• 제목/요약/키워드: 2D grading

검색결과 97건 처리시간 0.035초

화상치료에 있어서 동종유래표피세포의 유용성 (The Usefulnesssof Cultured Allogenic Keratinocyte for Burn Treatment)

  • 윤신혁;심정수;정재민;박대환;송철홍
    • Archives of Plastic Surgery
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    • 제35권4호
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    • pp.413-418
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    • 2008
  • Purpose: When choosing dressing method to treat skin defect by second degree or higher burn, we have to consider method of rapid epithelization and minimization of pain during the treatment. In this study, we used biologic dressing with cultured allogenic keratinocytes for skin defect due to burn. We followed up the degree of epithelization, the degree of pain, and patient satisfaction. Methods: From June 2003 to June 2006, among the patients with skin defect due to burn, 31 cases with second degree burn(moderate to severe) were selected and biological dressing with cultured allogenic keratinocytes were done. 21 cases did not use cultured allogenic keratinocytes. Most of the patients had second degree burn. We applied cultured allogenic keratinocyte by Kaloderm. For wounds that were not deep enough to effect the dermis, escharectomy was done before applying Kaloderm. After the operation, moist wound site was maintained by dressing with saline gauze for 5 - 7 days. We compared the condition of the wound site before and after applying Keloderm by grading epithelization by standardized percentage scoring scale(1 - 5), and degree of pain and patient satisfaction by visual analogue scale(0 - 10). Results: When cultured allogenic keratinocytes were applied for the same period of time, the mean score of epithelization were $3.29{\pm}0.529$(mean ${\pm}$ S.D.). Without the application, the mean score of epithelization were $2.86{\pm}0.655$(mean ${\pm}$ S.D.). The degree of pain was $7.71{\pm}1.419$(mean ${\pm}$ S.D.) and $2.35{\pm}0.950$(mean ${\pm}$ S.D.) before and after the application, respectively. The patients' satisfaction score was $6.45{\pm}0.850$(mean ${\pm}$ S.D.) and $8.45{\pm}0.961$(mean ${\pm}$ S.D.) before and after the application, respectively. Conclusion: Applying biological dressing with cultured allogenic keratinocyte to skin defect due to second degree burn showed satisfactory results in the degree of the epithelization, degree of pain and patients' satisfaction.

Skaergaard 암체에서 layering의 기원과 그의 마그마 대류와의 관계 (Origin of Layering and Its Relation to Magma Convection in the Skaergaard Intrusion)

  • Yun D. Jang
    • 자원환경지질
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    • 제34권6호
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    • pp.627-648
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    • 2001
  • Skaergaard 암체의 중대에는 사장석 우세대와 휘석 우세대가 교대하는 macro-rhythmic layers와 modally-graded, rhythmic lace론 비롯한 최소 두 가지 종류 이상의 layering 발견된다 Macro-rhythmic layers는 LS의 중대에서만 빈번히 발견된다. 두게는 0.3에서 3.3m에 이르고 명확한 상하부 경계를 가지며 노두에서 2km 이상 휭으로 연장된다. 자기 macro-rhythmic layer에서는 내부적인 점이층리 구조를 보이지는 않으나 소규모 modally-graded layer 빈번히 발견된다. Modally-graded, rhythmic layer는 LS의 흔히 발견되나 UBS나 MBS에서는 드물게 관찰된다. 두에는 떼서 50cm에 이르고 노두에서 최대 100m 까지 횡으로 연속된다. 횡적으로 갑자기 혹은 서서히 사라지며 종종 기칠 메우기 구조나 사층리 구조를 수반한다. 명확한 하부 경계와 점이적인 상부 경계와 함께 강한 층간 modal grading이나 size grading이 특징이다. 중대 modally-graded layering중 사장석 우세와 휘석 우세 macro-rhythmic layer두개를 상세하게 조사하였다. 일반적으로 사장석 내의 $K_2$O와 Ba, 휘석, 티탄철석, 그리고 자철석 내의 MgO와 FeO*를 제외한 광물성분변이는 보이지 않는다. 티탄철석과 자철석이 풍부한 layer기저에 산출되는 휘석, 티탄철석, 그리고 자철석의 성분은 MgO가 더 많고 FeO*는 더 적은 경향을 보여준다. 이와 같은 성분변이는 기존의 결정과 Fe가 많은 melt의 상호반응의 결과로 생각되며 Layer 기저에서는 상부보다 적은 re-equilibration를 겪은 것으로 생각된다. 개개 상이나 휘석과 oxide의 비와 reequilibration의 정도 간에는 직접적인 상관관계는 보이지 않는다 휘석 우세 layer거 사장석에 비해 사장석 우세 layer 의 사장석은 UBS의 사장석과 유사하게 상대적으로 적은 $K_2$O와 Eu/Sm를 보이며 이는 사장석 우세 layer는 암체 상부에서 유래한 과외의 사장석에 기인함을 시사한다. 사장석 우세 layer는 대류기에 휘석 우세 layer는 비대류기에 형성되었음을 시사한다. $K_2$O가 적은 사장석 우세 layer의 사장석은 layer내로 통과하는 $K_2$O가 풍부한 liquid와의 reequilibration 에 기인한 것으로 생각된다.

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Association of Polymorphisms in the Bovine Leptin Gene with Ultrasound Measurements for Improving in Korean Cattle

  • Kong, H.S.;Oh, J.D.;Lee, S.G.;Hong, Y.S.;Song, W.I.;Lee, S.J.;Kim, H.C.;Yoo, B.H.;Lee, H.K.;Jeon, G.J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권12호
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    • pp.1691-1695
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    • 2006
  • The identification method that inflects real time ultrasound (RUT) and the potential application of marker assisted selection (MAS) for improvement of a cow population of Hanwoo (Korean Native cattle) was studied. The averages of RUT longissimus muscle area, RUT fat thickness, and RUT marbling score scanned at the 13th rib were 55.78 $cm^2$, 3.70 mm and 3.83 scores, respectively. We investigated the effects of the two SNPs (Kpn2 I and Msp I) in the leptin gene on carcass traits for Hanwoo cows by using ultrasound measurements. Genotype CC of the Kpn2 I had a significantly higher effect on back fat thickness (4.23 mm) and longissimus muscle area (57.57 $cm^2$) than genotype TT (3.14 mm, 53.93 $cm^2$, respectively, p<0.05). Genotype AA of the Msp I had a significantly higher effect only on marbling score (5.37) than genotype AB (3.57, p<0.05) and BB (3.37, p<0.05). Significant effects of SNPs in the leptin gene were found for the ultrasound measures of body composition in live cattle.

단순 방사선 상에서 발견할 수 없었던 거골 골연골 병변의 MRI 소견과 관절경 소견 (MRI and Arthroscopy of Osteochondral Lesion of the Talus which was not visible on Plasin Radiography)

  • 이우천;심재찬;최덕신
    • 대한족부족관절학회지
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    • 제6권2호
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    • pp.195-200
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    • 2002
  • Purpose: To investigate the MRI and arthroscopic findings of osteochondral lesion of the talus which looked normal on plane radiography. Materials and methods: We investigated the MRI and arthroscopic findings of seven osteochondral lesions in which there were no abnormal finding on plane radiography and no cystic changes on MRI. Average age was 31 years(range, 19-43 years). Arthroscopic findings were classified according to the Ferkel's criteria. Results: History of injury was reported in all cases and the average duration from injury to presentation was 4 years and 4 months. Low signal change in T1WI was found in 6 of 7 lesions, no signal change in 1 case. Low signal change in T2WI was found in 4, no signal change in 3. 6 STIR images were obtained. High signal change was found in 3, no signal change in 2 and intermediate signal change was in 1. Arthroscopic grading was A in 1, C in 1, D in 2 , E in 1 and F in 2. We could not find any correlation between the findings on MRI and arthroscopic examination. Conclusion: We suggest arthroscopic examination is needed for accurate diagnosis of the osteochondral lesions of the talus which looked normal on plane radiography, because they have various MRl findings and high likelihood of existence of unstable cartilage lesions.

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조생 감귤의 품질 특성 분포 연구 (Quality Characteristics and Distribution of Early Harvesting Mandarin Oranges)

  • 홍석인;이주원;김선희;정문철;박형우;김동만
    • 한국식품저장유통학회지
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    • 제10권1호
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    • pp.54-59
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    • 2003
  • 제주도를 5지역으로 구분하여 조생 감귤을 3년간 구입한 후 감귤의 품질인자로서 색도, 크기(종, 횡), 중량, 균일도, 당도, pH 및 적정산도를 조사하였으며, 이 결과를 이용하여 각 품질인자의 연도별, 지역별 분포를 분석하였다. 감귤의 3년 평균 녹색도(100-황색도)는 2.58%로 대부분이 황색을 띠었으나 편차가 9.04%로 년도별 차이가 심하였다. 종과 횡의 크기는 3년 평균값이 각각 47.64mm 와 56.05mm 이었으며, 중량은 3년 평균값이 82.249으로 년도에 따라 많은 차이를 보였다 당도는 3년 평균치가 10.53$^{\circ}$Brix였고, 최고치는 17.2$^{\circ}$Brix, 최저치는 5.60$^{\circ}$Brix이었다. pH 및 적정산도의 3년 평균치는 각각 3.90 및 0.71%이었다. 지역별 품질특성을 보면 녹색도는 1.14-3.53%이었고. 종과 횡의 크기는 지역A가 각각 49.35mm 와 57.48mm로 가장 컸고, 지역I가 46.35mm 와 54.87mm로 가장 작았다. 중량 또한 크기에 비례하여 지역A가 87.619으로 가장 많이 나가고 지역I가 76.779으로 가장 적은 것으로 나타났다. 지역간의 당도는 10.27-10.75$^{\circ}$Brix 범위로 산지별 차이는 매우 미미하였다. pH는 3.78-3.96범위였고, 적정산도는 0.64-0.75%로 지역간에 약간의 차이를 보였다.

치기공과 임상실습 평가항목의 내용구성과 배점에 관한 연구 - 재학생 중심으로 - (A Study on Content Organization and Assigning Score of Evaluation Elements of Clinical Practice of Dept. of Dental Technology - Centering on the undergraduates -)

  • 이화식;배봉진;박명호
    • 대한치과기공학회지
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    • 제30권1호
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    • pp.73-82
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    • 2008
  • This study has been analyzed to write an ideal training evaluation table after analyzing validity of content organization and assigning score of evaluating elements of clinical practice of Dept. of dental technology. 220 junior students who are studying dental technology in D university in Daegu were questioned to analyze the relationship of content organization and score of clinical practice evaluation table. The corrected material has been inspected by SAS V8 for Windows. The results are as following. 1. The validity of content organization of clinical practice evaluation table has a result which can be reliable over than 70% but the validity of score shows low reliance. c 2. The validity of content organization of detail elements of clinical practice evaluation shows that overuse of material and attentiveness(3.78) and responsibility (3.60) are high response but in score organization, the validity shows that safety measure(2.36) when controling machines, arrangement(2.98) after use and ability (2.98) of solving problems are very low. 3. In the elements without interpersonal relation, it shows that those are related to each other. its grading is p < 0.01 so it appears to be meaningful. 4. In result of analyzing the effect to 'studying amount' mark in clinical practice evaluation mark, it appears the element of attitude for job to affect it. And in result of analyzing the effect to 'training attitude' mark, it appears the element of 'controling machines' to affect it. For these results, to be a better evaluation tool, it should be modified by continuous research with arranging evaluation elements to be marked differently in between elements.

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수용개작방법을 활용한 당뇨인의 발관리 실무지침 개발 (Development of Clinical Practice Guideline by Adaptation: Diabetic Foot Care)

  • 정인숙;박경희;송복례;심강희;한은진;홍은영;정영선;이선희;박동아;정재심
    • 임상간호연구
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    • 제21권2호
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    • pp.196-206
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    • 2015
  • Purpose: This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

Fractional Photothermolysis 치료 후 피부회복 촉진에 미치는 경구용 저분자 콜라겐 펩타이드의 효과 (The Efficacy of Oral Low Molecular Weight Collagen Peptide for Skin Recovery after Fractional Photothermolysis Laser Treatment)

  • 김인수;최선영;김병규;김정기;김은주;김범준;김명남
    • 대한화장품학회지
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    • 제38권4호
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    • pp.321-326
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    • 2012
  • 최근에는 콜라겐 펩타이드가 항상화효과를 통해 피부의 재생을 촉진시키는 효과를 한다는 연구가 보고되고 있다. 본 구는 저분자 경구 콜라겐 펩타이드가 1550 nm fractional photothermolysis 레이저 치료 후 피부재생에 미치는 영향을 알아보고자 한다. 본 실험에 참여한 환자는 총 10명으로 실험군과 대조군 각 5명씩 무작위배정되었다. 대조군과 실험군 모두 동일하게 fractional photothermolysis 레이저를 시술받았다. 실험군에서는 경구 콜라겐 펩타이드를 하루에 1,000 mg씩 총 8주간 복용하였다. 치료 전후 모든 환자에서 피부의 탄성도, 경표피수분손실도, 홍반지수를 측정하였다. 피부탄성도는 실험군에서 대조군에 비해 통계적으로 유의하게 피부의 탄력성이 증가하였음을 확인하였다(p < 0.05). 경표피수분손실도는 두군간에 유의한 차이가 없었고, 홍반지수는 실험군에서 더 빨리 감소하는 결과를 보였다. 환자의 주관적 만족도평가에서 시술 4주 후 환자의 만족도는 실험군에서 평균 2.0점, 대조군에서 1.2점으로 나타났다. 저분자 콜라겐 펩타이드는 1550 nm fractional photothermolysis 레이저 치료 후 피부회복 촉진에 도움이 된다.

Noise-Induced Hearing Loss in the Police Force

  • Win, Kyaw N.;Balalla, Nayake B.P.;Lwin, Min Z.;Lai, Alice
    • Safety and Health at Work
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    • 제6권2호
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    • pp.134-138
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    • 2015
  • Background: Noise-induced hearing loss (NIHL) is a major preventable occupational health problem with 250 million people worldwide known to have disabling impairment of moderate to greater severity. The aims of the study are to estimate the prevalence of NIHL in the police force; and study its association with age, sex, duration of service (years), smoking and alcohol habits, use of hearing protective devices, as well as preexisting chronic diseases. Methods: A cross-sectional study was conducted on 543 police personnel who had undergone periodic medical examination over a 12-month period. The diagnostic criteria for NIHL were (1) history of occupational noise exposure, (2) bilateral hearing loss, (3) hearing loss of ${\geq}25dBA$ at 4,000 Hz in two consecutive audiograms, and (4) no significant medical history affecting hearing. Severity of NIHL was based on the World Health Organization grading. Results: Males (74.8%) made up the majority of the police force. The mean age for police personnel was $35.55{\pm}9.57years$, and the mean duration of service was $14.75{\pm}9.39years$. Compliance with the usage of hearing protective devices was seen in 64.4%. The prevalence of NIHL in this study population was 34.2%, with a higher prevalence in males (37.7%) than in females (23.9%). The study also showed strong associations between NIHL and male sex (odds ratio, 1.9; P < 0.05), and hypertension (odds ratio, 3.3; P < 0.001). Overall, 93% were found to have mild NIHL, 3.5% had moderate NIHL, and 3.5% had severe NIHL. No police personnel were found to have profound hearing loss. Conclusion: The prevalence of NIHL in this study is high compared to other similar studies among police personnel. This study shows that increasing age, male, presence of hypertension, diabetes, and longer duration of service are significant associated factors for NIHL. Preventative strategies include health surveillance, implementation of a hearing conservation program, and legislation.

수학 성취도가 낮은 학생의 보충 지도 과정에서 블렌디드 e-러닝과 개별화 교수체제의 효과 비교 분석 (The comparison on the learning effect of low-achievers in mathematics using Blended e-learning and Personalized system of instruction)

  • 송다겸;이봉주
    • 한국수학교육학회지시리즈A:수학교육
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    • 제56권2호
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    • pp.161-175
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    • 2017
  • The purpose of this study is to compare and analyze the impact on low-achievers in mathematics who studied mathematics using Blended e-learning and Personalized system of instruction after school. Blended e-learning is defined as the management of e-learning using the e-study run by the education office in local. Personalized system of instruction was proceeded as follows; (1) all students are given a syllabicated learning task and a study guide, (2) students study the material autonomously according to their own pace for a certain period of time, (3) the teacher strengthens the students' motivation through grading and feedback after students study a subject and solve the evaluation problem. The learning materials for Personalized system of instruction are re-edited the offline education contents provided by the blended e-learning to the level of students. The 118 $7^{th}$ grade students from the D middle school participated in this study. The results were verified by achievement tests before and after the study, as well as survey regarding their attitude toward mathematics. The results are as follows. First, Blended e-learning has more positive impacts than Personalized system of instruction in mathematics achievement. Second, there was no difference in mathematics achievement according to their self-directed learning between Blended e-learning and Personalized system of instruction. Third, both types utilizing Blended e-learning and Personalized system of instruction have positive effect on attitude toward mathematics, and there is not their difference between two methods of teaching and learning mathematics.