혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

자궁내 태아사망의 임상적 고찰

이권해,이정재,조현철,이석민,이임순,이해혁,김권대,이순곤,남계현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Objective: This study was designed to evaluate diagnosis and complication, prognosis during clinical study of cases of intrauterine fetal death. Methods and materials: This is a clinical study of 56 cases of the intrauterine fetal death among 8064 deliveries at Seoul Sunchunhyang university hospital during 5 years from January, 1994 to December, 1998. Results: The incidence was 0.7%. The age distribution of mothers was 18 - 44 years and was highest in the 25 - 29 years range(46.4%). The parity was the most highest in the nulliparous group(51.8%). The most common gestational weeks was 20 - 28 weeks gestational period(46.4%), and most common presentation was cephalic(73.5%). The most common weights of the intrauterine fetal death was from 5,00gm to 1,000g(48.2%). The mode of the most common delivery was the induction of delivery(57.2%). The etiologic factors were: unknown(42.9%), preeclampsia(17.9%), chorioamnionitis(14.3%), congenital anomaly(12.5%), abruptio placenta(7.1%), cord complication(3.6%), placenta previa, death of one for twin. There were 2 cases of maternal complication(DIC, Uterine atony). Conclusion : Intrauterine fetal death should be diagnosised early and treated properly to reduce risk of the maternal complication.

모바일 비즈니스 수익 모델 분류에 관한 탐색적 연구

이대용,정광진,김희철 조선대학교 경영경제연구소 2002 經營經濟硏究 = Management and economics research Vol.25 No.2

Al-Sn 합금의 마찰 특성에 미치는 Sn 형상의 영향

李定根,朱大憲,金文鉉,金明鎬 대한금속재료학회 2002 대한금속·재료학회지 Vol.40 No.10

Effects of Sn morphology on the friction and wear characteristics of Al-Sn alloys were investigated by using the tribology tester, optical microscope and scanning electron microscope. Three different types of Sn morphologies named elongated, small network and large network structure were obtained by cladding and heat treatment. Wear resistance of the specimen having large network structure exhibited better anti-friction characteristics compare to that of the elongated structure. Also specific wear rate and friction coefficient decreased markedly with change of Sn morphology from elongated to large network structure. Abrasive and adhesive wear occurred for the elongated structure, while oxidation wear was observed for the network structure.

인트라넷 이용채택에 관한 연구

이대용,정광진 조선대학교 경영경제연구소 2000 經營經濟硏究 = Management and economics research Vol.23 No.1

흰쥐 침샘의 Nitric Oxide Synthase에 관한 면역전자현미경적 연구

이영환,고정식,박대균,박경호 韓國電子顯微鏡學會 2008 Applied microscopy Vol.38 No.3

산화질소는 생물체내에서 생리적이나 병리학적으로 중요한 역할을 한다고 알려져 있으며, 특히 침샘조직에서 침분비작용과 샘혈류 조절에 중요한 인자의 하나로 관여함이 알려져 있다. 산화질소합성효소 (nitric oxide synthase, NOS)는 동위효소로서 내피산화질소합성효소 (endothelial NOS, eNOS), 신경산화질소합성 효소 (neuronal NOS, nNOS)와 유도산화질소합성효소 (inducible NOS, iNOS)가 있으며, 세포내에서 내인성산화질소를 합성한다고 알려져 있다. 그러나 산화질소합성효소의 세포내 분포에 관한 전자현미경적 연구는 매우 드물며, 흰쥐 침샘에서의 산화질소생산효소(NOS)에 대한 전자현미경적 연구는 없었다. 흰쥐 침샘에서 NOS의 세포내 분포를 규명하기 위하여 면역전자현미경방법을 이용한 금입자표지법을 시행하여 아래와 같은 결과를 얻었다. eNOS에 양성 면역반응을 보이는 구조는 침샘의 분비세포 중장액세포에 있는 전자밀도가 높은 분비과립이었으며, 점액분비세포의 점액분비과립에서는 비교적 약한 면역반응성이 관찰되었다. 즉 턱밑샘과 혀밑샘을 구성하고 있는 두 종류의 분비세포 중장액세포의 분비과립에 금입자가 비교적 많이 표지되었으며, 점액세포의 분비과립에서는 적은 수의 금입자가 관찰되었고, 침샘의 소엽속관(intralobular duct)의 전자밀도가 높은 분비과립에서도 금입자가 표지된 것이 관찰되었다. 귀밑샘에서도 장액세포의 분비과립과 소엽속관의 분비과립에 금입자가 표지되었다. nNOS의 양성 면역반응은 턱밑샘에서 점액세포의 분비과립에서만 약간의 금입자가 관찰되었으며, 턱밑샘, 혀밑샘 및 귀밑샘의 분비세포와 분비관세포에서는 iNOS에 대한 양성 면역반응이 관찰되지 않았다. 흰쥐 침샘에서 산화질소합성효소 중 eNOS는 침샘분비세포의 분비과립에 존재하며, 특히 전자밀도가 높은 장액성분비과립에 주로 분포하고 있으며, 분비관 중에서 소엽속관에도 분포하고 있는 것이 관찰되었으나, 다른 동위효소인 nNOS와 iNOS는 거의 관찰되지 않았다. 산화질소합성효소가 흰쥐 침샘분비세포의 분비과립과 소엽속관의 분비과립에 분포하고 있는 것으로 보아 침샘에서 산화질소가 침의 생산과 분비에 중요한 역할을 담당하는 것으로 생각된다. Endogenous nitric oxide (NO) has been known to regulate many physiological and pathological processes, especially the glandular secretion and blood flow. However, nitric oxide synthase (NOS) responsible for NO synthesis has not been well studied ultrastructurally in rat salivary gland. The present study was performed to investigate the distribution of nitric oxide synthase isoforms (endothelial, neuronal, and inducible NOS). Immunoelectron microscopic study, using monoclonal mouse anti-endothelial NOS, anti-neuronal NOS, and anti-inducible NOS, was performed in the salivary gland of rat. Endothelial NOS (eNOS)-positive immunoreactivities were most prominent in the secretory granules of serous cells of the salivary gland of the rat. Immunoreactivities were well concentrated on serous secretory granules in the serous cells. However, weak eNOS-positive immunoreactivity was observed in the mucous secretory granules of the mucous cells. Positive endothelial NOS (eNOS) immunoreactivities were most prominent in the secretory granules of intralobular ducts. Ductal secretory granules and acinar serous secretory granules have a similar pattern of labeling as eNOS suggestings. Neural NOS (nNOS)-positive immunoreactivity was not detected in duct systems or in acinar cells. Inducible NOS (iNOS)-positive immunoreactivity was not seen in acinar and ductal cells. These results reveal the presence of eNOS in the salivary gland of the rat, which may be related with regulation of the glandular secretion and blood flow through the gland.

퇴행성 골관절염에 있어서 Diacerhein(Artrodar^(�)) 제제의 효과에 대한 임상적 연구 : Prioxicam 제제 투여군과의 비교연구

이준규,신현대,이정구 최신의학사 1990 最新醫學 Vol.33 No.2

아연 전처치가 카드뮴 급성 중독에 미치는 영향에 대한 실험적 연구

이정훈,최정목,강대영 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

In an attempt to elucidate the effects of zinc on rat tissue changes induced by cadmium, the present study was undertaken in male Sprague-Dawley rats. Rats were intraperitoneally pretreated with zinc chloride(15.0mg/kg) for 3 days, and then were intraperitoneally given CdCl_2(3.0mg/kg). The body and organ weights of the experimental rats were weighed on the 1st, 3rd, 7th, 15th, 30th and 60th day after CdC_12 injection. The lungs, livers, kidneys and testes were microscopically illuminated and examined under the electron microscope. The results were as follows: 1. The cadmium induced toxicity were most prominent in the testes. The testes showed diffuse hemorrhage, followed by massive hemorrhagic necrosis, calcification and complete disappearance of normal parenchymal tissue(severe atrophy). 2. In the zinc treated group, there were no specific light microscopic changes in the organs. Marked ultrastructural changes were not observed, however the number of glycogen particles increased. 3. The cadmium toxicity to the lung was proportional to the number of days. The lung changes showed chronic bronchitis and progressive interstitial fibrosis of the alveoli. 4. In the cadmium treated group, the liver showed ultrastructural changes such as mitochondrial swelling, dilatation of rough endoplasmic reticulum, myelin figure formation, and decreased number of glycogen particles. The degree of ultrastructural changes slightly decreased in the zinc pretreated group. Also nuclear membrane irregularity was noted after experimental 30th day. 5. After 30th experimental day in the cadmium treated group, ultrastructural appearence of the proximal convoluted tubules of the kidneys showed detachment of microvilli, absence of basal cytoplasmic membrane invagination and irregular mitochondrial shape. In the zinc pretreated group, the degree of ultrastructural changes were mild compared to those of the cadmium only treated group. In conclusion, these experimental results suggest that cadmium toxicity was most prominent in the testes and can be the cause of infertility, and that zinc reduces ultrastructural cellular damage induced by cadmium in the rat tissues.

골격성 Ⅲ급 부정교합자의 악교정 수술후 경·연조직 변화율에 관한 연구

이대희,김정기,김오환 全北大學校 齒醫學硏究所 1992 전북치대논문집 Vol.10 No.1

The purpose of this study was to examine the soft tissue and hard tissue changes following orthognathic surgery in patients with skeletal Class Ⅲ malocclusion and to provide an improved data base for predicting the soft tissue change that accompanys mandibular set back surgery. 25 patients were selected for this study, who had received mandibular sagittal split ramus osteotomy only Statistical analysis was performed with the SPSS package. The results were as follows. 1. There was a posterosuperior movement of the mandible and posteroinferior movement of LI ans LS. 2. The ratio of horizontal changes of soft tissue to hard tissue at Me, Gn, Pog, Pm, B, C was 0.98, 0.97, 0.90, 1.02, 1.01, 0.99 with high correlation. 3. The ratio of vertical changes of soft tissue to hard tissue at Me, Gn, Pog, Pm, B was 0.65, 0.60, 0.82, 0.72, 0.41 with high correlation. 4. 1㎜ of horizontal change at pog resulted in 0.90㎜ at Gns, 0.90㎜ at Pogs, 1.00㎜ at Pms, 1.05㎜ at Bs, 1.08㎜ at Cs. 5. 1㎜ of vertical change at Pog resulted in 0.95㎜ at Gns, 0.82㎜ at Pogs, 0.68㎜ at Pms, 0.67㎜ at Bs, 0.23㎜ at Cs. 6. The ratios of reduction at LS to 1 and LI to 1 were 15% and 96% also ratios of reduction at LS to Pog and LI to Pog were 16% and 112%.

유전자 알고리즘을 이용한 영상의 경계선 검출

이정주,김대극,이상희 강원대학교 정보통신연구소 1999 정보통신논문지 Vol.3 No.-

Edge detection is an important preprocessing step to obtain highly acceptable informations in computer vision and image analysis. We suggest a modified genetic algorithms for fitting edge to separate an object from its background noises. In this paper, an edge is defined as the highest energy state of a given initial position, and the edge detection problem is regarded as a search problem which find the global optimal energy state. We used a modified genetic algorithm for this purpose. The genetic algorithm, based on a random search and a parallel test-and-go technique, provides a useful edge detection without changing critical threshold values, and a prior knowledge in images. To demonstrate the capability of the proposed edge detection algorithm, we test on the various different images transformed form Lena for image by other constraint.