간내 담석과 동반된 간내 담도암에서의 p53과 Ki-ras의 발현

김명환,이성구,서동완,이승규,남승우,박능화,민영일,김연석,심기남,공경엽 대한소화기학회 1997 대한소화기학회지 Vol.30 No.5

Background/Aims: Hepatolithiasis or primary intrahepatic stones may be accompanied later by intrahepatic cholangiocarcinoma. This cancerous lesion is frequently associated with atypical hyperplastic epithelium that was suspected of being precancerous. To investigate the Ki-ras or p53 mutation may play a role in carcinogenesis, and to determine whether atypical hyperplastic epithelium may be precancerous, this study was performed in intrahepatic cholangiocarcinomas associated with hepatolithiasis. Methods: We examined 12 patients with intrahepatic cholangiocarcinomas associated with hepatolithiasis. Ki-ras point mutations were assessed by direct DNA sequencing. Expressions of p53 protein were immunohistochemically assessed. The overexpression of p53 and point mutation of Ki-ras were examined in normal, hyperplastic, atypical hyperplastic, and can- cerous tissues separately. Results: The expressions of p53 protein were detected in 4 (33%) of 12 cholangiocarcinomas and Ki-ras point mutations at codon 12 were found in 2 (17%) of 12 cholangiocarcinomas. In those two carcinoma cases which contained the mutant sequence of Ki-ras, the same point mutation from wild type GGT (glycine) to GAT (aspartic acid) was. found in the associated atypical hyperplastic epithelium. However, none of the normal and hyperplastic epithelium harbored Ki-ras or p53 mutations. Conclusions: The overexpression of p53 may play a part in the carcinogenesis of some intrahepatic cholangiocarcinomas associated with hepatolithiasis, whereas the role of Ki-ras mutations in those cases is dubious. However, Ki-ras point mutation at codon 12 may be responsible for either cancer or atypical hyperplastic epithelium associated with hepatolithiasis in certain cases, suggesting atypical hyperplastic epithelium may give rise to carcinoma.

바이모달 트램의 위치 인식 방법 및 정밀 정차 구현

서기원(Seo Ki-Won),박주연(Park Ju-Yeon),이상남(Lee Sang-Nam),류희문(Ryu Hee-Moon),변윤섭(Byun Yeun-Sub) 한국철도학회 2009 한국철도학회 학술발표대회논문집 Vol.2009 No.5월

This paper presents a method for precisely localizing and parking of bimodal trams. In order to gain an automatically driving system for bimodal trams, precise up-to-date localization, velocity recognition, distance to next station and precise parking location estimation functions are required. This paper proposes a system consisting of control device, steering device, sensor input equipment, driving system, tachometer, vehicle-side sensors, magnetic markers and magnetic sensors. The tram recognizes the precise location via magnetic markers containing information. Parking position and precise distance calculation is embodied by a tachometer. The vehicle-side sensors are used to assure safe station approaching and parking magnetic markers provide improvement of precision while tram parking. This paper provides a system realizing localization and precise parking and afterwards the automatic drive test results are reported and analyzed.

운동선수의 임장불안에 대한 연구

홍관이,이광재,김두경,부기원,노성규,한상준,박기동,오수일,문병용,이철규,박장평,엄기진,박남환 江原大學校附設 體育科學硏究所 1984 江原大學校附設體育科學硏究所論文集 Vol.- No.9

This study is designed to grasp the elements and situations of stage fright in order to propose a part of ways to cope with it. We make 511 top-class high school players, male and female, in the central districts (Seoul, Inchon, Kyungki, Chungbuk, and Kangweon Province) on object of questionnaire, and get the following results. Through players generally have all-round characters they show weakness in the superiority and emotional stability while showing strength in the sonformity. This fact comes to be related to the elements which cause stage fright. Physiological changes also have many effects on the symptom of stage fright. Especially, stage fright increases when players show sensitive reaction to the self-consciousness of final consequence which comes from the tension or uneasiness of sympathetic nerve, Thus, it turns out that players make use of reducing psychological burden by physical exercise or adjusting the level of demanded result in order to release the stage fright.

수족냉증(手足冷症) 환자(患者)에 대(對)한 컴퓨터 적외선(赤外線) 체열촬영(體熱撮影)의 의의(意義)

조유경,오수완,조남희,김동묵,김진성,류봉하,박동원,류기원,Cho, Yu-Kyung,Oh, Su-Wan,Cho, Nam-Hee,Kim, Dong-Mook,Kim, Jin-Seong,Ryu, Bong-Ha,Park, Dong-Won,Ryu, Ki-Won 대한한방내과학회 1998 大韓韓方內科學會誌 Vol.19 No.2

To make a objective diagnosis of the syndrome of cold-limbs, We investigated the 20 patients with cold limbs and GI trouble and 20 normal people as a control group. And we compared the thermal difference between Chon-jung(CV17) and Chung-wan(CV12 中脘), Chon-jung(CV17) and Ki-hae(氣海 CV6) and we compared the thermal differences of No-gung(PE8 勞宮) and Yong-chon(湧泉 KI1), too. The results were as follows. 1. All 20 patients had GI trouble and cold limbs. They had the symptom-Indigestion(16 cases-80%) with heart burn, tympanites, abdominal distention, hiccup, belching. Beside that symptom they also had constipation(6 cases-30%), diarrhea(3 cases-15%), headache & dizziness(6 cases-30%). And some had the menstrual syndrome, chronic fatigue, palpitation, insomnia, edema, arthralgia. 2. The thermal difference of the palms between the patients group and the control group were $25.70^{\circ}C,\;25.82^{\circ}C$, but they were not significant. 3. The thermal difference of the soles between the patients group and the control group were $23.58^{\circ}C,\;24.42^{\circ}C$ and the significancy was P=0.020 so it was significant(P<0.05). 4. The thermal difference of the palms and Chon-jung(CV17) between the patients group and the control group were $1.08^{\circ}C,\;0.76^{\circ}C$, but they were not significant. 5. The thermal difference of the sales and Chon-jung(CV17) between the patients group and the control group were $3.01^{\circ}C,\;1.90^{\circ}C$ and the significancy was P=0.003 so it was significant(P<0.05). 6. The thermal difference of Chon-jung(CV17) and Chung-wan(CV12 中脘) between the patients group and the control group was $0.30^{\circ}C,\;0.62^{\circ}C$ and the significancy was P=0.793 so it was significant(P<0.05). 7. The thermal difference of Chon-jung(CV17) and Ki-hae(CV6 氣海) between the patients group and the control group was $0.53^{\circ}C,\;0.68^{\circ}C$, but they were not significant. From the above, I could find the significance of D.I.T.I to diagnose the cold-feet not the cold-hands and the thermal difference between the trunk and limbs was more significant on cold-feet than on cold-hand, either.

자가 면역성 간염에서 자가항체의 발현 양상과 스테로이드 치료의 효과

박기오,채경훈,허원석,강윤세,정재훈,김연수,문희석,이엄석,김선문,이병석,김남재,이헌영 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

목적 : 최근 8년간 본원에서 경험한 자기면역성 간염의 혈액학적 특징과 스테로이드의 치료효과를 알아보고자 본 연구를 시행하였다. 방법 : 1996년 이후부터 2002년까지 충남대학교 병원에서 1999년 International Autoimmune Hepatitis Group(LAHG)에서 제시한 수정 진단 기준안에 의거하여 총 진단점수가 probable 이상에 해당하는 환자들을 대상으로 임상적 특징, 검사실 및 조직 소견과 스테로이드와 azathioprine의 치료 효과를 후향적으로 조사하였다. 결과 : 9예의 환자들은 여성이 78%, 40대가 많았고, 급성 발병이 33.3%, 피로감, 식욕부진 및 황달 등이 나타났으며, 항핵항체가 55.6%에서 그리고 항평활근 항체가 77.8%에서 양성이었고, 동반 질환은 류마치스 관절염이 2예, 특발성 혈소판 감소증 1예, Henoch-Sch nlein 자반증 및 그레브스병이 각각 1예 씩이었다. 7예에 대해서 스테로이드와 azathioprine으로 치료하여 생화학적 임상적 완해가 이루어져서 유효한 치료 결과를 얻었다. 결론 : 자가면역성 간염은 우리 나라에서 원인을 찾을 수 없는 만성 간질환의 경우, 특히 중년여성에서 다른 자가면역성 질환이 동반되었을 때 자가면역성 간염을 의심하여 자가항체 선별검사를 시행해 보아야 할 것으로 생각된다. 향후 다기관 연구를 통하여 좀 더 많은 증례를 모으고 전향적인 연구를 시행하여야 할 필요가 있다. Although autoimmune hepatitis(AIH) is common in western contries, some studties have been reported in Korea. The aim of the study was to analyze the clinical and histological features and expression pattern of the autoantibody and to examine clinical course of AIH in Korea. For 9 patients diagnosed as having AIH in our hospital since 1996, we reviewed medical records and analyzed clinical and laboratory findings retrospectively. They had a probable or definite AIH according to the revised criteria of International AIH group. The mean age was 42.7(21∼68)years and 7(77.8%) were female. Three of them(33.3%) showed acute hepatitis and five of them showed cirrhosis. Fatigue and anorexia were the most frequently complained symptoms(55.6%). Four patients(44.4%) were accompanied with other autoimmune diseases. Antinuclear antibody was detected in 5(55.6%) and anti-smooth muscle antibody was detected in 7(77.8%). Three patients showed focal picemeal necrosis and four showed periportal fibrosis. Among 7 patients who received immunosuppressive therapy, six patients(85.7%) showed initial response. and biochemical and serologic remission were achived in 5(71.4%) and 3(42.8%) patients, AIH seems to be partly responsible for chronic liver disease of unknown etiology in Korea. AIH should be suspected in female patients with unknown chronic liver disease of unknown etiolgy, especially accompanied with other autoimmune disease. The clinical characteristics of AIH may not be quite different from those of Western countries.

Rohrer지수에 의한 한국과 중국 연변지역 조선족 아동의 체격비교

남은우,박기만,배성권 韓國學校保健學會 1996 韓國學校保健學會誌 Vol.9 No.1

This paper was performed to comparative study with the children's body strength status of Ethinc Korean in China and Korea. The subjects of this study were the students of each elementary school located in a rural and a urban areas in China. To compared the elvel of their body strength status, we investigated to the students of 2 elementary schools as comparative group on Kojae Area in Korea. We used student's physical record in the school. The contents of the study were the body weight, the chest circumstance, and the body height of the subjects. To make out the level of the students' physique, we measured by Rohrer Index output through above body height and body weight of them. The results of this were as follows; 1. In the case of Ethinc Korean in China, the average body weight(kilogram) is 28.94±6.68 in male 28.51±7.58 in famels. Comparatively, the average body weight in the case Korean is 31.99±7.23 in male and 31.74 ±7.82 in female. The average body height of Ethnic Korean is inferior about 2~5 Kilograms to that of Korean. 2. The average chest circumstance(centimeter) is 63.51±5.21 in male 63.05±5.87 in female of Ethinc Korean, 65.54±6.43 in male and 64.57±7.81 in female of Korean. Compared to between two group, the average chest circumstance of Ethinc Korean is inferior about 2~4 centimeters to that of Korean. 3. The average body height(centimeter) of Ethinc Korean is 135.28±8.96 in male 134.82±9.74 in female, and that of Korean is 136.68±9.12 in male and 136.10±9.92 in female. Like the preceding below results, the average body height of Ethinc Korean is inferior about 2~5 centimeters to that of Korean. 4. Compared to the fullness degree of physique between two group using Rohrer Index, Ethinc Korean is thiner than Korean. 5. Temporary, in case of children from 10 to 12 years old, female is superior to male through the index contained of the body weight, the chest circumstance, and the body height. It seems that female and male had different maximum growth age.

두부외상후 우울증의 신경내분비적 소견

박기창,이규남,신정호 연세대학교 원주의과대학 1995 원주의대논문집 Vol.8 No.1

콤포머의 NaOH 용액 내에서의 화학적 분해

박미란,양규호,최남기,이영준,김선미 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

이상적인 수복재료는 치아의 저작기능과 심미성을 회복할 수 있어야 하며 동시에 생체 적합성과 구강 내 환경변화에 대한 내구성을 가지고 있어야 한다. 그러나 수복물이 장기간 구강 내 환경에 노출되면 수복물 표면의 마모와 변색 및 수복물 자체의 파괴가 발생될 수 있다. 콤포머도 복합 레진처럼 낮은 마모 저항성을 주요한 단점으로 지적할 수 있다. 본 연구에서는 현재 유치 수복에 많이 사용되고 있는 Dyract (Dentsply, USA), Elan(Kerr, USA), F-2000(3M, USA)의 3종의 콤포머(polyacid modified resin composites)를 알칼리성 용액(0.1N NaOH)에 보관하였을 때 각 제품의 무게손실, 분해층 깊이 및 시편내에서 용출된 Si, Al과 Ba의 농도를 평가하여 제품간의 분해저항성을 평가하고 비교를 하고자 하였다. 각 제품 당 6개의 시편을 제작하여 무게 측정을 한 후, 0.1N NaOH용액, 3㎖에 저장하여 60℃에서 보관하였다. 2주후 제거하여 1.23% HCI로 2시간동안 중화하고 증류수로 세척한 60℃에서 건조하였다. 분해저항성은 무게손실, 분해층 깊이 및 시편내의 Si, Al과 Ba의 농도 변화를 근거로 평가하여 다음과 같은 결과를 얻었다. 1. 각 제품의 무게 손실량은 1.43%~2.14%까지 다양하였으며 제품 간에 유의한 차이는 없었다. 2. 각 제품의 표면하 분해층 깊이는 182.92㎛~227.70㎛였으며 제품 간에 유의한 차이는 없었다. 3. 각 제품으로부터 용출된 Si, Al양은 각 제품마다 유의한 차이가 있었으며(p<0.05), Si는 Dyract에서 Al은 F-2000에서 가장 많은 양이 방출되었다. 용출된 Ba양은 각 제품마다 유의한 차이가 없었다. 4. 무게 손실량과 표면하 분해층 깊이 사이의 상관 관계에서 비교적 높은 상관관계를 보였다(r=0.64, p<0.05). 5. 주사전자현미경 관찰시 0.1N NaOH용액에 보관한 후 콤포머기질과 필러사이의 결합의 파괴를 관찰할 수 있었으며, 기질이 소실되어 필러입자가 두드러진 양상을 보였다. 또한 필러입자의 표면은 분해에 의해 탈회된 모습을 보였다. 이상의 결과에서 현재 유치 수복에 사용되고 있는 3종의 콤포머는 분해저항성에 있어 유의한 차이를 보이지 않았다. The aim of this study was to evaluate the resistance to degradation of three commercial compomers in an alkaline solution. Dyract(Dentsply). Elan(Kerr) and F-2000(3M) polyacid modified resin composites(compomers) were used in this study. The resistance to degradation was evaluated on the basis of mass loss(%), degradation depth(μm) and Si, Al, Ba loss(ppm). The results were as follows : 1. The mass loss of each brand was 1.42%-2.14% and there was no statistically significant difference of mass loss among Dyract, F2000 and Elan. 2. The degradation layer depth of each brand was 182.92-227.7μm and there was no statistically significant difference of degradation layer depth among Dyract, F2000 and Elan. 3. There was statistically significant differences in Si-loss and Al-loss among three compomers (p〈0.05). Si loss was the highest value in Dyract and Al loss was the highest value in F2000. 4. There was statistically significant correlation between mass loss and degradation layer depth (r=0.60, p〈0.05). 5. In SEM finding, there was some destruction of compomer matrix-filler interface in post-exposure specimen to NaOH solution. As the matrix decreased, the filler particles distinguished and the periphery of the filler particles appeared whitish color due to degradation.

STS316L 용접부의 피로거동 및 초음파시럼에 의한 열화특성 평가

남기우,박소순,안석환,도재윤,박인덕 한국비파괴검사학회 2003 한국비파괴검사학회지 Vol.23 No.2

STS316L은 인성, 연성, 부식저항성 등 우수한 기계적 성질 때문에 에너지환경설비 등 구조물에 널리 이용되고 있다. 그러나, 용접구조물은 가혹한 환경하에서 경년열화가 심각하다. 지금까지의 연구들은 주로 용접부의 피로균열진전거동에 관하여 수행되었고, 피로균열진전속도식의 재료상수와 비파괴적 평가의 상관성에 관한 연구는 거의 없었다. 본 연구는 STS316L 용접부의 피로균열진전 거동을 조사하고, 초음파 파라미터로 열화특성을 평가하고 시간-주파수 분석으로 해석을 하였다. 본 연구 결과는 용접구조물의 사용기간 중 피로수명 등을 예측하기 위한 기초 데이터로서 사용될 수 있다. STS316L had been used as the structural material for energy environmental facilities, because austenite stainless steels like 316L have superior mechanical properties of which toughness, ductility, corrosion resistant and etc. However, those welded structures are receiving severe damage due to increasing of the aged degradation. Most studies until now have been carried out against fatigue bahaviors of weldments, and were not well studied on nondestructive evaluation methods. In this study, the fatigue crack propagation behavior of STS316L weldment usually used for vessels of the nuclear power plant was investigated. Also, the degradation characterstics of 316L stainless steel weldments were evaluated by the ultrasonic parameter such as ultrasonic velocity, attenuation factor and time-frequency analysis. The results of this study can be used as a basic data for the prediction of the fatigue crack life of weldments structures without disjointing or stopping service of structures in service.

러프집합을 이용한 통합형 채권등급 평가모형 구축에 관한 연구

박기남,이훈영,박상국 한국경영과학회 2000 韓國經營科學會誌 Vol.25 No.3

Many different statistical and artificial intelligent techniques have been applied to improve the predictability of credit rating. Hybrid models and systems have also been developed by effectively combining different modeling processes of combining the outcomes of individual models. In this paper, we introduced the rough set theory and developed a hybrid credit rating system that combines individual outcomes in terms of rough set theory. An experiment was conducted to compare the prediction capability of the system with those of other methods. The proposed system based on rough set method outperformed the others.