혈액종양 환자의 중심정맥 카테터에 대한 헤파린 관류와 생리식염수 관류의 효과 비교

문초희,연보라,김현진,은방희,배영이 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The purpose of this study was to compare the efficacy of heparin flushing and normal saline flushing in maintaining patency of central venous catheters(CVCs), and to investigate relative risk factors of CVCs' occlusion. Method: A total of 159 patients who had been inserted with CVCs were included in the department of hemato-oncology of S hospital. The heparin group consisted of 74 patients with 10u/ml diluted heparin flushing from 23 November 2004 to 15 January 2005, and the normal saline group consisted of 85 patients with 0.9% normal saline flushing from 19 January to 31 March of 2005. Result: The heparin group was significantly different from the normal saline group in CVCs' occlusion. The normal saline group offered a much longer survival duration of CVCs' patency than the heparin group. Potential bleeding signs (PT, aPTT) had no significant differences. In multivariate analysis, 0.9% normal saline (hazard ratio 0.50), chemo port (hazard ratio 3.38), and no administration of TPN (hazard ratio 0.25) were the significant factors for occlusion of CVCs. Conclusion: For maintaining the patency of CVCs, 0.9% normal saline flushing are expected to be effective in reducing drug incompatibilities, lessening the bleeding tendency and improving cost effectiveness .

디-젤 批塵用 移動벨트型 電氣集塵裝置의 小型化에 관한 硏究

文在德,孫鉉,서보혁,金光錫 경북대학교 공과대학 1984 工大硏究誌 Vol.13 No.-

A Moving-Belt Type Electrostatic Precipitator (MBEP) proposed by one of authers has been improved by introducing systematic control concept for the diesel soot particulates from diesel engine exhaust. The proto type MBEP was designed without helping of any precharger or precoagulator of the soot particles, and so it is too large for equipping to the vehicles. The improved one is designed as a systematic control device consisted of a precharger and a MBEP. This systematization makes it possible miniaturizing the size of MBEP without any drop of its collection performance by enhancing the corona field intensity and current density in the collection space concurrently obtained by reducing the interelectrode spacing of corona electrode to collection electrode. As a result, the collection efficiency of present MBEP system, which is reduced by ca. 1/2 in volume to the proto type MBEP, amounts to 82% at the gas velocity of 1.0m/s (this nearly equals to the gas exhaust of a 2000 cc diesel powered vehicle) and gas temperature of ca. 50℃ for the simulated soot particles ranged in size from 0.005μm (mass median diam is 1.0 μm). The collection efficiency of the improved MBEP system of 82% is higher enough to the US EPA regulation limit of 70% of the year of 1985 for the diesel powered light-duty trucks and passenger cars.

Ruled Surface로 형성된 임펠러 블레이드 전용 CAD/CAM 시스템 개발 Ⅰ : 모델링에 관한 연구 A Study on the Modeling

조현덕,정대일,윤문철,최두선,신보성,이응숙,董玉革 한국공작기계학회 2001 한국생산제조학회지 Vol.10 No.6

We have developed the exclusive CAD/CAM system for the machining of impeller blades. This study is about the modeling method for the effective machining of impeller blades formed by ruled surface. As the impeller is consisted of boss part and blade part, the boss is modeled by rotational surface of hub curve on z-axis and the blade is described by ruled-surfaces between hub curve and shroud curve. This modeling process can be carried out on the software developed in this study. And, the developed software can describe the impeller as a solid model through interface with Solid-Works software. The developed software containing the interface method proposed in this study was very effective for impeller modeling.

Distribution and mitochondrial DNA tracing of the invasive Argentine ants (Linepithema humile) in South Korea

Park Sang‐Hyun,Ha Young‐Ho,Kim Dong Eon,Kim Chang‐Jun,Choi Moon Bo 한국곤충학회 2021 Entomological Research Vol.51 No.3

Argentine ants (Linepithema humile) are one of the world’s most invasive species and were first reported in South Korea, near Busan Port in 2019. The distribution of their initial spread was investigated here from April to July 2020. In the invasion area, numerous nests and individuals were identified, indicating that they had settled and successfully invaded the habitat. To track the invasion of the Argentine ants we conducted haplotype analysis using COI, COII, and Cytb sequences of their mitochondrial DNA. The invasive ants had the same mitochondrial haplotype (H3) as Argentine ants from America (Chile, Ecuador, Bermuda) and East Asia (Japan). When comparing the import trade volumes at Busan port with the Argentine ant haplotypes from other countries, it was determined that the invasive ants may have originated from the United States or Japan. Numerous ecological and economic impacts due to their invasion and spread in other countries has previously been reported. Therefore, prompt control measures for the Argentine ants found at Busan port, at this relatively early stage of settlement, is required.

Ruled Surface로 형성된 임펠러 블레이드 전용 CAD/CAM 시스템 개발 Ⅱ : 5-축 가공에 관한 연구 A Study on the 5-Axis Machining

조현덕,정대일,윤문철,최두선,신보성,이응숙,董玉革 한국공작기계학회 2002 한국생산제조학회지 Vol.11 No.3

This study is continuous with the study 1 (A Study on the Modeling) and the sample impeller of this study is defined by the modeling process of the exclusive CAD/CAM system developed in the study I. And, this study describes a method for the 5-axis machining of impeller blades formed by ruled surface. Therefore, the exclusive CAD/CAM system is the software for modeling and machining of impeller blades. By using the machining method suggested in this study, we could manufacture impeller blades on 5-axis CNC machining center and the machined impeller was very agreeable to the designed impeller. Thus, theories proposed in this study can be very useful for the 5-axis machining of impeller blades.

백서 정중구개봉합 확대후의 CGRP 면역반응 신경섬유의 변화

김보경,박국필,경희문,권오원,성재현 대한치과교정학회 1999 대한치과교정학회지 Vol.29 No.1

측방확대장치에 의한 정중구개봉합부의 확대시 고정력은 구개부의 신경요소들에 변화를 일으키면서 동통을 유발하게 되고 구개봉합부가 확대되고 그것이 유지되는 동안에 기계적 자극에 의한 구개부신경섬유의 반응성에 변화를 일으킬 것으로 생각된다. 본 연구에서는 백서 정중구개봉합부의 CGRP 면역반응 신경섬유의 교정력 적용시간에 따른 형태학적인 반응성, 밀도, 분포변화등을 관찰하고 그와 연관된 CGRP의 기능을 알아보고 자 250gm내외의 Sprague-Dawley 웅성백서 상악전치에 200gm의 치아이개력이 가해지도록 활성화시킨 helical spring을 삽입하여 정상대조군과 장치 장착후 경과시간에 따라 1일, 4일, 7일, 14일 경과군으로 나누어 정중구개봉합부를 확대후 희생시켜 면역조직화학법으로 염색하여 관찰하였다. · 대조군에서 정중구개 봉합붑 결합조직의 CGRP 면역양성 신경섬유는 거의 관찰되지 않았다. · 1일군에서는 대조군에 비해 CGRP 면역반응 신경섬유가 현저한 증가를 보였으며 주로 혈관 주위에 염주알 모양의 가는 신경섬유가 관찰되었다. · 4일군에서는 CGRP 면역반응 신경섬유가 대조군에 비해서는 현저한 증가를 보였으나 1일군에 비해서는 크게 증가하지 않았으며 혈관의 크기가 훨씬 확장되어 관찰되었다. · 7일군에서는 특징적으로 조골양세포가 새로이 형성된 골변연을 따라 줄지어 배열되는 독특한 양상이 관찰되었고 신경섬유의 수는 4일군에 비하여 감소하고 혈관의 직경도 감소되었다. · 14일군에서는 CGRP 면역반응 신경섬유가 7일군과 유사한 분포를 보였으며 확대에 의한 골변연의 불규칙성도 대체로 감소되었다. CGRP 면역반응 신경섬유는 정중구개봉합의 확대시 초기에 일어나는 신경원성 염증반응에 주로 관련되어 증식되는 것으로 생각된다. Midplatal suture expansion is often used for patients having narrow maxillary arch, cleft palate, respiratory handicap with narrow nasal cavity. CGRP has been known as a modulator of pain transmission in central nervous system and a local effector to peripheral tissue causing vasodilation, increase of blood flow, modulation of immune system, regulation of macrophagic function and stimulation of bone formation. To investigate changes of CGRP-immunoreactive nerve fibers in midpalatal suture during the the expansion, immunohistochemical study was performed by using rats. Experimental rats(10weeks, 250gm) were divided into five groups(control, 1, 4, 7, 14 days group (each n=4) and applied orthodontic force (approximately 200gm) to upper anterior incisors. Frozen sections of midpalatal suture area were immunostained by using rabbit antisera. The results were as follows. · The CGRP-immunoreactive nerve fibers were hardly observed in control group. · In 1 day group, the CGRP-immunoreactive nerve fibers were more increased around the vessels than control group. · In 4 days group, the CGRP-immunoreactive nerve fibers were more increased than control group, but not more increased than 1 day group. Vascular diameter was more enlarged. · In 7 days group, expecially, hematoxilin affinity of cells was remarkable and cells were arranged along the bone margin. The CGRP-immunoreactive nerve fibers were more reduced than 4 days group and vascular diameter was also reduced. · In 14 dayds group, the CGRP-immunoreactive nerve fibers were similar to those of 7 days group and the irregularity of bone margin was almost recoverd. In Conclusion, the CGRP-immunoreactive nerve fibers may be related to initial neurogenic inflammatory reaction in expanding mid-palatal suture.

Expansin으로 형질전환 된 담배의 생장 특성

신하정, 성현정, 백승준, 김보미, 엄유리, 조은정, 정찬문, 이이 충북대학교 연초연구소 2008 煙草硏究 Vol.21 No.-

-본문참고-

항정신병약물을 처음으로 사용하는 초발 정신증 환자에서 나타나는 체중 및 대사성 지표의 변화 : 후향적 연구

김우진,심주철,공보금,강제욱,문정준,김정은,김민걸,박민경,김성진,김현정,정도운 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

Objectives:This study was to identify weight & metabolic changes in first-episode psychotic patients with antipsychotics use and investigate the differences of weight & metabolic changes between first-episode psychotic patients and controls with antipsychotics use. Method:In this retrospective study, twenty eight first-episode psychotic patients and twenty eight controls with schizophrenia, schizoaffective or bipolar disorder defined by DSM-IV criteria were included. Information about demographic and clinical characteristics of the subjects was gathered from the medical records. Also body weight, sBP, dBP, fasting glucose, lipid profile and WBC count were evaluated before and after antipsychotics use. Rogistic regression was conducted to assess factors associated with weight gain. Results:First-episode psychotic patients showed more weight and BMI changes than controls after antipsychotics use, and these changes continue over 12 months. On the other hand, there were no significant factors associated with weight gain. Conclusion:The results of present study suggest that antispychotics is one of the major causes inducing weight gain of psychotic patients and antipsychotics-induced weight gain is more vulnerable to drug-naive first-episode psychotic patients.

Ruled Surface로 형성된 임펠러 블레이드의 5-축 가공에 관한 연구

정대일,조현덕,윤문철,최두선,신보성,이응숙 한국공작기계학회 2000 한국공작기계학회 추계학술대회논문집 Vol.2000 No.-

This paper describes the method and the process for impeller machining on 5-axis CNC machining center. Also, The CAD/CAM software for the impeller post processing is developed. The software can be interfaced with Solid-works software for confirmation of the impeller shapes. In this study, blades on impeller is described from Ruled-surfaces between two Ferguson curves. In this study, using 5-axis NC part program obtained from the developed software, a sample impeller was machined on 5-axis CNC machining center. The machined impeller was very agreeable to the designed impeller. Thus, theories proposed in this study can be very useful for the 5-axis machining of impeller blades with Ruled-surfaces.

악성 갑상선 우연종의 임상상 및 초음파 소견의 진단적 가치

강한욱,김광원,이병완,강보현,김형훈,김범진,정재훈,민용기,이명식,이문규 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.5

연구배경: 최근 갑상선 초음파 검사의 빈번한 시행으로 갑상선 우연종의 발견이 증가하고 있다. 이러한 갑상선 우연종은 임상적으로 어떻게 접근하고 치료를 해야 하는지 적지 않은 문제가 되고 있다. 본 연구에서는 직경 1.5㎝ 이하의 갑상선 우연종의 유병률, 입상적 특징 및 초음파 특성, 그리고 가장 효율적인 진단적 접근에 대해 알아 봤다. 방법: 1999년 1월부터 2000년 12월까지 삼성서울병원 내과 및 일반외과로 갑상선 결절을 주소로 내원한 1457명을 대상으로 후향적 연구를 시행하였다. 우연히 발견된 직경 1.5㎝ 이하의 갑상선 결절을 가지는 환자들에서 갑상선 결절의 촉지 유무, 갑상선 기능검사, 항갑상선 항체, 갑상선 초음파 및 미세침 흡인세포검사, 99m^Tc 갑상선 스켄, 수술 조직검사 및 병기를 검토하였다. 결과: 분석한 갑상선 결절 1475예 중 갑상선 우연종의 유병률은 13.4%(198예)였다. 갑상선 우연종에서 악성률은 28.8%(57예)으로 나왔다. 양성 및 악성 갑상선 우연종에서 나이, 성별, 갑상선 기능검사, 결절 크기에는 의미 있는 차이는 없었다. 갑상선 스켄은 갑상선 우연종의 감별에 적합하지 않았다. 갑상선 결절의 초음파 지표 점수만이 양성 및 악석 갑상선 우연종의 감별에서 초음파 지표 점수의 민감도는 88.9%, 특이도는 74.4%, 양성 예측률은 92.4%로 나왔고 진단적 정환도는 85.5%였다. 갑상선암으로 수술을 받은 50명중 stage 1은 34명, stage 2는 6명, stage 3은 10명으로 대부분의 악성 갑상선 우연종은 낮은 TNM 병기로 나타났으나, 상당수에서는 국소 침범의 소견을 보였다. TNM 병기의 3기 환자 전부는 45세 이상이였고, 주로 갑상선암의 피막 침범에 의한 것이었다. 임파절 전이는 6명의 환자에서 나왔다. 결론: 악성 갑상선 우연종은 비교적 흔히 접할 수 있는 질환이며 양성 우연종과는 임상적으로 구별이 안 된다. 악성 갑상선 우연종은 발견 당시 대부분 낮은 병기이나, 갑상선의 피막 침범 및 임파절 전이가 상당수에서 발견되었다. 갑상선 우연종의 초음파 소견은 향후의 진단 방향을 제시하는 중요한 길잡이가 될 수 있다. 초음파 지표 점수 2점 이상의 갑상선 우연종에서만 초음파 유도 미세침 흡입검사를 권장한다. Background: High-resolution ultrasonography has made the detection of asymptomatic small thyroid possible. Recent increases in the detection of incidentalomas have created a clinical dilemma on how to properly manage such incidental nodules. We investigated the prevalence, clinical and ultrasonographic characteristics, and optimal diagnostic approach toward incidentally detected benign and malignant thyroid nodules of less than 1.5㎝ in size. Methods: A retrospective review was undertaken on the 1,475 patients who had visited Samsung Medical Center, Seoul Korea between January 1999 and December 2000. The review consisted of a physical examination of the thyroid gland, thyroid function test, antithyroid antibodies, thyroid ultrasonography, fine-needle aspiration biopsy, pathology and TNA staging of the incidentally detected thyroid nodules of less than 1.5㎝ in size. Results: The prevalence of thyroid incidentalomas was 13.4% and the malignancy rate within them was 28.8%. There were no significant differences in age, sex, thyroid function test and size between the benign and malignant incidentalomas. Ultrasonographic characteristics showed meaningful diagnostic value for the detection of malignancy in incidentalomas. Most malignant incidentalomas were of a low stage. Conclusion: Occult thyroid cancers are fairly common finding. There are no clinical difference between benign and malignant thyroid nodules less than 1.5㎝; however, ultrasonographic findings can be used to decision of optimal management strategies (J Kor Soc Endocrinol 17:649∼656, 2002).