Predicting postoperative total calcium requirements after parathyroidectomy in secondary hyperparathyroidism

( Byung Heon Kang ),( Soon Young Hwang ),( Jeong Yeop Kim ),( Yu Ah Hong ),( Mi Yeon Jung ),( Eun Ah Lee ),( Ji Eun Lee3 ),( Jae Bok Lee ),( Gang Jee Ko ),( Heui Jung Pyo ),( Young Joo Kwon ) 대한내과학회 2015 The Korean Journal of Internal Medicine Vol.30 No.6

Background/Aims: To prevent hypocalcemia after parathyroidectomy (PTX), parenteral calcium is required in addition to oral calcitriol and calcium. After switching to oral calcium, patients can be discharged from the hospital. The aim of this study was to analyze the clinical characteristics and outcomes of PTX performed at a single Korean center and to investigate the associated laboratory factors used to analyze the total amount of postoperative calcium required. Methods: We enrolled 91 hemodialysis patients undergoing PTX from November 2003 to December 2011. We collected clinical and laboratory data preoperatively, 12 and 48 hours postoperatively, at discharge, and 3 and 6 months postoperatively. Results: In total, 59 patients underwent PTX with autotransplantation (AT), 6 underwent total PTX without AT, 11 underwent subtotal PTX, and 15 underwent limited PTX. Total PTX without AT showed the lowest recurrence rate. At all postoperative time points, the mean levels of serum calcium, phosphorus, and intact parathyroid hormone (iPTH) decreased significantly, compared with preoperative levels; however, alkaline phosphatase (ALP) increased significantly from 48 hours postoperatively to discharge (p < 0.001). On multiple linear regression analysis, the total amount of injected calcium during hospitalization showed a significant correlation with preoperative ALP (p < 0.001), preoperative iPTH (p = 0.037), and Δphosphorus at 48 hours (p < 0.001). We developed an equation for estimating the total calcium requirement after PTX. Conclusions: Preoperative ALP, preoperative iPTH, and Δphosphorus at 48 hours may be significant factors in estimating the postoperative calcium requirement. The formula for postoperative calcium requirement after PTX may help to predict the duration of postoperative hospitalization.

부분 무치악 환자에서 마그네슘 이온주입 임플란트의 성공률에 대한 전향적 임상연구

최수정,유정호,이규복,김진욱 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3

Purpose: This study examined the clinical success rate of Mg titanate implants (M Implant system, Shinhung, Korea), which employ a Mg coating method, by evaluating the marginal bone loss and implant stability using radiographs and Osstell, over a 1 year. Materials and methods: The locations of the implants placement were divided into 4 areas; the maxillary and mandibular premolars and molars. In the maxilla, 8 and 9 implants were inserted in the premolar and molar areas, respectively. In the mandible, 11 and 51 implants were inserted in the premolar and molar areas. Marginal bone loss and ISQ of all implants (79) were measured after insertion, mounting the prosthetic appliance, and 1, 3, 6, and 12 months after loading. The marginal bone loss was measured from the radiograph using XCP bite, which was customized, and the implant stability measured using Osstell. Fisher's exact test (α=.05) was used to compare the success rates of each region. Results: The mean marginal bone loss for the upper and lower jaws were 1.537 mm and 1.172 mm. The mobility showed a non-significant reduction or increase according with time. The success rates were accounted for 94.12% and 98.39% in the upper and lower jaws; the premolars and molars were accounted for 100% and 96.67%. The two cases of early failure resulted from failure of primary stability during implant insertion. The late failures were not observed for 1 year after adding a loading to the implants. Conclusion: The Mg titanate implant showed good primary stability and good clinical results in both healing and function. 연구 목적: 부분 무치악 환자에서 Mg titanate implant (M Implant system, Shinhung, Korea)의 보철후 1년간의 방사선사진을 이용한 변연골 흡수량과 Osstell을 이용한 임플란트 안정성 평가 결과를 분석하여 임상적인 성공률에 대해 알아보고자 한다. 연구 재료 및 방법: 38명의 환자에 79개의 임플란트를 식립하여 보철 후 1년 동안 변연골 흡수량, 임플란트의 동요도, 임플란트 식립 위치에 따른 분포 및 성공률, 보철 전후에 따른 성공률을 분석했다. 결과: 변연골의 흡수량은 보철물 장착 후 1년간의 평가에서 상악에서는 평균 1.537 mm, 하악에서는 평균 1.172 mm의 변연골 흡수가 관찰되었으며, 전체적인 상하악의 평균 변연골 흡수량은 1.255 mm로 관찰되었다. 수술 후 시간이 경과함에 따라 ISQ값은 미약하게 감소하였다가 증가하는 경향을 보였으나, 상악과 하악 모두에서 식립 당일 이후 예비 인상일, 최종 보철물의 장착일과 주기적인 평가 기간 동안 ISQ값의 큰 증가나 감소를 나타내지는 않았다. 성공률은 상악에서의 94.12%였고, 하악에서의 98.39%였다. 결론: 본 실험의 결과로 미루어 Mg titanate implant는 임상적으로 양호한 결과를 보여주었다.

토당귀 종자의 형태적 특성과 발아와 입모율에 대한 저장방법,생장조절제 및 프라이밍 처리 효과

안희정,안복주,·김도현,·안영섭,·김영국,박춘근,이상원,·박충범·차선우,·송범헌, 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.1

This study was conducted to have basic and applied informations to establish the cultivation method and to improve the cultivation techniques of Angelica gigas Nakai through investigating the rates of germination and seedling establishment with treatment of plant growth regulator and seed priming. The germination rates of round shape seed were about 0.3~12% higher than those of parallel shape. The germination rates with different storage durations were increased at the level of 25oC and 4oC with the storage days, while they were clearly higher at -20oC compared to those at 4oC and 25oC without the storage durations. With the results of germination rates with treating of plant growth regulator and seed priming, their rates with the round shape seeds were comparatively higher about 6% than those with parallel shape seed and they were increased with increasing of the storage durations. The germination rates were generally appeared higher with GA3 than did those with seed priming. The highest germination rate was appeared at 50 ppm GA3 of plant growth regulator and at -0.5 MPa PEG6000 of seed priming. The germination rates?ㅤ ?ㅤ of Angelica gigas were different with different temperature, storage durations and the treatments of plant growth regulator and seed priming. These results could be used according to different cultivating conditions.

정보화시대의 공동체 : 정보화의 진전과 기업·소비자 관계 변화를 중심으로

이대식,김성국,김영삼,신종국,임정덕,조영복,조정문 釜山大學校 商科大學 2000 釜山商大論集 Vol.71 No.-

In this study, we questioned about the possibility of the formation of the new community like relationship at the market on the contrary to the traditional market relationship. We conjectured that kind of new community like relationship may possibly arise because of wide spread of new information technology at market behavior of both consumer and producer side. Traditional buyer-seller relationship was characterized as an anonymous one-shot relationship, however, recent changes were mainly emphasized the rich mutual interactions from both sides. Producers needs more consumer side informations as well as consumers begin to participate on production side at more organized level. Some theoretical studies predict that more rich social relationship will appear at the market since the adoption and wide spread of new information technology. We assume that main functions and ingredients of the community are first, the coordination mechanism which reduces conflicts among community members and second, functional efficiency which meets the common needs of community and third, communicational rationality which enhances the integrity of community members. We surveyed about 100 small and medium sized firms located at Pusan and Kyung-Nam area in order to find out whether firms have community like relationship with their consumers. We fine that most of firms realize the impotance of consumer networks, however most of firms consider this kind of network as a marketing strategy and a source of product design instead of more community oriented characteristics like mutual trust building and social interactions.

우리나라 農産物價格과 通貨間의 因果關係에 대한 實證分析

이병서,정복조 韓國農業政策學會 1994 농업경영정책연구 Vol.21 No.2

폴란드 反體制 運動과 知識人 : 自由勞組運動을 中心으로

李正馥 경북대학교 평화문제연구소 1986 평화연구 Vol.10 No.2

민주지산의 곤충상

이형식,조영복,김종락 慶山大學校 基礎科學硏究所 1998 基礎科學 Vol.2 No.1

민주지산 일대의 곤충상 파악을 위하여 1997년 7월부터 1997년 10월까지 조사를 실시하였다. 그 결과 총 18목 151과 540종이 조사되었다. 딱정벌레목의 곤충들이 176종으로 가장 풍부하게 나타났으며, 다음으로 나비목, 노린재목, 벌목 등의 순으로 조사되었다. 또한 보호가 필요한 종, 감소종, 및 환경부 보존 지정 곤충을 확인하였다. Insect fauna of Mt. Minjujisan was investigated from July to October in 1997. As the result, a total of 540 species of 151 families under 18 orders were identified in thr present of study. The number of species were the most abundantly revealed in the order Coleoptera, 176 species and the Order Lepidoptera, Order Hemiptera, Order Hymenoptera were followed in order.

철강 제조업체 근로자에서 효소면역측정법을 통한 B형 간염 바이러스 표지자 조사

이종영,강승원,하명화,김중구,배삼덕,김두희,남복동 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.2

포항 지역 한 철강 제조업에서 1995년 1월부터 10월 사이에 실시한 정기 건강진단을 받은 남자 근로자 11,523명을 대상으로 HBsAg 및 Anti-HBs, HBeAg 및 Auti-HBe은 EIA법으로, SGOT 및 SGPT는 반응속도법(IU)으로 검사하였다. 그리고 이들 대상자에서 교육정보, 근무 형태, 음주 및 흡연습관과 간기능 이상 여부를 조사하여 다음과 같은 결과를 얻었다. 1. B형 간염 표지자의 분포를 보면 HBsAg(+)/Anti-HBs(-)는 8.1%, HBsAg(-)/Anti-HBs(+)는 60.5% 그리고 HBsAg(+)/Anti-HBs는 0.1%이었으며, HBsAg의 양성율은 8.2%, Anti-HBs 양성율은 60.6%이었다. 2. 연령에 따라 HBsAg(+)/Anti-HBs(-)와 HBsAg(-)-HBs(+)가 유의하게 증가한 반면(p<0.05), 교육정도와 근무형태에 있어서는 통계적으로 유의한 차이가 없었다. 3. 음주율은 HBsAg(+)/Anti-HBs(-)에서 HBsAg(-)/Anti-HBs(-)와 HBsAg(-)/Anti-HBs(+)의 84.6% 및 85.7%에 비해 낮지만 73.9%나 되었고, 흡연율은 HBsAg(-)/Anti-HBs(+), HBsAg(+)/Anti-HBs(-) 및 HBsAg(-)/Anti-HBs(-)에서 54.3%, 53.7% 및 53.0%의 순서로 나타났다. HBsAg(+)/Anti-HBs(-)에서 간기능 이상자가 40.1%이었으나 HBsAg(-)Anti-HBs(-)와 HBsAg(-)/Anti-HBs(+)에서도 각각 21.9% 및 18.4%를 차지하였다. 4. HBsAg(+)에서의 e항원에 대한 표지자의 분포를 보면 HBeAg(+)/Anti-HBe(-)는 31.3%, HBeAg(-)/AntiHBe(+)는 55.0% 그리고 HBeAg(+)/Anti-HBe(+)는 1.6%이었고 HBeAg(+)/Anti-HBe(-)는 연령에 따라 감소하고 HBeAg(-)/AntiHBs(-)와 HBeAG(-)/AntiHBe(+)는 증가하였다. HBsAg 양성자중 HBeAg의 총 양성율은 32.9%로 연령이 증가할수록 유의하게 감소하였다. 본 연구는 근로자의 B형 간염 표지자 조사에 있어 Anti-HBs의 검사에서는 EIA 방법으로 실시해야 하는 근거를 제시하는 것이며, 철강산업 근로자에서는 B형간염 이외의 간장질환에도 관심을 가져야 할 것으로 보이며 음주 문제에 대한 대책마련이 시급히 이루어 져야 할 것으로 생각된다. A study for seroprevalence of Hepatitis B virus markers (HBsAg, Anti-HBs, HBeAg and Anti-HBe) by EIA method and the Liver Function Test(SGOT and SGPT) using kinetic method was carried out from January to October 1995 among male workers of a major iron and steel manufacturing company located in Pohang. The results were as follows; 1. The distribution of hepatitis B virus markers showed that the proportions of HBsAg(+)/Anti-HBs(-), HBsAg(-)/Anti-HBs(+) and HBsAg(+)/Anti-HBs(+) were 8.1%, 60.5% and 0.1%, respectively. The positive rate of HBsAg in all subjects was 8.2%, whereas that of anti-HBs was 60.6%. 2. The proportions of HBsAg(+)/Anti-HBs(-) and HBsAg(-)/Anti-HBs(+) increased significantly with age. While the distribution of hepatitis B virus markers exhibited no significant differences among the groups classified by educational background or work type. 3. The proportion of drinkers in HBsAg(+)/Anti-HBs(-)(73.9%) was significantly lower than those of HBsAg(-)/Anti-HBs(-) and HBsAg(-)/Anti-HBs(+) (84.6% and 85.7%, respectively). The proportions of smoking for the three groups of HBsAg(-)/Anti-HBs(+), HBsAg(+)/Anti-HBs(-) and HBsAg(-)/Anti-HBs(-) were 54.3%, 53.7% and 53.0%, respectively(p<0.01). The proportion of the subjects with abnormal liver function test in HBsAg(+)/Anti-HBs(-) was 40.1%, whereas those in HBsAg(-)/Anti-HBs(-) and HBsAg(-)/Anti-HBs(+) were 21.9% and 18.4%, respectively. 4. The distribution of e Ag markers among HBsAg(+) subjects showed that the proportions of HBeAg(+)/Anti-HBe(-), HBeAg(-)/Anti-HBe(+) and HBeAg(+)/Anti-HBe(+) were 31.3%, 55.0% and 1.6%, respectively. The proportion of HBeAg(+)/Anti-HBe(-) decreased significantly with age and those of HBeAg(-)/Anti-HBe(-) and HBeAg(-)/Anti-HBe(+) increased with age. The positive rate of HBeAg among HBsAg(+) subjects was 32.9%. In conclusion, as a screening method, EIA is recommended to test hepatitis B virus markers, especially when examining Anti-HBs more sensitively. For the workers of the iron and steel manufacturing company studied, liver diseases caused by other than hepatitis B should be given a special care including an education avoiding alcohol drinking.

만경강 및 동진강 수계의 BOD에 의한 수질 평가

이종식,정구복,김진호,윤순강,김원일,신중두 한국환경농학회 2004 한국환경농학회지 Vol.23 No.2

새만금 유역의 수질관리를 위한 기초자료 확보를 목적으로 만경강 및 동진강 유역의 개황과 각 하천 본류의 수질에 미치는 지천들의 영향을 평가하기 위하여 2001년 6월부터 2002년 9월까지 동절기를 제외한 영농 기간동안 매월 1회 주요 지천들의 본류 유입 전·후의 BOD 변화를 조사한 하였다. 만경강 수계는 미처리된 축산폐수로 오염된 익산천 유입 후 BOD가 증가하였으며, 전 조사 기간동안 평균 5.4 mg/L이었다. 만경강 수질에 큰 영향을 주는 익산천은 왕궁천과 합류되기까지 평균 BOD는 5.4 mg/L로 만경강 본류의 평균 농도와 같은 수질을 보였으나 인근 축산단지로 부터의 축산폐수 유입으로 익산천 하류의 BOD는 평균 13.6 mg/L로 수질이 악화되었다. 동진강 수계는 조사기간 동안 평균 BOD가 2.8 mg/L로 만경강 보다 양호한 수질을 보였으며, 생활하수 및 공장폐수로 오염된 정읍천 유입으로 동진강 하류의 수질은 평균치 보다 다소 높은 3.5 mg/L을 나타냈다. 또한 만경강 및 동진강 수계의 연차별 수질은 2001년도에 비해 2002년도에 BOD가 다소 낮은 경향을 보였다. Biological oxygen demand (BOD) as a stream water quality indicator was monitored monthly in the Mankyeong and Dongjin river basins from June 2001 to October 2002 to evaluate water qualified as well as to get the information on the water quality management strategy in Semangeum reclamation areas. BOD in the Mankyeong river was 5.4 mg/L in average during the survey and increased after the inflow of Iksan tributary, which was contaminated with livestock wastewater. BOD of Iksan tributary was maintained at 5.4 mg/L before joining the Wanggung tributary, however, that in the downstream was increased to 13.6 mg/L in average due to the inlet of the livestock wastewater. Meanwhile, BOD of Dongjin river was the average of 2.8 mg/L during the survey periods but it showed 3.5 mg/L when Jungeup tributary which was contaminated with sewage and industrial wastewater joined into the main stream. BOD in both Mankyeong and Dongjin rivers decreased in 2002 as compared to that in 2001.

유전알고리즘을 이용한 분산 데이터베이스 시스템에서의 컴퓨터 기종 선택과 데이터 분석

이재욱,조정복,고석범 東西大學校 1999 동서논문집 Vol.5 No.-

본 논문에서의 최적 분산 데이터베이스 구축에 관한 문제는 두 개의 결정을 나타낸다. 즉, 1) 각 사이트로의 적합한 컴퓨터 선택 2) 단편화된 파일의 할당이다. 또한, 제안된 모델에서는 1)waited response time 과 2) 투자비용 두 개의 목적함수를 고려한다. 각 컴퓨터와 파일의 할당의 영향에 따라 두 목적함수의 상관관계를 고찰한다. 제안된 수학적 모델은 경험적 탐색법 중의 하나의 유전적 알고리즘의 설계를 통해 효율적인 해의 탐색을 시도한다. 유전적 알고리즘(GA :Genetic Algorithm)의 설계에 있어서 요구 메모리의 최소화와 최적해 탐색시간의 최소화를 목적으로 한다. 끝으로, 수학적 모델과 해 알고리즘의 성능 검토를 위해 수치 예를 든다. Recently,DDS (Distributed Database System) has been often implemented on VAN (Value Added Network) as we know the amazing expansion of information network. DDS can yield significant cost and response time advantages over centralized systems for geographically distributed organizations. However, inappropriate design can result in high cost and poor response time. In a DDS design, the main problem is 1) how to select proper computer, and 2) how to allocate data fragment into poper nodes. This paper addresses DDS design problem of selecting a proper class of processor and allocating data files on VAN. Also, the formulated model includes two objectives, waited response time and investrment cost. GA (Genetic Algorithm) is developed to solve this mathematical formulation. A numerical experiment shows that the proposed method arrives at a good solution.