• Journal of Chest Surgery
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• 제19권4호
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• pp.569-577
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• 1986

Between October 1979 and June 1986, modified Fontan procedures have been performed on 22 patients by the Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine. Twelve patients had tricuspid atresia; one, congenital tricuspid stenosis; five, single ventricle; two, I-transposition of the great vessels; one, double outlet right ventricle, and one, pulmonary atresia with an intact ventricular septum. There were 9 operative deaths [mortality; 40.9%]. The causes of death were right heart failure in six patients and pulmonary venous hypertension in one who misdiagnosed preoperatively. Another two were deceased due to sepsis and cerebrovascular accident at postoperative 35 and 34 days in each. There were 7 patients below 4 years of age at the time of operation and among them 4 patients were deceased. The operative death was not related with patients` age above and below 4[p=0.211]. The relation between operative death of tricuspid anomaly and another cardiac malformations was statistically significant [p=0.048]. The operative procedures with or without valved conduit [woven dacron] was related significantly [p=0.043] in the case of the 21 of the patients, but the modified Fontan operation with a valved conduit was performed early stage in this series. Since 1982, we operated on 4 patients, doing a right atrium-right ventricle anastomosis without a conduit. All survived and remained in functional class I [NYHA]. The right atrial pressure [RAP] was elevated significantly after operation [mean 9.9$\pm$4.8 ~16.9$\pm$3.6 mmHg, p<0.001]. The relation between the postoperative RAP of the survival group [16.5$\pm$4.3 mmHg] and the group who died [17.4$\pm$2.2 mmHg] was statistically significant [p=0.047]. There was no relation between any operative death and any previous palliation. All patients were followed for 4 months to 80 months, except one who was lost to follow up at 2 months following surgery [mean 11.4 months, 238 patient. months]. All were in functional class I with 5 on medications and 7 not. One was reoperated at 70 months following the first operation, due to conduit stenosis. She was moderately impaired in activity, with hepatomegaly after the second operation.

• 동의생리병리학회지
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• 제22권1호
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• pp.13-24
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• 2008

This Chapter mentioned Terror and Palpitation due to Fright(驚悸) and Hemorrhagic disease(血證). Terror and Palpitation due to FrightAcctually Terror(驚) is different from Palpitation(悸). Terror(驚) is one of the seven emotions. But in this case, It refer to the Palpitation and the uneasiness of mind due to one's hearing a strange sound of seeing a strange. Tremulous Pulse can be appear. So Terror(驚) is caused by Exopathic Factors(外因) and belongs to Excess syndrome(實證). Palpitaion(悸) is the sensation of plamus, palpitation and unrest not because of being frightened. It is usurally caused by the deficiency of Ki(氣) and blood(血). So Deep, Thready and weak pulse can be appear. So Palpitaion(悸) is caused by Endopathic Factors and belongs to Deficiency Syndrome. In this Chapter, Terror and Palpitation due to Fright(驚悸) treat with the Kyeji-ke-jakyak-ka-chokchil-moryu-yongkol-kuyuk-tang(桂枝去芍藥加蜀漆牡蠣龍骨救逆湯) and Banha-mahwang-hwan(半夏麻黃丸). There are two type in Hemorrhagic disease(血證). One is bleeding(出血) and another is blood stasis(瘀血). The contents which relate with the Hemorrhagic disease(血證) are Hematemisis(吐血), Rhinorrhagia, Hemafecia(下血). In hemorrhage pathological mechanisms, there are two mechanisms. One is that Fire and Heat(火熱) pressure blood. Another is that cold and deficiency(虛寒) disable Ki(氣) from keeping blood flowing within vessels. Blood stasis(瘀血) can be called Extravasated Blood(惡血), Coagulated Blood, Blood retention(蓄血,積血), Dead Blood(死血) and Emaciation due to Blood disorder(乾血). It refer to a morbid state of unsmooth circulation and blood stagnancy often resulting from Ki(氣) stagnation, Ki(氣) deficiency and accumulation of pathogenic coldness. The symptom of Blood stasis are 'Fullness sensation in the chest, Lip Flaccidity, Cyonotic Tongue and Dryness of Mouth'. And the man who have Blood stasis, want to rinse his mouth with the water, but he can't drink the water because there isn't interior Heat of Excess Type. The symptom of Cyonotic Tongue(舌靑) had influence on diagnosing Blood stasis(瘀血) in offspring.

• 대한한방내과학회지
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• 제26권1호
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• pp.182-198
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• 2005

Object : This study was designed to research whether the protection and inhibitory effects of cardiovascular diseases in L-NAME induced rat or ECV 304 cell lines through the Cell morphological pattern, Tunel assay, LDH activity, heart rate, blood pressure and immunohistochemistric analysis by Boonsimgieum water extract Methods : Nitric oxide(NO) play an important role in normal and pathophysiological cells including as a messenger molecule, neurotransmitter, microbiocidal agent, or dilator of blood vessels and artheriosclerosis, hypertension, myocardial infarction, respectively. Endothelial cell products can modulate the magnitude of a response to a vasoconstrictor, as evinced by the greater constriction after endothelium removal or NO synthesis blockade. To investigate that Boonsimgieum in the potential contribution of the levels of nitric oxide generated by endothelial nitric oxide synthase (eNOS) and the mechanisms of protection against NG-nitro-L-arginine methyl ester (L-NAME), human ECV 304 cells, which normally do not express eNOS, were expressed by L-NAME. L-NAME stimulated rat or cells were found to be resistant to injury and delayed death following the Boonsimgieum. Inhibition of nitric oxide synthesis abolished the protective effect against L-NAME, thrombin and collagen exposure. Interestingly, such effects have been observed during stimulation with agents such as phenylephrine and KCl on L-NAME mediate rats, were damaged by the NOS inhibitor L-NAME. Result : As the result of this study, In group, the anti-apoptosis and necrosis in the cardiovascular system have a potential capacity for prevented, protected and treating the diseases of cardiovascular system, against the necrosis of rat and ECV 304 cells with Caspase 3 and calpain expression by L-NAME is promoted. Conclusion : these results demonstrate neuroprotective and memory enhancing effects of ZIBU, suggesting its beneficial actions for the treatment of AD.

• Journal of Pharmaceutical Investigation
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• 제30권1호
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• pp.61-65
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• 2000

Doxazosin, a postsynaptic selective ${\alpha}1-adrenoceptor$ antagonist, is a potent antihypertensive agent which reduces peripheral resistance and blood pressure by vasodilatation of peripheral vessels. It is also used in the treatment of urinary obstruction by benign prostatic hypertrophy. The purpose of the present study was to evaluate the bioequivalence of two doxazosin tablets, $Cardura^{TM}$ (Pfizer Korea Ltd.) and $Cardil^{TM};$ (Kyungdong Pharmaceutical Co., Ltd.), according to the guidelines of Korea Food and Drug Administration (KFDA). Sixteen normal male volunteers, $24.19{\pm}2.48$ years in age and $62.41{\pm}6.66$ kg in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After one tablet containing 2 mg of doxazosin was orally administered, blood was taken at predetermined time intervals and the concentrations of doxazosin in serum were determined with an HPLC method using spectrofluorometric detector. Pharmacokinetic parameters such as $AUC_t,\;C_{max}\;and\;T_{max}$ were calculated and ANOVA test was utilized for the statistical analysis of the parameters. The results showed that the differences in $AUC_t,\;C_{max}\;and\;T_{max}$ between two tablets were -1.54%, -1.51 % and 3.42%, respectively, when calculated against the $Cardura^{TM}$ tablet. The powers $(1-{\beta})$ for $AUC_t,\;C_{max}\;and\;T_{max}$ were all more than 99.00%. Minimum detectable differences $(\Delta)$ at ${\alpha}=0.05\;and\;1-{\beta}=0.8$ were all less than 20% (e.g., 12.73%, 12.84% and 13.01% for $AUC_t,\;C_{max}\;and\;T_{max}$, respectively). The 90% confidence intervals were all within :${\pm}20%$ (e.g., $-8.97{\sim}5.90,\;-9.01{\sim}6.00\;and\;-4.16{\sim}11.05\;for\;AUC_t,\;C_{max}\;and\;T_{max},\;respectively)$. All of the above para- meters met the criteria of KFDA for bioequivalence, indicating that $Cardil^{TM}$ tablet is bioequivalent to $Cardura^{TM}$ tablet.

• 에너지공학
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• 제28권4호
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• pp.1-7
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• 2019

최근 수소충전소 수요 증가에 따라, 산업통상자원부는 LPG, CNG, 주유소 등 기존의 자동차용 연료공급시설 내에 융합, 복합의 형태로 수소충전소 설치가 가능하도록 특례고시를 제정·공포하였다. 수소 융복합충전소는 특례기준 제정 이전까지 국내에서 운영된 사례가 없어, 4계절, 일교차와 같은 환경특성을 감안한 실증이 필요하다. 본 연구에서는, 국내 최초로 실증을 위해 설치된 울산 LPG-수소복합충전소의 충전데이터를 수집하여 분석하였다. 충전데이터는 압축기, 저장용기, 디스펜서에서 발생한 시간별 온도, 압력 데이터이며, 계절별 특성을 비교하기 위해 2018년 7월 중 울산 지역의 최고기온 일과 2018년 1월 중 최저기온 일을 포함하여 4계절 충전데이터를 수집하여 비교하였다. 비교결과, 외기온도의 변화가 수소차 차량용기의 초기온도에 영향을 미치는 것으로 나타났으며, 이는 최종적으로 차량의 충전시간과 충전속도에도 영향을 미치는 것으로 나타났다. 국내 수소충전소 기준(KGS FP217)과 미국의 충전프로토콜(SAE J2601)에서 제시한 한계온도를 초과한 경우는 없어 차량용기에 대한 영향은 없는 것으로 나타났다.

• Journal of Ginseng Research
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• 제23권3호
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• pp.164-171
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• 1999

가압형 마이크로웨이브 추출장치를 이용하여 추출조건(에탄올농도, 추출온도 및 추출시간)에 따른 인삼 ginsenosid서 추출특성을 반응표면분석에 의해 모니터링하고, 마이크로파 추출법의 추출효율을 확인하였다. 조건별 추출물의 ginsenoside함량에 대한 회귀식의 $R^2$는 대부분 0.830이상으로 $10\%$이내의 수준에서 유의성이 인정되었다. $Ginsenoside-Rb_2$ -Rc, -Re 및 $-Rg_1$은 추출온도가 높을수록 증가하여 $140^{\circ}C$에서 가장 높게 나타났으며, 에탄을 농도가 $50\~75\%$에서 가장 높은 추출율을 보였다. Ginsenoside의 HPLC 패턴은 MAP 추출온도 $120^{\circ}C$에서 unknown peak가 확인되었으며, $150^{\circ}C$추출에서는 unhown peak가 증가되었다. $Ginsenoside-Rb_2$와 -Re 함량에 미지화합물(unknown peak)을 포함하였을 때 는 최대의 추출온도가 $129^{\circ}C$에서 $147^{\circ}C$로 증가하였고, 동시에 추출시간과 $R^2$가 증가하였다. MAP 추출에서 unknown화합물의 함량이 최소가 되는 조건은 에탄올 농도 $67.33\%$, 추출온도 $99.34^{\circ}C$, 추출시간 3.65분이었다. 추출효율의 확인시험에서 8분간의 MAP추출법은 현행 추출법(40시간) 매우 유사한 수준의 ginsenoside 추출효율을 나타내었다.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 세계 도시지반공학 심포지엄
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• pp.133-144
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• 2009

Incheon Bridge, 18.4 km long sea-crossing bridge, will be opened to the traffic in October 2009 and this will be the new landmark of the gearing up north-east Asia as well as the largest & longest bridge of Korea. Incheon Bridge is the integrated set of several special featured bridges including a magnificent cable-stayed girder bridge which has a main span of 800 m width to cross the navigation channel in and out of the Port of Incheon. Incheon Bridge is making an epoch of long-span bridge designs thanks to the fully application of the AASHTO LRFD (load & resistance factor design) to both the superstructures and the substructures. A state-of-the-art of the geotechnologies which were applied to the Incheon Bridge construction project is introduced. The most Large-diameter drilled shafts were penetrated into the bedrock to support the colossal superstructures. The bearing capacity and deformational characteristics of the foundations were verified through the world's largest static pile load test. 8 full-scale pilot piles were tested in both offshore site and onshore area prior to the commencement of constructions. Compressible load beyond 30,000 tonf pressed a single 3 m diameter foundation pile by means of bi-directional loading method including the Osterberg cell techniques. Detailed site investigation to characterize the subsurface properties had been carried out. Geotextile tubes, tied sheet pile walls, and trestles were utilized to overcome the very large tidal difference between ebb and flow at the foreshore site. 44 circular-cell type dolphins surround the piers near the navigation channel to protect the bridge against the collision with aberrant vessels. Each dolphin structure consists of the flat sheet piled wall and infilled aggregates to absorb the collision impact. Geo-centrifugal tests were performed to evaluate the behavior of the dolphin in the seabed and to verify the numerical model for the design. Rip-rap embankments on the seabed are expected to prevent the scouring of the foundation. Prefabricated vertical drains, sand compaction piles, deep cement mixings, horizontal natural-fiber drains, and other subsidiary methods were used to improve the soft ground for the site of abutments, toll plazas, and access roads. Light-weight backfill using EPS blocks helps to reduce the earth pressure behind the abutment on the soft ground. Some kinds of reinforced earth like as MSE using geosynthetics were utilized for the ring wall of the abutment. Soil steel bridges made of corrugated steel plates and engineered backfills were constructed for the open-cut tunnel and the culvert. Diverse experiences of advanced designs and constructions from the Incheon Bridge project have been propagated by relevant engineers and it is strongly expected that significant achievements in geotechnical engineering through this project will contribute to the national development of the longspan bridge technologies remarkably.

• 한국잠사곤충학회지
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• 제46권1호
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• pp.1-5
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• 2004

Rutin은 GABA(γ-aminobutyric acid)와 더불어 콜레스테롤 저하, 혈당상승 억제, 고혈압 치료, 동맥경화 및 중풍 예방 등 다양한 뽕잎의 기능성을 나타내는 생리활성 물질로서 인식되고 있다. 뽕잎과 더불어 기능성 및 천연색소 자원으로서 유망시되고 있는 오디를 뽕나무 계통별로 수확하여 rutin 분석을 실시하고 계통간 특성을 살펴봄으로써 품종육종 효율을 높임은 물론 오디의 기능성 및 이용성을 증대시키고자 하였다. 그 결과를 요약하면 다음과 같다. 1. 공시계통의 평균함량은 0.14±0.050% DW이었으며, '사방소'는 0.29% DW로 가장 높은 함량을 나타낸 반면, '심설'은 가장 낮은 함량인 0.05% DW를 나타냈다. 2. 오디 중의 생육시기에 따른 rutin 함량의 경시적인 변화를 살펴본 결과, 뽕잎의 경우와 마찬가지로 '암뢰상', '청노상', '강선', '만생백피노상' 및 '사방소' 5계통 모두 수확시기가 이른 것의 오디에서 함량이 높았다. 3. Rutin 고함유 계통에 대한 오디로서의 이용가능성을 검토하기 위해 '사방소', '휘카스', '강선', '중호상', '만생백피노상' 및 '팔청시평 ' 6계통의 과실적 특성을 조사한 결과. '휘카스', '강선' 및 '팔청시평 ' 3계통은 수량, 과중, 당도 등 과실적 특성도 양호한 성적을 나타냈으므로 금후 오디생산과 기능성을 동시에 고려한 품종선택시 활용할 가치가 있는 우수계통으로 선발하였다. 4. 건조방법 및 저장방법이 식물체의 rutin 함량에 영향을 미치므로 오디 건조 및 저장시 지나친 고온과 저온을 피해야 하며, 식품으로 가공시에도 이 점에 주의하여 생리활성물질인 rutin의 섭취량을 늘리도록 하여야 할 것이다.

• 대한소아치과학회지
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• 제28권4호
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• pp.633-637
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• 2001

소아치과에서 국소마취는 공포의 대상이며, 특히 행동조절이 힘든 소아의 경우 더욱 그러하다. 국소마취에 대한 공포는 주사침의 자입시나 주사액의 주입시 느끼는 동통 만큼이나 주사침 자체의 공포도 크게 차지한다. 주사침 자입시의 동통을 완화하기 위하여, 도포마취제 등이 개발되었으나 이들은 국소마취의 동통을 완화시키는 면은 있으나 주사침 자체에 대한 공포를 없애지는 못하였다. Syrijet Mark II$^{(R)}$(Mizzy Inc, USA)는 주사침이 없는 치과용 분사식 주사기 (jet injection device)로서 소아에서 주사침에 대한 공포를 성공적으로 감소시킬 수 있다고 알려져 있다. 저자들은 여러 행동등급의 소아를 대상으로 Syrijet을 사용하여 국소마취를 시행한 후 동통평가의 척도로서 VAS(visual analogue scale)를 소아에게 적합하게 색상화한 CAS(color analogue scale)를 이용하여 국소마취시의 동통수준을 측정한 결과, 기존 주사침에 의한 국소마취시 보다 국소마취의 동통이 감소된 것을 알 수 있었다. Syrijet의 장점으로는 주사침이 없다는 점, 기존의 술식에서 일회용이었던 마취용 카트리지를 재사용할 수 있다는 점, 신경 및 혈관에 안전하다는 점 등이 있었으며, 단점으로 부피가 크며, 가격이 비싸며, 사용시 숙련성을 요구한다는 점 등이 있었다.

• 한국자기학회지
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• 제21권4호
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• pp.136-140
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• 2011

고온에서 운용 중인 설비의 안전성 평가를 위하여 사용기간 동안 열화된 재료의 물성을 측정하여야 하나, 운용 중인 설비에서 열화도가 다른 여러 종류의 시편을 획득하기가 쉽지 않다. 따라서 본 연구에서는 열교환기의 튜브와 압력용기의 재료로 널리 사용되고 있는 1Cr-0.5Mo 강을 인공열화시켜 시편으로 사용하였다. 열화도 평가를 위하여 바크하우젠 노이즈의 포락선(envelope)에서 첨두값(peak value) 사이의 간격, 보자력 및 경도를 실온에서 측정하였다. 열화도의 증가에 따라 세 값은 모두 감소하였는데, 이는 기지의 탄화물 입자가 조대화 됨으로써 탄화물 석출에 의한 기지의 연화가 결정립계의 경화보다 우세하게 작용하여 나타나는 것으로 판단되었다. 포락선 첨두값 사이의 간격과 경도값의 선형관계를 이용하여 자기적 특성 측정에 의해 간접적으로 1Cr-0.5Mo 강의 열화도를 비파괴적으로 평가할 수 있는 근거를 제시하였다.