신경섬유종증 환자에서 상완신경총 병변의 소견을 보인 척추 신경섬유종

양충용,박효인,박순아,박종태,정선관,신용일 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2

본 증례는 50세 여성의 제 1형 신경섬유종 환자로서 척추 신경섬유종에 의해 초기 상완신경총 병변 소견을 보였다. 약 4개월 동안 후경부통, 좌측 견관절, 좌측 상완의 마비를 보였으며, 초기 전기진단학적 검사상 경수 5번과 6번 신경근을 중심으로 쇄골상부 신경절전성 상완신경총 병변이 관찰되었다. 그러나, 액와 자기공명영상, 초음파검사, 단순 방사선검사, 골주사 등의 영상학적 검사에서는 심한 흉추 척추 전-측만증과 경수 뇌경막에 확장 소견을 제외하고는 상완신경총 병변의 소견은 관찰되지 않았다. 7개월경과 후, 좌측 상지 및 양측 하지의 근력 저하, 경수 4번이하의 감각 저하, 경도의 흉통을 동반한 호흡곤란이 진행되었다. 응급으로 시행된 경수 자기공명영상에서 좌측 경수 3번과 4번에 경막내 액와-속질의 신경종양이 진단되었다. 수술적 처치를 시행하였으며, 거시적 관찰상 척수 신경섬유종이 진단되었다. 급격히 진행하는 척수 신경섬유종은 초기에 상완신경총의 신경근 병변의 소견을 보일 수 있으므로, 신경섬유종증 환자에서 상완신경총 병변의 진단에 세심한 주의를 요한다. We observed a patient with symptom similar to brachial plexus lesion caused by spinal neurofibroma in a 50-year-old female with a history of neurofibromatosis-1(NF-1). She presented with posterior neck, left shoulder and left upper arm paralysis of 4 months duration. The initial electrodiagnostic study(EDS) revealed supraclavicular preganglionic brachial plexus lesion of mainly involved left C5 and C6 roots. However, radiological imagings including axillar MRI, ultrasonography, cervical plain radiography and bone scintigraphy showed no definitive brachial plexus disease except cervical dural dilation and severe thoracic scolio-Iordosis. On 7 months after the first admission, she had aggravated muscle weakness on the left upper arm and both lower extremities, sensory impairment below C4 and respiration difficulty with the chest pain. Emergency MRI showed intradural axillar-medullary neurogenic tumor at the left C3-C4. Subsequently, the patient was treated with surgical resection. Grossly specimen examination displayed the presence of a spinal neurofibroma. In rapidly progressing spinal neurofibroma represented firstly as root lesion of brachial plexus in EDS, the physician should pay scrupulous care to evaluate the cause.

경주지역 여고생의 초경과 체성장간의 관계

김준섭,권오구,박진석,오종수,박정현,박제식,안세한,이용환,서정호,신태섭,최영배,김덕수,이관,박수경 東國大學校醫學硏究所 2002 東國醫學 Vol.9 No.1

본 연구는 경주지역 1개 고등학교 3학년 여고생을 대상으로 초경 시작 전인 초등학교 4학년부터 고등학교 2학년까지의 키, 몸무게, 가슴둘레 수치와 초경 연령을 파악하여 여성의 초경이 빠를수록 체성장 속도의 변화가 있을 것이라는 가설을 기초로 두 요인간의 관련성을 파악하고자 시행되었다. 경주시 1개 여자고등학교 3학년생 총 317명에 대해 ㅊ경 나이, 초경시 심리 상태, 초경이 시작되었을 때의 상담 여부와 상담하였던 사람, 부모 신장과 초경전후의 식사 규칙성, 다이어트 경험, 수면시간, 스트레스, 음주/흡연 여부, 질병력 등에 대한 설문 조사를 시행하였고, 초등학교 4학년부터 고등학교 2학년까지의 키, 몸무게, 가슴둘레에 대한 정보는 건강기록부에서 확보하였다. 상기 대상자 중 건강기록부가 분실된 39명, 초경나이에 대해 응답하지 않았던 29명 및 결석 등으로 조사를 하지 못하였던 42명을 제외한 조사 대상자는 206명으로 선정하였다. 대상자들의 초경연령 평균값(Mean±SD)은 13.0±1.11이었고, 초등학교 4학년부터 고등학교 2학년까지의 초경 이후 신장 성장률은 감소하였으며, 초경연령이 빠른 군이 초등학교 때는 신장에 있어서 우위를 차지하나 고등학교에 오면서 신장은 비슷한 수준이 되었다. 초경후 1-2년 사이에 체중과 흉위의 증가율은 감소하였고, 초경연령이 빠른 군이 초등학교와 고등학교 사이에 체중과 흉위에서 모두 우위를 차지하였다. 본 연구의 결과는, 흔히 이차 성징의 시작 시점 혹은 사춘기의 시작 시점으로 보고있는 초경 연령이 청소년기의 성장과 밀접한 관련성이 있고, 특히 체중과 흉위의 성장 속도와 밀접한 관련성이 있음을 시사한다. To understand the onset of menarche in relation to changes in physical growth that take place during female adolescence, especially the changes in height and weight velocity. The 207 senior in one women high school of Kyongju were investigated in April 3 to 8, 2001. We collected the information, relation in the age at menarche, height & weight of parents, regularity of eating, and obesity diet, duration of sleeping, sickness & stress near age at menarche, by self-recording. The status of height, weight & chest circumference between the 4th grade of primary school and the junior of high school was collected by individual Health Record. The results were followed; The average age at menarche was 12.95±1.11 years old and the most frequent age of menarche is 13 years. After menarche, the velocity of height, weight and chest circumference were decreased. The most rapid group of menarche hold dominant position in height during elementary school. As time passed, they dont hold dominant position in height. The most rapid group of menarche get an advantage in the weight and the girth of chest after elementary school. The height of subjects is directly proportional to the height of their parents. These results suggest that the starting age at menestuation can be closely associated with physical growth and development.

실린더형 압전소자 광지연선을 이용한 광 간섭형 단층촬영 시스템 제작

박성진,김영관,김용평 경희대학교 레이저공학연구소 2004 레이저공학 Vol.15 No.-

We demonstrate a compact Optical Coherence Tomography(OCT) system based on the optical fiber delay line controlled by a cylindrical Piezo-electric Transducer(PZT). The OCT system shows excellent characteristics for 2-dimensional imaging, exhibiting 96.90 of signal-to-noise ratio(SNR), 18.6±0.5㎛ of axial resolution, and l0㎛ of lateral resolution with an onion sample.

이온교환막을 통한 전해질 용액의 이동 특성

박형관,한정우,선용호,조영일 연세대학교 산업기술연구소 1989 논문집 Vol.21 No.1

The transport characteristics of electrolyte osmosis through the perfluorinated cation exchange membrane, Nafion NX-430, was inverstigated. The order of electrolyte permeation velocities of single valent ions was:??>??>??>??. At constant concentration ratio the electrolyte fluxes have shown maximum and minimum values with respect to electrolyte concentration, which is called anomalus osmosis. The correlations between potassium ion fluxes and concentration ratios was shown as follows. ?? The effective charge density calclated from membrane potential was 1% of the fixed charge concentration.

아질산 노출이 이스라엘잉어 혈장내 아질산 농도 및 간장 약물대사효소에 미치는 영향

박관하,최상훈,김영길,김용호,최선남,김종배 한국환경독성학회 2003 환경독성보건학회지 Vol.18 No.2

Effects of ambient nitrite, N0₂^(-), at 1, 3, 10 and 30 mg/l, on the changes of plasma nitrite/nitrate and on hepatic drug-metabolizing enzyme activity were examined in the juvenile Israeli carp, Cyprinus carpio. When the fish were exposed to 1 and 3 mg/l N0₂^(-), there was an exposure duration-dependent increase in plasma N0₂- over the 96-hr period reaching 6~7 fold excess the ambient concentration, In the fish exposed to 10 mg/l, a plateau concentration of less than 2-fold of the environment was attained in 12 hr. With 30 mg/l, however, the maximal plasma NOf was 41.25 mg/1 at 12 hr followed by a gradual decline. There was a concentration increase in methemoglobin (metHb) level in all N02^(-)-exposed groups and a significant decrease in hematocrit value in 30 mg/l group after 96-hr exposure. Apart from the blunted increase in plasma N0₂^(-) with higher N0₂^(-)(10 and 30 mg/1) exposure, the ratio of plasma N0₃^(-) to N0₂^(-) was significantly higher in these groups compared to 1 and 3 mg/l. The imbalance in the plasma N0₃^(-)/N0₂^(-) at higher N0₂^(-) exposure suggests a possible accelerated conversion of N0₂^(-) to N0₃^(-). Nitrite exposure did not affect the hepatic drug-metabolic activities in juvenile Israeli carp. All these data indicate that disposition of N0₂- differ depending upon exposed concentration and that metHb production may not be the exclusive toxic mechanism in carp

제4형 가족성 고중성지방혈증 임산부에서 발생한 급성 췌장염 1례

박관응,윤채중,김영학,진영기,윤성호,권용은,김태원,박찬국,김만우 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

Plasma levels of cholesterol (TC) and triglyceride(TG) physiologically increase during pregnancy. The lipid increment is 23-53% above the pregravidic level for TC and 2- to 3-fold of the prepregnancy level for TG. If the TC and TG are higher than normal values in pregnancy, the patient must be carefully monitored. Acute pancreatitis is the main consequence of hyperlipidemia and occurs either during pregnancy, in the third trimester, or in the puerperium. Mortality is high both for the mother (21%) and the fetus (20%). We report a case of 28 year-old pregnant woman at 29 weeks gestation with hypercholesterolemia (TC = 357 ㎎/dl) and severe hypertriglyceridemia (TG = 1300 ㎎/dl). The patient was admitted to the hospital because of severe epigastric pain, nausea and vomiting. Total serum cholesterol was increased and trigyleride was markedly increased. The electroporesis pattern of serum lipoprotein showed increase in pre-beta lipoprotein fraction, suggesting IV hypertriglyceridemia pattern. According to a review of the literature, the incidence of pancreatitis during pregnancy is 1 in 1000 to 3000 pregnancies. Severe hypertriglyceridemia in pregnancy should be treated with a careful restriction of calories and fat: for preventing acute pancreatitis, hospitalization for intravenous fluid therapy and plasma exchange must be required.

Indium 添加된 CdS/(p)Si 異種接合 太陽電池의 製造 및 特性에 관한 硏究

朴鏞寬,金正浩,李載亨,兪榮植 成均館大學校 科學技術硏究所 1995 論文集 Vol.46 No.1

In this study, the CdS/(p)Si solar cell was fabricated by electron-beam evaporation method, and their properties were investigated. Also the resistivity and optical transmission of CdS thin film were measured. The relation between this results and solar cell characteristics was considered, and came to as follow conclusion. 1. CdS this film is the polycrystalline in direction of (002), and has the hexagonal structure. In proportion to increase of substrate and annealing temperature, the optical band gap, and therefore the photo-transmittance in the absorption edge increases, while conductivity above the critical conditions decreases. 2. In proportion to Indium concentration, the resistivity of CdS thin film is the lowest when Indium concentration is 2[wt%]. In the photo-transmittance for the whole visible light, when the concentration is 2 [wt%], Burstein- Moss shift is the largest. 3. I_SC, V_OC FF, η, display the maximum value when the annealing temperture is at 350[℃]. 4. The characterisitcs of solar cells, that is I_SC V_OC FF, η, fabricated by mixture with In, somewhat more increases than those which is not mixed with. 5. In the optimal conditions the I-V characterisitics of the fabricated CdS/(p)Si solar cells shows as follows. V_OC:450[mV], I_SC:11.5[mA/㎠'], FF:0.475, η:4.92[%]

漏電遮斷方式에서의 漏洩靜電容量의 設定値에 관한 硏究

朴鏞寬,金恩培 成均館大學校 科學技術硏究所 1987 論文集 Vol.38 No.1

This paper deals with the ground fault protection from the leakage current in the low voltage distribution system. The protection was carried out mainly by ground connections of stern and loads. But in recent, with the increase of the voltage of the distribution system, it beings to introduce the ground fault current breakers, in this case the leakage capacitance of the distribution system is an important factor, and the range of proper values of the capacitance is determined by theoretical bases. Using this values, the limit value of the leakage capacitance for the proper operation range of earth leakage current breakers can he determined. The protection can be effectively applied and the reliability is improved in case of ground fault in the low voltage distribution system.

變壓器의 過渡勵磁電流 豫測法

朴鏞寬,左宗根 成均館大學校 科學技術硏究所 1986 論文集 Vol.37 No.1

Accurate modeling of the transformer, including its saturation characteristics, is an important requirement for studying inrush current, overvoltage and ferroresonance conditions. This paper describes a straightforward method of determining the parameters for a standard T-type equivalent circuit representation of the transformer which can be used to predict the inrush current with good accuracy. The method relies on test measurements that can be readily performed on site: there is no need for design data on the transformer. A comparison of the computed waveforms with measured waveforms of the inrush currents of a distribution transformer is used to verify the accuracy of the method.

紫外線照射 複合에폭시樹脂의 劣化와 絶緣破壞

朴鏞寬 成均館大學校 科學技術硏究所 1990 論文集 Vol.41 No.1

This paper studied the effect of ultra-violet light on the electrical breakdown, oxidation and degradation of epoxy resin which is widely used to reinforce the insulating feature of various kinds of electrical apparatus. The specimen employed in this study is type A Bisphenol epoxy resin filled with MgO and Al(OH)_3, which is irradiated with UV light. A low-pressure mercury lamp is used as the source of the light, the wave lengh of which ranges from 253.7nm to 435nm. Through the experiment, the irradiation intensity is measured to be 4510㎼/㎠. The results obtained are as follows. 1. The irradiation of UV light creates the carbonyl group and causes crazes on the surface of the specimen. 2. As the duration of the irradiation of UV light is prolonged, the electrical breakdown strength decreases at different rates depending on the amount of filler in the specimen. That is, a larger amount of filler makes the specimen undergo the electrical breakdown at a lower rate.