• 한국수산과학회지
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• 제33권1호
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• pp.66-69
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• 2000

이 연구에서는 로티퍼 B. rotundiformis의 대량 배양조에서 흔히 혼재가 관찰되는 코페포다 T japonicus가 배양을 목적으로 하고 있는 로티퍼 B. rotundiformis의 증식에 어떠한 영향을 미치는지 알아보았다. 실험에 사용한 로티퍼와 코페포다는 로티퍼의 대량 배양조에서 순수 분리 후 단일종 배양하던 것이다. 배앙 조건은 현장의 배양환경과 되도록 일치하도록 하였으며, 먹이는 $7{\times}10^5\;cells/ml$의 N. oculata를 급이하였다. B. rotundiformis의 배양조에 혼재된 T. japonicus는 C. rotundiformis를 단독 배양한 경우에 비하여 증식이 크게 억제되었고, 실험 종료일까지도 그 증식은 정체되는 양상을 보였다. 그러나, T. japonicus의 증식은 T. japonirus를 단독 배양한 경우에 비교하여 B. rotundiformis와 혼합 배양하여도 그 증식에는 큰 차이가 없었다. 또한, B. rotundiformis와 T japonicu의 혼합 배양에서 두 종간의 피포식 관계나 먹이 경쟁 관계와 같은 직접적인 상호 작용은 관찰할 수 없었다. 이 연구의 결과, 로티퍼 B. rotundiformis의 대량 배양조에서 혼재 생물로서 자주 관찰되는 코페포다 T. japonicus는 B. rotundiformis의 증식 저해요인으로서 작용하고 있음을 알 수 있었다.

• The Korean Journal of Physiology
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• 제1권1호
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• pp.23-32
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• 1967

Disappearance rate of injected $D_2O$ from the arterial blood as well as the effect of histamine on the rate were studied in rabbits. The concentrations of $D_2O$ in the serial arterial samples obtained through a Polyethylene tubing inserted into the carotid artery were assayed by the freezing point elevation method of Reaser. At zero time 3 ml of isotonic $D_2O$ in normal saline was injected into the jugular vein and at the same time serial sampling of arterial blood started. The serial sampling interval was either 7.7 sec or 12.3 sec. In the histamine treated animals histamine diphosphate (0,5 mg of histamine base) was injected intravenously 30 minutes prior to the zero time. The following results were obtained. 1. $D_2O$ concentration in arterial plasma water, x, was empirically obtained by the sum of 2 exponential terms of time, $x=Ae^{-k1t}+Be^{-k2t},$ and its theoretical basis was sought. The first term of the right member of the equation was regarded to be attributable to the compartment P which possessed instantaneous exchange of water with plasma. The second term was postulated to represent the poorly exchangeable compartment. 2. The constant A of the equation was evaluated as 4,37% and 14.3% in the control and histamine treated groups, respectively. B was 1.19% in the control and 0.849% in histamine treated animals. 3. The disappearance rates determined were; $k_1=0.0519{\pm}0.0221\;sec^{-1}\;K_2=0.00454{\pm}0.00247\;sec^{-1}$ in the control group. $k_1=0.1137{\pm}0.0290\;sec^{-1}\;K_2=0.00499{\pm}0.00204\;sec^{-1}$ in the histamine group. 4. In the histamine treated animals the disappearance rate of the first term was larger than that of the control animals, suggesting an enlarged size of the rapidly exchangeable compartment with regard to the plasma water. On the other hand the constant B was decreased by histamine administration, suggesting a distribution of $D_2O$ in an enlarged volume. This view was also made clear by comparing the apparent asymptotes to which the concentration curves of $D_2O$ approached in respective groups. The asymptotes in the histamine treated group showed lower values.

• Tuberculosis and Respiratory Diseases
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• 제79권2호
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• pp.91-97
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• 2016

Background: Chronic obstructive pulmonary disease (COPD) is sometimes complicated with pneumonia, but little is known about the risk factors that promote the development of pneumonia in COPD. These risk factors were evaluated in the present study. Methods: The data of 324 patients with COPD from a prospective multi-center observational cohort with obstructive lung disease were evaluated retrospectively. To identify risk factors for the development of pneumonia in COPD, the clinical and radiological data at enrollment and the time to the first episode of pneumonia were analyzed by Cox proportional hazard analysis. Results: The median follow-up time was 1,099 days and 28 patients (8.6%) developed pneumonia. The Cox analysis showed that post-bronchodilator forced expiratory volume in one second ($FEV_1$, % of predicted) and the computed tomography (CT) emphysema extent (inspiratory V950) were independent risk factors for the development of pneumonia (post-bronchodilator $FEV_1$: hazard ratio [HR], 0.97; 95% confidence interval [CI], 0.94-1.00; p=0.048 and inspiratory V950: HR, 1.04; 95% CI, 1.01-1.07; p=0.01). Conclusion: Emphysema severity measured by CT and post-bronchodilator $FEV_1$ are important risk factors for the development of pneumonia in COPD.

• Journal of Korean Neurosurgical Society
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• 제61권2호
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• pp.267-276
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• 2018

Objective : The beneficial effect of hypothermia after hemicraniectomy in malignant middle cerebral artery (MCA) infarction has been controversial. We aim to investigate the safety and clinical efficacy of hypothermia after hemicraniectomy in malignant MCA infarction. Methods : From October 2012 to February 2016, 20 patients underwent hypothermia (Blanketrol III, Cincinnati Sub-Zero, Cincinnati, OH, USA) at $34^{\circ}C$ after hemicraniectomy in malignant MCA infarction (hypothermia group). The indication of hypothermia included acute cerebral infarction >2/3 of MCA territory and a Glasgow coma scale (GCS) score <11 with a midline shift >10 mm or transtentorial herniation sign (a fixed and dilated pupil). We retrospectively collected 27 patients, as the control group, who had undergone hemicraniectomy alone and simultaneously met the inclusion criteria of hypothermia between January 2010 and September 2012, before hypothermia was implemented as a treatment strategy in Dong-A University Hospital. We compared the mortality rate between the two groups and investigated hypothermia-related complications, such as postoperative bleeding, pneumonia, sepsis and arrhythmia. Results : The age, preoperative infarct volume, GCS score, National institutes of Health Stroke Scale score, and degree of midline shift were not significantly different between the two groups. Of the 20 patients in the hypothermia group, 11 patients were induced with hypothermia immediately after hemicraniectomy and hypothermia was initiated in 9 patients after the decision of hypothermia during postoperative care. The duration of hypothermia was $4{\pm}2days$ (range, 1 to 7 days). The side effects of hypothermia included two patients with arrhythmia, one with sepsis, one with pneumonia, and one with hypotension. Three cases of hypothermia were discontinued due to these side effects (one sepsis, one hypotension, and one bradycardia). The mortality rate of the hypothermia group was 15.0% and that of the control group was 40.7% (p=0.056). On the basis of the logistic regression analysis, hypothermia was considered to contribute to the decrease in mortality rate (odds ratio, 6.21; 95% confidence interval, 1.04 to 37.05; p=0.045). Conclusion : This study suggests that hypothermia after hemicraniectomy is a viable option when the progression of patients with malignant MCA infarction indicate poor prognosis.

• 한국건축시공학회지
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• 제18권2호
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• pp.125-132
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• 2018

본 연구에서는 UHPC의 인장성능을 파악하기 위해 직접 인장시험을 계획하였으며, 직접인장시험의 문제점으로 나타나는 균열 부위의 불규칙성을 시험체 중앙부 노치 도입을 통해 보완하였다. 또한 직접인장 시험 값의 편차 발생을 줄이기 위해 배치별로 구분한 다량의 시험체를 제작하여 신뢰성 높은 직접인장강도 값에 대한 참고자료로서 제시하는 것을 목적으로 하였다. 또한 현장 적용에 가장 적합한 강섬유 혼입률 1.5%에 대한 설계기준강도 120MPa의 배합을 양생조건을 두어 시험체의 역학적 특성 및 신뢰구간을 검토하였다. 결과적으로 압축강도 및 직접인장강도의 배치별 평균에 대한 편차는 큰 차이를 나타나지 않았으며, 직접인장 시험시 균열 위치는 모두 20mm 이내에서 발생하였다. 직접인장강도의 95% 신뢰구간에서는 평균 및 표준편차에서 범위가 상당히 작으며, 양생조건별 큰 차이가 발생하지 않았다. 결과를 통해 안전성 높은 직접인장시험이 이루어 졌으며, 배치별 시험체 제작 및 시험진행에 따른 신뢰성 높은 결과가 도출되었다고 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제79권4호
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• pp.295-301
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• 2016

Background: Specific immunoglobulin E (IgE) sensitization to staphylococcal enterotoxin (SE) has been recently considered to be related to allergic disease, including asthma. Despite studies on specific IgE (sIgE) to SE and its relationship to asthma diagnosis and severity, the association of sIgE to SE with airway hyperresponsiveness (AHR) remains unclear. Methods: We enrolled 81 asthma patients admitted to the Severance Hospital in Korea from March 1, 2013, to February 28, 2015 and retrospectively reviewed the electronic medical records of the enrolled subjects. The serum levels of sIgE to SE (A/B) of all subjects was measured using the ImmunoCAP 250 (Phadia) system with SE-sIgE positive defined as >0.10 kU/mL. Results: The SE-sIgE level was not significantly correlated with asthma severity (forced expiratory volume in 1 second [$FEV_1$], $FEV_1$/forced vital capacity, sputum eosinophils, and serum eosinophils), whereas the SE-sIgE level in patients with positive AHR ($mean{\pm}standard$ error of the mean, $0.606{\pm}0.273kU/mL$) was significantly higher than that in patients with negative AHR ($0.062{\pm}0.015kU/mL$, p=0.034). In regression analysis, SE sensitization (sIgE to SE ${\geq}0.010kU/mL$) was a significant risk factor for AHR, after adjustment for age, sex, $FEV_1$, and sputum eosinophils (odds ratio, 7.090; 95% confidence interval, 1.180-42.600; p=0.032). Prevalence of SE sensitization was higher in patients with allergic rhinitis and non-atopic asthma patients, as compared to patients without allergic rhinitis and atopic asthma patients, respectively, but without statistical significance. Conclusion: SE sensitization is significantly associated with AHR.

• 한국의학물리학회지:의학물리
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• 제18권3호
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• pp.149-160
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• 2007

초급성 허혈성 뇌졸중 환자를 대상으로 관류 전산화단층촬영(CT)의 임상적 적용을 평가하였다. 뇌졸중 증상 발현 62명의 환자를 대상으로 하였고, 관류 CT는 소뇌 기저부위에서 8 cm 상방으로 스캔하여 후처리 과정을 거쳐 뇌혈용적(cerebral blood volume, CBV), 뇌혈류량(cerebral blood flow, CBF), 평균 조영제 통과시간(mean transit time, MTT) 및 조영제 최고 도달시간(time to peak, TTP) 등의 네 가지 지도의 영상을 얻었다. 관류 CT의 CBV, CBF, MTT, TTP 지도에서 병변을 평가하였으며, 병변 부위와 정상측 대칭부위에서 MTT와 TTP를 측정하여 차이를 비교하였다. 관류 CT의 네 가지 지도 모두에서 관류결손을 인지할 수 있었고, 관류 결손이 인지되는 부위에서 MTT와 TTP의 현저한 지연이 있었다. 관류 CT의 MTT와 TTP영상이 초급성 허혈성 경계부위의 페넘브라를 반영하였다. 관류 CT의 네 가지 지도를 이용하면 뇌졸중의 조기 진단, 허혈 중심부, 허혈 페넘브라를 알 수 있게 되어 관류결손 부위의 혈류역동학적 평가가 가능함으로써, 허혈성 뇌졸중 환자의 진단 및 효과적인 치료를 위해 관류 CT가 유용하여 임상적 적용이 가능하다.

• 한국임상수의학회지
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• 제30권1호
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• pp.57-60
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• 2013

개에서 포도중독에 의한 신부전 치료결과에 대한 임상적 분석을 위하여 205-2008년 기간 중 강원대학교 수의과대학 동물병원에 내원한 환자의 의료기록부를 분석하였다. 총 11두 (암컷 8두) 중 4두는 완전히 회복하였고, 3두는 폐사, 4두는 안락사로 처리되었다. 1두를 제외한 모든 환자는 포도를 섭취하였으나 정확한 섭취량은 알 수 없었다. 환자의 평균 연령은 5.3세 (범위 0.2-11.3세), 체중은 4.1 kg (범위 1.4-13 kg)였으며, 평균 입원기간은 7.1일 (범위 2-22일)로 나타났다. 모든 환자에서 구토와 식욕부진 증상을 보였으며, 일부 환자는 설사 (4두), 핍뇨 (5두), 무뇨 (4두) 소견을 보였다. 모든 환자에서 혈청 phosphorous, creatinine, BUN 농도가 증가된 소견을 보였으며, 고칼슘혈증 2두, 저칼슘혈증 2두, 나머지 7두는 정상소견이었다. 혈청 농도가 증가한 항목은 amylase 8두, ALP 7두, ALT 5두였으며, 혈액 가스 분석에서 8두는 대사성산증을 보였다. 경미하거나 중등도의 빈혈 소견이 5두에서 관찰되었으며, 회복한 환자와 비교할 때 폐사축의 경우 혈소판과 림프구 수가 상대적으로 낮았다.

• 한국습지학회지
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• 제15권4호
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• pp.585-593
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• 2013

본 연구는 강우 시 지표수의 관거 내 재유입을 고려할 수 있는 이중배수체계 모형을 활용하여 청주시의 설계 강우량에 따른 도시 유역의 침수를 모의하고 설계 강우량의 재현기간 변화에 따라 달라지는 침수특성을 분석하고자 한다. 이를 위해 청주시의 LiDAR 데이터로부터 $1m{\times}1m$ 해상도의 지표고도모델을 구축하여 입력 자료로 활용하였으며, 재현기간별 설계 강우량을 수문 입력 자료로 활용하였다. 분석 결과, 재현기간이 증가함에 따라 홍수량은 선형적인 증가를 보이지만, 침수면적은 재현기간 30년 이후 증가율이 완화되는 것으로 나타났으며, 평균 침수심의 경우 재현기간 30년 설계 강우량과 재현기간 200년 빈도 설계 강우량을 사용한 경우에 큰 폭의 증가가 발생했다. 한편 대상지역 내 주요 지점에 대한 통수부족량 산출 결과, 재현기간 10년의 설계 강우량을 활용한 경우에는 모두 통수 부족이 발생하지 않았으나 그 이상의 설계 강우량부터 통수부족이 발생하였다. 대상 지역 전체에 대한 통수 부족량 산출 결과, 재현기간 10년 이상의 설계 강우량부터 통수 부족량이 큰 폭으로 증가하나 설계 강우량의 재현기간이 50년을 넘어가면 통수 부족량의 증가율이 둔화되는 것으로 나타났다.

• Journal of Korean Neurosurgical Society
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• 제63권3호
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• pp.397-405
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• 2020

Objective : We retrospectively evaluated the efficacy of Gamma Knife radiosurgery (GKS) for recurrent nasopharyngeal carcinoma (NPC) in patients who previously underwent radiotherapy, and analyzed the treatment outcomes over 14 years. Methods : Ten patients with recurrent NPC who had previously received radiotherapy underwent stereotactic radiosurgery using a Gamma Knife^® (Elekta Inc, Atlanta, GA, USA) between 2005 and 2018. The median target volume was 8.2 ㎤ (range, 1.7-17.8), and the median radiation dose to the target was 18 Gy (range, 12-30). The median follow-up period was 18 months (range, 6-76 months). Overall and local failure-free survival rates were determined using the Kaplan-Meier method. Results : The NPCs recurred at the primary cancer site in seven patients (70%), as distant brain metastasis in two (20%), and as an extension into brain in one (10%). The recurrent tumors in seven of the 10 patients (70%) were found on the routine follow-up imaging studies. Two patients presented with headache and one with facial pain. Local failure after GKS occurred in five patients (50%) : two of whom died eight and 6 months after GKS, respectively. No adverse radiation effects were noted after GKS. The 1- and 3-year overall survival rates after GKS were 90% and 77%, respectively. The local failure-free survival rates at 6 months, 1 year, and 3 years after GKS were 80%, 48%, and 32%, respectively. The median interval from GKS to local failure was 8 months (range, 6-12). Univariate analysis revealed that using co-registration with positron emission tomography-computed tomography (PET-CT) and magnetic resonance imaging (MRI) was associated with a lower local failure rate of recurrent NPC (p=0.027). Conclusion : GKS is an acceptable salvage treatment option for patients with recurrent NPC who previously received radiation therapy. PET-CT and MRI co-registration for dose planning can help achieve local control of recurrent NPC.