• Archives of Pharmacal Research
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• 제14권3호
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• pp.242-248
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• 1991

Antihypertensive effect of YH 334 was examined in various experimental hypertension rat models and the systemic and regional hymohynamic profiles of the compound were investigated in conscious spontaneously hypertensive rats (SHR). The antiypertensive potensive potency of YH 334 is found to be more than 10 times stronger than that of nitrendipine in the all hypertensive models. The effective doses to lower the initial blood pressure by 20% $(ED_{20})$ of YH334 were 1.4 mg/kg in normotensive rats (NR), 0.7 mglkg in SHR. 0.1 mg/kg in DOCA salt hypertensive rats (DHR) and 0.4 mg/kg in renal hypertensive rats (RHR), and the $ED_{20}$ values of nitrendipine were 15.8 mg/kg in NR, 7.1 mg/kg in SHR, 1.7 mg/kg in DHR and 4.8 mg/kg in RHR. The primary hemodynamic effect hemodynamic profile is similar to that of nitrendipine. Both compounds seem to produce potent antihypertensive effects by lowering peripheral resistance in the skeletal muscles. In the organ bath study using isolated rabbit aorta, YH 334 was found to be a potent voltage dependent calcium channel blocker without significant inhibitory effect on the receptor operated calcium channels like the most of other dihydropyridine type calcium antagonists. Furthermore, YH334 showed acute diuretic and natriuretic effects in conscious SHR, which may render the unnecessary restriction of sodium in the diet of those patients on long term hypertension therapy. This effect would provide an additional benefit to its potent antihypertensive activity.

• Journal of Trauma and Injury
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• 제20권2호
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• pp.106-114
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• 2007

Purpose: There is little controversy that a classic indication such as hemodynamic instability or any sign of peritoneal irritation requires an immediate laparotomy in the management of abdominal stab wounds. However, omental herniation or bowel evisceration as an indication for an immediate laparotomy is controversial. The purpose of this study was to evaluate the significance of these factors as indications for an immediate laparotomy. Methods: The medical records of 98 consecutive abdominal stab wounds patients admitted to the Emergency Center of Masan Samsung Hospital from January 2000 to December 2006 were carefully examined retrospectively. Using multivariate logistic regression analysis, thirty-nine factors, including the classic indication and intraabdominal organ evisceration, were evaluated and were found to be associated with a need for a laparotomy. Also, the classic indication was compared with a new indication consisting of components of the classic indication and intra-abdominal organ evisceration by constructing a contingency table according to the need for a laparotomy. Results: Multivariate logistic regression analysis revealed any sign of peritoneal irritation, base deficit, and age to be significant factors associated with the need for a laparotomy (p<0.05). The sensitivity, specificity, and accuracy rates of the classic indication were 98.6%, 72.0%, and 91.8%, respectively, and those of the new indication were 93.2%, 84.0%, and 90.8%, respectively. The differences in those rates between the above two indications were not significant. Conclusion: Intra-abdominal organ evisceration was not a significant factor for an immediate laparotomy. Moreover, the new indication including intra-abdominal organ evisceration was not superior to the classic indication. Therefore, in the management of abdominal stab wounds, the authors suggest that an immediate laparotomy should be performed on patients with hemodynamic instability or with any sign of peritoneal irritation.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.249-250
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• 1998

In this study, we modeled moving-actuator type Total Artificial Heart (TAH) with cardiovascular system as a form of electric circuit. The bronchial circulation, important for the imbalance between the left cardiac output and the right one, was considered and added to the model. In the model, the relations of hemodynamic variables, just as blood pressures, volumes, or flow rates of each part of body, can be expressed as simultaneous first order ordinary differential equations. To solve the equations by the numerical analysis, Runge-Kutta forth order approximation method was adopted. The simulation software (SimTAH), implemented in C++ as a window-based application program, was developed to display the hemodynamic variables and to receive control inputs from users. SimTAH was evaluated by comparison of the simulation results with the results of mock-circulation tests, in vitro.

• 대한의용생체공학회:의공학회지
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• 제23권4호
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• pp.281-286
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• 2002

심혈관계에서 자주 발생하는 죽상경화증과 혈전의 발생 및 성장에 관한 복잡한 기전을 이해하기 위하여 뇌의 혈액공급을 담당하는 경동맥을 2차원 축대칭으로 모사하여 수치해석하였다. 박동유동 상태에서 경동맥 내에 25%. 50%, 75%의 협착이 형성된 경우에 대하여 혈관내의 속도분포 및 혈류역학적 벽 파라미터들이 고찰되었다. 혈액은 뉴턴유체 및 전단변형률에 따라 점성이 변화하는 비뉴턴유체로 간주되었으며 비뉴턴모델로는 혈액과 유사한 점성치를 나타내는 Carraeu-Yasuda 모델이 적용되었다. 해석 결과 혈관내벽에 작용하는 벽전단응력은 협착이 커질수록 크게 증가하였으며 비뉴턴유체보다 뉴턴유체의 경우에서 벽전단응력이 크게 평가되었다. 벽전단응력 진동지표(OSI)에 의해 시간평균 재부착점이 예측되었는데 비뉴턴유체보다 뉴턴유체의 경우에서 협착 영역으로부터 멀리 떨어진 곳에서 관찰되었다. 시간평균 벽전단응력구배(WSSG)도 협착이 큰 경우에 상당히 크게 나타났는데 비뉴턴유체보다 뉴턴 유체의 경우에 더 큰 값이 나타났다.

• 대한의용생체공학회:의공학회지
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• 제18권1호
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• pp.25-36
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• 1997

To regulate cardiac output of the Total Artificial Heart(TAH) physiologically, the hemodynamic information must be toed back to the controller. So far, our group has developed an automatic cardiac output control algorithm using the motor current waveform, It is, however difficult to detect the preload level such as a filling status of ventricular inflow and the variation of atrial pressures within normal physiologic range(0-15 mmHg) by analyzing the motor current which simultaneously reflects the afterload effect. On the other hin4 the interventricular volume pressure(IVP) which is not influenced by arterload but by preload is a good information source for the estimation of preload states. In order to find the relationship between preload and IVP waveform, we set up the artificial heart system on the Donovan type mock circulatory system and measured the IVP waveform, right and left atrial pressures, inflow and outflow waveforms and the signals represented the information of moving actuator's position. We shows the feasibility of estimating the hemodynamic changes of inflow by using IVP waveform. fife found that the negative peak value of IVP waveform is linearly related to atrial pressures. And we also found that we could use the time to reach the negative peak in IVP waveform, the time to open outflow valve, the area enclosed IVP waveform as unfu parameters to estimate blood filling volume of diastole ventricle. The suggested method has advantages of avoiding thrombogenesis, bacterial niche formation and increasing longterm reliability of sensor by avoiding direct contact to blood.

• 대한의용생체공학회:의공학회지
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• 제24권4호
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• pp.301-307
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• 2003

본 연구에서는 한국형 인공심장의 혈액주머니 내 혈액 유동에 대한 수치적 해석 결과를 제시하였다. 혈액 유동은 2차원 비정상 유동으로 가정하였으며. 이를 해석하기 위하여 유한요소 기반의 상용코드인 ADINA를 사용하였다. 액츄에이터와 혈액주머니사이의 강체-고체 접촉, 그리고 혈액주머니와 혈류 사이의 고체-유체 상호작용을 모두 계산에서 반영하였다. 본 연구에서는 혈액주머니의 형상설계 과정에서 제시되었던 3가지 모델에 대해서 계산을 수행하고 이들의 혈류역학적인 적합성을 분석하였다. 계산결과에 의하면 혈액주머니의 수축 시는 출구로의 강한 흐름과 입구 부분에서의 정체영역이 관찰되었다. 이완 시에는 외부로부터 입구로 강한 혈류가 유입되고 있으며, 닫힌 출구에서 부근에서는 재순환 영역이 발생한다. 수축 시 전단응력은 출구 모서리 부근에서 극한값들을 가지게 되며, 이완 시에는 주로 입구 모서리와 액츄에이터 접촉면에서 최소, 최고치를 보여주고 있다.

• Journal of Korean Neurosurgical Society
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• 제38권6호
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• pp.413-418
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• 2005

Objective : Although an encephaloduroarteriosynangiosis procedure using the superficial temporal artery [STA-EDAS] is an effective indirect bypass method in children with moyamoya disease[MMD], there is still a need for an additional bypass operation that can cover the area of the posterior circulation. The goal of this study is to evaluate the efficacy of the EDAS procedure using the occipital arteries [OA-EDAS]. Methods : From August 2003 to April 2004, We performed OA-EDAS in sixteen patients with MMD who have a circulatory insufficiency in the territory of the posterior cerebral artery[PCA]. The medical records were reviewed retrospectively. The surgical outcomes, including the changes in neurological status and imaging studies, with the degree of neovascularization on the cerebral angiogram, and the hemodynamic changes on single-photon emission computed tomography[SPECT], were analyzed. Results : These 16 children consisted of 5 boys and 11 girls aged 2 to 9 years. The clinical outcome of their PCA symptoms, such as visual transient ischemic attacks[TIAs] or visual field defect, was favorable in 14 patients of 16. Nine patients of 11 who underwent follow up magnetic resonance imaging[MRI] showed favorable MRI changes. On angiogram most of the patients exhibited good or fair revascularization of the PCA territory [7 of 8]. The hemodynamic changes on SPECT in the PCA territory after surgery showed improved vascular reserve in 13 of the 16 territories. Conclusion : OA-EDAS is a safe and efficacious revascularization procedure in patients with MMD who have compromised cerebral perfusion in PCA territory, or with visual TIAs.

• 대한의용생체공학회:의공학회지
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• 제42권4호
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• pp.143-149
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• 2021

In order to predict and prevent the disease of the abdominal aorta, which is the largest artery in the human body and the most common aneurysm, the normal arterial blood flow operation should be considered. To this end, we are trying to solve problems that may arise in the future by executing FSI based on the data obtained from 4D flow MRI. However, to match the similarity between the 4D flow MRI flow and the FSI flow, correlation was used in previous papers, but the correlation did not show the degree of agreement. Therefore, in this paper, we analyzed the correlation between the 4D flow MRI flow velocity of the human abdominal aorta and the two-way FSI flow velocity in which the three physical properties used for the aortic FSI were added to the CT abdominal aorta 3D model and the interclass correlation coefficient. As a result, the physical property M2 showed the highest similarity in correlation and intraclass correlation coefficient, and this property is intended to be helpful in the future study of the abdominal aortic two-way FSI flow rate.

• 대한물리의학회지
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• 제18권1호
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• pp.15-24
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• 2023

PURPOSE: This study examined the effects of lowintensity resistance exercise combined with blood flow restriction on muscle activity and muscle fatigue to determine if such a combination may be an alternative to high-intensity resistance exercise in maintaining the muscle mass and strength and preventing degenerative loss of skeletal muscle and to provide basic data for presenting the effectiveness of exercise. METHODS: The interventions were provided for five weeks, four sessions a week, once a day, 60 minutes a session to Experimental group I (n = 13), in which low-intensity resistance exercise was applied by combining blood flow restriction with the biceps curl and experimental group II (n = 12), in which only high-intensity resistance exercise was applied. As a pre-test, the biceps brachii muscle activity and fatigue were measured by surface electromyography, and the hemodynamic variables, such as blood pressure and heart rate, were measured. The post-test was performed identically to the pre-test and compared and analyzed with the pre-test. RESULTS: A significant difference within-group was observed in the biceps brachii muscle activity and fatigue in experimental group I and only in biceps brachii activity in experimental group II. No significant differences were observed between the two groups. CONCLUSION: Since the low-intensity resistance exercise combined with blood flow restriction has similar effects to high-intensity resistance exercise, it is considered an alternative for improving muscle function in groups unable to perform high-intensity resistance exercise.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2003년도 춘계학술대회
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• pp.1923-1929
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• 2003

The present study investigated the microcirculation of blood in the left common artery (LCCA). In order to develop a mathematical model for microcirculation in LCCA, the present study adopted preexisted set of measured morphological data on anatomy, mechanical properties of the coronary vessels, viscosity of blood, the basic laws of physics, and the appropriate boundary conditions. In this study, the statistical distribution of blood pressure, blood flow, and blood volume in the LCCA were determined based on the anatomical branching pattern of the coronary arterial tree and the statistical data of blood vessel dimensions. Our calculations were in good agreement with the previous studies. The present results showed that the mean longitudinal pressure drop profile was function of the vessel order numbers. It was found that the normalized pressure drop was a logarithmic function of the compliance.