• Journal of Chest Surgery
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• 제39권11호
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• pp.844-849
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• 2006

배경: 미만성 침윤성 폐질환의 확진을 위해서는 외과적 폐생검이 필요하다. 개흉 폐생검과 흉강경 폐생검 방법을 비교하고 외과적 폐생검이 미만성 간질성 폐질환의 진단에 미치는 영향을 알아보고자 하였다. 대상 및 방법: 2000년 3월부터 2005년 12월까지 영남대학교의료원 흉부외과에서 폐생검을 시행한 환자를 후향적 조사를 하였다. 외과적 폐생검 후 조직학적 진단과 치료방침의 변화를 분석하고 소개흉술을 실시한 군(OLB)과 비디오 흉강경수술을 실시한 군(TLB)으로 나누어 비교 분석하였다. 결과: 전체 환자는 36명이었고 기침이 가장 많은 술 전 증상이었다. OLB군과 TLB군 사이에 수술시간, 마취시간, 재원기간, 흉관거치 기간, 채취한 조직의 용적, 합병증 발생률에는 유의한 차이가 없었다. 전 예에서 술 후 조직학적 진단이 가능하였다. 술 후 33%에서 치료 방침의 변화가 있었고 두 군 간유의한 차이는 없었다. 술 후 사망은 1예가 있었고 술 전 호흡부전이 있었던 환자에서 발생하였다. 결론: 외과적 폐생검은 미만성 침윤성 폐질환을 확진할 수 있는 진단방법이고 술 후 치료 방침의 결정에 많은 도움을 준다. 흉강경 폐생검은 개흉 폐생검에 비해 덜 침습적이고 동일한 조직학적 진단율을 보이므로 외과적 폐생검의 기본 수술술기라 할 수 있다.

• The Korean Journal of Pain
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• 제1권1호
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• pp.20-27
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• 1988

Continuous cervical epidural anesthesia with two different concentrations of bupivacaine had been performed in 43 cases for surgery of upper extremity and cervical spine. After the initial dose of 0.33% bupivacaine 15ml to Group I(n=22) and 0.5% bupivacaine 15ml to Group II(n=21) was injected respectively, we observed the circulatory and pulmonary functions to be changed, and evaluated the duration of those analgesic action. The number of spinal segment to be affected and the complications were checked. Statistical significance of changes after the initial dose in both groups was determined by student's t-test. All values are impresed as mean$\pm$1S.D.. The results were as follows: 1) Circulatory functions; Systolic B.P. and Pulse rate were decreased by 10~15torr and 5~6 beats per minute respectively between 10~30 minutes following the initial dose, which were statistically significant in both groups. 2) Pulmonary functions; The diminution of minute volume showed to 20% and a rise of $PaCO_2$ level to 5~6 torr respectively between 30~60 minutes following the initial dose, which were statistically significant in both groups. There were no significant changes in self respiration and respiratory rate in both groups. 3) The duration of analgesic action was $72.3{\pm}25.7$(min) in Group I and $83.5{\pm}28.5$(min) in Group II which was not statistically significant between two groups, and the number of affected spinal segment at ore hour following the Anesthusia was $8.7{\pm}2.0$ in Group I and $10.5{\pm}2.4$ in Group II which was statistically significant between two groups. 4) Complications; a. Hypotension(below 80torr in systolic pressure) was appeared in 5% of all patients. b. Bradycardia(below 60 beats per minutes) was appeared in 25% of all patients. c. Inadvertent dural puncture was developed in only one patient, In conclusion, the 0.33% bupivacaine as well as 0.5% bupivacaine were enough for those analgesic effect in the above mentioned surgery even though the duration of analgesic action was about 10 minutes shorter in Group I than that of Group II. The cardiopulmonary function was clinically rather stable in Group I than that of Group II. Therefore we thought 0.33% bupivacaine was satisfactory for the clinical practicality in the cervical epidural anesthesia.

• 감성과학
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• 제14권1호
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• pp.147-156
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• 2011

여러 연구자들이 정서특정적 자율신경계 활동을 밝히기 위하여 행복, 슬픔, 분노, 공포 및 혐오를 포함한 기본 정서들을 사용하여왔지만, Ekman 등(1983)의 기본정서들 중 놀람 정서에 대한 연구는 많지 않다. 본 연구의 목적은 ECG와 PPG를 이용하여 놀람 자극에 대한 심혈관 반응을 밝히는 것이다. 76명의 대학생에게 놀람자극을 제시하기 전과 후에 ECG와 PPG를 기록하였으며, ECG와 PPG 신호로부터 심박률(HR), R-R 간격의 표준편차(SD-RR), 연속된 R-R 간격 차이의 제곱평균제곱근(RMSSD-RR), 호흡성 부정맥(RSA), 손가락 혈류량 파형의 진폭(FBVPA), 손가락 맥파 전달시간(FPTT)을 산출하였다. HR과 SD-RR, RMSSD-RR은 놀람자극 제시 전에 비하여 놀람자극이 제시된 후에 유의하게 증가하였으며, FBVPA는 유의하게 감소하였고, FPTT는 유의하게 짧아졌다. 놀람 자극은 말초혈관을 수축시키고, 심박률을 증가시키는 교감신경계 반응특성을 가지는 것으로 볼 수 있으며, 심박률 변산성을 증가시키는 부교감신경계도 동시에 활성화될 가능성이 있는 것으로 나타났다. 이러한 연구 결과는 정서이론의 발전과, 인간정서를 탐지하는 컴퓨터 시스템의 기초를 확립하는데 기여하는 바가 있을 것이다.

• Journal of Magnetics
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• 제21권2호
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• pp.293-297
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• 2016

For mastectomy patients, sufficient doses of radiation should be delivered to the surface of the chest wall to prevent recurrence. A bolus is used to increase the surface dose on the chest wall, whereby the surface dose is confirmed with the use of a virtual bolus during the computerized treatment-planning process. The purpose of this study is an examination of the difference between the dose of the computerized treatment plan and the dose that is measured on the bolus. Part of the left breast of an Anderson Rando phantom was removed, followed by the attainment of computed tomography (CT) images that were used as the basis for computerized treatment plans that were established with no bolus, a 3 mm-thick bolus, a 5 mm-thick bolus, and a 10 mm-thick bolus. For the computerized treatment plan, a prescribed dose regimen was dispensed daily and planning target volume (PTV) coverage was applied according to the RTOG 1304 guidelines. Using each of the established computerized treatment plans, chest-wall doses of 5 points were measured; this chest-wall dose was used as the standard for the analysis of this study, while the level of significance was set at P < 0.05. The measurement of the chest-wall dose with no bolus is 1.6 % to 10.3 % higher, and the differences of the minimum average and the maximum average of the five measurement points are -13.8 and -1.9, respectively (P < 0.05); however, when the bolus was used, the dosage was measured as 3.7 % to 9.2 % lower, and the differences of the minimum average and the maximum average are 7.4 and 9.0, -1.2 and 17.4, and 8.1 and 19.8 for 3 mm, 5 mm, and 10 mm, respectively (P < 0.05). As the thickness of the bolus is increased, the differences of the average surface dose are further increased. There are a variety of factors that affect the surface dose on the chest wall during post-mastectomy radiation therapy, for which verification is required; in particular, a consideration of the appropriate thickness and the number of uses when a bolus is used, and which has the greatest effect on the surface dose on the chest wall, is considered necessary.

• 한국융합학회논문지
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• 제8권4호
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• pp.131-137
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• 2017

본 연구에서는 Computer-Aided Design (CAD) 모델로부터 4D CT 데이터로 변환하는 프로그램을 개발하였다. 개발된 프로그램의 성능을 확인하기 위해, 공학과 의학의 융합 모델로 인체 호흡을 모사할 수 있는 호흡모사 팬텀을 CAD 기반 프로그램으로 모델링하였으며, 이 모델을 10개의 위상영상을 포함하는 DICOM형태의 4D CT 데이터로 변환하는 CAD2DICOM을 개발하였다. 이후, 제작된 4D CT 데이터의 정확성 및 유효성을 평가하기 위하여 영상의 해상도, 종양의 체적 및 위치 등을 방사선치료계획시스템을 이용하여 평가하였다. 결과적으로, 제작된 4D CT 데이터가 방사선치료계획시스템 상에 정상적으로 인식됨을 확인하였으며, 모든 위상에서 종양 체적은 8.8cc로 차이가 나타나지 않고 종양의 움직임도 설정된 10mm로 나타나 정확히 반영됨을 확인하였다. 본 연구를 통해 개발된 프로그램을 이용하면 실제 4차원 CT 촬영에서 발생할 수 있는 영상의 인공물(허상)이 없는 표준 영상을 획득할 수 있으므로, 향후 움직임에 민감한 4차원 방사선 치료계획연구 및 4차원 방사선 영상 평가연구 등에 활용될 것으로 사료된다.

• 대한수의학회지
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• 제42권1호
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• pp.45-54
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• 2002

The study was carried out to characterize the pharmacokinetics after intravenous (iv, 20 mg/kg) and oral (p.o. 100 mg/kg) administration as oxytetracycline (OTC) and tiamulin (TIA) mixture in swine and to determine interaction between OTC and TIA against various pig pathogenic bacteria. The antibacterial effects of OTC in combination with TIA in vitro showed synergistic effect against Salmonella typhimurium 1925, Pasteurella multocida Type A, P. multocida Type D, Krebsiella Pneumoniae 2001, K. Pneumoniae 1560, K. Pneumoniae 2208, Haemophillus pleuropneumonia S 2, and H. pleuropneumonia S 5, but against additive effect E. coli K88ab and S. choleraesuis on the basis of fractional inhibitory concentration (FIC) index. On the while, after i.v. and p.o. administration of OTC and TIA mixture, each OTC and TIA concentrations in plasma were fitted to an open two-compartment model. After i.v. administration of OTC-TIA mixture, the mean distribution half-life ($T_{1/2{\alpha}}$) of OTC and TIA in plasma showed 0.29 h and 0.17 h, and the mean elimination half-life ($T_{1/2{\beta}}$) of those was 4.36 h and 6.64 h, respectively. The mean volume of distribution at steady state ($Vd_{ss}$) of OTC and TIA was $0.85{\ell}/kg$ and $2.44{\ell}/kg$, respectively. After oral administration of OTC and TIA mixture, the mean maximal absorption concentrations ($C_{max}$) of OTC and TIA were $0.60{\mu}g/m{\ell}$ at 1.07 h ($T_{max}$) and $1.68{\mu}g/m{\ell}$ at 1.85 h ($T_{max}$), respectively. The mean elimination half-life ($T_{1/2{\beta}}$) of those showed 6.84 h and 6.36 h. In conclusion, we could suggest in this study that the combination of OTC and TIA may be recommended for the antibacterial therapy against polymicrobial infections, and both OTC and TIA showed large distribution to tissues and high $C_{max}$ after p.o. administration.

• 한국입자에어로졸학회지
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• 제14권4호
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• pp.97-105
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• 2018

Recently, people's interest in particulate matter (PM) has been increasing, due to its hazardous health effects. The purpose of this study was to investigate the concentrations and as well as the inhaled weight of PM, correlated with person's heart rate in subway, bus, vehicle and bicycle in the major public transportation (Sadang - Jamsil and Nowon - Dongdaemun) in Seoul. The concentration of $PM_{10}$ and $PM_{2.5}$ were measured from each of transportation means and calculated the average concentrations which were 87.2 and $57.8{\mu}g/m^3$ for subway, 62.8 and $42.5{\mu}g/m^3$ for vehicle, 61.5 and $36.8{\mu}g/m^3$ for bus and 53.0 and $29.4{\mu}g/m^3$ for bicycle in $PM_{10}$ and $PM_{2.5}$ respectively. Inhalation dose for $PM_{10}$ and $PM_{2.5}$ were estimated at 248.1 and $139.4{\mu}g$ for bicycle, 56.7 and $39.3{\mu}g$ for vehicle, 49.4 and $29.9{\mu}g$ for bus and 44.3 and $29.1{\mu}g$ for subway, respectively. Even though subway had the highest concentration, the highest inhalation dose was the bicycle. It was due to the long travel time-exposure and breathing rate which leads to maximum of $PM_{10}$ 5.6 and $PM_{2.5}$ with 4.8 times inhalation dose comparing with other modes of transportation. With regards to future studies, the amount of inhalation in each transportation means should be considered in risk assessments of PM.

• 한국융합학회논문지
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• 제10권10호
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• pp.67-74
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• 2019

본 연구는 경도의 지적장애를 가진 20대 남성 비만인이 자세변화에 따른 융합적인 호흡기능에 미치는 영향을 알아보고자 하였다. 비만을 가진 20대 경도의 지적장애인 남성 10명(비만군)과 비만이 없는 20대 경도의 지적장애인 남성 10명(대조군)이 실험에 참여하였다. 모든 대상자들은 자세변화(바로 누운 자세, 45도 기대어 앉은 자세, 90도 앉은 자세)에 따라 Fit mate를 이용하여 폐기능을 평가해 보았다. 자료분석은 SPSS win 18.0을 이용하여 모든 대상자의 자세변화에 따란 호흡변화를 분석하기 위해 일요인 반복측정 분산분석으로 검증하였다. 각 군간의 차이를 분석하기 위해 독립비교를 실시하였다. 비만군에서 자세변화에 따른 호흡기능이 대조군보다 실험 후 호흡기능이 더 낮게 나타났다. 세가지 자세변화에도 바로 누운자세에 가장 낮게 나타났다. 이 연구를 통해 비만군은 대조군보다 호흡기능이 낮게 나타났으며, 이런 결과는 비만을 가진 지적장애인의 운동프로그램을 통한 객관적인 호흡측정 자료로 제시할 수 있을 것으로 사료된다.

• 운동영양학회지
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• 제24권2호
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• pp.30-37
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• 2020

[Purpose] The present study investigated the effect of endurance exercise with blood flow restriction (BFR) performed at either 25% maximal oxygen uptake (${\dot{V}}O_2$ max) or 40% ${\dot{V}}O_2$ max) on muscle oxygenation, energy metabolism, and endocrine responses. [Methods] Ten males were recruited in the present study. The subjects performed three trials: (1) endurance exercise at 40% ${\dot{V}}O_2$ max without BFR (NBFR40), (2) endurance exercise at 25% ${\dot{V}}O_2$ max with BFR (BFR25), and (3) endurance exercise at 40% ${\dot{V}}O_2$ max with BFR (BFR40). The exercises were performed for 15 min during which the pedaling frequency was set at 70 rpm. In BFR25 and BFR40, 2 min of pressure phase (equivalent to 160 mmHg) followed by 1 min of release phase were repeated five times (5 × 3 min) throughout 15 minutes of exercise. During exercise, muscle oxygenation and concentration of respiratory gases were measured. The blood samples were collected before exercise, immediately after 15 min of exercise, and at 15, 30, and 60 minutes after completion of exercise. [Results] Deoxygenated hemoglobin (deoxy-Hb) level during exercise was significantly higher with BFR25 and BFR40 than that with NBFR40. BFR40 showed significantly higher total-hemoglobin (total-Hb) than NBFR40 during 2 min of pressure phase. Moreover, exercise-induced lactate elevation and pH reduction were significantly augmented in BFR40, with concomitant increase in serum cortisol concentration after exercise. Carbohydrate (CHO) oxidation was significantly higher with BFR40 than that with NBFR40 and BFR25, whereas fat oxidation was lower with BFR40. [Conclusion] Deoxy-Hb and total Hb levels were significantly increased during 15 min of pedaling exercise in BFR25 and BFR40, indicating augmented local hypoxia and blood volume (blood perfusion) in the muscle. Moreover, low-and moderate-intensity exercise with BFR facilitated CHO oxidation.

• Journal of Chest Surgery
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• 제56권3호
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• pp.155-161
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• 2023

Background: Surgical closure of an atrial septal defect (ASD) is infrequently indicated during infancy. We evaluated the clinical characteristics and outcomes of patients who underwent surgical ASD closure during infancy. Methods: A single-center retrospective review was performed for 39 patients (19 males) who underwent surgical ASD closure during infancy between 1993 and 2020. The median body weight percentile at the time of operation was 9.3. Results: During a median follow-up of 60.9 months, 4 late deaths occurred due to chronic respiratory failure. A preoperative history of bronchopulmonary dysplasia (BPD) was the only risk factor for late mortality identified in Cox regression (hazard ratio, 3.54; 95% confidence interval [CI], 1.75-163.04; p=0.015). The 5-year survival rate was significantly lower in patients with preoperative history of BPD (97.0% vs. 50.0%, p<0.001) and preoperative ventilatory support (97.1% vs. 40.4%, p<0.001). There were significant postoperative increases in left ventricular end-diastolic (p=0.017), end-systolic (p=0.014), and stroke volume (p=0.013) indices. A generalized estimated equation model showed significantly better postoperative improvement in body weight percentiles in patients with lower weight percentiles at the time of operation (<10th percentile, p=0.01) and larger indexed ASD diameter (≥45 mm/m², p=0.025). Conclusion: Patients with ASD necessitating surgical closure during infancy are extremely small preoperatively and remain small even after surgical closure. However, postoperative somatic growth was more prominent in smaller patients with larger defects, which may be attributable to an increase in postoperative cardiac output due to changes in ventricular septal configuration. The benefits of ASD closure in patients with BPD are undetermined.