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      • 조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

        주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

        Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

      • 기동장비용 지향구조물의 진동 감소 상태선정 연구

        유진호,이동주 한국공작기계학회 2006 한국공작기계학회 추계학술대회논문집 Vol.2006 No.-

        In order to predict vibration trends occurred during vehicle drive, acceleration data was processed by using data processing algorithm with moving average and Hilbert transform. Specific mode constants of acceleration were obtained under various disturbance. Vehicle velocity, road condition, property of pointing structure were considerd as factors which make change vibration trend in vehicle dynamics. Results of signal processing were compared and analysised.

      • NATM 산악터널의 숏크리트 투입율에 관한 연구

        이철주,김성윤,김동건,유남재 江原大學校 産業技術硏究所 2009 産業技術硏究 Vol.29 No.B

        This study has analysed actual overbreak, shotcrete rebound and the ratio between the actual quantity of shotcrete to designed shotcrete measured during a NATM tunnel construction. The measured shotcrete rebound was about 7.2% in average which was about half the allowable rebound (15%), showing shotcrete spraying was performed well. Based on the measurement of excavated tunnel shape, average overbreak was about 28.5 cm after tunnel excavation by drill and blasting method. This was about 260% of allowable overbreak. In addition, due to the rebound and overbreak actual amount of shotcrete used in the tunnelling work was about 116.5 % of the designed value. According to the field measurement the ratio of actual shotcrete to designed value showed some relation with standard support pattern, but the size of overbreak did not show the correlation with standard support pattern. Hence current design specifications stating the size of overbreak based entirely on standard support pattern should perhaps be reestablished. The insight into the design guideline regarding overbreak and shotcrete

      • 지역발전을 위한 대학교 연구소 역할활성화에 관한 연구 : 아산·천안지역과 순천향대학교 사회과학연구소를 중심으로 focused on Asan and Chonan Area and the Research Institute of Social Science at Soonchunhyang University

        윤주명,유형선,원재환,안동근 순천향대학교 사회과학연구소 2002 순천향 사회과학연구 Vol.8 No.1

        The objective of this study is to survey the demand of profit and non-profit sectors to research institute of social sciences at soonchunhyang university(RISS of SCH) in Asan and Chonan city, to find the policy alternatives to develop RISS of SCH. Form the result of analysis, the degree of recognition to RISS of SCH of both profit and non-profit sectors is very low, but their willingness to cooperate with RISS of SCH is relatively high. Especially they want the partnership with RISS of SCH in reeducation of their staffs, exchange of information, and co-works in research and seminar so on. This study suggests as the developing ways of RISS of SCH, changing organizational structure, making eeducation programmes for staffs of profit and non-profit sector, creating new media to disseminate information, and publishing partnership research journal with neighborhood university so on.

      • 볼엔드밀 가공시 원통경로에 따른 형상특성에 관한 연구

        조병무,유익수,이동주 한국공작기계학회 2009 한국공작기계학회 춘계학술대회논문집 Vol.2009 No.-

        The free-formed surface machining using a ball end mill is important and the geometric accuracy of a 3D workpiece is effected by the cutting characteristics. Machining error is defined by the normal distance between designed surface and actual tool path with tool deflection. This is inevitably caused by the tool deflection, tool wear, thermal effect and machine tool errors and so forth. The results will be useful as a guidance for cutting condition to improve the geometrical accuracy of free-formed surface in ball end milling.

      • Ball-end milling 에서의 경사면 가공시의 공구진동 특성에 관한 연구

        조병무,유진호,이동주 한국공작기계학회 2004 한국공작기계학회 춘계학술대회논문집 Vol.2004 No.-

        Inclined surface milling in the mould and die industries is one of the most commonly needed cutting process. For the variety and complexity of cutting characteristics in various cutting condition, it is difficult to select a optimal tool path orientation. The comparative results through FFT analysis in this study provide a guideline for the selection tool path orientation.

      • KCI등재

        쇄골 간부 골절 불유합의 수술적 치료 : 재건 금속판 고정 및 골 이식술 Reconstruction Plate Fixation and Bone Grafting

        변영수,유찬훈,안혁수,문성건,신동주,박준우 대한골절학회 2003 대한골절학회지 Vol.16 No.2

        목 적: 쇄골 간부 골절 불유합에 대하여 관혈적 정복, 재건 금속판 고정 및 골 이식을 시행하고 술후 조기 관절 운동을 허용한 저자들의 경험을 보고하는 것이다. 대상 및 방법: 1997년 1월부터 2001년 12월까지 수술적 치료를 시행한 쇄골 간부 골절 불유합 16예를 대상으로 하였다. 위축성 불유합이 10예, 비후성 불유합이 6예였으며, 수상 후 불유합에 대한 수술까지의 기간은 평균 6.5개월이었다. 수술적 치료로 불유합 부위를 노출시켜 섬유조직을 제거하고 골수강을 천공하였으며, 골편을 정복하고 재건 금속판으로 고정하였으며, 자가 골 이식을 하였다. 수술 후 관절 운동은 1주일 이내에 시작하였다. 결 과: 평균 추시 기간은 22.0개월이었으며, 전 예에서 평균 10.0주에 골유합을 얻었다. 최종 추시 시의 견관절 운동범위는 전 예에서 정상으로 회복되었으며, 나이가 50게 이상인 6예 중 3예에서 동측 견관절에 간헐적인 동통을 호소하였다. 술후 감염, 재검 금속판의 파손, 고정상실, 불유합, 재골절 등의 합병증은 발생치 않았다. 결 론: 쇄골 간부 골절 불유합에 대한 관혈적 정복, 재건 금속판 고정 및 골 이식은 안정성 고정으로 조기 재활이 가능하고 견고한 골유합을 얻을 수 있어 안전하고 확실한 치료방법으로 사료된다. Purpose: The purpose of this study is to present out experience with open reduction, 3.5-㎜ reconstruction plate fixation, bone-grafting, and postoperative early mobilization for nonunions of midshaft clavicular fratures. Materials and Methods: Sixteen patients were treated operatively for nonunions of the midshaft of the clavicle from 1997 to 2001. Ten nonunions were atrophic and six were hypertrophic. Nonunion had been present for an average of 6.5 months. The operative technique included removing the fibrous tissue from the nonunion site and opening the medullary canal, reduction of the fracture and fixation with a 3.5-㎜ reconstruction plate, and bone-grafting. Postoperative mobilization started within one week. Results: The average duration of follow-up was 22.0 months. All fracture were united in an average of 10.0 weeks. All patients had full range of motion of the ipsilateral shoulder, but 3 our of 6 patients who were more than 50 years old complained occasional pain in the ipsilateral shoulder at the final follow-up examination. There were no major complications of postoperative infection, metal failure of the plate, loss of fixation, nonunion, and refracture after removal of the implant. Conclusion: The technique of open reduction, reconstruction plate fixation, and bone-grafting is a safe and reliable method to allow early rehabilitation by stable fixation and to predict a high rate of union for nonunions of midshaft clavicular fractures.

      • 볼엔드밀 가공에서 형상정밀도에 관한 실험적 연구

        조병무,유익수,이성휘,이동주 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

        In manufacturing process, the. free-formed surface machining using a ball end mill of CNC machining center is important and the geometric accuracy of a 3D workpiece is effected by the cutting characteristics. Machining error is defined the normal distance between designed surface and actual tool path with tool deflection. This is inevitably caused by the tool deflection, tool wear, thermal effect and machine tool errors and so forth. In this study, the geometric accuracies such as roundness in semi-cylinder, free-formed profile and surface roughness were measured using a Coordinate Measurement Machine(CMM) and a contact type surface roughness measuring device. The results will be useful as a guidance for cutting condition to improve the geometrical accuracy of free-formed surface in ball end milling.

      • KCI등재

        저체중 또는 과체중 청소년에서 캠프 프로그램을 이용한 영양 교육효과에 관한 연구

        성미경,승정자,류화춘,박재년,박동연,최미경,조경옥,최선혜,이윤신,김유경,이은주 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.4

        This study was performed to evaluate the effectiveness of a nutrition education program developed for nutritionally imbalanced adolescents. A summer nutrition camp was held for 23 overweight and 16 underweight subjects. Its effectiveness with regard to was evaluated at the end of the camp and 6 months later. Nutrition knowledge, nutritional attitude, food behavior, nutrient intake, exercise habit and ideal body figures desired by the subjects. The results showed significantly higher nutrition knowledge scores at the end of the camp as compared to those obtained prior to the camp program, and these scores were maintained for at least six months. Nutrition attitude scores also improved after the education program, and these improved scores also lasted for 6 months. However, the food behavior scores measured 6 months after the education program were not significantly different from those obtained prior to the camp. Also, the exercise habit, the ideal body figures and the body figures desired by the subjects remained unchanged. When nutrient intakes of subjects were assessed before the program and 6 months later, the mean daily vitamin C intake was significantly increased after the education program. Also, the intake of iron from plant food sources increased in the overweight subjects, while less iron from animal source were consumed by the underweight subjects. Both groups tended to consume more vegetables and fruits 6 months after the education program which may have contribute to the higher vitamin C and plant-based iron intakes. These results indicate that a 4-day nutrition education camp program sustained changes in nutrition knowledge and nutrition attitude for 6 months. The increased intake of vegetables and fruits was also achieved through this education program. However, changes in dietary behavior in adolescents may require repeated education.

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