• Journal of Chest Surgery
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• 제30권9호
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• pp.908-913
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• 1997

경상대학교 병원 흉부외과학 교실에서는 1988년 5월부터 1995년 12월까지 원발성 비소세포성 폐암으로 수 술 받은 77명을 대상으로 임상적으로 관찰하였다. 성별은 남자가 65례, 여자가 12례이었고, 호발연령군은 50-59세(44.5%)이었다. 주요 증상은 종양 차체가 해 부학적인 영향을 미쳐 기참, 객혈, 흉통 등의 순서로 나타났다. 병리조직학적 분류로 편평상피암이 81.8%, 선 암이 14.3%, 선편평상피세포암이 3.9%였으며,각 조직학적 군간의 수술 후 생존율은 통계학적인 유의성이 없었다. 수술방법은 전폐엽절제술이 26례(33.8%), 단엽절제술이 30례(38.9%), 이엽절제술이 9례(11.7%), 절제가 불가능한 경우가 12례(15.7%)로 전체 종양 절제율은 84.4%였다. 병기별 분류는 병기 I기가 26례(34%), II기가 14례(18%), IIIa기가 22례 (29%), 11%기가 14례(18%) 그리고 IV기가 1례(1%)였곤 I기, II기와 IIIa기에서는 100% 절제가 가능하였으며, IIIb기에서는 21.4%에서 절제가 가능하였고, IV기에서는 절제할 수 없었다. 환자의 3년 생존율은 I기 83%, II기 26%, IIIa기 17%, IIIb기 0%이었다.

• Clinical and Experimental Reproductive Medicine
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• 제22권2호
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• pp.211-220
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• 1995

Though the endometriosis is not always related with infertility, endometriosis causes infertility in some patients. There are many treatment modalities of infertile patients who have endometriosis. In recent years, Assisted Reproductive Technology(ART) have been widely accepted as being a useful tool for the treatment of infertile endometriotic patients. The objective of this study was to evaluate the outcome of ART in infertile endometriotic patients who have been carried out IVF-ET from Jan, 1992 to Dec, 1994 and to compare the results between COH/IUI and IVF-ET in the patients with endometriosis stage I. Tubal disease only patients were grouped(308 patient, 956 cycles) as a control. Endometriosis group was subdivided into 4 groups according to American Fertility Society classification; endometriosis stage I (45 patients, 61 cycles), stage II (26 patients, 39 cycles), stage III (26 pateitns, 37 cycles), stage IV (33 patients, 50 cycles). The outcomes of IVF-ET in endometriosis patients were as follows; The oocyte recovery rates were significantly lower in stage III, IV endometriosis. In case of stage III endometriosis, the fertilization rate was significantly lower than other stages of endometriosis. Clinical pregnancy rates per cycle were not different between the tubal group(22%) and the endometriosis group(25%). According to endometriosis stage, the implantation rate and clinical pregnancy rate were significantly lower in stage IV (5.6%, 16%) compared with other stages (I; 10.0%, 26%, II;9.8%, 31%, III;12.6%, 32%). It suggests that some factor like autoantibodies may inhibit implantation of embryos in stage IV endometriosis. To evaluate the possibility that simply increasing the number of gametes at the site of fertilization might account for pregnancies attributed to IVF-ET, the authors retrospectively analyzed the outcome of couples undergoing IUI during hMG cycles and CC cycles between 1992 and 1994 in the women with endometriosis stage 1. In case of stage I endometriosis, though the COH/IUI group showed lower FSH level and lesser age profile than IVF-ET group, IUI group has resulted in lower pregnancy rates(19.2%) compared with the IVF-ET group(26.2%). In conclusion, endometriotic infertile patients can get comparable pregnancy rates with the tubal factor infertility patients during IVF-ET program. Moreover even in stage I endometriosis, IVF-ET may be an more effective treatment modality than COH/IUI.

• Fisheries and Aquatic Sciences
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• 제2권2호
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• pp.176-181
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• 1999

The variations of gene expression and pituitary contents of GTH subunits during the ovarian development of masu salmon, Oncorhynchus masou, were investigated. The pituitary GTHs contents was measured by radioimmunoassays (RIAs) using purified GTH subunits and their antibodies. Pituitary contents of GTH $I\beta$ gradually increased from April through August, and reached the maximum in October. On the other hand, pituitary contents of GTH $II\beta$ remained low until August, but they rapidly increased in October. Total RNAs were prepared from pooled pituitaries and the GTH subunits mRNA in pituitaries was quantified by Northern blot hybridization using masu salmon cDNA probes for each GTH subunit. GTH $I\beta$ mRNA level increased with the progression of ovarian maturity. However, GTH $II\beta$ mRNA was detected only at a more advanced stage, and were extremly high at ovulation. A high levels for GTH a mRNA was detected only at ovulation stage. The synchronous increase in pituitary contents and mRNA levels suggested that ovarian maturity in masu salmon was regulated by both GTH I and GTH II.

• Journal of Plant Biology
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• 제30권4호
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• pp.225-247
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• 1987

Meiosis and postmeiotic mitosis in Boletus rubinellus were examined ultrastructurally. Meriosis occurred at the apex of the basidium. A sausage-shaped spindle pole body(SPB) was observed along with the presence of synaptonemal complexes during pachytene and a diglobular SPB was present on late pachytene or diplotene nuclei. During metaphase I, the monoglobular SPB at the spindle pole was surrounded bya membrane and the nuclear enveloope was discontinuous. At anaphase I, the chromosomes became better defined and formed a central spindle. The nucleolus was extruded from the nucleus. During anaphase I, the SPB was excluded from the chromosomal region by a membrane and both poles were fully separated to opposite sides of the basidial wall. In meiosis II, the two nuclei divided synchronously and the spindles were parallel. The spindles were smaller than in meiosis I, while the SPB was approximately the same size as that of the similar stage in meiosis I. During anaphasetelophase II, the SPB was surrounded by a cap of endoplasmic reticulum (ER) that delimited it from the spindle. The postmeiotic interphase nuclei migrated to the mid-region of the basidium before migration to the spores. The SPB at this stage was diglobular. A postmeiotic mitosis occurred within the basidiospore, and the plane of the spindle was obique to the long axis of the spore. The spindle and SPB were smaller than at meiosis I and there were fewer nonchromosomal microtubules. At anaphase, the nucleolus was present inside the nuclear envelope but lateral to the spindle.

• 자원환경지질
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• 제22권2호
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• pp.103-115
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• 1989

The Tongyoung deposits are epithermal gold and silver bearing quartz-rhodochrosite vein type deposits of late Cretaceous. They occurs in the andesite and tuff breccia member called Gyeongsang basin. Four mineralizations can be distinguished at the mine based on macrostructures. From earlist stage to lastest stage they are: stage I, base-metal quartz vein; stage II, rhodochrosite vein (IIA) and Pb-Zn vein (IIB); stage III, barren quartz vein; stage IV, calcite-ankeritic rhodochrosite veins. Gold and silver mineralizations occur predominantly in the stage I and IIB. Electrum is closely associated with galena, sphalerite and pyrite, and has chemical compositions of 50.98-64.05 atom % Ag. Sphalerite contains 2.09-5.05 mol % FeS and 0.34-2.01 mol % MnS in the stage I, and 2.01-3.41 mol % FeS and 0.21-2.80 mol % MnS in the stage IIB. The FeS and MnS contents are in general correlated, and shows a characteristic zonal arrangement of electrum. It reveals rhat FeS contents of sphalerite which precipitated before electrum, gradually decreases in a grain during its deposition ranging from about 3.3 to 2 mol %. It may be considered from the above data that an increase of $fs_2$ caused by the oxidation of ore forming fluid is more important that the decrease of temperature.

• 대한지리학회지
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• 제38권2호
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• pp.156-172
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• 2003

정동진, 대진 지역에는 규모가 큰 해안단구 고위면이 형성되어 있을 뿐 아니라. 우리나라 중부 동해안에서 처음으로 구정선고도의 해발고도가 고위면보다 높은 고고위면이 확인되었다. 해안단구의 구정선고도는 고고위 I면(HH I) 해발고도 140m. 고고위 II교면(HH II) 110m, 고위 I면 90m, 고위 II면 70m, 중위면 40m, 저위 I면 25m, 저위 II면dl 10m이다. 그리고 홀로세에 형성된 것으로 추정되는 해발고도 5~6m의 가장 낮은 해안단구가 연구지역 전체에서 나타난다. 고고위면은 인근의 삼척 오십천 해면변동단구와 남동해안 감포지역에서 확인되는 고고위 면과 같은 시기에 형성된 것으로 볼 수 있다. 이것은 연구 지역의 해안단구 형성체계가 이들 지역의 그것과 거의 같은 데서 추론할 수 있다. 해안단구 형성시기는 최종간빙기인 MIS 5시기로 확인된 저위 I면을 단서로 중위면은 MIS 7. 고위 II면은 MIS 9, 고위 I면은 MIS 11로 판단된다. 고고위 II면은 산소동위체 MIS 13, 고고위 I면은 산소 동위체 MIS 15에 형성되었을 것이다. 고위면이 한반도 남동부 지역과 유사하게 큰 규모로 남아있는 것은 이것을 형성한 Holsteinian Interglacial의 기간이 매우 길고, 이 시기의 해면 위치에 기반암의 완사면이 넓게 형성되어 있었으므로 파식대가 비교적 용이하게 만들어진데 기인하는 것으로 생각된다.

• Radiation Oncology Journal
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• 제12권3호
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• pp.323-329
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• 1994

Purpose: In supraglottic cancer, radiation therapy is used to preserve the laryngeal function but combined surgery and radiation therapy is required in advanced stage. The authors Present the results of radiation therapy alone and combined surgery Plus Postoperative radiation therapy for supraglottic cancer. Methods and Materials: A retrospective analysis was done for 43 patients with squamous cell carcinoma of the supraglottic larynx who were treated from Feburary 1982 to December 1991, in the Department of Radiation Oncology, Korea University Hospital. Patient distribution according to the AJCC staging system was as follows: I, 3($7.0\%$); II, 7($16.3\%$); III, 17($39.5\%$); IV, 16($37.2\%$). Patients' age ranged from 30 to 72 years(median 62). Follow up durations were from 21 to 137 months(median 27). Seventeen patients($39.5\%$) were treated by radiation therapy alone with radiation doses of 6840-7380 cGy and 26 patients($60.5\%$) were treated with surgery plus postoperative irradiation with doses of 5820-6660 cGy. Results: Overall five-year survival rate for all stage was $51.8\%$, with $100\%$ for Stage I and II, $47.3\%$ for Stage III, and $29.2\%$ for Stage III. The difference of the survival rate by stage was statistically significant(p=0.0152). Five-year survival rates were $100\%$ for locally confined tumor in the supraglottic larynx, $37.5\%$ for transglottic extension, $26.7\%$ for hypopharynx extension, and only two of 5 patients with both transglottic and hypopharynx extension were alive(p=0.0033). Five-year survival rates by neck node status were as follows: $55.0\%$ for NO, $64.3\%$ for N1, $50.0\%$ for N2, and all 2 of N3 were died of disease. Overall survival rate for radiation therapy alone group was $42.8\%$, and it was $56.7\%$ for surgery plus postoperative radiation therapy group with no statistically significant difference(p=0.5215). In Stage I and II, all Patients survived. In Stage III and IV, 5-year survival rate for radiation therapy alone group was $28.5\%$ and $43.4\%$ for surgery plus postoperative irradiation group(p=0.5103). Local control rate was $58.8\%$(10/17) for radiation therapy alone group and $73.1\%$ (19/26) for surgery plus postoperative irradiation group. Three patients from surgery plus postoperative radiation therapy group developed distant metastasis in lungs. Conclusion: Treatment results of radiation therapy alone was excellent in early stage supraglottic cancer. In advanced stage, even the difference was statistically not significant, the result of postoperative radiation therapy group was superior compared with radiation therapy alone group. Since 1992, concomitant chemoradiotherapy with hyperfractionated radiotherapy is being used to improve the result of the treatment and preserve the laryngeal function in advanced stage supraglottic cancer.

• Journal of Chest Surgery
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• 제29권4호
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• pp.427-432
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• 1996

1985년 부터 1994년까지 18명의 흉선종 환자를 수술치료 하였다. 15명의 환자는 중증근무력증이 없었으며 3명의 환자는 중증근무력증을 호소하였다. Masaoka' 분류에 의한 임상적 병기는 I기 5 명(27.8%), ll기 6명(33.3%), 111기 6명(33.3%), IV기 1명(5.6%)이였다. 18명의 흉선종 환자중 10명 (I기 환자 5명, ll기 환자 5명)은 외과적 치료만을 시행하였으며, 8명(ll기환자 1명, 111기 환자 6명, IV 기 환자 1명)은 외과적 절제와 수술 전후 방사선 치료 및 항암치료를 시행하였다. 수술 사망은 없었 으며,평균3.4년의 추적 관찰 기간동안 3명의 환자가 사망하였다. 전체 환자의 5년 생존율은 82.2$\pm$9%였으며, 임상적 병기에 따른 5년 생존율은 I기와 II기 100%, III기 62.5 %였으며 IV기 에서는 생 존 환자가 없었다 수술시야상에서 비 침습성으로 판단된 II기 흉선종 환자 1명 에서 흥막과 종격동에 흉선종이 재발된 경우가 있었다. 흉선종의 재발로 2명의 환자에서 수술후 14개월과 52개월째에 재수술을 시행 하였다. 흉선종의 예후와 연관이 있는 인자는 Masaoka')분류에 따른 임상적 병기와 흉선종의 완전절제여 투였다. 중증근무력증은 생존율의 위험 인자 \ulcorner아니었다.

• Clinical and Experimental Reproductive Medicine
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• 제17권2호
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• pp.101-106
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• 1990

Serum CA 125 was measured with immunoradiometric assay in fourty-one patients of endometriosis Serum CA 125 levels (Mean ${\pm}$ SEM, U/ml)in patients with endometriosis were 13.8${\pm}$3.3 in stage I , 17.3${\pm}$3.0 in stage II, 23.4${\pm}$4.9 in stage III, and 64.5${\pm}$13.2 in stage IV, which showed increment according to the stage of endometriosis. Serum levels in stage IV only were significantly elvated than those in control (15.3${\pm}$2.2), and those in advanced stage(III and IV ; 47.1${\pm}$9.5)were significantly higher than those in earlier stages (15.9${\pm}$2.2)and control. The assay revealed a sensitivity of 31.7% and the frequency of elevated levels (> 30.3 U/ml)in stage I, II, III and IV was 9. 1%, 18.8%,33.3%, and 87.5% respectively. Sensitivity in advanced stage was higher than that in earlier stage (64.3% vs. 14.8%). There data suggest that serum CA 125 assay might be a useful diagnostic tool in the advanced stage of endometriosis.

• Neonatal Medicine
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• 제25권1호
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• pp.29-36
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• 2018

Purpose: The purpose of this study was to investigate the outcome after changes in the treatment strategies for very low birth weight infant (VLBWI) in a single neonatal intensive care unit (NICU) center. Methods: We performed a retrospective review of 300 VLBWI born from 1st January 2010 to 31th December 2016. We compared the outcomes including survival rate, birth weight (BW), gestational age (GA), and morbidities between period I (2010-2013, P-I) and period II (2014-2016, P-II). Results: The average survival rate was not different between P-I and P-II. However, the survival rate of ${\leq}24$ weeks' GA, 25 weeks' GA, 26 weeks' GA were 57%, 69%, 93% respectively in P-II and 31%, 59%, 87% in P-I respectively. The survival rate of infants with birth weight <500 g, 500-749 g, 750-999 g were 100%, 55%, 90% respectively in P- II and 50%, 24%, 80%, respectively in P-I. The incidence of bronchopulmonary dysplasia (BPD) was higher in P-II than in P-I (P=0.012) and moderate-to-severe BPD was also higher in P-II (P=0.004). Incidence of patent ductus arteriosus (PDA) with treatment, necrotizing enterocolitis (stage ${\geq}2$), and abnormal brain sonography were significantly lower in P-II (P=0.027, P=0.032, P=0.005). Incidences of retinopathy of prematurity (ROP) with laser treatment and early sepsis were not different. Conclusion: The survival rate and complications of VLBWI were improved in period II, especially in less than 750 g and below 26 weeks, except incidence of BPD. Changes of NICU strategies were effective to improve mortality and morbidity in VLBWI.