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      • 기초주변지반의 마이크로 파일 보강에 의한 지지력 증가효과에 관한 연구

        임종철,허진철,이태형,고호성 釜山大學校生産技術硏究所 2002 生産技術硏究所論文集 Vol.61 No.-

        본 연구에서는 기초주변에 설치된 마이크로 파일의 길이와 보강범위에 따른 지반의 지지력 증가효과를 실내모형실험을 통하여 조사하였다. 실험 결과, 마이크로 파일의 최적 길이와 보강 범위가 제안되었다. 또한, 기초 직하에 설치된 마이크로 파일의 지지력과도 비교하였다. In this study, the increase in the bearing capacity of soil due to the variation of length and reinforcement scope of the micropiles installed near the foundation was investigated using model tests. From the test results, the length and the optimum reinforcement scope were proposed. In order to improve micropiles field application, it was compared with the increase in the bearing capacity for micropiles installed directly beneath the foundation.

      • 갱년기 여성의 호르몬 대치 요법에 대한 수용율

        이임순,장진영,이정재,이순곤,이권해,이해혁,김승형 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

        Purpose: We have evaluated the compliance of hormone replacement therapy. Method: There are 185 climacteric women who are divided into three groups (Group I, Group II, Group III). Group I is given conjugated equine estrogen(CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate(MPA, 5mg, day 1-12). Group II is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group III is given only conjugated equine estrogen(CEE, 0.625mg, day 1-30). Results: 1) The compliance rate of hormone replacement therapy during three months is 77.9% including each Group I : 77.7%, Group Ⅱ : 76.1%, Group Ⅲ :80.4%. 2) The compliance rate of hormone replacement therapy during six months is 60.7% including each Group Ⅰ:52.9%, Group Ⅱ: 56.4%, Group Ⅲ: 79.5%. 3) The compliance rate of hormone replacement therapy during nine months is 49.7% including each Group Ⅰ: 45.5%, Group Ⅱ:41.7%, Group Ⅲ: 64.3%. 4) The compliance rate of hormone replacement therapy during a year is 44.4% including each Group Ⅰ: 40.2%, Group Ⅱ:35.3%, Group Ⅲ: 59.5%. Conclusion : It is vital that we maximize compliance if patients are to receive the full benefits from hormone replacement therapy. We think that physicians who prescribe hormone replacement therapy for climacteric women should enough explain the purpose, risks, and side effect of treatment for maximizing compliance of hormone replacement therapy.

      • 탄소섬유쉬트 보강 철근콘크리트보의 휨 설계법에 관한 연구

        황진석,임서형 진주산업대학교 건설기술연구소 1998 건설기술연구소보 Vol.1 No.-

        This paper deals with the flexural behaviors and design method of R.C beams strengthened by carbon fiber sheets. The behaviors of strengthened beams which were preloaded are compared with that of a beam which was not preloaded. The structural behaviors of strengthened beams are compared with flexural theory and current codes. According to the results, it is shown that strengthening of damaged beams is structurally efficient and that the strength of the strengthened beams are improved. The composite action between concrete and CFS are preserved after strengthening regardness of preloading. And, it is shown that the behavior of strengthened beams follow simple laws of mechanics and can be predicted by codes.

      • 개심술(開心術)의 임상적 고찰 : 치험 200예 200 Cases

        최형호,서홍주,임영혁,김정중,배대양,이석기,임진수 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.2

        Background and Objectives: Two hundred cases of the open heart surgery due to congenital and acquired heart disease were done using the cardiopulmonary bypass in the Department of Thoracic and Cardiovascular surgery, Chosun University Hospital from November, 1980 to June, 2001. Material and Methods: The number of congenital heart disease was 132 cases. 68 cases were acquired heart disease. 'The age of the congenital heart disease was from 22 days to 45 years. In the acquired heart disease, the age was from 14 to 72 years. Result: Congenital heart disease consisted of 113 congenital acyanotic heart disease, 19 congenital cyanotic heart disease. Corrective operation was done for congenital heart disease with 4. 5 % operative mortality. Of 68 cases acquired heart disease, 44 patients were valvular heart disease, 3 cardiac tumors, 9 ischemic heart diseases, 12 aortic dissections and etc. The operative mortality was 13%. Conclusion: The postoperative complications were appeared in 68 cases and the complications were wound infection, occipital alopecia, low cardiac output syndrome, arrhythmia, septicemia etc. The mortality after open heart surgery was 15 cases and the causes of death were low cardiac output syndrome, septicemia, respiratory failure and left ventricle rupture.

      • 폐모세포종 : 1례보고 A Case Report

        최영호,서홍주,임영혁,김정중,박성강,이석기,임진수,김은규 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

        Pulmonary blastoma is a very rare primary neoplasm of the lung. We experienced a case of pulmonary blastoma in a 40 years old man. The mediobasal segmentectomy of the right lower lobe was performed. The patient was discharge on the postoperative days 6. There is no evidence of recurrence or metastasis on followup study during 7 months period after operation.

      • 18S-srRNA 분석에 의한 Acantbamoeba 한국 분리주들의 분류 검토

        신호준,지영진,조명수,김형일,박연희,임경일 아주대학교 의과학연구소 1998 아주의학 Vol.3 No.2

        Acanthamoeba spp. spread in soil, ponds, air and swimming pool, cause a granulomatous amoebic meningitis and amoebic keratitis in human and experimental animals. Their classification had depended upon morphological characteristics and physiological conditions such as thermophilic status and generation times. However, because amoeba species showed the morphological and physiological diversity in isolates, many attempts have been made on identification of Acanthamoeba spp. Restriction fragments length polymorphism (RFLP) analysis of IBS-small subunit ribosomal RNA (srRNA) was an useful tool for classification among morphologically and genetically closely-related species. In this study, 18S-srDNAs of amoebae were amplified by PCR with primer encoding 18S-srRNA gene and digested with restriction endonudeases, and RFLP analysis was applied on classification of Acanthamoeba Korean isolates (YM-4, YM-5 and YM-7), comparing with reference amoebae, A. culbertsoni, A. polyphaga and A. royreba. Trophozoites of six Acanthamoeba spp. had typical acanthopoda, but did not show any morphological differences. Cyst of Acanthamoeba sp. YM-7 was similar to that of A. polyphaga which was designated as group Ⅱ Acanthamoeba. Morphologically other amoebae belonged to group Ⅲ Acanthamoeba. Digestion of 18S-srDNA with six enzymes, Dde Ⅰ, Hae Ⅲ, Hind Ⅲ, EcoR Ⅰ, Rsa Ⅰ and Sph Ⅰ, resulted in various DNA fragments. Using the method of Nei and U (1979) for RFLP analysis, genetic divergence was not observed between A culbertsoni and Acanthamoeba sp. YM-4. Between A. culbertsoni and Acanthamoeba sp. YM-5, genetic distance was 0.070, 0.364 between Acanthamoeba sp. YM-4 and A. polyphaga, and 0.277 between Acanthamoeba sp. YM-7 and A. polyphaga. In comparison with A. culbertsoni and A. polyphaga, Acanthamoeba sp. YM-7 showed genetic distance of 0.330 and 0.154, respectively. Thus, Acanthamoeba sp. YM-7 is a similar species to A. polyphaga. Acanthamoeba sp. YM-5 is a different species from A. polyphaga, but closely-related to A. culbertsoni. Acanthamoeba sp. YM-4 can be classified as a subspecies or a strain of A. culbertsoni.

      • 원발성 다한증의 교감신경차단술에 대한 임상적 고찰

        정민규,이석기,임진수,최형호 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

        Background : Exccssive sweating of the facial, Palms, axilla and soles, is a psychologically and occupationally distressing and sometimes disabling condition. VideoUassisted thoracoscopic surgery (VATS) is now mostly performed for treating of the facial, palmar and axillary hyperhidorsis. This study was designed to evaluate the results and complication of sympathicotomy of the primary hyperhidrosis. Material and methods : From June 1999 to May 2002, 55 patients ( 30 males and 25 females ) suffering from primary hyperhidirosis were operated. The mean age of patients was 24.0±6.0 years. Bilateral thoracoscopic sympathicotomy was resected the only T2, T2 & T3, onlY T3, T3 & T4 and T2, T3 & T4. The mean follow up period was 18±6.5 months. Results : Mean operation time was 61.2+25.0 minutes and the mean elevation of palmar temperature after sympathicotomy was 1.13±0.2℃. There were no operative deaths but some complication existed : 42 patients (76%) complained the compensatory hyperhidrosis, and 5 patients was developed the postoperative pneumothorax. Sweating decreased in 43% of the planter hyperhidrosis. Conclusion : Most of the patients were satisfied with the postoperative results of the thoracoscopic sympathicotoiny. We conclude that thoracoscopic sympathicotomy is a simple, safe and effective technique in primary hvPcrhidrosis, but satisfaction has been decreased by the compensatory hyperhidrosis; therefore, it is important to thoroughly explain the compensatory sweating. We recommend that the less extent of sympathicotomy decrease the incidence of compensatory hyperhidrosis.

      • 비디오 흉강경을 이용한 자연성 기흉 수술에서 재발 방지 방법에 대한 연구

        박성강,이석기,임진수,최형호 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

        Background : This study aims to assess the efficacy of VATS pleurodesis in the treatment of spontaneous pneumothroax. Method and material : 131 consecutive patients who underwent videoUassisted thoracoscopy (VATS) bullectomy and pleurodcsis procedure in Chosun Uniservity Hospital between May 1999 and June 2003 were included in the study. Theses patients were performed the VATS with Talc pleurodesis (Group A, n=72), VATS with Doxycycline pleurodesis (Group B, n=36), and VATS with reinforcement by absorbable mesh (Surgicel_(R)) and fibrin glue (Group C, n=23). The follow-up period was from 4 months to 30 years. Result: The patient's population consisted of 117 men and 14 women, and the mean age of the patients was 25.6 years. Recurrence rate was 1.4% ( 1 of 72 patients) in group A, 5.6% (2 of 36 patients) in groug B and 0% (0 of 23 patients) in group C. The median removal period of drainage chest tube was 3.3 days. Conclusion : Careful surgical technique is fundamental in reducing early air leakage and recurrence. Moreover, the covering of the suture area with an absorbable mesh and the fibrin glue is safe and effective method with an acceptable recurrence rate.

      • KCI등재후보
      • The outcome of hematopoietic stem cell transplantation in Korean children with hemophagocytic lymphohistiocytosis

        Yoon, Hoi Soo,Im, Ho Joon,Moon, Hyung Nam,Lee, Jae Hee,Kim, Hee-Jin,Yoo, Keon Hee,Sung, Ki Woong,Koo, Hong Hoe,Kang, Hyung Jin,Shin, Hee Young,Ahn, Hyo Seop,Cho, Bin,Kim, Hack Ki,Lyu, Chuhl Joo,Lee, M Blackwell Publishing Ltd 2010 Pediatric transplantation Vol.14 No.6

        <P>Yoon HS, Im HJ, Moon HN, Lee JH, Kim H-J, Yoo KH, Sung KW, Koo HH, Kang HJ, Shin HY, Ahn HS, Cho B, Kim HK, Lyu CJ, Lee MJ, Kook H, Hwang TJ, Seo JJ. The outcome of hematopoietic stem cell transplantation in Korean children with hemophagocytic lymphohistiocytosis.Pediatr Transplantation 2010: 14:735–740. © 2010 John Wiley & Sons A/S.</P><P>Abstract: </P><P>Chemoimmunotherapy-based treatments have improved the survival of patients with HLH, but outcomes of the patients are still unsatisfactory. We report here the outcome of Korean children with HLH who underwent HSCT, which was analyzed from the data of a nation-wide HLH registry. Retrospective nation-wide data recruitment for the pediatric HLH patients diagnosed between 1996 and 2008 was carried out by the Histiocytosis Working Party of the Korean Society of Hematology. Nineteen patients who received HSCT among the total of 148 enrolled children with HLH were analyzed for the transplant-related variables and events. The probability of five-yr survival after HSCT was 73.3% with a median follow-up of 57. Two months compared to 54.3% for the patients who were treated with chemoimmunotherapy only (p<I> </I>=<I> </I>0.05). The reasons for HSCT were active disease after eight wk of initial treatment (n = 9), relapsed disease (n = 5), and FHL (n = 5). Fourteen patients are currently alive without disease after HSCT, four patients died of treatment-related events (infection in two and graft failure in two) at early post-transplant period, and one patient died of relapse at one yr post transplantation. The survival of patients who were transplanted because of active disease after eight wk of initial treatment was worse compared to those patients who had inactive state at that time (60.6% vs. 100%, respectively, p<I> </I>=<I> </I>0.06). Of the four patients who received transplants using cord blood, three died of graft failure (n = 2) and relapse (n = 1). The five-yr probability of survival after HSCT according to the donor type was 85.7% for the MRDs (n = 6), 87.5% for the MUDs (n = 8), and 40% for the MMUDs (n = 5) (p<I> </I>=<I> </I>0.03). Other variables such as age, CNS involvement at the time of diagnosis, the etiology of HLH (familial or secondary), and the conditioning regimens had no influence on the five-yr OS of the HLH patients who underwent HSCT. HSCT improved the survival of the patients who had familial, relapsed, or severe and persistent SHLH in the Korean nation-wide HLH registry. Although numbers were small, these results are similar to other reports in the literature. The disease state after initial treatment, the stem cell source of the transplant, and the donor type were the important prognostic factors that affected the OS of the HLH patients who underwent HSCT.</P>

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