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.

낙동강 상수원수의 오존처리 효과 : II. 회분식 오존처리에 의한 휘발성유기화합물 및 조류제거 효과 II. Removal of VOCs and Algae in Raw Water by Conducting Batch Test of Ozonation Experiments

임영식,이홍재,이도진,허종수,손보균,조주식 한국환경과학회 2002 한국환경과학회지 Vol.11 No.12

This study was carried out to evaluate the pollutant removal efficiencies of the advanced drinking water treatment using ozonation process. For raw water, Nakdong River was used. By conducting batch test of ozonation efficiencies of the ozonation were 94 to 92%, respectively. Removal efficiencies of single VOC compound or mixed VOC compounds in the raw water were 80% to 90% by the ozonation with 2 mg/ℓ dosage and 10 minutes contact time. Removal efficiencies of ABS by the ozonation with 1 mg/ℓ, 3 mg/ℓ dosage and 20 minutes contact time were 83% to 96%, respectively. Almost 67% of chlorophyll-a at the concentration of 38.㎍/ℓ was removed by ozonation at ozone dosage of 1mg/ℓ for 20 min. considering the efficiency of ozone utilization and water treatment, the most effective ozonation could be obtained with high ozone dosage and short and short contact time.

Mycoplasma passive hemagglutinin body titer의 증가를 동반한 돌발성 난청에 대한 임상적 고찰

임대준,김보형 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

Background and Objectives : Mycoplasma pneumonia (MP) is a common etiological factor in variety of respiratory diseases. MP infection developing especially as a primary atypical pneumonia causes diverse complications involving other organs and tissues such as skin, mucosa, musculoskeletal, cardiovascular, gastrointestinal, urogenital and central nervous systems. In the auditory system, otitis externa, otitis media, and myringitis bullosa have been reported. Sensorineural hearing loss possibly caused by MP is infrequently reported. The purpose of this study was to investigate the clinical importance of mycoplasma passive hemagglutinin body titer. Materials and Method : In patients of sudden sensorineural hearing loss who have increased mycoplasma passive hemagglutinin body titer, control group was treated with prednisolone alone, and experimental group was treated with prednisolone and roxithromycin. Both groups were compared with degree of hearing improvement by pure tone audiometry. Results : Experimental group have a better hearing improvement than control group, but these difference was statistically not significant. Conclusion : The reports of sudden sensorineural hearing loss caused by MP was extremely rare, but we suggest that the incidence was higher than previously reported, and if proper diagnosis could be done through the mycoplasma passive hemagglutinin body titer, the prognosis will be better.

안와내벽외향골절의 비내시경적 정복술

김보형,강성호,임대준 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

Background and objectives: High-resolution endoscopes and the advent of endoscopic instruments for sinus surgery currently provide surgeons with excellent endonasal visualization and access to the medial orbital walls. The purpose of this study was to demonstrate the reduction of medial orbital wall fractures through an endonasal endoscopic approach that allows the repair of the medial orbital wall fractures without an external incision. Materials and Method : This study was a retrospective analysis of 16 patients who underwent surgical repair of medial orbital wall fractures from March of 2000 to June of 2002. The 11 male and five female patients ranged in age from 15 to 54 years (mean, 28.8 years). These patients had undergone primary reduction of medial orbital wall fractures and were observed for at least 2 months after surgery. Result: All of 16 patients showed a complete improvement of their preoperative symptoms. There were no intraoperative or postoperative complications. Conclusion: Endoscopic reduction of medial orbit wall fracture using an endonasal approach seems to produce good results and definite cosmetic advantages.

제2형 당뇨병 환자에서 우연히 발견된 기종성 방광염 1례

박보민,김윤정,이영태,노정현,권수경,김동준,고경수,이병두,임경호,이순희,박정현 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Emphysematous cystitis is an uncommon disease in which bacterias produce gas within the bladder wall and surrounding tissue. Patients with diabetes, neurogenic bladder and chronic urinary tract infection are predisposed to the disease. It is usually caused by E.coli and Klebsiella. Severity of illness ranges from an asymtomatic condition to life threatening cystitis. Succesful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. We report a case of 52-year-old woman who did not compain of symtoms of cystitis but epigastric pain, nausea, and vomitting. Emphysematous cystitis was revealed on the abdominal X-ray series incidentally. CT scans of the pelvis showed mottled gas bubble within the bladder. After treatment, the symtoms subsided and plain abdominal film showed no evidence of gas shadow in the pelvic cavity.

전통발효식품으로부터 Chitin 분해 미생물의 분리 및 특성 규명

고보경,최인순,이상현,임채오,이성호,갈상완,최영주 Plant molecular biology and biotechnology research 2004 Plant molecular biology and biotechnology research Vol.2004 No.-

A bacterial strain CJ-3 which produced chitinase was isolated from Korean traditional soy sauce. Using 16S rDNA analysis, the strain CJ-3 was identified as Bacillus atrophaeus. The approximate molecular weight of the putative chitinase enzyme was 31.0 kDa and the enzyme activity was remarkably induced by addition of colloidal chitin (0.5, 1.0, 2.0%). The antioxidant activity was increased 53% by the browning reaction products of B. atrophaeus CJ-3. Escherichia. coli lipopolysaccharides (LPS)-induced production of nitric oxide (NO) was reduced up to 45% by the browning reaction product in RAW264.7 macrophage. Inhibition of cell viability in the presence of LPS was recovered to normal level by the browning reaction product. These results suggest that browning reaction of B. atrophaeus CJ-3 plays an important role for activation of immune system. B. atrophaeus CJ-3 exhibited optimum temperature and pH of 37℃ and pH 7.8~8.0, respectively. The major intracelluar free amino acid was determined to be glutamate.

가스 분위기에서 제조한 Mg-Zn계 합금의 미세조직

엄정필,임수근,허보영 慶尙大學校生産技術硏究所 1995 生産技術硏究所論文集 Vol.11 No.-

Microstructure of Mg-1 ~ 6wt%Zn, Mg-1.5wt%Mn and Mg-2wt%Zn-1.5wt%Mn alloys have been investigated by means of hardness test, optical microscopy, scanning electron microscopy and energy dispersive spectroscopy. The Mg alloy castings have been casted into the metallic mold with room temperature, and cooling part of metallic mold have located in it's lower part. The microstructure of Mg-Zn cast alloys revealed MgZn compound around the secondary dendrite arms. Analysis by scanning electron microscopy/energy dispersive spectroscopy showed that the composition of MgZn compound was Mg-77wt%Zn, which corresponds with the value of Mg-74.5wt%Zn given by Clack and Rhines. The addition of Mn in Mg-Zn alloys refined the grain size in as-casted alloys. Manganese additions also increased the vickers hardness.

천측두 동맥류 1예

강성호,임대준,김동욱,김보형 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-

Superficial temporal artery aneurysm is a rare entity, which is related to blunt trauma. It was diagnosed with history, physical examination and CT or angiography. Aneurysm is simply treated with excision and ligation. We report a case with review of literature.

산성강하물의 침착량과 동태 해명에 관한 연구 -춘천과 서울 강우의 화학조성 비교 : Comparison of Chemical Composition of Rain Water between Chunchon and Seoul

김만구,강미희,임양석,박기준,황훈,이보경,홍승희,이동수 江原大學校 附設 環境硏究所 1999 環境硏究 Vol.16 No.-

The rain water samples were collected at Chunchon and Seoul by using wet only automatic sampler from January 1996 through December 1997. The daily base rain water samples collected over than 95% rainy events during the whole period. The samples were measured both pH and conductivity, and were analysed major ionic components, SO₄^(2-), NO₃^(-), Cl^(-), NH₄^(+), Ca^(2+), Na^(+) and K ^(+), by ion chromatography. In 1996, about 77% sampled rain water showed below pH 5.6 and the 60% of rain water was lower than pH 5.0. The volume weighted average pH was 4.7 at all sites. In 1997, the volume weighted average pH was 4.6 and 4.9 at Seoul and Chunchon, respectively. Among the rain water samples, 87% and 55% of samples showed below than pH 5.6 and 5.0, respectively. The pH value of Chunchon was significantly (p<0.05) lower than Seoul at the rain samples for less than 20 ㎜ rainfall. However conductivity of the rain samples were 20.9 μS/㎝ for 1996 and 27.7 μS/㎝ for 1997 at Seoul, and 19.1 μS/㎝ for 1996 and 14.1 μS/㎝ for 1997 at Chunchon. H₂SO₄AND HNO₃CONTRIBUTED 65.9% and 29.6% of free acidity at Seoul, respectively. The ratio of [NO₃^(-)]/[nss-SO₄^(2-)] were 0.43 at Seoul and 0.51 at Chunchon for rain samples for less than 20 ㎜ rainfall. The annual wet deposition of Cl^(-), NO₃^(-), SO₄^(2-), H^(+), Na^(+), NH₄^(+), K ^(+), Mg^(2+) and Ca^(2+), respectively, 568.8 ㎏/㎢, 1489.3 ㎏/㎢, 3184.8 ㎏/㎢, 20.9 ㎏/㎢, 249.4 ㎏/㎢, 1091.2 ㎏/㎢, 189.8 ㎏/㎢, 90.2 ㎏/㎢, and 702.4 ㎏/㎢ at Seoul for 1996; 656.4 ㎏/㎢, 2029.7 ㎏/㎢, 3280.7 ㎏/㎢,27.2 ㎏/㎢, 229.4 ㎏/㎢, 1063.9 ㎏/㎢, 106.9 ㎏/㎢, 7802 ㎏/㎢, and 645.3 ㎏/㎢, at Seoul for 1997; 116.9 ㎏/㎢, 983.3 ㎏/㎢, 1797.0 ㎏/㎢, 21.4 ㎏/㎢, 83.2 ㎏/㎢, 648.1 ㎏/㎢, 78.0 ㎏/㎢, 22.2 ㎏/㎢ and 368.8 ㎏/㎢ at Chunchon for 1996; 100.2 ㎏/㎢, 1077.6 ㎏/㎢, 1754.0 ㎏/㎢, 13.4 ㎏/㎢, 146.0 ㎏/㎢, 602.3 ㎏/㎢, 88.8 ㎏/㎢, 16.2 ㎏/㎢ and 206.8 ㎏/㎢ at Chunchon for 1997.

강우시 저수지 유입구간에서의 유사이송특성 해석

이종석,송부호,임영수 한밭대학교 건설안전기술연구소 2002 건설안전기술논문집 Vol.2 No.-

This study aims to analyze for a sedimentation distribution and a transport characteristics in inflow reaches of reservoir with rainfall. Study watershed in alluvial river system selected as a drainage area with Walha of small-river in Yunkee-Gun, Chungnam Province. Field measured technical method by the ASM(Argus Surface Meter)-Ⅳ offers various complementary results which provide to be extremely useful, for instance in sediment concentration and total sediment analysis, comparison variation of water pressure and temperature in measuring points. Measured sampling data analyzed for the hydraulic characteristics on the distribution of sediment concentration, temperature, water pressure, and total sediment discharge by the ASMA divided entirely, two or three into equal parts at the scales of measuring time and flow depth, respectively. As a results, effective analysis method show that three and two proportions at measuring time and flow depth scales, respectively, and the quantitative analysis proceed to use the plane coordinate system in deriving with the relationship of various parameters. By the analysis of plane coordinate system, sediment concentration distributions at the inflow reaches of reservoir of the rainfall periods show that increase with water temperature variation on the conditions in constant of discharge and flow velocity.