관상동맥내 스텐트 삽입후 발생한 관상동맥류 2례

제인수,허민영,문치숙,이재호,정수룡,조길현,이영민,김대경,김두일,김동수 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Coronary artery aneurysms are detected with increasing frequency because of the routine use of coronary angiography in the diagnosis and management of coronary artery disease. Although some coronary artery aneurysms are congenital or inflammatory, most are atherosclerotic. The prognosis of atherosclerotic coronary artery aneurysm may depend on the morphology of the aneurysm or the presence of coexisting obstructive disease. Coronary artery aneurysms have been also reported to occur after ballon angioplasty, directional athrectomy, laser angioplasty, and stent implantation with a frequency of 2% to 4%. The long-term outcome of post-intervention coronary artery aneurysm is unknown. We report two cases of the development of a coronary aneurysm 6 months after stent implantation as a treatment of severe obsructive coronary artery disease.

관동맥질환에서 저밀도 지단백 입자 크기의 분포

임효영,김인숙,승기배,강동헌,전두수,장기육,박준철,이수영,홍순조,최규보 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.8

경막외 혈액 봉합술을 시행받은 자발성 두개내 저압 환자의 분석

김두식,유수봉,윤상호 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2

Background : Spontaneous intracranial hypotension(SIH) is found as a not uncommon cause of headache recently. We wanted to study its demographic characteristics, presenting symptoms and findings and the effect of autologous epidural blood patch (AEBP). Methods : We retrospectively analyzed medical records of 11 patients who were diagnosed of spontaneous intracranial hypotension and treated with AEBP from March of 2006 to October of 2009. Results : Age of patients(10 female and 1 male) was ranged from 29 to 51 years (mean 38.8 years). Their presenting symptoms included typical postural headache(11/11), nausea and vomiting(7/11), dizziness(2/11), stiff neck or neck pain(2/11), shoulder pain(2/11), and back pain(1/11). In nine patients CSF pressure was checked, CSF pressure was less than 6 cmH2O in 8 patients. In nine of eleven patients, CSF leakage was detected in cisternography. Brain MRI showed diffuse meningeal enhancement in six patients and subdural hematoma in one. VAS of postural headache decreased from 8-10(mean 9.6) to 1-5(mean 1.6) after AEBP. Conclusion : Most of the SIH patients were otherwise healthy people. It was prevalent among women, especially young adult. AEBP showed as an excellent treatment modality.

소아에서 Fogarty 카테터를 이용한 일측폐 환기 마취 경험

유수봉,강효석,임지훈,김두식,류시정 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Thoracic surgery may be greatly facilitated by causing selective atelectasis of the lung being operated on (one-lung ventilation anesthesia). But the tube used for one-lung ventilation is greater outer diameter than conventional endotracheal tube when compare to each other with same inner diameter, so in some young children it is impossible to one-lung ventilation using double lumen tube or bronchial blocker tube because of narrow vocal cord. We performed one lung ventilation anesthesia using conventional endotracheal tube and Fogarty catheter as a bronchial blocker in 11-year old women who received lung biopsy surgery and left lower lobectomy.

관동맥 스텐트 삽입후 발생한 스텐트 변연부 박리의 예측인자 및 추가적 치료후 임상적 의의에 관한 연구 : Predictor, Angiographic and Clinical Follow-up after Additional Procedures

두영철,박수종,김재삼,이준호,홍경순,박대균,한규록,오동진,유규형,임종윤,고영박,이광학,이영 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.11

신입 부사관 후보 대학생과 일반대학생의 혈압, 신체조성 및 체력 비교 연구

하수민,신상근,김동두 釜山大學校 附設 體育科學硏究所 2014 體育科學硏究所 論文集 Vol.31 No.-

The purpose of this study was to comparison a study on blood pressure, body composition and physical fitness in department of noncommissioned officer D college Students and P college students. For this study, participants were into four groups, D college male students(A, n=102), P college male students(B, n=51), D college female students(C, n=42), P college female students(D, n=44). The test data were analyzes by independent t-test, and the alpha level of p<.05 was set for all tests of significance. The results of the research were as follows. Group A was %Fat(p<.05) significantly higher than Group B and Group A was grip strength, sit-ups(p<.001) significantly lower than Group B. Group C was weight, BMI(p<.05), %Fat(p<.001) significantly higher than Group D and Group C was grip strength(p<.05), sit-ups(p<.01) significantly lower than Group D. Therefore, D College NCOs students need correct lifestyle and regular exercise. 본 연구는 부산지역 소재 D대학 신입 부사관 후보 대학생과 P대학 일반대학생의 혈압, 신체조성 및 체력을 비교 연구 하였다. 연구결과에서 다음과 같은 결론을 얻었다. 부사관 후보 남자대학생의 체지방률은 일반 남자대학생 보다 유의하게 높았으며, 부사관 후보 여자대학생의 체중, BMI, 체지방률은 일반 여자대학생 보다 유의하게 높았다. 체력은 부사관 후보 남․여 대학생 모두 악력, 윗몸일으키기가 일반 남․여 대학생들 보다 유의하게 낮게 나타났다. 이상의 연구 결과 D대학 신입 부사관 후보 대학생은 바람직한 군인화를 위한 올바른 생활습관과 규칙적인 운동 실천이 요구된다.

알코올 의존 환자에서의 혈청 성호르몬, 성선자극호르몬, 코티졸 및 프로락틴

서동수,박두병,이길홍 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.3

목 적 : 알코올 의존 환자들에서 흔히 보이는 성기능장애는 신경병적 요인과 사회심리학적 요인을 배제할 수는 없지만 내분비 기능의 이상에 의해 기인하는 것으로 알려져왔다. 이러한 내분비 이상을 밝히는 예비적 단계로써 알코올 의존 환자에서 성호르몬, 성선 자극 호르몬, 코티졸과 프로락틴을 살펴보고자 본 연구를 시행하였다. 방 법 : 알코올 의존을 가진 15명의 환자군에서 금단중과 금주후 21일 후에 시상하부-뇌하수체-성선축 호르몬(테스토스테론, 에스트라디올, 황체화 호르몬, 난포자극 호르몬)을 검사하였으며, 이축에 영향을 미칠 수 있는 코티졸 프로락틴도 포함시켰다. 그리고 12명의 건강 대조군에서 동일한 검사를 시행하여 그 결과를 환자군과 비교하였다. 결 과 : 금단중에 황체화 호르몬, 에스트라디올, 코디졸, 프로락틴은 의미있게 상승되었고 이들 호르몬 중 황체화 호르몬과 프로락틴은 금주후 3주뒤에도 여전히 상승되어있었다. 결 론 : 본 연구 결과 간경화가 없는 만성 알코올 의존 환자들은 정상범위에 테스토스테론 농도를 유지하는 것으로 보여진다. 이에비해 에스트로젠과 프로락틴 농도는 뚜렷하게 상승되는 것으로 보이며 이들 호르몬의 상승이 성기능장애를 포함한 만성 알코올 환자들의 여러 가지 임상증상들과 관련이 있는지에 대한 연구가 추후에 이루어져야될 것으로 생각된다. Objective : Sexual dysfunction has been frequently experienced by male alcoholics. The possible etiologies of the sexual problems in alcoholics has been known to be hormonal rather than neuropathic or psychosocial. The main purpose of our study was, therefore, to examine the different parameters of the hypothalamic-pituitary-gonadal axis(testosterone, estradiol, luteinizing hormone, follicle-stimulating hormone : HPG axis) in chronic alcoholic men. On the other hand, cortisol and prolactin were included because they could influence the HPG axis. Methods : Serum concentrations of testosterone, estradiol, luteinizing hormone, follicle-stimulating hormone, cortisol, and prolactin were measured in 15 male patients with alcohol dependence once during withdrawal and once after 21 days of abstinence. The results were compared with those of 12 healthy male volunteers. Results : During withdrawal, luteinizing hormone, estradiol, cortisol and prolactin levels were significantly enhanced. Estradiol and cortisol concentrations fell significantly during abstinence, whereas luteinizing hormone and prolactin concentrations remained elevated. Conclusions : These results suggest that normal serum concentrations of testosterone were maintained in alcoholic men without hepatic cirrhosis. In contrast to this. estrogen and prolactin concentrations seemed to be markedly enhanced. Whether this increase in estrogen and prolactin concentrations is implicated in difference clinical and psychological symptoms seen in chronic alcoholics remains to be investigated.

위아전절제술 후 정맥통증자가조절시 Morphine Sulfate와 Ketorolac의 진통효과

유슈봉,윤광,김두식 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

Background: Morphine sulfate, the most commonly used analgesic, produces adequate analgesia for postoperative pain. The authors studied the efficacy and incidence of side effects of morphine sulfate IV-PCA for postoperative analgesia and compared these to butorphanol. Method: Forty ASA physical status I or II patients undergoing subtotal gastrectomy were randomly allocated to one of two groups: Group M (morphine sulfate 60 mg and ketorolac 180 mg, n=20), Group B (butorphanol 10 mg and ketorolac 300 mg, n=20). Drugs for both group were mixed with normal saline (total 100 ml) for infusion. Bolus dose, maintenance dose and lockout interval were 0.5 ml per each press, 1 ml/hr and 15 minutes, respectively. In each groups, numerical rating scale (NRS) score, sedation score and incidence of side effect were checked Results: The NRS score of group M is lower than that of group B (P < 0.05) during 24 hours after the operation. There were no significant differences in sedation score and incidence of side effect between two groups. Conclusions: We recommend 60 mg morphine sulfate, mixed with 180 mg of ketorolac, and normal saline for postoperative pain relief using IV-PCA after subtotal gastectomy.

B/L, AWB 및 MTD의 特性에 관한 比較·硏究

崔斗壽 인제대학교 1994 仁濟論叢 Vol.10 No.2

In international trade, the most important point is the commercial characteristics which international transport documents, such as B/L, AWB and MTD, carry out various functions in the international trade mechanism. This paper reveals what reason and background contribute to the establishment of these characteristics, and what kind of influence was resulted by them in the course of performance of international trade in terms of international transportation practices and merchants' necessity for the documents. Traditionally, marine transport has been characterized by large volume and low price of transportation, and air transport by rapid and safe transpotation, whereas multimodal transport has been developed by harmonizing the advantages of the marine and air transport. On the other hand, various parties concerned with the international trade mechanism were willing to realize their interests by these documents. Namely, by them, shippers and consignees ascertain rapid and safe transportation of cargo on transportation contract; sellers receive payment in time on sale contract according as buyers receive suitable and merchantable goods ; and bona filer holders such as banks concerned with L/C transaction secure security and credit to the advanced payments. As a result, from the beginning of their issuance, the international transport documents came to possess various unique characteristics. In the international trade mechanism, the characteristics of the documents will be developed diversely due to various parties concerned and their purposes to use them. However, there should be a limitation on the transportation practices and conditions by the international transport systems. In conclusion, the characteristics of B/L, AWB and MTD are defined as a copromising product between international merchants' necessity to use them and actual transportation customs.

Walsh 함수 발생기의 구성과 정·여현파 합성에 관한 연구

안두수,이해기,이명규 成均館大學校 科學技術硏究所 1987 論文集 Vol.38 No.2

This paper describes the design of sequency ordered Walsh function generator and the application of Walsh function to sine-cosine wave synthesis. Any waves may be expanded as a finite Walsh series. And the result is a stepped approximation to the waves that has minimum mean-square error. The synthesis of stepped sine-cosine waves is esily implemented by using the Walsh function generator, converter and summing amplifier.