• Title/Summary/Keyword: 01A29

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The Role of Radiologic Study in Diagnostic Work-up of Headache Patients (두통환자에 대한 방사선학적 검사의 진단적 가치)

  • Ban, Sung Soo;Choe, Il Seung;Ahn, Chi Sung;Jung, Myung Hun;Choi, Sun Wook;Song, Kwan Young;Kang, Dong Soo
    • Journal of Korean Neurosurgical Society
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    • v.29 no.10
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    • pp.1333-1339
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    • 2000
  • Objective : The goal of this study is to identify the significant radiologic abnormalities in patients complaining headache and to determine predictive factors for clinically significant radiological abnormalities. Method : The study population was 410 patients having underwent CT or MRI study among 1000 patients complaining headache in outpatient basis between 1996-1999. All of these patients answered self-administered questionaire about their headaches. We reviewed the patient's charts and the questionaires and examined the radiologic study results. Result : Of the 410 patients referred for CT or MRI study, male : female ratio was 1 : 1.97. Twenty-five patients(6.1%) revealed clinically significant organic lesions. Mean age was 46.1 in radiologic abnormal group and 48.4 in normal group. Short symptom duration(p<0.01), motor weakness(p<0.05), vomiting(p<0.05), cranial nerve palsy(p<0.05), and trauma history(p<0.05) were factors indicated higher incidence of radiologic abnormality. But, patients age, and severity of headache were not associated with clinically significant radiologic lesion. The ratio of radiologic abnormality was 0.8% in patients not having any risk factor. Conclusion : The results indicate that radiologic study should be done in headache patients having the risk factors such as short symptom duration, motor weakness, vomiting, cranial nerve palsy, trauma history. For patients without any such a risk factor, the radiologic study doesn't seem mandatory.

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The Clinical Significance of Ossification of Ligamentum Nuchae in Simple Lateral Radiograph : A Correlation with Cervical Ossification of Posterior Longitudinal Ligament

  • Kim, Duk-Gyu;Oh, Young-Min;Eun, Jong-Pil
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.442-447
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    • 2015
  • Objective : Ossification of the ligamentum nuchae (OLN) is usually asymptomatic and incidentally observed in cervical lateral radiographs. Previous literatures reported the correlation between OLN and cervical spondylosis. The purpose of this study was to elucidate the clinical significance of OLN with relation to cervical ossification of posterior longitudinal ligament (OPLL). Methods : We retrospectively compared the prevalence of OPLL in 105 patients with OLN and without OLN and compared the prevalence of OLN in 105 patients with OPLL and without OPLL. We also analyzed the relationship between the morphology of OLN and involved OPLL level. The OPLL level was classified as short (1-3) or long (4-6), and the morphologic subtype of OLN was categorized as round, rod, or segmented. Results : The prevalence of OPLL was significantly higher in the patients with OLN (64.7%) than without OLN (16.1%) (p=0.0001). And the prevalence of OLN was also higher in the patients with OPLL (54.2%) than without OPLL (29.5%) (p=0.0002). In patients with round type OLN, 5 of 26 (19.2%) showed long level OPLL, while in patients with larger type (rod and segmented) OLN, 22 of 42 (52.3%) showed long level OPLL (p=0.01). Conclusion : There was significant relationship between OLN and OPLL prevalence. This correlation indicates that there might be common systemic causes as well as mechanical causes in the formation of OPLL and OLN. The incidentally detected OLN in cervical lateral radiograph, especially larger type, might be helpful to predict the possibility of cervical OPLL.

Bioequivalence of Lucetin Capsules to Prozac Capsules (Fluoxetine 20 mg) (푸로작 캅셀(플루옥세틴 20 mg)에 대한 루세린 캅셀의 생물학적 동등성)

  • Kim, Soo-Jin;Sim, Young-Sun;Lim, Dong-Koo;Oh, In-Joon;Suh, Soon-Pal;Lee, Yong-Bok
    • Journal of Pharmaceutical Investigation
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    • v.29 no.2
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    • pp.151-156
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    • 1999
  • Bioequivalence of two fluoxetine capsules, the $Prozac^{\circledR}$ (Daewoong Lilly Pharmaceutical Co., Ltd.) and the $Lucetin^{\circledR}$ (Kyungdong Pharmaceutical Co., Ltd.), was evaluated according to the guideline of KFDA. Twenty normal male volunteers $(21{\sim}30\;years\;old)$ were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After three capsules containing 20 mg of fluoxetine per capsule were orally administered, blood was taken at predetermined time intervals, and the concentrations of fluoxetine in serum were determined using HPLC method with UV detector. The pharmacokinetic parameters ($AUC_t$, $C_{max}$ and $T_{max}$) were calculated and ANOVA test was utilized for the statistical analysis of parameters. The results showed that the differences in $AUC_t$, $C_{max}$ and $T_{max}$ between two capsules based on $Lucetin^{\circledR}$ capsules were -8.01 %, -7.02% and 1.49%, respectively. The powers $(1-{\beta})$ for $AUC_t$, $C_{max}$ and $T_{max}$ were 84.72%, 96.68% and 83.06%, respectively. Detectable differences $({\Delta})$ and confidence intervals were all less than ${\pm}20%$. All the parameters above met the criteria of KFDA for bioequivalence, indicating that $Lucetin^{\circledR}$ capsule is bioequivalent to $Prozac^{\circledR}$ capsule.

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Estimations of the Optical Properties and Direct Radiative Forcing of Aerosol Chemical Components in PM2.5 Measured at Aewol Intensive Air Monitoring Site on Jeju Island (제주 애월 대기오염집중측정소의 PM2.5 에어로졸 화학성분 자료를 이용한 광학특성 및 직접적 복사강제력 추정 연구)

  • Park, Yeon-Hee;Song, Sang-Keun;Kang, Chang-Hee;Song, Jung-Min
    • Journal of Korean Society for Atmospheric Environment
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    • v.33 no.5
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    • pp.458-472
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    • 2017
  • The optical properties and direct aerosol radiative forcing (DARF) of different aerosol components in $PM_{2.5}$ (water-soluble, insoluble, black carbon (BC), and sea-salt) were estimated using the hourly resolution data measured at Aewol intensive air monitoring site on Jeju Island during 2013, based on a modeling approach. In general, the water-soluble component was predominant over all other components with respect to its impact on the optical properties(except for absorbing BC) and DARF. The annual mean aerosol optical depth (AOD) at 500 nm for the water-soluble component was $0.14{\pm}0.14$ ($0.04{\pm}0.01$ for BC). The total DARF at the surface ($DARF_{SFC}$) and top of the atmosphere ($DARF_{TOA}$), and in the atmosphere ($DARF_{ATM}$) for most aerosol components(except for sea-salt) during the daytime were highest in spring and lowest in fall and/or summer. The maximum $DARF_{SFC}$ of most aerosol components occurred around noon (12:00~14:00 LST) during all seasons, while the maximum $DARF_{TOA}$ occurred in the afternoon (13:00~16:00 LST) during most seasons (except for spring). In addition, the estimated $DARF_{SFC}$ and $DARF_{ATM}$ of the water-soluble component were -20 to $-59W/m^2$ and +3.5 to $+14W/m^2$, respectively, while those of BC were -18 to $-29W/m^2$ and +23 to $+37W/m^2$, respectively.

A Study on Ca, P and Fe Excretions in Healthy adult Koreans on Their Usual Diet (우리나라 성인의 칼슘, 인 및 철분의 배설량에 관한 연구)

  • 이일하
    • Journal of Nutrition and Health
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    • v.21 no.5
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    • pp.317-323
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    • 1988
  • Mean daily excretion of Ca, P, and Fe were measured in 49 healthy young Koreans(23 males and 26 females) form urine and feces samples cellected for three days. Dietary intakes of the subjects during the study periods were calculated from intake records. Main results of the study are as following: 1) Mean daily urinary, fecal, and total Ca excretions were 162$\pm$20mg, 346$\pm$39mg, and 508$\pm$50mg, respectively in males and 154$\pm$16mg, 262$\pm$26mg, and 416$\pm$24mg, respectively in females. The mean values of the two groups were not significantly different. 2) Mean daily urinary, fecal, and total P excretions were 751$\pm$45mg, 384$\pm$26mg and 1135$\pm$56mg, respectively in males and 552$\pm$29mg, 335$\pm$34mg and 894$\pm$50mg, respectively in females. Urinary and total P excretion in males were significantly higher than females(p<0.01), but such differences disappeared when the excretions were calculated per kg body weight. 3) mean daily fecal Fe excretions were 12.8$\pm$0.9mg in males and 10.1$\pm$0.8mg in females. The mean value in males was significantly higher than that in females(p<0.05) but when calculated per kg body weight, both groups excreted 0.2mg/kg body weight. 4) Mean daily intake levels of the minerals estimated from three day food intake records were Ca 543mg, P 1136mg, and Fe 14.3mg in males and Ca 533mg, P 869mg, Fe 10.8mg in females. These intake levels seem to be sufficient to supply the daily losses of the study subjects except P in females. However, the problem of estimating dietary intake levels by food intake record should be recognized. Especially females in the study are in menstration age and their Fe losses in the menstration (estimated to be 0.5mg of available Fe per day) should be also supplied in the diet.

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Comparative serology of human brucellosis in Korea

  • Lee, Sung-Il;Choi, Min-Jung;Hur, Jin;Islam, Md Ariful;Khatun, Mst Minara;Baek, Byeong-Kirl;Lee, Chang-Seup;Kakoma, Ibulaimu;Bolye, Stephen M;Srirangananathan, Nammalwar;Young, Edward John
    • Korean Journal of Veterinary Service
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    • v.31 no.3
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    • pp.331-338
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    • 2008
  • The study was carried out to evaluate the diagnostic efficacy of the tube agglutination test (TAT), enzyme-linked immunosorbent assay (ELISA) and the 2-Mercaptoethanol agglutination test (2-MAT) to detect human brucellosis patients in Korea. We examined 87 serum samples of people in the rural farm areas where bovine brucellosis had been reported. People in this study were divided into seven groups- farmers and their families, veterinarians, veterinary quarantine workers, livestock health control officers, artificial inseminators, livestock traders and healthy control individuals. Among 87 people, 65 were males and 22 were females ranging in age from 13 to 72 years. Of 87 serum samples, ELISA detected 21.84%, TAT detected 11.50% and 2-MAT detected 8.05% Brucella positive sera. Brucella specific IgG ELISA antibody titer was recorder higher in the individuals between the ages of 50 and 65 years. The highest prevalence rate of brucellosis(29.4%) was recorded in the cattle farmers and their family members followed by quarantine veterinary office workers (25%) and practicing veterinarians 01.1%). The majority of the Brucella sero-positive individuals in this study had a history of direct contact with animals.

Predictive Value of Serum Insulin-like Growth Factor-1 in Hepatocellular Carcinoma

  • Elmashad, Nehal;Ibrahim, Wesam Salah;Mayah, Wael Wahid;Farouk, Mohamed;AboAli, Lobna;Taha, Atef;Elmashad, Wael
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.613-619
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    • 2015
  • Background: Hepatocellular carcinoma (HCC) is the commonest primary malignant cancer of the liver in the world. Insulin-like growth factor-1 (IGF-1) levels reflect hepatic function and are inversely correlated with the severity of background chronic liver disease. Objective: This study evaluated whether basal serum IGF-1 levels can predict prognosis of HCC patients according to different risks of disease progression. Materials and Methods: A total of 89 patients with hepatocellular carcinoma (HCC) were recruited in 3 groups: Group I, 30 HCC patients receiving sorafinib; Group II, 30 HCC patients with best supportive care; and Group III include 29 patients undergoing transcatheter arterial chemoembolization (TACE). All patients were investigated for serum levels of AST, ALP, Bb, Cr, BUN, AFP and IGF-I. Results: Patients with disease control had significantly higher baseline IGF-1 levels 210 (185-232.5) ng/mL (p value<0.01) than did patients without disease control. Low basal IGF-1 levels were associated with advanced HCC, such as multiple tumors and advanced stage, and low IGF-1 levels predicted shorter TTP and overall survival in patients treated with TACE. Conclusions: The levels of serum IGF-1, expressed as continuous values, may be helpful for accurately assessing hepatic function and the prognostic stratification of patients with HCC.

Age and Growth of Black Rockfish, Sebastes schlegeli in the Tongyeong Marine Ranching Area in Korea Waters (통영바다목장에 서식하는 조피볼락, Sebastes schlegeli의 연령과 성장)

  • Park, Kyeong Dong;Kang, Yong Joo
    • Korean Journal of Ichthyology
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    • v.19 no.1
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    • pp.35-43
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    • 2007
  • Age and growth of black rockfish, Sebastes schlegeli sampled from the Tongyeong marine ranching area in Korea waters were determined from 1,173 otoliths from July, 2001 to May, 2004. Examination of outer margins of the otolith showed that the opaque zone was formed once a year. Marginal increment of the otolith formed annual ring from July. The von Bertalanffy growth curve had the growth parameters estimated from non-linear regression were $L_t=48.45(1-e^{-0.2139(t+0.4313)})$, $W_t=1,837.93(1-e^{-0.2139(t+0.4313)})^{3.02}$ 3.02 for females and, $L_t=49.32(1-e^{-0.1775(t+0.7403)})$, $W_t=1,887.83(1-e^{-0.1775(t+0.7403)})^3$ for males, where t is age (year) and Lt is body length (mm) at age t. Growth at the age of male and female shows significant difference (p<0.01).

A Study on the Motivation and Organizational Commitment of Fire Officials (소방공무원의 동기부여와 조직몰입간의 관계)

  • Choi, Eun-Sook;Lee, In-Soo;Kwak, Myeng-Soon
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.2
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    • pp.43-52
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    • 2006
  • Purpose: The purpose of this study was to investigate the relationship between motivator, hygiene factor and organizational commitment of fire officials. Method: The subjects of this study were 228 fire officials in Kongju and Choengju province. Data were collected using self-reporting questionnaire during the period from 1st to 25th of February 2006. Collected data were analyzed using SPSS 12.0 program. Real number, percentage, mean and standard deviation were calculated, and t-test, ANOVA, Pearson correlation coefficient were carried out. Result: The findings of this study as follows: The motivator according to job characteristics was statistically significant differences in certificate(F=3.29, p= .002), aptitude(F=15.49, p= .000). The hygiene factors according to job characteristics was statistically significant differences in certificate(F=2.59 p= .01), aptitude(F=6.72, p= .000). The organizational commitment according to general characteristics were statistically significant differences in age(F= 2.625, p= .036), religion(F=3.869, p= .005). The organizational commitment according to job characteristics were statistically significant differences in experience(F=3.746, p= .001), aptitude(F=13.743, p= .000), wish of practice change(F=8.907, p= .000). The commitment was found to be in significant positive correlations with motivator(r= .436, p= .000) and hygiene factors(r= .336, p= .000). Conclusion: From the results, we recommend that the organization management program develops for increasing motivator in fire officials be used.

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Study on the nuchal ligament ossification on lateral cephalometric radiograph (측방 두부규격방사선사진에서 발견되는 목덜미인대 골화에 관한 연구)

  • An, Chang-Hyeon
    • Imaging Science in Dentistry
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    • v.39 no.1
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    • pp.7-11
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    • 2009
  • Purpose: The purpose of this study was to assess the prevalence and radiographic characteristics of the nuchal ligament ossification on lateral cephalometric radiographs in Koreans. Subjects and Method: I review and interpreted the lateral cephalometric radiographs from 4,558 patients (1,857 males and 2,701 females, age range from 2 to 79 years) who visited the Kyungpook National University Dental Hospital from January 1, 2008 to February 3, 2009. I grouped the shapes of nuchal ligament ossification as round, rod-like, and segmented shape. And localized the ossification as the involvement of anterior cervical vertebral body. The data were analyzed by using chi-squared test with two-tailed and at a 5% significance level. Results: Among those who showed the nuchal ligament ossification, he mean age of the 143 males was 51.1 and that of the 97 females was 48.0 years. It as not observed completely below teens, and was observed 1% in twenties, 6.1% in thirties, 18.6% in forties, and 26.3% over fifties. It was significantly prevalent in older age group (P<0.01) and in males than females among the same age group (P<0.05). The shapes of nuchal ligament ossification were as follows in order of frequency: rod-like (49.2%), round (30.4%), and segmented (20.4%). The highest involvement of ossification as found at the level of C5 (67.9%), C4 (29.2%), C6 (22.9%), C3 (3.3%), C7 (2.9%), C2 (0.8%), and C1 (0.4%). Conclusion: The nuchal ligament ossifications on lateral cephalometric radiographs were showed as round, rod-like, or segmented shape. The nuchal ligament ossification is often observed after the age of 40 and is observed more frequently in males than females. The highest shape of nuchal ligament ossification was rod-like shape and the highest involvement of cervical spine was C5.

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