• Title/Summary/Keyword: "판의 미로"

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Long-term Follow-up of Metaphyseal Sclerotic Lines in Children Treated with Pamidronate (파미드로네이트 치료받은 환자에서 발생한 골간단 경화성 선에 대한 장기간 추적 연구)

  • Choi, Yu-Mi;Suh, Jin-Soon;Cho, Byoung-Soo
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.92-97
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    • 2014
  • Purpose: Bisphosphonates are widely used for the management steroid-induced osteoporosis (SIO) in children. With the increasing use of bisphosphonates, there have been reports of abnormal radiological findings in the growing skeleton. Therefore, their use in pediatric patients remains controversial. The present study was conducted to evaluate the long-term follow-up radiographic features, particularly metaphyseal sclerotic lines, in children who receive pamidronate therapy for nephropathy. Methods: Twenty-four children with nephropathy treated with oral calcium and pamidronate (mean duration, 9 months; dose, 100 mg daily), were evaluated retrospectively. All patients had SIO secondary to chronic glucocorticoid therapy for treating nephropathy. Long bone radiographic imaging was performed before treatment with pamidronate, and at follow-up, several years later. Physeal growth rates were estimated by measuring the distance that the sclerotic lines moved on the radiographs during the corresponding time intervals. Results: The mean follow-up period was 138 months. Long bone radiographs showed well-defined sclerotic lines at the metaphyseal ends, progressively moving from the physeal plate to the diaphysis, in all patients. The mean rate of movement of the sclerotic line was 6.21 mm per year. In 12 patients, the lines disappeared. The mean rate of growth in height was 7.33 cm per year. Conclusions: Results of long-term follow-up suggest that the metaphyseal sclerotic lines associated with pamidronate treatment tend to disappear without affecting overall skeletal growth. Bisphosphonate treatment for SIO in children with nephropathy seems to be safe, although further studies in larger number of patients are needed.

Aortic Valvuloplasty Using Triangular Resection lechniolue (설상절제술(triangular resection)을 사용한 대동맥판막 성형술의 단기 성적)

  • 김욱성;정철현;허재학;백만종;이석기;박영관;김종환;장우익;장지민
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.113-117
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    • 2002
  • With an increasing awareness of the limitations of both mechanical prostheses and bioprostheses, aortic valvuloplasty has gained attention as an alternative procedure for aortic valve disease. Material and Method: Eight consecutive patients underwent aortic valvuloplasty caused by leaflet prolapse between June 1799 to June 2000. Mean age of the patients was 18.4$\pm$12.6 year. Four paitents(50%) were male. Six patients had tricuspid valves and ventricular septal defect and two patients had bicuspid valves. The extent of aortic insufficiency was 3.5$\pm$0.5 by preoperative Doppler echocardiography. The technique involved triangular resection of the free edge of the prolapsed leaflet, annular plication at the commissure, and resection of a raphe when present in bicuspid valves. Result: There was no in-hospital mortality or morbidity. Mean follow-up was complete at 11.973.6months. There was no late mortality or morbidity. The amount of the severity of aortic insufficiency, as assessed by echocardiography preoperatively, postoperatively and at late follow-up was 3.5$\pm$0.5, 0.6$\pm$0.5 and 0.8$\pm$0.6, respectively(p value : 0.01). There was one patient with grade 2/4 aortic insufficiency and in the other patients, grade 1/2 or trivial aortic insufficiency were detected with late echocardiograms. Conclusion: Triangular resection in the patients with aortic leaflet prolapse offers a good early clinical result, but long-term follow-up is necessary.

The Physical Region of China Divided by the Characteristics of Drainage Patterns. (하계망패턴의 특색으로 구분한 중국의 자연지역)

  • Hwang, Sang-Ill
    • Journal of the Korean association of regional geographers
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    • v.2 no.1
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    • pp.151-164
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    • 1996
  • The regional division by the characteristics of the drainage patterns is important to understand its physical environment comprehensively, because the drainage network develops in reflecting characteristics of geological, geographical and climatical features in the drainage basin keenly. This study is the attempt to divide physical region in China whose drainage pattern is diverse. Chinese drainage basin is mainly divided into the interior drainage basin and the peripheral drainage basin. The interior drainage basin is divided into (1)the deranged pattern and (2)the centripetal pattern. The peripheral drainage basin is divided into (1)the dendritic pattern, (2)the parallel pattern, (3)the radial pattern and (4)the anastomatic pattern. Drainage patterns of the interior drainage basin are formed by affecting geographical features and climatic conditions mainly. In the peripheral drainage basin, drainage patterns are formed by other factors: the parallel pattern is connected with geological structure lineament by tectonic movement, the radial pattern with changes of the river channel resulted from the Yellow River's overflow, the anastomotic pattern with human's activities. The distributional features of the physical region in China are as follows: The deranged pattern appears in Zangbai Plateau, the centripetal pattern does in arid basin of the northwest China. the parallel pattern does in Hengduan mountains affected strongly by tectonic movement between Yangtze paraplatform and Indian Plate, does in the upper stream of Yangtze River and Ganges River in the south of Qinghai-Xizang Plateau, the radial pattern in Huaihe Haihe River drainage basin appearing in the alluvial fan region of Yellow River's downstream and the anastomotic pattern does in the delta of Yangtze River, in the northern coastal plain of the Jiangsu-Province and in the delta of Zhujiang River. Except these areas in the peripheral drainage basin, the dendritic pattern is usually found in the other areas.

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A Study on the Effects of Sodium Salicylate on the Spiral Ganglion Cells (살리실산 나트륨이 백서 와우의 나선신경절에 미치는 영향에 대한 연구)

  • Lee, Byung-Lan
    • Applied Microscopy
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    • v.18 no.1
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    • pp.92-102
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    • 1988
  • The ototoxic effects of salicylate on the ultrastructure of spiral ganglion cells were examined. Sodium salicylate($50{\sim}60\/kg$ body weight, once a day for 7 days) were injected subcutaneously to $5{\sim}6$ week-old fifteen Sprague-Dawley rats. Animals were sacrificed 24 hours (group 1), 6 weeks (group 2) or 10 weeks (group 3) after the last injection. In group 1 animals, distention of membranous cisternae was found in the cytoplasm of ganglion cells, satellite cells and Schwann cells in which enlargement or multicystic cytosome formation of the mitochondria were shown. In group 2 animals, membranous cisternae became larger or fused to form larger vacuoles or cysts. Shrinkage of spiral ganglion cell cytoplasm and loosening of myelin sheath were seen. In group 3 animals, extensive swelling or loss of nerve fibers were shown along with the folding or partial loss of myelin sheath which caused leakage of ganglion cell cytoplasm. It was concluded that the ototoxicity of salicy-late caused the ultrastructral changes of the spiral ganglion cells which became more severe in group 2 and 3 animals. The possibility of retrograde degeneration following the sensory cell changes was suggested.

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Comparison of Quality Characteristics of Korean Cabbage Kimchi Added with Germinated Brown Rice Extracts and Korean Cabbage Kimchi on the Market (발아현미 추출물 첨가 배추김치와 시판배추김치의 품질특성 비교)

  • Woo, Seung-Mi;Wool, Sang-Chul;Jeong, Yong-Jin
    • Food Science and Preservation
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    • v.13 no.6
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    • pp.789-795
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    • 2006
  • This study was designed to investigate quality characteristics of Korean cabbage kimchi added with germinated brown rice extracts (GBRC; (A) and CBREP; (B)) and Korean cabbage kimchi on the market mom the result pH and total acidity were shown to be similar in all samples. In the case of Korean cabbage kimchi added with (A) and (B), content of total sugar and reducing sugar were higher than those of Korean cabbage kimchi on the market. Color values (L, b) were shown to be similar in all samples in which a value was lower than that of Korean cabbage kimchi on the market. The amounts of total amino acid and free amino acid of Korean cabbage kimchi added (A) and (B) were higher than those of Korean cabbage kimchi on the market. But the amount of $\gammma$-aminobutyric acid (GABA) in main functional components of germinated brown rice was shown to be low. Total phenol content and other antioxidant and anticoagulant activities of Korean cabbage kimchi fortified with (A) and (B) were higher than those of Korean cabbage kimchi on the market. In conclusion, Korean cabbage kimchi added with (A) and (B) were shown to be similar in fermentation tendency compared to Korean cabbage kimchi on the market and, the functional properties could be enhanced by the addition of (A) and (B).

Clinical Application of Recombinant Human Bone Morphogenetic Protein-2 for Delayed Fractures in Dogs (개에서 골절의 지연유합에 대한 rhBMP-2의 임상적 적용 2례)

  • Kim, Jae-Kyong;Kim, Se-Eun;Go, A-Ra;Kim, Seung-Hyun;Shim, Kyung-Mi;Bae, Chun-Sik;Choi, Seok-Hwa;Kang, Seong-Soo
    • Journal of Veterinary Clinics
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    • v.29 no.5
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    • pp.412-415
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    • 2012
  • A 1-year-old, castrated male Yorkshire terrier (case 1) and a 7-year-old female Poodle (case 2) presented with delayed union fractures. In case 1, the dog had a fractured right distal radius and ulna. In case 2, the dog had a fractured left distal tibia and fibula. A physical examination and radiographs performed in both dogs revealed delayed union fractures with large gaps. The fracture sites were fixed by bone plate and screws. Autogenous cancellous bone graft was applied into the fracture gap. To encourage rapid bone union, we used matrigel containing $20{\mu}g$ of recombinant human bone morphogenetic protein-2 (rhBMP-2) in the fracture site. Radiographs were taken postoperatively to monitor healing. Rapid bone union was noted in both dogs in long-term radiographs. In case 1, the radiographs revealed that the fracture gaps of the radius and ulna were bridged at 2 weeks. Fracture lines were not observed and normal appearance was restored at 20 weeks. In case 2, the radiographs showed that fracture repair had progressed at 11 weeks. The fractures healed faster than expected in these two cases. The results indicate that rhBMP-2 and matrigel may be effective and useful materials to enhance healing of delayed fractures.

Detection of Undeclared Betamethasone Derivatives in Cosmetic Products Labeled to Contain Zinc Pyrithione as the Active Ingredient (아연피리치온을 유효성분으로 표기한 화장품류에서 미표기 성분인 베타메타손 유도체의 검출)

  • Lee, Jeong-Pyo;Park, Sung-Hwan;Yang, Seong-Jun;Kim, Sun-Mi;Son, Kyung-Hun;Yun, Mi-Ok;Choi, Sang-Sook
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.35 no.1
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    • pp.11-17
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    • 2009
  • Betamethasone propionate, an anti-inflammatory glucocorticosteroid, was detected in cosmetics with no indication on the label of this compound as an ingredient. The product was formulated as a topical spray or shampoo and labeled to contain zinc pyrithione as the active ingredient. A thin-layer chromatographic analysis was carried out on silica gel plates to provide a first indication about the presence of a compound with steroid structure and reactivity; then high-performance liquid chromatography (HPLC) separation allowed the identification of the corticosteroid agent and its quantification. To identify the corticosteroid agent from these commercial samples we collected the fractions suspected to have ketol steroids by prep HPLC and identified the compound as betamethasone propionate by NMR and MS spectrometry. Then we synthesized the standard for the betamethasone 17-propionate and 21-propionate and quantitate the corticosteroids from the sample by HPLC with that standards. By this method we identified the corticosteroid compounds from some commercial cosmetics such as zinc pyrithione sprays. The finding of betamethasone propionate in the products was shown by comparison to an authenticated standard of betamethasone propionate by retention time on reverse-phase HPLC. Two of the tested products contained betamethasone propionate at the levels of 0.005 ${\sim}$ 0.02% and the others were free of betamethasone propionate.

Full-Wave Analysis, Design and Fabrication of Duplexer by Mode Matching Method for Ka-Band Transponder (모드정합법에 의한 Ka-밴드 위성중계기용 듀플렉서의 Full-Wave 분석 및 설계${\cdot}$제작에 관한 연구)

  • Lee, Yong-Min;Ra, Keuk-Hwan
    • Journal of the Korean Institute of Telematics and Electronics D
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    • v.36D no.8
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    • pp.36-44
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    • 1999
  • This paper presents the design and fabrication of the duplexer for a Ka-band satellite transponder which is analyzed transmission characteristics by calculating the generalized scattering matrix using mode matching method. It is composed of 2 bandpass filters, coupled with H-plane T-junction having symmetrical inductive iris and E-plane metal insert structures. Compared with the size and weight of the Rx and Tx filter loaded with a transponders respectively, those of the duplexer can be effectively reduced. In a high power transmission, the variation of the filter characteristics is minimized by the scheme that irises are extended to the exterior of H-plane of the waveguide. This scheme needs no extra heat sinks for dissipating high power. The duplexer is designed to improve the simplification, durability and reliability by eliminating tuning screws, which have been used to compensate for the characteristics of fabricated filters. The bandpass filters of the duplexer show the insertion loss of less than 1.2 dB and the return loss in excess of 15 dB. The isolations of more than 65 dB have been achieved between Rx and Tx filter.

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Comparison of Nodal Staging, of UICC TNM and Japanese Classification, and Prognostic Nodal Grouping of UICC N3M0 in Advanced Gastric Cancer (진행 위암의 UICC와 일본식 림프절 병기의 비교 및 UICC N3M0 병기의 문제점)

  • Han, Sang-Jun;Yang, Dae-Hyun
    • Journal of Gastric Cancer
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    • v.5 no.3 s.19
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    • pp.163-168
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    • 2005
  • Purpose: We analyzed cases of advanced gastric cancer (AGC) by using two nodal stagings, UICC and Japanese systems. We also analyzed cases of UICC N3M0 by different ways to see which nodal system or group had better prognostic power. Materials and Methods: From Feb. 1990 to May 2000, 197 UICC M0 patients of AGC who had undergone curative resection were analyzed by using the nodal stagings of the UICC and the Japanese systems. Also, 58 patients with UICC N3M0 gastric cancer were analyzed by using the Japanese n-staging, metastatic ratio and the metastatic number Results: The 5-year survival rates were 62.9%, 33.0% and 21.2% for UICC N1, N2 and N3, and 61.2% and 25.3% for Japanese n1 and n2, respectively in patients of N3M0 AGC, the 5-year survival rates were 62.5% for Japanese n1, and 33.0% and 22.9% for metastatic ratios of less than 0.5 and metastatic numbers below 26, respectively significantly better than the 5-year survival rates for higher ratios and numbers (P=0.018, 0.021). Conclusion: UICC N staging of gastric cancer has better prognostic power with differentiation between stages than Japanese n staging. In patients with UICC N3M0 gastric cancer, the metastatic ratio and the metastatic number, as well as the Japanese n staging, were valuable prognostic factors.

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The Influence of Overburden Pressure and Volume Change on the Soil-water Characteristic Curve of Unsaturated Weathered Granite Soil (상재하중과 체적변형을 고려한 불포화화강풍화토의 함수특성곡선)

  • Lee, Younghuy;Kim, Taehan;Moon, Seokjun
    • Journal of the Korean GEO-environmental Society
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    • v.11 no.5
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    • pp.53-60
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    • 2010
  • The comprehensive tests on unsaturated weathered granite soils are carried out to obtain the soil-water characteristic curve that is the one of the essential requisites to study the unsaturated soil. The weathered granite soils were obtained at Palgong mountain in Daegu. The existing test results have been carried out without overburden pressures and volume changes. In this study, the volumetric pressure plate extractor is improved to consider two factors such as overburden pressure and volume change. The applied overburden pressures were 0, 25, 50, 75, 100kPa and volume changes were measured at each phase. he results of this study are summarized as follows: As the overburden pressure increases, the volumetric water content decreases at the same matric suction and the air entry value increases and gradient of curve at the transition zone and the size of the hysteresis loops decreases. As the overburden pressure increases, the degree of saturation increases at the same matric suction and degree of saturation of the wetting curve is higher than that of dry curve. The SWCC with volume changes are slightly larger than those without volume changes. The general equation proposed by Fredlund & Xing(1994) to fit the experimental result of the SWCC indicates good agreement. The empirical parameters a, n, m as overburden pressure show similar inclination as the existing results.