Alkaline Phosphatase Isoenzyme의 Cellulose Acetate Microzone 電氣泳動 및 組織化學的 檢索

楊聖基,金在植,金重明 慶北大學校 醫科大學 1979 慶北醫大誌 Vol.20 No.2

正常 成人의 血淸 ALP 活性은 主 分劃이 α_2 肝分劃이었고, 副 分劃은 α_2 /β骨分劃을 나타내었고 發育期의 小兒에서는 骨分劃이 主 分劃으로 나타났고, 肝分劃은 副 分劃이었으며, 新生兒 臍帶血淸에서는 骨分劃만을 主로 나타내었으며, 胎兒에서는 骨分劃과 가장 移動度가 바른 Alb分劃을 나타내었고, 姙婦의 血淸에서는 骨分劃과 같은 移動度를 보였으나 熱에 安定한 胎盤分劃을 나타내었다. 各種 病患別로 ALP CAM 血淸電氣泳動像에서 肝癌은 主로 肝分劃, 骨分劃 및 α_1分劃을 보였고 急性바이러스性肝炎은 主로 肝分劃, 骨分劃 및 Alb分劃을 나타내었고, Choloangioma는 主로 肝分劃과 骨分劃에 α_1과 Alb分劃을 同時에 나타내어 比較的을 特異하였고, 骨病患에서는 거의 特徵的으로 骨分劃을 나타내었고, 胃腸病患과 肺硬化症에서 드물게 特異的 腸分劃을 타타내었다. L+α_1分劃像을 나타낸 肝癌 69例中 原發性肝癌의 從來의 診斷手段을 통하여 cold area만 시행되었던 例가 35例(50.7%), 符合되었던 例中 cold area에 肝針生檢 또는 肝針吸引細胞診 供行例가 15例(21.7%) 細胞診만 施行된 例가 2例(2.9%)이었으며, 이것은 肝癌에 特異하다고 보았다. 各種 臟器組織의 抽出液에 對한 ALP CAM 電氣泳動像에서 肝臟은 血淸의 肝分劃에 該當되는 肝分劃을, 骨은 骨分劃을, 胎盤은 胎盤分劃을, 腸은 腸分劃을, 그리고 腎臟은 腎分劃을 보여 주었고 腎分劃은 血淸에서 아주 드물게 나타나는 것 같았다. 名種 臟器組織에 있어서 ALPI의 活性度는 凍結簿切標本의 肉眠的 所見으로 胎盤, 肝, 腎, 腸, 脾의 順으로 낮았고, 肉筋은 陰性이었으며, 腎臟은 皮質에만 陽性이었고, 鏡檢으로 肝은 主로 bile canaliculi에 極度의 活性을 보였고 肝細胞內에도 若干 認定되었고, 腎臟은 皮質의 近位曲細尿管上皮細胞屬에 ALP活性을 極度로 나타내었으며, 胎盤은 syncytial troplast에 ALP活性을 極度로 나타내었고, 脾臟은 red pulp의 sinusoid에, 그리고 腸은 粘膜屬에만 中等度로 活性을 나타내었고, 空腸에서는 極度로 ALP活性을 보였다. 白血球增加症 例의 미소백혈구 에는 細胞質內에 多樣하게 顆粒狀의 ALP活性을 보였다. 姙娠週數에 胎盤組織과 姙婦血淸에 對한 ALP CAM 電氣泳動 및 組織化學的 檢索에서 ALP 活性은 共히 姙娠週數에 比例하여 增加하였고 末期에 極度에 達하였다. The cellulose acetate microzone electrophoreses of CAME (ALPI) were performed on the sera and various organ tissues, to estimate the source of ALP in the serum of normal physiological and pathological conditions. On the ALP CAME finding, normal adult serum revealed α_2 fraction(liver)as the major fraction and α_2/βfaction (bone) as minor, However, opposite results were obtained from sera of growing child and newborn infant. Sera of premature infants revealed the fastest moving albumin fraction (Alb) and α_2βfraction, and sera of pregnant women, especially in the third trimester of pregnancy revealed heat stable α_2βfraction (placenta) as the major ones and trace of α_2 fraction as the minor. On the ALPI CAME finding in various diseases, liver and α_1 pattern(L+α_1) mainly confined to hepatoma in 94.0 percent, followed by liver abscess in 88.9%, liver and Alb pattern (L+Alb )to acute viral hepatitis and extrahepatic obstructive jaundice in 100% respectively, liver, Alb and α_1 pattern (L+Alb+α_1)to cholangioma in 87.5% liver and β/γ(intestine) pattern(L+I) only to liver cirrhosis, and liver and bone pattern (L+B) to bone diseases only. Therefore these patterns seemed to be specific in the clinical diagnosis. On the ALP CAME findings of various organ-tissue extracts, liver revealed liver fraction, bone and spleen bone fraction, kidney γ/ fraction (kidney) as well as liver fraction as a minor fraction, placenta heat stable α_2/β(placenta) as a major fraction, intestine of fraction, the lung broad fraction from liver to intestineal fraction. However hepatoma and brain tissues did not showed any fraction at all. On the gross inspection of stained slides of ALP from various organ-tissues, such as placenta of the third thrimester pregnancy, kidney, liver, spleen and lymph node, revealed diffuse and strong activity, lung and thyroid revealed diffuse and moderately strong activities, the mucosa of jejunum and the lobule of the breast, revealed strong activities, the mucosa of stomach, colon, rectum, gall bladder and endometrium moderate activities, muscle did not showed any visible activity. Microscopically the organ-tissue ALP were observed mainly in bile canaliculi and portal triad, syncycial bud and sprout of placenta, mucosal cell of jejunum and around the mucosal cells of stomach, colon, rectum, proximal convoluted tubule of renal cortex, osteoblast, sinusoid of splenic red pulp, around the germinalcenter in lymph node, intima of blood vessel, alreolar cell in lung, colloidal follicle of thyroid gland, and endometriu in. Along with progression of gestational weeks, ALP activities of both serum and placental tissue were increased gradually and reached maximum at 40 weeks gestation. The source of elevation of serum ALP activity seemed to be originated mainly from diseased liver and bone, infrequently from kidney and intestine, and possibly from the other tissues.

물류 원가 ABC 시스템을 이용한 다기준 활동 원가 분석 연구

양광모,김창식,박재현,강경식 한국물류학회 2006 물류학회지 Vol.16 No.1

QFD 전개를 이용한 전자파 차단도료 고객만족도 평가

양광모,박재현,강경식 明知大學校 産業技術硏究所 2002 産業技術硏究所論文集 Vol.21 No.-

Developing a new commercial product, it is need to connect the end users demand of quality to the industrial technology of company. for the reason, this study is to build up the users demand for imminent marketing product of a certain company by AHP(Analytic Hierarchy process), analyse quantitatively users subjective thoughts collected by Group Consensus, calculate the added-value of users demands and verify the consistency of users opinions by consistency-exponential-calculation. The added value obtained by this method is substituted into a user-demand item of QFD(Quality Function Development). and, the technical characteristic data transferred from the extracted essential factor for developing and manufacturing a new product is substituted into a technical characteristic item of QFD. The faculty of quality is firstly finished by this procedure. But, because the relation a technical characterization with users demand do not be known in new product, Wassermans method was introduced for correlation users demand with technology and for the processing and marketing of a new product. The all assumption on the thesis was based on the reliable real data of a certain company.

공리설계를 적용한 고객관리 시스템 구축에 관한 연구

양광모,박재현,강경식 明知大學校 産業技術硏究所 2002 産業技術硏究所論文集 Vol.21 No.-

With ever-change and increasingly competitive business environments, firms strive to employ a variety of marketing strategies and execution in order to survive in the market. such effects would be paid off in the right way only when management of the firms perform marketing activities focusing on long term effectiveness, which would drive company profits up and keep them for long. Demands of customers are being changed and varied. And in this circumstance, it become a main issue of management that the company should produce and sell products according to the customer demands. With these trends, each company has been concentrating effects on generalization of product development technique and distinction of service for customer. In this result with the advantage of mass marketing and database marketing have been drawing attentions from company. Also the internet connected around the world completely diminished the limit of time and distance and company have enveloped keen competition out of each nation and continent in the world market. To fulfill these demands of customer, they need a concept of eCRM(Web based Customer Relationship Management), and go from selling products and services, or gathering customer requests, up to the phase of solving customer's problem by real time or previous action, With the help of internet, the frequency and speed of the problem solving has improved greatly. In this paper provide concept of eCRM and Axiom Design. And with the target company of study, it was built eCRM system using Axiom design to insert design for customer request.

과량의 방사선에 노출된 흰쥐 소뇌외측핵의 미세구조

정재삼,양남길,안의태,고정식,박경호,김진국 대한해부학회 1992 Anatomy & Cell Biology Vol.25 No.3

임플란트 고정체와 지대주 연결 형태의 차이에 따른 유지 나사 안정성에 대한 연구

양재식,방몽숙 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.3

Since the concept of osseointegrated dental implant by Branemark et al was first applied to mandibular full edentulous patients. Recently it is considerated the first treatment option on missing teeth. A common problem associated with dental implant restorations is loosening of screws that retain the prosthesis to the abutment and the abutment to the implant fixture. This study is to examine the influence on screw loosening of implant-abutment designs such as external hex, cone screw, beveled hex, cam cylinder, cylinder hex by means of evaluating the loosening torques, with respect to a range of tightening torques after repeated loading. The results of this study were as follows. (1) Cone screw, beveled hex groups are the highest initial tightening rate and cylinder hex, external hex groups are the lowest initial tightening rate(p<0.05). (2) Cone screw groups are the highest after repeated loading tightening rate and cylinder hex groups are lowest after repeated loading tightening rate(p<0.05). (3) Cone screw groups have the highest initial stability and final stability. (4) All groups are decreased tightening rate after repeated loading.

구급일지를 통한 병원 전 환잔 분류 및 처치의 적절성 평가 연구

민순식,김재광,이근,박철완,양혁준,류일,현성열,이훈규,정환모,김윤 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: Recently, patients' demands for emergency medicine are increasing, and most of prehospital medical care, including basic life support, cardiopulmonary resuscitation and triage, are provided by paramedics or emergency medical technicians. Evaluation of the adequacy of prehospital management and triage has become important for improving the quality and the effectiveness of the emergency medical system. Methods: The 202 patients who were transferred by ambulance with paramedics, nurses, or emergency medical technicians to the Emergency Department in Gil Medical Center from July 1, 1999, to September 31, 1999, were enrolled. This study was conducted prospectively by using the emergency physician,s log and newly devised protocols recorded by paramedics or nurses. Results: 1) Male to female ratio was 1: 0.8, and the peak age of the patients were the 4th(18.8%) and 6th decade(15.3%). 2) Of the 202 patients, 84 patients were transferred for trauma and 118 for medical problems. The mean transfer time was 6±1.73 minutes. 3) The validities of prehospital triage and decisions using the trauma severity measure and the disease severity measure, were 33.3% in trauma patients and 57.6% in medical patients.4) The results for the adequacy rate in prehospital management analyzed by using the rate of necessity of treatment. performance of treatment, and adequate treatment were as follows: oxygen supply.38.1/41.6/93.8 ; wound dressing. 19.3/71.8/92.9 ; immobilization of the cervical spine, 15.8/56.3/92.9 ; application of a spinal board. 12.9/42.3/72.7 ; application of a splint, 9.9/50.0/60.0 ; manual maintenance of an airway. 9.9/55.0/63.6 ; and CPR, 4.5/66.7/0. 5) Kind of ALS(Advanced Life Support) were not conducted(peripheral IV, EKG. intubation, medical administration. defibrillation, pacing). The rates of necessity of treatment were as follows: peripheral IV, 40.6%; ECG monitoring, 23.3% ; endotracheal intubation, 8.9% ; medical administration, 8.9% ; defibrillation. 3.5%; and pacing. 1.5% Conclusion: The adequacy of prehospital triage and decisions using trauma and disease severity measures was relatively low. To improve the adequacy of BLS(Basic Life Support) and to increase the performance of ALS(Advanced Life Support), we must create challenges to develop new protocols and to supplement new equipment.

위의 유암종과 선종의 병발 1례

장재식,강혁주,이중현,서영범,윤병구,김용섭,이구,서정일,양창헌,이창우,김정란,윤환중 東國大學校醫學硏究所 2000 東國醫學 Vol.7 No.-

유암종은 전신에 퍼져 잇는 장크롬친화성 세포에서 기원하는데 위의 유암종은 비교적 드문 질환으로 모든 유암종의 1.9~2.2%에 해당하며 위에 발생하는 종양의 1% 미만에서 보고되고 있다. 유암종은 일반적으로 증상이 비특이적이고 면역조직화학검사에 의해서 진단되기 때문에 과거에는 드물게 발견되었으나 최근 내시경 기기 및 술기의 발전과 검사 빈도의 증가 및 면역조직화학검사의 발달로 진단율이 증가 추세에 있으며, 드물지만 유암종에서 선암과 공존하는 예들이 보고되고 있다. 저자들은 심와부 동통을 주소로 내원한 70세 남자 환자의 상부위장관내시경 검사에서 위체상부의 대만곡에서 0.4×0.4 cm 크기의 중간 함몰을 가진 Yamada 1형의 용종과 함께 전정부의 전벽에서 0.8×0.5 cm 크기의 융기된 점막 소견을 보여 조직학적으로 각각 위유암종 및 위선종임을 확진한 후 내시경적 용종 절제술로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Carcinoid tumors are arisen from enterochromaffin cells, which are scattered throughout the body. These tumors are composed of variable numbers of cells that contain endocrine granules in their cytoplasm, which can be identified by immunohistochemistry and electron microscopy. Gastric carcinoid tumors are relatively rare tumor, the reported incidence being 1.9~2.2% of all carcinoid tumors and less than 1% of all gastric tumors. Sometimes, composite carcinoid tumors and adenocarcinoma is reported. We experienced a case of the coincidence of carcinoid tumor and adenoma at the other site of the stomach in a 70 year old male patient. Gastrofiberscope showed 0.4×0.4 cm sized Yamada type I polyp with central depression on the greater curvature of the proximal body and 0.8×0.5 cm sized focal slightly elevated mucosa on the anterior wall of the antrum. The endoscopic biopsy specimens revealed carcinoid tumor and tubular adenoma with moderate atypism, respectively. The carcinoid tumor and adenoma were removed by endoscopic polypectomy. According to the follow-up gastrofiberoscopy after 7 month later, both lesions were nearly normal mucosa except whitish atrophic change after polypectomy.

중량물 운반시 잡기유형과 부하단계에 따른 생리학적 연구

윤양진,이훈식,윤길환,정미라,이재규,이중숙,서국웅 釜山大學校 附設 體育科學硏究所 1999 體育科學硏究所 論文集 Vol.15 No.-

The purpose of this study was to examine physiological changes of the body according to various weight loads and the holding during carrying object. The experiments were conducted with utilizing physiological analyses for five male and five female adults as subjects. The results were as followed. 1. Any significant difference was not shown in heart rate, ventilation and amount of oxygen uptake of male subjects in the case of no load and 5kg. And also no significant difference was shown in expiratory exchange ratio of male subjects of no load, 5kg and 10kg, but in other measure items and other stages of weight was shown. 2. Significant differences were shown in heart rate, ventilation, defluxion of carbon dioxide, oxygen uptake per body weights, respiratory exchange rate, respiration rate and all other measure items of female subjects in all stages of load. 3. In the MMH job, there was no influence on male subjects up to 5kg loads, but there was an significant difference in male subjects in load walking from 5kg. It shows that even in 5kg weight MMH work, female subject's expiratory function was influenced. 4. 10kg load was the limit weight of female subjects and 15kg was of male subjects when they walked on treadmills with 4km/h velocity for 3 minutes, holding loads in the right and vertical types.

분사식 주사기를 이용한 소아환자의 국소마취

이재춘,김대업,이광희,김성형,양계식 大韓小兒齒科學會 2001 大韓小兒齒科學會誌 Vol.28 No.4

소아치과에서 국소마취는 공포의 대상이며, 특히 행동조절이 힘든 소아의 경우 더욱 그러하다. 국소마취에 대한 공포는 주사침의 자입시나 주사액의 주입시 느끼는 동통 만큼이나 주사침 자체의 공포도 크게 차지한다. 주사침 자입시의 동통을 완화하기 위하여, 도포마취제 등이 개발되었으나 이들은 국소마취의 동통을 완화시키는 면은 있으나 주사침 자체에 대한 공포를 없애지는 못하였다. Syrijet Mark Ⅱ??(Mizzy Inc, USA)는 주사침이 없는 치과용 분사식 주사기(jet injection device)로서 소아에서 주사침에 대한 공포를 성공적으로 감소시킬 수 있다고 알려져 있다. 저자들은 여러 행동등급의 소아를 대상으로 Syrijet을 사용하여 국소마취를 시행한 후 동통평가의 척도로서 VAS(visual analogue scale)를 소아에게 적합하게 색생화한 CAS(color analogue scale)을 이용하여 국소마취시의 동통수준을 측정한 결과, 기존 주사침에 의한 국소마취시 보다 국소마취의 동통이 감소된 것을 알 수 있었다. Syrijet의 장점으로는 주사침이 없다는 점, 기존의 술식에서 일회용이었던 미취용 카트리지를 재사용할 수 있다는 점, 신경 및 혈관에 안전하다는 점 등이 있었으며, 단점으로 부피가 크며, 가격이 비싸며, 사용시 숙련성을 요구한다는 점 등이 있었다. Local anesthesia procedure in pediatric dentisty using needle-tipped syringes is stressful and painful for the child patients. The Syrijet Mark Ⅱ (Mizzy Inc. USA) is a jet injection instrument, which uses high pressure to propel fluids into soft tissue without the use of a hollow neeldle, so it seems to be able to reduce the injection phobia of the child patients. The authors compared the Syrijet with the conventional syringe by assessing the pain level after local anesthetic procedures using CAS(color analogue scale) which was developed from VAS(visual analogue scale). The result showed that the pain was reduced by the use of syrijet. The advantages of syrijet were no use of neeldes, the reuse of the anesthetic cartridge, and the safety to nerves and vessels. The disadvantages were the large size, the high price, and the need of skill to use.