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.

Discordance in Spirometric Interpretations Based on Korean and Non-Korean Reference Equations

Nami Kim,Mi-Hee Park,Se-yeong Kim,Chunhui Suh,Sangyoon Lee,Kun-Hyung Kim,Chae-Kwan Lee,Dae-Hwan Kim,Jong-Tae Lee 대한직업환경의학회 2013 대한직업환경의학회지 Vol.25 No.-

Objectives: Korean regression models for spirometric reference values are different from those of other ethnic groups. The purpose of this study was to evaluate discordance in spirometric interpretations based on using Korean reference equations versus non-Korean reference equations. Methods: Spirometry was performed on 825 Korean male workers from April 2009 to November 2011. The spirometric patterns and disease severity were evaluated using two Korean equations (Choi’s and Lee’s) and three equations for Caucasians (NHANES III, Morris’s, and Knudson’s), and the results of Choi’s equation were compared with the non-Korean equations. The spirometric patterns were defined as normal, restrictive, and mild and moderate obstructive. Results: The mean differences in the FEV1% and FVC% between the two Korean equations were 2.0 ± 1.3% and 3.5 ± 2.2%, respectively. Morris’s equation had the greatest difference in the FEV1% from Choi’s equation: 32.9 ± 8.5%. Knudson’s equation had the greatest difference in the FVC% from Choi’s equation: 10.5 ± 6.5%. Conclusions: The two Korean equations shared similar characteristics of spirometric interpretation. The spirometric interpretations of Choi’s equation were significantly different from those of Morris’s equation and Knudson’s equation.

토양의 EC 수준에 따른 관비공급 농도가 시설토마토 수량과 토양의 염류집적에 미치는 영향

이성태,김영봉,이영한,이상대 한국환경농학회 2006 한국환경농학회지 Vol.25 No.1

RT-LAMP를 이용한 콩황화일반모자이크바이러스의 진단

배대현, 이영훈, 김봉섭, 윤영남, 강범규, 최만수, 구성철, 김현태, 윤홍태, 이수헌, 백인열 忠北大學校 農業科學硏究所 2014 農業科學硏究 Vol.30 No.2

Soybean yellow common mosaic virus (SYCMV) has been recently reported, it has been occurred a lot with Soybean mosaic virus (SMV) and Soybean yellow mottle mosaic virus (SYMMV) in soybean field. SYCMV belongs to genus of Sobemovirus and induced viral symptoms with yellowing, mottle and mosaic. A reverse transcription loop-mediated isothermal amplification (RT-LAMP) method allowed one-step detection of gene amplification by simple procedure and needed only a simple incubator for isothermal template. This RT-LAMP method allowed direct detection of RNA from virus-infected plants without thermal cycling and gel electrophoresis. In this study, we designed RT-LAMP primers named SYCML-F3/B3/FIP/BIP from coat protein gene sequence of SYCMV. After the reaction of RTLAMP, products were identified by electrophoresis and with the detective fluorescent dye, SYBR Green I. under daylight and UV light. Optimal reaction condition was at 63 for 60min and the primers of RTLAMP showed the specificity for only SYCMV tested in this study.

장애인 입소시설과 특수학교의 구강건강관리 실태에 대한 조사 연구

이광희,김대업,하순영,박종석 대한소아치과학회 2000 大韓小兒齒科學會誌 Vol.27 No.2

전국의 123개 장애인 입소시설과 102개 특수학교를 대상으로 구강건강관리 실태를 파악하여 장애인의 구강건강관리 계획을 수립하는 데 사용할 수 있는 근거를 마련하고자 하였다. 설문지 조사법으로 연구하였다. 정기구강검진은 특수학교에서 연2회 실시하고 있었으나, 장애인 입소시설에서는 56.8%에서 시행하였다. 우식 예방 프로그램은 장애인 입소시설의 69.1%, 특수학교의 86.3%에서 시행하였으며 프로그램의 종류는 입소시설에서 규칙적 칫솔질이 58.1%, 특수학교에서 예방교육이 65.7%로 가장 많았다. 불소를 이용한 우식예방은 입소시설과 특수학교에서 각각 8.6%, 11.8%에서 시행하고 있었으며, 열구전색은 각각 6.8%, 6.9%에서 시행하였다. 치과치료를 시행하고 있는 입소시설과 특수학교에서는 각각 84.2%, 39.2%이었고, 입소시설에서 치료를 받기 위해 이용하는 곳은 치과의원(60.2%), 보건소(16.8%), 자원봉사자(15.3%), 대학병원(1.0%) 등이었다. 치료를 위해 치과의원에 방문하여 치료를 거부당한 경험이 있는 응답자는 17.7%이었다. 주요어 : 장애인, 입소시설, 특수학교, 정기구강검진, 우식예방, 치과치료. The purpose of study was to investigate the oral health care status in institutions and special schools for the disabled in Korea. Nurses in 123 institutions and nurse-teachers in 102 special schools were asked to fill questionnaires regarding periodic oral examination. preventive dental programs, and dental treatment. The results of this study were as follow. 1.56.8% of institutions implemented regular oral examinations and all of special schools did it twice a year. 2.Preventive programs for dental caries were done in 69.1% of the institutions and 86.3% of the special schools. Programs included regular toothbrushing and dental health education. 3.Dental treatment was done in 84.2% of the institutions and 39.2% of the special schools. Institutions utilized private dental clinics(60.2%), public health centers(16.8%), volunteers(15.3%), and dental hospitals. 4.17.7% of the institutions experienced the refusal to treat the disabled by private dental clinics.

석면폐증 1례

이영수,장태원,유호대,정만홍,이용환,서지영,허 방,이재성 大韓産業醫學會 1999 대한직업환경의학회지 Vol.11 No.1

Asbestosis is the disease of pulmonary fibrosis caused by the inhaled asbestos fibers, and could be diagnosed clinically, in the case of exposure history to asbestos is proved, by clinical symptoms of dyspnea or dry cough, physical examonation findings, and the radiographic features. But many othder inorganic dusts would show similar findings in the chest radiogram and sometimes the exposure history is obscure, so for the exact diagnosis of asbestosis lung biopsy is needed. In Korea, there have been some reports of survey in the workplace where asbestos is handled or of asbestos related diseases. This is a case report of asbestosis with accompanying pleural plaques, who had the occupational exposure to asbestos for 30 years and the consistent clinical, radiographic and pathological findings in the lung tissue obtained by the videoscope assisted thoracoscopic biopsy(VATS).

플라즈마를 이용한 유리섬유강화 복합절연재료의 표면처리에 관한 연구

이규철,남창우,김희대,황영한,김경석 울산대학교 1997 공학연구논문집 Vol.28 No.1

본 연구에서는 에폭시계 복합 절연재료 Glass-cloth/Epoxy 의 계면 접착특성을 향상시키기 위하여 표면처리 조건에 따라 각각 복합 절연재료를 제작하였고, 전기·기계적특성의 상관관계를 다음과 같은 실험을 행하여 비교하였다. Glass의 젖음의 정도를 평가하기 위하여 표면처리 조건에 따라 주위온도 80[℃]에서 접촉각을 측정하였고, 주위온도 및 인가전압을 변화시키면서 비유전율(εr), 유전정접(tanδ) 및 전기적 절연강도를 측정하였다. 기계적 특성을 측정한 후에 파단면의 형상을 SEM으로 분석, 검토하였다. 실험 결과, (1) 주위온도가 상승함에 따라 비유전율 및 유전정접은 증가하였고, 전기적 절연강도는 감소하였으며 플라즈마 처리함으로서 전기·기계적특성은 전반적으로 향상되었다. (2) 접촉각 측정 주위온도가 80[℃]일 때, 표면처리 조건에 따른 젖음성은 각각 다르게 나타났고 플라즈마 처리효과는 표면세정, 미세요철, 표면대전 및 젖음성의 감소와 같은 복합효과로 볼 수 있다. (4) 전기·기계적특성의 관점에서 복합 절연재료의 경화온도가 80[℃]일 때, Glass-cloth/Epoxy복합 절연재료의 최적처리시간은 3분 정도로 나타났다. The Glass-cloth/Epoxy composite insulating materials for this study have been prepared with several different surface treatmenttechniquen such as untreatment ultrasonic treatment and plasma treatment, and their electrical and mechanical characteristics have been compared each other. It has been found that plasma-treated glass has the smallest contact angle with a drop of epoxy. The plasma-treated composite materials have superior dielectric strength and mechanical tensile-strength compared to the materials subjected to other surface treatments. Also, the experiment showed that there exists an optimum plasma treatment duration for improving the interfacial characteristics of the composite insulating materials. The optimum plasma treatment durations are about 3 minutes for Glass-cloth/Epoxy at 80[℃]. Longer plasma treatment has been appeared to degrade the interfacial characteristics.

지방산, 지방 알코올 및 프로필렌글리콜이 클렌부테롤의 경피투과에 미치는 영향

이영대,권기철,정시영,이종달,용철순 영남대학교 약품개발연구소 2000 영남대학교 약품개발연구소 연구업적집 Vol.10 No.-

Clenbuterol, a selective β_(2)-adrenergic receptor stimulant, has been introduced as a potent bronchodilator for patients with bronchial asthma, chronic bronchitis and pulmonary emphysema. For the purpose of developing a transdermal preparation for clenbuterol, we attempted to select an optimal solvent system and permeation enhancer among fatty acids and fatty alcohols which are known to accelerate the penetration of various drugs in permeation experiments using hairless mouse skin and Franz diffusion cell. Apparent partition coefficient of clenbuterol was increased as pH of buffer solution was increased and solubility of clenbuterol was increased as the percent of propylene glycol(PG) in buffer solution(pH10) was increased. Permeability of clenbuterol from different buffer(pH 10)/PG solvent mixtures was decreased as the percent of PG in pH 10 buffer solution was increased and among the various enhancers studied, lauryl alcohol was found to be the most effective enhancer, increasing the permeability of clenbuterol approximately 76-fold compared with control. Lauryl alcobol(0-2%) enhanced the permeability of clenbuterol concentration-dependently. In this study, the optimal solvent system for the penetration of clenbuterol was found to be 50/50 buffer(pH 10)/PG solvent mixture containing 2% lauryl alcohol.

S.D. Rats를 이용 1, 1-Dichloro-1-fluoroethane의 아민성 흡입독성 연구

김현영,이성배,임철홍,김철우,점용현,한정희,전윤석,최수영,강대봉,이용묵 한국환경독성학회 2002 환경독성보건학회지 Vol.17 No.1

There were no specific effects for test materials on Sprague-Dawley (S.D.) rats in clinical symptoms, amounts of food intakes, weight changes, laboratory findings, and pathology after whole body l, l-Dichloro-1 -fluoroethane (used as coolant, metal cleaner and solvents) exposure(0, 1,500, 3,000, and 6,000 ppm) for 13 weeks (6 hour/day, 5 days/week). However, the loss of capillary vessels in eyeball (pupil) was observed in a female rat among 6,000 ppm group. Though there was a tendency for MCHC (Mean Corpuscular Hemoglobin Concentration) in rat to be decreased (p<0.05), it was not regarded as abnormal because the values were within normal limits. In asthma-stimulation related evaluations, there was also a tendency for inflammatory cell counts in bronchoalveolar lavages to be increased. But it had no statistical significance, and also no dependency on sex and the exposed concentration. Based on this result, the non observed effect level (NOEL) induced by 1, 1-Dichloro-l -fluoroethene inhalation was evaluated in groups with 3,000 ppm below (S .D. Rats, 13 weeks). Finally, it was concluded that the short term exposal of 1, 1-Dichloro-l-fluoroethane is not considered as a asthma stimulant by inhalation despite of some study limitations such as test animals use and short-term exposure .

超微量 亞鉛의 螢光光度定量法

洪永大,李正禹 고신대학교 자연과학연구소 1997 고신대학교 자연과학연구소 논문집 Vol.7 No.-

超微量의 Zn을 定量하기 위하여 2-(o-hydroxyphenyl)benzoxazole (HPB)을 利用하는 高感度의 螢光分析法이 確立되었다. 0.65㎍ 以下의 Zn(Ⅱ) 이온을 含有하는 試料溶液에 이것에 比하여 一定過量의 HPB 溶液을 加하여 約 pH 9.4에서 反應시키면 螢光이 없고 安定度가 큰 Zn(HPB)_2 의 킬레이트 化合物을 만들어 定量的으로 沈澱한다. 그런 다음, 溶液 中에 남아 있는 HPB의 螢光强度를 測定함으로써 Zn(Ⅱ) 이온의 濃度를 間接 測定하였다. 本 硏究에서는 nmol level의 超微量 濃度에서 Zn(Ⅱ) 이온과 HPB의 反應이 化學量論的으로 일어 나는데 必要한 最適條件들을 綿密히 檢討한 結果, 0.5-10 nmol의 Zn을 感度좋게 定量할 수 있었다. 本 定量法을 使用하여 5 nmol의 Zn을 反復 測定하여 본 結果, 相對標準偏差 2.1%의 精密度로서 測定할 수 있었다. A spectrofluorometric method for the ultra microdetermination of zinc was established. An excess amount of 2- (o-hydroxt'phenyl)benzoxazole(HPB) is added to precipitate Zn(HPB)₂ with zinc ion. Zinc ion forms a chelate with HPB and quenches the fluorescence of HPB. The amount of zinc is determined by measuring the fluorescence of the remaining HPB. The optimum conditions for these reactions were examined at a very low concentration range of the reactants. By the proposed method, 0.5-10 nmol zinc content was determined with a accuracy of 2.1% relative standard deviation at 5 nmol Zn level.