• 한국임상수의학회지
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• 제28권6호
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• pp.555-561
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• 2011

본 연구에서는 중 소형견에서 1개의 복강경 통로를 통한 내시경적 담낭 제거술을 실시함으로써, 개에서 최소 침습적 수술로 담낭 절제술을 실시할 수 있는 방법을 확립하기 위하여 실시하였다. 실험 동물로 총 3마리의 수컷 비글견 ($10.3{\pm}0.62$ kg)을 이용하였으며 배꼽 주위에 하나의 절개창을 만든 후 단일 통로 내시경 시스템을 장착하였다. 이 시스템을 통해 내시경과 Maryland 복강경용 겸자로 담낭을 견인, 제거하였다. 3마리 모두 성공적으로 담낭 절제술을 실시하였으며, 수술 후 감염과 같은 합병증은 발생하지 않았다. 또한 술전, 술후를 비교한 혈액, 혈청 검사상에서도 특이적인 소견은 관찰되지 않았다. 술후 7일 후에 이루어진 부검 소견에서도 출혈 및 담즙의 유출 및 복막염 등과 같은 부작용은 관찰되지 않았다. 따라서 본 연구를 통해, 단일 통로를 이용한 내시경 유도하 담낭 절제술은 중소형견에서 실시할 수 있는 복강 수술 방법 중 최소한의 절개를 통해 비침습적으로 이루어질 수 있는 유용한 수술 방법이라 할 수 있다.

• 대한치과마취과학회지
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• 제12권2호
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• pp.93-97
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• 2012

Background: Some disabled patients show insufficient cooperation during dental treatment, and general anesthesia in an outpatient setting can be successfully administered. To minimize post-anesthetic complications is an essential issue, and strict discharge protocols are required for the safety of the patients. Post-anesthetic follow-ups using telephone calls can be applied to improve the quality of the outpatient care system. The authors evaluated the post-operative condition of patients after dental treatment under general anesthesia. Methods: Total 143 patients and their caregivers included in this study. The patients received general anesthesia for dental treatment in Seoul National University Dental Hospital, Clinic for Persons with Disabilities from July, 2011 to April, 2012. Telephone calls were given to the patients or their caregivers to collect information about the patients' systemic condition and anesthesia-related complications. Results: Among 131 patients with responses of telephone calls, 87 patients (66.4%) reported no discomfort, while 44 patients (33.6%) presented post-anesthetic complications. A total of 20 patients reported mild fever, 10 patients had vomiting, and 7 patients had sore throat. Other complications included nausea, fatigue, nasal bleeding, skin sore, and body rash. Among the patients with the history of epilepsy, 63.6% showed post-anesthetic discomfort or complication (P = 0.027, ${\chi}^2$ test). Conclusions: One third of dental patients who received general anesthesia due to insufficientcooperation complained discomfort after discharged from outpatient anesthetic care.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.638-646
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• 2014

Background The combination of polycaprolactone and hyaluronic acid creates an ideal environment for wound healing. Hyaluronic acid maintains a moist wound environment and accelerates the in-growth of granulation tissue. Polycaprolactone has excellent mechanical strength, limits inflammation and is biocompatible. This study evaluates the safety and efficacy of bio-conjugated polycaprolactone membranes (BPM) as a wound dressing. Methods 16 New Zealand white rabbits were sedated and local anaesthesia was administered. Two $3.0{\times}3.0cm$ full-thickness wounds were created on the dorsum of each rabbit, between the lowest rib and the pelvic bone. The wounds were dressed with either BPM (n=12) or Mepitel (n=12) (control), a polyamide-silicon wound dressing. These were evaluated macroscopically on the 7th, 14th, 21st, and 28th postoperative days for granulation, re-epithelialization, infection, and wound size, and histologically for epidermal and dermal regeneration. Results Both groups showed a comparable extent of granulation and re-epithelialization. No signs of infection were observed. There was no significant difference (P>0.05) in wound size between the two groups. BPM (n=6): $8.33cm^2$, $4.90cm^2$, $3.12cm^2$, $1.84cm^2$; Mepitel (n=6): $10.29cm^2$, $5.53cm^2$, $3.63cm^2$, $2.02cm^2$; at the 7th, 14th, 21st, and 28th postoperative days. The extents of epidermal and dermal regeneration were comparable between the two groups. Conclusions BPM is comparable to Mepitel as a safe and efficacious wound dressing.

• 한국항해항만학회지
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• 제30권6호
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• pp.551-559
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• 2006

상선승무원들의 승선근무로 인한 질병 발생 실태를 조사하여 승선근무로 인해 발생되는 질병예방 및 건강증진을 위한 기초 자료를 제공하기 위한 목적으로 1049명의 상선승무원들을 대상으로 설문 및 면접을 통해 조사 분석한 결과는 다음과 같다. 최근 12개월 동안 승선 중 당직근무에 지장을 받을 정도의 질병을 경험한 선원은 69.0%였으며, 질병경험분포에 유의성을 나타낸 변수는 연령(p<0.05), 소득수준(p<0.01), 승선경력(p<0.01), 직급(p<0.01), 건강인식도(p<0.01), 건강염려도(p<0.01), 피로도(p<0.01), 직업만족도(p<0.05), 휴식시간(p<0.05) 등이었으며, 질병경험은 치주질환 7.3%>무좀 6.6%>위궤양 6.4%>외상 5.3% 순이었다. 질병군별 질병발생은 근골격계질환이 17.8%로 가장 많았고 구강계질환 13.6%> 피부계질환 12.4%> 소화계질환 12.1% 순이었으며, 발생 질병의 불편기간은 31일 이상이 35.7%, 입원기간과 치료기간은 각각 7일 이하가 50.2%, 42.8%였고 의료시설 이용은 의원급이 27.9%로 가장 높게 조사되었다.

• Journal of Korean Neurosurgical Society
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• 제42권4호
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• pp.311-316
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• 2007

Objective : The objective of this study is to investigate the safety, surgical efficacy, and advantages of a polyaxial screw-rod system for posterior occipitocervicothoracic arthrodesis. Methods : Charts and radiographs of 32 patients who underwent posterior cervical fixation between October 2004 and February 2006 were retrospectively reviewed. Posterior cervical polyaxial screw-rod fixation was applied on the cervical spine and/or upper thoracic spine. The surgical indication was fracture or dislocation in 18, C1-2 ligamentous injury with trauma in 5, atlantoaxial instability by rheumatoid arthritis (RA) or diffuse idiopathic skeletal hyperostosis (DISH) in 4, cervical spondylosis with myelopathy in 4, and spinal metastatic tumor in 1. The patients were followed up and evaluated based on their clinical status and radiographs at 1, 3, 6 months and 1 year after surgery. Results : A total of 189 screws were implanted in 32 patients. Fixation was carried out over an average of 3.3 spinal segment (range, 2 to 7). The mean follow-up interval was 20.2 months. This system allowed for screw placement in the occiput, C1 lateral mass, C2 pars, C3-7 lateral masses, as well as the lower cervical and upper thoracic pedicles. Satisfactory bony fusion and reduction were achieved and confirmed in postoperative flexion-extension lateral radiographs and computed tomography (CT) scans in all cases. Revision surgery was required in two cases due to deep wound infection. One case needed a skin graft due to necrotic change. There was one case of kyphotic change due to adjacent segmental degeneration. There were no other complications, such as cord or vertebral artery injury, cerebrospinal fluid leak, screw malposition or back-out, or implant failure, and there were no cases of postoperative radiculopathy due to foraminal stenosis. Conclusion : Posterior cervical stabilization with a polyaxial screw-rod system is a safe and reliable technique that appears to offer several advantages over existing methods. Further biomechanical testings and clinical experiences are needed in order to determine the true benefits of this procedure.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.413-417
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• 2013

Purpose: This phase II study was undertaken to determine the efficacy and safety of Loubo$^{(R)}$ (Lobaplatin) in combination with pemetrexed in treating patients with metastatic breast cancer who failed to respond to anthracycline or taxanes. Patients and Methods: Metastatic breast cancer cases who had previously received an anthracycline and a taxane in either adjuvant or metastatic settings, were enrolled. All patients were recruited from Jiangsu Cancer Hospital and Research Institute, and were treated with Loubo$^{(R)}$ (Lobaplatin) 35 $mg/m^2$ (intravenous; on day 1) and pemetrexed 500 $mg/m^2$ (intravenous; on day 1) every 21 days. Efficacy and side effects were evaluated after at least two cycles of chemotherapy. Results: All eligible 19 patients completed at least 2 cycles of chemotherapy with pemetrexed and lobaplatin, and were evaluable. Overall, 3 (15.8%) patients achieved partial response, 11 (57.9%) stable disease, 5 (26.3%) progression of disease, with no complete remission. Response rate was 15.8%, disease control rate was 42.1%. The median survival time was 10.3 months. Neutrophil suppression occurred in 36.8% of patients who had grade 2 toxicity, and 26.3% had grade 3, 26.4% had grade 4. Thrombocytopenia was encountered as follows: 21.1% grade 2, 15.8% grade 3 and 5.5% grade 4. Incidences of anemia were 10.5% in grade 2, 5.3% grade 3 and 0% grade 4. Only 5.3% of patients required packed red blood cell transfusion. Grade 3 digestive tract toxicity occurred in 5.5% of patients. Other toxicities included elevated transaminase,oral mucositis and skin rashes. Conclusions: The regimen of lobaplatin and pemetrexed is modestly active in metastatic breast cancer patients who failed anthracycline or taxanes, and the toxicity profile suggesting that the doses of chemotherapy should be further modified.

• 대한화장품학회지
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• 제44권3호
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• pp.343-347
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• 2018

화장품에 방부제(살균/보존제)로 사용되는 1, 2-hexanediol (HD)로 인한 부작용을 극복하기 위하여, Escherichia coli (E. coli)의 ${\beta}-galactosidase$ (${\beta}-gal$)를 이용하여 transgalactosylation 반응으로 1, 2-hexanediol galactoside (HD-Gal)를 합성하였다. 본 연구에서는 합성된 HD-Gal의 인간 피부세포에 대한 독성이 어느 정도인지를 HD와 비교하여 관찰하였다. HD-Gal과 HD의 세포독성은 인간 피부각질형성세포(HaCaT cell line)에 HD와 HD-Gal을 처리한 후, cell proliferation assay를 이용하여 비교 분석하였다. 또한 이때, 위상차 현미경으로 HD-Gal과 HD로 처리한 세포의 상태를 비교 관찰하였다. 그 결과, HD-Gal은 42.2 mM에서 211 mM의 농도 범위에서 세포독성이 관찰되지 않았으며, 현미경 관찰에서도 큰 변화를 관찰할 수 없었다. 그러나, HD의 경우에는 저농도에서(42.2 mM and 84.4 mM)는 세포독성이 관찰되지 않았으나, 고농도(168.8 and 211 mM)에서 매우 높은 세포독성을 나타내었고, 현미경 관찰에서는 고농도에서는 물론이고, 세포독성이 관찰되지 않은 HD의 저농도에서도 세포모양과 세포 수에서의 변화가 관찰되었다. 앞으로 세포독성이 감소된 HD-Gal이 HD의 대체제로서 안전, 건강 및 웰빙 개념의 새로운 용도로 개발될 수 있을 것으로 생각된다.

• Korean Journal of Radiology
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• 제25권3호
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• pp.289-300
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• 2024

Objective: To prospectively evaluate the outcomes of ultrasound (US)-guided radiofrequency ablation (RFA) in tertiary hyperparathyroidism (THPT). Materials and Methods: Patients with THPT underwent RFA between September 2017 and January 2022. Laboratory parameters, including serum intact parathyroid hormone (iPTH) levels, were monitored for 48 months after RFA and compared with the levels at baseline. Complications related to RFA and changes in hyperparathyroidism-related clinical symptoms were recorded before and after RFA. Results: A total of 42 patients with THPT were recruited for this study. Ultimately, 36 patients with renal failure and 2 patients who underwent successful renal transplantation (male:female, 17:21; median age, 54.5 years) were enrolled. The follow-up time was 21.5 ± 19.0 months in the 36 patients with renal failure. In these 36 patients, iPTH levels were significantly decreased to 261.1 pg/mL at 48 months compared with the baseline value of 1284.9 pg/mL (P = 0.012). Persistent hyperparathyroidism, defined as iPTH levels maintained at > 585.0 pg/mL for 6 months after treatment, occurred in 4.0% of patients (1/25). Recurrent hyperparathyroidism, defined as iPTH levels > 585.0 pg/mL after 6 months, were 4.0% (1/25) and 0.0% (0/9) at 6 months and 4 years after treatment, respectively. In two patients with THPT after successful renal transplantation, iPTH decreased from the baseline value of 242.5 and 115.9 pg/mL to 171.0 and 62.0 pg/mL at 6 months after treatment. All complications resolved within 6 months of ablation without medical intervention, except in 10.5% (4/38) patients with permanent hypocalcemia. The overall symptom recovery rate was 58.8% (10/17). The severity scores for bone pain, arthralgia, and itchy skin associated with hyperparathyroidism improved after treatment (P < 0.05). Conclusion: US-guided RFA is an effective and safe alternative to surgery in the treatment of patients with TPTH and improves hyperparathyroidism-related clinical symptoms.

• 한국응용곤충학회지
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• 제48권1호
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• pp.87-94
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• 2009

멀구슬나무와 고삼 식물추출물을 활용한 KNI3126의 주요 해충 6종에 대한 살충효과와 천적류에 대한 영향평가를 하였다. 벼멸구에 대한 KNI3126의 살충효과는 약제처리 후 5일째에 95% 이상이었으며, 목화진딧물은 처리 후 3일째에 95% 이상을 나타냈지만, 5일째에는 다소 살충효과가 떨어졌다. 오이총채벌레에서는 68.1%로 일반 살충제처럼 높은 살충효과를 나타내지는 않았다. 배추좀나방의 경우는 95% 이상의 높은 살충율을 나타내어 친환경자재로서 난방제 해충의 밀도 억제가 가능할 것으로 판단되었다. 점박이응애에서는 살포 1일째부터 80% 정도의 살비율을 보여 5일째에는 90% 이상의 높은 살비율을 나타냈다. 포식성 천적인 이리응애류에 대한 영향평가 결과 국제생물방제협회(IOBC)의 생존율 40%이하인 선택독성이 중간정도로 판정되었으며, 기생성 천적의 경우에는 비교적 안전한 것으로 평가되었다. 벼멸구에 대한 기피효과는 약한 것으로 판단되었지만, 점박이응애에 대해서는 높은 것으로 판명되었다. 또한, 안전성을 검토한 결과 급성경구, 급성경피, 어독성에서 저독성으로, 피부자극성과 안점막자극성시험에서는 자극이 없는 것으로 나타났다.

• Elastomers and Composites
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• 제47권1호
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• pp.36-42
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• 2012

공정오일 내 다핵성 방향족 화합물(PCA)은 무게함량 대비 3%이상 함유한 경우 피부암을 일으키는 것으로 알려졌다. 저함량과 고함량 PCA 오일의 구분 기준은 PCA 함량 3%에 근거한다. 기준 함량 이상이면 발암성 물질인 고함량 PCA 오일로 DAE가 있으며, 기준 함량 이하이면 인체에 안전한 저함량 PCA 오일로 TDAE, MES, 파라핀 오일이 이에 속한다. 상기 4종류의 공정오일을 적용한 SBR 가황물에 용매 추출 및 분리로 오일을 정제한 후, FT-IR분광 기술을 이용하여 PCA 오일 종류을 결정하였다. 그리고 파라핀 오일이 적용된 SBR 가황물에서 고무 약품인 HPPD, TMDQ, 왁스, 공정조제(Structol-40MS)의 오일에 대한 영향을 연구하였다. 분리 정제된 오일로부터 저함량과 고함량 PCA 오일 구분은 방향족 치환체 흡수영역인 파수 864, 810, 754 및 파라핀 또는 나프텐 흡수영역인 파수 721의 상대적인 흡수세기로 확인할 수 있었다.