혈관질환 정보관리 시스템

김동익,김덕경,허세호,이병붕,김용신,김은숙,문지영,도영수,신성욱,김동수,김만태,진재욱,김용신 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

As medical technology progresses rapidly, there is a rise in the average age along with the Korean dietary lifestyle becoming more westernized, which leads to an increase in the number of vascular disease patients in Korea. Thus, we need to manage the medical information of a disease systematically in order to diagnose and treat constructively. However, since there has been no standardized method of man agement to date, a great deal of information could not be properly utilized nor studied. Therefore, the departments of Cardiology, Radiology and Neurology of Samsung Seoul Hospital recently got together to develop an information management system called the Vascular Data System. This program was developed to be run on win98 O/S, upper Pentium Ⅲ, and upper 128 MB Memory, and its source code is Dephi 4.0. It was configured for the user to set the configurations as well as do a variety of search and analysis. If this program were to be updated continuously, it may be used extensively as well as in various parts of clinical research activities.

Ether 및 Halothane마취시 정맥혈에서의 Lactate, Pyruvate 및 Excess lactate치의 변화에 대한 연구

김익수,최세진,백문기,황병두 대한마취과학회 1977 Korean Journal of Anesthesiology Vol.10 No.3

Venous blood lactate, pyruvate and excess lactate have been measured by the enzymatic method and calculated in 24 patients over a period of 2 hours during operation under general anesthesia. When the anesthetic was diethyl, ether, lactate and dyruvate levels showed a gradual increase significantly from 30 minutes and 60 minutes after induction of anesthesia respectively. Excess lactate appeared 30 minuts after induction of anesthesia, being increased slightly thereafter. When halothane was used, lactate level rose significantly in 120 minutes but no significant change in pyruvate and excess lactate was observed. In comparison to the results obtained in arterial blood during ether anesthesia by others, the levels of lactate and pyruvate found in this study were higher than those observed in arterial blood, whereas there was no considerable difference in change with duration of anesthesia and excess lactate. From the above results we suggested that venous blood lactate, pyruvate and excess lactate were essentially the same as those of arterial blood for evaluating tissue hypoxia during general anesthesia.

LPATS를 이용한 배전설비 뇌해예측 및 보수운용

김태익,김세호 濟州大學校 産業技術硏究所 1998 산업기술연구소논문집 Vol.9 No.2

Lightning is the single largest cause of outages on distribution and transmission systems in lightning-prone areas. In this paper, we analyze the damage modes of distribution equipments by lightning and calculate the lightning-induced voltage by using analysis program. In the calculation of lightning -induced voltage. it is used the various parameters obtained by LPATS being operated in KEPCO from 1995. Based on the lightning-induced voltage. we can predict the extent of damages in distribution systems. The result in this paper is very useful in finding fault location and rapid outage recovery by lightning and maintenance of distribution line equipment.

In situ hybridization기법을 이용한 shiga toxin-producing Escherichia coli의 검출 및 stx2의 염기서열분석

김의종,이동영,최혜심,주세익,이정희,김상현,반성환 대한임상미샐물학회 2000 Annals of clinical microbiology Vol.3 No.2

LPATS를 이용한 배전설비 뇌해예측 및 보수운용

김세호,김태익 濟州大學校工科大學産業技術硏究所 1998 尖端技術硏究所論文集 Vol.9 No.2

Lightning is the single largest cause of outages on distribution and transmission systems in lightning-prone areas. In this Paper, we analyze the damage modes ol distribution equipments by lightning and calculate the lightning-induced voltage by using analysis program. In the calculation of lightning -inducted voltage. it is used the various parameters obtained by LPATS being operated in KEPCO from 1995. Based on the lightning-induced voltage, we can predict the extent of damages in distribution systems. The result in this paper is very useful in finding fault location and rapid outage recovery by lightning and maintenance of distribution line equipment.

풍력발전단지의 임계제거시간 고찰

김세호,양익준 제주대학교 공과대학 첨단기술연구소 2004 尖端技術硏究所論文集 Vol.15 No.2

Generation of electricity using wind power has received considerable attention worldwide in recent years. In addition, the concern about the stability of wind power increases more and more, because most of the wind generators are induction generators that have shorter critical clearing times than those of synchronous generators. This paper investigates factors influencing the transient stability of the system connected to wind generation system.

제주한경 풍력발전시스템에 연계된 가정의 전압품질 분석

김세호,양익준 제주대학교 공과대학 첨단기술연구소 2004 尖端技術硏究所論文集 Vol.15 No.1

Operation of wind turbines has impacts on the voltage quality at the connected electricity network. Increasing penetration of wind energy makes necessary to study the power quality regarding voltage variations(sag, swell, interruption) and presence of harmonics in the grid. This paper investigates the voltage quality of low voltage customers connected to wind generation system. To study the influences of wind power generation to low voltage power system, voltage data are collected in three house using PQM(Power Quality Monitoring) equipment during one month and analyzed regarding voltage variation and harmonics.

자가혈관내피세포를 도포한 인조혈관의 개발

김동익,이윤신,김덕경,허세호,이병붕,김지은 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

Purpose: Small calibered prosthetic vascular grafts are prone to low patency rates after bypass surgery due to its high thrombogenicity and neointimal hyperplasia. Endothelial cells are known to inhibit thrombus formations, platelet aggregation and smooth muscle cells proliteration. The purpose of this study was to examine the development of autologous endothelial cell seeded prosthetic vascular graft. Method: The autologous endothelial cells (ECs) were harvested from canine external jugular veins. Approximately 5*10^4 ECs were obtained through passage 5 to 6 under the static condition. The cultured ECs were seeded into the polytetrafluoroethylenc (PTFE) graft and cultured for 3 days before implanting into the canine carotid artery.The PTFE graft was harvested at 6 weeks after implantation. Result: The primary cultured ECs were treated with Factor VⅢ/WF, CD3]/PECAM-1 antibodyand confirmed with fluorescence micrograph, The gratf patency rates were 2/6 (33%) in the control gratf and 5/6 (83%) in the ECs seeded graft at 6 weeks after implantation. the entire luminal surface of the EC seeded graft was covered with ECs. Only the vicinity of the anastomosis site was covered with ECs in the control graft. Conclusion: This is a pilot study for the development of autologous endothelial cell seeded prosthetic vascular graft. The results of our study demonstrate that the endothelialized PTFE are better than ninendothelialized PTFE.

사지 임파부종에 대한 임상적 분석

김동익,허세호,이병붕,김은숙,문지영,황지혜 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

Purpose: Given the increased frequency of operative therapy and radiation therapy on breast cancers and uterine cancers, there is very little information on lymphedema associated with these treatments in Korea. Thus, the authors conducted this study to describe and analyze the data which they had obtained from the patients. Method: A retrospective study was undertaken on 840 patients who registered to the Lymphedema Clinic of Samsung Seoul Hospital throughout the period of February 1995 to August 2001. Result: Out of 840 patients, 205 patients (24%) were confirmed as having primary lymphedema, while 635 patients (76%) had secondary lymphedema. The ratio of male to female for primary lymphedema was 1 :1.8(Male : Female), while secondary lymphedema demonstrated to be 1:21 (Male : Female), demonstrating a female preponderance. Secondary lymphedema mostly developed after undergoing treatment for uterine cancer (341 patients, 53.7%) and breast cancer (226 patients, 35.5%) The lesions of occurrence for both primary and secondary lymphedema were mainly in the lower extremities than the upper extremities. In regards to the degree of clinical edema, a large number of the patients, that is 633 patients (76%) had progressed to Stage Ⅱ~Ⅲ. Among the patients who developed edema after undergoing treatment for cancers, only 43 patients (7%) were provided information on the possibility of developing lymphedema, while the majority of the patients had no knowledge about this possibility. When the patients' subjective experiences were investigated on the degree of the edema, there was no significant increase in pain despite an increase in the degree of the edema (P<0.05), nevertheless, a significant increase was found in cosmetic problems (P>0.05). Conclusion: As a general rule, complete recovery from chronic lymphedema is not expected. However, early detection of lymphedema and timely appropriate treatment as well as aggressive patient education on lymphedema and its related complications can prevent its progression.

자해로 인한 구강내 손상의 치과적조절 : 증례 보고

이상익,김영재,이상훈,김종철,한세현,장기택 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.2

자해 행위(self-injurious behavior)란 자살 의도 없이 자신의 신체 일부를 무의식적 혹은 고의로 손상시키는 것으로 정의한다. 이는 머리 및 몸 때리기, 피부 절단 혹은 손가락 깨물기 등의 형태로 나타나며, 눈, 성기 및 구강 내 자해 행위(self-inflicted oral mutilation)를 포함한다 자해 행위는 일반적으로 정신지체, 혼수상태, 정신과적 문제, 약물의 독성 혹은 성격장애를 지닌 환자에게서 일어날 수 있다 소아 환자에서 자해 행위는 보통 입술, 협점막 및 혀 깨물기 둥이 보고되고 있으며, 이러한 구강 내 자해 행위를 방지하기 위해 치과적 조절 방법들이 소개되고 있다. 본 증례에서는 구강 내 자해 소견을 보인 두 명의 소아 환자들에 대해, 각각 변형된 activator 형태의 가철성 장치, 후방으로 연장된 tongue-rake 장치 및 mouth guard 둥을 사용하여 양호한 치유과정을 보였기에 보고하는 바이다. Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, coma, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents two self-inflicted oral mutilation patients who were all treated successfully with appliances such as modified activator without wire for retention, modified tongue-rake appliance and mouth guard.