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        비호지킨림프종 환자에서 발생한 폐 효모균증 1예

        장재혁,송치원,심병용,이동건,변재호,정정임,이교영,홍영선,신완식,김춘추,이경식 대한감염학회 2003 감염과 화학요법 Vol.35 No.3

        저자들은 비호지킨씨 림프종 환자에서 항암 치료 후 질환의 진행성 병변과 감별을 요했던 우폐 중엽의 단발성 종괴를 흉강경하 생검으로 폐 효모균증을 확진하고 amphotericin B와 fluconazole로 치료한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Non-Hodgkin's lymphoma is monoclonal expansion of malignant B or T cells. The immunocompromised status in this disease is accompanied by many infections. The cryptococcosis, caused by Cryptococcus neoformans, frequently occurs in leukemia, Hodgkin's disease, sarcoidosis, diabetes mellitus, tuberculosis, and long-term steroid-using patients. Recent increasing incidence of fungal infection could be due to the spread of AIDS and transplantation. We experienced one patient with lung mass in Non-Hodgkin's lymphoma after three cycles of chemotherapy, which could not be discriminated from the newly developed lymphoma mass. Cryptococcus neoformans was isolated from the lung tissue obtained by thoracoscopic biopsy. Herein we report this case with brief review of pertinent literature.

      • 캔음료중 epichlorohydrin 의분석법에 관한 연구

        이광호,곽인신,최재천,전대훈,김형일,강경모,최병희,김귀정,이철원 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

        캔식품중에 잔류하는 epichlorohydrin을 분석하기 위한 pu링e & trap-Cc/uf통D 분석법을 확립하여 캔의 lacauer 코팅제에서 식품으로 이행되어 잔류하는 epichtorohydfn을 측정하고, 식품유사용매에 의한 용출시험을 통해 일일추정섭취량을 산출하였다. epichlorohydrin의 검량선은 y=0.0006x+0.OO6?(R큰0.9983)의 직선성·라 0.05#ga의 검출한계를 나타내었다. 각종 음료 및 식품유사용매에 일정량의 epichlorohydrin을 첨가한 후 분석하였을 때 회수을은 72~91%였으며, 실제 시판되는 f5건의 캔음료 중 잔류하는 epichlorohydrin을 측정한 결과 모든 캔음료에서 검출한계(0.1#94) 이하였다. 제관업체에서 구입한 modifed epoxy, epoxy phenolic, vinyl organosol, epoxy phenol ester 등의 BADGE(bisphenol A diglycidyt ether)형 에폭시수지로 lacquer 코팅된 식품용 캔에 식품윤사용매인 10% 또는 95% 에탄올을 층L진한 후 90~121'c의 드라이오븐에서 30분~2시간동안 용출시켰을 패 캔의 lacquer 코팅재에서 식품유사용매로 이행되는 epichBorollydirn은 코팅재질, 그리고 가열온도 및 시간에 문관하게 모든 캔에서 검출한계(0.4#ga)이하 였다. 위의 용출결과를 FD.f_의 "Recommendation for Chemistry Data for Indirect Food Additive Petition" 윽 일일추정섭취량 산출법에 적용하여 얻은 epichtorohydrin의 일딜추정 섭 취 량은 0.2r조persorday이하였다. A sensitive ana1?~7tical method based on gas cl)romatogFapy~mass spectrometry with a selected ion monitoring (GE/hfS-Slhf) and the purge-and-trap concentrator ))·asdeveloped for determining ot'epicillorohydrin in canr;ed be)#erages coated with eporl· resin. Thecalibration rurve in the ranre of 0.j ~50nr had'correlation coefficient of 0.9983 and detection limit of 0.Osrga. Recoveries of epichlorohydrin spiked to beverages were in the range of 72 ~91% with detection limits of 0.1 #ga. fn survey of epichlorohydff in twenty commercialcanned beverage samples, epichlorohydrin was not found in all the samples with the detectionlimit of 0.1 r9a. In migration test of various cans coated with BADGE-based coating cans;modifed epoxy, epoxy phenolic, vinyl organosol, epox?· phenol ester were exposed to the foodsimulants of 10% ethanol and 95% ethanol. flfo delectable epichlorohydrin migrated to foodsiHulants was found in aTl the cars with detection Jimit of 0.4 #9/L. Using the miEration data,along uTith the applicstion of food and beverage cans complied with FDA's "Recommendationfor Chemlstry Data f,3r Indirect Food Additive Petition" , the potential dietary exposure toepichlorohydrin was estlmated to be under 0.2rf/person/day.

      • 쇄석말뚝의 지지력에 관한 실험적 연구

        이재덕,이상익,김병일,박용원 명지대학교 산업기술연구소 2001 産業技術硏究所論文集 Vol.20 No.-

        Crushed Stone Pile(CSP) is suitable for improving soft silts and clays and loose silty sands. The effects of this method are increasing bearing capacity and slope stability, reducing settlement, increasing the time-rate of consolidation, and reducing liquefaction potential. In this study several model tests are carried out to investigate the bearing capacity of CSP treated ground. The results show that bearing capacity increases with the area replacement ratio and the preconsolidation pressure of the ground.

      • 동종 골수이식을 시행받은 환자에서 폐색성 세기관지염에 의하여 발생한 자발성 기종격동과 피하 기종

        이병환,이제중,이연경,안재숙,김여경,황호인,박무림,조상희,정익주,김형준 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.2

        저자들은 만성골수성백혈병으로 동종 골수이식과 이식편 부전으로 인하여 추가적인 말초혈액 조혈모세포이식을 시행 받은 환자에서 만성 이식편대숙주질환과 그 폐 합병증인 폐색성 세기관지염에 동반된 자발성 기종격동과 피하 기종이 병발한 1예를 경험하였기에 이를 보고하는 바이다. Obstructive lung disorders following after allogeneic bone marrow transplantation (BMT) in association with graft- versus-host disease (GVHD) contribute significant morbidity and mortality. We report a case of a 28-year-old man who developed spontaneous pneumomediatinum and subcutaneous emphysema complicating bronchiolitis obliterans after allogeneic BMT. He received an allogeneic BMT for chronic phase of chronic myeloid leukemia. Five months after BMT, he was boostered by allogeneic peripheral blood stem cells from the same donor due to graft failure. One month after the boostering, chronic GVHD developed and were treated with cyclosporine and steroid. The patients developed spontaneous pneumomediatinum and subcutaneous emphysema secondary to severe bronchiolitis obliterans 4 months after boostering donor cells. The air-leak syndromes were recovered by conservative management, including high-flow oxygen.

      • 신발산업용 모바일 포탈 서비스 구현

        이양민,이병문,임장수,김창민,강동우,심현숙,이재기 동아대학교 정보기술연구소 2003 情報技術硏究所論文誌 Vol.11 No.1

        Cases that apply mobile technology in own company's business processing in various industry area are increasing. In this paper, we propose a Mobile Portal constructin method accepting that flowing these age. Analyze instance that is applying mobile service in another industry to achieve Mobile Portal service and we chose core technology with this result. As focus of research, we implemented interaction interface between web page and database, conversion skill between wire and wireless contents, communicatin method between web page and contents conversion server, and application technology on Mobile service target Business and implemented Mobile service that applicable.

      • KCI등재

        거대세포형의 간세포암종을 지닌 의사 : An autopsy case 1 예 보고

        이병육,곽정식,이상한,임재원 大韓法醫學會 1996 대한법의학회지 Vol.20 No.1

        Giant cell variant of hepatocellular carcinoma is well recognized?. However, it is sufficiently rare to warrant reporting, especially when this malignant tumor invade and metastasize extensively. According to Peters?, about 14% of hepatocellular carcinoma contain giant cells, but one composed mostly of giant cells must designated as giant cell variant. We experienced an autopsy case of giant cell variant of hepatocellular carcinoma composed mostly of pleomorphic malignant giant cells, with diffuse invasion of abdominal organs and metastasis to the mesentery and transverse colon.

      • 석회석을 이용한 칼사이트형 탄산칼슘의 제조 및 분산특성 연구

        이재장,박종력,김병곤,장광택 강원대학교 부설 석재복합신소재 제품연구센터 2002 석재연 논문집 Vol.7 No.-

        석회석은 국내 비금속 광물자원의 대부분을 차지하며 강원도와 충북 등의 일부지역에 편재되어 부존하고 있다. 그러나 CaO 함량이 54% 이상인 고품위 석회석은 전체 매장량의 5% 이하로 매우 빈약한 편이다. 더욱이 대분분의 생산량이 1차 산업용으로 사용되어 부가가치가 낮은 용도로 활용되고 있다. 본 연구에서는 이러한 석회석의 부가가치를 향상시키기 위하여 칼사이트형 침강성 탄산칼슘을 탄산화법을 이용하여 합성하고자 하였으며, 합성된 탄산칼슘 분체 및 현탁액의 분산안정성에 대하여 조사하였다. 분산이 양호하고 균일한 입도의 칼사이트 분체를 얻기 위해서는 CaO 농도 3%, CO_2 가스 유입량 300㎖/min, 교반속도 1,000 rpm에서 탄산화반응시 반응온도를 10~30℃로 유지하여야 함을 알 수 있었으며, 현탁액의 분산안정제로 PMAA와 PAA를 첨가제로 사용시 pH 6, 9, 12에서 0.2 wt% 첨가할 때 우수한 분산안정성을 나타내었다. A limestone reserves in korea is comparatively enough and reserved mainly in Kangwon-do and Chungchongbuk-do. However, it is known that limestone of high grade, more than 54% CaO, is about under 5% of total reserves. Besides, most of them are used for manufacture of cement as a primary material of low value. In this study, calcite type calcium carbonate powder or slurry was synthesized by carbonation process using limestone and dispersion properties of the prepared calcium carbonate suspension was investigated. In the carbonation reaction, the temperature of lime milk must be kept 10∼30℃, CaO consentration of 3%, stirring rate of 1,000 rpm and CO_2 gas flow rate 300㎖/min to manufacture stable dispersion calcite. Also, in the result of measuring the precipitation height of calcite suspension at pH 6, 9 and 12 as a function of the PMAA and PAA content, stable dispersion properties was observed at 0.2 wt% of PMAA and PAA. This may be due to the formation of the distinct adsorption layer between calcite particles by dispersant.

      • KCI등재후보

        비복신경이식을 이용한 긴 거리의 말초신경 결손부 수복

        이종호,이세영,김명진,이은진,안강민,김성민,최원재,명훈,황순정,서병무,최진영,정필훈 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.2

        The surgery of oral and maxillofacial area poses the risk of cranial nerve damage such as trigeminal nerve or facial nerve. Inferior alveolar nerve is prone to damage in the third molar extraction, implant installation, orthognathic surgery, open reduction and rigid fixation, and tumor ablation surgery. On the other hands,facial nerve is likely to be damaged or sacrificed with trauma or parotidectomy. In case of inferior alveolar nerve injury, the incidence is reported to be about 1.3%. The nerve function will almost recover in minimal damage, but it won't recover at last in total damage of a part of nerve unit. In latter cases, nerve regeneration in intended by allograft as nerve substitute or various route of merve condit. But the recovery with autograft is believed to be most relialbe mrthod in the rapair of long-span(longer than 15㎜)nerve defect. We have performed autologous sural nerve graft in the repair of nerve defect, which is caused by resection of benign or malignant tumor. Hereby we report the method of nerve harvesting, recovery of defected peripheral nerve and the complications of donor site with the discussion of sural nerve anatomy.

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