40세 이하 관상동맥 질환자에서 장기적 임상 관찰

이승욱,정명호,박종철,박형욱,조상희,김원,김계훈,이상현,강경태,조장현,김남호,김건형,안영근,조정관,박종춘,강정채 全南大醫大 2001 전남의대학술지 Vol.37 No.2

상악동에 발생한 국균증의 치험2례

조재오,김영균,여환호,김수민,김수관 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.4

Aspergillosis of the maxillary sinus was rare disease, but it was increasing tendency with overuse antibiotics, streoid hormones, and anticanncerous agents. The clinical features and X-ray findings are similar to chronic suppurative paranasal sinusitis. Aspergillosis of the maxillary siuses may occur as a chronic diseae in an otherwise healthy person. This infection is usually confined to a single paranasal sinus, the maxillary antrum, though it can involve the orbit and may initiate with findings of proptosis and decreased vision. The disease is characterized by a wide range of initial symptoms, and should be considered as a possible diagnosis in sinusitis refractory to antibiotics and antral lavage. The choice of treatment of this disease is radical surgery and adjunctive systemic antifungal therapy. We experienced a case of right maxillary sinus aspergillosis in a 34 years old male who has dull pain on Rt. zygoma area, and a case of left maxillary sinus aspergillosis in a 30 years old male who had been suffered from nasal stiffness and frontal headache for 3-4 years. We reported two cases with review of literature.

석곡 수원지 유입하천의 저서동물상 및 생물학적 수질평가

조영관,백순기,김종선,나철호 원광대학교 환경과학연구소 1996 環境科學硏究誌 Vol.5 No.1

활성탄을 이용한 낙동강 상수원수의 수처리 효과

임영성,강관호,이홍재,서동철,허종수,손보균,조주식 한국환경농학회 2002 한국환경농학회지 Vol.21 No.3

상수원수를 보다 효과적으로 처리함으로서 양질의 수돗물을 공급하기 위한 기초자료를 얻고자 낙동강 상수원수를 대상으로 활성탄처리에 의한 공탐체류시간 및 활성탄 여층 깊이에 따른 수처리 효율과 생물활성탄으로서의 이용 가능성을 조사한 결과는 다음과 같다. 공탑체류시간(EBCT)에 따른 수처리 효율은 EBCT가 증가할수록 증가되었으나 운전시간이 경과함에 따라 활성탄 흡착능력은 감소되어 처리효율도 서서히 감소하였다. 활성탄 여층깊이에 따른 pH 변화는 활성탄 층 깊이에 따라 거의 없었으며, D0는 활성탄 층 깊이가 깊을수록 서서히 감소하였다. KMnO^4 소비량, UV254 흡광물질 DOC 및 THMFP 처리효율은 활성만 표층으로부터 하부로 내려갈수록 증가하였으며, 운전시간이 경과할수록 활성탄 상층부에 형성되어 있던 흡착대파 하부로 이동하였다. DOC의 상당 부분이 활성탄여과지에 서식하는 미생물 작용에 의해 분해 제거되는 것으로 나타났으며, 운전개시 126일 후의 BAC에서 활성탄 표층으로 부터깊이 20 cm 부근에 미생물이 1.1*10^7 cell/cm^3 이상 존재하는 것으로 관찰되어 생물활성탄 조건을 만족시키고 있었다. This study was carried out to evaluate the pollutant removal efficiencies of the advanced drinking water treatment using mated carbon process. For raw water, Nakdong river was used. From the activated carbon adsorption experiment, the following results were obtained. The efficiency of water treatment enhanced with increase in empty bed contact time. Variation of pH was not detected to the bed depth, but DO content gradually decreased with the bed depth, Removal efficiency of KMnO₄ consumption, UV254 absorption, DOC and THMFP also were increased by increasing in the bed depth. Transition of adsorption zone from upper parts of the bed to the lower parts were detected as treatment periods increased. Large portion of DOCs were degraded and removed by the microbes growing on the surface of activated carbons. Cell numbers of microbes were estimated over 1.1 × 10 exp(7) cell/㎤ at the depth of 20 ㎝ from the surface 126 days after starting operation. The results shown that the activated carbon filter was successfully acted as a biofilm filter.

울산 지리정보 시스템

옥철영,김영철,조정관 울산대학교 1997 공학연구논문집 Vol.28 No.2

지리정보 시스템은 수치화된 지리데이타를 화면으로 mapping시키고, 지리테이타와 그의 속성정보를 연계시킬 수 있는 초보적인 기능이 필요하다. 본 논문에서는 이러한 기능을 가진 지리정보 시스템을 구현하기 위한 방법을 제안하였다. 그리고 실제 울산시의 수치지도를 제작하고 업종별 전화번호부를 데이타베이스화하여 울산 지리정보 시스템을 구현하였다. 울산 지리정보 시스템은 수치화된 지번데이타와 업종별 전화번호부의 주소를 연계시켜, 질의된 해당 시설물이나 상호의 주소 위치를 지리테이타와 함께 화면으로 mapping시키는 지리정보 시스템의 응용 프로그램이다. GIS(Geographic Information System) needs two fundamental functions : a mapping function which maps a vetorized geographic data to screen and a relating function which associates the geographic data with their attribute information. This paper proposes a method to design the GIS which has the fundamental functions and implements an Ulsan GIS(UGIS). The UGIS consists of a vectorized Ulsan geographic data and a telephone database of business category. The UGIS associates a lot number in the Ulsan geographic data with an address in the telephone database, and maps an address of major building or a name of business queried to screen with the Ulsan geographic data.

Canine Distemper Virus 검출을 위한 정량 Real-time PCR

이승관,이창규,정운원,조경진,김현숙,강영대,서장훈 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

Canine distemper virus(CDV) infection causes a fatal systemic disease in wide range of carnivore species, including domestic dogs. It has been a highly contagious disease of veterinary importance for centurise. Recently many researches show that qualitative RT-PCR for the detection of CDV was sensitive and specific method for the early and safe antemortem diagnosis of distemper by using whole blood regardless of clinical sign and pathological finding. Recently, results were correlated to clinical findings, anti-CDV neutralizing antibody titers, postmortem findings, and demonstration of CDV NP(nucleoprotein) antigen by immunohistochemistry. We have studied a quantitative real-time PCR assay for CDV in order to improve and broaden the clinical usefulness of RT-PCR assay. Total 37 samples including 9 clinically positive and 29 randomly selected ones have investigated. CDV RNA was extracted from whole blood. The isolated RNA was reverse-transcripted into cDNA followed by PCR amplification. The assay based on real-time PCR using SYBR Green I dye as quantitative method with a LightCycler. Calibration curves covered 30-3×10^(8) copies of CDV were created using cloned 240bp CDV cDNA of viral RNA. CDV was detected all in 8 positive samples whereas 8 in 29 randomly collected ones. The detection ranges of clinical CDV specimens were various from 3×10² to 3×10⁴ copies. Comparision of real-time PCR to conventional PCR showed equal sensitivity and specificity. But real-time PCR method has a merit of quantification as well as more rapid results than those of common RT-PCR. CDV can be accurately detected and quantified in the whole blood from the dog infected with CDV. This quantitative technique may improve the clinical utility of RT-PCR for the detection of CDV.

연속식 오존처리공정을 이용한 낙동강 상수원수의 정수처리 효과

임영성,강관호,이홍재,서동철,박문수,허종수,조주식 한국환경농학회 2002 한국환경농학회지 Vol.21 No.3

낙동강 상수원수를 대상으로 연속적 오존처리에서 오존주업농도에 따른 유기물 분해 특성을 조사하기 위하여 오존처리에 의한 DOC성분변화, UV254/DOC의 변화와 소비오존에 따른 DOC 제거효율을 조사한 결과는 다음과 같다. 유입원수의 수질변화에 따라 다소 차이는 있었으나 전반적으로 오존주입농도가 증가할수록 DOC 처리효율도 증가되었다. 오존처리에 따른 DOC 성분변화는 전오존을 3 mg/L농도로 처리시 TDOC, ADOC, A&BDOC 및 NRDOC는 각각0.6, 0.2, 0.1 및 1.0 mg/L 정도 오존처리에 의하여 감소되었으나 BDOC는 0.8 mg/L 증가하였다. UV254/DOC의 분율은 오존주입농도를 1, 3 및 5 mg/L 처리하였을 때 전오존의 경우는 각각 0.048, 0.044 및 0.037 이였고, 후오존의 경우는 각각 0.018, 0.015 및 0.012로 나타나 오존주입농도가 증가할수록 감소하는 경향을 보였다. 초기 DOC mg당 소비되는 오존량에 대한 DOC 제거율은 전오존과 후오존처리의 초기 DOC에 대한 소비오존량이 각각 약 1.5와 2.3일 때 각자 25%와 32%로서 최대의 DOC 처리효율을 나타내었다. 낙동강 상수원수에 전오존을 처리할 경우 오존주입량은 초기 DOC mg당 소비된 오존이 1.5 mg 이내의 농도가 되도록 주입하고, 후오존은 유입수인 모래여과수의 초기 DOC mg당 소비된 오존이 2.3 mg이내의 농도가 되도록 조절하여 주입하면 적당할 것으로 생각되었다. This study was carried out to evaluate the pollutant removal efficiencies of the advanced drinking water treatment using ozonation process. For raw water. Nakdong River was used. By conducting continuous ozonation experiments, the following results were obtained. Efficiency of water treatment was enhanced with increase in ozone dosage. When ozone dosage of 3 mg/L was used, preozonation of raw water reduced TDOC, ADOC, A&BDOC and NRDOC as much as 0.6 mg/L, 0.2 mg/L, 0.1 mg/L and 1.0 mg/L, respectively. On the other hand, content of BDOC Increased at the level of 0.8 mg/L. Ratio of UV254 absorbance to DOC content by the preozonation with 1, 3 and 5 mg/L dosage were 0.048, 0.044 and 0.037, respectively. In case of postozonation, it were 0.018, 0.015 and 0.012, respectively. When the ratios of consumpted ozone content to 1 mg of initial DOC were 1.5 and 2.3 in preozonation and postozonation treatment, respectively, the highest DOC removal rates of 25% and 32% were obtained by the continuous ozonation.

Pilot plant와 Jar test를 이용한 응집제 LAS와 PAC의 수처리 효과 비교

김운중,고창옥,조영관 朝鮮大學校 建設技術硏究所 2001 建設技術硏究 Vol.21 No.1

Juam raw water was used to investigated water treatment efficiency in terms of coagulants and experiment types as jar-test and lab-scale pilot plant. pH of treated water was about 0.1~0.2 high when pilot plant was used than when jar-test was used in all of coagulants as liquid aluminium sulfate(LAS) and poly aluminium chloride(PAC). In comparing pH of surface water between in actual precipitation process with in pilot plant precipitation process when LAS was used, variation range of pH was 0.16 in pilot plant process whereas 0.04 in actual process. In comparing color, turbidity, zeta-potential, aluminium of precipitated surface water, it showed same results in all of coagulants as PAC and LAS and all of processes. In comparing alkalinity of the water, PAC showed alkalinity was 2∼3ppm higher than when LAS was used because of coagulants' characteristics as Al2O3 contents. Langarier indices as Corrosive index were -2.95 in LAS and -2.66 in PAG, which means PAC has less corrosive than LAS. In, comparing the removal of algae using LAS and PAC in jar-test and pilot plant, the removal rates were 80% in jar-test and 75% in pilot plant. The rate was improved to 90% after when incline baffles were used. Therefore, PAC is appropriate in considering prevention of corrosion, on the other side, LAS is appropriate in considering economy.

혈소판 풍부혈장의 임상적 응용

하정완,김수관,조세인,이철우,정태영,김수흥,김영균 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

Platelet-rich plasma is an autologous source of platelet-derived growth factor and transforming growth factor beta that is obtained by sequestering and concentrating platelets by gradient density centrifugation. We have used platelet-rich plasma for bone graft, especially allobone graft, at implant surgery, sinus lift procedure, and cyst enucleation. This article is retrospective study from October 1999 to November 2000. All cases were good healing and clinical success.

외상성 횡격막 손상

안성국,이상목,이기형,고석환,김용호,박호철,고영관,조규석 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Fifty two cases of traumatic diaphragmatic injuries that we have experienced from Jan. 1973 to Oct. 1994 were evaluated. The following results were obtained. The age of the patient was ranged from 1 to 74 years. Male was 38 and female was 14 in number with a ratio of 2.7 : 1. The traumatic diaphragmatic injuries were due to blunt trauma in 35 cases(motor vehicle accident 25, fall down 8, press 1, kick by fight 1) and penetrating trauma in 17 cases(stab wound 15, shot wound 1, explosion 1). In the blunt trauma, the preoperative diagnosis of the diaphragmatic injury was possible in 25 out of 35 cases(71%) and in the penetrating trauma, 15 out of 17 cases(88%). In the blunt trauma, the repture site was located in the left in 22 cases(63%) and in the right in 13 cases(31%). In the penetrating trauma, the rupture site was located in the left in 9 cases(53%) and in the right in 8 cases(47%). In the blunt trauma, 20 cases(63%) were treated within 24 hours and in the penetrating, 15 cases(88%) within 24 hours. In the blunt trauma, the herniated organs into the thorax were stomach(7), omentum(6), spleen(6), liver(5), colon(4), small bowel(2) and in the penetrating, stomach(7), colon(6), omentum(3), liver(2), and spleen(1) were herniated. Injury severity score(ISS) of 35-blunt trauma ranged from 11 to 66 with mean value of 30.6. Mean ISS of survivors and nonsurvivors was 27.6 and 52.7 respectively. The diaphragmatic repair of 49 cases was performed with thoracic approach in 23 cases, thoracoabdominal approach in 7 cases and abdominal approach in 19 cases, and 3 cases were not operated. The postoperative complication and mortality were developed in 16 out of 49 cases(33%) and in 5 cases(9.6%) respectively, and the causes of death were hypovolemic shock(1), combined head injury(2), asphyxia(1), and pulomnary edema and renal failure(1). In conclusion, the injuries of the diaphragm should be suspected in all patients with severe blunt trauma or penetrating injuries at thorax and upper abdominal area near the diaphragm. All of the cases had associated injury and most of deaths were related to the severity of associated injuries.