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냉동 시 잠재용융열에 의한 피해를 최소화할 수 있는 이상냉동 곡선 (Ideal Freezing Curve Can Avoid the Damage by Latent Heat of Fusion During Freezing)

  • 박한기;박영환;윤웅섭;김택수;윤치순;김시호;임상현;김종훈;곽영태
    • Journal of Chest Surgery
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    • 제36권4호
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    • pp.219-228
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    • 2003
  • 배경: 액체질소에 의한 냉동방법은 생물학과 의학에서 세포와 조직의 장기보존으로는 성공적인 방법이다. 잘 조절된 냉동속도와 해동의 방법과 함께 글라이세롤이나 디메칠설폭사이드 같은 냉동보존제의 사용으로 얼음결정이 생기는 것을 방지하여 구조의 유지와 생존율을 모두 향상시킬 수 있으며 반영구적으로 보존할 수 있다. 여러 조직의 초저온냉동에는 조직에 맞는 냉동속도가 있다. 대상 및 방법: 가장 적합한 냉동곡선과 이를 위한 냉동챔버온도를 찾기 위해서 우리들은 조직의 열역학적 계산을 두 가지 방법으로 하였다. 하나는 직접계산방법으로 모든 냉동 대상물의 열물리학적 특성, 잠재용융열, 면적, 농도와 체적을 알아야 계산할 수 있다. 이러한 방법은 매우 복잡하고 어떠한 경우에는 실제 값을 알 수 없다. 다른 방법은 간접계산방법으로 우선 기존의 냉동곡선으로 조직을 냉동시켜 조직의 실제 냉동곡선을 얻은 다음 시간상수로 냉동곡선을 분석한 다음 온도반응을 계산하고 적합한 x차방정식을 대입시켜 냉동 시 온도상승을 막고 이것을 거꾸로 냉동챔버온도를 산출하는 방식이다. 결과: 이 냉동 프로그램을 중배엽줄기세포, 연골세포와 골아세포에 적용시켜 검사하였다. 조직의 온도는 온도상승과정 없이 이상적인 냉동곡선을 따라 감소하였다. 그러나 세포의 양과 수용액의 양이 적어 냉동곡선간의 생존력이 통계학적으로 차이가 있지는 않았다. 만약 더욱 부피가 큰 조직을 냉동시키거나 프로그램을 순차적으로 계속한다면 이상곡선에 더욱 근접하게 되어 차이가 있을 것으로 판단된다. 결론: 이 프로그램은 이상적인 냉동곡선으로 조직을 냉동시키기 위한 냉동챔버온도를 쉽게 찾을 수 있도록 도움이 될 것이다.

식중독 발생의 사례 통해 본 집단급식의 문제접 분석 (Analysis of Problems of Food Service Establishments Contributing to Food Poisoning Outbreaks Discovered through the Epidemiological Studies of Some Outbreaks)

  • 김종규
    • 한국식품위생안전성학회지
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    • 제12권3호
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    • pp.240-253
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    • 1997
  • The main problems contributing to food poisoning outbreaks in institutional settings and a home were reviewed and analyzed through the epidemiological investigations of food poisoning. The major documented factors included improper holding temperatures, inadequate cooking, poor personal hygiene, cross-contamination and contaminated equipment, food from unsafe sources, failure to follow food hygiene policies, and lack of education, training, monitoring and superivision. Usually more than one factor contributed to the development of an outbreak. (1) Use of improper holding temperatures was the single most important factor contributing to food poisoning. They included improper cooling, allowing a laps of time (12 hours or more) between preparing food and eating it, improper hot holding, and inadequate or improper thawing. Food thermometers were not used in most of the instances. (2) In inadequate cooking, the core temperature of food during and after cooking had not been measured, and routine monitoring was limited to recording the temperature of plated meals. Compared with conventional methods of cooking, microwave ovens did not protect against food poisoning as effectively. Centralized food preparation potentially increased the risk of food poisoning outbreaks. (3) Poor personal hygiene both at the individual level (improper handwashing and lack of proper hygienic practices) and at the institutional level (poor general sanitization) increased the risk of transmission. Person to person transmission of enteric pathogens through direct contact and via fomites has been noted in several instances. (4) Obtaining food from unsafe sources was a risk factor in outbreaks of food poisoning. Food risks were high when food was grown or harvested from contaminated areas. Possibilities included contamination in the field, in transport, at the retail site, or at the time it was prepared for serving. (5) Cross-contamination and inadequate cleaning/handling of equipment became potential vehicles of food poisoning. Failure to separate cooked food from raw food was also a risk factor. (6) Failure to follow food hygiene policies also provided opportunities for outbreaks of food poisoning. It included improper hygienic practices during food preparation, neglect of personnel policies (involvement of symptomatic workers in food preparation), poor results on routine inspections, and disregarding the results and recommendations of an inspection. (7) Lack of formal and in-service education, training, monitoring, and supervision of food handlers or supervisors were critical and perhaps neglected elements in occurrences of food poisoning.

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벤지딘 염료공장 노동자들의 혈뇨 (Hematuria among Benzidine Dye Industry Workers)

  • 손미아;백도명;최정근;박수경;박정순;오세민;박정선;박동욱
    • Journal of Preventive Medicine and Public Health
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    • 제28권1호
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    • pp.225-243
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    • 1995
  • Benzidine Industry in Korea has started after Japan has banned its production in early 1970's, and it has been in operation in Korea for over 20 years. However, it is not known yet whether any bladder cancer has developed from benzidine exposure. This study was done to screen benzidine-exposed workers for bladder cancer, and to examine the feasibility of employing screening test at the workplace. All the workplaces that manufacture or use benzidine for more than 20 years in Korea have been covered in this study, and they include 2 benzidine manufacturing factories, 5 benzidine using factories, as well as 2 benzidine free factories as an outside control. In total, 516 workers were screened with urine stick test and urine cytology test for the evidence of hematuria and abnormal urothelial cells. Each worker was also asked about risk factors and symptoms of bladder cancer including past medical history, smoking, medication and occupational history Benzidine in the air was measured by personal and area sampling. Out of 516 screened workers, 84(16.3%) workers showed positive hematuria in urine stick test, and 7(1.4%) workers showed degenerative cells in urine cytology tests. Those workers with abnormal urine test results who have been exposed to benzidine fo more than 10 years were further screened, and, in total, 23 workers were examined with intra-venous pyelography and cystoscopy. None of those screened had any evidence of bladder cancer When workers with only past hematuria history were included in the positive hematuria group, 96(18.5%) had positive hematuria. On the multiple logistic regression analysis, positive hematuria was significantly associated with benzidine exposure, history of other occupations with elevated bladder cancer risk, pyuria and glycosuria. The association got stronger as direct benzidine exposure was accounted through individual task analysis, and as exposure duration was accounted with tenure analysis. For those with benzidine exposure with more than 10 years of tenure, the odds of having positive hematuria was elevated 2.14(95%C.I is 1.08 to 4.25) times more than for those without exposure. Even though bladder cancer was not detected for several limitations including short observation period, majority of studied workers with short latency, healthy worker effect, and low sensitivity of single screening test in a cross-sectional study, the study results suggest that hematuria screening is a feasible and very useful test for bladder cancer screening among benzidine exposed workers.

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진료를 받는 고혈압 환자의 혈압 조절과 관련된 의사 요인 (Physician Factors Associated with the Blood Pressure Control among Hypertensive Patients)

  • 김소영;조인숙;이재호;김지현;이은정;박종혁;이진석;김윤
    • Journal of Preventive Medicine and Public Health
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    • 제40권6호
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    • pp.487-494
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    • 2007
  • Objectives : Little is known about the physician-related factors that are associated with the management of Hypertension. The purpose of this study was to determine the physician-related factors associated with blood pressure control in hypertensive patients. Methods : We surveyed 154 physicians at 117 public health (subhealth) centers in Gyeonggi-do, Forty-one physicians completed the survey (response rates : 26.6%) and 31 physicians were finally included as the study subjects. Using the information obtained from the self-reported survey, we measured the physician-related factors associated with hypertension control, including their perception of hypertension, prescription patterns (combination prescription rates, specific antihypertensives prescription rates among patients with diabetes mellitus), and sociodemographic factors. We then collected data on blood pressure and medication use in patients seen by these physicians from the health center#s information system. We compared the physicians# perceived hypertension control rates with the actual rates, and then evaluated the rate of high overestimation (overestimation by more than 25% of the median degree of hypertension control rate overestimation) among the physicians. The physicians# antihypertensive prescription patterns were also evaluated. Multiple logistic regression analysis was used to evaluate the independent association between hypertension control and physician-related factors. Results : The physicians tended to overestimate the proportion of their patients with controlled blood pressure (79.5% perceived vs. 57.8% actual). The percentage of physicians with high overestimation was 35.5% (11 physicians). The physicians with lower control rates were more likely to highly overestimate their patients# control rates. Physicians with below-median actual control rates tended to prescribe fewer combination treatments for patients with uncontrolled blood pressure and angiotensin-converting enzyme inhibitors or fewer angiotensin receptor blockers for patients with diabetes mellitus. The rate of high overestimation by physicians was 1.31 times higher in patients with uncontrolled blood pressure than in patients with other conditions (OR=1.31, 95% CI : 1.17-1.48). Conclusions : Physicians have a tendency to overestimate the rates of hypertension control in their patients. Because physicians have a direct role in treatment outcomes, physicians# overestimation about hypertension management contributes to inadequate blood pressure control. Thus, interventions for improving physician# awareness regarding the management of patients with hypertension are needed.

Salvage of Infected Breast Implants

  • Song, Joon Ho;Kim, Young Seok;Jung, Bok Ki;Lee, Dong Won;Song, Seung Yong;Roh, Tai Suk;Lew, Dae Hyun
    • Archives of Plastic Surgery
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    • 제44권6호
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    • pp.516-522
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    • 2017
  • Background Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. Methods We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection. We also evaluated the presence and onset of infection symptoms, wound culture pathogens, and other complications, including seroma, hematoma, and mastectomy skin necrosis. Additionally, we examined the mastectomy type, the use of acellular dermal matrix, the presence of an underlying disease such as hypertension or diabetes, and axillary node dissection. Results The total infection rate was 4.99% (58 of 1,163 cases) and the total salvage rate was 58.6% (34 of 58). The postoperative duration to closed suction drain removal was significantly different between the cellulitis and implant removal groups. Staphylococcus aureus infection was most frequently found, with methicillin resistance in 37.5% of the cases of explantation. Explantation after infection was performed more often in patients who had undergone 2-stage expander/implant reconstruction than in those who had undergone direct-to-implant reconstruction. Conclusions Preventing infection is essential in implant-based breast reconstruction. The high salvage rate argues against early implant removal. However, when infection is due to methicillin-resistant S. aureus and the patient's clinical symptoms do not improve, surgeons should consider implant removal.

육계의 유통에 대한 조사연구 (Studies on the Marketing of Broilers)

  • 정일정;정선부;오봉국;오세정
    • 한국가금학회지
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    • 제12권2호
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    • pp.107-111
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    • 1985
  • 본 연구는 우리나라의 육계 유통현황을 조사하기 위하여 서울근교, 대전근교, 광주근교 및 부산근교에 소재하고 있는 도매상 16개소, 소매상 25개소 슈퍼마켓 12개소 및 자체직매점 3개소를 대상으로 설문서를 작성하여 방문조사하였고 그 결과를 육계의 유통규격 설정을 위한 기초자료를 얻고자 실시하였다. 1. 육계의 유통 종류별 중량은 영계가 0.6-0.0kg, 삼계탕용 1.0-1.3kg, 세미브로는 1.3-1.7kg, 하이브로가 1.8-2.1kg 등으로 구분유통되고 있으나 유통과정중의 육계 종류별 명칭이 통일되어 있지 않았다. 2. 소비자 측면에서 본 육계의 종류별 기호성은 하이브로와 노계는 가정집에서 각각 47.5%, 60.0%를 소비하며, 세미브로는 음식점에서 67.7%, 가정집에서 16.7% 등으로 나타나 하이브로와 노계를 제외한 종류들은 음식점을 통한 소비성향이 높은 것으로 나타났다. 3. 도계품의 판매방법은 정확히 게량하여 판매하는 경우가 75.0%로 나타나 높은 편이지만 아직도 적당히 목칙으로 판매하는 경우가 18.8%나 되는 것으로 나타났다. 4. 도계품의 규격 설정화 문제에 대해 찬성하는 경우가 37.5% 그리고 점진적으로 규격화 하자는 의견이 50.0%로 나타났으며 부분육으로의 판매방법에 대해 서서히 하거나 적극적으로 추진하기를 원하는 경우가 66.7%를 차지하였다.

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MODIS 자료의 에어로졸의 광학적 두께를 이용한 제주지역의 지표면 PM2.5 농도 추정 (Estimation of surface-level PM2.5 concentration based on MODIS aerosol optical depth over Jeju, Korea)

  • 김관철;이다솜;이광열;이권호;노영민
    • 대한원격탐사학회지
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    • 제32권5호
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    • pp.413-421
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    • 2016
  • 본 연구는 제주 고산에서 Moderate Resolution Imaging Spectroradiometer(MODIS)로 산출된 Aerosol Optical Depth(AOD)와 지표면 $PM_{2.5}$와의 상관성 연구를 수행하였다. 이를 위해 위성자료, 선포토미터, Optical Particle Counter(OPC), Micro Pulse Lidar(MPL)자료가 사용되었다. 2009년 10월 14일부터 24일까지 고산에서 측정된 선포토미터 L2.0자료와 $PM_{2.5}$ 자료의 초기 상관성 검토에서는 $R^2=0.48$의 상관성을 보였지만 고산에서 측정된 Micro-Pulse Lidar Network(MPLNet)의 에어로졸 수직분포 데이터를 사용하여 옅은 구름이나 황사의 영향을 제거한 후에는 상관성이 개선되어 $R^2=0.60$ 이상의 값이 산출되었다. 이러한 결과는 인공위성 자료로부터 측정된 AOD를 이용하여 대기 미세먼지 감시에 활용할 수 있는 가능성을 확인하여 주었다.

Full validation of high-throughput bioanalytical method for the new drug in plasma by LC-MS/MS and its applicability to toxicokinetic analysis

  • Han, Sang-Beom
    • 한국독성학회:학술대회논문집
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    • 한국독성학회 2006년도 추계학술대회
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    • pp.65-74
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    • 2006
  • Modem drug discovery requires rapid pharmacokinetic evaluation of chemically diverse compounds for early candidate selection. This demands the development of analytical methods that offer high-throughput of samples. Naturally, liquid chromatography / tandem mass spectrometry (LC-MS/MS) is choice of the analytical method because of its superior sensitivity and selectivity. As a result of the short analysis time(typically 3-5min) by LC-MS/MS, sample preparation has become the rate- determining step in the whole analytical cycle. Consequently tremendous efforts are being made to speed up and automate this step. In a typical automated 96-well SPE(solid-phase extraction) procedure, plasma samples are transferred to the 96-well SPE plate, internal standard and aqueous buffer solutions are added and then vacuum is applied using the robotic liquid handling system. It takes only 20-90 min to process 96 samples by automated SPE and the analyst is physically occupied for only approximately 10 min. Recently, the ultra-high flow rate liquid chromatography (turbulent-flow chromatography)has sparked a huge interest for rapid and direct quantitation of drugs in plasma. There is no sample preparation except for sample aliquotting, internal standard addition and centrifugation. This type of analysis is achieved by using a small diameter column with a large particle size(30-5O ${\mu}$m) and a high flow rate, typically between 3-5 ml/min. Silica-based monolithic HPLC columns contain a novel chromatographic support in which the traditional particulate packing has been replaced with a single, continuous network (monolith) of pcrous silica. The main advantage of such a network is decreased backpressure due to macropores (2 ${\mu}$m) throughout the network. This allows high flow rates, and hence fast analyses that are unattainable with traditional particulate columns. The reduction of particle diameter in HPLC results in increased column efficiency. use of small particles (<2 urn), however, requires p.essu.es beyond the traditional 6,000 psi of conventional pumping devices. Instrumental development in recent years has resulted in pumping devices capable of handling the requirements of columns packed with small particles. The staggered parallel HPLC system consists of four fully independent binary HPLC pumps, a modified auto sampler, and a series of switching and selector valves all controlled by a single computer program. The system improves sample throughput without sacrificing chromatographic separation or data quality. Sample throughput can be increased nearly four-fold without requiring significant changes in current analytical procedures. The process of Bioanalytical Method Validation is required by the FDA to assess and verify the performance of a chronlatographic method prior to its application in sample analysis. The validation should address the selectivity, linearity, accuracy, precision and stability of the method. This presentation will provide all overview of the work required to accomplish a full validation and show how a chromatographic method is suitable for toxirokinetic sample analysis. A liquid chromatography/tandem mass spectrometry (LC-MS/MS) method developed to quantitate drug levels in dog plasma will be used as an example of tile process.

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시강우량을 이용한 필지별 유출-유사 평가 시스템 및 BMPs 평가 모듈 개발 및 적용성 평가 (Development and Evaluation of Runoff-Sediment Evaluation System and BMPs Evaluation Modules for Agricultural Fields using Hourly Rainfall)

  • 금동혁;류지철;최재완;신민환;신동석;천세억;최중대;임경재
    • 한국물환경학회지
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    • 제28권3호
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    • pp.375-383
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    • 2012
  • Soil erosion has been emphasized as serious environmental problem affecting water quality in the receiving waterbodies. Recently, Best Management Practices (BMPs) have been applied at a field to reduce soil erosion and its effectiveness in soil erosion reduction has been monitored with various methods. Although monitoring at fields/watershed outlets would be accurate way for these ends, it is not possible at some fields/watersheds due to various limitations in direct monitoring. Thus modeling has been suggested as an alternative way to evaluate effects of the BMPs. Most models, which have been used in evaluating hydrology and water quality at a watershed, could not reflect rainfall intensity in runoff generation and soil erosion processes. In addition, source codes of these models are not always public for modification/enhancement. Thus, runoff-sediment evaluation system using hourly rainfall data and vegetated filter strip (VFS) evaluation module at field level were developed using open source MapWindow GIS component in this study. This evaluation system was applied to Bangdongri, Chuncheonsi to evaluate its prediction ability and VFS module in this study. The NSE and $R^2$ values for runoff estimation were 0.86 and 0.91, respectively, and measured and simulated sediment yield were 15.2 kg and 16.5 kg indicating this system, developed in this study, can be used to simulate runoff and sediment yield with acceptable accuracies. Nine VFS scenarios were evaluated for effectiveness of soil erosion reduction. Reduction efficiency of the VFS was high when sediment inflow was small. As shown in this study, this evaluation system can be used for evaluation BMPs with local rainfall intensity and variations considered with ease-of-use GIS interface.

퍼플골드를 위한 열증착법으로 제조된 Au-Al 합금 박막의 물성연구 (The Properties of Au-Al Alloy Thin Films with a Thermal Evaporator for Purple Gold)

  • 김준환;송오성
    • 한국진공학회지
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    • 제17권5호
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    • pp.466-472
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    • 2008
  • 퍼플골드는 78wt%Au-22wt%Al로 이루어진 합금으로 화학식은 $AuAl_2$로 표현된다. 최근 화이트골드, 핑크골드와 더불어 특유의 적자색 (보라색)이 나는 유색골드의 하나로 장신구나 의장용 소재로 활용되고 있다. 퍼플골드는 Au와 Al의 중간상으로 연성과 주조성이 나쁜 특성이 있어 단조와 주조작업을 통하여 원하는 형상의 퍼플골드를 얻기 힘든 단점이 있다. 따라서 절단과 연마공정만으로 최종제품을 제작하거나 박막으로 증착하여 의장용 소재로 활용하는 것이 가능하다. 본 연구는 순수한 Au와 Al을 소오스로 각각 200nm$SiO_2$/Si기판에 78:22의 무게비로 증착시킨 후 열처리를 시행한 경우와, $AuAl_2$를 용융을 통하여 벌크형으로 얻은 후 이를 소오스로 사용하여 유리기판에 기판온도를 상온으로 유지하면서 진공증착을 통하여 표면처리를 한 경우로 나누어 실험을 진행하였다. 완성된 시편은 육안검사, 미세구조분석, 면저항분석, 색차분석, XRD 분석을 통하여 증착된 퍼플골드의 색과 두께를 위주로 한 물성을 측정하였다. 12.5nmAu/40nmAl/200nm$SiO_2$/Si 구조로 제작하고 열처리 한 경우 과도한 표면응집현상이 일어나면서 퍼플골드가 형성되지 않았다. $AuAl_2$ 소오스로부터 직접 열증착한 경우는 벌크상태와 동일한 적자색을 보였으며 퍼플골드의 의장용으로서 심미적 기능이 가능한 것으로 판단되었다.