• Radiation Oncology Journal
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• 제18권4호
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• pp.226-232
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• 2000

목적 : 방사선 단독 치료를 받은 조기성문암 환자에서 국소종양제어율에 영향을 주는 예후 인자를 알아보고자 하였다. 대상 및 방법 : 1986년 7월부터 1995년 12월 까지 전남대학교병원에서 조기성문암으로 확진되어 근치적 목적의 방사선치료를 받은 37명의 환자를 대상으로 후향적 분석을 시행하였다. 대상 환자의 연령 범위는 30세에서 73세였으며 중앙값은 59세였다. 성별 분포는 남자가 35명(95$\%$), 여자가 2명(5$\%$)이었다. 조직학적 유형은 모두 편평세포암이었다. 미국 암합동위원회의 병기분류법(1997)에 따라 다시 분류한 병기는 T1a. T1b, T2가 각각 27명(73$\%$), 3명(8$\%$), 7명(19$\%$)이었다. 방사선치료는 선형가속기의 6 MV X-ray를 이용하였다. 후두에 조사된 총방사선량은 5,040 cGy에서 7,020 cGy 범위였으며 중앙값은 6,600 cGy였다. 추적기간의 중앙값은 80개월이었고 생존율과 국소종양제어율을 Kaplan-Meier 법에 의하여 산출하였으며 두군간의 비교는 generalized Wilcoxon test를 이용하여 검증하였다. 국소종양제어율에 영향을 줄 수 있는 인자들의 다변량분석에는 Cox모델을 이용하였다. 결과 : 전체 환자 37명의 5년 생존율은 89$\%$였고 국소종양제어율은 74$\%$였다. 국소종양제어율에 영향을 줄 수 있는 인자들로 연령, T-병기, 전연합침범, 일회조사량, 총방사선량, 방사선치료기간을 분석에 포함시켰다. 단변량분석에서 치료기간이 50일 미만인 경우 5년 국소종양제어율이 93$\%$, 50일 이상인 경우 60$\%$로서 통계학적 의의가 있었다(p=0.026). 다변량분석에서도 치료기간만이 통계학적 의의가 있었다(p=0.017). 치료 후 합병증은 1명에서 갑상선기능저하증이 나타났다. 결론 : 조기성문암에서 근치적 방사선치료시 치료기간이 국소종양제어율에 영향을 줄 수 있는 인자로 분석되었다.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2007년도 춘계학술대회 논문집
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• pp.114-118
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• 2007

The space for production, such as studios and control rooms, is a space for TV program production, which is the main function of broadcast. A block planning for such space should be carefully designed, because it can significantly affect the efficiency of production, as well as future productivity and the development and expandability of production. From the results of comparative analysis of 7 local terrestrial broadcasters built since the late 1990s, this study will. propose an ideal block planning for the future construction of local terrestrial broadcasters. Also, the results can be used a basic data when constructing new buildings for local broadcasters.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권1호
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• pp.65-69
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• 2018

Local anesthesia is administered to control pain, but it may induce fear and anxiety. Root planing is a non-surgical periodontal therapy; however, when it is performed in an extensive manner, some tissue removal is inevitable. Notably, this removal may be so painful that local anesthesia is required to be administered to the area scheduled for the treatment. Although patients tend to accept root planing easily, they frequently express a fear of local anesthesia. Intraosseous anesthesia (IA) is an intraosseous injection technique, whereby local anesthetic is injected into the cancellous bone supporting the teeth. A computer-controlled IA system (CIAS) exhibits multiple benefits, such as less painful anesthesia, reduced soft tissue numbness, and the provision of palatal or lingual, as well as buccal, anesthesia via single needle penetration. In this report, we present two cases of root planing that were performed under local anesthesia, using a CIAS.

• Journal of Magnetics
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• 제14권1호
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• pp.23-26
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• 2009

Spin injection from a ferromagnet into an n-doped $In_{0.53}Ga_{0.47}As$ channel was electrically detected by a ferromagnetic detector. At T = 20 K, using non-local and local spin-valve measurements, a non-local signal of $2\;{\mu}V$ and a local spin valve signal of 0.041% were observed when the bias current was 1 mA. The band calculation and Shubnikov-de Haas oscillation measurement in a bulk channel showed that the gate controlled spin-orbit interaction was not large enough to control the spin precession but it could be a worthy candidate for a logic device using spin accumulation and diffusion.

• 국제학술발표논문집
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• The 1th International Conference on Construction Engineering and Project Management
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• pp.371-376
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• 2005

Administrative works of local governments in Japan always have been led by central government. Local government organizations have gotten used to control of central government, whose organization is divided vertically into divisions. Such organizations as lack of cooperation of each administrative division could not define strategic goal appropriate for their district independently and could not give an efficient and optimized solution to their strategic goal. Under existing management system, it will be difficult for local governments to rapidly adapt to changing society. Under these circumstances, it is necessary for local governments to structure new management system independent on central government's instructions in order to manage appropriately.

• 대한두경부종양학회지
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• 제19권1호
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• pp.34-40
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• 2003

Objective: To analyze the treatment-related parameters after the radiotherapy of T1N0 squamous cell carcinoma of the glottic larynx. Materials and Methods: Between October 1989 and August 2000, 54 patients with histologically proven T1N0 squamous cell carcinoma of the glottic larynx who received definitive radiation therapy in Department of Radiation Oncology, Asan Medical Center were analyzed. They were all males with age ranged from 31 to 80 years (median 61 years). 1997 AJCC stages were 31 T1a, 23 T1b. Patients were treated with 4-MV X-rays with a parallel-opposed two-field technique. Ten patients received 66.0-68.4Gy at 1.2Gy per fraction twice daily, 21 patients received 64.8-66.6Gy at 1.8Gy per fraction once daily, and 23 patients received 66.0Gy at 2.0Gy per fraction once daily. Follow-up period was 16-119 months (median 56 months). Results: 5-year overall survival and local control rates for patients with T1 lesions were 87.0% and 88.5%, respectively. 5-year local control with larynx preservation rate was 90.5%. Host and tumor-related prognostic factors including age, stage, anterior commissure involvement and tumor bulk proved not to be significant. Only shorter overall treatment time among treatment-related factors had correlation with imporved local control. Conclusion: Comparable high local control rate with organ preservation was achieved with primary radiation therapy and salvage surgery. Shortening of overall treatment time is related to improved local control rate. To determine the optimal fractionation scheme, randomized trial is mandatory.

• Radiation Oncology Journal
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• 제29권4호
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• pp.219-227
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• 2011

Purpose: This study evaluated the treatment effectiveness and proper radiation dose of helical tomotherapy (HT) in spine oligometastases from gastrointestinal cancers. Materials and Methods: From 2006 to 2010, 20 gastrointestinal cancer patients were treated with HT for spine oligometastases (31 spine lesions). The gross tumor volume (GTV) was the tumor evident from magnetic resonance imaging images fused with simulation computed tomography images. Clinical target volume (CTV) encompassed involved vertebral bodies or dorsal elements. We assumed that the planning target volume was equal to the CTV. We assessed local control rate after HT for 31 spine metastases. Pain response was scored by using a numeric pain intensity scale (NPIS, from 0 to 10). Results: Spine metastatic lesions were treated with median dose of 40 Gy (range, 24 to 51 Gy) and median 5 Gy per fraction (range, 2.5 to 8 Gy) to GTV with median 8 fractions (range, 3 to 20 fraction). Median biologically equivalent dose (BED, ${\alpha}/{\beta}$ = 10 Gy) was 52 $Gy_{10}$ (range, 37.5 to 76.8 $Gy_{10}$) to GTV. Six month local control rate for spine metastasis was 90.3%. Overall infield failure rate was 15% and outfield failure rate was 75%. Most patients showed pain relief after HT (93.8%). Median local recurrence free survival was 3 months. BED over 57 $Gy_{10}$ and oligometastases were identified as prognostic factors associated with improved local progression free survival (p = 0.012, P = 0.041). Conclusion: HT was capable of delivering higher BED to metastatic lesions in close proximity of the spinal cord. Spine metastases from gastrointestinal tumors were sensitive to high dose radiation, and BED (${\alpha}/{\beta}$ = 10 Gy) higher than 57 $Gy_{10}$ could improve local control.

• 감성과학
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• 제15권1호
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• pp.149-160
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• 2012

동일 문화권에서의 문화성향(개인주의 vs. 집단주의)-내외 통제소재(내통제 vs. 외통제) 조합 유형에 따라 복합 자극에 대한 전역/국소 처리에서 차이가 있는지 검토하기 위해 자극 유형(복합도형과 복합문자)과 자극-자극 속성 일치 여부가 조작된 실험조건에서 실험참가자들이 보인 반응시간과 오반응률을 비교하였다. 본 연구의 주요 결과를 요약하면 다음과 같다. 첫째, 자극-자극 속성이 일치하는 조건에서의 전역 처리가 가장 빨랐던 반면, 자극-자극 속성 불일치 조건에서의 국소 처리가 가장 느렸다. 둘째, 복합문자에 비해 복합도형에 대한 반응시간이 더 짧았다. 셋째, 복합도형과는 달리 복합문자의 경우 두 가지 문화성향 모두에서 내적 통제소재보다는 외적 통제소재 경향의 실험참가자들에게서 전역선행성이 관찰되었다. 이런 결과는 동일한 문화권인 경우, 문화성향보다는 내외 통제소재와 같은 성격요인에서의 개인차가 전역/국소 처리에서의 차이를 더 민감하게 반영할 수 있다는 것과, 이런 개인차 변인은 지각수준보다는 좀 더 고차의 인지수준에 관여한다는 것을 시사한다.

• Asian-Australasian Journal of Animal Sciences
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• 제24권6호
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• pp.825-833
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• 2011

Forty-five Hisex commercial layers and forty-five local Saudi breed layers were used to determine the acceptable limit of short-term water restriction in the late phase of production, when the problem of high feed and water consumption is expected. The experiment was performed under hot and arid environmental conditions when the layers were at fifty weeks of age. Layers from each breed were randomly assigned in groups of five into nine floor pens. The average environmental temperature was 37.2-$38.6^{\circ}C$, and the relative humidity was between 20 to 37%. The trial was divided into 3 periods; control (1 week), water restriction (2 weeks) and rehydration (1 week). During the restriction period, layers from each breed were divided into three groups that received 20, 40, and 0% restriction of drinking water relative to their consumed water during the control period. During the study, feed and water consumption, body weight, changes in body weight, egg production, primary antibody response to SRBC, and rectal temperature were evaluated. Water restriction did not result in any clear effect on feed intake in either breed, however, commercial layers tended to consume less feed compared to the local breed. Body weight declined with water restriction during the first week of restriction in the commercial breed regardless of rate of restriction, but it was delayed until the second week in the local breed. Water restriction of 40% decreased egg production in both breeds but with a delay of 1 week in the local breed. Antibody level to SRBC was not affected by water restriction in the commercial line while it was highly affected in the local breed. A water restriction of 20% is considered to be an acceptable limit under the current experimental conditions without a negative effect on egg production in both breeds and considering the immune status of the local breed. Whereas, 40% restriction had a negative effect on egg production, and varied effects in the other traits in both breeds.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권4호
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• pp.223-233
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• 2018

Topical anesthetics are commonly used in oral & maxillofacial surgery to control pain in the oral cavity mucosa before local anesthetic injection. These anesthetic agents come in many forms, developed for different usages, to minimize adverse reactions, and for optimal anesthetic efficiency. Earlier studies have revealed that these agents may also limit the growth of microorganisms in the area of anesthetic application. Many topical anesthetic agents show different levels of antimicrobial activity against various bacterial strains and Candida. The dosage of local anesthetic agent used in some clinical preparations is too low to show a significant effect on microbial activity. Efficiency of antimicrobial activity depends on the local anesthetic agent's properties of diffusion within the bloodstream and binding efficiency with cytoplasmic membrane, which is followed by disruption of the bacterial cell membrane. The antimicrobial properties of these agents may extend their usage in patients to both control pain and infection. To develop the topical local anesthetic optimal usage and antimicrobial effect, a collaborating antiseptic agent may be used to benefit the local anesthetic. However, more research is required regarding minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of topical local anesthetic agents with drug interaction between anesthetics and antiseptic agents.