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박철휘 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.4
대사 증후군은 1988년 Reaven에 의해 처음 기술된 복합적인 대사 이상을 동반하는 증후군으로, 주된 임상 양상은 복부비만, 고 중성지방 혈증, 저 고밀도-콜레스테롤 혈증, 고혈압 및 공복 시 고혈당 등이다1). 중심성 비만과 이에 동반되는 인슐린 저항성이 대사 증후군의 가장 근본적인 병태생리학적 원인이라고 제시되고 있으나, 아직까지 대사 증후군에서 보이는 여러 대사 이상의 근본 원인은 알려지지 않고 있다. 최근에 혈중 고혈당과 유리 지방산이 비지방 조직 (간, 췌장 베타세포, 근육 및 신장) 세포 내에 중성지방 및 지방 대사산물로 축적되는 것이 대사 증후군에서 보이는 여러 대사장애의 원인으로 작용할 것이라고 제시되고 있다2). 진단에 있어서도 비록 여러 가지 부분적인 차이가 있는 진단기준이 제시되고 있으나 가장 많이 사용되는 것은 2001년 National Cholesterol Education Program-Adult Treatment Panel III이다3).
음식물쓰레기 발효산물을 이용한 질소·인 동시 제거 운전 특성 인자
박철휘,신창민 대한상하수도학회 2002 상하수도학회지 Vol.16 No.3
In these days, the most of food waste is being landfilled, which give rise to the secondary environmental problems such as lechate and odor. The problem of BNR process for the domestic sewage are the deficit of carbon source compared with N, P so it is hard to get biologically effective N, P removal in sewage treatment plant. Therefore, the objective of this study was to investigate characteristics of BNR process using food waste fermenter. Experiments in a continuois pilot plant have been carried out to demonstrate the feasibility of using the food waste fermentation as an easily biodegradable carbon source for nitrogen and phosphorous removal. BOD/T-N and BOD/T-P ratio of food waste fermentation were 17.5 and 126.9 respectively, which is very high to compare with domestic sewage, therefore fermentation products of food waste was suitable for the external carbon source in BNR proces and the addition load introduced by use of the fermentation products of food waste can be considered negligible. The removal efficiencies of T-P and T-N with fermenter were about 90% and 60%, respectively.
Two Bag System을 이용한 지속성 외래 복막투석 환자에서 5년간 발생한 복막염의 원인균 분석
박철휘,장윤식,윤선애,방병기,안석주,진동찬,윤성노 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.2
Peritonitis is the most serious complication and most common cause of discontinuation of CAPD. The number for CAPD patients has reached 24% ESRD patients at the end of 1995 in Korea. This study is an analysis on the incidence and etiology of CAPD peritonitis from 1992 to 1996 in St. Mary's Hospital, The Catholic University of Korea. All of the enrolled patients were managed with two bag CAPD system, Tenckhoff straight two cuff catheter inserted by midline surgical approach, one weeks occlusive dressing and same break-in schedule. The laboratory study and antibiotics therapy protocol were not changed for 5 years. The number of enrolled patients was 124, (71 males and 53 females) and the mean age was 54.4? 15.0 years-old. Fifty-one percent of the patients were diabetics. The overall incidence of CAPD peritonitis was 0.635/patient.year and the peritonitis caused by Gram positive bacteria was 40.4%, Gram negative was 16.9%, others was 5.9% and peritonitis with negative bacterial culture was 36.8%. The ncidence of CAPD peritonitis in each year('92-'96) were 0.611, 0.721, 0.667, 0.617, 0.559 peritonitis/pt.yr, respectively. The causative organism proportion in each year were Gram(+) bacteria: 27.3, 45.2,50,0, 37.9, 42.3% Gram (-) bacteria ' 27.3, 9.7, 20.0, 24.1, 7.7% and culture negative 36.4, 41.9, 26.7, 37.9, 34.6%, respectively. The rates of isolated causative organism(percentage in culture positive cases) were 1) Gram(+) bacteria (64.0%): S. aureus 27.9, coagulase negative staphylo- coccus 23.3, streptococcus 9.3, other Gram(+) 3.5%, 2) Gram(-) bacteria(26.7%): pseudomonas 5.8, E.coli 5.8, acinetobacter. 4.7, klebsiella 3.5, other Gram(-) 7.0%, 3) other cause(9.3%): candida 7.0, M. tuberculosis 2.3%. In summary, the most common causative organism of CAPD with two bag system was Gram(+) bacteria(64%, especially staphylococcus; 51.2%), which indicated that the transluminal and periluminal causes were still predominant. The peritonitis with Gram(-) bacteria was 26.7% and fungal peritonitis was 7%.
테니스엘보의 통증감소 효과에 관한 연구 - 곡지(曲地).주료.족림읍(足臨泣) 혈(穴)에 황두침(黃頭針)으로 1회 자침시(刺針時) -
박철휘,김찬규,조병모,Park, Cheol-Hwi,Kim, Chan-Kyu,Cho, Byeong-Mo 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.1
In this study, a group of 25 patients between the ages of $22{\sim}55$ received acupuncture treatments for tennis elbow. The variance has some high value. 1. The distribution of an age group in 22 to 55 and the average age of men is $40.9{\pm}9.3$ and the average age of women is $39.5{\pm}3.6$. Total average age is $40.4{\pm}8.4$. 2. Before the acupuncture treatments the average pain degree for the group is $4.72{\pm}0.6$ and after treatments, it is $2.36{\pm}1.6$. Statistically, the variance has some high value. 3. There were statistically significant difference in the pain degree before and after the acupuncture treatment according to the age. By these results, acupuncture treatments will be useful to the first-line treatment for tennis elbow.