• Archives of Plastic Surgery
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• 제49권3호
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• pp.427-439
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• 2022

Peripheral nerve injuries (PNIs) often present with variable symptoms, making them difficult to diagnose, treat, and monitor. When neurologic compromise is inadequately assessed, suboptimal treatment decisions can result in lasting functional deficits. There are many available tools for evaluating pain and functional status of peripheral nerves. However, the literature lacks a detailed, comprehensive view of the data comparing the clinical utility of these modalities, and there is no consensus on the optimal algorithm for sensory and pain assessment in PNIs. We performed a systematic review of the literature focused on clinical data, evaluating pain and sensory assessment methods in peripheral nerves. We searched through multiple databases, including PubMed/Medline, Embase, and Google Scholar, to identify studies that assessed assessment tools and explored their advantages and disadvantages. A total of 66 studies were selected that assessed various tools used to assess patient's pain and sensory recovery after a PNI. This review may serve as a guide to select the most appropriate assessment tools for monitoring nerve pain and/or sensory function both pre- and postoperatively. As the surgeons work to improve treatments for PNI and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.

• The Journal of Korean Physical Therapy
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• 제36권1호
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• pp.9-13
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• 2024

Purpose: Although microwave diathermy is widely employed, research conducted in South Korea indicates a lack of theoretical understanding concerning the appropriate application intensity. Consequently, there is a need to enhance the objectivity of microwave diathermy by conducting quantitative studies to determine its effective application intensity and provide suitable application parameters. Methods: The study was performed on 60 participants, divided equally into 40W or 80W microwave diathermy intervention groups. Microwave diathermy was applied at 2,450MHz to iliocostalis and longissimus muscles for 15 minutes in each group. Ranges of motion were compared before and after intervention using straight leg raise (SLR) test results. The analysis was performed using the paired t-test and the independent t-test. Results: SLR angles increased significantly in both groups after intervention, but the 80W group exhibited a greater post-intervention angle increase. While no significant intergroup difference was observed between pre-intervention angles, post-intervention angles were significantly different. Conclusion: The study confirms that microwave diathermy treatment at 40W for 15 minutes effectively increases SLR angles but that treatment at 80W has a greater effect. Further research is warranted to establish quantitatively the optimal time and intensity settings for microwave diathermy.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권2호
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• pp.118-126
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• 2018

Purpose: Classical criteria for diagnosis of autoimmune hepatitis (AIH) are intended as research tool and are difficult to apply at patient's bedside. We aimed to study the accuracy of simplified criteria and the concordance with the expert diagnosis based on the original criteria. Methods: A cohort of children under study for liver disorder was selected through consecutive sampling to obtain the prevalence of AIH within the group of differential diagnoses. AIH was defined, based on classical criteria, through committee review of medical reports. Validity indicators of the simplified criteria were obtained in an intention to diagnose approach. Optimal cut-off and the area under the receiver operating characteristic (ROC) curve were calculated. Results: Out of 212 cases reviewed, 47.2% were AIH. For the optimal cut-off (6 points), the simplified criteria showed a sensitivity of 72.0% and a specificity of 96.4%, with a 94.7% positive and a 79.4% negative predictive value. The area under the ROC curve was 94.3%. There was a good agreement in the pre-treatment concordance between the classical and the simplified criteria (kappa index, 0.775). Conclusion: Simplified criteria provide a moderate sensitivity for the diagnosis of AIH, but may help in indicating treatment in cases under suspicion with 6 or more points.

• IMMUNE NETWORK
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• 제11권4호
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• pp.210-215
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• 2011

It is already known that high concentration of vitamin C induces apoptosis on tumor cells. However, there is no report regarding the function of vitamin C on the modulation of immune susceptibility of cancer. Therefore, we investigated whether vitamin C can modulate immune susceptibility of tumor cells, especially on the induction of Fas-mediated apoptosis. First, the optimal concentration of vitamin C, which cannot induce damages on tumor cells for 36 hrs. We found that 2 mM of vitamin C did not show harmful effect. In addition, the optimal concentration of agonistic anti-Fas Abs for 18 hrs was examined. As a result, 400 ng/ml of agonistic anti-Fas Abs did not induce apoptosis on tumor cells. Next, we tried to find the effect of 2 mM of vitamin C on the modulation of the susceptibility to agonistic anti-Fas Abs. When tumor cells were cultured with 400 ng/ml of agonistic anti-Fas Abs for 18 hrs, after pre-treatment with 2 mM of vitamin C for 24 hrs, viability of cells was decreased. Interestingly, we found that the expression of Fas (CD95) and MHC class I was increased by the treatment of vitamin C. Taken together, vitamin C increases the susceptibility of tumor cells to anti-Fas Abs and the expression of Fas (CD95) and MHC class I on tumor cells.

• Current Research on Agriculture and Life Sciences
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• 제31권3호
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• pp.193-199
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• 2013

본 연구에서는 황토를 이용한 인견직물의 천연염색에 대한 연구의 일환으로, 인견직물의 카티온화가 이루어졌으며, 여러가지 염색조건 즉 염색온도, 염색시간, 염색 pH와 욕비에 따른 염착특성을 평가하여 적정 염색조건을 설정하였으며 이에 따른 염색된 인견직물의 견뢰도 평가를 통해 다음과 같은 결과를 얻었다. 수비법으로 얻은 황토분말의 입자 크기는 $0.4{\sim}1.7{\mu}m$ 범위로 나타났으며 $1.1{\sim}1.4{\mu}m$범위내의 분포가 가장 많은 것으로 나타났다. 황토성분을 분석한 결과, 이산화규소와 산화알루미늄이 많은 양을 차지하는 것으로 나타났다. 인견 직물의 암모늄기의 도입에 의한 양이온화는 FT-IR 흡수스펙트럼에서 $1,540cm^{-1}$ 부근의 N-H bending에 의한 출현 peak로 확인할 수 있었다. 염색 pH에 따른 K/S 값은 pH 8에서 가장 높게 나타났으며, 염색시간에 따른 K/S 값은 시간이 경과함에 따라 염색시간 30분까지는 급격히 증가하다가 그 이상의 시간에서는 거의 증가하지 않았다. 황토농도에 따른 K/S 값은 20% 이하의 농도에서는 약간 증가하지만 30%에서 최고값을 보여준 후 점차 감소하는 경향으로 나타났다. 콩즙의 전처리농도에 따른 K/S 값은 처리농도 30% 까지는 증가하였으나 그 이상의 농도에서는 오히려 약간 감소하는 경향으로 나타났다. 황토염색직물의 황토염착 분포 및 염착 상태를 관찰한 결과 황토 염색 농도가 증가함에 따라 황토입자의 부착량이 많아짐을 알 수 있다. 양이온화 처리에 의해서도 황토의 부착량이 증가하는 것을 볼 수 있으며, 콩즙을 처리하면 콩즙이 직물의 표면을 감싸는 모습을 볼 수 있으며, 콩즙을 처리하지 않은 시료에 비해 콩즙을 전처리한 시료에 더 많은 양의 황토입자가 부착되어 있는 것을 확인할 수 있다.

• 한국폐기물자원순환학회지
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• 제35권7호
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• pp.616-626
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• 2018

The quality standards of solid refuse fuel (SRF) define the values for 12 physico-chemical properties, including moisture, lower heating value, and metal compounds, according to Article 20 of the Enforcement Rules of the Act on Resource Saving and Recycling Promotion. These parameters are evaluated via various SRF Quality Test Methods, but problems related to the heavy metal content have been observed in the microwave acid digestion method. Therefore, these methods and their applicability need improvement. In this study, the appropriate testing conditions were derived by varying the parameters of microwave acid digestion, such as microwave power and pre-treatment time. The pre-treatment of SRF as a function of the microwave power revealed an incomplete decomposition of the sample at 600 W, and the heavy metal content analysis was difficult to perform under 9 mL of nitric acid and 3 mL of hydrochloric acid. The experiments with the reference materials under nitric acid at 600 W lasted 30 minutes, and 1,000 W for 20 or 30 minutes were considered optimal conditions. The results confirmed that a mixture of SRF and an acid would take about 20 minutes to reach $180^{\circ}C$, requiring at least 30 minutes of pre-treatment. The accuracy was within 30% of the standard deviation, with a precision of 70 ~ 130% of the heavy metal recovery rate. By applying these conditions to SRF, the results for each condition were not significantly different and the heavy metal standards for As, Pb, Cd, and Cr were satisfied.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.6001-6006
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• 2015

Background: Pancreatic cancer is the fourth leading cause of cancer related death with median survival ranging from 3 to 6 months for metastatic disease. Palliative chemotherapy has been the backbone of treatment in advanced stage and has evolved over time. Data pertaining to the disease are scarce from our part of the world where treatment poses a significant challenge due to lack of resources. Materials and Methods: A retrospective chart review was performed for all patients presenting with stage IV pancreatic carcinoma at a tertiary care hospital in Karachi, Pakistan between January 2008 and December 2012. Data were collected using a pre-designed, coded questionnaire looking at patient characteristics, treatment given and outcome. Results: 101 patients were found to be eligible. Mean age was $56.7{\pm}12.8years$, the male to female ratio was 2:1 and most patients had a good performance status. More than half of the tumors were located in the head (57%, n=58) and almost all were adenocarcinomas (95%, n=96). Some 58% (n=59) received first line chemotherapy of which 49% (n=29) received gemcitabine-based regimens and 39% (n=23) received FOLFIRINOX. The median progression free survival for gemcitabine based treatment was 2.9 months (IQR=1.6-5.6) as opposed to 7.3 months (IQR=4.5-9.2) for FOLFIRINOX (P=0.02). Median overall survival was 4.9 months (IQR=2.3-9.5) for first line gemcitabine based treatment and 10.5 months (IQR=7.0-13.2) for first line FOLFIRINOX therapy (P=0.002). Patients on FOLFIRINOX had better survival across all subgroups. Inpatient admissions and dose reductions were more frequent with FOLFIRINOX but the difference between the two regimens was not statistically significant. FOLFIRINOX could be successfully administered as outpatient therapy to a number of patients. Conclusions: FOLFIRINOX remains a suitable first line option in patients with metastatic pancreatic cancer with good performance status even in a resource-poor country where diagnostic and supportive care facilities may be less than optimal and cost is a limitation.

• 한국초지조사료학회지
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• 제30권2호
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• pp.135-142
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• 2010

이 연구는 고품질 귀리 사일리지의 제조를 위한 수확시기별 적정 예건시간을 도출하고자 수행하였다. 시험은 국내 육성품종인 삼한귀리를 가을에 파종하고 이듬해 봄인 출수 후 20일 부터 10일 간격으로 3회에 걸쳐 수확하여 각 수확시기별로 0, 4, 8, 32시간동안 예건을 실시하였으며, 각 예건시간별 식물체의 수분변화와 사일리지 제조 후 품질을 분석하였다. 그 결과 귀리는 출수 후 20일 정도에 수확할 경우 4시간 정도 포장예건을 하고, 출수 후 30일 정도에 수확할 경우에는 사일리지 제조에 적합한 수분함량에 도달하여 예건이 필요하지 않은 것으로 나타났다. 사일리지도 수분함량이 약 55~65% 정도가 도달한 시기에 수확한 처리구나 그 수준에 도달하도록 예건한 처리구에서 전체적인 사료가치가 우수한 것으로 나타났다. 사일리지 품질 평가기준의 중요한 요인인 pH와 유기산은 수분변화에 따라 아주 큰 변이를 보였는데 55~65%의 수분조건에서 젖산 함량이 높게 나타났고, 초산과 낙산 함량이 낮았다. 따라서 귀리는 출수 후 20일 경에 수확 시에는 4시간 정도 포장예건을 하는 것이 바람직하고, 그 이후에는 바로 수확하여 곤포로 제조하여도 양질의 사일리지를 생산할 수 있을 것으로 판단된다.

• Journal of Applied Biological Chemistry
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• 제58권1호
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• pp.55-60
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• 2015

수출용 냉동딸기 제조 시 미생물학적 안전성 확보를 위한 수단으로 이산화염소수와 acetic acid 병합처리를 최적 비가열 전처리 기술로써 적용하여 -20, -70, $-196^{\circ}C$로 냉동한 후 미생물 수, 품질변화 및 관능평가를 조사하였다. 냉동방법 및 세척 처리에 따른 색도 차이는 나타나지 않았고, 비타민 C 함량은 $-70^{\circ}C$ 냉동에서 35.33 mg/100 g FW로 가장 대조구와 유사하였으며, drip loss도 $-70^{\circ}C$ 냉동이 14.39%로 가장 낮게 나타났다. 관능평가 역시 $-70^{\circ}C$ 냉동이 -20, $-196^{\circ}C$ 냉동보다 높은 점수를 받았으며, 세척처리는 비타민 C 함량, drip loss 및 관능평가에 큰 영향을 끼치지 않는 것으로 나타났다. 또한, 냉동딸기에 50 ppm 이산화염소수와 1% acetic acid를 병합 처리하여 냉동 후 미생물 수 변화를 측정한 결과, 냉동 전과 같이 병합처리 된 딸기 시료에서 미생물이 검출되지 않았다. 따라서 저장성이 높은 수출용 냉동딸기 생산을 위해서는 gas nitrogen convection chamber를 이용한 $-70^{\circ}C$에서의 급속냉동 처리가 보다 효과적인 냉동방법이며, 냉동 처리만으로는 미생물 제어가 어렵기 때문에 냉동 전 비가열 전처리를 통해서 냉동딸기의 미생물학적 안전성을 확보해야 한다고 판단된다.

• 대한물리의학회지
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• 제4권3호
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• pp.133-140
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• 2009

Purpose：To investigate the effect of the home exercise program on pain, scoliosis, pelvic alignment of low back in chronic back pain patients, and suggest optimal method for home exercise program. Methods：I divided into two groups who has chronic back pain; one is control group who was given a treatment at the hospital only and the other is experimental group who did another exercise after treatment at the hospital, and there were 10 people in each group. The manual therapy were given to all the patients in each group after applying a stupe and an electric treatment, but the experimental group conducted another exercise program at homes. All the exercise programs were applied to patients 12 times for 4 weeks totally. Results：SPSS for win version 12 was used for statistic analysis and independent t-test was used to find changes between two groups. VAS scale was used to show changes in pain between each group. The grade of pain was decreased between pre&post test to -5.60 in control group and -4.80 in experimental group but there wasn't significant difference between each group. Cobb's degree was used to compare the changes of scoliosis in lumbar and it was improved in each group but there wasn't significant difference between each group. The measurement of pelvic misalignment was decreased between pre&post test to -1.00 in control group and -2.00 in experimental group but it wasn't enough to show significant difference between each group. Conclusion：As you read the results above, for a chronic low back pain patient, application of the manual therapy showed that it has effect on decrease of low back pain, improvement of scoliosis in lumbar and pelvic misalignment. However, the effect of home exercise treatment was not sure about improvements for chronic low back pain patient. So I think there should need further study about the effect of home exercise treatment except the treatments at hospital and the thorough education for the exercise of lumbar should be done before the study for the accurate experiment.