• Title/Summary/Keyword: Joint Node

검색결과 162건 처리시간 0.027초

전생활혈탕가미방(全生活血湯加味方)의 면역조절 작용을 통한 항관절염 효능에 관한 연구 (Anti-arthritis Effects of Jeonsaenghwalhyeoltanggamibang through Immune Modulation Modulation)

  • 고정민;최창민;조한백;김송백
    • 대한한방부인과학회지
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    • 제22권2호
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    • pp.1-25
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    • 2009
  • Purpose: The purpose of this study is to investigate the anti-arthritis effects of Jeonsaenghwalhyeoltanggamibang(JHTG) on collagen-induced arthritis(CIA) in mice. Methods: To assess the effects of JHTG on CIA in mice, we conducted several experiments such as analysis of arthritis index, cell count of draining lymph node(DLN) and paw joint, measurement of serum antibody levels and observation of the histological changes of joint. Results: 1. JHTG extract had a suppressive effect on the arthritis index of paw joints in CIA mice. 2. JHTG extract increased the total cell number of DLN, and decreased the total cell number of paw joints in CIA mice. 3. JHTG extract increased the absolute number of various cell surface receptors in DLN, and decreased the absolute number of B220+/CD23+ cells in DLN in CIA mice. 4. JHTG extract decreased the absolute number of CD3+, CD4+, CD11b+/Gr-1 cells in paw joint in CIA mice. 5. JHTG extract didn't decrease the absolute number of CD4+/CD25+ cells in paw joints in CIA mice. 6. JHTG extract decreased levels of total IgM in the serum of CIA mice, but had no effect on levels of collagen II specific antibody. 7. JHTG extract decreased the destruction of articular cartilages and collagen fibers and the proliferation of synovial cells in paw joints from CIA mice. Conclusion: These results indicate that JHTG has clinical potential for the treatment of rheumatoid arthritis by modulating the immune response.

두경부 암 환자의 경부 림프절 전이 분석 (Nodal Status of the Head and Neck Cancer Patients)

  • 양대식;최명선;최종욱
    • Radiation Oncology Journal
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    • 제15권4호
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    • pp.321-329
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    • 1997
  • 목적 : 두경부 암 환자에서 경부 림프절 전이 가능성이 높아지는 것은 원발병소의 해부학적위치 및 특성, 원발병소의 크기 즉 병기와 조직병리학적 종류 따라 영향을 받는다. 두경부 암 환자에서 경부 림프절의 전이 양상은 다른 나라에서 분석, 연구되어 있고, 현재 두경부 암 환자 치료와 처치를 이를 기조로 하여 사용한다. 그러나, 두경부 암 환자에 대한 경부 림프절 전이에 대한 우리나라 환자의 통계는 없어 이번 통계를 시행하게 되었다. 대상 및 방법 : 1981년 11월부터 1995년 12월까지 본 병원 방사선 종양학과에 내원한 환자중초사가 가능한 997명을 대상으로 하였다. 조사는 방사선 종양학과에 내원시 면밀한 경부 촉진과향께 컴퓨터 단층 촬영영상 상에서 확인을 하였다. 환자는 크게 경부 림프절 전이가 있는 군과 전이가 없는 군으로 나누었고, 경부 림프절의 병기는 미국 암 연합회에서 추천한 방식에 의하였다. 원발병소의 위치 및 주위로의 침윤 등은 면밀한 관찰과 촉진, 컴퓨터 단층 촬영 영상, 수술소견 및 조직병리학 소견을 참조하였다. 결 과 :방사선 종양학과에 방사선 치료를 위해 내원한 997명 중 416명$(42\%)$에서 경부 림프절 전이를 뽀였고, 581명$(58\%)$에서 전이를 보이지 않았다. 경부 림프절 전이를 보인 림프절의 병기분포를 관찰한 결과 다음과 같았다. Hl : 106$(25.5\%)$, N2a 100$(24\%)$, N2b :68$(16.4\%)$, N2c : 69$(16.6\%)$, N3 :73$(15\%)$. 두경부 암 환자에서 원발병소의 빈도는 다음과 같다. 후두암 : 283$(28.5\%)$, 부비동암 : 152$(18\%)$, 구인두암: 144$(14.5\%)$, 비인강암: In$(12\%)$, 구강암 :92$(9\%)$, 하인두암:71$(7\%)$, 타액선암:$58(6\%)$, 미지원발부위암:31$(3\%)$, 피부암: $14(2\%)$. 두경부 암 환자 중 가장 경부 림프절 전이가 높은 원발병소는 비인강암$(71\%)$으로 나타났고, 다음은 하인두암$(69\%)$, 구인두암$(64\%)$, 구강암$(39\%)$ 순이었다. 경부 림프절 전이를 보였던, 416명 중에서는 구인두암 92명$(22\%)$, 비인강암 8f명$(21\%)$, 후두암 79명$(19\%)$의 순이였다. 병리조직학적으로 가장 빈도가 높을 것은 편평상피암증으로 전체 환자 중 $65.4\%$을 차지하였고, 다음은 악성 림프종이 109명으로 $11\%$였다. 결론 : 두경부 암 환자에서 경부 림프절 전이의 양상이 외국 통계와 비교 매우 유사하게 나타났으며, 원발병소의 해부학적 특성에 따라 경부 림프절 전이가 좌우되며 원발병소의 병기가 진행됨에 따라 경부 림프절 전이 빈도도 증가 되며 또한 경부 림프절의 병기도 증가되는 것을 관찰 할 수 있었다.

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Multiobjective size and topolgy optimization of dome structures

  • Tugrul, Talaslioglu
    • Structural Engineering and Mechanics
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    • 제43권6호
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    • pp.795-821
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    • 2012
  • The size and topology of geometrically nonlinear dome structures are optimized thereby minimizing both its entire weight & joint (node) displacements and maximizing load-carrying capacity. Design constraints are implemented from provisions of American Petroleum Institute specification (API RP2A-LRFD). In accordance with the proposed design constraints, the member responses computed by use of arc-length technique as a nonlinear structural analysis method are checked at each load increment. Thus, a penalization process utilized for inclusion of unfeasible designations to genetic search is correspondingly neglected. In order to solve this complex design optimization problem with multiple objective functions, Non-dominated Sorting Genetic Algorithm II (NSGA II) approach is employed as a multi-objective optimization tool. Furthermore, the flexibility of proposed optimization is enhanced thereby integrating an automatic dome generating tool. Thus, it is possible to generate three distinct sphere-shaped dome configurations with varying topologies. It is demonstrated that the inclusion of brace (diagonal) members into the geometrical configuration of dome structure provides a weight-saving dome designation with higher load-carrying capacity. The proposed optimization approach is recommended for the design optimization of geometrically nonlinear dome structures.

Quantization-aware Sensor Selection for Source Localization in Sensor Networks

  • Kim, Yoon-Hak
    • Journal of information and communication convergence engineering
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    • 제9권2호
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    • pp.155-160
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    • 2011
  • In distributed source localization where sensors transmit measurements to a fusion node, we address the sensor selection problem where the goal is to find the best set of sensors that maximizes localization accuracy when quantization of sensor measurements is taken into account. Since sensor selection depends heavily upon rate assigned to each sensor, joint optimization of rate allocation and sensor selection is required to achieve the best solution. We show that this task could be accomplished by solving the problem of allocating rates to each sensor so as to minimize the error in estimating the position of a source. Then we solve this rate allocation problem by using the generalized BFOS algorithm. Our experiments demonstrate that the best set of sensors obtained from the proposed sensor selection algorithm leads to significant improvements in localization performance with respect to the set of sensors determined from a sensor selection process based on unquantized measurements.

A Study on Decision Tree for Multiple Binary Responses

  • Lee, Seong-Keon
    • Communications for Statistical Applications and Methods
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    • 제10권3호
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    • pp.971-980
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    • 2003
  • The tree method can be extended to multivariate responses, such as repeated measure and longitudinal data, by modifying the split function so as to accommodate multiple responses. Recently, some decision trees for multiple responses have been constructed by Segal (1992) and Zhang (1998). Segal suggested a tree can analyze continuous longitudinal response using Mahalanobis distance for within node homogeneity measures and Zhang suggested a tree can analyze multiple binary responses using generalized entropy criterion which is proportional to maximum likelihood of joint distribution of multiple binary responses. In this paper, we will modify CART procedure and suggest a new tree-based method that can analyze multiple binary responses using similarity measures.

Channel Assignment, Link Scheduling, Routing, and Rate Control for Multi-Channel Wireless Mesh Networks with Directional Antennas

  • Roh, Hee-Tae;Lee, Jang-Won
    • Journal of Communications and Networks
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    • 제18권6호
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    • pp.884-891
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    • 2016
  • The wireless mesh network (WMN) has attracted significant interests as a broadband wireless network to provide ubiquitous wireless access for broadband services. Especially with incorporating multiple orthogonal channels and multiple directional antennas into the WMN, each node can communicate with its neighbor nodes simultaneously without interference between them. However, as we allow more freedom, we need a more sophisticated algorithm to fully utilize it and developing such an algorithm is not easy in general. In this paper, we study a joint channel assignment, link scheduling, routing, and rate control problem for the WMN with multiple orthogonal channels and multiple directional antennas. This problem is inherently hard to solve, since the problem is formulated as a mixed integer nonlinear problem (MINLP). However, despite of its inherent difficulty, we develop an algorithm to solve the problem by using the generalized Benders decomposition approach [2]. The simulation results show the proposed algorithm provides the optimal solution to maximize the network utility, which is defined as the sum of utilities of all sessions.

악성 흑색종의 예후 인자에 대한 분석 (An Analysis of the Prognostic Factors of Malignant Melanoma)

  • 이형석;박종혁;함동훈;김정렬
    • 대한골관절종양학회지
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    • 제15권2호
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    • pp.122-129
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    • 2009
  • 목적: 최근 발생빈도가 증가하고 있는 악성 흑색종의 치료 결과를 분석하여 장기 예후에 영향을 미치는 인자를 알아보고자 하였다. 대상 및 방법: 1997년 3월부터 2004년 3월까지 악성 흑색종으로 진단 받았고 5년 이상 추시가 가능하였던 51예를 대상으로 후향성 연구를 하였으며, 평균연령은 49.4세였다. 연구 방법으로는 나이, 성별, 발생 부위, 종양의 두께, 주위 림프절 전이여부, 면역화학 요법의 시행 유무에 따른 5년 생존율을 비교하였고, 전이 및 국소재발 유무를 조사하였다. 결과: 발병 연령이 65세 미만인 경우 5년 생존율은 88.5%였고, 65세 이상에서는 88.0%였다. 남자의 5년 생존율은 62.5%였으며, 여자는 100%였다. 발생 부위에 따른 5년 생존율은 상지가 100%, 하지가 80.0%, 기타 부위가 100%였다. Clark stage III이하에서는 100% 5년 생존율을 보였고, IV이상에서는 79.3%였다. 주위 림프절로의 전이가 있었던 경우 5년 생존율은 66.7%였고, 림프절 전이가 없었던 경우는 94.9%였다. 결론: 악성흑색종의 예후에 영향을 미치는 인자로 성별(남자), 발생 부위(하지), 종양의 두께(Clark's stage IV이상), 주위 림프절 전이가 있는 경우에 나쁜 예후를 보였으나, 다른 연구와는 다르게 발병 연령은 예후에 큰 영향을 미치지 않는 것으로 조사되었다.

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악성 흑색종의 치료결과 분석 (Analysis of Treatment Results of Malignant Melanoma)

  • 신덕섭;김의식
    • 대한골관절종양학회지
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    • 제17권1호
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    • pp.30-35
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    • 2011
  • 목적: 악성 흑색종의 치료 결과를 분석하고 예후 인자에 대해 알아보고자 하였다. 대상 및 방법: 1996년 1월부터 2005년 12월까지 악성 흑색종으로 진단 받고 외과적 절제술 시행 후 추시가 가능하였던 31예를 대상으로 하였다. 평균 추시 기간은 46.5개월이었고 평균 연령은 56.9세였다. 나이, 성별, 발생 부위, 종양의 두께, 림프절 전이유무, 면역화학 요법의 시행 유무에 따른 5년 생존율을 비교하였다. 결과: 전체 환자의 5년 생존율은 80.6%였고 발병 연령이 65세 미만인 경우 5년 생존율은 89.7%였고 65세 이상에서는 66.7%였다. 남자의 5년 생존율은 75%였으며 여자는 90.9%였다. 발생 부위에 따라 상지에 발생한 경우 66.7%, 하지에 발생한 경우 89.5%, 기타 부위에 발생한 경우 66.7%의 5년 생존율을 보였다. Clark level IV 이상에서는 62.5%의 5년 생존율을 보였고 III 이하에서는 100% 였다. 림프절 전이가 있었던 경우 5년 생존율은 53.8% 였고, 없었던 경우는 100%였다. 결론: 악성 흑생종 치료에 있어 조기 발견 및 광범위 절제술이 가장 효과적인 치료 방법으로 생각되며, 예후 인자에 있어서 나이, Clark level, 림프절 전이가 통계적 유의성이 있는 것으로 나타났다.

원발성 이하선 편평상피세포암종 (Primary Squamous Cell Carcinoma of the Parotid Gland)

  • 이상욱;김귀언;박정수;박원;이창걸;금기창;임지훈;양우익;서창옥
    • 대한두경부종양학회지
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    • 제13권2호
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    • pp.228-234
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    • 1997
  • Squamous cell carcinoma originating in the parotid gland has rare occurrence. The primary squamous cell carcinoma of the parotid gland comprise about 0.3% and 9.8% of all parotid malignant tumor. We investigated the clinical behavior and treatment outcome of patients with primary squamous cell carcinoma of the parotid gland. We reviewed all cases of possible primary squamous cell carcinoma of the parotid gland treated at Yonsei Cancer Center, Seoul, Korea, from 1981 through 1995. A total of 128 had primary parotid malignancy. Metastatic squamous cell carcinoma and mucoepidermoid carcinoma were excluded in this study. Ten cases of primary squamous cell carcinoma of the parotid gland were identified. 6 cases of them are men & 4 cases are women. The age of patients ranged from 31 to 68 years with median age of 55 years. On physical examination, 5 cases had palpated cervical neck node and 6 cases had facial nerve palsy. Staging was done according to the current guidelines established by the American Joint Committee on Cancer (1992). Two cases were stage I, 1 in stage III, and 7 in stage IV. Six cases were performed operation and postoperative radiation therapy. Four cases were treated by curative radiation therapy, dose of more than 65 Gy on parotid gland region. The 5 year actual survival rate and the 5 year disease free survival rate were 30.8%, and 40.0%. Initial complete response rate was 70% for all patients. Local failure were occurred 3 of 7 patients with local controlled cases, failure sites were primary site, ipsilateral cervical neck node, contralateral supraclavicular node. Most recurrences developed within 1 year of initial treatment. Distant metastasis was appeared 2 of 3 patients who did not achieved local control. Primary squamous cell carcinoma of the parotid gland occured infrequently. A retrospective study at the Yonsei Cancer Center indicates incidence of 7.8%. At diagnosis, advanced stage, neck node presentation, facial nerve paralysis were associated with a poor prognosis. These results may suggested that radical surgical excision may be treatment of choice and that planned postoperative radiotherapy may be bendicial for reducing locoregional recurrence rates.

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Suppressive Effect of Solanum Iyratum Aqueous Extract Via Down-regulation of $TNF-{\alpha}$ and $IFN-{\gamma}$ Production on Collagen-induced Arthritis in Mice

  • Kim, Seung-Hyung;Seo, Chang-Woo;Kim, Chang-Min;Kim, Yang-Jin;Lee, Boo-Kyun;Choi, Yong-Sun;Oh, Hwang;Yoon, Ho-Sok;Lee, Seon-Goo;Lee, Jang-Cheon;Lee, Young-Cheal
    • 동의생리병리학회지
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    • 제21권5호
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    • pp.1278-1284
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    • 2007
  • Solanum Iyratum Thunb (Solanaceae) has multiple applications in korean traditional medicine because of its cytotoxic, immunological and anti-inflammatory activities. However, no study on the anti-arthritic activity of Solanum Iyratum Thunb has been reported in vivo. Rheumatoid arthritis (RA) is a systemic autoimmune disease with chronic inflammation characterized by hyperplasia of synovial cells in affected joints, which ultimately leads to the destruction of cartilage and bone. Cytokine production were assessed during CIA(collagen-induced arthritis) model mice in lymph node (LN), in knee joint and spleen, using ELISA. DBA/1j mice were immunized with bovine type II collagen. After a second collagen immunization, mice were treated with Solanum Iyratum Thunb (SLT) orally at 400, 200 mg/kg once a day for 4 weeks. The severity of arthritis within the knee joints was evaluated by histological assessment of cartilage destruction and pannus formation. SLT significantly suppressed the progression of CIA and inhibited the production of TNF-alpha and IFN-gamma in serum and spleen cell culture supernatant. The erosion of cartilage was dramatically reduced in mouse knees after treatment with SLT. In conclusion, our results demonstrates that SLT significantly suppressed the progression of CIA. This action was characterized by suppression of arthritis index, cartilage erosion and synovial cell infiltration and the decreased production of $TNF-{\alpha}$, $IFN-{\gamma}$, CD4+, CD19+, CD3+/CD69+ cells (in lymph node), CD11b+/Gr-1 + (in knee joint).