Fallot 四徵症의 根治手術

曺洸鉉 인제대학교 1985 仁濟醫學 Vol.6 No.1

One of the most common of the more serious congenital malformations of the heart is the tetralogy of Fallet, which is said as the watershed between the simple and complex cardiac anomalies. And, therefore, all cardiac surgeons have been much interested in surgical approach of this anomaly. Although Stensen deserves credit for the first description in 1972 of what is new termed the tetralogy of Fallot, nevertheless it is Etienne-Louis Arthur Fallot (1888) of Marseille, France, whose name is characteristically attached to this congenital cardiac disorder. In the original description of this, Fallot stated, "This malformation consists of a true anatomopathological type represented by the following tetralogy: (1) stenosis of the pulmonary artery; (2) interventricular communication; (3) deviation of the origin of the aorta to the right; (4) hypertrophy, almost always concentric, of the right ventricle. Failure of obliteration of the foramen ovale mar ocassionally be added in a wholly accessory manner." Despite the fact that accurate clinical diagnosis could often be established after these contributions by fallot, nevertheless, many years passed before definitive treatment of this was initiated by Blalock and Taussig (1945) with the establishment of the subclavian artery to pulmonary artery anastomosis. Thereafter, several types of this kind of palliative operation were established by Potts (1946), Waterston (1962), Sellors (1948), Brock (1948) and Glenn (1954). In an imaginative and daring effort, in 1954, Lillehei using controlled crass-circulation, carried out the first intracardiac repair of this anomaly by closing the VSD and relieving the pulmonary stenosis under direct vision. The results of surgery for this have steadily improved over the years, thanks to important contributions of many surgeons. Nevertheless because of its protean physiologic and anatomic presentations, tetralogy of Fallot continues to offer challenges to cardiologists and cardiac surgeons. Auther wanted to study and summarize about the radical operation of this anomaly with literature review.

肝組織에서의 Glucagon의 脂肪酸合成 抑制機轉에 대한 硏究

曺義鉉,高光三 조선의대 1984 The Medical Journal of Chosun University Vol.9 No.1

HGCMP기반 서버 시스템상의 전달지연 연구

조현주,김한수,이광휘 昌原大學校 基礎科學硏究所 1995 基礎科學硏究所論文集 Vol.7 No.-

In this thesis, the message transmission delay on a server system using HGCMP for group communication protocol was analyzed. The queue model of a server system was modeled by queueing theoretic approach. As the feedback structure was imbedded in the queue model, it is difficult to analyze the delay. To solve this problem, the simplification of the queue model was performed. After the simplification process, the queue model was modeled M/M/1. The transmission delay of a server system is calculated using average waiting time and service time in a server system.

마늘 추출액의 돌연변이 억제효과에 관한 연구

조현,변광의 순천향대학교 1993 논문집 Vol.16 No.1

Garlic extract itself had no mutagenicity and inhibited the mutagenicity of 2-aminofluorene (2-AF) toward salmonella typhimurium TA 98 and TA 100 strains when Ames assay has been carried out. But, in case of benzo(a)pyren as mutagen, the inhibitory effect of garlic extract was not observed. Water extract of garlic inhibited the mutagenicity of 2-AF more effectively than ethanol extract but its inhibitory effect was decreased with heat treatment. Using ultrafiltration method, we could know that the inhibitory factor has the molecular weight below 550 daltons. Also, we saw from adhesion of inhibitory factor to ion exchange resin(Dowex-1-chloride X-8) that this exhibited anionic character. Further study should be in need to conform the characteristics of that factor.

부산 백병원에서 실시한 개심술의 최근 기법

조광현 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.1S

■ Background 3,175 cardiac surgeries were performed in the Pusan Paik Hospital from Sep. 1985 to April 2002, and recently several kinds of current techniques for open heart surgery were adopted with good results. ■ Method Retrospective analysis of the cases and review of the results of operation and usefulness of current techniques such as OFF-Pump CABG. ARCH-FIRST TECHNIQUE. MICRO-WAVE ABLATION, TRANSPLANTATION and MINIMAL INCISION were done. ■ Results ① Among the total cases (3,179), open heart and non-open heart surgery cases were 1,988 and 218, respectively. ② 188 cases of CABG were done. Among them, 20 cases underwent OFF-PUMP coronary artery bypass surgery. 21 cases underwent complete arterial revascularization, and 14 cases underwent both. ③ 75 cases of aortic aneurysm (ascending or arch aneurysm) were operated undercardiopulmonary bypass. The causes of these aneurysm were dissecting aneurysm (45), annuloaortic ectasia(24), non-dissecting chronic aneurysm(5). In the surgery of arch aneurysm. 7 cases underwent ARCH-FIRST TECHNIQUE with good results. ④ In the treatment of atrial fibrillation coupled with valvular heart disease. MICRO-WAVE ABLATION were performed in 18 cases with 83.3 % sinus rhythm recovery. ⑤ Four cases of heart transplantation were performed, using Shumway method, with 3 survivals and one death. ⑥ Minimally invasive incision (using lower sternal incision) was performed successfully in the cases of tricuspid valve diseases(10) and congenital septal defects (50). ■ Conclusion The over all postoperative hospital mortality with open heart surgery was not so high as 3.5 %, whereas more proper management of the all patients with current techniques must be continued.

심실중격결손증-치험 1예-

조광현,우종수,황윤호,이양행,박철호,김종성,김철호,이경순,조영일,박태인 인제대학교 1985 仁濟醫學 Vol.6 No.4

A successful treatment of infants and children with congenital heart defects depends upon several factors: diagnosis must be accurate, the operative technique, including techniques of perfusion and myocardial preservation, must be suited to the needs of patients and intensive cares, including accurate anesthesia, must be applied through all stages of investigation and treatment, i.e. before, during and after the operation. Recently we performed a open heart surgery successfully for a six-years old girl who had suffered from frequent upper respiratory tract infection and mild to moderate exertional dyspnea with congenital heart defects (ventricular septal defect, Kirklin type II, with patent foramen ovale). The operation and postoperative course were very smooth. And now we report this with review of literatures.

MRI용 초전도 능동차폐 마그네트의 설계에 관한 연구

조윤현,이광호,김성도 東亞大學校 附設 情報通信硏究所 1996 情報通信硏究所論文誌 Vol.4 No.1

An optimal design approach is presented for the high homegeneity superconducting magnet with a superconducting active shield esperically for a magnetic resonance imaging system. This paper is investigated magnetic phenomena for a stray magnetic to get reduction technigues of the unwanted stray magnetic field from the superconducting magnet.

원예작물의 염류장애 원인과 대책을 위한 생리, 생화학적 연구 3.토마토 뿌리조직에서 마이크로솜 Ca²+ uptake 특성연구

조광현,김영기 충북대학교 한국과학재단 지정 첨단원예기술개발 연구센터 1998 연구보고서 Vol.3 No.-

식물세포의 세포질 Ca²+ 이동과 관련된 Ca²+ transport 특성을 조사하기 위하여, 토마토 뿌리조직으로부터 마이크로솜을 분리하고, 45Ca²+ uptake 실험을 수행하였다. 반응용액에 Ca²+-ATPase의 선택적 저해제인 1 mM vanadate와 액포막 H+-ATPase의 선택적 저해제인 50 mM NO₃를 각각 첨가하였을 때, 45Ca²+ uptake는 각각 20%와 30% 저해되었고, 두 가지 저해제를 동시에 첨가하였을 때 50% 저해되었다. 또한 마이크로솜 45Ca²+ uptake는 vanadate 또는 NO₃-의 농도를 증가시킴에 따라 저해되었다. 이러한 저해효과는 토마토 뿌리조직 마이크로솜에 Ca²+-ATPase와 Ca²+/H+ antiport가 동시에 존재할 가능성을 시사한다. Protonophore인 gramicidin의 처리에 의해 45Ca²+ uptake는 30% 가량 저해되어, 토마토 뿌리조직 마이크로솜에 Ca²+/H+ antiport가 존재하고 있음을 확인하였다. NO₃-를 처리하여 45Ca²+ uptake를 저해시킨 후 gramicidin을 처리하였을 때, gramicidin에 의한 추가저해는 거의 관측되지 않았으나, vanadate의 경우 gramicidin에 의한 추가저해가 현저히 나타났다. 이러한 결과는 토마토 뿌리조직 마이크로솜 45Ca²+ uptake가 vanadate에 의하여 저해되는 Ca²+-ATPase와 NO₃-에 의하여 저해되는 Ca²+/H+ antiport에 의해 이루어지고 있음을 의미한다. 한편, 동물조직 ER/SR-type Ca²+-ATPase의 특이성 높은 선택적 저해제인 thapsigargin은 마이크로솜 45Ca²+ uptake를 농도 의존적으로 저해하였으며, 10μM 농도에서 최대저해효과를 나타냈다. Thapsigargin에 의한 45Ca²+ uptake의 저해효과는 NO₃를 사용하여 액포막 H+-ATPase 활성을 저해하였을 때 현저하게 감소하였다. 반면, vanadate를 처리하여 원형질막 H+-ATPase의 활성을 저해한 후에도 thapsigargin에 의한 추가적 저해효과가 관측되어 thapsigargin이 액포막 H+-ATPase의 활성을 저해하여 간접적으로 Ca²+/H+ antiport를 저해함을 확인하였다. 이상의 결과들은 토마토 뿌리조직 마이크로솜에 Ca²+-ATPase와 액포막 Ca²+/H+ antiport가 존재하며, thapsigargin이 액포막 Ca²+/H+ antiport를 선택적으로 저해함을 보여준다. In order to characterize the property of Ca²+ transport in plant tissue, microsomes were prepared from the roots of tomato and microsomal 45Ca²+ uptake was measured. When 1mM vanadate, a selective inhibitor of P-type ATPases, 50 mM NO₃, a specific inhibitor of vacuolar H+-ATPase, and both of these inhibitors were treated, the microsomal 45Ca²+ uptakes were inhibited by 20%, 33%, and 47%, respectively. The inhibitory effects of these two inhibitors were investigated by using a protonophore, gramicidin. When the chemical gradient of H+ was relieved by gramicidin, the uptake was decreased by 30%, implying the presence of Ca²+/H+ antiporter in the microsomal membrane. In the 45Ca²+ uptake experiment, the effect of gramicidin was independent of vanadate-induced inhibition. However, when the activity of vacuolar H+-ATPase was inhibited by NO₃, the effect of gramicidin was severely decreased. Meanwhile, thapsigargin, a specific antagonist of ER/SR-type Ca²+-ATPase, inhibited the microsomal 45Ca²+ uptake and the maximum inhibitory effect was obtained at 10μM. The effect of thapsigargin was blocked by NO₃and gramicidin, but not by vanadate. These results imply that vanadate directly inhibits the activity of Ca²+-ATPase; however, NO₃- and thapsigargin block the activity of Ca²+/H+ antiporter by inhibiting the vacuolar H+-ATPase. In conclusion, the microsomal 45Ca²+ uptakes are mediated by two major enzymes, Ca²+-ATPase and Ca²+/H+ antiporter in tomato root tissue.

심장수술 2,450예와 심장이식

조광현,황윤호,이양행,류지윤 인제대학교 1999 仁濟醫學 Vol.20 No.1

유사체액에서의 전기화학적 처리가 티타늄 표면의 인산갈슘 흡착에 미치는 영향

조국현,김문영,송광엽,배태성,이민호 大韓齒科器材學會 2002 대한치과재료학회지 Vol.29 No.3

This study was performed to examine the effect of electrochemical treatment on the precipitation of apatite-like calcium phosphate in a simulated body fluid. Titanium plates of 20×20×1 ㎣ in dimensions were polished sequentially from #600 to #2,000 emery paper and one surface of each specimen was received an additional polishing sequence through 0.1㎛ alumina paste. To improve the bioactivity of titanium plates, they were electrochemically treated at 100 mA for 20 min in an electrolyte containing the calcium and phosphate ions, and the Hanks' solution with pH 7.4 at 36.5℃ for 30 days, and the surfaces were examined with X-ray diffractometer(XRD), scanning electron microscope(SEM) and X-ray photoemission spectroscopy(XPS). Precipitation of calcium phosphate and CaO were observed on the electrochemically treated titanium surface in a simulated body fluid after treatment at 600℃. Precipitation of calcium phosphate was densified and coarsened with increasing the temperature of the electrolyte solution in the range of 20-80℃. The calcium phosphate contained phosphate in the form of Po₄^3-, HPO₄^2-, and H₂PO₄^-.