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산업부산물인 Fly Ash의 라이닝콘크리트에의 적용에 관한 실험적 연구
최세진,임정열,정우성,김완영,김무한 공주대학교 자원재활용신소재지역협력센터 2000 2차년도 센터 사업 성과집 Vol.2000 No.1
This is an experimental study to analyze the usability of fly ash in the tunnel lining concrete. For this purpose, the mix proportion of plain concrete and concrete using fly ash(the replacement of 15 and 30% by weight of cement) to satisfy slump 15cm, air content 5% and compressive strength 270kgf/cm2, was selected. And then tests for slump, setting time, compressive strength, tensile strength, drying shrinkage and adiabatic temperature rise were performed. According to test results, it was found that the concrete using fly ash 15% (FA 15 concrete) was better than the plain concrete and FA 30 concrete. FA 15 concrete was more useful than the others in reducing the drying shrinkage : the drying shrinkage strains of FA 15 concrete after 20 weeks of air drying was lower about 10% than the plain concrete, and lower 6% than FA 30 concrete. And the highest compressive strength after curing for 28 days of 365kgf/cm2 was obtained from FA 15 concrete. This was almost 10-20% improvement in compressive sterngth, compare to the plain concrete and FA 30 concrete. And the effect of 5~7.5℃ of concrete using fly ash for hydration heat reducing was calculated. Therefore, concrete using fly ash 15% (FA 15) was expected to improve the performance of lining concrete.
신부전이 동반된 당뇨병 환자에서 발생된 침습성 모균증 : 수술과 Liposomal amphotericin B 및 GM-CSF 병합 요법에 의한 성공적인 치험 1예
이원영,오기원,임국희,장재혁,이동건,최정현,강무일,신완식,차봉연,이광우,손호영,강성구 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.4
저자들은 신부전이 동반된 당뇨병 환자에서 발생된 부비동형 모균증에 대하여 수술과 함께 liposomal amphotericin B 및 GM-CSF의 복합치료를 하여 성공적으로 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Mucormycosis (zygomycosis) primarily affects diabetic or immunocompromised patients and typically progresses rapidly, necessitating surgical excision and antifungal therapy with amphotericin B. Large doses of amphotericin B are needed for cure, but it has the risk of causing significant renal toxicity. The recent development of liposomal amphotericin B allows antifungal therapy to be administered with potentially improved efficacy and reduced nephrotoxicity. We have experienced a case of paranasal mucormycosis successfully treated with surgery, liposomal amphotericin B and GM-CSF. A 59-year-old male suffering from diabetes mellitus for 6 years was admitted with pain at left maxillary area. He was diagnosed as mucormycosis after cytologic exam on the necrotic nasal mucosa, which showed typical hyphae. He have had diabetic nephropathy with macroproteinuria and had rapidly rising serum creatinine levels with the amphotericin B treatment: creatinine levels reverted to basal level with the use of liposomal amphotericin B. Despite surgical excision and continued antifungal therapy, his infection was not effectively controlled. Therefore, GM-CSF was administered additionally to improve phagocytic activity of leukocytes. He was finally cured after receiving a combination of aggressive surgery, liposomal amphotericin B and GM-CSF. To our knowledge, this is the first detailed clinical description of the treatment of mucormycosis with liposomal amphotericin B in Korea.
노인정신장애 평가척도(Psychogeriatric Assessment Scale)의 한국판 표준화 연구
조맹제,박임순,신영민,김무진,정희연,정은기,최용성,조성진,서국희,함봉진 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.1
연구목적 : 본 연구는 치매와 우울증을 다차원적으로 평가할 수 있는 도구인 Psychogeriatric Assessment Scale(PAS)의 한국판(PAS-K)을 개발하기 위한 것이다. 방 법 : 번역, 역번역, 그리고 세차례의 예비조사를 통하여 PAS-K를 제작하였다. 60세 이상의 노인 291명(임상환자군 : 58명, 지역사회노인군 : 168명, 수용시설 거주자 : 67명)과 그들의 정보제공자들을 대상으로 PAS-K, Geriatric Depression Scale(GDS), Korean version of Mini-Mental State Examination(MMSE-K), Hamilton Rating Scale for Depression(HRSD), 그리고 Hachinski Ischemic Score 를 적용하고, Diagnostic Interview chedule(DIS-Ⅲ-R)을 사용하여 치매와 우울증을 진단하였다. PAS-K의 신뢰도와 타당도를 평가하고, 예민도와 특이도, Kappa값, 그리고 ROC커브 분석법을 이용하여 PAS-K의 6개의 소척도들(피검자면접 : 인지기능 장애척도, 우울척도, 뇌졸중척도, 정보제공자면접 : 인지기능 저하척도, 행동변화척도, 뇌졸중척도)의 최적 절단점을 구하였다. 결 과 : PAS-K는 높은 내적 일관성을 보였고, 검사자간 신뢰도도 만족할 만한 수준이었다. PAS-K의 소척도들을 다른 표준화된 검사도구들과 비교하였을 때 인지기능 장애척도와 인지기능 저하척도는 MMSE-K와, 우울척도는 GDS 및 HRSD와 유의한 상관관계를 보였으며, 뇌졸중척도는 Hachinski Ischemic Score와 통계적으로 의미있는 상관관계를 보였다. 최적절단점은 인지기능 장애척도 10점, 인지기능 저하척도 3점, 우울척도 5점, 피검자면접과 정보제공자 뇌졸중척도 모두 1점, 그리고 행동변화척도 2점으로 추정하였다. 결 론 : 본 연구를 통해 PAS-K의 신뢰도와 타당도가 검증되었고, 노인정신의학 역학연구나 보건분야에서 치매와 우울증의 임상경과관찰 및 일차 선별도구로서 유용하게 사용될 수 있게 되었다. Objectives : This study was designed to develop the Korean version of the Psychogeriatric Assessment Scale(PAS-K), a multidimensional screening tool for the dementia and depression. Methods : Through three times preliminary trials, the authors translated PAS into Korean. The PAS-K, Geriatric Depression Scale, Hamilton Depression Rating Scale, Hachinski Ischemic Scale and Mini-Mental State Examination-Korean version were administered to 291 subjects over the age of 60 and the same number of their informants(67 subjects were institutionalized, 168 subjects were in community, 58 subjects were psychiatric hospital patients). And the Diagnostic Interview Schedule(DSM-Ⅲ-R) was independently administered to exactly diagnose dementia and depression. The reliability and validity test, optimal cut-off point estimation for six each scale and ROC curve analyses were done to investigate the diagnostic validity of PAS-K. Results : Internal consistency and interrater reliability of the PAS-K were high. Concurrent validity of each scales of PAS-K was good in being measured with other standardized scales. The optimal cut-off points of each scale of the PAS-K were estimated as follows : 1) Stroke Scale of subject interview : 1, 2) Cognitive Impairment Scale of subject interview: 10, 3) Depression Scale of subject interview : 5, 4) Stroke Scale of informant interview : 1, 5) Cognitive Decline Scale of informant interview : 3, and 6) Behavioral Change Scale of informant : 2. conclusions : The PAS-K was valid and reliable screening tools for detecting dementia and depression. Therefore the PAS-K could be widely and extensively used in psychogeriatric epidemiological research or clinical setting of primary screening for dementia and depression.
( Hyo Sang Im ),( Kwang Rae Cho ),( Chee Mahn Shin ),( Young Jae Kim ),( Young Kyun Choe ),( Soon Ho Cheong ),( Kun Moo Lee ),( Jeong Han Lee ),( Se Hun Lim ),( Young Hwan Kim ),( Sang Eun Lee ) 대한마취과학회 2010 Korean Journal of Anesthesiology Vol.59 No.1
There are many cause of cholinesterase deficiency, including drugs, liver disease, chronic anemia, malignant states, cardiac failure, severe acute infection, surgical shock, severe burn, collagen disease and vasculitis syndromes. Vasculitis syndromes are relatively rare, and among them, Churg-Strauss syndrome (CSS) is even rarer. We report here on a case of a patient with CSS who underwent endoscopic sinus surgery under general anesthesia. (Korean J Anesthesiol 2010; 59: 49-52)
홍삼 가공중 azoxystrobin, fenhexamid 및 cyprodinil 농약의 감소율
임무혁(Moo Hyeog Im),권광일(Kwang Il Kwon),박건상(Kun Sang Park),이경진(Kyung Jin Lee),장문익(Moon Ik Chang),윤원갑(Won Kap Yun),최우종(Woo Jong Choi),유광수(Kwang Soo Yoo),홍무기(Moo Ki Hong) 한국식품과학회 2007 한국식품과학회지 Vol.39 No.5
본 연구는 홍삼 및 농축액의 합리적인 농약잔류허용기준 개정을 위한 과학적인 자료를 얻고자 수행하였다. 인삼 재배 시에 사용 등록된 농약 3종(azoxystrobin, fenhexamid, cyprodinil)을 인삼포에 직접 살포하여 수확한 수삼을 홍삼과 농축액으로 직접 제조하였다. 수확한 수삼에 azoxystrobin 0.12 ppm, fenhexamid 0.19 ppm, cyprodinil 1.78 ppm이 잔류하였으며 농약이 잔류된 수삼을 원료로 홍삼 및 농축액으로 가공하여 각 제품의 농약 잔류량을 조사한 결과 fenhexamid의 경우 홍삼에 0.54 ppm, 홍삼농축액에서 1.93 ppm이 잔류하였다. Azoxystrobin은 홍삼에서 0.24 ppm, 홍삼농축액에서 0.81 ppm이 잔류하여 가공단계를 거치면서 증가하였다. 그러나 cyprodinil의 경우 1.78 ppm이 잔류된 수삼이 홍삼으로 가공되면서 1.49 ppm으로 감소하였으나 홍삼농축액에서는 3.66 ppm으로 증가하였다. 농약이 잔류된 수삼을 이용하여 홍삼과 농축액 제조시 azoxystrobin, fenhexamid, cyprodinil의 감소계수(dry base)는 홍삼에서 0.66, 0.94, 0.28, 홍삼농축액에서 3.25, 4.94, 1.01이였다. This study was performed to acquire scientific data for establishing the maximum residue limits (MRLs) of pesticides in Korean red ginseng and its extract. Pesticides (azoxystrobin, fenhexamid, cyprodinil) were applied to a cultivated field of ginseng, and the fresh ginseng was harvested and processed to make Korean red ginseng and its extract. The reduction rates of the residue pesticides were calculated by determining the pesticide contents in each stage of ginseng processing. The residue levels in fresh ginseng were 0.12 ppm for azoxystrobin, 0.19 ppm for fenhexamid, and 1.78 ppm for cyprodinil. The residue levels in Korean red ginseng were 0.24, 0.54, and 1.49 ppm, and in the extract 0.81, 1.93, and 3.66 ppm for azoxystrobin, fenhexamid, and cyprodinil, respectively. The steaming and processing of fresh ginseng increased azoxystrobin and fenhexamid residues, but cyprodinil was reduced. The reduction rates (dry basis) of azoxystrobin, fenhexamid, and cyprodinil were 0.66, 0.94, and 0.28 for Korean red ginseng, and 3.25, 4.94, and 1.01 for the extract, respectively.
Lentigo maligna melanoma mimicking seborrheic keratosis
( Sang Youl Yun ),( Jun Gyu Song ),( Moo Kyu Suh ),( Jong Im Lee ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.1
Lentigo maligna melanoma(LMM) constitutes 10%-15% of cutaneous melanomas. LMM most commonly affects the sun-exposed skin of the elderly. It is frequently mistaken clinically for other pigmented neoplasms, which may result in a delay of diagnosis and treatment. It is the least common type of melanoma and rarely affects the Koreans. There are few reports regarding LMM in Korean literature. We report a case of lentigo maligna melanoma occurring in 72-year-old man. The patient presented with solitary, 1.0x1.0cm-sized, black colored plaque on left cheek. The lesion developed 9 months ago and recently the size has been increased. Skin biopsy specimen showed epidermal atrophy and proliferation of atypical melanocytes with hyperchromatic nuclei along the basal layer, solar elastosis, and invasion of melanocytes into the dermis. On immunohistochemical study, the tumor cells were positive for S-100 protein, HMB-45 and Ki-67. Therefore, lentigo maligna melanoma was diagnosed. He was treated with the wide excision with full thickness skin graft. The skin lesions were cured without recurrence.