심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

비호지킨림프종 환자에서 발생한 폐 효모균증 1예

장재혁,송치원,심병용,이동건,변재호,정정임,이교영,홍영선,신완식,김춘추,이경식 대한감염학회 2003 감염과 화학요법 Vol.35 No.3

저자들은 비호지킨씨 림프종 환자에서 항암 치료 후 질환의 진행성 병변과 감별을 요했던 우폐 중엽의 단발성 종괴를 흉강경하 생검으로 폐 효모균증을 확진하고 amphotericin B와 fluconazole로 치료한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Non-Hodgkin's lymphoma is monoclonal expansion of malignant B or T cells. The immunocompromised status in this disease is accompanied by many infections. The cryptococcosis, caused by Cryptococcus neoformans, frequently occurs in leukemia, Hodgkin's disease, sarcoidosis, diabetes mellitus, tuberculosis, and long-term steroid-using patients. Recent increasing incidence of fungal infection could be due to the spread of AIDS and transplantation. We experienced one patient with lung mass in Non-Hodgkin's lymphoma after three cycles of chemotherapy, which could not be discriminated from the newly developed lymphoma mass. Cryptococcus neoformans was isolated from the lung tissue obtained by thoracoscopic biopsy. Herein we report this case with brief review of pertinent literature.

골수구성 백혈병 환자에게 발생한 결핵성 림프절염

이창섭,송진수,최평균,조재현,방지환,박경화,박완범,김홍빈,김남중,윤성수,박선양,김병국,오명돈,최강원 대한감염학회 2006 감염과 화학요법 Vol.38 No.5

혈액질환 가운데 결핵 발생이 증가한다고 알려진 것은 호지킨 림프종을 포함한 림프증식성질환 그리고 모양세포성 백혈병 등이 있다. 또한 동종 골수이식을 받은 환자에서도 결핵은 증가한다고 알려져있다. Kaplan 등은 골수구성 백혈병 환자에서 결핵 발생이 증가한다고 보고하였다. 그러나 골수구성 백혈병 환자에서 결핵의 발생이 증가하는 이유에 대해서는 아직까지 정확하게 밝혀지지 않았다. 저자들이 2년 동안 후향적으로 조사한 180명의 성인 골수구성 백혈병 환자들 가운데 결핵이 발생한 환자는 4명이었고, 발생 부위는 모두 림프절이었다. 결핵은 골수구성 백혈병의 특정 아형에만 국한되어 발생하지 않았지만, 50%에서 FAB 분류에 의한 M4였다. 림프절이 종대된 골수구성 백혈병 환자에서 특히, 결핵의 유병율이 높은 나라에서는 결핵성 림프절염도 감별진단에 포함시켜야 한다. During the neutropenic phase, leukemia patients receiving chemotherapy are prone to bacterial and, fungal infections; occasionally mycobacterial, viral and protozoal organisms may also cause infections. Mycobacterium tuberculosis infection was reported very rarely in these patients. This report describes four patients with M. tuberculosis infection identified from 185 adult patients who were diagnosed myelogenous leukemia between January 2003, and December 2004. There was no patient with M. tuberculosis infection from 44 lymphoid leukemia and 11 acute biphenotypic leukemia patients. Sites of infection were all lymph nodes. Three among four patients were presented with lymphadenopathy at initial diagnosis of leukemia, and the other one presented with lymphadenopathy after induction chemotherapy. There was no patient presented with lymphadenopathy during the neutropenic phase. Tuberculous lymphadenitis was presented in a patient with three acute myelogenous leukemia (FAB class 2 M4, 1 M2) and a chronic myelogenous leukemia, accelerated phase. An acute myelogenous leukemia patient had a leukemic cell and tubercle bacilli in the same lymph node. Tuberculosis should also be included as a differential diagnosis in myelogenous leukemia patient with lymphadenopathy, especially in the countries in which the disease is endemic.

석회석을 이용한 칼사이트형 탄산칼슘의 제조 및 분산특성 연구

이재장,박종력,김병곤,장광택 강원대학교 부설 석재복합신소재 제품연구센터 2002 석재연 논문집 Vol.7 No.-

석회석은 국내 비금속 광물자원의 대부분을 차지하며 강원도와 충북 등의 일부지역에 편재되어 부존하고 있다. 그러나 CaO 함량이 54% 이상인 고품위 석회석은 전체 매장량의 5% 이하로 매우 빈약한 편이다. 더욱이 대분분의 생산량이 1차 산업용으로 사용되어 부가가치가 낮은 용도로 활용되고 있다. 본 연구에서는 이러한 석회석의 부가가치를 향상시키기 위하여 칼사이트형 침강성 탄산칼슘을 탄산화법을 이용하여 합성하고자 하였으며, 합성된 탄산칼슘 분체 및 현탁액의 분산안정성에 대하여 조사하였다. 분산이 양호하고 균일한 입도의 칼사이트 분체를 얻기 위해서는 CaO 농도 3%, CO_2 가스 유입량 300㎖/min, 교반속도 1,000 rpm에서 탄산화반응시 반응온도를 10~30℃로 유지하여야 함을 알 수 있었으며, 현탁액의 분산안정제로 PMAA와 PAA를 첨가제로 사용시 pH 6, 9, 12에서 0.2 wt% 첨가할 때 우수한 분산안정성을 나타내었다. A limestone reserves in korea is comparatively enough and reserved mainly in Kangwon-do and Chungchongbuk-do. However, it is known that limestone of high grade, more than 54% CaO, is about under 5% of total reserves. Besides, most of them are used for manufacture of cement as a primary material of low value. In this study, calcite type calcium carbonate powder or slurry was synthesized by carbonation process using limestone and dispersion properties of the prepared calcium carbonate suspension was investigated. In the carbonation reaction, the temperature of lime milk must be kept 10∼30℃, CaO consentration of 3%, stirring rate of 1,000 rpm and CO_2 gas flow rate 300㎖/min to manufacture stable dispersion calcite. Also, in the result of measuring the precipitation height of calcite suspension at pH 6, 9 and 12 as a function of the PMAA and PAA content, stable dispersion properties was observed at 0.2 wt% of PMAA and PAA. This may be due to the formation of the distinct adsorption layer between calcite particles by dispersant.

Ethephon의 浸漬處理 및 圃場處理가 고추의 着色 및 主要成分에 미치는 影響

李炳馹,全在根,黃在文 서울大學校 農科大學 1977 서울대농학연구지 Vol.2 No.2

Color enhancement, contents of red pigment and capsaicin were studied with the dipping and field treatment of various levels of ethephon concentrations; 250, 500 and 1000ppms.The results were summarized as followings: 1. Dipping treatment effectively enhanced the coloring of the unmatured stages of fruit, especially, under younger fruit age. As the ethephon concentration increased, the remarkable effects were observed in Saegochu while Saemaul-Gumjang and Cheonan were less affected. 2. The optimum ethephon concentration for color enhancement were 500 and 250ppm in dipping and field treatments, respectively. 3. Red pigment content was slightly increased in 500ppm concentration level. 4. As the fruit age increased, capsaicin contents were increased in the ethephon concentration level from 500 to 1000ppm. In younger fruit slight increment was observed in the 1000ppm treatment.

포스파젠 분리막을 이용한 금속이온의 분리

李炳哲,朴在圭 홍익대학교 산업기술연구소 1999 産業技術 Vol.9 No.-

Poly〔bis(trifluoromethoxyethoxyethoxyethoxy)phosphazene〕was casted by dip coating method into membranes supported on porous polypropylene mesh filter sheet for metal separation testing. A solution of Cr^3+, Co^2+, Mn^2+ nitrates was used in diffusion experiments which conducted from 25 to 60℃. Membrane of poly〔bis(trifluoromethoxyethoxyethoxy-ethoxy)phosphazene〕was found to separate Cr ion from Mn and Co ions with separation factors of 2.0 at 60℃. Diffusion activation energy were calculated from diffusion coefficients.

동종 골수이식을 시행받은 환자에서 폐색성 세기관지염에 의하여 발생한 자발성 기종격동과 피하 기종

이병환,이제중,이연경,안재숙,김여경,황호인,박무림,조상희,정익주,김형준 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.2

저자들은 만성골수성백혈병으로 동종 골수이식과 이식편 부전으로 인하여 추가적인 말초혈액 조혈모세포이식을 시행 받은 환자에서 만성 이식편대숙주질환과 그 폐 합병증인 폐색성 세기관지염에 동반된 자발성 기종격동과 피하 기종이 병발한 1예를 경험하였기에 이를 보고하는 바이다. Obstructive lung disorders following after allogeneic bone marrow transplantation (BMT) in association with graft- versus-host disease (GVHD) contribute significant morbidity and mortality. We report a case of a 28-year-old man who developed spontaneous pneumomediatinum and subcutaneous emphysema complicating bronchiolitis obliterans after allogeneic BMT. He received an allogeneic BMT for chronic phase of chronic myeloid leukemia. Five months after BMT, he was boostered by allogeneic peripheral blood stem cells from the same donor due to graft failure. One month after the boostering, chronic GVHD developed and were treated with cyclosporine and steroid. The patients developed spontaneous pneumomediatinum and subcutaneous emphysema secondary to severe bronchiolitis obliterans 4 months after boostering donor cells. The air-leak syndromes were recovered by conservative management, including high-flow oxygen.

비복신경이식을 이용한 긴 거리의 말초신경 결손부 수복

이종호,이세영,김명진,이은진,안강민,김성민,최원재,명훈,황순정,서병무,최진영,정필훈 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.2

The surgery of oral and maxillofacial area poses the risk of cranial nerve damage such as trigeminal nerve or facial nerve. Inferior alveolar nerve is prone to damage in the third molar extraction, implant installation, orthognathic surgery, open reduction and rigid fixation, and tumor ablation surgery. On the other hands,facial nerve is likely to be damaged or sacrificed with trauma or parotidectomy. In case of inferior alveolar nerve injury, the incidence is reported to be about 1.3%. The nerve function will almost recover in minimal damage, but it won't recover at last in total damage of a part of nerve unit. In latter cases, nerve regeneration in intended by allograft as nerve substitute or various route of merve condit. But the recovery with autograft is believed to be most relialbe mrthod in the rapair of long-span(longer than 15㎜)nerve defect. We have performed autologous sural nerve graft in the repair of nerve defect, which is caused by resection of benign or malignant tumor. Hereby we report the method of nerve harvesting, recovery of defected peripheral nerve and the complications of donor site with the discussion of sural nerve anatomy.

안면 골절의 후유증으로 인한 치아의 맹출장애 및 안모 비대칭 : A possible complication of facial fracture in child

이선재,유기준,송승희,서영진,조갑주,고부일,박영주,안병근 한림대학교의료원 1994 人間科學 Vol.18 No.11

야간경관조명의 조명방식에 따른 평가특성 분석

이진숙,유재연,김병수 대한건축학회 2004 대한건축학회논문집 Vol.20 No.2

The purpose of this paper is to analyse evaluation characteristics according to a lighting method of exterior lighting. In this paper, we verified effectiveness of CG as an evaluation tool after we primarily extracted evaluation vocabulary via previous experiment. And then, we conducted subjective evaluation experiment after producing an evaluation object by CG according to a lighting method of exterior lighting. Finally, we analysed the factor of an evaluation result, analysing according to a lighting method of exterior lighting. The result of this paper is as follows: 1) The physical quantity presented by CG, compared with the real thing, is that the total relative error rate was within 5%. Also it did not have a quite difference in subjective evaluation experiment with the real thing in the most items excluding a part of evaluation items of subjective evaluation experiment by CG. 2) The 3 image axises of「exuberant」,「stable」and「warm」were selected as the result of the factor analysis In order to make sure the evaluation structure of exterior lighting. 「exuberant」and「stable」images were influenced a lot by a lighting method, and 「warm」image was affected by light color. The evaluation on the line lighting, the dot lighting and the compound lighting in「exuberant」image was high, and in「stable」image, the up and down lighting, the「transmitted lighting」, and the compound light were high. In「warm」image, the light color of yellow color as a warm color type was evaluated high, and the light color of green color as a cold color type was evaluated high in「mysterious」item.