NSIP와 BOOP의 고해상전산화단층촬영 소견과 비교

백상현,박재성,차장규,홍현숙,김대호,박성진,조준희,이혜경,최진수 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.2

Purpose: BOOP and NSIP also share similar clinical features such as subacute flu-like illness, the finding of bronchoalveolar lavage, the result of pulmonary function test and more favourable outcome than usual interstitial pneumonia(UIP). The author try to compare the HRCT findings of NSIP with BOOP by pattern and distribution of diseases. Materials and Methods: HRCT findings of histopathologically proven NSIP(Group Ⅰ; 6, Group Ⅱ; 7, Group Ⅲ; 2) in 15 patients(5 male, 10 female, age range, 39-69 years; mean age, 53 years), BOOP in 15 patients(6 male, 9 female, age range, 26-76 years; mean age, 52 years) were reviewed retrospectively. Results: The common pattern of the two diseases was admixed consolidation, ground glass attenuation & reticular densities with/without architectural distortion(NSIP; 53.3%, BOOP; 46.7%). The main component of the pattern wan predominantly consolidation(NSIP; 46.7%, BOOP; 73.3%) and ground glass attenuation(NSIP; 40.0%, BOOP;20.0%). Architectural distotion was more provinent finding with NSIP(mild ; 3, moderate ; 4, severe; 2) compared with BOOP(mild; 7, moderate; 2, severe; 0). The predominant overall distribution was lower lung, peribronchovascular & peripheral lung field in both of the two entities(NSIP;73.3%, BOOP; 73.3%). Peribronchovascular involvement was more common with NSIP(100%) than BOOP(80%), whereas peripheral involvement was more common with BOOP(93.3%) than NSIP(80%). Conclusion: The HRCT findings of NSIP and BOOP were similar in pattern and distribution. But NIP manifested more frequently ground-glass attenuation, whereas BOOP showed more frequently consolidation. Architectural distortion was more severe with NSIP than BOOP. NSIP invoved more frequently peribronchovascular space and BOOP were more common in peripheral lung field.

Temporal trends of the prevalence and incidence of atrial fibrillation and stroke among Asian patients with hypertrophic cardiomyopathy: A nationwide population-based study

Choi, You-Jung,Choi, Eue-Keun,Han, Kyung-Do,Jung, Jin-Hyung,Park, Jiesuck,Lee, Euijae,Choe, Wonseok,Lee, So-Ryoung,Cha, Myung-Jin,Lim, Woo-Hyun,Oh, Seil Elsevier 2018 INTERNATIONAL JOURNAL OF CARDIOLOGY Vol.273 No.-

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Atrial fibrillation (AF) and stroke are common in hypertrophic cardiomyopathy (HCM). We aimed to determine the prevalence and incidence of AF and stroke in patients with HCM during a 10-year period.</P> <P><B>Methods</B></P> <P>Using the Korean National Health Insurance Services database, we identified patients diagnosed with HCM from the entire Korean population between 2005 and 2015. The annual prevalence and incidence of AF and stroke in HCM patients were estimated.</P> <P><B>Results</B></P> <P>The prevalence of AF in HCM patients has gradually increased to 1.6-fold from 13.4% in 2005 to 20.9% in 2015. The incidence of AF ranged from 4.1 to 5.5%, a similar trend was observed for each year in HCM patients. The prevalence of stroke in HCM patients was approximately 10%, while that in HCM patients with AF was about 20%. During 8741 person-years, AF-related stroke occurred in 257 subjects among 2309 HCM patients with new-onset AF. The overall incidence rate of AF-associated stroke was 2.94 per 100 person-years. In subgroup analysis, the incidence rate of AF-associated stroke was 1.49 per 100 person-years in the under 45 year-old group and 1.48 per 100 person-years in the group with CHA<SUB>2</SUB>DS<SUB>2</SUB>­VASc score of 0 or 1 point in HCM patients.</P> <P><B>Conclusions</B></P> <P>The prevalence of AF in HCM patients gradually increased over 10 years. The annual risk of AF-associated stroke in HCM was over 1% even in younger patients and those with CHA<SUB>2</SUB>DS<SUB>2</SUB>­VASc score of 0 or 1 point, which provide evidence to support the prevention of stroke in HCM patients with AF.</P> <P><B>Highlights</B></P> <P> <UL> <LI> This is the first largest nationwide study on hypertrophic cardiomyopathy (HCM), a rare myocardial disease in Korea. </LI> <LI> The prevalence of AF in HCM patients gradually increases to 1.6-fold from 13.4% in 2005 to 20.9% in 2015. </LI> <LI> The annual incidence of AF in HMC patients was about 5%, and higher in female and the elderly. </LI> <LI> The prevalence of stroke in HCM patients with AF was about 20%, which were more than twice that in overall HCM patients. </LI> <LI> The risk of AF-related stroke in HCM patients was >1% per person-year even in younger patients or low CHA<SUB>2</SUB>DS<SUB>2</SUB>­VAS<SUB>C</SUB> score. </LI> </UL> </P>

정치적 이념과 한국 시위 참여자의 변화 : 이념의 강도와 집권정부와의 이념 거리를 중심으로

차현진 경희대학교 인류사회재건연구원 2021 OUGHTOPIA Vol.36 No.3

This paper aims to analyze how protest participants’ characteristics in South Korea have changed since 2004. This research assesses a degree of political ideology and ideological distances from the incumbent government as main explanatory variables. To be specific, the paper proposes that the probability of participating in protests increases as a degree of political ideology becomes higher. Also, the farther ideological distances between an individual’s political ideology and the incumbent government’s ideological orientations are, the more likely the individual will participate in protests. Data from the 2004, 2009, 2014, and 2018 Korean General Social Survey (KGSS) substantiated that the degree of ideology affected likelihood to participate in protests more than the direction of the ideology would. Additionally, the empirical results demonstrated that the ideological distance between an individual and the incumbent government affected the individual’s participation in recent protests in South Korea. 본 논문은 2000년대 한국 시위 참여자의 특성을 규명하고 그들의 통시적 변화를 분석하는 것을 주요 목적으로 한다. 본 연구는 특히 이념적 요인에 초점을 맞추어 정치 이념의 강도와 집권정당과의 이념 거리가 시위 참여에 미치는 영향에 주목한다. 구체적으로 정치 이념의 강도가 높을수록 시위 참여 가능성이 높다는 가설을 제시한다. 또한 개인의 주관적 정치 이념과 집권정부의 이념적 정향 사이의 정치적 이념 거리가 멀수록 시위 참여 가능성이 증가한다는 가설을 제시한다. 한국종합사회조사의 2004년, 2009년, 2014년, 2018년 설문조사를 이용하여 연구가설을 경험적으로 검토했다. 이를 통해 정치 이념의 방향보다 이념의 강도가 한국의 시위 참여가능성에 주요한 영향을 미친다는 것을 검증하였다. 또한 개인수준의 주관적 정치 이념과 거시수준의 집권정부의 이념적 정향을 결합한 정치적 이념 거리가 개인의 최근 1년 이내 시위 참여에 미치는 효과를 검증했다.

PbO-SiO_2계 유리에서의 유동 특성

차재민,김웅식,송현진,이병철,류봉기 釜山大學校生産技術硏究所 2002 生産技術硏究所論文集 Vol.61 No.-

유리에 관한 연구에 있어 점도는 가장 중요한 특성중의 하나로 여겨지며, 용융 상태, 작업 온도, 서냉 온도 또는 결정화 속도에 등과 같은 인자와도 크게 관계가 있다. 특히 각기 다른 조성을 가진 유리에서도 점도는 매우 다양하며, 온도에 크게 영향을 받는다. PbO-SiO_2 이성분계 유리에서는 PbO가 첨가됨에 따라 점도의 온도의존성이 커지고 표면장력이 감소하였다. 온도와 시간에 따른 spreading ratio를 비교한 결과 PbO의 함량이 증가함에 따라 유동성이 증가하였고 온도에 따른 유동성의 증가율도 크게 증가하였다. 그리고 일정한 온도에서 시간의 경과에 따른 유동성의 증가율은 감소하였다. The viscosity of a glass is one of the most important properties. It determines the melting conditions, the temperatures of working and annealing, fining behavior and devitrification rate. The viscosities of different glasses vary enormously with composition and are strong functions of temperature. On adding PbO in the PbO-SiO_2 binary system, the temperature dependence of the viscosity was large, the surface tension decreased. In the temperature and time dependence of spreading ratio, the spreading ratios of glass increased with increase PbO content and the rate in its increase decreased with time at constant temperature.

MPLS의 GSMP 인터페이스에 관한 연구

차영욱,김진년,백현규 安東大學校 工業技術硏究所 2001 공업기술연구논문집 Vol.8 No.1

계층 3의 라우팅과 계층 2의 레이블 스위칭 기술을 통합한 MPLS는 고속의 전달, 트래픽 엔지니어링 그리고 가상 사설망 서비스의 지원을 가능하게 한다. 레이블 스위치 및 제어기 사이에서 동작하는 GSMP 프로토콜을 연결, 구성, 장애, 성능관리 및 동기화 기능을 제공하는 개방형 인터페이스이다. 개방형 인터페이스는 다양한 융통성을 제공하는 반면에 전통적인 스위치-대-스위치 연결설정에 비하여 지연을 감수하여야 한다. GSMP 기반의 개방형 인터페이스에서 망 관리를 위한 SNMP에이전트는 레이블 스위치 또는 제어기에 탑재될 수 있다. 본 논문에서는 MPLS네트워크의 전달평면과 제어평면사이에 적용된 GSMP 인터페이스에서 병렬형 연결설정 방안과 망 관리 모델에 대하여 제안하였다. MPLS, which integrates routing of layer 3 and switching of layer 2, enables support of fast forwarding, traffic engineering and virtual private network services. GSMP is open interface, which provides connection, configuration, event and performance management and adjacency protocol between label switch and controller. The GSMP open interface separates control plane and transport plane. This separation allows flexibility in the network, but it suffers more setup delay than the traditional switch-by-switch connection setup. In the GSMP open interface, the functions of network management will be located either in controller or in label switch. This paper proposes parallel mechanism of connection establishment and network management model, in which the GSMP open interface is applied between control plane and transport plane of the MPLS network.

성장기 아동에서 Cervical Headger 사용시 골격적 변화 양상에 대한 연구

현하영,이진우,차경석 대한치과교정학회 1996 대한치과교정학회지 Vol.26 No.5

성장기 아동의 Class II 부정교합에서 과도한 성장의 억제, 미약한 성장의 촉진으로 성장 시기에 적절히 치료하는 것이 가장 효과적이며 좋은 치료 방법이다. 이러한 방법 중 가장 적절히 쓰이는 장치 중 Cervical headgear의 사용을 들수 있으며 악골에 효과적으로 적용된다. 그러나 장치의 부작용이라 할 수 있는 수직적 성장의 과잉을 볼 수 있는데 이에 대해 많은 서학들의 연구가 시행되어 왔다. 본 연구는 Cervial headgear의 상하악골에 대한 효과를 분석하고 Lower facial height를 기준으로 증가군(>0)과 증가하지 않은 군 ( ≤0)으로 나누어 골격적 특성을 알아보기 위해 단국대학교 부속 치과병원에 내원한 성장기 아동의 II급 부정교합환자 25명을 대상으로 cervical headgear를 사용한 결과 다음과 같이 다소의 지견을 얻었기에 보고하는 바이다. 1. 상악골의 전방 성분이 억제되었고, 구개 평면의 전방이 하방으로 tipping되었으며 상악 제 1대구치의 후방 이동이 있었다. 2. 하악골의 두개저에 대한 상대적인 전방 이동이 있었으며 상악에 대한 하악 제1대구치의 상대적인 전방 이동이 있었고 하악골의 alveolar growth에 의한 수직적인 증가가 있었다. 3. 전안면 고경과 후안면 고경이 각기 유의하게 증가했으나 안면 고경 비율에는 유의성이 없었다. 4. Lower facial height가 증가한 group이 증가하지 않은 group보다 ramus의 길이가 짧고 palatal plane angle이 더 작았으며 상악 제 1대구치의 후방 이동량이 더 많았다. This study was to investigate the horizontal & vertical bone change pattern when using cervical headgear in Class II malocclusion of growing children and compared the skeletal features between the group with increased lower facial height and the group without increase in lower facial height. The results are as follows ; 1. Forward growth of maxilla was inhibited, downward tipping of anterior palatal plane could be seen and distal movement of maxillary first molar was observed. 2. There was relative forward movement of Mandible against the Maxillary cranial base, and relative forward movement of mandibular 1st molar against the Maxilla and vertical increase due to alveolar growth of Mandible. 3. There was significant increase in anterior and posterior facial heights but the ratio of facial height showed no significant difference. 4. The group with increased lower facial height has shorter ramus length, than the smaller palatal plane angle, and more distal movement of Maxillary 1st molar than the group without increase Ha-young Hyun.

위암의 근치절제술 후 생존율과 예후인자

차윤정,박진영,장정환,김성환,김권천,조현진,민영돈 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.1

Background and Objectives: Gastric cancer is still the leading cause of cancer death in Korea, and surgery remains the only method of treatment that offers the potential for a cure. Purpose: The aims of this study are to examine the outcome of the patients with gastric adenocarcinoma who underwent curative resection and to identify the prognostic factors leading to improved survival rates in these patients. Materials and Methods: The medical records of 278 patients with gastric adenocarcinoma, treated curatively at the Chosun University Hospital between January 1990 and December 1994, were reviewed retrospectively from January 2000 to March 2000. Follow-up was obtained for 250 patients(89.9%). The survival rates were calculated by the Kaplan-Meier method, and the significance of differences between patient factors(age and sex), tumor factors(location, size, gross type, tumor depth, lymph node metastasis, and stage) and treatment factors(operation method and reconstruction type) were evaluated statistically by the log-rank test. Results: The overall five-year survival probability was 59.6%. There was no survival difference according to age and sex. The 5-year survival rates according to the tumor depth were 97.0% for Tl, 74.5% for T2, 39.6% for T3, and 23.1% for T4(p=0.0000); to the lymph node metastasis were 81,4% for N0, 51.9% for N1, and 21.2% for N2(p=0.0000); to the TNM stage were 96.7% for stage I a, 79.5% for stage I b, 68.8% for stage II, 52.9% for stage III a, 25.9% for stage III b, and 7.5% for stage IV(p=0.0000). Other statistically significant differences were shown in tumor location, size, gross type, operation method, and reconstruction type after subtotal gastrectomy. Conclusion: The most definitive prognostic factors affecting the survival rate of gastric adenocarcinoma were tumor depth, lymph node metastasis, and tumor stage. The keys to successful outcome includes early diagnosis and curative resection with radical lymph node dissection at early stage as possible.

자동 경계 탐지(Automated Border Detection)심초음파도를 이용한 좌심방 면적 및 기능의 평가

김현주,주승재,임진형,정효균,이영수,유호대,차태준,이재우 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.2

주요 식이섬유질원이 첨가된 식이가 노화 흰쥐의 장내효소 및 유해산물에 미치는 영향

강어진,이상선,양차범,신현경 한국식품영양학회 1998 韓國食品營養學會誌 Vol.11 No.5

한국에서 주로 섭취되고 있는 주요 식이섬유질원으로서 장내 유익균의 생육을 촉진한다고 알려진 사과, 미역, 쑥, 머위를 천연 형태로 건조분말화하여 식이내에 5%, 15%가 되게 첨가한 후 노화가 진행된 흰쥐에게 4주간 급여하였다. 그 결과 β-glucuronidase는 셀를로스군과 미역 15% 첨가군에서 가장 낮은 활성을 나타냈으며 β-glucuronidase의 경우는 쑥 15% 첨가군에서 유의적으로 현저한 증가를 보였다. 부패산물인 인돌 함량 변화는 쑥 섭취군에서 현저하게 낮은 경향을 보여 β-glucuronidase와는 다른 양상을 보였다. 수분함량은 미역섭취군과 쑥5%, 머위15% 섭취군에서 높았으며 pH는 쑥 15% 섭취군이 가장 낮은 값을 보여주었다. 쑥 15% 섭취군이 장내균총 조성을 개선시킬 수 있을 것으로 보고되어 그 유의성을 밝히고자 하였으나 본 실험에서는 부패산물, 유해효소등과 장내균총의 조성과의 뚜렷한 관계는 발견하지 못하였다. This study was performed to investigate the influence of various dietary fiber sources in Korea for activities of bacterial enzymes (β-glucosidase, β-glucuronidase) and amounts of putrefactive product (indole) in aged rats β-Glucosidase activity in the intestinal content was significantly lower in the sea mustard 15% group than in other groups whereas the activity of β-glucuronidase was higher in the mugwort 15% group than other experimental groups. The amount of indole and pH in the intestinal content of aged rats were significantly lower in mugwort groups than in other groups.

피로와 의료이용, 업무상 사고 및 질병결근

장세진,고상백,강동묵,김성아,정진주,이철갑,강명근,현숙정,조정진,차봉석,박종구 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemo-graphics, job-related factors, health-related behaviors, personality trait, self=perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence. Results: In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar worker's adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22-1.66) and highest quartile (OR:1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers. Conclusion: This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.