血中 Ammonia 微量定量에 있어서 pH 및 Alkali 媒劑가 測定値에 미치는 影響에 對한 硏究

鄭在泓 계명대학교 醫科大學 病理學敎室同門會 1987 樂山 鄭在泓 敎授 頌喜 紀念論文集 Vol.S No.-

An attempt was made to determine the origin of artifactual blood ammonia formed in the shed blood; Experimentation, with blood specimens from more than 400 healthy individuals, was carried out over a period of four and a half years, utilizing two popular microdiffusion blood ammonia methods, those of Seligson and Conway. The actions of several alkali [pstassium carbonate, carbonate-bicarbonate mixture and borate-sodium hydroxide (with a pH of 9 to 11.4)] were compared by placing them in the diffusion apparatus with specimens of blood. It was found that the ammonia concentration tended to be higher with increasing pH and vice versa lowering with decreasing pH. While occasional extremely implausible results were obtained in experiments using the potassium carbonate and carbonate-bicarbonate mixture, on the other hand, no such aberrations were observed with borate-sodium hydroxide. Within the pH range, from 9 to 10.1, the yield of ammonia when plotted against the pH of the blood-alkali mixture showed a straight line. Increasing beyond 10, resulted in an asymptomatic character of diffusion curve. For these reasons, borate-sodium hydroxide reagent which results in a pH of 10.1 in the presence of blood, is selected as the choice of weak alkali media for the determination of true blood ammonia. The author has to abandon his earlier thought that aberrations in ammonia analyses can be largely attributed to faulty technique in collecting and handling blood. Careful control of these techniques resulted in some lowering of the ammonia concentration, but failed to prevent the more serious aberrations encountered. In search for clarification of the origin of extra ammonia, studies were carried out by experimenting with glutamine, both in aqueous solutions and following mixture with blood. The results suggest that non-protein glutamine is an unlikely source of extra ammonia. The only other plausible source of the extra ammonia liberated from blood, therefore, seemed to be the blood proteins, Accordingly, the action of various alkaline reagents on plasma albumin, globulin and on whole blood was tested, after prolonged dialysis to remove preformed ammonia. Ammonia was released from each of the protein solutions used. However, the action of borate in this release was less pronounced than that of the carbonate-bicarbonate mixture. This latter mixture, in turn, liberated substantially less ammonia than did potassium carbonate. Therefore, it is concluded that the origin of artifactual ammonia may be traced to the decomposition of protein by the action of alkali. The author has revised the method of measuring blood ammonia in such a way as to avoid spontaneous production of ammonia from blood proteins. The technique involves the use of sodium borate buffer at a pH of 10.8±0.2, which, when mixed with blood, results in a pH of 10.1 The adequacy of this technic is well proven by the satisfactory results obtained in a large number of recovery studies. The technique described, applied to venous specimens that were collected in EDTA tubes and promptly analyzed, was used to study a group of 16 healthy persons, 20 to 25, male, with no history of previous liver involvement. The mean blood ammonia was 0.42 μg./ml. expressed as N. The lowest value was 0.21, the highest, 0.61, with standard deviation of ± 0.124.

사람 腦를 使用한 Thromboplastin 製造에 關한 實驗的 硏究

鄭在泓,宋文源 계명대학교 醫科大學 病理學敎室同門會 1987 樂山 鄭在泓 敎授 頌喜 紀念論文集 Vol.S No.-

1. The author has tried to prepare a standard thromboplastin for the determination of prothrombin time utilizing relatively fresh child human brain obtained at the time of autopsy, through acetone treatment. 2. A 13. 5 second thromboplastin extract, slightly slower than. the 12 second commercially available Difco product, was successfully prepared. 3. No influence on prothrombin time is’ noted when the thromboplastin solution is extracted from the powdered thromboplastin at the temperature, between 45 0C and 550 C. However, definite prolongation is observed when the extraction is made at above 600 C. 4. It appears that the optimal concentrations of powdered thromboplastin for the preparation of thromboplastin solution lie between 300 mg and 500 mg. 5. An attempt was made to prepare a slower acting thromboplastin sensitive at the level of therapeutic range, using rabbit brain and lung extract in equal parts, with uncertain success. 6. It is felt that the prospect of preparing a satisfactory fast acting standard thromboplastin is good, judging from the knowledge acquired through this experimentation. At this time, .however, we are unable to draw any specific conc1usion concerning the preparation of a sensitive slower acting thromboplastin from the rabbit.

토모테라피 치료 시 Bodyfix System에서 진공압박에 따른 환자 위치잡이오차(Setup errors)의 평가

정재홍,조광환,이정우,김민주,임광채,문성권,김용호,서태석,Jung, Jae-Hong,Cho, Kwang-Hwan,Lee, Jeong-Woo,Kim, Min-Joo,Lim, Kwang-Chae,Moon, Seong-Kwon,Kim, Yong-Ho,Suh, Tae-Suk 한국의학물리학회 2011 의학물리 Vol.22 No.2

본 연구의 목적은 토모테라피(Hi-ArtII, TomoTherapy, USA) 치료 시 Bodyfix system (Medical Intelligence, Ele-kta, Schwabmuchen, Germany)에서 진공압박(Vacuum compression)에 따라 환자 위치잡이오차(Patient's setup-errors)를 평가하고자 하였다. Bodyfix system와 진공압박을 적용한 토모테라피를 이용하여 치료를 시행한 흉복부 환자 21명을 선정하였으며, 모든 환자는 치료 전 촬영된 총 477개의 메가볼테이지 전산화단층촬영(Mega-voltage computed tomography, MVCT)영상을 얻었다. 이를 통하여 확인된 좌우방향(Medial-Lateral direction, ML), 앞뒤방향(Anterior-Posterior direction, AP), 상하방향(Superior-Inferior direction, SI)과 SI중심축 회전각(Rotational angle of SI axis direction, Roll)에 대한 오차를 기록하고, 분석하였다. 세 방향 및 Roll에 대한 상관관계와 진공압박 정도가 다르게 적용된 다섯 그룹에 대하여 setup-errors를 분석하기 위해 각각 Pearson's product-moment coefficient와 One-way ANOVA를 이용하여 통계적으로 분석하였다(p<0.05). 분석결과 Systematic errors의 평균은 AP에서 6.00 mm, 표준편차는 SI에서 5.95 mm로 큰 오차를 보였다. Random errors의 평균은 SI방향에서 4.72 mm로 큰 오차가 발생하였다. 관계분석에서는 상관계수가 ML-Roll과 AP-Vector는 0.485, 0.244이고, SI-Vector에서 관계가 제일 높았다(0.637). 또한, 진공압박 정도가 다르게 적용된 다섯 그룹(Pressure range: 30~70 mbar) 사이의 setup errors를 분석한 결과 ML, SI방향과 Roll에서 모두 p=0.00 (p<0.05)로써 유의한 차이를 보였으며, SI방향에서 진공압박에 따른 오차 평균은 40 mbar과 70 mbar그룹에서 4.78 mm, -0.74 mm였다. 본 연구에서는 진공압박과 setup-errors의 평가를 통계적으로 분석하였으며, 압박 정도에 따라 SI방향에서 setup-errors의 차이를 확인하였다. 최종적으로 setup-errors와 내부장기의 움직임을 고려하자면 Bodyfix system을 이용한 진공압박을 적용시 최소 50 mbar 이상을 사용해야 할 것이다. 본 연구결과를 토대로 진공압박의 정확성과 내부장기 및 종양의 움직임을 정량적으로 분석할 필요가 있다고 판단된다. The aim of this study is to evaluate the patient's setup errors in TomoTherapy (Hi-Art II, TomoTherapy, USA) Bodyfix system (Medical Intelligence, Ele-kta, Schwabmuchen, Germany) pressure in the vacuum compression, depending on and were evaluated. Bodyfix immobilization system and vacuum pressure was compression applied to the patients who received Tomotherapy thoracic and abdominal area, 21 patients were selected and TomoTehpay treatment total 477 of MVCT images were obtained. The translational (medial-lateral: ML, anterior-posterior: AP, superior-inferior: SI directions) and rolling were recorded and analyzed statistically. Using Pearson's product-moment coefficient and One-way ANOVA, the degree of correlation depending on the different vacuum pressure levels were statistically analyzed for setup errors from five groups (p<0.05). The largest average and standard deviation of systematic errors were 6.00, 5.95 mm in the AP and SI directions, respectively. The largest average of random errors were 4.72 mm in the SI directions. The correlation coefficients were 0.485, 0.244, and 0.637 for the ML-Roll, AP-Vector, and SI-Vector, respectively. SI-Vector direction showed the best relationship. In the results of the different degree of vacuum pressure in five groups (Pressure range: 30~70 mbar), the setup errors between the ML, SI in both directions and Roll p=0.00 (p<0.05) were shown significant differences. The average errors of SI direction in the vacuum pressure of 40 mbar and 70 mbar group were 4.78 mm and -0.74 mm, respectively. In this study, the correlation between the vacuum pressure and the setup-errors were statistically analyzed. The fact that setup-errors in SI direction is dependent in vacuum pressure considerly setup-errors and movement of interal organs was identified. Finally, setup-errors, and it, based on the movement of internal organs in Bodyfix system we should apply more than 50 mbar vacuum pressure. Based on the results of this study, it is suggested that accuracy of the vacuum pressure and the quantitative analysis of movement of internal organs and the tumor should be studied.

단일기관에서 경험한 성인 위장관 Burkitt 림프종의 임상양상

정재홍,이준행,이재승,최성철,장동경,김영호,손희정,이풍렬,김재준,이종철,고영혜,김원석 대한소화기내시경학회 2008 Clinical Endoscopy Vol.37 No.1

목적: Burkitt 림프종은 진행이 매우 빠르나 항암화학요법에 비교적 반응이 좋은 드문 질환이다. 위장관 Burkitt 림프종의 내시경 소견을 포함한 임상 양상에 대한 국내 보고가 적어 단일기관에서 경험한 Burkitt 림프종의 임상 및 내시경 특징을 분석 하였다. 대상 및 방법: 1995년 1월에서 2007년 7월까지 삼성서울병원에서 80명(성인 47명, 소아 33명)이 Burkitt 림프종으로 진단받았는데 이중 위장관 Burkitt 림프종으로 진단된 20명의 성인환자를 대상으로 임상 및 내시경 소견을 분석하였다. 결과: 가장 흔한 증상은 복통(50%)이며 상복부 속쓰림(30%)이 뒤를 이었다. 위장관 Burkitt 림프종 20명 중 위 병변은 11예(55%), 대장 병변은 4예(20%), 위와 십이지장 동시 병변 3예(15%), 위와 대장 동시 병변 1예(5%) 그리고 위, 십이지장, 대장을 침범한 경우가 1예(5%)에서 관찰되었다. 내시경 영상이 확인 가능한 13예에서 궤양병변이 가장 흔했으며(5예, 39%) 다음은 궤양 종괴형과 궤양 침윤형이 동일한 빈도로 많았다(3예, 23%). 대다수의 환자는 진단 시 진행된 상태로 Musshoff 병기 IVE (60%)가 가장 흔한 임상병기였다. 20명 모두 항암화학요법을 받았고 5년 생존율은 64%였다. 결론: 위장관 Burkitt 림프종 환자에서 위장관 호발 부위는 위이며 궤양병변이 가장 많았다. 진행병기를 고려해보더라도 항암화학요법 후 예후는 양호하였다.

정확한 환자 확인을 위한 의료생체인식기술

정재홍,이경배 대한자기공명기술학회 2022 대한자기공명기술학회지 Vol.32 No.1

This study discusses medical biometrics for accurate patient identification in the medical field. It first provides information concerning the definition, classification, and types of biometrics. It then reviews recent relevant research regarding information technology and types of medical biometric recognition technology that use biological signal and medical imaging. Finally, the current status of the medical environment is examined, along with the types of biometrics applied in medical fields. We believe that medical biometrics for patient identification will be gradually introduced into the medical field. Our study can be used to understand medical biometrics for accurate patient identification and utilized as primary data for research.

인삼첨가 Long Life면의 조직감과 관능적 특성

정재홍,심창주,신영,권효진,이규희,오만진 한국식품영양학회 1999 韓國食品營養學會誌 Vol.12 No.5

인삼이 밀가루의 아밀로그래프에 의한 호화 성질과 파리노그래프에 의한 반죽 성질에 미치는 영향을 조사하였다. 인삼첨가 LL면의 조직감과 관능적 특성에 미치는 영향을 분석하기 위하여 밀가루에 대하여 인삼을 5.0∼10% 첨가하여 LL면을 제조한 뒤 면의 조직 특성 분석 및 조리시험을 하고 관능검사를 하였다. 인삼을 첨가하면 아밀로그래프의 호화개시 온도를 3.1℃ 지연시켰으며, 최고 점도를 40B.U 감소시켰다. 파리노그래프의 흡수율은 1.2% 증가하였으며, 반죽의 안정도는 인삼의 첨가로 2.0분 길게 측정되었다. Hunter L값은 인삼 첨가량이 증가할수록 낮아졌으며, Hunter a, b값은 반대로 측정되었다. 인삼첨가 LL면의 층밀림 압출력은 첨가량의 증가에 따라 높아져 10.0%의 첨가는 대조구 18.65(㎏f)보다 2.3(㎏f) 높은 23.95(㎏f)로 측정되었으며, 경도도 대조구보다 5.4(㎏f) 높게 측정되었다. 인삼첨가 LL면의 무게 증가는 인삼의 첨가량이 증가할 때 다소 높게 나타났으나. 부피 증가는 오히려 높게 나타나 조직이 다소 치밀한 것으로 나타났다 용출량은 인삼량의 증가에 따라 약간 감소하였다. 미생물은 인삼의 첨가량이 증가할수록 줄어들어서 장기 저장이 가능하였다. 관능 검사 결과는 인삼첨가 LL면이 4.2 및 4.0으로 비교적 좋은 점수를 얻었다. 이같이 LL면 제조시 인삼 첨가량은 7.0%의 수준이 효과가 컸다. The influence of ginseng on the paste or gelatinization properties by amylograph and mixing properties by farinograph of wheat flour, and on quality properties, color, cooking quality, textural and sensory properties, and reducing microbial population of LL (Long Life) noodles was studied. The contents of ginseng used were from 5% to 10% based on flour weight. The viscosity property of wheat flour with ginseng was increased the initial pasting temperature but the amylograph peak viscosity were decreased in vice versa. The farinograph absorption, stability and breakdown were increased by ginseng. The whiteness of LL noodles manufactured with ginseng was lower than that of control. The shear extrusion force and hardness of LL noodles manufactured with ginseng were shown much higher value than those of control. At cooking quality examination of LL noodles manufactured with ginseng, weight of cooked LL noodles was decreased but volume was appeared in vice versa. Extraction amounts of LL noodles manufactured with ginseng during cooking were much smaller than those of control. Total counts of microorganism of LL noodles manufactured with ginseng were decreased during storage at 30℃. Sensory properties of cooked LL noodles which was manufactured with ginseng showed quite acceptable. Based on the cooking and sensory evaluation test, addition of 7.0% ginseng to wheat flour may be suitable for processing LL noodles.

유방 보존술을 시행받은 유방암 환자에서의 동측 유방 국소 재발이 생존율에 미치는 영향

정재홍,최영진,길원호,김지아,김정한,남석진,양정현 대한외과학회 2006 대한외과학회 학술대회 초록집 Vol.2006 No.11

효소에 의한 꿩고기 가수분해물의 제조

정재홍,김기준,이규희,이석건,오만진 충남대학교 농업과학연구소 1998 농업과학연구 Vol.25 No.1

This studies was carried out to investigate the processing possibility of pheasant meat extracts treated with proteases. The crude protein, aminonitrogen, degree of hydrolysis, yield and amino acid composition of pheasant meat extracts when it was treated with proteases at various temperature and reaction time were analyzed. The crude protein contents of pheasant meat extracts processed in 130℃ were more than when it was done in 100℃, but the contents of aminonitrogen were not quite different between two processing temperature. The content of crude protein and aminonitrogen when pheasant meat was hydrolyzed with protease NP and prozyme A. The yields of pheasant meat extracts, when pheasant meat were treated at 100℃ and 130℃, were from 2.24 to 7.10% and from 5.51 to 10.45%, respectively. And the yield of extraction depended on extraction temperature, kinds of enzyme, amount of enzyme, extraction time. The content of aminonitrogen in pheasant meat extracts treated with enzyme was much higher than any other treatments. And it depended on amount of enzyme, extraction time and temperature. The amount of the amino acids in pheasant meat extracts treated by protease NP were eminently higher than by heat at 100℃ or 130℃.

맛닭 삼계탕의 다양한 조리 방법 개발

정재홍,최희숙,장정옥,김형렬,양미옥 한국식품영양학회 2010 한국식품영양학회 학술대회논문집(학술심포지움) Vol.2010 No.12

ZnS/p-HgCdTe의 계면특성을 향상시키기 위한 표면처리

정재홍,정한,김관,김성철,이희철,김충기,박승만,양천순,김흥국,김재묵 경북대학교 센서기술연구소 1992 센서技術學術大會論文集 Vol.3 No.1