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      • 재발 또는 불응성 비호즈킨 림프종 환자에서 CDME 구제항암화학요법 후 고용량 항암화학요법 및 자가말초혈액 조혈모세포이식의 효과

        김세형,한강원,배상병,김찬규,이남수,이규택,박성규,원종호,홍대식,박희숙 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

        Background and objectives : The long-term survival in patients with non-Hodgkin's lymphoma (NHL) after conventional dose chemotherapy is about 35% and the rest of the patients tend to have relapse. So, in relapsed or refractory NHL, we compared the outcome of patients undergoing high-dose chemotherapy with autologous peripheral blood stem cell transplantation(APBSCT) with only salvage chemotherapy of cisplatin, dexamethasone, mitoxantrone, and etoposide(CDME). Materials and methods : From June 1993 to December 1999, 25 patients with relapsed or resistant NHL were treated with CDME regimen as salvage chemotherapy. Twelve patients were received four cycles of CDME chemotherapy, and 13 patients were received high-dose chemotherapy with APBSCT following two cycles of CDME chemotherapy. Results : The median follow-up duration was 12.8 months(range:4-68). The overall response rate was 41.7% (complete response rate 25%, partial response rate 16.7%) in 12 patients with CDME only. Thirteen patients who were treated with high-dose chemotherapy with APBSCT achieved 61.5% complete response rate and 15.4% partial response rate, with an overall response rate of 76.9%. The estimated 3-year progression-free survival rate was significantly higher among patients who received high-dose therapy than patients who received CDME only(41.5% vs 20.0%, p<0.05). And, 3-year overall survival rate was significantly higher among patients who received high-dose therapy(51.3% vs 25.0%, p <0.05). Conclusions : In relapsed or refractory NHL, CDME chemotherapy is an effective salvage chemotherapy and allow peripheral blood stem cell collection. Also, high-dose chemotherapy with APBSCT following CDME is superior to CDME salvage chemotherapy only.

      • 차세대 무선 통신 시스템을 위한 안테나 신기술

        김형락,권세웅,황광선,윤영중 延世大學校 電波通信共同硏究所 2002 電波通信論文誌 Vol.6 No.1

        차세대 통신 시스템에서 공통적으로 요구하는 소형화, 광대역화, 집적화추세에 따라 RF소자는 광대역화, 소형화, 집적화를 향해 발전하고 있으며 안테나 기술도 현재 추세에 발맞추어 소형화, 능동집적화, 광대역화를 통하여 개발 방향을 모색하고 있다. 본고에서는 현재 추세인 소형 안테나, 능동 안테나와 더불어 최근 관심이 집중되고 있는 임펄스 통신에 이용될 수 있는 초광대역 안테나 기술에 대해 소개한다. The technical trends of the next generation wireless communication are miniaturization, broad-band operation, and integration. Thus, in accordance with this trend, RF devices and components are being developed in such way, and same with the antenna. In this paper, technology of small antenna, active antenna, and ultra wideband antenna, which can be applied to impulse communication system, are introduced.

      • KCI등재

        급성신부전을 동반한 알콜성 횡문근융해증 2례

        김영민,오동렬,이원재,김형국,황두영,이환,최경호,정시경,김세경,김영옥 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

        Rhabdomyolysis is a biochemical and clinical syndrome caused by lysis of skeletal muscle cell and release of muscle cell contents into the circulation. In addition to traumatic cause, various nontraumatic causes have been reported. Rhabdomyolysis has frequently been associated with seamy aspects of life and society: alcoholic abuse, drug addiction, sadistic drill exercise, war events and attempted suicide. The abuse of alcohol causes many hazards in many organs. One of these is acute alcoholic myopathy that may present as a fulminent syndrome of muscle pain and tenderness associated with rhabdomyolysis and acute renal failure. Because the prognosis of adequately treated rhabdomyolysis is excellent, early recognition and prompt management are essential in emergency situation. We experienced two typical cases of alcohol-induced rhabdomyolysis with acute renal failure and report these cases with literature review.

      • KCI등재

        응급센터에서 기관내 삽관을 시행하지 않은 호흡곤란 환자의 동맥혈 이산화탄소분압과 호기말 이산화탄소분압의 연관성분석

        김형국,박승현,오동렬,박규남,이원재,황두영,최승필,이운정,정시경,김세경 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

        Background: The end-tidal carbon dioxide tension(ETCO₂) is defined as a partial pressure of carbon dioxide at the end of an exhaled breath. The purpose of this study is to determine the correlation between ETCO₂and arterial carbon dioxide tension(PaO₂) in nonintubated patients with respiratory distress in emergency department(ED). Methods: A prospective non-blind study was performed in ED of our university hospitals. Participants included all nonintubated adult patients with respiratory distress requiring arterial blood gas analysis. ETCO₂was measured with a capnography monitor during tidal volume breathing. ETCO₂were recoreded at the time of arterial blood gas sampling. The correlation between ETCO₂and PaCO₂was analyzed in all patients and in subgroups by simple linear regression. Results: Sixty patients were enrolled. In all patients, ETCO₂was 5.72mmHg lower than PaCO₂and correlated well with PaCO₂(r²=0.716). ETCO₂correlated best with PaCO₂in patients who were either acidotic or non-smoking. Conclusion: ETCO₂correlate well with PaCO₂in nonintubated patients with respiratory distress in ED. ETCO₂may be sufficient to reflect PaCO₂in selected patients and obviate the need for repeat arterial blood gas determination.

      • 곰쓸개 복용 후 발생한 육안적 혈뇨와 신유두부 괴사증 1예

        김우진,한민석,김수항,박인형,박진석,선제형,홍세인,박옥영,신정현,이숭,신병철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

        Renal papillary necrosis occurs most commonly in association with urinary tract infection, diabetes mellitus, sickle cell disease, vascular disease, and analgesic nephropathy. Clinical presentation may be related to symptoms of pyelonephritis such as flank pain, renal colic, hematuria, Proteinuria, recurrent fever. The necrotic tissue may be sloughed off, and the diagnosis can sometimes be made by finding piece of renal medullary tissue in the urine. Pyelography may demonstrate cavities and sinuses in the resion of papillae. Anuria & oliguria can lead to the acute renal failure, and especially prognosis and progress may be affect influenced by urinary infection. We report a case of renal papillary necrosis with ingestion of bear gallbladder. On pyelography, Persistent contrast is diagnostic clue of renal papillary necrosis. This case is not be related to urinary tract infection, but occurred acute renal failure. Expectant treatment was gone.

      • 대학생들의 운동참여제약 척도 개발

        김철원,김성찬,이세형,양명환 濟州大學敎 體育科學硏究所 1995 체육과학연구 Vol.1 No.-

        The purpose of this study was to develop the Exercise Involvement Constraints Scale for college students in Korea. The subjects of this study were 232 college students who were involved in physical activity classes(tennis and table tennis)at the Cheju National University. The Questionnaire consisted of a list of 44 reasons for not participating in exercise. Items were selected by reviewing related literature and on the bases of two pilot studies. First, 12-factors were extracted by the principle-components factor analysis from the correlation matrix of the subscales. Eliminations were made to those items that failed to load at least 40 on their intended factor, or emerged with a strong cross-loading(.30 or above)on a nonintended factor. From this modification, 31 items were appiled to further analysis. Second, using 31-items, exploratory factor analysis with normal varimax rotation were repeated in order to provide a more complete picture of factor structure. The results of the factor analysis reveals 8 factors that in total explain 63.7% of the variance among the subscale items. These factors were motivation, sport facilities, exercise skill, time, activity barriers, fatigue from exercise, involvment change, and lack of will power. In order to a more valid instrument, using the statistical methods of stepwise multiple regression analysis, elimination were made to three items from motivation subscale. Thus, final scale consisted of 8 subscale with 28 items. Finally, subscale and scale reliability was examied using Cronbach's coefficients alpha. Alpha reliabilites ranged from .67 to .88. As a result of these analysis, it was conclude that the Exercise Involvement Constraints Scale(EICS) was a valid and reliable instrument to measure reasons for did not participating to exercise and physical activity.

      • 제주 우수 육상경기 선수들의 년중 훈련효과 분석 및 처방

        김철원,임상용,김승곤,오만원,김성찬,이창준,남사웅,이세형,류재청 濟州大學敎 體育科學硏究所 1996 체육과학연구 Vol.2 No.-

        The study was undertaken to analysis, evaluate, and prescribe t h e annual effect of training of periodically anaerobic and aerobic motor ability for Che-Ju representive team of elementary, middle and high school athletes. first. the performance can be obtained when it was prescribed proper training after analysis of physical fitness by each events. second, individually fitness. scientific analysis. prescription. proper management of athlete will be necessary to apply. In addition to physiology aspect, it is essential to consider sport biomechanics. sport psychology when we prescribe specific events and necessary approach in demension coach-athlete-researcher for individual.

      • Spectrin에 대한 혈색소의 결합에 관한 연구

        김창세,이형동 순천향대학교 1980 논문집 Vol.3 No.1

        This experiment was performed by the use of fluorescent quenching measurements and sucrose gradient ultracentrifugation for the binding and the interaction between hemoglobin and human erythrocyte spectrin. The interaction characterized by a K(??) of 0.4 uM, at pH 7.2, is specific between them in its native state and is very sensitive to the pH. It was suggested that spectrin was one of the erythrocyte membrane components and also attributed to the cause of the observed ghost retention of hemoglobin.

      • 이성분 양이온성 계면활성제 혼합용액의 임계미셀농도에 대한 연구 1. CTAB와 다른 양이온성 계면활성제 CTB 및 DTAB 혼합용액

        김진형,오세웅,고정수 木浦大學校基礎科學硏究所 1999 基礎科學硏究誌 Vol.17 No.-

        The critical micelle concentration (??) in a micellar state of the mixed surfactant systems of cetyltrimethylammonium bromide (CTAB) with cetylpyridinium bromide(CPB) and dodecyltrimethylammonium bromide (DTAB) were determined at 25℃ as a function of the overall mole fraction of CTAB by the use of surface tension method. CMC values of pure CTAB, CPB, and DTAB were 9.95×10-4 M, ?? M, and ?? M, respectively. Interaction parameterβ value of CPB-CTAB mixture was evaluated as -1.3. In case of DTAB-CTAB mixture, constancy in β value was not obtained over all composition of the mixture.

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