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다태임신 감수술 (Multifetal Pregnancy Reduction) 후 완전태아손실에 영향을 미치는 인자 (Factors Affecting Complete Fetal Loss Following Multifetal Pregnancy Reduction)

  • 김혜옥;김문영;송현정;박찬우;허걸;김진영;양광문;유근재;송인옥;전종영;궁미경;강인수
    • Clinical and Experimental Reproductive Medicine
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    • 제30권1호
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    • pp.39-45
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    • 2003
  • Objective : To identify the factors affecting the complete fetal loss following multifetal pregnancy reduction (MFPR). Design: Retrospective clinical study. Methods : A total of 256 consecutive treatments of MFPR in IVF-ET cycles performed between 1992 through 2000 in Samsung Cheil hospital were analyzed. MFPR was done around 8 weeks of gestation by transvaginal ultrasono-guided aspiration in multiple pregnancies and reduced to singleton or twins. Stepwise logistic regression was performed to identify the factors affecting the final outcome of pregnancy after MFPR. Dependent variable was complete fetal loss and the independent variables were maternal age, paternal age, initial number of gestational sac (iGSNO), initial number of fetal heart beat, the number of remaining live fetus after MFPR, and chorionicity. Results: The total survival rate was 87.9%, and total fetal loss rate after MFPR was 12.1%. Total fetal loss occurred within four weeks from MFPR procedure was 1.95%. Total loss occurred after four weeks of procedure and before 24 gestational weeks was 8.2%. Seventy nine percent (202/256) of pregnancies delivered after 34 weeks of gestation. The survival rate of pregnancies reduced to singleton was significantly higher than that of pregnancies reduced to twins (93.5% vs. 86.7%, p<0.05). The mean ($\pm$SEM) gestational age at delivery was $36.2{\pm}1.0$ and $34.1{\pm}0.5$ weeks for pregnancies reduced to singletons and twins, respectively (p=0.065). Logistic regression analysis revealed that the maternal age, the number of initial gestational sac (iGSNO), and the number of remaining live fetus after MFPR significantly affected the rate of total fetal loss (Z = 0.174'age + 0.596'iGSNO + 1.324'remaining fetuses -12.07), (p<0.05). Conclusions: MFPR seems to be a relatively safe and efficient method to improve the obstetric outcome in high order multiple pregnancy. Because the maternal age, the number of initial gestational sac and the remaining live fetuses after MFPR affect the total fetal loss rate, restriction of the number of transferred embryos according to the age and MFPR to singleton fetus could be considered for the better obstetric outcome in IVF pregnancy.

사료의 영양소 수준과 성별이 도체 및 육질특성에 미치는 영향 (Interaction between Nutrient Density Diets and Sex on Carcass and Quality Characteristics in Finishing Pigs)

  • 하영주;이정일;이제룡;이진우;정재두;곽석준;송영민;도창희
    • Journal of Animal Science and Technology
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    • 제47권1호
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    • pp.57-72
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    • 2005
  • The present study was undertaken to investigate the effects of nutrient density diets and sex on carcass and pork quality characteristics in finishing pigs. A total of 96 pigs(58.04 $\pm$ 6.85 kg) were divided into 2 groups(gilts and barrows), each sex group was assigned to 3 nutrient density(high : 18.5%, middle : 16.0% and low: 14.0% CP, respectively) and raised up to 1l0kg live weight. Each treatment had four replicates with three or five pigs per replicate. The treatments comprised the feeding regimes of 1) the low density diet for 60 days, 2) the middle nutrient density diet for the 30 days followed by a low nutrient density diet for the remaining 30 days and 3) the high nutrient density diet for the 30 days followed by a middle nutrient density diet for the remaining 30 days. Pigs were conventionally slaughtered, and then chilled overnight. Carcass characteristics and grades were determined on those carcasses, and pork loin muscle was removed from each left side at 5th to 13th rib for quality evaluation were evaluated. There were no differences in the carcass weight between sex and nutrient density. Dressing percent of L-L(gilts) treatment was significantly higher than that of other treatments(P< 0.05). Barrows showed a thicker back fat thickness than gilts. There were no difference in intramuscular fat, subcutaneous fat and springiness between sex and nutrient density. Intermuscular fat of barrows groups was significantly higher than the gilts groups(P < 0.05). In the meat quality characteristics, there were no difference in general composition, meat and fat color between sex and nutrient density. pH of L-L(gilts) treatment was significantly higher than that of other treatments(P < 0.05). Cooking loss and shear force value of H-M(barrows) treatment were significantly higher than those of other treatments(P< 0.05). Purge loss of barrows groups was significantly higher than the gilts groups(P < 0.05). Myoglobin content of H-M treatment was significantly lower than L-L and M-L treatments(P< 0.05). Texture of H-M treatment was higher than L-L and M-L treatments. The content of myristic, palmitic, palmitoleic and oleic acid were significantly higher in the barrows groups(P< 0.05). However, stearic, linoleic and arachidonic acid were significantly higher in the gilts(P < 0.05). Amino acid content of L-L treatment was significantly higher than M-L and H-M treatments(P < 0.05). In conclusion, carcass and pork quality characteristics were affected by sex and nutrient density.

3 방향 절환밸브의 공동현상 저감을 위한 형상최적화 (Shape Optimization of Three-Way Reversing Valve for Cavitation Reduction)

  • 이명곤;임채석;한승호
    • 대한기계학회논문집A
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    • 제39권11호
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    • pp.1123-1129
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    • 2015
  • 자동차부품 세척장비는 엔진과 변속기 블록 등의 가공과정에서 잔류하는 기름때를 제거하며, 잦은 수류방향 전환과 고압수의 분사를 위해 한 쌍의 2 방향 밸브를 사용한다. 그러나 정교한 밸브제어장치 없이 2 방향 밸브를 사용하는 경우 급격한 수류방향 전환에 따른 맥동현상이 발생하여 사용에 어려움이 따른다. 대안으로 하나의 3 방향 절환밸브를 사용하는 방법은 정교한 제어장치 없이도 정확한 수류방향 절환이 원활히 이루어져 이러한 문제점을 해결할 수 있다. 그러나 복잡한 유로 및 바텀플러그 형상으로 인해 유속변화가 심하게 발생하여 공동현상이 나타날 수 있다. 본 연구에서는 3 방향 절환밸브 내의 유동특성을 해석적으로 평가하였으며, 바텀플러그 하부에서 나타나는 공동현상을 공동화지표와 POC(Percent of cavitation)를 도입하여 정량화하였다. 공동현상의 저감을 위해 바텀플러그 형상을 매개변수화하고, 해석의 수렴성 개선과 해석시간을 단축시킬 수 있는 단순 유한요소모델을 이용하여 유동해석을 통한 형상최적설계를 실시하였다. 완전요인배치법을 통한 실험계획법과 인공신경망 기반 반응표면모델을 적용하여 공동현상이 발생하지 않는 POC 가 30% 미만인 바텀플러그의 형상을 제시하였다. 얻어진 최적해는 POC 27%에 대하여 바텀플러그의 허리길이와 꼬리길이가 각각 6.42mm 및 6.96mm 이다.

하형 청예 사료작물의 생산성과 사료가치 비교 (Comparative Tield and Quality of Summe Annual Grasses as Fresh-cut Forage)

  • 조무환
    • 한국초지조사료학회지
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    • 제6권3호
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    • pp.169-173
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    • 1986
  • 본(本) 시험(試驗)은 새로 도입(導入)된 13개(個) 품종(品種)의 수수-수단그라스잡종(雜種)(Sorghum bicolor (L.) Moench), T-E Goldmaker 수수잡종(雜種) (S.bicolor (L.) Moench), $NC^+$ 88SS 수단그라스 잡종(雜種) (S. bicolor (L.) Moench), Supermill permillet(Pennisetum americanum (L.) Leeke) 및 teosinte(Euchlaena mexicana Schrad.)를 Pioneer 988 수수-수단그라스 잡종(雜種)을 대조 품종으로 하여 건물생산성(乾物生産性), 조단백질함량(粗蛋白質含量) in vitro 건물소화율(乾物消化率)(IVDMD) 및 그밖의 생육특성(生育特性)을 비교하여 농가(農家)에 새로운 자료(資料)를 제시하기 위하여 수행되었다. 건물수량(乾物收量)에 있어서 14품종간(品種間)의 유의성은 인정되지 않았으나 teosinte 및 TE Goldmaker는 수량이 가장 낮았다. 각(各) 품종간(品種間)에 다소의 차이는 있었으나 대부분의 품종(品種)들이 엽병(葉病)(잎마른병)에 강하였으며 pearlmillet과 teosinte는 전혀 엽(葉)에 이병이 안되었고 $NC^+$ 88SS는 엽고병(葉枯病)에 매우 약하였다. 수수-수단그라스계(系) 잡종(雜種)의 평균(平均) 조단백질(粗蛋白質) 함량(含量)은 pearlmillet과 수수잡종(雜種) 보다는 낮았으나 수단그라스 잡종(雜種)보다는 높았다. G-83F, TE Goldmaker, Teosinte 및 HW 5111의 IVDMD는 대조 품종인 P-988보다 높았으며 고온기(高溫期) 청예용(靑刈用) 사초(飼草)의 조단백질(粗蛋白質) 함량(含量)과 IVDMD간에는 일정한 상호관계(相互關係)가 없었다.

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흉터성 눈썹소실환자에 실시한 단일모 이식술 (Single Hair Transplantation for Cicatrical Eyebrow Alopecia)

  • 최원석;석정훈;김태범;양완석
    • Archives of Plastic Surgery
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    • 제34권5호
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    • pp.647-652
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    • 2007
  • Purpose: Single hair transplantation for eyebrow loss has been considered as a good method of achieving natural appearance of eyebrow. To date, however, no study has reported the survival rate following single hair transplantation for cicatricial eyebrow alopecia. Methods: We performed single hair transplantation using Choi hair transplanter for 49 cases of scarring eyebrow loss from March 2003 to March 2006. Of these cases, 33 could be under a follow-up postoperatively for more than seven months. These 33 cases comprised 20 men and 13 women. Mean follow-up period was 12 months (7-36 months). In 17 patients(51.5%), 100 to 200 hairs were unilaterally transplanted. Results: Following initial hair transplantation, the surgical outcome was excellent in 11 cases(33.3%), good in 12 cases(36.4%), fair or poor in the remaining ten cases(30.3%). All procedures were done under intravenous sedation and local or regional block anesthesia. It took about one and a half hours for us to transplant 200 hairs. The shape of eyebrow was aesthetically acceptable with a good direction and an ideal inclination of hairs. No patients developed notable complications, while 30 percent had a low survival rate. Conclusion: Single hair transplantation using Choi hair transplanter is a safe, effective surgical method for scarring eyebrow loss.

Evaluation and validation of stem volume models for Quercus glauca in the subtropical forest of Jeju Island, Korea

  • Seo, Yeon Ok;Lumbres, Roscinto Ian C.;Won, Hyun Kyu;Jung, Sung Cheol;Lee, Young Jin
    • Journal of Ecology and Environment
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    • 제38권4호
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    • pp.485-491
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    • 2015
  • This study was conducted to develop stem volume models for the volume estimation of Quercus glauca Thunb. in Jeju Island, Republic of Korea. Furthermore, this study validated the developed stem volume models using an independent dataset. A total of 167 trees were measured for their diameter at breast height (DBH), total height and stem volume using non-destructive sampling methods. Eighty percent of the dataset was used for the initial model development while the remaining 20% was used for model validation. The performance of the different models was evaluated using the following fit statistics: standard error of estimate (SEE), mean bias absolute mean deviation (AMD), coefficient of determination (R2), and root mean square error (RMSE). The AMD of the five models from the different DBH classes were determined using the validation dataset. Model 5 (V = aDbHc), which estimates volume using DBH and total height as predicting variables, had the best SEE (0.02745), AMD (0.01538), R2 (0.97603) and RMSE (0.02746). Overall, volume models with two independent variables (DBH and total height) performed better than those with only one (DBH) based on the model evaluation and validation. The models developed in this study can provide forest managers with accurate estimations for the stem volumes of Quercus glauca in the subtropical forests of Jeju Island, Korea.

한국 전통 버선본집의 형태, 색상, 구성 기법 분석 및 감물염색 문화상품 개발 (Forms, colors and construction of the pattern cases for Korean traditional socks and cultural product development)

  • 홍희숙;김기억
    • 복식문화연구
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    • 제21권6호
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    • pp.860-876
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    • 2013
  • The pattern cases for Korean traditional socks are named "beoseonbongip" which means a pouch to keep patterns for making "beoseon". "Beoseon" is Korean traditional socks. This study is to identify characteristics of the pattern cases and to develop cultural products based on the unique characteristics of the pattern cases. One hundred fifty one photos of "beosonbongip" were collected and quantitatively and qualitatively analyzed. Seventy percent of them were made between Joseon Dynasty and 1960s. As a result, most of the collected pattern cases are rectangular and square shapes, red color, and silk fabrics, and sizes of them are from 9cm to 15cm. A few pattern cases with different sizes and colors were also observed. Most pattern cases were made by fixing two among four triangle pieces which made by folding four tips of a rectangular or square cloth and then puting a not or a loop on the remaining triangle pieces in order to open and close the pattern cases. In a small number of the pattern cases, three of the four pieces were fixed and a button, a bead, a broach, or two nots or two loops were put on the other piece for opening and closing. Products such as apparels, bags, pouches, frames, and key holders were made using "beoseonbongip" form and construction method. This shows that "beoseonbongip" is a useful motive for creative product development.

폐문부박리가 폐혈류 역학에 미치는 영향 (Pulmonary Hemodynamic Alterations Following Radical Hilar Stripping)

  • 곽문섭;이홍균
    • Journal of Chest Surgery
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    • 제9권1호
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    • pp.20-26
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    • 1976
  • Author has performed experimental study on hemodynamic changes of lung following radical hilar stripping and contralateral pulmonary artery ligation. In view of hemodynamic changes in group 1 (right pulmonary artery ligation only) and group 2(left hilar stripping+right pulmonary artery ligation). group 2 showed remarkable decrease rate in oxygen uptake (P<0.001) and total pulmonary blood flow(P<0.001), and the more increase rate in mean pulmonary artery pressure(P<0.02) and total pulmonary vascular resistance (P<0.001). Meanwhile, the decrease percent of left lung vascular resistance was lower than group 1(P<0.001). The hemodynamic changes in group 1 returned to control range two weeks later. In the group 2, two dogs were expired as a result of atelectasis and pulmonary hypertension. Among allying 8 dogs, five months after operation, follow up studies performed in two dogs, which showed normal pulmonary hemodynamics similar to preoperative data. The altered blood gas values and decreased oxygen uptake are more remarkable in denervated lung, which may due to pulmonary hypertension and partly retained more secretion in bronchial trees than usual. Important factors of raising pulmonary vascular resistance and pulmonary artery pressure are considered as the increased blood flow to remaining left lung and dysfunction of pulmonary vascular bed to accept the increased blood flow after denervation. Loss of nerve innervation had a influence, to some extent, to the decrease of oxygen uptake and the increase of pulmonary vascular resistance and pulmonary artery pressure. There can be little question that denervation does impair the pulmonary hemodynamics, however, intact pulmonary nerve innervation is not absolutely essential for survival of the animal.

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인슐린 분비성 췌장세포암 1례 (One Case of Insulinoma)

  • 안재희;서혜상;윤성철;윤경우;최수봉;이현우
    • Journal of Yeungnam Medical Science
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    • 제5권2호
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    • pp.205-211
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    • 1988
  • 본 저자들은 44세의 여자환자로 3년전부터 발생한 경련성 발작후 의식소실로 간질로 진단 받은 후 항경련제를 투여받았으나 효과가 없었던, 금식검사에서 혈청 insulin, C-peptide, glucose, 24시간 뇨 c-peptide 및 선택적 췌장동맥 촬영술로 인술린종을 진단, 수술로 종물을 적출후 경련성 발작이 사라진 인술린종 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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QscanTM을 이용한 노인 구강보건교육의 효과 (The effect of oral health education for the elderly using QscanTM)

  • 김미;이수영;조영식
    • 한국치위생학회지
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    • 제15권4호
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    • pp.555-563
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    • 2015
  • Objectives: The purpose of the study is to investigate the effect of oral health education for the elderly using $Qscan^{TM}$. Methods: This study was a quasi-experiment design of nonequivalent control group pretest-posttest design carried out by oral health education from January 17 to March 7, 2015. The subjects were 64 elderly people over 65 years old who had more than one remaining teeth in the anterior teeth and canines living in Hongseong-gun and assigned to 33 control group and 31 intervention group. The intervention group was measured only by $Qscan^{TM}$. The educational effect between two groups were evaluated using oral health behavior, gingivitis index, and plaque index. After Institutional Review Board from Namseoul N University, the elderly people participated in the study. Results: The intervention group showed lower plaque index of percent reduction than the control group. The two groups showed a significant difference in gingival index after the oral health education(p<0.05), but did not show a significant difference in oral health behavior after the oral health education(p<0.05). Conclusions: The effect of oral health education through the motivation of $Qscan^{TM}$ was very effective in the comparison of oral health behavior, gingival index and plaque index.