• Journal of Dental Anesthesia and Pain Medicine
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• 제15권3호
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• pp.129-134
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• 2015

Background: We hypothesized that ketamine, when administered as the anesthetic induction agent, may prevent cardiovascular depression during high-dose remifentanil administration, unlike propofol. To test our hypothesis, we retrospectively compared the hemodynamic effects of ketamine, during high-dose remifentanil administration, with those of propofol. Methods: Thirty-eight patients who underwent oral surgery at the Nagasaki University Hospital between April 2014 and June 2015 were included in this study. Anesthesia was induced by the following procedure: First, high-dose remifentanil ($0.3-0.5{\mu}g/kg/min$) was administered 2-3 min before anesthesia induction;next, the anesthetic induction agent, either propofol (Group P) or ketamine (Group K), was administered. Mean arterial pressure (MAP) and the heart rate were recorded by the automated anesthesia recording system at four time points: immediately before the administration of high-dose remifentanil (T1);immediately before the administration of propofol or ketamine (T2);2.5 min (T3), and 5 min (T4) after the administration of the anesthetic induction agent. Results: In Group P, the MAP at T3 ($75.7{\pm}15.5mmHg$, P = 0.0015) and T4 ($68.3{\pm}12.5mmHg$, P < 0.001) were significantly lower than those at T1 ($94.0{\pm}12.4mmHg$). However, the MAP values in the K group were very similar (P = 0.133) at all time points. The heart rates in both Groups P (P = 0.254) and K (P = 0.859) remained unchanged over time. Conclusions: We showed that ketamine, when administered as the anesthetic induction agent during high-dose remifentanil administration, prevents cardiovascular depression.

• Journal of Chest Surgery
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• 제10권1호
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• pp.98-105
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• 1977

A 36 year old blindman, engineer was admitted with chief complaints of hemoptysis, recurrent sore throat, pyoderma in genital organ, uveitis and thrombophlebitis for 10 years. Above the chief complaints were remission or exacerbation during hospitalization. Physicalexamination showed that left radial, ulnar & brachial pulse was not palpable. No bruit or murmur was obtained over the mass. Neurologic examination revealed no significant finding.On admission, chest P-A showed hen egg sized round & oval compact hazy density on left upper lung field. Bronchogram revealed no pathological finding and Lt. tomogram showed well define large,ovoid mass density in the superior mediastinum. Fluoroscopy finding showed nonpulsatile on left upper lung field. Pre-op. aortography was not taken, under the impression of lung Ca. rule out .sortie aneurysm, exploratory operation was performed through the 2nd intercostal space, Lt. It was performed that the mass was ascending sortie aneurysm of saccular type. Direct aneurysmectomy with multiple figure of eight suture were done without any prosthetic graft. Post-op. control I.V.C graphy showed completely obstruction sign. Postopcontrol aortography revealed good surgical result. Final, histopathological answered non-specific sortie aneurysm, saccular type. Post-op. courses were uneventful except mild neurologic disturbance with subclavian steal syndrome and associated with both lower leg pitting edema due to inferior vena cava obstruction. After op, 3 month later, discharged to home, with big systemic problem. Behcet`s syndrome reviewed with related literatures. The coexistence of mouth and genital ulceration with hypopyon mentioned by hippocrates and described by various workers in the early part of this century was first defined as a syndrome by Behcet in 1937. In 1937 Behcet described a chronic relapsing triple symptom complex of oral ulceration, genital ulceration, and ocular inflammation. The place of the syndrome as part of a systemic disorder in now clearer, and the under lying pathology appears to be a vasculitis. The disease runs a- chronic course, blindness being the greatest disability and control nervous system involvement a cause of death. Thrombophlebitis is fairly frequent, france et al [1951] giving an incidence of 25% and Dowling [1961] 12%, superficial thrombophlebitis migrans and thrombosis of large veins, including venae cavae [Thomas, 1947: Boolukos 1960] are recorded. Little attention has been paid to arterial involvement. Mishima et al. [1961] described resection cf an aortic aneurysm in a 38 year old man with Behcet`s syndorme. Mounsey in a clinicopathological conference described a case [Brit, med. J., 1966] of ruptured aortic aneurysm in Bechcet`s syndrome treated by aorto-iliac graft. Also, Shikano and Oshima et al [1963] recorded two aneyrysm of smaller arteries. Unfrequently, aortic aneurysm was presumed to be secondary to osteomyelitis of the lumber spine, though the possible association between aortic aneurysm and Behcet`s syndrome was raised. A further case is reported here, in which ascending aortic aneurysm with Behcet`s Ds. appeared to form part of this generalized disease. This is a case report of surgical experience of Behcet`s Ds. with ascending aortic aneurysm which had nearly all the typical clinical features. Above mentioned and was reviewed with related literatures.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2017년도 9th Asian Crop Science Association conference
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• pp.360-360
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• 2017

Morphological characteristics indicating agronomic features and yield components (trunk length, trunk diameter, thickness of bark, pith density, dry-matter percentage of pith and starch concentration in pith) of sago palms (Metroxylon sagu Rottbøll) were compared between the 27 populations grown in the islands in Southeast Asia (West Sumatra, South Sumatra, West Java, Southeast Sulawesi, Ternate, Halmahera and Seram in Indonesia) and the 20 populations grown in Melanesia (West Papua in Indonesia, East Sepik and New Ireland island in Papua New Guinea). The average starch yield calculated based on the yield components was $310kg\;plant^{-1}$ and $244kg\;plant^{-1}$ in the islands in Southeast and Melanesia, respectively. The variation of starch yield in Melanesia (CV: about 80%) was larger than that in the islands in Southeast Asia (CV: about 60%). The difference in starch yield in the islands in Southeast Asia was mainly attributed to the trunk diameter breast height and the dry-matter percentage of pith. In contrast, the differences in trunk length and dry-matter percentage of pith mainly accounted for the difference in starch yield in Melanesia. The sago palms in the islands in Southeast Asia had a comparatively thick and short trunk and those in Melanesia had a comparatively thinner and longer trunk. However, the average pith dry-matter yield was almost same level as $400kg\;plant^{-1}$ in both the islands in Southeast Asia and Melanesia. The difference in starch yield between the two areas was attributed to the difference in starch concentration in pith, 77% and 58% in the islands in Southeast Asia and Melanesia, respectively.

• 한국재료학회지
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• 제4권8호
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• pp.906-914
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• 1994

상온과 액체질소온도에서 압축시험을 통하여 $LI_{2}$단상함금 및 $LI_{2}$상에 제 2상을 수 %또는 20%정도 포함하는 합금조성을 선택하였다. 일반적으로 제 2상을 20%정도 포함하는 2상합금들은 $Ll_{2}$단상합금에 비해 항복강도는 높으나 연성은 좋지 않았다. 그러나 $Cr_{2}AI$을 제 2상으로하는 20%정도 포함하는 Al-21Ti-23Cr합금은 다른 합금들에 비해 비교적 높은 항복강도와 함계 우수한 연성을 나타내었다. 또한 $Li_{2}$단상합금 및 $Cr_{2}Al$을 수% 포함하는 2상합금에 대한 소성거동도 조사하였다. 균질화처리 후에 제 2상의 양은 줄었으나 pore의 양은 증가하였다. 균질화처리 후에 $Ll_{2}$단상조직에서 나타나는 pore의 양은 Cr의양이 증가할수록 줄어들었으며, Cr 의 양이 더욱 증가하여 $Cr_{2}$Al이 제2상으로 생성될 때는 pore가 완전히 소멸하였다. 변형속도를 $1.2 \times 10^{-4}/s$와 $1.2 \times 10^{-2}/s$의 두가지 조건으로 변화시키면서 압축시험을 행하여 합금의 연성에 미치는 환경취성의 영향을 조사하였다. $LI_{2}$단상합금인 AI-25Ti-10Cr합금이 환경취성의 영향을 가장 적게 받는 것으로 나타났다. 그러나 pore의 생성, 환경취성, ingot 주조조직 등을 종합평가해 보면 $Cu_{2}Al$을 제 2상으로 20%정도 포함하는 Ak-21Ti-23Cr합금이 가장 우수한 인장연싱율을 나타낼 것으로 기대된다.