관상동맥 협착을 동반한 심장에서 심근보호액 우심방 관류법의 심근 국소관류량

이재원,서경필,Lee, Jae-Won,Seo, Gyeong-Pil 대한흉부심장혈관외과학회 1992 Journal of Chest Surgery (J Chest Surg) Vol.25 No.1

The quantitatively measured local myocardial perfusion rates with microspheres are used as an objective indicator of even distribution of cardioplegic solution, and the efficacy of the retrograde right atrial route of cardioplegia is evaluated in hearts with various levels of coronary arterial obstruction. After initial antegrade cardioplegia under the median sternotomy and aortic cannulation, 60 hearts from anesthetized New Zealand white rabbits are divided in random order as normal group [ligated left main coronary artery ; MA, MR] and diagonal group [ligated proximal diagonal artery ; LA, LR]. Half of each group [N=10] are perfused with antegrade cardioplegia[A] under the pressure of 100 cmH2O and the other half with retrograde right atrial route[R] under the pressure of 60 cmH2O[St. Thomas cardioplegic solution mixed with measured amount of microspheres]. The myocardium is subdivided into segments as A[atria], RV[right ventricle]. S[septum], LV[normally perfused left ventricular free wall], ROI[ischemic myocardium of left ventricular free wall]. LV and RQI are further divided into N[subendocardium] and P[subepicardium]. The resulting local myocardial perfusion rates and N /P of each group are compared with Wilcoxon rank sum test. The weight of the hearts is 5.94$\pm$0.66g, and there are no statistically significant dif-ferences[p>0.05, ANOVA] between six compared group. The mean flow rate[F: ml /g / min] of MR group is comparable with MA group[p>0.05], but in N and L group, there are significantly depressed F with right atrial route of cardioplegia, which means elevated perfusion resistance with this route. In spite of no significant differences in delivered doses of microsphere[DEL] between compared groups[p>0.05, ANOVA], there are significantly depressed REC and NF in hearts with right atrial cardioplegia which suggests increased requirement of cardioplegic solution with this route. The interventricular septum shows poor perfusion with right atrial route of cardioplegia without obstruction of supplying coronary arteries. But, with obstruction of coronary artery supplying septum as in M group, the flow rate is superior with right atrial route of infusion. The left ventricular free wall perfusion rates of every RQI with R route are superior to that of A route[p<0.05]. But, in LV segments, there are unfavorable effects of right atrial cardioplegia in L group, although the subendocardial perfusion is well maintained in N group. The LV free wall of left main group shows depressed perfusion rates with antegrade route as compared with RQI segments of diagonal group. But, by contraries, there are increased perfusion rates and superior N /P ratio with retrograde right atrial route. It implies more effective perfusion with right atrial route of cardioplegia in more proximal coronary arterial obstruction[i.e., M group as compared with L group]. As a conclusion, all region of ischemia have superior perfusion rates with right atrial car-dioplegia as compared with antegrade route, and especially excellent results can be obtained in hearts with more proximal obstruction of coronary arteries which would otherwise result in more severe ischemic damage. But, the depressed perfusion rates of the segments with normal coronary artery in hearts with coronary arterial obstruction may be a problem of concern with right atrial cardioplegia and needs solution.

'96. 건설재해예방 정책방향

이재원,Lee, Jae-Won 한국건설안전협회 1995 建設 安全技術 Vol.18 No.-

좌측 폐동맥결손을 동반한 활로 사징증의 수술요법

이재원,노준량,Lee, Jae-Won,No, Jun-Ryang 대한흉부심장혈관외과학회 1985 Journal of Chest Surgery (J Chest Surg) Vol.18 No.2

Despite low mortality and excellent long-term results after repair of Tetralogy of Fallot, certain associated anomaly such as single pulmonary artery continues to be told to have a high operative mortality and morbidity, and there is still some debate on appropriate surgical intervention. During the 4 year period from 1981 to 1984, surgical repair was performed on 5 patients with tetralogy of Fallot and congenital [4 cases] or acquired [1 case] absence of left pulmonary artery. Previous left pneumonectomy had been performed in the patient with acquired absence of a pulmonary artery. Transannular patch or RVOT patch alone with or without pulmonic valvotomy was used with some modifications to reduce pulmonic insufficiency in individual patient. In contrast with previous reports, all patients survived operation and have exhibited marked symptomatic improvement without pulmonic valve insertion nor valved conduit.

다발성 원발성 식도종양 1례 보

이재원,강정호,지행옥,Lee, Jae-Won,Gang, Jeong-Ho,Ji, Haeng-Ok 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.2

A 51 year-old male was admitted with the chief complaints of swallowing difficulty and pain on neck and upper chest for 2 months prior to admission: He was taken biopsy under esophagoscopy, and the result was squamous cell carcinoma. Preoperatively we studied the esophagogram and chest CT. On these, we found the main appreciable mass at midesophagus easily. But, we missed the upper cervical unexpected mass. So we performed the esophagectomy and lymph node dissection from upper clavicle level to the esophagogastric junction by thoracic approach as wide as possible, and cervical esophagostomy and feeding gastrostomy also. At that evening we reviewed the studied films in detail, and we found another mass lesion at C4-C6 level of cervical esophagus. We performed the 2nd operation e.g. cervical esophagectomy on next morning without hesitation. Between these two masses, there was almostly normally looking skip area grossly. The squamous cell carcinoma of the esophagus could be multicentric in character and may have skip area. But, we heard little reports until now. The two masses could be different in origin or be same probably by submucosal spreading. Anyway, it was an alarming case to the surgeon not to neglect the another possible lesions in squamous cell type. Postoperative course was uneventful, he took G-tube feeding with no problems on 7th postoperative day. Now he took the postoperative irradiation at out patient department.

1960년대 정부 지원 정책 부재로 인한 우리나라 학교도서관의 정체(停滯)에 관한 고찰

이재원,Lee, Jae-Won 한국비블리아학회 2019 한국비블리아학회지 Vol.30 No.2

본 연구는 1960년대 정부의 지원 정책 부재가 우리나라 학교도서관 발전에 미친 영향에 대하여 고찰하고자 한다. 특히 1960년대에 학교도서관의 확산에도 불구하고 실효성 있는 <도서관법> 제정이 동반되지 않음으로 인하여, 이후 학교도서관이 쇠락할 수밖에 없었던 과정을 주로 살펴보았다. 이 논문은 그간 정부의 지원 정책에서 소외되어 온 학교도서관 역사를 되돌아보고, 어느 때보다 제도적 지원이 절실한 우리나라 학교도서관이 과거의 전철을 밟지 않도록 하는데 의의가 있다. This study examines the effect of the absence of a government support policy on the development of school libraries. Specially this article focuses on the rise and fall of school library in 1960's over the making first Library Law. It is meaningful that our school libraries, which have been alienated due to the lack of government polices, are not following in the footsteps of the past, as they are in need of state support.

자연기흉의 개흉술 적응과 수술성적에 관한 연구

이재원,김근호,Lee, Jae-Won,Kim, Geun-Ho 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.1

The records of 268 patients, who were diagnosed as spontaneous pneumothorax during the period 1975 to 1984, treated at the department of thoracic and cardiovascular surgery, Hanyang University Hospital, were reviewed retrospectively to evaluate the effect of surgical intervention on each indications. Of these,.61 patients [22.8%] were taken operation to treat the pneumothorax after closed thoracostomy. We have classified the 61 patients to evaluate the therapeutic effect on each indications. And the therapeutic effect is based on the chest tube indwelling days. The results were as follows: 1. The chest tube indwelling days of the group who were taken closed thoracostomy only was average 14.13*9.17 days [range 5-66 days], and that of the group who were finally taken the thoracotomy after closed thoracostomy was 21.85*12.30 days [range 5-55 days]. 2. The indications of thoractomy were thoracoscopic findings, recurrence and continuous air leakage. 3. The chest tube indwelling day of the group who was taken thoracotomy by thoracoscopic findings was average 11.67*6.51 day, that was relatively short compared to those of the other groups. 4. The continuous air leakage group after closed thoracostomy was subdivided into three subgroups, continuous air leakage in 1st attack, thoracoscopic findings in 1st attack, and recurrence. 5. Of these, the chest tube indwelling day of the subgroup, who was taken operation by thoracoscopic findings, was 21.33e8.26, that was relatively short compared with those of the other subgroups. We use the thoracoscope as excellent diagnostic tool to detect the operation indication in the spontaneous pneumothorax patients. And we gain the benefits to shorten the chest tube indwelling days and admission days, and also to protect the recurrence.

좌심방 양심실 연결증 [DOLA]

이재원,서경필,Lee, Jae-Won,Seo, Gyeong-Pil 대한흉부심장혈관외과학회 1985 Journal of Chest Surgery (J Chest Surg) Vol.18 No.2

The case of a patient with abnormal position of the atrial septum resulting in a left atrium with two atrioventricular valves and a disconnected right atrium is presented with review of related articles. Anatomic details showed atrial situs solitus and a left sided cardiac apex. The right atrium received both venae cavae and a coronary sinus. No AV valve was found in the right atrium, and the floor of this chamber was placed above the posterior wall of right ventricular chamber. The atrial septum with secundum ASD was displaced to right anteriorly at its lower portion and inserted to right of tricuspid annulus. The tricuspid and mitral valve configuration was that of so-called partial ECD, i.e. mitral cleft with large anterior mitral leaflets. The ventricular septum was intact and both ventricular chambers were equally well developed with normal relationships. Surgical repair of this anomaly was performed by resecting the abnormally positioned lower part of the atrial septum, repairing the cleft of the anterior mitral leaflet, and septating the atrium for diverting the systemic and pulmonary venous blood to RV and LV, respectively.

심실중격결손증을 동반한 관상동정맥루 -치험 1예-

이재원,이홍섭,김창호,Lee, Jae-Won,Lee, Hong-Seop,Kim, Chang-Ho 대한흉부심장혈관외과학회 1986 Journal of Chest Surgery (J Chest Surg) Vol.19 No.2

Congenital coronary arteriovenous fistula is uncommon disease, and was first described by Krause in 1865. About 20% of the cases, it associates additional congenital heart diseases. A 5-year-old female patient was diagnosed as coronary AV fistula with VSD, and was taken surgical correction under cardiopulmonary bypass. VSD was small and subarterial in type, and the fistula was dilated as adult thumb tip size at its distal portion. VSD was closed directly through the pulmonary arteriotomy and the aneurysmal dilation was opened vertically, then it was obliterated using 5-0, 6-0 prolene continuous suture fashioning into a long slender tube. Postoperative course was uneventful.

유로퓸 고용(固溶) 우라늄산화물(酸化物)의 황화반응(黃化反應) 특성(特性)

이재원,박근일,이정원,Lee, Jae Won,Park, Geun Il,Lee, Jung Won 한국자원리싸이클링학회 2013 資源 리싸이클링 Vol.22 No.3

희토류산화물인 $Eu_2O_3$, 우라늄산화물인 $UO_2$ 및 $U_3O_8$, $Eu_2O_3$와 우라늄산화물의 혼합물에 대한 선택적 황화반응을 조사한 후에, $(U,Eu)O_2$ 및 $(U,Eu)_3O_8$와 같은 Eu 고용 우라늄산화물, Eu 고용 우라늄산화물의 고온 산화열처리 상분리 생성물인 Eu 농도가 높은 $(U,Eu)_4O_9$와 $U_3O_8$의 혼합상에 대한 황화반응 특성을 $400-800^{\circ}C$에서 조사하였다. $Eu_2O_3$ 및 우라늄산화물의 혼합물의 경우에는 $450^{\circ}C$에서 Eu와 우라늄 산화물간의 반응이 없이 $Eu_2O_3$만 $Eu_3S_4$로 전환되었다. $(U,Eu)_3O_8$ 및 $(U,Eu)O_2$에서는 반응온도 $600^{\circ}C$까지는 우라늄산화물과 동일한 황화반응 거동을 보였으며, $800^{\circ}C$에서는 Eu 농도가 높은 $(U,Eu)S_x$과 ${\alpha}-US_2$ 상이 생성되었다. 고온 산화열처리 상분리 생성물은 $600^{\circ}C$에서 $(U,Eu)S_x$과 UOS 상이 생성되었다. 상분리 생성물을 환원하여 얻은 Eu 농도가 높은 $(U,Eu)O_2$와 $UO_2$의 혼합상은 $450^{\circ}C$에서 $(U,Eu)O_2$은 산황화물인 (U,Eu)OS로 전환되고 $UO_2$는 반응하지 않았다. Sulfurization reaction characteristics of $Eu_2O_3$, uranium oxides($UO_2$, $U_3O_8$), mixture of $Eu_2O_3$ and uranium oxides, Eu-doped uranium oxides($(U,Eu)O_2$, $(U,Eu)_3O_8$), and phase-separated products prepared by HOX (High temperature OXidation) of $(U,Eu)O_2$ were investigated in the temperature range from 400 to $800^{\circ}C$. Only $Eu_2O_3$ in the mixture of $Eu_2O_3$ and uranium oxides was converted into $Eu_3S_4$ by sulfurization reaction at $450^{\circ}C$ without reaction between them. Sulfurization reaction behavior of $(U,Eu)_3O_8$ and $(U,Eu)O_2$ up to $600^{\circ}C$ was similar to $U_3O_8$ and $UO_2$, respectively, while they were sulfurized into Eu-rich $(U,Eu)S_x$ and ${\alpha}-US_2$ at $800^{\circ}C$. In the sulfurization of RE-rich $(U,Eu)_4O_9$ and $U_3O_8$ prepared by high temperature oxidation, it was confirmed that RE-rich $(U,Eu)S_x$ and UOS phases were formed at $600^{\circ}C$. For Eu-rich $(U,Eu)O_2$ and $UO_2$ prepared by reduction of HOX products, it was identified that Eu-rich (U,Eu)OS was formed at $450^{\circ}C$ by sulfurization of Eu-rich $(U,Eu)O_2$, while $UO_2$ remained unreacted.

소프트 베이킹 온도가 용액기반 Zn-Sn-O 박막 트랜지스터의 전기적 특성에 미치는 영향

이재원,조원주,Lee, Jae-Won,Cho, Won-Ju 한국전기전자재료학회 2016 전기전자재료학회논문지 Vol.29 No.1

In this study, the effects of soft baking temperature on the solution derived ZTO (Zn-Sn-O) TFTs (thin-film transistors) as a In-free oxide semiconductor were investigated. In spite of the same hard baking at high temperature($600^{\circ}C$), the electrical properties of ZTO TFT was greatly changed by a small difference in soft baking temperature($180{\sim}250^{\circ}C$). The performance of TFT was deteriorated as the soft baking temperature increased. Therefore, it is important to remove the water-related defects well as organic impurities from the ZTO films during soft baking for fabrication of solution-derived high performance of TFTs.