• 제목/요약/키워드: 김선양

검색결과 55건 처리시간 0.02초

좌측 수상 전폐 적출술에 의한 선양 낭포암 치험 1례 (Surgical Treatment of Adenoid Cystic Carcinoma by Left Tracheal Sleeve Pneumonectomy)

  • 김동원
    • Journal of Chest Surgery
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    • 제27권5호
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    • pp.413-417
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    • 1994
  • Adenoid cystic carcinoma usually grows in the trachea or near its bifurcation and causes obstruction of the air way. We recently experienced a 33 year-old male patient who had adenoid cystic carcinoma in the left main bronchus with the chief complaint of productive cough. On the bronchoscopy, the mass obstructed the left main bronchus completely and had nodularity and increased vascularity.The trachea was shifted to the left side and the lower lobe of the left lung was atelectatic on chest X-ray and computed axial tomogram.He underwent left tracheal sleeve pneumonectomy and lymph node dissection through bilateral thoracotomy. At first,we attempted left tracheal sleeve pneumonectomy through the left thoracotomy,however, it was very difficult to perform carinoplastic procedure after sleeve resection of 2.5cm of distal trachea and 1cm of proximal right main bronchus including whole left lung because of poor operative field and difficulty in the anastomosis of the right main bronchus to the distal end of the trachea without tension.Therefore after radical resection of the left lung we made right thoracotomy,through which we could anastomosed the distal trachea and right main bronchus with 4-0 PDS interrupted suture after mobilization of the right hilum without difficulty. The tumor was confirmed to be adenoid cystic carcinoma with metastasis to subcarinal lymph node histopathologically. Postoperative course was uneventful but he needed two bronchoscopic procedure to clear distal airway of the retained bronchial secretion. He was discharged at 14 days after operation with complete recovery.

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브로일러 병아리의 등 피부에 자외선 조사후 중족골 무기물 함량의 경시적 변화 (Time Cource Variation of Metatarsus Mineral Content after UV Exposure to Dorsal Skin of Broiler Chicks)

  • 장윤환;강훈석;김강수;원지웅
    • 한국가금학회지
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    • 제19권1호
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    • pp.35-45
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    • 1992
  • 본 연구는 312nm의 자외선 조사시 상이한 조사선양이 병아리의 중족골내 회분 및 인 함량에 미치는 영향을 구명코자 실시되었다. Hubbard 계통 1일령 broiler 병아리에 비타민 D-결핍사료를 3주간 급여한 후 털을 뽑은 등에 0.32, 0.65 또는 0.98 J$\textrm{cm}^2$의 자외선을 조사하였다. 0~5일이 경과된 뒤, 병아리의 중족골을 채취하여 부착물 제거, 탈지, 건조, 회분한 다음 탈지건조골중의 회분함량을 측정하였으며 회분을 6N-HCl로 용해하여 P 함량을 조사하였다. 0.32 J/$\textrm{cm}^2$의 자외선 조사 직후 중족골 통분함량은 42%이었으나 1일 후에 46%로 증가되었으며 3일 후에는 40%로 감소되었다. 0.65 J/$\textrm{cm}^2$ 조사시에는 2일 후에 최고치 46%를 보였다. 0.98 J/$\textrm{cm}^2$ 조사시에는 중족골 회분함량이 1일 후 및 2일 후에 동일한 47%의 수준을 보였다. 3 자외선 선양 중 0.98 J/$\textrm{cm}^2$가 가장 많은 중족골 회분을 증가시켰다. 다음 탈지건조골중 P 함량을 보면 0.32 J/$\textrm{cm}^2$ 조사시 3일 후에 증가된 함량 19.4%를 나타내었고, 0.65 J/$\textrm{cm}^2$조사시에도 3일 후에 최고치 18.1%를 보였으며, 0.98 J/$\textrm{cm}^2$ 조사시에는 2일 후에 정점 20.0%를 나타내었다. 3선양중 0.98 J/$\textrm{cm}^2$가 가장 많은 P 함량을 증가시켰으며 또 가장 신속히 자외선 조사의 효과를 나타내었다.

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상이한 선양의 자외선을 조사한 브로일러 병아리에 있어서 간장 25-Hydroxyvitamin $D_3$회량의 계치적 변화 (Time Course Variation of Liver 25-Bydroxyvitamin $D_3$ Content in Broiler Chicks Exposed to UVB Light with Different Dobe)

  • 장윤환;강훈석;여영수;김강수;조인호;배은경
    • 한국가금학회지
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    • 제19권4호
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    • pp.217-225
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    • 1992
  • 본 연구는 무창약등의 계함에서 vitamin D-결핍사료로 31일간 사육한 육용 Hubbard계 병아리의 전신에 UVB를 0.204또는 0.408mJ/$\textrm{cm}^2$(조사시간 30분 또는 60분) 조사하고 경시적으로 간장내 25-hydroxyvitamin $D_3$[25(OH)$D_3$] 함양을 측정코자 실시되었다. 먼저 지질을 추출하고 Sep-Pak silica cartridge에 의하여 25(OH)$D_3$를 분리한 다음, 순상 HPLC에 의하여 25(OH)$D_3$ 함양을 분석하였다. UVB를 조사하지 않은 대조구 병아리의 간장중 25 (OH)$D_3$ 농도는 평균 17.5ng/g이었으며 0.204mJ/$\textrm{cm}^2$ 처리후 순시간대의 농도는 37.8ng/g이었고 66시간대에 40.50ng/g의 최고치를 보였다. 그 후 간장의 25(OH)$D_3$ 함량이 감소되었다. 0.408mJ/$\textrm{cm}^2$ 조사시에는 12시간대에 35.7ng/g이었고 42시간대에 61.4ng/g의 최고치를 나타내었다. 그 후 감소되어 138시간대에 39.50ng/g을 보였다. UVB 조사로 증가된 절대량은 0.204mJ/$\textrm{cm}^2$때 23ng/g, 0.408mJ/$\textrm{cm}^2$때 43.9ng/g(191%)으로서 열사선양을 2배로 하였을 때 간장중 25(OH)$D_3$의 생산량은 약2부였다. 그리고 조사선양을 2배로 하니까 간장중 25(OH)$D_3$의 최고치가 24시간 더 빨리 나타나는 경향을 보였다.

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뺨 점막에 발생한 충실성 선양낭성암종의 세침흡인 세포학적 소견 - 1예 보고 - (Fine Needle Aspiration Cytology of Solid Type Adenoid Cystic Carcinoma of Buccal Mucosa - A Case Report -)

  • 김진아;김영실;이안희;심상인;김병기;김경미
    • 대한세포병리학회지
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    • 제11권2호
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    • pp.89-92
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    • 2000
  • Adenoid cystic carcinoma constitutes 4 percent of ail benign and malignant epithelial salivary gland tumors and is a highly malignant tumor of the salivary glands. The cytologic presentation in aspirates is usually characteristic with spherical clusters(balls) of small tumor cells filled with hyaline material. But in case of the poorly differentiated variety(solid type), it is difficult to differentiate from other tumors because sheets of small, fairly monotonous malignant cells, with somewhat larger and more conspicuous nuclei are only seen. The cytologic findings of fine needle aspiration of solid type adenoid cystic carcinoma of buccal mucosa in a 51-year-old man are presented. On cytologic findings, solid sheets of monotonous tumor cells with focal necrosis was noted on a hemorrhagic background and the characteristic cytologic features of adenoid cystic carcinoma was absent.

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두경부 전양낭성암종에서 원격전이와 관련된 임상적, 병리학적 예측 인자 (Clinicopathologic Predictors and Impact of Distant Metastasis from Adenoid Cystic Carcinoma of the Head and Neck)

  • 김정훈;성명훈;권택균;이상준;김광현
    • 대한두경부종양학회지
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    • 제18권2호
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    • pp.157-162
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    • 2002
  • Background and Objectives: Adenoid cystic carcinoma (ACC) is a unique tumor characterized by frequent and delayed distant metastasis (DM) with uncommon regional lymph node metastasis. We evaluated the factors affecting DM of ACC and survival after appearance of DM. Materials and Methods: Medical records, radiographs and pathologic slides were reviewed for 94 patients from 1979 through 2001. Results: DM of ACC occurred in 46 patients, and developed more frequently in patients with tumors of the solid histologic subtype than in patients with tubular or cribriform subtypes. DM occurred less frequently in the sinonasal tract, and development of DM was not affected by tumor stage. Disease-specific 5- and 10-year survival rates were 88% and 72% for patients without DM, respectively and 76% and 48% for those with DM(p=0.02). Regarding the site of DM and its impact on outcomes, 30 patients had lung metastasis alone, 5 patients bone metastasis alone and 6 patients developed both lung and bone metastasis. Median survivals after appearance of DM among patients with isolated lung metastases and those with bone metastases with or without lung involvement were 54 and 21 months, respectively (p=0.04). Conclusions: Development of DM in ACC is predicted by solid histologic subtype, and major salivary gland or oral/pharyngeal rather than sinonasal primary site. Those patients with bone involvement with our without lung metastases had worse outcomes than those with pulmonary metastasis only.

하악 소구치 부위에 발생한 석회화상피성치성종양이 혼재된 선양치성종양: 증례보고 (Combined Adenomatoid Odontogenic Tumor and Calcifying Epithelial Odontogenic Tumor in the Mandible: Case Report)

  • 노량석;조형우;최소영;김진수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권2호
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    • pp.176-179
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    • 2011
  • Adenomatoid odontogenic tumors represent 3 to 7 percent of all odontogenic tumors. These tumors are more common in the maxilla than the mandible and usually include the anterior region. Clinically, the most common symptom is painless swelling and the tumor is associated with an unerupted tooth, typically a maxillary or mandibular cuspid. The adenomatoid odontogenic tumor appears radiographically as a unilocular radiolucency around the crown of an impacted tooth, resembling a dentigerous cyst. More often, it contains fine calcifications. Histopathologically, there is a thick wall cystic structure with a prominent intraluminal proliferation of the odontogenic epithelium. The most striking pattern is varying-sized solid nodules of spindle-shaped or cuboidal epithelial cells forming nests or rosette-like structures with minimal stromal connective tissues. Conspicuous within the cellular areas are structures of tubular or duct-like appearance. The duct-like spaces are lined with a single row of cuboidal or low columnar epithelial cells, of which the ovoid nuclei are polarized away from the luminal surface. Small foci of calcification may also be scattered throughout the tumor. These have been interpreted as abortive enamel formations. In some adenomatoid odontogenic tumors, the material has been interpreted as dentoid or cementum.

패션 브랜드가 비밀을 밝힐 때 -패션 브랜드의 CSR 정보 투명성과 소비자 평가- (When Fashion Brand Reveals a Secrete -A Fashion Brand's CSR Information Transparency and Consumer Evaluation-)

  • 김송미;박선양;김하연
    • 한국의류학회지
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    • 제44권3호
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    • pp.385-399
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    • 2020
  • Corporate social responsibility is a consistently discussed theme in many industries. Most corporations engage in CSR activities and now inform consumers in detail on what they have been doing for society. It has become a critical tool of consumer communication; however, little is known regarding the role of information transparency in the context of the fashion industry. This study discusses information transparency of fashion corporations which means revealing information regarding cost and garment making processes. The research proved that the higher consumers perceive a fashion brand's CSR performance (CSP), the more they think the provided CSR information is substantial; consequently, there is a favorable evaluation of the brand. The result provides insight regarding the relationship between CSP perception, perceived information substantiality, and brand evaluation. There was a significant partial mediation effect of perceived information substantiality. Moreover, the moderated mediation effect of information transparency appeared significant on the impact of CSP perception for brand evaluation via CSR information substantiality. The process model 7 was used as an analytical tool. The results of this study implies the importance of information transparency in the fashion industry context in the digital era.

고체비적검출기(固體飛跡檢出器)의 특성(特性)과 그 응용(應用) -CR-39에 의한 질소(窒素)이온 검출(檢出)과 선양측정(線量測定)- (Characteristics and Applications of Soild State Nuclear Track Detectors -The Detection and Dosimetry of N-Ions by CR-39-)

  • 강영호;김도성
    • Journal of Radiation Protection and Research
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    • 제9권2호
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    • pp.55-60
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    • 1984
  • Allyl diglycol carbonate(CR-39)에 조사(照射)된 60MeV의 질소이온을 검출하기 위한 최적부식 조건을 부식시간에 대한 비적밀도와 비적직경의 변화를 고려하여 $70^{\circ}C$, 20% NaOH 용액에 대해 부식시간 130분으로 정하였다. 이 조건에서 검출가능한 최대비적밀도는 $1.7{\times}10^7tr/cm^2$였으며 입사(入射)된 질소 이온의 총전하량의 증가에 따라 비적밀도가 선형적으로 증가하였다. 또한 $2{\mu}m$의 금박에 의한 질소 이온의 산란을 점선원(點線源)에 의한 Rutherford 산란으로 고려함으로써 측정된 상대산란확률이 이론치와 일치하여 선량측정이 가능하였으며 $12nC{\sim}100nC$의 입사(入射) 질소이온의 전하에 대해 $54{\sim}41%$의 검출 효율을 얻었다.

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이미퀴모드로 유발된 건선양 쥐 모델에서 건선 연관 유전자 발현에 대한 면역조직화학적 연구 (Immunohistochemical Study of Psoriasis-related Gene Expression in Imiquimod-induced Psoriasis-like Mouse Model)

  • 김지영;최미라;최종원;박경덕;이영;김창덕;서영준;이증훈
    • 대한피부과학회지
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    • 제56권10호
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    • pp.609-613
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    • 2018
  • Background: Psoriasis is a chronic inflammatory skin disease with an incidence of 0.5~3% of the worldwide population. The pathogenesis of psoriasis is related to dysregulated keratinocyte function and immune reactions. Notably, genetic factors are considered important etiological contributors. Globally, several researchers have recently performed genome-wide association studies (GWAS) to identify the genes related with psoriasis. Objective: We aimed to investigate the expression pattern of 2 candidate genes that were identified by GWAS. These include interleukin 28 receptor alpha (IL28RA) and CUB and Sushi multiple domains 1 (CSMD1). Methods: We applied imiquimod cream to develop a psoriasis-like mouse model and obtained skin tissue. We performed immunohistochemistry to detect the expression of IL-28A and CSMD1. Results: IL28RA expression increased at an early time point such as 1 day after the topical application of 5% imiquimod cream. However, its expression returned to baseline levels 2 weeks after the topical application of imiquimod cream. CSMD1 expression also increased after the topical application of imiquimod, with increased expression particularly observed in the upper epidermal layer. Notably, CSMD1 expression decreased 7 days after imiquimod cream application. Conclusion: These results suggest that IL28RA and CSMD1 may play key roles in the pathogenesis of psoriasis.

패션 매장 디자인의 CSR 커뮤니케이션 효율성에 관한 연구 (The Study of CSR Communication Effectiveness of Fashion Store Design)

  • 박선양;김하연;정여진;이유리
    • 한국의류학회지
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    • 제43권2호
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    • pp.274-287
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    • 2019
  • Most corporations engage in Corporate Social Responsibility (CSR) activities. Consumers are aware of CSR activities in different domains and use the perception and evaluation in purchase decision making. This study reveals how the relationship between consumer perception about a fashion corporation's CSR activities and product evaluation (such as perceived expertise and attractiveness) affects behavioral intention. This study discussed implications for store designs depending on whether it is actively engaging in CSR communication. Two virtual fashion store images of modern or eco design were used as stimuli. The study was conducted from July to August, 2018 based on women in their 20s and 30s. We collected 154 eco designs and 157 modern design responses. The findings of the study show that consumer perceptions of CSR activities affected perceived expertise and attractiveness. Further, perceived expertise and attracti-veness led to purchase intention and time spent in the store. The store design variation had no differences in mean values of consumer perception; however, evaluation and purchase intention indicated that a varied store design emphasized different corporation capabilities.