• 제목/요약/키워드: $L^4$

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초산모에서 경막외 $L_{1-2}$$L_{3-4}$ 차단 시 제통효과와 분만기간의 비교 (Comparison of Analgesic Efficacy and Shortening of Labor Duration between $L_{1-2}$ and $L_{3-4}$ Epidural Blocks in Nulliparous Normal Vaginal Delivery)

  • 강규식;이상윤;김정순;남계현;박욱
    • The Korean Journal of Pain
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    • 제14권1호
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    • pp.61-67
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    • 2001
  • Background: Usually, lumbar epidural block is performed on the $L_{3-4}$ interspace. This study was designed to evaluate the analgesic efficacy and shortening of labor duration comparing the $L_{1-2}$ and $L_{3-4}$ interspace epidural blocks in nulliparous normal vaginal deliveries and then investigates side effects following the blocks. Methods: Eighty healthy nulliparous women were divided into two groups, $L_{1-2}$ (n = 40) and $L_{3-4}$ (n = 40). Epidural blocks, lumbar epidural block were performed at the $L_{1-2}$ and $L_{3-4}$ interspace with a catheter advancing 3 cm cephalad. The initial dose of 12 ml (0.167% bupivacaine, fentanyl $50{\mu}g$ and clonidine $75{\mu}g$) was injected epidurally at 4 cm dilatation of cervix and severe pain of labor. If a visual analogue scale (VAS) score was more than 4 points, an additional dose was administered epidurally using the same volume as the above mentioned, but with the exception that the bupivacaine was diluted to 0.1 percentage. The maternal blood pressure, pulse rate, respiration rate and fetal heart rate were measured at 10 min intervals for the first 30 min, at 15 min interval for the next 30 min and at 30 min interval for the last one hour following the blocks. The duration of the first (active) and second stages of labor was counted and the neonatal Apgar score was recorded at one and five min after delivery. The degree of motor block, pruritus, nausea and vomiting were also noted. Results: The patients in group $L_{1-2}$ had lower pain scores than group $L_{3-4}$ at 5, 20, 30, 60 mins. The duration of 1st and 2nd labor stage in the $L_{3-4}$ epidural block were $272{\pm}33.5$ min, $49.2{\pm}27.4$ min respectively but those in the $L_{1-2}$ epidural block were $253.5{\pm}32.5$ min, $37.3{\pm}22.3$ min, respectively. Conclusions: We concluded the analgesic efficacy and shortening of labor duration in $L_{1-2}$ epidural block was better than those in $L_{3-4}$ epidural block. Maternal hemodynamic change, motor block. pruritus, nausea, vomiting and Apgar score showed no significant differences between the two groups.

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개심술시 체외순환에 의한 혈청 POTASSIUM 변동에 관한 연구 (A Clinical Study of Changes in Serum Potassium Ion Concentration Before and After Extracorporeal Circulation with Heart-Lung Machine)

  • 고태환
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.854-863
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    • 1990
  • Since the open heart surgery was performed, various kinds of problem concerning the extracorporeal circulation[EGG] have been known. The author investigated the changes of serum potassium ion before and after ECC among the 102 patients including 63 adults and 39 children who underwent open heart surgery from April 19S6 to February 1990 in Chung-Ang University Hospital. The mean values of potassium ion before and after ECC were analyzed according to the influencing factors such as priming solution, aortic cross clamping time, the underlying disease, the type of oxygenator and the amount of cardioplegic solution. The results were as follows: l. In the aspect of congenital and acquired heart disease groups, the mean values of serum potassium ion[Mean\ulcornerS.D.] before and after ECC revealed a significant change only in the acquired heart disease group[congenital; 3.87$\pm$0.48mEq /L vs. 4.05$\pm$0.73mEq /L, P>0.05, acquired: 4.40 $\pm$0.98mEq /L vs. 4.11$\pm$0.52mEq /L, P<0.05]. Between the two groups, the changes of the mean values of serum potassium ion before and after ECC were significant[P<0.05]. But all values were within normal limits. 2. In the aspect of the aortic cross clamping time[ACCT], in the groups of less or more than 120 minutes, the mean values of serum potassium ion before and after ECC revealed no significant change[less than 120 min; 3.97+-0.64mEq /L vs. 3.99+0.67mEq /L, P>0.05, more than 120 min; 4.34+0.82mEq /L vs. 4.27+0.62mEq /L, P>0.05], and The changes of mean values of serum potassium ion between the two groups were not significant[P>0.05]. 3. In both membrane and bubble oxygenator groups, the mean values of serum potassium ion before and after ECC did not reveal a significant difference respectively [membrane; 4.74 +1.40mEq /L vs. 4.28+0.3lmEq /L, P>0.05, bubble; 4.02 +0.60mEq /L vs. 4.05 L0.68mEq/L, P>0.05], and no differences between the membrane and bubble oxygenator groups[P >0.05]. 4. In the groups of membrane and bubble oxygenator in the cases of ACCT more than 120 minutes, the mean values of serum potassium ion before and after ECC did not reveal a significant difference respectively[membrane; 4.36$\pm$0.85mEq /L vs. 4.37$\pm$0.26mEq /L, P>0.05, bubble; 4.30 $\pm$0.80mEq/L vs. 4.23$\pm$0.67mEq/L, P>0.05], and no differences between the two groups[P>0.05]. 5. In spite of increased amount of cold potassium cardioplegic solution, the mean values of serum potassium ion before ECC were similar to those of serum potassium ion after ECC[less than 20ml /kg

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Hf, Ta가 첨가된 Ti-l5Sn-4Nb계 생체용 합금의 미세조직 및 기계적 성질에 관한 연구 (A Study on Microstructure and Mechanical Properties of Hf, Ta Added Ti-l5Sn-4Nb system Alloys for Biomaterial)

  • 김대환;이경구;박효병;이도재
    • 한국표면공학회지
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    • 제33권4호
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    • pp.251-260
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    • 2000
  • Ta and Hf added Ti-l5Sn-4Nb alloys without V and Al elements for biomaterial were melted by arc furnace in response to recent concerns about the long term safety of Ti-6Al-4V alloy. All specimens were homogenized at $1000^{\circ}C$ and solution treatment was performed at $812^{\circ}C$ and aging treatment at $500^{\circ}C$. The microstructure and mechanical properties were analysed by optical micrograph, hardness tester and instron. Ti-l5Sn-4Nb system alloys showed widmanstatten microstructure which is typical microstructure in $\alpha$$\beta$ type Ti alloys. The Ti-l5Sn-4Nb-2Hf and Ti-l5Sn-4Nb-2Ta alloys showed better hardness and tensile strength compared with Ti-6Al-4V. The result of XPS analysis, Ti-l5Sn-4Nb alloy in air atmosphere consisted of $TiO_2$, SnO and NbO.

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Synthesis and Characterization of Molybdenum(V)-Oxo Complexes with ONO-Donors

  • 김정숙;김희정;구본권
    • Bulletin of the Korean Chemical Society
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    • 제16권1호
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    • pp.26-29
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    • 1995
  • Six-coordinate molybdenum(Ⅴ)-oxo complexes (PyH)[MoOCl2L] and (R4N)-[MoOCl2L] (R=CH3 and C2H5) with N-salicylidene-2-aminophenol(L1) and its derivatives(L2=5-CH3, L3=3-CH3O, L4=5,6-C4H4 and L5=5-NO2) as ONO-donor ligands have been synthesized and the spectral and electrochemical properties of the complexes by elemental analysis, molar conductivity, UV-vis, IR, 1H NMR and CV have been studied.

폴리염화비페닐류 함유 액상폐기물 시험방법별 분석결과 비교 (Comparison of three analytical methods for PCBs-containing liquid wastes)

  • 김교근;윤성규;배우근
    • 분석과학
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    • 제23권3호
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    • pp.278-283
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    • 2010
  • 본 연구에서는 국제적으로 관심의 대상이 되고 있는 폴리염화비페닐류 함유 액상폐기물의 효율적인 관리를 위해 국내에서 사용되고 있는 L2000DX을 이용한 스크리닝, 신속 GC/ECD 및 기존 GC/ECD 분석방법을 절연유 15건에 적용하였다. 분석 결과 L2000DX을 이용한 경우에는 4.4~182.8 mg/L의 농도 범위로 Aroclor 1242 환산농도가 검출된 반면, 기존 GC/ECD 및 신속 GC/ECD를 이용한 분석 결과 각각 불검출~14.63 mg/L 및 불검출~13.03 mg/L로 나타났다. GC/ECD 분석방법들 간에는 약 4 mg/L이하에서 거의 차이가 없었으나, 국내의 규제농도인 2 mg/L부근의 검출농도에서는 일부 시료의 경우 기존 GC/ECD 분석결과(2.71 mg/L)에 비해 신속 GC/ECD 방법이 다소 낮은(2.49 mg/L) 측정치를 보여 국내 규제기준 2 mg/L부근에서 저평가되는 경향이 있는 것으로 나타났다.

Syntheses and Theoretical Study of Palladium(II) Complexes with Aminophosphines as 7-Membered Chelate Rings

  • 김봉곤;양기열;정맹준;이배욱;도명기
    • Bulletin of the Korean Chemical Society
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    • 제18권11호
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    • pp.1162-1166
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    • 1997
  • Nature of palladium(Ⅱ) complexes with 7-membered chelates was studied by experimental and theoretical methods on a Pd(L)Cl2 system, where L is Ph2PNHCH2CH2NHPPh2(L1), Ph2PNHC6H4NHPPh2(L2). The palladium(Ⅱ) complexes were prepared and characterized by elemental analysis, IR, UV, 1H, and 31P NMR spectroscopy. Ab initio calculations with geometry optimizations were also performed for related model systems, Pd(L)Cl2; L=R2PNH(CH2)2NHPR2(L3), R2PNHC6H4NHPR2(L4), R2P(CH2)4PR2(L5), R2PCH2(C6H4)CH2PR2(L6); R=H, CH3.

바위솔의 줄기조직으로부터 식물체 재분화 (Plant Regeneration from the Stem Tissue of Orostachys japonicus A. Berger)

  • 최상욱;남상해;양기종;조무제;양민석
    • 식물조직배양학회지
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    • 제21권2호
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    • pp.65-68
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    • 1994
  • 한방에서 항암제로 사용되고 있는 약용식물들로부터 이 차대사산물을 생산하기 위한 시도로서 바위솔의 조직배양을 시도하였다. 바위솔의 부위별 조직, 즉 잎, 줄기 및 화주 조직을 이용하여 캘러스 유기를 시도하였다. 줄기조직과 화주조직에서는 캘러스가 유기되었으나 잎 조직으로부터는 캘러스가 유기되지 많았다. 따라서 캘러스 유기가 가장 왕성하게 일어나는 줄기조직으로부터 유기된 캘러스를 이용하여 식물체 재분화를 시도하였다. 캘러스 유기에는 MS배지에 4 mg/L 2,4-D와 2 mg/L BAP를 첨가하였을 때 가장 효과적이었으며, 잎 조직으로부터는 캘러스형성이 되지 않았다. 식물체 재분화에 있어서 줄기분화는 MS배지 0.5 mg/L와 BAP 2 mg/L를 첨가한 배지에서 가장 높은 분화율을 나타내었으며, 뿌리형성은 2,4-D 1 mg/L와 kinetin 1∼3 mg/L를 첨가한 배지에서만 5%의 분화율을 나타내었다. 뿌리형성에 대한 2,4-D의 적정 농도에 대한 연구 및 뿌리 발생시 생성되는 적색물질의 규명에 대한 연구가 진행되어야 할 것이다. 완전한 식물체로 재분화가 일어나는데는 약 14 주의 기간이 소요되었다.

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Antibacterial activity of Chamaecyparis obtuse Extract and Profile of Antimicrobial Agents Resistance for Methicillin-Resistant Staphylococcus aureus

  • Jong Hwa Yum
    • 대한의생명과학회지
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    • 제30권1호
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    • pp.32-35
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    • 2024
  • In vitro antimicrobial activities of hot water extracts of Chamaecyparis obtuse, for methicillin-resistant Staphylococcus aureus (MRSA) was compared to commonly used conventional antimicrobial agents. All MRSA was susceptible to linezolid or vancomycin, but also to erythromycin. MIC range and MIC90 to erythromycin, clindamycin, levofloxacin, tetracycline for MRSA were each 4 ㎍/mL, 2 ~ >128 ㎍/mL, ≤0.06 ~ >128 ㎍/mL, 0.25 ~ >128 ㎍/mL, 0.25~64 ㎍/mL and 4 ㎍/mL, .128 ㎍/mL, >128 ㎍/mL, >128 ㎍/mL, 64 ㎍/mL. The hot water extracts of leaf of C. obtuse had the lowest MIC range, MIC50, and MIC90 (0.125 µL/mL) for the MRSA tested, and it was possible more potent than various conventional antimicrobial agents. Screen antibacterial drug candidate with high antibacterial activity such as derivatives of C. obtuse leaf extract such as terpinen-4-ol or using combined therapy with commercialized antibacterial agents will likely be helpful in treating refractory MRSA infections.

몰리브덴(Ⅲ) 과 바나듐(Ⅲ) 호모 및 헤테로 이핵 착물의 합성과 특성 (제 4 보) (Synthesis and Characterization of Homo-, Hetero-Dinuclear Mo(Ⅲ) and V(Ⅲ) Complexes (Ⅳ))

  • 오상오;유은영
    • 대한화학회지
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    • 제38권11호
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    • pp.808-818
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    • 1994
  • $MCl_z$(M = Mo; z = 5, M = V; z = 3)과 N,P 주개 리간드를 acetonitrile 용매에서 반응시켜 중성착물 [$MCl_3L_2$(MeCN)] (M = Mo, V: L = $PPh_3$, 1/2 phda)을 합성하였다. Acetone 용액에서 이들 중성 화합물과 $AgClO_4$를 반응시켜 [$MCl_3-_nL_2(MeCN)(S)_n$]$(ClO_4)_n$ (n = 1, 2 : s = solvent)의 양이온 화합물을 얻었다. 2가의 양이온 화합물과 중성 화합물을 반응시켜 염소가 다리 연결된 이핵 화합물 $[(MeCN)(L)_2ClM({\mu}-Cl)_2M'Cl(L)_2(MeCN)](ClO_4)_2$ 및 1가의 양이온 화합물과 pyzidine을 2:1 화학양론으로 반응시켜 pyzidine이 다리 결합된 이핵 화합물 $[(MeCN)(L)_2Cl_2M({\mu}-pyz)M'Cl_2(L)_2(MeCN)](ClO_4)_2$형의 호모(M = M'), 헤테로(M ${\neq}$ M') 화합물을 합성하였다. 합성한 착물들은 원소분석과 적외선, $^1H$, $^{13}C$ 핵자기 공명 및 전자 흡수스펙트럼 등을 이용하여 그 특성을 조사하였다.

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식물생장조절제 처리가 들잔디의 Callus유기 및 Multiple Shoots형성에 미치는 영향 (The Effects of Plant Growth Substances on the Callus Induction and Multiple Shoot Formation of Korean Lawngrass( Zoysia japonica Steud.))

  • 심재성;김동찬;서병기
    • 아시안잔디학회지
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    • 제8권3호
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    • pp.137-147
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    • 1994
  • We have established a high-frequency plant regeneration system via organogenesis from mature seed of Korean lawngrass(Zoysia japonica Steud.). The effects of 2,4-dichiorophenoxy acetic acid (2,4-D), 6-furfuryl amino purine (kinetin), $\alpha$-naphthaiene acetic acid (NAA), N6-benzyl amino pu-rine (BAP), and casein hydrolysate (CR) on cailus induction and multiple shoot formation on ex-posure to light were evaluated. Callus produced on the Murashige and Skoog (MS) medium containing 2,4-D and kinetin had high organogenesis potency. A single addition of 1.0 mg $L-^1$ 2,4-D significantly induced callus. Also, 1.0 mg L-$^1$ 2,4-D, with the addition of 0.1 mg $L-^1$ kinetin highly enlianced callus induction. The trend of cailus induction was also found on mediurn containing 0.1 mg $L-^1$ BAP with 1.0 mg $L-^1$2,4-D, and 1 g $L-^1$ CR with the addition of 1.0 mg $L-^1$ 2,4-D. However, NAA was no effective on callus formation. The growth of root was significantly high in the presence of 0.1 mg $L-^1$ kinetin compared to other concentrations. Over 2 mg $L-^1$ kinetin highly lengthened roots. Fresh weight of plantlet was highest on medium containing 0.1 mg $L-^1$ 2,4-D. Also, on medium containing 0.1 mg $L-^1$ BAP, fresh weight of piantlet was highly enhanced. BAP was significantly effective on multiple shoot formation, particularly when 2.0 mg $L-^1$ was added with 0.1 mg $L-^1$ 2,4-D. Callus induction and multiple shoot formation were achieved on MS basal medium containing 1.0 g $L-^1$ CH.

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