Multiple Markers of Contrast Induced Nephropathy after the Percutaneous Coronary Intervention

Byoung-won Park,Seong Soon Kwon,Min Ho Lee,Do Hoi Kim,Min Su Hyon,Duk Won Bang 순천향대학교 순천향의학연구소 2018 Journal of Soonchunhyang Medical Science Vol.24 No.1

Objective: Contrast-induced nephropathy (CIN) frequently occurs after percutaneous intervention. Objective of this study was to investigate the usefulness of serum cystatin C, neutrophil gelatinase-associated lipocalcin (NGAL), urinary kidney injury molecule-1 (KIM-1), and interleukin-18 (IL-18) as early predictors for CIN after percutaneous coronary intervention (PCI). Methods: In 53 patients who underwent PCI were enrolled. Serum creatinine and cystatin C level were measured immediately before, and 24 hours and 48 hours after catheterization. Serum NGAL, urinary KIM-1, and IL-18 were measured immediately before, and 4 hours, 24 hours, and 48 hours after catheterization. CIN was defined as a rise in creatinine 0.5 mg/dL or 25% above baseline. Results: CIN occurred in four patients (7.5%). Serum cystatin C levels were higher at 24 hours and 48 hours in CIN patients than in those without CIN (P<0.05). Serum NGAL levels were higher at 48 hours in CIN patients than in those without CIN. Urinary KIM-1 levels were higher at 48 hours in CIN patients than in those without CIN. There were no significant markers of CIN on multi-variate analysis. Conclusion: In this study, the occurrence of CIN after PCI was 7.5%. Although there were some time-course changes in serum cystatin C and urinary KIM-1 after PCI, there was no significant predictor for CIN after PCI.

만성 심부전환자의 혈액에서 측정한 Tumor necrosis factor-α 및 Interleukin-6의 임상적 의의

김명구,김성구,박상호,한대희,강진환,변정득,심규혁,최병조,방덕원,온영근,현민수,권영주 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Background and objectives: Many conditions are responsible for the pathophysiology and progressive mechanisms of congestive heart failure. More recently, it has also become evidence that another class of biologycally activated molecules generically reffered to as cytokine these are also over expressed in congestive heart failure. Therefore, the purpose of this study was to measure concentrations of tumor necrosis factor-α(TNF-α), interleukin-6(IL-6) in mild to severe symptoms of heart failure and compare their values with those found in normal control and analysed correlation relationship between cytokine level, clinical findings and hemodynamic indicies. Subjects and Methodology: Levels of TNF-α and IL-6 were measured on pulmonary artery during cardiac catheterization in heart failure patients(n=32) and normal subjects(n=8) as well as physical examination and echocardiogram. Cytokines assay were performed on plasma using commercially available ELISA(Enazyme-Linked Immunosorbent Assay) kits. Results: Although the levels of TNF-α and IL-6 tend to increase in congestive heart failure group, the cytokines level was not made significantly statistical difference between congestive heart failure group and controls. When analyzing the correlation between the levels of PCWP(pulmonary capillary wedge pressure) and cytokines(TNF-α, IL-6), respectively, there were statistically significant correlation coefficient 0.32,(p<0.05), 0.39(p<0.01). The cytokine IL-6 and pressure of pulmonary artery were significant correlation.(correlation coefficient 0.36, p<0.02) More significantly, there was correlated with TNF-α and IL-6.(correlation coefficient 0.57, p<0.001) Conclusions: There was tended toward high concentration of TNF-α & IL-6 in congestive heart failure and significant difference for PCWP between TNF-α & IL-6, thus may be correlated with development and progression in congestive heart failure.

메탈라스와 와이어메쉬로 횡구속된 철근 콘크리트 기둥의 내력 및 연성에 관한 연구

김병철,이우진,정덕우,윤승조,김성수,한천구 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

Generally, transverse steel in reinforced concrete column serves the three-fold function of confining the compressed concrete, preventing lateral buckling of the longitudinal reinforcing steel, and acting as shear reinforcement. However, the amount of confining steel required in the form of rectangular hoops is still argument. This paper summarizes the results of an experimental program where 10 short columns with compressive strength 21MPa are designed with variable lateral confinements such as Metal Lath and Wire Mesh were tested under monotonic axial compression to failure. The columns were 300mm square and 750mm high. The purpose of this study is to investigate the ductility and strength of columns with variable lateral confinement. Test results indicate that specimen confined by metal lath and hoop, and wire mesh and hoop show 1.89 times ductility than NO.I specimen using hoop only. However, effect of lateral confinement by metal lath and wire mesh is how or same than NO.I specimen in maximum strength.

허혈성 심질환에서 염증지표에 관한 연구

번정득,권영주,박상호,한대희,이상철,강진환,김명구,심규혁,최병조,온영근,현민수,김성구 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Background : Atherosclerosis is the chief underlying cause of ischemic heart disease and there is increasing evidence that inflammation is an important determinant of the development of atherosclerosis. We assessed the levels of inflammatory markers in patients with ischemic heart disease and normal group who has normal coronary angiograms. Materials and Methods : Coronary angiography was performed in 142 patients. 107 patients of ischemic heart disease(stable angina pectoris 58, unstable angina pectoris 30, Acute myocardial infarction 19) and 38 normal control subjects. We assessed the level of inflammatory markers, such as CRP, ESR, fibrinogen and leukocyte. Results : CRP, ESR and fibrinogen values of the patients with stable angina pectoris and unstable angina pectoris were higher than that of normal control group, but there were no statistical significance. Leukocyte value of the patients with unstable angina pectoris(9003.3±701.5/mm^(3)) was significantly higher than that of the patients with stable angina pectoris(6685.5±245.8/mm^(3)) and normal control subjects(6394.3±235.1/mm^(3)). CRP, ESR and fibrinogen values of the patients with acute myocardial infarction were also higher than that of normal control subjects. CRP was 3.88±2.05 mg/dL in acute mocardial infarction group, and 0.29±0.15 mg/dL in normal control subject group(p<0.05). Fibrinogen was 541.6±45.1 mg/dL in acute myocardial infarction group, 321.4±25.6 mg/dL in normal control subject group(p<0.05). Leukocyte was 10942.1±737.6/mm^(3) in acute myocardial infarction group, 6394.3±235.1/mm^(3) in normal control subject group(p<0.05). Conclusions : This study demonstrate that CRP, fibrinogen and leukocyte values of acute myocardial infarction group were significantly higher than that of control group and stable, unstable argina pectoris group. Leucokyte values were significantly elevated in unstable angina group, but CRP values were not in unstable angina group.

쇄석말뚝의 지지력에 관한 실험적 연구

이재덕,이상익,김병일,박용원 명지대학교 산업기술연구소 2001 産業技術硏究所論文集 Vol.20 No.-

Crushed Stone Pile(CSP) is suitable for improving soft silts and clays and loose silty sands. The effects of this method are increasing bearing capacity and slope stability, reducing settlement, increasing the time-rate of consolidation, and reducing liquefaction potential. In this study several model tests are carried out to investigate the bearing capacity of CSP treated ground. The results show that bearing capacity increases with the area replacement ratio and the preconsolidation pressure of the ground.

UHF 대역의 휴대전화 착신기능 제한 시스템의 설계 및 제작

남효덕,김종석,김병철 嶺南大學校 工業技術硏究所 2001 工業技術硏究所論文集 Vol.29 No.2

As demands grow for restricting use of cellular phones by attendants in the public places such as conference rooms, churches, and playhouses etc., a call blocking system against UHF band cellular signals is developed for other attendants who do not want to be disturbed by the phone rings. The idea of preventing a cellular phone from ringing was developed from the fact that the system radiates interferent signals having 0.1 to 0.05 watts of CW wave, makes it possible to increase the error rates of output signal of PSK modem, and hence makes the cellular phone Impossible to receive the right call signal. The system designed in this study was set up and tested in the several public places and found itself very effective.

단일 사례 사격선수의 집중루틴 훈련의 효과

장덕선,김병준,구해모,신동성 한국스포츠심리학회 2004 한국스포츠심리학회지 Vol.15 No.1

본 연구는 소총사수 P의 집중력 훈련에 관한 것이다. P 선수는 만 21세의 남자선수로서 운동경력은 8년이며, 10M 공기소총이 주종목이다. 집중력훈련은 단일사례실험 중 가장 단순한 시계열 설계인 AB 설계를 적용하였다. A단계에서 집중력, 주의력 질문지가 1-2주 간격으로 4회 반복측정 되었으며, B단계는 7월-10월까지 집중력 훈련이 진행되는 기간으로 개별면담과 질문지 측정, 수행평가를 위한 시합기록이 수집되었다. 집중력 질문지는 1개월에 1회 측정되었고, 주의력 검사지는 집중훈련 전과 후에 각각 한차례 시행되었다. 집중 루틴은 선수의 개인적 습관과 장점을 최대한 존중하여 훈련과 최고시합 때 습관적으로 하는 행동과 생각을 포함시켜 상당한 시합 부담 상황에서도 최고시합때의 행동과 생각의 흐름을 유지할 수 있도록 강력한 의미를 가진 행위와 키워드로 구성하였다. 완성된 루틴 프로그램은 4개월 훈련 후 집중력과 주의력, 수행평가를 실시하였다. 훈련결과 루틴 훈련은 집중조절 능력을 향상시켰으며, 주의유형은 긍정적인 형태는 증가하고 부정적 형태는 감소하였다. 수행 기록은 루틴 훈련 과정에서 출전한 5회 시합에서 모두 결선에 진출하므로서 수행향상에도 기여한 것으로 밝혀졌다. This study is about a concentration training of a rifle Marksman, P, The male Marksman P is 21 years old, and has played a rifle for eight years. His major is 10M air rifle. We apply AB design which is the simplest time-series design among single case experiments. In A step, we have applied the questionnaire for examining the ability of concentration and attentiveness for four times at an interval of 1 or 2 weeks. In B step, we developed a programme for improving the concentration training and applied it to the player. During the training in B step, which had continued from July to October, we have collected individual interviews, survey, records of games in order to evaluate achievement. The questionnaire for concentration has been served once a month, and the TAIS has been operated once each time before and after the concentration training. The concentration routine is directed to the way of considering the athlete's personal habit and merit most. Therefore, the concentration routine includes the essential matters of habitual acting and thought in ordinary training and in the final match. The concentration routine is consist of powerful meaningful movement and keyword in order to maintain the stream of movement and thought at the final match even though the Marksman is under the heavy pressure of the game. The practice evaluation has been done by a completed routine programme after the four-month-training. After examining the result of the evaluation, the concentration training improves the ability of controlling concentration. The positive type of TAIS is increased and the negative type is decreased. About the record of achievement, the player had advanced to the final once before the training, on the other hand, advanced to all the five final matches after the training. Consequently, it is discovered that the concentration training contributes to the achievement.

구강조직결손재건

유재덕,김동철,박병윤,신극선,이영호 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.2

Defects of oral cavity occur in the course of treatment by surgery of cancer in the head and neck. More often they are the results of surgery after previous operation and irradiation already have been tried in an attempts to eradicate the primary cancer. The methods for repairing the oral cavity are variable and vary depending upon exisiting conditions and individual preference. Familiarity with the different techniques is necessary so that one suitable for the problem may be selected. Several methods of repair are known which utilize flaps designed from the forehead, the neck and deltopectoral area, but reconstruction with these flaps often fails because of the poor vascular supply due to previos surgery and irradiation in this area. So it is necessary to select the flap which not only have more abundant vascular supply but also serve to nourish the scarred bed, damaged by irradiation, that is implanted, Myocutaneous flaps have the advantage of transffering well vascularized tissue for reconstruction. Moreover, the free flap transfer has not yet proven to be thoughtly reliable, if it is indicated in selected cases, it may be a better reconstruction for the repair of the oral cavity. In this papers, we demonstrate the versality and different kinds of the methods which were used by describing experineces of 8 flaps, 7 myocutaneous flaps and 1 free flap.

상아질 접착제의 두께가 치아와 복합레진 경계의 응력발생에 미치는 영향에 관한 유한요소법 연구

박상일,김예미,노병덕 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.5

이 연구의 목적은 5급 와동의 복합레진 수복에서 상아질 접착제를 비교적 두껍게 도포하거나 낮은 탄성계수(low elastic modulus)를 가진 복합레진을 선택하는 방법을 택하여 수복물의 탄성율의 차이에 따른 치아와 복합레진 경계에서 발생하는 응력의 차이를 알아보는 것이었다. abfraction 병소가 있는 하악 제 1소구치를 유한요소법을 이용하여 모델로 만들었다. 병소는 상아질 접착제의 두께 (50㎛, 100㎛, 150㎛) 및 복합레진의 종류를 달리하며 수복되었다. 170N의 교합압을 협측 또는 설측에서 가하여 상아질 접착제와 치아면에서의 Von Mises stress를 측정하였다. 상아질 접착제의 두께가 두꺼울수록 상아질 접착제면에 가해지는 Von Mises stresss 는 감소하였다. 낮은 탄성계수 값을 가진 복합레진에서 Von Mises stress가 더 작았다. 치근상아질 경계 (margin)가 법랑질 경계에서보다 더 큰 응력이 발생하였다. 상아질 접착제면에 작용하는 교합압의 영 향을 감소시키기 위해 상아질 접착제를 두껍게 바르거나 낮은 탄성계수 값을 가진 복합레진을 사용하는 것이 추천된다. The aim of this study was to examine that thick dentin bonding agent application or low modulus composite restoration could reduce stresses on dentin bonding agent layer. A mandibular first premolar with abfraction lesion was modeled by finite element method. The lesion was restored by different composite resins with variable dentin bonding agent thickness (50㎛, 100㎛, 150㎛). 170N of occlusal loading was applied buccally or lingually. Von Mises stress on dentin bonding agent layer were measured. When thickness of dentin bonding agent was increased von Mises stresses at dentin bonding agent were decreased in both composites. Lower elastic modulus composite restoration showed decreased von Mises stresses. On root dentin margin more stresses were generated than enamel margin. For occlusal stress relief at dentin boning agent layer to applicate thick dentin bonding agent or to choose low elastic modulus composite is recommended.

운동신경원성 질환을 동반한 전측두엽 치매 1례

최성혜,나덕렬,김병준,이정일,서연림,김상은 대한신경과학회 1998 대한신경과학회지 Vol.16 No.4