• Journal of Chest Surgery
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• v.29 no.2
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• pp.185-190
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• 1996

The effect of low-dose aprotinin on hemostasis in patients undergoing cardiopulmonary bypass (CPB) for repeat valve replacement and coronary artery bypass operations were investigated. Thirty patients undergoing elective CPB from February 1993 through February 1995 at Catholic Medical Center were studied. the patients were randomly divided into two groups(15 patients per group) : group 1, receive 1, 000, 000 KIU/kg aprotinin in the CPB priming volume and 20, 000 KIU/kg aprotinin intravenously each hour during CPB ; group 2, without aprotinin administration served as the controls. The result showed that the early postoperative (during the first 24 hours) and mean postoperative total blood loss of the aprotinin group were significantly reduced than the control group (317.2 $\pm$ 89.6ml in the aprotinin group versus 821.3 $\pm$ 441.2rnl in the control group, p<0.01 ; 767.2 $\pm$ 214.1 ml in the aprotinin group versus 1562.5 $\pm$ 735.2 rnl in the control gorup, p<0.01). Total use of packed red ells and fresh frozen plasma was higher in control group(1.22 $\pm$ 0.3 units versus 4.21 $\pm$ 1.7units of packed red cells, p<0.01 : and 2.37 $\pm$ 0.4units versus 6.72 $\pm$ 0.88uni1s of fresh prozen plasma, p<0.05). We conclude the low-dose aprotinin was positive influence on postoperative blood loss in undergoing highly bleeding potency cardiac operation.

• The Korean Journal of Pain
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• v.12 no.1
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• pp.87-94
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• 1999

Backgroud: We have performed the CT-guided celiac plexus block (CPB) using anterior approach to evaluate the safety and efficacy of the procedure and to determine the role of CT. Methods: CPB were done in 10 patients (5 men and 5 women: mean age, 58.1 years) with intractable upper abdominal pain due to terminal malignancy of the stomach (n=3), pancreas (n=4), gallbladder (n=2), and liver (n=1). To permit an anterior approach, patients lay supine on the CT scan table during the procedure. One 21-guage Chiba needle was placed just anterior to the diaphragmatic crus between the celiac and superior mesenteric arteries and 10~12 ml of dehydrated alcohol was injected. Degree of pain relief following the procedure was assessed and pain was graded on a numeric rating scale (NRS) from 0 to 10. Results: The results suggest a direct relation between the degree of celiac invasion and the response to the CPB. With CT guidance, it is possible for us to direct the needle into more accurate region, allowing alcohol to be deposited in specific ganglion area. Conclusions: CT-guided CPB using an anterior approach was an easy and effective way of reducing intractable upper abdominal pain due to terminal malignancies. CT-guidance allowed precise needle placement and safe procedure. Careful classification of cases is important to predict the degree of pain relief using the grading system based on the degree of involvement of the celiac plexus.

• International Journal of Highway Engineering
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• v.15 no.6
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• pp.79-91
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• 2013

PURPOSES : The methods of measuring the sound from the noise source are Pass-by method and NCPX (Noble Close Proximity) method. These measuring methods were used to determine the linkage of TAPL (Total Acoustic Pressure Level) and SPL (Sound Pressure Level) in terms of frequencies. METHODS : The frequency analysis methods are DFT (Discrete Fourier Transform) and FFT (Fast Fourier Transform), CPB (Constant Percentage Bandwidth). The CPB analysis was used in this study, based on the 1/3 octave band option configured for the frequency analysis. Furthermore, the regression analysis was used at the condition related to the sound attenuation effect. The MPE (Mean Percentage Error) and RMSE (Root Mean Squared Error) were utilized for calculating the error. RESULTS : From the results of the CPB frequency analysis, the predicted SPL along the frequency has 99.1% maximum precision with the measured SPL, resulting in roughly 1 dB(A) error. The TAPL results have precision by 99.37% with the measured TAPL. The predicted TAPL results at this study by using the SPL prediction model along the frequency have the maximum precision of 98.37% with the vehicle velocity. CONCLUSIONS : The Predicted SPL model along the frequency and the TAPL result by using the predicted SPL model have a high level of accuracy through this study. But the vehicle velocity-TAPL prediction model from the previous study by using the log regression analysis cannot be consistent with the TAPL result by using the predicted SPL model.

• Proceedings of the Korean Society of Dyers and Finishers Conference
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• 2011.11a
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• pp.32-32
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• 2011

Cold Pad batch(CPB)처리에 의한 직물 전처리 공정은 특히 저온처리방식이라 에너지 소모가 적으며, 발생되는 대기오염 및 용수사용량이 연속식 방법에 비해 약 30%이상 절감되는 경제적 친환경적인 기술로 특히 정련과 표백을 동시에 수행할 수 있다. CPB 전처리는 호발, 정련, 표백을 포함하는 공정으로 일욕으로 처리시 패딩, 수세, 와인딩 공정을 단축시키기 때문에 약품 소비량 감소와 에너지 사용 절감 효과가 있어 전 세계적으로 확산되고 있는 Green Technology이다. 본 연구에서는 CPB용 다기능성 일욕형 조제에 개발하기 위해 전처리시 정련, 표백성에 대한 연구를 진행하였다. 시료는 NP/C 교직물을 사용하였고, CPB 처리액은 원료 및 첨가용제를 여러 비율로 조합하여 조제를 formulation 하였다. 이를 사용하여 패딩, 배칭, 수세 및 건조하여 전처리를 하였다. 표백된 정도를 파악하기 위해 Macbeth Color Eye-3100을 사용하여 백도(whiteness(CIE))를 5회 평균값을 구하여 측정 하였다. 정련된 정도를 비교하기 위해 C.I.Reactive Red 238의 2g/l 용액을 사용하여 wicking test를 하였다. 1분간 흡수높이를 측정하여 정련성을 확인하였다. 각각의 첨가용제를 비교한 결과 isopropyl alcohol을 첨가 시 hexylene glycol, butyl diglycol를 첨가한 경우에 비해 높은 흡수높이를 나타내었다. isopropyl alcohol의 농도별 정련성을 알아보기 위해 0%, 5%, 10%의 농도로 처리하였다. 그 결과 isopropyl alcohol 첨가량이 많을수록 정련성이 증가하였다. 다기능성 일욕조제의 문제점인 알칼리 안정성 부족을 보완하기 위해 polyoxyethlylene tridecyl ether derivatieves(LAP300)의 인화물을 첨가하였다. LAP300의 첨가량이 증가할수록 정련성이 증가하는 경향을 나타내었다. 알칼리 안정성 및 타 성능(정련성, 백도, 킬레이트 성)을 종합적으로 평가하여 향후, CPB용 다기능성 일욕형 조제의 개발에 대한 연구를 진행할 계획이다.

• Geomechanics and Engineering
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• v.29 no.4
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• pp.421-434
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• 2022

In the present study, reference samples were prepared using ore preparation facility tailings taken from the copper mine (Kure, Kastamonu), Portland cement (PC) in certain proportions (3 wt%, 5 wt%, 7 wt%, 9wt% and 11 wt%), and water. Then natural zeolite taken from the Bigadic Region was mixed in certain proportions (10 wt%, 20 wt%, 30 wt% and 40 wt%) for each cement ratio, instead of the PC, to prepare zeolite-substituted CPB samples. Thus, the effect of using Zeolite instead of PC on CPB's strength was investigated. The obtained CPB samples were kept in the curing cabinet at a temperature of 25℃ and at least 80% humidity, and they were subjected to the Uniaxial Compressive Strength (UCS) test at the end of the curing periods of 3, 7, 14, 28, 56, and 90 days. Except for the 3 wt% cement ratio, zeolite substitution was observed to increase the compressive strength in all mixtures. Also, the liquefaction risk limit for paste backfill was achieved for all mixtures, and the desired strength limit value (0.7 MPa) was achieved for all mixtures with 28 days of curing time and 7 wt%, 9 wt%, 11 wt% cement ratios and 5% cement - 10% zeolite substituted mixture. Moreover, the limit value (4 MPa) required for use as roof support was obtained only for mixtures with 11% cement - 10% and 20% zeolite content. Generally, zeolite substitution seems to be more effective in early strength (up to 28th day). It has been determined that the long-term strength losses of zeolite-substituted paste backfill mixtures were caused by the reaction of sulfate and hydration products to form secondary gypsum, ettringite, and iron sulfate.

• Journal of Microbiology and Biotechnology
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• v.14 no.3
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• pp.635-638
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• 2004

An ATP-binding-cassette (ABC) transporter gene in the cephabacin biosynthetic gene cluster of Lysobacter lactamgenus was characterized. The amplified orf10 (cpbJ) gene was subcloned into pET-28a(+) vector and expressed in E. coli BL21(DE3) strain by 0.5 mM IPTG at $30^{\circ}C$. The membrane fraction of recombinant E. coli cells was separated by ultracentrifugation, and solubilized using 2.5% octyl-$\beta$-D-glucoside. Using the solubilized membrane fraction, the artificial proteoliposomes were reconstituted and analyzed for the biological activity of CpbJ protein. Upon measuring ATPase activity, the proteoliposome made from recombinant E. coli membrane proteins showed slightly higher activity than that from host E. coli membrane proteins. In the measurement of membrane transport activity, the reconstituted proteoliposome of recombinant E. coli membrane proteins exhibited higher activity when both substrates of cephalosporin C and L-Ala-L-Ser were applied, compared to the case of cephalosporin C or L-Ala-L-Ser only. It implies that the CpbJ protein is an ABC transporter secreting cephabacin antibiotics synthesized in cytoplasm.

• The Korean Journal of Pain
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• v.26 no.4
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• pp.396-400
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• 2013

Conventional transcrural CPB via the "walking off" the vertebra technique may injure vital organs while attempting to proximally spread injectate around the celiac plexus. Therefore, we attempted the CT-simulated fluoroscopy-guided transdiscal approach to carry out transcrural CPB in a safer manner, spreading the injectate more completely and closely within the celiac plexus area. A 54-year-old male patient with pancreatic cancer suffered from severe epigastric pain. The conventional transcrural approach was simulated, but the needle pathway was impeded by the kidney on the right side and by the aorta on the left side. After simulating the transdiscal pathway through the T11-12 intervertebral disc, we predetermined the optimal insertion point (3.6 cm from the midline), insertion angle (18 degrees), and advancement plane, as well as the proper depth. With the transdiscal approach, we successfully performed transcrural CPB within a narrow angle, and the bilateral approach was not necessary as we were able to achieve the bilateral spread of the injectate with the single approach.

• Journal of Chest Surgery
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• v.23 no.6
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• pp.1049-1056
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• 1990

The OXYREX hollow fiber membrane oxygenator developed by joint work of KIST and Green Cross Medical company has been evaluated by experimental investigation and clinical application, In this oxygenator gas exchanges occur through small pores of 0.1pm size which are distributed on 70% of surface of polypropylene hollow fiber. The Oxyrex membrane oxygenator consists of 36 thousand hollow fibers and it has 3.3m2 of gas exchange surface. The Oxyrex membrane oxygenator has unique blood flow path: blood enters the oxygenator passes between the hollow fibers and exits through outlet ports, that provides low transmembrane pressure drop. In the animal experiment and in vitro investigations of Oxyrex oxygenator, it showed low transmembrane pressure difference, effective heat exchanger performance, stable gas transfer function and less blood trauma. The Oxyrex oxygenator been used from March, 1990, to October, 1990, in 40 patients undergoing open heart operations. In the clinical applications of Oxyrex, adequate oxygenation[PaO2, 283$\pm$70mmHg] and carbon dioxide removal[PaCO2, 27\ulcorner6mmHg]were maintained under the condition of FiO2: below 0.6, Hct; 25%, perfusion flow; 2.4 L/min, gas flow: 2.1 L/min. During maximum 365 minutes of cardiopulmonary bypass[CPB] time period, the Oxyrex oxygenator maintained stable condition of PaO2, PaCO2 respectively and it also kept low plasma hemoglobin level. The complement proteins C3 and CH50 were not significantly changed pre to post CPB. There were no complications related to the oxygenator during and after the CPB.

• Biomedical Science Letters
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• v.11 no.3
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• pp.407-416
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• 2005

Cardiopulmonary bypass (CPB) for cardiac surgery induces the production and release of numerous chemotactic substances and cytokines, ensuing systemic inflammatory response that causes postoperative major organ dysfunctions. We performed a randomized, prospective study to investigate clinical effects of preoperative treated-methylprednisolone for preventing inflammation in pediatric cardiac surgery with CPB. Thirty pediatric patients scheduled for elective cardiac surgery were randomized to either control(n=15) or steroid group (n=15, 10 mg/kg of methylprednisolone). Arterial blood samples were taken before and after the operations for measuring total leukocyte (T-WBC) and differential counts, platelet counts, interleukin-6 (IL-6), myeloperoxidase (MPO), neuron specific enolase (NSE), troponin-I (TNI), aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN), and creatinine levels. Postoperative parameters such as pulmonary index (PI, $PaO_2/FiO_2$), 24 hrs and total bleeding volumes, mechanical ventilating (MVP) and intensive care unit (ICU)-staying periods, and hospitalization were assessed. T-WBC, neutrophil fraction, IL-6, MPO, NSE, TNI, AST and creatinine levels, bleeding volumes, PI, and MVP at the postoperative periods were lower or shorter in steroid group than in control group (P<0.05). These findings indicated that preoperative administration of methylprednisolone attenuated CPB-induced inflammatory reactions, contributing to postoperative recovery of patients underwent cardiac surgery.

• Journal of Chest Surgery
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• v.21 no.2
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• pp.240-245
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• 1988

This study was prospectively planned to realize the reduction of calcium ion in serum along with the cardiopulmonary bypass[CPB], to find out the cause of the reduction, and to verify the justification of the classical methods of calcium replacement. Nine patients with various open heart surgeries by CPB in 1987 wee selected at random. Calcium chloride was added as follows:: For each unit of ACD blood transfusion, 600mg of calcium chloride was added. In case of massive transfusion, 600 mg of calcium chloride was injected every 2 or 3 units of transfusion. On occasions such as weaning from CPB, or following defibrillation, or hypotension, weak myocardial contractility of the heart, calcium chloride was needed in an amount of 10 mg / kg. In ICU, calcium chloride was limited to use in low serum level or in emergency use. Total calcium decreased early bypass and progressively increased above the preoperative value during late bypass and three hours thereafter, Ionized calcium increased during late bypass and three hours following. Total and ionized calcium depicted similar patterns of change during open heart surgery. Decrease of the calcium at the early bypass was thought from reduction of total protein and alkalosis during bypass. Meanwhile, increase of both calciums during the end of surgery was presumably attributable to addition of calcium chloride in priming solution, injections of calcium chloride in the process of termination of bypass. We conclude that enough calcium was replaced by the classical methods of calcium supplement.