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      • 불응성 자가면역질환에서의 자가조혈모세포이식

        민도준,양동원,민창기,김완욱,이상헌,박성환,김동욱,이종욱,조철수,민우성,김범생,김호연,김춘추 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.1

        배경: 기존의 치료에 불응하고 예후가 불량한 자가면역질환 환자들에게 최근 고용량 면역억제 및 조혈모 세포이식이 새로운 치료방법으로 대두되고 있다. 저자들은 다발성 경화증(multiple sclerosis, MS) 및 류마티스 관절염(rheumatoid arthritis, RA) 등 2명의 자가면역질환 환자들에서 자가조혈모세포 이식을 시행하였다. 방법: 말초혈액 조혈모세포 가동화를 위하여 cyclophosphamide (4 g/㎡) 및 granulocyte colony stimulating factor (10 g/kg/day)를 투여하였고, CD34+ 세포를 분리·채집 하였다, 이식 전처치로 MS 환자에서 BEAM 및 antihymocyte globulin (ATG) (3.75 mg/kg), RA 환자에서 fludarabine (180 mg/㎡), ATG (10 mg/kg)와 busulfan (8 mg/kg)을 투여하였다. 결과: 호중구 수가 500/㎕ 이상으로 회복되는 기간은 MS 환자에서 9일, RA 환자에서 15일이었다. 혈소판이 20.000/㎕ 이상으로 회복되는 가간은 RA 환자에서 9일 이었고, MS 환자에서는 혈소판 감소증이 발생하지 않았다. 비혈액학적 독성으로 MS 환자에서 WHO 1도의 오심 및 점막염이 관찰되었다. MS 환자는 이식 6개월 후까지 시력감소가 남아있었으나, 이식전에 관찰되던 감각이상 및 운동장애 등의 신경학적 이상 소견은 더 이상 관찰되지 않았다. RA 환자는 이식 1개월 후 관절 증상 및 검사소견의 호전을 보였다. 결론: 불응성 자가면역질환 환자에서 고용량 면역억제 및 조혈모세포이식은 적은 독성으로 높은 치료효과를 기대할수 있으며, 향후 이 시술의 임상적 의의를 규명하기 위하여 전향적이고 장기적인 연구가 필요할 것으로 사료된다. Background: High-dose immunosuppressive therapy followed by autologous hemathpoietic stem cell transplantation (HSCT) has been proposed as a new approach to treat severe, refractory autoimmune diseases. We describe two patients with refractory autoimmune diseases (one multiple sclerosis 〔MS〕and one rheumatoid arthritis〔RA〕) who underwent T-cell-depleted autologous peripheral bleed stem cell transplantation for the first time in Korea. Methods: We mobilized autologous stem cells with cyclophisphamide (4 g/㎡) and granulocyte colony-stimulating factor (10 ㎍/kg/day). Stem cells were enriched ex vivo using CD34-positive immunoselection and reinfused after high-dose chemotherapy with BEAM and antithymocyte globulin (ATG) (3.75 mg/kg) in MS, or fludarabine (180 mg/㎡), ATG (10 mg/kg) and busulfan (8 mg/kg) in RA. Results: The engraftment with an absolute nerutrophil count greater than 500㎕ occurred on day 9 in MS and 15 in RA, respectively. The time to nontransfused platelet count greater than 2.000/㎕ was 9 day in RA. MS patient did not show ant episode of thrombocytopenia. Regimen-related non-hematopoietic toxicity was minimal. For 6 months since HSCT, them patient with MS had been free from previously existed sensory and motor abnormalities except decreased visual acuity. Then patient with RA and only one tender joint and two mildly swollen joints with improvement in laboratory parameters at one month after HSCT. Conclusion: These results underscore the feasibility and potential efficacy of intensive immunosuppression followed by autologous HSCT for treatment of intractable autoimmune diseases. The durability of remission, however, remains to be clarified.

      • KCI등재

        자가부식형 상아질접착제와 레진시멘트와의 적합성에 관한 연구

        김도완,박상진,최경규 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.6

        본 연구는 상아질 접착제와 레진 시멘트의 적합성 여부를 알아보고자 시행하였다. 발거한 제3대구치의 상아질 표면을 노출시킨 후 Tescera ATL 복합레진 시편을 상아질 접착제 [All Bond 2 (Bisco), Clearfil SE Bond (Kuraray), Adper Prompt L-POP (3M), One-Up Bond F (Tokuyama)]와 레진시멘트 [Choice (Bisco), Panavia F (Kuraray), RelyX ARC (3M), Bistite II DC (Tokuyama)]로 접착하고 미세인장 결합강도 및 주사전자 현미경 관찰을 시행한 결론은 다음과 같다. 1. Clearfil SE Bond와 All-Bond 2가 Prompt L-Pop과 One-Up Bond F 보다 높은 미세인장 결합강도를 보였다(p < 0.05). 2. Clearfil SE Bond와 All-Bond2 사용시 1-step 상아질 접착제보다 혼성층이 두껍고 레진 tag가 길었다. This study was performed to investigate the compatibility between 4 dentin adhesives and 4 resin luting cements. Dentin adhesives used in this study were All-Bond 2 (Bisco Inc., Schaumbrug, IL, USA), Clearfil SE-Bond (Kuraray Medical Inc, Osaka, Japan), Prompt L-Pop (3M Dental Products, St. Paul, MN, USA), One-Up Bond F (Tokuyama corp., Tokyo, Japan). Resin luting cements used in this study were Choice (Bisco Inc., Schaumbrug, IL, USA), Panavia F (Kuraray Medical Inc, Osaka, Japan), RelyX ARC (3M Dental Products, St. Paul, MN, USA), Bistite II DC (Tokuyama corp., Tokyo, Japan). Combination of each dentin adhesive and corresponding resin cement was made to 16 experimental groups. Flat dentin surfaces was created on mid-coronal dentin of extracted mandibular third molars, then dentin surface was polished with 320-grit silicon carbide abrasive papers. Indirect resin composite block (Tescera, Bisco) was fabricated. Its surface for bonding to tooth was polished with silicon carbide abrasive papers. Each dentin adhesive was treated on tooth surface and resin composite overlay were luted with each resin cement. Each bonded specimen was poured in epoxy resin and sectioned occluso-gingivally into 1.0 ㎜ thick slab, then further sectioned into 1.0 × 1.0 ㎟ composite-dentin beams. Microtensile bond strength was tested at a crosshead speed of 1.0 ㎜/min. The data were analysed by one-way ANOVA and Duncan's multiple comparison tests. The results of this study were as follows; 2-step self-etching dentin adhesive which has additional bonding resin is more compatible than 1-step self-etching dentin adhesive.

      • 재생골재 콘크리트 보강블록을 이용한 증설벽의 구조성능

        김선우,이갑원,박완신,한병찬,최창식,윤현도 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

        The use of recycled aggregate concrete is increasing faster than the development of appropriate design recommendations. Also noises and shocks caused remodeling and reinforcement work do harm to residents. This paper reports limited experimental data on the structural performance of shear wall used concrete blocks made in recycled aggregates. Reinforced concrete frame and shear wall were tested to determine their diagonal cracking and ultimate shear behavior. The variable in the test program was the existence of infilled wall used concrete blocks Made in recycled aggregates. Based on the experimental results, Infilled wall has a high influence on the maximum strength and initial stiffness of reinforced concrete frame. Structural performance of specimen WSB is quite different from RCF specimen, particularly strength, stiffness and energy dissipation capacity.

      • 축구 로봇의 전략 알고리즘 개선

        김재헌,이대훈,이성민,최환도,김중완 한국공작기계학회 2001 한국공작기계학회 춘계학술대회논문집 Vol.2001 No.-

        This paper presents an strategy algorithm of a soccer robot. We simply classified strategy of soccer robot as attack and defense. We use DC-motor in our Soccer Robot. We use the vision system made by MIRO team of Kaist and Soty team for image processing. Host computer is made by Pentium III. The RF module is used for the communication between each robot and the host computer. Fuzzy logic is applied to the path planning of our robot. We improve strategy algorithm of soccer robot. Here we explain improvement of strategy algorithm and fault of the our soccer robot system.

      • 고반복 펄스형 CO₂ 레이저 전원장치의 개발

        김희제,정현주,김도완,이동훈 釜山大學校生産技術硏究所 1999 生産技術硏究所論文集 Vol.57 No.-

        본 연구에서는 1㎑ 부근의 펄스 반복율을 가지는 경제적이고 컴팩트한 펄스형 CO₂레이저의 동작 특성에 관해서 기술하였다. 고압·고주파 펄스 변압기와 수 십 ㎑의 스위칭에 적합한 IGBT를 사용한 고압 펄스전원 장치를 레이저 공진기에 접목시켜 새로운 방식의 고반복 CO₂레이저 전원장치를 개발하였다. 공진기는 수냉방식의 저속축류형으로 제작되었고 제어부에는 전원장치에 사용된 2개의 IGBT를 정밀하게 제어하기 위해서 PIC 마이크로프로세서가 사용되었다. 완성된 장치의 펄스 반복율과 동작압력 그리고 레이저 매질 가스의 혼합비의 변화에 따른 레이저빔의 출력 특성실험을 통하여 가스 배압비 CO₂: N₂: He = 1 : 9 : 15, 펄스 반복율 700 ㎐, 동작압력 15 Torr에서 최대 레이저 출력 약 20.5W, 최대 효율 약 8 %였다. In this study, we aim to develope a cheap and compact pulsed CO₂laser with pulse repetition rate range of 1 ㎑. We used a IGBT as the switching element of a power supply, which is cheap and simple comparing to others. PIC one-chip microprocessor was used for precise. control of a laser power supply on the control part. And the laser cavity was fabricated as an axial and water cooled type. The laser performance characteristics as various parameters, such as pulse repetition rate, gas pressure, and gas mixture rate have been investigated. The experiment was done under the condition of three gas mixture rates of CO₂: N₂: He = 1 : 3 : 10, 1 : 1.5 : 5, and 1 : 9 : 15. For this experiment, working pressure was from 6 Torr to 15 Torr and pulse repetition rate from 100 ㎐ to 900 ㎐. As a result, the maximum average output was about 20.5 W at the working pressure of 15 Torr, the gas mixture CO₂: N₂: He = 1 : 9 : 15 and the pulse repetition rate of 700 ㎐.

      • 인터넷 쇼핑몰에서의 소비자 구매결정속성에 대한 실증적 연구

        계도원,김규완 동국대학교 경제경영연구원 1998 經濟經營硏究 Vol.22 No.1

        To set up the strategy of marketing, the characters of important concerns that customers are willing to purchase some product or commodities must be analyzed and recognized in advance. Therefore, the purpose of this study is to analyze and figure out the factors of important concerns for customers to purchase some product(general product, specified planned product) in the shopping mall through Internet shopping mall directly bargained between company and customers among the electronic market. Based on the previous studies, the selection of the variables of purchasing decision attribute in the Internet shopping mall is largely divided with four categories of concerned variables. In this study the variables of purchasing decision attribute are followed. 1) The physical value of product 2) The theoretical value of product 3) The capabilities of purchasing execution in the shopping mall 4) The exchange method of product and its payment The results of this study show that customers to use the shopping mall consider in general about importantly all of four categories described above. However, this study determines that the companies to manage the shopping mall coldn't serve satisfactorily customers for 1) and 3) variables. One of the most important attribute for the case of general product in shown by only the exchange method of product and its payment. In contrast, the most important attribute of the case fo specified planned product are demonstrated by the theoretical value of product, the exchange method of product and its payment. But for the specified planned product, customers didn't receive yet satisfactorily their service for the exchange method of product and its payment. Therefore, to set up the strategy of marketing in the Internet shopping mall, the versatile methods of exchange product and its payment must be developed and also the better information of importantly concerned attribute for various product(general product, specified planned product) are provided in time. For the other variables of customer's concerns, the company should make lots of efforts support customers with satisfied service.

      • KCI등재

        철근콘크리트 장방형 전단벽의 비선형 유한요소 해석

        윤현도,한민기,김선우,박완신,양일승,한병찬 대한건축학회 2005 大韓建築學會論文集 : 構造系 Vol.21 No.2

        The major objective of the present study is to conduct parametric study and to propose a finite element analysis(FEA) technique of the reinforced concrete rectangular shear walls using ABAQUS under constant axial and monotonic lateral load. A FEA of the reinforced concrete walls are different to aspect ratio and a detailed finite element models are created to study the post-cracked mode of failure in plastic region of the walls. The proposed models account for the effect of material inelasticity, concrete cracking, and geometric nonlinearity. The prossed FEA model is verified by Lefas's benchmark data and validated through comparisons with experiment result of reinforced concrete shear walls. Finally, the study considered various parameters and compared with ACI 318-02 to confirm accuracy of this study: aspect ratio, axial force ratio, vertical and horizontal reinforcement ratio.

      • 12-O-Tetradecanoylphorbol-13-Acetate에 의한 HL-60 세포 분화유도중 Vimentin 유전자 전사조절에 대한 AP-1의 역할

        임규,김진희,권도원,김승민,이명선,윤경아,손미영,박종일,윤완희,황병두 忠南大學校 癌共同硏究所 1998 癌共同硏究所 硏究誌 Vol.2 No.1

        Purpose: To gain insight on the role of AP-1 in transcriptional regulation of vimentin gene during differentiation of HL-60 cells by 12-O-tetradecanoylphorbol-13-acetate (TPA), the levels of vimentin mRNA and AP-1 have been investigated with Northern blot hybridization and DNA mobility shift assay. Materials and Methods: HL-60 cells were grown in RPMI 1640 medium supplemented with 10% heat-inactivated fetal calf serum and antibiotics in a humidified 5% CO_(2) at 37°C. Total RNA was prepared by a modification of the method of Karlinsey et al. Northern blot hybridization was performed by the method of Virca et al. EcoRI fragment of pVIM-GEM was used as probe for vimentin mRNA. DNA mobility shift assay was performed by the method of Lim et al. End labeled DNA probe(Upper strand, 5'-CGCTTGATGAGTCAGCCG- 3') for AP-1 binding activity was mixed with nuclear extracts in a 20 μl reaction volume containing 300 mM KC1, 60 mM HEPES, pH 7.9, 25 mM MgCl_(2), 1 mM EDTA, 1 mM DTT, 60% glycerol, and 2μg of poly[dI-dC]. Results: TPA increased vimentin mRNA levels, with maximal stimulation reached at 24 hr. The level of vimentin mRNA was induced in proportion to the concentration of TPA. TPA-induced vimentin mRNA was almost reduced by actinomycin-D pretreatment. TPA-induced stimulation of vimentin gene was completely reduced by staurosporin pretreatment. In DNA mobility shift assay, AP-1 newly appeared at 24 hr during TPA-induced differentiation and was almost not detected after the pretreatment of staurosporin. Conclusions: These results suggest that the induction of vimentin mRNA during TPA-dependent differentiation in HL-60 cells may be mediated by protein kinases C signal transduction and AP-1 is important to transcriptional regulation.

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