키드 증후군의 안과적 증상과 조직학적 특징

정재훈,전연숙,이수현,정행선,김재찬,Jae Hoon Jeong,M,D,Yeoun Sook Chun,M,D,Ph,D,Soo Hyun Lee,Ph,D,Haeng Sun Jeong,Ph,D,Jae Chan Kim,M,D,Ph,D 대한안과학회 2008 대한안과학회지 Vol.49 No.9

Purpose: Keratitis-ichthyosis-deafness (KID) syndrome is a congenital ectodermal disorder presenting the triad of vascularizing keratitis, erythrokeratoderma, and sensorineural deafness. Ocular manifestations such as hyperkeratinization of the eyelids, loss of eyelashes, keratoconjunctivitis sicca, corneal erosions, ulceration, neovascularization, and scarring opacity may be absent or mild, but if present and severe, they can lead to major visual loss. We report a patient with KID syndrome with severe ocular manifestations and the histologic characteristics of a corneal lesion. Case summary: A 5-year-old boy was referred to the Ophthalmology Department for bilateral hyperkeratinization of eyelids, bare eyelashes, and corneal opacity. He showed hyperkeratotic skin lesions and sensorineural hearing loss. Molecular analysis showed a mutation in the GJB2 gene and confirmed the diagnosis of KID syndrome. Initial conservative treatment did not preserve ocular surface integrity, and instead it was maintained by surgical procedures including superficial lamellar keratectomy with amniotic membrane transplantation. The histologic characteristics of corneal lesions are abnormal epithelial differentiation, absence of connexin 26 expression, and partial destruction of the basement membrane. J Korean Ophthalmol Soc 2008;49(9):1532-1538

로드헤더 장비사양 검토 및 굴착효율 예측 모델 개발

정재훈,임주휘,이재원,강한별,김도훈,신영진,Jae Hoon Jung,Ju Hyi Yim,Jae Won Lee,Han Byul Kang,Do Hoon Kim,Young Jin Shin 한국터널지하공간학회 2023 한국터널지하공간학회논문집 Vol.25 No.3

The use of roadheaders has been increasing to mitigate the problems of noise and vibration during tunneling operations in urban area. Since lack of experience of roadheader for hard rock, the selection of appropriate machines and the evaluation of cutting rates have been challenging. Currently, empirical models developed overseas are commonly used to evaluate cutting rates, but their effectiveness has not been verified for domestic rocks. In this paper, a comprehensive literature review was conducted to assess the rock cutting force, cutterhead capacity, and cutting rate to select the appropriate machine and evaluate its performance. The cutterhead capacity was reviewed based on the literature results for the site. Furthermore, a new empirical model and simplified method for predicting cutting rates were proposed through data analysis in relation to operation time and rock strength, and compared with those of the conventional model from the manufacturer. The results show good agreement for high strength range upper 80 MPa of uniaxial compressive strength.

형광등기구용 경면 방사판의 광학 설계 프로그램 개발

정재훈,진상규,김훈,Jeong, Jae-Hoon,Jin, Sang-Kyu,Kim, Hoon 한국조명전기설비학회 1999 조명·전기설비학회논문지 Vol.13 No.3

형광등용 조명기구에 사용되는 경명 반사판의 광학 설계 프로그램을 개발하였다. 이 프로그램은 조명기구 설계시간을 단축시킨다. SpeROD(Specular Reflector Optical Designer)는 2차원적인 조건들을 가지고 계산한다. 반사판 설계를 위해 고려되는 조건들은 목표배광, 반사판 그리고 Tangent Spiral Design 방법등이 있다. 본 논문에서는 SpeROD를 이용하여 지름 26mm(T8)의 형광램프와 폭 150mm의 반사판을 가지는 균일 배광 형태와 Bat-wing 배광형태의 반사판을 설계해보았다. 설계된 반사판의 형태에 대하여 배광에측 프로그램인 FIELD를 통하여 배광을 시뮬레이션 해 본 결과, 배광과 효율 면에서 만족스러운 결과를 얻었다. SpeROD, the optical design program. is developed far specular reflectors of fluorescent luminaries. SpeROD can save much tirre when to design specular reflectors. SpeROD calculates conditions 2-dimensionally. The conditions for designing reflectors considered in this program are the intensity distribution, reflector type, and Tangent Spiral Design method. Using SpeROD, uniform intensity distribution type and bat-wing type reflectors are simulated in this paper, and alrrnn(T8) diarreter fluorescent lamp and lmnm width reflector are used for the setting. The sarre setting was simulated in FIElD, the intensity distribution prediction program. and the' result represented the intensity distribution and the efficacy simulated in SpeROD were satisfactory.actory.

Biological Activity of Flavor Components Extracted from Elsholtzia ciliata and Elsholtzia splendens

정재훈,손현옥,신한재,현학철,이동욱,임흥빈,Jeong Jae-Hoon,Sohn Hyung-Ok,Shin Han-Jae,Hyun Hak-Chul,Lee Dong-Wook,Lim Heung-Bin The Korean Society of Tobacco Science 2005 한국연초학회지 Vol.27 No.1

This study was to evaluate the biological activity of flavor components extracted from E. ciliata and E. splendens in order to survey the possibility applicable to tobacco and food industry. Flavor components were extracted with dividing into three parts; essential oil, absolute, oleoresin. In the nonenzymatic lipid peroxidation system, the inhibition rate($\%$) of essential oil were $67.3\;\pm\;20.7\%,\;58.1\;\pm\;19.3\%$ at the concentration of 50 ${\mu}g/mL$ of E. ciliata and E. splendens, respectively. The inhibition rate($\%$) of the oleoresin in E. ciliata was higher than one in E. splendens. In the enzymatic lipid peroxidation system, the inhibition rate($\%$) of essential oil and oleoresin was$14.28\;\pm\;2.38\%,\;and\;65.93\;\pm\;0.01\%,\;and\;was\;22.58\;\pm\;2.84\%\;and\;40.73\;pm\;6.04\%$. The oleoresin of two species were showed above $90\%$ of the inhibition rate($90\%$) against autooxidative lipid peroxidation system. $EC_{50}$ values in neutral red uptake assays 24 h of exposure times were $23.3\;{\mu}g/mL,\;341.0\;{\mu}g/mL\;and\;17.2\;{\mu}g/mL$ in essential oil, absolute and oleoresin from E. ciliata respectively, and were $46.4\;{\mu}g/mL,\;681.7\;{\mu}g/mL\;17.6\;{\mu}g/mL$ in three extractions of E. splendens. Oleoresin of two species showed high rate in the cytotoxic effect by neutral red uptake assay. Absolute and oleoresin did not show antibiotic and mutagenic activity. On the contrary, essential oil with over 500 ug/plate showed antibiotic and mutagenic activity in Ames test. Essential oil and oleoresin have a prolongating effect the ciliostasis of rat trachea. This results indicate that flavor components extracted from E. ciliata and E. splendens can be considered to be toxicological safe and to be the possibility applicable the cigarette, food and drug industry as a flavor for expectoration.

방사성 동위원소를 이용한 핵의학과 검사에서 병동 간호사의 방사선 피폭선량 평가

정재훈,이충운,유연욱,서영덕,최호용,김윤철,김용근,원우재,Jeong, Jae Hoon,Lee, Chung Wun,You, Yeon Wook,Seo, Yeong Deok,Choi, Ho Yong,Kim, Yun Cheol,Kim, Yong Geun,Won, Woo Jae 대한핵의학기술학회 2017 핵의학 기술 Vol.21 No.1

Purpose Radiation exposure management has been strictly regulated for the radiation workers, but there are only a few studies on potential risk of radiation exposure to non-radiation workers, especially nurses in a general ward. The present study aimed to estimate the exact total exposure of the nurse in a general ward by close contact with the patient undergoing nuclear medicine examinations. Materials and Methods Radiation exposure rate was determined by using thermoluminescent dosimeter (TLD) and optical simulated luminescence (OSL) in 14 nurses in a general ward from October 2015 to June 2016. External radiation rate was measured immediately after injection and examination at skin surface, and 50 cm and 1 m distance from 50 patients (PET/CT 20 pts; Bone scan 20 pts; Myocardial SPECT 10 pts). After measurement, effective half-life, and total radiation exposure expected in nurses were calculated. Then, expected total exposure was compared with total exposures actually measured in nurses by TLD and OSL. Results Mean and maximum amount of radiation exposure of 14 nurses in a general ward were 0.01 and 0.02 mSv, respectively in each measuring period. External radiation rate after injection at skin surface, 0.5 m and 1 m distance from patients was as following; $376.0{\pm}25.2$, $88.1{\pm}8.2$ and $29.0{\pm}5.8{\mu}Sv/hr$, respectively in PET/CT; $206.7{\pm}56.6$, $23.1{\pm}4.4$ and $10.1{\pm}1.4{\mu}Sv/hr$, respectively in bone scan; $22.5{\pm}2.6$, $2.4{\pm}0.7$ and $0.9{\pm}0.2{\mu}Sv/hr$, respectively in myocardial SPECT. After examination, external radiation rate at skin surface, 0.5 m and 1 m distance from patients was decreased as following; $165.3{\pm}22.1$, $38.7{\pm}5.9$ and $12.4{\pm}2.5{\mu}Sv/hr$, respectively in PET/CT; $32.1{\pm}8.7$, $6.2{\pm}1.1$, $2.8{\pm}0.6$, respectively in bone scan; $14.0{\pm}1.2$, $2.1{\pm}0.3$, $0.8{\pm}0.2{\mu}Sv/hr$, respectively in myocardial SPECT. Based upon the results, an effective half-life was calculated, and at 30 minutes after examination the time to reach normal dose limit in 'Nuclear Safety Act' was calculated conservatively without considering a half-life. In oder of distance (at skin surface, 0.5 m and 1 m distance from patients), it was 7.9, 34.1 and 106.8 hr, respectively in PET/CT; 40.4, 199.5 and 451.1 hr, respectively in bone scan, 62.5, 519.3 and 1313.6 hr, respectively in myocardial SPECT. Conclusion Radiation exposure rate may differ slightly depending on the work process and the environment in a general ward. Exposure rate was measured at step in the general examination procedure and it made our results more reliable. Our results clearly showed that total amount of radiation exposure caused by residual radioactive isotope in the patient body was neglectable, even comparing with the natural radiation exposure. In conclusion, nurses in a general ward were much less exposed than the normal dose limit, and the effects of exposure by contacting patients undergoing nuclear medicine examination was ignorable. 목적: 핵의학 검사를 시행한 병동 환자의 시간과 거리에 따른 방사선량률을 측정하여 방사성동위원소 투여를 받은 환자가 병동 간호사에게 미치는 피폭을 예측하고 실제 총 피폭량과 비교하여 보고자 한다. 대상 및 방법: 병동에서 근무하고 있는 간호사 14명을 대상으로 열형광 선량계와 광자극 선량계를 이용하여 방사선 피폭선량을 측정하였고 핵의학 검사를 시행한 환자 50명(PET/CT 20명, Bone scan 20명, Myocardial SPECT 10명)을 대상으로 방사성동위원소 투여 직후와 검사시행 직후에 표면, 50cm, 1m에서 외부 방사선량률을 측정하였다. 측정 결과를 바탕으로 유효반감기를 도출한 후 병동 간호사가 받을 수 있는 피폭량을 예측하였다. 그리고 열형광선량계와 광자극선량계로 측정된 병동 간호사의 실제 총 피폭량과 비교 하였다. 결과: 병동 간호사 14명을 대상으로 한 피폭선량 측정결과 평균값과 최대값은 각각 분기당 0.01 mSv, 0.02 mSv 이었고 핵의학 검사를 시행 받은 환자의 선량률은 표면, 50cm, 1m 거리 순으로 PET/CT는 $376.0{\pm}25.2{\mu}Sv/hr$, $88.1{\pm}8.2{\mu}Sv/hr$, $29.0{\pm}5.8{\mu}Sv/hr$ 이고 Bone scan은 $206.7{\pm}56.6{\mu}Sv/hr$, $23.1{\pm}4.4{\mu}Sv/hr$, $10.1{\pm}1.4{\mu}Sv/hr$이고 Myocardial SPECT는 $22.5{\pm}2.6{\mu}Sv/hr$, $2.4{\pm}0.7{\mu}Sv/hr$, $0.9{\pm}0.2{\mu}Sv/hr$이다. 또한 검사를 시행한 후 측정한 선량률은 표면, 50cm, 1m 거리 순으로 PET/CT는 $165.3{\pm}22.1{\mu}Sv/hr$, $38.7{\pm}5.9{\mu}Sv/hr$, $12.4{\pm}2.5{\mu}Sv/hr$ 이고 Bone scan은 $32.1{\pm}8.7{\mu}Sv/hr$, $6.2{\pm}1.1{\mu}Sv/hr$, $2.8{\pm}0.6{\mu}Sv/hr$이고 Myocardial SPECT는 $14.0{\pm}1.2{\mu}Sv/hr$, $2.1{\pm}0.3{\mu}Sv/hr$, $0.8{\pm}0.2{\mu}Sv/hr$이다. 위의 결과를 바탕으로 유효반감기를 도출한 후 검사종료 30분 후 원자력안전법에서 규정하는 일반인 선량한도까지 도달하는데 걸리는 시간을 반감기를 고려치 않고 보수적으로 계산하면 PET/CT는 표면, 50cm, 1m 거리 순으로 7.9시간, 34.1시간, 106.8시간이며 Bone scan은 40.4시간, 199.5시간, 451.1시간이고 Myocardial SPECT는 62.5시간, 519.3시간, 1313.6시간이다. 결론: 본 연구 결과에 의하면 병동 간호사는 일반인 선량한도 보다 훨씬 적은 피폭량을 받는 것으로 나타나, 실질적으로 판단할 때 핵의학 검사를 시행한 환자로 인하여 받는 피폭의 영향은 미미한 것으로 판단된다.

고관절 주위 골절환자에서 술 전 색 도플러 초음파를 이용하여 진단한 심부 정맥 혈전의 빈도

정재훈,이경재,민병우,손은석,구태원,Jung, Jae-Hoon,Lee, Kyung-Jae,Min, Byung-Woo,Son, Eun-Seok,Koo, Tae-Won 대한정형외과초음파학회 2014 대한정형외과 초음파학회지 Vol.7 No.2

목적: 고관절 주위 골절 환자에서 술 전 색 도플러 초음파 검사를 이용하여 심부 정맥 혈전증을 진단하고 그 발생 빈도를 알아 보고자 하였다. 대상 및 방법: 2013년 6월부터 2014년 5월까지 본원에 내원한 고관절 주위 골절 환자 중 이전에 심부 정맥 혈전의 과거력이 없으며 술 전 색 도플러 초음파 검사에 동의한 환자 27예를 대상으로 하였으며 남자가 8예, 여자가 19예이었다. 평균 연령은 74.3세(41-87)였다. 고관절 주위 골절의 진단명은 대퇴 경부 골절 15예, 대퇴 전자간 골절 11예, 비구 골절이 1예였다. 모든 수술은 본원 내원 후 48시간 이내에 시행하는 것을 원칙으로 하였으며 내원 24시간 이내에 색 도플러 초음파 검사를 시행하였다. 결과: 심부 정맥 혈전은 총 6예(22.2%)에서 발견되었다. 이중 2예(7.4%)는 근위 심부 정맥 혈전이었고 4예(14.8%)는 원위 심부 정맥 혈전이었다. 심부 정맥 혈전 발생 군이 평균 79세(75-87), 발생하지 않은 환자 군이 평균 72세(65-86)로 유의하게 많았다(p=0.038). 결론: 고관절 주위 골절 환자에게 수술 이전 실시한 색 도플러 초음파 검사상 22.2%로 비교적 높은 빈도로 심부 정맥 혈전이 발견되었다. 고관절 주위 골절 환자에서 술 전 심부 정맥 혈전증에 대한 보다 적극적인 검사가 필요할 것으로 사료된다. Purpose: To evaluate the incidence of deep vein thrombosis (DVT) before hip fracture by duplex color Doppler ultrasonography. Materials and Methods: From June 2013 to May 2014, 27 patients who had agreed to perform color Doppler ultrasonography before hip fracture surgery were evaluated for the incidence of DVT. Patients who had history of DVT were excluded. Five patients were men and 19 patients were women. The mean age was 74.3 years old (41-87). There were 15 cases of femoral neck fracture, 11 cases of intertrochanteric fractures and one case of acetabular fracture. Surgical intervention underwent within 48 hours from admission and duplex color Doppler ultrasonography was carried out at the day of admission. Results: DVT occurred in six cases (22.2%). Four cases (14.8%) occurred in proximal deep vein and two cases (7.4%) occurred in distal deep vein. The mean period of immobilization was longer in patients who had DVT. But there was no significant difference. The mean age was 79 years old (75-87) in patients who had DVT and 72 years old (65-86) in patients who had not. There was significant difference (p=0.038). Conclusion: The incidence of DVT which was diagnosed by duplex color Doppler ultrasonography before hip fracture surgery was relatively high (22.2%). So it is necessary to undergo duplex color Doppler ultrasonography more aggressively to rule out DVT before hip fracture surgery.

보험 및 장애평가 대상으로서 무증상 뇌경색과 뇌미세출혈의 의미

정재훈,Joung, Jae-hoon 한국생명보험의학회 2009 保險醫學會誌 Vol.28 No.1

It is common to find cerebral infarct and hemorrhage without definite neurologic signs but with lesions on neuroimaging. These lesions are called silent lacunar infarct and cerebral microbleed. Silent lacunar infarct are frequently seen in the elderly and are associated with clinically apparent stroke and vascular dementia. Known stroke risk factors, such as hypertension, diabetes mellitus, smoking, hypercholesterolemia and heart problems may increase the risk of silent lacunar infarct. Metabolic syndrome, homocysteinemia, renal failure and intima media thickness(IMT) are also other risk factors of the silent lacunar infarct. Cerebral microbleed, lacunar infarct and intracerebral hemorrhage(ICH) have similar pathology and pathogenesis. So, cerebral microbleed are coexisted with lacunar infarct, leukoaraiosis, hypertensive ICH and vascular dementia. Cerebral microbleed are associated with volume and recurrence of ICH. Also cerebral microbleed may reflect baseline status of blood brain barrior disruption. Silent lacunar infarct and cerebral microbleed are very important to clinical management, but in the aspect of insurance medicine and independent medical examiners, these lesions are not subject of evaluation for handicap.

조절 가능한 온도감도를 지닌 광섬유격자 온도센서

정재훈,남희,이병호,Jung, Jae-Hoon,Nam, Hui,Lee, Byoung-Ho 대한전자공학회 1999 電子工學會論文誌, D Vol.d36 No.9

온도 팽창률이 다른 두 개의 금속을 광섬유 브래그 격자에 부착하여 그 온도감도를 조절할 수 있는 새로운 온도센서를 제안하였다. 이러한 방법으로 온도감도를 기존의 브래그격자에 비해 3.3까지 향상시켰으며 금속의 길이를 변화시켜 그 온도감도를 여러 가지로 조절할 수 있었다. By attaching two metals with different thermal expansion coefficients to a fiber Bragg grating, we show that the temperature sensitivity is successfully improved to 3.3 times that of bare fiber Bragg grating and controlled by changing the metal length.

정상배란성 월경주기에서 혈청 인슐린유사 성장인자 결합단백질의 양상

정재훈,김정구,Jeong, Jae-Hoon,Kim, Jung-Gu 대한생식의학회 1999 Clinical and Experimental Reproductive Medicine Vol.26 No.1

The insulin-like growth factor (IGF)s are believed to one of several growth factors that play an adjunctive role in ovarian follicular development. These factors circulate bound to a family of IGF-binding protein (IGFBP)s. It is known that circulating IGFBPs are involved in the transport of IGFs to tissues and modulate IGFs actions at local tissue. The purposes of this study were to evaluate changes in serum IGFBPs profiles during normal ovulatory menstrual cylce and to compare serum IGFBPs profiles in periovulatory phase of between normal ovulatory menstrual cylce and controlled hyperstimulated cycle. Fasting blood samples were obtained from 15 normal healthy women throughout normal ovulatory menstural cyle and on the day of aspiration of oocyte from 10 patients undergoing ovarian hyperstimuation for in vito fertilization-embryo transfer. Serum IGFBP-1 - IGFBP-4 were measured by western ligand blot and immunoprecipitation. Serum $17{\beta}$-estradiol was determined by radioimmunoassay. Type and molecular weight of serum IGFBP did not changed during normal ovulatory menstural cycle. No significant variation in the relative proportion and level of each IGFBP was found throughout normal ovulatory menstural cyle. Also, the relative proportion and level of each IGFBP did not correlated with serum $17{\beta}$-estradiol level. There was no significant difference in the relative proportion and level of each serum IGFBP between on the day of ovulation in normal ovulatory menstrual cylce and on the day of aspiration of oocyte in controlled hyperstimulated cycle. Our data indicate that IGFBPs have regulatory functions in ovary through an paracrine and autocrine rather than endocrine mechanism during normal ovulatory menstural cycle.

광섬유 표면 플라즈몬 공명 센서를 이용한 스트레인 및 온도 측정

정재훈,김민욱,Jung, Jae-Hoon,Kim, Min-Wook 한국전기전자학회 2007 전기전자학회논문지 Vol.11 No.2

본 논문에서는 광섬유 표면 플라즈몬 공명 센서를 이용하여 스트레인 및 온도 변화에 따른 센서를 제시하였다. 광섬유 센서의 구조는 광섬유의 클래딩 일부를 제거하여 크롬, 은, 금을 증착한 다층 박막 구조를 모델로 하였고, dip 파장의 변화가 선형성을 보임으로써 효율적인 센서로의 활용 가능성을 보이고자 한다. This paper decribess the strain and temperature sensor using fiber optic surface plasmon resonance sensor. The sensor head is 3-layered, Cr, Ag, Au and we showed feasibility to use this sensor to measure strain and temperature.