아세틸 콜린 유발 검사시 허혈성 심전도 변화와 흉통의 발생이 내피세포 기능장애에 미치는 영향

최철웅(Cheol Ung Choi),나승운(Seung-Woon Rha),김선원(Sun Won Kim),나진오(Jin Oh Na),임홍의(Hong Euy Lim),김진원(Jin Won Kim),김응주(Eung Ju Kim),한성우(Seong Woo Han),박창규(Chang Gyu Park),서홍석(Hong Seog Seo),오동주(Dong Joo Oh) 대한임상노인의학회 2010 대한임상노인의학회지 Vol.11 No.4

연구배경: 아세틸 콜린 유발 검사시 발생하는 흉통과 허혈성 심전도 변화가 아세틸 콜린에 의해 발생하는 관상동맥의 내피세포 기능에 어떤 영향을 주는지 알아보고자 했다. 방법: 흉통으로 내원하여 관상동맥 조영술과 아세틸 콜린 유발검사를 시행받은 1,085명의 환자를 대상으로 하였다. 아세틸 콜린 유발 검사를 하는 동안 허혈성 심전도 변화 및 흉통의 발생 유무에 따른 관상동맥 내피세포 기능의 특징을 비교하였다. 결과: 539명의 환자에서 아세틸 콜린 검사시 내피세포 기능 장애가 발생 하였다. 허혈성 심전도 변화가 있었던 그룹이 심전도 변화가 없었던 그룹보다 흉통이 더 많았고(78.1% vs. 60.8%, P=0.007), 관상동맥 조영술상 다발성 관상동맥 경련이 빈번하였고(59.4% vs. 40.6%, P=0.004), 관상동맥의 경련 정도도 더 심하였다(64.1% vs. 46.5%, P=0.006). 흉통이 있었던 그룹이 흉통이 없었던 그룹보다 허혈성 심전도 변화의 빈도가 더 높았다(14.7% vs. 7.5%, P=0.007). 또한 흉통이 있었던 그룹이 관상동맥 경련이 다발성으로 발생하는 경우가 많았고 (50.7% vs. 29.5%, P<0.001), 미만성으로 발생하는 경우가 많았고(87.1% vs. 75%, P<0.001), 관상동맥의 경련의 정도도 더 심하였다(51.6% vs. 43.5%, P=0.041). 결론: 아세틸 콜린 유발검사시 발생하는 허혈성 심전도 변화와 흉통은 관상동맥 경련의 정도와 경련이 발생하는 관상동맥 개수와 연관이 있다. Background: ECG changes and chest pain during acetylcholine (Ach) provocation tests may constitute important clinical parameters for Ach-induced endothelial dysfunction. We investigated the association between ischemic ECG changes and chest pain during the Ach-provocation test and angiographic characteristics of Ach-induced endothelial dysfunction. Methods: A total of 1,085 patients with anginal symptoms underwent diagnostic coronary angiography (CAG) and Ach-provocation tests. We compared angiographic characteristics of Ach-induced endothelial dysfunction according to the presence of ECG change and chest pain. Results: A total of 539 patients experienced Ach-induced endothelial dysfunction. Patients who experienced ECG change group suffered more frequent chest pain (78.1% vs. 60.8%, P=0.007), angiographically more frequent multiple coronary artery spasm (59.4% vs. 40.6%, P=0.004), and more severe coronary artery spasm (64.1% vs. 46.5%, P=0.006) than patients without ECG change. However, there was no difference in the length of endothelial dysfunction between the groups. The incidence of ischemic ECG changes in patients with chest pain was higher than in patients without chest pain (14.7% vs. 7.5%, P=0.007). Patients who experienced chest pain more often experienced multiple (50.7% vs. 29.5%, P<0.001), diffuse (87.1% vs. 75%, P<0.001), and severe coronary artery spasm (51.6% vs. 43.5%, P=0.041) than patients without chest pain. Conclusion: Ischemic ECG changes and chest pain during the Ach-provocation test are associated with multi-vessel involvement and severe coronary artery spasm. Chest pain is associated with the length of endothelial dysfunction, but ischemic ECG change is not.

물-에너지-식량-탄소 넥서스를 이용한 통합물관리 모델 평가 연구 - 영산강 수계를 중심으로 -

나라 ( Na Ra ),박진현 ( Park Jin-hyeon ),주동혁 ( Joo Donghyuk ),김하영 ( Kim Hayoung ),유승환 ( Yoo Seung-hwan ),오창조 ( Oh Chang-jo ),이상현 ( Lee Sang-hyun ),오부영 ( Oh Bu-yeong ),허승오 ( Hur Seung-oh ) 한국농촌계획학회 2023 농촌계획 Vol.29 No.1

Active attention and effort are needed to develop an integrated water management system in response to climate change. In this study, it proposed models for cross-use of agricultural water and river maintenance water using sewage treatment water as an integrated water management system for the Yeongsan River. The impact of the integrated water management models was assessed by applying the concept of Nexus, which is being presented worldwide for sustainable resource management. The target year was set for 2030 and quantitatively analyzed water, energy, land use and carbon emissions and resource availability index by integrated water management models was calculated by applying maximum usable amount by resource. An integrated water management system evaluation model using the Nexus concept developed in this study can play a role that can be viewed in a variety of ways: security and environmental impact assessment of other resources. The results of this research will be used as a foundation for the field of in the establishment of a policy decision support system to evaluate various security policies, as we analyzed changes in other factors according to changes in individual components, taking into account the associations between water, energy, food, and carbon resources. In future studies, additional sub-models need to be built that can be applied flexibly to changes in the future timing of the inter-resource relationship components. 1)

O/W형 microemulsion의 생성영역과 입자크기 및 안정성에 관한 연구

오주영 ( Joo-young Oh ),한창규 ( Chang-gew Han ),조춘구 ( Choon-ku Zhoh ) 대한화장품학회 1995 대한화장품학회지 Vol.21 No.2

본 연구에서는 ME의 각 성분의 구조가 그들의 생성영역, 입자의 크기 및 안정성에 미치는 영향을 고찰하고자 surfactant로서 POE sorbitan fatty acid 계를 사용하였고, oil로는 포화탄화수소계인 liquid paraffin, squalane, 방향족계열인 alkyl benzoate, Isostearyl benzoate를 그리고 cosurfactant로는 glycerine, propylene glycol, sorbitol, 1, 3-butanediol을 사용하여 4성분계 ME을 제조하고, 이 계에서 cosurfactant의 구조적 특성이 ME 생성영역에 미치는 영향과 그리고 oil과 surfactant의 구조 특성이 제조된 ME 입자크기 및 안정성에 미치는 영향을 고찰한 결과, cosurfactant로 polyol류를 사용했을 때, polyol 분자 중 탄소가 같은 경우 OH수가 많을 때, OH기 수가 같을 경우 탄소수가 적을 때 ME생성영역이 크게 나타남을 알 수 있었으며 제조된 ME의 입자 크기를 비교했을 때 oil의 극성이 클수록, surfactant 소수부분의 alkyl chain의 탄소수가 클수록 입자크기가 작게 나타났다. 또한 분산상으로 사용된 oil 중 alkyl benzoate나 Isostearyl benzoatbenzoate 에 비해서 포화탄수소계인 liquid paraffin, squalane으로 구성된 ME의 경시 안정성이 더 양호하였다. This study was investigated to search for the effects of the structure of each component in four-component O/W microemulsion system on its formation region, droplet size and stablilty. The results was that the more number of OH site, the shorter carbon chain length of polyol, the larger formation region of microemulsion was showed. The small microemulsion droplet was obtained on condition that the polatry of oil was large and carbon chain length of hydrophobic group of surfactant was long. In using satrated hydrocarbon (such as liquid paraffin, squalane) as dispersed phase, the stability of microemulsion was better than aromatic oil phase.

Trends in incidence and survival of esophageal cancer in Korea: Analysis of the Korea Central Cancer Registry Database

Shin, Aesun,Won, Young‐,Joo,Jung, Hye‐,Kyung,Kong, Hyun‐,Joo,Jung, Kyu‐,Won,Oh, Chang‐,Mo,Choe, Sunho,Lee, Jihyun John Wiley and Sons Inc. 2018 Journal of gastroenterology and hepatology Vol.33 No.12

<P><B>Abstract</B></P><P><B>Background and Aim</B></P><P>The diagnostic and therapeutic modalities of esophageal cancer have recently improved in Asia, and its prognosis is expected to change. This study provides a population‐based report on the epidemiology of esophageal cancer in Korea.</P><P><B>Methods</B></P><P>Cancer incidence data from 1999 to 2013 were obtained from the Korea Central Cancer Registry, covering the entire population. Age‐standardized incidence rates and annual percent changes were calculated according to subsites and histological types. Five‐year relative survival rates were estimated for cases diagnosed between 1993 and 2013. Relative excess rates were compared between patients diagnosed from 2009 to 2013 and 2006 to 2008.</P><P><B>Results</B></P><P>The age‐standardized incidence rates decreased from 8.8 per 100 000 populations in 1999 to 5.9 in 2013 with an annual percent change of −2.6% in men and −2.2% in women. The most common histological type was squamous cell carcinoma, accounting for 90.2% of all esophageal cancers in 2013, followed by adenocarcinomas (3.1%), and their incidences decreased. The proportion of localized and regional cancer tended to increase compared with that of distant cancer. Five‐year relative survival of squamous cell carcinoma improved from 12.1% (1993–1995) to 34.6% (2009–2013). Relative excess rate was 0.72 (95% confidence interval 0.65–0.80) in localized stage and 0.88 (95% confidence interval, 0.82–0.95) in regional stage comparing patients diagnosed from 2009 to 2013 and 2006 to 2008.</P><P><B>Conclusions</B></P><P>The incidence of esophageal cancer has decreased in Korea for the past 15 years, and 5‐year survival rates have improved significantly. These increases may be attributable to more effective detection of early‐stage disease.</P>

pH, 이온종류 및 농도, 퇴적물의 성분에 따른 하천 내 불소의 거동특성

이동민(Dong Min LEE),주광진(Kwang Jin Joo),최이송(ISong Choi),장광현(Kwang Hyeon Chang),오종민(Jong Min Oh) 응용생태공학회 2018 Ecology and resilient infrastructure Vol.5 No.1

하천에 유입된 오염물질은 다양한 환경 조건에 의하여 수체 및 퇴적물의 상호작용에 따라 수체의 수질에 영향을 미친다. 특히 최근 수체의 수리학적 체류시간이 상대적으로 긴 정체수역 내에서는 퇴적물의 축적량이 증가하고 있어 퇴적물과 수체 내에서의 물질적 거동특성 파악은 중요한 수질적 관점 요소이다. 본 연구에서는 하천 내 pH, 이온종류 및 농도, 퇴적물의 점토함량에 따라 불소의 거동이 어떻게 변화하는지 검토하기 위하여 경기도에 위치한 중소하천을 대상으로 조건별 실험을 실시하였다. pH에 따른 흡착 및 용출특성 실험결과, pH가 높을수록 불소의 흡착량이 감소하였고, 용출되는 불소량은 증가하는 경향을 나타냈다. 이온농도 및 종류에 따른 흡착 및 용출특성 실험결과, Cl<SUP>-</SUP>, SO₄<SUP>2-</SUP> 이온은 불소의 흡착능에 큰 영향을 주지 않는 것으로 나타났으나, 불소와의 활발한 이온경쟁효과를 지닌 OH<SUP>-</SUP>와의 반응에서는 흡착량이 줄고, 용출량이 늘었음을 알 수 있었다. 퇴적물의 성분에 따른 흡착 및 용출특성 실험 결과 상대적으로 입경이 작은 Silt와 Clay 성분이 많이 포함된 시료에서 불소의 흡착량이 많고 용출되는 불소량이 줄어드는 것을 알 수 있었다. 이는 수체의 환경조건이 퇴적물 내 불소의 흡착 및 용출에 크게 영향을 미치기 때문에, 퇴적물 내 불소를 적절하게 관리하기 위해서는 수체의 환경조건에 대한 이해가 선행되어야 한다는 것을 의미한다. Water quality is affected by the pollutants flowing into rivers since the interaction between water bodies and sediments in various environmental conditions. Especially, accumulation of sediments increases in the stagnant water areas due to a relative long hydrological retention time in the water bodies. Therefore, it is an important factor of water quality to understand characterization of the material behavior in water bodies and sediments. In this study, the objective of the conditional experiments was small and medium sized streams located in Gyeonggi-do. To estimate how the changes of fluoride behavior, depending on the pH, ion type, concentration, and clay contents. The pH results showed a trend that adsorption amount of fluorine decreased and the dissolution of fluorine increased following by pH increasing. The concentration and type of ions results showed that Cl<SUP>-</SUP> and SO₄<SUP>2-</SUP> ions had no significant effect on the adsorption ability of fluorine, the amount of dissolution was increased because OH<SUP>-</SUP> ion had active competition with fluorine in the reaction. The ingredient of sediment results showed that the amounts of fluoride adsorption and dissolution were reduced in samples, which contain relatively large amounts of Silt and Clay components. This means that the environmental conditions of water bodies greatly affect the adsorption and dissolution of fluoride in the sediments, so that proper management of fluoride in the sediments must precede an understanding of the environmental conditions of the water bodies.

Expression of cellular retinoic acid-binding protein-I (CRABP-I) in the cerebrospinal fluid of adult onset moyamoya disease and its association with clinical presentation and postoperative haemodynamic change

Jeon, Jin Sue,Ahn, Jun Hyong,Moon, Youn-joo,Cho, Won-Sang,Son, Young-Je,Kim, Seung-Ki,Wang, Kyu-Chang,Bang, Jae Seung,Kang, Hyun-Seung,Kim, Jeong Eun,Oh, Chang Wan BMJ Publishing Group Ltd 2014 Journal of neurology, neurosurgery and psychiatry Vol.85 No.7

<P><B>Objective</B></P><P>The elevation of cellular retinoic acid-binding protein-I (CRABP-I) has been suggested as a candidate in the pathogenesis of paediatric moyamoya disease (MMD). However, few studies have addressed CRABP-I in adult onset MMD. The aim of this study was to examine the expression of CRABP-I in the cerebrospinal fluid (CSF) of adult onset MMD, and to evaluate its association with clinical presentation and postoperative haemodynamic change.</P><P><B>Methods</B></P><P>This study examined the CSF from 103 patients: bilateral MMD, n=58 (56.3%); unilateral MMD, n=19 (18.4%); atherosclerotic cerebrovascular disease (ACVD), n=21 (20.4%); and control group, n=5 (4.9%). The intensity of CRABP-I was confirmed by western blotting and expressed as the median (25th–75th percentile). The differences in CRABP-I expression according to disease entity (unilateral MMD vs bilateral MMD vs ACVD), initial presenting symptoms (haemorrhage vs ischaemia) and postoperative haemodynamic change (vascular reserve in single photon emission CT and basal collateral vessels in digital subtraction angiography) were analysed.</P><P><B>Results</B></P><P>CRABP-I intensities in bilateral MMD (1.45(0.86–2.52)) were significantly higher than in unilateral MMD (0.91(0.78–1.20)) (p=0.044) or ACVD (0.85(0.66–1.11)) (p=0.004). No significant differences were noted based on the initial presenting symptoms (p=0.687). CRABP-I was not associated with improvement in vascular reserve (p=0.327), but with decrease in basal collateral vessels (p=0.023) postoperatively.</P><P><B>Conclusions</B></P><P>Higher CRABP-I in the CSF can be associated with typical bilateral MMD pathogenesis in adults. Additionally, postoperative basal collateral change may be related to the degree of CRABP-I expression.</P>

π/4 QPSK신호에 대한 LMS와 CMA적응 배열안테나의 동작특성 분석

周昌福,吳俓錫 慶南大學校 附設 工業技術硏究所 1998 硏究論文集 Vol.15 No.2

본 논문에서는 LMS와 CMA 알고리즘에 의한 적응 배열안테나의 지도원리와 제어방법을 보이고 수렴특성, 지향성 패턴의 적응성, SINR 및 신호파의 재현 특성을 비교 분석하였다. 간격 λ/4의 선형 4소자 배열안테나에서 π/4QPSK 신호파에 적용한 LMS와 CMA 적응 안테나는 정상상태에서 SINR가 각각 13.8[㏈]와 12[㏈]로써 CMA 에 비하여 LMS가 우수한 SINR와 빠른 수렴특성을 보였으며 간섭파의 방향에 적응하여 강한 영점을 잘 형성하는 것으로 나타났다. In this paper, the training principles and the control method of adaptive array antennas using the LMS and CMA algorithms for the λ/4QPSK signal is showed and the convergence characteristics, The adaptively of directional pattern. SINR and the replication of desired signal of adaptive arrays are compared and discussed each other. Computer simulation results showed that the SINR of LMS adaptive array was 13.8[㏈], and that of CMA was 12[㏈], and also the convergence characteristics of LMS was fast a little than that of CMA/ The LMS adaptive array was also performed null points well for the interference signals direction than that of the CMA adaptive array.

일차적 비확공성 골수강 고정술로 치료한 제3형 개방성 경골 골절

오창욱,경희수,김도헌,박일형,김풍택,인주철,우연기,이정엽 대한골절학회 2004 대한골절학회지 Vol.17 No.2

M계열에 의한 거리계측장치의 동작특성

주창복,오경석 慶南大學校 附設 工業技術硏究所 1997 硏究論文集 Vol.15 No.1

본 논문에서는 M계열을 사용하여 제시한 거리계측시스템 모델에서 측정신호로서의 M계열을 MPD(Matched Pulse Detector) 디지털상관기로 검출할 때의 고속 동기포착과 추적을 위한 임계치 설정방법과 1칩 펄스이내의 고분해능이 가능한 거리계측방법과 거리계측상에서의 멀티패스와 도플러주파수의 영향을 분석하였다. 제시된 모델에 대한 컴퓨터시뮬레이션 실험의 결과 S/N=-30dB의 PN부호와 잡음의 비에서 직접 반사파와 멀티패스파와의 비가 D/U₁=3dB, D/U₂=10dB까지 동기포착과 동기추적이 잘 이루워지고 있었으며 이 조건하에서 7-90〔m〕범위의 거리는 정확히 계측되는 것을 확인하였다. 반면에 도플러주파수 발생에 의한 위상변화에 따른 영향에서는 S/N를 크게 증가시키는 결과로 나타났다. In this paper, for the presented ranging system model using M-sequence, not only the establishment method of threshold level of a digital correator as a matched pulse detector for the fast acquisition and tracking and the high resolution ranging measurement method within one chip pulse are presented but also the influence of multipath and doppler frequencies are showed. The simulation experimental results for the distance measurement showed that the acquisition and tracking for received signal is carried out well at the D/U₁=3dB and D/U₂=10dB, the directly reflected signal to multipathed signal ratio under the S/N=-30dB, the PN code to noise ratio. At this condition, the ranging system model measured the distance from 7-90〔m〕correctly. On the other hand the carrier phase variation due to the doppler frequencies incresed the S/N a lots.

피드백러닝 RLS 알고리즘에 의한 이동통신용 판정귀환형 등화기모델의 동작 특성

周昌福,吳俓錫 慶南大學校 附設 工業技術硏究所 1998 硏究論文集 Vol.15 No.2

이동통신에서는 수십 kb㎰ 이상의 고속 디지털 전송을 실현하는데 멀티패스파에 의한 지연왜곡이 수반되므로 전송로 변동, 즉 주파수선택성 페이딩을 극복하는 기술이 확립 되지 않으면 안된다. 본 논문에서는 판정귀환형 등화기의 제어 알고리즘으로써 지수적 가중계수에 의해 RLS 알고리즘을 개량한 피드백러닝 RLS 알고리즘을 제안하고 램덤 가우시안 잡음하에서 정적인 1파 모델과 2파 모델에 대한 등화기의 동작특성을 컴퓨터 모의 실험을 통하여 검토 분석하였다. 컴퓨터 모의 실험결과 λ=0.9. S/N=10[㏈], S/I=20[㏈]에서 지연시간을 1심볼까지 변화시켰을 때 우수한 추종특성과 등화특성을 보였다. In the realization of a high speed digital transmission over several thens kb㎰ in mobile communications, it follow delay distortion of a count of transmission path variation by multipath interference waves. Therefore it is inevitably necessary to establish the techniques overcoming the frequency selective fading. In this paper, a feedback running RLS algorithm which is improved the RLS algorithm using exponential weighting factor, is proposed for the control algorithm of DFE and by the computer simulation method, and the performance characteristics of DFE is analyzed for the one-ray and two-ray waves model under the random Gaussian noise. The computer simulation results of proposed RLS algorithm for the π/4QPSK signal with one symbol time delayed interference signal of S/I=20[㏈], under the S/N=10[㏈] with λ=0.9 showed excellent following characteristics and equalization characteristics.