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관상동맥 시술 도중 발생한 좌주간부 관상동맥 박리에 대한 스텐트 삽입 치료의 단장기 임상 결과 : acute and long-term results
이세환,이승환,홍명기,김영학,이철환,한기훈,송종민,강덕현,송재관,김재중,박성욱,박승정 대한내과학회 2004 대한내과학회지 Vol.66 No.6
목적 : 심도자 사용 시술과 관련된 좌주간부 관상동맥박리에 대한 적절한 치료는 아직 확실히 정립되지 않은 상태이다. 이에 본 연구는 좌주간부 관상동맥 박리에 대한 스텐트 삽입술의 단장기 임상결과를 후향적으로 분석하였다. 방법 : 좌주간부 관상동맥 박리에 대한 치료로 즉각적인 스텐트 삽입술을 시행하는 것이 안전하고 효과적인 방법임을 가설하였고, 이러한 즉각적인 스텐트 삽입을 시행한 10명의 환자를 대상으로 단장기적 임상경과를 의무기록 고찰과 전화 면담을 통해서 평가하였다. 결과 : 전체 환자 모두 처음부터 좌주간부 관상동맥에 유의한 협착을 가진 환자는 없었으며, 8명의 환자는 심도자의 조작으로 인한 박리가 발생한 경우였고(진단적 혈관 조영술 중에 3명, 유도 도자 조작 중에 5명), 나머지 2명은 다른 병변에 스텐트 삽입시술을 하는 중에 박리가 발생하였다. 이 10명의 환자에서 모두 즉각적인 스텐트 삽입술이 시행되었고, 4명의 환자에서 시술 도중 혈압 저하로 Intra-aortic Ballon Pump (IABP)를 장착하였다. 모든 환자에서 성공적으로 스텐트가 삽입되었고, 병원내 사망은 1명도 없었다. 6개월 추적 관상동맥 조영술은 8명의 환자에서 시행되었다. 혈관 조영상의 재협착(직경 협착 50% 이상)은 8명 모두에게서 관찰되지 않았으며, 퇴원 후 평균 31±25개월의 추적관찰 결과 주요 심장사건은 1건도 발생하지 않았다. 결론 : 비록 대상 환자가 적은 연구였지만 좌주간부 관상동맥 박리에 대한 스텐트 삽입술은 기술적으로 안전하고 빠르게 시행 할 수 있으며, 훌륭한 단장기적인 치료 효과를 보여준다. Background : The optimal treatment of patients with left main coronary artery (LMCA) dissection during catheter-based procedure remains uncertain. We retrospectively analyzed the acute and long-term results of bail-out stenting for LMCA dissection. Methods : In cases with significant LMCA dissection occurring during catheter-based procedure, prompt stent implantation may be safe and associated with favorable clinical outcome. We evaluated the acute and long-term results of bail-out stenting for LMCA dissection occurring during catheter-bases procedure in 1- patients. Results : Initially, there was significant stenosis of LMCA segment in these patients. Catheter-induced dissection occurred in 8 patients (during diagnostic angiography in 3 patients and guiding catheter manipulation in 5 patients). Two patients suffered dissection in the setting of stent deployment in other vessels. Therefore, bail-out stenting LMCA dissection was performed in a total of 10 patients. In 4 patients, hypotension developed and intra-aortic balloon pump was placed during procedure. Stents were successfully deployed in all patients. There was no in-hospital mortality. Six-month angiographic follow-up was performed in 8 patients. Angiographic restenosis(diameter stenosis 50%) was not observed in all patients at follow-up study. During a mean follow-up of 31±25 months after hospital discharge, there was no major adverse cardiac event (death, myocardial infarction, and target lesion revascularization). Conclusion : Bail-out LMCA stenting is technically feasible, and showed good acute and long-term results in a small series of patients.
GC-ECD를 이용한 유기염소계 및 Pyrethroid계 농약 동시 분석법
김우성,이선화,김재이,정지윤,이명자,박영채,이영자,정성욱,이봉헌,박흥재 한국환경과학회 2003 한국환경과학회지 Vol.12 No.4
Pesticides were extracted from samples with 70% acetone and methylene chloride in order, and then cleaned up via open-column chromatography apparatus packed with florisil, and finally analyzed simultaneously the organochlorine and pyrethroid pesticides using GC(ECD). An ultra-2 fused silica capillary column was used to separate and identify the products. The resolution between the last isomeric peak of cypermethrin(59.987min) and the first isomeric peak of flucythrinate(60.043min) was not satisfactory. The last isomeric peak of fenvalerate(62.344min) and the first isomeric peak of fluvalinate(62.397min) were overlapped. Recoveries of soybean sample for the most pesticides were 73.3% to 102.4%. Detection limits were between 0.004 and 0.063 ㎍/㎎ when this method was used.
MR Polsihing에서 알루미나 슬러리를 이용한 Si₃N₄세라믹스의 고정도 표면향상에 관한 연구
이정원,김동우,조명우,조원승,신영재 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-
Silicon nitride Si₃N₄ is a leading ceramic for structural applications due to its superior properties at high temperature. It is very difficult-to-grind ceramics with high efficiency because of their high strength, hardness and brittleness. In this paper, ultra-precision surface for Si₃N₄ ceramic were using MR polishing method. MR Polishing experiment were using the magnetorheological fluid and Polishing abrasives are Al₃O₃. Polishing experiments were under various polishing conditions by changing a magnetic field force, wheel speed and polishing time. Polishing surfaces were observed analyzed by non-contact type 3-dimensional surface roughness measurement equipment. As a result, MR Polishing method can give excellent surface roughness, and surface roughness was obtained Ra=1nm.
아드레날린 동작성 약물이 구강점막의 리도케인 Clearance에 미치는 영향
명재원,안명석,김중수,이종훈 대한구강생물학회 1992 International Journal of Oral Biology Vol.16 No.2
Some adrenergic drugs have been used as vasoconstrictors in local anesthetics for prolongation of acting duration and minimization of side effects. But, the exact role of vasoconstrictors on the clearance of local anesthetics in oral mucosa was not investgated. This experiment was carried out to clarify the influences of some adrenergic drugs on the clearance of lidocaine in oral mucosa. Sprague-Dawley rats were devided into control(no vasoconstrictor) group, epinephrine(1:100,000)-contained group, norepinephrine(1:30,000)-contained group and phenylephrine(1:2,500)-contained group. In urethane(1.2g/㎏) anesthetized rats, 300μl of 2% lidocaine with or without vasoconstrictor injected in the palatal mucosa. According to time schedule, they were sacrificed by exsanguination immediately, 30 and 60 minutes later after injection, respectively. The palatal mucosa was removed and homogenized by mechanical force and ultrasonicated in 0.1N HCl(500μl). The samples were centrifuged after akalization. Aliquat of the supernatant was injected into HPLC. Also, systemic effects of vasoconstrictors were evaluated with recording arterial blood pressures in common carotid artery. In control animals, lidocaine clearances reached 85.4% and 89.3% at 30 and 60 minutes after injection, respectively. At 30 minutes after injection, lidocaine clearances of vasoconstrictor contained group were different from control group significantly(p<0.01), and lidocaine clearance of phenylephrine contained group appeared higher than those of the other vasoconstrictor contained groups(p<0.05). But, at 60 minutes after injection, only epinephrine contained group had lower lidocaine clearance than control group(p<0.01). Intraperitoneal injection of the same dosage of palatal mucosa injecton of these vasoconstrictors did not elicit the change of blood pressure and heart rate.
이명재 기전여자대학 1995 論文集 Vol.15 No.-
Worship is a ceremony which men serve to God with spirits and whole hearts. This worship must be done to and only for God. So the music used in this worship should include the aim to praise God. In our hymns, however, there is something listed for men, not for God such as saints' fellowship, and saints' achievement and saints' lives. And the contents of such hymns don't praise God for his wondrous deed. Korean Churches, grown rapidly in quantity, make a great effort in church music to praise God during the worship