요추 수술 예정 환자에서 실시한 선택적 신경근 차단술의 5년 추시 결과

심대무(Dae Moo Shim),김태균(Tae Kyun Kim),오성균(Sung Kyun Oh),최윤홍(Yun Hong Choi),이석중(Suk Jung Lee) 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.1

목적: 하지 방사통을 호소하는 환자의 수술 준비 과정에서 선택적 척추 신경근 차단술을 실시하고, 그 효과가 얼마나 오래 유지되는지를 알아 보고자 5년 이상 추시된 환자를 대상으로 분석하여 그 결과를 보고 하고자 한다. 대상 및 방법: 2000년 1월에서 2000년 12월까지 하지 방사통으로 타 병원 혹은 본원에서 수술적 치료를 권유받은 환자 중 수술 준비 과정에서 진단 및 치료 목적으로 선택적 척추 신경근 차단술을 시행한 환자를 대상으로 하였으며, 이중 5년 이상 추시가 가능하였던 69예를 대상으로 하였다. 결과분석은 진료기록부와 전화 인터뷰를 통해 하였으며. 신경차단술 시행군과 수술을 시행한 군의 치료결과 분석은 Kim's criteria (김의 평가기준), VAS(Visual analog scale) score를 이용하였다. 결과: 연구 대상 환자 69예 중 37예에서는 차단술 후에 증상 호전이 없어 수술을 시행하였고, 32예에서는 신경차단술 만으로 증상호전 되었다. 젊은 사람(60세 미만)에서 보존적 요법보다는 수술을 하는 경향이 많았으며, 이환 기간이 길수록(6개월 이상) 신경근 차단술 보다는 수술하는 경우가 높았다. 차단술 만으로도 호전된 32예의 환자 추시 결과상 다른 치료 없이 증상 호전이 지속되었던 환자는 17예(24.6%)였고 증상이 재발하여 추가 치료를 필요로 한 환자는 15예이었다. 이중 4예는 수술적 치료를 시행하였다. 결론: 수술이 예정된 하지 방사통 환자를 대상으로 수술 준비 기간 동안에 신경근 차단술을 시행하여 그 중 일부에서는 장기 추시에서도 증상 호전이 지속 되었다. 따라서 신경차단술은 수술 전에 한번 시도해 볼 만한 방법 중의 하나로 사료된다. Purpose: To evaluate the effectiveness of a selective nerve root block (SNRB) in patients with sciatica before surgery through a more than 5 year follow up. Materials and Methods: Between January 2000 and December 2000, patients with sciatica, who were recommended to undergo surgery to diagnose and treat sciatica by other clinics or at our hospital, were selected to undergo SNRB before surgery. Among them, 69 patients were followed up for 5 years. The analysis was based on the patients' medical records and telephone interviews, and the treatment results in the SNRB group and operation group were analyzed using Kim's criteria and the Visual Analog Scale score. Results: Among the 69 patients, there was no improvement in symptoms in 37 patients after SNRB. Therefore, they underwent surgery. The symptoms of the remaining 32 patients were improved by SNRB. Overall, younger patients and those with a longer symptom duration required surgery. Conclusion: SNRB was performed on patients with sciatica who were scheduled to undergo surgery. Some patients showed improvement in their symptoms in the long term. Therefore, SNRB should be considered as a treatment option prior to surgery.

디스크 레이저를 이용한 순 타이타늄의 비드용접시 비드색에 따른 용접특성

김지성(Ji-Sung Kim1),박수한(Su-Han Park),송무근(Moo-Keun Song),김종도(Jong-Do Kim) 한국마린엔지니어링학회 2018 한국마린엔지니어링학회지 Vol.42 No.7

Effect of Hydride Reorientation on Delayed Hydride Cracking In Zr-2.5Nb Tubes

Yun Yeo Bum,Kim Young Suk,Im Kyung Soo,Cheong Yong Moo,Kim Sung Soo Korean Nuclear Society 2003 Nuclear Engineering and Technology Vol.35 No.6

The objective of this study is to investigate the reorientation of hydrides with applied stress intensity factor, the peak temperature and the time when to apply the stress intensity factor in a Zr-2.5Nb pressure tube during its thermal cycle treatment. Cantilever beam (CB) specimens with a notch of 0.5 mm in depth made from the Zr-2.5Nb tube were subjected to electrolytic hydrogen charging to contain 60 ppm H and then to a thermal cycle involving heating to the peak temperature of either 310 or $380^{\circ}C$, holding there for 50 h and then cooling to the test temperature of $250^{\circ}C$. The stress intensity factor of either 6.13 or $18.4\;MPa\sqrt{m}$ was applied at the beginning of the thermal cycle, at the end of the hold at the peak temperatures and after cooling to the test temperature, respectively. The reorientation of hydrides in the Zr-2.5Nb tube was enhanced with the increased peak temperature and applied stress intensity factor. Furthermore, when the CB specimens were subjected to $18.4\;MPa\sqrt{m}$ from the beginning of the thermal cycle, the reoriented hydrides occurred almost all over the Zr-2.5Nb tube, surprisingly suppressing the growth of a DHC crack. In contrast, when the CB specimens were subjected to the stress intensity factor at the test temperature, little reorientation of hydrides was observed except the notch region, leading the Zr-2.5Nb to grow a large DHC crack. Based on the correlation between the reorientation of hydrides and the DHC crack growth, a governing factor for DHC is discussed along with the feasibility of the Kim's DHC model.

Physical and chemical Effects on the sonication Treatment of chitosan solution

Lee, Keun Tai,Park, Seong Min,Park, Chan Kyu,Kim, Sang Moo 한국키틴키토산학회 1997 한국키틴키토산학회지 Vol.2 No.2

물리적 방법을 이용한 키토산 올리고당의 제조에 관한 기초 자료를 제시하기 위하여 키토산용액을 20kHz의 초음파로 처리하였으며, 초음파 처리 효과에 미치는 처리 조건의 영향을 조사하였다. 키토산 용액의 고유점도는 초음파 처리 5분까지는 급속하게 감소하였고 그 이후로는 서서히 감소하였다. 키토산 용액의 부피가 작을수록 초음파 처리효과는 컸으며, 키토산 용액의 온도는 초음파 처리에 별다른 효과가 없는 것으로 나타났다. 5분간 초음파 처리 후의 점도는 용매의 종류에 따라 큰 차이가 없었으나, acetate buffer의 경우 초음파 처리효과가 가장 컸다. pH가 높을수록 초음파 처리효과는 크게 나타났으며, 이온강도와 염의 종류에 따른 효과는 나타나지 않았다. 이상의 결과에서, 용액의 부피는 10~20ml, 온도는 20~30℃, 용액의 pH는 4.5, 그리고 용매의 종류는 acetate buffer로 하는 것이 최적 초음파 처리조건으로 추정된다. As the first step of studies related to production of chitooligosaccharides by physical methods, chitosan solution were sonicated with 20kHz and various treatment effects were examined to present fundamental data of sonicated chitosan solution. Intrinsic viscosity of chitosan solution sharply decreased from 3.76dl/g to 2.90dl/g until 5 minutes of sonication and then slowly decreased. With low volume of chitosan solution, sonication was very effective and temperature of chitosan solution slightly affected the efficiency of sonication. In case of changing the solvent, no significant differences were observed on the effect of sonication, however, acetate buffer had highest sonication effect among various solvents. The sonication effect was increased as the increasement of the value of pH, on the contrary, ionic strength and type of counterions showed no effect on sonication, With these results, we assumed that optimal sonication treatment would be as follows, solution volume was 10 ~20ml, temperature range was 20~30℃ , pH value of solution was 4.5 and type of solvent was acetate buffer

A compact and scalable fabrication method for robust thin film composite membranes

Kim, Ji Hoon,Cook, Marcus,Park, Sang Hyun,Moon, Sun Ju,Kim, Jeong F.,Livingston, Andrew G.,Lee, Young Moo The Royal Society of Chemistry 2018 Green chemistry Vol.20 No.8

<P>Membrane-based liquid filtration systems have been highlighted as a key green process engineering platform for process intensification. While these systems have been successfully commercialized in desalination and micro/ultra/nanofiltration, it is yet challenging to expand the limited operating conditions (ambient temperature in an aqueous environment) of the currently available membranes, and to solve the exacerbating environmental burden during the fabrication of polymeric membranes. Herein, a new green and compact fabrication method is proposed for both (i) fabricating a robust membrane that can function beyond the typical operating conditions of conventional membranes and (ii) minimizing waste creation and production time. In this work, contrary to the conventional phase inversion method, a spray-coating technique was employed to fabricate a thin composite membrane with high temperature stability and fast solvent permeability. The proposed compact fabrication method can reduce the carbon footprint and the usage of polymers and solvents more than twofold, and eliminate the time-consuming coagulation and washing steps, both of which generate an enormous amount of solvent-contaminated wastewater (up to 50 billion liters per year). Furthermore, the process used dimethyl sulfoxide to bypass conventional <I>N</I>,<I>N</I>-dimethylformamide and <I>N</I>-methyl-2-pyrrolidone as a green solvent, and can simultaneously fabricate a membrane ready to use within a half-day. The resulting membrane exhibited remarkable stability and performance for the separation of solutes in <I>N</I>,<I>N</I>-dimethylformamide, even at elevated temperatures not feasible with conventional polymeric membranes, and so it is a candidate for potential use in the pharmaceutical and fine chemical industries.</P>

Preparation of Ion Exchange Membranes for Fuel Cell Based on Crosslinked Poly(vinyl alcohol) with Poly(acrylic acid-co-maleic acid)

Kim, Dae-Sik,Park, Ho-Bum,Lee, Chang-Hyun,Lee, Young-Moo,Moon, Go-Young,Nam, Sang-Yong,Hwang, Ho-Sang,Yun, Tae-II,Rhim, Ji-Won The Polymer Society of Korea 2005 Macromolecular Research Vol.13 No.4

Crosslinked poly(vinyl alcohol) (PVA) membranes were prepared at various crosslinking temperatures using poly(acrylic acid-co-maleic acid) (PAM) containing different PAM contents. The thermal properties of these PVA/PAM membranes prepared at various reaction temperatures were characterized using differential scanning calorimetry (DSC). The proton conductivity and methanol permeability of PVA/PAM membranes were then investigated as PAM content was varied from 3 to 13 wt%. It was found that the proton and methanol transport were dependent on PAM content in their function both as crosslinking agent and as donor of hydrophilic -COOH groups. Both these properties decreased monotonously with increasing PAM concentration. The proton conductivities of these PVA/PAM membranes were in the range from $10^{-3}\;to\;10^{-2}S/cm$ and the methanol permeabilities from $10^{-7}\;to\;10^{-6}cm^{2}/sec$. In addition, the effect of operating temperature up to $80^{\circ}C$ on ion conductivity was examined for three selected membranes: 7, 9 and 11 wt% PAM membranes. Ion conductivity increased with increasing operating temperature and showed and S/cm at $80^{\circ}C$, respectively. The effects of crosslinking and ionomer group concentration were also examined in terms of water content, ion exchange capacity (IEC), and fixed ion concentration. In addition, the number of water molecules per ionomer site was calculated using both water contents and IEC values. With overall consideration for all the properties measured in this study, $7{\sim}9\;wt%$ PAM membrane prepared at $140^{\circ}C$ exhibited the best performance. These characteristics of PVA/PAM membranes are desirable in applications related to the direct methanol fuel cell (DMFC).

[구연17]Possible role of undifferentiated bone marrow cells from ROSA26 mice to contribute for forming molar tooth; understanding for tooth transplantation

Sung-Won Cho,Jae-Young Kim,Heui-Jung Hwang,Chae-Sun Im,Doo-Hwa Kang,Tae-Joon Gil,Hun-Moo Yang,Han-Sung Jung 대한체질인류학회 2004 대한체질인류학회 학술대회 연제 초록 Vol.47 No.-

A robust thin film composite membrane incorporating thermally rearranged polymer support for organic solvent nanofiltration and pressure retarded osmosis

Kim, Ji Hoon,Moon, Sun Ju,Park, Sang Hyun,Cook, Marcus,Livingston, Andrew G.,Lee, Young Moo Elsevier 2018 Journal of membrane science Vol.550 No.-

<P><B>Abstract</B></P> <P>Thin film composite (TFC) polymer membranes are ubiquitous in membrane-based liquid separation processes, especially in reverse osmosis (RO). While the ultrathin polyamide separating layer employed in TFC membranes has exhibited excellent performance in many liquid separation processes, the polymer support has been identified as a bottleneck to practical applications. In this work, we report a highly porous, thermally and chemically robust support comprising a thermally rearranged polymer which is combined with a polyamide active layer to form a thermally rearranged, thin film composite (TR-TFC) polymer membrane for general use in liquid separation, and for environmentally-friendly power generation. The precursor polymer has good processability for scale-up of synthesis and membrane fabrication. After thermal rearrangement, the developed TR-TFC membranes containing polybenzoxazole-<I>co</I>-imide can be utilized in separations in any organic liquids, including under harsh environments such as dimethyl formamide even at elevated temperatures, with a remarkable performance. Moreover, the membrane achieves 40Wm<SUP>−2</SUP> of power density through pressure retarded osmosis using a concentrated brine, similar to those obtained from RO plants. These results points to the possibilities for next-generation TFC polymer membranes for general use in liquid separation and power generation.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Robust thermally rearranged nanofibrous membrane was prepared as a substrate for TFC. </LI> <LI> TFC membranes withstand harsh conditions and reduce internal concentration polarization. </LI> <LI> TFC membrane exhibited outstanding performance in both OSN and PRO test. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

A Prospective Multicenter Trial of the Efficacy and Tolerability of Neoadjuvant Sunitinib for Inoperable Metastatic Renal Cell Carcinoma

Kim, Sung Han,Seo, Seong Il,Lee, Hyun Moo,Choi, Han-Yong,Jeon, Seung Hyun,Lee, Hyung-Lae,Kwon, Tae Gyun,Kim, Yong-June,Kim, Wun-Jae,Chung, Jinsoo The Korean Academy of Medical Sciences 2016 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.31 No.12

<P>This study aimed to evaluate the efficacy, safety, and tolerability of 2-cycled neoadjuvant sunitinib therapy (NST) in patients with inoperable metastatic renal cell carcinoma (mRCC). Between 2009 and 2012, 14 patients with inoperable mRCC from 5 Korean academic centers were prospectively enrolled after collecting their clinicopathological data and completing health-related questionnaires. The best overall response (BOR), safety profile, and changes in quality of life during NST were assessed using the RECIST criteria (version 1.0), CTCAE criteria (version 4.0), and the Cancer Quality of Life Questionnaire (QLQ-C30). Among the 14 patients, 9 patients (64.3%) experienced partial response or stable disease state, and 5 patients (35.7%) did not complete treatment, with 1 case of disease progression (7.1%), 3 grade 3 adverse events (21.4%), and 1 voluntary withdrawal (7.1%). Four patients (28.6%) were successfully converted to an operable state and underwent surgery after NST. The BOR for the primary renal lesions was 22.2%, with a median 1.3-cm diameter reduction (range: 0–2.8 cm) from a baseline diameter of 10.3 cm (range: 6.6–15.8 cm). The other 18 measurable metastatic lesions exhibited a BOR of 55.6%. The QLQ-C30 questionnaire results revealed significant improvements in the quality of life domain, although we observed significant increases in the scores for fatigue, nausea and vomiting, and the financial effects of NST (<I>P</I> < 0.05). Two-cycle NST provided limited efficacy for resectability of inoperable mRCC, despite mild improvements in the BOR of the primary lesion and quality of life (Clinical Trial Registry 1041140-1).</P>

Poly(ether-ester) Multiblock Copolymers Based on Poly(oxymethylene-alt-oxyalkylene) Glycols

Kim, Jin-Bong,Chun, Jae-Hwan,Kim, Dong-Hee,Park, Yun-Hee,Lee, Moo-Sung The Polymer Society of Korea 2002 Macromolecular Research Vol.10 No.4

Alternating polyols of oxymethylene and oxyalkylene were synthesized and used as precursors for thermoplastic poly(ether-ester) elastomers (TPEs). The polyols were synthesized by reacting diols having different methylene units with dichloromethane in the presence of a phase transfer catalyst. The number of methylene units in the alkylene oxides was varied from 3 to 6. TPEs were prepared using the polyols as soft segments and poly(butylene terephthalate) units as hard segments. The polyols and TPEs synthesized were characterized using FTIR, NMR, GPC, DSC, and polarized optical microscopy. The polyols showed a profound odd-even effect on the melting (T$_{m}$) and glass transition temperatures (T$_{g}$). Polyols with odd numbers of methylene groups in the alkylene units have higher transition temperatures than polyols with odd number of methylene groups. The tendency is still kept in TPEs, even though the T$_{g}$ of soft segment in TPEs are slightly higher than those of corresponding neat polyols. The T$_{m}$ and T$_{g}$ of soft segments are almost constant in the range of 20 to 60 wt % contents of soft segments. On the other hand, the normalized heat of fusion of hard segment decreased with increasing the content of loft segment.ent.t.ent.