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      • 치료용 방사선의 입사각에 따른 광섬유 방사선량계의 체렌코프 빛 측정 및 분석

        장경원,조동현,유욱재,신상훈,서정기,이봉수,박병기,문주현 제주대학교 방사선응용과학연구소 2008 방사선응용과학연구소논문집 Vol.22 No.-

        In this study, we have measured scintillating light generated in a fiber-optic dosimeter by high energy photon and electron beams using a charge-coupled device. The intensity of Cerenkov lights are also measured and characterized as functions of incident angles and energies of the high energy beams from a clinical linear accelerator. To minimize or remove Cerenkov light, a simple subtraction method using a background optical fiber and wavelength discrimination method using optical filters are investigated. Also, the intensities of Cerenkov light induced by high energy photon and electron beams are compared.

      • KCI등재

        침습성 아스페르길수스증 진단을 위항 갈락토만난 항원검사의 유용성 평가

        송경호,이신원,장희창,전재현,박완범,박경운,박상원,오명돈,최강원 대한감염학회 2009 감염과 화학요법 Vol.41 No.2

        Background : Invasive aspergillosis (IA) is an important cause of morbidity and mortality among immunocompromised patients. However, 1A is difficult to diagnose, especially in the aforementioned patient group. Recently, galactomannan assay (GMA) using enzyme immunoassay has been introduced in Korea. We evaluated its diagnostic usefulness in the diagnosis of 1A and we analyzed the results according to the underlying diseases. Materials and Methods : All patients who underwent GMA during the period from October 2007 to June 2008 were evaluated retrospectively. According to the criteria of European Organization for Research and Treatment of Cancer/Mycoses Study Group, IA was classified into four clinical categories: proven', probable', possible', and 'non' IA. Patients with 'proven' and 'probable' IA were used as the reference standards for IA. GMA was performed using Platelia Aspergillus EIA (Bio-Rad, Hercules, CA, USA). Optical density index ≥0.5 was considered positive. Results : Of the 144 patients who underwent GMA, two patients were classificed as proven' IA and sixteen patients were probable' 1A. Overall sensitivity, specificity, positive predictive value, and negative predictive value of the assay were 50% (95% confidence interval [C195), 26-74%), 88% (C195, 81-93%), 38% (CI95, 19-59%), and 93% (CI95, 86-97%), respectively. Among the 99 patients with underlying hematologic diseases, GMA showed 67% (C195, 35-90%) sensitivity and 89% (C195, 80-94%) specificity, whereas in 45 patients with underlying diseases other than hematologic diseases, sensitivity and specificity of the assay were 17% (CI95, 0-64%) and 87% (CI95, 73-96%), respectively. Conclusions : GMA showed high specificity, irrespective of the patient population. However, sensitivity of GMA was low and the assay was less sensitive in patients with underlying diseases other than hematologic diseases than in patients with hematologic diseases.

      • KCI등재

        범하수체 기능저하증을 동반한 일차성 중추성 림프종의 1예

        김원영,김원,조규종,홍정석,이미우,장성은,오세현,임경수 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

        A primary central nervous system lymphoma(PCNSL) is defined as a lymphoma limited to the cranial-spinal axis without systemic involvement. PCNSLs were formerly very rare, only 0.5∼ 1.2% of all intracranial neoplasms, and were usually associated with acquired immuno-deficiency syndrome(AIDS) and other immune-compromised states. Recently, there has been a clear rise in the incidence of this disease among normal individuals. We describe a 77-year-old female with hyponatremia who presented with a confused mental state. Computed tomography(CT) of the brain demonstrated a suprasellar mass with enhancement. We evaluated the basic hormonal studies and the magnetic resonance imaging(MRI). A ventricular biopsy was done, and the result was a diffuse, large, B-cell-type malignant lymphoma. She presented panhypopituitarism and partial central diabetes insipidus. She received chemotheraphy and was discharged in an improved condition. We report a case of panhypopituitarism due to PCNSL and give a review of the literature.

      • KCI등재

        해면 정맥동 혈전증(Cavernous Sinus Thrombosis) 치험례

        김경원,김용관,장명진,장현석 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.4

        Cavernous sinus thrombosis is one of the major complications of abscesses of the maxillofacial region. The initial symptoms of CST are usually pain in the eye and tenderness to pressure. this is associated with high fluctuating fever, chills, rapid pulse, and sweating. Venous obstruction subsequently causes edema of the eyelids, lacrimation, proptosis, chemosis and retinal hemorrhages. Blindness is sometimes an accompaniment of cavernous sinus thrombosis when the infection also involves the orbit. There is also cranial nerve involvement (oculomotor, troclear, abducence) and ophthalmoplegia, diminished or absent corneal reflex, ptosis, and dilation of the pupil occur. The terminal stages bring signs of advanced toxemia and meningitis. Infections of the face can cause a septic thrombosis of the cavernous sinus. Furunculosis and infected hair follicles in the nose are frequent causes. Extractions of maxillary anterior teeth in the presence of acute infection and especially curettage of the sockets under such circumstances can cause this condition. The infection is usually staphylococcal. The inflection may spread directly through the pterygoid plexus of veins and the pterygomaxillary space and then ascend into the sinus or it may spread directly from the pterygopalatine space to the orbit. This is possible because of the absence of valves in the angular, facial, and ophthalmic veins. The treatment is empirical antibiotic therapy followed by specific anbibiotic therapy based on blood or pus culture. The inflection usually involves one side, however, it may easily spread to the opposite side through the circulus sinus. Unless it is treated early, the prognosis is poor even in this doses. Occasionally the antibiotics will not adequately resolve the septic thrombus, and death ensues. the use of anticogulants to prevent venous thrombosis has been recommended, but the efficacy of such therapy has not been substantiated. Surgical access through eye enucleation has been suggested. We report a case which demonstrates cavernous sinus thrombosis by the infection after the functional neck dissection and the intraoral reconstruction with auriculomastoid fascio-cutaneous island flap.

      • KCI등재후보

        활석을 이용한 사포나이트의 수열합성

        배인국,장영남,채수천,류경원,최상훈 한국광물학회 2003 광물과 암석 (J.Miner.Soc.Korea) Vol.16 No.2

        삼팔면체형의 스멕타이트계 사포나이트(saponite)를 천연 광물질인 활석을 이용하여 수열법에 의해 합성하였다. 출발물질은 활석에 Na₂CO₃를 첨가하여 공기중에서 800℃로 가열한 후, 화학양론적 조성에 맞게 Al(No₃)₃·9H₂O 및 Mg(No₃)₂·6H₂O 금속염 수용액을 첨가하였고, pH는 7∼12 범위 내로 NH₄OH 수용액에 의해 조절하여 제조하였다. 수열반응 조건은 약 1리터의 수열반응 용기에서 230 ℃, 압력은 25∼75 kgf/㎠의 범위 내에서 10∼60시간이었다. 실험결과, 반응온도 및 회전속도를 230℃와 180 rpm으로 고정시킨 수열조건 하에서 반응시간, 반응압력, pH 조건을 각각 40시간, 25 kgf/㎠, 약 10으로 하였을 때, 그리고, 화학조성을 화학양론적 조성에 필요한 Na₂O의 양보다 200% 과량 추가하였을 때, 양호한 사포나이트가 합성되었다. 또한 압력을 75 kgf/㎠까지 증가시켜도 결정도에 미치는 영향은 미미하였으며, 반응시간이 길수록 더 좋은 결정도를 나타냈다. Saponite was synthesized from talc by hydrothermal method. The starting material was prepared by adding Al(N0₃)₃·9H₂0 and Mg(N₃)₂·6H₂O solution to the talc powder, which was previously activated in air at 800℃ together with Na₂C0₃. The alkalinity of the solution was controlled by NH₄0H solution. The autoclaving was carried out in the closed stainless steel vessel (about 1 liter) for 40 hours under the pressure of 25 ㎏f/㎠ at 230℃. The characterization of the reaction product shows that saponite was crystallized successfully. After the experimental results, pressure was not sensitive parameter in the range of 25-75 ㎏f/㎠, but longer reaction time results in better crystallinity.

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