• 대한암한의학회지
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• 제16권2호
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• pp.35-41
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• 2011

Background : Lung cancer is one of the most common malignancy in the world. Types of lung cancer are Non small cell lung cancer and small cell lung cancer. Subtypes of Non small cell lung cancer are adenocarcinoma, squamous cell carcinoma and large cell carcinoma. Knowing the type of lung cancer is important in determining both treatment and prognosis. Recently, due to newly developed anti-cancer drugs, squamous cell carcinoma has relatively poor prognosis than non-squamous cell carcinoma. Case : We report a squamous cell lung cancer case treated with allergen removed Rhus verniciflua Stokes (aRVS) extract. The patients initially diagnosed stage squamous cell lung carcinoma, but she refused recommended operation. She initiated aRVS extract monotherapy in October. 2006. The follow up Computed tomography in March. 2007, she diagnosed stable disease of tumor response on aRVS treatment. However, this case was lost to follow up for 6 months while she was treated with tomotherapy. In October 2007, she came back to our cancer center after diagnosed stage IV metastasized lung to lung, and aRVS monotherapy was restarted. She had survived 2 years after metastasis of squamous cell lung carcinoma. Conclusion : Allergen removed Rhus verniciflua Stokes(aRVS) sucessfully prolonged overall survival of a squamous cell lung cancer patient.

• 한국결정성장학회지
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• 제8권3호
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• pp.454-462
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• 1998

AUC 침전과정중 AUC 입차를 둥글게 제조하는 조건과 기구를 조사하였다. 둥근 AUC 제조는 교반기를 이용한 내부순환 시는 불가능했으나 펌프를 사용한 외부순환 시는 가능했다. 둥근 AUC 제조속도($dn_p$/dt)는 침전조건인 슬러리 밀도($M_t:U/l)$, 슬러리 회전율($T_o$:turn-over ratio), 임펠러 속도(U:Impelle tip velocity)에 비례하여 관계식을 $ dn_p/dt{\propto}M_t{\cdot}T_o{\cdot}U^2$로 표기할 수 있었으며, 이 속도식은 실험결과와 정성적으로 일치하였다. 그리고 두 개의 둥근 AUC 제조 기구가 제시되었는데, 하나는 균일형성기구이고 다른 하나는 etch-pit 형성기구이다. 전자는 AUC 침전과정에서 초기에 발생되고 후자는 침전과정 말기에 발생되는 것으로 확인되었다.

• 멤브레인
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• 제23권3호
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• pp.220-225
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• 2013

친수성 단량체를 polyvinylidene fluoride (PVDF) 분리막 표면에 열중합으로 lamination하여 분리막을 친수화하였다. 친수화 처리 후 접촉각은 $95^{\circ}$에서 $55^{\circ}$까지 감소하였고 수투과량은 10배 이상 증가하였으며 bovine serum albumin (BSA) 흡착량은 1/4 수준으로 감소하였다. 열중합 공정에서 각 공정변수별 영향을 조사하였고 이를 최적화하였다. 단량체 중 dimethyl oxobuthyl acrylamide (DOAA)가 친수성이 높아 다른 단량체에 비하여 친수화 효과가 우수하였다. 단량체의 농도가 증가함에 따라 성능이 향상되었으나 30 wt% 이상의 경우 homopolymerization을 유발하여 성능을 저하시켰다. 개시제로 사용되었던 azobis (isobutyronitrile)(AIBN)의 활성 온도 범위가 benzoyl peroxide (BPO)의 활성온도 범위보다 넓기 때문에 높은 친수화 효율을 나타내었다. 개시제를 먼저 도포시켜주고 단량체를 나중에 첨가하는 2단계 lamination 방식이 일괄 공급하는 1단계 방식보다 친수화도는 크게 향상됐지만 pore blocking현상이 나타나면서 순수투과도는 매우 감소하였다.

• 의학교육논단
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• 제10권1호
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• pp.35-42
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• 2008

Purpose : Since PBL was first developed by Howard Barrows at McMaster, it has been adopted as one of the best teaching and learning methods in medical schools throughout the world. However, the educational superiority of PBL relative to traditional approaches is less clear. Given the somewhat extensive resources required for the operation of PBL curriculum, this gives reason for concern. The aim of this study is to review experiences of PBL in other medical schools and learn how to implement PBL in our school. Methods : This study was undertaken in two stages. In the first stage, PBL curricular examples in 7 medical schools (University of Pennsylvania, University of Melbourne, University of Maastricht, McMaster University, Flinders University, Harvard medical school. University of California at L.A.) were collected and summarized. In the second stage, a careful search for articles of journals published since 2000 regarding PBL group assessment, effectiveness of PBL and group facilitation skills was conducted. Results : PBL is generally introduced in a core curriculum in undergraduate medical education. Relating to small group assessment, the perception of students has been well developed. but the current PBL assessment tool needs to be revised, to develop thinking skills of students. The PBL graduates considered themselves as having much better interpersonal skills, better competencies in problem solving and self-directed learning than the non-PBL graduates. Tutors used various techniques to raise awareness, facilitate the group process and direct learning. Conclusions : The following three aspects can be regarded as important in this study. First, to implement PBL in our school more effectively, it might be considered, which curriculum content can be best learned with PBL. Second, to enhance students' thinking skills during PBL, a new assessment tool needs to be developed. Third, tutors' competencies are important to facilitate, group process, so it would be worthwhile including in staff development.

• Archives of Plastic Surgery
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• 제41권5호
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• pp.535-541
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• 2014

Background Patients having unilateral breast reconstruction often require a second stage procedure on the contralateral breast to improve symmetry. In order to provide immediate symmetry and minimize the frequency and extent of secondary procedures, we began performing simultaneous contralateral balancing operations at the time of initial reconstruction. This study examines the indications, safety, and efficacy of this approach. Methods One-hundred and two consecutive breast reconstructions with simultaneous contralateral balancing procedures were identified. Data included patient age, body mass index (BMI), type of reconstruction and balancing procedure, specimen weight, transfusion requirement, complications and additional surgery under anesthesia. Unpaired t-tests were used to compare BMI, specimen weight and need for non-autologous transfusion. Results Average patient age was 48 years. The majority had autologous tissue-only reconstructions (94%) and the rest prosthesis-based reconstructions (6%). Balancing procedures included reduction mammoplasty (50%), mastopexy (49%), and augmentation mammoplasty (1%). Average BMI was 27 and average reduction specimen was 340 grams. Non-autologous blood transfusion rate was 9%. There was no relationship between BMI or reduction specimen weight and need for transfusion. We performed secondary surgery in 24% of the autologous group and 100% of the prosthesis group. Revision rate for symmetry was 13% in the autologous group and 17% in the prosthesis group. Conclusions Performing balancing at the time of breast reconstruction is safe and most effective in autologous reconstructions, where 87% did not require a second operation for symmetry.

• Restorative Dentistry and Endodontics
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• 제3권1호
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• pp.17-21
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• 1977

After a vital pulpotomy in dogs' teeth, the responses of the remaining pulp tissue under calcium hydroxide and formocresol were studied histologically. The class I and V cavities were prepared on the teeth and the pulp was amputated. Calcium hydroxide and formocresol were placed over the amputated tissue and the cavities were sealed with zine oxide eugenol cement and zinc phosphate cement. Animals. were sacrifice after 1, 2, and 3 weeks following the operation. The teeth were decalcfied, sectioned and stained with hematoxylin and eosin. Microscopic examination reveals as follows; 1. Healing of the pulp at the amputation site did not occur in the pulps treated with formocresol. 2. At one week, a thin layer of darker staining tissues just below the necrotic zone was presented in the pulps treated with formocresol. In this stage the tissues beneath the darker staining layer were normal. 3. At two weeks, the cells of the palest staining layer were showed indistinct nucleus which suggested the karyolysis and the karyorrhexis in the pulps treated with formocoresol. As reached to the middle third of the pulp, the odontoblasts were scarcely evident or missed in this stage. 4. At three weeks, the necrotic zone was reached to the middle third of the pulp canal. The cells beneath the zone showed massive infiltration of inflammatory cells in the pulps treated with formocresol. 5. Dentin bridge in the control group was deposited below the necrotic zone from the two. weeks later. 6. Normal tissues were observed ill the apical third of all. the dental pulps in all case of calcium hydroxide and formocresol.

• 전자공학회논문지CI
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• 제43권2호
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• pp.52-62
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• 2006

지능 기스템에 사용되는 퍼지 데이터를 고속으로 처리하기 위한 퍼지 제어시스템의 중요한 문제점들 중의 하나는 퍼지 추론 및 비퍼지화 단계에서의 수행속도의 개선이다. 특히 후건부의 계산 및 비퍼지화 단계에서의 고속 연산이 더욱 더 중요하다. 따라서 본 논문에서는 지능 시스템을 위한 퍼지 제어기의 속도향상을 위해 후건부 및 비퍼지화 단계에서 [0,1]의 실수 연산을 하지 않고, 퍼지 소속함수의 값을 정수형 격자 $(400{\times}30)$에 매핑시켜 고속의 정수 덧셈 연산만으로 수행할 수 있는 알고리듬 및 비퍼지화 단계에서 곱셈이 필요 없는 새로운 알고리듬을 제안하고, truck backer-upper 제어시스템에 적용하여 기존의 방법보다 매우 빠른 실시간 고속 퍼지 시스템을 보여준다. 본 논문에서 제안한 시스템은 로봇의 팔 움직임 제어와 같은 실시간 고속 지능 시스템에 잘 활용될 수 있다.

• Journal of Gastric Cancer
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• 제4권2호
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• pp.121-125
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• 2004

Purpose: Esophagojejunal anastomotic complications after a total gastrectomy include leakage, stenosis, bleeding, and abscess formation. Especially, the mortality rate for esophagojejunal anastomotic leakage is $80\%$. Although these complications hare been reduced by the usage of the EEA stapler, they are still serious and depend on various factors: the surgeon's experience, the stage of disease, the extent of surgical intervention, the method of operation, and the patient. Some local factors, such as vascularization of the graft, traction on the anastomosis suture line, and local infections, have been implicated as contributing to these complications. Materials and Methods: During the period $1995\∼2003$, of the 850 gastrectomies for gastric carcinomas, 171 were intra-abdominal total gastrectomies. All of these 171 operations were performed by one surgeon using a routine D2 lymph-node dissection and a 25-mm EEA stapler on an antecolic end-to-side esophagojejunostomy. In the 77 cases a seromuscular reinforced suture at the esophagojejunostomy site was performed, and in 94 cases, a whole layer reinforced suture with absorbible materials was used. We evaluated the incidence of complications according to age, sex, stage of patients, and combined resection. Also, we compared the incidences of complications for seromuscular and whole layer reinforced sutures. Results: The complications are major leaks ($2.9\%$), minor leaks ($3.5\%$), stenosis, bleeding ($1.8\%$), and abscess formation formation ($1.8\%$). In the five cases of major leaks, there were four mortalities with operative methods. The other patients with stenosis, bleeding, and abscess formation were treated conservatively with success. The incidences of complications were not related with age, sex, stages, and combined resection. The incidences of complications for the whole layer reinforced suture group ($2.9\%$) were less than those for the seromuscular reinforced group ($8.8\%$, P=0.04). Conclusion: The most serious complication of esophagojejunal anastomosis is major leakage with an $80\%$ mortality. The other complications are stenosis, bleeding, and abscess formation, for which no mortalities occurred during this study. Whole layer suture of the esophagojejunal anastomotic site is an important method for preventing leakage.

• 전력전자학회논문지
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• 제16권6호
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• pp.587-593
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• 2011

본 논문에서는 고 전력밀도 및 저가형으로 구성 가능한 새로운 구조의 계통 연계형 태양광 인버터 시스템을 제안한다. 제안 시스템은 태양전지의 최대 전력점 추종기능과 배터리의 충 방전 기능을 단일 전력단으로 구성함으로써, 고 전력밀도 및 저가격형 시스템 구성이 가능하다. 또한, 제안 시스템은 배터리를 링크 캐패시터에 직렬 연결함으로써 링크 캐패시터의 전압 스트레스를 배터리 전압만큼 저감할 수 있으므로 가격저감 효과가 크다. 최종적으로 제안 시스템의 우수성과 신뢰성 검증을 위하여 1.5kW급 태양광 인버터 시스템의 시작품을 제작하였고, 이를 이용한 실험결과를 바탕으로 제안 시스템의 타당성을 검증한다.

• 한국전자파학회논문지
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• 제10권7호
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• pp.1044-1052
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• 1999

20 GHz대 2단 1 watt 고출력증폭기가 MMIC 기술로 설계, 제작되었다. $0.15\mu\textrm{m}$ 게이트를 구현하는 pHEMT 기술이 MMIC 고출력증폭기 제작에 사용되었는데, 단일 pHEMT 소자는 크기는 $400\mu\textrm{m}$이며 출력단 소자의 합 은 3200 m이다. HEMT 소자의 소오스에 연결한 궤환 회로와 바이어스 회로, 그리고 선로상의 안정화 회로를 이 용하여 전대역에서 안정하게 동작하도록 설계하였다. 래인지 결합기로 각 단을 분리하여 독립적으로 설계하였으 며, 이로 인하여 우수한 입출력 반사계수를 얻었다. 설계를 간단하게 시작하기 위하여 파운더리 라이브러리에서 제공된 비선형 등가회로로부터 선형 s-파라미터를 구하고, 이로부터 입출력측 등가회로를 추출하여 초기 설계 에 이용하였다. 제작된 1 watt MMIC 고출력증폭기는 17-25GHz 대역에서 15 dB 이상의 선형이득. -20dB 이 하의 반사계수. 그리고 31 dBm의 출력전력 특성을 나타내었는데. 설계시 예측된 성능과 매우 잘 일치한다.