• Tuberculosis and Respiratory Diseases
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• v.60 no.6
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• pp.653-662
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• 2006

Background: The changes in the pulmonary function observed in burn patients with an inhalation injury are probably the result of a combination of airway inflammation, chest wall and muscular abnormalities, and scar formation. In addition, it appears that prolonged ventilatory support and an episode of pneumonia contribute to the findings. This study investigated the changes in the pulmonary function in patients with inhalation injury at the early and late post-burn periods. Methods: From August 1, 2002, to August 30, 2005, surviving burn patients who had an inhalation injury were enrolled prospectively. An inhalation injury was identified by bronchoscopy within 48hours after admission. Spirometry was performed at the early phase during admission and the recovery phase after discharge, and the changes in the pulmonary function were compared. Results: 37 patients (M=28, F=9) with a total burn surface area (% TBSA), ranging from 0 to 18%, were included. The initial $PaO_2/$FiO_2$ratio and COHb were $286.4{\pm}129.6mmHg$ and $7.8{\pm}6.6%$. Nine cases (24.3%) underwent endotracheal intubation and 3 cases (8.1%) underwent mechanical ventilation. The initial X-ray findings revealed abnormalities in, 18 cases (48.6%) with 15 (83.3%) of these being completely resolved. However, 3 (16.7%) of these had residual sequela. The initial pulmonary function test, showed an obstructive pattern in 9 (24.3%) with 4 (44.4%) of these showing a positive bronchodilator response, A restrictive pattern was also observed in 9 (24.3%) patients. A lower DLco was observed in only 4 (17.4%) patients of which 23 had undergone DLco. In the follow-up study, an obstructive and restrictive pattern was observed in only one (2.7%) case each. All the decreased DLco returned to mormal. Conclusions: Most surviving burn patients with an inhalation injury but with a small burn size showed initial derangements in the pulmonary function test that was restored to a normal lung function during the follow up period.

• 동물약계
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• no.64
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• pp.2-2
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• 1999

[ $\cdot$ ]동물용의약품등 제조업 허가 $\cdot$동물용의약품등 제조업 시설 변경 허가 $\cdot$동물용의약품등 수입자 대표자 변경 $\cdot$광견병 발생 주의보 발령 $\cdot$국가검정 불합격 동물용의약품등의 폐기$\cdot$반송 처리지침 $\cdot$사료관리법시행규칙 무효확인 행정소송 진행사항

• Journal of Chest Surgery
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• v.32 no.6
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• pp.543-548
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• 1999

Background: These days, lung volume reduction surgery (LVRS) is used as an alternative or a bridge operation to lung transplantation in treating patients with severe emphysema. The procedure can be used in patients with pulmonary nodules combined with severe emphysema. We report the results of 21 months follow up after lung volume reduction surgery in 7 cases including 2 cases of concurrent resection of pulmonary nodules. Material and Method: Seven patients with emphysema, including 2 cases of preoperatively suspected lung cancer were operated with LVRS technique between July 1996 and June 1997. Result: Postoperative mortality was observed in a case of squamous cell carcinoma in LUL with brain metastasis, detected at postoperative 13months. Average of 21months(19-25months) follow up was done for other cases without specific events. Conclusion: LVRS is a useful operation in the treatment of patients with severe emphysema, but further evaluation should be done about the long term results and precise criteria for patient selection. Simultaneous LVRS and tumor resection could be done in patients with emphysema with marginal reserve in the hope of maximizing postoperative lung functions.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.1033-1037
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• 2007

하천의 수위를 유지하거나 농업용수를 취수할 목적으로 현재 국내에 약 18,000개 정도의 크고 작은 보가설치되어 있다. 이러한 보 중에는 극히 일부에 어도와 같은 생태통로가 인위적으로 설치되어 있지만 전체적으로는 매우 미미한 수준이다. 더욱이 도시 인구 집중황 따른 도심부의 확대로 인한 농경지의 도시화, 경작 방식의 변화에 의한 논농사 위주에서 비닐하우스 단지로의 변화와 같은 토지이용의 변화, 대형 저수지의 축조／양수장 설치 등에 따른 취수 시설물의 통합, 시설의 노후화 등으로 매년 50-150개 정도의보가 폐기되고 있다. 그러나 이렇게 폐기되는 보는 하천에 그대로 방치되어 하천생태통로의 단절, 수질악화, 수변 서식처악화 등의 문제를 지속적으로 야기시키고 있다. 연구지역은 경기도 고양시 곡릉천 곡릉2보로 선정하여 보 철거전 과 보 철거 후의 모니터링을 통한 수질분석을 시행하였다. 곡릉2보는 과거 취수용 보로 이용되었으나 주변지역 토지이용 변화로 용도를 상실한 보이다. 보 철거 전에는 보로 인한 보 상류 지역에 퇴적물이 쌓이면서 정체구역이 생기고 부유물질이 많아지면서 수질 악화를 초래하는 것으로 나타났다. 그러나 보 철거 후에는 화학적으로 상류 하류지점에서 SS 및 BOD의 농도가 감소하여 전체적으로 수질향상에 기여한 것으로 나타났다. 보 철거에 따른 수질분석에 대한 연구는 아직 진행 단계에 머물러 있으며, 그 주변에 대한 상세한 이론은 아직 미미하다. 따라서 현재 국내외 보의 현황 및 보 철거 기술을 조사하고, 우리나라의 조건이 다른 보를 선정하여 하천의 보가 수질에 미치는 영향을 정량적으로 분석함으로써, 향후 우리나라의 보 관리방안의 방향을 제시하는데 도움이 되고자 한다.를 제시하고 있다. 미국의 경우는 이러한 가이드라인을 실제로 현장에 적용하고 있으며 조성효과가 정성적으로 검증되었고 정량적인 관계 도출을 위한 연구가 지속적으로 진행되고 있다. 국내의 경우 수질개선 및 생태서식처 조성, 하천환경을 개선하기 위한 관련 정책이 꾸준히 제시되고 있다. 한 예로 정부에서는 수변구역을 지정 고시하여 상수원으로 유입되는 비점오염물질을 저감하고 생태서식처를 조성함으로써 양질의 상수원과 건전한 생태계를 확보하기 위한 제도를 시행 중이다. 수변 구역의 범위는 한강수변구역의 경우 약 $500{\sim}1,000m$로 설정되어 있으나 아직까지는 관리적 성격이 강하며, 향후에는 구체적인 조성방안이 요구된다. 본 연구에서는 한강 수변구역 내에 미국의 가이드라인에서 제시하는 수변완충지대의 물리적 조건과 국내 지역 토착식생을 적용하여 시험완충지대를 조성하였고, 실험조건 하에서 그 효과를 정량적으로 분석 검증한 결과와 외국사례를 분석하여 국내여건에 맞는 수변완충지대 조성 가이드라인(안)을 제시하였다.EX>$\ulcorner$세종실록$\lrcorner$(世宗實錄) $\ulcorner$지리지$\lrcorner$(地理志)와의 비교를 해보면 상 중 하품의 통합 9개소가 삭제되어 있고, $\ulcorner$동국여지승람$\lrcorner$(東國與地勝覽) 에서는 자기소와 도기소의 위치가 완전히 삭제되어 있다. 이러한 현상은 첫째, 15세기 중엽 경제적 태평과 함께 백자의 수요 생산이 증가하자 군신의 변별(辨別)과 사치를 이유로 강력하게 규제하여 백자의 확대와 발전에 걸

• Proceedings of the Korea Information Processing Society Conference
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• 2005.11a
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• pp.1403-1406
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• 2005

원자력 시설 및 연구용 원자로 해체 시 해체 일정과 해체 폐기물량 그리고 해체 비용을 분석하기 위한 평가식이 수립되었다. 연구로 2 호기 Thermal column 자료를 참고하여 평가식을 실험하였다. 해체 공정 모사 결과를 애니메이션으로 보여주는 가시화 모듈과 해체 일정과 해체 폐기물량, 작업자 피폭선량 및 해체 비용 등을 평가식으로 계산 한 후 그 결과를 그래픽으로 보여주는 시뮬레이션 모듈로 구성된 해체 디지털 목업 시스템의 그래픽 사용자 인터페이스가 설계되었다. 해체 단위 작업별 평가식은 원자력과 관련한 시설 해체 시 해체 일정 및 해체 비용 분석 및 예측에 중요한 기초자료로 사용 될 것이다. 또한 그래픽 사용자 인터페이스는 방사능의 오염으로 인해 작업자가 접근하기 힘든 환경에서의 해체 활동을 사전에 경험함으로써 피폭으로부터 작업자의 안전성을 향상시킬 수 있는 유용한 도구로 활용될 수 있다.

• Journal of Chest Surgery
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• v.34 no.8
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• pp.640-643
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• 2001

A case of endobronchial tuberculosis with left main bronchial stenosis and atelectasis of left lower lobe in a 26-year-old female is reported. She had taken antituberclous agents for 9 months, but she complained of chest pain and coughing. Bronchoscopy revealed patency of left upper bronchus and bronchiectasis of left lower lobe. She underwent left lower lobectomy with bronchoplasty. After the operation she had significant improvement of pulmonary function. Although surgical treatment of endobronchial tuberculosis is controversial, bronchoplastic surgery can be an effective treatment of tuberculous bronchial stenosis because it relieves patients from symptoms by preserving lung functions.

• Tuberculosis and Respiratory Diseases
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• v.43 no.4
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• pp.491-499
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• 1996

Background : Pleural effusion is a common disease in clinical practice but its effect on pulmonary function and altered pulmonary mechanics after removal of effusion are not still largely understood. Previous studies have shown that there is little or a relatively small improvement in pulmonary function and arterial blood oxygenation after therapeutic thoracentesis. The present study was designed to assess the effect on pulmonary function of pleural effusion and to test whether there was a significant improvement in pulmonary function and arterial oxygenation after thoracentesis and to observe long tenn effect after thoracentesis. Method : We examined flow-volume curve, body box and arterial blood gas analysis according to severity of effusion, present symptom, and symptom duration. Then, we measured changes of pulmonary function after thoracentesis and observed longterm effect after thoracentesis. Result: 1) Pleural effusion cause restrictive pulmonary insufficiency. Not only functional impairment of small airway but also large airway is provoked. 2) MMFR, FEV1, Raw, POz are earlier improved than FVC and TLC after thoracentesis and patients without complication have mild restrictive pulmonary insufficiency after longterm observation. 3) FVC, FEV1, & TLC are similarly restricted as severity of pleural effusion and po, is relatively decreased. 4) Cases with symptom duration 1 week or less and cases with dyspnea have more severe pulmonary insufficiency than others. 5) The flow volume curves show a relatively greater improvement in flow rates at large lung volumes than small airway. 6) Significant relationship is shown between first thoracentesis amount and changes of FEV1, FVC, TLC. Conclusion: Pleural effusion cause restrictive pulmonary insufficiency and not only functional impairment of small airway impairment but also large airway is provoked. Then, Pulmonary function is progressively improved after thoracentesis and remained mild restrictive pulmonary insufficiency after recovery.

• The Korean Journal of Nuclear Medicine Technology
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• v.15 no.1
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• pp.70-74
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• 2011

Purpose: In the Nuclear Medicine department of Asan Medical Center, radioactive waste has been disposed of by using several disposal boxes designed for nuclear waste. However, some quantity of radioactivity has been detected occasionally due to some radiologists' carelessness not only from radioactive waste, but also from medical waste such as uncontrolled radioactive waste related to patients, poly gloves or saline solution bottles from radiopharmaceuticals laboratory. Thus, this study is going to suggest a solution to maintain the medical wastes made from controlled areas that can be below maximum permissible surface dose limits by finding the cause of radioactive contamination. Materials and methods: This study was taken place in 17 different places-2 medical wastebaskets in the waiting room, 2 medical wastebaskets in the PET room, 5 medical wastebaskets in the in vitro laboratory and 6 medical wastebaskets in the radiopharmaceuticals laboratory of the East building, 2 medical wastebaskets in the waiting room of the New building of Nuclear Medicine Department in Asan Medical Center from April to August 2010. Mean radioactivity and its standard deviation of each place have been found by measuring surface contamination of medical wastebaskets and backgrounds twice a week, totaling 30 times. An independent t-test of SPSS (Ver. 12.0) statistic program has been used for statistical analysis. Swabs, saline solution bottles and poly gloves collected from each place also measured 30 times, respectively. Results: This study analyzed medical waste and the backgrounds of each place by using survey meter detectors that significant differences of five places did not exist, but existed statistically in twelve places (p<0.05). Also, swabs, saline solution bottles and poly gloves collected from each radioactive waste partly exceed the legal dose limit as a result of measuring by a gamma counter. Conclusion: Backgrounds and the surface doses of radioactive disposal box in all 17 places measured by the survey meter did not exceed the legal dose limit; however, it obviously showed that there were prominent differences in 12 places. Assuming that the cause of the differences was swabs, saline solution bottles and gloves, we examined them by gamma counter, and the results showed remarkably high doses of radioactivity. Consequently, swabs and poly gloves which are normally disposed in the general medical waste box should be disposed in the radioactive waste box furnished by radiopharmaceuticals laboratory. Also, saline solution discharged from radioactive pharmaceutical places is considered as radioactive liquid waste so that it should be disposed of by the septic tank specifically designed for radioactive liquid.

• Tuberculosis and Respiratory Diseases
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• v.42 no.6
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• pp.923-933
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• 1995

Background: Pleural abnormality is the the most common respiratory change caused by asbestos dust inhalation and also develop other asbestos related disease after cessation of asbestos exposure. So we conducted epidemiologic study to investigate if the pleural abnormality is associated with pulmonary function change and what factors are influenced on pulmonary function impairment. Methods: Two hundred and twenty two asbestos workers from 9 industries using asbestos in Korea were selected to measure the concentration of sectional asbestos fiber. Ouestionnaire, chest X-ray, PFT were also performed. All the data were analyzed by student t-test and chi-square test using SAS. Regressional analysis was performed to evaluate important factors, for example smoking, exposure concentration, period and the existence of pleural thickening, affecting to the change of pulmonary function. Results: 1) All nine industries except two, airborn asbestos fiber concentration was less than an average permissible concentration. PFT was performed on 222 workers and the percentage of male was 88.3%, their mean age was $41{\pm}9$ years old, and the duration of asbestos exposure was $10.6{\pm}7.8$ yrs. 2) The chest X-ray showed normal(89.19%), pulmonary Tb(inactive)(2.7%), pleral thickening (7.66%), suspected reticulonodular shadow(0.9%). 3) The mean values of height, smoking status, concentration of asbestos fiberwere not different between the subjects with pleural thickening and others, but age, cumulative pack-years, the duration of asbestos exposure were higher in subjects with pleural thickening. 4) All the PFT indices were lower in the subjects with pleural thickening than in the subjects without pleural thickening. 5) Simple regression analysis showed there was a significant correlation between $FEF_{75}$ which is sensitive in small airway obstruction and cumulative smoking pack-years, the duration of asbestos exposure and the concentration of asbestos fiber. 6) Multiple regression analysis showed all the pulmonary function indices were decreased as the increase of cumulative smoking pack-years and especially in the indices those are sensitive in small airway obstruction. Pleural thickening was associated with reduction in FVC, $FEV_1$, PEFR and $FEF_{25}$. Conclusion: The more concentration of asbestos fiber and the more duration of asbestos exposure, the greater reduction in $FEF_{50}$, $FEF_{75}$. Therefore PFT was important in the evaluation of early detection for small airway obstruction. Furthermore pleural thickening without asbesto-related parenchymal lung disease is associated with reduction in pulmonary function.

• Journal of the Korean Society of Physical Medicine
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• v.8 no.1
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• pp.59-69
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• 2013

연구목적: 본 연구는 만성 뇌졸중 환자를 대상으로 흡기근 저항훈련이 횡격막 두께와 폐기능 및 흉곽 확장에 미치는 효과를 알아보고자 수행하였다. 연구방법: 연구 대상자는 총 29명(남자 17명, 여자 12명)으로 흡기근 저항훈련군(15명)과 대조군(14명)으로 분류하였다. 모든 대상자는 6개월 이상된 만성 뇌졸중 환자로 일반적인 신경발달치료를 받고 있으며, 같은 기간 동안 흡기근 저항훈련군에 역치부하 흡기근육 단련기(threshold IMT device)를 제공하고 주 3회${\times}$1회 20분씩 6주간 시행하였다. 마비측과 비마비측 횡격막 두께측정을 위해 초음파의 7.5MHz linear probe를 사용하여 최대 흡기시(Tdi.con)와 휴식시(Tdi.rel)의 두께를 측정하고 수축률(TR)을 계산하였다. 또한 폐 활량계를 사용하여 노력성 폐활량을 측정하였으며, 줄자를 사용하여 흉곽 확장을 측정하였다. 연구결과: 6주간 중재 후 흡기근 저항훈련군에서 최대흡기시 횡격막 두께(Tdi.con)와 수축률(TR)은 유의한 증가를 보였다(p<.05). 1초간 노력성 호기량 ($FEV_1$)과 최대 호기 속도(PEF)도 유의한 증가를 보였으나(p<.05), 노력성 폐활량(FVC)과 1초간 노력성 호기량의 노력성 폐활량에 대한 비($FEV_1$/FVC), 흉곽 확장은 유의한 증가는 보이지 않았다(p>.05). 결론: 본 연구는 만성뇌졸중 환자를 대상으로 흡기근 저항훈련의 적용이 횡격막의 수축력과 폐기능 및 흉곽 확장력을 향상시켜 호흡근의 협응력을 증가시키고, 비활동성으로 인해 감소된 운동내성을 증가하게 함으로써 향후 재활에서 만성 뇌졸중 환자에게 2차적인 기능향상에 도움을 줄수 있을 것으로 보여진다.