비외상성 두개내 출혈 환자에서 심근손상의 발생과 예후에 미치는 영향

강구현,황성호,이강현,조준휘,김성환,문중범,박해상,이서영,이성수,김헌주 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Objective: The aim of this study was to investigate the clinical significance of myocardial injuries in patients with nontraumatic intracranial hemorrhage by identifying the occurrence of myocardial injury and defining its correlation with subsequent cardiovascular events. Subjects and methods: One hundred twenty-four patients with nontraumatic intracraninal hemorrhage presented to the emergency department within six hours from onset of symptoms were enrolled. Brain CT, serial electrocardiography, and echocardiography were done at the emergency center. Blood samples for troponin I and creatine kinase(CK)-MB were drawn immediately and eight hours after admission, Troponin I and CK-MB were measured using a chemiluminescent immunoassay, respectively. Results: Electrocardiographic and echocardiography abnormalities were found in 65 cases(52.4%) and 21 cases(17%), respectively. Serum troponin I and creative kinase-MB were increased in 35 cases (28.2%) and in 58 cases(46.8%), respectively. Abnormal findings of echocardiography and ECG, as well as elevated levels of serum troponin I and creative kinase-MB, were associated with an increased risk of cardiovascular event and survival. Logistic regression analysis revealed that an abnormal echcocardiographic finding and elevation of serum troponin I were factors associated with the occurrence an adverse cardiovascular event and that electrocardiographic abnormalities and initial mental status were factors associated with poor prognosis. Conclusion: This study reveals that actual myocardial injury develops in a significant proportion of patients with nontraumatic intracranial hemorrhage and that the development of the myocardial injury is associated with an adverse cardiovascular event that occurs during admission.

다제내성 그람양성균에 대한 Linezolid(Zyvox^(�))의 시험관내 항균력 비교

박대원,정희진,엄중식,황병연,김성범,이재갑,이연주,정혜원,정성주,박재형,이진수,손장욱,김우주,김민자,박승철 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

배경 : MRSA, VRE, VRSA같은 다제 내성 그람 양성균의 등장에 따라 glycopeptide를 대체할 새로운 항생제의 개발이 필요하게 되었고 결과적으로 새로운 항생제인 linezolid라는 항생제가 개발되었다. Linezolid는 이전의 항생제와는 다른 새로운 계열의 oxazolidinone으로 경구 이용률이 우수하다. 원내 및 원외감염의 중요한 원인균이 되고 있는 MRSA, VRE에 대한 적절한 경구용 항균제가 없는 국내에서 폐렴 및 피부 연조직 감염에서 경구용으로 사용해 볼 수 있는 약제이다. 본 연구에서는 고대 구로 병원에서 분리된 MRSA, VRE 등을 대상으로 다른 여러 항균제와 비교한 linezolid의 시험관내 항균력을 조사하고자 하였다. 재료 및 방법 : 연구대상은 1998년 1월부터 2000년 12월까지 본원에서 입원 및 외래를 통하여 피부 연조직 감염증 및 호흡기 감염증, 요로감염증으로 진단된 환자들의 가검물로부터 분리된 MRSA 60균주, VRE 43균주, PRSP 25균주를 액체배지 또는 한천배지 희석법을 통하여 linezolid 및 기타 항균제에 대한 최소발육억제농도를 구하였다. 결과 : 실험에 사용한 S. aureus는 모두 MRSA였고 이들은 linezolid에 대해 MIC_(90) 2㎍/㎖(MIC 범위 1-2㎍/㎖), Enterococcus spp는 모두 VRE로 linezolid의 MIC_(90)은 2㎍/㎖로 MIC 범위는 1-4㎍/㎖였다. 한 개의 균주에서 MIC 4㎍/㎖로 중등도 감수성을 보였으나 MIC breakpoint가 (8㎍/㎖인 내성균주는 없고 모두 감수성을 보였다. S. pneumoniae의 경우 penicillin 내성이었고, linezolid MIC_(90) 1㎍/㎖ (MIC 범위 0.5-1㎍/㎖)로 전부 감수성을 보였다. 결론 : Linezolid는 MRSA를 위시한 VRE, PRSP 등의 다제 내성 그람 양성균에 대하여 우수한 시험관내 항균력을 보임을 알 수 있었다. Background : The emergence of multi-drug resistant Gram-positive cocci, such as MRSA, VRE, and VRSA, necessitated to develop new antibiotics, which could replace the glycopeptide. As a result, a new antibiotics named linezolid was developed. Linezolid is different line of oxazolidinones with a good oral bioavailability, compared to other antibiotics. Since appropriate oral antibiotics are not presently available for MRSA, which is a major cause of nosocomial and community acquired infections, the introduction of linezolid will have favorable effect on treatment of infections such as pneumonia or skin infections. In this study, we investigated the antibiotic effect of linezolid on MRSA and VRE isolated from patients who were treated in Korea University Guro Hospital. Material and Methods : By using broth microdilution and agar dilution method we measured minimum inhibitory concentration (MIC) with sixty S. aureus, forty three Enterococcus spp., and twenty five S. pneumoniae isolates from patients who were diagnosed as skin, soft tissue, respiratory, and urinary infections in Korea University Guro Hospital from January, 1998 to December, 2002. Results : All of S. aureus used in this study were MRSA, and MIG_(90) of linezolid was below 2 ㎍/㎖ (MIC ranged between 1-2 ㎍/㎖). All of Enterococcus spp. were VRE, and had MIG_(90) of 2 ㎍/㎖ (MIC ranged between 1 to 4 ㎍/㎖). One of the VRE showed intermediate susceptibility with MIC of 4 ㎍/㎖. However, none was resistant with MIC breakpoint above 8 ㎍/㎖. All of S. pneumoniae were resistant to penicillin, but they were susceptible to linezolid with MICao of 1 ㎍/㎖(MIC range 0.5-1㎍/㎖). Conclusion : In conclusions, linezolid has an excellent in vitro antibiotic effect on multi-drug resistant Gram-positive cocci, such as MRSA, PRSP, and VRE.

좌전하행지 관동맥 개구부위의 망사형의 관(Slotted Tube)스텐트와 나선형 코일(Coil)스텐트 삽입후 단기 및 장기 암상 경과의 비교

박훈기,박성욱,이일수,이상곤,김진우,이근,정상식,이철환,홍명기,김재중,박승정 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.6

고등학교 운동선수들의 스트레스 차이 분석 : 성, 학년, 종목, 경력을 중심으로

이한우,김상규,김기중 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.2

The purpose of this study was to help the athletic students of the boys' and girls' high schools improve their competence by examining closely into the difference of the stress patterns according to their sex, grade, event, career. To achieve the goal of this study. We analyzed the statistics of 340 athletic students of 13 athletic sports events. On the basis of collected data. We used one-way ANOVA and T-test to verify the difference in the sports stress according to sex, grade, event, career of the athletes at the high schools. First, the result of T-test concerning stress of the high school athletes on the basis of sex, showed that there were meaningful differences statistically in the burden of failures, the worry about going on to university (p<.001), the concern about a wound, and the others(p<.05). Second, the result of one-way ANOA conceerning stress of the high school athletes on the basis of school grade, showed that there were meaningful differences in the conflict among people(p<.001), the burden of punishment, the burden of economy, and the others(p<.05). Third, the result of T-test concerning stress of the high school athletes on the basis of sports events, showed that there were meaningful differences statistically in the burden of studying(p<.05). Fourth, the result of one-way ANOVA concerning stress of the high school athletes on the basis of sports career, showed that there were meaningful differences statistically in the concern about a wound(p<.05).

Isolation and Transcriptional Expression of CuZn Superoxide Dismutase from Codonopsis lanceolata

Lee,Kang,In,Jun-Gyo,Yu,Chang-Yeon,Yun,Song-Joong,Min,Byung-Hoon,Rho,Yeong-Deok,Kim,Moo-Sung,Yang,Deok-Chun 한국자원식물학회 2004 Plant Resources Vol.7 No.3

To investigate the defense mechanism against the abiotic stress, a cDNA clone encoding a CuZn superoxide dismutase (CuZnSOD) protein was isolated from a cDNA library prepared from tabroot mRNAs of Codonopsis lanceolata. The eDNA, designated ClSODCc, is 799 nucleotides long and has an open reading frame of 459 bp with a deduced amino acid sequence of 152 residues. The deduced amino acid sequence of ClSODCc matched to the previously reported CuZnSODs. Consensus amino acid residues (His-45, -47, -62, -70, -79, -119 and Asp-82) were involved in Cu-, Cu/Zn-, and Zn- binding ligands. The deduced amino acid sequence of ClSODCc showed high homologies (82%-86%) regardless of species. Expression of ClSODCc by oxidative stress was increased up to 1 h after treatment and declined gradually. Much earlier and stronger expression of ClSODCc was observed in the cold stress treatment.

두개강내 추골동맥의 박리성 동맥류 : 2부검례 보고

이상용,조갑래,서중석 大韓法醫學會 2000 대한법의학회지 Vol.24 No.1

Two autopsied cases of dissecting aneurysms of intracranial vertebral artery are reported and the appropriate literature is reviewed to investigate the pathological characteristics and pathogenesis. The location and pathological features of the aneurysms are similar in the two cases. The aneurysms in both cases are confined to the intracranial vertebral artery and massive subarachnoid hemorrhage in basal cistern develop caused by the rupture of the arterial wall. And the aneurysms show mainly subadventitial dissection and display intimal thickening, disruption of internal elastic lamina, and degeneration of the media. Based on their pathological investigation of these two cases and a review of reported cases, the authors propose that weakness of internal elastic lamina may be responsible for initiating dissection in susceptible individuals and hypertention is one of contributing factors that result in weakness of internal elastic lamina.

건축에서의 미니멀리즘 논의를 위한 개념적 고찰 : 미학적 과정 검토를 통한 미니멀리즘 논의의 조건 모색 Search for Conditions of Minimalism Discussions through Review on Aesthetic Process

이중용,정성원 대한건축학회 2004 대한건축학회논문집 Vol.20 No.11

Due to multidisciplinary characteristic of the architectural field, it has developed into complex interdisciplinary field. Therefore architecture field has grown and established its major trends dependent upon other related field of study. With this perspective in mind, esthetics on architecture has to be treated in similar manner. In contemporary architecture, some architecture and architects have defined the terminology "Minimalism" or "Minimalist" without any theoretical principle where by unable to distinguish between "simple" and "minimal", Presently, the term "minimal" became a trend word. In order to confront misconception of the idea of minimalism, some people defend the lack of definition as reflection of this complex society. However others feel that it is still necessary to suggest tangible criteria on the topic of minimalism. In this paper, it will establish a solid groundwork for a discussion on minimalism in architecture. The initial approach will deal with esthetics, which is the center of argument. By reviewing theoretical background of the related modern art, the paper discusses about the relationship between minimalism and esthetics. Subsequently, the discussion about the criterions necessary to define minimalism is provided. This paper only suggests a methodology of analyzing a trend in architecture. The condition to define minimalism in architecture, which is a result of the reviewing process on esthetics, can be concluded as "self-definition" and "transferring to the original experience type" of the architecture.

단결정 Si(111) 위에 형성된 Ti-실리사이드에 대한 RBS 및 XRD 분석

이중환,권오준,최치규,박동수,김건호,이상환,이의완,곽호원 濟州大學校 基礎科學硏究所 1991 基礎科學硏究 Vol.4 No.1

초고진공 상태에서 p형 Si(111)기판에 Ti을 증착한 후 고진공에서 열처리하여 Ti-실리사이드를 형성시켰으며, Ti-실리사이드의 상전이 및 형성운동학은 2 MeV⁴He? 이온 후방산란과 x-선 회절방법으로 규명하였다. 형성된 TiSi₂는 결정학적으로 C49(ZrSi₂)와 C54 구조의 두 종류로 확인되었다. C49 TiSi₂상은 열처리온도가 700℃이하의 저온에서 형성되었고, 700℃ 이상의 고온에서는 C54 TiSi₂상으로 나타났다. 본 연구에서 확인된 C54 TiSi₂전이온도(??)는 700℃ 였고, TiSi₂형성온도 영역내에서 TiSi₂ 층두께(χ)와 열처리시간(t)의 관계는 저온(700℃ 이하)일 경우 ??이고, 고온(750℃ 이상)에서는 χ=ct+d 의 관계식이 만족됨을 알 수 있었다. 이것은 700℃ 이하에서 TiSi₂ 형성기구가 Si 확산에 의해 제어되며, 750℃ 이상에서는 핵형성 제어에 의하여 계면반응하는 것으로 나타났다. Titanium silicides were prepared by depositing titanium film on p-type Si(111) followed by annealing in ultra high vacuum. The growth kinetics of Ti-silicide has been studied by using ion backscattering spectrometry and x-ray diffractometry. Two crystallographic structures of Ti-silicide were identified the (ZrSi₂)structure and C54. The C49 TiSi₂ phase was formed at low annealing temperature(<700℃),and it transformed to the C54 phase over 700℃. The relation between the thickness of TiSi₂ layer(χ) and the annealing time(t) was ?? when annealing temperature was under 700℃ and χ=ct+d when that was over 750℃. The former implied that the formation of TiSi₂ was controlled by diffusion and the latter by nucleation of at the Ti/Si(111) interface.

메조기공의 실리카-티타니아 코겔의 제조와 자율적 조습 및 광촉매 특성

이상화,곽중협,서태수,김효중,김동표 한국공업화학회 2003 공업화학 Vol.14 No.3

수용액상의 졸겔반응에 의해 메조기공의 실리카-티타니아 코겔을 제조하고 이들의 자율적 조습력과 광촉매 특성에 대해 검토하였다. 실리카-티타니아 코겔에 있어 조습력과 관계되는 세공크기와 용적은 본 연구에서 고안된역적정법에 의해 Ph 7부근 및 SiO_2/TiO_2 비가 상대적으로 큰 9/1인 경우에 가장 큰 생성물이 얻어졌다. 폐놀 분해율에 의한 광촉매 특성은 동일조건에서 SiO_2/TiO_2 비가 감소함에 따라 증가하였고, SiO_2/TiO_2 비가 9/1에서 세공크기 4.0~6.0 nm 및 세공용적 0.6~0.8 mL/g 범위로 제어된 코겔의 경우 환경습도 40~70% 범위에서 흡습량 25%, 방습량 45%로서 종래 조습재료 보다 자율조습력이 큰 것을 볼 수 있었고, 같은 조성의 실리카-티타니아 혼합 산화물과의 폐놀 분해율에 의한 광촉매 특성 비교에서도 우수한 물성을 보이고 있었는데 이것은 Ti-O-Si 결합형성으로 인해 코겔 구조내에 음전하 과잉으로 인한 활성점(브렌스테드 산점) 발현에 기인된 것으로 고찰된다. Silica-titania cogel materials have been prepared by aqueous sol-gel process using a back titration technique designed for this study. The humidity self-control and photocatalytic properties of the materials have been also investigated. In these silica-titania cogel materials, relatively large pore size and pore volume than can give a good humidity control ability are desired, and they were synthesized under the reaction condition at pH of 7 and SiO_2/TiO_2 ratio of 9/1. The photocatalytic property, which was measured by the decomposition ratio of phenol, increased with the decrease of SiO_2/TiO_2 ratio in the composition. The cogel at the SiO_2/TiO_2 ratio of 9/1, resulted in the pore size of 4.0~6.0 nm and the pore volume of 0.6~0.8mL/g. At the relative humidity range of 40~70%, the amounts of moisture absorption and desorption were 25% 45%, respectively, and these had a better humidity control ability than conventional ones. In addition, the cogel showed a superior photocatalytic property compared to that of silica and titania mixture with the same composition. This enhancement is probably due to the revelation of active sites by the excess negative charges that were induced by Ti-O-Si bond formation in the cogel structure.

광대역 고출력 공간 전력 증폭 소자에 관한 연구

이성호,권세웅,이병무,윤영중 연세대학교 산업기술연구소 2002 논문집 Vol.33 No.2

In this paper, spatial amplifier using wideband printed dipole antennas is proposed for spatial power combining. The input and output printed dipole antennas have wide bandwidth of 22 %(5.44 ㎓∼6.75 ㎓) and 26.3 %(5.2 ㎓∼6.78 ㎓), respectively. Gain of the designed amplifier is 9.5 ㏈ at 6 ㎓. As a result, the proposed spatial amplifier using wideband printed dipole antennas and amplifiers shows that the gain is 16.8 ㏈ at 6 ㎓ and 3-㏈ gain bandwidth is 1.04 ㎓.