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Aspergillus Infection in Large Thrombus of a Permanent Ventricular Pacing Lead
김치경,조규도,윤정섭,김진호,Kim, Chi-Gyeong,Jo, Gyu-Do,Yun, Jeong-Seop,Kim, Jin-Ho The Korean Society for Thoracic and Cardiovascular 1997 Journal of Chest Surgery Vol.30 No.10
Fungal infection of intracardiac pacing wire is very rare. We experienced a case of patient with functioning transvenous pacemaker lead, inserted 3 years previously, which was completely encased in a large thrombus infected with aspergillus. The lung biopsy also confirmed aspergillus infection.
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경막외신경차단술 후 발생한 Streptococcus viridans 수막염
김치경,신제영,장준영,김지은,고상배 대한신경과학회 2009 대한신경과학회지 Vol.27 No.3
We report herein a case of meningitis due to Streptococcus viridans that occurred after epidural nerve block. The low virulence of S. viridans resulted in milder clinical symptoms and signs than are usually observed for bacterial meningitis, thus mimicking viral meningitis. The infection may have originated from the oral cavity of the medical personnel, and so S. viridans infection should be included in the differential diagnosis of meningitis subsequent to spinal manipulation.
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Adaptive finite element solution for the heat conduction with a moving heat source
김치경 대한기계학회 2012 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.26 No.3
We have demonstrated that some of the parabolic type problems encountered in such branches of engineering as heat conductions with a moving source can be analyzed successfully by means of the finite element method. Adapted mesh generation technique is implemented for solving heat transfer involving a moving heat source so that small elements can be used in areas of large time rates of change of temperature. It has been adjusted to steep gradients of the solution with respect to the relatively large time interval. A program has been developed for the case of two-dimensional triangular elements, and algorithm is possessed a number of usual advantages that made solutions very divergent. Numerical results have shown that the adaptive gridding scheme is effective in localizing oscillations due to the sharp gradients or discontinuities in the solution. Furthermore, the numerical results near the region of moving source from the present method are under and over estimated the solution of traditional finite element method by almost 3% respectively. The several examples are given to illustrate the validity and practicality of the method. The results of various sample solutions are evaluated and discussed.
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김치경 한국전산구조공학회 1993 전산구조공학 Vol.6 No.2
본 고에서는 객체지향설계 및 프로그래밍 기법의 기본적인 개념과 구조설계 전산화에 관한 원론적인 사항에 대하여 고찰하여 보았다. OODP는 이미 S/W 개발분야에서 일반화된 기법이며, 한 때 큰 관심을 모으다 결국 실용화에 실패한 인공지능 또는 전문가시스템고는 달리, S/W 개발 및 유지관리에 큰 발전을 가져오고 있다. 객체 단위에 의한 데이타 및 함수의 통합모듈화, 추상화 및 정보은닉에 의한 객체의 독립성 확보, 객체지향 프로그래밍 언어의 탁월한 이식성, 객체추가에 의한 대규모 S/W의 점진적 개발, 상송성 및 다형성에 의한 프로그램 코드의 재사용성 등은 S/W의 부품화를 가능케 하고 S/W 신뢰도를 크게 높혀 주고 있다. OODP는 구조설계 전산화에도 적합한 기법으로 판단된다. OODP 기법은 전산전문가들의 도구가 아니며 각 분야 전문가들이 자기 분야의 전산화를 위해 사용하는 도구이다. 과거 우리가 fortran을 익혀 구조해석용 S/W를 개발했듯이 이제는 OODP 기법을 익혀 적극적으로 우리 문제에 활용한다면, 우리 분야 전산화 수준을 높히는데 크게 도움이 될 것으로 기대된다.
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김치경 대한흉부심장혈관외과학회 1992 Journal of Chest Surgery Vol.25 No.12
Between 1975 and 1992, forty five patients with trachea stenosis received tracheoplasty for relief of obstruction. The causes of airway problem are brain contusion[19 cases, 40%], cerebrovascular disease[3 cases, 7%], drug intoxication[8 cases, 18%], psychotic problem[2 cases, 4%], trachea tumor[3 cases, 7%], adult respiratory distress syndrome[9 cases, 20%] and direct trauma[1 case, 2%]. Direct causes of trachea stenosis were complications of tracheostomy[36 cases, 80%], complications of nasotracheal intubation[5 cases, 11%], tumor[3 cases, 6%] and trauma[1 case, 2%]. Thirty one patients underwent the sleeve resection and end-to-end anastomosis. Five patients performed a wedge resection and end-to-end anastomosis. Forteen patients received the Montgomery T-tube for relief of airway obstruction. Four patients have done simple excision of granulation tissue. Two, subglottic stenosis patients were received Rethi procedure[anterior division of cricoid cartilage, wedge partial resection of lower thyroid cartilage and Montgomery T-tube molding] and the other subglottic stenosis patient underwent permanent trachea fenestration. Including cervical flexion in all patients postoperatively, additional surgical techniques for obtain tension-free anastomosis were hyoid bone release technique in two cases, and hilar mobilization, division of inferior pulmonary ligament and mobilization of pulmonary vessel at the pericardium were performed in one case. Cervical approach was used in 39 cases, cervicomediastinal in 12 cases and transthoracic in one case. Complications of tracheoplasty were formation of granulation tissue at the anastomosis site[3 cases], restenosis[9 cases], trachea-innominate artery fistula[2 cases], wound infection[2 cases], separation of anastomosis[2 cases], air leakage[3 cases], injury to a recurrent laryngeal nerve[temporary 8 cases, permanent 2 cases] and hypoxemia[1 case]. Surgical mortality for resection with primary reconstruction was 6.7%, with one death due to postoperative respiratory failure and two deaths due to tracheo-innominate artery fistula.
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Ethanol 충격에 의한 Campylobacter jejuni 의 Ethanol 내성
김치경,가익현 한국미생물학회 1992 미생물학회지 Vol.30 No.5
Ethanol 충격에 의한 Campylobacter jejuni 의 생존성 및 ethanol 충격 단백질의 합성과 내성반응을 연구하였다. 1% 의 ethanol 충격에 대해서는 60분, 3% 의 ethanol 충격에서는 30분, 5%의 ethanol 충격에서는 10분대데, 분자량이 90, 66, 60, 45, 24 kd 인 충격 단백질이 합성되는 것을 autoradiography 로 확인하였다. C. jejuni 를 1% 와 3% 의 ethanol 에서 30 분간 충격을 준후 각각 3% 와 5% 의 농도에 노출시켰을때의 생존율은 ethanol 충격엾이 직접 3% 와 5% 의 ethanol에 노출시켰을 때보다 $10^{1}$ $-10^{2}$ 정도 높게 나타났다. 또 5% 에서 10분간 충격을 준후7% 의 ethanol 에 노출시켰을 때에도 직접 7% 에 노출시켰을 때보다 생존율이 $10^{2}$ 정도 높게 나타났다. 그러므로 1-5% 의 ethanol 로 충격을 받은 C. jejuni 는 그보다 높은 농도의 ethanol 에 대하여 ethanol 충격단백질에 의한 내성반응이 나타나 생존율의 감소가 훨씬 적어졌다.
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Campylobacter jejuni 의 열충격 반응과 그유전자에 관한 연구
김치경,임채일,이길재 한국미생물학회 1992 미생물학회지 Vol.30 No.3
Canz~~j~lohuc;tc.~jurn i werc studied for their heat shock responses at several elevated temperatures and their heat shock genes were detected by the technique of Southern hybridization. (.. ,jc\ulcorneruni sy~>thesized the major heat shock proteins of hsp90. hsphh. and hsphO at 48$^{\circ}$C . ant1 their w~u.ival rates were maintained as the same level at optimal temperature. '1-hc heat shock genes in chromosome of C ,jc:jutii werc determined to be homologous to the heat shock genes or E. t,oli. by showing strong signals in Southern hybridization analysis using clnaK and groESL- as DNA probe But the restriction sites for thc fragmcnts including heat shock genes were different betueen E. c,oli and C ,jtjuni.
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