• Journal of Chest Surgery
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• 제44권3호
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• pp.208-214
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• 2011

Background: Periprocedural treatment with high-dose statins is known to have cardioprotective and pleiotropic effects, such as anti-thrombotic and anti-inflammatory actions. We aimed to assess the efficacy of high-dose rosuvastatin loading in patients with stable angina undergoing off-pump coronary artery bypass grafting (OPCAB). Materials and Methods: A total of 142 patients with stable angina who were scheduled to undergo surgical myocardial revascularization were randomized to receive either pre-treatment with 60-mg rosuvastatin (rosuvastatin group, n=71) or no pre-treatment (control group, n=71) before OPCAB. The primary endpoint was the 30-day incidence of major adverse cardiac events (MACEs). The secondary endpoint was the change in the degree of myocardial ischemia as evaluated with creatine kinase-myocardial band (CK-MB) and troponin T (TnT). Results: There were no significant intergroup differences in preoperative risk factors or operative strategy. MACEs within 30 days after OPCAB occurred in one patient (1.4%) in the rosuvastatin group and four patients (5.6%) in the control group, respectively (p=0.37). Preoperative CK-MB and TnT were not different between the groups. After OPCAB, the mean maximum CK-MB was significantly higher in the control group (rosuvastatin group $10.7{\pm}9.75$ ng/mL, control group $14.6{\pm}12.9$ ng/mL, p=0.04). Furthermore, the mean levels of maximum TnT were significantly higher in the control group (rosuvastatin group $0.18{\pm}0.16$ ng/mL, control group $0.39{\pm}0.70$ ng/mL, p=0.02). Conclusion: Our findings suggest that high-dose rosuvastatin loading before OPCAB surgery did not result in a significant reduction of 30-day MACEs. However, high-dose rosuvastatin reduced myocardial ischemia after OPCAB.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2003년도 가을 학술발표회 논문집
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• pp.11-14
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• 2003

The purpose of this paper is to offer a base data of specification, so that the strength information of concrete in the structure for irrigation can be rationally determined the coefficient of variation of an existing irrigation structure and the best fit the ready-mixed concrete strength to specified strength $f_ck$. From analysis of concrete cylinders from about 30 numbers in southern Korea, it was concluded that the coefficient of variation of cylinder strength were approximately 5.9%. On the basis of the core strength test data, it was appeared that the average coefficient of variation for the existing irrigation structure can be taken as 17.8% for strength level 21MPa.

• 한국안전학회지
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• 제14권1호
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• pp.49-54
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• 1999

In this paper. we studied cut off characteristics and fire hazard of residual current protective devices(RCD or ELB) for low voltage. The operative time of RCD with grounding resistance was analyzed by using RCD operating tester. The surface structure and composition of insulator were analyzed by using scanning electron microscope(SEM) and energy dispersive x-ray spectroscopy(EDX). The surface of phenol resin showed network structure and void. The spectra shown in EDX analysis are composed not only of the corresponding elements but also of several new spectra, as CK. OK$\alpha$. MgK, SiK. and CaK, which were absent in original material.

• Steel and Composite Structures
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• 제14권2호
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• pp.133-153
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• 2013

The concrete-filled steel tube (CFT) columns have several benefits of high load-bearing capacity, inherent ductility and toughness because of the confinement effect of the steel tube on concrete and the restraining effect of the concrete on local buckling of steel tube. However, the experimental research into the behavior of square CFT columns consisting of high-strength steel and high-strength concrete is limited. Six full scale CFT specimens were tested under flexural moment. The CFT columns consisted of high-strength steel tubes ($f_y$ = 325 MPa, 555 MPa, 900 MPa) and high-strength concrete ($f_{ck}$ = 80 MPa and 120 MPa). The ultimate capacity of high strength square CFT columns was compared with AISC-LRFD design code. Also, this study was focused on investigating the effect of high-strength materials on the structural behavior and the mathematical models of the steel tube and concrete. Nonlinear fiber element analyses were conducted based on the material model considering the cyclic bending behavior of high-strength CFT members. The results obtained from the numerical analyses were compared with the experimental results. It was found that the numerical analysis results agree well with the experimental results.

• 콘크리트학회논문집
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• 제14권5호
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• pp.796-803
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• 2002

T형 벽체는 웨브 벽체와 평행한 방향으로 횡력이 작용할 때 그 작용 방향에 따라 다른 강성과 강도를 갖는다. 특히, 플랜지벽체에 인장력이 작용할 때 플랜지 벽체내 철근의 기여로 인하여 벽체의 휨강도가 상승하게 되는데 이것은 전단지체 현상에 기인한 것이다. 이러한 전단지체 현상에 따라 플랜지 벽체는 전체 폭이 웨브 벽체와 일체로 거동하지 못하고, 일정한 부분만이 웨브 벽체와 함께 거동하게 되는데, 이러한 범위를 유효 폭이라 하며, 이러한 유효 폭은 구조물의 실제적인 강도와 강성을 예측하는데 중요한 역할을 하게되므로 반드시 구명되어야 할 요소라 할 수 있다. 이에 본 연구에서는 실험을 통하여 웨브 벽체 단부에 기존의 양단부 보강상세를 갖는 T형 벽체의 실제적인 강도와 유효 폭을 평가하고자 한다. 연구목적을 달성하기 위하여 3개의 실험체를 제작하였으며 0.1 $f_{ck}$ . $A_{g}$의 축력을 실험이 진행되는 동안 일정하게 유지하면서, 반복가력 실험을 수행하였다. 실험결과, 유효 폭은 횡변위의 증가에 따라 증가하는 것으로 나타났으며 최대강도 발현시 h/3에 해당하는 전체 플랜지가 유효 폭으로 작용하는 것으로 나타났다. 그러므로, PCI나 국내 기준에 의한 h/10의 유효 폭은 웨브 벽체 단부에 주어진 보강상세를 갖는 벽체에 대하여 적절치 못한 것으로 사료된다..

• The Journal of Korean Physical Therapy
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• 제17권4호
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• pp.589-600
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• 2005

The purposes of this study is to discuss and analyze the effect on the recovery from cut in sciatic nerve. This study used 9 weeks male rats of Sprague-Dawley family. Rat in groups 4 were treated with pulsed therapeutic ultrasound for 3 minutes. 3 times weekly at 3MHz respectively (intensity; $0.2W/cm^2,\;0.5W/Cm^2,\;10W/cm^2$); rat in group 1 received placebo ultrasound. In addition, changes of serum aspartate amino-transferase(AST) and creatine phosphokinase(CPK) levels were also demonstrated with diameter of individual muscle fasciculate and number of muscle fiber in each of three types of muscles located in gastrocnemius, soles. The results of comparing the changes in groups are as follows; 1. We found out that hypertrophic epineurium was present in sciatic nerve injured ultrasound treatment of groups. 2. In the gastrocnemius morphological investigation of the group I (control group), severe muscle atrophy were observed at the 7th days of the sciatic nerve injury. however, muscle atrophy of the group IV ($1.0W/cm^2$) were slightly recovered at the 14th days after treatment ultrasound. At the 28th days, muscular fibers were formed in polygon and were significantly recovered. 3. C-fos immunoreactive of the group II ($0.2W/cm^2$), III ($0.5W/cm^2$) were remarkably increased at the 1th day after treatment of ultrasound. Group IV were markedly deceased. 4. Brain-Derived Neurotrophic Factor(BDNF) immunoreactive of the group II, III were increased after 7 days of the sciatic nerve injury. Group IV were markedly increased from 14th days to 28th days after treatment of ultrasound. 5. A significant increase of serum AST levels were demonstrated in control group. However, serum AST levels of massage groups were significantly decreased compared to that of control group in followed order ; ($0.2W/cm^2<0.5W/cm^2<1.0W/cm^2$). 6. A significant increase of serum CK levels were demonstrated in control of group. However, serum CK levels of massage groups were significantly decreased compared to that of control group in followed order ; ($0.2W/cm^2<0.5W/cm^2<1.0W/cm^2$). The above results suggest that ultrasound treatment after peripheral nerve injury might reduce noxious stimuli, facilitate nerve recovery and effective in the functional improvement delaying muscle atrophy or degeneration.

• Annals of Clinical Neurophysiology
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• 제9권1호
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• pp.11-15
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• 2007

Background: The term "overlap syndromes" designates a group of diseases in which polymyositis (PM) or dermatomyositis (DM) is associated with some other disorders of connective tissues. The aim of this study was to delineate the clinical features, laboratory findings, and outcome of treatment of "overlap syndromes" Methods: We analyzed the medical records of 16 patients (PM in 10, DM in 6) with well documented "overlap syndromes" between 1997 and 2004. The diagnosis was made when the criteria for two different disorders were fulfilled. Results: All patients were female. Age of onset ranged from 14 to 52 years (mean 29.8 years) with peak incidence in the third and fourth decades. Systemic lupus erythematosus (SLE) was associated in 10, systemic sclerosis in 7, and rheumatoid arthritis in 3 patients. Four of the patients had two different connective tissue diseases simultaneously. The characteristic clinical features were muscle weakness, arthralgia, Raynaud's phenomenon, and myalgia. In laboratory tests, creatine kinase (CK), lactic dehydrogenase (LDH), and transaminases were usually abnormal. Positive antinuclear antibody (ANA), rheumatoid factor (RF), and cryoglobulin were found in 100%, 69%, and 67% of the patients, respectively. Needle electromyography (EMG) showed abnormal findings compatible with myopathy in 15 patients. The pathology of muscle biopsy from 14 patients revealed findings compatible with inflammatory myopathy. Glucocorticoids were administered to 15 patients. The muscle strength improved in all the treated patients, which was well correlated with repeat CK level and EMG findings. Conclusions: The presence of autoantibodies such as ANA, RF, and cryoglobulin in patients with PM or DM highly suggests the possibility of an overlap syndromes. These syndromes reveal a strong female predominance. The myositis associated with them usually shows a good response to glucocorticoids treatment.

• 한국약용작물학회지
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• 제5권2호
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• pp.154-161
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• 1997

본연구는 서양삼(西洋蔘)(Panax quinquefolium Linne) 과육(果肉)에 의한 Brassica(Brassica chinensis Linne) seed를 대상으로 발아(發芽) 억제작용을 검토하였다. 서양삼과즙(果汁)에는 발아(發芽)억제물질이 존재하고. 그 억제작용은 희석도에따라 감소하였다. 즉 희석배수가 0, 1, 2, 5, 10, 20, 50, 100일때 배근(胚根)의 길이는 각각 0, 0.32, 0.72, 3.13, 483, 16.07, 16.73, 23.50 mm이였다(CK=25.98 mm). 과육의 존재는 종배(種胚)의 성장을 현저하게 억제하였다. 수확(收穫)후 과육이 종자 표면에 부착한 시간이 0, 15, 30, 60일 때 종자 생장에 대한 억제 시간은 각각 30, 75, 135, 135일로 나타났다. 종자 썩는 비율도 높아졌다. 과육의 부착한 시간이 0, 15, 30, 60, 270일 때 종자 썩는 비율은 각각 5.47, 5.71, 19.05, 27.14, 33.33%로 나타났다. 이러한 결과는 과육에 서양삼종자휴면(西洋蔘種子休眠)을 일으키는 주요한 억제성분이 함유되어 있다는 것 을 시사하였다.

• Journal of Chest Surgery
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• 제35권4호
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• pp.261-266
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• 2002

배경 및 목적; 심폐체외순환의 부작용을 피하기 위해 최근 들어 심폐체외순환 없이 시행하는 관상동맥우회로술(Off pump CABG)이 시도되고 있다. 이 연구는 Off pump CABG와 심폐체외순환하에서 시행하는 관상동맥우회로술(On Pump CABG) 의 수술 전 위험요소와 수술 후 결과를 비교하였다. 방법; 2001년 1월부터 2001년 7월까지 CABG를 시행 받았던 178명중에서 판막수술이나 심실절제술 등 동반 수술이 없었던 166명을 대상으로 하였다. 이 중 Off Pump CABG환자는 52명이었고 On Pump CABG환자가 114명이었으며, 이 환자들을 대상으로 수술전 위험인자와 관상동맥 질환의 정도 및 수술 후 결과를 비교하였다. 결과; 두 군간의 연령, 남녀 비, 수술전 당뇨, 고혈압, 흡연력, 고지질증, 가족력 등 위험요소에 대한 통계적인 유의성은 없었으며, 폐쇄성 폐 질환이나 말초 동맥혈관 협착증 및 뇌경색의 기왕력, 심근경색의 기왕력이나 흉통의 정도(Canadian Class),관상동맥 질환의 정도 및 심박출계수도 통계적인 차이를 보이지 않았다. 수술시간은 Off Pump CABG에서 통계적으로 유의하게 짧았고(234 $\pm$ 37 min vs 290 $\pm$ 48 min, p<0.001), 이 식편수는 On Pump CABG에서 유의하게 많았다(3.4 $\pm$ 0.9개 vs 2.6 $\pm$ 0.8개, p<0.001). 수술 후 사망은 없었으며, 수술 후 측정한 CK-MB는 Off Pump CABG에서 통계적으로 유의하게 낮았고(10.1 $\pm$ 13.5 IU/L vs 33.1 $\pm$ 18.2 lU/L, p<0.001) 호흡기 사용시간도 통계적으로 유의하게 낮았다(14.8 $\pm$ 3.5 hours vs 16.2 $\pm$ 4.9 hours, p=0.048). 그 외 24시간 출혈량, 출혈로 인한 재수술, 중환자실 입원 기간, 수술 후 심근경색증, 감염, 신부전증, 신경과적 합병증 및 수술 후 입원 기간 등 수술 후 결과와 유병율에는 두 군간의 통계적 유의성이 없었다. 결론; Off Pump CABG는 On Pump CABG에 비해 수술시간의 단축과 수술 후 심근 손상의 정도가 낮고, 호흡기 사용시간이 짧게 나타났으나 On Pump CABG에 비해 이식편수가 적었다. 대체로 Off Pump CABG는 On Pump CABG에 비해 수술 후 결과에서 약간의 장점을 보여주었으나 Off Pump CABG의 장점을 알아보기 위해서는 더 많은 연구가 있어야 할 것으로 생각된다.

• Tuberculosis and Respiratory Diseases
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• 제47권4호
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• pp.478-487
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• 1999

연구배경 : 전자현미경적 관찰에 의해 진단된 흉막의 악성중피종과 전이성선암 환자를 대상으로 하여 7종의 단일클론항체를 이용한 면역조직화학염색을 시행하고 이들의 발현양상을 비교하여 두 질환을 감별할 수 있는 가장 효과적인 염색방법을 알아보고자 하였다. 방 법 : 면역조직화학염색법은 Fisher사(Fisher scientific)의 1-hour immunohistochemistry방법을 이용하였다. 종양조직은 포르말린으로 고정된 파라핀 조직을 이용하여, $3{\mu}m$ 두께로 잘라서, $85^{\circ}C$에서 가열시킨 후 파라핀을 제거하고, 희석액과 단클론항체를 $45^{\circ}C$에서 15분간 반응시켰다. 각 단계마다 automation buffer로 실온에서 세척하였고, avidin-biotin-peroxidase system을 이용한 immunoperoxidase method로 염색하였다. 조직절편은 $45^{\circ}C$에서 10분간 색소원반응을 시행하였고, 대조염색은 hematoxylin으로 실시하였다. 조직 절편은 최소한 각기 다른 두 구역에서 세포질 또는 세포막이 분명하게 염색될 때 양성으로 판정하였다. 결 과 : 7종의 단일클론항체중 CK, EMA, vimentin, S-100 단백과 Leu-M1은 악성중피종과 전이성선암에서 발현율의 차이는 없었으나, B72-3은 전이성선암에서만 발현되었고, CEA는 전이성선암 전례와 악성중피종 42.9%에서 발현되어서 민감도는 높았으나 특이도는 낮았다. 결 론 : B72-3을 이용한 면역조직화학염색은 악성중피종과 전이성선암의 감별진단에 가장 유용한 방법으로 시사되었으며, 기존에 사용되고 있는 CEA와 B72-3을 함께 이용한다면 악성중피종과 전이성선암에 대한 감별진단력을 높일 수 있을 것으로 사료된다.