조혈모세포이식 환자에서 발생한 Cytomegalovirus 질환의 특징 : 일개 대학변원에서 최근 10년간의 경험

최수미,이동건,박선희,김시현,김유진,민창기,김희제,이석,최정현,유진홍,김동욱,이종욱,민우성,신완식,김춘추 대한감염학회 2009 감염과 화학요법 Vol.41 No.1

Background : Studies on cytomegalovirus (CMV) diseases in Korean hematopoietic stem cell transplant (HSCT) recipients are lacking and do not reflect the recent trends of advances and changes. Therefore, we tried to analyze the clinical features of CMV diseases in HSCT recipients over the past 10 years at a tertiary university hospital in Korea. Methods : Retrospective review of medical records was done for all adult HSCT patients who received transplant at the Catholic HSCT Center from January 1998 to January 2008. Results : Forty-four cases (2.2%) of CMV diseases were identified. CMV pneumonia was diagnosed in 17 patients, retinitis in 16 patients, enterocolitis in 7 patients, esophagitis 1 patient, gastritis in 1 patient, duodenitis in 1 patient, and hepatitis in 1 patient. The median onset of symptom was 90 days after transplantation. Late CMV diseases accounted for 47.7%. CMV related death varied from 0 to 58.8% according to the involved organ. CMV retinitis was diagnosed relatively later in the course of transplantation mostly in patients who had chronic graft versus host disease (GVHD). On the contrary, CMV enterocolitis mainly occurred in patients who suffered from acute GVHD. The overall concurrent CMV reactivation was documented to be 63.6%: the concurrent CMV reactivation was observed only in 37.5% of patients with retinitis. Conclusions : We observed some differences in the pattern of CMV disease manifestation according to the involved organ and reconfirmed the fact that CMV pneumonia is the most common and fatal disease in HSCT recipients. Additionally, CMV retinitis was not uncommon in HSCT recipients. Since specific marker does not exist in predicting retinitis, regular ocular examination should be done thoroughly, especially in patients with chronic GVHD.

동강의 어류상과 생태학적 군집분석

최준길 ( Jun Kil Choi ),오사무미타무라 ( Osamu Mitamura ),이동준 ( Dong Jun Lee ),신현선 ( Hyun Seon Shin ) 한국환경생태학회 2008 한국환경생태학회지 Vol.22 No.6

2006년 5월부터 2007년 5월까지 동강의 어류상과 생태학적 군집분석을 조사한 결과는 다음과 같다. 조사된 어종은 총 10과 31종이었다. 총 31종의 어종 중 일차담수어가 26종, 주연성 담수어가 5종으로 나타나 일차담수어의 구성비가 매우 높았다. 우점종은 참갈겨니(Zacco koreanus) 55.73%, 아우점종은 쉬리(Coreoleuciscus splendidus) 7.15%였으며, 우세종은 배가시리(Microphysogobio longidorsalis) 6.12%, 어름치(Hemibarbus mylodon) 4.87%, 참종개(Iksookimia koreensis) 4.49% 등이었다. 한국고유종은 묵납자루(Acheilognathus signifer), 줄납자루(A. yamatsutae), 가는돌고기(Pseudopungtungia tenuicorpus), 쉬리(C. splendidus), 긴몰개(Squalidus gracilis majimae) 그리고 어름치(H. mylodon) 등 19종(61.29%)으로 고유종의 빈도가 매우 높았으며, 천연기념물이 1종, 환경부지정 멸종위기 야생동물 II급 종이 5종으로 각각 확인되었다. 예상되는 종수(기대종)의 분석 결과, 동강의 전 조사지점에서는 18(지점 4, 5)∼22종(지점 3)이 서식하고 있을 것으로 나타났으며, 유사도 분석은 62.28%(지점 1과 2)∼84.13%(지점 1과 5)의 범위로 나타났다. 따라서 동강유역은 어류가 서식하기에 매우 적합한 수환경을 유지하고 있으며, 각 조사지점별 수환경도 매우 유사한 것으로 판단된다. The ichthyofauna and ecological community analysis in the Dong River, Korea, were investigated from May, 2006 to May, 2007. During the surveyed period, 31 species belonging 9 families were collected. Total of 31 species(primary freshwater: 26 species, peripheral freshwater: 5 species) were found with the primary freshwater fishes being highest. Dominant species was Zacco koreanus(55.73%), and subdominant species was Coreoleuciscus splendidus(7.15%). Also, Microphysogobio longidorsalis (6.12%), Hemibarbus mylodon(4.87%), Iksookimia koreensis(4.49%) were numerous. There were 19 Korean endemic species(61.29%), including Acheilognathus signifer, A. yamatsutae, Pseudopungtungia tenuicorpus, C. splendidus, Squalidus gracilis majimae, H. mylodon. Among them, 1 species was identified as qualifying for possible desigantion as a natural monument catergory, and 5 species were identified for designation required to protect under a wildlife category. As result of expected number of species according to rarefaction curve, the expected species of the Dong-river ranged from 19(St. 4, 5) to 22(St. 3) and result of similarity analysis ranged from 62.28%(St. 1 and 2) to 84.13%(St. 1 and 5). In conclusions, we could define that the Dong-river has a very good water conditions as habitat of fish, and habitat conditions also are very similar in every survey sites.

韓國河川의 流出率과 流出指標로서의 洪水直前 流量

金熙鍾,柳又秀,金佳鉉,申東守,韓健模,全裕燦 東亞大學校 大學院 1984 大學院論文集 Vol.9 No.-

This paper is a study on relation between run-off ratio and antecedent discharge, run-off ratio and antecedent discharge per unit area, antecedent discharge and antecedent precipitation, by the data from the five major river basins in Korea and the small river basins in Pusan. The Nak-Dong rivers(An-Dong upper stream) f=0.4780+0.0124 ln qA r=0.99 qA=0.3368e0.1101R r=0.99 f=0.5793+0.0146 ln(qA/A) r=0.99 The Nak-Dong rivers except Ga-song station f=0.2017-0.0840 ln qA r=0.75 f=0.7012+0.0750 ln(aA/A) r=0.71 The Han rivers f=-0.0035+01267 on qA r=0.75 f=1.1311+0.1263 ln(qA/A) r=0.71 L=302.9064-43.8490 ln qA r=0.84 The Geun rivers(Mu-sin Cheon) f=0.295+0.1823 ln qA r=0.93 f=0.8417+0.1823 ln(qA/A) r=0.93 L=40.0456+62.0346 ln qA r=0.94 The Yeong-san rivers f=0.3766+0.0598 ln qA r=0.79 f=0.8084+0.0599 ln(qA/A) r=0.79 The Seom-jin rivers f=-1.3875+0.6505 ln qA r=0.92 f=2.1633+0.3465 ln(qA/A) r=0.76 Small river basin in Pusan f=0.3635+0.1120 ln qA r=0.87

한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

전방 십자인대의 파열시의 자기공명영상:직접소견의 중요성

신현준,이창희,최영칠,전혜정,박정희,김동헌 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

It is Important to know the normal size, shape, and signal intensity of anterior cruciate ligament in the evaluation of knee injury Many studies have reported findings of tear or rupture as well as normal anatomy of these structure, especially with MR images. To our knowledge, there are few studies about normal structures of anterior cruciate ligament in MR images. The purpose of this study is to compare normal finding with tear of anterior cruciate ligament on MRI. Twenty-three cases with rupture of anterior cruciate ligament were evaluated on MRI, measuring the length, thickness, width of anterior cruciate ligament, and angles of anterior and posterior cruciate ligaments. Mean length, thickness, and width of anterior cruciate ligament in patients with rupture were 37.7±4.8mm, 9.0±1.2mm, 8.0±0.8mm, and mean angles of anterior cruciate ligament, and posterior cruciate ligament were 48.1±9.6˚, 118.8±13.1˚. Curvature ratio of posterior cruciate ligament was 0.25±0.09. The results showed significant differences between normal persons and patients with complete or partial rupture, and the mean angle and curvature ratio of posterior cruciate ligament which are known to related with indirect sign in tear of anterior cruciate ligament showed significant differences between ours and that of western countries. These results will be useful in the evaluation of patient wish rupture of anterior cruciate ligament, especially on MRI.

자동교시기능을 갖는 로봇의 3차원 오프라인 시뮬레이터 개발

신행봉,정동연,한성현 한국공작기계학회 2003 한국공작기계학회 춘계학술대회논문집 Vol.2003 No.-

We propose a unmaned integrating control system based-on Windows XP version Off-Line Programming System which can simulate a Robot model in 3D Graphics space in this paper. The industrial robot with 4 and 6 axes modeled SM5 and AMI respectively were adopted as an objective model. Forward kinematics, inverse kinematics and robot dynamics modeling were included in the developed off-line program. The interface between users and the off-line programming system in the Windows XP's graphic user interface environment was also studied. The developing language is Microsoft Visual C++. Graphic libraries, OpenGL, by silicon Graphics, Inc. were utilized for 3D Graphics.

대학생의 성별 스포츠에 대한 가치관과 태도 비교 연구

신영균,주동욱 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

The purpose of this study is to investigate an attitude and Value to nave cognizance of Sport on sex by University Students, concretely, the purpose of this study is to analyze and clarify the effects of the experience, Style, Proper degree of sports participation. For the study 323 sports and 333non-sports participation were selected(totaled 656 university students 342, college students 314). statistical analysis techniques for this study included multiple classification analysis, analysis of convenance, multiple regression analysis. Based on findings of these analysis the results of the study are as follow: First, there were differences on 0.1% an attitude and Value to have cognizance of Sport by sex. Second, University Style of according to an attitude and Value to have cognizance of Sport on differences 5%. Third, there were differences on 0.l% an attitude and Value to have cognizance of Sport by the grades. Fourth, there were differences on 0.1% an attitude and Value to have cognizance of Sport by regression. Fifth, there were differences on 0.1% an attitude and Value to have cognizance of Sport by reduction on marks of the arts and physical fitness. Sixth, an attitude and Value to have cognizance of Sport by total University Students were social intercourse and a cultural level in the higher.

경남지역의 채소류와 화훼류 해충에 관한 조사

신현열,이동운,추호렬,박정규 경상대학교 농업생명과학연구원 2001 농업생명과학연구 Vol.35 No.-

본 연구는 1996년 경남지역 주요 채소류와 화훼류 작물에 발생하는 해충과 기타 주요 해로운 동물의 종류를 알아보기 위하여 수행하였다. 오이에서는 오이총채벌레와 꽃노랑총채벌레를 포함하여 7과 8속 10종이 확인되었으며, 양파에서는 알톡토기를 포함한 4과 4속 4종이 조사되었고, 배추에서는 배추좀나방과 담배거세미나방을 포함한 10과 13속 14종이 확인되었다. 거베라에서는 아메리카잎굴파리와 점박이응애, 담배거세미나방을 포함한 8과 8속 10종이, 글라디올러스에서는 명주달팽이와 민달팽이, 들민달팽이를 포함하여 6과 7속 8종이, 국화에서는 민달팽이와 꽃노랑총채벌레를 포함한 10과 13속 14종의 해충이 확인되었다. Insect pests were surveyed on the major vegetable and floricultural crops in Gyeongnam province in 1996. In addition, some other important animal pests were included in this survey. Ten species of 8 genera in 7 families including Thrips palmi and Frankliniella occidentalis were found from cucumber; 4 species of 4 genera in 4 families including Bourletiella hortensis from onion; 15 species of 14 genera in 11 families including Plutella xylostella and Spodoptera litura from Chinese cabbage; 10 species of 8 genera in 8 families including Liriomyza trifolii, Tetranychus urticae and S. litura from gerbera; 6 species of 7 genera in 8 families including Acusta despecta, Incilaria contusa and Deroceras varians from gladiolus; and 14 species of 13 genera in 10 families including I. contusa and F. occidentalis from chrysanthemum.

2급 와동 수복 시 한국 치과 의사들의 복합레진 사용 실태 연구

신동호,박세은,양인석,장주혜,이인복,조병훈,손호현 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.2

본 연구는 2008년 1월 현재 한국 치과의사들의 복합레진 사용 실태에 관한 설문 조사로서, 2급 와동을 수복하는 증례에서 치과의사의 면허 년도, 교육 배경 및 진료환경 등에 따라 수복재료의 선택, 복합레진의 사용여부 및 사용방법, 문제점 등을 비교하였다. 한국 치과의사들을 대상으로 2급 와동 수복에 관한 17 문항의 설문지를 제작하였다. 이 설문지는 시술자 정보 2급 와동의 수복으로 크게 2부분으로 나누어진다. 이 설문지는 대한치과의사협회를 통해 12.193 명의 치과의사들에게 E-메일로 발송되었다. 이 중 2.612개의 메일이 수신 확인되었고 840 개의 설문지가 작성되어 회신되었다. 수신 확인된 메일 수에 대한 회신된 메일 수의 비율 (회신율)은 32.2%이었고, 이 자료는 SPSS프로그램에서 카이제곱 분석을 이용하여 교차 분석하였다. 답변자의 비율은 면허년도를 기준으로 1998 ~ 2007년에 면허를 취득한 그룹 (한국 전체 치과의사의 33 3%, 추정 년령 26-35세)이 60.3%로 1997년 이전에 면허 취득한 그룹 (한국 전체 치과의사의 66.7%.추정 년령 36세 이상)의 39.7%보다 높은 것으로 나타났다. 또한 이들이 근무하는 병원은 개인의원 (77%)이 가장 많았고 남자 치과의사(79%)가 많았다. 복합레진 수복에 대한 지식은 학생 때 수업이나 학회, 세미나를 통하여 (83.4%) 얻은 것으로 나타났다. 2급 와동 수복 시 재료 선호도를 살펴보면 금인레이가 65.7%를 차지하고 있고 복합레진 직접 수복은 12.1%로 낮게 나타났다. 2급 와동의 복합레진 직접 수복 시 시술 방법에 있어서는 러버댐을 사용하지 않거나 잘 사용하지 않는 그룹의 비율(74.4%)이 더 많았고. 격벽법으로는 mylar strip (53.4%)이나 metal matrix (33.8%), Palodent svstem (6.5%)를 사용하였다. 충전은 적층법 (99.6%)을 사용하는 것으로 나타났으며, 시술 시 인접면 형성을 가장 어려워하였다.(57.2%). 2-step 접착시스템 (76%)이 3-step 접착시스템 (16%)보다 많이 사용되고 있었다. 사용하는 레진 제품으로는 Z250(20%)이 가장 많이 사용되고 있었다. The purpose of this study was to assess the current materials, methods and difficulties according to the year of licence and educational background of Korean dentists in Class Ⅱ direct composite resin restorations. Total 17 questions were included in the questionnaire. Questions were broadly divided into two parts first, operator's information and second the materials and methods used in Class Ⅱ posterior composite restoration. The questionnaire was sent to dentists enrolled in Korean Dental Association via e-mail. Total 12,193 e-mails were distributed to dentists. 2,612 e-mails were opened and 840 mails (32.2%) were received from respondents. The data was statically analyzed by chi-square test using SPSS(v 120.1 SPSS Inc. Chicago. IL USA). Male dentists among respondents was 79% 60.3% of the respondents acquired their licences recently (1998-2007) and 77% practiced in private offices 83.4% have acquired their knowledge through school lectures conferences and seminars. For the Class Ⅱ restorations gold inlays were preferred by 65.7% of respondents while direct composite resin restorations were used by 12.1% amalgam users were only 4.4% of respondents. For the restorative technique 74.4% of respondents didn't use rubber dam as needed. For the matrix. mylar strip (53.4%), metal matrix (33.8%) and Palodent system (6.5%) were used 99.6% of respondents restored the Class Ⅱ cavity by incremental layering. Obtaining of the tight interproximal contact was considered as the most difficult procedure (57.2%) followed by field isolation (21%). Among various bonding systems, 22. 6% of respondents preferred SE Bond and 20.2% used Single Bond. Z-250 was used most frequently among a variety of composite resins.

순열 및 구개열 환자의 외과적 치료방법에 관한 임상적 연구

신병철,이동근,성길현 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.4

In order to find the distribution, causes and treatments of cleft lip and/or palate, I analyzed 113 patients of cleft lip and/or palate who were treated in the Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University, Iksan, Chunbuk, KOREA from September 1984 to August 1995. The obtained results were as follows. 1. In total 113 patients of cleft lip and/or palate, male patients were 63 cases (56%) and female patients were 50 cases(44%). 2. In distribution of cleft lip and/or palate, cleft lip patients were 30 cases (27%), cleft palate patient were 23 cases(20%) and cleft lip and palate patients were 60 cases(53%). 3. Unilateral cleft lip patients (78 cases: 87%) were larger than bilateral cleft lip. In unilateral cleft lip patients, lip side cleft lip patients (54 cases: 50%) were larger than right side cleft lip patients (33 cases: 37%). 4. Possible causes of cleft lip and/or palate were related with familial tendency, drug intoxication, malnutrition, old maternal age, stress and hypoxia during 4-8 weeks of pregnancy period. 5. The favorite treated method of cleft lip was Millard rotation-advancement method. probably the most popular operated period was 3 months. 6. The useful operating technique of cleft palate was Wardill V-Y flap method. The most popular period has been 18 to 24 months. 7. In 11 patients with velopharyngeal insufficiency, hypernasality decreased by superior based pharyngeal flap pharyngoplasty. 8. Cleft alveolus was treated with autogenous and allogeneic bone graft. The most appropriate operation period was 9 to 11 years.