• Title/Summary/Keyword: 이재근

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Predictors on In-hospital Mortality Following In-hospital Diagnosis of Tuberculosis (결핵으로 입원한 환자의 병원내 사망과 관련된 인자)

  • Shin, Su Rin;Kim, Chang Hwan;Kim, Sung Eun;Park, Yong Bum;Lee, Jae Young;Mo, Eun Kyung;Kim, Cheol Hong;Eom, Kwang Seok;Jang, Seung Hun;Kim, Dong Gyu;Lee, Myung Gu;Jung, Ki Suck
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.3
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    • pp.233-238
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    • 2006
  • Study objectives: To determine the factors associated with mortality after an in-hospital diagnosis of tuberculosis in a region with low levels of HIV coinfection. Methods: From January 2003 to December 2004, all subjects who were > 15 years of age and had received a diagnosis of tuberculosis were registered. The clinical, radiological and laboratory aspects of the patients who died (n=27) were compared with those of an age and gender matched control population(n=54). Logistic regression analyses were carried out, which included age, gender, hospital admission source, initial site of admission, dyspnea, general weakness and initial laboratory data. Results: The mean age of the patients was $60{\pm}16$ years and male patients outnumbered female patients. Univariate analysis identified hemoglobin, blood urea nitrogen, albumin, cholesterol, aspartate aminotransferase (AST), C-reactive protein and the risk factors for tuberculosis to be significantly associated with mortality. Among the characteristics of disease presentation and treatment, emergency department admission, intensive care unit, disease severity, general weakness and dyspnea at the time of admission were associated with mortality. Multiple regression analysis revealed the initial management in the intensive care unit and lower serum albumin to be independently associated with mortality. Conclusion: The markers of disease chronicity and severity appear to be associated with in-hospital mortality. Identifying potentially reversible factors such as malnutrition and respiratory failure suggests specific intervention that might lead to an improvement in the patients' outcomes.

Prediction on the Quality of Total Mixed Ration for Dairy Cows by Near Infrared Reflectance Spectroscopy (근적외선 분광법에 의한 국내 축우용 TMR의 성분추정)

  • Ki, Kwang-Seok;Kim, Sang-Bum;Lee, Hyun-June;Yang, Seung-Hak;Lee, Jae-Sik;Jin, Ze-Lin;Kim, Hyeon-Shup;Jeo, Joon-Mo;Koo, Jae-Yeon;Cho, Jong-Ku
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.29 no.3
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    • pp.253-262
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    • 2009
  • The present study was conducted to develop a rapid and accurate method of evaluating chemical composition of total mixed ration (TMR) for dairy cows using near infrared reflectance spectroscopy (NIRS). A total of 253 TMR samples were collected from TMR manufacturers and dairy farms in Korea. Prior to NIR analysis, TMR samples were dried at $65^{\circ}C$ for 48 hour and then ground to 2 mm size. The samples were scanned at 2 nm interval over the wavelength range of 400-2500 nm on a FOSS-NIR Systems Model 6500. The values obtained by NIR analysis and conventional chemical methods were compared. Generally, the relationship between chemical analysis and NIR analysis was linear: $R^2$ and standard error of calibration (SEC) were 0.701 (SEC 0.407), 0.965 (SEC 0.315), 0.796 (SEC 0.406), 0.889 (SEC 0.987), 0.894 (SEC 0.311), 0.933 (SEC 0.885) and 0.889 (SEC 1.490) for moisture, crude protein, ether extract, crude fiber, crude ash, acid detergent fiber (ADF) and neutral detergent fiber (NDF), respectively. In addition, the standard error of prediction (SEP) value was 0.371, 0.290, 0.321, 0.380, 0.960, 0.859 and 1.446 for moisture, crude protein, ether extract, crude fiber, crude ash, ADF and NDF, respectively. The results of the present study showed that the NIR analysis for unknown TMR samples would be relatively accurate. Use of the developed NIR calibration curve can obtain fast and reliable data on chemical composition of TMR. Collection and analysis of more TMR samples will increase accuracy and precision of NIR analysis to TMR.

Clinical Significance of Creatine Kinase MB mass and Cardiac Troponin I as a Marker of Perioperative Myocardial Infarction After Coronary Artery Bypass Grafting (관상동맥 우회술 후 심근경색의 표지자로서 Creatine Kinase MB 농도와 Cardiac Troponon I의 임상적 의의)

  • 이재진;김응중;이원용;신윤철;지현근
    • Journal of Chest Surgery
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    • v.35 no.1
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    • pp.27-35
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    • 2002
  • Background: A perioperative myocardial infarction(PMI) is one of the major complications after CABG. Among diagnostic methods of PMI, CK-MB activity assays have been increasingly replaced by CK-MB mass assays, which have more sensitive, simple measurement. Also, new cardiac-specific and -sensitive marker, cardiac troponin I(cTnl), has been shown to be a marker of myocardial infarction. We report our evaluation of clinical significance of CK-MB mass and cTnl as a marker of PMI after CABG. Material and Method: We studied 32 patients who underwent CABG at Kangdong Sacred Hospital between April 2000 and April 2001. Postoperative serum CK-MB activity level, serum CK-MB mass, cTnl, electrocardiogram, echocardiogram, and clinical data were recorded prospectively The diagnosis of PMI was defined as positive 2 among 3 or all of the following , by a new Q wave on the electrocardiogram, by serum CK-MB activity higher than 200 lU/L within 72 hours after operation, and by new regional wall motion abnormality on the echocardiogram. Result: After CABG, 3 patients had sustained a PMI according to current diagnostic criteria. As serum CK-MB activity time course, a level of CK-MB activity 12 hours after CABG had very linear correlated significance with serum CK-MB mass 24hours(R=0.946) and cTnl 48 hours(R=0.933) after CABG(p=0.000). As we used a receiver operating characteristics curve(ROC curve) for a diagnostic cutoff value in patients with PMI, serum CK-MB mass levels higher than 30.05 ug/L 24 hours after CABG detected the presence of PMI with an area under the ROC curve of 1.0, a sensitivity of 100%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 100%. Also serum cTnl levels higher than 17.15 ug/L 48 hours after CABG detected the presence of PMI with an area under the ROC curve of 0.98, a sensitivity of 100%, a specificity of 96.6%, a positive preclictive value of 75%, and a negative predictive value of 100% Conclusion: We concluded that both the measurement of CK-MB mass and cTnl are the easier, accurate methods as a diagnostic marker of PMT after CABG, also as a proposal of diagnostic cutoff value enables to an early detection of PMI. However, a 1arger number of patient will be needed because of statistic limitation that a small number of participating patients, a small number of PMI.

Chemo-Mechanical Analysis of Bifunctional Linear DGEBA/Linear Amine (DDM, DDS) Resin Casting Systems (DGEBA/방향족 아민(DDM, DDS) 경화제의 벤젠링 사이의 관능기 변화가 물성 변화에 미치는 영향에 대한 연구)

  • 명인호;정인재;이재락
    • Composites Research
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    • v.12 no.4
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    • pp.71-78
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    • 1999
  • To determine the effect of chemical structure of linear amine curing agents on thermal and mechanical properties, standard epoxy resin DGEBA was cured with diaminodiphenyl methane (DDM), diaminodiphenyl sulphone (DDS) in a stoichiometrically equivalent ratio. From this work, the effect of aromatic amine curing agents. In contrast, the results show that the DGEBA/DDS cure system having the sulfone structure between the benzene rings had higher values in the conversion of epoxide, density, shrinkage (%), glass transition temperature, tensile modulus and strength, flexural modulus and strength than the DGEBA/DDM cure system having methylene structure between the benzene rings, whereas the DGEBA/DDM cure system presented higher values in the maximum exothermic temperature, thermal expansion coefficient, and thermal stability. These results are caused by the relative effects of sulfone group having strong electronegativity and methylene group having (+) repulsive property and stem from the effect of the conversion ratio of epoxide group. The result of fractography shows that the each grain size of the DDM/DGEBA system with feather-like structure is larger than that of the DDS/DGEBA system.

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Hydroponic Culture Possibility and Optimal Solution Strength of 'Pechika' Ever-bearing Strawberry on Highland in Summer (사계성 페치카' 딸기의 고랭지 여름철 양액재배 가능성 및 적정 양액농도 검토)

  • Rhee Han-Cheol;Kang Nam-Jun;Rho Il-Rae;Jung Ho-Jung;Kwon Joon-Kook;Kang Kyung-Hee;Lee Jae-Han;Lee Sung-Chan
    • Journal of Bio-Environment Control
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    • v.15 no.3
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    • pp.250-256
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    • 2006
  • This experiment was conducted to investigate the hydroponic culture possibility and the optimal solution strength of 'Pechika' ever-bearing strawberry in summer highland. Maximum room temperature and minimum root zone temperature of plastic house were $30.8^{\circ}C\;and\;19^{\circ}C$ in highland respectively and $4^{\circ}C\;and\;3^{\circ}C$ lower than in level and. The growth of 'Pechika' was better in highland. There was effective in producing the good yield and fruit quality in highland and the deformed fruits also were decreased. The soluble solid and titratable acidity content increased in highland. Early growth was the most effective in standard solution $(EC\;0.75dS\;m^{-1})$ and had a tendency to be inhibition with increasing nutrient concentration. Standard solution was also the highest to yield about 2,064kg/10a among treatments, and 2/3S, 4/3S, 5/3S by turns. The browning roots and root activity increased when the solution strength was increased, especially in EC $1.25dS{\cdot}m^{-1}$. The soluble solids and acidity content of fruits were increased with higher solution strength. Therefor, the summer hydroponic culture of 'Pechika' ever-bearing strawberry was suitable in highland and effective in standard solution $(EC\;0.75dS{\cdot}m^{-1})$ in solution control.

Relationship Between Deterioration State and Conservation Treatment Types for State-designated Stone Cultural Heritage in Korea (국가지정 석조문화재의 훼손상태에 따른 보존처리 상관성 연구)

  • Lee, Myeong Seong;Chun, Yu Gun;Lee, Mi Hye;Lee, Jae Man;Park, Sung Mi;Kim, Jae Hwan
    • 보존과학연구
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    • s.34
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    • pp.64-81
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    • 2013
  • It is not easy to define the priority criteria of the need of conservation treatment for stone cultural heritage, although many of them have been treated and restored over the past decade. This study approached the correlation between damage grade and the need of conservation treatment based on damage diagnosis of stone cultural heritage carried out from 2001 to 2005. The number of Third-graded (from First to Fifth-grade) stone heritage in deterioration was the highest among state-designated stone cultural heritage. The Fourth-graded stone cultural heritage (143 in total) was mostly influenced by high physiochemical deterioration, whereas the Fifth-graded ones (61 in total) was dominantly affected by biological colonization. It was estimated that total 211 stone cultural heritage were treated for conservation and restoration from 2002 to 2011. They were usually cleaned (total 134, 26.1%), joined and consolidated, and maintenance works as shelter construction, drainage installation and surrounding cleaning were carried out for some of them. The number of conservation intervention increased with the high deterioration grade, and the case number of metamorphic and sedimentary rocks. By age, the stone cultural heritage in Three-kingdom Period were treated the most, and other heritage in Unified Shilla, Goryeo and Joseon showed an approximate ratio. The stone cultural heritage fallen in the fifth-grade in deterioration demonstrated the highest ratio, approximately 80% of conservation intervention. These results can be used as preliminary data to define the emergency criteria for conservation intervention policy.

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Urokinase Plasminogen Activator Receptor Gene Expression and Clinico-Pathologic Feature in Gastric Cancer Patients (위암 환자의 Urokinase Plasminogen Activator Receptor 유전자의 발현양상)

  • Kim Yong Gil;Lee Kyung Hee;Kim Min Kyung;Lee Jae Lyun;Hyun Myung Sue;Kim Sang Hun;Kim Hee Sun
    • Journal of Gastric Cancer
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    • v.4 no.4
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    • pp.207-212
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    • 2004
  • Purpose: Invasion and metastasis in solid tumors require the action of tumor-associated proteases. The serine protease urokinase-type plasminogen (uPA) and receptor (uPAR) appear to have a major function in these processes. Expression of the uPAR is elevated in breast and colon carcinomas, and this is often associated with invasiveness and poor prognosis. The purpose of this study was to determine whether the expression of the uPAR gene correlates with clinico-pathological parameters in human gastric carcinomas. Materials and Methods: We examined the expression of uPAR mRNA by using northern blot analysis and RT-PCR in 35 gastric carcinomas and the surrounding normal mucosa. Macroscopic and histopathological tumor findings and survival rates were obtained from the patient records and from endoscopic, surgical, and pathological reports. Results: The expression of uPAR and was higher in most neoplasms than in the corresponding normal mucosal tissue. uPAR mRNA expression in tumors correlated well with lymph-node metastasis (P<0.02) and tumor stage (P<0.01). The survival rate of patients with tumors displaying high uPAR expression levels was significantly lower (P<0.04) than that of patients without uPAR expression, but IL-8 showed only the tendency of survival difference. Conclusion: These results suggest that uPAR may be an important prognostic factor in human gastric carcinomas.

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Clinical Efficacy of Combination Chemotherapy with Ifosfamide Cisplatin, and Etoposide(ICE) in Advanced Non-Small Cell Lung Cancer (진행성 비소세포 폐암 환자에서 Ifosfamide, Cisplatin Etoposide(ICE) 복합화학요법의 효과)

  • Lee, Gu;Kim, Byung Duk;Kang, Hee Jung;Lee, Sang Won;Oh, Hyun A;Bae, Sung Hwa;Lee, Jae Lyun;Lee, Kyung Hee;Hyun, Myung Soo;Shin, Kyeong Cheol;Jung, Jin Hong;Lee, Kwan Ho;Ryu, Hun Mo
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.4
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    • pp.309-316
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    • 2002
  • Background: To evaluate the efficacy and toxicity of combination chemotherapy using ifosfamide, cisplatin, and etoposide in patients with advanced non-small cell lung cancer(NSCLC). Materials and methods: Thirty-three patients with inoperable NSCLC(stage IIIb+IV) who had measurable diseases, and had not been treated with chemotherapeutic drugs, were enrolled in this study(from March 1995 to December 1996). The patients received ifosfamide($1500mg/m^2/day$, a full drop with Mesna on days 1-5), Cisplatin ($80mg/m^2/day$ infusion with a hydration on day 2), and Etoposide ($100mg/m^2/day$ infusion for 2 hours on days 1-3). The treatment was repeated every 4 weeks. Results: Ten patients showed a partial responses (30.3%). The overall survival time of the responders was longer than that of the non-responders (median 55 vs 22 weeks, p=0.01). The toxicities of this treatment were tolerable. Grade 3 or 4 leukopenia was observed in 21%. There was 1 death related to febrile neutropenia. The non-hematologic toxicity was mild. The relative dose intensity given to the patients was 0.86 ifosfamide, 0.87 cisplatin, and 0.89 etoposide, showing an average dose intensity of 0.87. Conclusions: A combination regimen of ifosfamide, cisplatin, and etoposide is effective and tolerable for treating advanced non-small cell lung cancer.

Radiologic Evaluation of Limb Salvage Operation with Tumor Prosthesis (종양 대치물을 이용한 사지 구제술의 방사선학적 평가)

  • Moon, Sang-Ho;Lee, Sang-Hoon;Kim, Han-Soo;Oh, Joo-Han;Ko, Byung-Won;Koo, Ki-Hyung;Lee, Jae-Hag;Hwang, Chung-Soo;Lee, Han-Koo
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.4
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    • pp.152-162
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    • 2000
  • Purpose : To verify radiological changes of limb salvage operation using tumor prosthesis. Materials and Methods : Sixty-nine cases which used tumor prosthesis were reviewed. They have been followed up for average four years and nine months. We evaluated radiographs by ISOLS(International Symposium On Limb Salvage) radiological implants evaluation system immediate postoperatively, at postoperative 1 year and last follow-up. After converting 'excellent, good, fair, poor' to '4, 3, 2, 1' for stastical analysis, data were analyzed according to the use of cement, anatomical sites, diagnosis implant designs and age (<20 year vs. ${\geq}$20 year) using t-test and ANOVA. Results : The outcomes of cemented type prostheses were superior in remodelling and interface but inferior in anchorage. The scores of proximal femur and distal tibia were worse in bone remodelling. Osteosarcoma group had lower scores in anchorage and implant articular problem. There were no significant differences according to four different implant designs and age. Conclusion : In the intermediate term follow-up radiological evaluation, cemented type prosthesis were better in the aspects of bony resorption and osteolysis, and cementless one in anchorage. Distal femur and proximal tibia have higher scores in bony resorption, and osteosarcoma was worse tumor entity in anchorage and articular problem, and chemotherapy may be the cause.

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Prognostic Value of Normal Exercise $^{99m}Tc$-MIBI Myocardial Perfusion SPECT: Comparison with Exercise Electrocardiography and Coronary Angiography ($^{99m}Tc$-MIBI 운동부하 심근관류 SPECT에서 정상소견을 보인 환자의 예후: 운동부하 심전도와 관동맥 조영소견과의 비교)

  • Lee, Sang-Woo;Lee, Jae-Tae;Chun, Kyung-Ah;Kang, Do-Young;Kim, Dong-Hwan;Cho, Yong-Keun;Chae, Shung-Chull;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.3
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    • pp.199-206
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    • 2000
  • Purpose: Myocardial perfusion scintigraphy is a useful technique to diagnose and to predict prognosis in patients with suspected or known coronary artery disease. The purpose of the present study is to evaluate the prognostic value of normal exercise $^{99m}Tc$-MIBI myocardial perfusion single photon emission computed tomography (SPECT) and to analyze results with regard to those of exercise electrocardiography or coronary angiography. Materials and Methods: We evaluated 301 patients (mean age $52{\pm}10$ years, 166 males and 135 females) with normal exercise $^{99m}Tc$-MIBI myocardial perfusion SPECT performed for suspected coronary artery disease. Subject were evaluated for cardiac events and followed for 8-55 months (mean $19{\pm}10$ months) after imaging. Results: During the follow-up period, there was no cardiac death but only one non-fatal myocardial infarction (event rate 0.21% per year). In addition, only one patient underwent coronary revascularization. There was no significant difference in cardiac event rate between patients with positive (n=27) and negative (n=235) exercise electrocardiography (p:NS). There was no cardiac event in 17 patients who underwent coronary angiography (4 patients with >50% luminal narrowing, 2 patients with vasospasm and 11 patients with no significant lesion). Conclusion: Patients with normal exercise $^{99m}Tc$-MIBI myocardial perfusion SPECT has a very low risk for cardiac events regardless of exercise electrocardiographic and coronary angiographic findings.

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