비정질 강섬유 혼입 고강도콘크리트의 수증기압력 평가

김덕우 ( Kim Duck-woo ),김규용 ( Kim Gyu-yong ),황의철 ( Hwang Eui-chul ),손민재 ( Son Min-jae ),백재욱 ( Baek Jae-wook ),남정수 ( Nam Jeong-soo ) 한국건축시공학회 2018 한국건축시공학회 학술발표대회 논문집 Vol.18 No.2

In this study, water vapor pressure of high strength concrete reinforced with amorphous steel fiber(AF) was evaluated. Experimental results show that spalling occurs when the incorporation rate of amorphous steel fiber is 0.5 vol.% or more. This is because the ratio of AF increased per unit area influenced the formation of the water vapor pressure discharge passage by the polypropylene fiber(PPF) melting. Therefore, it is necessary to find the proper mixing ratio of AF and PPF to prevent spalling.

유전성 대장암

김덕우(Duck-Woo Kim) 대한의학유전학회 2010 대한의학유전학회지 Vol.7 No.1

대장암은 우리나라에서 가장 급격하게 발생이 증가하는 암종의 하나로 유전성 대장암은 전체 대장암의 5-15%를 차지한다. 유전성 대장암은 크게 유전성 비용종증 대장암과 유전성 용종 증후군에서 발생하는 대장암으로 나눌 수 있고, 유전성 용종 증후군에는 가족성 용종증, 포이츠-예거 증후군, 유년기 용종증, MYH 연관 용종증 등이 이에 해당한다. 유전성 대장암은 원인 유전자의 배선돌연변이에 기인하므로 산발성 대장암에 비하여 암이 조기 발생하고, 동시성 및 이시성 암이 흔하며, 대장 이외의 장기에도 종양을 비롯한 질병을 일으키는 특징이 있다. 유전성 대장암은 환자뿐 아니라 가족구성원에 대한 유전자 검사, 유전 상담, 조기 진단을 위한 정기 검진이 매우 중요하며, 이러한 환자 및 가족구성원의 효율적 관리를 위한 유전성종양 등록소의 역할이 중요하다. 본 논문에서는 유전성 대장암에 해당하는 질환들의 임상적/유전적 특성, 치료, 유전자 검사 및 정기검진 프로그램에 대하여 고찰하고자 한다. Colorectal cancer is one of the most steeply increasing malignancies in Korea. Among 398,824 new patients recorded by the Korea Central Cancer Registry between 2003 and 2005, 47,915 cases involved colorectal cancers, accounting for 12.0 % of all malignancies. In 2002, total number of colorectal cancer cases had accounted for 11.2 % of all malignancies. Hereditary syndromes are the source of approximately 5% to 15% of overall colorectal cancer cases. Hereditary colorectal cancers are divided into two types: hereditary nonpolyposis colorectal cancer (HNPCC), and cancers associated with hereditary colorectal polyposis, including familial adenomatous polyposis (FAP), Peutz-Jeghers syndrome, juvenile polyposis, and the recently reported hMutYH (MYH)-associated polyposis (MAP). Hereditary colorectal cancers have unique clinical features distinct from sporadic cancer because these are due to germline mutations of the causative genes; (ⅰ) early age-of-onset of cancer, (ⅱ) frequent association with synchronous or metachronous tumors, (ⅲ) frequent association with extracolonic manifestations. The management strategy for patients with hereditary colorectal cancer is quite different from that for sporadic cancer. Furthermore, screening, genetic counseling, and surveillance for at-risk familial member are also important. A well-organized registry can plays a central role in the surveillance and management of families affected by hereditary colorectal cancers. Here, we discuss each type of hereditary colorectal cancer, focusing on the clinical and genetic characteristics, management, genetic screening, and surveillance.

가축분뇨실태조사를 위한 지하수 오염현황조사 지점 선정 방법 개발

김덕우 ( Deok-woo Kim ),류홍덕 ( Hong-duck Ryu ),백운일 ( Unil Baek ),김선정 ( Sunjung Kim ),신동석 ( Dong Seok Shin ),이재관 ( Jae Gwan Lee ),정유진 ( Eu Gene Chung ) 한국환경과학회 2019 한국환경과학회지 Vol.28 No.1

The groundwater quality through livestock excreta survey based on “Act of the management and use of livestock excreta” was investigated by selecting sampling sites within 1 km of the farmland without considering hydrogeological units. However, these sites can be affected by various pollution sources such as chemical fertilizers and livestock excretions. Additionally, the effects of pollution sources on groundwater quality in the sites cannot be clearly distinguished from naturally occurring backgrounds. In this study, a method was developed to select the sampling sites for groundwater quality through livestock excreta survey in order to understand the effects of pollution sources especially livestock excreta. First, the concentrations of nitrate within the radius of 200 m, 300 m, 500 m and 750 m, respectively, from the farms regarded as pollution sources in hydrogeological units were compared in 2016-2017. All the nitrate concentrations at 200 - 500 m from the farms exceeded a background concentration, 13.3 mg/L. Those at 750 m and the background concentrations measured by the Ministry of Environment were comparable. Therefore, the appropriate radius was suggested as 500 m for livestock excretions survey. In this study, the areas within 500 m from the farms could be considered under the influence of livestock excretions, while those beyond 500 from the pollution sources as background in hydrogeological units. The developed method was validated by applying it to the sites selected based on both administrative divisions and watersheds for livestock excretion survey. The average densities for the developed method were 0.82 and 0.39 points/km2, respectively, which were considered as appropriate levels according to those of the European Environmental Agency.

이화학적 특성과 질소 안정동위원소비를 활용한 강우시 가축사육 밀집 지역의 하천 수질 영향 평가

류홍덕 ( Hong-duck Ryu ),백운일 ( Un-il Baek ),김선정 ( Sun-jung Kim ),김덕우 ( Deok-woo Kim ),김찬식 ( Chansik Kim ),김민섭 ( Min-seob Kim ),신동석 ( Dongseok Shin ),이재관 ( Jae-kwan Lee ),정유진 ( Eu Gene Chung ) 한국환경과학회 2019 한국환경과학회지 Vol.28 No.1

This study aimed to assess the impact of livestock excreta discharged from an Intensive Livestock Farming Area (ILFA) on river water quality during a rainfall event. The Bangcho River, which is one of the 7 tributaries in the Cheongmi River watershed, was the study site. The Cheongmi River watershed is the second largest area for livestock excreta discharge in Korea. Our results clearly showed that, during the rainfall event, the water quality of the Bangcho River was severely deteriorated due to the COD, NH₄-N, T-N, PO₄-P, T-P, and heavy metals (Cu, Zn, and Mn) in the run-off from nearby farmlands, where the soil comprised composted manure and unmanaged livestock excreta. In addition, stable isotope analysis revealed that most of nitrogen (NH₄-N and NO₃-N) in the run-off was from the ammonium and nitrate in the livestock excreta. The values of δ¹⁵N_NH4 and δ¹⁵N_NO3 for the Bangcho River water sample, which was obtained from the downstream of mixing zone for run-off water, were lower than those for the run-off water. This indicates that there were other nitrogen sources upstream river in the river. It was assumed from δ¹⁵N_NH4 and δ¹⁵N_NO3 stable isotope analyses that these other nitrogen sources were naturally occurring soil nitrogen, nitrogen from chemical fertilizers, sewage, and livestock excreta. Therefore, the use of physicochemical characteristics and nitrogen stable isotopes in the water quality impact assessment enabled more effective analysis of nitrogen pollution from an ILFA during rainfall events.

대장직장암 간전이 환자에서 수술전 FDG PET의 예후인자로서의 중요성

이효상 ( Hyo Sang Lee ),이원우 ( Won Woo Lee ),김덕우 ( Duck Woo Kim ),강성범 ( Sung Bum Kang ),이경호 ( Kyoung Ho Lee ),이근욱 ( Keun Wook Lee ),김지현 ( Jee Hyun Kim ),김상은 ( Sang Eun Kim ) 대한핵의학회 2009 핵의학 분자영상 Vol.43 No.5

목적: 본 연구의 목적은 대장직장암 간전이 환자에서 수술 전 FDG-PET의 예후인자로서의 중요성을 평가하는 것이다. 대상 및 방법: 진단시부터 간전이를 동반한 대장직장암 환자로서, 수술 전 FDG-PET을 실시하고, 원발병변과 간전이병변에 대한 근치적 수술이 가능했던 24명의 환자(남자: 여자=14:10; 나이 63±10세)가 연구에 포함되었다. 간전이병변은 13예는 간절제, 7예는 고주파절제술, 그리고 4예는 간절제와 고주파절제술을 함께 시행하였다. 잠재적 예후인자로 원발병변의 최대표준화섭취계수(이하 maxSUV), 간전이병변의 maxSUV, 원발병변/간전이병변의 maxSUV 비(M/P ratio), 조직학적인 분화도, 수술 전 CEA, 혈관/림프계/신경 침범여부, T-병기, N-병기, 간전이 병변의 개수, 림프절 전이 개수, 간전이 치료방법을 연구에 포함시켰다. 결과: 24명의 환자 중 14명의 환자가 추적관찰기간 중 재발을 일으켰으며, 이들의 중앙 추적관찰기간은 244일이었다. 추적관찰기간 중 재발을 일으키지 않은 10명 환자의 중앙 추적관찰기간은 504일이었다. 분석에 포함한 잠재적 예후인자 중 M/P ratio만이 재발군(0.72±0.14)과 비재발군(0.54±0.23)에서 통계적으로 유의한 차이를 보였다(p=0.038). Cox 비례위험 모형을 이용한 생존분석에서 M/P ratio만이 유일하게 통계적으로 유의하게 재발을 예측하는 예후인자였다(상대위험도 37.7, 95% 신뢰구간 2.01-706.1, p=0.016). M/P ratio 0.61을 기준으로 이분하였을 때, 낮은 군(<0.61) 11명의 무병생존률은 높은 군(≥0.61) 13명의 무병생존률에 비해 유의하게 높았다(p=0.026). 결론: 간전이병변/원발병변의 maxSUV 비(M/P ratio)는 간전이를 동반한 대장직장암 환자에서 술 후 재발을 예측하는 예후인자로서 유용하다. 간전이병변의 FDG섭취가 원발병변에 비해 상대적으로 높은 상태는 4병기의 대장직장암 중에서도 더욱 진행된 병기를 나타내는 것으로 보인다. Purpose: The purpose of this study was to assess the prognostic value of preoperative FDG-PET in colorectal cancer (CRC) patients with hepatic metastasis (HM). Materials and Methods: 24 CRC patients (M:F=14:10; age, 63±10 yrs) with HM who had undergone preoperative FDG PET were included. Cure-intent surgery was performed in all the patients and HMs were controlled using resection (n=13), radio-frequency ablation (RFA) (n=7), and resection plus RFA (n=4). Potential prognostic markers tested were maxSUV of primary tumor, maxSUV of HM, maxSUV ratio of HM over primary tumor (M/P ratio), histologic grade, CEA level, venous/lymphatic/nerve invasion, T stage, N stage, no. of HM, no. of lymph node metastasis, and treatment modality of HM. Results: 14 CRC patients developed a recurrence with a median follow-up duration of 244 days, whereas 10 patients did not develop recurrence with a median follow-up duration of 504 days. M/P ratios but other potential prognostic markers were significantly higher in the recurrent patients (0.72±0.14) than recurrence-free patients (0.54±0.23) (p=0.038). M/P ratio only was found to predict recurrence by Cox multivariate analysis (hazard ratio 37.7, 95% confidence interval 2.01-706.1, p=0.016). The 11 patients with lower M/P ratio of <0.61 had significantly better disease-free survival rate than the 13 patients with higher M/P ratio (≥0.61) (p=0.026). Conclusion: maxSUV ratio of HM over primary tumor (M/P ratio) may be useful for prognosis prediction of CRC patients with HM. Higher FDG uptake of HM than that of primary tumor may indicate a more advanced status in stage IV CRC. (Nucl Med Mol Imaging 2009;43(5):429-435)

항문직장의 악성흑색종

김덕우,강성범,허승철,박규주,방영주,박재갑 대한대장항문학회 2002 Annals of Coloproctolgy Vol.18 No.4