• 대한화학회지
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• 제28권5호
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• pp.293-301
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• 1984

단일 희석법을 이용한 X-선형광분광법으로 주석, 슬랙중 $Ta_2O_5$와 $Nb_2O_5$, $ZrO_2$등을 정량분석하였다. 이 방법은 표준 검정 곡선을 직선으로 되게끔 수학적으로 보정하는 것이다. 시료의 조성과 비슷한 한개의 합성표준시료와 분석시료를 무수물의 $Li_2B_4O_7$으로 묽혀서 각각 시료가 1%, 2%, 3%되게 한다. 묽힌 시료들을 $1150^{\circ}C$에서 30분간 용융하여 유리화된 구슬을 만든 다음, 곱게 갈아서, 다시 유압기로 압축하여 분석시편을 만든다. 이 시편을 사용하여 X-선 세기를 측정하고, 원소의 특성 X-선 세기에 관한 J. Scherman의 식으로부터 유도한 식에 대입하여 분석 결과를 계산했다. 이들 분석결과들을 표준검정곡선법으로 얻은 기준값과 잘 일치하며, 결과에 대한 재현성도 좋음을 보여 주었다.

• 대한화학회지
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• 제28권5호
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• pp.302-308
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• 1984

이중희석법을 이용한 X-선 분광법으로 주석-슬랙 중 $Ta_2O_54, $Nb_2O_5$ 및 $ZrO_2$등을 정량하였다. 주석시료와 이것과 조성이 비슷한 한개의 합성표준시료를 무수 $Li_2B_4O_7$으로 희석하여 희석된 시료중 이들의 함량이 1.00%, 2.00%, 3.00% 되게 잘 혼합하였다. 혼합시료를 $1,150^{\circ}C$에서 30분간 용융하여 유리상태로 만들었다. 다시 잘 분쇄하고, 유압기를 이용하여 Pellet로 만들어 분석 시편으로 사용했다. 형광 X-선 세기를 측정하여 희석식에 대입하여 각 시료에서 분석성분의 함량을 계산하였다. 이중희석법으로 얻은 분석결과들은 대표적인 분석법인 표준검정 곡선법에 의한 값들과 혀용오차범위내에서 잘 일치하고 있다. 아울러 단일희석법에 의한 결과와도 잘 일치하고 있으며 각 분석결과에 대한 재현성도 좋음을 보여 주었다.

• Tuberculosis and Respiratory Diseases
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• 제56권3호
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• pp.315-320
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• 2004

Gemcitabine은 최근 사용이 증가되고 있는 항암제로서 호흡기 부작용이 흔히 발생하나 대부분 일시적이고 자연 관해된다. 하지만 드물게 gemcitabine에 의한 심각한 폐 독성이 발생할 수 있으며, 이는 조기 진단 및 치료가 중요하다. 저자들은 gemcitabine 치료 후 발생한 중증 약물 유발성 간질성 폐렴 환자에서 스테로이드 치료 후 호전된 증례를 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제44권1호
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• pp.51-57
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• 2011

Background: Up to now, lobectomy, bilobectomy and pneumonectomy combined with extensive lymph node dissection have been regarded as the standard procedures for non-small cell lung cancer (NSCLC). In high-risk patients, however, limited resection (LR) has been attempted as a salvage procedure, and, recently, indication for LR has been extended to selected cases with early-stage NSCLC. Material and Methods: Among the 773 patients who underwent surgical procedures for NSCLC in Seoul National University Bundang Hospital from May 2003 to December 2008, 43 patients received LR. Medical records of these patients were retrospectively reviewed. Results: Mean age at operation was $66.0{\pm}12.4$ years, and there were 30 males. Twenty-five patients underwent conservative limited resection (CLR) and 18 underwent intentional limited resection (ILR). Indications for CLR were multiple primary lung cancer in 9 (9/25, 36%) and severe concomitant diseases in 5 (5/25, 20%). Of these, 6 patients underwent segmentectomy and 19 received wedge resection. During the follow-up period of $28.0{\pm}17.8$ months, 15 patient developed recurrent lung cancer. ILR was selectively performed in lesions almost purely composed of ground glass opacity (${\geq}$95%), or in small solid lesions (${\leq}$2 cm). Of these, 11 patients underwent segmentectomy and 7 underwent wedge resection. During the follow-up period of $31.7{\pm}11.6$ months, no patient developed recurrence. Conclusion: Intermediate-term outcome of LR for early-stage lung cancer is comparable to that of standard operation. For the delineation of the indications and appropriate surgical techniques for LR, prospective randomized multi-institutional study may be expedient.

• Journal of Yeungnam Medical Science
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• 제31권2호
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• pp.117-121
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• 2014

Transarterial chemoembolization (TACE) is a widely accepted nonsurgical modality used for the treatment of multinodular hepatocellular carcinoma (HCC). The careful selection of the candidate is important due to the risk of developing various side effects. Fever, nausea, abdominal pain, and liver enzyme elevation are commonly known side effects of TACE. Hepatic failure, ischemic cholecystitis, and cerebral embolism are also reported, although their incidence might be low. Pulmonary complication after TACE is rare, and the reported cases of lipiodol pneumonitis are even rarer. A 53-year-old man was treated with TACE for ruptured HCC associated with hepatitis B virus infection. On day 19 after the procedure, the patient complained of dyspnea and dry cough. Chest computed tomography showed diffuse ground glass opacities in the whole-lung fields, suggesting lipiodol-induced pneumonitis. After 2 weeks of conservative management, the clinical symptoms and radiologic abnormalities improved. Reported herein is the aforementioned case of lipiodol-induced pnemonitis after TACE, with literature review.

• Clinical and Experimental Pediatrics
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• 제64권7호
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• pp.364-369
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• 2021

Background: As the coronavirus disease 2019 (COVID-19) outbreak continues to evolve, it is crucially important for pediatricians to be aware of the differences in demographic and clinical features between COVID-19 and influenza A and B infections. Purpose: This study analyzed and compared the clinical features and laboratory findings of COVID-19 and influenza A and B infections in children. Methods: This retrospective study evaluated the medical data of 206 pediatric COVID-19 and 411 pediatric seasonal influenza A or B patients. Results: COVID-19 patients were older than seasonal influenza patients (median [interquartile range], 7.75 [2-14] years vs. 4 [2-6] years). The frequency of fever and cough in COVID-19 patients was lower than that of seasonal influenza patients (80.6% vs. 94.4%, P<0.001 and 22.8 % vs. 71.5%, P<0.001, respectively). Ageusia (4.9%) and anosmia (3.4%) were present in only COVID-19 patients. Leukopenia, lymphopenia, and thrombocytopenia were encountered more frequently in influenza patients than in COVID-19 patients (22.1% vs. 8.5%, P=0.029; 17.6% vs. 5.6%, P=0.013; and 13.2% vs. 5.6%, P=0.048, respectively). Both groups showed significantly elevated monocyte levels in the complete blood count (70.4% vs. 69.9%, P=0.511). Major chest x-ray findings in COVID-19 patients included mild diffuse ground-glass opacity and right lower lobe infiltrates. There were no statistically significant intergroup differences in hospitalization or mortality rates; however, the intensive care unit admission rate was higher among COVID-19 patients (2.4% vs. 0.5%, P=0.045). Conclusion: In this study, pediatric COVID-19 patients showed a wide range of clinical presentations ranging from asymptomatic/mild to severe illness. We found no intergroup differences in hospitalization rates, oxygen requirements, or hospital length of stay; however, the intensive care unit admission rate was higher among COVID-19 patients.

• Tuberculosis and Respiratory Diseases
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• 제82권4호
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• pp.277-284
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• 2019

Idiopathic nonspecific interstitial pneumonia (NSIP) is one of the varieties of idiopathic interstitial pneumonias. Diagnosis of idiopathic NSIP can be done via multidisciplinary approach in which the clinical, radiologic, and pathologic findings were discussed together and exclude other causes. Clinical manifestations include subacute or chronic dyspnea and cough that last an average of 6 months, most of which occur in non-smoking, middle-aged women. The common findings in thoracic high-resolution computed tomography in NSIP are bilateral reticular opacities, traction bronchiectasis, reduced volume of the lobes, and ground-glass opacity in the lower lungs. These lesions can involve diffuse bilateral lungs or subpleural area. Unlike usual interstitial pneumonia, honeycombing is sparse or absent. Pathology shows diffuse interstitial inflammation and fibrosis which are temporally homogeneous, namely NSIP pattern. Idiopathic NSIP is usually treated with steroid only or combination with immunosuppressive agents such as azathioprine, cyclophosphamide, cyclosporine, and mycophenolate mofetil. Prognosis of idiopathic NSIP is better than idiopathic pulmonary fibrosis. Many studies have reported a 5-year survival rate of more than 70%.

• 대한영상의학회지
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• 제79권5호
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• pp.276-281
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• 2018

면역글로불린 G4 (Immunoglobulin G4; 이하 IgG4) 관련 폐 질환은 지난 몇 년간 활발하게 기술되어 온 질환이다. IgG4 관련 폐 질환의 영상의학적 소견은 환자마다 다양하게 알려져 있으나, 질병의 진행에 따른 다양한 영상 소견들을 장기 추적한 연구는 보고되지 않았다. 본 증례 보고에서는 비교적 장기간의 추적을 시행한 2예를 통해, IgG4 관련 폐 질환의 다양한 초기 및 후기 컴퓨터단층촬영 소견들을 고찰하였다. 비교적 초기 CT에서 보였던 결절성 혹은 미만성 간유리음영과 달리, 벌집모양음영이나 견인성 기관지확장증은 후기 소견들로 생각되었다. 고형 결절들은 초기 및 후기에서 모두 보였으나, 새로운 결절의 발생 혹은 기존 결절들의 크기 증가가 질병이 진행함에 따라 나타났다. 소엽간 중격 비후와 종격동 및 폐문 림프절 비대는 질병의 후기에서도 지속적으로 관찰되었다. 이는 IgG4 관련 폐 질환의 정확하고 시기적절한 진단에 도움이 될 것으로 기대된다.

• 한국지반환경공학회 논문집
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• 제12권10호
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• pp.5-12
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• 2011

최근 국내에서는 지반개량 재료로 무기질계 급결재와 초미립자 시멘트를 주원료로 하는 NDS(Natural and Durable Stabilizer)공법 등의 개발이 활발하게 연구되어 왔다. 하지만 기존의 연구에서는 NDS의 재령일별 강도발현 과정에 있어서의 화학적인 변화과정 및 강도발현의 원리를 설명해 주지는 못하고 있는 실정이었다. 따라서 무기질계 주입재의 대중화를 위해서는 경화과정의 메커니즘 규명이 확실하게 선행되어야 한다고 판단하였고, 일축압축시험, SEM분석, XRD분석을 재령일 별로 실시하여 각각의 결과값을 분석하였다. 또한 그 특징을 더욱 분명히 구별하기 위하여 물유리계 주입재의 대표적인 예인 SGR 또한 동일한 시험을 실시하여 비교대상으로 하였다. 시험결과 NDS의 강도발현 메커니즘을 일축압축강도-SEM-XRD의 유기적 상관성을 통해 도출할 수 있었고 그 성능의 우수함을 확인하였다.

• Nuclear Engineering and Technology
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• 제54권1호
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• pp.220-225
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• 2022

Perlite is one of the major constituents of the radioactive thermal insulation waste (RTIW) originating from nuclear power plants and, for proper waste management, a significant reduction in its volume is required prior to disposal. In this work, the volume reduction of perlite is studied by high-temperature treatment method with using K₂CO₃ as a flux. The perlite is ground with 0-30 wt% K₂CO₃, and differential thermal analysis/thermogravimetric analysis is used to monitor the glass transition temperature (T_g) and weight loss. The Tg varied between ~772.2 and 837.1 ℃ with the minima at ~643.5 ℃ with the addition of ~10 wt% K₂CO₃. It is observed that compared to the pure perlite the volume reduction ratio (VRR) increases with the addition of K₂CO₃. The VRR of 11.20 is observed with 5 wt% K₂CO₃ at 700 ℃, as compared to VRR of 5.56 without K₂CO₃ at 700 ℃. The X-ray photoelectron spectroscopy and scanning electron microscopy are used to characterize perlite samples heat-treated without/with 5 wt% K₂CO₃ at 700 ℃. Moreover, the atomic absorption spectroscopy indicates that the proposed heat-treatment procedure is able to completely retain the radionuclides present in the perlite RTIW.