• Title/Summary/Keyword: HSG

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Effects of Hysteroscopic Septotomy on Pregnancy in Patients with History of Infertility or Recurrent Spontaneous Abortion (불임 또는 습관성 유산 환자에서 중격자궁의 치료가 임신에 미치는 영향)

  • Koo, Hwa-Seon;Cha, Sun-Hwa;Yang, Kwang-Moon;Bae, Ju-Youn;Ahn, Hyun-Suk;Han, Ae-Ra;Park, Chan-Woo;Kang, Inn-Soo;Koong, Mi-Kyoung;Lee, Kyung-Sang
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.4
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    • pp.361-368
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    • 2010
  • Objective: The aim of this study was to evaluate the influences of uterine septum and their elimination on the reproductive outcomes in women who have history of recurrent spontaneous abortion (RSA) and/or infertility. Methods: The medical records of reproductive outcomes in patients who have had history of RSA and infertility who were diagnosed with uterine septum only by hysterosalpingogram (HSG) between January 2008 and December 2009 were retrospectively analyzed. The subjects who have had severe male factor, tubal factors, other uterine factors, endocrine abnormalities, peritoneal factors, and abnormal karyotyping among both partners were excluded. In 27 patients, confirmation of diagnosis by laparoscopy and elimination of uterine septum by trans-vaginal hysteroscopy was done. Seventeen patients were strongly suspected to uterine septum on HSG but tried to get pregnancy without any other procedure for evaluation and management of uterine anomaly. Age matched 42 patients who have history of RSA and/or infertility and diagnosed to normal HSG finding at same period were randomly selected as control. The medical records of reproductive outcomes were analyzed and compared between groups. Results: The mean time of observation after diagnosis was 21.8 months (10 to 32). 55.6% (15/27) of patients in patients who received trans-vaginal hysteroscopic uterine septotomy were success to get pregnancies and was significantly higher than that of 17 patients who did not receive proper management (23.5%, 4/17, p<0.05). In control population, 40.5% (17/42) were success to pregnancies and the differences were not statistically significant compared to both two study groups. The live birth rate which was excluded pregnancy loss by abnormal fetal karyotyping and congenital anomaly were 75% (9/12) in treated septated uterus group and 84.6% (11/13) in control group each which have no statistically significant different. In patients with septated uterus who did not receive proper management showed lower delivery rate (50%, 2/4) than that of other groups but was not statistically significant. Conclusion: According to present data, women with a uterine septum have an increased chance of successful pregnancy with improved obstetric outcome after proper management of the uterine cavity. And these results were showed in patients with no regard to their reproductive history. But, in case of failed to receive proper management, uterine septum can affect not only pregnancy ongoing but successful pregnancy too.

TRPV1 in Salivary Gland Epithelial Cells Is Not Involved in Salivary Secretion via Transcellular Pathway

  • Choi, Seulki;Shin, Yong-Hwan;Namkoong, Eun;Hwang, Sung-Min;Cong, Xin;Yu, Guangyan;Park, Kyungpyo
    • The Korean Journal of Physiology and Pharmacology
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    • v.18 no.6
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    • pp.525-530
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    • 2014
  • Transient receptor potential vanilloid subtype 1 (TRPV1) was originally found in sensory neurons. Recently, it has been reported that TRPV1 is expressed in salivary gland epithelial cells (SGEC). However, the physiological role of TRPV1 in salivary secretion remains to be elucidated. We found that TRPV1 is expressed in mouse and human submandibular glands (SMG) and HSG cells, originated from human submandibular gland ducts at both mRNA and protein levels. However, capsaicin (CAP), TRPV1 agonist, had little effect on intracellular free calcium concentration ($[Ca^{2+}]_i$) in these cells, although carbachol consistently increased $[Ca^{2+}]_i$. Exposure of cells to high temperature (> $43^{\circ}C$) or acidic bath solution (pH5.4) did not increase $[Ca^{2+}]_i$, either. We further examined the role of TRPV1 in salivary secretion using TRPV1 knock-out mice. There was no significant difference in the pilocarpine (PILO)-induced salivary flow rate between wild-type and TRPV1 knock-out mice. Saliva flow rate also showed insignificant change in the mice treated with PILO plus CAP compared with that in mice treated with PILO alone. Taken together, our results suggest that although TRPV1 is expressed in SGEC, it appears not to play any direct roles in saliva secretion via transcellular pathway.

Development of the Starting Algorithm and Starter for Turbo Generator (터보 제너레이터의 시동 알고리즘 및 시동기 개발)

  • 노민식;박승엽
    • The Transactions of the Korean Institute of Power Electronics
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    • v.9 no.1
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    • pp.17-24
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    • 2004
  • The starter of the turbo generator is composed of a high speed generator(HSG), an inverter and a boost converter instead of a gearbox, a DC motor and a low-voltage battery in the starter of the turbo shaft generation system. Because turbo generator is needed a high speed motoring at start-up, high speed generator has a low leakage inductance and inverter need a high DC link voltage. In this study, for developing the stater of a turbo generator, a boost converter with a high capacity was developed to convert high voltage from a low battery voltage. And for controlling a high frequency current to be injected to a motor winding with a low leakage inductance, the inverter with a high precision and a high speed operation was designed and for a stable ignition, the starting algorithm of a turbo generator was proposed. Turbo generator was started by the starter developed to verify the performances.

Two-zone 확산법을 이용한 다결정 실리콘 박막으로의 Phosphorus 도핑에 관한 연구

  • 황민욱;김윤해;이석규;엄명윤;박영욱;김형준
    • Proceedings of the Korean Vacuum Society Conference
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    • 2000.02a
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    • pp.81-81
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    • 2000
  • 본 연구는 고집적 반도체 소자의 제조 공정에 있어서 산화막을 형성하지 않고 굴곡진 표면을 균일하게 고농도로 도핑하기 위한 방안의 일환으로 기존의 PH3 대신 고체 P를 직접 이용한 2-zone 확산법으로 다결정 Si에 도핑하는 방법을 채택하고, 그 rksmdtjddmdf 검토하는데 목적이 있다. 도핑 시간에 따른 확산 경향을 살펴본 결과, 시간이 증가함에 따라 도핑이 증가하는 뚜렷한 경향을 나타내었으며, 온도가 증가할수록 시간에 따른 농도의 증가량이 커지는 것을 알 수 있었다. 따라서, 고온에 비해 저온에서 더 빨리 pile-up이 일어나며 표면 부근의 농도가 포화상태에 빨리도달하는 것을 알 수 있었다. 다결정 Si에서의 확산거동을 살펴본 결과, 결정립 크기가 적을수록 저항이 높게 나타났으며, 단결정 Si의 저항값보다 약 4~5배 가까이 높은 값을 나타내었다. 또한 동일한 온도에서 시간에 따라 표면 부근의 pile-up 현상이 증가하는 뚜렷한 경향을 보여 주었다. 온도가 감소할수록 pili-up 현상이 증가하는 경향을 나타내었으며, 입계를 통한 빠른 확산에 의해 단결정 Si에 비해 표면 pile-up의 포화가 늦게 일어나는 것을 알 수 있었다. 고체 P를 source로 사용한 경우와 PH3 (phosphine)을 source로 사용한 경우를 비교 분석한 결과, 75$0^{\circ}C$에서 PH3에 비해 고체 P를 사용한 경우의 표면농도가 약 50배 정도로 높게 도핑된 것을 알 수 있었다. 도핑된 P중에서 전기적으로 활성화되어 있는 성분을 알아본 결과, SIMS의 결과와 유사하게 고체 P의 경우가 약 50배 높은 값을 나타내었다. 실제 소자의 특성을 알아보기 위하여 커패시터를 제작하여 측정하여 본 결과, 추가의 도핑을 하지 않은 시편에 비해 고체 P를 도핑한 시편이 약 8%의 Cmin 값의 증가를 보였으며, PH3에 비해 약 3%의 증가된 값을 나타냈었다. 누설전류 특성은 2V에서 수 fA/$\mu\textrm{m}$2로 양호하게 나타났다. 실험 결과 고체 P를 이용한 경우 더 우수한 특성을 나타내었으나, 예상과는 달리 차이가 적게 나타났다. 그 원인은 소자 제조 공정에서 콘택 부분에 큰 저항 성분이 형성되어 생긴 문제로 생각된다. 또한 실험에 사용된 유전체의 두께가 두꺼워 HSG 사이의 갭 부분이 캐패시턴스 증가에 기여를 충분히 못한 것으로 사료된다. 따라서, 제조 공정 상의 문제점을 제거하고 고체 P를 사용할 경우 본 실험에 비해 보다 증진된 특성을 보여줄 것으로 기대된다. 이상의 결론을 토대로 볼 때, 2-zone 확산법을 이용한 P 도핑 방법은 저온에서 효과적으로 다결정 Si에 고농도의 도핑을 할 수 있다고 생각된다.

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The Effects of Muscle Balance in Lower Limb on Anaerobic Pedaling Capacity among Elite Cyclists (사이클 선수의 하지근력균형이 무산소성 페달링 기능에 미치는 영향)

  • Park, Hyun-Ju;Kim, Jung-Hoon
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.389-399
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    • 2019
  • The purpose of this study was to investigate the effects of muscle asymmetry of knee joint among elite cyclists on anaerobic pedaling power related capacity. In another word, based on isokinetic strength of Non-Dominant, ND and Dominant, D, side, high, moderate and low ratio of ND to D were classified as High Symmetry Group, Moderate Symmetry Group and Asymmetry Group, respectively. Analysis of muscle asymmetry of extensor's ND and D side might not lead to any difference between the three groups. Based on muscle strength analysis of the flexor's ND and D, there was statistical difference between the groups in ND flexor and in the muscle balance index of the flexor muscle. This result also leads to significant difference in pedaling power functionality, but this effects might not lead to any negative pedaling power. Therefore, among even cyclists who may show almost the same recruitment pattern of ND and D side during pedaling stroke muscle asymmetry could exist but this phenomena might not negatively contribute to the pedaling capacity.

Characteristics of Insoluble Phosphates Solubilizing by Klebsiella sp. DA71-1/pLYJ (Klebsiella sp. DA71-1/pLYJ의 난용성 인산염 가용화 특성)

  • Ryu, Ah-Reum;Lee, Jin-Woo;Lee, Yong-Seok;Lee, Sang-Cheol;Chung, Soo-Yeol;Choi, Yong-Lark
    • Journal of Life Science
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    • v.16 no.4
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    • pp.676-682
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    • 2006
  • To develop high efficiency biofertilizer solubilizing insoluble phosphates, lactate dehydrogenase (ldh) gene was isolated from Staphylococcus sp. LJ2. Genetic constructions were carried out using the pGEM-T-easy vector and pHSG398. Recombinant DNA plasmids containing the ldh gene were transferred to Klebsiella sp. DA71-1 by electroporation. The selected transformant was named as a DA71-1/pLYJ. The insoluble phosphates solubilization activity of DA71-1/pLYJ was higher than that of DA71-1 at various culture conditions. Glucose was the best carbon source for insoluble phosphates solubilization among the used carbon sources. Maximal insoluble phosphates solubilizing was found in sucrose minimal (SM) medium containing 3% glucose. The solubilizing activity of DA71-1/pLYJ against three types of insoluble phosphates, such as tri-calcium phosphate, hydroxyapatite, aluminium phosphate, were quantitatively determined. The optimal temperature and initial pH to solubilize insoluble phosphates in the SM medium was $37^{\circ}C$ and pH 5.0, respectively.

Combined Hysterosalpingography and Laparoscopy in Infertility (복강경하(腹腔鏡下)에서의 Hysterosalpingogram)

  • Ku, Pyong-Sahm
    • Clinical and Experimental Reproductive Medicine
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    • v.7 no.1_2
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    • pp.11-20
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    • 1980
  • Hysterosalpingograms (H.S.G.) have been done for several decades to determine causative factors in female infertility. However, the H.S.G. only reverals uterine cavity and tubal patency or inpatency. The author prefers to find more details in regard to the status and condition of the female reproductive organs and their surrounding tissue as they pertain to infertility. H.S.G. in combination with laparoscopic examination reveals the following results. Preparation and method of performance of H.S.G. during laparoscopy in a healthy reproductive age women are as follows. When laparoscopy is not contraindicated, NPO is ordered with routine bowel preparation. Analgesics administered by injection prior to procedure are valium 10mgs and pethidine 50-100mgs. The radiographic procedure is the same as for any HSG technique. During laparoscopy a solution of 3 to 10 ccs. of 60% hypaque sodium is used. Fluroscopic scout films are obtained A-P and oblique views as well as a delayed check film. 1. Age distribution of primary and secondary infertility in this studies involving tubal factors was as follows: 20-29 age group showed 46% incidence and in the 30-39 age group, 50% incidence. Duration of infertility in this study group was the following: 1-2 years showed 26.7%, 3-5 years 53.8%, and 6-9 years 13.3%. 2. Indications of laparoscopic examination were as follows: Secondary infertility in 35% of the cases, obscure tubal occlusion on previous H.S.G. in 25%, unknown origin in 11.7%, and the remaining cases included pelvic pain, small masses, dysmenorrhea, and uterine anomaly. The laparoscopic examination showed clearly the reproductive organs and the surrounding tissues in the pelvic cavity. The abnormal tubal findings there revealed were tuberculous salpingitis and hydrosalpinx in 10% each, endometriosis and peritubabl adhesions in 6.7% each, biconuate uterus in 3.3%. The remaining 58.3% of the cases showed normal findings. Laparoscopic observation for possible myoma nodules, streak ovary, and peritubal adhesions was also done at this time. 3. Comparative tubal findings in combined H.S.G. and laparoscopic examination revealed the following. Bilateral tubal occlusion was present in 14% (7cases) on laparoscopic examination but on H.S.G. 38% (19 cases) were noted. However, tubal occlusion and peritubal adhesions were found in 26% (13 cases) upon laparoscopy and only 8% (4 cases) on H.S.G. examination alone. Normal pelvic findings were present in 60% (27 cases).

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Efficacy of Transcervical Fallopian Tube Catheterization in Infertility Patients with Fallopian Tube Occlusion (난관 폐쇄에 기인한 불임 환자에서 난관 개통술의 효용성)

  • Park, Chan-Woo;Cha, Sun-Hwa;Yang, Kwang-Moon;Han, Ae-Ra;Yoo, Ji-Hee;Song, In-Ok;Kim, Hye-OK;Kang, Inn-Soo;Koong, Mi-Kyoung;Lee, Kyung-Sang
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.4
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    • pp.321-327
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    • 2010
  • Objective: To evaluate the significance and efficacy of trans-cervical fallopian tube catheterization (TFTC) in diagnosis and optimal treatment modality for tubal blockage. Methods: The retrospective study was performed in those underwent TFTC from January 2005 to December 2009. A total of 342 fallopian tubes in 215 patients which showed tubal blockage in hysterosalpingography (HSG), were subjected to TFTC. Recanalization rate (RR) was compared according to portion of tubal blockage; proximal, isthmic and distal portion and blockage type; tapering, concave, and convex type. Results: In total, RR was 72.5% (248/342 tube). According to the portion of tubal blockage, RR was 83.8% in proximal, 45.6% in isthmic and 100% in distal portion. RR was 92.3% in tapering, 80.2% in concave and 25.5% in convex type, respectively. There were 98 pregnancies in 156 patients after successful recanalization, which shows 62.7% pregnancy rate. Conclusio: TFTC were capable of recanalizing tubal blockage in 248 of 342 tubes in 156 of 215 patients (72.5%). The RR was increased with proximal portion and tapering type tubal blockage.