• Tuberculosis and Respiratory Diseases
• /
• 제84권3호
• /
• pp.200-208
• /
• 2021

Background: Hypersensitivity pneumonitis (HP) is an increasingly recognized form of diffuse parenchymal lung disease. Krebs von den Lungen-6 (KL-6) is now classified as a human MUC1 mucin protein, and regenerating type II pneumocytes are the primary cellular source of KL-6/MUC1 in the affected lungs of patients with interstitial lung diseases (ILD). Serum KL-6/MUC1 levels have been demonstrated to be useful for the evaluation of various ILD. To determine the role of circulating KL-6 in evaluating the disease activity and management of HP. Methods: An observational cross-sectional study was conducted on 51 patients with HP and 20 healthy controls. Serum KL-6 levels were measured in both groups. Patients were further assessed based on chest high-resolution computed tomography (HRCT), pulmonary function test, 6-minute walk test, echocardiography, bronchioalveolar lavage, and/or transbronchial biopsy. Patients were divided into the fibrotic and non-fibrotic groups according to the HRCT findings. Results: The median serum KL-6 levels were significantly higher in HP patients as compared to the control group. The median serum KL-6 levels were found to be higher in the non-fibrotic HP group (1,900 IU/mL) as compared to the fibrotic group (1,200 IU/mL). There was a significant inverse correlation between serum KL-6 serum level and the dose of steroids as well as the duration of steroid therapy. Conclusion: The presence of higher KL-6 levels in the non-fibrotic HP group implies its enhanced production by regenerating pneumocytes in response to alveolar injury. The significant association between serum KL-6 levels and the dose and the duration of steroid therapy emphasizes the significant role of steroids in the stabilization of the disease.

• Radiation Oncology Journal
• /
• 제18권4호
• /
• pp.226-232
• /
• 2000

목적 : 방사선 단독 치료를 받은 조기성문암 환자에서 국소종양제어율에 영향을 주는 예후 인자를 알아보고자 하였다. 대상 및 방법 : 1986년 7월부터 1995년 12월 까지 전남대학교병원에서 조기성문암으로 확진되어 근치적 목적의 방사선치료를 받은 37명의 환자를 대상으로 후향적 분석을 시행하였다. 대상 환자의 연령 범위는 30세에서 73세였으며 중앙값은 59세였다. 성별 분포는 남자가 35명(95$\%$), 여자가 2명(5$\%$)이었다. 조직학적 유형은 모두 편평세포암이었다. 미국 암합동위원회의 병기분류법(1997)에 따라 다시 분류한 병기는 T1a. T1b, T2가 각각 27명(73$\%$), 3명(8$\%$), 7명(19$\%$)이었다. 방사선치료는 선형가속기의 6 MV X-ray를 이용하였다. 후두에 조사된 총방사선량은 5,040 cGy에서 7,020 cGy 범위였으며 중앙값은 6,600 cGy였다. 추적기간의 중앙값은 80개월이었고 생존율과 국소종양제어율을 Kaplan-Meier 법에 의하여 산출하였으며 두군간의 비교는 generalized Wilcoxon test를 이용하여 검증하였다. 국소종양제어율에 영향을 줄 수 있는 인자들의 다변량분석에는 Cox모델을 이용하였다. 결과 : 전체 환자 37명의 5년 생존율은 89$\%$였고 국소종양제어율은 74$\%$였다. 국소종양제어율에 영향을 줄 수 있는 인자들로 연령, T-병기, 전연합침범, 일회조사량, 총방사선량, 방사선치료기간을 분석에 포함시켰다. 단변량분석에서 치료기간이 50일 미만인 경우 5년 국소종양제어율이 93$\%$, 50일 이상인 경우 60$\%$로서 통계학적 의의가 있었다(p=0.026). 다변량분석에서도 치료기간만이 통계학적 의의가 있었다(p=0.017). 치료 후 합병증은 1명에서 갑상선기능저하증이 나타났다. 결론 : 조기성문암에서 근치적 방사선치료시 치료기간이 국소종양제어율에 영향을 줄 수 있는 인자로 분석되었다.

• 한국자연치유학회지
• /
• 제7권2호
• /
• pp.27-38
• /
• 2018

목적: 본 연구는 임상대상자 16명에게 Bacillus 발효용액(ENM)을 8주간 섭취시키기 전 후에 임상대상자들의 변에서 주요 목표 장내 유익세균의 증식이 촉진 되는지 및 유해균은 감소하는지를 연구하는 것이 목적이었다. 방법: 장내세균은 16S rRNA 특정 Primer를 이용하여 PCR 증폭기로 동정 검색하였다. 결과: Bifidobacterium속 gene index (%)(=gi%)는 ENM섭취 후에는 대조군이 58.92%, 임상군은 69.53%로 증가하였으나 유의성은 없었다. Lactobacillus 속 지수는 사후에는 대조군이 49.37%, 임상군은 66.43%로 유의성이 있게 증가하였다 (p<.029). Clostridium 속 지수는 사후에는 대조군이 83.16%, 임상군은 67.76%로 유의하게 감소하였다(p<.077). Bacteroides 속 지수는 사후에는 대조군이 12.58%, 임상군은 20.87%로 유의성이 있게 증가하였다(p<.095). Prevotella 속 지수는 사후에는 대조군이 7.55%, 임상군은 17.28%로 유의성이 있게 증가하였다(p<.005). 중간균체는 사후검사의 경우에는 대조군이 20.06%, 임상군은35.88%로 유의성이 있게 증가하였다(p<.001). 결론: Bacillus 발효액(ENM)을 섭취후에는 유익균 수는주로 증가하였고, 유해균인 Clostridium균수는감소하는경향을보였다. 이는 발효음료 ENM의 섭취가 유익한 장내세균의 증식에 영향을 주는 것으로 판단된다.

• 대한약침학회지
• /
• 제6권1호
• /
• pp.76-94
• /
• 2003

Objectives : The purpose of this study was to investigate Acute$\cdot$Subacute Toxicity and Anti-cancer Effect of K-Herbal-acupuncture in mice and rats. Methods : Balb/c mice were injected intraperitoneally with K-herbal-acupuncture for $LD_{50}$ and acute toxicity test. Sprague-Dawley rats were injected intraperitoneally with K-herbal-acupuncture for subacute toxicity test. K-Herbal-acupuncture was injected on abdomen of mice with S-180 cancer cell line. Result : 1. $LD_{50}$ of K-Herbal-acupuncture was limited $4{\times}10^{-3}$ml/kg~$2{\times}10^{-3}$ml/kg by the test. 2. In acute toxicity test, all of mice were down to the moving reflex, but the weight of mice was increased in treatment group, compared with the normal group. (P<0.05) 3. In acute toxicity test of serum biochemical values of mice, glucose was increased in treatment II group, total cholesterol was increased both treatments.(P<0.05) 4. In subacute toxicity test, the clinical signs of toxication was down to the moving reflex, but it is not severe like acute toxicity test, and observed weight loss at the treatments. 5. In subacute toxicity test, liver weight was decreased compared with the normal group. (P<0.05) 6. In subacute toxicity test of complete blood count test (CBC) of rat, HCT was decreased in treatments, compared with the normal group.(P<0.05) 7. In subacute toxicity test of serum biochemical values of rat, uric acid and triglyceride were decreased, and glucose was increased in treatment groups compared with the control group. (P<0.05) 8. Median survival time was increased about $45\%$ in treatment groups compared with the control group.(P<0.05) 9. Natural killer cell activity was increased in B16F10 lung cancer model, but it was not in sarcoma-180 abdomen cancer. 10. In interleukin-2 productivity test, treatment groups didn't show significant change in lung cancer and abdomen cancer, compared with the normal group.(P<0.005) 11. In making an examination of metastatic cancer with the naked eye, melanoma metastasized in the Lung of C57BL/6 mice. The treated group showed more Melanoma than the control in the numbers and volume. Conclusion : According to the result, K-herbal-acupuncture need further study to know the function and effect in cancer.

• 대한정형도수물리치료학회지
• /
• 제12권2호
• /
• pp.11-20
• /
• 2006

Low back pain is often experienced by many people who are in an activity flag. Their work and daily life are affected by low back pain. There are many causes of low back pain. Among those many causes, this study was focused on a relation between low back pain and the tightness of iliopsoas. The study was implemented by measuring the angles of the hip joints in subjects consisting of a 30 patients group, who had been selected from the outpatients at the Median Hospital, and a 30 people control group from the outpatients at the M Hospital and employee of M hospital. The patients group consists of the patients with low back pain who have intermittently or continuously experienced low back pain within the last 6 months. The group also had no symptom of spondylolysis or spondylolithesis and no muscular abnormality in terms of pathology without any experience of disc or spine fusion operation. The control group consisted out of persons who had never experienced lower back pain and had never been subjected to physical therapy due to lower back pain. The hip joint angles of the subjects of this study were measured by means of the modified Thomas test position. Data was analysed by independent sampling t-test using SPSS 11.0. The following results were obtained: 1. The measured angles of patient's both hip joints were significantly smaller than the control group's. 2. In the males group, The angles of patients' both hip joints were smaller than the controls'. In the females group, The angles of patients' both hip joints were smaller than the controls'. In conclusion, this study demonstrates that there is a significant difference in the tightness of the iliopsoas muscles when comparing the patient group with the control group. We should therefore pay more attention in releasing the muscle tightness of iliopsoas muscles when performing physical therapy with patients with lower back pain.

• 생명과학회지
• /
• 제30권4호
• /
• pp.321-330
• /
• 2020

본 연구의 목표는 CuCl₂가 지브라피시에 미치는 영향을 조사하는 것이다. CuCl₂에 대한 지브라피시의 반수치사농도를 조사하기 위하여 각기 다른 시간에 따른 농도를 설정하여 노출시켰다. 본 연구에서는 스트레스 반응의 증가를 보기 위하여 whole-body cortisol level 측정과 행동약리학적 변화를 측정하기 위해서 open field test와 novel tank test를 실시하였다. Whole-body cortisol의 sample을 수집하거나 행동실험을 실시하기 전에 CuCl₂ 또는 vehicle을 1시간 동안 처리하였다. CuCl₂의 반수치사농도는 24시간, 48시간, 96시간에서 각각 30.3, 25.3, 14.8 ㎍/l으로 측정되었다. CuCl₂에 노출된 지브라피시의 novel tank test의 결과는 총 이동거리, 움직이는 시간 그리고 속도는 유의성이 있게 감소한 반면, turn angle은 최고농도에서 유의성이 있게 증가하였다(p<0.05). 다른 행동실험인 open field test의 결과에서도 총 이동거리, 움직이는 시간 속도가 CuCl₂의 노출에 의해서 감소하였으며, turn angle과 meandering이 유의하게 증가하였다(p<0.05). CuCl₂에 노출된 지브라피시의 whole-body cortisol은 1.5 or 15 ㎍/l의 농도에서는 유의하게 증가하였으나, 150 ㎍/l의 농도에서는 유의성 있는 변화를 발견하지 못하였다(p<0.05). 본 연구의 결과는 CuCl₂의 노출이 지브라피시에서 치사율 증가, 행동 및 내분비의 변화 등을 포함하는 독성 반응을 야기하는 것을 나타낸다.

• Radiation Oncology Journal
• /
• 제27권1호
• /
• pp.29-34
• /
• 2009

목적: 초기성문암에서 근치적 방사선치료는 성대를 보전하면서 완치할 수 있다. 저자들은 초기 성문암에서 방사선 치료 후 재발양상, 장기생존율 및 음성보존율을 알아보고자 하였다. 대상 및 방법: 1988년 2월부터 2003년 12월까지 계명대학교 방사선종양학과에서 초기(1, 2기) 성문부의 편평상피암으로 진단되어 방사선치료를 받은 환자 70명을 대상으로 하였다. 환자의 연령분포는 39세에서 79세로 중앙값 63세이며 병리학적으로 모두 편평상피암이었다. 병기로는 1기가 58명, 2기가 12명이었으며 남자가 67명으로 대부분을 차지하였다. 방사선치료선량은 하루 $1.8{\sim}2.2$ Gy 분할선량으로 총방사선량은 $54{\sim}70.2$ Gy로 병기 1기에는 중앙값 60 Gy, 2기에는 중앙값 66 Gy를 조사하였다. 추적관찰기간은 13개월에서 180개월로 중앙값이 77.5개월이었다. 생존율은 Kaplan Meier법을 사용하였으며 Log Rank법을 이용하여 분석하였다. 두 군 간의 비교는 Chi-square법을 이용하였다. 결과: 전체 환자에서 방사선치료 후 국소제어는 69명(98.5%)에서 되었으며 5년 생존율은 93.9%, 5년 무병생존율이 84.1%이었고 구제수술 후 5년 무병생존율은 92.8%로 1기는 93.1%, 2기는 91.7%이었다. 13명(18.5%)에서 국소재발을 하였으며 이 중 9명은 구제수술로 치료되었으며 4명은 재발을 진단받고 추적관찰이 되지 않았다. 방사선 치료 후 국소재발까지의 평균기간은 24개월($3{\sim}69$개월)이었다. 성문암으로 사망한 사람은 2명으로 폐, 뼈, 간의 전신전이로 각각 33, 71개월 후 사망하였고 9명은 성문암의 재발이나 전이 없이 다른 질환으로 평균 73개월 후 사망하였다. 방사선치료 후 심각한 만성 부작용은 없었다. 전체적으로 62명(88.5%)에서 음성을 보존할 수 있었다. 결론: 초기 성문암에서 방사선치료는 효과적인 치료법이며 우수한 장기생존율과 음성보존율을 얻을 수 있으므로 우선적으로 고려되어야 할 치료법이다.

• 제어로봇시스템학회:학술대회논문집
• /
• 제어로봇시스템학회 2003년도 ICCAS
• /
• pp.789-792
• /
• 2003

Pipe inspection has a great importance to ensure safety for the nuclear power plant. In this paper, we designed visual inspection module for the tube internal, which diameter is 15${\sim}$20mm. And we made inspection module which consisted of CCD camera and light. And the relation between image and real world coordinate is established. Image processing is performed to calculate mapping parameter and analyze the size of defect. For the calculation of mapping parameter, experiment is performed using grid type test pattern. Acquired image is processed to extract image coordinate. Edge detection, thresholding, median filtering and morphology filtering is applied to extract grid pattern. Extracted image coordinate is used to calculate image to real world mapping. Lens distortion was considered and corrected to get exact data. Coordinate transformation data is provided for the users to recognize easily. Experiment was performed using grid type test pattern, we extracted lens distortion parameter and real coordinate of defect point. Radial distortion of lens was corrected but tangential distortion was not considered. As continuum to this study, the tangential distortion of lens is considered and improvement of analy zing technique for the tube internal be explored continuously.

• 한국운동역학회지
• /
• 제26권2호
• /
• pp.191-195
• /
• 2016

Purpose: The purpose of this study was to analyze the immediate effects of ankle restriction with an elastic band on ground reaction force during a golf swing. Method: There were five subjects who were teaching pros with an average golf score of 75. A force platform (9281B, Switzerland) was used. The independent variable was the presence of an elastic band. The dependent variables were three-dimensional ground reaction forces to analyze the transfer of momentum with the timing, control and coordination of the three forces. A paired t-test within subject repeated measure design was used via an SPSS 20.0. Results: Wearing an elastic band around one's ankles significantly makes shorter time differences between the moment of cross anterior / posterior forces and vertical force and median value of anterior / posterior forces during the backswing, between medial and lateral maximum and anterior / posterior force from the top of the back swing to the mid down swing, and creates an anterior / posterior maximum force. Conclusion: Wearing an elastic band around one's ankles affects control and coordination between three dimensional forces, and anterior force power according to each phase of the golf swing.

• 제어로봇시스템학회논문지
• /
• 제14권3호
• /
• pp.236-241
• /
• 2008

This paper presents a method to recognize the plane regions for movement of walking robots. When the autonomous agencies using stereo camera or laser scanning sensor is under unknown 3D environment, the mobile agency has to detect the plane regions to decide the moving direction and perform the given tasks. In this paper, we propose a very fast method for plane detection using normal vector of a triangle by 3 vertices defined on a small circular region. To reduce the effect of noises and outliers, the triangle rotates with respect to the center position of the circular region and generates a series of triangles with different normal vectors based on different three points on the boundary of the circular region. The vectors for several triangles are normalized and then median direction of the normal vectors is used to test the planarity of the circular region. The method is very fast and we prove the performance of algorithm for real range data obtained from a stereo camera system.