• Journal of Chest Surgery
• /
• v.32 no.5
• /
• pp.413-421
• /
• 1999

Background: Ischemia reperfusion injury is known to contribute to the major causes of the early graft failure in lung transplantation. Triiodothyronine (T3) has been suggested to ameliorate ischemia reperfusion injury from both in vivo and in vitro experiments of various organs. Prospecting its beneficial effect for pulmonary allograft preservation, we made a new solution by adding T3 into the extracellular type dextran solution. Material and Method: Twelve adult mongrel dogs underwent left lung allotransplantation. Six donor dogs were flushed with the new solution(Group 1, n=6), and the remaining six were flushed with Euro-Collins solution to serve as controls(Group 2, n=6). Allografts were stored in each preservation solution for 20 hours at 4$^{\circ}C$. Left single lung transplantations were performed. The right pulmonary artery and the right main bronchus were clamped at 15 minutes after the reperfusion and maintained throughout the experiment to evaluate the transplanted left lung function. Result: Arterial carbon dioxide tension was better in group 1 than in group 2 throughout the experiment period and the difference was statistically significant at 2 hours after reperfusion(28.0${\pm}$3.0 mmHg and 53.1${\pm}$17.4 mmHg, p<0.05). The differences of arterial oxygen partial pressure, peak airway pressure and pulmonary vascular resistance showed no statistical significance. The malondialdehyde(MDA) level, measured from tissue obtained at 120 minutes after reperfusion showed no statistically significant difference. The tissue wet/dry ratio of group 1(649${\pm}$27 %) was significantly lower than that of group 2(686${\pm}$71 %, p<0.05). The microscopic examination revealed varying degrees of injury represented mainly by findings such as perivascular neutrophil infiltration, capillary hemorrhage and interstitial congestion. These findings were less severe in group 1 than those in group 2. Conclusion: The new solution demonstrated superior allograft preservation after 20 hour ischemia compared to Euro-Collins solution in canine single left lung transplantation model, these results suggest that T3 might be a promising agent for pulmonary allograft preservation.

• Journal of Chest Surgery
• /
• v.39 no.11 s.268
• /
• pp.822-827
• /
• 2006

Background: Lung transplantation is a definitive therapy for a variety of end stage lung diseases. Since 1996, we have performed thirteen cases of lung transplantation including two retransplantations, and we analyzed the outcomes, complications, and survivals of these patients. Material and Method: We retrospectively analyzed the medical records of thirteen cases from July, 1996 to July, 2005. Result: During the period, 11 patients had undergone 43 lung and heart-lung transplantations, and two patients had retransplantation due to allograft failure. Mean age of recipients were $45.2{\pm}10.7$ years(range, $25{\sim}59$). Early complications were bleeding, reperfusion injury, and infection and late complications were mainly infection and post-transplantation lymphoproliferative disease. Excluding the operative mortality, the mean survival period was 16.5 months($2{\sim}60$ months). Two retransplantations had been performed 2 weeks and 13 months after single lung transplantations. Conclusion: In order to achieve long term survival, early detection of complications and proper treatment in addition to surgical skills are necessary, and these efforts can promote better lung transplantation programs in the near future.

• 건강소식
• /
• v.35 no.11
• /
• pp.26-27
• /
• 2011

에어로빅은 전신 지구력이 요구되는 운동으로 유산소 운동의 대표적인 운동이라 할 수 있다. 에어로빅(Aerobic)이란 말은 '살아 있는 공기를 마시며(living in air)', '산소를 이용하여(utilizing oxygen)', '산소와 함께(With oxygen)'란 뜻의 용어에서 출발했다. 단어에서 볼 수 있듯이 에어로빅 산소공급운동을 뜻하며 몸 안에 최대한 많은 양의 산소를 공급하여 폐와 심장의 기능을 촉진해주는 운동을 말한다.

• Proceedings of the KTCVS Conference
• /
• 1995.10a
• /
• pp.117-117
• /
• 1995

• Proceedings of the Korean Fiber Society Conference
• /
• 1998.10a
• /
• pp.489-492
• /
• 1998

흡착 기능을 가지는 소재로서 오래 전부터 사용되어 온 활성탄소는 최근 환경에 대한 관심이 고조되면서 새삼 주목의 대상이 되고 있는 소재이다. 제품의 형태는 사용 목적에 따라 다르지만 보편화 된 것은 주로 입상 및 분말 상이다. 하지만 이러한 형태는 비표면적이 작고 기공분포가 넓은 단점 때문에 미세 오염물의 제거에는 부적합한 면이 있다[1]. (중략)

• 건강소식
• /
• v.31 no.8 s.345
• /
• pp.30-31
• /
• 2007

천식은 기도가 수축하고 염증이 생기는 흔한 만성 호흡기 질환이다. 천식은 평소에도 기관지에 염증이 존재하므로 가벼운 자극에도 쉽게 기도가 좁아지게 되어 천명음(숨쉴 때 쌕쌕거리는 소리), 기침, 가슴이 답답함, 호흡곤란 등의 증상이 나타나게 된다. 만일 치료를 하지 않고 그대로 방치한다면 오랫동안 폐 기능이 감소된다. 아직까지 천식을 완치할 수 있는 치료법은 발견되지 않았지만, 올바른 방법으로만 하면 성공적으로 관리할 수 있는 질병이다.

• 대한핵의학회:학술대회논문집
• /
• 1986.05a
• /
• pp.129.1-129.1
• /
• 1986

• Journal of Chest Surgery
• /
• v.30 no.10
• /
• pp.949-960
• /
• 1997

Background. Limited ischemic tolerance of the lung has remained one of the factors that limits the expansion of pulmonary transplantation as a treatment for end-stage pulmonary disease. Numerous studies on safe long term preservation for lung transplantation has been performed for the purpose of developing ideal preservation solution with extracellular type or intracellular type solutions. In this. study, we examined the efficacy of L DG solution in lung preservation longer than 20 hours by comparison with modified Euro-Collins solution. Iwethods. Thirty-(our adult mongrel dogs were divided into two groups. Donor lungs were flushed with LPDG solution(n=9) or modified Euro-Collins(MEC) solution(n=8) and stored for 24 hours at 1$0^{\circ}C$. All donor lungs were perfused through the pulmonary arteries with solutions containing prostaglandin El and verapamil. Left canine lung allotransplantations wereperformed. Assessment(hemodynamic indices and arterial blood gas analysis) of left implanted lung was made by occluding the right pulmonary artery for ten minutes using pulmonary artery Cuff. Assessment was repeated at the interval of 30 minutes, one hour, and two hours later after reperfusion and then chest X-ray, computed tomogram and lung perfusion scan were obtained. In survival dogs follow-up studies were done with assessment with chest X-ray, computed tomogram of the chest and lung perfusion scan on 7th day postoperatively. After preservation above 20 hours, pathological examinations for ultrastructural findings on right lung were performed in each group. Results. With respect to arterial oxygen tension, LPDG group was superior to MEC but there was no statistical significance for 2 hours after reperfusion. Mean pulmonary artery pressure was less increased(p < 0.05) and cardiac output higher(p <0.05) than MEC group until 2 hours after reperfusion. After 2 hours of reperfusion, both groups showed transplanted lung function deteriorated gradually. Perfusion scan of the transplanted lung in LPDG group showed better perfusion rate in immediate post-reperfusion, 3 days and 7 days later respectively but there was no statistical significance and corelation with PaO2 and computed tomoRravhic views. In scanning electron microscopy of pulmonary artery after preservation, LPDG group relatively shows less irregular protrusion of the inner surface of endothelial cell of poulmonary artery than MEC group. Conclusions, e concluded that LPDG solution can offer safe lung preservation above 20 hours with adequate immunosuppressive therapy and prevention of the infection.

• Journal of the Korea Concrete Institute
• /
• v.20 no.1
• /
• pp.89-97
• /
• 2008

By replacing the meta-kaolin with cement and the waste tire chip with fine aggregate separately, the high strength concrete is protected from the spalling in fire and the method to constrain the temperature increase of steel bar within the concrete and the basic properties of the high strength concrete mixed with the material are reviewed. As the result, meta-kaolin increases the self fire proof characteristics of the concrete, the waste tire chip can share the internal expanding pressure so it can be deleted. In detail, using the meta-kaolin about the cement in 4$\sim$8% of weight ratio about the cement and the waste tire chip under the grade scope of 0.6$\sim$3 mm in 5$\sim$10% of weight ratio about the sand is very effective to prevent the spalling.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2005.05b
• /
• pp.464-468
• /
• 2005

산업활동으로 인해 발생하는 슬래그 등의 폐기물을 적절히 처리하는 방법으로서는 저비용 처리형태와 자연계에서 슬래그 등의 특성을 고려한 Filter 기능을 수행할 수 있도록 수질이 악화된 하천이나 정체수역에 투입시켜 수질을 개선시킬 수 있는 방법의 도입이 필요하다. 현재 POSCO에서 발생하는 슬래그와 폐콘크리트의 화학적 성분은 주로 $CaO,\;SiO_2,\;Al_2O_3,\;Fe_2O_3$ 등으로 이루어져 있으며, 침전유발물질 및 흡착성물질이 공존하고 있다. 다공질 형태의 비표면적을 가지고 있어서 정화용 필터로 이용하기에 좋은 이점을 가지고 있다. 슬래그나 폐콘크리트를 Mattress/Filter 채움재 및 수질정화용 여재로 활용하면 폐기물처리, 자원 재활용 그리고 수질 환경 개선의 세 가지 효과를 동시에 얻을 수 있는 방법이 된다. 본 연구에서는 슬래그와 폐콘크리트를 활용한 정체수역에서 정화시스템의 정화특성을 조사하기 위하여 유입수와 유출수의 pH, 용존산소, 질소, 인 등을 측정하여 비교하였다. 수질개선을 위한 Mattress/Filter 시스템의 기본개념은 하천의 오염된 물이 Mattress/Filter의 공극사이를 통과하면서 채움재에 형성된 생물막이 수질 개선과정에서 나타나는 접촉작용, 생물 흡착작용, 생물산화의 분해작용 등을 촉진시키도록 하였다. Mattress/Filter를 이용한 수중 수질개선시스템에서 채움재로 제철폐기물인 슬래그와 건설폐기물인 폐콘크리트를 사용함으로써 Mattress/Filter의 다공성 및 넓은 표면적이라는 특성에 따른 물리적$\cdot$화학적$\cdot$생물학적 작용이 촉진되고 있음을 확인할 수 있었으며, 그 결과 정체수역에 설치한 Mattress/Filter는 다공질 속에서 쉽게 생물막을 형성시키고 유기물의 흡착을 촉진시켜 오염물질을 정화하는데 필요한 자정작용의 효과 증대와 수질개선을 촉진시킬 수 있는 자연생태적 하천정화시스템임을 확인할 수 있었다.