• 제목/요약/키워드: premature

검색결과 1,620건 처리시간 0.027초

선천성 결장 폐쇄증의 경험 (Clinical Experience with Colonic Atresia)

  • 황지희;김대연;김성철;김인구
    • Advances in pediatric surgery
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    • 제18권2호
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    • pp.68-74
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    • 2012
  • Colonic atresia (CA) is the rare cause of intestinal obstruction, and diagnosis of CA is difficult. But only few research has been performed, so little information has been available. The purposes of this study was to analyze the clinical findings of CA so that help physicians make decision properly. Children with CA who were treated at the division of pediatric surgery at Asan Medical Center in the period from January 1989 to December 2011 were evaluated retrospectively. A total of 6 children were treated with CA. These accounted for 2.7% of all gastrointestinal atresias managed in Asan Medical Center. Only one child was premature and low birth weight, the others were fullterm neonates and showed normal birth weight. Vomiting and abdominal distension were common symptoms and simple X-ray and barium study were used for diagnose of CA. But only 66.7% of the babies were diagnosed as CA pre-operatively. And 2 children out of 6 underwent re-operation due to missed CA at the time of the first operation. In aspect of types of atresia, the type IIIa were two, type IV were two, type I was one case, and one child showed rectal stenosis due to rectal web. Various operations were done according to individual findings and associated diseases. The 50% (n=3) of children underwent the primary anastomosis and the others (n=3) underwent colostomy first and staged operation later for missed CA or associated disease. All of them were recovered any significant complications. Therefore, the prognosis of CA is satisfactory if diagnosis and surgical management could be made properly. But because of the low incidence of CA, delay of diagnosis and treatment may occur. To prevent delay of diagnosis, we suggest prompt evaluation of doubtful infant and careful inspection of distal patency of bowel including whole colon and rectum when operating patients with intestinal atresia at any level.

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우리나라와 OECD 국가 간의 2000년 전과 후 대장암 사망률과 잠재수명손실연수에 관한 비교 (Mortality and Potential Years of Life Lost of Colorectal cancer between Korea and OECD countries before and after the year 2000)

  • 김동석;강수원
    • 한국산학기술학회논문지
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    • 제13권11호
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    • pp.5261-5270
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    • 2012
  • 이 연구의 목적은 우리나라의 악성신생물 중 최근 증가율이 가장 높은 대장암에 대하여 우리나라와 OECD 국가들 간에 2000년 전(1990-1999)과 2000년 후(2000-2009)의 사망률과 잠재수명손실연수(PYLL)에 통계학적으로 차이가 있는가를 살펴본 후, 대장암에 대한 국가 간 비교와 변화의 추이를 파악하여, 보건정책, 보건교육 등을 위한 자료를 제공하고자 하였다. "OECD Health Data 2012"을 사용하여 OECD 회원국 중 자료가 불충분한 2개국을 제외한 32개국에 대하여 대응표본 T검정(Paired T test) 방법을 사용해서 2000년 전과 2000년 후에 통계학적으로 차이를 살펴보았다. 남자의 대장암 사망률은 우리나라를 포함한 8개국만 2000년 후에 증가하였고, 여자의 대장암 사망률은 우리나라와 칠레만 증가하였는데 증가폭은 남녀 모두 우리나라가 월등히 높았다. 대장암 잠재수명손실연수는 2000년후에 증가폭이 우리나라가 월등히 높았는데, 남성의 경우 증가율 2위인 멕시코보다 3배 이상 증가하였고, 여성의 경우 2000년 후에 통계학적으로 유의하게 잠재수명손실연수가 증가한 나라는 우리나라가 유일하였다. 따라서, 대부분 OECD 국가는 2000년 이후 대장암 관리가 적절히 통제되고 있는 반면, 우리나라는 그렇지 못한 것으로 보이며, 특히 향후관리에 있어 여성에서 보인 잠재수명손실연수의 증가 이유에 관한 후속연구가 필요해 보인다.

국화 해충의 1종인 애긴노린재의 생활사에 관한 연구 (Studies on the Life History of Nysius plebejus Distant (Hemiptera: Lygaeidae) an Insect Pest of Chrysanthemum)

  • 김정부;강달순;김태성;신원교;이유식
    • 한국응용곤충학회지
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    • 제33권2호
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    • pp.56-59
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    • 1994
  • 국화 잎과 꽃을 흡즙 가해하는 애긴로인재 (Nysius plebejus Distant)의 생활사를 진주지방에서 조사한 결과를 요약하면 다음과 같다. 애긴노린재는 연중 3세대를 경과하였으며 세대별 성충의 발생최성기는 4월 중순, 6월중순, 8월 하순이었고, 8월 하순~9월 중순경에서 성충 유살량이 가장 많았다. 알에서 성충까지의 발육기단은 월동세대인 봄에는 6~7주가, 제 1새대와 제 2세대기인 여름에는 5~6주가 각각 소요되었다. 세대별 알기간 14.2일, 9.3일 및 7.2일 이였고, 약충기간은 45.2, 32.1 및 31.2이였으며, 알에서 성충우화시기까지의 총발육기간은 각 59.4일, 41.4일 및 38.4일이었다. 세대별 평균 산란기간은 25.6일, 23.4일, 21.2일로써, 큰 차이가 없었나. 평균 산란수는 각 41.5개, 37.2개 및 35.4개로써 월동세대가 조금 많은편이었다. 성충의 평균수명은 월동세대에는 암컷 32.6일 수컷 15.2일이고, 제 1세대는 암컷 27.5일, 수컷 12.3일이며, 제 2세대는 암컷 25.1일, 수컷 12.1일이었다. 성충의 성비는 대략 1:1이었으며, 대체로 기주식물의 잎이나 줄기의 표면에 산란하였다. 월동은 성충(90%) 및 5령 약충(10%)상태로 하였는데, 월동 전 성충운 성적으로 미숙한 상태였으나 월동 후 봄부터 생식이 활발하였다.

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Non-enzymatic Antioxidant Status and Biochemical Parameters in the Consumers of Pan Masala Containing Tobacco

  • Shrestha, Raj;Nepal, Ashwini Kumar;Lal Das, Binod Kumar;Gelal, Basanta;Lamsal, Madhab
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4353-4356
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    • 2012
  • Background: Tobacco consumption is one of the leading causes of oral submucous fibrosis, oral cancer and even premature death. The present study was designed to compare the biochemical parameters and non-enzymatic antioxidant status and the lipid peroxidation products in pan masala tobacco users as compared with age-matched non-user controls. Methods: Pan masala and tobacco users of age $33.2{\pm}9.94$ years and age-matched controls ($31.2{\pm}4.73$ years) were enrolled for the study. Plasma levels of vitamin E, vitamin C, albumin, bilirubin, uric acid, glucose, urea, creatinine, aspartate amino transferase (AST), alanine amino transferase (ALT) were measured by standard methods. Serum malondialdehyde (MDA) levels were estimated as a measure of lipid peroxidation. Results: In the pan masala tobacco users, as compared to the controls, the level of vitamin C ($68.5{\pm}5.9$ vs $97.9{\pm}9.03{\mu}mol/L$, $p{\leq}0.05$) vitamin E ($18.4{\pm}5.3$ vs $97.9{\pm}9.03{\mu}mol/L$, $p{\leq}0.001$), albumin ($37.5{\pm}7.01$ vs $44.3{\pm}9.99g/L$, $p{\leq}0.001$), and malondialdehyde ($10.8{\pm}1.29$ vs $1.72{\pm}1.15nmol/ml$, $p{\leq}0.001$) were found to be significantly altered. Malondialdehyde was significantly correlated with vitamin E (r=1.00, p<0.001) and vitamin C (r=1.00, p<0.001) in pan masala tobacco users. Serum levels of AST ($31.0{\pm}16.77$ IU) and ALT ($36.7{\pm}31.3$ IU) in the pan masala tobacco users were significantly raised as compared to the controls (AST, $25.2{\pm}9.51$ IU, p=0.038; ALT, $26.2{\pm}17.9$ IU, p=0.038). Conclusion: These findings suggest that pan masala tobacco users are in a state of oxidative stress promoting cellular damage. Non-enzymatic antioxidants are depleted in pan masala tobacco users with subsequent alteration in the biochemical parameters. Supplementation of antioxidants may prevent oxidative damage in pan masala tobacco users.

한국인 주의력결핍 과잉행동장애와 Dopamine Beta Hydroxylase 유전자의 관련성 : 가족기반 연구 및 환자-대조군 연구 (A FAMILY-BASED AND CASE-CONTROL ASSOCIATION STUDY OF THE DOPAMINE BETA HYDROXYLASE GENE POLYMORPHISM IN ATTENTION DEFICIT HYPERACTIVITY DISORDER)

  • 박태원;김붕년;임명호;유희정;강대희;조수철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.54-62
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    • 2005
  • 목적 : 이번 연구는 최근 주목을 받고 있는 dopamine beta hydroxylase 유전자의 Taq I 절단부위 다형성과 주의력결핍 과잉행동장애 발병 간에 어떤 관련성이 있는지를 알아보기 위한 연구이다. 방법 : 주의력결핍 과잉행동장애 아동 106명을 환자군으로 선정하고, 환자군과 성별, 연령별로 빈도짝짓기된 일반 아동 212명을 대조군으로 하는 환자-대조군 연구를 실시했다. 아울러 환자군과 부모를 대상으로 가족기반 연구를 병행했다. 결과 : 환자-대조군 연구에서는 환자군과 대조군 간의 유전자형이나 대립유전자 분포에 있어 유의한 차이를 발견하지 못했다. 그러나 가족기반 연구에서는 대립유전자 Al의 선택 전달이 관찰되었다. 결론 : 이번 연구를 통해 주의력결핍 과잉행동장애와 dopamine beta hydroxylase 유전자의 Taq I 절단부위 다형성 간의 관련성을 부분적으로 확인했으나 이를 뒷받침하기 위해 서는 추가적인 연구가 필요할 것이다.

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철근콘크리트 기둥의 휨 연성에 대한 V-타이 보조띠철근의 효율성 평가 (Evaluation on the Effectiveness of Supplementary V-ties on Flexural Ductility of Reinforced Concrete Columns)

  • 이혜진;양근혁;곽민경
    • 콘크리트학회논문집
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    • 제29권4호
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    • pp.345-351
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    • 2017
  • 이 연구에서는 철근콘크리트 기둥의 휨 연성에 대한 보조 띠철근으로서 ACI 318-14에서 제시하는 크로스타이의 대체로서 V-타이 보조 띠철근의 효율성을 평가하였다. 작용 축하중비를 주요 변수로 일정 축하중과 반복 횡하중을 받는 기둥에서 파괴모드 및 횡하중-횡변위 관계를 측정하였다. 기둥의 최대 휨 내력 이후, 크로스타이의 $90^{\circ}$ 갈고리가 서서히 열리면서 주철근의 조기 좌굴 및 코어 콘크리트의 심각한 손상을 동반한 반면, V-타이의 뽑힘 현상은 기둥의 파괴 시까지 나타나지 않았다. 최대 내력의 80% 시점에서 V-타이 기둥의 일손상 지수 값은 크로스타이 기둥에 비해 축력비가 0.25, 0.4 및 0.55일 때 각각 2.4배, 2.3배 및 5.2배 높았다. 즉, 기둥의 휨 연성에 대한 기존 크로스타이 대비 V-타이의 효율성은 축력비가 높을수록 현저하였다.

A facile synthesis of transfer-free graphene by Ni-C co-deposition

  • An, Sehoon;Lee, Geun-Hyuk;Jang, Seong Woo;Hwang, Sehoon;Yoon, Jung Hyeon;Lim, Sang-Ho;Han, Seunghee
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2016년도 제50회 동계 정기학술대회 초록집
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    • pp.129-129
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    • 2016
  • Graphene, as a single layer of $sp^2$-bonded carbon atoms packed into a 2D honeycomb crystal lattice, has attracted much attention due to its outstanding properties. In order to synthesize high quality graphene, transition metals, such as nickel and copper, have been widely employed as catalysts, which needs transfer to desired substrates for various applications. However, the transfer steps are not only complicated but also inevitably induce defects, impurities, wrinkles, and cracks of graphene. Furthermore, the direct synthesis of graphene on dielectric surfaces has still been a premature field for practical applications. Therefore, cost effective and concise methods for transfer-free graphene are essentially required for commercialization. Here, we report a facile transfer-free graphene synthesis method through nickel and carbon co-deposited layer. In order to fabricate 100 nm thick NiC layer on the top of $SiO_2/Si$ substrates, DC reactive magnetron sputtering was performed at a gas pressure of 2 mTorr with various Ar : $CH_4$ gas flow ratio and the 200 W DC input power was applied to a Ni target at room temperature. Then, the sample was annealed under 200 sccm Ar flow and pressure of 1 Torr at $1000^{\circ}C$ for 4 min employing a rapid thermal annealing (RTA) equipment. During the RTA process, the carbon atoms diffused through the NiC layer and deposited on both sides of the NiC layer to form graphene upon cooling. The remained NiC layer was removed by using a 0.5 M $FeCl_3$ aqueous solution, and graphene was then directly obtained on $SiO_2/Si$ without any transfer process. In order to confirm the quality of resulted graphene layer, Raman spectroscopy was implemented. Raman mapping revealed that the resulted graphene was at high quality with low degree of $sp^3$-type structural defects. Additionally, sheet resistance and transmittance of the produced graphene were analyzed by a four-point probe method and UV-vis spectroscopy, respectively. This facile non-transfer process would consequently facilitate the future graphene research and industrial applications.

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초피나무 열매 추출물의 COP1 및 PPAR-α 조절을 통한 자외선에 대한 피부 보호 효과 (Effect of Zanthoxylum piperitum Extract on Human Skin Protection from UVB by Regulation of COP1 and PPAR-α)

  • 김윤선;김유미;이상화
    • 대한화장품학회지
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    • 제42권4호
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    • pp.393-401
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    • 2016
  • 자외선은 피부 노화를 가속화하여 피부 광노화를 유발하고, 일광 화상, 피부암 등을 유발한다. 자외선 차단제를 사용하더라도 일부 자외선에 의하여 피부 손상은 유발될 수 있기 때문에 자외선에 대한 피부 자체의 방어력을 올려주는 것이 필요하다. 최근, 식물에서 자외선 보호 기능을 하는 것으로 알려진 COP1이 사람의 피부에서도 자외선에 대한 반응들을 조절한다고 새롭게 밝혀졌다. 본 연구에서는, COP1과 그의 결합 단백질 DET1이 사람 피부의 각질형성세포에서 자외선에 대한 시그날 조절 물질인 c-Jun 단백질 양을 조절하는 것을 확인하였다. 자외선에 노출 시 COP1과 DET1 발현이 감소하였고, 그 영향으로 c-Jun 단백질이 증가하였다. 반대로 COP1과 DET1을 발현하는 DNA를 transfection 시켜줄 경우 c-Jun 단백질 양이 감소하였다. 피부 각질형성 세포에서 COP1과 DET1의 발현을 조절할 수 있는 물질을 탐색한 결과, 초피나무 열매 추출물이 COP1과 DET1의 발현을 증가시켜 주었다. 초피나무 열매 추출물은 c-Jun 시그날에 의해서도 조절되는 MMP1이 자외선에 의해 유도되는 것을 억제하였다. 뿐만 아니라, 초피나무 열매 추출물 PPAR-${\alpha}$ 활성이 있어 장벽강화를 통한 피부 보호 효과가 있는데, 자외선에 의하여 염증 유발 물질인 IL-6와 IL-8의 발현이 증가하는 것도 억제하였다. 사람의 팔에 자외선을 쪼여 준 경우에도 초피나무 열매 추출물이 홍반이 생기는 것을 억제하고 홍반에 의한 색소침착도 억제하였다. 종합적으로, 초피나무 열매 추출물은 다양한 메카니즘을 통하여 자외선으로부터 피부를 보호해 줄 것으로 기대된다.

고용 강화 및 결정립 미세화를 통한 마그네슘 합금 주조재의 기계적 물성 향상 (Improvement in Mechanical Properties of Cast Magnesium Alloy through Solid-solution Hardening and Grain Refinement)

  • 김상훈;문병기;유봉선;박성혁
    • 한국주조공학회지
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    • 제37권6호
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    • pp.207-216
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    • 2017
  • This study investigated the effects of the addition of Zn, Ca, and SiC on the microstructure and mechanical properties of Mg-Al alloys. The tensile properties of homogenized Mg-xAl (x = 6, 7, 8, and 9 wt.%) alloys increased with increasing Zn content by the solid-solution strengthening effect. However, when the added Zn content exceeded the solubility limit, the strength and ductility of the alloys decreased greatly owing to premature fracture caused by undissolved coarse particles or local melting. Among the Mg-xAl-yZn alloys tested in this study, the AZ74 alloy showed the best tensile properties. However, from the viewpoints of the thermal stability, castability, and tensile properties, the AZ92 alloy was deemed to be the most suitable cast alloy. Moreover, the addition of a small amount (0.17 wt.%) of SiC reduced the average grain size of the AZ91 alloy significantly, from $430{\mu}m$ to $73{\mu}m$. As a result, both the strength and the elongation of the AZ91 alloy increased considerably by the grain-boundary hardening effect and the suppression of twinning behavior, respectively. On the other hand, the addition of Ca (0.5-1.5 wt.%) and a combined addition of Ca (0.5-1.5 wt.%) and SiC (0.17 wt.%) increased the average grain size of the AZ91 alloy, which resulted in a decrease in its tensile properties. The SiC-added AZ92 alloy exhibited excellent tensile properties (YS 125 MPa, UTS 282 MPa, and EL 12.3%), which were much higher than those of commercial AZ91 alloy (YS 93 MPa, UTS 192 MPa, and EL 7.0%). The fluidity of the SiC-added AZ92 alloy was slightly lower than that of the AZ91 alloy because of the expansion of the solid-liquid coexistence region in the former. However, the SiC-added AZ92 alloy showed better hot-tearing resistance than the AZ91 alloy owing to its refined grain structure.

다태임신에서의 선택적 유산술시 복식 천자와 질식 천자의 비교 연구 (Comparison of Transabdominal and Transvaginal Selective Fetal Reduction in Multifetal Pregnancy)

  • 김석현;문신용;이진용
    • Clinical and Experimental Reproductive Medicine
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    • 제23권1호
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    • pp.11-24
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    • 1996
  • The number of multifetal pregnancies has increased dramatically as a result of the widespread clinical use of ovulation induction and assisted reproductive technology(ART) in infertile patients. In multifetal pregnancies, the adverse outcome is directly proportional to the number of fetuses within the uterus, primarily because of an increased predisposition to premature delivery. It is extremely difficult to counsel patients about the expected outcome of pregnancies involving three or more fetuses. To increase the chances of delivering infants mature enough to survive without being irreversibly damaged by the sequelae of marked prematurity, selective fetal reduction(SFR) to the smaller number of fetuses should be considered in multifetal pregnancies. From January, 1991 to December, 1992, transabdominal SFR in multifetal pregnancies was performed in 22 patients including 13 triplet, 7 quadruplet, 1 quintuplet and 1 heptuplet pregnancies. Transabdominal SFR using intracardiac KCI injection and aspiration of amniotic fluid was carried out in 8-13 weeks of gestation. After procedure, 20 patients were remained as twin pregnancies, and 2 patients as triplet pregnancies. There have been 11 sets of twin delivery including 2 stillbirths, 2 sets of triplet delivery including 1 stillbirth, and 1 singleton delivery. Six cases were delivered after 37 weeks of gestation, 4 cases in 33 - 37 weeks, and 1 case in 30 weeks. Unfortunately, 3 stillbirths occurred in 20-24 weeks of gestation, and 4 cases were aborted. As 7 losses of pregnanancy including 1 case of septic abortion occurred, the delayed fetal loss rate was 38.9%(7/18) in transabdominal SFR. All babies born after 30 weeks of gestation were healthy, and no fetal anomaly directly related to the procedure was encountered. From July, 1993 to February, 1995, transvaginal SFR was performed in 20 patients including 15 triplet, 4 quadruplet and 1 quintuplet pregnancies. Transvaginal SFR using the same method as transabdominal SFR was carried out in 8-11 weeks of gestation. After procedure, 19 patients were remained as twin pregnancies, and 1 patient as singleton pregnancy. There have been 13 sets of twin delivery including 2 stillbirths, and 1 singleton delivery. Six cases were delivered after 37 weeks of gestation, 5 cases in 36-37 weeks, and 1 case in 30 weeks. Unfortunately, 2 still-births occurred in 20 weeks and 21 weeks of gestation, respectively, and 2 cases were aborted. As 4 losses of pregnancy including 1 case of septic abortion occurred, the delayed fetal loss rate was 25.0%(4/16) in transvaginal SFR. No fetal anomaly directly related to the procedure was encountered. It is suggested that transvaginal SFR could be performed more easily and earlier with the lower fetal loss rate as compared with transabdominal SFR. In conclusion, SFR is a rather safe and ethically justified procedure that may improve the outcome of multifetal pregnancies.

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