혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

자궁내 태아사망의 임상적 고찰

이권해,이정재,조현철,이석민,이임순,이해혁,김권대,이순곤,남계현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Objective: This study was designed to evaluate diagnosis and complication, prognosis during clinical study of cases of intrauterine fetal death. Methods and materials: This is a clinical study of 56 cases of the intrauterine fetal death among 8064 deliveries at Seoul Sunchunhyang university hospital during 5 years from January, 1994 to December, 1998. Results: The incidence was 0.7%. The age distribution of mothers was 18 - 44 years and was highest in the 25 - 29 years range(46.4%). The parity was the most highest in the nulliparous group(51.8%). The most common gestational weeks was 20 - 28 weeks gestational period(46.4%), and most common presentation was cephalic(73.5%). The most common weights of the intrauterine fetal death was from 5,00gm to 1,000g(48.2%). The mode of the most common delivery was the induction of delivery(57.2%). The etiologic factors were: unknown(42.9%), preeclampsia(17.9%), chorioamnionitis(14.3%), congenital anomaly(12.5%), abruptio placenta(7.1%), cord complication(3.6%), placenta previa, death of one for twin. There were 2 cases of maternal complication(DIC, Uterine atony). Conclusion : Intrauterine fetal death should be diagnosised early and treated properly to reduce risk of the maternal complication.

Al-Sn 합금의 마찰 특성에 미치는 Sn 형상의 영향

李定根,朱大憲,金文鉉,金明鎬 대한금속재료학회 2002 대한금속·재료학회지 Vol.40 No.10

Effects of Sn morphology on the friction and wear characteristics of Al-Sn alloys were investigated by using the tribology tester, optical microscope and scanning electron microscope. Three different types of Sn morphologies named elongated, small network and large network structure were obtained by cladding and heat treatment. Wear resistance of the specimen having large network structure exhibited better anti-friction characteristics compare to that of the elongated structure. Also specific wear rate and friction coefficient decreased markedly with change of Sn morphology from elongated to large network structure. Abrasive and adhesive wear occurred for the elongated structure, while oxidation wear was observed for the network structure.

日本證券市場制度의 分析 (Ⅱ)

李正道,金大河 경북대학교 경제경영연구소 1991 經商論集 Vol.19 No.2

日本證券市場制度의 分析(Ⅰ)

李正道,金大河 경북대학교 경제경영연구소 1991 經商論集 Vol.19 No.1

전기탈수에 의한 슬러지 여과성 평가에 관한 연구

정종식,김정대,이재복 대한상하수도학회 2003 상하수도학회지 Vol.17 No.6

Objectives of this study were to investigate the characteristics of average flow rate, average specific resistance, cake compressibility coefficient, and medium resistance in order to estimate the dewaterability of sludge by electrodewatering for waterworks sludge. Applied sludge pretreatment processes for this research were chemical coagulation, electrocoagulation, and electrolysis. The process of filtration was performed using pressure filtration or electrodewatering. The average flow rate depends upon the pressure drop in pressure filtration. When the electrodewatering process was applied, the average specific resistance was not increased with pressure increase. The cake compressibility coefficient was 0.75 for the thickened sludge, and was 0.51 for the pretreated sludge by electrocoagulation. It was observed that the medium resistance was increased with pressure drop. Electrocoagulation or electrolysis as sludge pretreatment technique and the electrodewatering were evaluated as the most effective combination system through the analysis of average specific resistance, cake compressibility coefficient, and medium resistance.

항 Vancomycin 내성균성 항생물질을 생산하는 Streptomyces sp.AMLK-335의 배양조건

이기형,임대석,최경희,이경호,김창한,김정환 건국대학교 동물자원연구센터 2000 動物資源硏究誌 Vol.21 No.-

본 연구는 새로운 항 vancomycin 내성균성 항생물질을 개발하기 위하여 실시되었으며, 전국 각지의 토양 시료로부터 분리한 방선균 중 vancomycin 내성균주인 K-98 Enterococcus faecium 642, K-98 Enterococcus faecium 637 균주에 대하여 항생물질을 생산하는 분리균주 AMLK-335를 선정하여 이 균주의 항생물질 생산에 대한 최적 발효 조건을 검토한 결과, 탄소원 첨가로는 glycerol(0.5%), 질소원 첨가로는 yeast extract(0.5%)가 가장 효과적으로 항생물질 생산에 이용되었고, 비타민을 첨가에 따른 항생물질 생산성의 차이는 크게 나타나지 않았으나, calcium pantothenate 첨가시 항균활성이 비교적 높아졌으며, 금속이온의 첨가는 K+, Pb+, Ba²+, NA²+ , Ca²+를 첨가하였을 때는 항생물질의 생산성이 비교적 높아졌으며, 그중 Ca²+ 첨가구가 가장 생산성이 높았으며, Fe²+ , Hg+의 금속이온을 첨가하였을 때는 항생물질 생산성이 감소하였으며, CaCO₃첨가는 비첨가구보다 높은 항생물질 생산성을 보였으나, 첨가량에 따른 영향은 대체적으로 없었다. pH의 변화에 따른 생산성은 전반적으로 pH가 항생 물질 생산에 영향을 미치지 못하였으나, pH 4.5∼6.0 부근에서는 비교적 높은 항생물질 생산성을보였으며, 통기량에 따른 항생물질 생산성은 통기량이 많을수록 항생물질 생산이 좋았다. 한편 배양기간에 따라 항생물질 생산성을 조사한 결과, 5일째에 가장 높은 항생물질 생산성을 나타내었으며, pH의 변화는 배양 초기에 하강하였다가 점차 상승하는 경향을 보였다. This study was carried out for examining antibiotic productivity of the strain Streptomyces sp. AMLK-335 producing anti-VRE antibiotic. According to different condition, the strain was cultured for 4 days at 27℃ and determined cell growth, pH value and antibiotic productivity using disk diffusion method. In the experiment, the strain Streptomyces sp. AMLK-335 was examined various culture conditions which was added 8 carbon sources, 12 nitrogen sources, 8 vitamins and 11 metal ions in each time and controlled concentration of CaCO₃, initial pH and aeration. From the studies of conditions for antibiotic production, antibiotic productivity was the best to use 0.5% glycerol as carbon source and 0.5% yeast extract as nitrogen source. When several vitamins were added to medium, there was little difference in antibiotic productivity. But the addition of calcium pantothenate slightly increased antimicrobial activity. The addition of metal ion, such as K+, Pb+, Ba²+, NA²+ and Ca²+ slightly increased antibiotic productivity except Fe²+ and Hg+. The addition of CaCo₃showed higher than non-addition experiment in antibiotic production, but there wasn't generally influenced at addition concentration. According to pH change, antibiotic productivity was increased at pH 4.5∼6.0, and when there was a lot of aeration, antibiotic productivity was increased.

一柱門의 建築形式에 關한 硏究

정대열,이재환,이용대,예명해 대구대학교 과학기술연구소 2001 科學技術硏究 Vol.8 No.2

The purpose of this study is to discover the architectural type of 「Il-joo-moon」 It deals with 「Il-joo-moon」 that has been built before 1910 in Gyoung-sang province. This study analyzes type of member, jointing method, frame structure method by dividing 「Il-joo-moon」 into four parts such as roof, bracket system, frame structure, podium. The results of this analysis are as follows 1) Roof: The 「Pal-ssac」 style of roof and the 「Matt-bae」 style of roof are dominant and double caves mainly appears. 2) Bracket system: The arrangement of bracket system can be divided into one-line-arrangement and two-line-arrangement. As far as 「Chul-mock-soo」 concerned, 3 or 4 「Chul-mock-soo」 is predominent. 「Tong-jae-gong」 has been used to connect front and back bracket system for some 「Il joo-moon」. When it comes 「jae-gong」, 「Sue-soe」 style, 「Yon-bong」 style and 「Yon-hwa」 style are mainly seen. 3) Frame structure: There are 5 forms in classifying frame structure depending on the jointing method of main-column, diagonal member, sub-column etc. and weight transmission method. 4) Podim: Natural foundation stone is majority. It is judged that 「Il-joo-moon」 has no podium or natural ones, however, it has recently been converted into artificially processed podium in many cases.

서울시 지하철 역사내부의 음향특성평가에 관한 연구

이상우,정대업,이수열,차상곤,심명석 대한건축학회 2003 대한건축학회논문집 Vol.19 No.4

This study aims at providing useful data for the design of underground stations through an extensive survey of acoustic properties in underground stations in Seoul. In order to improve the sound efficiency at the underground station, sound characteristics in the space of the underground station were studied. Architectural features of underground stations located in Seoul were examined by visiting every site and analyzing drawings. The distinction in architectural features of this study resulted in the line-side section, the shape of under-platform section and ceiling material. Number of underground stations was selected and categorized based on architectural features, such as line-side section, the shape of platform section and ceiling material. Each selected station was revisited and the noise levels were measured and compared with the architectural features. The study found that the Sum-Sik type is more efficient than the one of the Sang-Dae-Sik type, which can be used for subway stations. The semi-circular section for the railway-side seems to contribute on the attenuation of noise transmitting from trains to the platform. In addition, the aluminum absorbing panel, net luber and zinc plate (panel 40% and net 60%) as ceiling meterial are more efficient than the horizontal aluminum spendral panel, vertical aluminum spendral panel with line and zinc plate (panel 40% and net 60%), respectively.

만성 간질환에 대한 DDB(Biphenyl Dimethyl Dicaboxylate)의 임상적 효과

이헌영,임의혁,김성걸,김진희,육은주,성자원,김병호,정형용,강대영,김영건 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

To investigate the effects of short-term administration of DDB(Biphenyl Dimethyl Dicarboxylate) for decreasing elevated serum aminotransferase levels in chronic liver diseases, authors applied 3 capsules of DDB per day at each meal time for 35 patients and compared with 35 patients treated with other conservative management. The following results were obtained. 1. Serum alanine aminotransferase (ALT) levels significantly decreased from 247.1± 180.0 IU/L of pretreatment level to 96.6±126.0 IU/L, 61.1±62.7 IU/L and 38.0±26.8 IU/L after 1, 3 and 6 months of treatment(p<0.05) and effective rates were observed in 60.0%, 71.4% and 88.6% of patients after 1, 3 and 6 months of treatment. 2. Serum aspartate aminotransferase (AST) levels decreased also significantly from 167.8±96.9 IU/L of pretreatment levels to 124.4±155.0 IU/L, 77.9±49.6 IU/L, 60.6± 46.9 IU/L after 1, 3 and 6 months of treatment(p<0.05), but decreasing pattern of serum AST was less significant than that of serum ALT. 3. No significant difference were observed in the serum ALT and AST changes according to the cause and duration of hepatitis. 4. No significant adverse effects were observed in whole patients treated with DDB. It is suggested that small dose administration of DDB is effective for decreasing serum aminotrans ferase levels in chronic liver disease in which other conservative management was not effective.