• 한국응용곤충학회지
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• 제52권4호
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• pp.341-348
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• 2013

비래해충인 멸강나방 성충의 발생을 실시간으로 예찰하기 위하여, 성페로몬 트랩에 원격감지장치를 설치한 트랩의 운용 효율성을 검정하였다. 원격감지트랩은 콘트랩 기반에 곤충의 유입을 광차단으로 감지하는 센서부, 신호전송부, 태양열기반의 전력공급부, 트랩 지지대, 웹페이지 기반의 자료수집부로 구성되었다. 연구과정에서 멸강나방 수컷 성충의 밤 시간대 포획의 일일주기성을 이용한 신호감지 시간대 축소, 신호발생 프로그램 조절, 1시간 간격의 전송간격, 신호전송 프로그램 변형 등을 통해 포획 나방수와 감지신호 발생 수의 격차를 줄여 최종적으로 신호 정확도를 92% 이상으로 개선하였다. 또한 실제 멸강나방 성충의 발생양상과 원격감지트랩에서의 신호 발생양상의 상관계수가 0.98이상으로 원격감지트랩에서의 신호 발생이 멸강나방 발생 양상을 정확하게 반영하는 것으로 나타났다. 2011~2012년 멸강나방은 연중 여러 번 발생되는 것이 관찰되었는데, 모두 짧은 기간 동안 발생되어 가파른 피크가 특징이었다.

• 대한간호학회지
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• 제31권1호
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• pp.31-42
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• 2001

This study was done to evaluate the effect reducing artificial dead space on intubated children. Data were collected from July 1st, 1998 to August 31st, 1999. The subjects were selected from a pediatric intensive care unit of 'S' hospital and intubated with 3.5 mm or 4.5 mm endotracheal tube after open heart surgery. They were composed of 34 patients : 17 patients were assigned to the experimental group and the rest of them were placed in the control group. The artificial airway volume was minimized in the experimental group, and the control group maintained the artificial airway volume. ETCO2, PaCO2, SPO2 were measured as indicators of pulmonary ventilation. The tools of this study were GEM-Premier and Space-Lab patient monitors. The data were analyzed using the SPSS/PC+ program. The $\chi$2 -test was used to find general characteristics. The t-test was used to test the homogenety of the pulmonary ventilation status and mechanical ventilation setting before intervention between the two groups. Also, the paired t-test was used to examine the hypothesis. The results can be summerized as : 1. CO2 can be expelled effectively from the body in case artificial dead space was decreased. 2. As the artificial dead space was reduced, the difference between ETCO2 and PaCO2 was decreased, in other words pulmonary ventilation was improved. 3. If the artificial dead space occupied above 15 percent of tidal volume, the effect of CO2 was retention revealed in the body. 4. If the artificial dead space occupied below effect. Based on the results, the following is suggested to be applied practically : 1. A kind of the ventilator circuit acting artificial dead space should be removed from the intubated children with mechanical ventilaion. 2. The endotracheal tube should not be cut because extra-body space of the endotracheal tube did not have an effect on the dead space of the intubated children. Since the researcher could not cover this aspect in the study, they recommend the following. 1. The study should be extended to the other pulmonary disease patients for the effect of improving pulmonary ventilation. 2. Also, further studying with a more narrow interval in the extra-body space of the artificial airway will be able to explain the point of artificial dead space with proper ventilation.

• 대한두경부종양학회지
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• 제16권2호
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• pp.172-176
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• 2000

Objectives: To improve local control and reduce toxicity, 3-D conformal radiotherapy was used as a boost the primary tumor site following fractionated radiotherapy in patients with nasopharyngeal carcinoma. Materials and Methods: Eight patients with previously untreated nasopharyngeal carcinomas were treated with 3-D conformal radiotherapy following fractionated radiotherapy from September 1998 to April 2000. All patients had biopsy confirmation of disease before radiation therapy. Stages were II in 1, III in 5, and IV in 2. Two patients received cisplatin based chemotherapy in addition to radiation therapy; induction chemotherapy in 1, concurrent chemoradiation in 1. 3-D conformal radiotherapy delivered using 6MV Linac as a boost(range 25.2-28.8Gy, median 25.7Gy) following conventionally fractionated radiotherapy(range 50.4Gy). Average total dose ranged from 75.6-79.2Gy(median 76Gy). Follow-up time was 4-21 months(median 9.6 months). Results: Seven of 8 patients were evaluated radiologically within 3 months after completion of radiation therapy. All 7 patients were seen complete remission. One of 7 patients had distant metastasis after 5 months and local failure after 7 months. The tree interval of local recurrence was ranged from 4 - 21 months(median 10.2 months). One patient without radiological evaluation got complete remission clinically. Treatment related toxicity was grade 1-3 xerostomia, dysphagia, and mucositis. During 3-D conformal radiotherapy, there was no aggravation of any toxicity. Conclusion: Although the number of patients was small and follow-up period was short, 3-D conformal radiotherapy following conventional radiotherapy improved tumor control and dose escalation without increased toxicity. Survival and late toxicity should be evaluated through long term follow-up. In addition, it is necessary to confirm the benefits of 3-D conformal radiotherapy in nasopharyngeal carcinoma with randomized trial.

• 생명과학회지
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• 제20권2호
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• pp.304-313
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• 2010

J시 소재 K여자고등학교 1학년 중에서 %fat이 30% 이상인 24명을 유의추출법에 의해 운동그룹 A (8명), B (8명) 그룹과 통제그룹(8명)으로 3그룹으로 구분하여 Borg의 주관적운동강도를 이용, A그룹은 RPE 15-17 (hard-very hard; 힘듦-매우 힘듦)${\times}$3 sets, B그룹은 RPE 11-13 (fairly light-somewhat hard; 알맞음-약간 힘듦)${\times}$3 sets로 설정하여 step aerobics (step box: 길이 68 cm, 폭 28 cm, 높이 15 cm, 무게 450 g)를 1일 50-60분간, 주3회(월, 수, 금)로 총 8주간 실시하였다. 본 연구는 step aerobics의 RPE가 비만 여고생의 면역기능(Neutrophil, Lymphocyte, Monocyte, Eosinophil, Basophil, IgG, IgA, IgM)에 어떠한 영향을 미치는가를 알아보는 것이었다. 자료처리는 SPSS Ver. 14.0을 이용하여 집단과 시기 간 상호작용의 효과를 알아보기 위하여 repeated two-way ANOVA를, 집단 내 운동 전 후는 paired t-test를 실시하였고, 집단 간은 변화율(% diff.)을 구하여 one-way ANOVA를 실시하여 다음과 같은 결론을 얻었다. WBC에서, 집단 내 비교에서 A그룹은 Neutrophil, Monocyte, Basophil, Eosinophil 모두 증가하였으나 Lymphocyte는 변화가 없었고, B그룹은 Eosinophil은 감소하였으나 Neutrophil, Lymphocyte, Monocyte, Basophil 모두 변화가 없었으며, 통제군은 Neutrophil, Basophil, Eosinophil은 감소하였으나 Lymphocyte와 Monocyte는 변화가 없었다. 집단 간 비교의 Neutrophil은 A그룹이 B그룹과 통제군보다 더 많이 증가하였고, Lymphocyte는 집단 간 차이가 없었으며, Monocyte는 A, B그룹이 통제군보다 많이 증가하였다. Basophil과 Eosinophil은 A그룹이 B그룹과 통제군보다 더 많이 증가하였다. Immunoglobin에서, 집단 내 비교에서 A그룹은 IgG는 증가하였으나 IgA와 IgM는 변화가 없었고, A그룹은 IgA는 증가하였으나 IgG는 감소하였고 IgM은 변화가 없었다. 통제군은 IgG은 감소하였으나 IgA와 IgM은 변화가 없었다. 집단 간 비교의 IgA는 A그룹이 통제군보다 증가하였고, IgG는 A그룹이 B그룹과 통제군보다 증가하였으나 IgM은 집단 간 차이가 없었다. 요약하면 세 집단 모두 운동프로그램 전 후의 WBC와 Ig 수준이 연령에 맞게 참고치 내의 수준에 머물렀지만 step aerobics를 RPE 15-17로 실시한 A그룹의 경우가 가장 많은 측정항목에서 증가를 보였고, 이 결과는 참고치 범위 내에서 면역기능의 항진을 보여주는 것으로 면역기능의 향상을 위한 step aerobics의 RPE 강도는 힘듦-매우 힘듦(15-17)의 수준으로 실시하는 것이 효과적인 것으로 생각된다.

• Journal of Chest Surgery
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• 제38권5호
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• pp.323-334
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• 2005

배경: 유전자 치료에 의한 치료적 혈관조성은 허혈성 심질환의 새로운 치료전략의 하나로 최근 많은 연구가 진행되고 있다. 본 연구의 목적은 대동물에서 pCK 플라스미드 벡터에 혈관내피성장인자(vascular endothelial growth factor isoform 165: VEGF165) 유전자를 삽입한 pCK-VEGF를 이용한 치료적 혈관조성의 효용성을 증명하는 것이다. 대상 및 방법: 총 21 마리의 돼지를 이용하여 좌전하행지동맥의 원위부를 결찰하여 심근경색 모델을 만든 후, 4주 후에 VEGF 유전자를 삽입한 플라스미드를 심근내에 주입하거나(VEGF군), 유전자 없이 플라스미드 만을 주입하였다(대조군). 실험 대상 동물군을 맹검하에 무작위로 VEGF군 및 대조군으로 나누어 실험을 진행하였는데, 7마리는 실험 도중 사망하였으며 결과적으로 VEGF군은 8마리, 대조군은 6마리가 최종분석에 이용되었다. 좌전하행지동맥 결찰 후 30일째에 심근 SPECT와 심장초음파검사를 시행하고 심근내에 플라스미드를 주입하였으며, 이로부터 30일째에 심근 SPECT와 심장초음파검사를 다시 시행하였다. 허혈부위의 심근관류의 변화는 심근 SPECT상의 $^{99m}Tc-MIBI$의 섭취 정도로 비교하였으며, 국소 및 전체 심근기능 및 심실리모델링 등은 심장초음파 또는 게이트SPECT 검사상의 수축시 심실벽비후화, 좌심실구출률(EF), 수축기말용적(ESV), 이완기말용적(EDV) 등으로 비교하였다. 혈관조성의 정도는 조직검사상의 미세혈관의 밀도를 측정하여 비교하였다. 결과: 미세혈관의 밀도는 VEGF군에서 유의하게 더 높았으며($386\pm110/mm^{2}\;vs.\;291\pm127/mm^{2},\;p<0.001$), 분절의 관류 정도도 VEGF군에서는 관상동맥 결찰 60일째가 30일째에 비해 더 증가한 반면(플라스미드 주입 전, 후, $48.4\pm15.2\%\;vs.\;53.8\pm19.6\%,\;p<0.001$) 대조군에서는 유의한 변화가 없었고(플라스미드 주입 전, 후, $45.1\pm17.0\%\;vs.\;43.4\pm17.7\%,\;p=0.186$), 그 변화량도 두 군간에 유의한 차이를 보였다($11.4\pm27.0\%$ 증가 vs $2.7\pm19.0\%$ 감소, p=0.003). 수축시의 심실벽비후화는 양 군 모두에서 플라스미드 주입 후 유의하게 증가하였으나 증가한 정도는 두 군간에 차이가 없었다. 심장초음파검사상 ESV은 양 군 모두에서 수술 전에 비해 관상동맥 결찰 후 유의하게 증가하였고 (VEGF군, $22.9\pm9.9\;mL\;vs.\;32.3\pm9.1\;mL,\;p=0.006;$ 대조군, $26.3\pm12.0\;mL\;vs.\;36.8\pm9.7\;mL,\;p=0.046$), EF은 유의하게 감소하였으며(VEGF군, $52.0\pm7.9\%\;vs\;46.5\pm7.4\%$, p=0.004; 대조군, $48.2\pm9.2\%\;vs\;41.6\pm10.0\%$, p=0.028), EDV은 양 군 모두에서 유의한 변화가 없었다. 플라스미드 주입 전과 후의 비교에서는 양 군 모두에서 심장초음파 및 게이트 SPECT검사상의 EF, ESV, EDV 값의 유의한 차이가 없었다. 결론: VEGF165 유전자를 삽입한 플라스미드의 심근내 주입 후 허혈성 생존 심근 부위에 혈관조성이 일어나고 심근관류가 유의하게 증가하였다. 그러나 심근 기능이나 좌심실의 리모델링 경과엔 유의한 차이가 없었다.

• The Korean Journal of Pain
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• 제33권4호
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• pp.386-394
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• 2020

Background: In the emergency department (ED), adequate pain control is essential for managing patients; however, children with pain are known to receive less analgesia than adults with pain. We introduce the Pain Passport to improve pain management in paediatric patients with suspected fractures in the ED. Methods: This was a before-and-after study. We reviewed the medical records of paediatric patients who were primarily diagnosed with fractures from May to August 2015. After the introduction of the Pain Passport, eligible children were enrolled from May to August 2016. Demographics, analgesic administration rates, time intervals between ED arrival and analgesic administration, and satisfaction scores were obtained. We compared the analgesic prescription rate between the two periods using multiple logistic regression. Results: A total of 58 patients were analysed. The baseline characteristics of subjects during the two periods were not significantly different. Before the introduction of the Pain Passport, 9 children (31.0%) were given analgesics, while after the introduction of the Pain Passport, a significantly higher percentage of patients (24/29, 82.8%) were treated with analgesics (P < 0.001). The median administration times were 112 (interquartile range [IQR], 64-150) minutes in the pre-intervention period and 24 (IQR, 20-74) minutes in the post-intervention period. The median satisfaction score for the post-intervention period was 4 (IQR, 3-5). The adjusted odds ratio for providing analgesics in the post-intervention period was 25.91 (95% confidence interval, 4.36-154.02). Conclusions: Patient-centred pain scoring with the Pain Passport improved pain management in patients with suspected fractures in the paediatric ED.

• Journal of Chest Surgery
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• 제31권3호
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• pp.266-270
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• 1998

악성늑막삼출증 환자에서 임상증상을 호전시켜 삶의 질을 향상시키기 위한 여러 방법이 시도되고 있으나 어려운 점이 많다. 이전에 늑막유착을 위해 많이 사용하던 tetracycline은 생산이 중단되어 더 이상 사용하지 못하고 있다. 본 연구는 악성 늑막 삼출증 환자에서 흉강내에 탈크를 분무하여 늑막 유착의 효과을 연구함에 목적을 두고 전향적으로 조사하였다. 1995년 3월 부터 1997년 3월 까지 15명의 환자에서 흉강경을 이용하여 4 gm의 무균적이고 석면이 들어 있지 않은 100% 탈크을 분무하여 수술전과 수술후(평균 101일, 범위 25∼233일) 임상적, 방사선학적 비교 관찰하여 다음과 같은 결과을 얻었다. 1. 환자는 남자 6례, 여자 9례로 여자가 많았으며, 평균연령이 55.1세(범위 31∼74세)이었고, 원발성 종양은 폐암이 10례 유방암이 2례 간암, 위암, 미확인 선암이 각각 1례였다. 2. 수술전 늑막수에서 세포진 검사 양성률은 36%이었고 흉강경하 조직검사의 양성률은 100%였다. 3. 임상적으로 탈크 분무후 증상호전이 94%에서 관찰되었다. 4. 흉부 x-선 촬영상 술후 한달에서 94%의 늑막수의 재발이 없었다. 5. 술후 합병증으로는 창상감염과 호흡부전이 각각 1례씩 있었다. 결론적으로 악성늑막삼출증 환자에서 흉강경을 사용해 흉강내에 탈크을 분무하여 늑막유착을 유도하는 것이 매우 효과적인 방법으며 환자 선택에 있어 수술후 폐의 재팽창이 중요한 인자가 된다

• Tuberculosis and Respiratory Diseases
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• 제75권6호
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• pp.244-249
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• 2013

Background: Conventional biomarkers cannot always establish the cause of pleural effusions; thus, alternative tests permitting rapid and accurate diagnosis are required. The primary aim of this study is to assess the ability of pentraxin-3 (PTX3) in order to diagnose the cause of pleural effusion and compare its efficacy to that of other previously identified biomarkers. Methods: We studied 118 patients with pleural effusion, classified as transudates and exudates including malignant, tuberculous, and parapneumonic effusions (MPE, TPE, and PPE). The levels of PTX3, C-reactive protein (CRP), procalcitonin (PCT) and lactate in the pleural fluid were assessed. Results: The levels of pleural fluid PTX3 were significantly higher in patients with PPE than in those with MPE or TPE. PTX3 yielded the most favorable discriminating ability to predict PPE from MPE or TPE by providing the following: area under the curve, 0.74 (95% confidence interval, 0.63-0.84), sensitivity, 62.07%; and specificity, 81.08% with a cut-off point of 25.00 ng/mL. Conclusion: Our data suggests that PTX3 may allow improved differentiation of PPE from MPE or TPE compared to the previously identified biomarkers CRP and PCT.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2017년도 9th Asian Crop Science Association conference
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• pp.204-204
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• 2017

In recent years the growth rates of world agricultural production and crop yields have slowed because of rapid urbanization but the agriculture mechanization implies the use of various power sources and improved farm tools and equipment to enhance the efficiency of utilization of various crop input. Therefore the current study was conducted to investigate the growth characteristics of seedlings treated with plant growth regulators for the production of seeds suitable for mechanical formulations of soybeans and red beans. The seeds of Uram bean and Arary red bean were sown in 128 well plug tray as the testing varieties. Three growth inhibitors such as 0.05% hexaconazole, prohexadion-calcium, and 0.1% diniconazole were treated and fifteen representative plants were collected from each treatment at 2, 5, 7, 13, 16, 17, 19, and 20 days interval after treatment. The collected plants were examined for the growth atributes such as plant height, root length, leaf area and chlorophyll. The growth promoter was treated at the 13th day after treatment with growth inhibitor and treated with 0.1% concentration of Pomina ($GA_{4+7}$ 1.8% + 6-benzylaminopurine 1.8%) and Nonaji (gibberellic acid 2% + $GA_{4+7}$ 2%). Initially the growth data was recorded to examine the effect of growth inhibitor, while after treatment with growth promoters, the growth attributes were recorded at 4th and 7th day. As a result of measuring the growth parameter of soybean, the inhibitory effect was shown in the aerobic treatment at the ground level at the 7th day after treatment. At the 4th day of growth promoting agents treatment, the stimulation effect of non - treated plants was greater than that of formalin treatments. As a result of measuring the growth attributes of red bean, In the latter part of the growth, at the 4th day after the growth promoter treatment. This study was able to confirm the effective growth regulators and treatment periods for each crop, and it was possible to control the growth of seedlings. Based on these results, it can be expected that the basis of seedling production technology of crops which is necessary for sowing and transplantation mechanization of agriculturle field can be established.

• Nutrition Research and Practice
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• 제12권1호
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• pp.69-77
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• 2018

BACKGROUND/OBJECTIVES: Metabolic risk factors should be managed effectively in patients with type 2 diabetes mellitus (T2DM) to prevent or delay diabetic complications. This study aimed to compare the self-management levels of diet and metabolic risk factors in patients with T2DM, according to the duration of illness, and to examine the trends in self-management levels during the recent decades. SUBJECTS/METHODS: Data were collected from the Korea National Health and Nutrition Examination Surveys (KNHANES, 1998-2014). In our analysis, 4,148 patients with T2DM, aged ${\geq}30years$, were categorized according to the duration of their illness (< 5 years, 5-9 years, and ${\geq}10years$). Demographic and lifestyle information was assessed through self-administered questionnaires, and biomarker levels (e.g., fasting glucose level, blood pressure, or lipid level) were obtained from a health examination. Dietary intake was assessed by a 24-recall, and adherence level to dietary guidelines (meal patterns and intake levels of calories, carbohydrates, vegetable/seaweed, sodium, and alcohol) were assessed. Multivariable generalized linear regression and unconditional logistic regression models were used to compare the prevalence rates of hyperglycemia, dyslipidemia, and hypertension according to the duration of patients' illness, accounting for the complex survey design of the KNHANES. RESULTS: In the multivariable adjusted models, patients with a longer duration (${\geq}10years$) of T2DM had a higher prevalence of hyperglycemia than those with a shorter duration of T2DM (< 5 years) (odds ratio 2.20, 95% confidence interval 1.61-3.01, P for trend < 0.001). We did not observe any associations of disease duration with the prevalence of hypertension and dyslipidemia. In addition, the adherence levels to dietary recommendations did not significantly differ according to disease duration, except adherence to moderate alcohol consumption. There were significant decreasing trends in the prevalence of hyperglycemia in patients with a duration of illness ${\geq}10years$ (P for trend = 0.004). CONCLUSION: Although the proportion of patients with adequate control of glucose levels has improved in recent decades, poorer self-management has been found in those with a longer disease duration. These findings suggest the need for well-planned and individualized patient education programs to improve self-management levels and quality of life by preventing or delaying diabetic complications.