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        관상동맥 시술 도중 발생한 좌주간부 관상동맥 박리에 대한 스텐트 삽입 치료의 단장기 임상 결과 : acute and long-term results

        이세환,이승환,홍명기,김영학,이철환,한기훈,송종민,강덕현,송재관,김재중,박성욱,박승정 대한내과학회 2004 대한내과학회지 Vol.66 No.6

        목적 : 심도자 사용 시술과 관련된 좌주간부 관상동맥박리에 대한 적절한 치료는 아직 확실히 정립되지 않은 상태이다. 이에 본 연구는 좌주간부 관상동맥 박리에 대한 스텐트 삽입술의 단장기 임상결과를 후향적으로 분석하였다. 방법 : 좌주간부 관상동맥 박리에 대한 치료로 즉각적인 스텐트 삽입술을 시행하는 것이 안전하고 효과적인 방법임을 가설하였고, 이러한 즉각적인 스텐트 삽입을 시행한 10명의 환자를 대상으로 단장기적 임상경과를 의무기록 고찰과 전화 면담을 통해서 평가하였다. 결과 : 전체 환자 모두 처음부터 좌주간부 관상동맥에 유의한 협착을 가진 환자는 없었으며, 8명의 환자는 심도자의 조작으로 인한 박리가 발생한 경우였고(진단적 혈관 조영술 중에 3명, 유도 도자 조작 중에 5명), 나머지 2명은 다른 병변에 스텐트 삽입시술을 하는 중에 박리가 발생하였다. 이 10명의 환자에서 모두 즉각적인 스텐트 삽입술이 시행되었고, 4명의 환자에서 시술 도중 혈압 저하로 Intra-aortic Ballon Pump (IABP)를 장착하였다. 모든 환자에서 성공적으로 스텐트가 삽입되었고, 병원내 사망은 1명도 없었다. 6개월 추적 관상동맥 조영술은 8명의 환자에서 시행되었다. 혈관 조영상의 재협착(직경 협착 50% 이상)은 8명 모두에게서 관찰되지 않았으며, 퇴원 후 평균 31±25개월의 추적관찰 결과 주요 심장사건은 1건도 발생하지 않았다. 결론 : 비록 대상 환자가 적은 연구였지만 좌주간부 관상동맥 박리에 대한 스텐트 삽입술은 기술적으로 안전하고 빠르게 시행 할 수 있으며, 훌륭한 단장기적인 치료 효과를 보여준다. Background : The optimal treatment of patients with left main coronary artery (LMCA) dissection during catheter-based procedure remains uncertain. We retrospectively analyzed the acute and long-term results of bail-out stenting for LMCA dissection. Methods : In cases with significant LMCA dissection occurring during catheter-based procedure, prompt stent implantation may be safe and associated with favorable clinical outcome. We evaluated the acute and long-term results of bail-out stenting for LMCA dissection occurring during catheter-bases procedure in 1- patients. Results : Initially, there was significant stenosis of LMCA segment in these patients. Catheter-induced dissection occurred in 8 patients (during diagnostic angiography in 3 patients and guiding catheter manipulation in 5 patients). Two patients suffered dissection in the setting of stent deployment in other vessels. Therefore, bail-out stenting LMCA dissection was performed in a total of 10 patients. In 4 patients, hypotension developed and intra-aortic balloon pump was placed during procedure. Stents were successfully deployed in all patients. There was no in-hospital mortality. Six-month angiographic follow-up was performed in 8 patients. Angiographic restenosis(diameter stenosis 50%) was not observed in all patients at follow-up study. During a mean follow-up of 31±25 months after hospital discharge, there was no major adverse cardiac event (death, myocardial infarction, and target lesion revascularization). Conclusion : Bail-out LMCA stenting is technically feasible, and showed good acute and long-term results in a small series of patients.

      • SCIESCOPUSKCI등재
      • KCI등재후보

        전통누룩 진균류를 이용한 입국의 제조 및 입국곰팡이의 동정

        김재호 ( Jae Ho Kim ),권영희 ( Young Hee Kwon ),이애란 ( Ae Ran Lee ),김혜련 ( Hye Ryun Kim ),안병학 ( Byung Hak Ahn ) 한국균학회 2012 韓國菌學會誌 Vol.40 No.4

        다양한 향미를 가진 막걸리의 개발을 위해 전통누룩으로부터 분리한 곰팡이로 입국을 제조한 후 품질특성을 분석하여 입국의 규격에 적합하며 이취가 없고 관능이 우수한 9균주를 입국 제조용 우수균주로 최종 선발하였다. 선발된 균주는 Aspergillus oryzae(C1-5-2-2, C20-7-3, CN1.3.1-4, CN16.19.1-1, N152-1, N220-1), Mycocladus corymbiferus (N162-2), Rhizopus oryzae(N20), Lichtheimia corymbifera (N21)로 동정되었으며, 제조한 입국의 산도는 5.0~6.8, 당화력은 128~241sp이었다. Various koji were prepared by fungi isolated from traditional nuruk and their quality characteristics were investigated. Acidity and saccharification power of their koji were ranged in 5.0~6.8 and 128sp~241sp. Nine fungi which were showed good quality and sensory evaluation were identified by analysis of their nucleotide sequences with PCR-amplified 18S rDNA internal transcribed spacer-1(ITS-1) and ITS-4 genes. Among them, six strains were identified as Aspergillus oryzae and the other strains were identified as Mycocladus corymbiferus, Rhizopus oryzae, Lichtheimia corymbifera.

      • KCI등재

        국내 스포츠 에이전트 활성화를 위한 정책 방향

        이정학(Lee Jeoung Hak),전미양(Jeon Mi-Yang),이재돈(Lee Jae Don) 한국스포츠산업경영학회 2004 한국스포츠산업경영학회지 Vol.9 No.1

        최근 스포츠산업 전문인력 양성 사업의 일환인 스포츠 에이전트 육성사업은 2002한일월드컵 이후 그 중요성이 더욱 강조되어지고 있다. 그러나 국내 스포츠 에이전트에 대해 극소수의 구단이나 연맹만이 연봉 및 계약금에 관해 에이전트 제도를 인정하고 있으며 용병선수 계약을 제외하고는 스포츠 에이전트를 인정하지 않고 있는 것이 국내 스포츠 에이전트의 현실이다. 국내 우수 선수들의 권익을 보장하고 세계무대에서도 부족함 없이 활약할 수 있는 여건을 정립하기 위해서는 국내 스포츠 에이전트 활성화에 대한 실질적인 연구가 무엇보다 선행되어야 할 것이다. 따라서 본 연구는 국내 스포츠 에이전트 활성화를 위한 정책 방향을 설정하기 위한 기초 자료를 제시하는데 그 목적이 있다. 연구조사 방법은 문헌조사와 전문가 설문조사를 통해 국내 스포츠 에이전트 활성화 정책방향 제시를 위한 기초 자료로 활용하였다. 설문조사는 미래예측분석 방법인 Delphi기법을 활용하여 관련 전문가 집단의 의견을 정리 분석하였다. 연구결과 국내 스포츠 에이전트 활성화를 위한 정책방향을 제시하면 다음과 같다. 첫째, 스포츠 에이전트 전문인력 양성. 둘째, 스포츠 에이전트 법적기반 조성. 셋째, 선수에이전트 통합관리 기구 설치, 넷째, 선수, 에이전트, 구단과 리그연맹의 상호협조체계 구축, 다섯째, 정책적 재정지원, 여섯째, 아마추어 스포츠와 연계방안 등 정책방향을 제시하였다. The purpose of this study was to present the policy direction for sports agent activation. The research methods for this study used to review research and export interview related to sports industry. The final survey instrument was consisted of 13 item by Delphi technique for 95 experts opinion. The survey instrument was self developed based on information from prior studies conducted by Kim. H(2002), Lee. J(2002) and Ju. A(2002). The conclusion based on above study method and the result of material analysis are here below. 1. Sports agent expert should be trained 2. Sports agent legal base must form 3. Player agent integral management instrument has to be placed 4. Mutual coordination system of player, agent, club and league should be constructed 5. Finance should be supported as policy 6. Must consider plan that can be associated with amateur sports.

      • SCOPUSKCI등재

        추황배(Pyrus pyrifolia Nakai cv. Chuhwangbae) 과피로부터 1종의 Sterol과 3종의 배당체 화합물의 단리·동정

        이유건(Yu Geon Lee1),조정용(Jeong-Yong Cho),이현주(Hyun Joo Lee),이용현(Yong Hyun Lee),이상현(Sang-Hyun Lee),한태호(Tae-Ho Han),김월수(Wol-Soo Kim),박근형(Keun-Hyung Park),문제학(Jae-Hak Moon) 한국식품과학회 2013 한국식품과학회지 Vol.45 No.5

        본 연구에서는 배의 유용성 증명을 위한 일환으로 배의 화학성분을 분자수준에서 밝히고자 하였다. 이에 배 과피 MeOH 추출물을 용매분획하여 얻은 EtOAc-산성 분획과 EtOAc-중성분획을 대상으로 Sephadex LH-20, silica gel, 그리고 ODS colmn chromatography와 HPLC를 이용하여 정제 및 단리하였다. 그 결과, EtOAc-산성 분획과 EtOAc-중성 분획으로부터 각각 2종씩의 화합물을 단리하였다. 단리된 화합물 1-4는 1H- 및 13C-NMR 분석을 통하여 각각 (S)-(+)-2-cis-abscisic acid O-β-D-glucopyranosyl ester (화합물 1), 1-[4-O-β-D-glucopyranosyl]phenyl ethanone(piceoside, 화합물 2), β-sitosterol (화합물 3), 그리고 β-sitosteryl 3-O-β-D-glucopyranoside (화합물 4)로 동정되었다. 단리된 3종의 배당체 화합물(화합물 1, 2, 4)들은 본 연구에 의해 배로부터 처음 동정되었으며, 화합물 3은 추황배로부터 처음 동정되었다. 본 연구결과가 배 함유 성분연구는 물론 배의 기능성 해명 연구에도 추후 중요한 기초자료로 활용되길 기대한다. We isolated and identified antioxidants from acidic and neutral ethyl acetate fractions of the peel of pear (Pyrus pyrifolia N. cv. Chuhwangbae). We isolated 4 compounds from the methanol extract, by using 3 different types of column chromatography (Sephadex LH-20, silica gel, and octadecylsilane) and preparative HPLC. We identified the isolated compounds as (S)-(+)-2-cis-abscisic acid O-β-D-glucopyranosyl ester (compound 1), 1-[4-O-β-D-glucopyranosyl]phenyl ethanone (picroside, compound 2), β-sitosterol (compound 3), and β-sitosteryl 3-O-β-D-glucopyranoside (compound 4) by nuclear magnetic resonance analysis. We are the first to report the identification of compounds 1, 2, and 4 from pear.

      • 서킷 에어로빅 웨이트 트레이닝이 비만여고생의 면역기능과 체조성에 미치는 영향

        이재학 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

        The purpose of this study was to analyze the effects of a low-load resistance training on Immunity Function and Body Composition in Obese high school girls. The subjects of the study were selected with 10 girls who are over 35% at in U city and they have regularly trained for 50~80 minutes a day in a week and the training program was composed with 8~11 exercise for 10-week period. The statistical methods utilized in the study was the paired t-test and the .05 level was initially established in significance. The findings of this study were as follows ; 1. Count of WBC, the rate of neutrophil were significantly increased, but the rate of eosinophil and basophil was less significant. 2. Body weight, body fat, %body fat and body mass index were significantly decreased, but lean body mass was increased after training It is concluded that a factors of Immunity Function and body composition were significantly increased in the obese high school girls after 10-week circuit aerobic weight training.

      • 거푸집공사 중대재해의 원인분석을 통한 관련 법규의 개선방안

        이재영,우광민,이학기 동아대학교 건설기술연구소 2002 硏究報告 Vol.26 No.1

        The grave accident have been increasing in proportion as construction work have been large and complicated. The form work, many sides workers have worked in, are most dangerous work in construction processes. Accidents in form works have turned on collapse accident that have lost lives and economy. So, the purpose of this study is to suggest the regal reductive plans of grave accident in the form work, and the result of this study is as following; 1. It must be added the regulation of transportation process in the standard safety work guidebook for concrete construction. 2. It must be added the regulation of individual safety devices and the facility to prevent falling accident in the standard safety work guidebook for concrete construction. 3. In regard to a casting concrete placing process, it is necessary to establish requirements and standards for reviewing the structures of moulders and short pillars propping up a veranda floor in an industrial safety and public health law and the standard specifications for construction and concrete. Based on this, standard safety work guidebooks for concrete work should clearly specify everything about making up an assembly picture and the ways to review the structure while installing shout pillars propping up a veranda floor. 4. In standard safety work guidebooks for concrete work, it is necessary to supplement the omitted of the regulations concerning the installation of work routes and fall preventing facilities during a disjointing process.

      • 택견의 변천과정에 관한 연구

        이병익,임희용,이재학 龍仁大學校 武道硏究所 1998 武道硏究所誌 Vol.9 No.1

        The documentary record on Teakkyon appeared in shijo(a kind of short lyric poem) in the end of Choson Dynasty, and there was no previous record on it. The historical vacancy between the former term and latter term of the Choson Age offers a great deal of room for various criticism to trace back the source of Teakkyon. Most folk plays handed down orally with no evident historical record, and there was, accordingly, no information about their form. Since the 1910s, the truning point between the early and comtemporary modern times, many researchers have actively made studies to restore folk play. Nonetheless, it's virtually difficult to xactly find out whether Subak and Teakkyon appeared in the chronicles of Koryo and Choson Dynasties were the same or not, because of the historical documentary vacancy for about 250 years. The future task is to make researches in the relationship and historical connection between Subak and Teakkyon accurately and to clear up the historical gap. It's found, from the late Choson Age to the early modern times, that Teakkyon was put in practice as one of the general plays. In the beginning of the early modern times, the quality of general plays was neglected, and it developed into a play that was mainly viewed by audience. Being designated as the 76th major intangible cultural assets on April 11, 1983, Teakkyon that leaned toward military play started to be recognized as one of the traditional military arts. And a lot of people now learn Teakkyon for phusical training and self-defense as well as the acquirement of the traditional military arts. Teakkyon has started to develop into a sporting game since it was designated as one of the cultural assets. In 1990, the Korea Teakkyon Association was founded mainly by the Korea Society for the Study of the Traditional Teakkyon, and there after the sporting game began to develop more. Although the Korea Teakkyon Association made the eleven regulations for the game in 1985, it became quite different from the original Teakkyon, because of players' excessive desire for victory and their poor understanding of regulations. The current Teakkyon can be regared as the initial stage to develop into a game, for the lack of philosophy and regulation training. The development of Teakkyon is attempted through the Institute for Teakkyon Instruction, for the two aims: one is to acquire the traditional arts and the other is to have a complete game system.

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