• Title/Summary/Keyword: 안정 상태

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Anchor Hole Augmentation with Bone Cement in Arthroscopic Rotator Cuff Repair (관절경적 회전근 개 봉합술에서 골 시멘트를 이용한 봉합 나사 구멍 보강술)

  • Lee, Ho-Min;Tae, Suk-Kee;Park, Jeong-Min
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.237-243
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    • 2010
  • Purpose: In arthroscopic rotator cuff repair, the crucial step is secure fixation of Anchor to bone. However, osteoporosis of the tuberosity is frequently encountered in old patients, and can cause insecure fixation of anchors. The Aim of our study was to introduce a technique for anchor hole augmentation with bone cement when fixation failure of an anchor occurs, and to investigate the outcome. Materials and methods: Among 223 rotator cuff repairs performed between 2005 and 2009, anchor hole augmentation with polymethylmethacrylate was performed in 15 cases (all females; mean age of 65 years: range 49~77). Bone cement was injected into the anchor hole in a thick fluid state and the procedure was repeated to make a pot-like cement mantle. The anchor was inserted into the cement mantle while the cement hardened. The outcome was investigated, on average, at 16 months (6~32). Results: Radiographs showed cystic changes of the tuberosity. On follow-up radiographs and MRI, a change in the cement mantle was not noted. The final average UCLA score was 31 (28~35); 6 had excellent, 8 good and 1 fair results (p=0.008). Age-sex matched Constants score was 90 (74~98) (p=0.008). Conclusion: Anchor hole augmentation with bone cement is useful when fixation failure of an anchor is encountered due to bone atrophy. Anchor hole augmentation with bone cement does not negatively influence the outcome.

The Results of Radiotherapy in Locally Advanced, Unresectable Pancreatic Cancer (절제 불가능한 국소 진행된 췌장암에서 방사선치료의 결과분석)

  • Jang, Hyun-Soo;Kang, Seung-Hee;Kim, Sang-Won;Chun, Mi-Son;Jo, Sun-Mi;Lim, Jun-Chul;Oh, Young-Taek;Kang, Seok-Yun
    • Radiation Oncology Journal
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    • v.27 no.3
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    • pp.145-152
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    • 2009
  • Purpose: We retrospectively studied the outcomes and prognostic factors of patients with locally advanced, unresectable pancreatic cancer who were treated with concurrent chemoradiotherapy (CCRT) or radiotherapy only. Materials and Methods: Fifty-one patients with locally advanced, unresectable pancreatic cancer (stage IIA~III) who recevied radiotherapy ($\geq$30 Gy) between January 1994 and August 2008 were reviewed retrospectively. The median radiation dose was 39 Gy. Chemotherapy consisted of gemcitabine, cisplatin, or 5-FU alone or in various combinations, and was administered concurrently with radiotherapy in 38 patients. Results: The follow-up period ranged from 2~40 months (median, 8 months). The median survival, and the 1-and 2-year overall survival (OS) rates were 7 months, 15.7%, and 5.9%, respectively. Based on univariate analysis, the baseline CA19-9, performance status, and chemotherapy regimen were significant prognostic factors. The median survival was 8 months for CCRT, and 6 months for radiotherapy alone. The patients treated with gemcitabine-containing regimens had longer survival (median, 10 months) than the patients treated with radiotherapy alone (p=0.027). Twenty-three patients were available to evaluate the patterns of failure. Distant metastases (DM) occured in 18 patients and regional recurrences were demonstrated in 4 patients. Local progression developed in 14 patients. We analyzed the association between the time-to-DM and the baseline CA19-9 levels for 18 evaluable patients. The median time-to-DM was 20 months for patients with normal baseline CA19-9 levels and 2 months for patients with baseline CA19-9 levels $\geq$200 U/ml. Conclusion: CCRT with gemcitabine-based regimens was effective in improving OS in patients with locally advanced, unresectable pancreatic cancer. We suggest that the baseline CA19-9 level is valuable in determining the treatment strategy for patients with locally advanced, unresectable pancreatic cancer.

Study on Wood-Plastic Combination - On the Penetration of MMA Polymer and Dimensional Stability - (복합목재(複合木材)(WPC)에 관(關)한 연구(硏究) - MMA Polymer의 침투(浸透)와 치수안정화(安定化) -)

  • Lee, Won-Yong
    • Journal of the Korean Wood Science and Technology
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    • v.11 no.3
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    • pp.49-57
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    • 1983
  • This study dealts with the penetration of methyl methacrylate(MMA) monomer-solvent system into five Korean major tree species, especially the Pinus koraiensis S. et Z., Pinus densiflora S. et Z., Larix leptoiepis Gordon, Quercus serrata Thunb. and Betula platyphylla var japonica Hara. In this report I described the results of the interaction between wood and polymer loading by catalyst-heat polymerization. On the other hand the influence of penetration of polymer loading on dimensional stabilization on WPC of Pinus koraiensis by catalyst-heat polymerization was also investigated.

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The Usefulness of Tc-99m MIBI SPECT in the Localization and the Assessment of Radiotherapy in Non-Small Cell Lung Cancer (비소세포 폐암의 국소화 및 방사선치료 판정에 있어 Tc-99m MIBI SPECT의 유용성)

  • Bom, Hee-Seung;Song, Ho-Chun;Kim, Ji-Yeul;Nam, Taek-Keum;Ahn, Sung-Ja;Chung, Woong-Ki;Nah, Byung-Sik
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.2
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    • pp.186-191
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    • 1994
  • Tc-99m MIBI, a lipophilic cation, was reported as a useful agent for localization of lung cancer. The effect of radiation therapy on the uptake of Tc-99m MIBI in lung cancer, however, was not well evaluated. The aim of the present study was to elucidate the usefulness of Tc-99m MIBI SPECT in the localization and the assessment of radiotherapy in non-small cell lung cancer. Twenty patients(19 males and 1 female, mean age 59, 16 squamous cell ca and 4 adenoca) were studied with Tc-99m MIBI SPECT before radiation therapy. Eleven patients(10 males and 1 female, mean age 59, 8 squamous cell ca and 3 adenoca) were repeated the study 1 month after the completion of radiation therapy(mean dose 6453cGy). All patients showed positive uptakes of Tc-99m MIBI in their tumors. One patient showed a hot uptake in atelectatic area. There was no difference of Tc-99m MIBI uptakes between squamous cell ca and adenoca either on planar or tomographic images. Tc-99m MIBI uptake ratios of squamous cell ca and adenoca were $1.50{\pm}0.16$ and $1.45{\pm}0.15$ on planar images, and $2.73{\pm}0.46$ and $2.54{\pm}0.37$ on tomographic images, respectively. The concordance between radiological change(chest x-ray and CT) and change of Tc-99m MIBI uptakes was 9/11 (81.8% ). In conclusion, Tc-99m MIBI SPECT was useful in the localization of tumor and the assessment of radiation therapy in non-small cell lung cancer.

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II. 2000년대(年代)를 위한 신비종(新肥種)의 개발(開發)

  • Park, Seon-Uk
    • Korean Journal of Soil Science and Fertilizer
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    • v.24
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    • pp.5-38
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    • 1991
  • 비료(肥料)를 공업적(工業的)으로 제조(製造)하여 농업(農業)에 사용(使用)하기 시작(始作)한 이래(以來) 신비종(新肥種)의 개발(開發)에 대한 관심(關心)은 부단(不斷)히 계속(繼續)되어 왔으며 현재(現在)에도 어느 국가(國家)나 생산업계(生産業界)에서 개발(開發)을 위한 노력(努力)을 많이 기우리고 있음이 현실(現實)일 것이다. 어느 국가(國家)와 어느 시대(時代)에 있어서나 현존(現存) 비종(肥種)을 생산(生産)함에는 소비(消費)와 생산면(生産面)에서 상응(相應)하는 사정(事情)이 있었을 것이며 또한 미래(未來)에도 신비종(新肥種)을 개량(改良)하거나 창제(創製)함에는 여러 가지 관련문제(關聯問題)를 검토(檢討)하여 새로운 요구(要求)에 합리적(合理的)으로 부합(符合)되도록 설계(設計)해야 할 것이다. 비료(肥料)는 현대(現代) 농업(農業)에서 불가피(不可避)하게 사용(使用)되는 기본자재(基本資材)이며 세계적(世界的)으로 그 소비(消費)가 증가(增加)되나 국가별(國家別) 농업(農業)의 특수성(特殊性)에 맞추어서 비료(肥料)의 형태(形態)와 생산량(生産量)에 차이(差異)가 있게 되며 또 변화(變化), 개량(改良)될 것이다. 우리나라의 농업(農業)이 최근(最近) 급속(急速)히 변화(變化)되면서 생산수단(生産手段)과 경영(經營)에도 큰 변혁(變革)이 불가피(不可避)하게 따라야 할 것으로 판단(判斷)된다. 생산수단(生産手段)의 개량(改良)은 농산물(農産物) 생산가(生産價)를 낮추고 노력(勞力)의 투입(投入)을 줄이며 우수품질(優秀品質)의 농산물(農産物)을 안정적(安定的)으로 생산(生産)하기 위한 대응책(對應策)이 될 것이다. 비료(肥料)의 사용(使用)은 이러한 시대적(時代的) 요구(要求)에 맞추어 신비종(新肥種)이 개발(開發)되고 시용기술면(施用技術面)에서 발전(發展)이 있어야 될 것이다. 미래(未來)의 우리 나라 농업(農業)을 위하여 개발(開發)되어야 할 비종(肥種)의 형태(形態)와 그에 관련(關聯)되는 요건(要件)은 다음과 같이 요약(要約)된다. 1. 시비효율(施肥效率)을 높히기 위하여서나 성력재배(省力裁培)를 위하여 완효성(緩效性) 비료(肥料) 특히 질소비료(窒素肥料)의 신비종(新肥種) 개발(開發)이 절실(切實)히 필요(必要)하다고 판단(判斷)됨. 신비종(新肥種)은 대상작물(對象作物)의 종류(種類), 재배방식(裁培方式) 및 기계화(機械化) 상태(狀態)에 적합(適合)한 형태별(形態別)로 제조(製造)됨이 바람직함. 완효성(緩效性) 질소비료(窒素肥料)의 제조(製造)에는 화학합성(化學合成), 성형화(成形化), 흡착화(吸着化) 및 피복화(被覆化) 방식중(方式中) 성형화(成形化)에 의한 것이 최다(最多)이나 피복화(被覆化)도 재료(材料)와 기술(技術)의 발전(發展)에 따라 증가(增加)의 경향(傾向)임. 2. 현존(現存) 복합비료(複合肥料)의 토양(土壤) 및 작물(作物)에 대한 적합성(適合性)을 재검토(再檢討)하여 효율(效率)을 높히도록 개량(改良)함. 3. 소시비방식(少施肥方式)의 영농(營農)으로서 환경(環境)을 오염(汚染)으로부터 방호(防護)할 것이며 4. 작물종류(作物種類)(품종포함(品種包含)) 유전자형별(遺傳子型別) 비료감응성(肥料感應性)을 검정(檢定)하여 소시비(少施肥), 고효율(高效率)을 기(期)하도록함. 5 작물(作物)의 영양생리학(營養生理學) 분야(分野)에서도 비료외적(肥料外的)인 성장관련요인(成長關聯要因)의 작용(作用)을 연구(硏究)하여 응용(應用)의 가능성(可能性)을 추구(追究)함이 미래(未來)의 한 과제(課題)가 될 것으로 생각됨. 예(例): 유전공학적(遺傳工學的) 기법(技法)에 의한 성장인자(成長因子)의 개량(改良) 또는 시비효율(施肥效率)의 증대(增大) 작물성장(作物成長)과 미생물활동(微生物活動)과의 상호관계(相互關係) 등(等). 6. 가용(可用) 자원(資源)의 비료화(肥料化)를 위하여 타산업(他産業)의 부산물(副産物) 및 폐기물(廢棄物) (특히 유기질(有機質) 자원(資源))을 효율적(效率的)으로 재활용(再活用)하도록 함.

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Comparison of Soil Nutrient Status in Conventional and Organic Apple Farm (관행농 및 유기농 사과과수원 토양의 양분함량 비교)

  • Chung, Jong-Bae;Lee, Yoon-Jung
    • Korean Journal of Soil Science and Fertilizer
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    • v.41 no.1
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    • pp.26-33
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    • 2008
  • Soil nutrient status in an organic apple farm was evaluated in relation to a conventional farm to better understand the effects of organic farming system on soil fertility. Soil organic matter, total and mineral N, available P, exchangeable cations, and available micronutrients were monitored at depth of 5-20 cm from May to October in 2006. Average soil organic matter content was 63.3 and $31.0g\;kg^{-1}$ in organic and conventional farm, respectively. Total N content was 3.3 and $1.7g\;kg^{-1}$ in average for organic and conventional farm, respectively. Ammonium and nitrate N in organic farming were maintained at relatively stable levels, but in the conventional farm the levels were very high in early season due to the chemical fertilizer application. In the organic apple farm, available P content in May was lower than that found in the conventional farm, but during the growing season available P content was continuously increased and in August the content was more than $1000mg\;P_2O_5\;kg^{-1}$. The organic farm maintained relatively greater exchangeable K, Ca, and Mg levels than the conventional farm. Available Cu, Fe, and Mn contents in the conventional farm were relatively greater than those found in the organic farm. However, available Zn extracted in 0.1 M HCl was much greater in the organic farm. Nutrient levels above crop needs were observed in both conventional and organic apple farm suggesting a more appropriate management of soil nutrients in organic farming to secure its fundamental functions for the sustainable agriculture.

Metabolic Correlates of Temperament Factors of Personality (기질적 성격요인과 국소 뇌포도당대사의 상관연구: 성별에 따른 차이)

  • Park, Hyun-Soo;Cho, Sang-Soo;Yoon, Eun-Jin;Bang, Seong-Ae;Kim, Yu-Kyeong;Kim, Sang-Eun
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.4
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    • pp.280-290
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    • 2007
  • Purpose: Gender differences in personality are considered to have biological bases. In an attempt to understand the gender differences of personality on neurobiological bases, we conducted correlation analyses between regional brain glucose metabolism and temperament factors of personality in males and females. Materials and Methods: Thirty-six healthy right-handed volunteers (18 males, 33.8$\pm$17.6 y; 18 females, 36.2$\pm$20.4 y) underwent FDG PET at resting state. Three temperament factors of personality (novelty seeking (NS), harm avoidance (HA), reward dependence (RD)) were assessed using Cloninger's 240-item Temperament and Character Inventory (TCD within 10 days of FOG PET scan. Correlation between regional glucose metabolism and each temperament factor was tested using SPM2. Results: In males, a significant negative correlation between NS score and glucose metabolism was observed in the bilateral superior temporal gyri, the hippocampus and the insula, while it was found in the bilateral middle frontal gyri, the right superior temporal gyrus and the left cingulate cortex and the putamen in females. A positive HA correlation was found in the right midbrain and the left cingulate gyrus in males, but in the bilateral basal ganglia in females. A negative RD correlation was observed in the right middle frontal and the left middle temporal gyri in males, while the correlation was found in the bilateral middle frontal gyri and the right basal ganglia and the superior temporal gyrus in females. Conclusion: These data demonstrate different cortical and subcortical metabolic correlates of temperament factors of personality between males and females. These results may help understand biological substrate of gender differences in personality and susceptibility to neuropsychiatric illnesses.

Clinical Outcome of Emergency Coronary Artery Bypass Grafting after Failed Percutaneous Transluminal Coronary Angioplasty (경피적 관상동맥 성형술의 실패에 의해 발생한 응급환자의 임상경과)

  • Kim, Do-Kyun;Yoo, Kyung-Jong;Youn, Young-Nam;Yi, Gi-Jong;Lee, Sak;Chang, Byung-Chul;Kang, Meyun-Shick
    • Journal of Chest Surgery
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    • v.40 no.3 s.272
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    • pp.209-214
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    • 2007
  • Background: Failed percutaneous transluminal coronary angioplasty (PTCA) is occasionally required for emergency coronary artery bypass grafting (CABG). The aim of this study was to assess the outcome of patients receiving emergency CABG after failed PTCA. Material and Method: Between May 1988 and May 2005, 5712 patients underwent PTCA, where 84 (1.4%) failed. 27 patients underwent emergency CABG after failed PTCA. The mean age was $63.7{\pm}8.9\;(46{\sim}80)$ years, with 14 male patients (51.9%). Result: All patients underwent emergent surgical revascularization within 6 hours. 22 patients underwent conventional CABG and 5 underwent off-pump CABG. The causes of PTCA failure were coronary obstruction due to new thrombi formation during the procedure (n=4), coronary dissection (n=17), coronary artery rupture (n=3) and 3 due to other causes. The rate of in-hospital operative mortality after emergent operation was 18.5% (5/27). A univariate analysis revealed that patients who died more often had left anterior descending artery disease, a preprocedural shock status, postoperative use of multiple isotropics and postoperative use of intra-aortic balloon pump. The mean follow up duration was $53.6{\pm}63.4$ months. Conclusion: Although PTCA is known to be life saving, there is still a high risk for morbidity and mortality following emergency CABG after failed PTCA, despite the advancement in PTCA techniques. This result will help identify and more effectively treat patients selected for PTCA when emergency CABG is required.

Analysis on Social Area of Taegu (대구시의 사회지역분석)

  • Choi, Seok-Joo
    • Journal of the Korean association of regional geographers
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    • v.3 no.2
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    • pp.209-225
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    • 1997
  • Today, rapid progress of urbanization is discovered commonly in many countries, especially in developing countries, which has led to spatial order and development process of city. Historically, Taegu was a walled city and formed mono-nucleus which was restricted by the castle. As the city grew gradually, the castle was removed as a result of diversification in traffic network, change of socio-economic environment, formation of industrial base and functional distribution. According to reconstruction maps of residential patterns, there was distinctive residential segregation among ethnic groups. Koreans in Taegu in 1939, aggregated densely in the southern and western parts of the city. The Japanese were concentrated densely in the northern and eastern parts of Taegu. And the street pattern within residential areas of the Korean people was shaped like a maze type in contrast with Japanese residential areas, which showed grid pattern of streets. This is another general pattern of almost all colonial cities, especially in Asia. Through this process, today it appears that, out of overall residential areas which occupy the highest ratio in urban land use, those for eminent people influence the functional development of urban spatial structure very heavily as a key point in urban residetial structure. Truly, residential segregation can be seen as the spatial manifestation of uneven distribution of such important scarce resources as housing and residential environment. In this study, the characteristics of locational distribution of the eminent people show their socially and economically stabilized standing in Taegu, taking the aforesaid situation as a background of the study. And the process of this study is as follows ; to examine the forming process of residential areas in the city as a theoretical supporting, to put in order on classical interpretation to formation of residential areas, and general type modern residential areas formation, and economic decision factor of land use. Therefore, this study aims to examine growth and development of eminent persons' residential areas and, at the same time, extract locational characteristics through the pattern of eminent persons' location and predict changes in the future.

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Experimental Study on N2 Impurity Effect in the Pressure Drop During CO2 Mixture Transportation (CO2 파이프라인 수송에서의 N2 불순물이 압력강하에 미치는 영향에 대한 실험적 연구)

  • Cho, Meang-Ik;Huh, Cheol;Jung, Jung-Yeul;Baek, Jong-Hwa;Kang, Seong-Gil
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.15 no.2
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    • pp.67-75
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    • 2012
  • Carbon-dioxide capture and storage (CCS) process is consisted by capturing carbon-dioxide from large point source such as power plant and steel works, transporting and sequestrating captured $CO_2$ in a stable geological structure. During CCS process, it is inevitable of introducing impurities from combustion, capture and purification process into $CO_2$ stream. Impurities such as $SO_2$, $H_2O$, CO, $N_2$, Ar, $O_2$, $H_2$, can influence on process efficiency, capital expenditure, operation expense of CCS process. In this study, experimental apparatus is built to simulate the behavior of $CO_2$ transport under various impurity composition and process pressure condition. With this apparatus, $N_2$ impurity effect on $CO_2$ mixture transportation was experimentally evaluated. The result showed that as $N_2$ ratio increased pressure drop per mass flow and specific volume of $CO_2-N_2$ mixture also increased. In 120 and 100 bar condition the mixture was in single phase supercritical condition, and as $N_2$ ratio increased gradient of specific volume change and pressure drop per mass flow did not change largely compared to low pressure condition. In 70 bar condition the mixture phase changed from single phase liquid to single phase vapor through liquid-vapor two phase region, and it showed that the gradient of specific volume change and pressure drop per mass flow varied in each phase.