혈소판유래성장인자를 함유한 Chitosan/Calcium Metaphosphate의 골조직재생효과에 관한 연구

이승열,설양조,이용무,이주연,이승진,김석영,구영,류인철,한수부,최상묵,정종평,Lee, Seung-Yeol,Seol, Yang-Jo,Lee, Yong-Moo,Lee, Ju-Yeon,Lee, Seung-Jin,Kim, Suk-Young,Ku, Young,Rhyu, In-Chul,Han, Soo-Boo,Choi, Sang-Mook,Chung, Chong-Pyou 대한치주과학회 2001 Journal of Periodontal & Implant Science Vol.31 No.1

Chitosan is biodegradable natural polymer that has been demonstrated its ability to improve wound healing, and calcium metaphosphate(CMP) is a unique class of phosphate minerals having a polymeric structure. In this study, chitosan/CMP and platelet derived growth factor(PDGF-BB) loaded chitosan/CMP sponges were developed, and the effect of the sponges on bone regeneration and their possibility as scaffolds for bone formation by three-dimensional osteoblast culture were examined. PDGF-BB loaded chitosan/CMP sponges were prepared by freeze-drying of a mixture of chitosan solution and CMP powder, and soaking in a PDGF-BB solution. Fabricated sponge retained its 3-dimensional porous structure with $100-200\;{\mu}m$ pores. The release kinetics of PDGF-BB loaded onto the sponge were measured in vitro with $^{125}I-labeled$ PDGF-BB. In order to examine their possibility as scaffolds for bone formation, fetal rat calvarial osteoblastic cells were isolated, cultured, and seeded into the sponges. The cell-sponge constructs were cultured for 28 days. Cell proliferation, alkaline phosphatase activity were measured at 1, 7, 14 and 28 days, and histologic examination was performed. In order to examine the effect on the healing of bone defect, the sponges were implanted into rat calvarial defects. Rats were sacrificed 2 and 4 weeks after implantation and histologic and histomorphometrical examination were performed. An effective therapeutic concentration of PDGF-BB following a high initial burst release was maintained throughout the examination period. PDGF-BB loaded chitosan/CMP sponges supported the proliferation of seeded osteoblastic cells as well as their differentiation as indicated by high alkaline phosphatase activities. Histologic findings indicated that seeded osteoblastic cells well attached to sponge matrices and proliferated in a multi-layer fashion. In the experiments of implantation in rat calvarial defects, histologic and histomorphometric examination revealed that chitosan/CMP sponge promoted osseous healing as compared to controls. PDGF-BB loaded chitosan/CMP sponge further echanced bone regeneration. These results suggested that PDGF-BB loaded chitosan/CMP sponge was a feasable scaffolding material to grow osteoblast in a three-dimentional structure for transplantation into a site for bone regeneration.

Marfan증후군의 수술 교정 1례

이승열,남영수,김형묵,Lee, Seung-Yeol,Nam, Yeong-Su,Kim, Hyeong-Muk 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.1

Pectus excavatum occasionally occurs in patients who have underlying cardiac disease, especially Marfan syndrome. This report describes a patient with pectus excavatum who had ascending aortic aneurysm with aortic regurgitation and anterior leaflet prolapse of mitral valve. This patient underwent replacement of aortic valve and ascending aorta with 25 mm SJM valved conduit graft[Bentall operation with Cabrol shunt , and mitral valve replacement with SJM 31 mm, the pectus excavatum was corrected at the time of completion of the intracardiac operation with the modified sternal turnover. This procedure offered excellent operative exposure for the inracardiac operation with prevention of low cardiac output after operation due to depressed sternum and maintained chest wall stability resulting good cosmetic chest wall appearance. This patient recovered and discharged in good postoperative result with minimal temporary peroneal nerve palsy in his left leg.

커튼월 설치 로봇 컨트롤러의 설계 및 사용성 평가에 관한 연구

이승열,석재혁,한정완,김병화,한창수,Lee, Seung-Yeol,Seok, Jae-Heuck,Han, Jung-Wan,Kim, Byung-Hwa,Han, Chang-Soo 대한인간공학회 2006 大韓人間工學會誌 Vol.25 No.4

A construction robot has been developed for higher productivity and better safety in various construction fields. Especially, curtain wall is suitable for outer wall material of tall commercial building and apartment complexes. This heavy material is, however, hard to install with a manpower and outdated equipment. For this reason, the prototype of ASCI (Automation System for Curtain wall Installation) was developed. This system has a robot controller(i.e. hand-held remote control unit) for the transfer information signal between human operator and robot system. Although study has been conducted on manual controller of ASCI, hardly any information is known about the operator's opinion. In this study, a questionnaire was completed by operator to get their opinion about aspects which need to design a more comfortable and productive manual controller of construction machinery, robot included. Through the result of study, it is expected that this technical data is contributed to the robot controller design for comfort and productivity of various industrial machinery.

메타물질과 메타표면 광학 기술

이승열,Lee, Seung-Yeol 한국전기전자재료학회 2016 전기전자재료 Vol.29 No.9

디지털 홀로그램 영상을 위한 차세대 공간 광변조 장치 기술

이승열,김용해,조성목,김태엽,황치영,황치선,Lee, Seung-Yeol,Kim, Yong-Hae,Jo, Seong-Mok,Kim, Tae-Yeop,Hwang, Chi-Yeong,Hwang, Chi-Seon 한국정보디스플레이학회 2017 인포메이션 디스플레이 Vol.18 No.2

개인병사의 생존성 증대를 위한 생체신호 모니터링 기법의 설계 및 구현

이승열,박상훈,이춘우,김현준,채제욱,Lee, Seung-Youl,Park, Sang-Hoon,Lee, Choon-Woo,Kim, Hyun-Jun,Chae, Jae-Wook 한국군사과학기술학회 2013 한국군사과학기술학회지 Vol.16 No.6

Recently, personal health monitoring system using intelligent biosensors and equipments has been realized. This system can be adopted for soldier's biosignal monitoring system. In this paper, we propose a soldier biosignal monitoring system using personal biosensors, such as the ECG sensors and accelerometer.

식도암 절제후 식도 재건경로의 비교

이승열,김광택,최영호,김일현,백만종,선경,이인성,김형묵,Lee, Seung-Yeoll,Kim, Kwang-Taik,Choi, Young-Ho,Kim, Il-Hyun,Baik, Man-Jong,Sun, Kyung,Lee, In-Sung,Kim, Hyoung-Mook 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.9

배경: 식도암 절제 후 대치장기의 흉곽 내 경로는 환자의 상태, 암의 성상, 수술자의 기호나 경험 등에 따라 다양한 선택이 있다. 그 중 개흉술 후 피하 통로나 흉골하 통로를 이용하는 방법은 수술시간이 길며 술후 호흡기 합병증 등이 많이 발생한다는 보고가 있다. 본 연구는 대치장기의 흉곽 내 경로가 그러한 수술경과에 영향을 미치는지 확인하고자 계획되었다. 대상 및 방법: 식도암 절제 후 재건술을 시행 받은 131명의 환자 중, 대치장기의 경로가 후종격(I군, n=34), 흉골 하부(II군, n=31), 피하(III군, n=21)로 만들어 준 86명을 선택하여 각각의 조기 성적 및 합병증 등을 비교하였다. 결과: 남녀는 각각 79명 및 7명이었다. 암의 성상은 편평 상피암(squamous cell carcinoma)이 81명, 악성 선종(adenocarcinoma)이 5명이었다. 각 군의 수술 전 몸무게, 키, 나이, 식도암의 병기 및 위치, 전신상태 평가, 폐기능에서 차이가 없었다. 조기 성적에서 수술시간에는 유의한 차이 없었으나, 술후 인공호흡기 사용시간은 I군 (평균 20.6시간)에서 II군(7.8시간) 및 III군(3.4시간) 보다 유의하게 길었다(p=0.005). 중환자실 체류기간은 폐렴 등의 호흡기 합병증 때문에 III군(평균 6.4일)에서 I군(3.9일) 및 II군(3.1일) 보다 유의하게 길었으나(p=0.043), 술후 입원기간의 차이는 없었다. 술후 환자 일인당 수혈량은 I군에서 II군(1535mL), III군(1419mL) 보다 유의하게 많았으며(3833mL, p=0.04), 수혈을 받은 환자수도 II군(13/31명), III군(15/21명) 보다 I군에서 더 많았으나(30/34명, p=0.001) 출혈로인한 재수술 건수에는 차이가 없었다. 조기 사망률은 유의한 차이가 없었다. 조기 사망원인 중 패혈증은 I군에서 많았으나 문합부 유출과는 관계가 없었다. 그 외 조기 합병증과 후기 합병증, 평균 생존기간 등에서 각 군간에 유의한 차이는 없었다. 결론: 본 연구 결과는 후종격, 흉골 하부, 피하 경로간에 조기 성적이나 합병증 및 생존율에서 차이가 없음을 보여 주었다. 따라서, 식도암 절제 후 재건술에서 대치장기의 흉곽 내 통로 선정은 수술자의 기호와 경험이 수술 결과에 중요하다고 판단한다. Background: Selection of reconstruction route in esophageal cancer surgery is based on the patient's status, characteristics of tumor, surgeon's preference and experience. Of the various routes, it has been documented that subcutaneous or substernal route may prolong operation time and may be vulnerable to postoperative respiratory complications. This study was designed to evaluate whether the selection of reconstruction route affects the surgical outcomes. Material and Method: Of 131 patients who have undergone resection and reconstruction for esophageal cancer, posterior mediastinal route(Group I, n=34), substernal route (Group II, n=31), and subcutaneous route(Group III, n=21) were retrospectively reviewed in 86 patients. Results of early operations and morbidities were compared between the groups. Result: There was a male prevalence(79 of males vs. 7 of females). There were 81 squamous cell cancers and 5 adenocarcinomas. There were no differences between groups in weight, height, age, cancer staging and location, and in the preoperative anesthetic risk evaluation and pulmonary function test(p=NS). Postoperative mechanical ventilation time was longer in Group I(20.6 hours) than in Group II(7.8 hours) or III(3.4 hours)(p=0.005). Duration of stay in the intensive care unit was prolonged in Group III(6.4 days) compared to Group I (3.9 days) or II(3.1 days)(p=0.043). No differences were noted in the duration of hospital stay between the groups(p=NS). Blood transfusion was needed in 30 out of 34 patients in Group I compared to 14/31 in Group II or 15/21 in Group III(p=0.001). The mean amount of transfusion for each patient was also higher in Group I(3,833 mL) than in Group II(1535 mL) or Group III(1419 mL)(p=0.04), but there was no difference in the inreoperation due to bleeding. Ea ly mortality rate was substantially higher in Group I(17.6%) but the differences between the groups were insignificant(p=NS). Although sepsis was a more prevalent cause of death in Group I, it was not related to anastomotic leak. Other morbidities did not differ between the groups(p=NS). Conclusion: In above results show that the reconstruction route does not affect the outcome of esophageal cancer surgery. We believe that the selection of reconstruction route can be based on the surgeon's preference and experience.

중족골통에서의 소족지 중족 절골술

이승열,정진화,Lee, Seung-Yeol,Chung, Jin-Wha 대한족부족관절학회 2017 대한족부족관절학회지 Vol.21 No.3

Metatarsalgia means the pain under the lesser metatarsal heads. The many causes of metatarsalgia can be categorized into three groups: local disease in the region, altered forefoot biomechanics, and systemic disease affecting the region. Surgical options need to be considered if nonsurgical treatment fails. The metatarsal osteotomies are designed primarily to reduce the weightbearing forces on the metatarsal head by elevating or shortening the metatarsal. Many lesser metatarsal osteotomies have been described, and their success depends on many factors. Regardless of the method employed, it is important to maintain or restore the metatarsal cascade to maintain an even pressure under the lesser metatarsal heads and prevent transfer lesions. The surgeon must understand the effects of the metatarsal osteotomy on the forefoot patho-biomechanics and decide, using a combination of clinical examinations and imaging, whether the desired effect of the osteotomy is to shorten or elevate the metatarsal head or both.

천수근 약침을 이용한 퇴행성 슬관절질환 치험 1례

이승열,김희정,배상은,김흥수,이진호,하인혁,김철수,Lee, Seung-Yeol,Kim, Hee-Jung,Bae, Sang-Eun,Kim, Heung-Su,Lee, Jin-Ho,Ha, In-Hyuck,Kim, Chul-Su 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.2

Objectives : The purpose of this clinical case is to evaluate the efficacy of Harpagophytum radix. Pharmacopuncture on Degenerative diseases of knee joint. Methods : We used Korean Medicine treatment and Harpagophytum radix. pharmacopuncture, for this patients. This case is measured and assessed by Neumerical Rating Scale(NRS), Korea Western Ontario MacMaster Universities Osteoarthritis Index(KWOMAC) and Physical examination of knee joint. Results : The NRS decreased from 8 to 5(Left knee joint) & 5 to 4(Right knee joint) and KWOMAC total points decreased from 77 to 41. Also Physical examination of knee joint improved. Conclusions : Harpagophytum radix. pharmacopuncture with Korean Medicine treatment is proved to be helpful to the pain relief and function recovery of knee joint.

건강코너 - 임플란트, 유지 관리가 더 중요하다.

이승열,Lee, Seung-Yeol 대한산업안전협회 2003 안전기술 Vol.66 No.-