간세포암의 고주파 열치료 후 천자침 경로를 통한 전이 1례

조영완,박석주,진한영,김준영,이재익,강명주,박정하,윤정희,박성재,지삼룡,이연재,이상혁,설상영 인제대학교 2006 仁濟醫學 Vol.27 No.-

Radiofrequency ablation(RFA), as a form of minimally invasive therapy for hepatocellular carcinoma, has become an important treatment modality. Because of limitation of surgery, RFA has become standard therapy for hepatocellular carcinoma in some situations. But there are some complications of RFA such as bleeding, infection, hematoma, adjacent organ thermal damage including intestinal perforation, needle track seeding, and so on. There are few reports in the literature that systematically evaluate the incidence of needle tract seeding and its associated risk factors. And only 2 cases of needle tract seeding of hepatocellular carcinoma after RFA were reported in Korea. We report a case of needle tract seeding of hepatocellular carcinoma after RFA.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

한강둔치에서 재배된 농작물 중의 미중금속 함량에 관한 연구

김연천,전옥경,양혜란,최영희,한선희,이강문,Kim, Youn-Choen,Chun, Ock-Kyoung,Yang, Hae-Ran,Choi, Young-Hee,Han, Sun-Hee,Lee, Kang-Moon 한국식품위생안전성학회 2000 한국식품위생안전성학회지 Vol.15 No.3

한강 고수부지 및 지천인 안양천, 탄천, 중랑천변의 경작지에서 채집된 36종 285건의 농작물에 대한 Pb, Cr, Cd, Fe, Zn, Mn, Cu. Hg의 농도를 측정하고 그 결과를 채집 시기, 채집 지역 및 작물별로 비교, 분석한 결과, 작물 중의 중금속 함량은 평균치를 기준으로 볼 때 Fe(34.592 ppm)>Mn(11.071 ppm)>Zn(8.853 ppm)>Cu(1.795 ppm)>Cr(0.237 ppm)>Pb(0.100 ppm)>Cd(0.011 ppm)>Hg(0.003 ppm) 순으로 곡류 및 두류에서는 Zn의 함량이 Mn보다 높고, 채소류와 과실류에서는 Mn의 함량이 Zn보다 높은 양상을 나타냈다. 또한 각 지역에서 채취한 작물의 미량금속 함량의 경우 Fe은 0.004∼203.083 ppm, Cu은 0.017∼22.727 ppm. Mn은 0.000∼74.373 ppm. Zn은 0.080∼37.166 ppm으로 비교적 고농도로 존재하고 있는 반면 유해중금속류인 Pb은 0.000∼0.654 ppm, Cd은 0.000∼0.270 ppm, Cr은 0.000∼l.229 ppm, Hg은 0.000∼0.037 ppm으로 비교적 미량으로 존재함을 알수 있었다. 대상 농작물을 잎, 줄기, 뿌리, 열매로 분류하여 미량금속 함량을 분석한 결과, 분석 대상 금속의 농도가 잎>줄기>뿌리>열매의 순으로 나타났다. 무등의 뿌리 작물에 있어서 Pb은 잎(0.055 ppm))뿌리(0.035 ppm), Cr은 잎(0.118 ppm))뿌리(0.031 ppm), Cd은 잎(0.004 ppm)1뿌리(0.001 ppm), Hg은 잎(0.004 ppm))뿌리(0.001 ppm)으로 뿌리보다 잎에 많은 것으로 나타났는데 이러한 결과로 보아 뿌리는 금속 이온이 흡수되는 기관일 뿐 축적은 잎에 비해 상대적으로 적게 됨을 알 수 있었다. This study was conducted to determine the content of trace metals in crops cultivated in Han-riverside, Anyang stream, Tan stream, and Jungryang stream. Trace metals (Pb, Cr, Cd, Fe, Zn, Cu, Hg) were detected in 36 crops, 285 samples by Atomic Absorption Spectrophotometer and Mercury Analyzer. The average concentration of trace metals in crop samples was in the order of Fe (34.592 ppm)>Mn (11.071 ppm)$\geq$Zn(8.853 ppm)>Cu(1.795 ppm)>Cr(0.237 ppm)>Pb(0.100 ppm)>Cd(0.011 ppm)>Hg(0.003 ppm). In crop samples, the contents of Fe, Cu, Mn, and Zn, which ranges were 0.004-203.083 ppm, 0.017~22.727 ppm, 0.000~74.373 ppm, 0.080~37.166 ppm, respectively, were relatively higher than those of Pb, Cd, Cr, and Hg, which ranges were 0.000~0.654 ppm, 0.000~0.270 ppm, 0.000~l.229 ppm, 0.000~0.037 ppm, respectively. The concentration of trace metals in crop samples was in the order of leafy vegetables > stem vegetables > root vegetables > fruity vegetables. In the root vegetables, such as radish, the content of Pb was leaf(0.055 ppm)>root(0.035 ppm), that of Cr, leaf (0.118 ppm)>root(0.031 ppm), that of Cd, leaf(0.004 ppm)>root(0.001 ppm), that of Hg, leaf(0.004 ppm)>root(0.001 ppm). As the results, it could be thought that root is the organ which doesn't accumulate the heavy metal ions, but absorb them.

초등학교 과학과 수업에서 STS 수업 모형 적용에 따른 학습자 특성에 대한 연구

한영욱,심재윤 부산교육대학교 교육대학원 2003 논문집 Vol.5 No.-

This study is about the difference of science knowledge achievement of learner's cognition level and their cognition style after developing and applying a science class program of the 575 models which is presented by Iowa Chautauqua Program. In this study, we picked out two classes. a total of 81 elementary students. The STS class model program was applied to the experimental group and the traditional class was applied to the comparison group. Then we looked into the alteration of the science knowledge achievement, the inquiry ability and the attitude toward science. We also studied on the effect of the student's cognition level and their cognitive style which were differently shown in the STS model class. The results of the study are as follows. First, statistics figures of our study after classes show that the experimental group with the STS class model is significantly higher than the comparison group with the attitude toward science. Secondly, in the cognitive levels, the students with STS model class show much higher statistics in inquiry ability of formal operation stage's alteration, in the attitude toward science of transitional stage's alteration. The students of the concrete operation stage show much higher statistics in the science knowledge achievement and in the inquiry ability. Third, in the cognitive style, the statistics shows that students of the field independent group is higher in the alteration of the science knowledge achievement is higher in the change of attitude toward science, compared with the comparison group with the basic traditional class. So far we have found that class with STS model is much more effective in elementary school students' science achievement than the students with the traditional class, not only in the concrete operation stage about the cognitive levels but also in the middle group between the field independent and the field dependent group on the style of cognition Therefore because most students in elementary school belong to concrete operation stage and the lower levels of cognitive level, we can conclude that the class applied with STS model, which is basically focused on the practical life and subject from real life, affects elementary students more effectively.

도서관리 종합 정보 시스템 설계 및 구현

윤선심,김영준,유재중,이호근,김영현,임한수,박두순 순천향대학교 부설 산업기술연구소 2002 순천향 산업기술연구소논문집 Vol.8 No.1

There has been a sizable growth in the use of rich media over the World Wide Web(WWW) as more individuals and institutions realize rich-media's potential in a broad range of applications, including electronic commerce, education and training, news, etc. Internet and WWW technologies provide the information of the web. Libraries are systems that carry out interactions among information and knowledge seekers. Library become more and more important for the provision of data. Total information system for books management exist in many forms. We present total information system for books management which is applied to several different sources, e.g., administrator security login, statistics about the present state of lending, printing management, and convenient GUI(Graphic User Interface) environment.

초등학교 암석원의 실태분석 및 암석단원 지도를 위한 효과적인 방안 모색

한영욱,심재윤 부산교육대학교 교육대학원 2005 논문집 Vol.7 No.-

본 연구는 암석원의 형태 및 관리 실태, 설치된 암석의 종류 및 암석원에 대한 인식도와 활용도를 알아보기 위해 부산광역시 및 인근 도시의 97개 초등학교를 대상으로 하였으며 설문지에 적극적으로 응답한 22개 초등학교의 암석원에 관한 설문지를 분석하였다. 그 중에서 옥외 암석원을 가진 20개 학교 중 19개 학교에 대해서는 각각의 학교를 직접 방문하여 직접 암석원의 관리상태, 학생들의 관찰 용이도 및 암석의 육안 감정으로 암석명의 정확도를 조사하였다. 연구 결과 과학과 학습지도를 위한 암석원을 갖추고 있는 학교는 전체 표집 학교 수의 약 58%에 지나지 않았으며 암석의 수도 30점 미만이 대부분이었으며 암석원의 형태 및 배열 순서도 한줄로 길게와 무작위로 배열되어 있는 경우가 과반에 이르렀다. 암석원의 활용도 면에서는 77%가 연 1-2회에 한정되어 있으며 수업의 형태도 한 두 가지 방법에 머무르고 있었다. 암석원에 대한 교사들의 인식 부분에 있어서 암석명에 대한 신뢰도는 73%가 신뢰하지 못하고 있으며 암석 학습에 관해 77%의 교사가 도움의 필요성을 인식하고 있었다. 직접 현장을 방문해 조사한 결과 90% 이상의 학교에서 암석명의 정정 필요성이 있었다. This study is focused to propose policy suggestions and recommendations for the improvement of teaching a rocks unit through the analysis of the rocks garden's current status. A survey questionnaire was developed to survey perceptions of teachers and the actual rocks garden's condition and how to using it at 97 elementary schools. Twenty-two out of 97 teachers responded to the questionnaires. On the basic of questionnaire analysis. The findings of this study are as follows. First, there are only 58% elementary schools have the rocks garden for a rocks unit's lesson. Also, usually they have under thirty rocks in there. Second, the majority of the rocks garden were formed only one line and arranged at random. Third, the rocks garden is used once or twice in a year and teachers use a few teaching methods. Forth, on teachers perceptions, 73 percents of theacers don't put confidence in rocks' name and they need to help using the rocks garden and teaching a rocks unit. Fifth, over 90 percents of the rocks garden have wrong name tags. Therefore, they need to make a correction. It is suggested that: First, for the improvement science education, each elementary school essentially have a rocks garden, give an explanation and administer it. Second, whenever the rocks garde is opened for using it, but students have no interest in it. Therefore teachers consider practical using. Third, for the improvement teaching a rock unit, we need to development teaching-learning methods using the rocks garden and expand the reeducation of elementary teachers.

자일리톨 껌 저작에 의한 유치 우식증 예방효과 비교분석

한성근,최연희,손은영,송근배,김영진,남순현 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

자일리톨 껌 저작에 의해 어린이들의 유치우식증 예방효과를 평가하기 위하여 3개 어린이집에서 만 5~6세 어린이 123명을 최종 선정하였다. 자일리톨 껌을 씹는 군(42명), 솔비톨 껌을 씹는 군(42명) 그리고 아무런 조치도 취하지 않은 대조군(39명)으로 나누어 12개월 동안 하루 5회씩 껌을 저작하게 한 다음 구강검사와 우식활성 검사를 통해 유치우식증 예방효과를 비교 분석 하였다. 12개월 동안 대조군 어린이들에서는 dfs index가 5.19개면 증가하였고 솔비톨 군에서는 2.96개면이 증가한 반면 자일리톨 군에서 2.62개면이 증가하여 대조군에 비해 자일리톨 군은 47.1%가 감소하였고 솔비톨 군에서는 43.6%가 감소한 것으로 나타났다. Dentocult-SM strip 검사 및 site strip 검사 결과 모두에서 대조군에 비해 자일리톨 껌과 솔비톨 껌을 씹은 군의 아동들에서 우식활성도가 공히 감소되었다. 따라서 본 연구와 같은 집중적인 자일리톨 껌의 저작 사업은 대상자들과 부모들의 사업에 대한 호응도가 높았고, 사업 시행이 다른 국책 구강보건사업에 비해 용이하였으며 특히 유치우식증 예방적인 측면에서 효과적인 것으로 나타났다. The effect of xylitol and sorbitol chewing gums on dental caries levels among 5-year old kindergarteners was investigated. Three kindergartens the operations of which were partly subsidized by municipal government of Daegu city, Korea, were chosen as the study sites. The child base of the kindergartens were considered demographically and ethnically similar, representing middle-income families. The subjects were examined at their own kindergarten by the two dentists. Participation in the program was voluntary. Over 12 months, 123 participants chewed xylitol chewjng gums(X group; 42 subjects), sorbitol chewing gum@ group; 42 subjects), or did not receive chewing gum as a control group(C group: 39 subjects). Consumption of xylitol and sorbitol was 4.5 to 5.0 g/day/subject, consumed in five daily chewing episodes of 5 min. Oral examination, Dentocult-SM test and interproximal dental plaque collection were completed at baseline and 12 months later. The dmfs of group C increased 59.2%. but group S increased 33.4% and group X increased only 31.3% during 12 months study period. The caries prevention ratio was 47.1% at group X and 43.6% at group S. There also appeared the reduction of caries activity at group X(1.39), group S(1.50) than control group(1.79). Compared with groups S and C, there was a statistically significant reduction of S. mutans in interproximal plaque in group X. The results suggest that xylitol chewing gum can prevent dental caries of deciduous dentition, and may be a little more effective than a sorbitol-containing product in controlling some caries-associated parameters in kmdergarten-age subjects.

웹사이트 활용 교육을 통한 초등학교 6학년 환경교육의 적용방안과 효과

한영욱,심재윤 부산교육대학교 교육대학원 2001 논문집 Vol.3 No.-

In this work, web-site data for the environmental education were searched to use the data-bank. Using this data bank, the environmental education of the elementary students was carried out and investigated the effects on the their environmental academic achievements, their studying attitudes and their mechanism of thinking. The results are as follows: (1) Using the various searching program and instruments, the web-site data about the environmental problems were searched and cataloged by classifying the subjects and URL in order to use the environmental education of elementary students. (2) The selected web-site data were turned out to be complete, satisfactory and valuable to study the various subjects and aspects in the textbook and also for the elementary students. (3) The experimental class using these web-site data and the comparable class not using these data were nearly the same in the academic achievement. Some part of the experimental class had more increase in knowledge and the comparable class had better in attitude.

NC 선반의 직선 사이클 평면 위치결정 정도 측정 및 분석

김영석,정정표,한지희,윤원주 朝鮮大學校 機械技術硏究所 2003 機械技術硏究 Vol.6 No.2

It is very important t o measure linear cycle plane positioning accuracy of NC lathes because the plane positioning accuracy affects accuracy, performance, interchange-ability and quality of machine parts machined by the NC lathes in industries. Until now, linear cycle plane positioning accuracy test of NC lathes has not been carried out because the two axes of NC lathe are moving simultaneously crossing a t right angle each other. while positioning accuracy test of one axis of NC lathe is briskly carried out using a laser interferometer system in industries. So, in this study, a measuring units system to measure simultaneously two axes' plane. positioning accuracy of NC lathe was composed of two optical linear scales installed on the. z and x-axis of work coordinate system on NC lathe and a computer inserted with PC counter card enables to obtain measuring data. Here, ATC(Automatic Tool Changer) and moving part of linear scale are fixed with magnet bases in order to measure displacement of the ATC of NC lathe. And next, computer software was developed in order to measure the lathe under resolution of 0.1㎛ by the linear scales, and also computer soft measuring data could be modeled on plots and be analyzed to numerically.

메조포어 물질을 이용한 TiO_2의 제조와 광촉매 산화반응에의 적용

이한수,윤봉국,우창수,김소영,He, NongYue,이호인 한국공업화학회 2003 응용화학 Vol.7 No.1

TiO_2-loaded mesoporous materials were prepared by sol-gel method. Mesoporous materials suppressed the phase transformation of TiO_2 from anatase to rutile and increased the bandgap of TiO_2 which was explained in terms of the quantum size effect. Several kinds of nano-sized TiO_2 with particle sizes of 5∼20 nm, were obtained through the removal of the mesoporous materials by etching in 2 M NaOH or the calcination under air condition. They showed good activites in the photocatalytic oxidation of 2-isopropyl-6-methyl-4-pyrimidinol.