• Maxillofacial Plastic and Reconstructive Surgery
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• 제20권3호
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• pp.214-216
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• 1998

Midfacial degloving approach의 장점으로는 비강, 비중격, 상악동, 사골동, 접형골동, 비인두 부위 병소의 접근에 좋은 시야를 제공하며, 수술방법이 기존의 방법에 비해 수월하고, 두피관상 절개법, 측두부 절개법, 구개부 절개법과 함께 사용하여 수술시야를 넓힐 수 있으며, 안면부에 나타나는 흉터가 없어 심미적으로 만족스러우며 특히, Keloid 체질에서 유용하다는 것을 들 수 있다. 이에 저자 들은 구강악안면외과 영역에서도 중안면부 외상, 두개안면부 기형 처치, 상악골 절제술을 요하는 경우, 상악골과 비골의 동시 수술을 요하는 경우 등에 midfacial degloving approach가 유용한 수술 접근 방법으로 사료되었다.

• 대한치과보철학회지
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• 제46권3호
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• pp.298-306
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• 2008

STATEMENT OF PROBLEM: Effect of surface treatment of ceramic under loading does not appear to have been investigated. PURPOSE: The aim of this study was to investigate the effect of surface treatment of esthetic ceramic, which is performed to increase the bonding strength, on the fracture stress under controlled cyclic loading condition. MATERIAL AND METHODS: Sixty 1.0 mm-thick specimens were made from Mark II Vitablocs (Vita Zahnfabrik, Germany) and divided into 3 groups: polished (control), sandblasted, and etched. Specimens of each group were bonded to a dentin analog material base including micro-channels to facilitate the flow of water to the bonding interface. Bonded ceramics were cyclically loaded with a flat-end piston in the water (500,000 cycles, 15Hz). Following completion of cyclic loading, specimens were examined for subsurface crack formation and subsequent stress was determined and loaded to next specimen by the staircase method according to the crack existence. RESULTS: There were significant differences of mean fatigue limit in the sandblasted (222.86 ${\pm}$ 23.42 N) and etched group (222.86 ${\pm}$ 14.16 N) when compared to polished group (251.43 ${\pm}$ 10.6 N) (P<.05; Wald-type pair-wise comparison and post hoc Bonferroni test). Of cracked specimens, surface treated group showed longer crack propagation after 24 hours. All failures originated from the radial cracking without cone crack. Fracture resistance of this study was very low and comparable to failure load in the oral cavity. CONCLUSION: Well controlled cyclic loading could induce clinically relevant cracks and fracture resistance of Mark II ceramic was relatively low applicable only to anterior restorations. Surface treatment of inner surface of feldspathic porcelain in the matsicatory area could influence lifetime of restorations.

• 한국양식학회지
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• 제7권2호
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• pp.123-134
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• 1994

나일 틸라피아의 흉선과 말초 혈액내 림프구에 glucocorticoste.oid (GCS)가 미치는 영향을 알아보기 위해 여러 가지 농도로 dexamethasone (DEX)와 hydrocortisone (HC)을 치어 (5-7g) 복강에 주사하여 흥선의 조직과 세포수 등을 대조군과 비교하였다. 생체에 DEX와 HC를 투여한 군에서는 흥선의 무게 감소와 흥선 세포의 수적 감소가 나타났으며, 그 효과는 이들 호르몬의 처리 양과 시간에 의존적이었다. 10mM DEX와 10mM HC를 시험관내 흥선 세포에 12시간 처리할 경우 DNA 절편화가 유도되었으며, 그 유형은 180-200 염기쌍으로 다양하게 절편되었다. DEX와 HC를 생체에 여러 시간 동안 처리했을 때 말초 혈액내 과립 백혈구의 수적 변동은 없었지만, 10mM DEX와 10mM HC을 2-3일 처리시 말초 혈액내 림프구 수는 감소되었다. 이상의 결과는 흥선 세포와 순환하는 림프구가 호르몬의 특성과 처리량 및 시간과 같은 여러 가지 요인에 따라 GCS에 반응하는 것을 시사해 주었다.

• 한국응용곤충학회지
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• 제34권2호
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• pp.112-119
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• 1995

본 연구는 뿌리썩이선충(Pratylenchus vulnus)이 옥수수뿌리조직을 침입했을 때, 조직의 해부학적.생화학적 변화를 밝힘으로써 식물과 선충의 상호관계를 이해하고, 이들 정보를 바탕으로 선충저항성 작물의 육종 및 선별에 활용하기 위함이다. 옥수수뿌리 표피를 뚫고 들어온 선충은 뿌리 피층에 자리를 잡고, 세포벽을 파괴하면서 다른 세포로 이동한다. 마침내 선충들은 피층의 내피와 세근의 기부에 밀집했다. P.vuinus의 암컷들은 세포내에 공간(cavity)을 형성하여 그 속에 알을 낳는 습성을 지니고 있다. 선충에 의한 주된 피해양상은 세포벽이 파괴되고 부서져서 공간을 형성하는 것으로 나타난다. 이러한 현상은 세근의 기부에서도 관찰된다. 선충의 피해로 야기된 옥수수 뿌리의 생화학적 변화는 선충접종구와 무접종구간 총단백질양과 esterase활력조사를 통해 비교.분석되었다. Denaturing gel 상에서 총단백질양의 비교는 유의한 차이를 나타내지 않았고, esterase 의 pattern 및 활력에서도 유의할 만한 차이는 발견되지 않았다.

• Journal of Ginseng Research
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• 제34권2호
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• pp.77-88
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• 2010

Ginseng has been reported to reduce the risk of cancer in diverse organs, including the lip, oral cavity, pharynx, larynx, esophagus, lung, liver, pancreas, ovary, colon, rectum, and stomach, as demonstrated in clinical and epidemiological studies. studies, base on which findings, Panax ginseng has been classified as a "non-organ-specific cancer preventive." However, the recent keen interest in traditional medicinal herbs has been frequently questioned, about exact mode of action and the use of panaceic compounds has been a prime issue discussed in terms of complementary and alternative medicine. Several in vitro and in vivo studies have shown the mitigating effects of Korean red ginseng on Helicobacter pylori (H. pylori)-associated atrophic changes and carcinogenesis; However, evidence-based medicine, consisting of large-scale or well designed clinical studies, is still warranted whether Korean red ginseng is to be recognized as an essential therapeutic strategy regarding a "H. pylori-associated gastric cancer preventive." Specifically, comprehensive clinical trials of Korean red ginseng are needed to demonstrate that mucosal regeneration in patients with atrophic gastritis is feasible using Korean red ginseng supplements after the eradication of H. pylori infection. Ginseng is a good example of a natural herb and its ubiquitous properties may include the reduction or delay of inflammation carcinogenesis. Korean red ginseng contains ample amounts of active ginsenosides and we have demonstrated their effects in in vitro and in vivo studies with positive outcomes. In this review, the quantitative and qualitative benefits of Korean red ginseng in the treatment of H. pylori infection are described.

• Radiation Oncology Journal
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• 제2권2호
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• pp.191-202
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• 1984

Biological behavior and treatment results of 33 patients with Adenoid Cystic Carcinoma (ACC) in the Head and Neck at Yonsei Cancer Confer for 10 years between 1971 and 1980 were retrospectively analysed. Most common, primary site was minor salivary glands such as maxillary sinus, nasal cavity and base of tongue. The typical biological behavior of these tumors was very slowly in growth with long time of duration(mean 19 months) from 1 month to 10 years and more frequent of nerve invasion but rare invasion of neck nodes. Local control and failure pattern in the results of treatment, 16 of 17 patients with irradiation alone were seen complete or partial response but 5 cases of locoregional recurrence, 2 cases of failure of neck node and 4 cases of distant metastasis as lung and brain. On the other hand, among 10 cases of surgery and postoperative irradiation, 2 cases of locoregional failure and 3 cases of distant metastasis as lung and bone. 2 of 4 cases with surgery alone were recurred within primary site. Actuarial overall NED survival at 3 ana 10 years were $52.6\%$ and $42.8\%$, respectively. Survival rate of 10 Patients with surgery and Postoperative irradiation was more high than 17 Patients of radiation alone. Therefore, we have known that surgery with postoperative adjunctive irradiation is most effective treatment modality of adenoid cystic carcinoma in the head and neck. Primary site, treatment modality and with or without nerve ana bone invasion have influenced on prognosis.

• Clinical and Experimental Pediatrics
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• 제57권9호
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• pp.410-415
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• 2014

Purpose: Neurofibromatosis 1 (NF1) is an autosomal dominant condition caused by an NF1 gene mutation. NF1 is also a multisystem disorder that primarily affects the skin and nervous system. The goal of this study was to delineate the phenotypic characterization and assess the NF1 mutational spectrum in patients with NF1. Methods: A total of 42 patients, 14 females and 28 males, were enrolled in this study. Clinical manifestations and results of the genetic study were retrospectively reviewed. Results: Age of the patients at the time of NF1 diagnosis was $15.8{\pm}14.6$ years (range, 1-62 years). Twelve patients (28.6%) had a family history of NF1. Among the 42 patients, $Caf\acute{e}$-au-lait spots were shown in 42 (100%), neurofibroma in 31 (73.8%), freckling in 22 (52.4%), and Lisch nodules in seven (16.7%). The most common abnormal finding in the brain was hamartoma (20%). Mental retardation was observed in five patients (11.9%), seizures in one patient (2.4%), and plexiform neurofibromas (PNFs) in four patients (9.5%). One patient with PNFs died due to a malignant peripheral nerve sheath tumor in the chest cavity. Genetic analysis of seven patients identified six single base substitutions (three missense and three nonsense) and one small deletion. Among these mutations, five (71.4%) were novel (two missense mutations: p.Leu1773Pro, p.His1170Leu; two nonsense mutations: $p.Arg2517^*$, $p.Cys2371^*$; one small deletion: $p.Leu1944Phefs^*6$). Conclusion: The clinical characteristics of 42 Korean patients with NF1 were extremely variable and the mutations of the NF1 gene were genetically heterogeneous with a high mutation-detection rate.

• 터널과지하공간
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• 제27권6호
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• pp.387-392
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• 2017

최근 도심지 도로 하부 지반함몰 사고는 상수관로, 하수관거, 통신관로, 가스관로, 배전지중관로, 지하철 등의 다양한 공익시설 및 지하구조물이 시공되고 있으며 이러한 시설물의 부적절한 시공, 노후로 인한 시설물 손상, 유지관리 소홀이 그 원인으로 추정되고 있다. 도로함몰은 도로하부에서 매설관 파손 등의 원인으로 공동이 발생한 후 공동이 성장 확대되어 포장면 하부까지 도달하고 도로를 통행하는 차량의 하중을 도로포장 부분이 지탱할 수 없을 정도의 소성변형이 발생하여 갑자기 함몰이 발생할 경우 인명피해 및 교통장애를 초래하는 등 사회전반적인 안전과 경제 발전에 위협이 될 수 있다. 서울시에서는 도로 하부의 공동이 함몰되기 이전 단계에서 3D GPR 탐사를 통해 발견하여 복구함으로써 지반함몰에 따른 피해를 사전에 차단하는 노력이 우선적으로 진행되고 있으며 그 사례를 소개하였다.

• 대한두경부종양학회지
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• 제3권1호
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• pp.97-105
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• 1987

Chondrosarcoma of the head and neck is very rare tumor and this incidence was reported to be about 10% of all chondrosarcomas. Maxilla is the most common site of involvement and mandible, paransal sinus, nasal cavity and base of skull in that order. In general, chondrosarcoma has been known to be radioresistant, however since the Princess Margaret Hospital reported that it was radioresponsive tumor in 1980, the role of radiotherapy has been emphasized in terms of local control, especially in head and neck regions where complete excion is often difficult to achieve. The authors experienced 4 cases of chondrosarcoma of head and neck among all 29 chondrosarcoma patients from 1971 to 1985. The clinical and pathologic feature of this disease, it's treatment and prognosis were reviewed along with the literatures.

• 대한두경부종양학회지
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• 제15권2호
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• pp.166-171
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• 1999

Background and Objectives: The aim of our study was to describe the appearance of recurrent and residual lesions in the head and neck tumors, and to evaluate the usefullness of CT and MRI. Materials and Methods: CT(n=42) and MRI(n=4) of 44 patients with recurrent head and neck tumors were reviewed retrospectively. Primary tumor sites were larynx/hypopharynx in 15, oral cavity/floor of mouth in 13, base of tongue/tonsil in 5, nasopharynx in 4, palate in 2, and others in 5 patients. Therapeutic modalities included sugery and radiotherapy in 23, radiotherapy in 11, surgery in 5, chemotherapy and radiotherapy in 4, and chemotherapy in 1 patient. Results: The patterns of tumor recurrence were nodal recurrence(n=17), primary tumor bed recurrence combined with nodal recurrence(n=12), primary tumor bed recurrence(n=10) and residual primary tumors(n=5). The most common appearance of residual/recurrent primary tumor on CT was focal or diffuse heterogenous mass with or without surrounding fat or muscle infiltration(25/27). On MRI, the recurrent lesions showed intermediate signal intensity on T1 weighted image and high signal intensity on T2 weighted image with heterogenous enhancement in the most cases(n=3). 38 out of 44 nodal recurrences(86%) which had been pathologically or clinically proved were more than 1 cm in diameter or contained central low density on CT scan. Conclusion: Although CT and MRI findings of recurrent and residual tumors of the head and neck were nonspecific, in the majority the lesions manifested as a mass at primary tumor bed and/or nodal disease including contralateral side of the neck. And CT and MRI are valuable for revealing above lesions.