20대 여성의 구두 착용에 따른 발의 장애분석

한현정,전은경 울산대학교 2005 생활과학논문집 Vol.7 No.1

본 연구의 목적은 현대여성의 구두 착용에 따른 발 및 주변 부위의 문제점을 밝히는데 있다. 본 연구에서는 주된 구두 소비자 계층인 20대 여성들을 대상으로 소비자 설문조사를 통하여 구두 착용현황 및 그에 따른 발 장애를 살펴보고 구두 제작시 필요한 기초자료를 제공하고자 하였다. 본 연구의 결과를 살펴보면, 구두 착용여성의 대부분이 연령과 착용시간에 관계없이 많은 장애를 경험하였다. 그러므로 구두장애 요인 중 가장 많이 지적된 ‘구두골 치수’와 소재의 개선이 요구된다. 특히, 발둘레 치수에 대해서는 소비자와 판매자의 인지도가 약해 적절히 사용되지 못하고 있으므로 KS 규격에 대한 홍보가 필요하다. The purpose of this study was to identify the problems of women’s feet and it’s relative area caused by wearing shoes. This study was conducted through a survey with 384 young women consumers of 20s. Most respondents indicated that problems while wearing shoes. The reasons of the discomfort were ‘unfit of the size’ and ‘inappropriate materials.’ Most respondents were found to have the knowledge of their sizes but not of the letter sizes for the foot girth. Seventy six percent indicated that they of the respondents rarely know about the letter size. Most of the respondents (92.5%) indicated that they never checked the letter size when purchased shoes. This implicates that consumer education concerning the ‘KS G 3405 Lasts for shoes’ size system is necessary.

의미 분석 단계에서의 정보 흐름 제어

조현욱,김명수,정은환,유재휘,윤병주 명지대학교 공학기술연구소 1986 공학기술연구소 논문집 Vol.1 No.-

One of protection methods for computer internal data is to pursue data flow in program and to control its flow. In this thesis, we propose a mechanism which guarantees secure information flow in a program. By investigating security classes of all the variables in a statement and judging necessary condition for secure information flow, proposed model descriminates the program whether it is secure or not. Out model can be implemnted at language translation time, particularly semantic analysis phase, by pursuing security class transfer of each statement.

한국 초파리집단의 선택불리에 관한 지구 자기장의 5배인 자기장의 영향

박은규,정승문,김중현,최오목 圓光大學校 1995 論文集 Vol.29 No.2

본 연구에서는 한국 선유도의 자연집단 야생형 초파리와 가시돌연변이형 황색체-소시 초파리를 Helmholtz coils 장치를 이용해서 유도한 지구 자기장의 5배인 자기장내의 집단과 비교 집단인 지구 자기장내의 집단에서 발생율 변동과 성적 선택빈도를 조사하여, 선택불리에 관한 유전적 행동을 관찰해서 다음과 같은 결과를 얻었다. 1.야생형 유전자(+)를 운반하는 염색체의 선택빈도는 15세대까지 평균 빈도가 지구 자기장의 5배인 자기장내의 초파리 집단, 지구 자기장내의 초파리 집단이 각각 0.6489, 0.6553으로 관찰되었다. 이 결과는 지구 자기장의 5배인 초파리 집단에서 더 강한 선택불리 행동을 보여 주었다. 2.초파리 집단의 발생율 변동은 지구 자기장의 5배인 자기장내의 초파리 집단 3세대(13.60%), 지구 자기장내의 초파리 집단 6세대(22.35%), 8세대(22.30%)에서 아주 낮은 발생율의 변동을 보여주었으며, 2개의 상이한 자기장내 초파리 집단의 전체 평균 발생율은 지구 자기장의 5배인 자기장내의 초파리 집단, 지구 자기장내의 초파리 집단에서 각각 58.07%, 41.93%로 관찰되었으며, 후자보다 전자에서 발생율이 증가함을 보여 주었다. 3.돌연변이형 황색체-소시 유전자(ym)를 운반한 염색체의 선택빈도는 각각의 자기장내의 초파리 집단에서 0.0542, 0.0646으로 관찰되었다. 이 결과는 지구 자기장의 5배인 자기장내의 초파리 집단에서 0.0542로 상대적으로 강하게 선택불리 행동을 보여 주었다. 4.돌연변이형 황색체 유전자(y)를 운반한 염색체의 선택빈도는 각각의 초파리 집단에서 0.0185, 0.0144로 관찰되었다. 이 결과는 비교 집단인 지구 자기장내의 초파리 집단에서 0.0144로 더 강한 선택불리 행동을 보여 주었다. 5.돌연변이형 소시 유전자(m)을 운반한 염색체의 선택빈도는 각각의 조절된 자기장내의 초파리 집단에서 0.0328, 0.0190으로 관찰되었다. 이 결과도 지구 자기장내의 초파리 집단에서 0.0190으로 상대적인 강한 선택불리 행동을 보여 주었다. 6.수컷이 가지고 있는 Y-염색체의 선택빈도는 각각의 초파리 집단에서 0.2457, 0.2467로 관찰되었다. 이 결과는 지구 자기장의 5배인 초파리 집단에서 0.2457로 더 높은 선택불리 행동을 보여 주었다. 7.Duncan's multiple range test의 LSD값으로 유의 차이 유무 검정을 하였던 바 야생형 유전자의 A 그룹과 돌연변이형 유전자들의 B 그룹사이에서 고도의 유의 차이가 있음이 밝혀졌다. To elucidate the genetic behavior of selective disadvantage among visible mutants of Drosophila melanogaster bred and kept by the genetic study laboratory room. Wonkwang University and the wild type collected at Sunyoudo island in Korea, and reared under the influence of two different strength of magnetic fields, i.e. the quintuple and the ambient magnetic field, this study was carried out at the above indicated laboratory room. 1.The mean selective frequencies of wild gene(+)-carry chromosome up to 15th generation, affected by two different magnetic fields, showed 0.6489 and 0.6553 with the magnetic field strength as mentioned order before. The data explains that the population of Drosophila melanogaster reared in the quintuple magnetic field showed higher selective disadvantage. 2.The variations of emergence rates of the populations of Drosophila melanogaster altering by generation showed the drastic lowest values at the specified generation, for example, 13.60% under the quintuple magnetic field at the third generation and 22.35% and 22.30% under the ambient magnetic field at the 6th and 8th generation. The over-all mean emergence rates of the populations of Drosophila melanogaster reared in controlled magnetic fields, i.e. the quintuple and the ambient magnetic fields using Helmholtz coils, showed 58.07% and 41.93% respectively. Referring to these data, the population of flies raised in the quintuple magnetic field showed a relatively higher emergence rate than the ambient magnetic field. 3.The mean selective frequencies of the individual of ym gene-bearing chromosomes showed 0.0542 and 0.0646 by the same order of magnetic field strength indicated above. It was shown that the population of flies reared in the quintuple strength generated by Helmholtz coils cleared the relatively strong selective disadvantage being 0.0542. 4.The mean selective frequencies of the mutant that carries y gene-bearing chromosome showed 0.0185 and 0.0144 from the two different magnetic fields in the same magnetic order. The results indicated that the population of flies from the ambient magnetic field showed higher selective disadvantage frequency, 0.0144. 5.The mean selective frequencies for the mutant carrying m gene-bearing chromosome were calculated as to be 0.0328 and 0.0190 for the same order of magnetic field strength. The found from this results is that the selective disadvantage behavior for the mutant rearing m gene chromosome in the ambient magnetic field was stronger than the one, being 0.0190. 6.The mean selective frequencies of the male flies which carries Y-chromosome showed 0.2457 and 0.2467 respectively. The results indicated that the male flies from the quintuple magnetic field showed higher selective disadvantage being 0.2457. 7.Through Duncan's multiple range test and LSD value, the highly significant differences between A group of the wild type and B group of the other three mutants were calculated.

정모두부방사선사진에서 하악골 우각부 영상확대 및 이의 보정에 관한 3차원 CT영상 연구

황현식,,은춘선,황정현,임회정 대한치과교정학회 2005 대한치과교정학회지 Vol.35 No.4

두부방사선규격사진은 작은 크기의 방사선원에서 방사상으로 방사선이 퍼져나감으로써 피사체의 확대와 왜곡이 불가피하다는 단점이 있다. 본 연구는 두 장의 방사선사진을 서로 직각으로 촬영한 후 방사선의 기하학적 성질을 이용하여 좌우 우각부간 폭경을 계산할 경우 실제 폭경의 산출이 가능한지 알아보고자 시행되었다. 성인 40명을 연구대상으로 하여 두부자세재현기를 이용하여 측모두부방사선사진과 정모두부방사선사진을 서로 직각으로 촬영한 후 측모사진과 정모사진에서의 확대율을 이용하여 실제 우각부 폭경을 산출한 다음, 계측치 및 산출치를 3차원 CT영상에서의 계측치와 각각 비교 분석하였다. 연구결과 정모두부방사선사진에서 우각부 폭경은, 작게는 7.92 mm 크게는 11.31 mm까지. 평균 9.10 mm의 확대를 보였다. 측모 및 정모두부방사선사진을 이용하여 얻은 우각부 폭경 보정치를 3차원 CT영상에서 얻은 기준치와 비교한 결과 평균 0.14 mm의 작은 오차를 보였으며 통계적으로 유의한 차이를 보이지 않아 측모 및 정모두부방사선사진 촬영 시 두부자세재현기를 이용하여 서로 직각으로 촬영할 경우 실제 우각부 폭경을 계산을 통해 산출할 수 있음을 보여주었다. 한편 이부편위량과 보정오차는 통계적으로 유의한 상관성을 보이지 않아 안면비대칭이 심한 경우에도 본 보정 방법이 유용하게 사용될 수 있음을 보여주었다. Enlargement is an inherent property of X-rays which occurs when straight lines diverge from small a focal spot. The purpose of the present study was to evaluate the valldity of the correction of gonial angle width enlarged on frontal cephalogram, using frontal and lateral cephalograms taken orthogonally from each other. In 40 adult individuals, frontal and lateral cephalograms were taken at a 90℃ angle using the Head Posture Aligner. The angle width was measured on the frontal cephalogram and subsequently, the corrected angle width was calculated using the magnification rate of two cephalograms. Measured and corrected angle widths were compared with the measurement from the 3D CT image. The measurement on the frontal cephalogram showed a 9.10 mm of enlargement on average, ranging from 7.92 to 11.31 mm. Corrected angle width measurement showed a 0.14 mm difference with the 3D CT image measurement, which was not statistically significant. The results of the study indicate that actual angle width can be approached through calculation using frontal and lateral cephalograms taken orthogonally with the help of the Head Posture Aligner. The study also showed that the magnitude of correction error did not show a significant correlation with the amount of menton deviation, and it suggests that the present correction method is valid even in individuals with severe facial asymmetry.

초등학교 수학 교과서에 나오는 자연수의 사칙 연산 문장제 분석

노현옥,정은실 진주교육대학교 초등교육연구소 2005 科學敎育硏究 Vol.28 No.-

본 연구에서는 초등학교 학생의 자연수 사칙 연산에 관한 문장제 해결 능력은 문장제 구성요소에 따라서 어떻게 다른지, 또 제7차 교육 과정에 의한 초등학교 수학 교과서와 익힘책에서 자연수의 사칙 연산 문장제의 구문론, 의미론, 소재별 특성은 단계별로 어떠한 빈도와 분포로 나타나는지를 알아보았다. The purpose of this study is to analyze the word problems of the four fundamental operations in elementary school mathematics textbooks and workbooks based on the 7th Mathematics Curriculum. In the study the components of the word problems are proposed as the syntax, the semantics and topics. The subjects of the study are 540 students(2nd and 3rd grade) selected from an elementary school located in Jinju and the 436 word problems of the four fundamental operations in the elementary mathematics textbook and mathematics workbooks(1-Ga stage to 4-Ga stage). The followings are the result of the study. First, children's ability to solve word problems is poor in word problems with long sentences, with inconsistency between the order of data mention and calculation order, and with unnecessary information. Second, as for the semantic, children easily solve Part-Part-Whole 1 type and Join 1 type of the addition, and Separate type of subtraction. It implies that it is difficult for children to solve the word problems with the unknown in the starting group. Word problem solving ability is poor at Compare type in subtraction, Cartesian Products type in multiplication, and Measurement type in division. Third, word problems with inconsistency between the order of data mention and calculation order, and with unnecessary information are rarely presented in the textbook and workbooks. The problems were biased to Part-Part-Whole type of the addition situation, Separate type of subtraction situation, and the Repeated Addition type of multiplication situation and and Measurement type of division situation. Considering that these types generally showed high success rate in problem solution, we can guess they can solve the problems easily similar to the ones presented in the textbook. Fourth, most topics in textbooks and workbooks are fairy books, fruits, stationery, number of people, transportation, food and animals. Summarizing the above study results, word problems presented in the textbooks were biased to specific syntax, semantics and topics. To nurture the problem solving abilities, we need to present diversified word problems considering the difficulties. Additionally, teachers need to reorganize teaching plans and establish evaluation methods considering the difficulty level of each component of the problem situation in order to develop the problem solving abilities, because students show different problem solving abilities according to operation type.

백서의 실험적 치아이동시 connexin 43의 발현에 관한 연구

임정현,김은철,김상철 원광대학교 생체재료·매식연구소 1998 원광생체재료·매식 Vol.7 No.1

Bone remodeling in response to force requires coordinated actions of osteoblasts, osteoclasts, osteocytes, and periodontal ligament cells. Coordination among these cells may be mediated, in part, by cell-to-cell communication via gap junctions. This study was designed to evaluate the expression of gap junction, connection 43 in periodontal tissue during the experimental movement of rat's incisors, by LSAB(labelled streptavidine biotin) immunohistochemical staining for connexin 43. Twently seven Sprague-Dawley rats were divided into a control group(3 rats), and 6 experimental group(24 rats) where 75g of force was applied from helical springs across the maxillary incisors. Rats of experimental group were sacrificed at 12 hours, 1, 4, 7, 14 and 28 days after force application, respectively. And the tissues of a control group and experimental groups were studied immunohistochemically. The results were as follows: 1. In control group, the expression of connexin 43 was rare in gingiva, dentin, cementum, periodontal ligament, and bone cells. 2. In experimental group, the expression of connexin 43 was increased in pulp, periodontal ligament, osteoblasts, and osteoclasts, comparing to that in control. And it was rare in gingiva, dentin, and odontoblasts regardless of the duration of force application, which was not different form that of control group. 3. The expression of connexin 43 in pulp of experimental group began to increase in 4-day after force application and got to the highest degree at 7-day. And it decreased after 14-day to be similar to that of control group at 28-day. 4. The expression of connexin 43 in periodontal ligament was noted in small capillaries adjacent to alveolar bone, showing higher intensity of immunolabelling after 4-day. And it was stronger in the pressure side than in tension side of periodontal ligament. After 7-day, decrease in connexin 43 expression was observed. 5. The expression of connexin 43 in alveolar bone began to increase 1-day, reached to the highest degree at 4-day, and decreased at 7-day. And the expression in osteoclasts was more than that in osteoblasts or osteocyte at 7-day.

Ethionine의 시간투여로 인한 Rat의 간과 신장의 지질과산화와 지질량의 변화 연구

김은석,김현아,이주연,이주현,한정희 曉星女子大學校 藥學大學 學生會 1990 曉星藥誌 Vol.5 No.-

The present studies were undertaken to evaluate the effect of Schedule administration of ethionine on the change of lipid peroxidation, total lipid, phospholipid, total cholesterol, and triglycerides of liver and kidney in male rats. The result obtained were summarized as follows ; 1) Hepatic and renal lipid peroxidation were significantly increased 18hr and 24hr after ethionine I.P. injecion. The change of hepatic and renal lipid peroxidation was maximal 18hr after ethionine I.P. injection. 2) Hepatic total lipid and triglycerides were significantly increased 12hr, 18hr, and 24hr after ethionine I.P. injection. The accumulation of total lipid and triglycerides was maximal 18hr after ethionine I.P. injection.

컴퓨터를 이용한 치아크기 계측시 재현도와 정확도에 관한 연구

김은정,황현식 대한치과교정학회 1999 대한치과교정학회지 Vol.29 No.5

본 연구는 치아크기 측정시 버니어 캘리퍼스를 사용한 계측치와 석고모형을 촬영하여 컴퓨터를 사용한 계측치를 서로 비교함으로써 석고모형 분석시 컴퓨터 이용 가능성을 알아보고자 시행되었다. 치아밀집치열 특징을 지니며 모든 치아의 맹출이 완료된 상하악 20 조의 석고 모형의 좌측 중절치부터 제 1 대구치까지 12개의 치아를 대상으로 하여, 각 치아의 근원심폭경을 버니어 캘리퍼스와 컴퓨터를 이용하여 2주 간격으로 2 회 측정하여 실험측정치를 얻은 다음, 측정에 이용된 석고모형을 근원심접촉점 부위에서 개개치아로 분리한 후, 마이크로미터를 이용하여 측정한 표준치와 비교분석하였다. 계측시 오차의 원인을 알아보기 위하여 상하악의 occlusogram을 얻어 각 치아의 접촉점 이탈유무 및 정도를 구하고 TARG(Torque Angulation Reference Guide)를 이용하여 각 치아의 근원심경사도를 계측한 결과 다음과 같은 결론을 얻었다. 1. 2회 측정에 대한 재현도 비교시 버니어 캘리퍼스를 사용한 경우 12개 치아 중 3개의 치아에서 유의한 차이가 나타났으며 컴퓨터의 경우에는 1 개의 치아에서 차이가 나타났다. 2. 치아크기 계측의 정확도를 알아보기 위하여 포준치와 비교한 결과, 버니어 캘리퍼스를 사용한 경우 12개 중 3개의 치아에서 유의한 차이가 있었으며 컴퓨터의 경우에는 12개중 2개의 치아에서 차이가 나타났다. 3. 버니어 캘리퍼스를 사용한 경우 상악 제 1 대구치는 표준치에 비해 크게, 하악 제 1 대구치는 표준치에 비해 작게 재는 경향을 보였으며 컴퓨터의 경우 상하 제 1 대구치 모두 표준치에 비해 크게 재는 경향을 보였다. 4. 버니어 캘리퍼스로 계측시에는 하악 제 1 대구치가 가장 큰 오차를 보였으며 치아별로 오차정도가 다양하게 나타난 반면, 컴퓨터의 경우 치아별 오차정도의 차이를 보이지 않았다. 5. 접촉점 이탈정도 및 치관의 근원심 경사도와 오차정도의 상관성을 살펴본 결과 버니어 캘리퍼스로 측정한 경우 유의한 상관관계를 보이지 않았으나 컴퓨터로 계측한 경우 약한 순상관관계를 보였다. 이상의 결과는 모형분석을 위한 치아크기 계측시 컴퓨터 이용이 가능함을 시사하였다. The purpose of this study was to evaluate the availability of computer system for the measurement of tooth size in the model analysis through the comparison of two measurements: One was to use a computer; and the other was to use vernier calipers. Twenty sets of casts were used, which showed a moderate degree of crowding and full eruption of all teeth. The mesio-distal width of 12 teeth from the left central incisor to the left first molar at each set of the casts were measured twice with vernier calipers and a computer respectively. This measurement was repeated two weeks later. First, for the reproducibility analysis, the two computer measurements were compared then the vernier calipers measurements were compared. Second, all the teeth were sepapated into the region of mesiodistal contact points and its width was measured by a micrometer to obtain standard measurements. For the accuracy analysis, these standard measurements were compared with the measurements from the dental casts using two methods. The difference between them was defined as the measurement error. To investigate the cause of measurement error, an examination was made for the presence and degree of contact point deviation on each tooth from the upper and lower occlusograms, and the mesio-distal angulation of each tooth was measured with TARG. Following results were obtained through statistical analysis. 1. In the analysis for reproducibility; the measurements with vernier calipers showed significant differences in three out of twelve teeth while the computer measurements showed significant differences in one out of twelve teeth. 2. In the analysis for accuracy; compared with the standard measurements, the measurements with vernier calipers showed significant differences in three out of twelve teeth while the computer measurements showed significant differences in two out of twelve teeth. 3. Compared with the standard measurements, the measurements with vernier calipers were apt to be larger at the upper first molar, and smaller at the lower first molar. The computer measurements, however, were apt to be larger at both upper and lower first molars. 4. The measurements with vernier calipers showed the largest error at the lower first molar and the degree of error was variable according to the while the difference of error was small in the computer measurements. 5. In the analysis for the correlation of the degree of measurement errors with the contact point deviation index and the mesio-distal crown angulation of each tooth, the measurements with vernier calipers did not show significant correlation while the measurements with computer showed slight positive correlations. The results of this study indicate that a computer system may be useful for the measurement of tooth size in the model analysis.

백서의 실험적 치아이동시 connexin 43의 발현에 관한 연구

임정현,강경화,이종진,김은철,김상철 대한치과교정학회 2001 대한치과교정학회지 Vol.31 No.5

치아이동시 골세포간 활성 조화에서 세포간 교통의 중요성이 차츰 인식되고 있으며 세포간 교통을 위한 교통반의 존재가 확인되고 있다. 동물실험 모델에서 실험적 치아이동을 통해 조성된 압박 및 견인측 치주인대에서 교통반 단백의 일종인 connexin 43의 발현을 관찰함으로써 인접 연조직 및 골 조직 내에서 세포 신호 전달 양상의 한 부분을 파악하고자 하였다. Sprague-Dawley계 백서 27마리를 대조군(3마리)과 실험군(24마리)으로 나누었으며, 실험군은 견인력(75g)을 가한 후 12시간, 1일, 4일, 7일, 14일, 28일이 경과한 후 각각 4마리씩 희생시켜, connexin 43의 발현을 면역조직화학적으로 관찰한 바 다음과 같은 결과를 얻었다. 1.대조군에서의 connexin 43 발현은 치은, 상아질, 치주인대, 치수, 골세포에서 경미하였다. 2.교정적 치아이동에 반응하는 치수, 치주인대, 골모세포, 파골세포, 골세포부위에서 connexin 43의 발현이 많았으나 치은, 상아질, 상아모세포에서의 발현은 견인력 적용기간에 관계없이 대조군과 큰 차이가 없었다. 3.치수에서 connexin 43의 발현은 교정력을 가한 4일에서부터 증가하여 7일째까지 크게 증가한 후 14일째부터 감소되었으며 28일째에는 대조군과 차이가 없었다. 4.치주인대에서 connexin 43의 발현은 주로 혈관을 중심으로 치조골 면을 따라 압박측에서 주로 나타났는데 교정력을 가한 12시간에서부터 증가하여 4일에서 가장 많은 발현을 보인 후 7일부터 감소하기 시작하였다. 5.골모세포 및 골세포에서 발현은 실험 1일째부터 출현해 4일째에 가장 많은 발현을 보였고 7일 이후에는 크게 감소하였으며 파골세포에서의 발현은 골모세포와 골세포보다 실험 4일째에 더 많이 관찰할 수 있었다. Bone remodeling in response to force requires coordinated actions of osteoblasts, osteoclasts, osteocytes, and periodontal ligament cells. Coordination among these cells may be mediated, in part, by cell-to-cell communication via gap junctions. This study was designed to evaluate the expression of gap junction, connection 43 in periodontal tissue during the experimental movement of rat's incisors, by LSAB(labelled streptavidine biotin) immunohistochemical staining fort connexin 43. Twenty seven Sprague-Dawley rats were divided into a control group(3 rats), and 6 experimental groups(24 rats) where 75g of force was applied from helical springs across the maxillary incisors. Rats of experimental groups were sacrificed at 12 hours, 1, 4, 7, 14 and 28 days after force application, respectively. And the tissues of a control group and experimental groups were studied immunohistochemically. The results were as follows : 1.In control group, the expression of connexin 43 was rare in gingiva, dentin, cementum, periodontal ligament and bone cells. 2.In experimental group, the expression of connexin 43 was increased in pulp, periodontal ligament, osteoblasts, and osteoclasts, comparing to that in control. And it was rare in gingiva, dentin, and odontoblasts regardless of the duration of force application, which was not different from that of control group. 3.The expression of connexin 43 in pulp of experimental group began to increase in 4-day after force application and got to the highest degree at 7-day. And it decreased after 14-day to be similar to that of control group at 28-day. 4.The expression of connexin 43 in periodontal ligament was noted in small capillaries adjacent to alveolar bone, showing higher intensity of immunolabelling after 4-day. And it was stronger in the pressure side than in tension side of periodontal ligament. After 7-day, decrease in connexin 43 expression was observed. 5.The expression of connexin 43 in alveolar bone began to increase 1-day, reached to the highest degree at 4-day, and decreased at 7-day. And the expression in osteoclasts was more than that in osteoblasts or osteocyte at 7-day.

고위험군의 원발성 전신성 유전분증 1례 보고 및 조혈모세포이식에 대한 문헌고찰

심준,박수정,엄현석,김기영,박은정,강인중,조병식,이안희,한치화 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.2

저자 등은 클론성 형질세포질환과 동반된 젊은 연령의 원발성 전신성 유전분증 환자를 진단하였기에 다발성 골수종과의 감별 진단, 치료 , 예후 및 고용량 항암화학요법과 조혈모세포이식에 관하여 문헌고찰과 함께 보고하는 바이다. Primary systemic amyloidosis (AL) is a rapidly fatal disorder related to plasma cell dyscrasia. Conventional dose of melphalan, which prolongs the duration of survival by about 10 months, does not improve the functions of impaired organs in most cases. The high dose chemotherapy followed by autologous hematopoietic stem cell rescue for AL, in spite of its high treatment-related mortality, is a new approach to achieve high response rate and better survival. We experienced a 35-year old man with AL(involving heart, liver, stomach, kidneys, peripheral nerve, and rectum) who did not respond to the standard schedule of melphalan plus prednisone and had rapidly fatal course with organ failure. Hence, we evaluate its availability by reviewing the recent reports of high dose chemotherapy in AL.