• 제목/요약/키워드: ST1

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경피적 확장 기관절개술 (Percutaneous Dilatational Tracheostomy)의 시술 용이성 및 합병증 (Comparison of Clinical Efficacy Between Percutaneous Dilatational Tracheostomy and Surgical Tracheostomy)

  • 안종준;고윤석;진재용;이기만;박완;홍상범;심태선;이상도;김우성;김동순;김원동;임채만
    • Tuberculosis and Respiratory Diseases
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    • 제45권6호
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    • pp.1277-1283
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    • 1998
  • 연구배경 : 외과적 기관절개술(surgical tracheostomy, ST)은 수술장에서 외과의에 의해 시행되며 중환자의 경우 수술장으로 이동은 위험을 수반하고, 또한 수술장과 외과의가 확보되지 않아 적기에 시행되지 못하는 경우도 흔하다. ST에 대한 대안으로 최근 경피적 확장 기관절개술(percutaneous dilational tracheostomy, PDT)이 구미에서 많이 시행되고 있으나 국내에서는 아직 보편화되지 않아 PDT의 시술 용이성 및 합병증을 ST와 비교해 보고자 하였다. 방 법 : 7일 이상 기계 환기 중이거나 인공 기도 확보가 요구되는 중환자 38명을 대상으로 ST(n=18) 또는 PDT(n=20)를 시행하였다. PDT군에 비해 ST군의 여성 비가 높은 것 외에 양 군 간에 임상적 특성은 차이가 없었다. ST군은 이비인후과 전공의에 의해, PDT군은 내과 전공의 또는 호흡기내과의에 의해 각각 기관절개술이 시행되었다. PDT는 기관지경 보조하에 Ciaglia Percutaneous Tracheostomy Set(Cook Critical Care, Bloomington, USA)를 사용하였다. 양 군에서 시술 의사 미확보 등으로 당일 기관절개술이 이루어지지 못한 건수, 기관절개술 시술 소요 시간 및 기관절개술과 관련된 합병증 발생율 등을 비교하였다. 결 과 : 기관절개술이 결정된 후 당일 시행되지 못한 예는 ST군에서 11예(61%), PDT군에서는 3예(15%)였다(P<0.05). 시술 소요 시간은 ST군 $29.1{\pm}11.6$ 분, PDT군 $15.6{\pm}7.1$ 분이었다(P<0.0001). 기관절개술의 합병증은 ST군에서 T-cannula의 우발적 발관 l예, 피하기종 2예, 소량 출혈 2예, PDT군에서 기관내 관의 조기 발관 1예, 소량 출혈 2예 및 피하기종 1예가 발생하였다(P>0.05). 결 론 : PDT는 중환자에서 수술장 이동이나 외과의 확보의 필요 없이 즉시 시행할 수 있고, 술기 습득이 용이하며 합병증은 ST와 비교하여 차이가 없었다.

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1D-Coordination Polymer Formed by Structural Conversion of an Oxazolidine Ligand in Reaction with the Copper(II) Halides

  • Mardani, Zahra;Golsanamlou, Vali;Jabbarzadeh, Zahra;Moeini, Keyvan;Carpenter-Warren, Cameron;Slawin, Alexandra M.Z.;Woollins, J. Derek
    • 대한화학회지
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    • 제62권5호
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    • pp.372-376
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    • 2018
  • A 1D-coordination polymer of $1D-\{Cu({\mu}-picolinato)_2\}$ $\{Hakimi,\;2012\;\sharp73\}_n$ (1), was prepared by the reactions between 2-(2-(pyridin-2-yl)oxazolidin-3-yl)ethanol (AEPC) ligand and $CuCl_2$ or $CuBr_2$. The product was characterized by elemental analysis, UV-Vis, FT-IR spectroscopy and single-crystal X-ray diffraction. The X-ray analysis results revealed that the AEPC ligand, after reactions with the copper(II) chloride or bromide, gives the same product - $1D-\{Cu({\mu}-picolinato)_2\}_n$ (1). The coordination modes for various picolinate-based ligands were extracted from the Cambridge Structural Database (CSD). In the crystal structure of 1, the copper atom has a $CuN_2O_4$ environment and octahedral geometry, which is distorted by elongation of the axial bond lengths due to the Jahn-Teller effect.

유기전해액 $LiMn_{2}O_{4}$/Lithium 전지의 전기화학적 특성 (Electrochemical Characteristics of $LiMn_{2}O_{4}$/Lithium Cells in Organic Electrolyte)

  • 임정환;도칠훈;문성인;윤문수
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2000년도 추계학술대회 논문집
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    • pp.371-374
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    • 2000
  • The electrochemical properties of LiM $n_2$ $O_4$as a cathode and an anode for the lithium secondary battery were evaluated. When LiM $n_2$ $O_4$ material was used as the cathode with the current collector of aluminum, the 1st specific capacity and the 1st Ah efficiency in LiM $n_2$ $O_4$/lithium cell were 123 mAh/g and 91.7%, respectively The anodic properties of LiM $n_2$ $O_4$ material was also evaluated in the LiM $n_2$ $O_4$/1ithium cell with the current collector of copper. It showed that the LiM $n_2$ $O_4$ was useful as the anode for the lithium secondary battery. During the 1st discharge, a potential plateau was observed at the potential of 0.3 $V_{Li}$ Li+/. The 1st specific charge capacity and the 1st specific discharge capacity were 790 mAh/s and 362 mAh/g, respectively. Therefore, the 1st Ah efficiency was 46%. The discharge capacity was gradually faded with the charge-discharge cycling to about 50th cycles. Thereafter, the discharge capacity was stabilized to about 110 mAh/g.

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천추(天樞) 상응부위에 구진약침(灸津藥針) 자극(刺戟)이 TNBS로 유도(誘導)된 크론병에 미치는 영향 (Effects of Moxi-tar Herbal Acupuncture at Cheonchu (ST25) on Crohn's Disease Induced by TNBS in Mices)

  • 김영태;안성훈;김재효;손인철
    • Korean Journal of Acupuncture
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    • 제25권2호
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    • pp.159-177
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    • 2008
  • Objectives : Crohn's disease is a severe chronic inflammation that is treated mainly by immunosuppression, which often has serious side effects. There is need to develop new therapeutic methods or drugs that have few side effects in order to treat this disease. Acupuncture with Moxi-tar at Cheonchu (ST25) has anti-inflammatory properties, but the mechanism of its anti-inflammatory actions is unclear. We investigated the protective effects and speculated the mechanisms of acupuncture with Moxi-tar at ST25 on trinitrobenzene sulfonic acid (TNBS) induced colitis in mice which is a well known Crohn's disease animal model. Methods : 5 % TNBS was treated at day 1 and day 7 into rectum of mice. To investigate therapeutic effects of acupuncture with Moxi-tar at ST25, acupuncture was carried out on day 3, and day 6. For the data analysis, we observed macroscopic and microscopic findings of the colon. Weight and width of the colon, degree of damage, changes of body weight, and myeloperoxygenase (MPO) activity were checked. For analysing protein expression, we carried out immunohistochemical staining and Western blot. For analysing mRNA expression, RT-PCR was carried out. Results : TNBS induced damages on the colon of mice, while acupuncture of Moxi-tar at ST25 suppressed TNBS mediated damages similar to those on the colons of mice in the control (not treated with TNBS) group. The average body weight of TNBS treated mice (77.4%) was decreased compared with that of the control mice (105%), and acupuncture with Moxi-tar at ST25 suppressed the loss of body weight caused by TNBS (from 77.4% to 95.3%). TNBS induced infiltration of immune cells in all layers of the colon while acupuncture with Moxi-tar at ST25 suppressed infiltration of immune cells caused by TNBS. Furthermore, acupunctured with Moxi-tar at ST25 suppressed macro-, micro- colonic damages caused by TNBS. Acupunctured with Moxi-tar at ST25 dramatically improved the clinical and histopathological symptoms such as the increase in weight of the distal colon and the MPO activity in TNBS-induced colitis. Acupuncture with Moxi-tar at ST25 down-regulated the nuclear transcription factor kappa B ($NF-{\kappa}B$) activity and suppressed tumor necrosis factor-a (TNF-${\alpha}$), interleukin-$1{\beta}$ (IL-1${\beta}$), and intracellular adhesion molecule-1 (ICAM-1) expressions caused by TNBS. Conclusions : Acupuncture with Moxi-tar at ST25 helps recovery from the TNBS-induced colonic damage by down-regulation of $NF-{\kappa}B$ activity and suppressing of TNF-${\alpha}$, IL-1${\beta}$, and ICAM-1 expressions. This may be an important method for the treatment of Crohn's disease.

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양성자 화학적 이동영상기법(1H-CSI)을 이용한 정위적 뇌생검 (Proton Magnetic Resonance Chemical Shift Imaging(1H-CSI)-directed Stereotactic Brain Biopsy)

  • 장경술;손병철;김문찬;최병길;김의녕;김범수;최보영;백현만;홍용길;강준기
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1606-1611
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    • 2000
  • Objective : To obtain more reliable sample in stereotactic biopsy, authors adopted proton chemical shift imaging ($^1H$-CSI)-directed biopsy. Until now, proton single voxel spectroscopy($^1H$-SVS) technique has been reported as a technique using metabolic information in stereotactic biopsy. The authors performed $^1H$-CSI with a stereotactic headframe in place and evaluated the pathologic results obtained from local metabolic information through $^1H$-CSI. Methods : $^1H$ CSI-directed stereotactic biopsy was performed in four patients. $^1H$-CSI and conventional Gd-enhancement stereotactic MRI was done simultaneously after application of the stereotatic frame. After reconstruction of metabolic maps of NAA/Cr, Cho/Cr, and Lactate/Cr ratios, the focal areas of increased Cho/Cr ratios and decreased NAA/Cr ratios were selected for target sites in the MR images Results : There was no difficulty in performing $^1H$-CSI with the stereotactic headframe in place. In pathologic examinations, the samples taken in area of increased Cho/Cr ratios and decreased NAA/Cr ratios showed the features of increased cellularity, mitoses and cellular atypism, thus facilitated the diagnosis. The pathologic samples taken from the area of increased Lactate/Cr ratios showed prominent feature of necrosis. Conclusion : $^1H$-CSI was feasible with stereotactic head frame in place. The final pathologic results obtained in our samples were concordant with the local metabolic informations from $^1H$-CSI. Authors believe that $^1H$ CSI-directed stereotactic biopsy may provide us advantages in obtaining more reliable tissue specimen in stereotactic biopsy.

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Responses of Holstein Cows to Different Bovine Somatotropin (bST) Treatments during the Transition Period and Early Lactation

  • Gulay, M.S.;Garcia, A.N.;Hayen, M.J.;Wilcox, C.J.;Head, H.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권6호
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    • pp.784-793
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    • 2004
  • Major objective was to evaluate three doses of bST (POSILAC(R)) injected into Holstein cows during the transition period and through 56 d of lactation for potential to improve DMI, BCS, BW, metabolites, hormones, IGF-I and milk production. Biweekly injections of bST (0, 5.1, 10.2, or 15.3 mg bST/d) began 28 d before expected parturition and continued through 56 d postpartum. Twenty-three of the 25 multiparous Holstein cows assigned randomly to four groups completed experiment (7, 5, 6 and 5 cows/group, respectively). The DMI, BW and BCS were recorded weekly throughout the prepartum and postpartum periods and blood samples were collected thrice weekly for analyses of ST, insulin, $T_{4}$, $T_{3}$, IGF-I, glucose and NEFA. Milk yields were recorded daily through 60 d postpartum and milk components measured once weekly. Mathematical model for data analyses for prepartum and postpartum periods included treatment, calving month, and the two-factor interaction. Cows injected with 10.2 and 15.3 mg bST prepartum had greater mean prepartum concentrations of ST and IGF-I. Prepartum injections of bST did not affect prepartum BW or BCS. On average, cows injected postpartum better maintained their BCS during first 60 d of lactation (3.15$\pm$0.06, 3.12$\pm$0.007, 3.20$\pm$0.006 and 3.58$\pm$0.009). Treatments did not affect mean prepartum DMI but cows injected with 15.3 mg bST/d had greatest DMI and greatest mean daily MY during the first 3 wk and tended to be greater during first 60 d of lactation. Cows injected with two highest bST doses (10.1 and 15.2 mg/d) had greater mean postpartum concentrations of ST and $T_{3}$, but IGF-I, $T_{4}$, glucose and NEFA did not differ across groups. No adverse effects of bST treatment were observed.

족양명위경 하지부 유주에 관한 고찰 - 『중국침구경락통감』을 중심으로- (A Study on the Courses of Lower Limb Region of Stomach Meridian -Focused on Categorized Collection of Literatures on Chinese Meridians and Collaterals-)

  • 박상균;안성;이광호
    • Korean Journal of Acupuncture
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    • 제35권3호
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    • pp.117-122
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    • 2018
  • Objectives : Most meridians have each well point located at the distal end of fingers or toes, congruous with their meridian courses. Exceptively, ST45(Yeotae), stomach meridian(ST)'s final point, is located at the lateral side of the tip of the second toe, while the tip of the second toe was not mentioned in the course of ST. So, we studied the course of lower limb region of ST. Methods : Courses of ST in Categorized Collection of Literatures on Chinese Meridians and Collaterals(CCM) was examined. The literatures included in CCM was selected as study subjects to be studied if the meridian route was different from "Youngchu" or more detailed notes were attached. There are 3 branches in lower limb region of ST, we analyzed theories of scholars of all time about the 3 branches of ST. Results and Conclusions : Branch 1 descends along the lateral margin of the fibula to the dorsum of foot, entering into the medial side of the middle toe. Branch 2 leaves ST36 separately, terminating at the lateral side of the middle toe. Branch 3 leaves ST42 and descends to the end of the great toe. The medial side of the middle toe equate to the lateral side of the second toe, and it is connected to ST45. So branch 1 is the main stream of ST. Branch 3 drives to the great toe passing between first and second toe, it goes medial side of LR2.

Comparative Genomics Approaches to Understanding Virulence and Antimicrobial Resistance of Salmonella Typhimurium ST1539 Isolated from a Poultry Slaughterhouse in Korea

  • Kim, Eunsuk;Park, Soyeon;Cho, Seongbeom;Hahn, Tae-Wook;Yoon, Hyunjin
    • Journal of Microbiology and Biotechnology
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    • 제29권6호
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    • pp.962-972
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    • 2019
  • Non-typhoidal Salmonella (NTS) is one of the most frequent causes of bacterial foodborne illnesses. Considering that the main reservoir of NTS is the intestinal tract of livestock, foods of animal origin are regarded as the main vehicles of Salmonella infection. In particular, poultry colonized with Salmonella Typhimurium (S. Typhimurium), a dominant serotype responsible for human infections, do not exhibit overt signs and symptoms, thereby posing a potential health risk to humans. In this study, comparative genomics approaches were applied to two S. Typhimurium strains, ST1539 and ST1120, isolated from a duck slaughterhouse and a pig farm, respectively, to characterize their virulence and antimicrobial resistance-associated genomic determinants. ST1539 containing a chromosome (4,905,039 bp; 4,403 CDSs) and a plasmid (93,876 bp; 96 CDSs) was phylogenetically distinct from other S. Typhimurium strains such as ST1120 and LT2. Compared to the ST1120 genome (previously deposited in GenBank; CP021909.1 and CP021910.1), ST1539 possesses more virulence determinants, including ST64B prophage, plasmid spv operon encoding virulence factors, genes encoding SseJ effector, Rck invasin, and biofilm-forming factors (bcf operon and pefAB). In accordance with the in silico prediction, ST1539 exhibited higher cytotoxicity against epithelial cells, better survival inside macrophage cells, and faster mice-killing activity than ST1120. However, ST1539 showed less resistance against antibiotics than ST1120, which may be attributed to the multiple resistanceassociated genes in the ST1120 chromosome. The accumulation of comparative genomics data on S. Typhimurium isolates from livestock would enrich our understanding of strategies Salmonella employs to adapt to diverse host animals.

5kWh Flywheel 에너지저장장치 시스템의 동특성 향상 설계 (Design of 5kWh Flywheel Energy Storage System to Improve Dynamics)

  • 박철훈;최상규;함상용;이성휘;윤동원;한영희
    • 한국정밀공학회지
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    • 제25권10호
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    • pp.99-106
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    • 2008
  • 5kWh FESS(Flywheel Energy Storage System) using AMB(Active Magnetic Bearing) has been under development and 1st trial system has been finished and run the operating test. Unfortunately, the test result was not satisfactory because FESS could increase the rotational speed up to 9,000 rpm only although the target rotational speed is 18,000rpm. It's because 1st bending mode frequency of flywheel shaft was too low and imbalance response was too big. To achieve the target speed, 1st bending mode and imbalance response must be improved and the whole FESS needed to be designed again. This paper presents the newly designed FESS and what has been changed from the 1st trial FESS to improve 1st bending mode and imbalance response. The experimental results to see how much 1st bending mode frequency was improved are presented, too.

속리산국립공원 화양천의 어류군집 특성 및 멸종위기종 가는돌고기 Pseudopungtungia tenuicorpa와 묵납자루 Acheilognathus signifer의 서식양상 (Fish Community Characteristics and Habitat Aspects of Endangered Species Pseudopungtungia tenuicorpa and Acheilognathus signifer in the Hwayangcheon Stream, Hangang River of Songnisan National Park, Korea)

  • 고명훈;한미숙;명라연;윤형진
    • 한국어류학회지
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    • 제31권4호
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    • pp.222-234
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    • 2019
  • 속리산국립공원 화양천의 어류군집과 멸종위기종 가는돌고기 Pseudopungtungia tenuicorpa와 묵납자루 Acheilognathus signifer의 서식현황을 밝히기 위해 2018년 4월부터 10월까지 조사를 실시하였다. 조사기간 동안 11개 지점에서 족대와 투망을 사용하여 채집한 어류는 8과 29종이었다. 우점종은 참갈겨니 Zacco koreanus (38.81%), 아우점종은 버들치 Rhynchocypris oxycephalus (16.64%), 그 다음으로 피라미 Z. platypus (14.28%)와 돌고기 Pungtungia herzi (6.92%), 참마자 Hemibarbus longirostris (4.52%), 모래무지 Pseudogobio esocinus (3.51%), 묵납자루(2.31%), 가는돌고기(1.90%) 등의 순으로 우세하였다. 한국고유종은 18종(62.1%)이 출현하였고, 환경부지정 멸종위기 야생생물은 II급의 묵납자루와 가는돌고기, 돌상어 Gobiobotia brevibarba 3종이 채집되었다. 상류에서 하류로 갈수록 대체적으로 우점도는 낮아지고 종수와 개체수, 다양도, 풍부도는 높아지는 경향을 보였고, 하천건강성은 좋음(St. 1~8) 또는 매우좋음(St. 9~11)으로 평가되었다. 군집구조는 상류(St. 1~2, 4~5)와 중·상류(St. 3, 6), 중류(St. 7~9), 하류(St. 10~11)로 구분되었다. 화양천에 서식하는 멸종위기종 가는돌고기는 주로 하류부(St. 10~11)의 암반과 큰돌에 집단으로 서식하고 있었고, 산란기인 4월을 기준으로 전장 44~61 mm는 만 1년생, 전장 66~81 mm는 만 2년생, 전장 88~99 mm는 만 3년생, 전장 104~107 mm는 만 4년생 이상으로 추정되었다. 또한 멸종위기종 묵납자루는 중·하류(St. 7~11)의 유속이 느리고 하상이 큰돌과 돌, 모래이며 수생식물이 서식하고 있는 곳에 서식하였으며, 연령은 산란기인 4월을 기준으로 전장 30~43 mm는 만 1년생, 전장 48~58 mm는 만 2년생, 전장 62~77 mm는 만 3년생, 전장 84~100 mm는 만 4년생 이상으로 추정되었으며, 성비는 암컷 47개체, 수컷 42개체가 채집되어 1 : 0.89였다.