대장천공의 합병증과 사망률에 영향을 미치는 인자

박건환,최평화,김재일,노태호,허태길,박제훈,이명수,김철남,장석효 대한대장항문학회 2009 Annals of Coloproctolgy Vol.25 No.3

Purpose: The present study was performed to assess the outcomes in patients with colonic perforation and to determine the prognostic factors for mortality. Methods: The cases of 42 patients who underwent surgery for colonic perforation between March 1999 and September 2008 were retrospectively reviewed. Age, sex, American Society of Anesthesiologists (ASA) classification, presence of preoperative shock, duration of symptoms, cause of perforation, location of perforation, degree of peritonitis, and the Mannheim Peritonitis Index (MPI) score were analyzed for their association with early outcome by using univariate and multivariate analyses. Results: Diverticulitis (46%, 19 patients) and colorectal cancer (36%, 15 patients) were the most common causes of noniatrogenic colonic perforation, and the sigmoid colon was the most common site of perforation (60%, 25 patients). The postoperative mortality was 21.4% (9 patients). The mortality in patients with preoperative shock, with a MPI score of more than 25, and with Hinchey stage III or IV peritonitis were 70.0%, 57.1%, and 53.3%, respectively (P<0.001). No statistical difference was observed in postoperative mortality with regard to age, sex, ASA classification, duration of symptoms, cause of perforation, and location of perforation. According to the multivariate analysis, preoperative shock proved to be the only significant prognostic factor for mortality (P=0.027) (odds ratio: 19.8, 95% confidence interval: 1.4-276.9). Conclusion: Preoperative shock, a MPI score of more than 25, and Hinchey stage III or IV peritonitis were associated with high postoperative mortality in patients with colonic perforation. Especially, more intensive management and interest are required for patient s with preoperative shock due to colonic perforation. Purpose: The present study was performed to assess the outcomes in patients with colonic perforation and to determine the prognostic factors for mortality. Methods: The cases of 42 patients who underwent surgery for colonic perforation between March 1999 and September 2008 were retrospectively reviewed. Age, sex, American Society of Anesthesiologists (ASA) classification, presence of preoperative shock, duration of symptoms, cause of perforation, location of perforation, degree of peritonitis, and the Mannheim Peritonitis Index (MPI) score were analyzed for their association with early outcome by using univariate and multivariate analyses. Results: Diverticulitis (46%, 19 patients) and colorectal cancer (36%, 15 patients) were the most common causes of noniatrogenic colonic perforation, and the sigmoid colon was the most common site of perforation (60%, 25 patients). The postoperative mortality was 21.4% (9 patients). The mortality in patients with preoperative shock, with a MPI score of more than 25, and with Hinchey stage III or IV peritonitis were 70.0%, 57.1%, and 53.3%, respectively (P<0.001). No statistical difference was observed in postoperative mortality with regard to age, sex, ASA classification, duration of symptoms, cause of perforation, and location of perforation. According to the multivariate analysis, preoperative shock proved to be the only significant prognostic factor for mortality (P=0.027) (odds ratio: 19.8, 95% confidence interval: 1.4-276.9). Conclusion: Preoperative shock, a MPI score of more than 25, and Hinchey stage III or IV peritonitis were associated with high postoperative mortality in patients with colonic perforation. Especially, more intensive management and interest are required for patient s with preoperative shock due to colonic perforation.

상업교육의 문제점 및 개선방향에 관한 실증적 연구

박건환 관동대학교 1999 교육과학 논문집 Vol.4 No.-

기능성 새싹삼 생산에 적합한 LED 광원 조합

박건환,소호섭,심상연,한정아,안영남,이은섭,조창휘 한국약용작물학회 2018 한국약용작물학술대회 발표집 Vol.2018 No.10

Background : This study was conducted to select a optimal combination of LED light sources for stable production of sprout ginseng used as vegetables throughout the year. Methods and Results : The treatments to select the optimum LED light source for the production of functional sprout ginseng were ①Blue40%: Green40%: Red40% (B40 + G12 + R20 umol·m-2S-1), ②B50: G25: R10 (B50 + G8 + R5 umol·m-2S-1), ③B50: G20: R40 (B50 + G6 + R20 umol·m-2S-1), ④B35: G20: R35 (B35 + G6 + R18 umol·m-2S-1), ⑤B20: G0: R40 (B20 + R20 umol·m-2S-1), ⑥control (a general fluorescent lamp for plant cultivation, FL40W, PG, 35.0 umol). The ginseng seedlings used in the test were subject to preconditioning process for one week after the cold treatment at 4℃ for at least three months. The root media were composed of porous artificial soil 40% + peat moss 30% + perlite 20% + Vomito (brand name)10%. We planted 35 seedlings (planting density 5 × 7 ㎝) in a 480 × 380 × 295 ㎜ plastic box. The two liters of water were irrigated per a plastic box when water potential reached -33 kPa using a tensimeter. The cultivation room was maintained at 25℃ with 45% of the relative humidity, and 16 hours of lighting for growing conditions. The growing period was 40 to 60 days after planting. The results were as follows; the treatment of LED B50%: G25%: R10% (B50 + G8 + R5 umol·m-2S-1) increased the diameter of the sprout ginseng by 10.3% (4.95 → 5.46 ㎜), root weight 27.3% (1.1 → 1.4 g), fresh weight 38.9% (1.8 → 2.5 g) in comparison with the control. The contents of ginsenoside such as Re, Rg2, Rc, Rb2, and Rd increased 24.2% (24.8 → 30.8 ㎎/g). Conclusion : The optimal light source for sprout ginseng was LED B50%: G25%: R10% (B50 + G8 + R5 umol·m-2S-1), which increased sprout production by 38.9% in comparison with the control.

들잔디 체세포 배발생 세포로의 DNA 전입을 위한 Electroporation 조건 구명

박건환,안병준 한국식물생명공학회 1998 식물생명공학회지 Vol. No.

Electroporation을 이용한 형질전환 연구에서 원형질체 대신 체세포 배발생 세포를 이용하여도 DNA가 도입될 수 있음을 이미 보고한 바 있다. 본 연구는 배발생 세포 내로 DNA를 도입하기 위한 electroporation의 최적 조건, 즉 전압과 capacitance 수준, promoter 종류, DNA 농도, 저온처리효과 등을 구명하며, 처리에 따른 DNA의 전입 현상을 이해하고 전기충격후의 생장과 분화 정도를 조사하고자 수행되었다. 들잔디 미숙배를 2,4-D가 2 mg/L 함유된 MS배지에서 배양하여 배발생 캘러스를 유도하였고, 동일 조성의 액체배지에 진탕배양하여 조직 electroporation에 적합한 현탁배양 세포괴를 증식할 수 있었다. 100-400 V의 전압과 10-1980 $\mu\textrm{F}$의 capacitance 수준에서 세포괴를 35S-gusA 조성을 갖는 운반체 DNA와 함께 electroporation 하였을 때, 전반적으로 DNA가 도입되었음을 표지유전자 gusA의 transient 발현을 통하여 확인하였으며, 200-300 V 전압과 330-800 $\mu\textrm{F}$ capacitance 수준이 보다 효과적인 경향을 보였다. 처리시 온도는 큰 영향을 미치지 않았으며, 6 $\mu\textrm{g}$/mL 이상의 DNA 농도에서는 GUS 발현이 양호하였다. 배발생 캘러스 세포주들은 모두 DNA가 도입 되었으나 비 배발생 캘러스 세포주는 11개중 하나에서만 도입이 확인되었다. Electroporation시 전기충격후 20, 40시간 후에 DNA를 첨가하여도 gusA가 발현됨에 따라 전기충격이 세포막의 침투성을 장시간 변화시킴으로써 DNA가 전이될 수 있는 것임을 확인할 수 있었다. GusA의 promoter로 CaMV 35S외에 Actl과 Ubil의 활성을 비교한 바, 35S에 비해 각각 7배, 5배의 활성을 나타내었다. Electroporation 처리후 세포괴의 배양실험에서 100-400 V의 전압과 10-l980 $\mu\textrm{F}$ capacitance의 전 처리 범위에서 캘러스의 지속적인 생장과 함께 식물체 재분화가 일어났다. We have reported previously that intact embryogenic cells can be used instead of protoplasts for electroporation-mediated transformation of zoysiagrass and rice. In this study, conditions of the tissue electroporation were examined to optimize the procedures. Embryogenic cell suspensions were established in liquid MS medium containing 2 mg/L of 2,4-D with embryogenic calluses induced from mature embryos of Z. japonica. The suspension-cultured cell clumps were electroporated with 35S-gusA expression vector DNA, and degrees of DNA introduction into the cells were determined by histological expression rates of the gusA marker gene. DNA transfer into the cell clumps occurred in wide range of voltage (100-400 V) and capacitance (10-1980 $\mu\textrm{F}$), but more in the ranges of 200-300 V and 330-800 $\mu\textrm{F}$ DNA concentrations higher than 6 $\mu\textrm{g}$/mL were adequate for GUS expression of the electroporated cells. DNA transfers were confirmed in all three embryogenic cell lines but only in one out of eleven non-embryogenic lines. Positive GUS expressions occurred with DNAs added even 20-40 h after pulse treatments. As a promoter of gusA, Act1 and Ubi1 were effective 7 and 5 times than 35S respectively in number of GUS expression units on electroporated cell clumps. Embryogenic cell clumps survived and regenerated into plantlets after pulse treatments of wide range of conditions.

항로거리 산출을 위한 실용 알고리즘 개발

박건환,홍혜진,박재우,구성관 한국항행학회 2022 韓國航行學會論文誌 Vol.26 No.6

ICAO (international civil aviation organization)에서는 전략적인 의사결정과 항공교통관리 평가를 위해 세계항행계획인 GANP (global air navigation plan) 수행을 체약국에게 권고하였다. 본 연구에서는 항공교통관리 평가를 위해 제시된 KPI (key performance indicator) 05 실제 항로 연장에서 항로거리를 구하는 새로운 방법을 제안하였다. 이를 위해 한 달간의 항적 데이터를 수집하고 ICAO에서 제시한 방법과 본 저자가 제시하는 방법으로 각각 항로거리를 산출하였다. ICAO 방법은 반경 40 NM 원형에 대한 원의 방정식과 항적 데이터 내 원에 근접한 내·외부 지점에 대한 직선의 방정식을 통하여 교점을 추정하여야 하고, 네 가지의 비행거리를 계산하여 항로거리를 산출한다. 본 연구에서 제시한 방법은 교점을 추정하지 않고 두 가지의 비행거리를 계산하여 항로거리를 산출한다. 두 방법의 오차를 확인하기 위해 회귀모형 성능평가지표인 RMSE (root mean square error)와 결정계수 R2를 사용하였다.

Electroporation을 이용한 잔디(Zoysia japonica Steud.) 및 벼(Oryza sativa L.) 배발생세포로의 DNA 도입

박건환,최준수,윤충호,안병준 한국식물생명공학회 1994 식물생명공학회지 Vol.21 No.5

간편하면서도 효율적인 단자엽 식물의 형질전환 기법을 개발하기 위하여 배발생 세포를 직접 electroporation하여 DNA를 도입하는 실험을 벼와 잔디에서 실시하였다. 잔디는 수정 후 3주된 미숙배에서 캘러스를 유도하였으며, 2.4-D가 1 mg/L 함유된 액체 MS배지로 옮겨 진탕배양한 것을 electroporation 실험에 이용하였다. 벼는 20 mm 정도의 미숙화서 유래의 캘러스를 액체 N$_{6}$배지(1 mg/L 2.4-D 함유)에서 진탕배양하여 획득한 세포주를 사용하였다. 액체 진탕배양한 세포괴를 GUS expression vector인 pGA1074 (30 $\mu\textrm{g}$/ml)와 함께 MS 액체 배지에서 Electroporation하였다. 세포벽과 세포막을 통한 세포로의 DNA 전이는 GUS 유전자의 발현 여부 및 정도에 따라 결정하였다. 400 volt, 800 $\mu$F capacitance로 electroporation 처리된 벼와 잔디의 세포괴들은 200 ${\mu}\ell$ (packed cell volume)의 세포괴 당 25 unit (1 unit=파란색을 띤 독립된 세포군) 이상의 빈도로 GUS 활성을 나타내었다. 반면에 무처리 세포주 및 처리한 비배발생 세포주에서는 GUS 발현이 일어나지 않음을 반복적으로 확인차였다. 따라서 electroporation에 의한 벼와 잔디의 형질전환실험에서 원형질체 대신 intact한 배발생 세포가 이용될 수 있음을 의미한다 To develop simple and efficient transformation methods of monocotyledonous plane, electroporation-mediated delivery of DNA into intact embryogenic cell clumps was investigated in zoysiagrass and rice. Calli of zoysiagrass, induced from 3-week-old immature embryos, were suspension-cultured in MS basic medium supplemented with 1.0 mg/t 2.4-D and used for elechuporation. Calli, derived from immature inflorescences of 20 mm lenth of rice, were also suspension-cultured on N6 basic medium supplemented with 1.0 mg/L 2.4-D. Suspension-cultured embryogenic cell clumps were electroporated in liqid MS medium added with a Plasmid DNA (30 $\mu\textrm{m}$/ml), pGA1074, encoding ${\beta}$-glucuronidiase (GUS). DNA delivery into the cells through cell walls and cell membrane was confirmed by the transient expression of the GUS gene. Cell clumps of zoysiagrass and rice, electroporated with 400 volt at 800 pF capacitance, expressed GUS gene activity at a mean frequency of 25 units (one unit = one clony of blue cells) per 200 ${\mu}\ell$ of packed cell volume. Untreated cells and healed non-embryogenic cells did not exhibit GUS activity These results indicate that electroporation-mediated transformation can use intact embryogenic cells (thus avoiding the use protoplasts) in zoysiagrass and rice.

포도 무가온재배시 수분조절 및 반사필름 피복효과

박건환(Gun Hwan Park),이경중(Gyoung Joong E),이진구(Jin Gu Lee),임재욱(Jae wook Lim),김몽섭(Mong Sup Kim) 한국원예학회 2004 한국원예학회 학술발표요지 Vol.2004 No.5

잔디와 벼의 배발생 세포 electroporation을 통한 GUS DNA 도입 및 발현

박건환(Park GH),노희영(HY Noh),최준수(JS Choi),안병준(BJ Ahn) 한국원예학회 1992 한국원예학회 학술발표요지 Vol.10 No.2

복숭아 착과량이 과실품질과 내한성에 미치는 영향

박건환(Geon-Hwan Park),이영순(Young-Soon Lee),정윤경(Yeun-Kyeong Jeong),임성희(Seong-Hee Lim),전명희(Myeung-Hey Jeon),김성기(Sung-Kee Kim) 한국원예학회 2012 한국원예학회 학술발표요지 Vol.2012 No.5

복숭아 적엽처리가 과실품질 및 내한성에 미치는 영향

박건환(Geon Hwan Park),이정진(Jung Jin Lee),이영순(Young Soon Lee),임성희(Seung Hee Lim),김순재(Soon Jae Kim),최숙영(Sook Young Choi) 한국원예학회 2014 한국원예학회 학술발표요지 Vol.2014 No.10