• 대한후두음성언어의학회지
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• 제19권2호
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• pp.136-141
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• 2008

Background and Objectives: Laryngopharyngeal reflux (LPR) is a very common disease among outpatients of department of otorhinolaryngology. Although there are several diagnostic tools for LPR disease and ambulatory 24-hour double-probe pH monitoring is gold standard method, empirical diagnosis by reflux symptom index and reflux finding score (RFS) are mainly used. So we analyzed the relationship between ambulatory 24-hour double-probe pH monitoring and RFS in patients with LPR. Subjective and Method: Fifty patients with LPR symptoms and abnormal RFS and ambulatory 24-hour double probe monitoring were enrolled. Each items and sum of laryngeal reflux score were compared the results of ambulatory 24-hour double-probe pH monitoring in upper (UES) and lower (LES) esophageal sphincter. Results: There were no significant correlation between the results of ambulatory 24-hour double-probe pH monitoring in UES (pH<4 and pH<5) and each item and sum of RFS. However, supine time and reflux number of UES (pH<5) were showed the partial correlations with diffuse laryngeal edema and thick endolaryngeal mucus (p=0.03, p=0.01). Although there were no relationship between the results of ambulatory 24-hour double-probe pH monitoring in LES and sum of RFS, the significant correlations presented between granuloma and total time (p=0.008), upright time (p=0.008, reflux number (p=0.049) of LES. Conclusion: Although granuloma among items of RFS showed significantly correlation with the results of ambulatory 24-hour double-probe pH monitoring in LES, there were no significant correlation between the results of ambulatory 24-hour double-probe pH monitoring in UES and LES and items and sum of RFS.

• 대한기관식도과학회지
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• 제2권1호
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• pp.88-96
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• 1996

In recently the gastroesophageal reflux disease(GERD) has been known to induce the otolaryngologic manifestations. Pharyngeal neurosis is a disease which we could have not found the cause frequently. So we have studied the relation between the pharyngeal neurosis and the GERD among 50 patients who were diagnosed as pharyngeal neurosis after esophagogram and laryngoscopic examination. We performed esophageal manometry and 24hour double-probe pH-metry and then compared with normal control group(n=30). The results are as follows 1 Among 50 patients, 12(24%) patients were diagnosed as GERD by DeMeester scoring. 2. In esophageal manometry, the upper and lower esophageal sphincter between the patients and the control group have no significant difference(p>0.05) and 9 among 50 pateints showed abnormal peristaltic movement in esophageal body contraction. 3. In 24hour double-probe pH-metry, the esophageal probe showed that in GERD group(n= 12) the number of reflux episode, episodes greater than 5 minutes and the percentage of time

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권4호
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• pp.257-263
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• 2018

Purpose: Studies on the physiology of the transposed stomach as an esophageal substitute in the form of a gastric pull-up or a gastric tube in children are limited. We conducted a study of motility and the pH of gastric esophageal substitutes using manometry and 24-hour pH measurements in 10 such patients. Methods: Manometry and 24 hour pH studies were performed on 10 children aged 24 to 55 months who had undergone gastric esophageal replacement. Results: Six gastric tubes (4, isoperistaltic; 2, reverse gastric tubes) and 4 gastric pull-ups were studied. Two gastric tubes and 4 gastric pull-ups were transhiatal. Four gastric tubes were retrosternal. The mean of the lowest pH at the midpoint of the substitute was 4.0 (range, 2.8-5.0) and in the stomach remaining below the diaphragm was 3.3 (range, 1.9-4.2). In both types of substitute, the difference between the peak and the nadir pH recorded in the intra-thoracic and the sub-diaphragmatic portion of the stomach was statistically significant (p<0.05), with the pH in the portion below the diaphragm being lower. The lowest pH values in the substitute and in the remnant stomach were noted mainly in the evening hours whereas the highest pH was noted mainly in the morning hours. All the cases showed a simultaneous rise in the intra-cavitatory pressure along the substitute while swallowing. Conclusion: The study suggested a normal gastric circadian rhythm in the gastric esophageal substitute. Mass contractions occurred in response to swallowing. The substitute may be able to effectively clear contents.

• 대한기관식도과학회지
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• 제3권1호
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• pp.79-83
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• 1997

The term laryngopharyngeal reflux (LPR) refers to the backflow of food or stomach acid back up into the larynx (the voice box) or the pharynx (the throat). Esophagopharyngeal reflux is suggested as an etiologic factor in laryngeal disease. To examine a possible esophageal basis for laryngopharyngeal symptoms, we studied 48 patients with persistent laryngopharyngeal symptoms, and 12 relative control subjects. Patients were evaluated for cervical symptoms by questionnaire and underwent gastrofiberoscopy, fiberoptic laryngoscopy, esophageal manometry and 24-hour ambulatory double-probe pH monitoring. We found LPR in fourteen out of 48 patients with cervical symptoms (29%). The LPR group consisted of nine men and five women. The symptoms that LPR patients complained were throat lump sensation, hoareness, sore throat, throat clearing, chronic coughing and dysphagia in order of frequency, and they were not different significantly from non-LPR patients. The laryngoscopic findings in LPR patients were posterior erythema, laryngeal edema and diffuse erythema, and there was also no significant difference between LPR group and non-LPR group. There was statistically significant correlation between LPR and gastroesophageal reflux (GER). We concluded that there is no pathognomonic symptoms or laryngoscopic findings in diagnosis of LPR, and 24-hour ambulatory double-probe pH monitoring is an essential diagnostic tool in LPR.

• Journal of Nutrition and Health
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• 제3권2호
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• pp.101-106
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• 1970

Radioactive Phosphorus $(^{32}P)$ was administered intramuscularlly to the newly hatched chicken in the purpose of determination of the uptake and the distribution, as related to sex and hour differences of the several organs of the bodies. $2\;{\mu}\;of\;^{32}P$ was administered to each chick, and the distribution of 32P was observed in 1 hour and 24 hours after administration. In this experiment 80 heads of chicken were used(40 chicken were one day and 40 chicken were 7 days old) and the results obtained as follows: 1. The tissue showed an uptake rate of $^{32}P$ dose per 100 milligram of tissue in one day old chicken, with the following sequence: Males (1 hour): Femur. Liver. G., Muscle. Testis. Brain (24 hour): Femur, Testis, Gastrocnemius Muscle, Liver, Brain. Female(1 hour): Femur, Liver, Gastronemius Muscle, Ovary, Brain. (24 hour): Femur, Liver, Gastrocnemius Muscle, Ovary, Brain. 2. In 1 hour, the uptake rate of $^{32}P$ of the tissues showed significant difference between the male and the female except the gastrocnemius muscle and the brain in one day old group, but they were no significance except the testis and ovary after 24 hours. 3. The distribution of $^{32}P$ of the tissues exhibited higher in 1 hour than in 24 hours except the femur, the brain of the male and female, the brain and gastrocnemius muscle of the female in one day old group. 4. The tissue showed an uptake rate of $^{32}P$ dose per 100 miligram of tissue in 7days old chicken, with the following sequence: Male (1 hour): femur, liver, gastrocmenius muscle, testis, brain. (24 hour): femur, testis, gastrocmenius muscle, liver, brain. Female(1 hour): femur, liver, gastrocmenius muscle, ovary, brain. (24 hour): femur, ovary, liver, gastrocmenius muscle, brain. 5. The distribution of $^{32}P$ of the tissues showed no significant difference between the male and the female except the testis and ovary after 24 hours in 7 days old chicken group. 6. The distribution of $^{32}P$ the tissues exhibited higher in 1 hour in 24 hours except the femur, the brain of the male and the female, the brain and the ovary of the female in 7 days old chicken group.

• Clinical and Experimental Reproductive Medicine
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• 제3권1호
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• pp.13-19
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• 1976

Serum levels of human placental lactogen have been measured by hemagglutination-inhibition reaction in 67 normal pregnant state and in 15 postpartum 24 hour state, HAIR is less sensitive and reliable method than radioimmunoassay, but simple, rapid, less expensive and fairly accurate, so it is more helpful in screening of large antenatal population with or without high risk complications. 1) Sensitivity of HPL-HAIR test kit was $0.1{\mu}g$/ml of H.P.L. serum level and had no cross reaction to HCG or male serum or non-pregenant female or newborn infant, 2) H.P.L. value was around $2{\mu}g$/ml until 24th week of pregnancy and rose to $6{\sim}8$ ${\mu}g$/ml continuously until about 36th week of pregnancy and then slightly decreased or stationary. 3) H.P.L. value in postpartum 24 hour state was undetectable. 4) There was poor correlation between maternal serum H.P.L. value at term and baby weight.

• 대한기관식도과학회지
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• 제2권1호
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• pp.103-110
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• 1996

Globus pharyngeus is a common problem comprising between 3% and 4% of new otolaryngology outpatient referrals. We do not understand the etiology of globus exactly and it is remained a disease of exclusion. The treatment of globus pharyngeus is still not established. The aim of this study is to understand the etiologic factors and determine the reliable guide for selecting method of choice of evaluation and improving therapeutic response of globus pharyngeus. A total of 141 patients were investigated by authors. 25 of 141 patients were excluded from the study because they could not satisfy the definition criteria of this study. After detailed Interview and comprehensive physical examinations, all the 116 patients had underwent barium esophagogram, fiberoptic esophagogastroscopy, esophageal manometry and 24-hour pH monitoring. They could follow up for at least 3 months. There were 43 male and 73 female subjects and the mean age was 46.5 year. Esophagogram revealed normal in 94(81%) subjects. 78 patients(67.2%) were normal in esophageal manometry. Gastroesophageal reflux(GERD) was found in 24 cases and borderline GERD was found in 25 cases showing an overall incidence of 42.2% for 24-hour pH monitoring. Especially 44(89.8%) of the 49 patients with proven reflux on 24-hour pH monitoring showed therapeutic response whereas 48(71.6%) of the 67 subjects without reflux showed response.

• 자원환경지질
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• 제51권4호
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• pp.359-370
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• 2018

기존 연구에서 초임계$CO_2$($scCO_2$)-물-순활골재 반응을 이용한 폐콘크리트 순환골재의 중성화(pH 저감) 처리에서 가장 문제시되었던 오랜 처리시간의 한계(최대 50일)를 최소 3시간까지 단축하는 배치실험과 칼럼실험을 수행하였다. 모르타르(골재를 포함하지 않은 시멘트+모래 혼합체)와 모르타르에 골재를 포함하는 2 종류의 순환골재를 실험에 사용하였다. 입자 크기별로 분류한 세 종류의 폐모르타르 시료에 대하여 $scCO_2$-물-폐모르타르 반응 시간을 1시간부터 24시간까지 다하게 설정하여 반응시킨 후, 폐모르타르의 pH가 지속적으로 9.8 이하로 낮게 유지되는 최소 반응시간을 결정하는 용출 배치실험을 실시하였다. 실제 현장에서 다량의 순환골재를 중성화 처리하는 경우 비평형상태에서 용출이 발생하는데, 이러한 kinetic 효과를 고려한 순환골재의 실제 pH 저감 효율을 측정하고자 대형 칼럼 연속 용출 실험을 실시하였다. 배치실험의 경우, 고압셀 내부에서 3차 증류수 70 mL와 순환골재 시료 35 g을 혼합한 후 100 bar, $50^{\circ}C$ 조건에서 1시간 ~ 24시간 동안 반응시켜 중성화 처리하였다. 처리 후 건조시킨 폐모르타르 시료 10 g + 증류수 50 ml의 비율(1:5 비율)로 혼합하여 10분 동안 150 rpm으로 교반한 후 정치시키고, 총 15일 동안 용출시간 별로 용출수의 pH를 측정하였다. 중성화 처리 후 순환골재의 광물학적 변화를 확인하기 위하여 처리 전/후 XRD, TG/DTA 등의 분석을 실시하였다. 대형 칼럼(직경 16 cm, 높이 1 m) 용출실험을 위해 순환골재 2 종류를 대상으로 3시간 동안 중성화 처리한 순환골재와 처리하지 않은 순환골재로 칼럼을 충진한 후, 증류수를 칼럼 상부에 설치된 스프링클러를 통하여 일정하게 총 220 L를 주입하였다. 칼럼에 충진된 순환골재를 통과하여 하부로부터 유출되는 유출수의 pH와 $Ca^{2+}$ 농도를 시간별로 측정하였다. 배치실험 결과 폐모르타르 시료(직경 10 ~ 13 mm)의 경우 3시간의 중성화 처리에 의해 용출액의 pH가 법적 허용기준인 9.8이하를 유지하는 것으로 나타났다. $scCO_2$ 반응 후 골재의 XRD, TG/DTA 분석 결과, 중성화 처리에 의해 시멘트 모르타르의 주성분인 포틀랜다이트($Ca(OH)_2$) 성분이 감소한 반면 방해석($CaCO_3$)이 2차 광물로 생성됨을 알 수 있었다. 칼럼 실험 결과 중성화 처리한 순환골재의 용출수는 kinetic 효과를 고려한 경우에도 굵은골재와 잔골재 모두 용출수의 pH가 9.8 이하로 유지되어, $scCO_2$를 이용한 순환골재의 3시간 중성화 처리에 의해 건설현장에서 재활용이 가능한 것으로 밝혀졌다.

• 한국식품과학회지
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• 제26권5호
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• pp.644-648
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• 1994

Staphylococcus aureus에 대한 젖산균과 그 대사산물의 항균효과와 그 항균물질의 특성을 조사하였다. MRS broth에서 S. aureus와 젖산균을 혼합배양시켰을 때 모든 젖산균은 배양 12시간째부터 S. aureus의 생육을 억제하기 시작했으며, L. lactic는 24시간만에, L. casei, Sc. thermophilus 그리고 L. acidophilus는 48시간 만에 모든 균을 사멸하였다. S. aureus가 사멸하기 시작한 12시간째 혼합배양액의 pH는 4.50이었으며 완전히 사멸한 24, 48시간의 pH는 3.50이었다. TS broth에 젖산균의 대사산물을 첨가하고 S. aureus을 배양하였을 때 4종의 젖산균 대사산물 모두가 향균활성을 나타내었으며, 대사산물을 열처리하였을 때 L. casei, L. acidophilus 및 L. lactis는 그 항균활성이 소실되었으나, Sc. thermophilus의 경우는 어느 정도 그 활성을 유지하였다. $H_{2}O_{2}$의 영향을 확인하기 위해 catalase를 처리하였을 때는 L. lactis만 그 항균활성이 소실되었다. 유기산(acetate, lactate)이 무기산(HCl)보다 pH3.5, 4.5에서 S. aureus에 대한 살균활성이 더 높았으며, pH5.5, 6.5에서는 큰 차이가 없었다.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.607-613
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• 2018

본 연구는 모돈의 분만징후에 따른 예비행동특성 분석 및 분류를 통하여 정확한 분만시점을 예측하고자 본 실험을 진행하였다. 모돈 12마리(평균 3.5 산차)에서 분만전 징후의 행동특성으로 측정된 행동은 지속시간에 따라 분석된 기본행동(섭식, 서기, 눕기, 앉기)과 빈도로 분석된 특이행동(탐색, 저작, 긁기, 스톨물기)으로 나뉜다. 분만 24시간 전부터 첫 태아가 나오는 시점까지 시간대별 2분 간격으로 영상정보를 녹화 및 수집하여 분석하였다. 그 결과 모돈의 기본행동 중 서기시간(22.6%; 24H, 24.9%; 12H)과 횡와시간(55.9% ;24H, 66.3% ;12H)은 분만 24시간 전의 빈도가 유의적으로 낮게 나타났다(p<0.01). 섭식시간(13.42% 24H, 4.38% 12H)과 앉기시간(8.2% 24H, 4.5% 12H)은 분만 12시간 전부터 감소하는 경향을 보였다(p>0.05). 모돈의 특이행동 중 탐색행동($11.44{\pm}1.80$ 24H, $55.97{\pm}6.13$ 12H), 바닥을 긁는 행동 ($3.75{\pm}1.92$ 24H, $20.99{\pm}5.8$ 12H) 및 스톨물기 행동($0.69{\pm}0.15$ 24H, $3.71{\pm}1.53$ 12H)은 분만 24시간 전 보다, 분만시간이 점점 다가오는 12시간 전부터 점진적으로 빈도가 증가하였다 (p<0.01). 반면 저작행동 ($2.20{\pm}1.67$ 24H, $0.07{\pm}0.01$ 12H)은 분만 12시간 전부터 감소하는 경향을 보였다(p>0.05). 결과적으로 분만시점이 다가갈수록 서기 탐색 긁기 스톨물기 행동이 높게 발현되는 것으로 나타났다.