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김두권,조성민,이동석,최성민,하경임 동국대학교 경주대학 1997 東國論集 Vol.16 No.1
용혈성 요독 증후군은 미세혈관성 용혈성 빈혈과 혈소판 감소증 및 급성 신부전을 특징으로 하는 질환으로 정확한 원인은 아직 밝혀지지 않고 있으며 발병기전에서 가장 중요한 것은 신미세혈관의 내피세포의 손상으로 알려져 있다. 이 질환은 1955년 Gasser등^1)에 의하여 처음 보고된 후 서구에서는 소아 급성 신부전의 주된 원인으로 알려져 있은, 국내에서는 1972년 이등^2)이 처음 보고한 이래 매우 드물게 1례씩 증례보고되었으나 최근에는 수례가 보고되는 등 증가추세에 있는 질환이다^3∼11). 저자들은 용혈성 요독 증후군으로 1세 여야에서 지주막하 출혈이 동반된 경우와 10세 여아에서 심한 신부전증으로 복막투석 및 보조요법으로 치료된 경우, 2개월된 남아에서 고나트륨혈증이 동반된 경우 및 14개월된 여아에서 경한 임상경과를 취한 증례를 포함한 4례를 치험하였기에 이를 문헌고찰과 함께 보고하는 바이다. The hemolytic uremic syndrome is a clinical state characterized by microangiopathic hemolytic anemia, thrombocytopenia and acute renal failure. The etiology varies and in the majority the cause remained unknowed. Whatever the cause, the end result is extensive endothelial injury of the renal microvasculature. We experience 4 cases of hemolytic uremic syndrome. Case 1 was accompanied with subarachnoid hemorrhage in a year of age, female. Case 2 with severe acute renal failure, which was treated with peritonial dialysis, dypiridamole and aspirin in 10 years of age, female. Case 3 with severe hypernatremia in 2 months of age, male. Case 4 had mild clinical manifestation in 14 months of age, female. The age at presentation ranged from 2 month to 10years. All cases were improved completely without any complication. The review of the literature was made briefly.
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선경,손호성,이성호,신재승,이혜원,김승철,원용순,이경갑,정종태,김종원,노양래,이혁수,민병구 제주대학교 인공심장이식연구소 2001 인공심장 연구 Vol.2 No.2
말기심부전증의 새로운 치료대안으로 제시되는 한국형 인공심장(AnyHeartTM)의 효용성과 안정성을 평가하기 위하여 동물실험을 실시하였다. 지난 2년간 고려대학교 안암병원과 제주대학교 동물병원에서는 총 28마리(송아지 18, 면양 4, 실험견 3, 말 2, 산양 1마리)의 다양한 동물에서 한국형 인공심장 이식실험이 실시되었으며, 좌심보조장치로 적용한 1예와 체외휴대형으로 적용한 각 1예를 제외하고 모두 심장보존형 인공심장(이식형 양심보조장치)의 형태로 완전 이식하였다. 수술방법은 주로 우측개흉법을 (Korea University Technique)을 사용하였다. 펌프 박출량은 최대 6 L/min로 평균 3-3.5 L/min를 유지되었으며, Fitting test 4례와 초기 적응과정의 2마리를 제외하고 모두 수술에서 회복되었다. 최장 관찰기간은 37일로 합병증 없이 건강한 상태에서 기초자료 확보를 위해 관찰을 임의종료하였다. 모든 생존동물에서 기계장치와 관련된 부작용은 발견되지 않았고, 임상적으로 나타나는 혈전전색 소견이나 간기능, 신기능, plasma hemoglobin, fibrinogen 등에 이상은 없었다. 적절하게 조기부검이 이루어진 경우에는 인공심장 내부에 혈전이 발견되지 않았고, 간/콩팥/비장 등의 중요장기에 병리검사에서도 전색소견은 발견되지 않았다. 결론으로, 한국형 인공심장은 생체 내에 이식하였을 때 안정적이며 기능이 우수한 것을 알 수 있었다. 한국형 인공심장은 현 상태에서 임상에 적용할 수 있다고 판단되며, 가까운 시일 내에 인체 내 안정성와 유효성에 대한 평가가 가능할 것으로 기대한다. Korean artificial heart (AnyHeartTM) is a new vision in the management of end stage heart failure. We performed the animal experiments to evaluate the performance and safety of AnyHeart. For last 2 years, 28 various animals (cattle 18, sheep 4, canine 3, goat 1) underwent AnyHeart implantation at Korea University Medical Center and Cheju University Animal Hospital. AnyHeart was applied as an implantable BVAD except a case of implantable LVAD or wearable BVAD. A standard technique of implantation was a right thoracotomy approach (Korea University Technique). The pump output was 6 L/min in maximum and 3-3.5 L/min in average. Other than 4 cases of fitting tests and 2 in the early learning period, all animals were recovered from the operation. The longest observation was made until 37th postoperative day, and the observation was terminated to get a control data while the animal was healthy without complications. All survivors were free from device-related morbidity, and there were no evidence of clinically significant thromboembolic episode, liver functions, renla function, plasma hemoglobin, fibrinogen abnormalities. Appropriate autopsy did not show thrombus in the device or embolism in the organs. Conclusively, AnyHeart has been proved efficient and safe during in-vive implantation. The authors believe that AnyHeart can be applied to clinical situations at the moment and expect to perform a clinical trial to test safety and efficacy in the human body within near future.
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Lee, Gyoung-Ja,Kim, Chang Kyu,Lee, Min Ku,Rhee, Chang Kyu WILEY-VCH Verlag 2010 Electroanalysis Vol.22 No.5
<P>Effect of particle size distribution on sensor characteristics of nano-Bi fixed electrode has been investigated using square wave anodic stripping voltammetry. Bi nanopowders with various particle size distributions were synthesized by gas condensation (GC) method with the change of chamber pressure. As the chamber pressure decreased, the size of Bi nanopowder became smaller with narrower distribution due to a shorter residence time of Bi vapor. The square wave anodic stripping voltammograms (SWASV) showed well-defined and highly reproducible peaks at −1.2 V, −0.8 V and −0.6 V (vs. SCE), which are closely related to the oxidation of Zn, Cd and Pb, respectively. The sensitivity and detection limit of the nano-Bi fixed electrode were quantitatively estimated from the analyses of SWASV. From the results, it is concluded that as the size of Bi nanopowder becomes smaller with narrower particle size distribution, the sensitivity and detection limit of sensor electrode for Zn, Cd and Pb are improved, which is ascribed to the increase in electrochemical-active surface area.</P>
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Aging-resistant nanofluids containing covalent functionalized boron nitride nanosheets
Lee, Dongju,Park, Jin-Ju,Lee, Min-Ku,Lee, Gyoung-Ja IOP Pub 2017 Nanotechnology Vol.28 No.40
<P>Developing a thermally stable nanofluid that can maintain good thermo-conductive and flow performance at moderate or elevated temperatures for prolonged periods of time is a great challenge in heat transfer applications. Here, the thermal conductivity and rheological properties as well as their thermal stability characteristics of a nanofluid containing two-dimensional (2D) hexagonal boron nitride nanosheets (h-BNNSs) in ethylene glycol (EG) are presented, in comparison with those for a graphene oxide (GO) nanofluid as a counterpart. In place of a surfactant, hydroxyl functional groups covalently bound to the BNNS surface provided excellent compatibility and stable dispersion of the particles within EG at temperatures up to 90 °C. Owing to the percolation effect of the 2D sheets, the thermal conductivity of the EG base fluid was significantly enhanced by 80% at 5 vol% of BNNS, superior to that of the GO fluid. Moreover, the BNNS fluids exhibited excellent long-term stability at 90 °C for 5 d without loss of their high thermal conductivity, low viscosity and electrical insulating property, whereas the GO fluids underwent thermal degradation with irreversible particle aggregation and increasing viscosity due to the selective chemical reduction of the surface functional groups (i.e., C–O groups) of the GO.</P>
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Synthesis of nanocrystalline bismuth and its application to the detection of trace metals.
Lee, Hi Min,Lee, Gyoung-Ja,Uhm, Young Rang,Kim, Hyoun Jin,Lee, Min Ku,Rhee, Chang Kyu American Scientific Publishers 2010 Journal of Nanoscience and Nanotechnology Vol.10 No.1
<P>Surface modified carbon strip electrode with Bi nanopowder was suggested for a simultaneous analysis of Zn, Cd, and Pb ions by a square wave anodic stripping voltammetry, and the influence of the modifying Bi mass and particle size on the trace metal response was investigated. The Bi nanopowders with various particle size distributions were synthesized by an optimization of the gas condensation condition, in which a refractory crucible was applied for the evaporation of volatile Bi, and then immobilized on the surface of a working electrode. The result of the stripping measurements shows that when the modifying mass and the particle size of the Bi powder were in the range of 2 to 5 microg/cm2 and less than 300 nm, respectively, a well-developed and reproducible stripping response was obtained. The proposed 'mercury-free' carbon strip electrode, modified with Bi nanopowder, is conveniently usable and directly applicable to a trace metal analysis without a pre-deposition of Bi and complicated surface polishing steps.</P>
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Lee Myungsu,Chung Jin Wook,Lee Kwang-Hun,Won Jong Yun,Chun Ho Jong,Lee Han Chu,Kim Jin Hyoung,Lee In Joon,허세범,Kim Hyo-Cheol,Kim Yoon Jun,Kim Gyoung Min,Joo Seung-Moon,Oh Jung Suk 대한영상의학회 2021 Korean Journal of Radiology Vol.22 No.10
Objective: To assess the two-year treatment outcomes of chemoembolization with drug-eluting embolics (DEE) for nodular hepatocellular carcinoma (HCC). Materials and Methods: This study was a prospective, multicenter, registry-based, single-arm trial conducted at five university hospitals in Korea. Patients were recruited between May 2011 and April 2013, with a target population of 200. A DC Bead loaded with doxorubicin was used as the DEE agent. Patients were followed up for two years. Per-patient and perlesion tumor response analysis, per-patient overall survival (OS) and progression-free survival (PFS) analysis, and per-lesion tumor control analysis were performed. Results: The final study population included 152 patients, with 207 target lesions for the per-lesion analysis. At one-month, six-month, one-year, and two-year per-patient assessments, complete response (CR) rates were 40.1%, 43.0%, 33.3%, and 19.6%, respectively. The objective response (OR) rates were 91.4%, 55.4%, 35.1%, and 19.6%, respectively. The cumulative two-year OS rate was 79.7%. The cumulative two-year PFS rate was 22.4% and the median survival was 9.3 months. In multivariable analysis, the Child-Pugh score (p = 0.019) was an independent predictor of OS, and tumor multiplicity (p < 0.001), tumor size (p = 0.020), and Child-Pugh score (p = 0.006) were independent predictors of PFS. In per-lesion analysis, one-month, six-month, one-year and two-year CR rates were 57.5%, 58.5%, 45.2%, and 33.3%, respectively, and the OR rates were 84.1%, 65.2%, 46.6%, and 33.3%, respectively. The cumulative two-year per-lesion tumor control rate was 36.2%, and the median time was 14.1 months. The Child-Pugh score (p < 0.001) was the only independent predictor of tumor control. Serious adverse events were reported in 11 patients (7.2%). Conclusion: DEE chemoembolization for nodular HCCs in the Korean population showed acceptable survival, tumor response, and safety profiles after a two-year follow-up. Good liver function (Child-Pugh score A5) was a key predictor of per-patient OS, PFS, and per-lesion tumor control.
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Current status of assisted reproductive technology in Korea, 2011
Lee, Gyoung Hoon,Song, Hyun Jin,Lee, Kyu Sup,Choi, Young Min The Korean Society for Reproductive Medicine 2016 Clinical and Experimental Reproductive Medicine Vol.43 No.1
Objective: The number of assisted reproductive technology (ART) clinics, ART cycles, clinical pregnancy rate (CPR), and number of newborns conceived using ART have steadily increased in South Korea. This aim of this study was to describe the status of ART in South Korea between January 1 and December 31, 2011. Methods: A localized online survey was created and sent to all available ART centers via email in 2015. Fresh embryo transfer (FET) cases were categorized depending on whether standard in vitro fertilization, intracytoplasmic sperm injection (ICSI), or half-ICSI procedures were used. Thawed embryo transfer (TET) and other related procedures were surveyed. Results: Data from 36,990 ART procedures were provided by 74 clinics. Of the 30,410 cycles in which oocytes were retrieved, a complete transfer was performed in 91.0% (n=27,683). In addition, 9,197 cycles were confirmed to be clinical pregnancies in the FET cycles, representing a pregnancy rate of 30.2% per oocyte pick-up and 33.2% per ET. The most common number of embryos transferred in the FET procedures was three (38.1%), followed by two (34.7%) and one (14.3%). Of the 8,826 TET cycles, 3,137 clinical pregnancies (31.1%) were confirmed by ultrasonography. Conclusion: While the overall clinical pregnancy rate for the TET cycles performed was lower than the rate reported in 2010 (31.1% vs. 35.4%), the overall CPR for the FET cycles was higher than in 2010 (33.2% in 2011 and 32.9% in 2010). The most common number of embryos transferred in FET cycles was three, as was the case in 2010.
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