• Journal of Trauma and Injury
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• 제20권1호
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• pp.12-18
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• 2007

Purpose: Recently, trauma is more frequent due to the increases in the population, the number of traffic accident, and the incidence of violence. Especially, abdominal trauma is a leading cause of morbidity and mortality. We analyzed the clinical features and the factors associated with morbidity and mortality. Methods: We analyzed 136 patients of abdominal trauma who were admitted at the Department of Surgery, Chonnam National University Hospital, from January 2003 to June 2005. We analyzed the cause of trauma, the injured organ, combined injuries, mental status, blood pressure, laboratory findings, morbidity, and mortality. The relationships between by variable were assesed by using the independent samples test and the Kruskal?Wallis test. Results: The causes of trauma were traffic accidents (98 cases, 72%), falling accidents (9 cases, 6.6%), violence (6 cases, 4.4%), and stab injuries (6 cases, 4.4%). The injured organs were the small intestines (47 cases, 34.6%), the liver (35 cases, 25.7%), the spleen (26 cases, 19.1%), the mesentery (17 cases, 12.5%), the large intestines (15 cases, 11.0%), the pancreas (14 cases, 10.3%), etc. The most common combined injury was chest injury (53 cases, 39%). Comatose or semicomatose mental status and shock on admission (<60 mmHg in systolic) were related to high mortality (85.7%). In laboratory findings, decreased hemoglobin (<8 g/dL), and platelet count (<$50,000/mm^3$), and increased creatinine level (>1.6 mg/dL) were significant prognostic factors. The incidence of postoperative complications was 40.4%, and frequent complications were wound infection (8.1%) and re-bleeding (8.1%). The overall mortality rate was 18.4%, and most common cause was hypovolemic shock (18 cases, 13.2%), however, there was no statistical difference according to injurd organ. Conclusion: In the multivariate analysis, mental status, hemoglobin, and serum creatinine level were the most significant prognostic factors. When an abdominal trauma patient arrives at the emergency room, a rapid and accurate evaluation of the patient's status and risk factors, and resuscitation, if necessary, have to be performed to lower the morbidity and mortality.

• Radiation Oncology Journal
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• 제7권2호
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• pp.171-183
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• 1989

Roesch의 생존 방정식속에 세포증식으로 일어나는 생존증가를 가장 일반적 형식으로 포함시킨 식을 유도하고 이 식으로부터 저선량률 방사선에만 적용되는 동결과선량식 (Isoeffect formula)을 유도하였다. 이 저선량률식이 파라메터 하나로 결정해주는 총선량은 Paterson과 Green에 의하여 얻어진 실험 임상결과와 일치한다. 이 파라메터와 선량률 효과 사이의 관계의 의의를 논하였다. 또한 고선량률 분절(fractionation) 치료와 동저선량률 계속치료를 연락하는 동결과 선량식을 유도 사용하여, Ellis가 잰 실험결과와 비교하였다. 그 결과, Ellis와 Paterson이 쓴 'tolerance'의 표준이 $\alpha/\beta$의 비 4Gy에 해당하는 것임이 밝혀졌다. 그러므로 이들의 'tolerance'의 표준은 'early effect'에만 두고 본 것이 아님을 알 수 있다. 개념적인 면에서도, 아래와 같은 새로운 견해가 나올 수 있다. KHT sarcoma의 생존선도 (survival curve)에 선량률 효과가 보이지 않는 이유로 $\alpha/\beta$의 비가 큰 점을 들을 수 있다. 이것은 이 survival curve에 어께 (shoulder)가 보이지 않는 것으로도 증명이 된다. Pierquin이 선량률에 무관하게 head and neck tumor치료에 같은 총선량을 쓴 것을 정당화시킬 수 있다.

• 한국진공학회지
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• 제20권6호
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• pp.442-448
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• 2011

자발형성법으로 InP (001) 기판에 성장한 InAs/InAlGaAs 양자점(QDs, quantum dots)의 광학적 특성을 PL (photoluminescence)과 TRPL (time-resolved PL)을 이용하여 분석하였다. InAs 양자점 시료는 single layer InAs/InAlGaAs QDs (QD1)과 7-stacked InAs/InAlGaAs QDs (QD2)를 사용하였다. 저온(10 K)에서 QD1과 QD2 모두 1,320 nm에서 PL 피크가 나타났으며, 온도를 300 K까지 증가하였을 때 각각 178 nm와 264 nm의 적색편이(red-shift)를 보였다. QD1의 PL 소멸시간은 PL 피크인 1,320 nm에서 1.49 ns이고, PL 피크를 중심으로 장파장과 단파장으로 이동하면서 점차 짧아졌다. 그러나 QD2의 PL 소멸시간은 발광파장이 1,130 nm에서 1,600 nm까지 증가할 때 1.83 ns에서 1.22 ns로 점진적으로 짧아졌다. 이러한 QD2의 PL과 TRPL 결과는 평균 양자점의 크기가 InAs/InAlGaAs 층이 증가함에 따라 점차 증가하기 때문으로 single layer인 QD1에 비해 양자점 크기의 변화가 더 크기 때문으로 설명된다.

• 한국임상수의학회지
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• 제25권6호
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• pp.488-493
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• 2008

This study compared the effect of injectable combinations of anesthetics on each of the fluorescein angiographic phases in order to determine the most useful anesthetic combination for the procedure. Acepromazineketamine (AK), xylazine-ketamine (XK), diazepam-ketamine (DK) and zolazepam-tiletamine (ZT) group were administered randomly to 8 dogs with a two-week interval between different combination doses. The vital signs including the heart rate and arterial pressure were measured before anesthesia and every five minutes during anesthesia. Serial angiographic images were obtained after injecting a sodium fluorescein dye (25 mg/kg) and the onset time of arterial phase (AP), arteriovenous phase (AVP), early venous phase (EVP) and late venous phases (LVP) were recorded. The onset time of the AP, AVP and EVP were significantly slower in the AK and XK groups than in the DK and ZT groups. The total duration of the AP and AVP in the AK group was significantly longer than those in the ZT group. The heart rates were significantly higher in the DK and ZT groups. The arterial pressure was significantly higher in the AK and XK groups (p<0.05). There were significant differences in each angiographic onset time and duration depending on the changes in the heart rates and arterial pressure. The AK and XK groups showed a long angiographic duration allowing an accurate evaluation. Overall, it is believed that AK and XK are more useful for performing fluorescein retinal angiography than DK and ZT.

• 한국임상수의학회지
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• 제28권5호
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• pp.533-537
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• 2011

13살 암컷 시츄 (증례 1) 와 10살 암컷 요크셔테리어 (증례 2) 가 각막 내피세포 변성증에 의한 각막궤양으로 내원하였다. 안검사 상에서 증례 2의 우안은 각막 외측에 국소적인 각막 부종이 확인되었고, 나머지 3 안에서는 전체 각막에서 부종이 확인되었다. 두 증례 모두 좌안에서 결막 충혈, 국소적인 각막 색소 침착, 각막 신생혈관화, 상피하수포가 관찰되었고, 형광 염색 시 양성 반응이 확인되었다. 각막열성형술은 증례 1 에서, 좌안의 전체 각막에, 증례 2에서, 좌안의 전체 각막과 우안의 각막부종 부위에 실시하였다. 증례 2 에서, 술 후 각막 치유를 촉진시키기 위해 일시적으로 양안 안검 봉합을 실시하여, 11일간 유지하였다. 각막 궤양은 증례 1 에서, 25일째, 증례 2 에서, 11 일째 완전히 치유되었다. 증례 1은 술 후 15 개월, 증례 2는 술 후 10 개월간 각각 각막궤양이 재발되지 않았다. 각막 색소 침착이 수술 전보다 진행되었으나, 그 외 임상적으로 중요한 부작용은 관찰되지 않았다. 각막 내피세포 변성증에 의한 궤양의 경우, 지속성 또는 재발성 양상으로 진행하여 심층 각막궤양 및 포도막염과 같은 속발증이 병발하는 경우가 많다. 그러므로, 본 증례에서 보고한 바와 같이 각막열성형술은 각막내피세포변성증에 의한 각막궤양에 효과적인 치료법으로 생각된다.

• Korean Journal of Acupuncture
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• 제30권2호
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• pp.122-130
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• 2013

Objectives : The fact that Primo vessel as a new circulatory system exists in the lymphatic vessels of the rabbits which were treated with sound wave vibration therapy is confirmed with the anatomy of rabbit. Isolated Primo vessel is investigated, particularly focused on morphological features. Methods : Before the anatomy, a rabbit in a cage box was laid on the sound wave vibrating apparatus and then is applied by various frequencies and intensities for 30 min with music that a rabbit likes. Results : Isolation and observation of Primo vessel was easier when the lymphatic circular system was applied at a certain frequency and intensity of 7 Hz and 50. The probability of observation for Primo vessel enhanced to 90%. Conclusions : The sound wave therapy by a vibration apparatus is considered necessary as major process to facilitate the reproducible isolation and observation of Primo vessel.

• Journal of Genetic Medicine
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• 제9권1호
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• pp.17-21
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• 2012

Purpose: The aim of this study was to analyze parental decisions regarding pregnancies in which the fetus had sex chromosome abnormalities (SCA) over a ten-year period. Materials and Methods: We collected and reviewed records from our hospital for 2001-2010 and a genetic specialist provided-genetic counseling. Results: We diagnosed 130 cases (0.71%) with SCA out of 18,376 prenatal cases from 2001 to 2010. We reviewed the records and the results of all pregnancies. We also included cases (n=84) of apparently normal anatomic fetuses to analyze the factors influencing parental decisions. We excluded 34 cases with an obvious anomaly or a presumably bad outcome and 12 cases that were not followed up. Forty-three couples (51.2%) continued their pregnancies while forty-one (48.8%) terminated them. Of 38 mosaicism cases, 21 (55.3%) were continued. Among the 20 pregnancies assisted by reproductive techniques, 15 (75%) were continued (P=0.02). More pregnancies were continued when genetic counseling was provided (61.9%) compared to cases in which it was not provided (19%) (P=0.01). Conclusion: Genetic counseling is important in providing appropriate information to parents. Establishing guidelines and protocols will help both obstetricians and parents to make informed decisions.

• 대한두경부종양학회지
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• 제19권1호
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• pp.58-62
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• 2003

Purpose: To evaluate the efficacy of positron emission tomography with 2-[F-18] fluoro-2-deoxy-D-glucose in discrimination of response in the nasopharyngeal carcinoma patients who treated with radiotherapy. Methods and Materials: Twenty-four patients who underwent FDG-PET scan before and after radiotherapy for no disseminated head and neck carcinoma at the Asan Medical Center between August 2001 and September 2002 were evaluate by prospective analysis. First FDG-PET scan performed before radiotherapy within 1 month, and second FDG-PET scan performed 1 month after radiotherapy. FDG-PET images were analyzed by standard uptake value (SUV). Follow-up period was more than 6 months. Results: The pretreatment SUV was 3.4-14.0 (median: 6.0) and posttreatment SUV was ground level-7.7 (median: 2.0). The overall sensitivity and specicity of FDG-PET to evaluate residual tumors in the nasopharyngeal carcinoma patients were 94% and 94%. Conclusion: FDG-PET is effective in evaluation of radiation response in the nasopharyngeal carcinoma. We think that the timing of one month after finished radiotherapy FDG-PET scan was not too fast to evaluation of radiation response.

• 한국식품영양학회지
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• 제30권4호
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• pp.703-709
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• 2017

This study analyzed the effect on weight and average daily gain, carcass grade, and blood characteristics and immunity in case of dietary addition of pegmatite to Hanwoo steers. Relative to Hanwoo steers, initial body weight was $257.3{\pm}11.74kg$ (8-months old after birth). Forty-eight Hanwoo steers were fed for 24 months using random arrangement (4 treatment plots${\times}$4 heads${\times}$3 repeat). The treatment plot (498.75~500.82 kg) had higher weight during the early fattening stage compared with that of the control plot (474.37 kg) (p<0.05). Regarding total cholesterol of the blood, the value was similar to one during initiation of testing, but the value increased gradually based on the progress of fattening. In addition, the triglyceride was considerably low in T2~T3 plots with high addition of pegmatite during the late fattening stage compared with other treatment plots (p<0.05). This study revealed a tendency in the IgG content that represented immunity as the addition of pegmatite became higher (p>0.05). This study found that the treatment plot (441.55~452.10 kg) had higher carcass weight compared with the control plot (436.30 kg). However, this study revealed that the treatment plot (2.30~2.55 points) had higher carcass quantity grade compared with the control plot (2.11 points). This study found that the control plot (3.55 points) had higher carcass quality grade compared with the treatment plot (2.67~3.09 points) (p>0.05). With studies combined, it was determined that dietary addition of pegmatite to the feed as clay minerals in fattening Hanwoo steers would improve feed intake, body weight gain and carcass quantity grade.

• 한국방재학회 논문집
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• 제9권5호
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• pp.115-123
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• 2009

수량과 수질에 관한 정보는 수자원 관리뿐만 아니라 수공구조물의 계획, 설계 및 운영에 필수적인 자료로 활용된다. 우리나라에서 수량과 수질에 대한 정보는 목적에 따라 여러 기관에 의해 관측되고 있어 많은 문제점이 발생하고 있다. 본 연구에서는 기술적 측면과 법, 제도 측면에서 수량과 수질 연계방안에 대하여 다음과 같은 다양한 대안을 제시하였다. 먼저 국가수문관측계획 및 국가물정보관리계획, 부처간 관측 표준과 정보인증 과정에 대한 협의, 관련 법령(하천법과 수질관련법)의 개정이 필요하다. 또한 현재 설치되어 있는 수량 수질관측소를 유지하고 신규관측소나 교체해야 할 관측소에 대해서는 통합관측을 수행하며, 자료의 관리 및 유통에 대한 단일 기구를 설립해야 한다. 그리고 관측기준을 명확히 확립해야 하며, 통합관리안을 만족시키기 위해 각 부처별로 산재된 정보를 중앙집중식으로 자료 관리를 수행해야 한다. 마지막으로 각 부처별 자료의 신뢰도 및 자료품질에 대한 검증이 우선적으로 수행되어야 한다. 다양한 이해관계 때문에 단기간 내에 수량과 수질 연계관측에 관한 문제들을 해결한다는 것은 어려운 일이나 본 연구에서 도출된 법, 제도, 기술적 제안사항들은 중, 장기적으로 수량과 수질 관측의 효율적인 연계방안에 도움이 될 수 있을 것으로 판단된다.