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흉부외상 없이 발생한 흉부대동맥 절단증의 조기 진단 : 2례 보고 Two Cases Report
한승백,전영진,백광제,김준식,김정택,김광호,선경 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4
Aortic transection or interruption is a rare condition which developed after an acute deceleration injury. Its occurrence depends on the location and direction of the force applied and is usually from motor vehicle accident or falling down. The exact incidence of aortic transection in trauma is not known but, when develops, only about 10-15% of the victims can survive and be transported to the hospital. Even in the survivors, majority of them will be fatal within a few days if a prompt diagnosis and surgical treatments are not made. Aggressive diagnostic work-up is recommended for the patients with high suspicious index, which would salvage the victims with this fatal condition. We report the experience of two cases of aortic transection or interruption following motor vehicle accidents.
Fe-X%Mn-6%Si-9%Cr-5%Ni 합금의 형상기억효과에 미치는 가공열처리의 영향
백승한,전중환,최종술,한중호 연세대학교 산업기술연구소 1994 논문집 Vol.26 No.1
The effect of thermomechanical treatment on the SME(Shape Memory Effect) of Fe-(10∼16)%Mn-6%Si-9%Cr-5%Ni alloys was investigated. The corrosion behaviors of these alloys were also investigated compared with SUS 304 stainless steel and Fe-30%Mn-6%Si shape memory alloy. Through the investigation the Fe-2%Mn-6%Si-9%Cr-5%Ni alloy showed the best SME in as-solution treated state. Training treatment consisting of repetition of cold rolling by 2% at room temperature and subsequent annealing at 650℃ for 10 minutes was performed to improve the SME. The remarkable improvement of SME was obtained at two cycles of training, and then the SME was decreased with further training. This suggests that the extra lattice defects of dislocation and stacking faults introduced by training treatment deteriorates the SME. The Fe-X%Mn-6%Si-9%Cr-5%Ni alloys showed the passive behavior similar to that of SUS 304 stainless steel in 30℃-5% H₂SO₄solution and great improvement in corrosion resistance compared with the Fe-30%Mn-6%Si shape memory alloy.
허혈 조건부여가 심근기능의 회복에 미치는 영향 : 적출 심장모델을 이용한 실험연구 Isolated heart experimental study
백광제,김준식,한승백,전영진,이인성 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2
Background: Brief episode of coronary artery occlusion(i.e.,ischemic preconditioning) makes the heart more resistant to injury from a subsequent ischemic insult. Although a great deal of effort has been made in studying ischemic preconditioning, the underlying mechanism of ischemic preconditioning and its effect on hypothermic insult has not been elucidated. This study was performed to see whether ischemic preconditioning protects against the depression of cardiac contractility induced by hypothermic cardioplegic arrest/reperfusion. And recently, adenosine was known to have some correlation with the mechanism of preconditioning. If so, does this effect remain after the blockade of adenosine receptor by 8-phenyl theophyline? Method: Twenty-four Sprague-Dawley rat weighed 250-350g were used and divided into three groups. Rat hearts were removed rapidly, and each isolated heart paced with a rate of 180/min was perfused by modified Krebs-Hensleit buffer(KHB) solution on a Langendorff apparatus for an hour. After obtaining baseline data including left ventricular pressure(LVP), dp/dt, and coronary flow, cardiac arrest was induced by perfusion of 0℃ crystalloid cardioplegic(St Thomas) solution. After that, all hearts were stored in the same St Thomas solution at same temperature for 2 hours. In group Ⅰ(control group), the heart was reperfused by KHB solution. In group Ⅱ(preconditioning group), the heart was subjected to two 2-minute episode of global ischemia followed by 5 minute reperfusion with KHB solution(preconditioning) before cardiac arrest. In group Ⅲ(phenyl theophylline group), the heart was subjected to preconditioning procedure and 8-phenyl theophylline at 10μM in concentration was added to KHB solution at time of reperfusion. Observing parameter was obtained in each group at 10, 20, 40 and 60 minutes after starting reperfusion and compared statistically by use of one way ANOVA test(STASTICA, release 4.5). p-value less than 0.05 was considered significant. Results: Although depressed LVP, dp/dt, and coronary flow were seen in all groups during the reperfusion period, the preconditioned group showed more effective recovery of LVP than that of the control group, especially at 10, 20 and 40 minutes(p<.05). We failed to demonstrate the difference between the phenyl theophylline group and the control group(p=NS). Conclusion: These results suggest that ischemic preconditioning has protective effect on recovery state of hypothemic cardioplegic arrest/reperfusion. Its protective effect was limited during early reperfusion stage and was blocked by adenosine blocker.
SUPEROXIDE DISMUTASE 가 허혈 손상된 백서 근육 조직에 미치는 영향
민대홍,김승홍,백무현,김승한 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.4
Superoxide radicals have been shown to play an important role in the cellular injury of reperfused ischemic tissue. We examined the protective effect of superoxide dismutase(SOD), one of the derivatives of superoxide rradical scavengers, on the reperfusion injury of replanted rat limb with 6 - hour is - chemic period. Biochemically, the amounts of superoxide radicals in ischemic hindlimbs treated with SOD have decreased significantly compared to those of control group.(p<0.01) Histologically, SOD treated extremities demonstrated less inflammatory reaction and degenerative change than control group. Our results indicate that the administration of SOD to a amputation part by means of intraarterial perfusion after prolonged period of warm ischemia significantly decreases the tissue damage.
다구치법에 의한 고 규소 내산주철의 용해주조공정 최적화
신제식,이상목,문병문,김정철,한동운,백승한 대한금속재료학회 2005 대한금속·재료학회지 Vol.43 No.2
In this study, Taguchi method, one of the design tools of experiments, was applied to optimize casting process parameters of the high silicon corrosion-resistant iron. Three casting process parameters such as melting temperature, rare earth metal (mischmetal) addition, and pouring temperature were chosen. Using SN (signal-to-noise) ratio calculated from ultimate tensile strength of each experimental casting run, the relationship between the casting parameters and mechanical properties was statistically evaluated. The casting condition of a melting temperature of 1,650℃, 0.2% rare earth metal addition, and a pouring temperature of 1,350℃ led to an excellent ultimate tensile strength above 11 kgf/mm², which is beyond the industrial criterion. The effects of the casting parameters on mechanical properties and corrosion resistance were further confirmed by combined analysis of fractography, hydrogen content determination, microscopic test, and acid resistance test. (Received August 23, 2004)
김아진,김준식,신동운,백광제,한승백,이용주 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Traditionally, the Rhododendron species has been used in gastrointestinal disorder or hypertension. Grayanotoxin exists in honey, flowers, pollen, and the nectar of the Rhododenron species. We experienced 3 cases of Grayanotoxin intoxication. The symptoms of intoxication were nausea, vomiting, hypotension, bradycardia, diplopia, dizziness, and chest discomfort. Generally, the treatment for Grayanotoxin intoxication is fluid resuscitation and injection of atropine sulfate. The patients who were intoxicated with Grayanotoxin were discharged without complication after supportive care.
전단응력 하에서 에멀젼 상 변이의 실시간 측정을 위한 전기 유변학적 연구
백승재 ( Seung Jae Baik ),이영진 ( Youngjin Lee ),남윤정 ( Yoon Sung Nam ),김진한 ( Chin Han Kim ),김한곤 ( Han Kon Kim ),강학희 ( Hak Hee Kang ) 대한화장품학회 2004 대한화장품학회지 Vol.30 No.1
본 연구는 다양한 종류의 에멀젼에 전단응력을 가하며 그때 일어나는 에멀젼의 상 변이를 전기, 유변학적 특징을 통해 실시간으로 측정해보는 것이다. 전기 전도도의 변화는 자체 제작한 JELLI<sup>TM</sup> (Joint Electro-rheometer for Liquid-Liquid Inversion) 칩을 이용하였으며, 동시에 유변물성측정장치(rheometer)를 이용하여 유변물성의 변화를 측정하였다. JELLI<sup>TM</sup> 칩과 인조 피부를 유변물성측정장치 사이에 장착하고 그 사이에 다양한 종류의 에멀젼을 얇게 발라준 후, 일정한 전단응력을 주며 시간에 따른 저항과 전도값의 변화를 측정하였다. O/W 제형의 경우 시간에 따라 저항값이 커지는 경향을 보였으며 저항값은 내부 상이 많을 수록 더 급격한 변화를 나타냈다. 이때의 점도 변화를 보면, 저항값의 변화가 클수록 점도의 변화도 큼을 볼 수 있었다. 이것은 내부 상의 파괴로 인해 외부의 힘에 저항하는 힘이 약해졌기 때문이라고 예상된다. 이런 결과를 이용하여 전단응력에 의한 에멀젼 상 변이 특성과 정도를 실시간, 정량적 비교할 수 있었다. 정량적 비교할 수 있었다. To know what happens to the internal structure of emulsions under high shear flow is very important for cosmetic product development because it is highly relevant to the physical degradation of emulsions during the application upon the skin. Here, in order to investigate the response of emulsions against the external shear forces, we designed a new device, JELLI<sup>TM</sup> (Joint Electro-rheometer for Liquid-Liquid Inversion) chip, for the measurement of electrical and rheological properties of emulsions under shear flow. By using this device, we examined the real-time changes in conductivities of oil-in-water (O/W) and water-in-oil (W/O) emulsions on the artificial skin during large deformation under shear flow. In this study, O/W and W/O emulsions having various volumes were prepared. After emulsions were homogeneously applied on the artificial skin, the electrical resistance and viscosity changes were monitored under steady shear flow. In case of O/W emulsions, the resistance increased as a function of time. The resistance showed more dramatic increase as the increase of the internal oil phase. It was also found that the viscosity change was proportional to the resistance variation. This phenomenon might be caused by decreased resisting forces against the shear flow because of the breakdown of the internal phase.