• 대한소아치과학회지
• /
• 제41권4호
• /
• pp.322-327
• /
• 2014

국소적 치아이형성증(Regional Odontodysplasia)은 드물게 발생하는 발육성 장애로, 이환된 치아는 임상적, 방사선학적, 조직학적으로 특징적인 소견을 보인다. 국소적 치아이형성증은 유치열과 영구치열에 모두 영향을 미치며, 임상적으로 정상치아보다 크기가 작거나, 거칠고 불규칙한 치면을 가지는 등 형성부전, 석회화부전의 양상을 보인다. 방사선학적으로는 법랑질과 상아질이 얇고, 경계가 뚜렷하지 않아 방사선불투과성이 명확하지 않으며, "ghost-like appearance"와 같은 특징적인 소견을 보인다. 조직학적으로는 저석회화된 법랑질이 보이며, 법랑소주가 불규칙한 방향을 나타내고, 상아세관의 수가 감소되어 있다. 국소적 치아이형성증의 원인은 정확히 밝혀지지 않았으며, 상악 좌측에서 호발하고, 인종간의 유병률 차이는 존재하지 않으며, 남성에 비해 여성에서 더 호발하는 것으로 알려져 있다. 이 증례는 4세 6개월의 환아에서 임상적, 방사선학적 검사 결과 상악 우측 악궁에 발생한 국소적 치아이형성증으로 진단하고, 5년간의 주기적인 관찰을 시행하였다. 국소적 치아이형성증에 이환된 치아는 취약한 치면과 미성숙한 치근 때문에 예후가 불량할 수 있으므로 개개치아에 대한 주의깊은 임상적, 방사선학적 관찰을 통한 시기적절한 치료계획 수립이 중요할 것이다.

• 한국산림과학회지
• /
• 제101권4호
• /
• pp.558-566
• /
• 2012

이 연구는 채석장의 실태조사를 통하여 토석채취 후 합리적이고도 완벽한 복구를 실시하기 위한 기초 자료를 제공하기 위하여 전국의 18개 토석채취장을 대상으로 조사한 결과는 다음과 같다. 농어촌정비사업에 따른 토석 채취 후 산지복구지는 대부분 조경적 녹화가 이루어지고 있다. 또한 복구공사 후 유지관리가 이루어지지 않아 식재한 나무가 고사하거나 비탈면녹화가 제대로 되지 않아 여름철에는 강우에 의한 표층토양의 유실 및 붕괴로 이어지고, 복구녹화공사를 실시한 비탈면은 황폐화되고 있는 실정이다. 따라서 자연친화적이고 완벽한 복구녹화공사를 실시하기 위해서는 비탈면녹화를 실시하기 전에 현장의 토질특성, 지질특성 등에 대해서 조사하고 그곳에 적합한 복구공법에 대하여 면밀히 검토해야 한다. 아울러 계획된 복구공법의 적용에 있어서도 복구비를 절감할 수 있는 공법의 적용이 필요하다. 조사 결과 토석채취지의 경우 토질이 토사질 또는 리핑암, 풍화토가 대부분으로 이러한 지역은 복구녹화가 완벽하게 이루어질 수 있는 조건이 되므로 여기에 적용하는 공법도 가능하면 간단하면서도 복구녹화가 충분히 될 수 있는 공법의 선정이 중요하다. 아울러 복구녹화계획 및 검토시에는 반드시 산지복구를 전공으로 하는 전문가의 의견을 청취함으로써 그 지역에 가장 적합한 복구녹화공법의 선정 및 완벽한 복구녹화가 가능하게 될 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권12호
• /
• pp.5281-5285
• /
• 2016

Background: Brachytherapy is the most commonly used conservative treatment for the uveal melanoma. The aim of this study was to evaluate therapeutic results of Ruthenium-106 plaque brachytherapy in the management of localized uveal melanoma cases. Methods: We reviewed retrospectively the clinical records of all patients treated in our department for an uveal melanoma, undergoing Ruthenium-106 plaque brachytherapy, from January 1996 to December 2015. We focused on clinical features, therapeutic characteristics, local and distant tumor control and side effects. Results: Nineteen patients were enrolled in our study. Mean age was 56.2 years (28-79) and the sex ratio was 1.37:1 males to females. Diagnosis was made on the basis of ophthalmological clinical examination, angiography, ultrasound and/or magnetic resonance. Median tumor diameter was 9.7 mm (6-13) and median thickness 4.4 mm (2.5-8). The dose of Ruthenium-106 plaque brachytherapy prescribed to the apex of each tumor was 70 Gy in all cases. The median radiation dose to the sclera surface was 226.4 Gy (range: 179.6-342.3) and the median total application time 115.2 hours (range: 27 to 237). After a median follow-up of 61.5 months, local control was achieved in 17 patients (89%): 16 demonstrated a partial tumor response and 1 tumor stabilization. Two patients suffered local progression leading to enucleation, one dying of hepatic metastasis. Radiation-induced complications were cataracts in 3 cases and vitreal hemorrhage in 2. Conclusion: Ruthenium-106 plaque brachytherapy is an efficient treatment for localized uveal melanoma, offering good local control with low toxicity.

• 대한관절경학회지
• /
• 제2권2호
• /
• pp.124-128
• /
• 1998

From Feb. 1996 to Feb. 1997. among sixty-four patients of anterior cruciate ligament(ACL) reconstruction using multi-stranded hamstring tendon and EndoButton fixation, twenty-five patients of volunteer, 15 men and 10 women, from 16 to 50 years of age(mean 27.6 years) underwent arthroscopic evaluation. Arthroscopic evaluation was routinely performed one year after surgery along with an examination of stability. The purpose of this study was to arthroscopically evaluate the morphological changes that occurred in hamstring tendon autograft one year after ACL reconstruction. Both of the tendon graft and the adjacent fibrous tissues were observed for gross appearance and physical properties with probing and response to passive anterior translation. Biopsy samples were taken from the surrounding fibrous tissue and the tendon graft. Grossly, we found a well-defined ligamentous structure with good tension tested with a probe. A common finding was that the reconstructed ligaments were embedded in a layer of the synovium, and blood vessels could be seen on the anterior surface of the ligament. The biopsy tissue was placed in formalin solution and subjected to histological preparation by hematoxylin and eosin staining method. The hamstring tendon graft appeared histologically normal under light microscopic finding. There were a few vessels located between existing collagen bundles, and the vessels had an orderly pattern. The surrounding fibrous tissue envelope was covered with synovium. We pleased with preliminary findings in our evaluation.

• IMMUNE NETWORK
• /
• 제7권2호
• /
• pp.57-65
• /
• 2007

Background: Cordyceps militaris have been reported to modify the immune and inflammatory responses both in vivo and in vitro. Macrophages play important roles in the innate immunity through the phagocytosis of antigens. This study examined the effects of Cordyceps militaris on the activation of murine macrophage RAW 264.7 cells and primary macrophages. Methods: The components contained in culture broth of Cordyceps militaris were purified by propyl alcohol extraction and HP 20 column chromatography to CMDB, CMDBW, CMDB5P, and CMDB25P. The amounts of nitric oxide (NO) were determined by using ELISA, Griess reagent respectively. The amounts of some cytokines were determined by using ELISA, western blot, and RT-PCR The expression levels of cell surface molecules (ICAM-1, B7-1 and B7-2) were measured by flow cytometric analysis. Results: All the components of Cordyceps militaris produced significant amounts of NO. In particular, CMDB produced much more NO in RAW 264.7 cells and primary macrophages than other fractions of Cordyceps militaris. CMDB increased significantly the production of tumor necrosis factor (TNF)-${\alpha}$, interleukin (IL)-1${\beta}$, and IL-6 dose-dependently in RAW 264.7 cells. Examination of the gene expression level also showed that the enhanced production of cytokines was correlated with the up-regulation of i-NOS expression, cycloxygenase (COX)-2 expression, IL-1${\beta}$ and IL-6 expression, and TNF-${\alpha}$ expression on the expression of mRNAs by semi-quantitative RT-PCR Western blot analysis also confirmed that CMDB enhances the expression level of these cytokines. Conclusion: These results show that CMDB stimulates the production of NO and pro-inflammatory cytokines and can also up-regulate the gene expression levels in macrophages.

• Journal of Species Research
• /
• 제1권1호
• /
• pp.4-34
• /
• 2012

Parastenocaris koreana sp. nov. is described based on examination of numerous adult specimens of both sexes from several localities in Korea. Scanning electron micrographs are used to examine intra- and interpopulation variability of micro-characters, in addition to light microscopy. The new species is most closely related to the Japanese P. biwae Miura, 1969, which we redescribe based on newly collected material from the Lake Biwa drainage area. The two species differ in size, relative length of the caudal rami, shape of the anal operculum, shape of the genital double somite, relative length of the inner distal process on the female fifth leg, as well as relative length of the apical setae on the second, third, and fourth legs exopods in both sexes. Detailed examinations of three disjunct populations of P. koreana reveal also some geographical variation, especially in the surface ornamentation of somites, which may indicate some population structuring or even cryptic speciation. Lack of intraspecific variability in the number and position of sensilla on somites, as well as their potential phylogenetic significance, is a novel discovery. Both species examined here belong to the brevipes group, which we redefine to include 20 species from India (including Sri Lanka), Australia, East Asia, Northern Europe, and North America. A key to species of this group is also provided. In order to test the monophyly of the redefined brevipes group with highly disjunct distribution, as well as relationship between different species, a cladistics analysis is performed based on 39 morphological characters and with help of three outgroup taxa. Six equally parsimonious cladograms are generated, all of which show that the ingroup is well defined by at least three synapomorphies. Reconstructed phylogeny questions the previously suggested hypothesis about the origin of this group in South East Asia, with one Australian species showing the most basal position. We speculate that the present distribution of this group may be a combination of ancient vicariance and subsequent dispersal, with a possible origin in the Gondwanaland, in the rift valley between Australia and India.

• Clinics in Shoulder and Elbow
• /
• 제1권2호
• /
• pp.160-166
• /
• 1998

The purpose of this study was to assess the results of arthroscopic subacromial decompression in patients with chronic impingement and to evaluate the results according to the rotator cuff pathology. We evaluated the clinical results of treatment for chronic impingement syndrome in 28 patients from Feb 1996 to Feb 1997. There were twenty men and eight women in age from 24 to 72 years (mean age 51) with dominant arm involvement in sixteen patients. Follow up evaluations averaged 15(range 12-24)months. The average duration of symptoms were 15(range 6­60)months. The final diagnoses which were based on the physical examination, plain radiographs and arthroscopic findings, were stage II impingement in 16 patients and stage ill impingement in 12 patients. We excluded the patients with acromioclavicular arthritis or glenohumeral instability in this study. All patients were managed non-operatively a minimum of six months. During the operation we performed contouring and smoothing the acromial undersurface and only resecting of the anterolateral band of the coracoacromial ligament. The clinical results were quantitated using UCLA shoulder rating score. Satisfactory results were obtained in 23(80%) patients. Unsatisfactory results were obtained in 5(18%) patients with posterior cuff tear. The average UCLA pain score showed significant improvement from 2.8(constant pain) to 7.2(present during heavy activities) at final follow up. The function and active forward flexion scores also increased from their preoperative value. There was no significant differences according to the surface and severity of tear and NeeI' stage (P>0.05). These results compared favorably with those reported following open acromioplasty. While arthroscopic subacromial decompression is a demanding technique with a learning curve, it is a reliable treatment for chronic impingement syndrome. A less aggressive approach to subacromial decompression and preserving the posteromedial band of the coracoacromialligament does not appear to compromise results.

• 한국임상수의학회지
• /
• 제19권2호
• /
• pp.165-173
• /
• 2002

The purpose of this study was to evaluate the effect of chitosan-calcium sulfate mixture on early bony consolidation in osteodistracted dogs. The experimental group was divided into 3 groups: saline group(Control), chitosan group(Group CH) and chitosan-calcium sulfate mixture group(Group CH+CS). Four dogs were allocated to each group and classified into B week observation subgroups and 5 week observation subgroups, respectively. Two dogs were allocated to each subgroup. The lateral surface of the left mandibular body was exposed in the subperiosteal plane and vertical osteotomy was carried out on the mandibular body. An external distraction device was applied to the mandibular body. Mandibular distraction was started 5 days after the osteotomy at a rate of 1 m per day for a total of 10 w distraction for 10 days. After completion of distraction, chitosan, chitosan-calcium sulfate and saline were injected into the distracted zone of the group CH, group CH+CS and control. The external device was left in place for 3 or 5 weeks to allow for bony consolidation. Serial radiographs were carried out every week. Two dogs of each group, six dogs in total, were sacrificed at 3 weeks, and the other six dogs at 5 week after distraction. Bone specimens of the distracted mandibles were taken for histologic examination. New bone was not noted in the distracted zone of 3 week observation subgroups in the control and group CH. However, new bone was developed in the group CH+CS with a narrow fibrous interzone in the area of the distracted zone. While osteogenesis was mild in the margin of the distracted Bone of 5 week observation subgroup in the control, new bone was noted much in the group CH and group CH+CS. However, osteogenesis was noted more significantly in the group CH+CS than that of group CH. In conclusion, chitosan-calcium sulfate mixture was more effective on early bony consolidation in distraction osteogenesis

• 한국임상수의학회지
• /
• 제26권2호
• /
• pp.185-188
• /
• 2009

6개월령의 보스톤 테리어가 미측 음경 돌출과 불완전 형성된 포피, 이분화된 음낭, 잠복고환과 음경골 이형성을 나타내었다. 신체검사상, 요도구멍은 회음부 표면에 위치하였고 섬유성 띠는 귀두로부터 회음부에 있는 요도구멍까지 연결되어 있었다. 또한, 잘못 위치한 요도구멍을 통한 상행성 감염에 의하여 요도염을 나타내었다. 교정수술은 외부생식기 전체와 잠복고환을 절제하기 위하여 시행되었다. 포피, 음경 그리고 잠복고환은 성공적으로 절제되었다. 수술 후 요도구멍을 주기적으로 세척하고 항생제를 투여한 이후, 재발성 요도염은 사라졌다. 만약, 요도구멍의 위치가 재발성 요도염의 원인과 요실금의 주요 원인이 아니라면, 요도구멍을 재형성할 필요가 없는 이 치료법을 이용할 것을 제안한다.

• 한국임상수의학회지
• /
• 제30권4호
• /
• pp.305-309
• /
• 2013

개에서 자궁축농증은 발정휴지기에 주로 발생하는 질병으로서 급성으로 발병하여 만성 질병 경과를 나타낸다. 또한 장막성 낭포는 분만 후 자궁의 퇴축이 급속하게 일어나는 수복기 동안 흔히 발생한다. 10세 암컷 골든 리트리버견이 무기력, 식욕부진, 빈호흡, 복부팽만 및 비정상적인 외음부 분비물의 증상으로 내원하였다. 방사선 검사, 초음파 검사 및 실험실적 검사를 통하여 자궁축농증으로 진단되었고 난소자궁적출술이 시행되었다. 육안으로 관찰한 결과, 자궁은 팽만 되어 있었으며, 부분적으로 복벽과 유착되어있었다. 또한, 자궁 전반에 걸쳐 맑은 액체로 충만해 있는 낭포들이 관찰되었다. 세균배양검사를 통하여 자궁내강에 차있던 농에서 대장균이 감염되어있다는 것을 확인하였으며, enrofloxacin에 감수성이 있었다. 낭포에 대한 조직검사를 실시하여 자궁축농증과 장막성 낭포로 최종 진단하였다.