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.

Mo¨nckeberg 중막 석회화로 인해 초기자궁내막암이 진행성 자궁내막암으로 판독되었던 1례

김승만,배철성,김동훈,김정란,이현경,윤혜원 동국대학교 경주대학 1997 東國論集 Vol.16 No.1

Mo¨nckeberg 중막 석회화는 크거나 중간크기의 근육성 동맥(large and medium-sized muscular arteries)의 중막(media)에 노화와 관련되어 퇴행성 과정인 윤상석회화가 특징적으로 나타나는 동맥경화증의 일종으로, 근본적으로 폐쇄성 죽상경화증(occlusive atherosclerosis)과는 다른 과정으로 동맥의 관강(lumen)을 막는 경우는 드물어 상대적으로 임상적 의의는 적거나 거의 없다. 저자들은 Mo¨nckeberg 중막 석회화때문에 초음파 및 컴퓨터 단층촬영에 의한 병기결정에 혼란을 초래하였던 초기 자궁내막암 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The Mo¨nckeberg medial calcification is aging change rather than disease entity. The Mo¨nckeberg medial calcification involve muscular arteries of limb, head, and genital track and cause fibrosis change associated with hyalinization and fine basophilic staining, suggesting early calcification with little or no clinical significance but is demonstrable on roentgenograms as regular and diffuse radiopaque shadow under intima. We experienced one case of mis-staging of early endometrial cancer due to the Mo¨nckeberg medial calcification therefore, we report this case with a brief review of the literature of the Mo¨nckeberg medial calcification.

무속적 상상력과 초논리성 연구 : 오태석의 <백마강 달밤에>를 중심으로

김현철 고려대학교 한국학연구소 2001 한국학연구 Vol.14 No.-

In this study, I tried examining how Shaman imagination was dramatized in Oh Tae-Suk's work, 〈In a Moonlight Night of Baekma River〉. Modernizing traditional plays has become a contemporary dramatists' topic of importance, Most dramatists devote themselves to the work of modernizing a Shaman ritual of Gut to seek out a Korean archetype. Since Gut can always make past and present, reality and illusion, and this world and the other world harmonized spontaneously in the same space and time, it has been thought of very attractive. Especially, in that its mechanism is a course that leads conflict and opposition to reconciliation, Gut has a greater correlation to a play. This element characteristics is introduced very actively in 〈In a Moonlight Night of Beakma River〉. first, on the aspect of the plot, "Eunsan Byulsin - Gut"and "Bari Princess"offer the frame for its composition. Especially, 'Sunan',a dramatic character, has a similarity to Bari Princess. Next, on the aspect of content, I looked into "Coexistence of ordinary feature and ritual one"and "Madness and Super-logicality"In "Coexistence of ordinary feature and ritual one", Oh describes that the dramatic principle of 〈In a Moonlight Night of Baekma River〉is based on a Shaman imagination, that is, a harmony of space and time. Particulary, in "Scene on going on the stone bridge"in the latter half, it is shown that a real figure and a mythic figure are joined together without any difference. This ritual is also connected to consciousness that the dead are closely related to the living. "Madness and Super-logicality"gives and account of 〈In a Moonlight Night of Beakma River〉's ending part, where the mechanism of Gut is made use of. Gut has a structure that conflict and opposition end in an amicable settlement. The Motif of King Eu-je who was reincarnated as a school captain at the in the conclusion, is a part which presents a little logical jump. Farther prudential link should have been made so that the work could have been formed as one preserved super-logicality, escaping illogicality. In this way, Gut is a treasury from which you can extract rich imagnation and new devices on a stage. It, however, can result in another problem, an excess of subjectivity, if the source itself depends on just imgaination. That is, you ought to bear logical linkage based on free imagination in mind.

ProTaper의 세가지 사용방식에 따른 성형능역 비교

김소연,박정길,허복,김현철 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.1

이 연구의 목적은 만곡이 삼한 근관에서 ProTaper(R)를 수동으로 사용하는 방법, 엔진 구동으로 사용하는 방법, 그리고, 치관부는 엔진 구동으로 치근단부는 수동으로 사용하는 세 가지 방법의 근관 성형 능력을 비교하기 위한 것이다. 근관 길이가 170mm이고 근관 입구에서 10mm 떨어진 부위에서 만곡이 시작되며 평균 40도의 단일 만곡을 가지는 투명한 레진 블락 30개를 사용하였다. 각 군당 10개의 레진 블락을 사용하였으며, 수동형 ProTaper(R)로 전체근관을 성형한 군형 M군, 엔진 구동형 ProTaper(R)로 전체근관을 성형한 군을 R군, 근단부는 수동형 ProTaper(R)를, 치관부는 엔진 구동형 ProTaper(R)를 사용하여 성형한 군을 H군으로 하였다. 각각의 블락을 성형하고 각 군별 근관 성형시간을 기록하였다. 근관 성형전과 후의 이미지를 중첩하여 근단공으로부터의 수직 이동 거리 1, 2, 3, 4, 5 그리고 6 mm 위치에서 수평선을 긋고 총 근관폭경, 근관 만곡 내외측 삭제량, 근관의 변위, 중심 이동률을 평가하여 다음과 같은 결론을 얻었다. 1. 근관 성형시간은 R군, H군, M군 순으로 짧았고, 세 군 사이에는 유의한 차이가 있었다(p < 0.05). 2. R군이 전체적으로 삭제량이 많은 경향을 보였으나, 1, 3 mm를 제외하고는 차이가 없었다(p > 0.05). 3. 만곡내측 삭제량에 있어서는 1 mm 지점에서는 R군이, 6 mm 지점에서는 H군이 컸지만 (p < 0.05), 나머지 지점에서는 차이가 없었다. 만곡외측 삭제량은 1 mm 지점에서만 R군이 컸다 (p > 0.05). 4. H군, R군은 1, 2, 3 mm 지점, M군은 1, 2 mm 지점에서 만곡외측으로의 변위를 보였고, 그 외의 지점에서는 내측변위를 보였다. 각 군 간의 변위차이는 6 mm 지점에서 H군이 컸다(p < 0.05). 5. 근관의 중심 이동률은 6 mm 지점에서 H군이 R군에 비해 유의하게 컸지만 다른 모든 위치에서는 차이가 없었다(p < 0.05). 본 실험결과를 토대로 할 때, 각 평가 항목에서 측정 위치에 따라 약간씩 차이가 있었으나, 중심 이동률은 대부분의 위치에서 유의한 차이가 없었다. 따라서 만곡 근관을 성형시에는 세 가지 방법 중 어느 것이 더 유용하다고 보기 어렵다고 판단된다. The purpose of this study was to compare the shaping ability of the three ProTaper instrumentation techniques in simulated canals. Thirty resin blocks were divided into 3 groups with 10 canals each. Each group was instrumented with manual ProTaper (Group M), rotary ProTaper (Group R), and hybrid technique (Group H). Canal preparation time was recorded. The images of pre- and post-instrumented root canals were scanned and superimposed. The amounts of canal deviation, total canal width, inner canal width, outer canal width and centering ratio were measured at apical 1, 2, 3, 4, 5 and 6 mm levels. 1. Canal preparation time was the shortest in R group (p <0.05). 2. The amounts of total canal width in R group was generally larger than the other groups, but no significant differences were observed except at the 1, 3 mm levels (p ) 0.05). 3. The amounts of inner canal width in R group was larger than M group at the 1 mm level and H group was larger than R group at the 6 mm level (p < 0.05). The amounts of outer canal width in R group was larger than H group only at the 1 mm level (p <0.05). 4. The direction of canal deviation in H, R group at the 1, 2, 3 mm levels was outward and that in M group at the I, 2 mm levels was inward. The amounts of canal deviation in H group was larger than R group at the 6 mm level (p <0.05). 5. The amounts of centering ratio in H group was larger than R group at the 6 mm level (p <0.05).

크롬(Ⅵ)의 체내 흡수와 소실속도에 관한 연구

김현영,이성배,임철홍,이권섭,정용현,이종성,한정희,전윤석,황호순,이용묵 한국산업위생학회 2003 한국산업보건학회지 Vol.13 No.1

The CrO3 mostly used in plating. metal surface disposal, leather, cosmetic manufacturing, as an experiment material by repeatedly inhaling and exposure the male S.D. rats at a 0.00, 0.2., 0.50, 1.25 mg/㎡ concentration(particle size: 0.5-0.5 aerosol)6hours a day, 5day a week in 13weeks comparing with 2weeks, 8weeks of recovery group about the noxiousness of the experiment animal and the reduce scale of the CrO3 in the internal organ especially in blook and respiratory organ with the period of convalescent and clearance. The experiment results which we received are as follows. 1. In blood the RBC, HGB and HCT experiment, rats with 0.20, 0.50 mg/㎡ concentration showed that there were some decreases but not dependent. The kidneys absolute weight compared with control group was reduced intentionally(p〈0.05) and the lungs absolute weight compared with control group showed intentional increase(p〉0.05). 2. After the exposure of the experiment material, the whole blook, l\blood plasma and red blood cell in blood by (x): the period of convalescent, per (y); the decreasing of Cr concentration, was y=66.51 e -0.057x, y=67.2 e-0.101x, y=70.01 e-0.030 in 0.50 mg/㎡ exposure concentration by calculating the clearance coefficient of correlation, and the half life (day)was estimated 12.0, 6086, 23.0 each. 3, After the exposure of the experiment material, the experiment animals lung, liver and kidneys by(x); the period of convalescent, per (y); the decreasing of Cr conentration, was y=1808 e-0.00493x, y=12.02e-0.0297x, y=67.61 e-0.0292x in 0.50mg/㎡ exposure concentration by calculating the clearance coefficient of correlation, and the half life(day)was estimated 140.6, 23.3, 23.7, each, and including lung, liver with all of the experiment internal organs, the Cr clearance decreased as the exposure concentration increased.

사회정의의 개념과 의의

김현철 이화여자대학교 2004 法學論集 Vol.9 No.1

The reason why the concept of social justice is ambiguous that Because the concept of 'social' is ambiguous. Moreover the concept of 'justice' is ambiguous, too. The concept of 'social' is relevant to 'social problems'. Social problems such as unemployment, aging, disease, hunger, poverty and so forth were occurred since 19th century, because of classical capitalism. The concept of 'justic' is developed in historical context. Through ancient greece, roman empire, medieval period and modern period, the concept of justice entails the property of supremacy over the other values. This supremacy of justice is the strong reason that the give-up of the concept of justice is unpermissible. Thus social justice has the property of supremacy. And contemporary social justice is relevant to contemporary social problems. Furthermore, social justice considers particular issues in Korea, such as discrimination, gap of economic position, human rights, poverty and so forth. In this meaning, equality in law and human rights are the important elements to understand social justice.

SD Rats를 이용 1-hexene의 흡입독성 연구

김현영,임철홍,정용현,이권섭,이성배,이준연,한정희,전윤석,이용묵 한국환경독성학회 2001 환경독성보건학회지 Vol.16 No.4

The purpose of this study was to investigate the acute (4 hours) and repeated-dose (6 hours a day, 5 days a week, 4 weeks) toxic effects of I -hexene on Sprague- Dawley (SD) rats which were treated by inhalation. The results were as follows; I. The median lethal concentration (LC_(50)) was estimated 52,694 ppm (confidence limit 95%; 49,494~55,447 ppm) in acute inhalation. Abnormal clinical signs related to the l-Hexene were not observed with the acute inhalation dose. Gross findings of necropsy revealed on evidence of specific toxicity related to the 1-hexene, II. By repeated inhalation exposure the body weight of male were more or less reduced by the dose of 2,500 ppm and 5,000 ppm compared with control group. However there were no significant variation hematology and blood biochemistry for the exposed rats compared with the control rats. Abnormal clinical signs and gross findings of necropsy related to the 1-hexene were not shown. In conclusion when we exposed I-hexene to SD rats for 4 weeks, 5 days per week, 6 hours per day, the Lowest observed effect level (LOEL) was over 2,500 ppm and Non observed effect level (NOEL) was below 500 ppm.

갈륨합금과 고동 아말감 합금의 물리적 성질 비교

김현철,이희주,허복 大韓齒科保存學會 1998 Restorative Dentistry & Endodontics Vol.23 No.1

The purpose of this study was to compare the physical properties between high copper amalgam and gallium restorative material. In this study, the specimens for the 4 experimatal groups(Valiant, Valiant PhD, Gallium Alloy GF Ⅱ, Gallium Alloy GF Ⅱ triturated with some addition of alcohol) were prepared in the manner of which stated in ADA specification No. 1 for amalgam alloy. And then, measured and compared the value of compressive strength, creep, and dimensional change during hardening of each sample. The results were as follows: 1. In the compressive strength, the valiant-lathe cut type high copper amalgam-had the highest value of strength(p<0.05), and the Valiant PhD-admixed type high copper amalgam-showed the higher value of strength than the Gallium Alloy GF Ⅱ(p<0.05) but had no significant difference with Gallium Alloy GF Ⅱ triturated with some addition of alcohol(p>0.05). 2. In the creep, the Valiant PhD showed the highest value of creep(p<0.05), but there was no significant difference between Gallium Alloy GF Ⅱ and Valiant(p>0.05). 3. In the dimensional change during hardening, no two groups were significantly different at the 0.050 level. 4. There was no significant difference between Gallium Alloy GF Ⅱ and the same material which was triturated with some addition of alcohol(p>0.05).

무궁화 위성방송 수신용 고이득 마이크로스트립 배열안테나의 설계

김진생,신현철,이문수 慶尙大學校生産技術硏究所 1996 生産技術硏究所論文集 Vol.12 No.-

In this paper, a microstrip array antenna for receiving KOREASAT broadcasting is designed, which has left-handed circularly polarization property with the gain of 29dB at 11.84GHz. An antenna using a single feed point is chosen as an array element because of its simplicity and low feeding loss. The 2 X 2 array is a basic array element to achieve the overall 16 X 16 array antenna. All the elements of the array are fed in phase using the parallel feed method for broadside beam radiation. The actual dimension of array is about 30 X 30cm. The measured return loss and VSWR is in a good agreement with the calculations. The measured results are as follows ; SLL of -15dB below, gain of 27dB, directivity of 31.9dBi, and axial ratio of 0.74dB at 11.84GHz.

Inhibition of oxidative stress induced‑cytotoxicity by coptisine in V79‑4 Chinese hamster lung fibroblasts through the induction of Nrf‑2 mediated HO‑1 expression

Hyeon‑Gyun Jo,Cheol Park,이혜숙,Gi‑Young Kim,Young‑Sam Keum,Jin Won Hyun,Taeg Kyu Kwon,Yung Hyun Choi,Su Hyun Hong 한국유전학회 2021 Genes & Genomics Vol.43 No.1

Background Coptisine is a natural alkaloid compound and is known to have multiple benefcial efects including antioxidant activity. However, whether it can protect lung fbroblasts from oxidative damage has not been studied yet. Objectives To investigate the potential inhibitory efect of coptisine against oxidative stress in V79-4 lung fbroblast cells. Methods V79-4 cells were treated with H2O2 (1 mM) in the presence or absence of coptisine (50 µg/ml), N-acetyl cysteine (NAC, 10 mM) or zinc protoporphyrin IX (ZnPP, 10 µM) for the indicated times. The alleviating efects of coptisine on cytotoxicity, cell cycle arrest, apoptosis, reactive oxygen species (ROS) production, DNA damage, mitochondrial dynamics, and inhibition of ATP production against H2O2 were investigated. Western blot analysis was used to analyze the expression levels of specifc proteins. Results Coptisine inhibited H2O2-induced cytotoxicity and DNA damage by blocking abnormal ROS generation. H2O2 treatment caused cell cycle arrest at the G2/M phase accompanied by increased expression of cyclin-dependent kinase (Cdk) inhibitor p21WAF1/CIP1 and decreased expression of cyclin B1 and cyclin A. However, these efects were attenuated in the presence of coptisine or NAC. Coptisine also prevented apoptosis by decreasing the rate of Bax/Bcl-2 expression in H2O2-stimulated cells and suppressing the loss of mitochondrial membrane potential and the cytosolic release of cytochrome c. In addition, the activation of nuclear factor-erythroid-2-related factor 2 (Nrf2) and heme oxygenase-1 (HO-1) was markedly promoted by coptisine in the presence of H2O2. However, zinc protoporphyrin IX, a potent inhibitor of HO-1, attenuated the ROS scavenging and anti-apoptotic efects of coptisine. Conclusions Based on current data, we suggest that coptisine can be used as a potential treatment for oxidative stress-related lung disease.