대퇴동맥을 통한 경피적 관동맥 중재시술 환자의 천자부위 지혈을 위한 Angioseal^(�) 사용과 고식적 용수 압박법의 비교 : 전향적 연구

김용훈,권현철,김필호,안석진,유철웅,최진호,이상철,김준수,김덕경,전은석,이상훈,홍경표,박정의,서정돈 대한내과학회 2004 대한내과학회지 Vol.66 No.5

목적 : 경피적 관동맥 중재술은 최근 양적 및 질적으로 급격한 발전을 보였지만 시술 시 천자부위의 혈관 합병증은 아직 해결해야 할 문제점이다. 저자들은 대퇴동맥을 통한 경피적 관동맥 중재술을 환자에게 천자부위 지혈을 위한 혈관폐쇄기구인 안지오실의 안전성과 유용성을 고식적인 용수 압박법과 비교 연구하고자 하였다. 방법 : 2002년 4월부터 2003년 5월 사이에 삼성서울병원 심장혈관센터에서 대퇴동맥을 통한 경피적 관동맥 중재술을 성공적으로 시행한 200명의 환자(안지오실 사용군: A군, 100명, 고식적 용수압박법 사용군 B군, 100명)를 대상으로 시술 후 주요 합병증 및 경한 합병증, 지혈 후 환자가 자리에 앉기까지의 시간, 보행개시 가능시간, 총 재원 기간과 시술 1주 후의 합병증을 전향적으로 조사하여 비교 연구하였다. 결론 : 두 군에서 연령, 성별, 기저질환, 심혈관 질환의 위험요소, 시술의 종류, 시술 중 사용한 헤파린의 양, clopidogrel의 양, ticlopidine의 양, 지혈 시 수축기와 확장기혈압, ACT (activated clotting time)는 차이가 없었다. A군이 B군에 비해 시술 후 자리에 앉기까지의 시간 (A군: 4.3±0.3시간, B군: 13.7±0.8시간, p=0.004) 및 보행개시까지의 시간(A군: 6.8±0.5시간, B군: 18.8±2.1시간, p=0.013)이 유의하게 짧았다. 시술 후 주요 합병증은 두군 모두에서 관찰되지 않았으며, 경한 합병증의 전체발생은 A군에서 유의하게 적었다(A군: 28명, B군: 19명, p=0.003). 반상출혈의 경우는 A군에서 유의하게 낮았지만(A군: 3명, B군: 12명, p=0.01), 혈종, 출혈의 발생은 두군간에 차이가 없었다. 총 재원기간에는 두 군간에 차이가 없었다(p=0.239). 시술 1주 후 경과관찰에서 주요합병증은 역시 두 군 모두에서 관찰되지 않았으며, 경한 합병증의 전체발생은 두 군에서 차이가 없었다(A군: 15명, B군: 13명 p=0.418), 반상출혈의 빈도는 차이가 없었지만 혈종의 발생은 A군에서 더 낮았다(A군: 2명, B군:6명, p=0.004). 두 군 모두에서 출혈은 발생하지 않았다. 결론 : 대퇴동맥을 통한 경피적 관동맥 중재술을 시행한 환자에서 안지오실의 사용은 고식적 용수 압박법에 비해 환자의 침상 안정시간을 줄여 조기 활동개시가 가능하게 하였으며 국소합병증의 위험도를 일부 낮추어, 시술에 따른 환자의 불편을 현저하게 감소시킬 수 있다고 할 수 있을 것으로 기대된다. Background : Although the number and the quality of percutaneous coronary intervention have been recently increased dramatically, the vascular complication at puncture site is still the major cause of patients' morbidity. We evaluated the safety and efficacy of newly of newly-developed collagen-based arterial closure device, Angioseal after transfemoral percuatenous coronary intervention. Methods : This study was designed as a prospective single center non-randomized comparative study. A total 200 patients undergoing transfemoral percutaneous coronary intervention were enrolled between April 2002 and May 2003. They were divided into two groups; Angioseal group (group A, n=100) and manual compression group (group B, n=100). The baseline clinical and angiographic characteristics were reviewed. The time to sit up, the time to ambulation, the duration of hospital stay, major and minor vascular puncture site complications were monitored. The patients were followed-up for 1 week after procedure by telephone. Results : The baseline clinical characteriwtics, clinical diagnosis, cardiocascular risk factors, typesof procedure, doses and numbers of anticoagulants were similar between two groups. The blood pressure and activated clotting time were also similar. The time to sit up (group A: 4.3±0.3 hours, group B: 13.7±0.8 hours, p=0.004) and the time to ambulation (group A: 6.8±0.5 hours, group B: 18.8±2.1 hours, p=0.013) were shorter in group A. No major vascular complications were noted. The incidence of hematoma and bleeding were not significantly different between two groups. The incidence of ecchymosis, however, was significantly lower in group A (group A:12%, group B: 3%, p=0.001) The duration of gospital stay was similar between groups. During 7 days of follow-up period incidence of hematoma was significantly lower in group A (p=0.004). Although the incidence of ecchymosis was not significantly different between two groups. Conclusion : The angioseal may be associated with earlier ambulation and less patients' morbidity with low incidence of local complication rate compared to manual compression after transfemoral percutaneous coronary intervention.

Organic Solar Cells: Solution‐Processable Reduced Graphene Oxide as a Novel Alternative to PEDOT:PSS Hole Transport Layers for Highly Efficient and Stable Polymer Solar Cells (Adv. Mater. 42/2011)

Yun, Jin‐,Mun,Yeo, Jun‐,Seok,Kim, Juhwan,Jeong, Hyung‐,Gu,Kim, Dong‐,Yu,Noh, Yong‐,Jin,Kim, Seok‐,Soon,Ku, Bon‐,Cheol,Na, Seok‐,In WILEY‐VCH Verlag 2011 Advanced Materials Vol.23 No.42

<P>Solution‐processable reduced graphene oxide as a hole‐transporting layer for highly efficient and stable organic solar cells is reported on page 4923 by Dong‐Yu Kim, Seok‐In Na, and co‐workers. Introduction of a newly reduced graphene oxide by simple solution processing into solar cells dramatically raises the cell efficiency and cell life‐time. The results will allow full use of chemically reduced graphene and will advance the realization of carbon‐based printable optoelectronic devices. </P>

인체 방광암에서 p33^ING1의 발현 변화

이석영,신관희,한광희,이상철,김용태,김원재 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.7

설계변경의 경향 및 원인 분석을 통한 설계 품질향상 방안

석성재,김재근,이철우,홍순구,유춘번 한국품질경영학회 2000 품질혁신 Vol.1 No.1

This study is prepared to introduce design quality improvement measures by the trend and cause analysis of design changes which have been made during operations of construction project for power plant. In this study, two types of analysis tool have mainly taken for the use of the improvement measures. One tool is the trend analysis to identify which action should be taken to cut down design changes. This is also useful to monitor whether project participant's endeavour for the action taken is effective or not, to the project performance and design quality improvement. The other is the cause analysis, by using cause and effect diagram, which is useful to identify main causes of the design changes and to establish the measures to reduce recurrence of the design changes.

다중이용시설내 공기중 바이오에오로졸 농도분포 특성에 관한 연구

이철민,김윤신,이태형,박원석,홍승철 한국환경과학회 2004 한국환경과학회지 Vol.13 No.3

This study was conducted to evaluate the characterization of airborne bioaerosol in public facilities in Seoul. A total of 17 public facilities were investigated from December, 2002 to February, 2003. As results of the survey, the mean concentrations of bacteria and fungi in indoor air of public facilities were 378.08±296.33 CFU/m³ by RCS and 106.38±171.63 CFU/m³ and 347.46 ± 335.32 CFU/m³ and 95.23±62.61 CFU/m³, by Six-stage cascade air sampler respectively. The mean concentrations of bacteria in indoor air (by ventilation method) were 517.14± 343.93 CFU/m³ of natural ventilation and 215,83±100.71 CFU/m³ of mechanical ventilation. The mean concentrations of fungi in indoor air (by ventilation method) were 83.14±79.16 CFU/m³ of natural ventilation and 133.50±248.07 CFU/m³ of mechanical ventilation. The mean concentrations of bacteria in indoor air were 449.44 CFU/m³ for the ground and 217.50±103.68 CFU/m³ for the underground. The mean concentrations of fungi in indoor air were 63.89±77.66 CFU/m³ for the ground and 202.00±290.08 CFU/m³ for the underground.

Eisenmenger씨 증후군을 동반한 충수돌기염 천공에 의한 복막염 환자의 마취경험 : 증례보고

천경석,박천희,이철승,이철,안용미,최준석 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.3

Eisenmenger's syndrome includes any condition in which communication between the pulmonary and systemic circulation gives rise to pulmonary vascular disease causing a right to left shunt with peripheral cyanosis, It can occur with complex congenital cardiac malformations, such as septal defect and patent ductus arteriosus. We report a case of a 58-year-old woman with an emergency operation for peritonitis due to appendiceal perforation and Eisenmenger's syndrome secondary to large ventricular septal defect. We carefully performed balanced anesthesia with air-O₂-desflurane-remifentanil. She was transferred to the intensive care unit in intubated state postoperatively and discharged two weeks later without any complications.

CFRP 판재의 섬유방향에 따른 절삭성 평가

신봉철,하석재,강민형,권오양,조명우 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

In recent, the CFRP(Carbon Fiber Reinforced Plastics) composite has been widely used because it has light-weight and high mechanical strength. Therefore, CFRP composite is applied to variable industrial areas such as aerospace, automobiles, sporting goods, ships and so on. Generally, CFRP composite has been used in the industrial field by mechanical cutting processes. In this research, the CFRP composite specimen are laminated by 64plies with orientation angles such as 0°, 45°, 90° and [0°/±45°/90°]4S. The results are analyzed with cutting force and cutting surface.

연마 로봇의 원격 관리를 위한 모니터링 시스템 개발

고석조,이민철,홍창우 한국공작기계학회 2002 한국공작기계학회 춘계학술대회논문집 Vol.2002 No.-

In the previous study, a polishing robot system was developed to automate the polishing process and to cope with the shortage of skilled workers. This polishing robot system has several advantages: reduced time for setting polishing work, decreased labor costs, effective operation, continuous polishing work without an operator, improved machine accuracy, and the ability to polish a free curved surface die. However, still the problem remains that a worker must stay to monitor the polishing process in the poor working conditions for a long time. Nowadays some advanced manufacturing companies need to find a way to check the performance of their production equipments and plants from remote sites. Thus, this study constructed the communication network and developed the monitoring programs (a servo program and a client program) to operate the polishing robot from remote sites. Using these programs, workers are able to monitor and control the polishing robot on the web page, in any place where internet service is possible. To guarantee a stable operation in spite of a variable computer operating environment, the monitoring system is implemented in Java. The experimental results showed that the developed monitoring programs provided a stable communication.

국내 상수원수의 유기물 특성에 따른 소독부산물 생성능

염철민,변석종,조순행,윤제용 대한상하수도학회 2003 상하수도학회지 Vol.17 No.1

This study was conducted to investigate the characteristics of disinfection by-products formation potential (DBPFPs) of dissolved organics. Dissolved organics in raw water were separated into two fractions ((1) hydrophilic and (2) hydrophobic) for the measurement of DBPs. Three types of DBPs (trihalomethanes (THMs), haloacetic acids (HAAs), and total organic halides (TOX)) were measured at 3days and 7days incubation time. Sample waters were collected from the Han River and the Wonchun Reservoir. Two major findings are as follows. First, THMFPs/DOC, HAAFPs/DOC and TOXFPs/DOC in the hydrophilic organic component had a level of lower value than those of the hydrophobic organic component. Brominated THMs and bominated HAAs were not found in the chlorinated hydrophobic organic component. Second, the magnitude of HAAFPs/DOC were higher than that of THMFPs/DOC in both hydrophilic and hydrophobic organic components. This results support the reported observation that HAAs formations were higher than that of THMs in chlorinated drinking water. THMFPs and HAAFPs comprised 53-91% of TOXFP.

건설폐기물의 발생 현황 및 재활용 방안

염환석,장철인,최석 광주대학교 2001 産業技術硏究 Vol.15 No.-

산업사회가 고도로 발전하면서 인간의 생활은 보다 윤택해졌지만, 그 부작용으로 환경오염과 자원의 고갈문제가 심각하게 대두되고, 환경파괴에 의한 자연재해까지 겹치면서 지구환경에 대한 위기 의식은 날로 고조되고 있다. 또한, 가용토지가 한계에 다다름에 따라 도심재개발 및 노후건축물의 재건축사업이 급격하게 증가하고 있어 이들 현장에서 발생하는 건설폐기물이 다량 발생할 것이 예상된다. 본 연구에서는 우리나라 건설폐기물의 발생 현황을 조사하고, 국내 건설폐기물의 재활용 및 처리 방법을 파악하여, 외국 건설폐기물의 발생, 처리, 재활용 동향과 비교해보고자 한다. 마지막으로, 자원의 절약과 재활용율을 극대화시키는데 효과적인 대책수립 및 제도적 개선방안에 대해 고찰해보는데 이 연구의 목적을 두고 있다. The life of human is to be in comfortable circumstance with the development of the industrial society. However, the environmental pollution and resources exhaustion become more serious with that. Recently, the construction wastes is increased on the reconstructions of the old buildings and the redevelopment of the city. In this paper, the occurrences, managements, and recycling of domestic construction wastes are researched and compared with those of foreign construction wastes. The suitable method and improvements are considered to maximize the rate of recycling and the saving of the resources.