사회적 변화에 따라 정신질환자들의 피해망상 속에 나타난 박해자 유형변화

강승범,황인복,김한석,김승곤,김학렬,박상학,김상훈,황걸 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.3

Objective: The authors investigated the frequency of persecutors in persecutory delusions of the psychiatric patients who didn't undergo the arrest or traumatic injury, reside in Gwangju Jeonnam area, and were admitted to the hospital after the 5.18 prodemocracy movement in Gwangju in 1980 upward 10 years. Also this study investigated the frequency of the persecutors before and after the prodemocracy movement and in capital and Gwangju Jeonnam area. Subjects and Methods: Among the 896 patients who were admitted to department of psychiatry, Chosun University Hospital from Jan. 1. 1989 to Dec. 31. 1991, we choosed 144 patients with persecutory delusion who had lived in Gwangju Jeonnam area for 10 years after 5.18 prodemocracy movement as subjects. Persecutors were classified into 7 class: unspecified, family, neighbors, communist or spy, police or army or secret agent, impersonal, others. Results: 1) In our study, the frequency of persecutors was family, unspecified, neighbors, police or army or secret agent, impersonal, others, communist or spy in descending order. As compared to previous studies (1956-2003) including our study about frequency of persecutor at capital area and Gwangju Jeonnam area, and before and after 5.18 prodemocracy movement, 2) At capital area, in the early 1980s, police, family, neighbors, unspecified person was frequent in descending order. In the both of early 1970s, 1990s, neighbors, family, unspecified person, police was frequent in descending order. 3) At Gwangju Jeonnam area, in the early 1970s, family, unspecified person, neighbors, police was frequent in descending order. In the early 1990s, unspecified person and family, neighbors, police was frequent in descending order. 4) The police class was most frequent at capital area in the early 1980s. Conclusions: We suppose that class of persecutor in persecutory delusions of psychiatric patients are changing according to social change, and frequency of police class was decreasing in both of capital and Gwangju, Jeonnam area.

干拓地의 農業開發을 위한 綜合硏究 : IV.界火島 干拓地의 土壤微小動物相에 관한 연구 -

金泰興,蘇仁永,郭晙洙,金俊範 전북대학교 농업과학기술연구소 1987 農大論文集 Vol.18 No.-

This study was carried out to investigate the soil arthropods and nematodes fauna, population density, biomass, vertical distribution, seasonal fluctuation , and the relationship between the density of soil inhabiting animals and some edaphic factors such as organic matter , pH, temperature, moisture, and salt concentration at reclaimed paddies Samples were taken on January 25, April 5, July 9, and October 4 in1986 from three sites of Gyehwado reclaimed land and one paddy field of Ch?nmidong ,n Ch?n Buk province, southern part of Korea. The results were as follows : 1. Soil arthropods consisted of Diptera (41 .2% ), Collembola(36%), Acarina(21.1%). and etc .. but the proportion in biomass of Diptera(90.5%) showed the highest of all, Nematodes fauna was composed of free living type(55.7 %), p.edato.5(33.') %), and plant parasites(11 .1 %). 2. Density and biomass of arthropods were highest In Ch?nmldong site(35.4 %), and of nematodes highest in the Gyehwa Ⅲ slte. 3. Arthropods(83.4%) and nematodes(65%) were found the most In the first layer. subsoil, i.e., 0-5in and 0-10 in, respectively but the density of arthropods was higher than that of nematodes 4. The population density of arthropods showed highest in April lowest In July, slightly increasing in October. And of the nematodes showed highest in October, lowest in January. 5. Density of arthropods In the first layer decreased gradually from January to July, and slightly increased in October. Of the nematodes. the highest In July and the lowest in April. 6. The correlations between arthropods and organic matter, pH, and temperature were significant , respectively but those of nematodes were significant In case of temperature only.

류마티스 관절염 환자의 T세포 수용체 Vβ 유전자 레퍼토리 분석

정성수 ( Sung Soo Jung ),황관표 ( Kwan Pyo Hong ),김동욱 ( Dong Yook Kim ),김태환 ( Tae Hwan Kim ),이인홍 ( In Hong Lee ),전재범 ( Jae Bum Jun ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),김성윤 ( Seong Yoon Kim ),이은영 ( 대한류마티스학회 1996 대한류마티스학회지 Vol.3 No.1

목적: 류마티스 관절염(rheumatoid arthritis; RA)의 병인에 있어 중추적인 역할을 하는 것으로 알려진 T세포에 관한 연구가 최근에 관심의 초점이 되고 있으나, 현재까지 한국인을 대항으로 시행된 보고는 없다. 한국인 류마티스 관절염 환자의 관절병변부위에서 T세포 수용체(TCR)의 Vβ유전자 사용의 빈도를 검색하여 한국인 류마티스 관절염 환자에서 사용되는 빈도가 높은 유전자계를 찾는데 목적을 두었다. 방법: 이에 저자는 T세포에 관한 연구의 일환으로 류마티스 관절염 환자 3명과 정상인 4명을 대상으로 말초 혈액과 활액 T세포로부터 추출한 RNA를 이용하여 cDNA를 합성한뒤 cDNA를 주형을 Vβ family specific oligonucleotide를 시발체(primer)로하여 반정량적 역전사 연쇄중합반응(semiquantative RT-PCR)을 시행하여 T세포 수용체(T cell receptor; TCR) Vβ 레퍼토리를 분석하여 다음과 같은 결과를 얻었다. 결과: 1. 정상인 4명의 말초혈액에서 T세포 수용체 Vβ유전자 평균사용빈도는 Vβ7(8.68±3.20%), Vβ3(7.83±2.03%), Vβ(6.74±1.43%)의 순서로 빈도가 높았으며, HLA-DR4 양성군(3명)에서는 Vβ8(7.39±1.71%), Vβ2(7.31±2.30%), Vβ1(7.22±1.54%)의 순서로 빈도가 높았고, HLA-DR4 음성(1명)에서는 Vβ3(17.79%), Vβ4(11.41%), Vβ24(9.8%)의 순서로 사용빈도가 높았다. 2. 류마티스 관절염환자 3명의 말초 혈액에서는 Vβ16(6.90±1.81%), Vβ18(6.89±0.80%), Vβ14(6.58±0.65%)의 순서로 빈도가 높았다. HLA-DR4 양성 환자군에서는 Vβ16(7.52±2.06%), Vβ14(6.96±0.04%), Vβ22(6.78±0.18%)의 순서로 빈도가 높았다. 각각 환자의 결과를 보면 첫번째 환자(HLA-DR4 양성)는 Vβ16(8.98%), Vβ14(6.99%), Vβ22(6.91%)의 순서로 빈도가 높았고, 두번째 환자(HLA-DR13 양성)는 Vβ18(7.79%), Vβ20(5.98%), Vβ24(5.90%)의 순서로 빈도가 높았다. 이를 종합해 보면 류마티스 관절염 환자의 말초혈액에서 Vβ16, Vβ20, Vβ14, Vβ18유전자계가 제한되어 사용되었다. 3. 류마티스 관절염환자의 활액의 T세포에서 Vβ유전자 평균발현빈도는 Vβ20(7.39±1.77%), Vβ18(5.60±1.31%), Vβ12(5.56±1.77%)순으로 높았으며, HLA-DR4양성인 환자군에서는 Vβ12(6.56±0.58%), Vβ20(6.44±0.94%), Vβ4(5.30±0.49%)순으로 빈도가 높았으며, HLA-DR4음성 환자에서는 Vβ20(9.29%), Vβ19(7.57%), Vβ18(7.07%)의 순서로 빈도가 높았다. 각각 환자의 결과를 보면 첫번째 환자(HLA-DR4 양성)는 Vβ12(6.15%), Vβ20(5.77%), Vβ7(5.74%)의 순서로 빈도가 높았고, 두번째 환자(HLA-DR4 양성)는 Vβ20(7.10%), Vβ12(6.98%), Vβ24(5.83%)의 순서이었고, 세번째 환자(HLA-DR13 양성)는 Vβ20(9.29%), Vβ19(7.57%), Vβ18(7.06%)의 순서로 빈도가 높았다. 활액 T세포에서는 Vβ20, Vβ12유전자계가 제한되어 사용되었다. 4. 말초 혈액에 비해 활액 T세포에서 TCR Vβ유전자 사용빈도가 1.5배 이상인 경우는 Vβ5.2, Vβ9, Vβ23 이었으나, 이들 유전자계가 활액 T세포 전체에서 차지하는 사용빈도에 있어서는 각각 Vβ5.2는 1.07±1.26%, Vβ9는 2.17±1.42%, Vβ23는 3.84+1.97%로 낮은 수치를 나타내었다. 각각 환자에서 비교했을때에 첫번째 환자(HLA-DR4 양성)는 Vβ23(3.69%:1.12%), Vβ5.1(3.51%:1.40%), Vβ12(6.15%:3.29%), Vβ6(3.35%:2.10%), Vβ2(5.74%:3.73%)의 유전자계에서, 두번째 환자(HLA-DR4 양성)는 Vβ9(3.58%:0.74%), Vβ19(4.67%:1.52%), Vβ5.2(2.52%:0.87%), Vβ10(4.25%:1.75%), Vβ1(5.74%:2.35%)의 유전자계에세, 세번째 환자(HLA-DR13 양성)는 Vβ6(2.68%:0.15%) Vβ9(2.17%:0.73%), Vβ11(2.30%:1.10%), Vβ20(9.29%:5.98%)의 유전자계에서 활액에서 말초혈액보다 1.5배이상 증가되어 사용됨을 볼수 있었다. 즉 활액에서 말초혈액보다 의미 있게 편향되어 사용되는 Vβ 유전자계는 각각 환자마다 다른 결과를 나타내었다. 5. 류마티스 관절염환자의 말초 혈액과 정상인의 말초 혈액의 T세포의 Vβ 유전자 사용빈도를 비교했을때 류마티스 관절염 환자의 말초혈액 T세포에서 Vβ16(6.90±1.81%:3.23±1.21%), Vβ18(6.89±0.80%:2.72±0.70%) 유전자계가 2배 이상으로 빈도가 높았고, HLA-DR4양성군만 비교하였을때도 Vβ16(7.52±2.06%:3.69±1.46%), Vβ18(6.45±0.28%:2.61±0.86%) 유전자계가 2배 이상 사용이 많았다. 결론: 이상의 성적으로 미루어 보아 류마티스 관절염 각각 환자마다 다른 Vβ 유전자계의 제한적 사용과 편향됨을 볼 수 있었으나, 공통된 유전자계의 증식은 볼 수 없었다. 이러한 결과는 다른 연구보고와는 다른 결과를 보였고, 이것은 대상 환자의 질병의 유병기간이 다르고, 또 유전적인 배경, 생존 환경, 적용된 방법의 차이로 기인한다고 하는 기존의 보고와 부합된다고 사료되는데 질병의 진행단계에 따라 주로 면역반응을 일으키는 항원의 에피토프가 달라짐에 따라 여기에 대항하는 T세포들의 수용체도 이들 에피토프에 반응할 수 있는 수용체를 가진 코론들이 증식하게 된다는 epitope spreading theory에 부합되며, 이는 아주 초기에 질병을 시작하게 유도하는 항원의 특성을 규명하기 위해서는 환자선택이 연구결과에 결정적인 역할을 할 것으로 사료된다. 또 다른 가능성은 각각 환자마다 다른 Vβ유전자계의 증식된 클론들의 CDR3 연기 서열을 규명하여 비록 유전자 서열이 다를 지라도 항원과 결합하는 같은 성상을 갖는 아미노산 motif를 가질 가능성에 대해서도 연구가 필요하리라 사료된다. Objectives: Polymerase chain reaction (PCR) technology was eamine synovial fluid and peripheral T cells in patients with rheumatoid arthritis (RA) to determine the preferential usage of the T cell receptor(TCR) variable region (V) gene. Methods: Oligonucleotide primers specific for individual TCR Vβ gene families were used to amplify the TCR gene products in a semiquantitative assay of their relative utilization in unselected T cell populations. Results: The result of Vβ utilization was generally heterogenous, similar with previous reports. However, the mean expression of Vβ16 and Vβ18 in RA was more preferentially utilized compared to normal donors. The usage of Vβ in peripheral blood from 3 patients with RA demonstrated restrictions in Vβ16, Vβ20 and Vβ18 genes, respectively. Analyses of synovial fluid resulted in restriction in β12, Vβ20 and Vβ20, respectively. Although there was no significant pattern of skewed Vβ gene mean usage when comparing the synovial fluids with the peripheral blood T cells from RA patients, there were significant biased Vβ genes, Vβ12, Vβl and Vβ20, each 3 patients. As the HLA type is a determining factor in shaping TCR repertoire of peripheral T cells, we compared the Vβ utilization in HLA-DR4 expressing groups that have susceptibility and gene dosage effect in disease progression. It was a little different that comparing the pattern of Vβ usage in peripheral blood and synovial fluid from RA patients between HLA-DR4 positive and negative group. Conclusion: The results were consistent with the conclusion that the increased Vβ family T cells infiltrate synovium and are dependent on each patient and may be involved in inducing and maintaining the synovitis that characterizes RA The different outcome of each patient may be due to the difference in disease duration, genetic background and geographic region. A more important factor may be the stage of disease, because epitope induced immune reaction may change over time. Therefore, selecting patients early in the course of disease may be important and may facilitate the need for more in-depth TCR analysis in the future.

유지 투석중인 만성 신부전환자에서 허혈성 심질환의진단 지표로서의 심장트로닌-I의 유용성

신병철,강대웅,정지용,류봉관,서영욱,김정인,김범윤,김현리,정종훈 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Background : Coronary disease is highly prevalent in patient with end stage renal disease (ESRD) and account for much of their observed morbidity and mortality. Troponin-I consistently maintains a high sensitivity and specificity and is most sensitive marker for ischemic heart disease (IHD). Method : We examed 49 hernodialyzed patients (22 male, 27 female) without evidence of acute coronary syndrome (ACS) for 6 months. Biochemical markers were measured in serial predialysis blood samples. For analysis, we used two cardio-specific assays for troponin-T (cTnT) as well as for troponin-I (cTnI) and compared the results with CK-MB (reference value ≤ 4.0 ng/mL) concentration. Results : Myocardial ischemia was observed in 47% (23/49) of patients. cTnT level above 0.1 ng/mL. and cTnI level above 0.5 ng/mL, were observed in 22% (11/49) and 20% (10/49) of patients respectively. cTnI revealed significantly higher positive rate in patients with myocardial ischemia than the patients without myocardial ischemia (43 % vs 30%) (p<0.05). cTnT and CK-MB revealed no difference in positive rate between the patients with and without myocardial ischemia (cTnT : 30% vs 15% and CK-MB : 30% vs 19%). The sensitivity and specificity of cTnI to myocardial ischemia were higher than those of cTnT and CK-MB (sensitivity 43% vs 30% and 30%. specificity 100% vs 85% and 81%). Conclusion: Both cTnT and cTnI are useful in ruling out myocardial injury in chronic renal failure patients. But. cTnI is a more sensitivity and excellent specificity of ischemic heart disease than cTnT and CK-MB in hemodialyzed patients. In patients with ischemic heart disease, the presences of DM and advanced age were higher than those in patients without ischemic heart disease (p<0.05). Among the baseline characteristics old age, elevated LDH and diabeties were significant more frequent in the patients with elevation of cardiac troponin-I (p>0.5 ng/mL) than those with cardiac troponin-I (p<0.5 ng/mL), p=0.038, p=0.049, and p=0.045, respectively. Our results suggest that these cTnI is the potential diagnostic marker for the prediction of IHD in ESRD patients.

Isolation of a novel protein phosphatase2C in rice and its response to gibberellin

Amir Hossain, Md,Ahn, Chul-Hyun,Lee, In Suk,Jeon, Jong-Seong,An, Gynheung,Park, Phun Bum Elsevier 2018 Biochemical and biophysical research communication Vol.503 No.3

<P><B>Abstract</B></P> <P>Protein phosphatase 2Cs (PP2Cs) have been referred to act as negative modulators of the protein kinase pathways involved in different environmental stress responses and developmental processes. In <I>Arabidopsis</I>, PP2Cs have been extensively studied and some are known to negatively regulate abscisic acid signaling. In rice, PP2Cs are scarcely characterized functionally. Here, we identified a novel PP2C from rice (OsPP2C34), which is highly inducible by gibberellin (GA) and expressed in various tissues. Subcellular localization analysis in maize protoplasts using a green fluorescence protein fusion vector localized OsPP2C34 to the cytosol. Genetic analysis of T-DNA insertional mutants revealed that plant height and internode length were significantly shorter in mutants than in corresponding wild types under GA treatment. The induction of the GA-inducibleα-amylase genes <I>RAmy3E</I> and <I>OsAmy</I> was delayed in mutant plants. The substrate of OsPP2C34 was identified by immunoblotting using anti serine/threonine antibodies. A 65 kDa protein was phosphorylated in <I>Ospp2c34-1</I> but dephosphorylated in the wild type during early germination stage. Overall, the present results indicated that OsPP2C34 is involved inα-amylase expression of GA signal transduction pathway.</P> <P><B>Highlights</B></P> <P> <UL> <LI> OsPP2C34 is highly inducible by gibberellin (GA) and expressed in various tissues. </LI> <LI> OsPP2C34 is localized to the cytosol and involved in α-amylase genes inducible by GA. </LI> <LI> OsPP2C34 has dephosphorylation activity at its serine/threonine residues. </LI> <LI> OsPP2C34 is a positive regulator of the GA-dependent signaling transduction pathway. </LI> </UL> </P>

남자 고등학교 세팍타크로 경기의 공격기술에 관한 분석 연구

김영호,고문석,제임스전,이영익,차정훈,현종건,김범수,임종만,이석인 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This research aims at analysis of attack technique in sepaktakraw games. For this purpose, 3 high school coaches observed and recorded each game Five times in videos of high school male players' thirty games in 2003. The conclusion from the analysis of the recorded data are as follows. 1. Scissors spike was the most popular (favorite) attack technique. Rolling spike, tapping spike and heading spike was popular in order. 2. Heading spike showed the highest success rate (73.5%) in attack technique. And tapping spike (69.5%), scissors spike (57.8%) and rolling spike (67.11) showed a lower success rate in order. In failure rate, heading spike (5.5%), tapping spike (36.5%), scissors spike (32.2%) and rolling spike (32.9%) had a higher percentage in order. 3. When receive was stable, the success rate in attach technique was 47.1%, the failure rate was 20.1%. On the other hand, when receive was unstable, the success rate in attach technique was 16.5%, the failure rate was 14.3%.

하지의 족관절, 족부 3D CT검사에서 보조기구 이용의 유용성 고찰

김민규(Min gyu Kim),함인근(In guen Ham),문일봉(Il bong Moon),범희남(Hui nam Bum),전주섭(Ju seob Jeon) 대한전산화단층기술학회 2013 대한CT영상기술학회지 Vol.15 No.1

목적 : 하지의 족관절, 족부 3D CT검사에서 보조기구 이용이 보조기구를 이용하지 않는 검사군과 비교하여 유용한 검사법임을 알아보고자 하였다. 대상 및 방법 : 뼈 성장판이 융합하고 특별한 외상이 없는 남,녀 60명을 대상으로 보조기구를 사용하는 실험군과 보조기구를 사용하지 않는 대조군 그리고 참조군 (한국 정상 성인의 족관절 각)을 서로 비교하여 실험군과 대조군이 참조군과 비교하여 어떤 의미를 갖는지 분석하였고 실험군과 대조군을 영상의학과 전문의 1인, 정형외과 전문의 1인, 방사선사 1인이 영상의 질을 평가 하였다. 결과 : 보조기구를 이용한 실험군이 보조기구를 이용하지 않는 대조군과 비교하여 Tibial angle은 보조기구 사용 군이 평균 68.41° 보조기구를 사용하지 않는 군이 평균 72.66°로 두 계측각 모두 참조군(63.5~65.2)과 비교하여 범위를 벗어난 수치를 보여주었다. Fibular angle은 보조기구를 사용하는 군이 평균 62.32° 보조기구를 사용하지 않는 군이 67.03°로 참조군 평균값(55.9~56.9)에 포함되지 못하였으나, Talocalcaneal angle 측면에서는 평균 39.9° 참고치 39.9~41.4° Tuber~joint(Bohler’s) angle 평균 32.4° 참고치 30.7~31.6 Calcaneus-tibia angle 평균 83.2° 참고치 81.9~93.0° Calcaneus-floor angle 평균 15.7° 참고치 12.4~13.0°로 4계측각 모두 보조기구를 사용하는 군이 보조기구를 사용하지 않는 군에 비해 참조군 평균 값에 근접 하거나 포함 되었고 대조군은 평균값이 모두 참고치를 벗어났다. 영상의 질 평가 결과 보조기구 사용 군이 그렇지 않는 군과 비교하여 전반적으로 더 뛰어난 평가 결과를 기록하였다. 결론 : 하지의 족관절, 족부 CT에서 실험군과 대조군의 계측 값은 실험군이 참조군의 계측값의 평균값에 포함 되거나 거의 근접한 수치를 보여 주었고 대조군은 실험군의 평균값에 전반적으로 벗어난 수치를 보여주었다. 영상의 질 평가결과 기구를 사용 하는 군이 기구를 사용하지 않는 군과 비교하여 전체적으로 뛰어난 평가 결과 값을 보여 주었다. 결론적으로, 하지의 족관절, 족부 CT검사에서 기구 사용은 영상의 질이 뛰어나고 평균적으로 일정한 형태와 분포도를 보여 주어 기구 사용이 보다 더 유용한 검사법임을 보여주었다. Purpose : To know of usefulness of Lower Extremity Fixation Device(LFD) on ankle, foot 3D CT compare with none use of LFD. Materials and method : To 60 peoples whose tibial growth plate was closed and not injured, we scanned Ankle or Foot 3D CT: A group were used LFD and B group were not used. Then we measured A and B group’ several joints angle compare with reference group(Korean’ standard adult ankle joint angle). Datum and image qualities were analyzed by a Radiologist, a Orthopedist and a Radiation Technologist. Results : At tibial joint, A’ mean angle is 68.41°±5.05 and B’ mean angle is 72.66°±,4.89 they were beyond reference range(63.5°~65.2°). At fibular joint, A’ mean angle is 62.32°±1.76 and B’ mean angle is 67.03°±5.99, they were beyond reference range( 55.9~56.9). However at Talocalcaneal joint, A’ mean lateral angle 39.9° is in reference range(39.9°~41.4°) but B group(34.15) is not in. And also at Tuber joint(Bohler’s), A’ mean angle 32.4° is in reference range(30.7°~32.6°) but B group(28.75) is not in. At Calcaneus-tibia joint, A’ mean angle 83.2° is in reference range(81.9°~93.0°) but B group(95.24) is not in. At Calcaneus-floor, A’ mean angle 15.7° is near to reference range(12.4°~13.0°) but B group(18.71) is far from. The standard deviation of A group showed a more than B constant distribution. The results of measure Image quality, A group is good than B group. Conclusion : On lower extremity ankle, foot CT, A group is in reference range or near but B group is generally beyond to reference range. In image quality measure, A group is good than B group. In conclusion, Use of LFD on lower extremity ankle, foot CT is similar to Korean’ standard adult ankle joint angle and is good in image quality than none use of LFD as well.

탄산을 첨가한 슬러리 쉴드 터널에서의 침투 거동 및 굴진면 안정성 평가

이익범,최기훈,이인모,Lee, Ik-Bum,Choi, Ki-Hoon,Lee, In-Mo 한국터널지하공간학회 2013 한국터널지하공간학회논문집 Vol.15 No.4

최근 연약지반 터널 현장에 활용되는 슬러리 쉴드 TBM은 굴진면으로 슬러리가 주입됨으로 그 안정성을 확보하는 공법이다. 하지만 간극이 과다하여 슬러리에 의한 폐색이 발생하지 않는 조립질 지반에서는 적용이 어렵기 때문에 첨가제를 혼입하여 사용하기도 한다. 본 연구에서는 첨가제의 역할로서 탄산가스를 주입함으로 슬러리가 주입되었을 때에 간극 내에 탄산가스가 흡착하여 폐색현상을 촉진시키는 효과를 규명하였다. 실내실험 결과 탄산 혼입에 따라 슬러리 쉴드 터널이 적용 가능한 유효입경이 1.0 mm에서 2.6 mm가량으로 증가하였고, 필터계수 ${\lambda}$가 $0.007sec^{-1}$이상인 경우에 탄산에 의한 효과가 발생함을 알 수 있었다. Slurry shield tunnelling ensures stability by pressurizing the tunnel face with the slurry contained in the chamber. It resists water and earth pressure in order to prevent the failure in the tunnel face during tunnel excavation. If the ground is relatively coarse, slurry can not clog the tunnel face and excessive slurry infiltration will occur. In this case chemical compounds or additives should be added to the slurry in order to improve the clogging phenomena at the tunnel face. In this study, the effect of the carbon dioxide gas as an additive to the slurry instead of chemical compounds on the capability of enhancing the clogging in the tunnel face is investigated. Bubbles arising from the carbonate-added slurry are trapped in the soil voids enhancing the clogging capability. This effect is studied in this paper by performing laboratory model tests simulating in-situ conditions, and by adopting the fine particle clogging theory. Tunnel face stability analysis was also performed and it was found that the effective size ($D_{10}$) of soils which can guarantee tunnel stability utilizing the carbonate-added slurry increased from 1.0 mm up to 2.6 mm. Moreover, Stability analysis showed that the tunnel face is stable if the ${\lambda}$(deposition coefficient) value is greater than $0.007sec^{-1}$.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

3D 프린팅 기법을 통한 전립샘암 환자의 내부장기 팬텀 제작 및 생체내선량측정(In-vivo dosimetry)에 대한 고찰

서정남,나종억,배선명,정동민,윤인하,배재범,곽정원,백금문,Seo, Jung Nam,Na, Jong Eok,Bae, Sun Myung,Jung, Dong Min,Yoon, In Ha,Bae, Jae Bum,Kwack, Jung Won,Baek, Geum Mun 대한방사선치료학회 2015 대한방사선치료학회지 Vol.27 No.1

목 적 : 본 연구는 3D 프린터를 이용하여 전립샘부위 팬텀을 제작하고 생체내선량측정(In-vivo dosimetry)을 통해 그 유용성을 평가하고자 한다. 대상 및 방법 : 전립샘암 환자의 3차원 치료체적을 바탕으로 3D 프린터(3D EDISON+, Lokit, KOREA)를 이용하여 전립샘과 직장의 체적을 동일하게 모사한 팬텀을 제작하고, 컴퓨터단층촬영(Lightspeed CT, GE, USA)을 통해 팬텀영상을 획득하였다. 전립샘암 환자의 체적과 팬텀의 체적을 비교 한 후, 전산화치료계획시스템(Eclipse version 10.0, Varian, USA)을 이용하여 치료계획을 설계하였다. 팬텀 내 측정지점인 방광(Bladder), 전립샘(Prostate), 직장 위벽(Rectal anterior wall), 직장 아래벽(Rectal posterior wall)의 임의의 지점에 모스펫검출기(Metal OXIDE Silicon Field Effect Transistor, MOSFET)를 위치시켜 선량 측정값과 치료계획을 비교분석 하였다. 결 과 : 전립샘과 직장풍선의 환자체적은 각각 30.61 cc, 52.19 cc 이고, 팬텀체적은 31.12 cc, 53.52 cc로 각 체적의 차이는 3% 미만으로 확인되었다. 모스펫검출기의 정밀도는 3%이내로 측정되었고 선량의 변화에 따라 상관계수 R2 = 0.99 ~ 1.00 의 선형성을 보였다. 네 곳의 측정 지점을 치료계획된 선량과 비교한 결과 방광 1.4%, 전립샘 2.6%, 직장 위벽 3.7%, 직장 아래벽 1.5%로 나타났고 모스펫검출기의 정밀도를 고려한 선량측정의 정확성은 5% 이내로 평가되었다. 결 론 : 본 실험을 통해 3D 프린터를 이용하여 제작한 전립샘 부위 팬텀은 체적의 차이 3% 미만으로, 인체를 모사하는데 효과적으로 사용될 수 있음을 확인하였다. 제작된 팬텀을 이용한 생체내선량측정은 모스펫검출기의 정밀도를 고려하더라도 방광, 전립샘, 직장 위벽, 직장 아래벽의 모든 측정점에서 5% 이내의 정확도로 수행 할 수 있었다. 따라서 3D 프린트를 이용해 제작된 전립샘 부위 팬텀은 생체선량측정을 하는데 있어 매우 유용하였으며 향후 환자에게 직접 적용하기 어려운 부위를 팬텀으로 대체 제작하여 생체내선량측정이 가능할 것으로 사료된다. Purpose : The purpose of this study is to evaluate the usefulness of a 3D printed phantom for in-vivo dosimetry of a prostate cancer patient. Materials and Methods : The phantom is produced to equally describe prostate and rectum based on a 3D volume contour of an actual prostate cancer patient who is treated in Asan Medical Center by using a 3D printer (3D EDISON+, Lokit, Korea). CT(Computed tomography) images of phantom are aquired by computed tomography (Lightspeed CT, GE, USA). By using treatment planning system (Eclipse version 10.0, Varian, USA), treatment planning is established after volume of a prostate cancer patient is compared with volume of the phantom. MOSFET(Metal OXIDE Silicon Field Effect Transistor) is estimated to identify precision and is located in 4 measuring points (bladder, prostate, rectal anterior wall and rectal posterior wall) to analyzed treatment planning and measured value. Results : Prostate volume and rectum volume of prostate cancer patient represent 30.61 cc and 51.19 cc respectively. In case of a phantom, prostate volume and rectum volume represent 31.12 cc and 53.52 cc respectively. A variation of volume between a prostate cancer patient and a phantom is less than 3%. Precision of MOSFET represents less than 3%. It indicates linearity and correlation coefficient indicates from 0.99 ~ 1.00 depending on dose variation. Each accuracy of bladder, prostate, rectal anterior wall and rectal posterior wall represent 1.4%, 2.6%, 3.7% and 1.5% respectively. In- vivo dosimetry represents entirely less than 5% considering precision of MOSFET. Conclusion : By using a 3D printer, possibility of phantom production based on prostate is verified precision within 3%. effectiveness of In-vivo dosimetry is confirmed from a phantom which is produced by a 3D printer. In-vivo dosimetry is evaluated entirely less than 5% considering precision of MOSFET. Therefore, This study is confirmed the usefulness of a 3D printed phantom for in-vivo dosimetry of a prostate cancer patient. It is necessary to additional phantom production by a 3D printer and In-vivo dosimetry for other organs of patient.