• Title/Summary/Keyword: 한국의학사

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Comparison of Intensity Modulated Radiation Therapy Dose Calculations with a PBC and AAA Algorithms in the Lung Cancer (폐암의 세기조절방사선치료에서 PBC 알고리즘과 AAA 알고리즘의 비교연구)

  • Oh, Se-An;Kang, Min-Kyu;Yea, Ji-Woon;Kim, Sung-Hoon;Kim, Ki-Hwan;Kim, Sung-Kyu
    • Progress in Medical Physics
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    • v.23 no.1
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    • pp.48-53
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    • 2012
  • The pencil beam convolution (PBC) algorithms in radiation treatment planning system have been widely used to calculate the radiation dose. A new photon dose calculation algorithm, referred to as the anisotropic analytical algorithm (AAA), was released for use by the Varian medical system. The aim of this paper was to investigate the difference in dose calculation between the AAA and PBC algorithm using the intensity modulated radiation therapy (IMRT) plan for lung cancer cases that were inhomogeneous in the low density. We quantitatively analyzed the differences in dose using the eclipse planning system (Varian Medical System, Palo Alto, CA) and I'mRT matirxx (IBA, Schwarzenbruck, Germany) equipment to compare the gamma evaluation. 11 patients with lung cancer at various sites were used in this study. We also used the TLD-100 (LiF) to measure the differences in dose between the calculated dose and measured dose in the Alderson Rando phantom. The maximum, mean, minimum dose for the normal tissue did not change significantly. But the volume of the PTV covered by the 95% isodose curve was decreased by 6% in the lung due to the difference in the algorithms. The difference dose between the calculated dose by the PBC algorithms and AAA algorithms and the measured dose with TLD-100 (LiF) in the Alderson Rando phantom was -4.6% and -2.7% respectively. Based on the results of this study, the treatment plan calculated using the AAA algorithms is more accurate in lung sites with a low density when compared to the treatment plan calculated using the PBC algorithms.

Development of Quality Assurance Program for the On-board Imager Isocenter Accuracy with Gantry Rotation (갠트리 회전에 의한 온-보드 영상장치 회전중심점의 정도관리 프로그램 개발)

  • Cheong, Kwang-Ho;Cho, Byung-Chul;Kang, Sei-Kwon;Kim, Kyoung-Joo;Bae, Hoon-Sik;Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.17 no.4
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    • pp.212-223
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    • 2006
  • Positional accuracy of the on-board imager (OBI) isocenter with gantry rotation was presented in this paper. Three different type of automatic evaluation methods of discrepancies between therapeutic and OBI isocenter using digital image processing techniques as well as a procedure stated in the customer acceptance procedure (CAP) were applied to check OBI isocenter migration trends. Two kinds of kV x-ray image set obtained at OBI source angle of $0^{\circ},\;90^{\circ},\;180^{\circ},\;270^{\circ}$ and every $10^{\circ}$ and raw projection data for cone-beam CT reconstruction were used for each evaluation method. Efficiencies of the methods were also estimated. If a user needs to obtain an isocenter variation map with full gantry rotation, a method taking OBI image for every $10^{\circ}$ and fitting with 5th order polynomial was appropriate. However for a mere quality assurance (QA) purpose of OBI isocenter accuracy, it was adequate to use only four OBI Images taken at the OBI source angle of $0^{\circ},\;90^{\circ},\;180^{\circ}\;and\;270^{\circ}$. Maximal discrepancy was 0.44 mm which was observed between the OBI source angle of $90^{\circ}\;and\;180^{\circ}$ OBI isocenter accuracy was maintained below 0.5 mm for a year. Proposed QA program may be helpful to Implement a reasonable routine QA of the OBI isocenter accuracy without great efforts.

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A Development of Evaluation Indicators for Performance Improvement of Horticultural Therapy Garden (원예치료정원의 성능개선을 위한 평가지표 개발)

  • Ahn, Je-Jun;Park, Yool-Jin
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.36 no.4
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    • pp.113-123
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    • 2018
  • The purpose of this research is to develop evaluation indicators forperformance improvement of horticultural therapy garden. In order to achieve a therapeutic purpose, the gardening activity held by the trained horticultural therapist. Moreover, horticultural therapy is 'a medical model' for the treatment and basic premise of the research was set, as horticultural therapy garden is characterized area to support activities of patients and horticultural therapist functionally and efficiently. For this study, three times of Delphi and AHP techniques were proceeded to export panels who were recruited by purposive sampling. Through these techniques, it was possible to deduct the evaluation indicator which maximizes the performance of the horticultural therapy garden. The evaluation items were prioritized by typing and stratification of the indicator. The results and discussions were stated as followings. Firstly, a questionnaire of experts was conducted to horticultural therapists and civil servants who were in charge of horticultural therapy. As results(horticultural therapists: 87.8%, civil servants: 75.2%), It is possible to conclude that both positions have the high recognition and agreed on the necessity of horticultural therapy. Secondly, Delphi investigation was conducted three times in order to develop the evaluation indicator for performance evaluation. After Delphi analysis, total 34 of evaluation elements to improve the performance of the horticultural therapy garden by reliability and validity analysis results. Thirdly, AHP analysis of each evaluation indicator was conducted on the relative importance and weighting. Moreover, the results showed 'interaction between nature and human' as the most important element, and in order of 'plan of the program', 'social interaction', 'sustainable environmental', and 'universal design rule', respectively. On the other hand, the exports from the university and research institute evaluated the importance of 'interaction between nature and human', while horticultural therapists chose 'plan of the program' as the most important element. Fourthly, the total weight was used to develop weight applied evaluation indicator for the performance evaluation of the horticultural therapy garden. The weight applying to evaluation index is generally calculated multiply the evaluation scores and the total weight using AHP analysis. Finally, 'the evaluation indicator and evaluation score sheet for performance improvement of the horticultural therapy garden' was finally stated based on the relative order of priority between evaluation indicators and analyzing the weight. If it was deducted the improvement points for the efficiency of already established horticultural therapy garden using the 'weight applied evaluation sheet', it is possible to expand it by judging the importance with the decision of the priority because the item importance decided by experts was reflected. Moreover, in the condition of new garden establishment, it is expected to be helpful in suggesting ways for performance improvement and in setting the guidelines by understanding the major indicators of performance improvement in horticultural therapy activity.

A Study on the Feasibility and Future of Digital Art Therapy (디지털 미술치료의 가능성 및 발전방향)

  • Lee, Sang-Hee;Wohn, Kwang-Yeon;Woo, Sung-Ju
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.1309-1315
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    • 2009
  • Rapid growth in computer and digital-based technology has brought about changes in various human services including psychotherapy. This paper will look into one of these changes, focusing on a rising area of mental health therapy : Art therapy. Although development of art therapy is not so fast compared to other branches of psychotherapy, some art therapists are studying how to adopt and use it properly. Both art therapists and mental health experts have concluded that technology is a powerful tool despite its limitations and reservations. While some of them think that patients have benefited from the implementation of technology, others have felt concerns about the replacement of basic professional practices. The use of digital technology in the area of art therapy, however, continues to increase, encouraging patients to benefit from it in various therapeutic processes. This thesis therefore focuses on the analysis of literature related to digital art therapy published up to now. The following field study on Korean art therapists aims to examine the current practice of digital art therapy and discuss its feasibility and future. These two methods will contribute to enhancing the understanding of art therapy not only in theory but in practice and also suggest how digital art therapy may overcome limitations of conventional art therapy by exploiting its advantages. Furthermore, this study will present some clues on a possible new position of digital art therapy in the future. I hope that this analytical examination on digital art therapy will stimulate further discussion on this issue and particularly encourage more interdisciplinary work between art therapy and digital technology.

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Effects of Lifestyle, Stress and Life Satisfaction on Sleep Quality in University Student : Focusing on Department of Occupational Therapy Students (대학생의 생활양식, 스트레스 및 삶의 만족도가 수면의 질에 미치는 영향 : 작업치료학과 대학생을 중심으로)

  • Hong, Mi-Young;Kang, Gu-Yong;Han, Jee-Su;Kim, Eun-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.7
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    • pp.159-168
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    • 2021
  • The purpose of this study was to analyze the effects for lifestyle, stress and life satisfaction on sleep quality in university students. The participants were 46 university students attending the department of occupational therapy. Participants responded to responses to the lifestyle questionnaire and Morning and Evening Questionnaire-Korean version(MEQ-K). The levels of stress and life satisfaction reported by participants were obtained using the Korean version of Perceive Stress Test-4(K-PSS-4) and Korean version of Satisfaction With Life Scale(K-SWLS). The quality of sleep was assessed using Korean Modified Leeds Evaluation Questionnaire(KMLSEQ). An independent t-test, Pearson correlation analysis, and multiple regression analysis were performed to investigate factors related to quality of sleep. The analysis of correlations between health status, morning type of chronotype, and life satisfaction showed a significant positive correlation between quality of sleep. As a result of analyzing the quality of sleep according to the chronotype, the main family house and dormitory group showed higher sleep quality than the boarding group. As a result of the multiple regression analysis, the chronotype predicts quality of sleep. This study could provide information to improve the quality of sleep for university students by identify factors affecting sleep for university students in occupational therapy.

Effects of Dental Hygienist's Musculoskeletal Pain Resolution and Self-Efficacy on Musculoskeletal Disorders (치과위생사의 근골격계 통증 해결 방법과 자기효능감이 근골격계 질환에 미치는 영향)

  • Moon, Ae-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.329-338
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    • 2018
  • This study was conducted to examine musculoskeletal disorder and analyze the effects of musculoskeletal pain control and self-efficacy on musculoskeletal disorders in dental hygienists. Material and Methods; 483 dental hygienists residing in Gwangju were collected by the convenience sampling method and the self-administered questionnaire survey was conducted. Frequency analysis, crosstab analysis, t-test, and multiple logistic regression analysis were used for analysis. Results: the prevalence of musculoskeletal pain among subjects was 83.9% for the prior year, with 29.8% of patients being afflicted by musculoskeletal disorders. The factors influencing musculoskeletal disorders were musculoskeletal pain resolution. For pain resolution, the odds ratio of musculoskeletal disorders of the group who answered treatment in a hospital, an Oriental medicine clinic, or a pharmacy was 0.22 (95% confidence interval, 0.14-0.34) compared with the group who answered sick leave or task change, suggesting a negative relationship. These findings indicate that people with musculoskeletal disorders were not treated in the hospital, Oriental medicine clinic, or pharmacy. Therefore, it is necessary to improve medical management (oriental medicine, intravenous injection or medication, heat therapy or cryotherapy, steroid treatment, counseling, endovascular treatment using spinal cord stimulation, physical therapy, stretching, rehabilitation, and manual therapy) and job environment and to make a good approach to the prevention of musculoskeletal disorders to control dental hygienists' musculoskeletal pain.

희귀식물 무주나무(Lasianthu japonicus Miquel)의 특성과 자생지

  • 이은주;문명옥;강영제;김문홍
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2002.11b
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    • pp.76-76
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    • 2002
  • 무주나무(Lasianthus japonicus Miquel)는 일본, 대만, 중국 등에 분포하고 열대 및 아열대의 상록활엽수림에서만 자라는 것으로 알려져 있으며, 우리나라에는 제주도 남쪽계곡에만 분포하는 희귀식물이다. 무주나무는 현재 환경부 지정 보호야생식물로 보호되고 있으나 개체특성 및 자생지에 대한 정확한 조사가 이루어진 바 없다. 본 연구는 무주나무의 자생지 현황과 생육특성을 파악하고자 실시하였다. 무주나무의 자생지는 제주도 남제주군 남원읍 하례리 해발 250m의 계곡 동사면과 서귀포시 돈네코 계곡의 해발 350 m 계곡의 서사면 등 2개소로 확인되었다. 자생지별 개체수는 남원읍 하례리 4개체, 서귀포시 돈네코계곡 5개체 등 총 9개체에 불과하였다. 자생지는 계곡의 상록수림 하부에 바위 위 부엽토나, 습한 계곡 사면이었으며, 교목층에는 구실잣밤나무, 비쭈기나무, 황칠나무, 동백나무 등이 우점하고, 관목층에는 사스레피나무, 백량금, 산호수 등이 우점하는 상록활엽수림이었다. 분포 개체의 수고는 최소 0.4 m, 최대 1.55 m로 평균 1.5 m 였다. 생장특성을 조사한 결과 줄기는 어릴 때는 사각형이지만 점차 원형으로 되며, 일정한 마디가 있고 털이 없으며, 잎은 대생하고, 혁질이며, 중륵과 측맥이 뚜렷한 특성을 갖고 있었다. 열매는 장과형으로 성숙 시에는 남색이며 털이 없으며, 직경 약 6-7 mm, 4-5개의 종자가 들어 있었다. 종자는 반달형이며, 3개의 홈이 지는 특성을 갖고 있었다. 현재의 자생지는 자연적인 요인으로서 토양유실이 심하게 일어나고 있는 지역이었으며, 교목 또는 다른 관목에 의한 피압으로 무주나무의 생장에 부적절한 환경으로 판단되었다. 따라서 자생지의 적절한 식생관리와 지속적인 자생지 조사 및 자생지외 보존에 관한 연구가 이루어져야할 것으로 생각된다.$I_{NO}$ 가 죽절초를 제외한 3종에서 여름철 낮시간에 증가하였다. 겨울철의 O-J-I-P곡선은 모든 종에서 낮시간에 다소 낮아지지만 큰 변화는 없었다. 그리고, 문주란, 박달목서, 파초일엽에서 $\psi$o/(1-$\psi$o)가 낮시간에 다소 증가하였다. 이로부터 P $I_{NO}$ , SF $I_{NO}$ , $\psi$o/(1-$\psi$o)등의 변수는 식물의 활력도를 검정하는 지표로 활용될 가능성이 높다고 할 수 있다.irc}C$) 까지 동시에 냉각된 사실을 지시한다. 각섬석 편암내의 각섬석들은 복잡한 40Ar/39Ar 연대를 보여주며 일부가 평형연대를 보여주지만 특별한 의미 부여가 힘들다.해예방행동을 촉구하는 등의 효과도 높은 것으로 예방의학적인 유용성이 크다고 볼 수 있다. 미침을 알 수 있었다. 대두 단백질로 코팅된 golden delicious는 상온에서60일 동안 보관하였을 경우, 사과표피의 색도 변화를 현저히 지연시킴을 확인하였다. 또한 control과 비교하여 성공적으로 사과에 코팅하였으며, 상온에서 보관하여을 때 사과의 품질을 30일 이상 연장하는 효과를 관찰하였다. 이들 결과로부터 대두단백질 필름이 과일 등의 포장제로서 이용할 가능성을 확인하였다.로 [-wh] 겹의문사는 복수 의미를 지닐 수 없 다. 그러면 단수 의미는 어떻게 생성되는가\ulcorner 본 논문에서는 표면적 형태에도 불구하고 [-wh]의미의 겹의문사는 병렬적 관계의 합성어가 아니라 내부구조를 지니지 않은 단순한 단어(minimal $X^{0}$ elements)로 가정한다. 즉, [+wh] 의미의 겹의문사는 동일한 구성

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Indications and Estimations of the Needs for Direct Medical Control in the Patients Transported by 119 Rescuers (119 구급대에 의해 이송된 환자들 중 직접적 의료지도가 필요한 범위와 그에 따른 수요 추정)

  • Park, Jae-Young;Jung, Koo-Young;Bae, Hyun-A
    • Fire Science and Engineering
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    • v.20 no.3 s.63
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    • pp.42-47
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    • 2006
  • Direct medical control by medical doctors is an essential part of emergency medical services system (EMSS). However, the indications are not specifically defined, even in 119 system with their own medical control team. The Seoul Metropolitan Fire and Disaster Management Department has operated internal medical consultation services on its own since January 2004. Based on the experiences from these services, we reviewed the cases of the direct medical consultation and establish the indications for direct medical control. And we presumed the demand of direct medical control with the established indications. The crews of 119 in Seoul made 793 calls to Medical Control Team during November 2004. We reviewed all of the calls according to the level of consciousness (AVPU), the kinds of emergency care done by crews during transport (10 categories), and the mechanisms of injuries (9 categories). The need for direct medical control was judged by authors with reviewing the records reported by the crews and control teams. Among 23 items, 14 items assigned as the indications, which were abnormal level of consciousness (VPU), 6 kinds of emergency care, and 5 mechanisms of injures. The sum of the three of them, 7,782 cases (45.9%), was in need of direct medical control. In conclusion, about half of the patients transported by 119 crews in Seoul require direct medical control. The need for the direct medical control in Seoul was estimated as many as 260 calls per day. To fulfill the need for direct medical control and to provide a effective medical control, the direct medical control should be accomplished through the communications between the crews and the medical staffs in the local hospitals.

A Matter of Professionalism: Academic Misconduct of Veterinary Students (수의전문직업성 측면에서 본 수의과대학 학생의 학습윤리)

  • Chun, Myung-Sun;Ryu, Pan-Dong;Yoon, Junghee
    • Journal of Veterinary Clinics
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    • v.32 no.2
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    • pp.174-179
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    • 2015
  • Academic integrity guarantees the professional integrity and validity of the education and qualifications offered by the veterinary schools. In this study, we analyzed the responses of 528 veterinary students of two veterinary schools in Seoul regarding their awareness about, knowledge of, and frequency of engaging in academic misconduct. A total of 88.4 percent of the participants agreed that cheating and plagiarism by undergraduates would influence their future academic misconduct. The most common form of academic misconduct was plagiarism (71.7% in the A school, 69.5% in the B school), with falsification (40.2% in the A school, 31.7% in the B school) also reported at a high rate. Students indicated the lack of a culture of academic integrity as the main reason for academic misconduct. According to the regression analysis students' awareness and knowledge of academic integrity and their perception of peers' academic misconduct predicted a significant amount of variance of the frequency of academic misconduct. The findings of this study support that academic integrity should be learned in a flexible format from an early stage of professional development in veterinary curriculum. In parallel with the efforts of faculty, a community approach may be likely to improve the academic environment in terms of integrity.

Application of DNA microarry : Comparative functional genomic approach

  • Chu In-Sun
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2006.02a
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    • pp.109-114
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    • 2006
  • 최근 Human 지놈 프로젝트를 포함한 다양한 종의 지놈 프로젝트가 수행되고 수많은 지놈정보가 생산되고 있으며 이를 해석하고 서로 연관성를 찾기 위한 다양한 연구가 진행되고 있다. 즉 최신 생명공학과 관련된 연구방향이 DNA의 구조적 해석에서 기능 해석과 유전자들의 상호연관성을 규명하는 방향으로 변화하고 있으며 이를 위한 강력한 도구로서 DNA microarray (DNA chip)는 방대한 양의 지놈 정보를 이용하여 단시간에 대량으로 고속처리하여 효율적으로 유전자 기능을 분석할 수 있는 주목받고 있는 방법이다. DNA microarray 실험과 분석에 있어 데이터분석, 재현성, 종간의 비교, 확인실험 및 비용 등의 문제가 있지만 유전자발현양상 데이터로부터 정확한 환자의 예후를 예측할 수 있는 비교적 적은 유전자 그룹의 진단마커를 찾거나, 하나의 유전자가 아니라 mouse 전체 지놈의 유전자발현 패턴을 인간의 암을 위시한 각종 질병 연구를 위한 발현 신호나 변화 등을 발견하여 신약개발 등에 활용하고자 하는 시도가 활발히 진행되고 있다. 서로 다른 종간에 비슷한 phenotype의 유전자발현도 진화적으로 보존되었다는 전제 하에서 지놈 sequence의 비교연구가 가능하고 DNA microarray 발현 데이터에 근거하여 독립적으로 각 종간의 유전자발현패턴을 비교함으로써 난치병 등을 새롭게 분류할 수 있다. 즉, 암세포 등에서 유전자발현 양상은 유전학적, 환경적 alteration들이 잘 반영되어 있다고 간주하고, 이러한 양상을 바탕으로 인간의 암을 위시한 다양한 질병 연구를 위한 최적의 mouse 모델을 찾을 수 있고, 이는 결국 새로운 치료 방법 개발이나 맞춤의학 실현에 중요한 역할을 할 것으로 기대된다. 특히 pathway 타겟으로 하는 치료를 위해서는 Human-mouse 비교를 통한 발현 신호를 찾는 것이 진단에서는 매우 유용한 방법이다. 이를 위한 고성능의 분석방법이나 시스템의 개발이 중요하게 된다.. 관류의 정도와 조영증강정도를 중심으로 관류 MR 영상소견과 조직학적 소견을 관련지어 분석하였다. 결과: 조영증강 T1강조MR영상에서 환상조영증강을 보이는 다형성 교보세포종 2예에서는 변연부 외륜이 고관류를, 중심부의 괴사부위는 저관류로 나타났다. 저등급 교종은 경계가 불분명한 저관류부위로 보였다. 뇌농양 2예는 변연부 외륜이 경도의 고관류를, 중심부는 저관류로 나타났다. 뇌수막종은 미만성의 균일한 중등도 혹은 고도의 고관류로 보였으며, 임파종과 배아종은 경계가 명확한 저관류부위로 나타났다. 신경세포종은 종괴\ulcorner 일부에 중등도 혹은 고도의 고관류부위가 관찰되었고, 전이암은 다수병변중 일부에서 중등도의 고관류를 보였다. 방사선괴사는 저관류부위내에 국소적 고관류부위를 보였다. 결론: 관류 MR영상은 뇌종양의 관류상태를 비교적 잘 반영하며, 조직학적 특성을 예측하는데에 도움을 주 수 있을 것으로 기대된다. 뇌종야에서의 관류MR영상의 분명한 역할을 규명하기 위해서는 앞으로 더 많은 임상적 연구가 필요할 것으로 생각된다.조증 환자의 자극성 전타액내 lactobacilli양은 peroxidase system을 함유한 세치제를 사용한 군에서 대조군에 비해 상대적으로 낮게 나타났으나(p = 0.067) 통계학적 유의성은 없었다.같은 예에서 찾아 볼 수 있다. 첫째, 발음상으로 동사의 변화형에서 "porte[$p{\jmath}rte$](들다: 현재형), porte[$p{\jmath}rte$](과거분사형), porta[$p{\jmath}rte$](단순과거형)"등이 대립되며, 이휘 "Porto[$p{\jmath}rte$](포르토)"와도 대립된다. 둘째, 어휘적 대립 "le haut[$l{\partial}o$](위)/l'eau[lo](물)"와 형태론적 대립 "le[$l{\partial}$](정관사, 남성단수)/l

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