내시경적 절제로 진단된 폴립 형태의 심재성 낭종성 위염 2예

허종현,조영화,성용완,유재훈,구동영,김갑식,노지훈,문원 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Gastritis cystica profunda (GCP) is a disease characterized by hyperplastic and significant extension of cystic dilatation of the gastric mucous glands, which results in a cystic lesion in gastric submucosa. It often occurs on the part of gastroenterostomy, but can be found in the stomach without any previous surgery. GCP has variable gross finding including solitary polyps, diffuse ones, submucosal tumors, and rare giant gastric mucosal fold. It is difficult to tell GCP from a cancerous lesion by gross finding that the disease demands a necessary tissue biopsy, though GCP is commonly showed as a benign in the progress. We report a case of GCP in polypoid types diagnosed by endoscopic polypectomy.

조선업의 작업환경측정결과를 이용한 노출평가의 문제점과 해결방향 : 유사노출군을 중심으로

노영만,임현우,김석일,박효만,정재열,박숙경,김현욱,정치경,이원철,김정만,김수근,고상백,Karl Siber,김은아,최정근 한국산업위생학회 2001 한국산업보건학회지 Vol.11 No.2

Statistical approaches for analysis of data from the limited number of samples in ship building industry(SBI) collected by an industrial hygienist for checking compliance to an occupational standard were considered. Sampling for com-pliance usually has been guided by judgment selection, rather than true randomness, resulting in the creation of compliance samples which approximate a censored sample from the upper tail of the exposure distribution. Similar exposure groups(SEGs) including welding and painting process were established to assess representative values in each groups after reviewing the whole production line in SBI. For the convenient statistical approaches, the code has assigned to each SEGs. The descriptive statistics and probability plotting were used to yield the representative values in each SEGs. In the first step, SEGs of 558 were established from 5 ship building companies, The 38 SEGs showed the uncertainty are divided into each 5 companies and assessed the repre-sentative values again. The 44 SEGs in each companies was not showed the normal and lognormal distribution was analyzed each data. And also, recommendation was suggested to resolve the uncertainty in each groups.

벤지딘계 염료제조 사업장 근로자의 벤지딘 폭로

노재훈,안연순,김규상,김치년,김현수 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.2

To evaluate the differences of benzidine exposure patterns of the workers in two benzidine-based dye manufacturing factories, the concentration of benzidine in air, blood and urine were measured. The air levels of benzidine dihydrochloride and benzidine-based dye were measured by high performance liquid chromatography with ultraviolet detector. Blood samples were collected at 3 hours after exposure and urine samples were collected at the end of shift. Blood and urine samples were analyzed by high performance liquid chromatography with electrochemical detector. The level of benzidine in reaction process (input, diazotization, and coupling) was 0.381±7950g/㎥. The blood benzidine was deteced in 25 workers among 38 in reaction process and their mean levels were 0.0153±.0376 ng/mg Hb. The urinary benzidine was detected for 11 workers among 38 workers in the reaction process. The level of benzidine-based dye in drying and packing process was 52.1748±14.4111g/㎥. The blood benzidine was deteced in 6 workers among 38 in drying and packing process and their mean levels was 0.0062±.0274 ng/mg Hb. The urinary benzidine was detected for 1 worker among 38 workers exposed to benzidine-based dye. The blood and urinary benzidine were detected in workers exposed to benzidine-based dye. Such results suggested that some part of benzidine-based dye was metaboized to benzidine. Therefore, some regulations for manufacturing and use of the benzidine-based dye are needed to prevent its hazards in industries.

염화비닐 노출 근로자의 시료채취시기에 따른 요중 thiodiglycolic acid의 농도 변화

김현수,김치년,원종욱,차봉석,이경종,노재훈 大韓産業醫學會 2006 대한직업환경의학회지 Vol.18 No.2

목적: 본 연구는 염화비닐 및 폴리염화비닐수지 제조공장의 VCM 노출 근로자들을 대상으로 소변 시료채취 시기에 따른 요중 TDGA 농도의 변화를 알아보고자 하였다. 방법: VCM 및 PVC 제조공장 남성 근로자 31명을 대상으로 공기중 VCM 개인노출평가를 실시하였으며 소변내 TDGA 배설 양상을 알아보기 위해 3일 휴식 후 척 작업 시작 전(TDGA1), 1일 작업종료 후(TDGA2), 1일 작업 한 다음날 작업 전(TDGA3) 소변을 채취하였다. VCM에 노출되지 않은 대조군 30명에 대해 작업종료 후 소변을 채취하였다. 공기 중 VCM의 측정 및 본석은 NIOSH 공정시험법 No. 1007에 따라 실시하였다. 요중 TDGA 분석을 위하여 소변을 trimethylsilyldiazomethane(2.0 M in diethyl ether)으로 메틸화 반응하여 가스크로마트그래피/펄스불꽃광도검출기로 분석하였다. 결과: VCM 노출 후 요중 TDGA가 배설되어 감소하는 시기를 조사하기위해 대조군과 VCM 노출 근로자들의 3일 휴식 후 작업 시작 전 요중 TDGA 농도 (TDGA1)를 비교한 결과 각각 0.179±0.271 mg/g creatinine, 0.218±0.443 mg/g creatinine으로 통계학적으로 유의한 차이가 없었다. 1일 작업 종료 후 요중 TDGA 농도(TDGA2)는 0.434±0.623 mg/g creatinine, 1일 작업 한 다음날 작업전 요중 TDGA 농도(TDGA3)는 0.767±1.056 mg/g creatinine으로 순차적으로 증가하였다. 하루 노출량을 평가하기 위해 공기 중 VCM 농도와 요중 TDGA와의 단순회귀분석 결과 1일 작업한 다음날 작업 전 요중 TDGA 농도(TDGA3)와 공기 중 VCM 농도와의 관련성은 R^(2)=0.4215로 1일 작업종료 후 요중 TDGA 농도(TDGA2)보다 높았다. 결론: VCM 노출 후 3일이 경과하면 대조군의 요중 TDGA 농도 수준으로 감소하여 요중 TDGA의 배설 반감기가 3일 이내인 것으로 판단된다. 또한, 하루 근무하고 그 다음날 작업 전에 채취한 요중 TDGA 농도(TDGA3)가 전날 근무시의 VCM노출량과 상관성이 가장 높아 하루 동안의 VCM노출을 평가하기 위한 유용한 생물학적 지표로 사용할 수 있을 것으로 판단된다. Objectives: The study was performed to investigate the changes of urinary thiodiglycolic acid (TDGA) concentration in workers exposed to vinyl chloride monomer (VCM) according to the time of sampling urine. Methods: The personal exposure to airborne VCM was assessed and urinary TDGA concentration was sampled in 31 workers employed in a VCM and polyvinyl chloride (PVC) manufacturing factory. Urinary TDGA was sampled three times: before the start of the shift after 3 days off (TDGA 1), after the end of the first-day shift (TDGA2) and before starting the following day shift after completing the one- day shift (TDGA3). Urinary TDGA in 30 workers who had not been exposed to airborne VCM was sam- pled after the end of the shift. A gas chromatography/pulsed flame photometric detector (GC/PFPD) was utilized to analyze TDGA concentration in urine after the urine was methylated with trimethylsilyldia- zomethane (2.0M in diethyl ether). Results: The creatinine level was 0.179±0.271 mg/g in the control workers and 0.218±0.443 mg/g in the workers before the start of the shift after 3 days off (TDGA1), showing no significant difference (p=0.7035). Urine samples were compared according to sampling time in order to investigate the change of urinary TDGA concentration in the case of continuous exposure to airborne VCM. In VCM-exposed workers, urinary creatinine concentration was 0.434±0.623 mg/g in TDGA2 and 0.767±1.056 mg/g in TDGA3, which indicated a gradual but significant increase (p=0.024). In terms of the statistical correlation between airborne VCM and urinary TDGA to evaluate exposure dose per day, of the three urinary TDGA concentrations, TDGA3, showed the highest degree of regression (R^(2)=0.4215) with 8h-TWA airborne VCM concentration. Conclusion: Based on this result, the excretion half-life of urinary TDGA was assumed to be less than 3 days, because the concentration of urinary TDGA at 3 days after exposure to airborne VCM was decreased to the level of urinary TDGA concentration in the control workers. The concentration of urinary TDGA increased in the case of continuous shift, due to the accumulation of residual metabolites of TDGA. It was considered that TDGA3 can be applied as a useful biological index to evaluate the exposure dose of airborne VCM during one day because TDGA3 showed the highest correlation with the exposure dose of airborne VCM in the previous shift day.

내시경적 밴드 결찰술로 치료한 출혈을 동반한 위 혈관이형성증 1예

김갑식,허종현,성용완,조영화,구동영,유재훈,노지훈,문원 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Gastric angiodysplasia is vascular ectasia in mucosa and submucosa of the gastric wall. It is an uncommon cause of upper gastrointesinal hemorrhage that may occur in the stomach or duodenum. There are many kinds of endoscopic treatments, such as argon plasma coagulation, electrocoagulation, heat probe, and submucosal injection of hypertonic saline mixed with epinephrine for gastric angiodysplasia. However, these treatment methods are associated with high rate of rebleeding. In order to avoid the recurrence, endoscopic band ligation has recently been used as an alternative method for endoscopic treatment of gastric angiodysplasia. We encountered a case of gastric angiodysplasia that presented with overt bleeding and anemia, and was successfully treated with endoscopic band ligation.

CSVT법에 의해 증착시킨 CdS 박막의 전기적 특성

김화민,최제헌,이병로,김태만,윤대현 대구효성가톨릭대학교 자연과학연구소 1991 基礎科學硏究論集 Vol.1991 No.1

CSVT법에 의해 증착시킨 CdS 박막의 전기적 특성 및 열전기 특성을 조사하기 위하여 시료의 X-선 회절, 직류 전기전도도, Hall 이동도 그리고 TSC를 측정하였다. 그 결과 CSVT 법에 의해 제작된 CdS 박막이 보통중착법에 의한 것에 비하여 결정성장이 향상되고 Hall 이동도가 크며 저항이 작다는 것을 알았다. 또한 TSC 측정결과, 광조사 조건에 따라 TSC 피크가 다르게 나타나며 이러한 피크 특성은 photochemical reaction model로서 설명될 수 있고, 그리고 제작조건이 다른 두 CdS 박막에서 나타나는 TSC 피크의 비교로부터 CSVT법에 의해 제작된 시료가 보통증착법에 의한 것보다 상온 이상에서의 photochemical reaction 효과 적음을 알 수 있다. To investigate electrical property and thermally stimulated current (TSC) for the CdS films which were grown by close-spaced vapor transport (CSVT), the measurements of X-ray diffraction pattern (XRD), d.c. conductivity, Hall mobility and TSC were carried out. Form the result of the measurements, CSVT-CdS films are found to be better oriented and to be less resistive with better mobility as compared with the films evaporated by the conventional method. TSC spectra under illumination conditions show different TSC peaks. These can be explained by photochemical reaction model. The result suggests that the effect of photochemical reaction above room temperature is to be less than conventional evaporated films in the case of CSVT-CdS films.

일부 의료서비스업 VDT작업자의 상지 근골격계 증상의 정도와 관련된 요인

김형렬,원종욱,송재석,김현수,김치년,노재훈 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.2

목적: 본 연구는 상지 근골격계 질환의 유병율이 높은 집단으로 알려진 VDT작업자를 대상으로 이들의 근골격계 통증을 정량화하고, 정량화된 통증점수를 종속변수로 하여, 이와 관련성을 갖는 작업요인, 사회심리적 요인을 파악하고자 하였다. 방법: 서울지역에 위치한 1500병상 규모의 대학병원에 근무하고 단말기 작업을 주로 수행한다고 알려진 부서에 대해 병원내 안전관리과와 협의를 거쳐 163명을 연구대상으로 선정하였다. 이중 138명이 설문에 참가하였고, 이들을 최종 연구대상으로 하였다. 설문지를 가지고 연구변수를 측정하여, 나이, 근무연수, 가사노동의 정도 등의 인구학적 변수와 직무스트레스 및 사회적지지, 근골격계 증상, 통증의 양상 등을 조사하였다. 분석방법은 일반적 특성 및 작업특성, 통증의 양상을 성별에 따라 파악하였고, 통증점수의 타당성을 검정하기 위해, 통증점수의 구성요소와 통증점수를 시각적 상사척도와 상관성 검정을 시행하였다. 통증점수를 종속변수로 하고 직무요구도, 직무재량도, 동료의지지, 상사의지지, 여러작업환경특성, 인구학적 특징 등을 독립변수로 하여 다중회귀분석을 시행하였다. 결과: 첫째 통증의 정량화를 위해 사용한 통증평정지수는 시각적 상사척도와의 상관관계가 높은 것으로 나타나, 어느 정도의 타당성을 지닌 방법으로 해석할 수 있었다. 둘째, 이 통증 점수를 종속변수로 하여, 관련요인 분석한 다중회귀분석에서 직무요구도가 높을수록 통증의 정도가 높고(p<0.01), 여성일수록 남성에 비해 높은 통증점수를 보였다(p<0.01). 결론: 근골격계 질환의 높은 유병율을 보이는 집단의 경우, 이들의 증상 유무만을 가지고 관련요인을 분석하는 방법을 사용하기 어렵다. 따라서 이런 경우, 통증을 정량화하여, 다양한 관련요인을 찾으려는 노력이 필요하며, 본 연구에서 사용한 통증평정지수는 타당성을 지닌 정량화 방법이라고 여겨진다. 또한 본 연구에서는 직무요구도가 높을수록, 여성일수록 높은 통증점수를 보였다. Objectives: This study was designed to quantify symptoms in the upper extremities and to identify the pain related factors among hospital workers using video display terminals. Methods: The subject-group consisted of 138 employees working at a hospital using video display terminals. A structured questionnaire was used to estimate the participants' general characteristics, and job contents. Job stress was measured using Karaseks JCQ(Job Content Questionnaire). Pain in the upper extremities was identified according to the NIOSH symptoms survey criteria. Quantification was measured using Kim Chul's method. Pearson's Correlation analysis was used to identify validity in quantification. VAS(visual analog scale) was used to compare with this method. Multiple regression analyses elucidated the relationship between quantified pain and various work factors, such as job stress. Data were analysed with SAS 6.12 program. Results: First, in quantification using Kim Chul's method, the correlation between modified PRS(pain rating score) and VAS was extremely high by 0.60(P<0.01), indicating the high validity of PRS. Second, the groups of high job demand, high job control, and females were related to an increased pain level. Conclusions: These results suggest that the self pain assessment method, PRS, is valuable and useful in analyzing occupational musculoskeletal symptoms. High demand, job control and gender may influence the levels of pain. Prospective studies about musculoskeletal disorder are required.

삼성 타워팰리스 구조시스템 평가

이원호,현창국,강정호,노재천,조중현,송한범 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

The purpose of this study was to analyze the housing mobility behavior according to the income change and to predict the probability of upward and downward movements. A binary logit model was used with the data which were obtained by the Korea Research Institute for Human Settlements in 1989. The sample size was 1620 households in Seoul. The results of this study were as follows; the upward movement probability in rental housing or in single housing was higher than that in owned housing or in apartment housing as household income increased.

FPGA를 이용한 전파천문용 디지털 필터 설계에 관한 기본연구

정구영,노덕규,오세진,염재환,강용우,이창훈,정현수,김광동,Jung, Gu-Young,Roh, Duk-Gyoo,Oh, Se-Jin,Yeom, Jae-Hwan,Kang, Yong-Woo,Lee, Chang-Hoon,Chung, Hyun0Soo,Kim, Kwang-Dong 한국융합신호처리학회 2008 융합신호처리학회 논문지 (JISPS) Vol.9 No.1

본 논문에서는 전파천문용으로 사용하기 위한 대칭형 디지털 필터 코어의 설계를 제안한다. 본 논문에서는 Xilinx사의 Virtex-4 SX55 모델의 FPGA칩을 기반으로 한국우주전파관측망(Korean VLBI Network; KVN)의 자료획득시스템에서 요구하는 FIR 필터 코어의 기능을 VHDL 코드로 설계하였다. 본 논문에서 설계한 디지털 필터는 디지털 필터계수를 공유하여 시스템의 효율을 증대시킨 대칭형 구조(Symmetric Structure)를 갖는다. 대칭구조의 디지털 필터(Symmetric FIR Filter Unit; SFFU)는 제한된 시스템 클록을 이용하여 데이터의 처리를 효과적으로 수행하기 위해 병렬처리 방법을 사용한다. 따라서 본 논문에서는 SFFU의 효율적인 설계를 위해 전체적인 IP core의 합성 및 실험에는 통합 합성 소프트웨어 ISE Foundation을 사용하였으며, GUI 환경이 뛰어난 core generator를 활용하였다. 설계한 디지털 필터 코어의 합성 결과, 최대 동작 주파수는 260MHz를 약간 상회하는 수준까지 달성하였으며, 슬라이스, LUT 등의 리소스 사용량은 40% 이하임을 확인하였다 또한 Mentor Graphics사의 Modelsim 6.la 버전을 이용하여 SFFU(Symmetric FIR Filter Unit)의 시뮬레이션을 수행한 결과, 오류 없이 작동하는 것을 확인하였다. SFFU의 기능을 확인하기 위하여 추가적으로 Matlab을 이용하여 의사 신호를 이용한 시뮬레이션을 수행하였다. 시뮬레이션과 설계한 디지털 FIR 필터의 비교실험결과에서 FIR 필터의 기능을 수행하고 있음을 확인할 수 있어 본 논문에서 FPGA와 VHDL을 이용하여 설계한 대칭구조의 디지털 FIR 필터의 유효성을 확인할 수 있었다. In this paper, we would like to propose the design of symmetric digital filter core in order to use in the radio astronomy. The function of FIR filter core would be designed by VHDL code required at the Data Acquisition System (DAS) of Korean VLBI Network (KVN) based on the FPGA chip of Vertex-4 SX55 model of Xilinx company. The designed digital filter has the symmetric structure to increase the effectiveness of system by sharing the digital filter coefficient. The SFFU(Symmetric FIR Filter Unit) use the parallel processing method to perform the data processing efficiently by using the constrained system clock. In this paper, therefore, for the effective design of SFFU, the Unified Synthesis software ISE Foundation and Core Generator which has excellent GUI environment were used to overall IP core synthesis and experiments. Through the synthesis results of digital filter core, we verified the resource usage is less than 40% such as Slice LUT and achieved the maximum operation frequency is more than 260MHz. We also confirmed the SFFU would be well operated without error according to the SFFU simulation result using the Modelsim 6.1a of Mentor Graphics Company. To verify the function of SFFU, we carried out the additional simulation experiments using the pseudo signal to the Matlab software. From the comparison experimental results of simulation and the designed digital FIR filter, we confirmed the FIR filter was well performed with filter's basic function. So we verified the effectiveness of the designed FIR digital filter with symmetric structure using FPGA and VHDL.

Role of Carotid Artery Stenting in Prevention of Stroke for Asymptomatic Carotid Stenosis: Bayesian Cross-Design and Network Meta-Analyses

Jae-Hyung Roh,Hyun Jun Cho,Jae-Hwan Lee,Yongku Kim,Yeongwoo Park,Jae-Hyeong Park,Hee-Soon Park,Minsu Kim,Hyang Gon Jin,Yeji Cheon,In-Whan Seong 대한심장학회 2020 Korean Circulation Journal Vol.50 No.4

Background and Objectives: There is insufficient evidence regarding the optimal treatment for asymptomatic carotid stenosis. Methods: Bayesian cross-design and network meta-analyses were performed to compare the safety and efficacy among carotid artery stenting (CAS), carotid endarterectomy (CEA), and medical treatment (MT). We identified 18 studies (4 randomized controlled trials [RCTs] and 14 nonrandomized, comparative studies [NRCSs]) comparing CAS with CEA, and 4 RCTs comparing CEA with MT from MEDLINE, Cochrane Library, and Embase databases. Results: The risk for periprocedural stroke tended to increase in CAS, compared to CEA (odds ratio [OR], 1.86; 95% credible interval [CrI], 0.62–4.54). However, estimates for periprocedural myocardial infarction (MI) were quite heterogeneous in RCTs and NRCSs. Despite a trend of decreased risk with CAS in RCTs (OR, 0.70; 95% CrI, 0.27–1.24), the risk was similar in NRCSs (OR, 1.02; 95% CrI, 0.87–1.18). In indirect comparisons of MT and CAS, MT showed a tendency to have a higher risk for the composite of periprocedural death, stroke, MI, or nonperiprocedural ipsilateral stroke (OR, 1.30; 95% CrI, 0.74–2.73). Analyses of study characteristics showed that CEA-versus-MT studies took place about 10-year earlier than CEA-versus-CAS studies. Conclusions: A similar risk for periprocedural MI between CEA and CAS in NRCSs suggested that concerns about periprocedural MI accompanied by CEA might not matter in real-world practice when preoperative evaluation and management are working. Maybe the benefits of CAS over MT have been overestimated considering advances in medical therapy within10-year gap between CEA-versus-MT and CEA-versus-CAS studies.