관상동맥 시술 도중 발생한 좌주간부 관상동맥 박리에 대한 스텐트 삽입 치료의 단장기 임상 결과 : acute and long-term results

이세환,이승환,홍명기,김영학,이철환,한기훈,송종민,강덕현,송재관,김재중,박성욱,박승정 대한내과학회 2004 대한내과학회지 Vol.66 No.6

목적 : 심도자 사용 시술과 관련된 좌주간부 관상동맥박리에 대한 적절한 치료는 아직 확실히 정립되지 않은 상태이다. 이에 본 연구는 좌주간부 관상동맥 박리에 대한 스텐트 삽입술의 단장기 임상결과를 후향적으로 분석하였다. 방법 : 좌주간부 관상동맥 박리에 대한 치료로 즉각적인 스텐트 삽입술을 시행하는 것이 안전하고 효과적인 방법임을 가설하였고, 이러한 즉각적인 스텐트 삽입을 시행한 10명의 환자를 대상으로 단장기적 임상경과를 의무기록 고찰과 전화 면담을 통해서 평가하였다. 결과 : 전체 환자 모두 처음부터 좌주간부 관상동맥에 유의한 협착을 가진 환자는 없었으며, 8명의 환자는 심도자의 조작으로 인한 박리가 발생한 경우였고(진단적 혈관 조영술 중에 3명, 유도 도자 조작 중에 5명), 나머지 2명은 다른 병변에 스텐트 삽입시술을 하는 중에 박리가 발생하였다. 이 10명의 환자에서 모두 즉각적인 스텐트 삽입술이 시행되었고, 4명의 환자에서 시술 도중 혈압 저하로 Intra-aortic Ballon Pump (IABP)를 장착하였다. 모든 환자에서 성공적으로 스텐트가 삽입되었고, 병원내 사망은 1명도 없었다. 6개월 추적 관상동맥 조영술은 8명의 환자에서 시행되었다. 혈관 조영상의 재협착(직경 협착 50% 이상)은 8명 모두에게서 관찰되지 않았으며, 퇴원 후 평균 31±25개월의 추적관찰 결과 주요 심장사건은 1건도 발생하지 않았다. 결론 : 비록 대상 환자가 적은 연구였지만 좌주간부 관상동맥 박리에 대한 스텐트 삽입술은 기술적으로 안전하고 빠르게 시행 할 수 있으며, 훌륭한 단장기적인 치료 효과를 보여준다. Background : The optimal treatment of patients with left main coronary artery (LMCA) dissection during catheter-based procedure remains uncertain. We retrospectively analyzed the acute and long-term results of bail-out stenting for LMCA dissection. Methods : In cases with significant LMCA dissection occurring during catheter-based procedure, prompt stent implantation may be safe and associated with favorable clinical outcome. We evaluated the acute and long-term results of bail-out stenting for LMCA dissection occurring during catheter-bases procedure in 1- patients. Results : Initially, there was significant stenosis of LMCA segment in these patients. Catheter-induced dissection occurred in 8 patients (during diagnostic angiography in 3 patients and guiding catheter manipulation in 5 patients). Two patients suffered dissection in the setting of stent deployment in other vessels. Therefore, bail-out stenting LMCA dissection was performed in a total of 10 patients. In 4 patients, hypotension developed and intra-aortic balloon pump was placed during procedure. Stents were successfully deployed in all patients. There was no in-hospital mortality. Six-month angiographic follow-up was performed in 8 patients. Angiographic restenosis(diameter stenosis 50%) was not observed in all patients at follow-up study. During a mean follow-up of 31±25 months after hospital discharge, there was no major adverse cardiac event (death, myocardial infarction, and target lesion revascularization). Conclusion : Bail-out LMCA stenting is technically feasible, and showed good acute and long-term results in a small series of patients.

코스닥시장 등록 벤처기업의 재무적 특성

이기환,우재준,유학수 한국중소기업학회 2000 기업가정신과 벤처연구 Vol.3 No.1

This paper examines the financial characteristics of venture businesses listed on KOSDAQ. We compares the financial features of 94 venture businesses with 94 matching firms listed on KOSDAQ, focusing on profitability, growth, activity and productivity of both groups. The difference analysis of the financial ratios between venture and nonventure enterprises will be tested through t-test. The return on asset, the return on equity, and the growth rate of total asset of venture businesses are higher than nonventure businesses. This evidence is consistent with the existing result which the venture businesses show higher performance in the profitability. We found that venture businesses show lower debt ratio and liquidity than nonventure businesses. This suggests that venture enterprises should raise new funds from venture capital firms or other financial institutions in order to avoid the sudden default risk.

축하중과 첨가질량이 작용하는 적층복합판의 진동해석

이봉학,김경진,원치문,성기태 江原大學校 産業技術硏究所 1995 産業技術硏究 Vol.15 No.-

A method of calculating the natural frequency corresponding to the first mode of vibration of beams and tower structures, with irregular cross-sections and with arbitrary boundary conditions was developed and reported by D. H. Kim in 1974. IN this paper, hte result of application of this method to the laminated plates with axial forces and with attached point mass/masses is presented. Both N? and N? forces are considered. The solution for the laminated plates with arbitrary boundary conditions and irregular section can be obtained by simply obtaining the deflection influence coefficients by any method. The effect of neglecting the mass of the plates on the natural frequency, as the ratio of the point mass/masses to the plate mass increases, is thoroughly studied. The influence of N? and N? is also carefully investigated.

위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동

이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.

상악동 후비공 용종에서 줄기의 경로에 따른 상악동구 전산화단층촬영 소견

이승훈,박동우,이승로,함창곡,이학수,김용수,박충기 한양대학교 의과대학 2002 한양의대 학술지 Vol.22 No.2

Purpose: We evaluate the pathway of the stalk of antrochoanal polyp on the coronal and axial computed tomography scans (CT), comparing with operative findings. Materials and Methods: Fourteen patients (7∼40 years old, median= 12.5 years old, ratio of male to female: 8/6) with antrochoanal polyp were examined, who took the orbitomeatal unit (OMU) CT including both coronal and axial scans as well as the operation. The CT findings and clinical findings were analyzed for the pathway of the stalk of antrochoanal polyp, comparing with the operative findings. Results: The antrochoanal polyps were mostly located on the left side (12/14, 85.7%) and equally passed through the natural and accessory ostia (7/14, 7/14) in our cases. Those that were passing through the accessory ostium were located more inferiorly and posteriorly, with preserving the natural ostium on CT scans, comparing to those via the natural ostium. However, those passing through the natural ostium had a larger stalk that eroded the uncinate process widely. So each ostium was hardly discriminated on CT scans. Conclusions: The pathway of the stalk of the antrochoanal polyp could be more specifically evaluated on both coronal and axial OMU CT scans. So, it could be more hilpful in the presurgical planning.

Imidazole-Azo유도체의 Spectra

李學沂,林龍進 慶北大學校 1976 論文集 Vol.21 No.-

In order to investigate the possibility as a dyestuff, the spectra of imidazole azo derivatives were studied in comparison with phenyl azo ones. The λmax of imidazole azo derivatives was 17-23 nm longer wave region than that of phenyl derivatives and it means that imidazole azo dyes have more bathochromic effect than phenly azo dyes. The spectra of substituted 2'-oxyphenyl azo imidazole showed isosbestic points in accordance with the variation of pH range in the methanol-water solution. It will be due to the protonation and deprotonation of dyes in acid-alkali solution. The authors discussed these imidazole azo dervatives on the possibility as a disperse azo dye.

1, 4-디케톤 置換體의 디아조 化合物 合成

李學沂,金鴻洛,李信雄 慶北大學校 1987 論文集 Vol.44 No.-

There are numerous ways in the generation of carbene intermediates. The decomposition of diazo compounds is a quite general reaction for the carbene formation. However, the synthesis of the required diazo compounds has sometimes a limitation because the diazo compounds are unstable. The cis-form of hydrazone of substituted unsaturated 1,4-diketone usually gives substituted pyridazine which is not easily decomposed to produce carbene by heat or light. In this study, trans-1,2-dibenzoylethlene was prepared from maleic anhydride via three steps. Tosylhdrazones were obtained from the reaction of tosylhydrazine with t-1,2-dibenzoylethylene in THF. The tosylhydrazone of the ketone was reacted with base catalyst to give diazo compound, 1,2-bis (diazobenzoyl) ethylene in DMF with loss p-tolunesulfinate.

폴리프로필렌 纖維用 Carbene染料의 開發에 關한 硏究

李學沂,林龍進,민경은 慶北大學校 1982 論文集 Vol.33 No.-

Reactive dyes, which reaction center is carbene, were prepared and the dyeability of polypropylene fiber by those dyestuffs was investigated. Furthermore, a new say of dyeing and an applied technique for pretreating polypropylene with carbenic precursor were studied to improve dyeability. In this experiment, ketones were used as starting materials because these are mostly common functional group in dyes and dyestuff intermediates. Ketones could be changed to tosylhydrazone derivatives by tosylhydrazine in methanol at 0℃ in the presence of aqueous hydrochloric acid. Reactive carbenic dyes were prepared by the reaction of n-butyllithium and these hydrazone derivatives in ethly ether solvent. Dyed polypropylene showed excellent endurance to the light and preserverance to laundry, which were confirmed by means of blue and gray scales. The fact that polypropylene was bonded covalently to dyestuff molecules was confirmed by extraction and reprecipitation. Using the aldehyde as the starting material, carbenic precursor was also prepared analogous route to the dyestuff. After pretreating polypropylene fiber with this precursor, dyeing pattern of fiber in acidic media with butyl orange showed similar adsorption curve which is the typical results of acidic dyeing process. It means that polypropylene could be dyed easily in acidic media if it had pretreated by carbenic precursor.

NMR에 依한 trans-2-Butene-dial dioxime의 立體構造에 關한 硏究

李學沂,沈相喆,嚴在國 慶北大學校 1976 論文集 Vol.21 No.-

The structure of trans-2-butene-dial dioxime was investigated by means of NMR spectroscopy. Its conformer was found to have the planar structure conjugated with the double-bonds from the vicinal spin-spin coupling constants. The configurations of two oxime group were investigated from the solvent effects and assigned as the perfect symmetric structures, mixture of "syn-syn" and "anti-anti" forms.

NMR 스펙트라에 依한α, β-不飽和 히드라존 類의 形態 및 配列에 關한 硏究

沈相喆,李學沂 慶北大學校 1977 論文集 Vol.23 No.-

In order to investigate the conformations and configurations of N-N and N-C single bond of α·β-unsaturated hydrazones, i, e acetaldehyde phenylhydrazone, acetaldehyde methylhydrazone, cinnamic aldehyde methlhydrazone and cinnamic aldehyde phenylhydrazone were synthesized. The raction of αβ-unsaturated hydrazones, whose structures were determined by the anisotropic effect of benzene as N-H π-complex and spin-spin coupling constants of each proton. Both the experimental results and calculations showed that N-phenyl group in the molecule does not almost give the anisotropic effect to each proton.