• Journal of Chest Surgery
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• 제29권6호
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• pp.621-625
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• 1996

"중엽증후군"의 용어는 Grahaml)등에,의해 처음 기술되어졌으며 대개 비후된 림프절에 의해 기관지 가 외부적으로 압박되 어 발생된다고 하였다. 환자들은 거의 증상이 없을 수 있으나 가장 흔한 발현 증상 은 기침, 호흡 곤란, 반복되는 발열, 객혈, 그리고 흥통 등이다. 진단방법은 흉부 X선, 기관지경검사, 기 관지조영술, 흉부컴퓨터단층될영 등이며 대개 공기가 없이 압축된 중엽이 중요한 소견이다. 본 저자들은 1990년 3월에서 1995년 5월까지 15례의 중엽증후군을 경 험하였으며 그 중 11례에서 수술 적 치료를 시행하였다. 중엽 증후군의 환자에서 수술적용은 악성 종양이 의심되거나,비가역적 기관지 확장증,기관지협착증,약물 치료에 호전이 없는 경우, 치료후 반복되는 감염 등의 경우에 시행하였다. 수술은 중엽절제술 8례,중엽 및 하엽절제술2례,상엽 및 중엽절제술 1례를시술하였다. 수술후 병리조 직소견상 결핵 6례, 만성감염 3례, 악성 종양 1례, 국소적 출혈 1례의 소견을 보였다 술후 합병증은 2례에서 발생하였으며,그 중 1례에서 술후 폐허탈, 1례에서 간장장애를 경험하였으며 치유되었다.였으며 치유되었다.

• 한국의류학회지
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• 제26권12호
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• pp.1701-1708
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• 2002

본 연구의 목적은 자외선 차단 가공 처리 및 자외선 조사처리에 의해 면직물의 역학적 특성 변화를 조사하고 가공제 처리조건에 따른 차이점을 분석하는 것이다. 시료로는 100% 면직물을, 자외선 흡수제로 2,2'-dihydroxy-4,4'-dimethoxy benzophenone을, 첨가제로 Triton X-100, polyethylene glycol 400, MgCl$_2$.6$H_2O$를 사용하였다. 자외선 흡수제 처리는 Atlas Launder-O-meter로 75$^{\circ}C$에서 60분간 흡진법으로 하였다. 미처리 시료 및 처리시료는 모두 xenon 램프에 80시간 동안 노출되었으며, 자외선 조사 전후 시료의 역학적 특성은 KES-F시스템을 사용하여 측정하였다. 본 연구의 결과는 다음과 같이 요약할 수 있다. 자외선 흡수제 처리는 처리 농도에 상관없이 면직물의 선형인장성(LT), 인장레질리언스(RT), 굽힘강성(B), 굽힘이력(2HB), 전단강성(G), 전단이력(2HG5), 표면마찰계수(MIU)등을 증가시켰으며 표면거칠기(SMD)는 감소시켰다. 압축특성은 처리농도의 영향을 받아서 고농도의 자외선 흡수제 처리는 압축특성을 감소시켰으며, 저농도의 처리는 압축특성을 증가시켰다. 자외 선 흡수제 처리는 처리농도에 상관없이 면직물의 fullness/softness를 유의하게 증가시키는 반면 stiffness, crispness및 anti-drape stiffness를 감소시켜서 가공포의 종합태(THV)는 가공 전에 비하여 저하하였다. 자외선 조사는 가공 전 면직물의 경우 B, 2HB, G, 2HG, 2HG5, LC를 감소시켰다. 자외선 조사는 처리농도와 상관없이 가공포의 WT, 굽힘특성 , 전단특성을 감소시켰으며, 저농도의 흡수제 처리포의 경우 SMD를 증가시켰으며, 고농도의 흡수제 처리포의 경우 SMD를 감소시켰다. 자외선 조사는 처리농도와 상관없이 가공포의fullness/softness, stiffness, anti-drape stiffness를 유의하게 감소시켜서 자외선 조사 전 보다 THV가 37% 저하하였고 미 가공포의 THV를 저하율보다는 저하가 낮았다. 자외선 흡수제 처리에 의해 면직물의 태는 가공 전보다 감소하지만, 자외선 흡수제 처리는 자외선 조사에 의한 태 감소율을 낮추는 데 유의 한 효과가 있다.

• Journal of Hospice and Palliative Care
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• 제12권2호
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• pp.88-94
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• 2009

흉통은 외래 및 응급실에서 볼 수 있는 흔한 증상으로 그 원인 또한 다양하다. 또한 흉통의 원인에 따라 치료와 예후가 다르기 때문에 흉통의 원인을 정확히 진단하는 것은 무엇보다 중요하다. 흉통을 호소하는 환자들 중 대부분은 개인병원, 종합병원의 내과, 흉부외과 등을 거쳐 기본적인 검사를 실시하고 특별한 이상이 없다고 진단 받고 통증클리닉으로 보내지는 경우가 많지만, 최근에 다른 과를 거치지 않고 직접 통증클리닉을 찾는 환자가 많아짐을 고려할 때 정확한 진단이 필수적이다 하겠다. 본원에 흉통을 주소로 입원치료 중에 있던 환자에서 전이성 척추종양에 의해 급속도로 진행된 척추파괴 및 척수압박 증상을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2010년도 추계 학술발표회 2차
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• pp.61-67
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• 2010

Thick soft clay deposits which are generally located at the west and south coast of the Korean peninsula have complicated characteristics according to their orientation and formation history. Thus, several geotechnical problems could possibly occur when those soft clay deposits are used as foundations for marine structures. Deep cement mixing (DCM) method is one of the most widely used soft soil improvement method for various marine structures, nowadays. DCM method injects binders such as cement into the soft ground directly and mixes with the in-situ soil to improve the strength and other geotechnical properties sufficiently. However, the natural impacts induced by dynamic motions such as ocean waves, wind, typhoon, and tusnami give significant influences on the stability of marine structures and their underlaying foundations. Thus, the dynamic properties become important design criteria to insure the seismic stability of marine structures. In this study, the dynamic behavior of cemented Busan clay is evaluated. Laboratory unconfined compression test and resonant column test are performed on natural in-situ soil and cement mixed specimens to confirm the strength and strain-dependent dynamic behavior variation induced by cement mixing treatment. Results show that the unconfined compressive strength and shear modulus increase with curing time and cement content increment. Finally, the optimized cement mixing ratio for sufficient dynamic stability is obtained through this study. The results of this study are expected to be widely used to improve the reliability of seismic design for marine structures.

• Advances in pediatric surgery
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• 제11권2호
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• pp.180-185
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• 2005

Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3Dreconstructive CT scan, the angle between SMA and aorta was $37^{\circ}$. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to $38-39^{\circ}$ on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

• Tuberculosis and Respiratory Diseases
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• 제51권5호
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• pp.482-487
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• 2001

저자들은 연하곤란, 호흡곤란, 상복부동통으로 내원한 44세 남자에서 좌측 흉수를 발견하고 흉수 천자와 흉부 및 복부 전산화 단층촬영을 시행하여 종격동올 침범한 췌장성 가성낭종을 진단하고 외과적 시술 없이 총정맥 영양공급과 소마토스타틴 투여등 내과적 치료로 호전된 종격동 췌장성 가성낭종 1례를 경험하였기에 보고하는 바이다.

• Journal of Ginseng Research
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• 제22권2호
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• pp.114-121
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• 1998

Osteoporosis is defined as a pathologic condition in which there occurs no change in the chemical composition of the bone, while bone resorption is abnormally increased. This compares with osteogenesis, which leads to a decrease in the amount of bone. Though many varieties of therapies have been tried, no fully effective method has been found. Korean red ginseng is an important variety of Korean ginsengs and many studies have been performed to investigate its effectiveness. But there has been no report on red ginseng's effects on osteoporosis. The purpose of this study was to determine the clinical effects of Korean red ginseng on postmenopausal osteoporosis patients. The study was designed as a double-blind study. Group I consisted of 30 postmenopausal osteoporosis patients who were administered red ginseng extracts and 15 patients who were administered maltose capsules, were included in group II. The following results were obtained after one-year administration to both groups. 1. There were no significant differences in the degree of wedging, number of compression fractures in the vertebral body, trabeculations, and Cobb's angles between the experimental and control groups. 2. Even though bone mineral density increased in the lumbar spine, and decreased in the femur, there was no significant statistical difference. 3. The serum levels of parathyroid hormone (PTH), calcium, phosphate, and alkaline phosphates showed no difference between the two groups regardless of treatment. 4. Urine Deoxy-pyridinoline (DPYD) decreased in the red ginseng group while it increased in the maltose group, but statistically there was no significant difference between the two groups. 5. The clinical presentations showed no significant differences using Visual Analog Scale. 6. The specific complications related with the long-term use of red ginseng did not occur in all patients. In conclusion, there were no statistically significant differences in clinical presentations, biochemical, and radiological studies between the red gins eng and maltose groups. No definite effectiveness of red ginseng on patients with osteoporosis was found.

• The Korean Journal of Pain
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• 제27권3호
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• pp.219-228
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• 2014

Background: A lipo-prostaglandin E1 agonist is effective for the treatment of neurological symptoms of spinal stenosis when administered by an oral or intravenous route. we would like to reveal the therapeutic effect of an epidural injection of lipo-prostaglandin E1 on hyperalgesia in foraminal stenosis. Methods: A total of 40 male Sprague-Dawley rats were included. A small stainless steel rod was inserted into the L5/L6 intervertebral foramen to produce intervertebral foraminal stenosis and chronic compression of the dorsal root ganglia (DRG). The rats were divided into three groups: epidural PGE1 (EP) (n = 15), saline (n = 15), and control (n = 10). In the EP group, $0.15{\mu}g{\cdot}kg-1$ of a lipo-PGE1 agonist was injected daily via an epidural catheter for 10 days from postoperative day 3. In the saline group, saline was injected. Behavioral tests for mechanical hyperalgesia were performed for 3 weeks. Then, the target DRG was analyzed for the degree of chromatolysis, chronic inflammation, and fibrosis in light microscopic images. Results: From the fifth day after lipo-PGE1 agonist injection, the EP group showed significant recovery from mechanical hyperalgesia, which was maintained for 3 weeks (P < 0.05). Microscopic analysis showed much less chromatolysis in the EP group than in the saline or control groups. Conclusions: An epidurally administered lipo-PGE1 agonist relieved neuropathic pain, such as mechanical hyperalgesia, in a rat foraminal stenosis model, with decreasing chromatolysis in target DRG. We suggest that epidurally administered lipo-PGE1 may be a useful therapeutic candidate for patients with spinal stenosis.

• 한방재활의학과학회지
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• 제21권4호
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• pp.87-96
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• 2011

Objectives: This study aims to systematically evaluate the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western Medicine. Methods: Systematic sea-mes of 9 major Korean databases were conducted for articles published up to July 2011. Searching keyword was "Integrative Medicine". Prospective studies dealt with musculoskeletal disorders by Eastern-Western integrative medicine were included. Quality assessment of included studies was evaluated by Cochrane risk of bias tool. Results: 470 studies in total were seamed, Amalg them 7 studies met our inclusion criteria(3 randomized controlled clinical trials, 2 non-randomized controlled trials and 2 uncontrolled clinical trials). Included studies dealt with lumbar pan(3), shoulder pain(2), pain after traffic injury(1), spinal compression fracture(1). Eastern-Western integrative medicine showed better or equal effect for the treatment of various muscloskeletal disorders compared with Eastern or Western medicine alone. Conclusions: There is very weak evidence for the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western medicine alone. Well designed randomized controlled trials with rigorous methodology are needed to evaluate the effectiveness of Eastern-Western integrative medicine objectively in the future.

• 한국수소및신에너지학회논문집
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• 제29권3호
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• pp.251-259
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• 2018

Metal hydride based hydrogen storage under moderate temperature and pressure gives the safety advantage over the gas and liquid storage methods. Still solid-state hydrogen storage including metal hydride is below the DOE target level for automotive applications, but it can be adapted to stationary or miliary application reasonably. In order to develop a modular solid state hydrogen storage system that can be applied to a distributed power supply system composed of renewable energy - water electrolysis - fuel cell, the heat transfer and hydrogen storage characteristics of the metal hydride necessary for the module system design were investigated using AB5 type metal hydride, LCN2 ($La_{0.9}Ce_{0.1}Ni_5$). The planetary high energy mill (PHEM) treatment of LCN2 confirmed the initial hydrogen storage activation and hydrogen storage capacity through surface modification of LCN2 material. Expanded natural graphite (ENG) addition to LCN2, and compression molding at 500 atm improved the thermal conductivity of the solid hydrogen storage material.