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공충식,김성철,김대연,김인구,남궁정만,황지희,김종재,Gong, C.S.,Kim, S.C.,Kim, D.Y.,Kim, I.K.,Namgung, J.M.,Hwang, J.H.,Kim, J.J. 대한소아외과학회 2013 소아외과 Vol.19 No.2
The purposes of this study was to describe the clinical correlation of mass size and gestational age, prognostic factors in sacrococcygeal teratoma (SCT) at a tertiary pediatric surgery, University of Ulsan College of Medicine and Asan Medical Center (AMC), Seoul, Korea. Fifty five patients admitted to the AMC with a SCT between May 1989 and April 2013 were included in this retrospective review. Mean follow up was 861 days. Mean maternal age at delivery was $30{\pm}2.7$ year, mean gestational age (GA) was $36.9{\pm}3.6$ wks, and preterm delivery was 21.8%. Birth body weight was $3182{\pm}644$ g and male vs. female ratio was 1:2.05. We can't find significant difference between Caesarean section and maternal age at delivery (p =0.817). But, caesarean section was favored by gestational age (p = 0.002), larger tumor size (p =0.029) or higher tumor weight fraction rate to birth body weight (p =0.024). Type I was 13, II 21, III 17, and IV 3 according to Altman et al. classification. The tumor component was predominantly cystic(> 50%) in 73.1 %. And the majority histological classification of tumors were mature teratoma (70.3%). The motality rate was 5.5%. Three patients expired because of postpartum bleeding, post-op bleeding related complication such as DIC. SCT recurred in four patients. The interval between first and second operation was $206.2{\pm}111.0$ d (range 53~325 d). In two patients, serum AFP levels were elevated at a regular checkup without any symptom, and subsequent imaging studies revealed SCT. The most common cause of death was bleeding and bleeding related complication. So Caesarean section and active peripartum and perioperative management will be needed for huge solid SCT. In the case of Yolk sac tumor or huge immature teratoma, possibility of recurrence have to be always considered, so follow up by serial AFP and MRI is important for SCT management.
NF/RO 멤브레인 공정을 적용한 고체추진제에서 추출된 암모늄 퍼클로레이트 (AP) 처리 연구
공충식,허지용,윤여민,한종훈,허남국 한국막학회 2012 멤브레인 Vol.22 No.4
로켓 추진기관의 해체 시 발생하는 고농도 암모늄 퍼클로레이트(AP)를 액상소각 처리 후 추가로 발생하는 저농도의 AP처리를 위해 NF/RO 멤브레인 공정을 적용하였고, 이때 AP제거 특성에 영향을 미치는 인자를 도출하기 위해 다양한 수리화학적 조건에서 전량여과방식으로 실험을 진행하였다. 고체 추진제에서 추출된 용액을 GC/MS와 FTIR분석을 통해 규산염 계열의 실록산 등을 검출하였으나, 이는 극미량이 포함되어 NF/RO 멤브레인 공정에 큰 영향을 미치지 않는 것으로 판단되었다. 상대적으로 낮은 압력의 운용조건에서는 높은 압력조건과 비교하여, 회수율 증가에 따라 농축된 AP의 삼투압 기작이 투과플럭스에 영향을 미치게 되어 13~17% 가량 플럭스가 감소됨을 확인하였다. 또한 AP의 제거율은 수리화학적 운영조건의 변화(압력 및 교반 속도 등)에 따라 크게 좌우됨을 알 수 있었고, 이 경우 NF와 RO 멤브레인 제거율은 각각 10~70%와 26~87% 가량 크게 달라짐을 확인하였다. 본 논문을 통해 NF/RO 멤브레인 공정을 적용한 AP 제거 기작에서 수리화학적 운영조건의 변화에 따른 농도분극, 멤브레인 선택성 및 삼투압 영향이 중요 지배 기작이었으며, 이는 'NF/RO 멤브레인의 물질이동과 선택성'의 기존 이론적 모델과 부합하였다. Ammonium perchlorate (AP) is primarily derived from the process of liquid incineration treatment when dismantling a solid rocket propellant. A series of batch dead-end nanofiltration (NF) and reverse osmosis (RO) membrane experiments were conducted to explore the retention mechanisms of AP under various hydrodynamic and solution conditions. Low levels of silicate type of siloxane had been detected through the GC/MS and FTIR analysis of liquid solutions extracted from solid ammonium perchlorate composite propellant (APCP). It is indicated that NF/RO membranes fouling in the presence of APCP was mainly attributed to the AP interactions because the concentration of silicate type of siloxane was negligible compared to that of AP. The osmotic pressure of AP was presumably resulted in the flux declines ranging from 13 to 17% in the case of the application of low-pressure (551 and 896 kPa for NF and RO) compared to those in application of high-pressure. The retention of AP by NF/RO membranes significantly varied from approximately 10 to 70% for NF and 26 to 87% for RO, depending on the operating and solution water chemistry conditions. The results suggested that retention efficiency of AP was fairly increased by reducing concentration polarization (i.e. application of low-pressure and stirring speed of 600 rpm) and increasing the pH of a solution. The result of this study was also consistent with the previous modeling of 'solute mass transfer of NF/RO membranes' and demonstrated that hydrodynamic and solution water chemistry conditions are to be a key factor in the retention of AP by NF/RO membranes.
오슬기,정성아,고창석,민사홍,공충식,이인섭,김범수,육정환,유문원 대한비만학회 2024 Journal of obesity & metabolic syndrome Vol.33 No.1
Background: To determine how patients who underwent bariatric surgery at a tertiary hospital in Korea first considered and then decided to get the surgery and identify information gaps among patients and healthcare professionals. Methods: This study included 21 patients who underwent bariatric surgery to treat morbid obesity (body mass index [BMI] ≥35 or ≥30 kg/m2 together with obesity-related comorbidities) between August 2020 and February 2022. A telephone interview was conducted with the patients after at least 6 months had elapsed since the surgery. We asked how the patients decided to undergo bariatric surgery. We also inquired about their satisfaction with and concerns about the surgery. Results: Seventy-one percent of the patients were introduced to bariatric surgery following a recommendation from healthcare professionals, acquaintances, or social media. Most of the patients (52%) decided to undergo bariatric surgery based on recommendations from healthcare professionals in non-surgical departments. Satisfaction with the information provided differed among the patients. Post-surgical concerns were related to postoperative symptoms, weight regain, and psychological illness. Conclusion: Efforts are needed to raise awareness about bariatric surgery among healthcare professionals and the public. Tailored pre- and postoperative consultation may improve quality of life after bariatric surgery.