로 4주령 횐쥐에 4주간 급여하였다. 일당중체량은 개선된 방법으로 분리한 glucan을 급여한 처리구에서 가장 높은 중체량을 나타냈으며, 다음으로 mannoprotein 급여구가 높았으며 cell wall과 시제품(Bio-Mos^(TM)) 급여구에서 낮은 중체량을 보였다. 일당사료섭취량에 있어서 glucan 급여구가 cell wall과 시제품 급여구들과 비교할 때 높았으며 사료:중체량 비율 또한 glucan 급여구에서 가장 좋은 경향을 보였다. 사양 4주깨 횐쥐로부터 spleen을 채취하여 YACl 세포에 대한 natural killer cell의 cytotoxicity를 분석한 결과 본 실험실에서 분리한 mannoprotein과 glucan이 면역 증진효과가 큰것으로 보였다. Mannoprotein 급여구와 glucan 급여구에서 대조구와 cell wall 급여구보다 면역 효과가 뚜렷하게 나타났으며(MP, P<0.01; Glu, P<0.05), mannoprotein 급여구가 glucan 급여구보다 natural killer cell의 활성도가 높았다(P<0.01). 결론적으로 효모세포벽, mannoprotein과 glucan을 횐쥐에 급여했을 때 성장능력에 있어서 유의성 있는 효과가 나타나지 않았지만 세포배양수준에서 spleen natural killer cell의 activity를 증가시키는 효과가 있다. The purpose of this study was to investigate the average daily gam, average daily feed intake, feed gain ratio and immune system activation of rats when feeding yeast cell wall, mannoprotein (MP) and glucan (Glu) which were isolated from yeast cell wall. In order to isolate the yeast cell wall products in large scale, we used the improved isolation method basing on the typical one. In this study, yeast cell wall products (cell wall, mannoprotein, glucan) and commercial product (Bio-Mos^(TM)) were fed to 4-week old rats by 0.l% during 4 weeks experimental period. Glucan(extracted from improved method) provided the highest average daily gain. Mannoprotein treated group showed the second highest average daily gain. Cell wall and Bia-Mos^(TM) fed groups showed lower average daily gain. Treatment fed glucan also showed higher average daily feed intake than that of cell wall and commercial Bio-Mos^(TM) groups. And in feed: gain ratio, glucan fed rats showed the respectively good results. At the 4th week of feeding trial, rats' spleens were obtained from all the treatments to evaluate the cytotoxicity of natural killer cell against YACl tumor cell. The results indicated that mannoprotein and glucan had the significant effects on activating immune system. Rats of mannoprotein and glucan treated groups showed the higher immune activity than that of cell wall and control groups (MP, P<0.01; Glu, P<0.05), and natural killer cell activity of mannoprotein fed rats was higher than that of glucan fed rats (P<0.01). In conclusion, although the addition of yeast cell wall, mannoprotein and glucan to the diet of rats did not provide the significant effects on growth performance, it was clear that the mannoprotein and glucan isolated in this study could stimulate the activity of spleen natural killer cell in the cell culture.

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