Accuracy of cardiac output measurements during off-pump coronary artery bypass grafting: according to the vessel anastomosis sites

Sung Yong Park,Dae Hee Kim,Han Bum Joe,Ji Young Yoo,Jin Soo Kim,Min Kang,Yong Woo Hong 대한마취통증의학회 2012 Korean Journal of Anesthesiology Vol.62 No.5

Background: During beating heart surgery, the accuracy of cardiac output (CO) measurement techniques may be influenced by several factors. This study was conducted to analyze the clinical agreement among stat CO mode (SCO), continuous CO mode (CCO), arterial pressure waveform-based CO estimation (APCO), and transesophageal Doppler ultrasound technique (UCCO) according to the vessel anastomosis sites. Methods: This study was prospectively performed in 25 patients who would be undergoing elective OPCAB. Hemodynamic variables were recorded at the following time points: during left anterior descending (LAD) anastomosis at 1 min and 5 min; during obtuse marginal (OM) anastomosis at 1 min and 5 min: and during right coronary artery (RCA) anastomosis at 1 min and 5 min. The variables measured including the SCO, CCO, APCO, and UCCO. Results: CO measurement techniques showed different correlations according to vessel anastomosis site. However, the percent error observed was higher than the value of 30% postulated by the criteria of Critchley and Critchley during all study periods for all CO measurement techniques. Conclusions: In the beating heart procedure, SCO, CCO and APCO showed different correlations according to the vessel anastomosis sites and did not agree with UCCO. CO values from the various measurement techniques should be interpreted with caution during OPCAB. Background: During beating heart surgery, the accuracy of cardiac output (CO) measurement techniques may be influenced by several factors. This study was conducted to analyze the clinical agreement among stat CO mode (SCO), continuous CO mode (CCO), arterial pressure waveform-based CO estimation (APCO), and transesophageal Doppler ultrasound technique (UCCO) according to the vessel anastomosis sites. Methods: This study was prospectively performed in 25 patients who would be undergoing elective OPCAB. Hemodynamic variables were recorded at the following time points: during left anterior descending (LAD) anastomosis at 1 min and 5 min; during obtuse marginal (OM) anastomosis at 1 min and 5 min: and during right coronary artery (RCA) anastomosis at 1 min and 5 min. The variables measured including the SCO, CCO, APCO, and UCCO. Results: CO measurement techniques showed different correlations according to vessel anastomosis site. However, the percent error observed was higher than the value of 30% postulated by the criteria of Critchley and Critchley during all study periods for all CO measurement techniques. Conclusions: In the beating heart procedure, SCO, CCO and APCO showed different correlations according to the vessel anastomosis sites and did not agree with UCCO. CO values from the various measurement techniques should be interpreted with caution during OPCAB.

Han as the Eschatological Pathos for Yearning the Outpouring of the Holy Spirit

Sang Min Han 한국기독교학회 2013 한국기독교신학논총 Vol.87 No.-

한국의 독특한 정서인 ``한``은 매우 중요한 신학적 주제로 다양한 신학적 접근들을 통해 연구되어 왔다. 본 연구는 ``한``을 치유를 갈망하는 종말론적 비애감(pathos)으로 이해하고 성령 중심적 오순절 신학의 토대 위에 ``한``과 한국적 오순절 신학의 관계를 건설적으로 제시하고자 한다. 이런 연고로 우선 ``한``의 개념과 본질을 서술하고 ``한``과 민중 신학의 연결점을 통해 ``한``의 신학을 설명하고자 한다. 그리고 구체적으로 ``한``의 신학이 가지는 ``한풀이``의 신학적 특성을 ``한``어린 사람들의 치유와 해방을 위해 어떻게 한을 풀 것인가에 집중하여 신학의 시대적 사명과 나아갈 방향을 하나님의 은혜(grace)와 자유 (liberty) 안에서 조명하고자 한다. 마지막으로 어떻게 한국적 오순절 신앙과 신학이 ``한``의 영적 치유를 가져올 수 있을지에 대한 가능성을 다른 주류신학들과 비교해 구별되는 오순절 교회의 예배의식의 특징들인 간증(story-telling)과 오순절적 기도(방언)를 통해 고찰하고자 한다. 한국적 오순절 신학과 신앙적 경험들은 성령의 역사를 중심으로 이루어져 있고 성령의 역사는 역사적으로 신학적으로 이미 오순절 역사에 있어서 소외되고 개인적, 경제적, 사회-정치적, 그리고 종교적-영적인 해방과 치유가 필요한 대중을 위한 노력이 있었으며 이런 대중들의 삶의 모습을 담는 것이 매우 중요한 신학적 요소였음을 생각하면 오순절적 영적 ``한풀이``가 가능할 것이다. ``한``과 관련하여 오순절 영성(spirituality)과 신앙적 실천(practices)의 좀 더 깊고 세밀하며 조직적인 신학화(theologizing)는 ``한``어린(han-ridden) 대중에게 삶의 치유와 더불어 종말론적 희망을 제시할 수 있을 것이다. 결론적으로 말하면, 오순절 신학과 신앙의 관점에서 볼 때 ``한``과 ``한``어린 대중의 삶은 그저 인간의 고난 혹은 신학적 주제의 차원을 넘어서 성령의 능력 아래 종말론적 중요성을 강조하는 신앙인이 당위성을 가지고 실천해야 하는 영적 치유를 위한 사명이다.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

미더덕의 생리활성이 향상된 아임계수 추출물의 제조

조민지(Min-Ji Jo),한지경(Ji-Kyoung Han),성수창(Su-Chang Sung),이승철(Seung-Cheol Lee) 한국식품영양과학회 2018 한국식품영양과학회지 Vol.47 No.11

미더덕의 이용 다변화를 위하여 아임계수 추출물을 제조하고 생리활성을 평가하였다. 미더덕은 동결건조 분말 상태로 10, 30, 60분 동안 다양한 온도(50, 100, 200, 300℃)에서 추출되었다. 아임계수 조건은 ACE 저해 활성, 항산화 활성, AChE 저해 활성과 같은 중요한 생리학적 특성을 상당히 증가시켰다. 200℃, 60분 추출물에서 가장 높은 ACE 저해활성을 나타냈으나 더 높은 온도 조건인 300℃에서는 급격히 감소하였다. DPPH 라디칼 소거능과 ABTS라디칼 소거능은 300℃, 30분 추출물에서 공통적으로 가장 높은 값을 보였고, AChE 저해 활성 또한 같은 경향을 나타냈다. 이러한 결과는 아임계수 추출이 미더덕의 생리활성을 증가시키는 유용한 가공방법이 될 수 있음을 시사한다. For diverse application of Styela clava (Korean name: miduduck) as a food material, subcritical water (SCW) extract was prepared and its physiological activity was evaluated. To accomplish this, S. clava powder (0.1 g) was placed in a stainless vessel containing 10 mL of distilled water, after which SCW extraction was carried out at 50, 100, 200, and 300℃ for 10, 30, and 60 min. SCW treatment significantly increased important physiological properties of the extract such as angiotensin converting enzyme (ACE) inhibitory activity, antioxidant activity, and acetylcholinesterase (AChE) inhibitory activity. The highest ACE inhibitory activity was found in samples subjected to SCW extraction at 200℃ for 60 min; however, the activity decreased at higher temperature (300℃). The SCW extract of S. clava prepared at 300℃ for 30 min showed the highest antioxidant activity [1,1-diphenyl-2-picrylhydrazyl and 2,2’-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) radical scavenging activities] and AChE inhibitory activity. These results indicate that SCW extraction might be a useful method for increasing the physiological activity of S. clava.

주산기 백서에서 혈중 에스트로겐 농도와 공간 기억력과의 상관관계

박민성,박제민,신성현,한귀원,김명정,김성곤 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.5

Objectives : This study was designed to find possible effect of pregnancy and parturition on spatial memory, especially in relation to levels of estrogen during the third trimester and postpartal period in rats. Methods : 25 female Sprague Dawley rats were divided into pregnant group (N= 14) and control group (N= 11). Changes in spatial memory during 6 weeks including third trimester and postpartal period were measured using Morris water maze. Time to reach the platform in the maze was indicator of spatial memory. Serum estrogen level was measured on 1 week before delivery, postpartal day 1, and day 14. Results : Both groups showed gradual improvement in performance by trial days and weeks, but no significant difference was found between the two groups. However in the third trimester, pregnant group showed a trend of less achievement on 3 days of learning than control group. Serum estrogen levels did not differ significantly between groups over the 6 weeks of period. However there was positive correlation between serum estrogen level on postpartum day 1 and time to reach platform on postpartum week 2, and negative correlation between estrogen level on postpartum day 14 and latency to the platform on postpartum week 5. Conclusion : These results imply that changes in the serum estrogen level may have dual effects on the spatial learning in peripartal period. It is suggested that decline in cognitive function might occur either by failure of rapid decrease of estrogen, immediately after parturition, or retarded restoration of estrogen in later postpartal period.

개의 췌도분리에서 췌장의 팽창과 콜라겐 분해요소

이상훈,김성주,박정환,김종성,오승훈,한진수,정인경,양태영,김동준,김광원,이문규,민용기,이명식,정재훈,함종렬 대한당뇨병학회 2000 Diabetes and Metabolism Journal Vol.24 No.2

Backgrounds: One of the main problems conditioning the outcome of islet transplantation is the ability to separate a sufficient number of viable islets with preserved function. Islet purification is critically affected by all of the isolation stages. Thus, it is necessary to set up the standard isolation method that islets are separate well from acinar without compromising islet yield and viability. Methods: Twenty three adult mongrel dogs were used for the experiment of total pancreatectomy with islet isolation. The islets were properly isolated by a modified Recordi method. The obtained islets were further purified by centrifugation on discontinuous gradients using cell separation system (Model 2991, Cobe, Lakewood Colo). We evaluated islet number (islet equivalent number, 150 um equivalents/kg of recipient body weight, IEq/kg), purity, cell volume, viabilty, recovery rate, and comparison of outcome according to the isolation conditions. Results: 1) The mean of islet numbers before purification were 13543±9431Eq/kg, digestion times were 13.8±2.6 min., digestion temperature was 37.4±0.2℃, purity was 59.7?.0%, viability was 90.0±2.1%, cell volume was 4.7±1.1 mL, islet number after purification were 4064±361 IEq/kg, and recovery rate was 29±2.9%. 2) Isolated islet numbers were different according to the degree of pancreas distension with collagenase, digestion temperature, and digestion time. 3) The best conditions for islet isolation were above 37.5℃ in temperature at recirculation of collagenase, within 12 min in digestion time and well distended pancreas with collagenase. 4) According to multiple regression adjusted by variable factors, the degree of pancreas distension with collagenase and digestion time were independently associated factors for successful islet isolation. Conclusions: In this study, we concluded that the degree of pancreas distension with collagenase and digestion time were independent factors for successful islet isolation and the best conditions for islet isolation were above 37.5℃ in temperature at recirculation of collagenase, within 12 min in digestion time and well distended pancreas with collagenase.

Lumbricus rubellus에 존재하는 Lumbrokinase의 Ubiquitin-conjugate 분해활성에 관한 연구

우기민,이상한,조만희 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

본 연구에서 Lumbricus rubellus에 존재하는 강력한 fibrinolytic 효소인 Lumbrokinse들을 여러 크로마토그래피법을 이용하여 부분정제하고 그들의 생화학적 성질들을 조사하고 비교하였다. L. rubellus의 단백질 추출물은 fibrinogen, lactalbumin, BSA, casein 등 다양한 단백질들을 분해하는 활성을 가졌으며, 그들의 활성은 poly-lysine같은 poly-cation들에 의하여 활성화되었다. 또한 이러한 활성화 정도는 poly-cation들의 길이에 의존적이며 poly-lysine의 경우 이성체에 상관없이 모두 활성화시켰다. DEAE-Sepharose를 통하여 확인된 3 종류의 분해활성으로부터 2 종류의 서로 다른 Lumbrokinse들을 Phenyl-Sepharose, Superose-12 크로마토그래피들을 통하여 부분정제하여 E-I, E-III라고 명명하였다. SDS-PAGE와 gel filtration을 시행하였을 때 그들은 각각 33 kD과 38 kDa의 폴리펩타이드로 구성된 단일체로 규명되었다. E-I의 fibrinogen을 분해하는 특이적 활성은 poly-lysine이 없을 경우 3.75 ng hydrolysis/ng enzyme/20 min으로 상대적으로 낮았으나 poly-lysine이 첨가될 경우 75 ng hydrolysis/ng enzyme/20 min로 활성이 20배가량 증가하였다. 반면 E-III는 poly-lysine이 없을 경우 20 ng hydrolysis/ng enzyme/20 min으로 상대적으로 높았지만 poly-lysine의 첨가시 129 ng hydrolysis/ng enzyme/20 min로 약 6.5배의 증가를 보였다. 0.2 M의 KCI은 poly-lysine에 의한 fibrinogen 분해활성을 강하게 억제하였으며 펩타이드 분해활성은 E-I와 E-III가 서로 다른 영향을 받았다. E-III는 poly-lysine에 의해 증가된 활성이 억제받는 반면, E-I는 오히려 펩타이드 분해활성이 KCI에 의하여 10배가량 증가되었다. 이러한 상반된 결과는 두 효소가 서로 다른 분해기작과 조절기작을 가짐을 의미한다. 정제된 E-I와 E-III는 놀랍게도 ubiquitin이 결합된 일련의 단백질들을 분해하였으며, 이 활성도 또한 poly-lysine에 의하여 증가되었다. 또한 ubiquitin-conjugate의 분해활성은 PMSF에 의하여 억제받으므로 serine계의 단백질 분해효소이며 IAA에 의하여 억제받지 않으므로 활성화 부위에 sulfide 기가 관여하지 않는 것으로 판명되었다. 또한 fibrinogen의 분해에서와 같이 이들의 활성도 KCI에 의해 억제되었다. Ubiquitin-conjugate들은 분해된 후 자유 ubiquitin이 반응산물로 나타났으므로 E-I과 E-III는 포유동물들에 존재하는 ubiquitin C-terminal hydrolase (UCH)의 새로운 종류이거나 26S proteasome을 대신할 수 있는 또 다른 형태의 단백질 분해효소일 가능성을 제공해준다.

대형국책사업의 성공 요인 분석 CDMA 와 HAN/B-ISDN 사업비교를 통하여

한상영(Sang-Young Han),김성민(Song-Min Kim) 한국통신학회 2003 한국통신학회 학술대회논문집 Vol.2003 No.7

1907년 체제 성립과정에서 일본의 한국정책과 한국사회의 대응

한성민(Han, Sung-Min) 일본사학회 2019 일본역사연구 Vol.49 No.-

The Russo-Japanese War (1904), which broke out during the confrontation between Russia and Japan on the Korean Peninsula, resulted in the reorganization of the powers, In Europe, a confrontational system was established, represented by a ‘Triple Entente’ and ‘Dreibund’. In that extension, Japan became a major partner in the ‘Triple Entente’. As a result, the 1907 system centered on Japan was established before and after the second International Peace Conference in East Asia. In this situation, Emperor Kojong dispatched Yi Sang-sul, Yi Jun, Yi Wi-jong and Hulbert as special envoys to the Hague Peace Conference(1907). At that time, the Japanese government was aware of Korea s move to send a special envoy to Hague in advance. However, Japan did not try to prevent Emperor Kojong from sending them, nor did watch their activities without direct restraint in Hague. There were three important political intentions here. First, Japan intended to secure her right to protect Korea in the international community. Second, Japan intended to show off to the international community, that it had the ability to rule her colonies the same as other Western powers, allowing for open anti-Japanese activities by Korean envoys. Third, Japan intended to further strengthen its dominance over Korean with this case. The dispatch of special envoys to the Hague Peace Conference(1907) was the last attempt planned by Kojong as the Emperor of the Korean Empire to maintain Korea s independence. In response, the Korean community had little expectation for the Hague Peace Conference(1907) at that time. Howerever, the special envoys’ activities were enough to draw attention. However, Korean society did not give any positive meaning to their activities. As a result of the anti-Japanese activities of Korea. Japan has been strongly pressing the Korean government to increase its influence by pressing it hard. Indeed, Faced with the fact that Japan was forced to confront Kojong with the dispatch of a special envoy to The Hague. the Korean society denied the direct relationship between Kojong Emperor and the envoys.

Effect of sous-vide cooking conditions on the physicochemical, microbiological and microstructural properties of duck breast meat

Dong-Min Shin,Jong Hyeok Yune,Dong-Hyun Kim,Sung Gu Han Asian Australasian Association of Animal Productio 2023 Animal Bioscience Vol.36 No.10

Objective: Sous-vide cooking offers several advantages for poultry meat, including enhanced tenderness, reduced cooking loss, and improved product yield. However, in duck meat, there are challenges associated with using the sous-vide method. The prolonged cooking time at low temperatures can lead to unstable microbial and oxidative stabilities. Thus, we aimed to assess how varying sous-vide cooking temperatures and durations affect the physicochemical and microbial characteristics of duck breast meat, with the goal of identifying an optimal cooking condition. Methods: Duck breast meat (Anas platyrhynchos) aged 42 days and with an average weight of 1,400±50 g, underwent cooking under various conditions (ranging from 50℃ to 80℃) for either 60 or 180 min. Then, physicochemical, microbial, and microstructural properties of the cooked duck breast meat were assessed. Results: Different cooking conditions affected the quality attributes of the meat. The cooking loss, lightness, yellowness, Hue angle, whiteness, and thiobarbituric acid reactive substance (TBARS) values of the duck breast meat increased with the increase in cooking temperature and time. In contrast, the redness and chroma values decreased with the increase in cooking temperature and time. Cooking of samples higher than 60℃ increased the volatile basic nitrogen contents and TBARS. Microbial analysis revealed the presence of Escherichia coli and Coliform only in the samples cooked at 50℃ and raw meat. Cooking at lower temperature and shorter time increased the tenderness of the meat. Microstructure analysis showed that the contraction of myofibrils and meat density increased upon increasing the cooking temperature and time. Conclusion: Our data indicate that the optimal sous-vide method for duck breast meat was cooking at 60℃ for 60 min. This temperature and time conditions showed good texture properties and microbial stability, and low level of TBARS of the duck breast meat.