• Title/Summary/Keyword: 수막

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Gamma Knife Radiosurgery for Intracranial Meningioma (두개강내 수막종에 대한 감마나이프 방사선수술)

  • Shim, Kyu Won;Chang, Jong Hee;Choi, Jae Young;Chang, Jin Woo;Park, Yong Gou;Chung, Sang Sup
    • Journal of Korean Neurosurgical Society
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    • v.30 no.11
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    • pp.1263-1270
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    • 2001
  • Objective : To analyze the radiosurgical results of intracranial meningiomas after Gamma Knife radiosurgery (GKS) and to assess the possible factors related to the outcome and complications in treating meningiomas. Patients and Methods : We retrospectively reviewed the clinical and radiological data in 179 patients(194 lesions) treated with GKS for intracranial meningiomas between May 1992 and October 2000. Radiosurgical responses were categorized as shrinkage, stasis and enlargement, and we defined the shrunken and static group as a radio-logical control. A Cox proportional hazards model was used to evaluate the correlation between the radiosurgical outcomes and various factors such as location and size of tumor, age and gender of patients, relation to venous sinus, pre-GKS degree of edema, treatment modality, radiosurgical parameters, and pathologic findings. Results : Patients were grouped into skull base meningiomas(57.7%), non-skull base tumor including convexity, parasagittal, and falx meningiomas(37.1%), and others(5.2%) according to the location of tumors. The mean maximum dose and the margin dose of tumor was 30.0Gy(19-45Gy) and 15.1Gy(9.5-24.5Gy), respectively. The mean volume of the tumors was 9.4cc(0.003-45.0cc). The radiologic control rate was 97.1%. The radiation induced imaging change with or without neurologic deficit was the most common complication(23.6%). There were seen mostly in convexity, parasagittal, and falx meningiomas which were deeply embedded in cortex. Conclusion : GKS for intracranial meningioma seems to be safe and effective treatments. However, GKS should be considered very cautiously in non-skull base tumor such as convexity, parasagittal, or falx meningiomas with regards to patient's age and general condition, size and location of tumor, pattern of embedding into cortex, presenting symptoms and patient's preference.

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Abrasion-Resistant Road Markings for Improved Durability Lane to Wear Simulators Test (차선재료의 내구성 향상을 위한 내마모성 시험 적용 연구)

  • Lee, Chang-Geun;Park, Jin-Hwan;Oh, Heung-Un
    • International Journal of Highway Engineering
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    • v.13 no.3
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    • pp.75-82
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    • 2011
  • There is the uncertain period of the construction in case of the products meeting the quality standard of KS M 6080, the quality is degraded because of the abrasive loss of the paint caused by vehicle tires as the traffic amount increases and of the loss and detachment of the glass beads providing the retroreflective function. The abrupt degradation of visibility causes the high frequency of traffic accidents at night and increases the traffic accident rate. Additional supplementary construction induces the direct material and construction costs. As the more cost induction effect than the direct cost, the traffic jam caused by the additional construction increases the indirect social costs such as time cost and vehicle cost. Hence, the study is concerned with performing the abrasion resistance test based on the EN 1436 standard to check and improve the quality of various road marking materials resulting in improving the durability of road marking materials. However, even though the difference in the durability lifetime of resins(binders) is bibliographically or theoretically clear, there was no difference in the durability lifetime (retroreflectivity aspect) of the road marking paint using these binders. The reason is that the bonding of beads was very insufficient or that the cross density caused by crack or freshness was low. Moreover, the measured wet retroreflectivity was distributed as the Rw3 or higher class in average on the basis of EN 1436 but was very insufficient on the basis of the minimum wet threshold retroreflectivity with 100mcd/($m^2{\cdot}lx$) managed overseas.

Postoperative Radiotherapy for Intracranial Meningioma (뇌수막종 환자의 수술 후 방사선치료)

  • Chun, Ha-Chung;Lee, Myung-Za
    • Radiation Oncology Journal
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    • v.19 no.2
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    • pp.95-99
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    • 2001
  • Purpose : To evaluate the effectiveness and tolerance of postoperative external radiotherapy for patients with intracranial meningiomas. Materials and Methods : The records of thirty three patients with intracranial meningiomas who were treated with postoperative external irradiation at our institution between Feb, 1988 and Nov, 1999 were retrospectively analyzed. Median age of patients at diagnosis was 53 years with range of 17 to 68 years. Sites of involvement were parasagital, cerebral convexity, sphenoid ridge, parasellar and tentorium cerebelli. Of 33 evaluated patients, 15 transitional, 10 meningotheliomatous, 4 hemangiopericytic, 3 atypical and 1 malignant meningioma were identified. Four patients underwent biopsy alone and remaining 29 patients underwent total tumor resection. A dose of 50 to 60 Gy was delivered in 28-35 daily fractions over a period of 5 to 7 weeks. Follow-up period ranged from 12 months to 8 years. Results : The actuarial survival rates at 5 and 7 years for entire group of patients were 78% and 67%, respectively. The corresponding disease free survival rates were 73% and 61%, respectively. The overall local control rate at 5 years was 83%. One out of 25 patients in benign group developed local failure, while 4 out of 8 patients in malignant group did local failure (p<0.05). Of 4 patients who underwent biopsy alone, 2 developed local failure. There was no significant difference in 5 year actuarial survival between patients who underwent total tumor resection and those who did biopsy alone. Patients whose age is under 60 showed slightly better survival than those whose age is 60 or older, although this was not statistically significant. There was no documented late complications in any patients. Conclusion : Based on our study, we might conclude that postoperative external beam radiotherapy tends to improve survival of patients with intracranial meningiomas comparing with surgery alone.

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Statistical Analysis for Improving Durability of Porous Asphalt Mixtures (다공성 아스팔트혼합물의 내구성 향상을 위한 통계적 분석의 활용)

  • Yoo, In-Kyoon;Lee, Su-Hyung;Han, Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.283-290
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    • 2020
  • Porous asphalt pavement is used widely in advanced countries to reduce traffic accidents and noise. On the other hand, it is not applied widely in Korea due to concerns about its durability. This study aims to find a statistical method to improve the durability of porous asphalt pavement. A Cantabro test was selected to test the durability. The Cantabro test was performed on an asphalt mixture made of a binder and aggregate. This test was repeated three times for each of the four groups to obtain the Cantabro loss rate. The average values of each of the four groups satisfied all the reference values. In addition, through an analysis of variance (ANOVA), it was possible to quantitatively classify test groups with differences in durability, thereby finding problems and improving the durability. Furthermore, the Pay Factor method can lead to voluntary improvements in quality, and the Pay factor can be calculated through statistical analysis of limited data. Through the Pay factor, it is possible to induce definite quality improvement of the contractor and continuously improve the durability of the porous asphalt mixture by evaluating the adequacy of the quality standard.

Common Disease Codes in Pediatric Inpatients (1997-2008) (소아청소년과 입원환자의 흔한 질병 코드들(1997-2008): 감염질환 중심의 단일기관 연구)

  • Park, Ji-Eun;Lee, Soo-Young;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.54-60
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    • 2011
  • Purpose : In this study, we listed common diseases in pediatric inpatients and evaluated the distribution of diseases by period and age group, in order to estimate the epidemiologic trend. Methods : Patients who were admitted to the Department of Pediatrics between 1997 and 2008 were included. Demographic characteristics, date of admission, and International Classification of Diseases (ICD) code of patients were indentified. Study period was divided into two; early (1997-2002) and late (2003-2008), and age of patients were grouped into four; infancy, early childhood, late childhood, and adolescence. Results : A total of 33,513 patients were admitted for 12 years. In the list of ICD code, Pneumonia (J12-J18; 21.2%) was the most prevalent, followed by gastroenteritis (A00-A09; 17.8%), bronchiolitis (J21; 11.9%), and so on. Common diseases ranked from 1 to 10 comprised the majority (79.1%) of all the inpatients. There was increase in the number of inpatients with respiratory infectious disease (bronchiolitis, otitis media, and sinusitis), enlarged lymph node, or impetigo/cellulitis, but decrease in the number of inpatients with aseptic meningitis, intussusceptions, measles, or nephritic/nephrotic syndrome. The distribution of diseases also showed age group-specific difference. Conclusion : The distribution of diseases by period and age group was different. The epidemiologic trend should be considered in developing the management of strategy for the Department of Pediatrics.

A Case of Disseminated Mycobacterium bovis Infection after BCG Vaccination (Tokyo strain) in an Apparently Immunocompetent Infant (면역기능이 정상인 영아에서 동경주 BCG 백신 접종 후 발생한 파종성 Mycobacterium bovis 감염 1예)

  • Paik, Ji Yeun;Choi, Jae Hong;Kim, Min Kyung;Choi, Eun Hwa;Lee, Hoan Jong;Park, Kyoung Un
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.91-96
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    • 2011
  • Bacille Calmette-Gu$\acute{e}$rin (BCG) vaccine is a live attenuated vaccine derived from Mycobacterium bovis. Frequent complications after BCG vaccination are localized ulcer formation and regional lymphadenitis, but there could be rarely severe systemic reactions to BCG vaccine such as osteomyelitis and disseminated BCG infection. Although disseminated BCG infection can be complicated in infants with underlying immunodeficiency after BCG vaccination, it is very unlikely to develop in immunocompetent infants or children. We report a 13-month-old infant who presented with fever, skin nodules, and multiple enlarged lymph nodes 5 months following BCG vaccination. She was diagnosed with disseminated BCG infection by PCRconfirmed M. bovis BCG infection at ${\geq}$2 anatomical sites beyond the region of vaccination. The patient showed no obvious evidence of immunodeficiency as judged on the basis of previous disease history, plasma immunoglobulin levels, B and T lymphocytes counts in peripheral blood, DHR (dihydrorhodamine 123 fluorescence) test and HIV test. She started antituberculous treatment with isoniazid and rifampin, and now, apparently her symptoms have been improved.

Characterization of Area Installing Combined Geothermal Systems : Hydrogeological Properties of Aquifer (복합지열시스템에 대한 부지특성화: 대수층의 수리지질학적 특성)

  • Mok, Jong-Koo;Park, Yu-Chul;Park, Youngyun;Kim, Seung-Kyum;Oh, Jeong-Seok;Seonwoo, Eun-Mi
    • The Journal of Engineering Geology
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    • v.27 no.3
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    • pp.293-304
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    • 2017
  • This study was performed in order to hydrogeological analysis of aquifer, which is a necessary part for evaluating the efficiency of the combined well and open-closed loops geothermal (CWG) systems. CWG systems have been proposed for the effective utilization of geothermal energy by combining open loop geothermal systems and closed loop geothermal systems. Small aperture CWG systems and large aperture CWG systems were installed at a green house land with water curtain facilities in Chungju City. Aquifer tests include pumping tests and step-drawdown tests were conducted to analyse hydrogeological characteristics of aquifer in the study area. The transmissivity was estimated in the range of $13.49{\sim}58.99cm^2/sec$, and the storativity was estimated in the range of $1.13{\times}10^{-5}{\sim}5.20{\times}10^{-3}$. The geochemical analysis showed $Ca^{2+}$ ion and ${HCO_3}^-$ ion were dominant in groundwater. The Langelier Saturation Index and the Ryznar Stability Index showed low scaling potential of groundwater. In the analysis of vertical water temperature change, the geothermal gradient was estimated as $2.1^{\circ}C/100m$, which indicated the aquifer was enough for geothermal systems. In conclusion, groundwater is rich, can stably use geothermal heat, and it is less likely to cause deterioration of thermal energy efficiency by precipitation of carbonate minerals in study area. Therefore, the study area is suitable for installation of the combined geothermal system.

Study on Anti-oxidant and Anti-inflammatory Activity of the Tissue-cultured Shoot Clumps from Raoulia australis (라울리아 신초 추출물의 항산화 및 항염 효능에 관한 연구)

  • Park, Chang-Min;Han, Na-Kyeong;Joung, Min-Seok;Paek, Kee-Yoeup;Choi, Jong-Wan
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.40 no.4
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    • pp.349-357
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    • 2014
  • In this study, the shoot clumps extract of tissue-cultured Raoulia australis using the bioreactor culture system was tested for use a natural cosmetic ingredient. Tissue-cultured R. australis shoot clumps extract was tested anti-oxidant and anti-inflammatory activity for a cosmetic application. R. australis is a wild herbaceous plant of the asteraceae growing in New Zealand and Australia. Previous studies have reported anti-viral activity of the inhibitory effects for the growth of viruses induced meningitis, bronchitis and respiratory diseases but other biological effects are unknown. The shoot clumps extract of tissue-cultured R. australis showed higher anti-oxidant effect and anti-inflammatory effect than the natural R. australis extract. In DPPH, NBT and ABTS assay, the shoot clumps extract of tissue-cultured R. australis enhanced radical scavenging activity (up to 10~25% at $50{\mu}L/mL$) more than the natural R. australis extract. Also, the shoot clumps extract of tissue-cultured R. australis inhibited expression of iNOS and COX-2 protein in LPS-stimulated Raw 264.7 macrophages more than the natural R. australis extract. From this study, the shoot clumps extract of tissue-cultured R. australis displayed strong possibility as a new natural cosmetic ingredient for skin-care products.

Method for Rapid Determination and Removal of Nitrogen Oxides in Flue Gas (II). Removal of Nitrogen Oxides Using Ammonia (배기가스중 질소산화물의 신속측정법과 그 제거에 관한 연구 (제 2 보). 암모니아에 의한 $NO_x$의제거)

  • Yong Keun Lee;Kee Jung Paeng;Kyu Ja Hwang
    • Journal of the Korean Chemical Society
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    • v.30 no.2
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    • pp.207-215
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    • 1986
  • A new method was proposed to improve removal of nitrogen oxides $(NO_x)$ in exhaust gas by the reduction method using ammonia. At the relative humidity of 60%, 50 ppm of $NO_x$ was decomposed at the rate of 1% per hour in the reaction chamber. On the other hand, by adding $NH_3$ which was 5 times more concentrated than NOx, the decomposition rate increased to 6% per hour for 50 ppm $NO_x$ and 10% per hour for 20ppm $NO_x$. Within the actual exhausted gases, the decomposition rate of $NO_x$ reached the maximum 15% per hour because of coexisted reducing gases, such as hydrocarbon and carbon monoxide, and excess humidity containing trace metal ions. In the presence of acidic $SO_2$ gas, the decomposition rate of $NO_x$ decreased. The decomposition of $NO_x$ seems to be caused by the mist which is added to the system, and $NH_3$ in the mist which reduces $NO_x$.

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Usefulness of Three-Dimensional CT Image in Meningioma Using Contrast Method (조영법을 이용한 뇌수막종에서 3차원 CT영상의 유용성)

  • Lee, Jun-Haeng;Baek, Sung-Eun;Lee, Sang-Bock;Kim, Yong-Wan
    • Journal of the Korean Society of Radiology
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    • v.2 no.1
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    • pp.17-21
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    • 2008
  • Because of the reason that the meningioma is enhanced lately, we started the study to maximally enhance the meningioma. we were to know the relation between meningioma and vessels in the skull and compared 3D CT angiography with the conventional angiography. we got the data from 6 patients performed by both 3D CT angiography and there were 5 cases in sphenoidal ridge and 1 case parasagittal sinus. Injecting the contrast media at 3 ml/sec, 120 ml and then the CT number reached 100, we started the study using the medical system Program(smart prep). The scan parameters were HS-Mode(1.25 mm / 7.5 mm) right after being injected all and reconstructed with 0.5 mm interval. We compared the study with the conventional angiography after reconstructing the images required by using 3D-Med software Program(Rapidia). Seeing the consequences, the maximum enhancing time in the menigioma is about 120~180 seconds after injecting the contrast media and we distinguished the relation between vessels and tumors at the time and 1 case showed us the aneurysm with a tumor clearly at the time too. It was very helpful to the operation that the 3D images required by injecting the contrast media to the patients with meningioma distingushed between tumors and vessels dimensionally.

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