• The Korean Journal of Pain
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• 제36권1호
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• pp.128-136
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• 2023

Background: The authors aimed to compare the effects of a one-time ultrasound (US)-guided subacromial corticosteroid injection and three-time ozone (O₂-O₃) injection in patients with chronic supraspinatus tendinopathy. Methods: Participants were randomly assigned to the corticosteroid group (n = 22) or ozone group (n = 22). Injections in both groups were administered into subacromial bursa with an US-guided in-plane posterolateral approach. Primary outcome measure was the change in the Western Ontario Rotator Cuff Index (WORC) score between baseline and 12-weeks post-injection. Secondary outcome measures included visual analog scale and Shoulder Pain and Disability Index scores. Assessments were recorded at baseline, and 4-weeks and 12-weeks post-injection. Results: Forty participants completed this study. Based on repeated measurement analysis of variance, a significant effect of time was found for all outcome measures in both groups. Both the groups showed clinically significant improvements in shoulder pain, quality of life, and function. Baseline, 4-week post-injection, and 12-week post-injection WORC scores (mean ± standard deviation) were 57.91 ± 18.97, 39.10 ± 20.50 and 37.22 ± 27.31 in the corticosteroid group, respectively and 69.03 ± 15.89, 39.11 ± 24.36, and 32.26 ± 24.58 in the ozone group, respectively. However, no significant group × time interaction was identified regarding all outcome measures. Conclusions: Three-time ozone injection was not superior to a one-time corticosteroid injection in patients with chronic supraspinatus tendinopathy. It might be as effective as corticosteroid injection at 4-weeks and 12-weeks post-injection in terms of relieving pain and improving quality of life and function.

• Journal of Korean Neurosurgical Society
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• 제66권1호
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• pp.72-81
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• 2023

Objective : Ischemia and hemorrhage of pituitary adenomas (PA) caused important clinical syndrome. However, the differences on clinical characteristics and surgical outcomes between these two kinds apoplexy were less reported. Methods : A retrospective analysis was made of patients with pituitary apoplexy between January 2013 and June 2018. Baseline and clinical characteristics before surgery were reviewed. All patients underwent transsphenoidal surgery and were followed up at least 1 year. Results : Total 67 cases (5.8%) among 1147 pituitary tumor patients were enrolled, which consisted of 28 (~2.4%) ischemic PA and 39 (~3.4%) hemorrhagic PA. There were more male patients in the ischemic group compared with hemorrhagic group (78.6% vs 53.8%, p=0.043). However, the mean age, tumor size and functional tumor ratio were significant higher in the hemorrhagic group. Headache was more common in ischemic PA (82.1%) than that of hemorrhagic PA (51.3%, p=0.011). Magnetic resonance imaging findings found that mucosal thickening and enhancement of the sphenoid sinus was observed in 15 ischemic PA patients (n=27, 55.6%), but none in patients with hemorrhagic PA (n=38, p<0.0001). It was worth noting that the rate of pre-surgical hypopituitarism in ischemic PA patients were seemed higher than that in hemorrhagic PA patients, but not significant. The two groups got a total tumor resection rate at 94.1% and 92.9%, independently. No significant difference on the operative time, blood loss in operation and complications in perioperative period was observed in two groups. After operation, cranial nerve symptoms recovered to normal at 81.8% of ischemic PA patients and 82.6% of hemorrhagic PA patients. Importantly, the incidence of postoperative hypopituitarism partially decreased in both groups, among which the rate of hypothyroidism in ischemic PA patients significantly decreased from 46.4% to 18.5% (p=0.044). Conclusion : Patients with ischemic PA presented different clinical characteristics to the hemorrhagic ones. Transsphenoidal surgery should be considered for the patients with neuro-ophthalmic deficits and might benefit for pituitary function recovery of the apoplectic adenoma patients, especially pituitary thyroid axis in ischemic PA patients.

• Archives of Plastic Surgery
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• 제50권1호
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• pp.63-69
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• 2023

Background An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate the goals and treatments of nonbinary patients. Methods A retrospective study of patients who self-identified as nonbinary from our institutional Gender Health Program was conducted. Patient demographics, clinical characteristics, surgical goals, and operative variables were analyzed. Results Of the 375 patients with gender dysphoria, 67 (18%) were nonbinary. Over half of the nonbinary patients were assigned male at birth (n = 57, 85%) and nearly half preferred the gender pronoun they/them/theirs (n = 33, 49%). A total of 44 patients (66%) received hormone therapy for an average of 2.5±3.6 years, primarily estrogen (n = 39). Most patients (n = 46, 69%) received or are interested in gender-affirming surgery, of which, almost half were previously on hormone therapy (n = 32, 48%). The most common surgeries completed or desired were facial feminization surgery (n = 15, 22%), vaginoplasty (n = 15, 22%), mastectomy (n = 11, 16%), and orchiectomy (n = 9, 13%). Nonbinary patients who were assigned male at birth (NB-AMAB) were more often treated with hormones compared to nonbinary patients assigned female at birth (NB-AFAB) (72% vs. 30%, p = 0.010). Conversely, patients who were AFAB weremore likely to complete or desire surgical intervention than those who were AMAB (100% vs. 63.0%, p < 0.021). Conclusion Majority of nonbinary patients were assigned male at birth. NB-AFAB patients all underwent surgical treatment, whereas NB-AMAB patients were predominantly treated with hormone therapy.

• 한국가축번식학회지
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• 제9권2호
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• pp.133-139
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• 1985

An immunoassay may be defined as an analytical procedure involving the competitive reaction between a limiting concentration of specific antibody and two populations of antigen, one of which is labelled or immobillized. The advent of immunoassay has revolutionised our knowledge of reproductive physiology and the practice of veterinary and clinical medicine. Radioimmunoassay (RIA) was the first of these methods to be developed, which meausred the analyte with good sensitivity, accuracy and precision (1,2). The essential components of RIA are:-(i) a limited concentration of antibodies, (ii) a reference preparation, and (iii) an antigen labelled with a radioisotope (usually tritium or iodine-125). Most procedures invelove isolating the antibody-bound fraction and measuring the amount of labelled antigen. Good facilities are available for scintilltion counting, data reduction nd statistical analysis. RIA is undergoing refinement through:-(i) the introduction of new techniques to separate the antibody-bound and free fractions which minimize the misclassification of labelled antigen into these compartments, and the amount of non-specfic binding. (3), (ii) the development of non-extration for the measurement of haptens (4), (iii) the determination of a, pp.rent free (i.e. non-protein bound) analytes (5), and (iv) the use of monoclonal antibodies(6). In 1968, Miles and Hales introduced in important new type of immunoassay which they termed immunora-diometric assay (IRMA) based on t도 use of isotopically labelled specific antibodies(7) in a move from limited to excess reagent systems. The concept of two-site IRMAs (with a capture antibody on a solid-phase, and a second labelled antibody to a different antigenic determinant of the analyte) has enabled the development of more sensitive and less-time consuming methods for the measurement of protein hormones ovar wide concentration of analyte (8). The increasing use of isotopic methos for diverse a, pp.ications has exposed several problems. For example, the radioactive half-life and radiolysis of the labelled reagent limits assay sensitivity and imposes a time limit on the usefulness of a kit. In addition, the potential health hazards associated with the use and disposal of radioactive cmpounds and the solvents and photofluors necessary for liquid scientillation counting are incompatable with the development of extra-laboratory tests. To date, the most practical alternative labels to radioisotopes, for the measurement of analytes in a concentration > 1 ng/ml, are erythrocytes, polystyrene particiles, gold sols, dyes and enzymes or cofactors with a visual or colorimetric end-point(9). Increased sensitivity to<1 pg/ml may be obtained with fluorescent and chemiluminescent labels, or enzymes with a fluorometric, chemiluminometric or bioluminometric end-point. The sensitivity of any immunoassay or immunometric assay depends on the affinity of the antibody-antigen reaction, the specific activity of the label, the precision with which the reagents are manipulated and the nonspecific background signal (10). The sensitivity of a limited reagent system for the measurement of haptens or proteins is mainly dependent upon the affinity of the antibodies and the smalleest amount of reagent that may be manipulated. Consequently, it is difficult in practice to improve on the sensitivity obtained with iodine-125 as the label. Conversely, with excess reagent systems for the measurement of proteins it is theoretically possible to increase assay sensitivity at least 1000 fold with alternative luminescent labels. To date, a 10-fold improvement has been achieved, and attempts are being made to reduce the influence of other variables on the specific signal from the immunoreaction.

• 환경생물
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• 제40권1호
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• pp.25-53
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• 2022

본 연구에서는 오늘날 바닷새 및 해양어류의 이동 연구방법 및 내용의 동향을 고찰하고, 기존 동물 이동 연구의 기본 틀에 의거하여 향구 연구방향에 관하여 제언하였다. 연구방법론적 측면에서는 과학기술의 발달에 따라 전파추적 기법, 음향추적 기법, RFID, 위성추적 기법, 지오로케이터 등을 이용한 위치추적 기법이 바닷새 및 해양어류의 이동 연구에 널리 활용되고 있으며, 개체군의 분포 및 밀도조사, 안정성 동위원소 등 체내 물질 분석을 통한 연구도 이루어진다. 연구내용의 경우, 크게 환경요인이나 종간 경쟁 등의 외적 요인, 호르몬을 비롯한 체내 물질과 같은 내적 요인, 어업활동이나 해상풍력단지 건설 등의 인위적인 활동, 그리고 기후변화가 바닷새와 해양어류의 이동에 미치는 영향 등이 다루어지고 있다. 추후 연구에서는 내적 요인과 관련하여 이동과 분산에 영향을 주거나 유발하는 요인이 되는 체내 생리적 요인이나 변화를 규명하고, 이동 능력 분석을 위하여 자기장의 변화가 조류 및 어류의 이주 능력에 미치는 영향이나 종별 시공간적 이주 능력의 차이, 이주 정확성 및 성공률에 영향을 미치는 요인에 관한 연구가 필요할 것으로 제언한다. 또한 외부 환경적 요인과 관련해서는 어업활동이나 해상풍력 등의 방해요인과 기후변화가 해양동물들의 이주 및 분산 패턴에 미치는 영향에 대한 연구의 필요성이 대두되며, 마지막으로 여러 생태적 측면에서 서로에게 직·간접적인 영향을 미치는 바닷새와 해양어류에 대한 융합적인 연구가 요구된다.

• 대한임상검사과학회지
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• 제54권1호
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• pp.28-37
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• 2022

임신은 갑상선 기능 검사의 중요한 해석을 필요로 하며 임신 중 갑상선 기능 이상과 외부 바이러스성 감염 인자들의 항체의 존재는 태아 및 산모의 건강에 영향을 미치기에 임신에서 갑상선 기능의 선별적 평가가 요구된다. 본 연구에서는 임신기간 동안 정상 산모들의 선택적 산전 감염인자 검사 항목 중에서 갑상선 관련 인자와 바이러스성 감염 인자의 임신시기별 상호 연관성을 알아보고자 하는 후향적 단편 실태조사이다. 분석한 결과를 살펴보면, T3는 나이가 증가함에 따라 감소하고, 특히 HCV가 양성인 그룹에서 양의 유의성을 보였다(P<0.01). 또한 HIV가 음성이지만 임계치에 근접하거나 쌍둥이 임산부에서는 FT4가 유의한 증가를 나타냈다(P<0.05). TSH는 30대 연령에서 높게 분포하였으며, 다른 바이러스성 감염인자와는 통계적 유의성이 나타나지 않았다. 또한, TSH의 결과 값을 삼분위로 나누어 분석한 결과, FT4와 T3은 양의 상관성을 보였으나 TSH와는 음의 상관성을 보였다(P<0.05). 따라서 본 연구를 통해서 임신 중 산전검사인 갑상선 검사와 바이러스성 감염인자의 검사를 통한 임신 중 평가는 임신 경과시간, 감염인자의 노출상태 및 정량적 수치의 상태를 반영하여 이루어져야 할 것이며, 갑상선 관련 내분비 인자에 대한 산전검사의 유용성에 대한 평가의 보완이 이루어져야 할 것으로 사료된다.

• 한국비블리아학회지
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• 제33권1호
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• pp.425-454
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• 2022

본 연구는 국내에 출판된 어린이·청소년 성교육 도서 중 가장 널리 읽히는 도서 77권을 선정하여 도서가 포함하는 주제와 표현 방식, 주요 대상 독자의 특성, 저자의 직업 등 다양한 기준을 바탕으로 성교육 도서의 현황을 분석하였다. 유네스코 국제 성교육 가이드 2018 개정판에 제시된 주제 중 분석 대상 도서에서 가장 많이 언급된 것은 어린이·청소년이 자신의 감정과 몸에 관해 알고자 하는 것이 자연스러운 일이며 책을 통해 스스로 배워나갈 수 있다는 이야기였다. 자신의 신체에 대한 존중, 성 및 재생산과 관련된 기관에 관한 지식, 난자와 정자, 월경 주기, 호르몬의 역할 등도 자주 등장하는 주제였다. 가장 언급되지 않은 주제는 HIV와 AIDS, 젠더 기반 폭력에 관한 내용이었다. 전체 도서의 63.5%가 줄글책이었으며, 그림책과 만화책, 사진 삽화 그림책 등의 형식도 있었다. 2019년을 기점으로 특정 성별의 독자를 염두에 둔 책의 출판이 활발해졌으며, 성교육 도서를 집필하는 저자의 직업군도 다양해졌다. 모든 어린이와 청소년이 자신을 충분히 탐색하고 성장할 수 있게 도우면서, 동시에 타인을 깊이 이해하고 평화롭게 공존할 수 있도록 성교육 도서의 역할과 범위에 대해 더 많은 고민과 논의가 이루어져야 할 것이다.

• 분석과 대안
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• 제2권1호
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• pp.31-69
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• 2018

This study examines the role of science in resolving trade disputes. After the Great East Japan Earthquake of 11 March 2011 that not only jeopardized the people of Japan, but also put the safety of an entire region at risk, the Republic of Korea (Korea) has imposed import bans as well as increased testing and certification requirements for radioactive material on Japanese food products. Japan has challenged these restrictions at the World Trade Organizations Dispute Settlement Body (DSB). This study aims to explain how international trade agreements and previous DSB rulings have dealt with different scientific viewpoints provided by confronting parties. In doing so, it will contrast the viewpoints espoused by Korean and Japanese representatives, and then analyzes the most similar case studies previously ruled on by the DSB, including the case of beef hormones and the case of genetically modified crops including biotech corn, both between the United States and the European Communities (EC). This study finds that science is largely subordinate to national interests in the case of state decision-making within the dispute settlement processes, and science has largely been relegated to a supportive role. Due to the ambiguity and lack of truly decisive decisions in the Appellate Body in science-based trade disputes, this study concludes that the Appellate Body avoids taking a firm scientific position in cases where science is still inconclusive in any capacity. Due to the panel's unwillingness to establish expert review boards as it has the power to do, instead favoring an individual-based system so that all viewpoints can be heard, it has also developed a system with its own unique weaknesses. Similar to any court of law in which each opposing party defends its own interests, each side brings whatever scientific evidence it can to defend its position, incentivizing them to disregard scientific conclusions unfavorable to their position. With so many questions that can arise, combined with the problems of evolving science, questions of risk, and social concerns in democratic society, it is no wonder that the panel views scientific information provided by the experts as secondary to the legal and procedural issues. Despite being ruled against the EC on legal issues in two previous cases, the EC essentially won both times because the panel did not address whether its science was correct or not. This failure to conclusively resolve a debate over whose science is more scientific enabled the EC to simply fix the procedural issues, while continuing to enforce trade restrictions based on their scientific evidence. Based on the analysis of the two cases of disputes, Korea may also find itself guilty of imposing an unwarranted moratorium on Japan's fish exports, only to subsequently pass new restrictions on labelling and certification requirements because Japan may have much scientific evidence at its disposal. However, Korea might be able to create enough uncertainty in the panel to force them to rule exclusively on the legal issues of the case. This will then equip Korea, like the EC in the past, with a way of working around the ruling, by changing whatever legal procedure they need to while maintaining some, if not most, of its restrictions when the panel fails to address its case on scientific grounds.

• 한국해양생명과학회지
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• 제1권1호
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• pp.56-62
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• 2016

본 연구는 넙치를 인공사육 시설에서 육성할 때 나타나는 무안측 흑화(착색증)의 스트레스 관련성을 확인하기 위해, 무안측에 체색이 없는 것(정상 그룹)와 체색이 있는 것(흑화 그룹)들 사이 스트레스 인자 비교 실험을 실시하였다. 본 실험에 사용된 실험어는 평균 전장 21.5±0.42 cm, 평균 무게 87.5±6.1 g였으며, 실험어의 무안측 착색면적률은 정상 그룹 0.63±0.12%, 착색증 그룹 16.7±4.7%였다. 분석한 스트레스 관련 인자는 혈중 GLU 및 TP, 코티졸 및 갑상선호르몬(FT₃ & FT₄) 농도 및 어체 성분(수분, 조단백, 조지방, 조회분)이었다. 실험 결과, 정상과 무안측 착색 넙치에 있어 혈중 GLU 및 TP의 농도는 정상 형질보다 착색증 형질에서 유의하게 높게 나타났다. 혈중 호르몬 농도에 있어 갑상선호르몬의 경우 정상과 착색증 그룹 사이에는 유의차를 찾아볼 수 없지만, 코티졸은 착색증 그룹이 정상 그룹에 비해 유의하게 높게 나타났다. 어체 중 영양 성분의 경우, 수분과 회분은 그룹 간 유의차가 없었지만, 조단백은 착색증 그룹이 정상보다 다소 낮으며, 조지방은 정상보다 유의하게 높았다. 이상의 스트레스 인자를 통한 정상과 착색증 그룹 간 비교를 통해 알 수 있듯, 양식산 넙치의 착색증은 만성적이 약한 스트레스에 관련되어 있을 가능성이 높은 것으로 확인되었다.

• 분석과학
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• 제19권3호
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• pp.244-254
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• 2006

난연제는 불길이 확산하거나 초기에 발생하는 것을 억제하는 물질을 의미한다. 난연제로 사용하는 이중 브롬계 난연제인 PBDEs는 갑상선 호르몬 붕괴와 내분비계 교란을 유발하는 물질이다. 본 연구에서는 PBDEs의 분석을 위한 적절한 전처리 방법을 제안하였고, 어류와 패류 포함 총 8종과 서울과 제주 모유 각 20개를 대상으로 BDE-28, 47, 99, 100, 153, 154 및 183의 인체 내 축적 수준을 조사하였다. PBDEs 분석을 위한 전처리 방법으로는 어패류의 경우 알칼리 분해 추출법을 적용하는 것이 적합한 것으로 확인되었다. 다층 실리카겔 컬럼 정제는 50 mL의 헥산을 이용하여 방해물질을 제거한후, 100 mL의 헥산:디클로로메탄(9:1)로 용출시키는 것이 적합한 것으로 확인되었다. 활성탄 정제 과정은 100 mL의 헥산:디클로로메탄(3:1)으로 용출시키는 것이 적합한 것으로 확인되었다. 어패류를 대상으로 한 실험에서 광어는 습식 중량 기준 890 pg/g이 검출되어, 시료 중 가장 높은 PBDEs 축적 정도를 보였다. 생태는 40 pg/g이 검출되어 시료 중 PBDEs의 축적 정도가 가장 낮은 것으로 나타났다. 모유 시료에서는 서울과 제주 지역에서 지방 중량 기준 2,580 및 3,600 pg/g이 검출되었으며, BDE-153과 183은 모두 검출되지 않았다. 재산과 초산의 경우 3,200 및 3,000 pg/g으로 큰 차이가 없는 것으로 나타났다. 본 연구에서 진행한 어패류 및 인체시료에서의 PBDEs 축적 정도를 파악한 결과, 외국에서 보고한 농도에 비해 낮은 수준을 유지하고 있음을 확인할 수 있었다.