수입각증후군에 의한 급성 복증 1례

정은욱,지삼룡,이영태,박지훈,김동기,제인수,채두근,박성재,박은택,이연재,이상혁,설상영,정정명 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

JPEG 압축 이미지를 이용한 수치사진측량의 정확도

박운용,곽두호,정성모,김천영 동아대학교 건설기술연구소 2001 硏究報告 Vol.25 No.1

The aim of our research is to find out how digital photogrammetry responds to image compression. Specially, we wish to know if using JPEG image compression leads to loss of accuracy in DTM derived by digital methods. We first review JPEG compression, and since we use the PCI OrthoEngine Airphoto Edition v6.3 digital phtogrammetry software, we briefly review it's principle of principle of operation. We use knowledge of the effect of JPEG compression on the geometric accuracy of images to predict the influence of compression on DTM accuracy. We then compare this to estimates derived from actual measurements. We find that the actual effect om DTM accuracy is greater than predicted, and consistent with geometric error due to compression in the region of 0.33 pixel.

초음파 수침법을 이용한 터빈베어링 Babbitt 금속 박리 검사 기술

정계조,박상기,조용상,박병철,길두송 한국비파괴검사학회 2004 한국비파괴검사학회지 Vol.24 No.4

이 연구는 터빈베어링의 신뢰성을 평가하기 위하여 초음파 C-Scan 방법을 적용한 기술이다. 수침법에 관한 연구는 실험실과 현장검사 적용에 광범위하게 사용되는 기술이다. 여기에서는 C-Scan 방법을 이용하여 베어링의 모재와 Babbitt 금속간 경계부의 상태를 평가하였다. 수침법 C-Scan 방법에 의한 초음파 영상은 베어링 경계부의 상태를 확인하는데 효과적인 방법으로 사용될 수 있었다. 초음파 영상의 분해능을 높이기 위하여 집속형 탐촉지를 사용하고, Babbitt 금속과 베어링 모재간의 접합경계면에서 발생하는 초음파 음압 반사율을 측정하여 결함의 검출과 면적을 추정할 수 있었다. 초음파 수침법은 베어링 접합부의 박리위치와 박리면적의 경계면을 결정하여 크기를 계산하는데 아주 유용하게 사용될 수 있는 기술이며, 이 연구에서 개발된 기술은 화력발전소에서 사용되고 있는 터빈베어링의 건전성을 확보하는데 적용되었다. This study is aimed for the implementation of ultrasonic method to assess the reliability of turbine bearings. A modified ultrasonic immersion technique was carried out in both laboratory experiment and field application. From the laboratory results, we confirmed that the condition of interface layer between the babbitt and base metal be monitored by the C-Scan. The C-Scan image by the ultrasonic immersion test can be used successfully to observe the condition of interface layer. The testing with a focused transducer provides a promising approach for estimating the extent of the damaged region and observing the interface layer effectively. The difference of the ultrasonic reflection ratio between the bonding and debonding area at the interface layer is one of the key parameters for assessing the extent of the damaged area; additionally, the reflection amplitude exhibits a favorable correlation with the overall damage level. The technique developed in this study was applied to the inspection of the turbine bearings at several power plants in Korea whereby the applicability in the filed can be ascertained.

공장 업무자동화를 위한 분산처리 시스템의 개발

박두순,공용해,오동익,정종석,오은숙 호서대학교 반도체제조장비국산화연구센터 2000 학술대회 자료집 Vol.2000 No.1

(주)한길은 콘크리트 2차 가공 업체로서, 주로 벤치플륨, 맨홀, 수로관, PC암거박스 등을 생산하고 있는 중소기업이다. 이 업체는 제품의 특수성과 생산 시설의 규모로 인하여 납품 계약 후에 미리 적정량을 생산하여 재고로 보유하면서 제품을 적기에 납품해야 한다. 그러나 현재 입고, 재고, 출고 관리 등의 업무전산화가 이루어져 있지 않을 뿐만 아니라 생산, 저장, 관리가 동일한 장소와 더불어 지역적으로 분리된 곳에서 이루어지고 있어 정보관리에 많은 어려움을 겪고 있다. 이에 본 연구에서는 근거리 네트워크와 전화접속 네트워크를 혼합한 하이브리드 형태의 분산 환경 시스템을 구축하여 경제적으로 가장 최적인 네트워크 솔루션을 제공하고, 이를 바탕으로 하는 입고, 재고, 출고 관리 시스템과 기본적인 회계 등의 전산 업무를 개발하여 업체의 생산성 및 경쟁력 향상을 도모하고자 한다.

Nortropinone 유도체로부터 Nortropane Spirohydantoin 유도체의 합성

정대일,박유미,박종훈,김윤영,정두희,김인식 東亞大學校 1998 東亞論叢 Vol.35 No.-

The nortropinones 11 (tropinone lla, N-isopropylnortropinone 11b, N-Carbethoxynortropinone 11c, N-furfurylnortropinone 11d, N-(p-methoxyphenyl)nortropinone 11e) were respectively synthesized by the treatment of acetonedicarboxylic acid 8 with, 2, 5-dimethoxytetrahydrofurane 9 in various amines 10 (methylamine 10a, N-isopropylamine 10b, ethylcarbamate 10c, furfurylamine 10d, p-anisidine 10e). The nortropane spirohydantoins 14 (tropane spirohydanttoin 14a, N-isopropylnortropane spirohydantoin 14b, N-Carbethoxynortropane spirohydantoin 14c, N-furfurylnortropane spirohydantion 14d, n_(p-methoxyphenyl) nortropane spirohydantoin 14e) were respectively synthesized by the treatment of synthesized nortropinones 11 (tropinone 11a 54%, N-isopropylnortropinone 11b 50%, N-Carbethoxynortropinone 11c 58%, N-furfurylnortropinone 11d 31%, N-(p-methoxyphenyl) nortropinone 11e, 70%) with potassium cyanide 12, ammonium carbonate 13.

제2형 당뇨병 환자에서 우연히 발견된 기종성 방광염 1례

박보민,김윤정,이영태,노정현,권수경,김동준,고경수,이병두,임경호,이순희,박정현 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Emphysematous cystitis is an uncommon disease in which bacterias produce gas within the bladder wall and surrounding tissue. Patients with diabetes, neurogenic bladder and chronic urinary tract infection are predisposed to the disease. It is usually caused by E.coli and Klebsiella. Severity of illness ranges from an asymtomatic condition to life threatening cystitis. Succesful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. We report a case of 52-year-old woman who did not compain of symtoms of cystitis but epigastric pain, nausea, and vomitting. Emphysematous cystitis was revealed on the abdominal X-ray series incidentally. CT scans of the pelvis showed mottled gas bubble within the bladder. After treatment, the symtoms subsided and plain abdominal film showed no evidence of gas shadow in the pelvic cavity.

분산 Model의 해석적 비교에 관한 연구

朴慶愛,鄭一鉉,姜斗煥 단국대학교 대학원 1984 學術論叢 Vol.8 No.-

Estimates of dispersion coefficients in flowing fluids may be made from measurements of the step response of this system and comparisons of the experimental output concentration with the concentration calculated from theoretical consideration. Comparisons of theoretical and experimental concentration in the time domain and in the Laplace transform domain are considered. When the outlet signal was calculated by the method of moments, an accurate value of the dispersion coefficient could not be found when dispersion was small because of the effect of errors in the tails of the response. It is found that good estimates of dispersion coefficients can be made from comparisons in the Laplace transform the appropriate ranges of transform parameters are chosen for the comparisons. The optimum weighting factors are defined as those which give the most reliable parameter estimated from the experimental data. The application of the weighted moments method of parameter estimation to typical models in R.T.D. work has been considered, and it has been found superior the to variance method. The relation of this method to other methods has been demonstrated, and a physical interpretation of the method, which provides insight into the optimum choice of the weighting factor, is given. This work took advantage of the step response method that was not affected by the fluid flow in the tracer injection method. So, we were looking for the character of the axial dispersion and the accurate axial dispersion coefficient D_L in fixed bed. The result showed that axial dispersion coefficient D_L was related liearly to superficial velocity and particle diameter, respectively. The equation for the axial dispersion coefficient in the liquid fixed bed is expressed as D_L=0.698U_5^0.532dp^0.643.

롤포밍을 위한 박판 미세구조물 기초 연구

정동원,김형종,최두선,제태진,박재현 濟州大學校 海洋硏究所 2004 해양과환경연구소 연구논문집 Vol.28 No.2

Sandwich sheets consisting of two or more different material layers are widely used in various industries due to the diversity of properties they Possess, such as high electrical conductivity. high corrosion resistivity. high strength. etc. The production of sandwich sheets by a rolling process. which is a more efficient and economical approach compared to other types of Processes. has become an increasingly important subject of study. In this study, the focus of the analysis is to evaluate stress and strain of the micro structure by the roll forming.

흥미로운 구조를 가진 Dipyrrolylbenzene들의 합성에 관한 연구

정대일,김인식,정두희,박철우,김윤영 東亞大學校 大學院 1996 大學院論文集 Vol.21 No.-

1-(2-Aminophenyl)pyrrole 20a and 1,2-dipyrrolylbenzene 17a were synthesized by using 1,2-phenylenediamine 16a with 2,5-dimethoxytetrahydrofuran 12 in glacial acid. 1-(3-Aminophenyl)pyrrole 20b and 1,3-dipyrrolylbenzene 17b were obtained by using 1,3-phenylenediamine 16b with 2,5-dimethoxytetrahydrofuran 12 in glacial acetic acid. 1,4-Dipyrrolybenzene 17c was synthesized by using 1,4-phenylenediamine 16c with 2,5-dimethoxytetrahydrofuran 12 in glacial acetic acid. Aminophenylpyrroles 20 and dipyrrolylbenzenes 17 were respectively synthesized by the treatment of 1,2-phenylenediamine 16a, 13-phenylenediamine 16b, 1,4-phenylenediamine 16c and 2,5-dimethoxytetrahydrofuran 12 in no solvent, acrylic acid, silica-gel, acrylic acid + silica-gel + acetic acid instead of glacial acetic acid. In case of silica-gel + acetic acid among various methods reactivity about synthesis of dipyrrolylbenzene 17 was best. 9-Phenylcarbazole 15 was synthesized by treatment of 1-phenylpyrrole 13 with 2,5-dimethoxytetrahydrofuran 12 in glacial acetic acid.