동맥혈 채혈후 시간 경과 및 온도 변화가 가스분압 및 PH 에 미치는 영향에 관한 연구

김동수,이승환,김건식,강화자,신광일,여민구 대한마취과학회 1989 Korean Journal of Anesthesiology Vol.22 No.6

Blood gas samples are highly susceptible to preanalytic error due to improper methods of obtaining or handling the sample prior to delivery to the laboratory. The errors in the measurement of blood gas analysis are currently derived from the exposure of sample to atmosphere, effects of anticoagulant itself, temperature difference between the measuring electrode and drawn blood and the delay in running the sample. To study the effects of the delay in measuring the sample and the temperature difference between the measuring electrode and drawn blood on values of blood gases and pH, we analyzed the arterial sampling from the 24 patients who were taking elective surgery or on his/her recovery period with indwelling arterial catheter. The plastic sampling syringes were kept at 4。C (refrigerator) or 22。-24。C (room temperature) and analyzed at regular intervals (1, 10, 30, 60,120 min) for 120 minutes. The following results were obtained: 1) When the arterial blood drawn from the anesthetized patients were stored 4。C, partial pressure of oxygen (PaO₂) decreased significantly after 20 min, whereas those stored at room temperature decreased significantly after 10 min. 2) When the arterial blood drawn from the recovery patients were stored at 4。C, PaO₂ did not decrease significantly through the experimental period of 120 min. Although those stored at room temperature did not decrease significantly through the period of 120 min. 3) Partial pressure of carbon dioxide in the arterial blood (PaCO₂,) drawn from the anesthetized patients increased significantly by 120 min. at 4。C, whereas those at room temperature increased significantly after 20 min. 4) PaCO₂, of the recovery patients increased signigicantly by 120 min. at 4。C, whereas those at room temperature increased significantly after 30 min. 5) pH of the arterial blood drawn from either anesthetized or recovery patients decreased significantly by 120 min. at 4。C, whereas those at room temperature decreased significantly after 60 min. 6) No significant changes al oxygen saturation (SaO₂) and content (CaO₂) were noted in either anesthetized or recovery. patients in accordance with time elapsed at 4。C or room temperature. In summary, as the changes of PO₂ in particular higher than physiologic PO₂ and PCO₂ in the arterial blood stored at room temperature are significant in accordance with the delay in measuring, it would be advisable to analyze the sample in a short period of time or to store it in a cool place when the measuring will be delayed.

국산 Lidocaine 알칼리화를 위한 Bicarbonate 혼합시 침전유발 최소량에 대한 고찰

이선호,김현수,곽인숙,안원식,최관호,김광민,손민제 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.39 No.5

Background : When local anesthetics for regional anesthesia is used, usually small amounts of bicar-bonate are added for rapid onset. This addition gives the mixed solution a more alkaline pH. The following result is an increased unionized form of the local anesthetic and rapid penetration of the drug into tiissue. Unfortunately, no data about adequate mixing volumes of domestic lidocaine and bicarbonate is available. Methods : We examined six mixing pairs of two kinds of 2% lidocaines and three kinds of 8.4% bicarbonates for minimum volumes of bicarbonate to cause a precipitation of 2% 20 ml lidocaine. Results : The mean volumes of bicarbonate to cause precipitation were 1.54 ml for Kwang-Myung lidocaine with Kwang-Myung bicarbonate, 2.90 ml for Kwang-Myung lidocaine with Dae-Won bicarbonate, 2.73 ml for Kwang-Myung lidocaine with Je-Il bicarbonate, 0.97 ml for Je-Il lidocaine with Kwang-Myung bicarbonate, 1.26ml for Je-Il lidocaine with Dae-Won bicarbonate and 1.39 ml for Je-Il lidocaine with Je-Il bicarbonate. Conclusions : We conclude that the Kwang-Myung lidocaine and the Je-Il lidocaine could cause precipitation when mixing with a smaller bicarbonate volume than foreign textbook recommended. (Korean J Anesthesiol 2000; 39: 726-729)

Precise determination of the lithium isotope ratio in geological samples using MC-ICP-MS with cool plasma

Choi, Min Seok,Ryu, Jong-Sik,Park, Ha Yan,Lee, Kwang-Sik,Kil, Youngwoo,Shin, Hyung Seon The Royal Society of Chemistry 2013 Journal of analytical atomic spectrometry Vol.28 No.4

<P>Lithium has two naturally occurring isotopes, <SUP>6</SUP>Li and <SUP>7</SUP>Li, with approximate relative abundances of 7.5% and 92.5%, respectively. Due to large Li isotope variations in nature, lithium isotopes have the potential to reveal important information relevant to nuclear technology, biomedicine, astrophysics, and geochemistry. With the advent of multi-collector inductively coupled mass spectrometry (MC-ICP-MS), studies of Li isotopes have largely focused on the analysis of geological materials, with varying degrees of accuracy. However, this technique has often been affected by either baseline interferences or isobaric interferences on mass 6 and 7 during ionization in Ar plasma, which is mainly due to the Li compound with hydrogen gas, and double-charged nitrogen and carbon ions at higher levels of RF power. In this study, we reduced baseline interferences in Ar plasma using a cool plasma (∼800 W) technique with a X-type cone. Lithium was separated using a cation exchange column (BioRad AG50W-X8, 200–400 mesh) with a mixture of 6 N HNO<SUB>3</SUB> and 80% methanol at <0.2 mL min<SUP>−1</SUP> elution speed. The short-term reproducibility of <I>δ</I><SUP>7</SUP>Li values of the NASS-5 seawater standard was 30.55 ± 0.45‰ (2<I>σ</I>, <I>n</I> = 15). Measured <I>δ</I><SUP>7</SUP>Li values of rock and seawater standards ranged from 2.48 to 30.55‰, in good agreements with reported values.</P> <P>Graphic Abstract</P><P>Average <I>δ</I><SUP>7</SUP>Li values of a pure L-SVEC Li solution and one passed through the column were 0.00 ± 0.23‰ (2<I>σ</I>, <I>n</I> = 26) and ¬0.01 ± 0.20 ‰ (2<I>σ</I> , <I>n</I> = 9), respectively, indicating that our chemical separation procedure for Li induces no mass fractionation. <IMG SRC='http://pubs.rsc.org/services/images/RSCpubs.ePlatform.Service.FreeContent.ImageService.svc/ImageService/image/GA?id=c2ja30293d'> </P>

대장직장 종양에 대한 내시경 점막하 절제술의 연대순 임상 결과와 학습 곡선

이상민 ( Sang Min Lee ),김은수 ( Eun Soo Kim ),박경식 ( Kyung Sik Park ),조광범 ( Kwang Bum Cho ),김동춘 ( Dong Choon Kim ),강유진 ( Yu Jin Kang ),이유진 ( Yoo Jin Lee ),이정민 ( Jung Min Lee ),최은성 ( Eun Sung Choi ),최재혁 ( Ja 대한소화기학회 2014 대한소화기학회지 Vol.64 No.4

Background/Aims: Endoscopic submucosal dissection (ESD) is an effective procedure for en-bloc curative resection of the colorectal tumor. As it requires high technical skills and experience in therapeutic endoscopy, it is important to understand learning curve of ESD technique. The aim of this study was to retrospectively describe the clinical results of ESD and to evaluate learning curve for the ESD of colorectal tumors. Methods: A total of 90 patients with 90 colorectal neoplasms, who had undergone ESD at a tertiary referral hospital from July 2009 to December 2012, were enrolled. The ESD was performed by a single endoscopist. All ESD cases were divided into three periods: first, cases 1-30; second, cases 31-60; and third, cases 61-90. Results: The en-bloc resection rates in third period (100%) was significantly higher than that of the first (93.3%) and second period (80%) (p=0.025). The perforation rate in third period (0%) also significantly decreased compared with that of the first (13.3%) and second period (20%) (p=0.032). To calibrate the difference of tumor size among periods, proficiency was calculated, as the procedure time per specimen area (min/cm2). The proficiency in third period (4.3) was significantly shorter than that of the first (16.8) and second period (10.2) (p=0.004). Conclusions: The learning curve of colorectal ESD in our study shows that at least 60 cases of ESD have to be conducted to acquire sufficient skill of degree without perforation. (Korean J Gastroenterol 2014;64:198-205)

대퇴골 경부 골절에 대한 임상적 고찰

민형식,이광진 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.1

27 cases of femoral neck fractures which were treated in department of orthopaedic surgery of CNUH from 1979 Jan. to 1985 Jan, were analysed clinically and radiologically. Very sensitive, noninvasive, simple and easily reproducible bone scanning with 99m Tc was introduced fro early diagnosis of avascular necrosis as a complication of femoral neck fracture. The results were as follows: 1. The most common cause of fracture was slipping and falling down. 2. In classification, transcervical and subcapital fractures were most common in anatomical classification, Pauwels' type I in Pauwels' classification and Garden stage 3 in displacement. 3. Singh index was decreased according to increase of physiological age. 4. Avascular necrosis develops commonly in Pawels' type 3, Garden's stage 4 and subcapital fracture. 5. Satisfactory results were obtained 75% in internal fixation and 85% in head replacement. 6. Bone scan is considered to be significant technique for early detection of vascular impairment to the femoral head after femur neck fracture, and is important in selecting the method of treatment according to results of bone scan.

外科영역의 感染症

閔珖植 대한감염학회 1976 감염 Vol.8 No.1

外科的疾患과 腹痛

閔珖植,許景渤 亞洲藥品 1987 臨床 醫藥 Vol.3 No.7

Hydrotalcite의 製造條件에 關한 硏究

안세민,신화우,최광식,이광표,장영수 원광대학교 식품약품안전성연구소 1993 食品藥品安全性硏究 Vol.6 No.-

Hydrotalcite is mainly used as a antacid and adsorbent. It is Well Known that the yield of hydrotalcite produced is greatly affected by the preparation conbition such as the reactant concetration, reaction temperature, reaction time, mole ratio of reactants and grying tepeeature, etc. the purpose of this study is to investigate the optimum preparation condition of hydrotalcite. Arandomived complete block design suggested by G.E.P.Box and K.B. Wilson was appliedfor this purpose. Hydrotalcite was prepared by reacting sodium carbonate. Magnesium oxide and Aluminum sulfate solutions in this study. The optimum preparation condition of hydrotalcite obtained from this study is as follows: 1) The reaction temperature range is 48-63℃ 2) The concentration of reactant solutions is about 20% 3) The optimum mole-ratio (MgO/Al. sulfate) is 7.35-8.1. 4) The reacting time tatge is 10-11 min.. 5) The drying temperature range is 78-82℃ The outcome of D.S.C. indicated a desolvation of hydrotalcite occured at about 98℃ The dehydration of the compound ceased at about 250℃, and the decarboxylation ceased at about 446℃ The physical and chemical properties of hydrotalcite as medicine were studied by use of chemical analysis, bulk volume test and acid consuming capacity measurements.

Effects of electroacupuncture on clod allodynia in a rat model of neuropathic pain : Mediation by spinal adrenergic and serotonergic receptors

Kim, Sun-Kwang,Park, Jung-Hyuk,Bae, Sang-JIn,Kim, JI-Hoon,Hwang, Byung-Gil,Min, Byung-Il,Park, Doing Suk,Na, Heung-Sik EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

The present study was performed to examine the effects of electroacupuncture (EA) on cold allodynia and its mechanisms related to the spinal adrenergic and serotonergic systems in a rat model of neuropathic pain. For the neuropathic surgery, the right superior caudal trunk was resected at the level between S1 and S2 spinal nerves innervating the tail. Two weeks after the nerve injury. EA simulation (2 or 100 Hz) was delivered to Zusanli (ST36) for 30 min. The behavioral signs of cold allodynia were evaluated by the tail immersion test{i.c., immersing the tail in cole water (4℃) and measuring the latency to an abrupt tail movement} before and after the stimulation. And then, we examined the effects of intrathecal injection of prazosin (α₁-adrenoceptor antagonist, 30 ㎍), yohimbine (α₂-adrenoceptor antagonist, 30 ㎍), NAN-190 (5HT_(1A) antagonist, 15 ㎍), ketanserin (5-HT_(2A) antagonist, 30 ㎍), and MDL-72222 (5-HT_(3) antagonist, 12 ㎍) on the action of EA simulation. Although both 2 Hz and 100 Hz EA significantly relieved the cold allodynia signs, 2 Hz EA induced more robust effects than 100 Hz EA. In addition, intrathecal injection of yohimbine, NAN-190, and MDL-72222, but not prazosin and ketanserin, significantly blocked the relieving effects of 2 Hz EA on cold allodynia. These results suggest that low-frequency (2 Hz) EA is more suitable for the treatment of cold allodynia than high-frequency (100 Hz) EA. and spinal α₂-adrenergic, 5-HT_(3), but not α₁-adrenergic and 5-HT_(2A), receptors play important roles in mediating the relieving effects of 2 Hz EA on cold allodynia in neuropathic rats.

Effects of electroacupuncture on cold allodynia in a rat model of neuropathic pain : Mediation by spinal adrenergic and serotonergic receptors

Kim, Sun Kwang,Park, Jung Hyuk,Bae, Sang Jin,Kim, Ji Hoon,Hwang, Byung Gil,Min, Byung Il,Park, Dong Suk,Na, Heung Sik KYUNG HEE UNIVERSITY MEDICAL CENTER 2006 고황의학상 수상논문집 Vol.21-22 No.-

The present study was performed to examine the effects of electroacupuncture (EA) on cold allodynia and its mechanisms related to the spinal adrenergic and serotonergic systems in a rat model of neuropathic pain. For the neuropathic surgery, the right superior caudal trunk was resected at the level between S1 and S2 spinal nerves innervating the tail. Two weeks after the nerve injury, EA stimulation (2 or 100 Hz) was delivered to Zusanli (ST36) for 30 min. The behavioral signs of cold allodynia were evaluated by the tail immersion test [i.e., immersing the tail in cold water (4℃) and measuring the latency to an abrupt tail movement] before and after the stimulation. And then, we examined the effects of intrathecal injection of prazosin (α_(1)-adrenoceptor antagonist, 30 ㎍), yohimbine (α_(2)-adrenoceptor antagonist, 30 ㎍), NAN-190 (5-HT_(1A) antagonist, 15 ㎍), ketanserin (5-HT_(2A) antagonist, 30 ㎍), and MDL-72222 (5-HT_(3) antagonist, 12 ㎍) on the action of EA stimulation. Although both 2 Hz and 100 Hz EA significantly relieved the cold allodynia signs, 2 Hz EA induced more robust effects than 100 Hz EA. In addition, intrathecal injection of yohimbine, NAN-190, and MDL-72222, but not prazosin and ketanserin, significantly blocked the relieving effects of 2 Hz EA on cold allodynia. These results suggest that low-frequency (2 Hz) EA is more suitable for the treatment of cold allodynia than high-frequency (100 Hz) EA, and spinal α_(2)-adrenergic, 5-HT_(1A) and 5-HT_(3), but not α_(1)-adrenergic and 5-HT_(2A), receptors play important roles in mediating the relieving effects of 2 Hz EA on cold allodynia in neuropathic rats.