외경 0.25 ㎜ 동맥의 단단 및 단측문합법

전대우,정재홍,강진성,한기환 大韓成形外科學會 1989 Archives of Plastic Surgery Vol.16 No.3

Microvascular surgery has rapidly developed in the last 30 years and vessels of 1.0 mm can be anastomosed easily with a patency rate over 90 percent and is widely used in clinical practice with remarkable success. To obtain more successful microvascular anastomosis in smaller vessels, the improvement in methods of microanastomosis, the development of microvascular instruments including the operating microscope along with microsutures, and anticoagulants are needed. These improvements made microvascular anastomoses of vessels that are less than 0.5mm in extemal diameter possible. Huang et al.? performed anastomoses of the vessels in rats with an external diameter of 0.2 mm using a high magnification operating microscope, specially designed microinstruments, and fine sutures, and achieved a patency rate of 76 percent in the second postoperative week. However, we tried to anastomose vessels with an external diameter of 0.25 mm with ordinary instruments and 11-0 nylon. Animal studies on 180 rats were carried out by doing end-to-end anastomoses and 180 end-to-side anastomoses. In the end-to-end and end-to-side anastomoses, each 180 rats were then divided into 3 groups each. Group A was the control group. Aspirin and persantin were given orally in group B. Ticlopidine hydrochloride was given orally in group C. The method of end-to=end anastomosis was as follows : A superficial epigastric artery as small as 0.25 mm in diameter was severed transversely and longitudinal incisions, the length of the arterial diameter, were made down opposite sides of each end. Each flared fragment of the proximal end is approximated with each distal end and sutured together by only two stitches. The method of end-to-side anastomosis was as follows. In the side of the femoral artery an elliptical hole was made the same length of the circumference of the superficial epigastric artery, then the superficial epigastric artery was incised in the same manner as the end-to-end anastomosis. The flared ends of the superficial epigastric artery were then inserted into the hole of the femoral artery and sutured by four stitches. Light microscopic and scanning electron microscopic observation was performed serially at 3 days, 2 weeks, 3 weeks after the microvascular anastomosis for studying change of vessel diameter and histopathological changes at the microvascular anastomotic sites. The results were as follows : 1. The patency rate for the end-to-end anastomoses in the third postoperative week was 25% in the control group(A), 35% in the aspirin-persantin group(B), and 40% in the ticlopidine group(C) ; in the end-to-side anastomoses, 45% in group A, 50% in group B, and 60% in group C. 2. In the patency rate, the ticlopidine group is slightly higher than the aspirin-persantin group and even higher than the control group (P<0.05) in the end-to-end and end-to-side anastomoses. However, the end-to side group is higher in all 3 groups than the end-to-end one (P<0.1). 3. The intimal regeneration in all arteries was completed at end of the third postoperative week in the end-to-end and end-to-side anastomoses. 4. Changes of the internal diameter in anastomosed vessels showed luminal narrowing in the vessels at the third postoperative day and still narrowing at the second and third postoperative week in the end-to-end anastomoses. However, initial postoperative widening continued into the third postoperative week in the end-to-side anastomoses. The authors got a high success rate of anastomoses of very small arteries approximately 0.25 mm in external diameter, by developing a method of using an ordinary microscope and instruments, 11-0 nylon suture, and the administration of ticlopidine hydrochloride which is a more powerful anticoagulant than aspirin-persatin.

한국인에서의 CYP2C19 돌연변이 유전자형의 다형성에 관한 연구

채석,채상우,양동규,김형기,권준택,염윤기 순천향의학연구소 2000 Journal of Soonchunhyang Medical Science Vol.6 No.2

The S-mephenytoin 4'-hydroxylase (CYP2C19) metabolizes a number of clinically used drugs and shows a marked interethnic difference in the incidence of the poor metabolizer (PM). Recent studies have found a third (CYP2C19*4) and forth (CYP2C19*5) mutations in Caucasians. In the present study, we genotyped 536 healthy unrelated Koreans for functionally defective alleles, CYP2C19*2, CYP2C19*3, CYP2C19*4, and CYP2C19*5. Detection of the normal (CYP2C19*1) and defective alleles was performed by polymerase chain reaction/restriction enzyme analysis. The genomic DNA was isolated from peripheral blood. The allelic frequencies of the wild-type (CYP2C19*1) and CYP2C19*2 were 72.6% and 27.4%, and the wild-type (CYP2C19*1) and CYP2C19*3 were 85.1% and 14.9%, respectively. For each CYP2C19*2 and CYP2C19*3 the observed number of three genotypes were similar to those calculated in accordance with the Hardy-Weinberg equation. The frequencies of homozygotes for CYP2C19*2, CYP2C19*3 and compound heterozygotes were 9.7%, 2.8% and 4.2%, respectively. The mutants of CYP2C19 were identified in 36 subjects (16.7%). The mutated CYP2C19*4 and CYP2C19*5 alleles were not detected in this study. These results suggest that frequency of mutants of CYP2C19 in Koreans resembled the Orientals rather than Caucasians, and we founded the racial variability of the frequencies of the CYP2C19*4 and CYP2C19*5 alleles in the Orientals.

시뮬레이션에 의한 저음재생용 소형스피커의 개발

이채봉,남경준 東西大學校 2001 동서논문집 Vol.7 No.-

This paper describes the study for the development of a 80㎜ low frequency sound speaker for the multimedia devices that has 80Hz basic resonance frequency and a pretty good ability to reproduce sounds efficiently in low frequency range even thought it is a compact sized speaker. This speaker has been changed by voice coil, magnet structures, diaphragm supporting structures and the shape of damper using theoretical simulation. As a result, the low frequency sound speaker has the characterization of a 80Hz basic resonance frequency.

HPLC-MS/MS를 이용하여 혈장 중 레보티인정의 정량분석

채석,오형근,이상선,김형기,손동렬,염윤기,맹주양,권준택 순천향의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.2

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유입 바베시아증 1예

우준희,조용균,김은옥,채종일,김양수,양성연,유지소,이성순 대한감염학회 1997 감염 Vol.29 No.1

최근 외국으로의 여행이 빈번해지면서 유입 감염되는 경우가 많아지고 있는 추세이며 임상 증세가 말라리아와 유사하여 다소 진단이 어려울 수가 있어 한번쯤 바베시아증을 생각하는 것이 바람직하겠다. 저자들은 아프리카에 다녀온 뒤 나타난 바베시아증을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Babesiosis is a tick-borne, malaria-like illness caused by Babesia species that infect erythrocytes of mammals incidentally. The family Babesiidae is characterized by consisting of nonpigmented intraerythrocytic parasites that reproduce within erythocytes by asynchronous, asexual budding into two or four daughter cells (tetrad). We experienced a case of human babesiosis presenting fever and chills. The patient was a 49-year old man, who had been in Africa (Ethiopia, Uganda). Three weeks before admission intermittent spiking fever had developed, which had been accompanied by severe chills. The peripheral blood smear (Giemsa-stain) revealed characteristic forms of a intracellular quadraple parasite compatible with Babesia. The patient was improved significantly by the treatment with quinine and clindamycin for a week.

유전자 알고리즘을 이용한 에이전트 멀티캐스팅 기법

이기준,강경아,정채영 조선대학교 통계연구소 2000 統計硏究所論文誌 Vol.2 No.1

하나의 작업지점에서 그룹의 다름 멤버들에게 다중으로 데이터 전송하기 위하여 point-to-point네트워크의 multicast tree를 이용하여 구현할 수 있다. 이러한 최소화 Steiner tree를 사용한 multicast 기법은 그룹에 대하여 하나의 Steiner tree를 이용할 수 있다는 장점을 지니고 있다. 따라서 최소화된 Steiner tree를 작성하는 것은 NP-Complete 문제와 효율적인 알고리즘을 작성하는데 필수적인 문제이다. 본 논문에서는 최소화된 Steiner tree를 찾는 에이전트와 유전자 알고리즘에 대하여 기술하고자 한다. 에이전트는 노드들 사이의 가중치를 검사하고 유전자 알고리즘에 이를 전송하다. 그리고 유전자 알고리즘 이 가중치와 최적화 Steiner tree 검색작업을 시도하여 Steiner tree를 작성한다. 본 논문에서는 전형적인 유전자알고리즘에 적용된 이진 스트링(DNA)의 특징을 가진 트리기반의 genetic encoding 방법을 기술하고 이에 대한 유용성을 보이고자 한다. Multicasting transfer data from one point to the members of groups. which can be supported by using multicast tree in point-to-point network. For multicast routing a minimal steiner tree is used, and has an advantage in that only one Steiner tree is needed for a group. However, finding a minimal Steiner tree is an NP-complete problems and it is necessary to develop efficient heuristic algorithms. In this paper, we present agents and genetic algortihms for a finding minimal Steiner tree. Agents check weights among nodes and transmit these to genetic algorithms. Then, genetics algorithms build Steiner trees with these weights and try to find a optimal Steiner tree. This paper describes a tree-based genetic encoding scheme which is in sharp contrast with binary string representations usually adopted in conventional genetic algorithms, and shows the efficiency of this scheme through experiments.

알코올성 췌장염 환자에서 CYP2E1 유전자형의 다형성

김일환,염윤기,채석,권준택,김형기,박상흠 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Cytochrome P4502E1(CYP2E1) is inducible by ethyl alcohol and activates procarcinogenic N-nitrosodimethylamine(NDMA), benzene, urethane and other lower molecular weight compound. CYP2E1 is also involved in metabolism of certain drugs, for example, alcohol, acetaminophen, tamoxifen, theophylline, flouorinated anesthetics, and chlorozoxazone. CYP2E1 activity was shown to be polymorphically distributed in humans and has been suggested to play a role in hepatocellular carcinoma and alcoholic related disorders. Although genetic predispodition to alcoholism and alcoholic liver disease has been reported, genetic susceptibility to alcoholic pancreatitis is still a matter of debate. The aims of this study were to investigate the allelic frequency of CYP2E1 Rsa I polymorphism in Koreans with alcoholic pancreatitis patients. We investigated the frequency distribution of CYP2E1 Rsa I polymorphism in 212 unrelated healthy Koreans and 64 alcoholic pancreatitis patients. Detection of the CYP2E1 alleles was performed by polymerase chain reaction and restriction fragment length analysis. The genomic DNA was isolated from peripheral blood with conventional phenol: chloroforn extraction method. The allelic frequencies of c1 and c2 in healty volunteers were 0.85 and 0.15, respectively. The allelic frequencies of c1 and c2 in alcoholic pancreatitis patients were 0.8 and 0.2, respectively. The rare type (c2/c2) of CYP2E1 Rsa I polymorphism was 0.005 and 0.031 (p<0.001) in healthy volunteers and alcoholic pancreatitis patients, respectively. However, the CYP2E1 genotype showed no significant relation to the alcoholic pancreatitis patients. It was suggested that the risk of alcoholic pancreatitis diagnosed clinically seem to be not associated with the CYP2E1 genotype.

형상인식을 위한 신경망 기법의 비교에 관한 연구

강경아,이기준,정채영 조선대학교 통계연구소 1999 統計硏究所論文誌 Vol.1 No.1

In this paper, implemented the algorithms that recognize the image learning the standard data by Back propagation and Hopfield network of neural network Back propagation learning method needs more hours in carrying out one-time learning due to the hopfield algorithm, but in the rate of detection per learning frequency, back propagation shows an excellence. Back propagation learning algorithm requires 25 seconds to obtain the rate of 97% detection of the image, but to detect the image over 99%, the time of 1 minute and 20 seconds is required and while the rate of image recognition is very high in initial learning, it is delayed from over 97%. To the contrary, in the case of hopield network, more hours are required to recognize 97% of the image than back propagation, but in recognizing the image over 99%, it requires shorter hours than back propagation.

급성 신우신염이 선행된 Escherichia coli 농흉 1예

차치운,조준형,김미진,오윤정,연재우,이성규,오미정,채지영,김수연 대한감염학회 2009 감염과 화학요법 Vol.41 No.5

We experienced a case of acute pyelonephritis which progressed to Escherichia coli bacteremia and later complicated by empyema in a 65-year-old female. She was successfully treated with intravenous antibiotic therapy and percutaneous drainage of empyema.

Effects of sevoflurane on tight junction protein expression and PKC-α translocation after pulmonary ischemia–reperfusion injury

Jun Chai,Bo Long,Xiaomei Liu,Yan Li,Ning Han,Ping Zhao,Weimin Chen 생화학분자생물학회 2015 Experimental and molecular medicine Vol.47 No.-

Pulmonary dysfunction caused by ischemia-reperfusion injury is the leading cause of mortality in lung transplantation. We aimed to investigate the effects of sevoflurane pretreatment on lung permeability, tight junction protein occludin and zona occludens 1 (ZO-1) expression, and translocation of protein kinase C (PKC)-α after ischemia–reperfusion. A lung ischemia-reperfusion injury model was established in 96 male Wistar rats following the modified Eppinger method. The rats were divided into four groups with 24 rats in each group: a control (group C), an ischemia-reperfusion group (IR group), a sevoflurane control group (sev-C group), and a sevoflurane ischemia-reperfusion group (sev–IR group). There were three time points in each group: ischemic occlusion for 45 min, reperfusion for 60 min and reperfusion for 120 min; and there were six rats per time point. For the 120-min reperfusion group, six extra rats underwent bronchoalveolar lavage. Mean arterial pressure (MAP) and pulse oxygen saturation (SpO2) were recorded at each time point. The wet/dry weight ratio and lung permeability index (LPI) were measured. Quantitative RT-PCR and Western blot were used to measure pulmonary occludin and ZO-1, and Western blot was used to measure cytosolic and membranous PKC-α in the lung. Lung permeability was significantly increased after ischemia–reperfusion. Sevoflurane pretreatment promoted pulmonary expression of occludin and ZO-1 after reperfusion and inhibited the translocation of PKC-α. In conclusion, sevoflurane pretreatment alleviated lung permeability by upregulating occludin and ZO-1 after ischemia–reperfusion. Sevoflurane pretreatment inhibited the translocation and activation of PKC-α, which also contributed to the lung-protective effect of sevoflurane.