• Journal of Chest Surgery
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• v.32 no.2
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• pp.144-150
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• 1999

Background: Surgery has been considered the most effective and standard treatment modality in non-small cell lung cancer(NSCLC). However in stage IIIA lung cancer, the role of surgery is still controversial. To evaluate the role of surgery for stage IIIA NSCLC, we investigated the survival after surgery and the prognostic factors. Material and Method: We evaluated 158 consecutive cases of stage IIIA NSCLC patients operated on between 1990 and 1996. There were 130 male patients and 28 female patients, and the mean age was 58.5 years. All patients except one underwent lung resection beyond lobectomy and extended mediastinal dissection. Postoperative adjuvant therapy were undertaken in 145(94.8%) patients. All patients(153) were followed and the mean follow-up period was 21.4months. Result: Twenty nine cases of the postoperative complications developed in 25 patients (15.8%). There were 5 operative mortality cases(3.2%) and the main cause of death was acute respiratory distress syndrome (ARDS). Local or distant recurrences developed in 84 patients(54.9%). The 5-year survival of 153 patients was 29.6% and the median survival time was 18.0 months. The 5-year survival of non N2 disease group(36.8%) was better than that of N2 disease group(26.6%)(p=0.35) and the 5-year survival of squamous cell carcinoma (38.1%) was better than that of adenocarcinoma(25.7%)(p=0.39) however there were no significant differences. Regarding the postoperative adjuvant therapy, in combined therapy group(84 patients), radiotherapy group(37 patients) and chemotherapy group(24 patients), the 5-year survival were 31.3%, 32.4%, and 14.6% respectively. There was no difference of survival between radiotherapy and combined therapy group(p=0.31), however the survival of the combined therapy group was better than the chemotherapy group(p=0.005). The survival of the complete resection group(31.9%) was better than the incomplete resection group(16.6%) however there was no significant difference(p=0.19). Conclusion: These observations indicate that the good 5-year survival(29.6%) in patients with stage IIIA NSCLC result from the agressive surgical treatment including extensive mediastinal nodes dissection.

• Journal of Chest Surgery
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• v.31 no.12
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• pp.1200-1205
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• 1998

Background: Lung cancer formation is a multistage process involving activation of protooncogene and inactivation of tumor suppressor genes. We evaluate the significance of cyclin D1, p53, bcl-2 gene mutations in patients with curatively resected stage IIIA non-small cell lung cancer(NSCLC). Material and Method: One hundred consecutive cases of stage IIIA lung cancers from patients operated on curatvely between 1990 and 1995 for which adequate paraffin blocks and clinical history were available. Immunohistochemical studies were performed on the representative tissue sections from each case by the labelled streptovidin- biotin method. Sections for cyclin D1, p53, Bcl-2 immunostaining were pretreated in a microwave oven for 10 to 20 minutes in citrate buffer before immunostaining. The overnight incubation with NCL-cyclin D1-GM for cyclin D1, with clone DO-7 for p53, with clone 124 for bcl-2 was done. Mean follow-up was 24.1 months (range 2-84 months) after operation. Result: One hundred cases of lung cancers were composed of 56 cases of squamous cell carcinoma, 37 cases of adenocarcinoma, 5 cases of adenosquamous cell carcinoma, and 2 cases of large cell carcinoma. The 5-year survival was 32.1%. The positive expression rate of cyclin D1 was 35%, p53 was 56%, and bcl-2 was 17%. But there were no correlation between cyclin D1, p53, Bcl-2 protein expression and survival. Conclusion: These observation indicate that cyclin D1, p53, bcl-2 protein overexpression might be implicated in the oncogenesis of non-small cell lung carcinomas but they have no usefulness as a prognostic marker.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.683-687
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• 2007

우리나라의 축산업은 대략 1970년대 이후부터 급속한 산업화에 따른 인구 증가 및 국민 소득의 증가로 식품 소비 형태가 변화하면서 육류 및 유제품의 소비가 증가하게 되고 농가에서 새로운 소득원으로 축산업이 활성화되면서 전통적인 재래식 가축사육 형태에서 전업식 사육형태로 점차적으로 규모가 커지기 시작하였다. 반면, 우루과이라운드(UR) 협상에 따라 농산물을 비롯한 축산물 등 완전시장개방에 따라 국제경쟁력 약화 및 축산폐수 규제의 강화에 대한 우려 등으로 겸엽(兼業)농식의 축산업은 도태 감소하게 되고 그 규모에 있어서 전업 전문화, 대규모화로 변모되어 가고 있는 추세임은 분명하다. 따라서 축산물 시장개방에 효율적으로 대처하기 위해서는 축산전업농가 육성과 계열화와 그에 따른 고품질 축산물 생산을 통한 축산업 경쟁력 제고에 노력해야 하며 아울러 축산폐수처리에 대한 기술개발 및 연구투자 확대와 더불어 축분 유기질비료의 생산 및 유통을 촉진하기 위한 법적 근거를 마련 등을 추진함으로서 국내 축산업의 경쟁력을 유지하며 친 환경적인 축산 경영을 이루어야 할 것이다. 이에 본 연구에서는 현재 날로 심각해지는 가축분뇨가 환경에 미치는 영향을 평가가 필요하여, 기초데이터의 확충 및 현황 파악을 위하여 축산 농가 내의 분뇨처리 실태를 조사 하고 문제점을 도출하고자 하였다. 또한 현재 조사된 자료를 바탕으로 가축 분뇨에 의한 오염 발생여부 및 발생량을 예측하고, 가축분뇨에 의한 오염 방지 및 수계에 미치는 영향을 안정적으로 유지하기 위하여 가축분뇨 이용 및 관리를 전반적으로 검토함으로써 가축분뇨를 효율적으로 관리하고 앞으로의 이용에 관한 여러 대안을 제시하는 것을 목적으로 한다.요했던 출혈(2예), 흉골 지연봉합(2예), 급성 신부전(2예), 폐렴(1예), 대동맥내 풍선펌프로 인한 혈전색전증(1예),수술 후 섬망(2예) 등이 있었다. 생존한 10명의 환자들 중 1명을 제외한 나머지 9명의 환자에서 $38{\pm}40$개월간의 추적관찰이 되었는데, 추적 관찰 기간 중에 3명이 사망하였고 생존한 6명의 환자는 모두 양호한 상태(NYHA 기능등급, $I{\sim}II$)를 보였으며, 그 중 3명에서는 혈역학적으로 큰 의미가 없는 잔여단락이 있었다. 결론: 급성 심근경색증 후 심실중격 결손은 수술위험도가 높은 질환이지만, 수술 전 대동맥내 풍선펌프를 삽입하고 조기에 심실중격 결손부의 infarct exclusion 술식과 함께 관상동맥우회술을 시행함으로써 만족할 만한 수술 및 중기 결과를 얻을 수 있었다.출물 투여로 저하되었으나 NC군보다는 높게 나타났다. 간 중 중성지질 함량은 참나물 에탄올 추출물 투여 용량에 따른 유의차가 없었으나, 총콜레스테롤 함량은 고용량 병합투여한 HC-PBH군만 유의하게 저하되었다. 혈청 및 간 중의 지질 함량 변화는 정상식이를 급여한 NC군과 NC-PB군 간에는 유의차가 없었다. 따라서 고콜레스테롤식이를 급여하면서 참나물 에탄올 추출물을 병합투여 시에만 지질대사 개선 효과가 있는 것으로 여겨지며, 고용량 병합투여 시 효능이 더 큰 것으로 나타났다. 고콜레스테롤식이로 인한 산화적 스트레스가 고콜레스테롤혈증을 유발하였으며, 이는 참나물 에탄올 추출물에 함유된 항산화물질을 포함한 여러 생리활성물질이 영향을 미친 것으로 사료된다. 이상의 실험 결과에서 참나물 에탄올 추출물은 고콜레스테롤식이

• Korean Journal of Acupuncture
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• v.30 no.4
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• pp.252-263
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• 2013

Objectives : Skin color deformation by cupping has been widely used as a diagnostic parameter in Traditional Korean Medicine(TKM). Skin color deformation such as ecchymoses and purpura is induced by local vacuum in a suction cup. Since existing studies have relied on a visual diagnostic method, there is a need to use the quantitative measurement method. Methods : We conducted an analysis of cross-polarization photographic images to assess the changes in skin color deformation. The skin color variation was analyzed using $L^*a^*b^*$ space and the skin erythema index(E.I.). The meridian theory in TKM indicates that the condition of primary internal organs is closely related to the skin color deformation at special acupoints. Before conducting these studies, it is necessary to evaluate whether or not skin color deformation is influenced by muscle condition. Hence, we applied cupping at BL13, BL15, BL18, BL20 and BL23 at Bladder Meridian(BL) and measured blood lactate at every acupoint. Results : We confirmed the high system measurement accuracy, and observed the diverse skin color deformations. Moreover, we confirmed that the $L^*$, $a^*$ and E.I. had not changed after 40 minutes(p>0.05). The distribution of blood lactate levels at each part was observed differently. Blood lactate level and skin color deformation at each part was independent of each other. Conclusions : The negative pressure produced by the suction cup induces a reduction in the volumetric fraction of melanosomes and subsequent reduction in epidermal thickness. The relationship between variations of tissue and skin properties and skin color deformation degree must be investigated prior to considering the relationship between internal organ dysfunction and skin color deformation.

• Korean Journal of Veterinary Service
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• v.15 no.2
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• pp.215-225
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• 1992

To estimate pollution status of livestock wastewater on four piggeries and one abattoir in Taegu area, physicochemical water analysis such as pH, suspended solid(SS), biochemical oxygen demand(BOD) and chemical oxygen demand(COD), and bacteriological examinations such as number of total viable cells and number of coliform with or without antibiotic resistance were carried out. The results obtained were as follows : The pH values of raw sewage ranged from 9.0 to 7.2 that of the effluent treated was lowed to 5.6~7.7. The SS values of raw sewage ranged from 5,275ppm to 120ppm and those of the efflunet decreased to 162~30ppm. The BOD values of raw sewage ranged 6,200ppm to 120ppm and those of the effluent treated decreased to 111 ~80ppm. The COD values of raw sewage ranged from 5,725ppm to 298ppm and those of the effluent decreased to 137~76ppm. The total viable cells of raw sewage ranged from $8.5{\times}11^{11}$/ml to $9.9{\times}10^7$/ml, those of the effluent decreased to $5.6{\times}10^6{\sim}4.2{\times}10^8/ml.$ The total coliforms of raw sewage ranged from $5.5{\times}10^9$/ml to $1.3{\times}10^5$/ml, those of the effluent decreased to $3.6{\times}10^4ml{\sim}9.0{\times}10^6$/ml. The incidence of streptomycin resistant coliforms was the highest(1.8~66.7%), and followed by tetracycline(1.7~64%), kanamycin(9.3~50.l%), ampicillin(0.06~45.5%) and chloramphenicol(14.3~33.5%) to total coliforms of raw sewage. The incidence of antibiotic resistant coliforms of raw sewage in farms ranged from 3.4~66.7% and that of abattoir's was 0.06% to 14.3%. Antibiotic resistant coliform counts of raw sewage ranged from 1.3$\times$10$^{8}$ /ml to 3.9$\times$10$^3$/ml, those of the effluent decreased to $3.0{\times}10^1{\sim}2.3{\times}10^5/ml$.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.477-477
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• 2012

미생물 연료전지는 정부가 추진하고 있는 신성장 동력사업의 녹색성장 정책에 부합하는 환경융합 신기술로써 일상생활에서 배출되는 하 폐수와 같은 유기물질을 전자공여체로 이용하여 전기에너지를 생산 할 수 있다는 점에서 각광받고 있다. 미생물 연료전지는 산화전극부의 미생물이 공급된 유기물질 을 분해하여 전자와 수소이온을 생성시키며 이들은 산소가 존재하는 환원전극부로 이동하여 물로 환원 됨 으로써 전기를 생성한다. 전기 화학적 성능의 향상을 위해 미생물 연료전지에서는 환원전극부에 서의 산소와 전자 및 수소이온의 빠른 환원반응을 유도해 주는 Pt촉매를 이용한다. 하지만 고가의 Pt 촉매는 미생물 연료전지의 현장적용을 위한 규모확장 시 초기비용이 증가되는 문제점을 초래한다. 이에 미생물 연료전지의 대체촉매 개발에 대한 많은 연구가 진행되고 있다. 화학적 연료전지에 관한 논문에서 연료전지의 촉매로 산소 환원반응에 높은 성능을 보이는 Co-N/C 형태의 Cobalt poly-pyrrole carbon가 제시 되었다. 이는 가격적인 측면에서는 Pt촉매의 약1/10배 정도 수준이지만 셀 성능은 Pt촉매의 95%정도의 효율을 보인다는 측면에서 향후 Pt 대체촉매로 가능성을 보여주는 새로운 비금속 촉매물질이다. Cobalt poly-pyrrole carbon이 Pt-catalsyt 셀 전압 성능 대비 약 66 %의 효율을 보였고 내부저항과 최대전력 밀도에 있어서도 촉매를 사용하지 않은 경우와 비금속 촉매의 성능보다 높음을 알 수 있었다. 본 연구는 Pt-catalsyt를 대체할 수 있는 저가의 산소환원 촉매물질 발굴을 위해 미생물연료전지에서 사용된 전례가 없으며 현재 화학전지의 촉매로 널리 쓰이고 있는 Cobalt poly-pyrrole carbon의 산소환원 촉매로써의 이용가능성을 평가하기 위해 실시되었으며, 평가한 결과는 첫 번째로 Cobalt poly-pyrrole carbon을 사용한 경우가 촉매를 사용하지 않은 경우와 비금속 촉매보다 환원 전극부에서의 원활한 환원작용이 진행되고 있음을 추측할 수 있으며 Pt-catalyst와 비교하였을 때 성능 대비 저렴한 가격으로 가격 경쟁력에 있어서 우월하다고 판단되었고 두 번째로 전기화학적 성능평가 및 EIS를 이용한 환원전극부의 내부저항 평가를 실시한 결과 셀 전압에 있어서 가장 많은 도말량 ($2.0mg/cm^2$)이 높은 성능을 보이고 있음을 알 수 있었다.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.26 no.1
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• pp.41-50
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• 2008

Recent progress in state-of-the-art geospatial information technologies such as digital mapping, LiDAR(Light Detection And Ranging), and high-resolution satellite imagery provides various data sources fer Digital Elevation Model(DEM). DEMs are major source to extract elements of the hydrological terrain property that are necessary for efficient watershed management. Especially, watersheds extracted from DEM are important geospatial database to identify physical boundaries that are utilized in water resource management plan including water environmental survey, pollutant investigation, polluted/wasteload/pollution load allocation estimation, and water quality modeling. Most of the previous studies related with watershed extraction using DEM are mainly focused on the hydrological elements analysis and preprocessing without considering grid size of the DEMs. This study aims to analyze accuracy of the watersheds extracted from DEMs with various grid sizes generated by LiDAR data and digital map, and appropriate preprocessing methods.

• Journal of Chest Surgery
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• v.35 no.11
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• pp.799-806
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• 2002

In spite of the establishment of chemotherapy and the gradual decrease in prevalence, pulmonary tuberculosis is still mainly treated with an operation. Through analyzing and examining some cases of surgical treatment, we hope to provide some help in treating of pulmonary tuberculosis in the future. Material and Method: By comparing four journals previously published in our department with 144 cases of lung surgery during ten years from January of 1991 to December of 2000 performed by the department of thoracic and cardiovascular surgery of the National Medical Center, we analyzed and reviewed the most recent trends and the results of the surgical treatment. Annual frequency of the operation, distribution of age, examination of sputum, adaptability and types of techniques, complications, and results of the postoperative follow-up were used as methods. Result: It was found that the annual frequency of operations had decreased. The ratio of men to women, 2:1 indicates that there are more incidences in men. Aging of patients could be speculated by the .results that the decrease in the incidence rate in the 20s age range and increase rate in the 50s age range. The range of preoperative lesions belonged mostly to far advanced and moderately advanced tuberculosis. By monitoring the period of use in preoperative antituberculosis drugs, cases for more than 3 years remarkably increased from 16.0 % to 55.6 %. The positive reactive rate for preoperative sputum examinations were drastically decreased from 91 % to 27 %. Total pulmonary destruction and partial destruction were the most common cases in terms of adaptability to the operations and there were significant increases in forming empyema accompanied by parenchymal lesions from 4.0 % to 20.1 %. Pneumonectomy and pulmonary lobectomy were the major type of operations. Especially, there were increases in the incident rate of empyema and recurrence of tuberculosis resulted. Post operative follow-up indicates that the rate of complete recovery was more than 70 % and the rate of gradual increase in treating with persistent antituberculosis drug was from 5.8 % to 18.0 %. Conclusion: In recent cases, there is an increasing number of patients showing tolerance to chemotherapy. Patients with pleural tuberculosis and severe lesions were typically increased. It is important to accurately analyze those complaints accurately that are mostly difficult to be treated medically. Surgical treatment is strongly recommended Before multiple drug resistance occurs.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.687-693
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• 2010

Background: It is controversial whether the presence of bullae on the contralateral lung on HRCT plays a role in occurrence of contralateral primary spontaneous pneumothorax. We analyzed the significance of bullae on the contralateral lung and the risk factors associated with contralateral occurrence of primary spontaneous pneumothorax. Material and Method: Three hundred ninety four patients who were undergone Video-Assisted Thoracoscopic Surgery for primary spontaneous pneumothorax between January 2004 and December 2009 were reviewed. The clinical features, HRCT and treatment of these patients were analyzed retrospectively. Result: Twenty eight of 394 patients had contralateral occurrence (7.10%). The average time was $13.06{\pm}9.79$ months. A presence of contralateral bullae of lung on HRCT may not seem to be significant for occurrence of contralateral primary spontaneous pneumothorax (p=0.059). But bullae numbers were much more in contralateral pneumothorax patients (p=0.011). Younger than 20, being underweight (Body Mass Index < $18.5 kg/m^2$) are independent risk factors for contralateral occurrence (odds ratio, 5.075 (1.679~5.339), 2.366 (1.048~5.339) respectively). Conclusion: The presence of bullae on the contralateral lung on HRCT was not significantly influenced the occurrence of contralateral primary spontaneous pneumothorax. However, age, body mass index, and the number of bullae were significant factors for the contralateral pneumothorax. We suggest that those high risk patients may require special attentions and general supportive care to prevent occurrence of contralateral primary spontaneous pneumothorax during the follow-up.

• Journal of Chest Surgery
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• v.40 no.3 s.272
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• pp.215-219
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• 2007

Background: Due to the advancement of video assisted thoracoscopic techniques, an operation for primary spontaneous pneumothorax is now considered a common procedure. However, whether a preventive operation is necessary when a contralateral bulla is found on High Resolution Computed Tomography (HRCT) at the time of the first primary spontaneous pneumothorax attack is still unknown. In this retrospective study, it was our intension to find whether contralateral bullae are related to the occurrence of pneumothorax. Material and Method: Between January 1999 and April 2006, 550 patients were admitted to the Chungnam University hospital with primary spontaneous pneumothorax, which was confirmed by the HRCT scans in 190 patents. In these 190 patients, 159 had not received a bilateral operation after their first primary spontaneous pneumothorax attack. In these 159 patients, the relationship between the presence of contralateral bullae and the occurrence of pneumothorax was measured. Result: In these 159 patients, 67 had contralateral bullae confirmed inform the HRCT scan, and 92 had no visible contralateral bullae, During the follow up period, 6 patients (8.9%) with contralateral bullae had an occurrence of contralateral pneumothorax, and 5 patients (5.4%) without contralateral bullae had an occurrence of contralateral pneumothorax. (p=0.529 [Fisher's exact test]) Conclusion: In patients with unilateral primary pneumothorax, an HRCT scan is a useful way of confirming contralateral pulmonary bullae. However, the presence of bullae is not a significant predictive sign of an occurrence of contralateral pneumothorax. Also, surgery for pneumothorax is not completely uncomplicated, and bilateral surgery is still doubtful. A further prospective study will be required to find the relationship between the bullae found on HRCT and the occurrence of pneumothorax.