• Journal of Chest Surgery
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• v.32 no.1
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• pp.75-79
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• 1999

Budd-Chiari syndrome is a state of hepatic failure caused by impairment of blood flow anywhere from the inferior vena cava to the right atrium. In this case, a 45 year old patient had undergone membranotomy and dilatation with autogenous pericardial graft due to obstruction of the inferior vena cava caused by a congenital membrane in 1987. Ten years after the operation, restenosis occurred. Although a noninvasive method with a Gianturco stent dilatation was performed, a satisfactory result was not obtained. A reoperation was performed. The stenotic segment of inferior vena cava was excised and after augmentation with a prepared pentagon shaped Gore-Tex artificial graft allowing passage of two fingers. The patient's postoperative course was uneventful without signs of rebleeding or any other complications and the patient was discharged at postoperative two weeks without the use of anticoagulants. An excellent result was obtainable after operation using a prepared Gore-Tex graft and such a result. Reoperational case of Budd-Chiari syndrome may require rapid and excellent the operative techenic by prevention of massive bleeding under use of extracorporeal circulation.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2016.11a
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• pp.122.1-122.1
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• 2016

관상동맥 경화나 말초 혈관 동맥 경화 등이 발생한 경우 스텐트를 이용한 치료나 혈관 접합술(bypass grafting surgery)에 의한 치료를 하게 된다. 그러나 많은 경우 치료 부위에 발생한 혈관 조직에의 손상으로 인해 재협착(restenosis)이나 폐색(occlusion)이 일어나 환자의 생명을 위협하는 치명적인 결과를 유발하는 경우가 종종 발생한다. 이러한 재협착이나 폐색은 혈관민무니근세포(smooth muscle cells)의 이상성장(abnormal growth) 때문인데, 이를 억제하기 위한 다양한 약물이 개발되어 왔으나 치료 대상 부위에 높은 효율로 2~3 주간의 기간 동안 약물 전달하기가 어려운 실정이다. 최근 혈관접합 부위 (anastomosis site)등에 적용할 수 있는 메쉬나 실린더 형상의 약물전달 디바이스들이 개발되어 왔으나 약물 전달의 효율 등에서 더 개선이 절실히 필요한 실정이다. 본 발표에서는 혈관 외벽에 장착되어 혈관 중간막 (tunica media) 조직으로의 약물 전달 효율을 높이기 위해 마이크로니들(microneedles)을 이용한 디바이스들을 개발하고 약물 전달 성능과 치료효과를 소개하고자 한다. 열인장 공정 (thermal drawing)과 트랜스포 몰딩(transfer molding) 등의 마이크로 니들 제작공정을 설명하고 이를 바탕으로 제작된 커프(cuff) 형 및 유연 메쉬 (flexible mesh) 형의 디바이스 개발 과정을 소개하고자 한다. 특히, 이 디바이스들의 동물실험을 통한 약물 전달 효율의 향상 및 치료 효과의 증대에 대한 논의를 하고자 한다.

• Proceedings of the Korea Water Resources Association Conference
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• 2018.05a
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• pp.228-228
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• 2018

강변여과는 지하수 인공함양 방식 중 유도함양(induced recharge) 또는 간접함양 방식에 속한다. 이는 하천 및 강변 부근에 집수시설을 설치한 후, 미고결층 대수층(unconsolidated aquifer)의 자연 오염 저감능을 이용하여 지표수를 간접 취수하는 방식으로 수질이 불량한 지표수가 대수층을 관류하면서 희석, 화학적 이온 교환 및 반응, 흡착, 생물막(biofilm; 미생물에 의한 자연저감), 여과 등을 통하여 수질이 개선된다. 강변여과수내의 용존 농도가 높은 철과 망간은 수처리 비용증가, 용수관정 및 시설물의 수명단축을 초래한다. 따라서 강변여과 지역의 미고결 대수층에서 효과적인 철과 망간 동시 제거(vyredox)를 위해 에어서징(air surging)과 블록 서징(block surging)을 실시하기 위해서 실내 물탱크 모델(water tank model)에서 에어서징에 따른 공기 순환 우물시스템을 관찰하였으며, 이를 바탕으로 현장시험(Test bed)에 적용하였다. 미고결 대층수층에서의 철 망간은 음용수 기준치(각각 0.3 mg/L)를 초과하고 있으며, 강변여과 취수 개발 및 이용을 제한하는 요인이 되고 있다. 본 연구에서 사용된 에어서징과 블록서지 기술은 자갈층 및 미고결 대수층에 충진된 슬라임 및 폐색(clogging)을 제거함과 동시에 관정 주변의 대수층의 투수성 개선과 산화환경으로 치환되며, 대수층에 잔존하는 철/망간의 산화물들을 관정내로 빼낼 수 있는 방법이다. 따라서 서징에 따른 폐색 제거효율을 검토한 결과에서 철 망간 이온농도 저감효과와 관정 주변의 수리전도도(hydraulic conductivity) 및 저류계수(coefficient of storage)가 증가한 것으로 나타났다. 이와 같이 강변여과에 의한 폐색은 미고결층내 공기주입 및 블록서지를 통하여 철/망간 이온농도 저감 및 수리특성 개선 효과에 유용한 것으로 평가된다.

• Journal of the Korean Society of Radiology
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• v.85 no.1
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• pp.210-214
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• 2024

Interventricular membranous septal aneurysms are rare. Since these aneurysms can lead to complications such as obstruction of right ventricular outflow and thromboembolism, the detection of this aneurysm has clinical significance. Herein, we report a case of an interventricular membranous septal aneurysm with an internal thrombus thought to be the cause of a cerebral infarction.

• Journal of Chest Surgery
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• v.43 no.2
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• pp.172-175
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• 2010

A 61-year-old man presented with chest pain and ST elevation, and he underwent coronary angiography under the impression of acute myocardial infarction. Coronary intervention under intra-aortic balloon pumping was necessary due to his hemodynamic instability from the acute total occlusion of a large obtuse marginal branch. In spite of successful intervention, the cardiogenic shock persisted, and so extracoporeal membranous oxygenation was performed to treat this. Afterwards, the cardiogenic shock still persisted, and the auscultatory and echocardiographic findings revealed severe acute mitral valve regurgitation. Emergency mitral valve replacement was then performed. The ECMO and IABP were removed on the $2^{nd}$ postoperative day. The patient was discharged on the $48^{th}$ postoperative day.

• Journal of Korean Society of Water and Wastewater
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• v.25 no.4
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• pp.565-572
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• 2011

The effects of chemical pretreatments on the excess sludge production in the membrane-coupled bioreactor were investigated. In addition, their effects on membrane fouling were also evaluated. Two membrane bioreactors were operated. In one reactor, a part of the mixed liquor was t reated with NaOH and ozone gas consecutively and was returned to the reactor. T he f lowrate of the chemical pretreatment stream was 1.5% of the influent flowrate. During the 200days of operation, the MLSS level in the bioreactor with mixed liquor pretreatment was maintained relatively constant at the range of 8,000 ~ 10,000$mg/{\ell}$ while it increased steadily up to 26,000 $mg/{\ell}$ in the absence of the pretreatment. Each reactor was equipped with two laboratory membrane modules where the flux for each module was 20, and 30 ${\ell}/m^2{\cdot}h$, respectively. With pretreatment, almost constant transmembrane pressure(TMP) was observed throughout the operation at the flux of 20 ${\ell}/m^2{\cdot}h$. Without pretreatment the membrane module at the same flux could also be operated at relatively stable condition. However, as the MLSS increases up to 25,000 $mg/{\ell}$, a fast TMP increase was observed. In conclusion, a complete control of excess sludge production in the membrane-coupled bioreactor was possible without significant deterioration of the treated water quality. In addition, it was shown that stable operation in terms of TMP is possible with sludge pretreatment and recirculation.

• Journal of Korean Society of Water and Wastewater
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• v.23 no.6
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• pp.855-864
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• 2009

The main object of this work was to determine the influence of periodic chemical backwash on filtration resistance in membrane filtration system. In this work Hermia's models were used to investigate the fouling mechanisms involved in the microfiltration of $0.45{\mu}m$ filtered sewage feed. Batch microfiltration experiments were performed at transmembrane pressure 0.4 bar and different feed SCOD concentration (9~67 mgSCOD/L). The results showed that the best fit to experimental data corresponded to the intermediate blocking model followed by the standard and complete blocking model for all the experimental conditions tested. From the simulation results of filtration performance, it was found that in order to maintain sustainable operation of membrane filtration system, irreversible foulant component accumulated continuously on membrane surface and/or pore must be effectively removed. In addition, it was verified that periodic chemical backwash using NaOCl or NaOH effectively improved filtration performance of membrane.

• Journal of Korean Society of Water and Wastewater
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• v.9 no.3
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• pp.78-87
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• 1995

A study on the fouling control by periodical ozone-scrubbing was conducted in a membrane filtration process for drinking water treatment. Hydrophilic hollow fiber polyethylene membrane with pore size of $0.1{\mu}m$ and its surface area of $0.42m^2$ was used. Dead-End filtration method was selected to obtain high efficiency of energy. Laboratory prepared synthetic raw water with kaolin was used and the membranes were scrubbed by ozone once in an hour and once in two hours. When the duration of ozone scrubbing was increased from 10 seconds to 20 seconds, the rate of membrane fouling was significantly decreased. Although the frequency of ozone-scrubbing was reduced from once in an hour to once in two hours. the effect of fouling control was unchanged. However, ozone-scrubbing was not effective after a membrane was fouled and washed with detergent for reuse. Among several possible working effects of ozone, bactericidal effect was confirmed to be the primary reason of fouling control.

• Journal of Chest Surgery
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• v.34 no.4
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• pp.361-364
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• 2001

자가 폐동맥 판막을 이용한 대동맥 판막 치환술을 항응고제 복용이 필요없고 내구성이 어느정도 입증되어 늘어나고 있으나, 자가 폐동맥 판막을 이용한 승모판막 치환술은 국내에 보고된 예가 없다. 53세 여자 환자로 류마티스성 승모판막 협차가 및 폐쇄부전, 삼첨판막 폐쇄부전, 만성 심방 세동, 그리고 자회전 관상동맥의 폐색등으로 진단받은 환자에서 자가 폐동맥 판막을 이용한 승모판막 치환술 및 maze 술식, 삼천판막 성형술, 관상동맥 우회수술을 시해하였다. 수술후 특별한 문제없이 회복하였으며 술후 시행한 심초음파 검사상 자가 폐동맥 판막의 이상 소견없이 잘 기능하고 있으며 항응고제 복용없이 잘 지내고 있다.

• Journal of Yeungnam Medical Science
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• v.7 no.1
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• pp.105-112
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• 1990

Ketotifen, a benzocycloheptathiophene, has an orally effective antiallergic as well as antihistaminic properties. In pervious studies, Ketotifen has shown encouraging results in patient with allergic rhinitis, either perennial or seasonal. 39 patients with allergic rhinitis had been treated with Ketotifen 1 mg twice daily for 8 weeks. And we obtained following results. 1) The efficacy rate in sneezing attack was 73.5%, in nasal discharge 71%, in nasal obstruction 58%. 2) Some improvements in at least one of three major symptoms were noted within 1 week in 30.7%, within 2 weeks in 55.8%, within 3 weeks in 66.7%, within 8 weeks in 87.2%. 3) Physical findings such as colour, swelling of turbinate, character of rhinorrhea were not improved significantly. 4) Side effect was observed only in one patient with abdominal pain and diarrhea, which was subsided after interruption of administration. These results suggested that Ketotifen was effective in treatment of allergic rhinitis.