• Title/Summary/Keyword: 이원술(二元术)

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소아 심장판막치환술

  • Kim, Hyeok;Yoo, Jae-Hyun;Seo, Pil-Won;Lee, Won-Yong;Baek, Wan-gi;Park, Guk-Yang;Lee, Young-Tak;Park, Young-Gwan;Hong, Seung-Rok;Lee, Young-Gyun
    • Proceedings of the KTCVS Conference
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    • 1993.06a
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    • pp.83-83
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    • 1993
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창란젓갈 제조의 신기술 계발 1. 염장조건의 최적화

  • 이원동;장동석;강선모;윤지혜;이명숙
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.91-92
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    • 2001
  • 젓갈은 전통적인 저장발효식품으로 어패류의 육질, 내장 및 생식소 등을 원료로 하여 염장하였을 때 육자체에 함유된 자가소화효소와 젓갈 중의 미생물이 분비하는 효소작용에 의하여 원료 물질이 분해되면서 독특한 풍미를 갖게 된다(Park et al., 1996). 창란젓갈은 명태의 위와 창자를 원료로 하여 만든 젓갈로, 식염 함량이 8%이하의 저염양념젓갈의 형태로 제조되고 있으며 거의 전 과정이 정치 상태에서 진행되기 때문에 염장 및 숙성 시간이 오래 걸릴 뿐만 아니라 용기 상하간에 품질 편차가 커서 제품이 균일하지 못하다. (중략)

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창란젓갈 제조의 신기술 개발 3. 조미공정의 최적화 및 품질평가

  • 이원동;이재진;장동석;윤지혜;이명숙
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.95-96
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    • 2001
  • 저식염양념젓갈 제조시 필연적으로 대두되는 가장 큰 문제점 중의 하나가 젓갈의 shelf-life 단축이며, 이를 연장하려는 연가 폭넓게 이루어지고 있으나 아직까지 뚜렷한 해결방안이 마련되어 있지 않은 실정이다(Kim, 1996). 그동안의 저염젓갈의 유통기간 연장에 대한 연구로써 젖산, 알콜, sorbitol, sulfate염 등을 첨가한 연구가 있었으나(Cha et al.,1983; Kim 1996) 단가 문제나 식품 첨가물에 대한 소비자들의 기피현상 등으로 널리 이용되지 못하고 있는 실정이다. (중략)

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창란젓갈 제조의 신기술 개발 2. 숙성조건의 최적화

  • 이원동;이재진;장동석;윤지혜;이명숙
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.93-94
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    • 2001
  • 저염양념젓갈은 재래식 고식염 젓갈과는 달리 저염, 저온으로 숙성한다는 것이 가장 큰 특징 이며 숙성기간 중 자가소화 및 미생물이 생산하는 효소 작용에 의하여 특유의 감칠맛을 가지게 된다(Park et al., 1996). 기존의 창란젓갈 숙성공정은 0$\pm$2$^{\circ}C$에서 50~60일 동안 정치상태로 숙성하게 되는데(Han, 1996; Park, 1998), 이때 숙성용기 아랫부분에 기체가 발생하는 등 (Kim et al., 1993) 상하간의 품질편차가 크고 숙성기간이 장기화되는 단점이 있다. (중략)

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고습도 유닛쿨러를 사용하는 저온저장고의 배 저장효과

  • Yoon, Hong-Sun;Lee, Won-Ok;Jung, Hoon;Lee, Hyun-Dong
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2003.04a
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    • pp.140-140
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    • 2003
  • 신선한 채소나 과일은 무게의 74~94%에 상당하는 수분을 함유하고 있는데, 이러한 수분은 자칫하면 빠져나가기 쉽다. 품질이 우수한 채소나 과일이라도 수분손실이 생기면 다시는 보충할 수 없기 때문에 겉껍질을 마르고 쭈글쭈글하게 되어 품질등급과 가격결정에 손해가 된다. 또 무게의 5~l0%까지 수분이 줄어들면 상품성을 잃게되고, 무게단위로 판매되는 채소와 과일은 수분손실이 곧 무게감소이므로 총수입도 줄어드는 원인이 된다. 따라서 채소나 과일을 수확 한 후에 수분손실이 생기지 않도록 잘 관리하는 것은 농가소득과 직결되는 중요한 일이다. 그러나 기존의 저온저장고들은 저장고 내의 상대습도가 70~85%의 범위로 조성되고 있으며, 이러한 저습도의 문제를 해결하기 위하여 저장고의 바닥에 물을 뿌리는 등의 작업을 하고 있으나 문제가 해결되지는 않는다. 이에 따라 농업기계화연구소에서는 저온저장고 내의 상대습도를 90% 이상으로 유지할 수 있는 유닛쿨러를 '01년에 개발하였고,'02~'03년에 이것을 실제로 농가의 저온저장고에 설치하여 그 효과를 실증하였는데 그 결과를 요약하면 다음과 같다. 1. 현장연구에 사용된 저온저장고는 천안시에 있는 이진기 농가의 25평형 배 저온저장고 2동이었으며, 한 동은 시험구로 한 동은 대조구로 사용하였다. 2. 배의 저장온도는 0~-0.2$^{\circ}C$이었고, 상대습도는 대비 저온저장고의 경우 75~90% 범위에 있었으나 신기술투입 저온저장고에서는 98%로 유지되었다. 또 냉각기에 생기는 얼음을 제거하기 위해 작동되는 전기히터의 작동시간은 대비 저온저장고에서는 하루에 7회, 회당 45분 씩 이었고, 신기술 투입 저온저장고에서는 하루에 1회, 회당 30분 씩 이었다. 3. 배를 플라스틱 상자에 담아 저장할 때 대비 저온저장고에서는 111일 동안에 11.7%의 중량감모가 발생하였으나, 신기술투입 저온저장고에서는 5.6%의 중량감모만이 발생하여 약 50%의 중량감모를 줄일 수 있었으며, 배의 색깔이나 경도도 대비구 보다 우수하였다. 4. 배를 비닐로 포장하여 대비 저온저장고에 저장한 경우와 비닐로 포장하지 않고 신기술투입 저온저장고에 저장한 경우를 비교할 때 11월~다음해 1월 까지는 중량감모, 과피색깔 및 경도에 큰 차이가 없었으나, 2월부터는 비닐로 포장하여 대비 저온저장고에 저장한 배의 품질변화가 급격히 증가되어 중량감모, 과피색깔 및 경도가 신기술 투입시 보다 급속하게 나빠졌다.

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Budd-Chiari Syndrome Due to Antithrombin, Protein C and Protein S Dficiency and the Complete Obstruction of SVC (항트롬빈, C 단백, S 단백 결핍에 의한 Budd-chiari syndrome과 상대정맥 폐색)

  • 김태윤;이원용;홍기우;김응중;신윤철;김건일;임종윤;유규형;최영진
    • Journal of Chest Surgery
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    • v.35 no.3
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    • pp.239-243
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    • 2002
  • In this case, a 39 year-old man was admitted with Budd-Chiari syndrome associated with complete superior vena cava(SVC) obstruction causing general edema and hepatic failure. Conservative medical therapy was failed. And after the radiologist failed to invasive procedure of balloon dilatation, we attempted the inferior vena cava to right atrium bypass graft. Operation was done through median sternotomy and extended vertical oblique abdominal incision. A 24 mm Dacron tube was placed from the inferior vena cava just below the left renal vein to the right atrium without using the cardiopulmonary bypass pump. The patient's postoperative course was uneventful without signs of bleeding or any other complications. We used anticoagulants at the postoperative first day. At the postoperative 26th day, we performed abdominal Doppler sonography and we confirmed that the graft patency was good. The patient was discharged with SVC obstructive symptoms but we noticed relief of SVC obstructive symptoms in the course of follow-up.

The Immediate and Long Term Result of Surgical Angioplasty of Left Main and Proximal Left Anterior Decending Coronary Artery (좌주관상동맥 및 좌전하행지기시부의 수술적 혈관 성형술의 중장기 성적)

  • 안현성;김응중;신윤철;지현근;이원용
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.692-697
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    • 2001
  • Background: The left main coronary artery surgical angioplasty has become the choice of surgical procedure in isolated LM disease. We have performed 22 cases of LMCA surgical angioplasy since 1996. We report the immediate and long term result of the surgical angioplasty with their postoperative angiography. Material and Method: Between July 1994 and October 2000, 22 patients(11 men and 11 women) were subjected to surgical patch angioplasty of the LMCA, 1 patient had an additional angioplasty performed on the proximal right coronary artery. The LMCA was approached anteriorly with or without transection of the main pulmonary artery(21 cases), and in a patient who had undergone an aortic valve replacement, LMCA was approached superiorly with transection of the ascending aorta. Additional grafting was required in 5 cases. The on-lay patch was used with autologous pericardium in 6 cases and bovine pericardium in 16 cases. Result: There was no operative mortality. There was 30~50% stenosis of the anastomosis site in 3 cases at the postop. coronary angiography. Coronary angiography was reperformed in 5 cases between 5th months and 15th months postoperatively. There was 40~60% stenosis of the anastomosis site in 2 cases. There was one death at 42nd months postoperatively but the cause was unknown. No patient complained of angina with a mean follow up of 48.$\pm$22.5 months. Conclusion: There were only several coronary angiographic results in long term follow-up but we had relatively good clinical results for LMCA surgical angioplasty in the immediate and long term. The excellence of LMCA surgical angioplasty needs the result of the long term follow-up.

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Middle and Long Term Results of 34 Cases of Emergency Coronary Artery Bypass Graft Surgery (응급 관상동맥 우회술 34예의 중장기 성적)

  • 손정환;김응중;지현근;신윤철;김건일;최광민;이원진;이원용
    • Journal of Chest Surgery
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    • v.36 no.10
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    • pp.741-747
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    • 2003
  • Background: Coronary artery bypass graf t (CABG) has been settled as most safe surgery among the open heart surgeries. However, in patients with cardiogenic shock, the emergency CABG has higher mortality than elective CABG. We analyzed thirty four patients who underwent emergency CABG and report the middle and long-term results. Material and Method: From June 1994 to December 2001, 34 patients who underwent emergency CABG at Kang-dong Sacred Heart Hospital were include in this study. On the basis of hospital databases and Out Patient Department (OPD) follow up data, preoperative diagnosis, risk factor, coronary artery anatomy, operation technique, postoperative mortality, complication, recurrence of symptom, and mid and long term mortality were analyzed retrospectively. Result: Indications for emergency CABG were 29 cardiogenic shocks (85.3%), 4 intractable chest pains (11.8%), and 1 polymorphic ventricular tachycardia (2.9%). Preoperative angiographic diagnoses were triple vessel disease in 16 (47.1%) and left main disease in 8 (23.5%) patients. We used saphenous vein grafts in 81 and left internal thoracic artery grafts in 14 anastomosis. The mean number of grafts per patients was 2.8$\pm$0.8. The mean aortic cross clamp time was 91.9$\pm$34.6 minutes and the mean cardiopulmonary bypass time was 262.7$\pm$198.3 minutes. Early mortality was 50% and the most common cause of early mortality was low cardiac output in 7 (20.6%) patients. The mean follow-up period was 30.9$\pm$35.7 months. There were no recurrences of symptom and late mortality. Conclusion: In the case of emergency operation, aggressive and proper management with drugs and IABP should be done for preoperative hemodynamic stability and early surgical intervention is the most important factor for patient salvage.

Surgical Angioplasty of Left Main and Proximal Left Anterior Descending Coronary Artery (좌주관상동맥및 좌전하챙지기시부의 수술적 혈관 성형술)

  • 이원용;김응중
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.861-866
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    • 1996
  • Surgical angioplasty of isolated stenosis of the left main coronary artery(LMCA) restores a more physiologic flow to the myocardium, allows percutdneous transluminal coronary angioplasty (PTCA) of distal coronary stenoses at a later stage, and is a less time consuming and convenient procedure than the conventional coronary artery bypass grafting(CABG) . Between Jul. 1994 and Dec. 1995, 7 surgical angioplasty had been performed. LMCA stenoses involved ostium in 2 patients, middle third in 3, and dis- tal third in 2. In 2 patients, the origin of left anterior descending coronary artery was involved in conjunction with LMCA. T e additional coronary artery stenoses were found in 2 cases. One patient was emergently operated after coronary angiography following his cardiac arrest. LMCA was approached anteriorly in all patients. The pulmonary artery was transected in 3 patients for a better exposure. The onlay patch consisted or autologous or bovine pericardium. There was no postoperative myocardial infarction or mortality. Left ventricular functions were well preserved in all patients. Postoperative coronary angiography revealed widely patent LMCA in 5 cases, and mild narrowing of distal anastomotic sites in 2 cases. Provided that well defined indications are followed correctly, surgical angioplasty can be a safe alternative to conventional CABG.

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