24주간 추적하는 임상 연구에서 한국인 남자 알코올 의존 환자의 비재발률

강철중,김성곤,남궁기,조동환,이병욱,최인근,최용성,박성봉,제영묘,김현경,김성연 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.1

Objetives : In order to provide useful data tbr the further clinical studies with Korean alcohol-dependent patients, enrollment and non-relapse rates were investigated while alcohol-dependent patients wcre followed up for 24 weeks. Methods : The subjects of this study were alcohol-dependent male patients who, for the first time, visited a hospital among 3 groups of hospitals, University Hospital, General Hospital or Mental Hospital, or those who needed to be followed up after discharge from those hospitals. After assigning 12 subjects to each hospital, we investigated enrollment and non-relapse rates while cognitive-behavioral therapy and pharmacotherapy were provided. Results : 1) Forty-eight patients were enrolled and the rate of enrollment was 36.4%. The enrollment rate in the University Hospital group was 52.1%, in the General Hospital group 50.0%. and in the Mental Hospital group 10.4%. 2) In 48 patients, non-relapse rate was 27.1% at 12 week and 18.8% at 24 weeks after starting follow-up. It was 24.4% and 20.0% at 12 and 24 weeks, repectively, in the University Hospital group while the General Hospital group showed 33.3% and 16.7%, respectively, and the Mental Hospital Group showed 20.0% at both 12 and 24 weeks. Conclusion : These results provide important data for further clinical studies of Korean alcohol-dependent patients.

로켓 노즐목 소재 C/SiC 복합재 고온 파괴 특성

윤동현(Dong Hyun Yoon),이정원(Jeong Won Lee),김재훈(Jae Hoon Kim),신인철(Ihn Cheol Sihn),임병주(Byung Joo Lim) 대한기계학회 2016 大韓機械學會論文集A Vol.40 No.11

고체 추진 기관에서 로켓 노즐은 고온 연소가스에 노출된다. 따라서 고온에서 기능을 발휘할 수 있는 적절한 재료의 선택이 중요하다. 탄소 섬유 강화 실리콘 카바이드 복합재(C/SiC)가 로켓 노즉목에 적용을 위해 연구되어 왔다. 그러나 전형적인 구조 재료들과 비교할 때 C/SiC 복합재는 준취성 거동을 가지고 고온에서 산화의 영향으로 인해 강도와 인성 관점에서 상대적으로 취약한 점이 있다. 그러므로 실제 적용을 위해 C/SiC 복합재의 열, 기계적인 특성을 평가하는 것은 중요하다. 본 논문에서는 액화 실리콘 용침(LSI) 공정을 통해 만들어진 C/SiC 복합재의 고온에서의 파괴 거동을 조사하는 실험적인 방법을 설명한다. 특히 온도와 하중, 산화 조건 그리고 탄소 섬유의 방향을 주요 변수로 설정하여 파괴 특성을 조사하였다. 파단면 분석은 SEM 촬영을 통하여 수행하였다. In a solid propulsion system, the rocket nozzle is exposed to high temperature combustion gas. Hence, choosing an appropriate material that could demonstrate adequate performance at high temperature is important. As advanced materials, carbon/silicon carbide composites (C/SiC) have been studied with the aim of using them for the rocket nozzle throat. However, when compared with typical structural materials, C/SiC composites are relatively weak in terms of both strength and toughness, owing to their quasi-brittle behavior and oxidation at high temperatures. Therefore, it is important to evaluate the thermal and mechanical properties of this material before using it in this application. This study presents an experimental method to investigate the fracture behavior of C/SiC composite material manufactured using liquid silicon infiltration (LSI) method at elevated temperatures. In particular, the effects of major parameters, such as temperature, loading, oxidation conditions, and fiber direction on strength and fracture characteristics were investigated. Fractography analysis of the fractured specimens was performed using an SEM.

고립성 폐결절의 악성 감별에서 Integrated PET/CT의 유용성

박원종,김동희,유성근,신경철,정친홍,이관호,천경아,조인호 영남대학교 기초/임상의학연구소 2006 Yeungnam University Journal of Medicine Vol.23 No.2

연구 배경: 고립성 폐결절의 30%~40%는 악성결절의 가능성이 높다. 따라서 고립성 폐결절의 악성감별이 무엇보다 중요하다. 최근 PET/CT가 악성 감별에 널리 사용되며, 또한 그 중요성이 커지고 있다. 이 연구의 목적은 integrated PET/CT의 여러 인자들을 비교하여 고립성 폐결절의 악성 여부를 구별하는데 유용한 지표를 찾기 위한 것이다. 재료 및 방법: 2005년 12월부터 2006년 4월 까지 3 cm 미만의 고립성 폐결절로 내원한 환자 19명을 대상으로 하였다. 환자는 integrated PET/CT의 최대 SUV는 FDG 주입 후 1 시간, 2 시간에 측정하였다. 또한 대상 환자 모두 경피세침술로 조직검사를 하였다. Levene's test를 이용하여 integrated PET/CT에서, 조직검사로 확인된 양성결절과 악성결절의 SUV1, SUV2, 보존지수(retention index)의 차이를 비교하였다. 성적: 조직검사 결과 12명이 악성결절로 확인되었고, 7명은 양성결절로 진단되었다. SUV1(p=0.006)과 SUV2(p=0.022)는 양성결절보다 악성결절에서 높았으며 이들 값은 통계적으로 유의하였으나 보존지수는 유의한 차이가 없었다(p=0.526). ROC 곡선을 이용한 양성결절과 악성결절을 구분하는 기준값은 SUV1은 5.40, SUV2는 7.45였다. 이때 SUV1의 민감도는 66.7%, 특이도는 71.4%였으며, SUV2의 민감도는 75%, 특이도는 71.4%였다. 결론: 이상의 결과로 integrated PET/CT에서 일반적으로 널리 사용하고 있는 SUV1은 양성결절과 악성결절을 구별하는데 있어 유용 하다는 것을 확인할 수 있었고, 아직 많이 연구되지 않은 SUV2 또한 통계학적으로 의미 있는 차이를 보임을 알 수 있었다. 양성결절과 악성결절을 구분하는 기준값은 각각 5.40, 7.45였다. 연구결과 고립성 폐결절의 악성여부를 구별하는데 SUV1, SUV2 모두 유용하게 사용 될 수 있으나 SUV2가 SUV1에 비교하여 특이도는 같으나 더 높은 민감도를 나타내었다. Background: Malignant pulmonary nodules account for about 30 to 40 percent of solitary pulmonary nodules (SPN). Therefore, tissue characterization of SPNs is very important. Recently, PET/CT has been widely used for tissue characterization, and has become of importance. The purpose of this study was to compare and to assess multiple factors in PET/CT comparing benign and malignant nodules. Materials and Method: Nineteen patients with SPN underwent PET/CT and biopsy. The difference of standardized uptake value 1 (SUV1), standardized uptake value 2 (SUV2) and retention index in PET/CT between malignancy and benignancy were compared by Levene's test. Result: There were twelve malignant and seven benign nodules. SUV1 and SUV2 were significantly different between malignant nodule and benign nodule (p=0.006 and 0.022), but retention index was not significantly different between malignant nodule and benign nodule (p=0.526). By receiver-operating-characteristic (ROC) analysis, the sensitivity was 66.7% and the specificity was 71.4% at a cut off value of 5.40 in SUV1. The sensitivity was 75% and the specificity was 71.4% at cut off value of 7.45 in SUV2. Conclusion: There was a statistically significant difference in SUV1 and SUV2 between benign and malignant nodules. However, the cut off value of SUV1 and SUV2 by receiver-operating-characteristic (ROC) analysis was 5.40 and 7.45 which is different from previous studies. Therefore, studies on a larger sample of patients are required for confirmation.

Babesia gibsoni에 감염(感染)된 개의 혈청단백분획(血淸蛋白分劃)에 관한 연구

인동철,이주묵,채준석,차현성,Ihn, Dong-cheol,Lee, Joo-muk,Chae, Joon-seok,Cha, Hyeon-sung 대한수의학회 1991 大韓獸醫學會誌 Vol.31 No.1

To observe the changes of serum proteins according to the process of Babesia gibsoni(B gibsoni) infection, the babesia protozoa($10^8/kg$) were inoculated into the cephalic vein of healthy dogs. The serum proteins of experimentally infected dogs were separated by using cellulose acetate electrophoresis. The results obtained were as follows; 1. Cellulose acetate electrophoresis was fractionated to total 6 of bands such as, albumin, ${\alpha}_1$, ${\alpha}_2$, ${\beta}_1$, ${\beta}_2$ and $\gamma$-globulin. 2. The concentration of total protein was shown a decreasing tendency after B gibsoni infection. Albumin and A/G ratio were lowered through all periods of the infection, but they were not significant changes. 3. The level of ${\alpha}_1$-globulin was significantly(p<0.05) incresed in early stage of the infection. 4. The levels of ${\alpha}_2$ and total $\alpha$-globulin were shown highly significant decreases (p<0.01) through all periods of the infection. 5. The levels of ${\beta}_1$ and total $\beta$-globulin had highly significant changes (p<0.01) that was increased in early stage of infection and decreased later. 6. The level of $\gamma$-globulin was seen to be constantly increased through all periods of infection. It was a highly significant change (p<0.01). 7. Plasma protein: fibrinogen (PP:F) ratio was shown a temporally significant increase (p<0.05) following the decrease in early infection.

로켓 추진기관용 C/SiC 복합재의 고온 압축 특성

홍상현(Sang Hyun Hong),윤동현(Dong Hyun Yoon),김재훈(Jae Hoon Kim),신인철(Ihn Cheol Sihn),임병주(Byung Joo Lim) 대한기계학회 2017 대한기계학회 춘추학술대회 Vol.2017 No.4

개의 Babesia gibsoni 감염예방에 관한 연구 1. 항원의 Sonication 및 Formalin 처리에 의한 예방접종

채준석,인동철,이주묵,윤창모,Chae Joon-Seok,Ihn Dong-Cheol,Lee Joo-Muk,Yoon Chang-Mo 한국임상수의학회 1990 한국임상수의학회지 Vol.7 No.1

To examine the effects of vaccination against Babesia gibsoni infection in dogs, 15 normal mixed-breed dogs(5 month to 1 year old) divided into 3 groups with 5 dogs in a group. One of them was selected as control group(group A) and others were selected as experimental groups(group B and C). The group B was vaccinated with sonicated antigens and the group C was vaccinated with 0.2% of formalin treated antigens. The results obtained in the examination were summarized as follows : 1. In the western blot, the lane A revealed specific two bands on the regions of 54kd and 100kd, respectively. 2. After the first vaccination, the antibody titers of group B and C were higher 5 times(1 : 200) than those of control group(1:40). After the second vaccination, the antibody titers of group B and C have not changed. When challenged with the protozoa(Babesia gibsoni), the antibody titers(1 : 5,000) were elevated in all groups. But these were not exceeded over 1 : 5,000 for 4 weeks. 3. After challenge, the peak time of increased numbers of the protozoa was the 15th day (12-18 days) in all groups. During these days, the rate of parasitized erythrocytes in control group was 55.0${\pm}$5.4%. But those of group B and group C were 26.0${\pm}$6.4%, and 15.6${\pm}$7.8%, respectively. 4. After challenge, all of the values of PCV, Hb, RBC were shown to decrease in all of the control and experimental groups. 5. The total leukocytes counts are shown a tendency of reduction in all groups after challenge. 6. In all groups, there were increase in lymphocytes and monocytes after challenge.

24주 추적 조사를 통한 한국인 알코올 의존 환자의 재발 예측 인자 규명 연구

김철민,김성곤,남궁기,조동환,이병욱,최인근,김민정,Kim, Cheol Min,Kim, Sung Gon,NamKoong, Kee,Cho, Dong Hwan,Lee, Byung Ook,Choi, Ihn Geun,Kim, Min Jeong 대한생물정신의학회 2007 생물정신의학 Vol.14 No.4

목 적: 본 연구에서는 알코올 의존의 재발 예측 인자로 중요하다고 알려진 사회 인구학적 변인, 음주력, 음주갈망, 치료 동기, 병식과 같은 요인들 중에 어떤 요인들이 한국인 알코올 의존의 재발을 예측하는지를 전향적으로 조사하였다. 방 법: 알코올 의존 환자 48명을 대상으로 사회 인구학적 특성, 음주력, Timeline Follow-Back(TLFB), Obsessive-Compulsive Drinking Scale(OCDS), Alcohol Urge Questionnaire(AUQ), Pennsylvania Alcohol Craving Scale(PACS), University of Rhode Island Change Assessment(URICA), Hanil Alcohol Insight Scale(HAIS)등을 조사한 후, 24주간 총 11회에 걸쳐 외래를 방문하도록 하였다. 24주 동안 조사한 TLFB자료에 근거하여 대상자 중에서 과음(일일 5standard drinking 이상)일이 나타난 경우 혹은 더 이상 추적 방문이 되지 않은 경우 모두 재발한 것으로 하여 재발군으로 분류하였으며, 그렇지 않은 경우를 비재발군으로 분류하였다. 알코올 의존의 재발을 예측할 수 있는 요인을 찾는 방법으로 SPSS PC+11.5 프로그램의 로지스틱 회귀분석을 이용하였다. 결 과: 음주를 시작한 연령, 음주로 인한 문제가 발생된 연령, 최근 1년간 1일 음주량, 최근 1년간 월 음주일수, PACS, AUQ, OCDS, URICA, HAIS와 같은 요인들 중 최근 1년간 1일 음주량과 HAIS 점수가 알코올 의존의 재발에 영향을 주는 것으로 나타났다(p<.05). 결 론: 알코올 의존 환자의 치료에서 1일 음주량이 많은 경우와 병식이 낮은 경우가 재발 가능성이 높으므로 앞으로의 치료에서 이러한 요인을 고려해야 할 것이다. Objectives : The aim of this prospective study is to investigate predictors estimating relapse in Korean alcohol-dependent patients using variables like alcohol history, drinking craving, treatment motivation and insight. Methods : Alcohol dependent patients(N=48) who completed questionnaires about sociodemographic variables and drinking history, Timeline Follow-Back(TLFB), Obsessive-Compulsive Drinking Scale(OCSD), Alcohol Urge Questionnaire(AUQ), Pennsylvania Alcohol Craving Scale(PACS), University of Rhode Island Change Assessment(URICA), Hanil Alcohol Insight Scale(HAIS) were followed-up for 24weeks. Subjects who drank heavily(5 standard drinking or more/day) or were not followed up anymore were classified as the relapse group. We used logistic regression analysis with backward elimination of SPSS PC+11.5 to investigate relapse estimate predictors. Results : Average drinking amount per drinking day for last 1 year and HAIS score were predictors of relapse in alcohol-dependent patients. Conclusions : Our findings suggest that therapist should give more attention to alcohol-dependent patients who had more drinks per drinking day for last 1 year and had lower insight level.