67 research outputs found

    Experimental and Numerical Method for Thermal Conductivity of Offshore Sediment and Proposed OHTC Formula for Offshore Pipelines Taking Multi-layered Sediment

    Get PDF
    ํ•ด์ €๋ฐฐ๊ด€์€ ์˜ค์ผ, ๊ฐ€์Šค ๊ทธ๋ฆฌ๊ณ  ๋ถˆ์ˆœ๋ฌผ์˜ ํ˜ผํ•ฉ๋ฌผ์„ ์œ ์ •์—์„œ ์šด์†กํ•  ์ˆ˜ ์žˆ ๋„๋ก ๊ณ ์•ˆ๋˜์—ˆ์œผ๋ฉฐ, 100โ„ƒ์ „ํ›„์˜ ๋†’์€ ์˜จ๋„์˜ ์œ ์ฒด๋ฅผ ์ˆ˜์†กํ•œ๋‹ค. ํ•˜์ง€๋งŒ ๋†’์€ ์˜จ๋„์˜ ์ˆ˜์†ก์œ ๋ฅ˜์™€ ๋ฐ˜๋Œ€๋กœ ํ•ด์ €๋ฐฐ๊ด€์„ ๋‘˜๋Ÿฌ์‹ธ๊ณ  ์žˆ๋Š” ์ฃผ๋ณ€ ํ™˜๊ฒฝ์˜ ์˜จ๋„๋Š” 5โ„ƒ์ •๋„์˜ ๋‚ฎ์€ ์˜จ๋„๋ฅผ ์œ ์ง€ํ•˜๊ณ  ์žˆ์œผ๋ฉฐ ์ด๋กœ ์ธํ•ด ํ•ด์ €๋ฐฐ๊ด€์€ ์—ด์†์‹ค์ด ๋ฐœ ์ƒํ•œ๋‹ค. ๋”ฐ๋ผ์„œ ํ•ด์ €๋ฐฐ๊ด€์˜ ์—ด์†์‹ค์„ ์ตœ์†Œํ™” ํ•˜๋Š” ๊ฒƒ ์ฆ‰, ์ˆ˜์†ก์œ ๋ฅ˜๊ฐ€ ์™์Šค (Wax)๋‚˜ ๊ณ ์ƒ์—ผ(Hydrate) ๊ฐ™์€ ์นจ์ „๋ฌผ์ด ์ƒ์„ฑ๋˜๋Š” ์˜จ๋„์ธ 40โ„ƒ ์ดํ•˜๋กœ ๋–จ์–ด ์ง€๋Š” ๊ฒƒ์„ ๋ฐฉ์ง€ํ•ด ์œ ๋™์•ˆ์ •์„ฑ์„ ํ™•๋ณดํ•˜๋Š” ๊ฒƒ์€ ํ•ด์ €๋ฐฐ๊ด€ ์„ค๊ณ„์— ์žˆ์–ด ๊ฐ€์žฅ ์ค‘์š”ํ•œ ๋ถ€๋ถ„์ด๋‹ค. ๊ทธ๋Ÿฌ๋ฏ€๋กœ ํ•ด์ €๋ฐฐ๊ด€ ์ฃผ๋ณ€ ํ™˜๊ฒฝ ์ฆ‰ ํ•ด์ˆ˜, ํ•ด์ €์ง€๋ฐ˜์˜ ์˜ํ–ฅ์— ์˜ํ•œ ํ•ด์ €๋ฐฐ๊ด€์˜ ์—ด์†์‹ค์˜ ์ •๋„๋ฅผ ๋‚˜ํƒ€๋‚ด๋Š” ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜๋ฅผ ๊ณ„์‚ฐํ•˜์—ฌ ์„ค ๊ณ„์— ๋ฐ˜์˜ํ•˜๋Š” ๊ฒƒ์€ ์ค‘์š”ํ•˜๋‹ค. ๋ณธ ๋…ผ๋ฌธ์—์„œ๋Š” ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๋ฐ CFDํ•ด์„์˜ ๊ฒ€ํ† ๋ฅผ ํ†ตํ•ด ํ•ด์ €์ง€๋ฐ˜์˜ ์—ด์ „๋„์œจ์„ ์—ฌ๋Ÿฌ ๊ฐ€์ง€ ์ƒ˜ํ”Œ์„ ํ†ตํ•ด ์‚ฐ์ •ํ•˜์˜€์œผ๋ฉฐ, ์‚ฐ์ •๋œ ์—ด์ „๋„์œจ์„ ํ† ๋Œ€๋กœ ๋‹ค์ธต์ง€๋ฐ˜์„ ๊ตฌ์„ฑํ•˜์—ฌ ๋‹ค์ธต์ง€๋ฐ˜์˜ ๋‹ค์–‘ํ•œ ์—ด์ „๋„ ์œจ์„ ๊ณ ๋ คํ•œ ํ•ด์ €๋ฐฐ๊ด€์˜ ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜(OHTC)์‹์„ ์ œ์•ˆํ•˜์˜€๋‹ค.|Subsea pipelines are designed to transport mixtures of oil, gas and their associated impurities from the wellhead that can be in excess of approximately as high as 100โ„ƒ temperature, while the external temperature maybe in the range of 5โ„ƒ. Heat can be lost from the subsea pipeline which contains high temperature fluid to the surrounding environment. It is important that the pipeline must be designed to ensure that the heat loss is small enough to maintain flow assurance, unwanted deposition of hydrate and wax, which occurs at a critical temperature of about 40โ„ƒ. Therefore it is essential to know heat loss of subsea pipeline in various circumstance. This paper presents thermal conductivity of offshore sediments using laboratory model test and numerical analysis for various soil samples. After calculate thermal conductivities, this paper propose a OHTC(Overall heat transfer coefficient) formula considering multi-layed soil using calculated thermal conductivity of soil samples for more precise OHTC estimation.List of Tables ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท โ…ณ List of Figures ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท โ…ด Abstract ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท โ…ถ ์ดˆ๋ก ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท โ…ธ ์ œ 1 ์žฅ ์„œ ๋ก  ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 1 1.1 ์—ฐ๊ตฌ ๋ฐฐ๊ฒฝ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 1 1.2 ์—ฐ๊ตฌ ๋™ํ–ฅ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 2 1.2.1 ํ•ด์ €์ง€๋ฐ˜ ์—ด์ „๋„์œจ ์‚ฐ์ • ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 2 1.2.2 ๋‹ค์ธต์ง€๋ฐ˜์„ ๊ณ ๋ คํ•œ ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜์‹ ์ œ์•ˆ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 3 ์ œ 2 ์žฅ ํ•ด์ €์ง€๋ฐ˜ ์—ด์ „๋„์œจ ์‚ฐ์ • ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 5 2.1 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๋ฐฉ๋ฒ• ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 5 2.1.1 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ์žฅ์น˜ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 5 2.1.2 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ์ธก์ • ์žฅ๋น„ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 7 2.1.3 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๋ฐฉ๋ฒ• ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 8 2.1.4 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ์‹œ๋ฃŒ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 10 2.2 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๊ฒฐ๊ณผ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 12 2.2.1 ํ˜ผํ•ฉ์‹œ๋ฃŒ ์—ด์ „๋„์œจ ๊ฒฐ๊ณผ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 12 2.2.2 ๋ณด๋ง์‹œ๋ฃŒ ์—ด์ „๋„์œจ ๊ฒฐ๊ณผ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 18 ์ œ 3 ์žฅ ํ•ด์ €์ง€๋ฐ˜ ์—ด์ „๋„์œจ ์‚ฐ์ • ์œ ํ•œ์š”์†Œํ•ด์„ ์ˆ˜ํ–‰๊ฒฐ๊ณผ ๋ฐ ๋ถ„์„ ยทยทยทยทยทยทยทยทยทยทยทยทยทยท 20 3.1 ์œ ํ•œ์š”์†Œํ•ด์„ ํƒ€๋‹น์„ฑ ๊ฒ€ํ†  ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 20 3.2 ์œ ํ•œ์š”์†Œํ•ด์„ ๋ฐฉ๋ฒ• ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 22 3.2.1 ๋ชจ๋ธ๋ง ๋ฐ ๊ฒฉ์ž์ƒ์„ฑ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 23 3.2.2 ์œ ํ•œ์š”์†Œํ•ด์„ ์ง€๋ฐฐ๋ฐฉ์ •์‹ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 24 3.2.3 ์œ ํ•œ์š”์†Œํ•ด์„ ์ดˆ๊ธฐ์กฐ๊ฑด ๋ฐ ๊ฒฝ๊ณ„์กฐ๊ฑด ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 25 3.2.4 ์œ ํ•œ์š”์†Œํ•ด์„ ํ•ญ๋ชฉ ๋ฐ ์žฌ๋ฃŒ ๋ฌผ์„ฑ์น˜ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 25 3.3 ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๋ฐ ์œ ํ•œ์š”์†Œํ•ด์„ ๊ฒฐ๊ณผ๋น„๊ต ๋ฐ ๋ถ„์„ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 26 3.3.1 ์œ ํ•œ์š”์†Œํ•ด์„ ๋ฐ ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๊ฒฐ๊ณผ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 26 3.3.2 ์œ ํ•œ์š”์†Œํ•ด์„ ๋ฐ ์‹ค๋‚ด๋ชจํ˜•์‹คํ—˜ ๊ฒฐ๊ณผ ๋น„๊ต ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 27 ์ œ 4 ์žฅ ๋‹ค์ธต์ง€๋ฐ˜์˜ ์—ด์ „๋„์œจ์„ ๊ณ ๋ คํ•œ ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜์‹ ์ œ์•ˆ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 30 4.1 ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜ ์ด๋ก ์‹ ๊ฒ€ํ†  ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 30 4.1.1 ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜ ๊ฐœ๋… ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 30 4.1.2 ๋งค๋ฆฝ๋œ ํ•ด์ €๋ฐฐ๊ด€์˜ ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜ ์ด๋ก ์‹ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 30 4.2 ๋‹ค์ธต์ง€๋ฐ˜ ์—ด์ „๋„์œจ ์ ์šฉ ์ด๋ก  ๋ฐ ์‹ ์ œ์•ˆ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 36 4.2.1 Fourier์˜ ์—ด์ „๋„๋ฒ•์น™ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 36 4.2.2 ํ•ด์ €์ง€๋ฐ˜ ๋“ฑ๊ฐ€ ์—ด์ „๋„์œจ ์‚ฐ์ • ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 38 4.2.3 ๋‹ค์ธต์ง€๋ฐ˜์„ ๊ณ ๋ คํ•œ ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜ ๊ณ„์‚ฐ์‹ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 39 ์ œ 5 ์žฅ ์œ ํ•œ์š”์†Œํ•ด์„์„ ํ†ตํ•œ ์ œ์•ˆ ์‹ ๊ฒ€์ฆ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 42 5.1 ์œ ํ•œ์š”์†Œํ•ด์„ ๋ฐฉ๋ฒ• ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท42 5.1.1 ์œ ํ•œ์š”์†Œํ•ด์„ ๋ฐฉ๋ฒ• ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 42 5.1.2 ์œ ํ•œ์š”์†Œํ•ด์„ ์ง€๋ฐฐ๋ฐฉ์ •์‹ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 44 5.1.3 ์œ ํ•œ์š”์†Œํ•ด์„ ์ดˆ๊ธฐ์กฐ๊ฑด ๋ฐ ๊ฒฝ๊ณ„์กฐ๊ฑด ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 46 5.1.4 ์ˆ˜์น˜ํ•ด์„ ๊ฒฐ๊ณผ๋ฅผ ์ด์šฉํ•œ ์ด๊ด„์—ด์ „๋‹ฌ๊ณ„์ˆ˜ ๊ณ„์‚ฐ ์ด๋ก  ยทยทยทยทยทยทยทยทยทยทยท 48 5.2 ์œ ํ•œ์š”์†Œํ•ด์„ ์ผ€์ด์Šค ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 49 5.2.1 ํ•ด์„์ผ€์ด์Šค 1 : High Biot number ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 50 5.2.2 ํ•ด์„์ผ€์ด์Šค 2 : Intermediate Biot number ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 51 5.2.3 ํ•ด์„์ผ€์ด์Šค 3 : Law Biot number ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 52 ์ œ 6 ์žฅ ์œ ํ•œ์š”์†Œํ•ด์„ ์ˆ˜ํ–‰๊ฒฐ๊ณผ ๋ฐ ๋ถ„์„ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 53 6.1 ์œ ํ•œ์š”์†Œํ•ด์„ ํƒ€๋‹น์„ฑ ๊ฒ€ํ†  ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 53 6.2 ์œ ํ•œ์š”์†Œํ•ด์„ ๊ฒฐ๊ณผ ๋ฐ ์ œ์•ˆ ์‹ ๊ณ„์‚ฐ๊ฒฐ๊ณผ ๋น„๊ต๋ถ„์„ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 55 6.2.1 ํ•ด์„์ผ€์ด์Šค 1 : High Biot Number ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 55 6.2.2 ํ•ด์„์ผ€์ด์Šค 2 : Intermediate Biot Number ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 58 6.2.3 ํ•ด์„์ผ€์ด์Šค 3 : Law Biot Number ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 61 ์ œ 7 ์žฅ ๊ฒฐ ๋ก  ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 64 Nomenclature ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 66 ์ฐธ๊ณ ๋ฌธํ—Œ ยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยทยท 68Maste

    Prognostic Significance of Multifocal Tumor in Radical Prostatectomy

    Get PDF
    Purpose: We investigate the impact of tumor multifocality on the biochemical recurrence rate after radical prostatectomy. Materials and Methods: Data was collected from 525 patients who underwent radical prostatectomy for clinically localized prostate cancer from 2003 to 2007. We evaluated the potential associations of multifocality with various clinical and pathologic factors. The ability to predict extra-capsular extension (ECE) was tested by logistic regression models, whereas biochemical recurrence (BCR) was assessed via Kaplan-Meier analyses and Cox-hazard regression models. The BCR was defined as a level of serum prostate-specific antigen (PSA) of 0.2ng/ml or greater on consecutive evaluations. Results: Multifocality was observed to be significantly associated with the presence of a high grade Gleason pattern (p=0.014), the pT stage (p๏ผœ 0.001), ECE (p=0.005) and a positive surgical margin (PSM) (p=0.019). Moreover, it was the independent predictor of ECE on multivariate logistic regression analyses (p=0.039). However, although multifocality had a significant influence on biochemical recurrence on the Kaplan-Meier analyses (log rank test, p=0.019), only the PSA level and the Gleason score were significant predictors of BCR on the multivariated Cox-hazard analyses. Conclusions: Although multifocality was associated with adverse pathologic features, it had no significant effect on biochemical recurrence on the multivariated cox-hazard analyses

    (A) Study on the Knowledge and Attitude toward Medical Market Opening: Opinions from Hospital Managers in 4 University Hospitals

    No full text
    ๋ณด๊ฑด๊ด€๋ฆฌํ•™๊ณผ/์„์‚ฌ[ํ•œ๊ธ€] ๋Œ€ํ•™๋ณ‘์› ๊ด€๋ฆฌ์ž๋“ค์˜ ์˜๋ฃŒ์„œ๋น„์Šค ์‹œ์žฅ๊ฐœ๋ฐฉ์— ๋Œ€ํ•œ ์ธ์‹์„ ์กฐ์‚ฌํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ์„œ์šธ์†Œ์žฌ,500๋ณ‘์ƒ ์ด์ƒ์˜ 4๊ฐœ ๋Œ€ํ•™๋ณ‘์›์˜ ๊ด€๋ฆฌ์ž 520๋ช…์„ ๋Œ€์ƒ์œผ๋กœ ํ•˜์—ฌ 1994๋…„ 3์›” 28์ผ๋ถ€ํ„ฐ 1994๋…„ 4์›” 8์ผ๊นŒ์ง€ ๊ตฌ์กฐํ™”๋œ ์ž๊ธฐ์กฐ์‚ฌํ‘œ๋ฅผ ์ด์šฉ, ์ž๊ธฐ๊ธฐ์ž…์‹ ๋ฐฉ๋ฒ•์œผ๋กœ ์—ฐ๊ตฌ์ž๋ฃŒ๋ฅผ ์ˆ˜์ง‘ํ•˜์˜€์œผ๋ฉฐ, ์ธ๊ตฌ์—์„œ ๋ถ„์„๋œ ํ‘œ๋ณธ์ˆ˜๋Š” 319๊ฑด ์ด์˜€๋‹ค. ์ฃผ์š”๊ฒฐ๊ณผ๋Š” ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ์˜๋ฃŒ์‹œ์žฅ ๊ฐœ๋ฐฉ์˜ ๊ธ์ •์  ์ธ์‹์ •๋„๋Š” ์‹œ์„ค ์ธก๋ฉด์˜ ๊ฒฝ์šฐ ๊ตญ๋ฆฝ๋ณ‘์›์ด ์‚ฌ๋ฆฝ๋ณ‘์›์— ๋น„ํ•ด ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜์œผ๋ฉฐ, ๋ถ€์ •์  ์ธ์‹์ •๋„๋Š” ๊ฒฝ์˜์ธก๋ฉด์˜ ๊ฒฝ์šฐ ๊ฐ„ํ˜ธ๋ถ€์„œ์—์„œ ๋‚จ์ž๋ณด๋‹ค๋Š” ์—ฌ์ž๊ฐ€, ์•ฝ๋ฌด์ง์ข…์—์„œ ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜์œผ๋ฉฐ, ์˜๋ฃŒ์„œ๋น„์Šค ์ธก๋ฉด์˜ ๊ฒฝ์šฐ๋Š” ๋ถ€์ •์  ์ธ์‹์ •๋„๊ฐ€ ์•ฝ๋ฌด์ง์ข…์ด ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜๋‹ค ๋‘˜์งธ, ์‘๋‹ต์ž์˜ ์ง€์‹์ •๋„์— ๋”ฐ๋ฅธ ์˜๋ฃŒ์‹œ์žฅ๊ฐœ๋ฐฉ์˜ ๊ธ์ •์  ์ธ์‹์ •๋„๋Š” ๊ฒฝ์˜ ์ธก๋ฉด์˜ ๊ฒฝ์šฐ ํ•ด์™ธ์—ฐ์ˆ˜ ๊ต์œก์„ ๋ฐ›์€ ๊ฒฝํ—˜์ด ์žˆ๋‹ค๊ณ  ์‘๋‹ตํ•œ ๊ตฐ์ด ๊ทธ๋ ‡์ง€ ์•Š์€ ๊ตฐ์— ๋น„ํ•ด ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜์œผ๋ฉฐ, ์˜๋ฃŒ์„œ๋น„์Šค ์ธก๋ฉด๊ณผ ์‹œ์„ค์ธก๋ฉด์˜ ๊ฒฝ์šฐ ๊ฐœ๋ฐฉ์— ๊ด€ํ•œ ์ž๋ฃŒ๋ฅผ ๋ฐ˜๋“œ์‹œ ๋ณธ๋‹ค๊ณ  ์‘๋‹ตํ•œ ๊ตฐ๊ณผ ๊ฐœ๋ฐฉํ™” ์ž๋ฃŒ๊ฐ€ ๊ทผ๋ฌด์— ๋„์›€์„ ์ค€๋‹ค๊ณ  ์‘๋‹ตํ•œ ๊ตฐ์ด ๊ธ์ •์  ์ธ์‹์ •๋„๊ฐ€ ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜๋‹ค. ์„ธ์งธ, ๊ฐœ๋ฐฉ์˜ ํƒœ๋„์— ๋”ฐ๋ฅธ ์˜๋ฃŒ์„œ๋น„์Šค ๊ฐœ๋ฐฉ์˜ ๊ธ์ •์  ์ธ์‹์ •๋„๋Š” ๊ฒฝ์˜์ธก๋ฉด์˜ ๊ฒฝ์šฐ ํ•ด์™ธ์—ฐ์ˆ˜๊ต์œก์ด ๋งค์šฐ ๋ฐ”๋žŒ์ง ํ•˜๋‹ค๊ณ  ์‘๋‹ตํ•œ ๊ตฐ์ด ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜์œผ๋ฉฐ, ๊ฐœ๋ฐฉ์˜๋ถ€์ •์ง ์ธ์‹์ •๋„๋Š” ๊ฒฝ์˜์ธก๋ฉด์˜ ๊ฒฝ์šฐ ํ•ด์™ธ์—ฐ์ˆ˜๊ต์œก์ด ์ „ํ˜€ ๋ฐ”๋žŒ์งํ•˜์ง€ ๋ชปํ•˜๋‹ค๊ณ  ์‘๋‹ตํ•œ ๊ตฐ์ด ๋ถ€์ •์  ์ธ์‹์ •๋„๊ฐ€ ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜๋‹ค. ๋ƒ‡์งธ, ์ „์ฒด ์˜๋ฃŒ์ •์น™์— ๊ด€ํ•œ ๊ฐœ์„ ์ •๋„๋Š” ์‚ฌ๋ฆฝ๋ณ‘์›๊ณผ ๊ณผ์žฅ๊ธ‰ ์ด์ƒ์—์„œ, ์˜๋ฃŒ์ˆ˜๊ฐ€ ์ˆ˜์ค€์˜ ํ˜„์‹คํ™”์— ๋Œ€ํ•œ ๊ฐœ์„  ์ธ์‹์ •๋„๋Š” ์‚ฌ๋ฆฝ๋ณ‘์›๊ณผ ํ–‰์ •๋ถ€์„œ์—์„œ ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜์œผ๋ฉฐ, ์˜๋ฃŒ๊ธฐ๊ด€์„ ์ง€์›ํ•˜๊ธฐ ์œ„ํ•œ ์ œ๋„๋งˆ๋ จ์€ ์‚ฌ๋ฆฝ๋ณ‘์›์—์„œ, ๊ณผ์žฅ๊ธ‰ ์ด์ƒ์˜ ์ง์œ„์—์„œ ํ†ต๊ฒŒํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋†’์•˜๋‹ค. ๋‹ค์„ฏ์งธ, ์˜๋ฃŒ์„œ๋น„์Šค ์‹œ์žฅ๊ฐœ๋ฐฉ์— ๋Œ€์ฒ˜ํ•˜๊ธฐ ์œ„ํ•ด ์‹œ์„ค๊ณผ ์žฅ๋น„ ๋ฐ ์ž๋ณธ์— ๋Œ€ํ•œ ๋Œ€์‘์ด ์žˆ์–ด์•ผ ํ•œ๋‹ค๊ณ  ๊ทผ๋ฌด๋…„์ˆ˜๊ฐ€ 20๋…„ ์ด์ƒ์—์„œ, ๊ฒฝ์˜์ „๋žต์œผ๋กœ ์˜๋ฃŒ์˜ ์งˆ์ด๋‚˜ ์„œ๋น„์Šค ์ˆ˜์ค€์€ ํ–ฅ์ƒ์‹œ์ผœ์•ผ ํ•œ๋‹ค๊ณ  ๊ณผ์žฅ๊ธ‰์ด์ƒ์˜ ์ง์œ„์—์„œ ํ†ต๊ณ„ํ•™์ ์œผ๋กœ ์œ ์˜ํ•˜๊ฒŒ ๋งŽ์•˜๋‹ค ์ด ์—ฐ๊ตฌ์—์„œ ์ œ์‹œ๋œ ๊ฒฐ๊ณผ๋“ค์— ๋น„์ถ”์–ด ์˜๋ฃŒ์„œ๋น„์Šค ์‹œ์žฅ๊ฐœ๋ฐฉ์— ๋Œ€์ฒ˜ํ•˜๊ธฐ ์œ„ํ•ด ๊ฒฝ์Ÿ๋ ฅ๊ฐ•ํ™”๋ฅผ ์œ„ํ•œ ๋ณ‘์› ์Šค์Šค๋กœ์˜ ์ž๊ตฌ ๋…ธ๋ ฅ์ด ์‹œ๊ธ‰ํ•˜๋ฉฐ, ์˜๋ฃŒ๋ณดํ—˜ ์ˆ˜๊ฐ€์ œ๋„์˜ ํ˜์‹ ์ด ์‹œ๊ธ‰ํžˆ ๊ฐ•๊ตฌ๋˜์–ด์•ผ ํ•˜๋ฉฐ, ๋ชจ๋“  ๋ณ‘์›์ด ์˜๋ฃŒ์˜ ์งˆ ๊ณผ ์„œ๋น„์Šค ํ–ฅ์ƒ์„ ํ†ตํ•ด ๊ตญ๋ฏผ์˜ ์ง€์ง€๋ฅผ ํ™•๋ณดํ•˜์—ฌ์•ผ ํ•œ๋‹ค. ์•„์šธ๋Ÿฌ ๋ณ‘์›์ด ์‚ฌํšŒ์กฐ์ง์˜ ์ผ์›์ž„์„ ์ƒ๊ธฐํ•˜์—ฌ, ์‚ฌํšŒ๋ด‰์‚ฌ์— ์ฐธ์—ฌํ•˜๊ณ  ๊ณต์ต์— ๊ธฐ์—ฌํ•˜๋Š” ์ž์„ธ๋ฅผ ๊ฐ–์ถ”์–ด์•ผ ํ•˜๊ฒ ๋‹ค. ๋ณ‘์›์˜ ํŠน์„ฑ์ด๋‚˜ ์‘๋‹ต์ž๋“ค์ด ์ธ์‹ํ•œ ํŠน์„ฑ์„ ๊ฐ์•ˆํ•œ ๋ณ‘์›์ •์ฑ…์ˆ˜๋ฆฝ์ด ํ•„์š”ํ•˜๋ฉฐ ์•ž์œผ๋กœ ์˜๋ฃŒ๊ฐœ๋ฐฉ์ด๋ผ๋Š” ๊ณผ์ œ๋ฅผ ์˜๋ฃŒ์ธ๊ณผ ๊ด€๋ฆฌ์ž๋Š” ์˜ˆ์™ธ์—†๋Š” ๊ด€์„ธํ™”๋ฅผ ํ‘œ๋ฐฉํ•˜๋Š” ๋ฌดํ•œ๊ฒฝ์Ÿ ์‹œ๋Œ€์˜ ํ๋ฆ„์„ ์ธ์‹ํ•˜๊ณ , ๊ฐ์ž๊ฐ€ ์†ํ•œ ์˜๊ฒฌ์ง‘์•ฝ์ฒด๋ฅผ ์ค‘์‹ฌ์œผ๋กœ ํ•จ๊ป˜ ๋ชจ์—ฌ ๋ฌธ์ œ์˜ ํ•ต์‹ฌ์„ ์ •ํ™•ํžˆ ์ง„๋‹จํ•˜๊ณ  ๋Œ€์‘ํ•˜์—ฌ ํ‰์†Œ์— ๊ฐœ๋ฐฉ์— ๋Œ€ํ•œ ๊ต์œก, ํ›ˆ๋ จ, ์ธ๊ตฌ๊ฐ€ ํ•„์š”ํ•˜๋‹ค, ์ด ์—ฐ๊ตฌ๋Š” ๋ณ‘์›๊ด€๋ฆฌ์ž์— ์ ํ•ฉํ•œ ๊ด€๋ฆฌ๋ฐฉ์•ˆ์„ ๋ชจ์ƒ‰ํ•˜๋Š”๋ฐ ์ฐธ๊ณ ์ž๋ฃŒ๋กœ ์ œ์‹œ๋˜์—ˆ์œผ๋ฉด ํ•œ๋‹ค. ๋˜ํ•œ ์ด ์—ฐ๊ตฌ๊ฐ€ ์šฐ๋ฆฌ๋‚˜๋ผ ์ „์ฒด๋ณ‘์›์„ ๋Œ€ํ‘œํ•˜์ง€ ๋ชปํ•˜๋ฉฐ ์ผ๋ถ€ ์‘๋‹ต์ž์˜ ๋ˆ„๋ฝ์œผ๋กœ ์ „์ฒด๋ณ‘์›๊ด€๋ฆฌ์ž๋ฅผ ํฌํ•จ์‹œํ‚ค์ง€ ๋ชปํ•˜์˜€๋˜์  ๋“ฑ์˜ ์ œํ•œ์ ์€ ์žˆ์œผ๋ฏ€๋กœ ์ด ์—ฐ๊ตฌ์˜ ์ œํ•œ์ ์„ ๋ณด์ถฉํ•œ ์ถ”๊ฐ€ ์—ฐ๊ตฌ๊ฐ€ ์ง„ํ–‰๋˜์–ด์•ผ ํ•  ๊ฒƒ์ด๋‹ค. [์˜๋ฌธ] In order to study major factors related to hospital managers a kind of questionaire which each relative subject should complete a constructed form of a check list by himself or herself was distributed to 520 hospital managers who had come to one of 4 located in Seoul city, university hospitals and was working from March. 28 to April. 8, 1995. However, 319 samples were respondent for analysis. And major results are as follow s' First of all, if the domestic market is opened those working in public hospitals agree more so than those working in private hospitals that the facilities sector of the hospital industry would be improved. But the negative aspect, as viewed by nurses, female in particular, and pharmacists, is that hospital income as well as qualified workers will be lost to foreign medical servicer. Pharmacists more so than other also believe that the medical service sector as a whole will suffer as a result of opening up the domestic market. Second, those who went abroad for medical seminars welcomed the idea of opening the medical service market more so than those who didn`t. Those who read materials concerning medical service and facilities also were more open to the idea of opening the medical service market. Third, those who went abroad for seminars also had a more positive attitude toward the opening of the medical service market. Forth, upper level management in public hospitals feel there is a need for change in insurance policies. The administration department in private hospitals feel the cost of medical feels should be raised and for the benefit of supporting medical centers a certain system must be developed. Fifth, for the benefit of managing the possible opening of the medical service sector, facilities, equipment, capital, medical care quality, and grade of service must be improved said those in upper level management as well as workers with 20 years or more experience. According to the results for the benefit of opening the medical service sector a medical policy must be established. Also, it would be beneficial if management from their respective hospitals can find a suitable method for administrative work. Because many doctors for various seasons decided not to participate in the questionaire and those in other areas other than Seoul were excluded the research may not accurately represent ????entiment of all doctors. So it would be helpful to do further research in this issue.restrictio

    ๋ฆฌ๋”์‹ญ ์œ ํšจ์„ฑ๊ณผ ๋ฆฌ๋”์‹ญ ๋ฐ ํŒ”๋กœ์–ด์‹ญ ์Šคํƒ€์ผ๊ฐ„ ๊ด€๋ จ์„ฑ์— ๋Œ€ํ•œ ํƒ์ƒ‰์  ์—ฐ๊ตฌ

    No full text
    1999-12์กฐ์ง์ด๋ž€ ๋‘ ์‚ฌ๋žŒ ์ด์ƒ์ด ๋ชจ์—ฌ ๊ณต๋™๋ชฉํ‘œ๋ฅผ ๋‹ฌ์„ฑํ•˜๊ณ ์ž ํ•˜๋Š” ์œ ๊ธฐ์ œ์ด๋‹ค. ๊ทธ๋Ÿฌํ•œ ์กฐ์ง์˜ ๋ชฉํ‘œ๋ฅผ ํšจ๊ณผ์ ์œผ๋กœ ๋‹ฌ์„ฑํ•˜๊ธฐ ์œ„ํ•ด์„œ๋Š” ์กฐ์ง์„ ๊ตฌ์„ฑํ•˜๊ณ  ์žˆ๋Š” ๊ฐœ์ธ ๋ฐ ์ง‘๋‹จ๋“ค์˜ ํ˜‘๋ ฅ์ด ๋งค์šฐ ์ค‘์š”ํ•˜๋ฉฐ ์ด๋Ÿฌํ•œ ๊ฐœ์ธ ๋ฐ ์ง‘๋‹จ๋“ค์˜ ํ˜‘๋ ฅ์€ ๊ทธ๋“ค๊ณผ ์ง์ ‘์ ์œผ๋กœ ์ƒํ˜ธ์ž‘์šฉํ•˜๊ณ  ์žˆ๋Š” ๋ฆฌ๋”์˜ ์—ญํ• ์ด ์—†์ด๋Š” ์‹คํ˜„๋  ์ˆ˜ ์—†๋‹ค. ๋‹ค์‹œ ๋งํ•ด์„œ ๋ฆฌ๋”์‰ฝ์€ ๊ฐœ์ธํ–‰๋™๊ณผ ์ง‘๋‹จํ–‰๋™์˜ ํ˜•์„ฑ์€ ๋ฌผ๋ก  ์ด๋“ค ํ–‰๋™์„ ์กฐ์ง์˜ ์„ค๊ณผ๋กœ ์—ฐ๊ฒฐ์‹œํ‚ค๋Š” ์ง๋ฌดํ–‰๋™๊ฐœ๋ฐœ์— ๊ฐ€์žฅ ์ค‘์š”ํ•œ ์š”์ธ์œผ๋กœ ์ธ์‹๋˜์–ด ์™”๋‹ค. ๊ทธ๋ฆฌํ•˜์—ฌ ๋ฆฌ๋”์‹ญ์€ ์กฐ์ง๊ด€๋ฆฌ์— ์žˆ์–ด์„œ ๊ฐ€์žฅ ์ค‘์š”ํ•œ ์ฃผ์ œ๋“ค์˜ ํ•œ ๋ถ„์•ผ๋กœ์„œ ์ด๋ก ์  ๊ด€์‹ฌ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ์กฐ์ง์—์„œ์˜ ์‹ค๋ฌด์  ๊ด€์‹ฌ์˜ ๋Œ€์ƒ์ด ๋˜์–ด ์™”๋‹ค. ์ง€๊ธˆ๊นŒ์ง€์˜ ๋Œ€๋ถ€๋ถ„ ๋ฆฌ๋”์‹ญ์—ฐ๊ตฌ๋“ค์€ ๋ฆฌ๋”์‹ญ์„ ๋ฐœํœ˜ํ•˜๋Š” ์‚ฌ๋žŒ ์ฆ‰ ๋ฆฌ๋”์—๊ฒŒ๋งŒ ์ดˆ์ ์„ ๋งž์ถฐ ๋ฆฌ๋”์‹ญ๊ณผ ๊ด€๋ จ๋œ ๊ฐœ๋…๋“ค์„ ๊ฐœ๋ฐœํ•˜๊ณ  ์—ฐ๊ตฌํ•˜๋Š”๋ฐ ๊ด€์‹ฌ์„ ์ง‘์ค‘์‹œ์ผœ์™”๋‹ค. ๋ฐ˜๋ฉด ํŒ”๋กœ์‹ญ์€ ๋ฆฌ๋”์‹ญ๊ณผ์ •์˜ ์ค‘์š”ํ•œ ๋ถ€๋ถ„์ผ ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ์กฐ์ง์šด๋ช…์— ์ค‘์š”ํ•œ ์—ญํ• ์„ ํ•˜๊ณ  ์žˆ์Œ์—๋„ ๋ถˆ๊ตฌํ•˜๊ณ  ํŒ”๋กœ์–ด์‹ญ ๋˜๋Š” ํŒ”๋กœ์–ด์˜ ์—ญํ• ์— ๋Œ€ํ•ด์„œ๋Š” ๊ฑฐ์˜ ์—ฐ๊ตฌ๊ฐ€ ์ด๋ฃจ์–ด์ง€์ง€ ์•Š์•˜๋‹ค. ๋ฆฌ๋”์‹ญ์—ฐ๊ตฌ๋“ค์—์„œ๋Š” ํŒ”๋กœ์–ด๋ฅผ ๋ฆฌ๋”์‹ญ ๋ฐœํœ˜ ๋Œ€์ƒ์œผ๋กœ๋งŒ ์ธ์‹ํ•˜์—ฌ ์™”๊ธฐ ๋•Œ๋ฌธ์— ํŒ”๋กœ์–ด์‹ญ์€ ๊ทธ ๋งŒํผ ์†Œํ™€ํžˆ ๋‹ค๋ฃจ์–ด์งˆ ์ˆ˜ ๋ฐ–์— ์—†์—ˆ๋‹ค

    (The) prognostic factors in invasive and metastatic transitional cell carcinoma of the bladder

    No full text
    ์˜ํ•™๊ณผ/์„์‚ฌ[ํ•œ๊ธ€] ๋ฐฉ๊ด‘์˜ ์นจ์œค์„ฑ ๋ฐ ์ „์ด์„ฑ ์ดํ–‰์ƒํ”ผ์„ธํฌ์•” ํ™˜์ž์—์„œ ์ฒ˜์Œ ์ง„๋‹คํ–ˆ์„ ๋•Œ ์กด์žฌํ•˜๋Š” ๊ฐ€๋Šฅํ•œ ์˜ˆํ›„์ธ์ž, ์ฆ‰, ํ™˜์ง€์ž์˜ ๋‚˜์ด๋‚˜ ์„ฑ๋ณ„๊ฐ™์€ ํ™˜์ž์˜ ์‹ ์ฒด์  ์š”์ธ๊ณผ ์ข…๊ดด์˜ ํ˜•ํƒœ, ์œ„์น˜, ํฌ๊ธฐ, ์กฐ์งํ•™์  ๋ถ„ํ™”๋„, ๋ณ‘๊ธฐ, ์ž„์˜์ƒ๊ฒ€์—์„œ์˜ ๋น„์ •์ƒ ์กฐ์ง์†Œ๊ฒฌ ์œ ๋ฌด ๋ฐ ์š”์„ธํฌ๊ฒ€์‚ฌ๊ฒฐ๊ณผ ๋“ฑ์˜ ์ข…๋ฌผ์ž์ฒด์˜ ์š”์ธ ๋ฐ ์ง„๋‹จํ›„ ์น˜๋ฃŒ๋ฐฉ๋ฒ•, ๊ทผ์น˜์  ๋ฐฉ๊ด‘์ ์ถœ ์ˆ ์ „์˜ ๋ฐฉ์‚ฌ์„ ์น˜๋ฃŒ์— ์˜ํ•œ ๋ณ‘๋ฆฌ์กฐ์งํ•™์  ๊ฐ๋ณ‘๊ธฐ(downstaging)์˜ ์—ฌ๋ถ€, ์ง„ํ–‰์–‘์ƒ ๋“ฑ์˜ ์น˜๋ฃŒ์— ๋”ฐ๋ฅธ ์š”์ธ๋“ค์ด ์ƒ์กด์œจ์— ์–ด๋– ํ•œ ์˜ํ–ฅ์„ ์ฃผ๋Š”์ง€๋ฅผ ๊ฒ€ํ† ํ•˜๊ธฐ ์œ„ํ•™์—ฌ BMDPํ†ต๊ณ„ํ”„๋กœ๊ทธ๋žจ package๋ฅผ ์ด์š”, ๋น„๊ต ๋ถ„์„ํ•˜์˜€๋‹ค. BMDP1L์„ ์ด์š”ํ•ด์„œ ์˜์˜์žˆ๋Š” ์˜ˆํ›„์ถ”์ •์ธ์ž๋ฅผ ์•Œ์•„๋ณด๊ณ  ๊ฐ ๋ณ‘๊ธฐ์— ๋”ฐ๋ฅธ ์ƒ์กด์œจ์„ ์ถ”์ •ํ•˜์˜€์œผ๋ฉฐ Breslow์™€ Mantle-Cox ๋ฐฉ๋ฒ•์œผ๋กœ ๊ฒ€์ •ํ•˜์˜€๋‹ค, ๋˜ํ•œ BMDP2L์„ ์ด์šฉํ•œ ํฌ๊ท€(regression)๊ฒฐ๊ณผ ๋‚˜ํƒ€๋‚œ ๊ฐ€์žฅ ์œ ์˜ํ•œ ์˜ˆํ›„์ธ์ž, ์ฆ‰ ์ž„์ƒ T๋ณ‘๊ธฐ๋ฅผ ์ค‘์‹ฌ์œผ๋กœ SPSS ํ†ต๊ณ„ํ”„๋กœ๊ทธ๋žจ package๋ฅผ ์‚ฌ์šฉ, ์›์ž๋ฃŒ๋ฅผ ๋ถ„๋ฅ˜์ •๋ฆฌํ•œ ํ›„ ๋‹ค๋ฅธ ์˜ˆํ›„์ธ์ž์™€์˜ ์ƒํ˜ธ์œ ์˜์„ฑ์„ Chi-square test๋กœ ๊ฒ€์ •ํ•˜์˜€๋‹ค. ์กฐ์‚ฌ๋Œ€์ƒ์€ 1977๋…„ 12์›”๋ถ€ํ„ฐ 1988๋…„ 3์›”๊นŒ์ง€ ์„ธ๋ธŒ๋ž€์Šค ๋ณ‘์› ๋น„๋‡จ๊ธฐ๊ณผ์— ์ž…์›ํ•˜์—ฌ ์ดˆ๊ธฐ ๋˜๋Š” ์ถ”์  ๊ณผ์ •์—์„œ ์นจ์œค์„ฑ ๋ฐ ์ „์ด์„ฑ ์ดํ–‰์ƒํ”ผ์„ธํฌ์•”์œผ๋กœ ์ง„๋‹จ๋œ ํ™˜์ž์ค‘ 3๊ฐœ์›” ์ด์ƒ ๊ด€์ฐฐํ•œ s138๋ช…์˜ ํ™˜์ž์ด๋ฉฐ, ์ƒ๊ธฐ์˜ ๋ฐฉ๋ฒ•์œผ๋กœ ์˜ˆํ›„์ธ์ž๋ฅผ ๋ถ„์„ํ•˜์—ฌ ๋‹ค์Œ๊ณผ ๊ฐ™์€ ๊ฒฐ๊ณผ๋ฅผ ์–ป์—ˆ๋‹ค. 1. ์ž„์ƒ ๋ฐ ๋ณ‘๋ฆฌ์กฐ์ง T๋ณ‘๊ธฐ๋Š” ๋‹จ๋…์œผ๋กœ ์˜ˆํ›„์— ์˜ํ–ฅ์„ ์ฃผ์—ˆ๋‹ค.(๊ฐ๊ฐ p=0.004 ๋ฐ <0.0001). 2. ์ข…์–‘์˜ ์ˆ˜์™€ ์ž„์ƒ๋ณ‘๊ธฐ, ์ข…์–‘์˜ ์กฐ์งํ•™์  ๋ถ„ํ™”๋„์™€ ์ž„์ƒ๋ณ‘๊ธฐ ๋ฐ ์น˜๋ฃŒ๋ฐฉ๋ฒ•๊ณผ ์ž„์ƒ๋ณ‘๊ธฐ๋Š” ๊ฐ๊ฐ ์œ ์˜ํ•œ ์ƒ๊ด€๊ด€๊ณ„๋ฅผ ๋‚˜ํƒ€๋‚ด์—ˆ๋‹ค(๊ฐ๊ฐ P=0.002, 0.005 ๋ฐ 0.018). 3. ์„ฑ๋ณ„, ์ข…์–‘์˜ ํ˜•ํƒœ, ์œ„์น˜, ํฌ๊ธฐ, N ๋ฐ M๋ณ‘๊ธฐ, ์ž„์˜์ƒ๊ฒ€์—์„œ์˜ ๋น„์ •์ƒ ์กฐ์ง์†Œ๊ฒฌ, ์ตœ์ดˆ ์š”์„ธํฌ๊ฒ€์‚ฌ, ์ง„ํ–‰์–‘์ƒ์€ ์ƒ์กด์œจ์— ๋‹จ๋…์œผ๋กœ ์˜ํ–ฅ์„ ๋ฏธ์น˜์ง€ ๋ชปํ•˜๋ฉฐ, ๊ฐ๊ฐ์€ ์ž„์ƒ๋ณ‘๊ธฐ์™€์˜ ์œ ์˜์„ฑ๋„ ์—†์—ˆ๋‹ค. 4. ์ž„์ƒ๋ณ‘๊ธฐ T2, T3 ๋ฐ T4์˜ 5๋…„ ์ƒ์กด์œจ์€ 82.5%. 57.5% ๋ฐ 32.5%๋กœ ๋‹ค๋ฅธ ๋ณด๊ณ ์˜ 13-87%, 2-73% ๋ฐ 9-20%์™€ ๋น„์Šทํ•˜์ง€๋งŒ ๋น„๊ต์  ๋†’์€ ๊ฒฐ๊ณผ๋ฅผ ๋ณด์˜€๋‹ค. 5. ๋ณ‘๋ฆฌ์กฐ์ง๋ณ‘๊ธฐ T2, T3a ๋ฐ T3b์˜ 3๋…„๊ณผ 5๋…„ ์ƒ์กด์œจ์€ T2์—์„œ๋Š” ๋ชจ๋‘ 82.5%, T3a์—์„œ๋Š” ๊ฐ๊ฐ 75%. 65%,T3b์—์„œ๋Š” ๊ฐ๊ฐ 32.5%, 0%๋กœ ๋‹ค๋ฅธ ๋ณด๊ณ ์— ๋น„ํ•ด์„œ T2์—์„œ ๋†’์€ ์ƒ์กด์œจ์„ ๋ณด์˜€๋‹ค. 6. ์ž„์ƒ๋ณ‘๊ธฐ์˜ ์˜ค๋ฅ˜๋Š” 31.80%(21/66)๋กœ ๋น„๊ต์  ๋‚ฎ์•˜๋‹ค. 7. ๋น„์œ ๋‘ํ˜• ์ข…์–‘๋ณด๋‹ค ์œ ๋‘ํ˜• ์ข…์–‘์œผ๋กœ ๋ฐœํ˜„ํ•œ ์˜ˆ๊ฐ€ ๋ฐญ์•˜๋‹ค. 8. ๋Œ€๋ถ€๋ถ„์˜ ์˜ˆ(72.73%, 48/66)์• ์„œ ์‹œํ–‰ํ–ˆ๋˜ ๋ฐฉ๊ด‘ ์ „์ ์ถœ์ˆ ๊ฑด ๋ฐฉ์‚ฌ์„  ์š”๋ฒ•์˜ ํšจ๊ณผ๋Š” ์œ ์˜ํ•˜์ง€ ์•Š์•˜๋‹ค(P=0.7158). ์ด์ƒ์˜ ๊ฒฐ๊ณผ๋กœ ๋ณด์•„, ์˜ˆํ›„์— ๋‹จ๋…์œผ๋กœ ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ์ค‘์š”ํ•œ ์ธ์ž๋Š” ์ •ํ™•ํ•œ ์ž„์ƒ๋ฐ ๋ณ‘๋ฆฌ์กฐ์ง T๋ณ‘๊ธฐ์ด๋ฉฐ, ์ข…์–‘์˜ ์ˆ˜์™€ ์กฐ์งํ•™์  ๋ถ„ํ™”๋„๋Š” ์ž„์ƒT๋ณ‘๊ธฐ์— ์ปค๋‹ค๋ž€ ์˜ํ–ฅ์„ ์ฃผ์—ˆ๋‹ค. [์˜๋ฌธ] In order to evaluate the influential effect of the possible prognostic factors on survival which include the physical factors such as patient age, sex, the tumor factors such as mass shape, number, location, size, grade, stage, abnormal histopathology on random biopsy, urine cytology, the factors according to treatment such as treatment model, effect of downstaging of the preoperative radiotherapy, progression, etc., present at the initial diagnosis of either invasive or metastatic transitional cell carcinoma of the bladder, we reviewed the medical records of the selected 138 patient who were admitted to the Dept. of Urology, Severance hospital during the period from December 1977 to March 1988 and diagnosed either at the initial examination or in the course of follow up period, arts at the same time were followed for over 3 months. The date were analysed using the BMDP statistical program package. Therefore, they were analysed survival function of each prognostic factors using BMDPIL which were verified by Breslow and Mantle-Cox method. The raw data was classified, arranged using SPSS statistical program package according to the most important prognostic factor derived from BMDP2L regression of data and verified using Chi-square test. The results are as follow. 1. The clinical and histopathologic T swage were influential effect on survival independently(p=0.004 and <0.0001, respectively). 2. The number of the tumormass, histologic grade, and therapeutic methods were related to clinical stage respectively(p=0.002, 0.005 and 0.018, respectively) 3. Sex, tumor shaped location, size, N, M stage, abnormal histopathology on random biopsy, initial urine cytology and type of progression had neither a significant impact on survival independently, nor significant with the clinical T stage statistically. 4. The 5 year survival rate according to the clinical stage(T2; 82.5%, T3; 57.5%1, T4; 32.5%) is relativeily higher than other reports(T2; 13-87%,T3; 2-73%, T4; 9-20%). 5. The 3 & 5 year survival rate according to the pathologic stage is T2; 82.5%, T3a; 75%, 65%, and T3b: 32.5%, 0%, respectively. In this result, stage T2 was higher than that in other reports(60.75%). 6. The clinical staging error was 31.80%(21/66) which was relatively lower than that in other reports. 7. The papillary type of carcinoma was predominent comparing with non-papillary one. 8. The effect of preoperative radiotherapy performed in most of the patients before the total or radical cystectomy(72.73%, 48/66) was not significant statistically. The above results indicate that the clinical and pathologic T stapes were the independent prognostic factors. The number of the tumor mass and the histologic grade had a significant impact on the clinical stage.restrictio

    ์‚ฌ๋žŒ ๊ณจ์ˆ˜ ์ค„๊ธฐ์„ธํฌ ์œ ๋„ ์ฝœ๋ผ๊ฒ ์กฐ์ง ์žฌ์ƒ์— ๋ฏธ์น˜๋Š” 2ํ˜• ์„ฌ์œ ์•„์„ธํฌ ์„ฑ์žฅ์ธ์ž์˜ ์—ญํ• 

    No full text
    Dept. of Dental Science/๋ฐ•์‚ฌRole of FGF-2 on Human Bone Marrow Stem Cells-induced Collagen Tissue RegenerationObjectives: Role of Bone Marrow Stem Cells (BMSCs) on collagen tissue regeneration, which is essential for wound healing process, might be modified by various biologic stimuli. The aim of this study was to assess the effects of fibroblast growth factor-2 (FGF-2) on collagen tissue regeneration by human BMSCs (hBMSCs) in vitro and in vivo.Materials and Methods: hBMSCs were isolated from human vertebral bone marrow during a vertebral surgery. To confirm the stem cell population in the isolated cell group, characterization of cells used in this study was performed using well established in vitro and in vivo assay models. The effect of FGF-2 (0, 2, 5, 20 ng/ml) treatment on biologic changes of characterization of hBMSCs was analyzed thoroughly. In order to investigate the effect of FGF-2 on the hBMSCs induced collagen tissue regeneration, in vitro insoluble/soluble collagen and corresponding hydroxyproline synthesis were assessed and real-time polymerase chain reaction (PCR) was performed using types of collagen and Lox (Lysyl oxidase) family genes. In vivo collagen formation was examined after hBMSCs were transplanted using an in vivo assay model for collagen tissue regeneration. After 8 weeks of healing, histologic and immunohistochemistry analysis were performed (n = 4).Results: hBMSCs population with the characteristics of MSCs (Mesenchymal Stem Cells) was present in isolated cells from bone marrow of human vertebrae. Effect of FGF-2 on hBMSCs showed results consistent with previous reports in terms of CFE (Colony Forming Efficiency), proliferation, and in vitro differentiation. The amount of insoluble/soluble collagen production was also significantly enhanced in hBMSCs expanded with FGF-2 compared to hBMSCs without FGF-2. Although the changes of expression pattern of collagen-related mRNA were different dependent on the type of specific gene, FGF-2 decreased collagen type I expression of hBMSCs while it increased collagen type III. Expression of all Lox family gene was enhanced following FGF-2 treatment. The histologic and immunohistochemistry results revealed that the collagen formed in vivo by hBMSCs showed more relevant amount and well-organized structure in the FGF-2 treated hBMSCs at 8 weeks (p< 0.05)Conclusion: FGF-2 facilitates the properties and collagen producing potency of hBMSCs, rendering them more suitable for collagen regeneration mediated wound healing by hBMSCs.ope

    Jop shop ์กฐ๊ธฐ์™„๋ฃŒ์‹œ๊ฐ„ ๋ฐ ๋‚ฉ๊ธฐ์ง€์—ฐ์‹œ๊ฐ„์˜ ์ตœ์†Œํ™”์— ๋Œ€ํ•œ ์—ฐ๊ตฌ

    No full text
    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :์‚ฐ์—…๊ณตํ•™๊ณผ,2000.Maste

    Histologic type, staging, and distribution of germ cell tumors in Korean adults.

    No full text
    OBJECTIVES: To investigate the presentation of germ cell tumors (GCT) in terms of histology and stage, to better clarify the epidemiology of this disease in eastern Asia. METHODS: Six hundred ninety-eight patients diagnosed with GCT between 1995 and 2004 were analyzed. Clinical parameters at the time of initial diagnosis were classified in terms of the American Joint Committee on Cancer (AJCC) tumor, nodes, metastasis staging (TNMS) system, the International Germ Cell Cancer Collaborative Classification (IGCCC), for high-risk stage I nonseminomatous GCT (NSGCT) of testis. RESULTS: The anatomic distributions for the primary sites of the observed tumors were as follows: testis 471 cases (67%); central nervous system (CNS) 137 cases (20%); mediastinum 78 cases (11%), and retroperitoneum 12 cases (2%); 239 (51%) of 471 tumors with testicular primary were seminoma. High risk vs. non-high risk stage I NSGCT cases were 62 vs. 58. of NSGCT of testis, 129 (58%), 73 (33%), and 21 (9%) of tumors presented with good, intermediate, and poor prognosis, respectively, based on IGCCC, whereas 231 (99%) patients were classified with a good prognosis and 3 (1%) with an intermediate prognosis amongst seminomas of testis; 193 (82%) cases presented as stage I testicular seminoma whereas 120 (54%) cases presented as stage I NSGCT. CONCLUSIONS: Extragonadal primary GCTs are very common in Korean. Incidence of high risk NSGCT of testis with stage I disease was lower than in the Western report. NSGCT presents itself as a more aggressive form whereas seminoma is a very indolent tumor when compared with cases in Western countries.ope

    (An) experimental study on the effects of dog's pulpal healing after cobalt-60 irradiation

    No full text
    ์น˜์˜ํ•™๊ณผ/๋ฐ•์‚ฌ[ํ•œ๊ธ€] ๋‘๊ฒฝ๋ถ€ ๋ฐฉ์‚ฌ์„  ์ฒ˜์น˜ ํ™˜์ž์— ์žˆ์–ด์„œ ๊ทผ๊ด€์น˜๋ฃŒ๋ฅผ ์‹œํ–‰ํ•˜๋Š” ์ฃผ์š”๋ชฉ์ ์€ ๋ฐœ์น˜๋ฅผ ํ•˜์ง€ ์•Š๊ณ  ๋ณด์กดํ•˜๊ฑฐ๋‚˜ ๋ฐœ์น˜๋ฅผ ๊ฐ€๊ธ‰ํ•œ ์—ฐ๊ธฐ์‹œํ‚ค๊ธฐ ์œ„ํ•œ ์ž ์ •์ ์ธ ์ฒ˜์น˜๋ฒ•์œผ๋กœ ์‚ฌ์šฉํ•˜๋Š” ๊ฒƒ์ด ๊ด€๋ก€์ด๋‹ค. ์ด์— ์ €์ž๋Š” ๋ฐฉ์‚ฌ์„  ์กฐ์‚ฌ๋ฅผ ๋ฐ›์€ ํ›„ ์น˜์ˆ˜๋…ธ์ถœ์ด ๋˜์˜€์„ ๊ฒฝ์šฐ ๊ทธ ์น˜์œ ๊ธฐ์ „์— ๊ด€ํ•˜์—ฌ ์—ฐ ๊ตฌํ•˜๊ณ ์ž ์„ฑ๊ฒฌ์„ ์‚ฌ์šฉ, cobalt-60์„ ์กฐ์‚ฌํ•œ ๊ตฐ๊ณผ ๋ฐฉ์‚ฌ์„  ์กฐ์‚ฌ๋ฅผ ํ•˜์ง€ ์•Š์€ ๋Œ€์กฐ๊ตฐ์œผ๋กœ ๋‚˜๋ˆ„์–ด ๊ฐ๊ธฐ ์ง์ ‘์น˜์ˆ˜๋ณต์กฐ์ˆ (Dycal**(R) ์‚ฌ์šฉ)์„ ์‹œํ–‰ํ•œํ›„ ์น˜์ˆ˜์˜ ๋ณ‘๋ฆฌ์กฐ์งํ•™์  ๋ณ€ํ™”๋ฅผ ๊ด€์ฐฐํ•˜์—ฌ ๋‹ค์Œ๊ณผ ๊ฐ™์€ ๊ฒฐ๋ก ์„ ์–ป์—ˆ๋‹ค. 1. ์ˆ˜๋ณต์„ฑ ์ƒ์•„์งˆ(reparative dentin)์˜ ํ˜•์„ฑ์€ ๋Œ€์กฐ๊ตฐ์—์„œ 1์ฃผ๋ถ€ํ„ฐ, ์‹คํ—˜๊ตฐโ… ๊ณผ โ…ก์—์„œ๋Š” 2์ฃผ๋ถ€ํ„ฐ ๊ด€์ฐฐ๋˜์—ˆ๋‹ค. ์ƒ์•„์„ธ๊ด€๊ตฌ์กฐ(dentinal tubule structure)๋Š” ๋Œ€์กฐ๊ตฐ์—์„œ๋งŒ 4์ฃผ ์งธ์— ์ˆ˜๊ฐ€ ์ ์—ˆ๊ณ , ๋ถˆ๊ทœ์น™ํ•œ ์–‘์ƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ์œผ๋ฉฐ, ์‹คํ—˜๊ตฐโ… , โ…ก์—์„œ ๋ชจ๋‘ ๊ด€์ฐฐ๋˜์ง€ ์•Š์•˜๋‹ค. 2. ์ƒ์•„์งˆ ๊ต(dentin bridge)์˜ ์—ฐ์†์„ฑ์€ ๋Œ€์กฐ๊ตฐ, ์‹คํ—˜๊ตฐโ… , โ…ก ๊ณตํžˆ 3์ฃผ๋ถ€ํ„ฐ ๊ด€์ฐฐ๋˜์—ˆ๋‹ค. 3. ์น˜์ˆ˜์กฐ์ง๋‚ด์˜ ์ถฉํ˜ˆ ๋ฐ ์ถœํ˜ˆ์€ ๊ณตํžˆ 3์ฃผ๊นŒ์ง€ ๊ด€์ฐฐ๋˜์—ˆ๊ณ  ์—ผ์ฆ์ƒ์€ ๋Œ€์กฐ๊ตฐ์—์„œ๋Š” ๋ณผ ์ˆ˜ ์—†์—ˆ์œผ๋‚˜ ์‹คํ—˜๊ตฐโ… , โ…ก์—์„œ๋Š” 2์ฃผ๊นŒ์ง€ ๊ด€์ฐฐ๋˜์—ˆ๊ณ , ์‹คํ—˜๊ตฐโ…ก์—์„œ๋Š” ๊ทธ ์ •๋„๊ฐ€ ๋” ์‹ฌํ–ˆ๋‹ค. 4. ์ˆ˜์‚ฐํ™”์นผ์Š˜์ด ์น˜์ˆ˜์กฐ์ง๋‚ด์— ๊นŠ์ด ์นจ์ž…๋œ ๊ฒฝ์šฐ์—๋Š” ์น˜์ˆ˜์กฐ์ง์˜ ๊ตญ์†Œ์ ๊ดด์‚ฌ๊ฐ€ ๊ด€์ฐฐ๋˜์—ˆ๊ณ  ์ƒ์•„์งˆ ํ˜•์„ฑ์ด ํ˜„์ €ํžˆ ๊ฐ์†Œํ•˜๋Š” ์–‘์ƒ์„ ๋ณด์˜€๋‹ค. [์˜๋ฌธ] Irradiation is frequently employed as the sole therapy for oral cancer. These irradiated patients presents peculiar and progressive dental problems. But there is entry scanty informations concerning specific approaches to endodontic treatment for head and neck cancer patients who have been subjected to tumorcidal doses of radiation therapy. The purpose of the present study was to determine the effects of cobalt-60 radiation on the pulpal healing of dogs after the direct pulp capping. As the experimental animals, 10 dogs (above 7-8 months after birth) were divided into 3 groups (Control, Group โ… ,group โ…ก). The cobalt-60 was irradiated to the group โ…  and group โ…ก each 1,009 and 1,562.5 rads as single dose. As the capping material Dycal**(R) (L.D. Caulk company)was selected. After the direct pulp capping the dogs were sacrified 1, 2, 3, 4, week interval and made the original slides cut with a thickness of 8 microns and stained with hematoxylin and eosin. After examination and comparision of all specimen, the results of this study were drawn as follows; 1. The formation of reparative dentin was observed from the 1st week in the Control group, the 2nd week in the Group โ…  & โ…ก. The few and irregular table structure was appeared in the 4th week in the Control group only, but foiled in the Group โ…  & โ…ก. 2. The continuity of dentin bridge was appeared in the 3rd neck in all group and the degeneration of odontoblast in the 1st week of the Group โ…ก. 3. The congestion and hemorrhage in the pulp tissue were observed in all groups until 3rd week. The inflammation was appeared within the 2nd week in the Group โ…  and especially marked in the Group โ…ก, but absent in the Control group. 4. In cases Dycal into the pulp tissue deeply, the local necrosis of pulp and decrease of dentin formation was observed.restrictio

    (An) experimental study on the surface roughness of the composite resin

    No full text
    ์น˜์˜ํ•™๊ณผ/์„์‚ฌ[ํ•œ๊ธ€] ์น˜์•„์ˆ˜๋ณต์žฌ๋กœ ์‚ฌ์šฉ๋˜๊ธฐ ์‹œ์ž‘ํ•œ Composite resin์€ ์•ฝ10๋…„์ „๋ถ€ํ„ฐ ์‚ฌ์šฉ๋˜์–ด์™”๋‹ค. Composite resin์˜ ์‹คํŒจ์˜ ์ฃผ์›์ธ์€ ๋ณ€์ƒ‰, 2์ฐจ์šฐ์‹์ฆ, ๋งˆ๋ชจ ๋“ฑ์œผ๋กœ ์‚ฌ๋ฃŒ๋œ๋‹ค. ๋ณ€์ƒ‰์˜ ์›์ธ์€ ์—ฐ๋งˆ๊ฐ€ ์ด์ƒ์ ์œผ๋กœ ๋  ์ˆ˜ ์—†์œผ๋ฏ€๋กœ ๊ฑฐ์นœํ‘œ๋ฉด์— ์Œ์‹๋ฌผ ์ž”์‚ฌ์™€ ์„ธ๊ท ์˜ ์˜ํ–ฅ์œผ๋กœ ๋ณ€์ƒ‰์„ ์ดˆ๋ž˜ํ•˜๊ฒŒ ๋œ๋‹ค๊ณ  ์‚ฌ๋ฃŒ๋œ๋‹ค. ์ด ๋…ผ๋ฌธ์€ Composite resin์— ์žˆ์–ด์„œ์˜ ์—ฐ๋งˆ๋ฐฉ๋ฒ•์— ๋”ฐ๋ฅธ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ์˜ ํšจ๊ณผ๋ฅผ ์•Œ์•„๋ณด๊ณ ์ž ์ž„์ƒ์—์„œ ์ „์น˜๋ถ€์— ๋งŽ์ด ์‚ฌ์šฉํ•˜๋Š” Composite resin ์ค‘ Adaptio(Johnson & Johnson Company), Compo-T(Motloid Company), Composite(Shofu Company),Epolite 100(G-C Company) ๋ฅผ ์„ ํƒํ•˜์˜€๋‹ค. ๊ฐ€๊ณต๋ฐฉ๋ฒ•์€ Mylar matrixํ•˜์—์„œ ์ค‘ํ•ฉ๋ฐ˜์‘์„ ์ผ์œผํ‚จ ๊ฒƒ๊ณผ, 3๊ฐ€์ง€์˜ ์—ฐ๋งˆ๊ธฐ๊ตฌ Mounted stone(Chaye Company), Silicone point # 13S(Shofu Company) ๋ฐ Aluminum oxide(Moyer company)๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ ์—ฐ๋งˆํ•œ Composite resin์˜ ํ‘œ๋ฉด์„ roughness tester(Surftest-B)๋กœ์จ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ๋ฅผ ์ธก์ •ํ•˜๋ฉฐ ๋‹ค์Œ๊ณผ ๊ฐ™์€ ๊ฒฐ๋ก ์„ ์–ป์—ˆ๋‹ค. 1) ์—ฐ๋งˆ๋ฐฉ๋ฒ•์— ๋”ฐ๋ฅธ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ์˜ ์‚ฐ์ˆ ํ‰๊ท ๊ณผ ํ‘œ์ค€ํŽธ์ฐจ๋Š” Mylar matrix์—์„œ 26.50ฮผ in ยฑ 5.13, Mounted stone์—์„œ 117.90ฮผ ยฑ 5.98, Silicone point # 13S์—์„œ 138.10ฮผ in ยฑ 16.09, Aluminum oxide์—์„œ 175.00ฮผ in ยฑ 12.43์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. 2) Mylar matrix์— ์˜ํ•˜์—ฌ ๊ฒฝํ™”๋œ Composite resin์˜ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ๊ฐ€ Mounted stone, Silicone point # 13S, Aluminum Oxide์— ์˜ํ•˜์—ฌ ์—ฐ๋งˆ๋œ Composite resin์˜ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ๋ณด๋‹ค ๋‚ฎ์€ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ๋ฅผ ๋‚˜ํƒ€๋‚ด์—ˆ๋‹ค. 3) ์—ฐ๋งˆ๊ธฐ๊ตฌ๋กœ ์—ฐ๋งˆํ•œ ํ‘œ๋ฉด๊ฑฐ์น ๊ธฐ๋Š” Mounted stone, Silicone point # 13S, Aluminum Oxide์˜ ์ˆœ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. [์˜๋ฌธ] To observe the effect of the polishing instruments on the composite resin restorations, the author has studied the surface roughness by means of the surface roughness tester (surftest-B) .The polishing instruments used in this study were the Mounted stone, the silicone point #135, the Aluminum oxide and the Mylar matrix. The composite resins were Adaptic, Compo-T, Composite and Epolite-100. The results obtined were as follows. 1. According to the polishing instruments, the arithmetic averages and standard errors of the surface roughness were the Mylar matrix (26.50 micro inch ยฑ5.13), the Mounted stone (117.90 micro inch ยฑ 5.98), the Silicone point #13 S (138.10 micro inch ยฑ 16.09), the Aluminum oxide (175.00 micro inch ยฑ 12.43). 2. The surface roughness of the composite resin polymerized under the Mylar matrix was smoother than thoses of the composite point # 13 S and the Aluminum oxide. 3. The smooth coders of the surface roughness ofthe polished composite resins were the Mounted stone, the Silicone point # 13 S and the Aluminum oxide.restrictio
    • โ€ฆ
    corecore