http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Polymerase Chain Reaction에 의한 Methicillin-Resistant Staphylococcus mecA유전자의 신속 동정과 클로닝
임헌길(Heon-Kil Lim),강현(Hyun Kang),한유진(You-Jin Han),김수영(Soo-Young Kim),강영숙(Young-Sook Kang),육동인(Dong-In Yuk),이경원(Kyung-Won Lee),정윤섭(Yun-Sop Chong),박기호(Ki-Ho Park),김의종(Eui-Chong Kim),이형환(Hyung-Hoan Lee) 大韓微生物學會 1997 大韓微生物學會誌 Vol.32 No.2
한 농촌 지역 일반 성인의 휴지기 심전도 상 ST 분절 하강과 관련 요인
김유미,김미경,신진호,임헌길,백도명,최보율,Kim, Yu-Mi,Kim, Mi-Kyung,Shin, Jin-Ho,Lim, Heon-Kil,Paek, Do-Myung,Choi, Bo-Youl 대한예방의학회 2006 예방의학회지 Vol.39 No.6
Objectives : To measure the distribution of electrocardiographic ST segment depression, and evaluate its relationships with cardiovascular risk factors based on the cross-sectional studies within a rural Korean community Methods : This study analyzed 1,343 persons, over 40 years old, who participated in a baseline survey during 2002-2005; the exclusion criteria included: a past history of myocardial infarction and angina pectoris, and specific conduction abnormalities. A Standard 12 leads ECG was recorded using an FCP-2101 (Fukuda Denshi Co.). The ST segment depression was retrospectively measured by a physician, according to the Minnesota code classification. Results : ST segment depression was found in 3.6 and 6.4% of male and female participants, respectively. After adjusting for age, gender, smoking, physical activity and obesity differences, high blood pressure showed significant relations with ST depression in females (male ORs=2.67, 95% CI=0.85-8.50; female ORs=2.62, 95% CI=1.29-5.32) Conclusions : As an ischemic ECG sign, ST depression was related to hypertension in female participants. This relationship remained significant, even after cases with left ventricular hypertrophy were removed.
호흡기 ; 다발성 관상동맥누공의 코일 색전술 도중 발생한 좌주간부 관상동맥 박리
이형탁 ( Hyung Tak Lee ),임영효 ( Young Hyo Lim ),이강원 ( Kang Won Lee ),신진호 ( Jin Ho Shin ),임헌길 ( Heon Kil Lim ),김정현 ( Jeong Hyun Kim ),김경수 ( Kyung Soo Kim ) 대한내과학회 2010 대한내과학회지 Vol.79 No.4
관상동맥누공은 희귀한 질환으로 대부분은 증상이 없지만 드물게 관상동맥 `steal`에 의한 증상을 보이게 된다. 관상동맥누공의 치료로는 수술적 치료와 심도자를 이용한 선택적인 색전술이 있는데 심도자를 이용한 색전술도 수술과 동일한 수준의 효과가 있음이 보고되고 있다. 한편, 의인성 좌주간부 관상동맥 박리는 드물고도 매우 치명적인 합병증이다. 이번 증례에서 우리는 심도자를 이용한 관상동맥누공의 코일 색전술 도중 좌주간부 관상동맥 박리를 경험하고 치료한 드문 경험을 하였기에 이를 보고한다. A congenital coronary fistula is a rare defect. Many congenital fistulas drain into the pulmonary artery and may be an incidental finding; however, some fistulas can cause a coronary `steal` phenomenon resulting in angina. The transcatheter closure of coronary fistulas is an accepted, effective, and safe alternative to surgery in adults. In comparison, left main coronary artery (LMCA) dissection is rare and can lead to life-threatening complications during percutaneous coronary intervention. The optimal treatment patients with LMCA dissection during catheter-based procedures is uncertain. Some studies suggest that bail-out LMCA stenting provides good acute and long-term results. Here, we present a case of LMCA dissection during the transcatheter coil closure of multiple congenital coronary fistulas with subsequent successful stent implantation in the LMCA. (Korean J Med 79:422-427, 2010)
이방헌(Bang Hun Lee),김경수(Kyung Soo Kim),김정현(Jeong Hyun Kim),임헌길(Heon Kil Lim),이정균(Chung Kyun Lee),김기순(Kee Soon Kim),김진혁(Jin Hyuk Kim),김찬(Chan Kim) 대한내과학회 1995 대한내과학회지 Vol.49 No.6
N/A Objectives: Hyperinsulinemia has been reported as a risk factor for coronary artery disease in western society. However, Koreans have shown about half of western people in fasting insulin and insulin secretion levels during oral glucose tolerance test (OGTT). The purpose of this study was to determine the relationship of serum insulin levels to various cardiovascular risk factors in healthy middleaged Koreans. Methods: We studied 143 subjects including 97 women and 46 men. Subjects had not received any medication for diabetes, hypertension or hyperlipidemia and had normal liver and kidney function. Anthropometric parameters and abdominal fat areas by computed tomography at the umbilical level were measured. Blood pressure, nutrient intake, total energy expenditure, serum levels of lipids and the levels of glucose, C-peptide, insulin and free fatty acid during OGTT were determined. Hyperinsulinemia was defined as both fasting and 2-hour serum insulin levels above the 80th percentile of respective serum insulin distributon in study subjects after an oral glucose load. Characteristics of hyperinsulinemic subjects were compared to normoinsulinemic subjects matehed for age, sex, and body mass index. Results: In subjects with normal glucose tolerance, hypertriglyceridemic subjects showed significantly higher serum insulin levels at 30, 60, 120 minutes during OGTT than normotriglyceridemic subjects. Similar results were observed in hypertension and low HDL cholesterolemia. A less significant difference was shown in the insulin pattern during OGTT between subjects with high LDL cholesterol and subjects with normal LDL cholesterol. Hyperinsulinemic subjects had significantly higher levels of systolic blood pressure, serum triglycerides, total cholesterol and glucose than normoinsulinernic subject. HDL cholesterol level was significantly lower in hyperinsulinemic subjects than in normoinsulinrnic subjects. No significant difference in the serum LDL cholesterol was found between two groups. Hyperinsulinernic subjects showed an increase in visceral fat area and percent calorie intake per total energy expenditure, compared with normoinsulinemic subjects. Conclusion: Our results showed that insulin levels in middle-aged Koreans are closely related to serum triglycerides and HDL cholesterol levels. In addition, healthy Koreans with normal glucose tolerance and hyperinsulinemia have an increase in risk factors for coronary artery disease such as hypertension, hypertriglyceridemia and low HDL cholesterol levels as compared with healthy subjects with normal insulin level. Therefore, it is recommended that insulin resistance subjects increase insulin sensitivity and decrease serum insulin level through lifestyle modification to prevent coronary artery disease,
Atenolol 과 Hydrochlorothiazide 가 고혈압 쥐의 대동맥 중막에 미치는 영향에 관한 실험적 연구
이방헌(Bang Hun Lee),김경수(Kyung Soo Kim),김정현(Jeong Hyun Kim),임헌길(Heon Kil Lim),이정균(Chung Kyun Lee),김순길(Soon Kil Kim) 대한내과학회 1994 대한내과학회지 Vol.46 No.1
N/A Background: In experimental studies, reduction in blood pressures could regress the some cellular abnormalities caused by hypertension but increases in connective tissue are difficult to be modified. The current study was undertaken to define whether atenolol and hydrochlorothiazide (HCTZ) can modify or reverse the morphologic changes of aortic media observed in spontaneously hypertensive rats (SHR). Methods: SHR were administered orally atenolol (2.5mg/kg) and HCTZ (5mg/kg) for 2weeks and morphological changes of aortic media were observed with electronmicroscopy. Results: Some irregularly arranged collagenous fiber and elastic lamina distributed among the smooth muscle cells in aorta are regularly distributed particularly in atenolol-treated SHR, Changes in nucleus, nuclear membrane and organelles in cytoplasm caused by hypertension are favorably modified more in atenolol-treated group rather than HCTZ-treated SHR. In HCTZ-treated SHR, periodical bands of collagen fibril are not apparent and some of fibrils are fragmented, and also various sized vacuoles are still present. Conclusion: It is suggested that atenolol can regress the microvascular changes of aortic media of SHR following reversal of hypertension but HCTZ may partially modify the aortic media.