한국인 폐확산능 정상예측식의 임상적 유용성과 정확성

나승원 ( Seung Won Ra ),박태선 ( Tai Sun Park ),홍윤기 ( Yoon Ki Hong ),홍상범 ( Sang Bum Hong ),심태선 ( Tae Sun Shim ),임채만 ( Chae Man Lim ),이상도 ( Sang Do Lee ),고윤석 ( Youn Suck Koh ),김우성 ( Woo Sung Kim ),김동순 ( Dong 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.2

연구배경: 폐확산능을 해석하는 데 필요한 정상예측식으로는 한국인을 대상으로 하여 박 등이 개발한 식(박 식)이 있으나 아직 외국 정상예측식을 많이 사용하고 있다. 이에 국내에서 많이 사용하는 외국 정상예측식인 Burrows 식과 박 식의 임상적 유용성과 정확성을 비교하고자 하였다. 방법: 1. 임상적 유용성 연구; 2006년 7월부터 12월까지 6개월간 폐확산능검사를 시행한 환자 중 두 식을 각각 정상예측식으로 적용하였을 때 폐확산능 해석이 다른 276명(대상군 A)을 대상으로 하였다. 대상군 A에게 두 식을 각각 적용하였을 때 폐확산능 해석과 임상적 판단과의 일치도를 비교하여 임상적 유용성을 평가하였다. 2. 간질성폐질환 진단의 정확성 비교; 2001년부터 2006년까지 폐조직검사를 시행하여 확진된 간질성폐질환군과 서울아산병원에서 모집한 정상군을 대상으로 하여 정상예측식으로 두 식을 각각 적용하였을 때 폐확산능 해석의 정확도를 비교하였고, 두 식이 차이가 나는지 맥니머의 카이스퀘어 검정을 하였다. 결과: 1. 임상적 판단과의 일치도 비교; 276명을 임상정보를 토대로 폐확산능을 예측하여 분류한 결과 정상 54명, 감소 220명, 불분명이 2명이었다. 예측식으로 박 식과 Burrows 식을 적용하였을 때 임상적 판단과 일치하는 환자는 각각 78%와 22%이었다(p<0.001). 2. 간질성폐질환 진단의 정확성 비교; 박 식은 민감도 90.1%, 특이도 100%이었고 Burrows 식은 민감도 64.2%, 특이도 100%로 민감도가 통계학적으로 유의하게 박 식이 높았다(p<0.001). 결론: 우리나라 정상예측식인 박 식이 외국 정상예측식인 Burrows 식을 정상예측식으로 적용하는 것보다 임상적 유용성이나 간질성폐질환 진단의 민감도에서 더 우월하였다. 향후 폐확산능검사의 정상예측식으로 박 식을 사용해야 할 것으로 사료된다. Background: Park et al. developed the Korean reference equation for the measurement of diffusing capacity in 1985. However, the equation has not been widely used in Korea and foreign reference equations have been popularly used. We intended to compare the clinical usefulness and the accuracy of the the Korean reference equation (Park`s equation) with that of the foreign equation (Burrows` equation) that is commonly used in Korea. Methods: 1. Evaluation of clinical usefulness; Among 1,584 patients who underwent diffusing capacity (DLCO) at the Asan Medical Center from July to December 2006, group A subjects included 276 patients who had different interpretations of DLCO in trials employing Burrows` equation and Park`s equation. Clinical assessment was decided by consensus of two respiratory physicians. In order to evaluate the clinical usefulness of Burrows` equation and Park`s equation, agreement of clinical assessment and DLCO interpretation were measured. 2. Evaluation of accuracy; Group B subjects were 81 patients with interstitial lung disease (ILD) and 39 normal subjects. The 81 ILD patients were diagnosed following a surgical lung biopsy. The accuracy of diagnosing ILD as well as sensitivity and specificity were evaluated according to the use of the reference equations (Burrows` equation and Park`s equation) for DLCO. Results: Agreement between clinical assessment and interpretation of DLCO was 22% for the use of Burrows` equation and 78% for the use of Park`s equation. The sensitivity and specificity of the Burrows` equation for diagnosing ILD were 64.2% and 100%. The sensitivity and specificity of the Park`s equation for diagnosing ILD were 90.1% and 100%. The sensitivity of the Park`s equation for diagnosing ILD was significantly higher than that of Burrows` equation (p<0.001). Conclusion: The Korean reference equation (Park`s equation) was more clinically useful and had higher sensitivity for diagnosing ILD than the foreign reference equation (Burrows` equation). (Tuberc Respir Dis 2008;64:80-86)

대학생 축구선수의 등속성 체간근력과 대퇴근력 및 거퇴근력과의 관련성

박기용,홍석민,최경훈,추근도 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.6

The purpose of this study was to investigate the relationships among trunk muscle, knee, and ankle strengths using Cybex770, the isokinetic muscle functioning measurement device. 41 K and Y University soccer players who did not have any experience about back pain or spine surgery were recruited as subjects. The results of the study were as follows. 1. Trunk extension was significantly higher than trunk flexion and muscle strength was diminished with increasing load speed. 2. Trunk flexion/extension ratio was well balanced at 30。/sec but this balance was broken with increasing load speed. 3. At 60。/sec of load speed, the knee extension and flexion of the left side were higher than those of the right side. 4. At 60。/sec of load speed, the ipsilateral muscle strengths of the left knee were well balanced but those of the right side were imbalanced. 5. At 60。/sec of load spped, the ratio of bilateral muscle strength of knee was -18.5±32.3% and this implies the possibility of knee injury. 6. Plantalflexion and dorsiflexion of the right ankle were higher than those of the left side, and dorsiflexion/plantalflexion ratio of the left side was higher than that of the right side. 7. The ratio of bilateral muscle strength of ankle at 60。/sec of load speed represented a balanced muscle development but this balance was broken with increasing load speed.8. There were partially significant relationships between trunk muscle and knee strengths. and between knee and ankle strengths. In conclusion, the trunk muscle strength of soccer player might be a very important factor to improve performance. In addition. a training technique which considering strength and speed is needed to develop not static but dynamic strength. This training not only develops well balanced muscle strength but also protects sport injury. Thus, the isokinetic training of trunk could improve the trunk muscle strength. and increase the ability of flexion/extension of knee and ankle.

Ki-67 Expression Gives Additional Prognostic Information on St. Gallen 2007 and Adjuvant! Online Risk Categories in Early Breast Cancer

Jung, So-Youn,Han, Wonshik,Lee, Jong Won,Ko, Eunyoung,Kim, Eunkyu,Yu, Jong-Han,Moon, Hyeong-Gon,Park, In Ae,Oh, Do-Youn,Im, Seock-Ah,Kim, Tae-You,Hwang, Ki-Tae,Kim, Sung-Won,Noh, Dong-Young Springer - Society of Surgical Oncology 2009 Annals of Surgical Oncology Vol.16 No.5

내열성 Polyesterimide의 합성 및 물성 연구

박이순,하기룡,박진국,도정희 경북대학교 산업기술연구소 1992 産業技術硏究誌 Vol.20 No.-

Pyromellitic dianhydride(PDA)와 4-aminophenol(AMP)의 이미드화 반응을 통하여 양말단에 phenolic OH기를 갖는 bisphenolbisimide형 단량체를 합성하였다. 합성된 bisphenolbisimide 단량체를 terephthaloyl chloride 혹은 aliphatic acid dichloride와 반응하여 polyesterimide들을 얻었다. 종합반응은 용액중합 및 계면중합 반응을 사용하였으며 용액중합 반응이 수율을 향상시킴을 알았다, 생성된 polyesterimide들은 FT-IR, NMR을 사용하여 구조를 확인하였으며 DSC 및 TGA로 역적 성질을 측정한 결과 Tm=401℃, 최대분해온도가 500℃ 이상의 고내열성을 나타냄을 확인하였다. Bisphenolbisimide type monomer with phenolic OH group at both ends were synthesized through the imidzation reaction of pyromellitic dianhydride(PDA) and 4-aminophenol(AMP). Bisphenolbisimide monomer was reacted with terephthaloyl chloride of aliphatic acid dichlorides to give polyesterimides. Polymerization reactions were conducted by solution and interfacial polymerization method, the former with higher polymer yield. The structure of polyesterimides were characterized by FT-IR and NMR, Polyesterimides showed high termal stability with Tm=401℃ and maximum decompositon temperature of over 500℃.

고내열 Polyester-imide Resin의 합성 및 열적 성질

박이순,하기룡,도정회 경북대학교 산업기술연구소 1993 産業技術硏究誌 Vol.21 No.-

Methylene dianiline(MDA)와 trimellitic anhydride (TMA)를 반응시켜 diacid diimide (DID)를 합성하고 이를 과량의 ethyleneglycol과 반응시켜 bishydroxyethylbisimide(BHEI) 중간체를 합성하였다. 다음 dimethylterephthalate와 ethyleneglycol를 에스테르 교환 반응시켜 bishydroxyethyl terephthalate(BHET)중간체를 합성하였고 이를 BHEI와 280℃, 감압(1~3 ㎜Hg)의 용융상태에서 축합 중합하여 polyester-imide를 얻었으며 GPC 및 ^1H-NMR로 분자량 및 공중합체 조성을 구하였다. 생성된 공중합체는 imide단위가 2-10 mole% 함유됨에 따라 PET단독중합체(T_g=78.9℃)보다 내열성(공중합체 T_g=81.9-91.6℃) 이 증가됨을 확인하였다. Methylene dianiline(MDA) was reacted with trimellitic anhydride(TMA) to give diacid diimide(DID) and then DID was reacted with excess of etyleneglycol to give bishydroxyethylbisimide(BHEI) intermediate. Dimethylterephthlate was reacted with ethyleneglycol by ester interchange reaction to give bishydroxyethylterephthalate(BHET) intermediate. BHET and BHEI was cocondensed in the melt state at 280℃ under reduced pressure (1~3 ㎜Hg) to give polyester-imide type copolymer. The molecular weight and composition of copolymer was determined by GPC and ^1H-NMR. The resulting copolymer showed increased thermal stability (T_g=81.9-91.6℃ with imide unite content of 2-10 ㏖%) compared to homopolymer (PET, T_g=78.9℃).

폐암환자에서 발생한 Clostridium difficile 대장염의 임상적 특성

( Chul Park1 ),( Ki Eun Hwang ),( Do Sim Park ),( Yu Ri Hwang ),( Chang Hwan Seoul ),( Hak Ryul Kim ),( Eun Taik Jeong ) 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.-

Pd이 도핑된 SnO₂박막의 가스감지특성

임종도,김진해,박종아,김권태,김정규,마대영,박기철 경상대학교 생산기술연구소 2001 工學硏究院論文集 Vol.1 No.-

The Pd(palladium) doped SnO2(Tin Oxide) thin films sensitive to NH3 gas were prepared on alumina substrate by rf magnetron sputtering method. The gas sensing characteristics of Pd doped SnO2 thin films were studied as a function of film thickness and heat-treatment temperature. The dependence of the sensitivity, the selectivity and the time response of the thin films on heat-treatment temperature, film thickness and gas species were investigated. The thin films of Pd doped SnO2 which were the Pd content of 5 wt%, the film thickness of 5000 ? and the heat-treatment temperature of 600 ℃ showed the highest sensitivity of 68 % for 100 ppm NH3 gas concentration under an operating temperature of 400 ℃. The sensitivity towards NOx gas was not observed in the same condition.

p-Methoxystyrylphenylsulfone의 가수분해 반응메카니즘에 대한 반응속도론적 연구

權奇星,高東成,朴文奎,金演斗,成洛道 충남대학교 기초과학연구소 1981 연구논문집 Vol.2 No.-

The rate constants for the hydrolysis of p-methoxystyrylphenylsulfone were determined at wide pH ranges by means of UV spectrophotometer and the rate equations which could be applied to the experimental results were obtained. Form the facts, reaction mechanism was proposed : above pH 11.5, the rate is only dependent on the concentration of hydroxide ion and below pH 9.5, the reaction is initiated by the attack of a water molecule on the activated carbon-carbon double bond. In the range of pH from 9.5 to 11.5, these two reactions occur competitively.

지방자치단체 웹 사이트 구축 전략 연구 : 관광정보 안내를 중심으로

송기범,박일록,유도삼 조선대학교 통계연구소 1999 統計硏究所論文誌 Vol.1 No.1

Many people can get various services from Internet by spreading of rapid provision of the high quality and low price of personal computer in recent development of network communication. WEB service especially did a great job of spreading the use of Internet and as a result, many works are in the progress of constructing successful WEB sites over the world. Each local autonomous entities in Korea analyze the aspect of Home-page, suggest the case of foreign country, the effective way of constructing of Home-page and the way of advertising Home-page to set up successful WEB sites. The effort is well shown to suggest an effective solution for constructing local autonomous entity's tourism publicity. indicating the problem of present local autonomous entity's Home-page and the solution especially with the tourist information.

컴퓨터 바둑에서 상태재현 회피에 의한 탐색공간 간소화 기법

夫起東,李도漢,權六春,朴鉉秀 慶一大學校 1997 論文集 Vol.14 No.2

In this paper, we implement a methodology that searches a complete game tree to solve the problem caused by inaccuracy of a heuristic function used in the MIN/MAX algorithm. The methodology is based on the idea searching all possible paths from one root to all terminal nodes. The devised pruning method is constructed by noticing the fact that the frequent reappearances of the same status are occured in various sequences during the processing of the Life and Death problem of Go. When this algorithm detects reappearance of the same status, it links the child of current node with the already examined one. Consequently searching cost can be reduced by the linking process. Finally, generated solution tree is expanded to acyclic directed graph by the sharing method. Experimental result shows that the proposed methodology reduces the temporal and spatial traversing cost of the AND/OR game tree. And we apply the methodology to the status evaluating problem, a major problem of Go, because the problem must reflects the clear estimation of strings status on a board.