최근 10년간 원광의대병원에서 시행한 소아 심장혈관 수술의 임상적 고찰

윤향석,정수미,최두영,오광수,오연균,김종덕,양현웅,이삼윤,김형곤,최종범,최순호,노병석 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

We reviewed 10 years experiences of the clinical aspects and early postoperative results in 544 pediatric patients(age less than 16 years old). Among them. 529 cases had the congenital heart diseases, and 15 had the acquired diseases. Open heart surgery was performed in 413 patients. 115 cases were treated with non-open heart surgery. 16 with interventional catheterization. Annual increase of the cardiac patients was not significant in recent 10 years, except slight increase in 1994. The mean age of the study patients had been evidently changed to younger year by year. Total mortality rate of the open heart surgery was 6.4%. The cyanotic congenital heart diseases were high in early postoperative mortality by 25.7%, whereas 4% in acyanotic group. The age group less than one month was most highest in surgical mortality(66.7%). There were no deaths in patients with patent ductus arteriosus(103 cases), atrial septal defect(83 cases) or pulmonary stenosis(17 cases). Among 220 patients with ventricular septal defects(VSD). 10(4.5%) were died early postoperatively. In cyanotic group, the patients with pulmonary atresia with ventricular septal defects(PAVSD), transposition of the great arteries(TGA), interrupted aortic arch(IAA), complex cardiac anomalies with isomerism seemed to be most susceptible to an early death.

원자력 발전소 핵연료 재장전을 위한 정지시 방사선준위 저감방법에 관한 연구

최형일,조영찬,오연옥 조선대학교 환경연구소 1999 環境硏究 Vol.15 No.1

During the shutdown of a pressurized water reactor, significant amounts of activated corrosion products were released. The recent recommendations by the Electric Power Research Institute for shutdown procedures aims to remove as much radioactivity as possible from the primary system. The Young-Gwang Nuclear Plant unit 4 performed a study to establish which conditions are reasonable to reduce the level of radioactivity in the primary system. The measurements include analysis of the reactor coolant, radioactivity in addition to boron concentration, pH, dissolved hydrogen and lithium concentration during shutdown. From these data estimates of the relation between Co-58 activity and other chemistry parameters (such as boron concentration, pH, dissolved hydrogen, lihthium concentration) have been made. The early removal of dissoled hydorgen and elevated boron concentration at acid reducing condition could affect the Co-58 dissociation rate. At acid oxidizing condition hydrogen peroxide could affect the dissolution of Co-58 which removed from the primary system. By using the purification ion exchanger remaining Co-58 could be removed to the level which primary manways of steam generator's can be open. The activity levels of each steam generator were lowered by 35% compared with that of last year. It indicates that low pH of the system chemistry through early removal of dissolved hydrogen and elevated boron concentration at high temperature accelerated the dissolution of Co-58.

(±)-Camphor가 ICR 마우스 수컷의 간 cytochrome P450 효소 활성에 미치는 영향

오은경,박형건,배기현,최옥진,최은경,최창근,한진희,정태천 한국환경독성학회 2002 환경독성보건학회지 Vol.17 No.4

Effects of (±)-camphor on liver cytochrome P450 enzymes were investigated in male ICR mice. Mice were treated intraperitoneally with 0, 200, 400 and 800 mg/kg of (±) -camphor in corn oil for 3 consecutive days. Twenty four hr after the final treatment, the animals were subjected to necropsy. The activities of serum aspartate aminotransferase and serum alanine aminotransferase were slightly changed by the treatment with (±)-camphor at the doses used. Administration o(±)-camphor to mice significantly induced the hepatic activities of pentoxyresorufin O-depentylase and benzyloxyresorufin O-debenzylase and weakly induced ethoxyresorufin O-deethylase in dose-dependent manners. The present results suggested that (±)-camphor might act as a relatively specific inducer of hepatic cytochrome P450 213 in male ICR mice.

아르곤 레이저를 이용한 광중합 수복재의 물리적 성질에 관한 연구

최형준,주상호,김성오,이종갑 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.2

The purpose of this study is to evaluate and compare the results of argon laser for 5 seconds, argon laser for 10 seconds, and visible light for 40 seconds photo-polyerization in compressive strength, microhardness, curing depth, temperature rising during polymerization, and polymerization shrinkage. Hybrid type composite resin(Z-100) and compomer (Dyract) were used to be compared. The compressive strength was measured by an Instron (1mm/min cross head speed) in 60 specimens and the microhardness of the surface was expressed by Vickers Hardness Number (VHN) in 30 specimens. The curing depth was evaluated comparing the different values of upeer and lower VHN according to irradiation time and thickness for the light sourece polymeriaztion in 60 specimens. the temperature rising during photopolymerization was observed by the temperature change with thermocouple sensitizer beneath 40 specimens at th argon laser for 10 seconds and visible light 40 seconds irradiation. the polymerization shinkage was evaluated by calculating the decrease of % volume by using a dilatometer in 30 specimens. The results were as follows : 1. In the case of compressive strength, the argon laser polymerization groups were higher than visible light group in Z-100 (p<0.05). In Dyract, the argon laser 5 seconds group did not show a significant difference with the visible light 40 seconds group. The argon laser 10 seconds group showed the markedly low value when compared with other g개ups (p<0.05) 2. In micriohardness, Z-100 was better than Dyract when comparing by VHNs(p<0.05) ; however, there was not a significant difference between two materials in the visible light 40 seconds group and the argon laser 10 seconds groups. 3. In the study of curing depth, Z-100 showed the consistent polymerization in argon laser irradiation because there was no difference in the VHN decrease according to the thickness change. Over the thickness control, the results did not show a significant difference between visible light and argon laser group in Z-100 ; however, in the case of Dyrct, the visible light 40 seconds group was better than the argon laser groups(p<0.05). 4. There was a significant difference between the two materials in temperature rising during polymerization (p<0.05), but not a significant difference between irradiation times. 5. There was not a significant difference between the two materials in polymerization shrink-age. The argon laser 5 seconds group was smaller than the other groups (p<0.05). It could be concluded that z-100 polymerization was recommended to use the argon laser for reduction of the irradiation time while Dyract was recommended to use the visible light polymerization.

육총용류의 면역증진 효과 비교 연구

오정석,함인혜,김형민,최호영 대한본초학회 2005 大韓本草學會誌 Vol.20 No.1

Objectives : This study was to investigate the anti-immobility effect of Cistanche deserticolae Herba (CD) and Cistanche salsae Herba (CS) Methods : Forced swimming test (FST) and changes of blood biochemical parameters related to fatigue, glucose (Glc), blood urea nitrogen (BUN), latic dehydrogenase (LDH) aspartate aminotransferase (AST), alanine aminotransferase (ALT) and total protein (TP) were investigated. Results : CD and CS were orally administered to mice for 7 days. After 7 days, the immobility time was significantly decreased in the CD-treated group and CS-treated group in comparison with the control group. The contents of serum AST were significantly decreased and contents of Glc and LDH were decreased in CD-administration group . However, it had no effect on the elevation of TP level, whereas, the contents of GIc were increased and the contents of ALT, BUN and LDH in the blood serum were decreased in the CS (0.01 g/kg/day)-fed group. Conclusions : These results suggest that Cistanche herba, CD and CS may have immune-enhancing effect.

원자력 발전소 핵연료 재장전을 위한 정지시 방사선준위 저감방법에 관한 연구

최형일,조영찬,오연옥 조선대학교 환경공해연구소 1999 環境公害硏究 Vol.15 No.-

During the shutdown of a pressurized water reactor, significant amounts of activated corrosion products were released. The recent recommendations by the Electric Power Research Institute for shutdown procedures aims to remove as much radioactivity as possible from the primary system. The Young-Gwang Nuclear Plant unit 4 performed a study to establish which conditions are reasonable to reduce the level of radioactivity in the primary system. The measurements include analysis of the reactor coolant, radioactivity in addition to boron concentration, pH, dissolved hydrogen and lithium concentration during shutdown. From these data estimates of the relation between Co-58 activity and other chemistry parameters (such as boron concentration, pH, dissolved hydrogen, lihthium concentration) have been made. The early removal of dissoled hydorgen and elevated boron concentration at acid reducing condition could affect the Co-58 dissociation rate. At acid oxidizing condition hydrogen peroxide could affect the dissolution of Co-58 which removed from the primary system. By using the purification ion exchanger remaining Co-58 could be removed to the level which primary manways of steam generator's can be open. The activity levels of each steam generator were lowered by 35% compared with that of last year. It indicates that low pH of the system chemistry through early removal of dissolved hydrogen and elevated boron concentration at high temperature accelerated the dissolution of Co-58.

當歸類가 혈관신생에 미치는 영향에 대한 비교연구

吳霞植,金亨煥,安德均,崔湖榮 대한본초학회 2001 大韓本草學會誌 Vol.16 No.2

A rat sponge implant model was used to examine the angiogenic effect of water extract of Angelica Gigantis Radix (EAG). Angelica Sinensis Radix (EAS) and Angelica Radix (EAA). It was based on subcutaneous implantation of sterile polyester sponges in the Sprague Dawley (SD) rat and we have characterized a dye method that incorporates 5% carmine red in 10% gelatin. Vascularity index (V.I.) expressed as ㎍ dye/㎎ dry tissue. The result of study is as follows; 1. Subcutaneous implantation of sterile polyester sponges in SD rats enhanced the angiogenesis over 14 days, as determined by measurements of relative angiogenic effects by a vascularity index. 2. Daily oral administration (100 ㎎/㎏ for 14 days) of EAS and EAA produced weak effect on sponge-induced angiogenesis but EAG caused intense neovasculalization. 3. PBS (50 μ1) and EAG (100 ㎎/㎏) - induced angiogenesis represents a special form of angiogenesis. 4. The vasoconstrictor peptidem, angiotensin Ⅱ(AⅡ), in daily doses of 100 nmol, caused an intense neovascularization and coadministration of the AⅡ (100 nmol) and EAG (100 ㎎/㎏), AⅡ and EAS (100 ㎎/㎏) and AⅡ and EAA (100 ㎎/㎏) produced angiogenic effect. Especially, AⅡ (100 nmol) and EAG (100 ㎎/㎏) caused very potent angiogenesis. We have shown that oral administration of EAG (100 ㎎/㎏) induced angiogenesis. Thus the sponge model offers a new means for continuous and reproducible studies on the controlling mechanisms of angiogenesis.

응급의료센터에서 신경색의 조기진단

최경호,오동렬,이원재,박규남,박승현,황두영,김형국,정시경,김영민,김세경 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

To evaluate appropriate diagnostic studies for renal infartion in emergency medical center, we analysed 33 patients of renal infarction treated in this hospital for last 8 years. Eleven patients, 4 trauma associated and 7 aortic disease associated patients were excluded. They are 11 males and 11 females with a mean age of 51 years. Fourteen came to the emergency medical center and seven came to the outpatient department, in the other one patient renal infarction was developed during hospitalization with other disease. On their past history they had hypertension in 9, valvular heart disease in 5, and diabetic mellitus in 4 patients. Abdominal or flank pain was noted in 17 of 22(77%). The other symptoms were vomiting, nausea, fever and so on. On microscopic examination of initial urine in hospital, 5 patients showed more than 10 red blood cells by high power field examination. The mean lactic dehydrogenase level was 1,239 I.U/L(normal range 218-472 I.U/L), while the mean aspartate aminotransferase and mean alanine aminotransferase were 51 I.U/L(normal range 13-36 I.U/L) and 44 I.U/L(normal range 5-33 I.U/L). Abdominal ultrasonography showed positive findings in 5 of 16(31%), of which 3 were confirmed by Doppler ultrasonography. In 18, computed tomography was done and all those showed positive findings of renal infarction(100%). In conclusion, it is important that identify the elevated lactic dehdrogenase level in case of any suspicion about renal infarction and confirm by computed tomography.

In Vitro 고삼투압이 정자 원형질막의 Protein Tyrosine Phosphorylation에 미치는 영향

오영근,장재호,최인호,정노팔,신형철,곽병주 대한의생명과학회 2000 Journal of biomedical laboratory sciences Vol.6 No.4

정자의 원형질막은 삼투압에 의해서 영향을 받는다고 보고되고 있다. 이중 세포막내 분자구조의 변화 특히 막지질 구조의 변화와 동반되는 이온채널의 변화 그리고 Ca2+과 HCO-3의 유동성과도 밀접한 관련이 있는 것으로 보고되고 있다. 지금까지의 연구보고에 의하면, 정자의 첨체반응 (acrosome reaction)이 일어날 경우 protein tyrosine phosphorylation이 증가되는데 이것은 cAMP, protein kinase A 등을 통하여 작용되는 것으로 보고되고 있다. 막의 지질변화를 유도하는 물질로 일종의 sterol acceptor인 BSA가 알려져 있는 바, 실제로 BSA가 막지질 성분에 미치는 영향을 관찰한 결과 cholesterol이 유출되고 이온 등의 유동성 변화가 일어나, 이 유동성 변화가 정자의 adenylyl cyclase를 활성화시켜 cAMP를 증가시키고, PKA가 활성화되어 결과적으로 Protein tyosine phosphorycation이 유도된다고 보는 것이다. 침체반응과 protein tyrosine phosphorylation과는 밀접한 관계가 있는 것으로 사료되고 있다. 본 연구는 정자 원형질막에서 cholesterol이 유출되어 protein tyrosine phosphorylation이 유도될 때, BSA와 같은 sterol acceptor가 작용할 것이라는 전제하에, 고삼투압 하에서 탈수로 인해 원형질막이 위축되더라도 sterol acceptor가 존재한다면 막지질 성분의 구조적 변화가 억제 될 수 있을 것이라는 가설을 설정하였다. 실험결과, 저온 및 고삼투압 하에서 정자운동은 감소되지만 원형질막의 구조적 변화는 없고, 삼투압에 대한 반응정도는 원형질막을 통한 수분이동과 세포용적 변화에 따라 비례적으로 일어난다고 하는 사실을 발견하였다. 이 결과는 정자보존에 있어서 저온변화에 영향을 미치는 여러 인자들 특히 protein fgrosine phosphorylation의 증가와 밀접한 관계가 있음을 시시해 준다. 또한 sterol acceptor로 알려진 BSA는 삼투압이 변화되더라도 역시 중요한 인자로 작용할 수 있음을 알 수 있었으며, 특히 고삼투압으로의 변화는 cAMP와 protein kiname A를 거치는 신호전달과정에 있어서 중요한 요인이라는 사실을 확인할 수 있었다. It has been reported that plasma membrane activity of the spermatozoa may be susceptible to be influenced by extracellular osmolality and such membranous changes involve intracellular molecular changes, special regard to the structure of membranous lipids, and the accompanying ion-channel of which are closely related with their fluidity of Ca2+ and HCO-3. It is of common recognition that a certain kind of sterol acceptor player an important to induce lipid fluctuation of the sperm plasma membrane which have been influenced by BSA administration and came in effect to outflow of cholesterol from the spermatozoa and resulted in changes of ionic fluidity to facilitate adenylyl cyclase, and to induce protein tyrosine phosphorylation by increase of cAMP and activation of PKA. Thus it seems likely that an augmentation of the acrosomal reaction is closely related with protein tyrosine phosphorylation. The following experimental results were obtained in the present study; Under the high osmolality conditions, the spermatozoa motility declined significantly and the structural change of the plasma membrane diminished to confirm that the response degrees to the osmolality depended upon the water transfer volume through the plasma membrane and the changes of cellular volume. Those experimental results suggest that a physiological parameter such as low temperature condition played an important role for presentation of spermatozoa and that inducement of spermatozoa activation for reinforcement of protein tyrosine phosphorylation. On the other hand, it seemed likely that the BSA administration as one of sterol acceptors might represent a key role also under the high osmolality condition and their result also suggests that osmolality change, special regard to high osmolality condition may play an important role also in the processes of signal transmission

유동층을 이용한 탈황제의 마모특성에 관한 연구

오광중,김형국,최은화,조기철 부산대학교 환경문제연구소 1999 環境硏究報 Vol.17 No.1

For the efficient energy use and the protection of environmental pollution, attrition characteristics, depending on the component and the condition of sorbent for the purification of fuel gas, were analyzed by a fluidized-bed tester. Results of these studies can be summarized follows. 1) When Mn-based sorbent(M, MT, MFT) prepared with varying addictives and induration conditions was compared in terms of particle size distribution and AI(Attrition Index), MT and MFT possessing TiO2 and Fe203 had much higher attrition resistance than M. Attrition resistance of M, MT and MFT increased as bentonite contents and induration temperature increased, when bentonite contents induration temperature were changed from 2 to 5% and from 1000 to 1100℃, respectively. Therefore when powdery catalysts are prepared, the attrition rate can be considerably affected by the controls of addictive, binder and induration temperature. 2) Attrition tests using MT1100-5 were performed under the conditions that particle size distribution was uniform and had much more over +270mesh and under -325mesh. AI due to attrition was 8.83, 21.54 and 1.67%, respectively. Thus, initial particle size distribution showed a great influence on both produced fines distribution and attrition loss. Therefore, the size distribution of particles injected initially and the particle size that carried over showed be considered to reduce the loss of particulate materials and the replacement cost due to attrition. 3) An experiment using MT1100-5 sorbent was also carried out to predict AI as a function of time and particle size distribution during 23hr. AI of prepared sorbent was 4.54, 7.73, 9.08, 11.35 and 12.48 after 1.5, 3, 5, 9 and 23hr. respectively. Thus, it was shown that the amount of produced fines during the same time was shorten with the increase of time. The operating condition of dust capturing equipment and the rate of powder exchange needs to be considered because most of the fines due to fluidization of particulate material was generated at initial operation.