• 제목/요약/키워드: examination method

검색결과 2,903건 처리시간 0.032초

미세먼지 유발 폐기능 손상 동물모델에서 RML의 호흡기 보호 효과 (Respiratory Protective Effect of a RML on PM10D-induced Lung Injury Mouse Model)

  • 김수현;김민주;신미래;노성수;김승형;박해진
    • 대한본초학회지
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    • 제37권3호
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    • pp.29-39
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    • 2022
  • Objective : This study is aimed to evaluate the protective effects of Rehmanniae Radix, Mori Folium, and Liriopie Tuber mixture (RML) on lung injury of Particulate matter less than 10 um in diameter and diesel exhaust particles (PM10D) mice model. Methods : To investigate the anti-inflammatory activity of RML, PM10D was diluted in aluminum hydroxide (Alum) in 7-week-old male mice and induced by Intra-Nazal-Tracheal (INT) injection method. Animal experiments were divided into 5 groups. Nor (normal mice), CTL (PM10D-induced mice with the administration of distilled water), DEXA (PM10D-induced mice with the administration of 3 mg/kg Dexamethasone), RML 100 (PM10D-induced mice treated with RML 100 mg/kg weight), and RML 200 (PM10D-induced mice treated with RML 200 mg/kg body weight). After 11 days administration, mice were sacrificed and inflammation-related immune cells in broncho-alveolar lavage fluid (BALF) were analyzed. Inflammation-related biomarkers were also analyzed in blood and lungs. Lung tissue was observed through histological examination. Results : In the PM10D induced model, the PML showed decreases in CXCL-1 and IL-17A in BALF. Expression of inflammatory cytokines and cough-related mRNA genes was significantly decreased in serum and lung tissue. The mixture treatment of RML significantly improved the immune related cells in the serum. In addition, histological observations showed a tendency to decrease the severity of lung injury. Conclusions : Overall, these results confirmed the respiratory protective effect of the RML mixture in a model of lung injury induced by air pollution (PM10+DEP), suggesting that it is a potential treatment for respiratory damage.

단계적 척추 분절운동을 유도하는 기계식 온열 마사지가 통증 개선에 미치는 영향 (Effect of Mechanical Thermal Massage Inducing Gradual Spinal Segmentation on the Improvement of Pain)

  • 최현우;안도현;정경미;김나영;이지은;이종민
    • 한국방사선학회논문지
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    • 제16권7호
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    • pp.879-887
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    • 2022
  • 본 연구에서는 체압 측정형 침대의 기계식 순차 상승 방식이 실제로 척추의 부분별 분절운동을 유도하는지 확인하고자 하였다. 이를 위해 측면 X-선 검사를 하여 순차적 압력을 주는 장치가 척추의 각 부분에 기계적 수직 상승을 주어 척추의 계단식 분절을 유도함을 확인하였다. 이후 요통을 인지하고 있는 대상자에게 통증, 보행 능력, 우울 척도를 측정하고 분석하였다. 10일 동안의 시각적 상사 척도(p<0.05), 요통 장애지수(p<0.05)는 침대 사용 후 평균이 감소하는 경향을 보였다. 보행 능력 검사(p<0.05)에서는 침대 사용 횟수가 증가함에 따라 검사에서의 이동 시간이 감소하였으며 이동 거리는 증가하였다. 또한, 침대 사용 후 노인 우울 척도(p<0.05)가 감소함을 나타냈다. 그 결과, 침대가 제공하는 온열과 지압으로 인한 척추의 분절은 통증의 완화와 더불어 보행과 우울감에도 영향을 미치는 것을 확인하였다.

호흡기 및 비말감염 환자 전용 흉부 X-선 검사실의 바이러스 차단제 분석에 관한 연구 (A Study on the Analysis of Virus Barrier Materials in a Chest X-ray Laboratory to Respiratory and Droplet Infections Only Patients)

  • 김현주;이준호;최관용
    • 한국방사선학회논문지
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    • 제16권2호
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    • pp.169-175
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    • 2022
  • 본 연구는 호흡기 또는 비말 전파 바이러스 감염자의 흉부 X-선 검사 시 바이러스 차단설비를 갖춘 촬영실을 구상해 보았고, 설계과정에서 바이러스를 차단역할을 하는 검증된 차단제 중 X-선의 출력 및 화질의 저하가 가장 적은 재질과 두께를 찾기 위해 실험해 보았다. 그 결과 아크릴 1 cm 적용 시 X-선 출력은 차단제 없을 시 보다 약 3.27 % 감소 되었고, SNR은 40.7, CNR은 30.9로 분석되었고 SSIM 지수 분석결과 0.891로 분석되어 원본 영상과 비교하여 가장 유사한 영상으로 구현되는 것으로 분석되었다. 연구방법에서 적용한 차단제는 식약처 허가 등을 받은 제품을 사용했다는 점에서 객관성이 있었으며 향후 호흡기 관련 바이러스 발생 시 감염환자의 진단 및 치료 시설 설비 시 본 연구결과는 유용한 정보를 제공할 것으로 사료된다.

지역거점 공공병원의 분만부 공간구성에 관한 연구(1) (A Study on the Space Composition for Department of Delivery in Regional Public Hospital)

  • 박경현;신화경;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권3호
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    • pp.47-54
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    • 2022
  • Purpose: This study presents the analysis on space usage of delivery departments in regional public hospitals. The results intention is to achieve improvement of the delivery environment for the mothers and newborns regarding exposure prevention and efficient infection control. The purpose of this study is to provide fundamental data for architectural plans and guidelines for the delivery department. Method: The investigation and analysis were based on research papers, legal systems, public medical statistical data, and the architectural floor plan drawing. For research, 20 regional public hospitals with an operating delivery room were excluded. Regarding data accessibility, 15 regional public hospitals were selected. Results: To overcome the increased vulnerability of the delivery department, the research results of basic data is provided for the establishment to address urgent needs and rapid response. Thus, the research results are as follows: Firstly, the delivery department needs to respond promptly according to the type of patients. For example, in a case of emergency surgery, a connected circulation plan with the related departments is needed. Secondly, for the environment of the delivery area, alleviating anxiety is imperative for pregnant patients and guardians, labor, childbirth, and recovery. Therefore, these needs must be addressed for treatment space and circulation. Lastly, the delivery department is classified into three areas for analysis: access area, treatment area, and support area. In most of the delivery departments of the 15 selected hospitals, there is no space for the access and support area except for the labor and delivery rooms in the treatment area. For the access area, a waiting area, changing room for pregnant women and guardians, and a storage space for contaminated linens are required for infection prevention, safety, and efficiency. For the treatment area, childbirth processes and circulation should have space reserved for labor, delivery, recovery, examination, and treatment. In preparation for an emergency during childbirth, emergency response measures and supporting space needs to be established. For the support area, circulation and rooms are to be designed for medical staff support, activity space, storage and transportation of equipment, and urgent medical treatment. Implications: Along with the low fertility rate and the decrease of medical institutions that operate delivery departments, for the purpose of establishing a public medical service system and a healthy medical environment for mothers and newborns, the researched information demonstrates basic data on space plan of delivery departments in regional public hospitals.

THE USE OF NEAR INFRARED REFLECTANCE SPECTROSCOPY(NIRS) TO PREDICT CHEMICAL COMPOSITION ON MAIZE SILAGE

  • D.Cozzolino;Fassio, A.;Mieres, J.;Y.Acosta
    • 한국근적외분광분석학회:학술대회논문집
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    • 한국근적외분광분석학회 2001년도 NIR-2001
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    • pp.1610-1610
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    • 2001
  • Microbiological examination of silage is of little value in gauging the outcome of silage, and so chemical analysis is more reliable and meaningful indicator of quality. On the other hand chemical assessments of the principal fermentation products provide an unequivocal basis on which to judge quality. Livestock require energy, protein, minerals and vitamins from their food. While fresh forages provide these essential items, conserved forages on the other hand may be deficient in one or more of them. The aim of the conservation process is to preserve as many of the original nutrients as possible, particularly energy and protein components (Woolford, 1984). Silage fermentation is important to preservation of forage with respect of feeding value and animal performance. Chemical and bacteriological changes in the silo during the fermentation process can affect adversely nutrient yield and quality (Moe and Carr, 1984). Many of the important chemical components of silage must be assayed in fresh or by extraction of the fresh material, since drying either by heat or lyophilisation, volatilises components such as acids or nitrogenous components, or effects conversion to other compounds (Abrams et al., 1987). Maize silage dorms the basis of winter rations for the vast majority of dairy and beef cattle production in Uruguay. Since nutrient intake, particularly energy, from forages is influenced by both voluntary dry matter intake and digestibility; there is a need for a rapid technique for predicting these parameters in farm advisory systems. Near Infrared Reflectance Spectroscopy (NIRS) is increasingly used as a rapid, accurate method of evaluating chemical constituents in cereals and dried forages. For many years NIRS was applied to assess chemical composition in dry materials (Norris et al., 1976, Flinn et al., 1992; Murray, 1993, De Boever et al., 1996, De la Roza et al., 1998). The objectives of this study were (1) to determine the potential of NIRS to assess the chemical composition of dried maize samples and (2) to attempt calibrations on undried samples either for farm advisory systems or for animal nutrition research purposes in Uruguay. NIRS were used to assess the chemical composition of whole - plant maize silage samples (Zea mays, L). A representative population of samples (n = 350) covering a wide distribution in chemical characteristics were used. Samples were scanned at 2 nm intervals over the wavelength range 400-2500 nm in a NIRS 6500 (NIRSystems, Silver Spring, MD, USA) in reflectance mode. Cross validation was used to avoid overfitting of the equations. The optimum calibrations were selected on the basis of minimizing the standard error of cross validation (SECV). The calibration statistics were R$^2$ 0. 86 (SECV: 11.4), 0.90 (SECV: 5.7), 0.90 (SECV: 16.9) for dry matter (DM), crude protein (CP), acid detergent fiber (ADF) in g kg$\^$-1/ on dry matter, respectively for maize silage samples. This work demonstrates the potential of NIRS to analyse whole - maize silage in a wide range of chemical characteristics for both advisory farm and nutritive evaluation.

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사물탕(四物湯) 가(加) 단참(丹參)의 상처 치료에 대한 효과 (The Effects of Samul-tang-ga-dansam for Wound Healing)

  • 이은별;김현지;김채영;최지수;우창훈;김영준;안희덕
    • 한방재활의학과학회지
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    • 제33권2호
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    • pp.1-18
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    • 2023
  • Objectives The purpose of this study was to evaluate the antioxidant, anti-inflammatory and wound healing effects of Samul-tang-ga-dansam water extract (SD) in wound-induced mice. Methods The mice were divided into five groups (n=7): the normal group, the control group, the positive control group, the low-dose SD group and the high-dose SD group. The normal group had no wounds and the other groups were wounded on the back with a leather punch. Distilled water was administered to the control group, 200 mg/kg of vitamin E was administered to the positive control group. In the low-dose SD group and the high-dose SD group, 1.23 g/kg and 2.47 g/kg of SD were administered, respectively. Antioxidant and anti-inflammatory protein levels were evaluated using western blot analysis. Skin tissue was analyzed by H&E, Masson's trichrome staining method. Results Oral administration of the SD significantly reduced the visible skin damage and decreased the reactive oxygen species and ONOO- activity of the serum. It significantly increased heme oxygenase-1, superoxide dismutase, catalase, GPx-1/2, Nrf2 and Keap-1 which are antioxidant-related factors in skin tissue and reduced NF-κB p65, inducible nitric oxide synthase, cyclooxygenase-2, tumor necrosis factor α, interleukin (IL)-1β, IL-6 which are inflammation-related factors. Also, SD significantly decreased NOX2, p22phox and p47phox and increased α-smooth muscle actin and COL1A1 protein expression in fibroblasts involved in connective tissue repair. According to histological examination, the thickened epithelial layer was thinned and collagen fibers were increased to accelerate wound healing. Conclusions It is suggested that Samul-tang-ga-dansam has antioxidant and anti-inflammatory effects and promotes wound tissue repair.

인지기능과 구강건강관련 삶의 질의 연관성에 대한 연구: 성향점수 분석과 회귀모델을 중심으로 (Association Between Cognitive Impairment and Oral Health Related Quality of Life: Using Propensity Score Approaches)

  • 차선아;배수영;남상훈;홍익표
    • 재활치료과학
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    • 제12권3호
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    • pp.61-77
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    • 2023
  • 목적 : 본 연구는 노인들의 인지기능과 구강건강관련 삶의 질 사이의 연관성을 분석하기 위해 수행되었다. 연구방법 : 2020년에 수집된 제8차 고령화연구패널조사에 참여한 지역에 거주하는 45세 이상의 중고령자를 대상으로 인구통계학적 및 임상적 특성을 추출하여 활용하였다. 독립변수는 한국형 간이정신상태검사 점수를 기준으로 분류한 인지기능, 종속변수는 구강건강관련 삶의 질을 측정하기 위한 노인구강건강평가지수이다. 인지기능 그룹 간 공변량의 차이를 보정하기 위해 성향점수 활용법 중 역확률가중치를 적용 후 인지기능과 구강건강관련 삶의 질의 연관성을 분석하기 위해 역확률가중치 적용 전의 다중회귀분석과 적용 후의 다중회귀분석 결과에 차이가 있는지 결과를 비교하였다. 결과 : 연구 대상자는 총 6,116명으로 인지정상군 4,367명, 경도 인지손상군 1,155명, 중증 인지손상군 594명으로 구성되었다. 성향점수 역확률가중치 적용 결과로 표준화된 평균 차이(standardized mean difference)를 확인하여 0.2 이상인 변수를 다시 통제하고 분석한 다중회귀모델에서 인지기능 그룹과 구강건강관련 삶의 질 간의 부정적인 연관성이 있었다(정상 vs. 경도: β = -2.534, p < .0001; 정상 vs. 중증: β = -2.452, p < .0001). 결론 : 본 연구 결과에서 인지손상과 구강건강관련 삶의 질은 음의 연관성을 나타내었다. 성향점수 활용 후 중증 인지손상보다 경도 인지손상에서 더 부정적인 연관성을 나타낸 결과는 인지손상은 저하된 정도와 관계없이 구강건강관련 삶의 질에 부정적인 영향을 미치는 것을 의미한다. 따라서 인지기능의 감퇴가 나타난 모든 환자들은 구강관리의 중요성과 교육이 필요하다는 것을 시사한다.

대동맥수술에서의 수술 중 신경계감시의 적용 (Application of Intraoperative Neurophysiological Monitoring in Aortic Surgery)

  • 장민환;채지원;임성혁
    • 대한임상검사과학회지
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    • 제54권1호
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    • pp.61-67
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    • 2022
  • INM은 수술의 안정성을 더해주고 고위험군의 수술을 안전하게 진행할 수 있게 도움을 주고 있다. INM검사가 적용이 되는 모든 수술에서의 수술 과정과 신경학적 결손이 발생할 수 있는 과정에서 집중적으로 검사를 진행해 보다 신속하게 수술자에게 알리지 않으면 손상이 되었을 때 그에 대한 대처가 늦어서 환자에게 돌이킬 수 없는 심각한 후유증을 가져다 줄 수 있다. 대동맥류 및 대동맥 박리로 발생되는 대동맥 치환술은 개흉 및 개복술이 진행되며 심장의 혈류를 차단하는 매우 위험한 수술이다. 대동맥에서 분지되어 척수에 혈류를 공급하는 혈관들을 교체할 때 척수로 가는 혈류가 감소해 척수 허혈이 올 수 있다. 대동맥 수술에서의 INM은 겸자시에 유발전위를 이용하여 빠르게 척수 허혈이 시작되는 시점을 찾아내고 수술자에게 보고해 척수 허혈을 방지하며 심각한 합병증을 막는 중요한 역할을 수행한다. 이에 수술의 과정과 TceMEP, SSEPs의 검사 방법 및 검사 시점, 검사 기준에 대하여 작성을 하여 INM을 시행하는 검사자들에게 도움이 되고자 본문을 작성하였다. 본문으로 인해 대동맥수술에서 INM의 필요성, 대동맥 수술에서의 흐름을 파악하고 정확하고 신속한 검사를 통한 보고로 원활한 검사가 진행되길 바라는 바이다.

임계응력 하 거친 암석 균열의 Thermoshearing 수치모델링: 국제공동연구 DECOVALEX-2023 Task G (Numerical Modeling of Thermoshearing in Critically Stressed Rough Rock Fracture: DECOVALEX-2023 Task G)

  • 박정욱;박찬희;장리;윤정석;손장윤;이창수
    • 터널과지하공간
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    • 제33권3호
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    • pp.189-207
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    • 2023
  • In the present study, the thermoshearing experiment on a rough rock fracture were modeled using a three-dimensional grain-based distinct element model (GBDEM). The experiment was conducted by the Korea Institute of Construction Technology to investigate the progressive shear failure of fracture under the influence of thermal stress in a critical stress state. The numerical model employs an assembly of multiple polyhedral grains and their interfaces to represent the rock sample, and calculates the coupled thermo-mechanical behavior of the grains (blocks) and the interfaces (contacts) using 3DEC, a DEM code. The primary focus was on simulating the temperature evolution, generation of thermal stress, and shear and normal displacements of the fracture. Two fracture models, namely the mated fracture model and the unmated fracture model, were constructed based on the degree of surface matedness, and their respective behaviors were compared and analyzed. By leveraging the advantage of the DEM, the contact area between the fracture surfaces was continuously monitored during the simulation, enabling an examination of its influence on shear behavior. The numerical results demonstrated distinct differences depending on the degree of the surface matedness at the initial stage. In the mated fracture model, where the surfaces were in almost full contact, the characteristic stages of peak stress and residual stress commonly observed in shear behavior of natural rock joints were reasonably replicated, despite exhibiting discrepancies with the experimental results. The analysis of contact area variation over time confirmed that our numerical model effectively simulated the abrupt normal dilation and shear slip, stress softening phenomenon, and transition to the residual state that occur during the peak stress stage. The unmated fracture model, which closely resembled the experimental specimen, showed qualitative agreement with the experimental observations, including heat transfer characteristics, the progressive shear failure process induced by heating, and the increase in thermal stress. However, there were some mismatches between the numerical and experimental results regarding the onset of fracture slip and the magnitudes of fracture stress and displacement. This research was conducted as part of DECOVALEX-2023 Task G, and we expect the numerical model to be enhanced through continued collaboration with other research teams and validated in further studies.

소변 침전물에서 Cobas u 701 Analyzer와 세 가지 수동 현미경검사법의 백혈구와 적혈구의 일치도 비교 (Comparison of WBCs and RBCs Concordance between the Cobas u 701 Analyzer and Three Manual Microscopy Methods in Urine Sediment)

  • 이혁재;이민혁
    • 대한임상검사과학회지
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    • 제55권2호
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    • pp.82-92
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    • 2023
  • 소변 침전물은 일반적으로 검사자가 원심분리한 소변을 현미경으로 검사한다. 따라서 소변 침전물 표본제작 과정의 차이가 검사 결과에 영향을 미치는지 확인했다. 요시험지 검사와 cobas u 701 analyzer에서 각각 백혈구 및 적혈구가 양성 반응으로 나온 107개의 신선한 검체를 수동 현미경검사를 위해 선택했다. 연구에서는 백혈구와 적혈구에 대해 자동분석기와 세 가지 수동 현미경검사법을 각각의 검사지침에 따라 평가하였다. 백혈구와 적혈구에 대한 cobas u 701 analyzer와 대한임상검사정도관리협회 간의 결정계수는 각각 r2=0.977과 r2=0.970이었다. 백혈구와 적혈구에 대한 cobas u 701 analyzer와 대한 임상검사정도관리협회 간의 일치도는 각각 74.8%, 77.6%였다. 대한임상검사정도관리협회 방법으로 표본을 제작하여 검사한 결과에서 자동분석기와 가장 좋은 상관성 및 일치도를 보였다. 결과적으로 소변 침전물 표본제작 방법의 차이는 침전물 농도에 영향을 미쳤으며 이는 HPF당 세포 등급과 수에 영향을 미쳤다. 따라서 보다 일관되고 정확한 검사 결과를 위해 소변 침전물 표본제작 과정을 표준화하는 것이 좋을 것으로 사료된다.