• 콘크리트학회논문집
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• 제25권3호
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• pp.271-281
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• 2013

구조형식별로 구조물의 안정성 확보를 위해 KBC2009에 새로이 도입된 높이제한에 따라, 내진설계범주D에 해당되는 60 m 이상의 RC 구조물을 계획할 경우 특수전단벽을 의무적으로 사용해야 한다. 그러나 특수전단벽의 엄격한 횡보강 배근상세는 시공성 및 경제성에 부정적 영향을 미칠 것으로 예상된다. 그래서 이 연구에서는 현 규준에 따른 특수전단벽보다 완화된 배근 상세를 갖는 특수전단벽을 제안하고, 특수전단벽과의 성능 비교를 위하여 각각 두 개의 실험체를 제작하고 횡방향 반복 하중실험을 실시하였다. 또한 그 실험 결과를 반영한 보통전단벽, 특수전단벽, 완화된 특수전단벽 구조시스템의 해석모델을 설계하여 FEMA P695에 따른 방법론으로 내진성능평가를 실시하였다.

• Journal of Gastric Cancer
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• 제18권2호
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• pp.134-141
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• 2018

Purpose: Postoperative pancreatic fistula is a serious and fatal complication of gastrectomy for gastric cancer. Blunt trauma to the parenchyma of the pancreas can result from an assistant's forceps compressing and retracting the pancreas, which in turn may result in pancreatic juice leakage. However, no published studies have focused on blunt trauma to the pancreas during laparoscopic surgery. Our aim was to investigate the relationship between compression of the pancreas and pancreatic juice leakage in a swine model. Materials and Methods: Three female pigs were used in this study. The pancreas was gently compressed dorsally for 15 minutes laparoscopically with gauze grasped with forceps. Pancreatic juice leakage was visualized by fluorescence imaging after topical administration of chymotrypsin-activatable fluorophore in real time. Amylase concentrations in ascites collected at specified times was measured. In addition, pancreatic tissue was fixed with formalin, and the histology of the compressed sites was evaluated. Results: Fluorescence imaging enabled visualization of pancreatic juice leaking into ascites around the pancreas. Median concentrations of pancreatic amylase in ascites increased from 46 U/L preoperatively to 12,509 U/L 4 hours after compression. Histological examination of tissues obtained 4 hours after compression revealed necrotic pancreatic acinar cells extending from the surface to deep within the pancreas and infiltration of inflammatory cells. Conclusions: Pancreatic compression by the assistant's forceps can contribute to pancreatic juice leakage. These findings will help to improve the procedure for lymph node dissection around the pancreas during laparoscopic gastrectomy.

• Asian-Australasian Journal of Animal Sciences
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• 제31권4호
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• pp.529-536
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• 2018

Objective: Fresh sugarcane has been a new roughage source for ruminant's in semiarid regions, a function of the decline of sugar and alcohol industry in recent years. However, there is little data published regarding lambs fed sugarcane associated with spineless cactus. This study evaluated the effect of sugarcane replacement with spineless cactus (0%, 33%, 66%, and 100%) in the diet of Santa $In\hat{e}s$ lambs on carcass characteristics. Methods: Thirty-six non-castrated Santa Ines lambs at four months of age and an initial body weight of $22{\pm}2.3kg$ were assigned in a randomized block design and slaughtered after 70 days of confinement. The effects of spineless cactus as a replacement for sugarcane in the diet of the lambs on the carcass characteristics, commercial cut weight and yield, leg tissue composition, and carcass measurements were studied. Results: The study revealed quadratic behavior in slaughter body weight, and hot and cold carcass weight, with maximum values of 38.60, 18.60, and 18.11 kg and replacement levels of 40.18%, 44.42%, and 43.14%, respectively. The cold carcass yield presented an increasing linear behavior. The compactness index of carcass and leg presented a quadratic effect, with estimated maximal values of 0.28 and 0.57 kg/cm and replacement levels of 43.37% and 45.5%, respectively. The weights of commercial cuts of leg, loin, shoulder, and breast showed quadratic behavior, with maximum values of 2.79, 0.852, 1.46, and 1.30 kg and replacement levels of 49.5, 45.32, 39.0, and 40.7, respectively. For tissue composition, quadratic behavior was verified for leg weight, subcutaneous fat, and total fat. Conclusion: The replacement of sugarcane by spineless cactus at level 44% is recommended for finishing lambs considering that this level improved most of the carcass characteristics, weights, and yields of commercial cuts and leg tissue composition.

• Journal of Microbiology and Biotechnology
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• 제17권4호
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• pp.638-643
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• 2007

The full encoding sequence for human type II hexokinase (HXK II) was cloned into the E. coli expression vector pET 21b and expressed as a C-terminally hexahistidine-tagged protein in the BL2l (DE3) strain. The IPTG-induced HXK II approximately accounted for 17% of the total E. coli proteins, and 81% of HXK $II_{6{\times}His}$ existed in inclusion bodies. To improve the production of soluble recombinant HXK II protein, in the functionally active form, we used low temperature, and the osmotic stress expression method. When expressed at $18^{\circ}C$, about 83% of HXK $II_{6{\times}His}$ existed in the soluble fraction, which amounted to a 4.1-fold yield over that expressed at $37^{\circ}C$. The soluble form of HXK $II_{6{\times}His}$ was also highly produced in the presence of 1M sorbitol under the standard condition $(37^{\circ}C)$, which indicated that temperature downshift and low water potentials were required to improve the yield of active recombinant HXK II protein. The expressed protein was purified by metal chelate affinity chromatography performed in an IDA Excellose column charged with $Ni^{2+}$ ions, resulting in about 40mg recombinant HXK II protein obtained with purity over 89% from 51 of E. coli culture. The identity of HXK $II_{6{\times}His}$ was confirmed by Western blotting analysis. Taken together, using the stress-governed expression described in this study, human active HXK II can be purified in sufficient amounts for biochemical and biomedical studies.

• 대한의용생체공학회:의공학회지
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• 제25권1호
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• pp.21-26
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• 2004

최근 건강에 대한 관심이 증가함에 따라 많은 사람들은 일상생활 중 언제 어디서나 체지방과 같은 자신의 건강 상태를 지속적으로 확인하고 싶어한다. PDA(Personal Digital Assistance, 개인 휴대용 단말기)는 휴대용 무선 장치의 특성으로 인해 그 수요가 점점 증가하고 있으며 휴대용 계측 시스템으로의 응용이 가능하다. 본 연구에서는 PDA 크래들 형태의 측정 모듈 및 WindowCE 운영 체제를 사용하는 소프트웨어 모듈로 구성된 PDA 기반 체지방 측정 시스템을 제작하였다. 또한 20∼32세 사이의 63명의(남 53, 여 10) 건강한 피검사를 대상으로 임상 실험을 통해 제지방량 산출 선형 회귀식을 도출하였다 (제지방량(kg) : 0.0005＊신장$^2$ - 0.016＊인피던스 ＋ 0.3920＊체중 - 0.0684＊나이 - 5.8141＊성별 ＋ 25.984). 체지방 측정에 있어 본 연구에서 제작된 기기와 기존의 시판 중인 bionet사의 HTM1000plus (KFDA 승인) 기기와의 강호 상관 계수는 0.928로써 체지방 측정에 있어 본 기기의 신뢰성을 간접적으로 나타내었다. 이와 같은 결과는 본 연구에서 제작된 기기가 PDA 크래들 형태의 소형화 된 시스템임에도 우수한 성능을 보임을 알 수 있었다.

• 한국전산구조공학회논문집
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• 제30권6호
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• pp.523-530
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• 2017

본 연구에서는 역량스펙트럼법을 이용해 얻어진 구조물의 성능점을 확률적으로 평가하는 방법을 제시하였다. ATC-40에 따라 역량스펙트럼법을 이용하여 4층 1경간 철골구조물의 성능점을 산정하였다. 요구스펙트럼을 이용하여 구조물의 성능한계를 초과하는지 여부를 분석하기 위해 구조부재의 소성변형각으로부터 정의되는 구조물의 성능한계에 대해 한계변위를 도출하였다. 또한 설계응답스펙트럼과 유사한 응답스펙트럼을 가지는 인공지진파 30개를 선정하여 스펙트럼 가속도에 따른 각 성능한계의 초과여부를 통해 fragility curve를 도출하였다. 관측된 초과확률을 이용하여 fragility curve를 도출하기 위해 maximum likelihood method를 사용하였다. 각 성능한계점에 대응하는 설계응답스펙트럼의 응답가속도값에서 성능한계점을 초과할 확률은 존재하는 것으로 확인되었다. 본 방식은 구조물의 성능점에 대해 지진파의 불확실성을 고려한 확률적 평가가 가능하고, 시간증분해석이 필요하지 않아 해석시간을 상당부분 단축시킬 수 있다는 장점이 있다.

• Journal of Gastric Cancer
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• 제21권4호
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• pp.325-334
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• 2021

Purpose: Although dumping symptoms are thought to involve postprandial glycemic changes, postprandial glycemic variability without dumping symptoms remains poorly understood due to the lack of a method that allows the easy and continuous measurement of blood glucose levels. Materials and Methods: Patients having undergone distal gastrectomy with Billroth-I (DG-BI) or Roux-en-Y reconstruction (DG-RY), total gastrectomy with RY (TG-RY) and pylorus preserving gastrectomy (PPG) for gastric cancer 3 months to 3 years prior, diagnosed as pathological stage I or II, were prospectively enrolled from March 2018 to January 2020. The interstitial tissue glycemic levels were measured every 15 min, up to 14 days by continuous glucose monitoring. Moreover, using a diary recording the diet and symptoms, asymptomatic glucose profiles without sugar supplementation within 3 h postprandially were compared among the four procedures. Results: A total of 40 patients were enrolled, 10 patients for each of the four procedures. There were 47 glucose profiles with DG-BI, 46 profiles with DG-RY, 38 profiles with TG-RY, and 46 profiles with PPG. PPG showed the slowest increase with a subsequent gradual decrease in glucose fluctuations, without hyperglycemia or hypoglycemia, among the four procedures. In contrast, TG-RY and DG-RY showed spike-like glycemic variability, sharp rises during meals, and rapid drops. The glucose profiles of DG-BI were milder than those of RY. Conclusions: The asymptomatic glycemic changes after meals differ among the types of surgical procedures for gastric cancer. Given the mild glycemic fluctuations in PPG and the glucose spikes in TG-RY and DG-RY, pylorus preservation and physiological reconstruction without changes in food pathways may optimize postprandial glucose profiles after gastrectomy.

• 대한두개안면성형외과학회지
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• 제25권1호
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• pp.11-16
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• 2024

Background: The pathogenesis of orofacial cleft (OFC) is multifactorial, involving both genetic and non-genetic factors, the latter of which play a key role in the development of these anomalies. This paper addresses the incidence of OFC in Indonesia, with a focus on identifying and examining the distribution of contributory factors, including parental medical history, pregnancy history, and environmental influences. Methods: The study was conducted through the collection of primary data. An interdisciplinary research team from Indonesia administered a standardized questionnaire to parents who had children with OFC and who had provided informed consent. The case group comprised 133 children born with cleft lip and/or palate, and the control was 133 noncleft children born full-term. The risk factors associated with OFC anomalies were analyzed using the chi-square test and logistic regression. All statistical analyses were performed using SPSS version 25. A p-value of 0.05 or less was considered to indicate statistical significance. Results: The study comprised 138 children, of whom 82 were boys (59.4%) and 56 were girls (40.6%). Among them, 45 patients (32.6%) presented with both cleft lip and cleft palate, 25 individuals (18.1%) had a cleft palate only, and 28 patients (20.3%) had a cleft lip only. OFC was found to be significantly associated with a maternal family history of congenital birth defects (p<0.05), complications during the first trimester (p<0.05), consumption of local fish (p<0.05), caffeine intake (p<0.05), prolonged medication use (p<0.05), immunization history (p<0.05), passive smoking (p<0.05), and X-ray exposure during pregnancy (p<0.05). Conclusion: The findings indicate close relationships between the incidence of OFC and maternal medical history, prenatal factors, and environmental influences.

• 한국토양비료학회지
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• 제25권4호
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• pp.325-333
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• 1992

난지(暖地) 세립질(細粒質) 2모작(毛作) 논에서 유기물(有機物)(볏짚, 퇴비(堆肥), 밀짚) 장기연용시(長期連用時)(14.28년(年)) 토양이화학성의 실태와 지력질소(地力窒素) 발현양상 그리고 작물(作物)(수도(水稻), 옥수수)의 질소 흡수(吸收)와의 관계에 대해서 조사분석(調査分析)한 결과(結果)는 다음과 같다. 1. 유기물연용(有機物連用)에 의(依)해 작토시(作土尸)이 깊어지고 용적밀도(容積密度)의 감소(減少), 공극률(孔隙率)의 증가, 고상률(固相率)의 저하(低下), 기상률(氣相率)의 증가가 인정(認定)되었음. 2. 유기물연용(有機物連用)에 의(依)해 전탄소(全炭素)의 년간(年間) 평균증가량은 1~14년간(年間) 볏짚연용시(連用時) 0.0371%, 퇴비(堆肥)는 0.0407%였으나 15~28년(年) 볏짚연용(連用)은 0.0007%, 퇴비(堆肥)는 0.014%였다. 그리고 전질소함량(全窒素含量)은 1~14년간(年間) 볏짚연용시(連用時) 0.0025%, 퇴비(堆肥)는 0.0038%였고, 15~28년간(年間) 볏짚연용(連用)은 0.0014%, 퇴비(堆肥)는 0.0024%가 증가하였음. 3. 유기물연용(有機物連用)에 의(依)해 암모니아 아미드태질소(態窒素)는 밀짚28년연용(年連用), 아미노당태질소(糖態窒素)는 퇴비(堆肥)28년연용(年連用) 그리고 아미노산태질소(酸態窒素)는 볏짚14, 28년연용(年連用), 미동정질소(未同定窒素)는 관행(慣行)에서 높았음. 4. 담수배양(湛水培養) 온도별(溫度別) 가급태질소(可給態窒素) 발현량은 $30^{\circ}C>25^{\circ}C$=포장매설온도(圃場埋設溫度)의 경향(傾向)을 보였으나 시약추출법(試藥抽出法)보다 발현양이 적었음. 5. 작물(作物)(수도(水稻), 옥수수)의 질소흡수량(窒素吸收量)은 담수배양법(湛水培養法)과 시약추출법중(試藥抽出法中)에서 M/15인산완충액(燐酸緩衝液)(pH7.0)으로 추출(抽出)한 가급태질소량(可給態窒素量)과의 상관관계가 높았음. 6. 백미(白米)의 수량(收量)은 관행(慣行)에 비(比)하여 볏짚28년연용(年連用)에서 17%, 퇴비(堆肥)28년연용(年連用)12%, 볏짚14년연용(連用) 11%, 밀짚28년연용(年連用) 7%가 증가되었음.

• 대한간호학회지
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• 제22권4호
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• pp.636-652
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• 1992

This study identified the impact of childhood cancer on the Korean family. The purpose was to contribute knowledge for family nursing and pediatric hospice care practice with sick children and their families. This descriptive study was conducted during a 6 month period with children who were being treated for cancer at six university hospitals in Seoul. The data were gathered from members of 68 families ; 24(Group A), with a child newly diagnosed with cancer : 27(Group B), with a child under treatment and without complications, and 17 (Group C), with a child in relapse. Medical records, structured questionnaires and interviews were used for data collection. The questionnaires and interview schedules had been used previously in Martinson's research in the USA and China. The findings, conclusions, and suggestions are as follows. 1. The impact of childhood cancer on the family. Members of the family experienced fear, helplessness, guilty feelings, and anger at the time of the initial diagnosis and at relapse. Mothers complained of headache, anorexia and poor appetite, weight loss, sleep disturbance, and bad dreams. Many of the fathers either lost or changed jobs, and all working mothers stopped working. Half the parents reported changes in their marital relationships such as frequent quarrels but also stronger unity. Family members perceived cancer as the most frightening disease. Change in their world view was expressed as living on faith understanding suffering, determining to live a better life, wanting to live an upright life and valuing health as the most important. Religious activities are found most helpful through this difficult experience. Financial debt due to the treatment and care of the sick child, burdened 22 families. The above mentioned impact was most evidant in Group B(those presently undergoing treatment) and Group C(those in relapse). Findings indicate that nursing care should embrace the family of a child who is being treated for cancer. 2. Characteristics of the child with cancer The majority of the children in this sample had a diagnosis of leukemia. Their mean age was 6.8 and the ratio of boys to girls was 1.12 ; 1. The mean hospitalization frequency was 13.5 times and the mean duration of illness was 16.8 months. Most of 1.he children perceived cancer as the most frightening disease ; 32.7% of the children described their sickness as serious. Children in Group C were hospitalized more frequently, stayed in hospital for longer periods, and expressed their sickness as quite serious more often than the other two groups. These findings indicate how much comprehensive pediatric hospice nursing care services are needed along with relevant research and nursing education. 3. Characteristics of the families. The mean age of the father was 39.5 and the mother, 36,6 ; they are in their most productive life period. Mothers especially expressed feelings of financial uneasiness and powerlessness about giving up their jobs, and guilty feelings for not providing enough care and concern to other children due to taking care of the sick one. The burden of caring for the sick child can bring negative changes in family dynamics which they think provoke potential health problems in members of the family These findings suggest a need for nursing support and counselling resources. Findings also suggest the need for ethical inquiry about such questions as who should give information to the child in regard to diagnosis and prognosis, when, and how. Other suggestions included : 1) Quality health care for childhood cancer such as home care and pediatric hospice programs should be established. 2) Special and practical consideration for long-term patients should be made in the present insurance coverage. The reimbursement period for long-term patients should be lengthened. 3) Further in-depth qualitative studies are needed. 4) Education programs including guided practice experience for pediatric hospice care practitioners are needed.