관해유도 항암요법을 받는 백혈병 환자에서 진균 감염증의 예방 : 무작위 배정법과 이중 눈가림법에 의한 Fluconazole과 Nystain의 효과에 관한 다기관 공동연구 A Randomized, Double-blind, Multicenter Trial to Compare Fluconazole with Nystatin

최강원,오명돈,배현주,백경란,박선양,김병국,신완식,강문원,진종률,박종원,김춘추,김동집,한지숙,민유홍,이선주,고윤웅 대한화학요법학회 1993 대한화학요법학회지 Vol.11 No.2

Fluconazole의 진균 감염증 예방 효과와 안전성에 관하여 3개 대학병원에서 관해유도화학요법을 받는 급성 백혈병환자를 대상으로 무작위 배정법과 너도나도 누가림법에 의하여 연구하였다. 모두 62명의 환자에게 fluconazole(100㎎ bid) 또는 nystatin(1,000,000IU/day)을 무작위로 투여하였다. 투약은 관해유도화학요법과 같은 날짜에 시작하여 호중구수가 1,000㎣이상으로 회복되거나 진균 감염증이 확인되거나 의심되어 Amphotericin-B를 시작하거나, 약과 관련된 부작용이 나타날 때까지 계속하였다. 진균 colonization은 fluconazole군에서 감소하였으나 nystqatin군에서는 증가하였다, 표재성 진균감염증으로 nystatin군에서 C. albicans 진균혈증 1례와 C.parasilosis 진균혈중 1례가 발생하였다. 경험적 항진균요법으로 Amphotericin-B를 투여한 경우는 fluconazolerns 34명중 7례(21%), nystatinrns 28명중 10례(36%)였다(p<0.05). Fluconazole군과 nystatin군 사이에 부작용이나 사망률에 차이는 없었다. 결론적으로, fluconazole은 관해유도화학요법을 받는 급성 백혈병환자에서 진균의 colonization을 줄이는데 효과적이고 안전한 항진균제이다. We made a randomized, double-blind, multicenter trial to compare the efficacy and safety of fluconazole with nystatin for prevention of fungal infections in patients with acute leukemia. Sixty-two adult undergoing remission induction chemotherapy for cute leukemia were enrolled. Patients were randomly assigned to receive either fluconazole (100㎎ bid) or nystatin(1,000,000IU×6/day) with corresponding placebo. The study drug was started in initiation of chemotherapy and continued until recovery of neutrophil counts(>1,000/㎣), development of proven or suspected invasive fungal infection, or the occurrence of drug-related toxicity. Fungal colonization decreased in fluconazole(F) group, however increased in nystain(n) group. Superficial fungal infection occurred in 1 of 34 F group, whereas invasive fungal infection developed in 3 of 28 N group. Empirical amphotericin-B therapy was given in 7 of 34(21%) F group and 10 of 28(36%) N group(p>0.05). The incidence of drug-related side effects and overall moratlity were similar in both study groups.

우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영,강대룡,장영화,박성은,최원정,문성환,양규현,Kang, Hye-Young,Kang, Dae-Ryong,Jang, Young-Hwa,Park, Sung-Eun,Choi, Won-Jung,Moon, Seong-Hwan,Yang, Kyu-Hyun 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

레진모형근관에서 엔진구동형 및 수동형 ProTaper 파일로 근관성형 후 근관형태 변화에 대한 비교연구

양인석,강인철,황윤찬,황인남,오원만 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.5

본 연구는 형태 및 재질이 동일한 엔진구동형 ProTaper 파일과 수동형 ProTaper 파일을 이용하여 레진모형근관을 성형한 후 근관형태 변화를 비교 분석하고자 시행되었다. 본 연구에서는 레진모형근관으로 총 40개의 J자와 S자의 근관형태가 재현된 ENDO-TRAINING BLOC을 사용하였다. 근관 성형 기구로는 엔진구동형 Ni-Ti 파일로 ProTaper^(TM), 수동형 Ni-Ti 파일로 ProTaper^(®) For Hand Use를 사용하였다. 사용된 레진모형근관과 파일의 종류에 따라 10개씩 4개의 그룹으로 나누어 근관성형을 시행하였다. 근관 성형 전 · 후 이미지를 스캐너 (Color scanner, UMAX Techologies, Inc., USA)를 이용하여 얻은 후, Photoshop 7.0 프로그램 (Adobe System Inc., USA)을 이용하여 이미지를 중첩하였다. 이미지 분석 프로그램 (Image-Pro^(®) Plus, Media Cybernetic, USA)을 이용하여 치근단 쪽에서부터 0, 1, 2, 3, 4, 5, 6 및 7 ㎜ 수준에서 근관 성형에 따른 근관의 내측 및 외측 폭경의 변화량, 근관 총폭경의 변화량, 근관 중심축의 변위량을 측정하였다. 또한 근관 성형 시간을 기록하였다. 두 기구 사이의 유의성 검정을 위해 독립 표본 t-검정을 시행하여, 근관 성형 시 수동형 ProTaper 파일에 엔진구동형 ProTaper 파일에 비해 근관 중심축의 변위가 유의하게 덜 일어나며 근관의 원래 형태를 더욱 잘 유지할 수 있지만, 근관 성형시간은 길어질 수 있다는 결론을 얻었다. The purpose of this study was to compare the canal configuration after shaping by ProTaper rotary files and ProTaper hand files in resin simulated canals. Forty resin simulated canals with a curvature of J-shape and S-shape were divided into four groups by 10 blocks each. Simulated root canals in resin block were prepared by ProTaper rotary files and ProTaper hand files using a crown-down pressureless technique. All simulated canals were prepared up to size #25 file at end-point of preparation. Pre- and post-instrumentation images were recorded with color scanner. Assessment of canal shape was completed with an image analysis program. Measurements were made at 0, 1, 2, 3, 4, 5, 6 and 7 ㎜ from the apex. At each level, outer canal width, inner canal width, total canal width, and amount of transportation from original axis were recorded. Instrumentation time was recorded. The data were analyzed statistically using independent t-test. The result was that ProTaper hand files cause significantly less canal transportation from original axis of canal body and maintain original canal configuration better than ProTaper rotary files, however ProTaper hand files take more shaping time.

반도체내 깊은 준위의 과도용량 측정에 관한 연구

강양원,윤기정,홍창희 동아대학교 공과대학 부설 한국자원개발연구소 1991 硏究報告 Vol.15 No.1

Deep level transient spectroscopy(DLTS) is a techique to chacterize traps in semicondoctor. This technieque has shown good sensitivity and accuracy for obtaining the four main physical parameters of deep traps:activation energy, trap concentration, majority or minority trap and capture cross section. DLTS signal is the difference between the transient capacitance at two sampling times(rate window) selected. During the thermal scan, there is a maximum or minimum peak corresponding to trap level. Trap level is found to 0.49 or 0.32eV below the conduotion band at 256K and 175K.

표준 원자력발전소 확률론적 안전성 평가의 인간 신뢰도 분석 평가

강대일,정원대,양준언 한국안전학회 2003 한국안전학회지 Vol.18 No.2

Based on ASME probabilistic risk assessment (PRA) and NEI PRA peer review guidance, we evaluate a human reliability analysis (HRA) in probabilistic safety assessment (PSA) for Korea standard nuclear power plants, Ulchin Unit 3&4, to improve it performed at under design. The HRA for Ulchin Unit 3&4 is assessed as higher than Grade I based on ASME PRA standard and as higher than Grade 2 based on NEI PRA peer review guidance. The major items to be improved identified through the evaluation process are the documentation, the systematic human reliability analysis, the participitation of operators in the works and review of HRA. We suggest the guidance on the identification and qualitative screening analysis for pre-accident human errors and solve some items to be improved using the suggested guidance.

보험 경험요율산정을 위한 信賴度 推定模型 연구

강정혁,양원섭 한국경영과학회 1994 經營 科學 Vol.11 No.3

Credibility theory has provided with a useful tool for the assignment of weighting factor that reflects the credibility of the observed individual and collective experience to secure fair experience rate-making. We review credibility models which can effectively estimate risk premiums using credibility theory, and suggest an empirical Bayed model based on the collective statistics to estimate the structural parameters. To illustrate the use of evolutionary models, the models are applied to the actual data, such as loss ratio, claim frequencies and severity, in the Korean automobile insurance. Also the possibilities of generalizations and applications of empirical models are discussed.

養液栽培商品의 生産과 流通實態 및 改善方向

姜宗求,梁承烈,梁元模 順天大學校 農業科學硏究所 1993 農業科學硏究 Vol.7 No.-

To illuminate the state and countermeasure of soilless cultural production and marketing in Korea, the survey of soilless cultural production through Agricultural Agent Center, questionnaire, field investigation, and literature analysis were performed. Soilless cultural farm-houses were 82 and area was 11.1 ㏊ on September, 1992. But its area of chief producing district and kind of crops are rapidly being changed. To solve the problems of soilless culture in Korea; old age and low education of farmers, small cultural area, financial difficulty, none standardization of facilities material and none specialization of varieties for soilless culture, it must be actively put in practice for soilless cultural improvement of Korea that the technical education strengthenning, financial support by government, standardization of facilities material and variety specialization. Poor sales network and policy, poor marketing intelligence network and activities, negligent selection and packing of products become the major cause of soilless culture's failure. Therefore, spontaneous sales network organization, marketing support of Horticultural Cooperative Association and Agricultural Cooperative Association, elevation of marketing intelligence power, and continuous effort of farmer for successful selection and packing of products are essential factors for soilless cultural development of Korea. Soilless culture is a royal road to change from primary agriculture to secondary agriculture for agricultural innovation, but there are many problems in this system and it is difficult to solve that problems by only farmer's effort. Therefore, not only farmer but also researcher, scholar, related groups and government concentrate their effort on solution of soilless cultural problems.

적십자간호사업의 역사적 고찰

양원영,강윤숙,이옥철,조인재 적십자간호전문대학 2000 적십자간호전문대학논문집 Vol.22 No.-

DLTS 기법을 이용한 Schottky Diode 특성에 관한 연구

강양원,강정호,홍창희 동아대학교 공과대학 부설 한국자원개발연구소 1990 硏究報告 Vol.14 No.2

Deep Level Transient Spectrosoopy(DLTS) has been widely used in studying deep-level trapping centers in semiconductors. The conventional method of determining trap capture cross section, activation energy, trap concentration by DLTS peak amplitude as a function of filling pulse duration. A method is proposed that involves observing the DLTS peak amplitude change as the observation rate window(t₂- t₁) is varied for a fixed-duration filling pulse. This gives consistent results for the capture cross section and its dependence on temperature. Analysis of the technique is given and comparison between theory and experiment is presented for two electron traps in bulk schottky diode.

얇은 도핑조절 a-Si:H초격자에서 지속 광전기 전도도

康聖洙,梁承勳,李原鎭,金英鳳,孔維庠,朴相俊,崔時永 慶北大學校 1990 論文集 Vol.49 No.-

Very large PPC effect(σ_ppc/σ_A=10^5) in doping-modulated npnp a-Si: H superlattices could be obtained. B and P atoms, respectively, diffuse and so some parts compensated. Therefore, annealing activation energy of E_a=0.67eV is larger than one of reference n-type sample of E_a=0.26eV and annealing dark conductivity of σ_A=4×10^-[ohm cm]^-1 is lower than that of n-type reference sample of σ_A=2×10 exp (4)[ohm cm]^-1. From this results, very large PPC relatively have obtained. In this paper, we have observed that PPC effect depends on temperature and exposure time. On the basis of the experimental results, we discuss the existing models.