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.

강진만 갯벌의 자정능력 평가

김도희,김광수,조현서 木浦海洋大學校 2001 論文集 Vol.9 No.2

We estimated the self purification capacity of tidal flats in KanJin Bay, southwestern coast of Korea during flood tide and ebb tide in September, December, 1997 and March, 1998. The net flux of 17.8 gDIN/m²/yr with tidal current outflow to sea was estimated in September and 16.0 gDIN/m2/yr outflow to sea in December, while 0.57 gDIN/m²/yr influx into the tidal flat in March. The flux of 1.29 gDIP/m²/yr outflow to sea was estimated in September, while 2.64 gDIP/m2/yr and 5.90 gDIP/m²/yr influx into the tidal flat in December and in March, respectively. The SS flux of 0.849 kgSS/m²/yr and 5.28 kgSS/m²/yr outflow to sea were estimated in September and in March, while 12.0 kgSS/m²/yr inflow into the tidal flat in December. The net flux of 339 gCOD/m²/yr was inflow into the tidal flat was estimated in September, 254 gCOD/m²/yr in December and 63.7 gCOD/m²/yr in March, respectively. The capacity of COD purification of the tidal flats was 219 gCOD/m²/yr for a period of the diurnal tide.

1866∼7년 데이 드레스(day dress)의 설계 및 디자인 분석

김문숙,이서희,오현남,한성지,김현주 서울여자대학교 자연과학연구소 1996 자연과학연구논문집 Vol.7 No.-

As the current stage of the fashion begins to follow the styles of the past, the study on the past costume is getting more important, and as the methodology of the study accurately approached study through the rehabilitation of the past costume is more needed than the simple rearrangement of the historical documents. By this methodology, this study can be positioned as a recreation activity. The results of the study are as follows. 1) Style : The general silhouetts is the late crinoline style which is the period from 1860s to just before bustle. The dress is one-piece composed of fitted bodice, and skirt which the front is flat, side and back is triangular shape to the skirts. 2) Color and Material : the main color is pale stone and the sub-color is ivory and blue. The dress is made of a silk surface and cotton back and partly satin and velvet. 3) Pattern and sewing : the dress is together sewing comnined with lining and fabric. The skirt is gored skirt, the number of patterns is plenty because of the plenty of width of skirt. The double piping has various effect not only to decorate but also to conceal the seam, support the silhouette. 4) Detail : The general detail is double piping which are repeatedly used to decorate stand collar, bands of sleeve, froint bodice and gored panel seam of skirt. And the fringe and velvet ribbon are used to decorate the dress. 5) Structural characteristics : The double piping, velvet ribbon and twilled cotton are used to emphasize structural characteristics of crinoline style. And the waistband which is backed with a webbing band to reinforce it is also the structural characteristics. Synthetically, the 1886~7 day dress has the characteristics of transitional stage in which the chararcteristics of the costume of 1860s and the remnants of the characteristics of the previous costume style, and shows the characteristics of day dress well in terms of the style, color and fabrics, pattern and sewing, detail, and structural characteristics.

저혈청 배지에서 인간 전골수세포(HL-60)를 이용한 tPA 생산과 세포사멸기작에 관한 연구

김현구,성기돈,김태호,안주희,함문선,박진서,이현용 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.1

tPA 생산과 세포 사멸의 연구를 하기 위해서 인간 전골수세포가 배양되었다. 연속 관류 배양하에서 최대 tPA 생산량은 324 ng/ml이며 최대 세포 농도는 5.27×10 exp (6) cells/ml였다. Phorbol ester를 넣었을 때 tPA 생산량은 420 ng/ml까지 향상되었다. 형광 현미경으로 관찰했을 때, apoptosis는 세포 배양 초기부터 중반까지 우세했고 빠른 교반 속도에서도 우세했다. 그러나 necrosis는 세포배양 말기와 동결된 세포가 해동 되었을 때 우세했다. HL-60 was cultivated to produce tPA (tissue-type plasminogen activator) and study the mechanism of cell death. Maximum cell density and tPA production were obtained as 5.27×10 exp (6) cells/ml and 324 ng/ml, respectively under perfusion cultivation. tPA production was enhanced to 420 ng/ml in adding 160 nM of phorbol ester. The cells were gradually differentiated to granulocytes rather than proliferation. By Fluorescent microscope, apoptosis was prevailed except the death phase and in high agitation speed, but necrosis was prevailed in thawed cells and during the latter periods of the cultivation. It was also proved that tPA was most produced in apoptosis. To obtain higher tPA productivity, the cells must be maintained in apoptosis, not necrosis phase when the cells were dying.

자연의 아름다움과 고급스러움이 공존하는 마임 비에타 쇼룸 제안 -오감 (시각, 청각, 후각, 촉각, 미각)을 중심으로-

김보현,이서연,은다솜,엄연정,이진민,장미정,이성애 숙명여자대학교 산업디자인연구소 2017 숙명디자인학 연구 Vol.24 No.-

본 연구는 국내 브랜드 ‘마임'의 뷰티와 연계한 뷰티 쇼룸을 제안함에 있어서 공간속에 오감을 담아내는 일련의 프로세스를 밝히는데 목적이 있다. 이는 브랜드가 소유하고 있는 다양한 감각과 가치가 결여된 채 시각적 요소만이 담긴 브랜드 뷰티 쇼룸이 대다수를 차지하는 오늘날, 이에 대한 문제를 해결하기 위해 ’융합 연출 디자인'적 시점에서 폭넓게 바라보고 브랜드의 정신과 오감의 결합을 통해 이를 해결하고자 하였다. 이에 본 연구는 2017년 3월~6월 15주간 숙명여대 환경디자인학과 <융합연출 디자인>수업에서 진행된 수업의 결과물로서 산학 연계된 화장품 브랜드의 쇼룸디자인 개발 프로세스를 제안한다. 또한 본 연구의 범위는 오감을 담고 있는 뷰티 쇼룸(4D)이 되기까지의 과정 전체로 한다. 그 결과, 마임 뷰티쇼룸은 공간 디자인과 오감을 융합하여 영상에서 공간에 이르기까지 오감의 조화와 브랜드의 정신을 녹여내고 확장시켰다. 끝으로 본 연구는 뷰티 쇼룸 공간 디자인을 제안함에 있어서 오감을 활용하여 통합된 시점에서 그래픽·제품·공간을 개발 및 제시한 것에 의의가 있다. 또한 향후 이와 관련된 쇼룸 공간 개발에 있어서 기초 자료로 활용될 것으로 기대된다.

광양만의 저질 중금속 농도 분포 특성

김도희,유한홍,정종성,조현서,신현출 木浦海洋大學校 2002 論文集 Vol.10 No.1

The main goals of the study were to investigate the sediment quality and trace metal distribution in sediment of Kwangyang Bay, south coastal of Korea. Surface sediment sampling were performed in November, 2000 and February and March, 2001. The concentration of H₂S, IL and COD in sediment were measured by a manual of the Department of Marine Environment of Korea. The extracted trace metals Fe, Cu, Cd, Pb, and Zn in sediments mean analyzed by the flame atomic absorption spectrophotometer with an instrument of model Shimadzu AA-6701F. H₂S, IL and COD in the surface sediment were 1.3 mg/g, 5.9 % and 15.0 mg/g, respectively. The mean content of Fe, Cu, Cd, Pb and Zn were 1523 mg/kg, 4.799 mg/kg, 1.321 mg/kg 9.285 mg/kg and 9.353 mg/kg, respectively. All of these measured trace metals level were over the other reported trace metal level in sediment of coastal area. According to histograms, the content of H₂S, IL and COD and trace metals in sediment of this study were affected by artificial activities rather than natural process.

광양만과 여수해만의 표층퇴적물에서 Nonylphenol의 오염에 관한 연구

조현서,김용옥,설순우,-- 한국환경과학회 2004 한국환경과학회지 Vol.13 No.6

This study was carried out to survey the pollution of nonvlphenol (NP) in surface sediments around Gwangyang bay and Yeosu sound. NP was suspected chemicals as endocrine disruption. Gwangyang bay is located on the mid south coast of Korea. It is a semi-closed bay which Yeosu petrochemical industrial complex, POSCO (Pohang Steel Company) and Gwangyang container harbor are there. The surface sediments were collected at 15 stations with gravity corer at October, 1999, February, May and August, 2000. Also, the stream and intertidal sediment were collected at 5 sites at August, 2000. Concentrations of NP in surface sediments were in the range of 6.89 to 202.70 ng/g dry wt.. Seasonal range (mean value) of NP is 13.98 to 30.48 (23.46) ng/g dry wt. at October, 10.35 to 54.91 (28.10) ng/g dry wt. at February, 29.05 to 202.70 (82.32) ng/g dry wt. at May and 6.98 to 83.40 (25.37) ng/g dry wt. at August. NP was seasonally fluctuated, and the highest mean value and range was detected at May, 2000. NP was highly distributed in the inner part of Gwangyang bay than Yeosu sound. Concentrations of NP in stream and intertidal sediments showed the highest value in downstream near Yeosu petrochemical industrial complex and Yondung stream. It suggests that the source of NP is industrial wastewater and municipal sewage.

경량화 구조부재의 압궤특성에 대한 실험적 연구

황우채,김정호,서현경,양인영 朝鮮大學校 機械技術硏究所 2007 機械技術硏究 Vol.10 No.1

자동차를 설계하는 가장 중요한 목적은 현제 환경 친화적인 면과 안전수행 측면에 초점이 맞춰져있다. 경량화 자동차 생산의 전반적인 움직임에 있다 환경친화적인 면과 경제적 측면 때문에 자동차생산에서 경량화에 초점이 맞춰져 있다. 본 연구에서는 사각 단면의 압궤 특성을 고려하여 모자형 단면 부재의 에너지흡수와 압궤특성을 분석하였다. 축 정적 압궤테 스트가 각각의 시험편에 대해여 행하여졌다 각각의 부재들의 에너지홉수와 압궤 모드가 분석되었다. 시험편은 알루미늄 사각부재,CFRP 사각부재,Hybrid 사각부재,CFRP 모자형 단면 부재와 Hybrid 모자형 단면 부재가 사용 되었다. 경량화 측면에서 각각의 부재들의 에너지흡수와 압궤특성이 비교 분석 되었다. The most important purpose in designing automobile is currently focus on environment-friendly, safety performance aspect. As for the environment-friendly and economical aspect, the Issues are the overall movements toward lightweight automobile production. In this study ,based on the collapse characteristics of square section member, the collapse characteristics and energy absorption capability of hat-shaped section members were analyzed. The axial static collapse tests were performed for each section members. The collapse modes and the energy absorption capability of the each section member were analyzed. The square sectional members which were composed of the aluminum. CFRP and hybrid were used and hat-shaped sectional members which were composed of the CFRP, hybrid were used by the specimens. In the lightweight design aspect, the collapse characteristics and energy absorption capability of the each member were compared and they were analyzed.

외안각 절제술과 경결막 절개에 의한 안와 접근법

정종철,김성범,서지훈,송민석,전창훈,최세훈,김현민 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.4

Various surgical approaches to the orbits have been used. But the transconjunctival approach, also called the inferior fornix incision, provides adequate access to the orbital floor with esthetic results. Additionally, transconjunctival approach with lateral canthotomy allows more wide surgical field and good access to the orbital area. Generally, preseptal approach is more used rather than postseptal approach in the transconjunctival incision for the prevention of fat herniation during surgery. There are some complications in transconjunctival approaches but these complications can be prevented with careful surgical techniques. We report clinical results in 12 patients who were treated by preseptal transconjunctival incision with lateral canthotomoy for the treatment of orbital trauma. We were satisfied with this technique for reduction and reconstruction of the orbital trauma and we could also observe relatively good esthetic results.

충격하중을 받는 Al 박육부재의 에너지흡수 제어특성

양용준,황우채,서현경,김정호,심재기,양인영 한국공작기계학회 2007 한국공작기계학회 추계학술대회논문집 Vol.2007 No.-

In this study, concerns the crashworthiness of the widely used vehicle structure, square thin-walled tubes, which are excellent on the point of the energy absorbing capacity. An experimental investigation was carried out to study the energy absorption characteristics of thin-walled square tubes subjected to dynamic crushing by axial loading to develop the optimum structural members. The impact velocity was tested in the rage 4.698~8.2m/s. To efficiently review the collapse characteristics of these sections, the simulation have been carried out using explicit FEM package, LS-DYNA. The solutions compared with results the impact collapse experiment. Here, the controller are introduced to improve and control the absorbed energy of thin-walled square tubes in this paper. To predict and control the energy absorption, we designed it in consideration to the it's influence, height, thickness, wide ratio in this study. When the controller used, the experimental results of crushing of square tubes controlled by the controller's elements showed a good candidate for a controllable energy absorption capability in impact axial crushing.