식도암에서 외부방사선치료와 근접방사선치료의 병용요법

남택근,나병식,오윤경 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.2

Background and Objectives: To evaluate the role of brachytherapy following external radiotherapy by retrospective analysis in view of survival and prognostic factors in esophageal carcinoma. Materials and Methods: From Apr. 1999 to Dec. 2000, a total of 28 patients, who were diagnosed as esophageal carcinoma, were treated by curative external radiotherapy followed by brachytherapy with or without chemotherapy. Eligible primary tumors were located in the thoracic esophagus and lymphatic metastases were restricted to supraclavicular or mediastinal nodes. External radiotherapy was performed by 6 MV or 10 MV X-ray and the range of doses was 50.0 Gy - 59.4 Gy (median; 54.9) to primary tumors. One week later, the intraluminal brachtherapy (IB) was performed by high-dose rate remote controlled afterloader with radioisotope of ^192Ir. Fraction size of IB was 2~5 Gy, twice a week and delivered up to total doses of 3 Gy~ 20 Gy (median; 12). Twenty-one patients were treated by concurrent chemotherapy with the agents of cisplatin and 5-FU. Cisplatin, 75 ㎎/㎡, was given on the first day of weeks 1, 5, 8, 11 and 5-FU, 1,000 ㎎/㎡, was administered as a continuous infusion for the first 4 days of each course. Results: The estimated median survival time was 15 months and 1, 2, 3-year survival rates were 60.7%, 27.5%, 9.2%, respectively. The median survival time (MST) of the patients with stage II (n=9), III (n=17), IVA (n=2) were 20, 15, 5 months, respectively (p=0.68). The MST of the patients with complete response vs partial response were 21 vs 14 months, respectively (p=0.12). The MST of patients younger than 60 years vs older were 22 vs 12 months, respectively (p=0.07). The MST of patients with ECOG performance index 1 vs 2 were 16 vs 10 months, respectively (P=0.06) Tile Mn of patients treated by concurrent chemotherapy vs untreated were 20 vs 12 months, respectively (p=0.07). Four patients (14.3%) suffered massive hematemesis after brachytherapy and one patient with local recurrence salvaged by esophagectomy had mediastinal abscess. Of 21 patients treated by concurrent chemoradiothetapy, one patient had pancytopenia and other two patients had severe leukopenia. Conclusion: This study showed no better outcomes of brachytherapy boost after external radiotherapy than historical results of external radiotherapy alone. Concurrent chemotherapy might have more significant therapeutic role rather than brachytherapy boost and the employment of brachythelapy should be considered with great caution in the treatment of esophageal carcinoma.

借入費用의 損金性과 法人稅等에 미치는 影響

배병택 安東大學 1985 安東大學 論文集 Vol.7 No.1

Borrowing costs are considered to be deducted in determining taxable income for the current period. Some restrictions on that deduction can`t help a company improve its financial position because of additional income tax burden. Deduction regulations in Tax Law, therefore, should be brought more closely in harmony with financial accounting standards and relevant relaxations of not-deduction regulations according to the conditions should prevent a company from committing accounting frauds. In summary, tax policy purporting to improve corporation`s financial condition should devise tax supporting systems in terms of positive actions such as an investment credit used as a direct contribution to capital.

個人企業의 法人轉換 : 그 方法에 따른 租稅特例上의 問題

배병택 安東大學 1984 安東大學 論文集 Vol.6 No.1

Three general methods of converting a sole-proprietorship into a corporation (a legal person) are as follows: 1. consolidation of two or more small and medium enterprises. 2. contribution of property other than cash to a legal person. 3. transferring the business of sole-proprietorship to a legal person. Section 44 of the Laws inacted to Control the Reduction of and Exemption from Taxes provides that the taxes on the income from transfer under the consolidation of small enterprises are exempted and Section 45 of the Laws defines the exemption from taxation on the income from transfer under the contribution of property other than cash to a new corporation. Because both the sections require to adopt the procedures in the contribution of property other than cash, in practice, the application of them seems to be avoided due to much time and cost being consumed. Therefore, for many purposes, both of these sections should be modified and improved in order to prepare better taxation supporting system applicable in practice.

NaC1 수용액과 실리콘 오일에 의한 성층유체의 저온거동에 관한 실험적 연구

장원택,전승배,김병철 朝鮮大學校 機械技術硏究所 2007 機械技術硏究 Vol.10 No.1

To study the influence of phase change of solution and fluid flow on low temperature in thermal storage, solar pond and removal of oil pollution at the sea, an experimental study was carried out in the square cavity filled with stratified fluids of silicone oil and aqueous sodium chloride. In the case of the lower cooling surface, the temperature of the system was dominated by conduction owing to the temperature and concentration fields stabilized by gravity. Liquid superheat influenced less in the lower part and the maximum density of sodium chloride became lower as the salt concentration got higher in the upper part. And the lower the initial temperature in the system the lower the temperature distributions were. When the actual liquid temperature was lower than the liquidus temperature with Ci = 15%, a supercooling phenomenon was observed But with Ci = 5% and Ci = 10% the actual liquid temperature was higher than the liquidus temperature and the temperature of upper fluid also got lower when the concentration of sodium chloride became lower. The influence of latent heat was less in the lower part and the raising ratio in temperature was higher when the initial concentration was lower in the upper part.

경사진 육면체에서 태양열에 의한 증발 현상에 관한 연구

김병철,장원택,윤재원,박준성 朝鮮大學校 機械技術硏究所 2006 機械技術硏究 Vol.9 No.1

Four solar stills that were fabricated each with cubes and glazing tilted angles of 15°, 30°, 45°, 60°, were compared with the quantities of condensed water. The quantities of condensed water were analysed with the weather conditions and temperatures for three months, On fine days, the quantity of average condensed water was more similar to those of 15° and 30°than to those of 45° and 60°, The quantity of condensed water produced by those of 45° and 60° were very irregular compared to those of 15° and 30", On rainy days, the quantity of condensed water was the most in that of 30° than those of the other angles and in cloudy, rainy and sunny conditions, the condensation quantity was the largest in that of 60°.

전해응집공정을 이용한 염색폐수의 처리

이용택,한승우,조영개,이현문,김태근,손인식,양병수 한국환경과학회 2000 한국환경과학회지 Vol.9 No.4

This research studied the characteristics and applicability of electrocoagulation using aluminium electrode for the color and COD removal in textile wastewater. Electrocoagulation reactor used two different electrode, Fe and Al, since in the general chemical wastewater treatment, aluminium and ferrous salts were used as coagulants. Aluminium electrode showed higher removal efficiency of color and COD than ferrous electrode did. The COD and color removal efficiency improved at the 0.192A/dm^2 current density. Thus, the electrocoagulation process with bipolar aluminium electrode showed better efficiency in the decolorization and COD removal rate of textile wastewater effluent than custom coagulants did.

노후공동주택의 거주성능평가요소에 관한 연구

이병태,현택수,정의용 대한건축학회 2004 대한건축학회논문집 Vol.20 No.2

This study aims to propose the comprehensive evaluation of Performance multi-family housing. Most of the existing studies for the reproduction have evaluated the deterioration by the safety of structure. Therefore those pass over the functional factors which is important for the evaluation of residential qualities. This study represents that the reproduction renovation should not be secured the safety of structure but established the quality of life. And questionnaire asking expert's opinion also supplemented. As a result, the item for examination and the weight for evaluation are suggested in functional deterioration. The results of this study are summarized as follows: 1. Existent redevelopment criteria are not appropriate to decide the environmental comfort, the vital function of housing and the residential management finance. 2. The future criteria have to evaluate the existing environmental comfort, be reconstructed to put first general deterioration. 3. Evaluation elements was extracted throughout the document research. evaluation elements analysis system was separated in residential area, suburb of dwellings, community, and housing complexity environmental assesment. 4. Each category of influence ratio was extracted to assess total deterioration throughout the expert question survey. 5. Each category analysed : ① 0~30%: function is good (unnecessary to improve) ② 31~40%: average (necessary of partial improvement) ③ 41~59%: bad (necessary of total improvement) ④ 60~100%: the worst (unable to improve throughout the repair)

아미노글리코사이드 사용제한에 따른 병원성 균혈증 유발 그람음성간균의 내성변화 및 임상적 의의

오종택,김신우,손종원,도병훈,한승우,신병철,박지현,이종명,김능수 대한감염학회 2003 감염과 화학요법 Vol.35 No.4

목적 : 항균제 오남용으로 인한 내성균의 출현, 약물부작용의 발생 및 약제 비용의 증가는 환자 개인뿐만 아니라 사회적으로 문제가 되고 있다. 본 연구는 항생제의 오남용을 막기 위한 제도의 일환으로 시행한 아미노글리코사이드 사용 제한정책의 비용 효과적인 측면을 조사하고 그람음성간균에 의해 병원성 균혈증이 발생한 환자들을 대상으로 이 정책이 항생제 내성률과 환자 사망률에 미치는 영향을 연구하였다. 방법 : 930병상 규모의 3차 병원인 일개 대학병원에서 아미노글리코사이드 사용제한정책이 시행된 직후인 2002년 3월에서 9월 사이에 그람음성간균(Acinetobacter baumannii, Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli, Enterobacter cloacae, Enterobacter aerogenes, Serratia marcescens, Stenotrophomonas maltophilia, Burkholderia cepacia)에 의해 발생한 병원성 균혈증 환자 60명(실험군)과, 이 정책이 시행되기 전에 입원한 환자들 중 균주별로 같은 수만큼 선별한 병원성 균혈증 환자 60명(대조군)의 의무기록을 후향적으로 조사하였다. 결과 : 아미노글리코사이드 사용제한정책이 시행된 시기인 2002년 3월에서 9월 사이에 처방된 아미노글리코사이드 사용량 및 비용을 이 정책이 시행되기 전인 2001년 3월에서 9월 사이와 비교한 결과, 아미노글리코사이드의 사용량(antimicrobial utilization density)은 사용제한 후 225.2에서 130.3으로 42% 감소하였고 약제 비용은 44% 감소하였다. 아미노글리코사이드 사용제한 후 병원성 균혈증을 유발한 그람 음성간균의 이 항생제에 대한 내성률은 유의한 변화를 보이지 않았으며 균혈증과 직접 연관된 사망률도 환자의 나이, 성별, 기저질환 및 원발병소 등을 보정할 경우 유의한 차이를 보이지 않았다(40.4% vs. 24.1%, P=0.11). 결론 : 아미노글리코사이드를 5일을 초과한 사용 시 감염전문가의 사전 승인을 필요로 하는 사용제한정책은 아미노글리코사이드의 사용량과 비용을 유의하게 감소시켰다. 또한 이 정책 시행 후 그람음성간균에 의한 균혈증 환자에서 균혈증으로 인한 사망률과 아미노글리코사이드에 대한 내성률은 유의한 차이가 없었다. Objective : To evaluate the effects of an aminoglycoside restriction policy on expenditures for aminoglycosides, antimicrobial resistance rates and clinical outcome of nosocomial bacteremia caused by Gram-negative bacilli (GNB). Methods : Starting in February, 2002, a prior consultation with an infectious disease specialist for using aminoglycoside antibiotics over 5 days was required in a 930-bed university hospital. In retrospective analysis of medical records 7 months after initiation of the aminoglycoside restriction policy, sixty cases of clinically relevant nosocomial bacteremia caused by GNB were found. These bacteremic patients were compared with sixty, species-matched, control patients with nosocomial Gramnegative bacteremia before the policy for total expenditures for aminoglycosides, susceptibility to antibiotics and clinical outcomes of bacteremia. Results : During the same period of 7 months before and after the restriction policy, total expenditures for aminoglycosides decreased by 44% in cost (from 465,030,841 Won to 259,618,337 Won) and the antimicrobial utilization density of aminoglycosides decreased by 42% (from 225,2 to 130.3). On the other hand, the patterns of antibiotic susceptibility and bacteremia-related in-hospital mortality rates after the policy did not show a significant change, compared with those before the policy. Conclusion : Antibiotic restrictions are among the most popular methods to diminish the practice of antibiotic overuse in hospitals. In this study, requirement for prior approval of aminoglycoside use over 5 days led to a significant decrease in the amount and cost of total aminoglycosides without a significant change in susceptibility patterns and bacteremia-related mortality rates.

싸이리스터 PWM 전류원 무효전력보상기의 동작 해석

백승택,한병문 명지대학교 대학원 1999 대학원논문집 Vol.3 No.-

This paper proposes a new reactive-power compensator composed of a thyristor current-source inverter. The compensator consists of a 6-pulse thyristor bridge, de reactor, and a commutation circuit. The commutation circuit offers the thyristor bridge to have PWM operation with minimal switching losses. The operation of proposed system was analyzed by computer simulations with EMTP and experimental works with hardware scaled-model. The proposed system would have low cost and easy expansion of operation voltage due to using the conventional thyristors.

李陸史 詩의 意識과 그 意味

金昞澤 제주대학교 1994 논문집 Vol.39 No.1

The aim of this paper is to inquire into the consciousness which the poems written by Lee Youk-sa reveal and its different meanings. Therefore we discuss the consciousness of resistance and the Korean people's reality, the consciousness of hometowns and the vagabond's life, the consciousness of the superman and the direction for the future in this paper to fulfill such an aim. The following summarizes what we discuss from three different viewpoints. When we take a good look at Lee's works in which the consciousness of resistance is revealed, we can find the fact that the consciousness of resistance was formed and developed on different bases. In other words, the consciousness of resistance was based upon such circumstacnces as urgency, paradox, a miserable life and so on. In this case, the different bases of the consciousness of resistance can be said to have been the Korean people's reality at that time. All of Lee's works which reveal the consciousness of the hometown don't show the same consciousness of the motherland and the homesickness in some works, other works show the impoverished conditions of hometowns through it, or, in particular when it is connected with the high spiritual realm, bring his wretched situation into relief with wishes for a hopeful future. Regardless of these different meanings of consciousness, a vagabond's life includes all different meanings of the consciousness of the hometown. The consciousness of the superman looks forward to the superman to exert his great power or be the source of great power for the Korean people. There are firm self-identification and hope for the liberation and independence of the motherland as an interllectual of that time in Lee's works have the common feature of heading for a hopeful future.