http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
만성 비판막성 심방세동의 전기적 심율동전환후 장기 추적관찰 성적
전성희(Seong Hee Jeon),현민수(Min Su Hyon),이상훈(Sang Hoon Lee),조성제(Sung Je Cho),고경환(Kyung Whan Ko),윤재형(Jae Hyung Yoon),이수금(Su Geum Lee),김명아(Myung A Kim),박성훈(Seong Hoon Park) 대한내과학회 1999 대한내과학회지 Vol.56 No.4
N/A Objectives : We performed a prospective observation for the patients with chronic nonvalvular atrial fibrillation who underwent electrical cardioversion after failed pharmacological cardioversion with amiodarone. The aim of this study was to look at the immediate sinus conversion rate, the maintenance rate of sinus rhythm at long-term follow-up, and the clinical and echocardiographic parameters that influence on the rate of immediate sinus conversion and maintenance of sinus rhythm. At simultaneously, we intended to evaluate the efficacy of electrical cardioversion for the patients with chronic nonvalvular atrial fibrillation. Methods : After anticoagulation therapy with coumadine for four weeks before cardioversion, we tried pharmacological cardioversion with amiodarone first. Failed cases included in this study. The direct current cardioversion was performed under transesophageal echocardiography monitoring to exclude the left atrial thrombus and to measure various echocardiographic parameters. After successful sinus cardioversion, we prescribed amiodarone with maintenance doses and coumadine at least 4 weeks. Transthoracic echocardiography was performed before cardioversion and one day, one month, 3 months, 6 months, and 9 months after sinus conversion. The minimum duration of atrial fibrillation was one month before the trial of pharmacological cardioversion. Results : 1) The total number of patients was forty three (male : 28, female : 15, average age : 60±9). The initial success rate of sinus conversion was 88 %. 2) The maintenance rate of sinus rhythm with maintenance dose of amiodarone was 52 % after 9 months follow-up. 3) The direct current cardioversion was performed to 10 patients among 17 patients who recurred atrial fibrillation after sinus conversion. Among 10 patients, 5 patients of them were converted to sinus rhythm and maintained sinus rhythm after 9 months follow-up. 4) The initial success rate of sinus conversion was significantly higher in patients with lone atrial fibrillation compared with those patients with other associated heart disease (100 % vs. 83 %, p < 0.05), but the long-term maintenance rate of sinus rhythm was not influenced by the presence of associated disease. 5) The duration of atrial fibrillation before cardioversion was shorter in patients who were naintained sinus rhythm than that of those who were recurred atrial fibrillation. 6) The initial energy requirement at sinus conversion was lower in the patients who were maintained sinus rhythm than that of those who were recurred atrial fibrillation at 9 months follow-up. Conclusions : Direct current cardioversion was an effective treatment modality for patients with chronic nonvalvular atrial fibrillation after failure of pharmacological cardioversion with amiodarone.
김재성,홍석근,현민수,황흥곤,류재춘,전성희,김우규,김정경 대한내과학회 1999 대한내과학회지 Vol.56 No.2
Osteogenesis imperfecta is one of the groups of hereditary disorders of connective tissue which includes the Ehlers-Danlos syndrome, the Marfan syndrome, pseudoxanthoma elasticum, and Hurler syndrome. While cardiovascular involvement is associated with each of these disorders, it is least common in osteogenesis imperfecta and is overshadowed by the bony, ocular, otologic, cutaneous, and dental manifestations that are characteristic of the disorder. In evaluating patients with osteogenesis imperfecta, careful attention should be paid to cardiovascular findings and if valvular lesions are noted, patients should be instructed regarding the need for antibiotic prophylaxis for dental and surgical procedures. We report a case of osteogenesis imperfecta associated with aortic regurgitation.
Nafamostat mesilate promotes endothelium-dependent vasorelaxation via the Akt-eNOS dependent pathway
Choi, Sujeong,Kwon, Hyon-Jo,Song, Hee-Jung,Choi, Si Wan,Nagar, Harsha,Piao, Shuyu,Jung, Saet-byel,Jeon, Byeong Hwa,Kim, Dong Woon,Kim, Cuk-Seong The Korean Society of Pharmacology 2016 The Korean Journal of Physiology & Pharmacology Vol.20 No.5
Nafamostat mesilate (NM), a synthetic serine protease inhibitor, has anticoagulant and anti-inflammatory properties. The intracellular mediator and external anti-inflammatory external signal in the vascular wall have been reported to protect endothelial cells, in part due to nitric oxide (NO) production. This study was designed to examine whether NM exhibit endothelium dependent vascular relaxation through Akt/endothelial nitric oxide synthase (eNOS) activation and generation of NO. NM enhanced Akt/eNOS phosphorylation and NO production in a dose- and time-dependent manner in human umbilical vein endothelial cells (HUVECs) and aorta tissues obtained from rats treated with various concentrations of NM. NM concomitantly decreased arginase activity, which could increase the available arginine substrate for NO production. Moreover, we investigated whether NM increased NO bioavailability and decreased aortic relaxation response to an eNOS inhibitor in the aorta. These results suggest that NM increases NO generation via the Akt/eNOS signaling pathway, leading to endothelium-dependent vascular relaxation. Therefore, the vasorelaxing action of NM may contribute to the regulation of cardiovascular function.
Insect Diversity of Mt. Oseosan
Hong, Eui-Jeong,Jeon, Yong-Lak,Yoon, Ju-Chang,Kim, Jin-Young,Lee, Min-Ho,Kim, Jae-Won,Park, Seong-Joon,Kim, Ki-Gyoung,Kim, Joong-Hyon,Kim, Byung-Jin National Science Museum of Korea 2012 Journal of Korean nature Vol.5 No.3
This study were performed from April in 2010 to August in 2011, through regular surveys insects to obtain the list, to measure and assess Mt. Oseosan ecosystem's natural or artificial change, to provide data for systematic management and preservation of the contents of insects. Total 446 species of 108 families belonging to 11 orders were identified. Therefore, The species composition of insect from Mt. Oseosan by present study and previous literatures was a total of 566 species of 122 families under 11 orders including 7 endermic species, 13 management of exotic species, 9 species of IUCN Red List and 73 designated species: Lepidoptera (215 species, 38%) which was the highest, Coleoptera (159 species, 28.1%), Hemiptera(89 species, 15.7%) and Hymenoptera (35 species, 6.18%). We observed biological indicator species of climate change [Sympetrum pedemontanum elatum (Selys), Dichorragia nesimachus (Boisduval)] as well as risk species [Agelastica coerulea Baly, Lycorma delicatula (White), Lymantria dispar (Linn$\acute{e}$)].
Vinyl Polysiloxane 인상재를 이용한 이회 인상법에서 contaminants가 putty-wash 결합력에 미치는 영향
김무현,정창모,전영찬,황의성,Kim, Mu-Hyon,Jeong, Chang-Mo,Jeon, Young-Chan,Hwang, Hie-Seong 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.2
Numerous factors are known to affect the accuracy of elastomeric impression materials. Factor often overlooked is the quality of the bond between putty and wash during corrective reline impression technique. The putty-wash bond strength must be strong enough to over-come the local stress at putty-wash interface. It is not always possible to avoid saliva contamination in making corrective wash impres-sion. And putty preliminary impression material con be used as a template for provisional restoration. Human saliva and the residual monomer of autopolymerizing acrylic resin are thought to affect the bond strength and the failure type. This study examined the effect of contaminants like human saliva, and residual resin monomer on the putty-wash bond strength and the effectiveness of treatment. 1. Of the tested three brands of Vinyl Polysiloxane impession meterial, Express Exhibited the greatest bond strength followed by Eamix and Perfect showed the lowest putty-wah bond strength. 2. Coating the putty substrates with human saliva did not produce decreased failure load in all the breands of Vinyl Polysiloxane impression meterail. 3. Of the three brands of VPS impression material that were exposed to methhylmethacry-late resin(Jet), only the putty-wash bond strength of the Perfect group diminished signifi-cantly. Moreover, all the specimens from group C of Perfect exhibited adhesive failure. 4. Exposing the substrates to ethylmethacrylate resin(SNAP. diminished the putty-wash bond strength significantly. With Perfect and Examix, failure occurred cohesively through the light-body, whereas with Express, failure occurred adhesive-cohesively. 5. Removing approximately 1mm thickness of the contaminated putty interface was the most effective treatment in countering the undesirable effect caused by residual resin monomer. The putty-wash bond strength of the groups that were treated with 1mm even putty reduction was not significantly different from those of control groups. With Perfect and Examix, cleaning the specimens with gauze soaked in 70% isopropyl alcohol increased the putty-wash bond strength, but was not as effective as 1mm even reduction of contaminated putty substrates. With Express, 70% isoproryl alcohol treatment exhibi0ted comparable putty-wash bond strength to that of control group.