• 제목/요약/키워드: Radiological Effects

검색결과 588건 처리시간 0.033초

성장기 아동 하악 과두 골절의 예후에 관한 장기 추적 조사 (THE LONG-TERM RESULT OF CONDYLE FRACTURE IN CHILDREN)

  • 최진호;류승현;류문광;김재우;김일규;하태진
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권2호
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    • pp.121-130
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    • 2004
  • The purpose of this study was the long-term clinical and radiological evaluation of conservatively treated condylar fractures in children. This study was therefore undertaken to analyze the long-term effects of treating condylar fractures in children with conservative therapy in order to resolve the controversial question of whether complete remodeling occurs in this age or, if not, whether it is more likely to be associated with certain types of fracture or with other factors. This study was based on a series of 11 consecutive children and adolescents, aged between 3 and 15 years, with fractures of the condylar process who had been treated with conservative therapy at the Department of Oral & Maxillofacial surgery, Inha University Hospital, Inchon, Korea. All patients underwent a clinical investigation with special emphasis on Temporomandibular joint function and facial asymmetry. The patients also underwent a radiologic investigation, focusing on fracture remodeling and symmetry of mandible. It consists of panoramic radiograph, PA & lateral cephalogram and 3-D CT. No patient described impaired temporomandibular joint(TMJ) function or pain on the affected side. 2 of 8 (25%) unilateral and 1 bilateral fractures show slight facial asymmetry. Despite apparently excellent recovery of function, there were marked remodeling changes evident on the CT scan. Such changes are not usually evident on panoramic radiograph. Radiologic investigation showed incomplete remodelling(54.5%) and asymmetry of the mandible (27.3%) in some patients. Conservative treatment of condyle fracture in children results in satisfactory long-term outcome of jaw function despite a relative high frequency of radiologically noted aberrations.

방사선량(放射線量) 및 단위(單位) (Quantities and Units in Radiation Dosimetry)

  • 황선태
    • Journal of Radiation Protection and Research
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    • 제2권1호
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    • pp.38-46
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    • 1977
  • 오늘날 에너지 공급(供給)을 위한 새로운 해결책(解決策)의 하나로서 등장(登場)한 원자력발전소(原子力發電所), 재래(在來)의 X선(線) 진료(診療) 이외(以外)에 의학계(醫學界)에 도입(導入)된 방사선원(放射線源), 그리고 각종(各種) 전자생산품(電子生産品) 등(等)의 증가현상(增加現象)은 방사선(放射線) 방어(防禦) 문제(問題)와 관련(關聯)하여 보건의학분야(保健醫學分野)에서 종사(從事)하는 사람들에게 지대(至大)한 관심(關心)거리가 되고있다. 그래서, 우선(于先) 방사선(放射線)에 관(關)한 사항(事項)중에서 가장 기초(基礎)가되는 방사선량계측(放射線量計測)에 있어서 그 양(量)과 단위(單位) 문제(問題)가 체계적(體系的)으로 서술(敍述)되었다. 즉(卽) 방사선(放射線)이 인체(人體)에 끼칠 수 있는 해(害)로운 영향(影響)에 그 주안점(主眼點)을 두어 조사선량(照射線量), 흡수선량(吸收線量), 선량당량(線量當量), 그리고 그들의 관계(關係) 및 방사능등(放射能等)에 관(關)하여 토론(討論)되었다. 특(特)히 조사선량률(放射線量率), X는 비(比)감마선선상수(線常數), ($\Gamma$)를 포함(包含)하는 함수(函數)로 표현(表現)되었고, 끝으로 인체(人體) 내부(內部)에 축적(蓄積)된 방사능(放射能)으로부터의 영향(影響)에 의(依)한 이른바 생물학적효과(生物學的效果) (Somatic or Genetic Effects)와 관련(關聯)되는 내부흡수선량율(內部吸收線量率)은 평형흡수선량상수(平衡吸收線量常數)($\Delta_i$)와 흡수율($F_i$)를 포함(包含)하는 수학적(數學的) 모델로 소개(紹介)되었다. 한편 방사능(放射能)은 방사선원(放射線源) 물질(物質)의 자연붕괴율(自然崩壞率)이므로 다른 방사선량(放射線量)들 즉(卽) 조사선량(照射線量), 흡수선량(吸收線量)그리고 선량당량(線量當量)과는 별도(別途)로 취급(取扱)하였음을 부언(附言)한다.

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응급실 간호사의 전문직 자율성과 전문직 자아개념이 직무만족도에 미치는 영향 (Effect of Professional Autonomy and Professional Self-concept on Job Satisfaction of Emergency Nurses)

  • 박지애;여정희
    • 중환자간호학회지
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    • 제8권1호
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    • pp.62-70
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    • 2015
  • Purpose: This study is a descriptive research study to determine the level of professional autonomy, professional self-concept, and job satisfaction of emergency nurses, and to investigate their correlations and verify the effects of professional autonomy and professional self-concept on job satisfaction. Method: The subjects were 189 emergency nurses with a work experience of 1 year or more, in 14 hospitals located in B and U Metropolitan Cities. The study was conducted from July 20, 2014, to August 30, 2014. The measurement instruments for professional autonomy, professional self-concept, and job satisfaction were used as the measurement tools. The collected data were analyzed using the t-test, analysis of variance, Scheffe's test, Pearson's correlation coefficient, and multiple linear regression. Results: Job satisfaction among emergency nurses showed a significant positive correlation with professional autonomy (r=.28, p <.001), and with professional selfconcept (r=.50, p <.001) with sub-areas of professional practice (r=.79, p <.001), satisfaction (r=.64, p <.001), and communication (r=.25, p <.001). Factors affecting job satisfaction were satisfaction (${\beta}$=0.60, p <.001), followed by low professional autonomy (${\beta}$=-0.24, p <.001) and communication (${\beta}$=0.14, p =.008), which accounted in total for 48.3% of the effect. Conclusion: This study suggests that enhancing professional satisfaction, maintaining proper communication, and securing autonomy are required to improve the job satisfaction among emergency nurses.

Growth Retardation and Death of Rice Plants Irradiated with Carbon Ion Beams Is Preceded by Very Early Dose- and Time-dependent Gene Expression Changes

  • Rakwal, Randeep;Kimura, Shinzo;Shibato, Junko;Nojima, Kumie;Kim, Yeon-Ki;Nahm, Baek Hie;Jwa, Nam-Soo;Endo, Satoru;Tanaka, Kenichi;Iwahashi, Hitoshi
    • Molecules and Cells
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    • 제25권2호
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    • pp.272-278
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    • 2008
  • The carbon-ion beam (CIB) generated by the heavy-ion medical accelerator in Chiba (HIMAC) was targeted to 7-day-old rice. Physiological parameters such as growth, and gene expression profiles were examined immediately after CIB irradiation. Dose-dependent growth suppression was seen three days post-irradiation (PI), and all the irradiated plants died by 15 days PI. Microarray (Agilent rice 22K) analysis of the plants immediately after irradiation (iai) revealed effects on gene expression at 270 Gy; 353 genes were up-regulated and 87 down-regulated. Exactly the same set of genes was affected at 90 Gy. Among the highly induced genes were genes involved in information storage and processing, cellular processes and signaling, and metabolism. RT-PCR analysis confirmed the microarray data.

대학생들의 방사선 위험 인식이 관리와 편익에 미치는 구조적 관계 (Structural Relationship for Recognition of Radiation Risks on Management and Benefits of the University Students)

  • 성열훈;김성수
    • 디지털융복합연구
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    • 제12권2호
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    • pp.431-437
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    • 2014
  • 본 연구는 방사선의 위험 인식이 방사선 관리와 편익에 미치는 구조적 관계를 실증적으로 분석하고자 수행되었다. 충북소재 1개 4년제 대학의 방사선 관련 대학생들을 대상으로 2013년 4월 1일부터 5월 31일까지 자기기입식 설문조사를 통하여 직접 자료를 수집하였다. 분석결과 방사선 위험 인식이 높을수록 방선선 관리에 대한 인식이 높은 것으로 나타났으며, 이는 편익에 유의한 영향을 미치는 것으로 나타났다. 비록 방사선 위험 인식이 방사선 편익에 직접적인 영향을 미치지는 못하였으나 방사선 관리라는 매개변수를 통해 방사선의 편익에 대한 긍정적 인식이 높아짐을 시사한다. 따라서 방사선의 원활한 활용과 편익을 높이기 위해서는 적절한 방사선 관리의 필요성을 강조하는 교육이 실행되어야 할 것이다.

자동노출제어장치를 이용한 비정질 실리콘 평판형 검출기에서 격자의 조건에 따른 환자선량 변화와 촬영 거리의 변화가 검출기 획득선량에 미치는 영향 (The Influence of the Change of Patient Radiation Exposure Dose Distribution on the Grid Condition and Detector Acquisition Dose on the Exposure Distance in the Use of Amorphous Silicon Thin Film Transistor Detector with AEC)

  • 윤석환;최준구;한동균
    • 대한디지털의료영상학회논문지
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    • 제9권2호
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    • pp.23-30
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    • 2007
  • This study attempts to propose an appropriate method of using digital medical imaging equipments, by studying the effects of automatic exposure control(AEC), grid ratio and the change of radiography distance on the patient dose and detertor acquisition dose during the procedure of acquiring image through a digital medical imaging detector. The change of dose following the change of grid ratio's exposure and radiography distance was measured, by using an abdominal phantom organized with tissue equivalent materials in an amorphous silicon thin film transistor detecter installed with AWC. The case to use grid ratio 12 : 1, focal distance 180cm to radiography distance 110cm in AEC, the patient dose increased rather when we used grid ration 10 : 1, focal distance 110cm. When AEC was not used,the dose necessary for image acquisition decreased as the grid ratio became higher and the distance became further. but detector acquisition dose was not reduced when in applied AEC. When purchasing digiral medical imaging equipments, optional items such as AEC and grid shall be accurately selected to satisfy the use of the equipments. Radiography error made by radiation technologist and unnenessary patient dose can be reduced by selecting equipments with a radiography distance marker equipment when it did not apply AEC. These equipments can also be helpful in maintaining high imaging quality, one of the merits of digital detectors.

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Effects of Ischemic Preconditioning of Different Intraoperative Ischemic Times of Vascularized Bone Graft Rabbit Models

  • Halim, Ahmad Sukari;Wan Ahmad Kamal, Wan Syazli Rodzaian;Noor, Norizal Mohd;Abdullah, Shafie
    • Archives of Plastic Surgery
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    • 제40권6호
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    • pp.687-696
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    • 2013
  • Background Ischemic preconditioning has been shown to improve the outcomes of hypoxic tolerance of the heart, brain, lung, liver, jejunum, skin, and muscle tissues. However, to date, no report of ischemic preconditioning on vascularized bone grafts has been published. Methods Sixteen rabbits were divided into four groups with ischemic times of 2, 6, 14, and 18 hours. Half of the rabbits in each group underwent ischemic preconditioning. The osteomyocutaneous flaps consisted of the tibia bone, from which the overlying muscle and skin were raised. The technique of ischemic preconditioning involved applying a vascular clamp to the pedicle for 3 cycles of 10 minutes each. The rabbits then underwent serial plain radiography and computed tomography imaging on the first, second, fourth, and sixth postoperative weeks. Following this, all of the rabbits were sacrificed and histological examinations were performed. Results The results showed that for clinical analysis of the skin flaps and bone grafts, the preconditioned groups showed better survivability. In the plain radiographs, except for two non-preconditioned rabbits with intraoperative ischemic times of 6 hours, all began to show early callus formation at the fourth week. The computed tomography findings showed more callus formation in the preconditioned groups for all of the ischemic times except for the 18- hour group. The histological findings correlated with the radiological findings. There was no statistical significance in the difference between the two groups. Conclusions In conclusion, ischemic preconditioning improved the survivability of skin flaps and increased callus formation during the healing process of vascularized bone grafts.

Compression Angle of Ossification of the Posterior Longitudinal Ligament and Its Clinical Significance in Cervical Myelopathy

  • Lee, Nam;Yoon, Do Heum;Kim, Keung Nyun;Shin, Hyun Chul;Shin, Dong Ah;Ha, Yoon
    • Journal of Korean Neurosurgical Society
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    • 제59권5호
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    • pp.471-477
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    • 2016
  • Objectives : The correction of clinical and radiologic abnormalities in patients with symptomatic ossification of the posterior longitudinal ligament (OPLL) is the current mainstay of treatment. This study aimed to identify radiographic predictors of severity of myelopathy in patients with symptomatic OPLL. Methods : Fifty patients with symptomatic cervical OPLL were enrolled. Based on Japanese Orthopedic Association (JOA) scores, patients were divided into either the mild myelopathy (n=31) or severe myelopathy (n=19) group. All subjects underwent preoperative plain cervical roentgenogram, computed tomography (CT), and MR imaging (MRI). Radiological parameters (C2-7 sagittal vertical axis, SVA; C2-7 Cobb angle; C2-7 range of motion, ROM; OPLL occupying ratio; and compression angle) were compared. Compression angle of OPLL was defined as the angle between the cranial and caudal surfaces of OPLL at the maximum level of cord compression Results : The occupying ratio of the spinal canal, C2-7 Cobb angle, C2-7 SVA, types of OPLL, and C2-7 ROM of the cervical spine were not statistically different between the two groups. However, the OPLL compression angle was significantly greater (p=0.003) in the severe myelopathy group than in the mild myelopathy group and was inversely correlated with JOA score (r=-0.533, p<0.01). Furthermore, multivariate regression analysis demonstrated that the compression angle (B=-0.069, p<0.001) was significantly associated with JOA scores (R=0.647, p<0.005). Conclusion : Higher compression angles of OPLL have deleterious effects on the spinal cord and decrease preoperative JOA scores.

나노 Indium을 부착한 ZnO:In 가스센서의 제작 및 특성 (Characteristics and Preparation of Gas Sensor Using Nano Indium Coated ZnO:In)

  • 정종훈;유윤식;유일
    • 한국재료학회지
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    • 제21권9호
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    • pp.486-490
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    • 2011
  • Nano-indium-coated ZnO:In thick films were prepared by a hydrothermal method. ZnO:In gas sensors were fabricated by a screen printing method on alumina substrates. The gas sensing properties of the gas sensors were investigated for hydrocarbon gas. The effects of the indium concentration of the ZnO:In gas sensors on the structural and morphological properties were investigated by X-ray diffraction and scanning electron microscopy. XRD patterns revealed that the ZnO:In with wurtzite structure was grown with (1 0 0), (0 0 2), and (1 0 1) peaks. The quantity of In coating on the ZnO surface increased with increasing In concentration. The sensitivity of the ZnO:In sensors was measured for 5 ppm $CH_4$ gas and $CH_3CH_2CH_3$ gas at room temperature by comparing the resistance in air with that in target gases. The highest sensitivity to $CH_4$ gas and $CH_3CH_2CH_3$ gas of the ZnO:In sensors was observed at the In 6 wt%. The response and recovery times of the 6 wt% indiumcoated ZnO:In gas sensors were 19 s and 12 s, respectively.

The Efficacy and Safety of Beef Tallow Extract Including Cis-9-cetylmyristoleate in Patients with Osteoarthritis - As an Adjuvant Pharmacological Treatment -

  • Lee, Sang-Hoon;Kim, June-Hyuk;Cho, Whan-Seong;Seo, Sung-Wook;Kim, Sung-Kyu;Oh, Joo-Han
    • Preventive Nutrition and Food Science
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    • 제10권3호
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    • pp.285-289
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    • 2005
  • In this double-blind, placebo-controlled trial, we assessed the efficacy and safety of beef tallow extract (BTE) including Cis-9-cetylmyristoleate in patients with arthritis. Between May and December 2003, we selected 80 patients (n=80) who showed/manifested arthritic symptoms and whose radiological findings were suggestive of arthritis, and randomly assigned them to placebo-controlled (n=40) and treatment group (n=40). The placebo (corn starch 350 mg) and BTE (208 mg) were orally administered to placebo-controlled and treatment group three times a day, respectively. We assessed the efficacy and safety based on the visual analogue scale (V AS) and modified knee society knee scores (MKSKS) at baseline and endpoint, respectively. To assess the safety, we monitored the adverse effects noted in liver, kidney, cardiovascular and gastrointestinal system for 3 weeks. Then, we performed not only a questionnaire study but also laboratory tests (e.g., liver function test, kidney function test, urinalysis, electrocardiography [EKG], complete blood cell counts [CBC] and chest X-ray). For statistical analysis, Student (-test and paired (-test were done using SPSS■ Version 11.0. Statistical significance was set at p < 0.05. The scores between V AS and MKSKS showed statistical significance (p < 0.05) with an improvement of $69.2\%$ (27/39) and $3.8\%$ (21/39) of treatment-group patients, respectively. Abnormal laboratory findings were noted in neither placebo-controlled nor treatment group. In conclusion, our results indicate that the administration of BTE was a safe and effective treatment regimen for patients with arthritis. In addition, the efficacy of BTE was more remarkable in alleviating the symptoms rather than improving the function.