• Journal of Korean Neurosurgical Society
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• 제38권6호
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• pp.413-418
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• 2005

Objective : Although an encephaloduroarteriosynangiosis procedure using the superficial temporal artery [STA-EDAS] is an effective indirect bypass method in children with moyamoya disease[MMD], there is still a need for an additional bypass operation that can cover the area of the posterior circulation. The goal of this study is to evaluate the efficacy of the EDAS procedure using the occipital arteries [OA-EDAS]. Methods : From August 2003 to April 2004, We performed OA-EDAS in sixteen patients with MMD who have a circulatory insufficiency in the territory of the posterior cerebral artery[PCA]. The medical records were reviewed retrospectively. The surgical outcomes, including the changes in neurological status and imaging studies, with the degree of neovascularization on the cerebral angiogram, and the hemodynamic changes on single-photon emission computed tomography[SPECT], were analyzed. Results : These 16 children consisted of 5 boys and 11 girls aged 2 to 9 years. The clinical outcome of their PCA symptoms, such as visual transient ischemic attacks[TIAs] or visual field defect, was favorable in 14 patients of 16. Nine patients of 11 who underwent follow up magnetic resonance imaging[MRI] showed favorable MRI changes. On angiogram most of the patients exhibited good or fair revascularization of the PCA territory [7 of 8]. The hemodynamic changes on SPECT in the PCA territory after surgery showed improved vascular reserve in 13 of the 16 territories. Conclusion : OA-EDAS is a safe and efficacious revascularization procedure in patients with MMD who have compromised cerebral perfusion in PCA territory, or with visual TIAs.

• 대한불안의학회지
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• 제14권2호
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• pp.63-70
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• 2018

It has been suggested that aberrant self-referential processing (SRP) is one of the important components of the explanatory models of social anxiety disorder (SAD). The default mode network (DMN), which reflects intrinsic brain functions, is known to play a critical role in SRP. Recently, resting state functional magnetic resonance imaging (fMRI) research on the functional connectivity in the brain network has gained greater attention as a tool to elucidate the neurobiological basis of various psychiatric disorders. We reviewed resting state fMRI studies that investigated the resting state functional connectivity (RSFC) of the DMN in SAD. Despite of the heterogeneity of the analytic methods and occasional negative findings, most studies consistently reported abnormalities of RSFC within the DMN, suggesting that the DMN may be significant neural correlates of aberrant SRP in SAD. Also, changes in RSFC of the DMN are associated with clinical improvements of therapeutic interventions. Moreover, emerging findings provide the basis for potential use of RSFC as a complementary method in diagnosis of SAD. Ongoing and future research to investigate RSFC of the DMN could broaden our understanding regarding the neurobiological basis of SAD, and contribute to the development of novel treatments for SAD.

• 한국임상수의학회지
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• 제33권6호
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• pp.381-384
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• 2016

A 7-year-old intact female Maltese dog was referred to the hospital with a history of paresis in the hind limbs, left head turn, and a loss of balance that persisted for 2 weeks. Her condition was initially managed with steroids, prescribed by the referring veterinarian, but her neurological symptoms were not alleviated. Physical and neurological examinations, radiography, computed tomography, and magnetic resonance imaging were performed. Based on the findings on these examinations, caudal occipital malformation syndrome (COMS) with syringohydromyelia was diagnosed. Medical treatment was not effective in the previous trial; therefore, foramen magnum decompression, durotomy, and free autogenous adipose tissue grafting were performed. After 3 days, an improvement was observed in the clinical symptoms and was maintained for 8 months postoperatively. Based on the results, it is suggested that the decompression method with a fat graft may be considered an effective surgical treatment for the management of COMS that did not respond well to previous medical treatment.

• Journal of Magnetics
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• 제5권1호
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• pp.16-18
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• 2000

The garnets $Nd_{1-x}Bi_xY_2Fe_5O_{12}$ ($\chi$=0.0, 0.25, 0.5, 0.75 and 1.0) have been studied by x-rays, electron microscopy, ferromagnetic resonance, vibrating sample magnetometer and Mossbauer spectroscopy, Ultra-fine polycrystalline cubic samples have been prepared by a melt-salt routed sol-gel method. The Mossbauer spectra consist of two sets of six-line patterns corresponding to $Fe^{3+}$ at the tetrahedral 24(d) and octahedral 16(a) sites. Magnetic hyperfine fields of $Nd_{0.5}Bi_{0.5}Y_2Fe_5O_{12}$ at 12 K are found to be 548 kOe (octahedral site) and 475 kOe (tetrahedral site), respectively, It is found that Debye temperatures for the tetrahedral and octahedral sites of $Nd_{0.75}Bi_{0.25}Y_2Fe_5O_{12}$ are $\theta_{tet}=436$ K and $\theta_{oct}=285$ K, respectively, The iron ions at both sites are highly covalent ferric. The Nel temperature decreases linearly with Bi concentration, from 630 K fur $\chi$=0.0 to 600 K for $\chi$=1.0, suggesting that the superexchange interaction for the Nd-O-Fe link is stronger than that for the Bi-O-Fe link. As a consequence, the coercivity of $Nd_{1-x}Bi_xY_2Fe_5O_{12}$ drastically decreases and the magnetization remains almost constant as x increases.

• Journal of Korean Neurosurgical Society
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• 제64권6호
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• pp.901-912
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• 2021

Objective : In the cervical spine, many surgical procedures have been developed to achieve optimal results for various disorders, including degenerative diseases, traumatic injury, and tumor. In this study, we report our experience and follow-up results with a new surgical technique for cervical spine entitled posterior floating laminotomy (PFL) in comparison with conventional laminectomy and fusion (LF). Methods : Data for 85 patients who underwent conventional LF (n=66) or PFL (n=19) for cervical spine disorders between 2012 and 2019 were analyzed. Radiological parameters, including cervical lordosis (CL), T1 slope (T1S), segmental lordosis (SL), and C2-7 sagittal vertical axis (SVA), were measured with lateral spine X-rays. Functional outcomes, comprising the modified Japanese Orthopaedic Association (mJOA), neck disability index (NDI), and visual analog scale (VAS) scores, were also measured. For the patients who underwent PFL, postoperative magnetic resonance image (MRI) was performed in a month after the surgery, and the degree of decompression was evaluated at the T2-weighted axial image, and postoperative computed tomography (CT) was conducted immediately and 1 year after the operation to evaluate the gutter fusion. Results : There was no difference in CL, T1S, SL, and C2-7 SVA between the groups but there was a difference in the preoperative and postoperative SL angles. The mean difference in the preoperative SL angle compared with that at the last follow-up was -0.3° after conventional LF and 4.7° after PFL (p=0.04), respectively. mJOA, NDI, and VAS scores showed significant improvements (p<0.05) during follow-up in both groups. In the PFL group, postoperative MRI showed sufficient decompression and postoperative CT revealed gutter fusion at 1 year after the operation. Conclusion : PFL is a safe surgical method which can preserve postoperative CL and achieve good clinical outcomes.

• Clinical and Experimental Reproductive Medicine
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• 제47권4호
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• pp.237-244
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• 2020

Endometrial cancer (EC) in young women tends to be early-stage and low-grade; therefore, such cases have good prognoses. Fertility-sparing treatment with progestin is a potential alternative to definitive treatment (i.e., total hysterectomy, bilateral salpingo-oophorectomy, pelvic washing, and/or lymphadenectomy) for selected patients. However, no evidence-based consensus or guidelines yet exist, and this topic is subject to much debate. Generally, the ideal candidates for fertility-sparing treatment have been suggested to be young women with grade 1 endometrioid adenocarcinoma confined to the endometrium. Magnetic resonance imaging should be performed to rule out myometrial invasion and extrauterine disease before initiating fertility-sparing treatment. Although various fertility-sparing treatment methods exist, including the levonorgestrel-intrauterine system, metformin, gonadotropin-releasing hormone agonists, photodynamic therapy, and hysteroscopic resection, the most common method is high-dose oral progestin (medroxyprogesterone acetate at 500-600 mg daily or megestrol acetate at 160 mg daily). During treatment, re-evaluation of the endometrium with dilation and curettage at 3 months is recommended. Although no consensus exists regarding the ideal duration of maintenance treatment after achieving regression, it is reasonable to consider maintaining the progestin therapy until pregnancy with individualization. According to the literature, the ovarian stimulation drugs used for fertility treatments appear safe. Hysterectomy should be performed after childbearing, and hysterectomy without oophorectomy can also be considered for young women. The available evidence suggests that fertility-sparing treatment is effective and does not appear to worsen the prognosis. If an eligible patient strongly desires fertility despite the risk of recurrence, the clinician should consider fertility-sparing treatment with close follow-up.

• 한국전자파학회논문지
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• 제29권11호
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• pp.851-856
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• 2018

본 논문에서는 수중 환경에서 자기공진기반 무선전력전송 특성을 분석하고, 수중 무선전력전송에 적합한 등가모델을 제시한다. 제안하는 수중 무선전력전송 등가모델은 자유공간 무선전력전송 T 등가모델을 확장하여 매질에 따른 전자기장 감쇠를 반영한 저항, 공진주파수 변화 및 상호인덕턴스 변화를 반영한 커패시터 및 인덕터를 포함한다. 전송매질인물의 염도에 따른 S 파라미터를 기반으로 제안한 등가모델의 변수를 추출하는 방법을 제시하였다. 제안하는 모델을 검증하기 위하여 6.78 MHz 수중 무선전력전송 시스템을 구축하고, 모델의 전력전송효율 계산 값과 측정값을 비교하였으며, 그 결과 제안하는 모델은 평균 3 % 이내 오차로 특성변화를 예측함을 확인하였다.

• 대한한방내과학회지
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• 제40권4호
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• pp.675-696
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• 2019

Objective: This study was aimed at evaluating the effect and clarifying the treatment period of Korean medicine treatment for cerebral infarction. Method: This study was carried out on patients with hemiplegia who were hospitalized in the Department of Korean Internal Medicine of Jecheon Korean Medicine Hospital of Semyung University from June 2014 to May 2019. A retrospective study was performed on 253 patients who were diagnosed with cerebral infarction by brain CT or nuclear magnetic resonance imaging. Results and Conclusion: 1. Korean medicine treatment has a significant effect on improving the movement disorder and daily life independence of cerebral infarction. 2. In the group that started Korean medical treatment within one month after the onset of cerebral infarction, with the exception of MMSE-K, the indicators related to the movement disorder and daily life independence showed significant effect. 3. MMSE-K showed no statistically significant change in any of the patient groups. 4. Within three months after the onset date, the longer the period of treatment with Korean medicine, the better the symptom improvement of upper extremity movement disorder. 5. The longer the hospital stays, the better the symptom improvement of the lower extremity movement disorder. 6. The combination of Korean and Western medicine did not affect liver or kidney function.

• 공업화학
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• 제31권6호
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• pp.585-590
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• 2020

암(예: 폐암, 전립선암, 간암, 부신겉질샘암종 등)의 조기 진단은 치료비용, 생존율, 완치 여부를 결정짓는 아주 중요한 단계다. 현재의 암 진단 시스템(예: 조직검사, 컴퓨터단층쵤영, 양전자방출단층쵤영, 자기공명영상, 초음파촬영 등)은 고가의 장비를 사용하거나 훈련된 고급 인력만이 수행 가능하기 때문에 신속한 조기 진단에 적합하지 못하다. 국제 의과학 사회는 현장검사(point of care) 디바이스 개발을 통한 효과적인 질병 관리 시스템 개발을 지향하고 있으며, 다양한 분석법 기반의 디바이스가 개발되어왔다. 이 중에서도 측면 흐름 면역 크로마토그래피 분석법 스트립은 경제적인 비용, 짧은 검사 시간, 사용자의 쉬운 접근성 등의 많은 이점들이 있다. 본 논문에서는 LFIA 스트립의 최신 연구 동향을 바탕으로 암 진단 관점에서의 비색법 기반 LFIA 스트립의 연구 방향 및 잠재적 응용에 대해 논의하고자 한다.

• Korean Journal of Chemical Engineering
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• 제35권11호
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• pp.2220-2231
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• 2018

Lipase from Candida rugosa was immobilized on $MgO{\cdot}SiO_2$ hybrid grafted with amine, thiol, cyano, phenyl, epoxy and carbonyl groups. The products were analyzed using Fourier transform infrared spectroscopy, nuclear magnetic resonance, low-temperature $N_2$ sorption and elemental analysis. Additionally, the degree of coverage of the oxide material surface with different functional groups and the number of surface functional groups were estimated. The Bradford method was used to determine the quantity of immobilized enzyme. The largest quantity of enzyme (25-28 mg/g) was immobilized on the hybrid functionalized with amine and carbonyl groups. On the basis of hydrolysis reaction of p-nitrophenyl palmitate to p-nitrophenol, it was determined how the catalytic activity of the obtained biocatalysts is affected by pH, temperature, storage time, and repeated reaction cycles. The best results for catalytic activity were obtained for the lipase immobilized on $MgO{\cdot}SiO_2$ hybrids with amine and carbonyl groups. The biocatalytic system demonstrated activity above 40% in the pH range 4-10 and in the temperature range $30-70^{\circ}C$. Lipase immobilized on the $MgO{\cdot}SiO_2$ systems with amine and epoxy groups retains, respectively, around 80% and 60% of its initial activity after 30 days of storage, and approximately 60-70% after 10 reaction cycles.