• Tuberculosis and Respiratory Diseases
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• 제73권4호
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• pp.219-223
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• 2012

Background: We investigated the prevalence of latent tuberculosis infection (LTBI) among medical students in South Korea. Methods: Students from one medical school, who were in second- or third-year classes before clerkship course, were enrolled for three consecutive years in the study. A standard questionnaire was given to each participant, and tuberculin skin test (TST), QuantiFERON-TB GOLD In-Tube (QFT-GIT) assay, and chest radiography were performed. Results: A total of 153 participants were enrolled in the study. The mean age of the subjects was $21.9{\pm}0.9$ years, 105 (68.6%) were male, and 132 (86.3%) had been vaccinated with Bacille Calmette-Gu$\acute{e}$rin (BCG). Four students (2.6%) had a history of contact with tuberculosis (TB) patients during medical practice. No abnormal chest radiograph findings were found for any of the subjects. Of the 153 subjects, 23 (15.0%) tested positive for the TST, and 8 (5.2%) tested positive for the QFT-GIT. The agreement between the two tests was determined to be 0.34 using kappa coefficients. Of the four students who had a history of contact with TB patients, only one subject tested positive for both tests, and the other three students tested negative for both tests. Conclusion: A low prevalence of LTBI was found among medical students before clerkship course in South Korea.

• Journal of Acupuncture Research
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• 제17권1호
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• pp.143-151
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• 2000

Acute and subacute toxicity of Artemisia asistica Nakai Aqua-acupuncture Solution (ANAS) were studied in ICR mice. In acute toxicity test, mice were injected intraperitoneally with single dose of $1{\times}$, $5{\times}$, $10{\times}$ ANAS, and toxicological responeses were observed for consecutive 14 days. Mortality, body weight changes, organ weight, and serum chemistry were performed. The mortality and body weight changes of mice treated with $1{\times}$ and $5{\times}$ ANAS were not affected during the experimental periods. With the $10{\times}$ ANAS treatment, there were dead animals and changes of body weight, organ weight and serum biochemical values were observed during the experimental period. In subacute toxicity test, mice were injected intraperitoneally with doses of $1{\times}$, $10{\times}$ ANAS for 14 days. No difference was found between control and $1{\times}$ ANAS treated group in mortality, changes of body weight and organ weight, and serum biochemical values. However, Dead animals, changes of body weight and organ weight, and increased serum biochemical values were observed with $10{\times}$ ANAS treated groups. These results suggest that $1{\times}$ ANAS causes no toxicity in acute and subacute toxicity tests. However $10{\times}$ ANAS causes toxicity in both tests.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
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• pp.22-33
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• 2008

The plane strain test has been used widely in order to examine the stress-strain relation and failure behavior. Its advantages are more realistic simulation of deformation and failure behaviors of soils. Most plane strain tests have been carried out with restrained end plates due to difficulties in manufacturing the equipment with free end condition and also performing it. In this study, plane strain tests with/without bottom plate restraint were performed on Jumunjin-sand. The measurement of overall and local deformation was accomplished by digital image correlation technique as well as external LVDT. By applying digital image correlation method using two consecutive images captured through the transparent wall, local deformation behavior of various parts inside the specimen was estimated. From digital image analysis result, the restrained effect of end plate was examined about formation and development of shear band, and deformation mechanism of sand under plane strain condition.

• Geomechanics and Engineering
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• 제14권3호
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• pp.233-240
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• 2018

Pullout tests are usually employed to determine the ultimate bearing capacity of reinforced soil, and the load-displacement curve can be obtained easily. This paper presents an analytical solution for predicting the full-range mechanical behavior of a buried planar reinforcement subjected to pullout based on a bi-linear bond-slip model. The full-range behavior consists of three consecutive stages: elastic stage, elastic-plastic stage and debonding stage. For each stage, closed-form solutions for the load-displacement relationship, the interfacial slip distribution, the interfacial shear stress distribution and the axial stress distribution along the planar reinforcement were derived. The ultimate load and the effective bond length were also obtained. Then the analytical model was calibrated and validated against three pullout experimental tests. The predicted load-displacement curves as well as the internal displacement distribution are in closed agreement with test results. Moreover, a parametric study on the effect of anchorage length, reinforcement axial stiffness, interfacial shear stiffness and interfacial shear strength is also presented, providing insights into the pullout behaviour of planar reinforcements of MSE structures.

• Annals of Clinical Neurophysiology
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• 제8권1호
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• pp.36-39
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• 2006

Background: Floppy infant syndrome has a number of different etiologies. Methods: One hundred twenty-three consecutive patients of floppy infant syndrome were included in this study. We reviewed all the electrophysiologic tests of these patients and the medical record of patients showing abnormalities in the electrophysiologic studies. Results: Of the 123 patients, twenty-six (21.1%) showed definite abnormalities in electrophysiologic tests; 8 myopathies, 14 neuropathies and 4 unclassified. The neuropathy was further classified as 5 neuronopathies and 9 sensorimotor polyneuropathies. With muscle or sural nerve biopsy and genetic test, a final diagnosis was made of Duchenne muscular dystrophy in 4, Becker muscular dystrophy in 1, spinal muscular atrophy in 2, and metachromatic leukodystrophy in 1. Conclusions: About 21% of patients presented with floppy infant syndrome showed abnormalities in the neuromuscular system. The electrophysiologic test is valuable to guide further investigations in diagnosing the cause of floppy infant syndrome.

• Archives of Reconstructive Microsurgery
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• 제24권1호
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• pp.28-31
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• 2015

A case report of a patient who developed radiation-induced sarcoma in the left chest wall is presented. The patient had partial mastectomy and adjuvant radiation therapy (total dose, 5,220 cGy) and chemotherapy. Five years later, she visited with rapidly growing mass with central ulceration in the irradiated chest wall. The mass was diagnosed as malignant fibrous histiocytoma. The chest wall mass resected en bloc ($23{\times}18cm$) including five consecutive ribs. After the defected thoracic cage was reinforced using a polytetrafluoroethylene patch, omental flap and split thickness skin graft was done for soft tissue coverage. We applied negative pressure wound closer system for effective suction of omeantal exudate. The wound healed without complications. The patient suffered no perioperative pulmonary complications. Pulmonary function tests showed no significant changes. Each of Gore-Tex, omental flap, negative pressure wound therapy and skin graft is widely used method. However, If these methods are used in combination, we can reconstruct the large defect of chest wall including multiple ribs without any repiratory function problems.

• 대한핵의학회지
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• 제39권6호
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• pp.473-480
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• 2005

목적: 아데노신 부하 Tc-99m MIBI SPECT는 관동맥질환의 진단, 예후 평가, 치료 방침의 설정, 치료 효과 판정 및 경과 관찰에 유용성이 있다고 알려져 있다. 치료 효과 판정 및 치료 방침 설정을 위해서는 검사 방법의 재현성이 높아야 한다. 본 연구는 아데노신 부하 Tc-99m MIBI SPECT의 재현 성능을 평가하기 위하여 동일인에서 2회 연속적으로 시행한 아데노신 부하 Tc-99m MIBI SPECT에서 약물주사에 따른 혈역학적 변화와 부작용의 빈도, 영상에 나타난 심근분절의 방사능섭취 정도의 차이를 알아 보고자 하였다. 대상 및 방법: 관동맥질환이 의심되거나 관동맥질환으로 진단된 후 추적검사를 위하여 아데노신 부하 Tc-99m MIBT SPECT를 시행한 30명의 환자를 대상으로 2-11 일(평균: 4.1 일)의 간격으로 검사를 반복하였다. 관류영상의 육안적 판독은 좌심실의 단층 영상을 18분절로 구분하여, 섭취 정도에 따라 4등급으로 분류하였고, 관류 정도의 평가는 2명의 핵의학 전공의사가 각각 평가한 후 일치하지 않은 경우에는 두 판독자 간에 토의로 합의된 소견으로 비교하였다. 결과: 아데노신 주사에 따른 수축기혈압, 이완기 혈압 및 맥박 수의 변화는 두 검사 사이에 유의한 차이가 없었고, 두 번의 검사를 시행하는 동안 검사를 중지하거나 부작용 치료를 위한 처치를 받아야 만큼 중독한 부작용의 발생은 없었다. 관류점수상 540분절 중 439분절에서 완전하게 일치하였고(일치도 81.3%, tau B index 0.73%), 1점 차이(97분절, 18%), 2점 차이(4분절, 0.7%)있었으나 3점 이상의 차이가 있은 경우는 없었다. 두 검사에서 측정된 관류결손의 범위와 중증도점수 사이에는 각각 $\gamma$-값 0.982와0.965의 높은 양의 상관성을 나타내었다(p<0.001, respectively). 결론: 연속적으로 2회 시행한 아데노신 부하 Tc-99m MIBI SPECT는 부하에 따른 혈역학적 변화 및 부작용의 발생이 유사하였고, 심근분절의 관류상태의 시각적 평가 및 관류결손의 정량적 판정에서 매우 높은 재현성을 보여주었다. 그러므로 아데노신 Tc-99m MIBI SPECT는 관동맥질환이 의심되거나 관동맥질환으로 진단된 환자에서 약물치료나 중재적 시술 또는 외과적 수술 치료 후 심근관류상태의 경시적 변화를 평가하는데 유용하게 이용될 수 있을 것이라 판단된다.

• Annals of Clinical Neurophysiology
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• 제10권1호
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• pp.25-28
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• 2008

Diabetic polyneuropathy (DPN) is the most frequently encountered form of neuropathy in diabetic patients, and it either relentlessly progresses or remains relatively stable for many years, not showing any trend towards improvement. From this point of view, early detection of DPN is very important to prevent the irreversible change of the peripheral nerve from diabetic insults. Although a number of clinical symptoms and/or deficit scales have been developed for clinical or research purposes, nerve conduction study (NCS) has been known one of the most objective and sensitive tools to detect peripheral nerve dysfunctions in diabetic patients. NCS, however, also have several shortcomings. The next two consecutive articles will focus on debates about diagnostic usefulness of NCS and on recent updates of other diagnostic tests including quantitative sensory testings and skin biopsy in the field of diabetic polyneuropathy.

• 한국전기전자재료학회논문지
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• 제24권1호
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• pp.42-46
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• 2011

Light can be divided into ultraviolet rays, visible rays, and infrared rays depending on the wavelengths. Visible rays with specific wavelength are those predominantly used for would treatment. Especially low level laser irradiates into cells, effectively stimulating cellular tissues and activating cellular function. This study was intended to verify the effect of white LED irradiation therapy on wound recovery in animal tests by applying white LED irradiator, which was independently designed and developed to emit beams of similar wavelength to that of a laser. The designed LED Irradiator was used to find out how white LED light source affected the skin wound of SD-Rat(Sprague-Dawley Rat). We divided the participants into two groups; white LED irradiation group which was irradiated 1 hour a day for 9 consecutive days, and none irradiation group. The results showed that the study group had lower incidence of inflammation and faster recovery, compared with the control group.

• 생약학회지
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• 제17권1호
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• pp.91-99
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• 1986

The single treatment of mice with steam distillate, non-volatile ether extract and methanol extract from mace (Arils of Myristica fragrans) caused a significant prolongation of hexobarbital-induced narcosis and increase in strychnine toxicity as well as a significant decrease in hepatic microsomal drug metabolizing enzyme activities. On 7 consecutive daily administrations, however, the duration of hypnosis was markedly shortened and significant increases in the hepatic enzyme activities were shown. With systematic fractionation by $SiO_2$ column chromatography of non-volatile ether fraction monitoring by animal tests a new lignan (mp $70{\sim}72^{\circ}$, MW 328, $[{\alpha}]^{20}_D+5.28$) was isolated as an active principle and its structure was elucidated as (2R, 3S)-1-(3,4-methylendioxyphenyl)-2,3 dimethyl-4-(4-hydroxy-3-methoxyphenyl) butane.