선인장 양심실 보조장치의 설계 및 임상적용을 위한 평가

민병구,박찬영,최재순,이혁수,황창모,김삼성,윤걸중,김종원,선경,이경갑,정종태,김원곤 제주대학교 인공심장이식연구소 2001 인공심장 연구 Vol.2 No.1

현재 개발되고 있는 맥동형 이식형 인공심장은 완전이식형 인공심장과 좌심실보조장치 뿐이다. 좌심실보조장치를 장착한 환자의 10~15%가 우심실의 보조를 필요로하고 완전이식형 인공심장의 장착을 위해서는 자연심장을 제거해야하는 상황에서 이식형 양심실보조장치에 대한 필요성이 대두되고 있다. 본 연구진은 완전이식형 인공심장으로 개발된 한국형 인공심장을 개선하여 양심 실 보조장치를 개발하였다. 양심실보조장치는 이동형 작동기식 미케니즘을 이용하고 있으며 에너지 변환장치와 감속기로 구성된 작동기와 혈액주머니, 그리고 내장형 제어기로 구성되어 있다. 선인장 펌프로 명명된 KAH350은 캐뉼라의 연결을 위한 커넥터를 포함하여 길이 177mm, 폭 164mm, 높이 67 이고 무게 780g이며 최대 심박출량은 5L/min 이다. 양심실보조장치로 개발된 선인장펌프는 좌심실보조장치로도 응용이 가능하다. 이식적합성과 생체적합성을 평가하기 위하여 좌심실보조장치로 5회, 양싱실보조장치로 6회의 동물실험을 수행하였다. 각각 최장 28일간 생존하였으며 11회의 동물실험중 장치의 결함에 의한 것이 3회 있었는데 이들은 모두 전자장치의 결함과 방수처리문제였다. 현재 이식적합성과 일박출량을 향상시킨 KAH400모델이 개발중이다. The types of pulsatile implantable artificial hearts that are on the way of development and have been developed are totally implantable artificial heart and implantable left ventricular assist device (LVAD). Approximately 10% to 15% of all patients Implanted with wearable VADs have required right heart support with another device. And it is reluctant to patient who should remove his or her own heart to be implanted with total artificial heart. These situations drive the development of implantable bi-ventricular assist device (BVAD). The Korean BVAD was develophed by modifying the moving actuator type Korean artificial heart. This electro-mechanical BVAD comprises actuator including energy converter and reduction gear train, blood sacs, and internal motor and energy controllers. The KAH350 which is named as 'Cactus Pump' is 177mm in length, 164mm in width, and 67mm in thickness including connectors and nuts. The weight and maximum cardiac output of Cactus Pump is 780g and 5L/min, respectively. The Cactus Pump that was developed as BVAD could be used as LVAD by attaching compliance caps on the 2 ports of one ventricle. The animal experiments were undergone 5 times for LVAD, and 6 times for BVAD. The best records were 28 days survival in both applications. There were 3 times of device failure and they were all associated with electrical connection and hermetic sealing. The KAH400 that has improved anatomical fitting characterisitcs and stroke volume is on development.

초기 자궁내막암 환자에서의 복강경유도하 질식 자궁절제술과 복식 자궁절제술에 대한 비교 연구

김민규 ( Min Kyu Kim ),최동석 ( Dong Seok Choi ),김우영 ( Woo Young Kim ),최철훈 ( Chel Hun Choi ),김태중 ( Tae Joong Kim ),이정원 ( Jeong Won Lee ),김병기 ( Byoung Gie Kim ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12

목적: 초기 자궁내막암의 수술적치료 시 복강경유도하 질식 자궁절제술 및 골반림프절절제술군과 복식수술군의 수술결과 및 재발율에 대해 비교하고자하였다. 연구 방법: 2003년 3월부터 2005년 5월까지 초기 자궁내막암 환자를 인구학적 특성이 같은 63명을 선택하여 복강경유도하 질식 자궁절제술 및 골반림프절절제술군 26명, 복식수술군 37명으로 나누어 수술 전후 혈색소 차이, 평균수술시간, 취득한 골반림프절갯수, 평균재원일수, 추가치료율, 재발률을 비교하였다. 결과: 복강경유도하 질식 자궁절제술 및 골반림프절절제술을 시행한 군과 복식수술을 시행한 군과의 비교에서 수술 전후 혈색소 차이, 평균수술시간, 취득한 골반림프절 갯수, 평균재원일수, 재발률에 통계적으로 유의한 차이가 없었다. 결론: 초기 자궁내막암의 수술 시 복강경유도하 질식자궁절제술 및 골반림프절절제술 방법이 복식방법에 비해 수술결과 및 재발률에 통계적으로 유의한 차이가 없으며 그 대체 수술법으로 많은 활용이 기대되었다. Objective: To compare laparoscopic surgery with conventional abdominal surgery in patients with early stage endometrial cancer. Methods: A retrospective review of 63 patients with early stage endometrial cancer managed between March 2003 and May 2005. Two groups were defined whether they had been treated by laparoscopy (case group: n=26) or by laparotomy (control group: n=37). We compared age, body mass index (BMI), hemoglobin change, operation time, number of pelvic lymph nodes, hospital stay, case with adjuvant treatment and recurrence between two groups. Results: There was no statistical difference in characteristics (age, BMI, nulliparity, previous abdominal surgery, FIGO stage, histologic grade). between case and control group. In addition, there was no statistical difference in operation data and outcomes between two groups. Hemoglobin changes were 1.1 g/dL (case group) vs 1.7 g/dL (control group) (p=0.072). Operation time was 131 min vs. 115 min. The numbers of lymph nodes obtained were 8.7 vs 7.7 (right) 9.2 vs. 7.6 (left). Hospital stays were 8.4 vs. 9.2 days. Adjuvant treatment cases were 7 vs. 15. Recurrent case was one in each group. Two patients initially evaluated by laparoscopy were converted to laparotomy due to bleeding and adhesion. Conclusion: Laparoscopic surgery for treatment of early endometrial cancer is a safe and effective alternative to laparotomy . However, long-term survival and risk of recurrence have yet to be determined.

관상동맥색전증에 의한 급성심근경색증 4예

김민근,주혜원,강경필,최병돈,박민석,변영섭,고충원,이건주,김병옥 인제대학교 2006 仁濟醫學 Vol.27 No.-

Acute myocardial infarction(AMI) due to coronary embolism can occur in patients with normal coronary artery. Coronary embolism is believed to be a cause of acute myocardial infarction when emergent coronary angiography shows perfectly normal coronary trees, except for the finding of coronary artery occlusion. In this report, we describe four patients with AMI due to coronary embolism who were successfully treated using a thrombus aspiration device and anticoagulation, and those patients had intracardial thrombus arising from the left atrium due to chronic atrial fibrillation and valvular heart disease. Patients with chronic or paroxysmal atrial fibrillation can present with AMI due to coronary embolism, and thrombus aspiration with percutaneous aspiration device is a feasible treatment option for these patients along with anticoagulation the rapy.

주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ(Health and Work Performance Questionnaire)를 이용한 예비연구

김원,황태연,함병주,이준석,최병휘,김세주,서용진,강은호,우종민 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Major depressive disorder (MDD) causes patients' distress and makes socioeconomic burden, both directly and indirectly. We used the concept of lost productive time (LPT) to estimate the indirect costs and calculated both absenteeism and presenteeism among workers with MDD. Mcthods : Depression group was recruited from workers visiting psychiatric outpatient clinic who had MDD without major physical or mental disorders (N= 106). Age and sex matched healthy control group was also recruited through advertisement (M=100). All participants completed a interview using WHO Health and Work Performance Questionnaire (HPQ), Job Stress Measurement Scale for Korean Employees, and Hamilton Rating Scale for Depression. Statistical analysis was performed with independent t-test or χ² test as characteristics of values (p=0.05). Results : The number of absence (0.94-day/month vs. 0.10-day/month, P=0.015) andthe numberofearly leaving (2.56-day/month vs. 0.24-day/month, P<0.001) were significantly higher in the depression group. Depression group evaluated their Perfor-mance level much lower than controls with significant value (5.16 vs. 7.62, P<0.001). In addition, depression group estimated their performance level during the last 4 weeks lower compared to the level of past 1-year (5.16 vs 6.63, P<0.001). The estimated costs of absenteeism in depression group were higher than controls by 2,520,000 Korean Won per year, and those of presenteeism were also higher by 4,880,000 Korean Won per year. The total costs of LPT in depression group were higher than controls by 7,400,000 Korean Won, which corresponds to 26% ofmean annual salary. In addition, the level of occupational stress, such as high demand and interpersonal conflict, was higher in the depression group. Conclusion : Major depressive disorder costs substantial productivity loss to workers and their company. Presenteeism imposes more time cost than absenteeism. Effectiveness trials are needed to devise cost-effective programs for the early detection and treatment of depression at the workplace.

洛東江 河口周邊의 防災對策에 관한 基礎的인 硏究

민일규,김원규,최병습,박상길,김가현 釜山大學校生産技術硏究所 1996 生産技術硏究所論文集 Vol.51 No.-

波浪과 흐름이 共存하는 大河川 河口部인 洛東江 河口域에서 洛東江 河口둑을 基点으로 波浪, 흐름, 地形變動, 潮流, 洪水位等을 評價基準으로 하여 災害에 대한 基本的인 評價를 實施했다. 波浪, 潮流, 洪水位等이 水位上昇을 透發시켜 周邊地域을 浸水시킬 수 있는 危險性의 與否를 實測과 數値計算을 통하여 實施하였다. 地形變動은 實測만을 통하여 地形變動率을 調査하였다. 資料를 分析한 結果 洛東江 河口地域은 波浪, 흐름과 波浪이 共存하는 領域으로 區分된다. 數値計算結果에 의하면 河口部에서의 來襲波高가 直接 河口둑 水門과 주변構造物에 미치는 影響은 크지 않았다. 또한, 3次元 波高分布를 볼 때 河口 水路를 따라서 거슬러 올라오는 波浪의 影響은 거의 없었다. 洪水位와 流速은 災害를 透發시키는 主要因子로 評價되었다. 波浪에 의한 異常高潮와 漲潮流와 潮汐의 滿潮時間 및 最大洪水量이 時間적으로 一致되는 境遇, 河口둑 周邊地域의 水位 上昇과 流速의 停滯現狀으로 浸水狀態가 發生한다. For the investigation of inundation disasters by wave setup in the Nakdong Estuary of the Large River which waves and currents are coexist, the wave surveying data was analyzed and the numerical model was applied to the Estuary. In this study, the result of surveying data analysis shows that waves have little effect on the surroundings. As the result of numerical computation, waves have seldom direct influence upon the barrage and its gates. Also, according to three dimension distribution of waves, it is found that coming up waves along the Estuary channel and the setup of waves have seldom effect barrage structures.

국내에서 분리된 Infectious Bovine Rhinotracheitis Virus DNA의 제한효소분석

민원기,전무형,이중복,김병한,안수환 충남대학교부설 생명공학연구소 1991 생물공학연구지 Vol.1 No.-

Nine strains of infectious bovine rhinotracheitis virus(IBRV) isolated in Korea since 1970 were investigated to elucidate the pathogenicity on various cell lines and the reactivity in cross serum neutralization test. The genomes of the viruses were also studied by restriction endonuclease analysis to examine the genetical patterns and the origin of the viruses. Results obtained by experiment were as follows ; 1. In pathogenicity test on various cell lines by cytopathology and immunofluorescence antibody assay, MDBK cells were found to be very susceptible to all of the domestic isolates, Colorado and Oxford strains and RK-13 cells, mildly reactive to all of viruses. However, CV-1 and BHK cells revealed negligible reactions against all of viruses tested. 2. In cross serum neutralization(SN) test with the positive serum from the cattle immunized with PQ7 strain of IBRV, PQ7, SQ, VS, A14, TSV and S′74-7 strains showed 64 of SN titer, and IQ, QW, A37, Colorado and Oxford strains, 128 of SN titer. It was assumed that there is no difference in major antigenic determinants among the viruses. 3. By analysis of restriction endonuclease Hind Ⅲ, it was found that 8 domestic isolates except A37 and Colorado strain revealed the identical banding patterns. However, Oxford strain showed quite different patterns, displaying H band at 6.9×10 exp (6) daltons and K′band at 4.5×10 exp (6) daltons. A37 strain exclusively contained the longer bands of A′ and A″. 4. When the viral DNA were analyzed by restriction endonuclease EcoRI, all of the domestic isolates and Colorado strain showed very similar banding patterns, whereas Oxford strain revealed a considerable discrepancy, displaying B′ band at 12.5×10 exp (6) daltons. 5. By analysis of restriction endonuclease BamHI, it was found that the domestic isolates and Colorado strain revealed similar patterns displaying 8 fragments. However, Oxford strain was cleaved into 9 fragments displaying G′and G″ bands.

무증상 대퇴골두 무혈성 괴사의 증상발현

원중희,김용민,최의성,이호승,서중배,배병권 대한고관절학회 2001 Hip and Pelvis Vol.13 No.1

3.5% NaCl 溶液에서 炭素鋼 S.S41에 對한 Ethanolamines의 腐蝕抑制效果

孫太源,閔丙喆 弘益大學校 1987 弘大論叢 Vol.19 No.2

The inhibitive effect of monoethanolamine, diethanolamine triethanolamine and N-ethylethanolamine on carbon steel S. S 41 in the 3.5% NaCl solution has been studied using polarization test method. A significant retardation of corrosion rate was observed in the NaCl solution contaning the inhibitors. The rate of corrosion was depended on the nature of the inhibitors and their concentration and temperatures of the environment. The results obtained from polarization test method and pH measurements were revealed that ethanolamines performed a dual funtion in corrosion inhibition of carbon steel; one was a neutralization of the solution and the other was the adsorption of ethanolamines on the metal surface. The inhibitive efficiencies of corrosion on carbon steel by MEA, DEA and TEA was found to be in following order: MEA>DEA>TEA. With the results of inhibitive efficiencies, the inhibitive phenomena were closely related to the electron density of adsorption center and electron availability. Using Langmuir adsorption isotherm, the heat of adsorption for monoethanolamine and triethanolamine an carbon steel surface were estimated to 5.28Kca1/g·mole and 2. 95Kcal/g ? mole, respectively. The activation energy in the uninhibitive and inhibitive NaCl solution were observed as a value characteristic of diffusion process.

백서 척수후근절로부터 슈반세포의 효과적인 체외 배양법

김성민,이종호,김남열,안강민,최원재,최시호,차미주,이주영,황순정,장정원,명훈,최진영,서병무,정필훈,김명진 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

Schwann cells(SCs), an important component of the peripheral nervous system, intract with nerous to mutually support growth and replication for the peripheral nerve regentation. Recently, ading SCs to the lumen of guidance channel is widely tried to improve regeneration or to make regeneration possible over otherwise irreparable gaps. however, it is not easy to isolate and multiplicate SCs as much as enough to help the axonal regeneration. For the allogeneic SCs source for tubular nerve guidance, we developed a little bit improved technique of harvesting and multiplicating SCs. by culturing dispersed dorsal root ganglia in specially designed medium with growth factors and serial processing, we repeatedlly generate relatively homogenous SC cultures. Our technique was compared with other methods of literature using immunostaining methods such as GFAP, S100, BDNF and the total SC count assessment at different time interval after primary culture.

탄소강의 부식억제제로서 Amine Alcohol의 치환기에 의한 흡착 특성의 영향에 관한 연구

孫太源,閔丙喆,權東赫,金亨培 弘益大學校 科學技術硏究所 1991 科學技術硏究論文集 Vol.1 No.-

The inhibitive effect of monethanolamine, N-methylethanolamine and on carbon steel S.S.41 in the 3.5% NaCl solution has been studied using polarization test method. A significant retardation of corrosion rate was observed in the 3.5% NaCl solution containing the inhibitors. The adsorption characteristic of inhibitor was studied and the adsorption heat(???)was calculated by molecular interaction value f. The results obtained from polarization test method revealed that the efficiency of corrosion inhibition was effected by molecular interactions of adsorption complex on metal surface. Using Frumkin adsorption isotherm, which was most favorable isotherm to the experimental data, molecular interaction of adsorption(f) for MEA, and NMEA on carbon steel surface were calculated to be -8.77, and -8.25 Kcal/mole, respectively. From these results, the heat of adsorption were estimated to be 16.77 and 12.18Kcal/mole, respectively. From the activation energy values, it was known that mechanism of corrosion had been changed by the addition of corrosion inhibitors.