라식 수술시 미세각막절삭기의 유용성과 안전성

이승범,김진형,주천기,Seung-Bum Lee,Jin-Hyoung Kim,Choun-Ki Joo 대한안과학회 2005 대한안과학회지 Vol.46 No.10

Purpose: To evaluate the reproducibility of the flap thickness in LASIK using Moria M2 microkeratome and to examine the safety and the complication rate intraoperatively and postoperatively. Methods: 92-Ninety-two consecutive eyes of 50 patients that received LASIK using the Moria M2 microkeratome were reviewed. The mean of the predictable corneal flap thickness was compared with the mean of the created corneal flap thickness, and intraoperative and postoperative complication and safety were evaluated. Results: The average corneal flap thicknesses were 140±15.16 μm with 130 μm head and 108.01±16.72 μm with 110 μm head. There was no statistically significant correlation between the predictable corneal flap thickness and the created corneal flap thickness with the 130 μm head (p=0.001, one-sample t-test), but there was a stastistically significant correlation with the 110 μm head (p=0.573, one-sample t-test). Conclusions: The M2 Moria microkeratome created a desirable thickness with the 110 μm head, and we can expect postoperative stability of the remaining corneal thickness. The complication rate both intraoperatively and postoperatively was very low.

다양한 골 이식재의 임상 효과에 대한 고찰

이승범,연제영,채경준,정의원,김창성,이용근,조규성,채중규,김종관,최성호,Lee, Seung-Bum,Yon, Je-Young,Chae, Gyung-Joon,Jung, Ui-Won,Kim, Chang-Sung,Lee, Yong-Geun,Cho, Kyoo-Sung,Chai, Jung-Kiu,Kim, Chong-Kwan,Choi, Seong-Ho 대한치주과학회 2007 Journal of Periodontal & Implant Science Vol.37 No.4

Purpose: Various bone graft materials are being used for periodontal tissue regeneration. Th materials are being developed continuously for ideal clinical effects. Therefore, it is necessary to identify the clinical characteristics of each bone graft material through comparing the various bone graft materials statistically and in doing so, proposing a more efficient bone graft material. In this study, the following results were attained through comparing the clinical effects among the bone graft materials, using the statistical method based on the clinical studies published at the department of periodontology of Yonsei hospital. Materials and Method: 6 selected studies of department of Periodontology at Yonsei University Hospital were based on clinical study of bone grafting in intrabony defects. It was compared the clinical parameters among the 6 clinical studies, using the statistical META analysis. Result: When comparing the probing depth reduction, there was a relatively great amount of decease when using the xenograft, Anorganic Bovine Derived Hydroxapatite Bone Matrix/Cell Binding Peptide(ABM/P-15: PepGen $P-15^{(R)}$) and the autogenous bone and absorbable membrane, d, 1-alctide/glycolide copolymer(GC: $Biomesh^{(R)}$). The allogfrafts showed a relatively low decrease in the probing depth and clinical attachment change. It also showed a slight decrease in the bone probing depth. The allografts showed various results according to different bone graft materials. When comparing the ABM/P-15 and bovine bone $powder(BBP^{(R)})$, ABM/P-15 showed a relatively high clinical attachment level and the bovine bone powder showed a relatively high clinical attachment level. The probing depth change and gingival recession change showed a lower value than the mean value between the two bone graft materials. The synthetic bone showed a relatively high decrease in clinical attachment level and periodontal probing depth change. There was a relatively larger amount of gingival recession when using Bioactive Glass(BG) but a relatively low bone regeneration effect was seen. Conclusion: Good restorative results of the periodontal tissue can be attained by applying the various bone graft materials being used today after identifying the accurate clinical effects.

초임계 이산화탄소내 촉매산화분해에 의한 방향족 유기용매의 분해특성

이승범,홍인권 ( Seung Bum Lee,In Kwon Hong ) 한국공업화학회 1998 공업화학 Vol.9 No.5

백내장수술 후 발생한 안내염환자에서 최종시력과 연관된 여러 인자

이승범,한정원,정성근,백남호.Seung-Bum Lee. M.D.. Jung-Won Han. M.D.. Sung-Kun Chung. M.D.. Nam-Ho Baek. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.10

Purpose: The most serious complication related to cataract surgery is endophthalmitis. Although its incidence is decreasing, it remains the great threat to the outcome of visual acuity in patients who received cataract surgery. Methods: Retrospective analysis was performed on 18 patients who were diagnosed with endophthalmitis. The following factors were investigated: method of cataract extraction, performance of anterior vitrectomy, presence of posterior capsule rupture, results of bacterial culture, existence of systemic disease, and the duration of time from initial cataract surgery to diagnosis of endophthalmitis and then to subsequent posterior vitrectomy. In addition, the differences in final visual acuity due to variations in these factors were analyzed. Results: Patients who were diagnosed with endophthalmitis and had been commenced on systemic antibiotics within a week of the cataract operation, showed better outcomes in final visual acuity (P=0.043). Conclusion: Occurrence of endophthalmitis and subsequent usage of systemic antibiotics within a one-week time frame of cataract surgery, led to statistically significant improvement in final visual acuity compared to cases in which these events occurred one week later.

치조골 결손부 치료시 calcium carbonate와 calcium sulfate 혼합물의 임상적 효과

이승범,채경준,정의원,김창성,최성호,조규성,김종관,채중규,Lee, Seung-Bum,Chae, Gyung-Jun,Jung, Ui-Won,Kim, Chang-Sung,Choi, Seong-Ho,Cho, Kyoo-Sung,Kim, Chong-Kwan,Chai, Jung-Kyu 대한치주과학회 2008 Journal of Periodontal & Implant Science Vol.38 No.2

Purpose: If bone grafts and guided tissue regeneration are effective individually in treating osseous defects, then the questionis, what would happen when they are combined. Bone grafts using Calcium Carbonate(Biocoral) and Guided Tissue Regeneration using Calcium Sulfate(CALMATRIX) will maximize their advantages and show the best clinical results in intrabony defects. This study was to compare the effects of a combination of CS and CC with control treated only with modified widman flap in a periodontal repair of intrabony defects. Materials and Methods: 30 patients with chronic periodontitis were used in this study. 10 patients were treated with a combination of CS and CC as the experimental group II and another 10 patients were treated with CC as the experimental group I, and the remaining 10 patients, the control group were treated only with modified widman flap. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded 6 months later. Results: The probing depth changes were $3.30{\pm}1.34\;mm$ in the control group, $4.2{\pm}1.55\;mm$ in the experimental group I(CC) and $5.00{\pm}1.33\;mm$ in the experimental group II(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there were no significant difference(p<0.05) between the experimental group I and II. The gingival recession changes w $-1.30{\pm}1.25\;mm$ in the control group, This is a significant difference(p<0.01). However, there was a $-0.50{\pm}0.53\;mm$ change in the experimental group I(CC) and $-0.60{\pm}0.97\;mm$ in the experimental group II(CS+CC). In addition, in terms of gingival recession, there was a no significance difference(p<0.05) among the groups. The clinical attachment level changes were $2.00{\pm}1.33\;mm$ in the control group, $3.60{\pm}1.58\;mm$ in the experimental group I(CC) and $4.40{\pm}1.17\;mm$ in the experimental group II(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there was a no significance difference(p<0.05) between the experimental group I and II. The bone probing depth changes were $0.60{\pm}0.52\;mm$ in the control group, $3.20{\pm}1.48\;mm$ in the experimental group I(CC) and $4.60{\pm}1.43\;mm$ in the experimental group II(CS+CC). All of them showed a significant decrease 6 months after surgery(p<0.01), there was a significance difference(p<0.05) among the groups. Conclusion: Treatment using a combination of CS and CC have a potential to improve periodontal parameters in intrabony defects and More efficient clinical results can be expected in intrabony defects less than 2 walls grafted with CS and CC.

휘발유 유기용제가 흡착된 흡착제의 초임계 이산화탄소를 이용한 재생특성

이승범,성대형,홍인권 ( Seung Bum Lee,Dae Hyung Seong,In Kwon Hong ) 한국공업화학회 1997 공업화학 Vol.8 No.5

휘발성 유기용제의 주된 제거방법은 흡착제를 이용한 흡착 공정이 추천된다. 본 연구에서는 입상활성탄과 활성탄소섬유에 휘발성 유기용제를 흡착시킨 후 폐흡착제를 탈착컬럼에 넣고 318.15K의 온도에서 압력을 변수(2000∼3000psi)로 하는 초임계 이산화탄소를 이용하여 재생하였다. 초임계 이산화탄소의 압력이 증가함에 따라 탈착율과 요오드 흡착가는 증가하였으며, 재생시간은 MEK와 benzene의 경우 각각 70분과 60분이었다. 최대 탈착율은 3000psi의 압력에서 MEK가 흡착된 입상활성탄과 활성탄소섬유의 경우 각각 초기 흡착량의 64.0%, 55.3%가 탈착되었으며, 벤젠이 흡착된 입상활성탄과 활성탄소섬유의 경우에는 각각 59.1%, 45.2%가 탈착되었다. 또한 Tan과 Liou의 모델로 출구농도를 예측할 수 있었다. 따라서 입상활성탄뿐만 아니라 활성탄소섬유의 재생공정에도 초임계유체 재생법의 적용 가능성을 확인할 수있었다. The typical removal method of volatile organic compounds is adsorption process. In this study, granular activated carbon and activated carbon fiber were used as adsorbents, and the adsorption behavior for the two types of adsorbent was compared. And they were regenerated by supercritical carbon dioxide extraction at a constant temperature, 318.15K, and 2000, 2500, 3000 psi respectively. The desorption percentage of initial adsorbates and iodine values were increased with pressure of supercritical carbon dioxide. The regeneration time was 70 and 60 minutes in adsorbents loaded with methyl ethyl ketone(MEK) and benzene, respectively. The desorption percentages were 64.0% for granular activated carbon and 55.3% for activated carbon fiber loaded with MEK, and 59.1% for granular activated carbon and 45.2% for activated carbon fiber loaded with benzene. The exit concentration could be evaluated by Tan and Liou model. Therefore, the granular activated carbon and the activated carbon fiber could be regenerated by supercritical fluid extraction process.

진행성 위암에서 종양 연관성 대식세포, 비만세포, 가지세포의 침윤과 임상-병리학적 인자와의 연관성

이승범,지경천,Lee, Seung-Bum,Chi, Kyong-Chon 대한위암학회 2005 대한위암학회지 Vol.5 No.3

목적: 신생혈관형성은 암의 증식, 침습, 전이에 있어 중요한 과정이며 위선암에서 대식세포, 비만세포는 혈관내피세포성장인자를 통한 신생혈관형성 작용을 보이고 가지세포는 혈관내피세포성장인자에 의해 기능이 억제된다. 이들 세포의 조직 침습이 조직병리 및 임상예후와 어떤 상관관계를 가지는지 알아보고자 한다. 대상 및 방법: 1999년 1월부터 2002년 12월까지 진행성 위암으로 위절제술을 받은 환자 중 79명을 대상으로 하여 파라핀 포매 조직을 이용하여 대식세포, 비만세포, 가지세포 및 미세혈관에 대한 면역조직화학 염색을 실시하고, 이들의 발현과 임상병기 및 생존율에 대한 분석을 실시하였다. 결과: 대식세포의 수는 분화도가 낮을수록, 조직침습이 깊을수록, 림프절전이가 많을수록 유의하게 감소하였으나(P<0.05), 미세혈관 밀도 및 생존기간의 차이는 보이지 않았다. 비만세포와 가지세포의 침윤정도는 조직병리 및 생존율과의 연관성을 보이지 않았다. 결론: 종양연관성 대식세포가 위암환자에 있어 예후인자로 가치를 가질 수 있을 것 인지와 대식세포의 침습부위에 따른 임상적 관련성에 대해 좀 더 세부적인 연구가 필요할 것으로 사료된다. Purpose: Angiogenesis has a critical role in tumor proliferation, invasion, and metastasis. In gastric cancer, tumor-associated macrophages and mast cells produce angiogenic factors such as VEGF, that inhibit the functional maturation of dendritic cells. The aim of this study is to identify tumor-associated macrophages, mast cells, dendritic cell infiltrations, and microvessel densities (MVD) to investigate the relationship between them and the prognosis for gastric-cancer patients. Materials and Methods: The subjects were 79 patients selected from those who had undergone a curative gastric resection for stomach cancer. With them, Immune-histochemical staining was done using CD34 for the MVD, CD68 antigen for macrophages, and S-100 protein for dendritic cells, and toluidine blue staining was done for mast cells. Results: Macrophage infiltration showed a statistically significant positive correlation with histologic differentiation and a negative correlation with invasion depth, nodal metastasis, and stage. S-100 (+) dendritic cells and mast cells had no significant correlations with histologic differentiation, invasion depth, nodal metastasis, distant metastasis, stage, and MVD. As survival, no statistically significant differences were seen between the variables. Conclusion: Tumor-associated macrophages should be evaluated as possible prognostic markers in gastric-cancer patients.

Plastid 형질전환에 위한 의한 유용 농작물 개발

이승범,Lee, Seung-Bum 한국식물생명공학회 2002 식물생명공학회지 Vol.29 No.1

초임계유체 크로마토그래피를 이용한 지방산의 확산특성 해석

이승범,성대형,김형수,홍인권 ( Seung Bum Lee,Dae Hyung Seong,Hyung Su Kim,In Kwon Hong ) 한국공업화학회 1996 공업화학 Vol.7 No.6

지방산의 분리방법중 증류나 추출 등의 전통적인 방법을 대체할 수 있는 공정으로 초임계유체 크로마토그래피 분리법을 추천할 수 있다. 그러나 지방산을 구성하는 탄소수나 불포화도는 초임계유체내에서 확산특성을 달리 하지만 이들의 정량적인 데이터가 부족하여 초임계유체 크로마토그래피법을 공정화하는데 큰 어려움이 있다. 본 연구에서는 불포화도를 달리하는 지방산들의 초임계 이산화탄소내 확산계수를 CPB법(capillary peak-broadening method)을 기초로 온도(308.15∼328.15K)와 압력(13∼17MPa)을 변수로 하여 실험적으로 측정하였다. 이성분계 확산계수는 일정한 온도에서 압력이 증가함에 따라 감소하며 일정한 압력에서 온도가 증가함에 따라 증가하였다. 일정한 밀도에서 온도에 따른 확산계수의 영향은 크지 않으며, 밀도와 점도가 증가함에 따라 확산계수는 감소하였다. 또한 Wilke-Chang식과 Funazukuri의 실험식, Matthews-Akgerman식을 초임계 이산화탄소에서의 이성분계 확산계수에 대한 상관식으로의 이용가능성을 확인한 결과 다른 상관관계식에 비해 RHS(rough hard sphere)에 기초한 자유부피모델인 Matthews-Akgerman식이 잘 일치하는 상관식인 것으로 확인되었다. Supercritical fluid chromatographic method was recommended as an alternative separation method of fatty acids of the conventional method such as distillation or extraction. Although diffusion characteristics are varied by the carbon numbers and the degree of unsaturation of fatty acids, the quantitative data were so rare that the commercialization of supercritical fluid chromatographic method has been hindered. In this study, diffusion coefficients of fatty acids which are differently unsaturated are measured by CPB method in the range of 308.15K to 328.15K and 13MPa to 17MPa in supercritical carbon dioxide. A decrease in the binary diffusion coefficient was observed with an increase in temperature and pressure. Also, the decrease in the binary diffusion coefficient with increasing fluid density and viscosity. Wilke-Chang equation, Funazukuri empirical equation, and Matthews-Akgerman equation are used to correlate the experimental diffusion coefficients of fatty acids in supercritical carbon dioxide. Amongthe various theoretical equations, Matthews-Akgerman equation based on RHS theory was suggested as a more successful correlation model with experimental data.

초임계 이산화탄소를 이용한 고기능 / 정밀 membrane 의 제조 및 기체투과특성

이승범,김형진,정일현,홍인권 ( Seung Bum Lee,Hyung Jin Kim,Il Hyun Jung,In Kwon Hong ) 한국화학공학회 1995 화학공학의이론과응용 Vol.1 No.1