• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권1호
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• pp.23-28
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• 1999

ALP (alkaline phosphatase) is a membrane-bound metalloenzyme that is expressed in osteoblasts, hepatocytes, lung, kidney, endothelial cells, leukocytes and other cells. Normal soft tissue and skin show little tissue nonspecific ALP (TN-AP), However, scar tissue contains high levels of TN-AP activity, and in fact, TN-AP is expressed intensely in regenerating connective tissue after the wounding. The purpose of this study was to evaluate the change of ALP expression in hypertrophic scar model in rabbits and the effect of triamcinonolone on ALP expression. Adult male New Zealand white rabbits, weighing about 2.5 kg, were used. After full-thickeness wounding over the ventral surface of each ear, either saline (control ear) or triamcinolone (contralateral ear) was injected on day 16. Rabbits were sacrificed on day 3, 7, 15, 17, 19, 23, and the specimens were retrieved en bloc. Histologic and immunohistochemical examinations of tissue samples were done. The results obtained were as follows: On day 3, ALP reaction was observed on fibroblasts and inflammatory cells in wound margin. On day 7, ALP reaction was more intense than day p in capillaries, inflammtory cells, and fibroblasts behind newly formed epithelium. On day 15, ALP reaction was lessened in both groups and appeared mainly in subepidermal capillary network, Since day 17, ALP reaction was lessened in both groups and weaker in triamcinolone-injected group than in saline-injected group. These results suggest that ALP reaction isn't increased in triamcinolone-injected scar and triamcinolone reduces scar not by increasing TN-AP expression but other mechanism.

• 한국산업융합학회 논문집
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• 제23권4_2호
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• pp.701-708
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• 2020

In this paper, we analyzed the optical properties of the LED module for dental care, which has the effect of promoting cell regeneration and scar treatment. The LED module is a U-shaped module suitable for the shape of teeth. It is manufactured with an LED module (632 nm) and an LED module (632 nm + 870 nm), analyzes the results of optical properties, sets the irradiation distance, irradiation time, and is effective in healing skin wounds. Evaluation was conducted. It was tested in 6 test groups according to the light irradiation conditions, and light was irradiated to the scar site every other day for 7 days, 1 day and 3 days. As a result, it was confirmed that the effect of scar treatment was the highest when the combined wavelength of 632 nm + 870 nm was irradiated in pulse mode than when the single wavelength was irradiated and the composite wavelength was continuously irradiated. In group C group irradiated with PW Mode: pulse mode (period 36 ms, pulse width 35 ms) using a composite wavelength with LED module (632 nm + 870 nm) than group A without light irradiation, the length of scar reduction was 19 %, the area of the scar was further reduced by 10%, and it was confirmed that it is effective in treating scars in the wound area.

• 대한두개안면성형외과학회지
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• 제22권6호
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• pp.310-318
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• 2021

Background: Transcutaneous lower eyelid approaches are associated with a risk of postoperative scarring depending on the distance between the incision line and the lower eyelid margin. The lower eyelid crease of Caucasians corresponds to a ridge-shaped fold in young Asians. However, this relationship has not been sufficiently evaluated in the latter. The authors, therefore, investigated the location of the scar and the lower eyelid crease or ridge to find the optimal location for the incision line. Methods: This study included 60 out of 139 patients who underwent inferior orbital wall reconstruction through a lower eyelid skin incision between July 2019 and June 2020. According to the location of the scar, the patients were classified into three groups: group A (≥ 2 mm above the lower eyelid crease or ridge), group B (within the lower eyelid crease or ridge to 2 mm above the lower eyelid crease or ridge), and group C (within the lower eyelid crease or ridge to 2 mm below the lower eyelid crease or ridge). At 6 or 12 months after surgery, the Patient and Observer Scar Assessment Scale (POSAS) score was obtained, the distance between the lower eyelid margin and the scar (DMS) and the distance between the margins of the peripheral pupil and the lower eyelid (DMPE) were measured, and the occurrence of ectropion was evaluated. Results: Group B had the lowest POSAS score (A: 22.7 ± 8.0, B: 20.9 ± 2.4, C: 32.5 ± 4.1, p< 0.001). Linear regression analysis showed that the DMS was positively correlated with the POSAS score (p< 0.001) and that the risk of DMPE widening increased as the DMS decreased (p= 0.029). None of the patients had ectropion. Conclusion: When using the transcutaneous approach for inferior orbital wall reconstruction, the optimal incision site is within the lower eyelid crease or ridge to 2 mm above the lower eyelid crease or ridge.

• Medical Lasers
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• 제8권1호
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• pp.1-6
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• 2019

Background and Objectives A facial laceration is a commonly occurring trauma of children. In addition, appropriate treatment and scar management are very important because the psychosocial impact of facial scars is much greater in children than in adults. Materials and Methods In the authors' hospital, primary closure was conducted targeting a total of 8,924 patients from January 2015 to December 2017. Of these, scar management was conducted on 808 people using a CO₂ fractional laser and Q-Switch Nd:YAG laser. To prove the effectiveness of the laser treatment on the linear scar, the patients were divided retrospectively into children and adults and sub-divided into those who received the treatment and those who did not. The subjective satisfaction of patients was evaluated using the Numeric Rating System (NRS). The objective scar scoring was evaluated using the image panel assessment based on the Vancouver Scar Scale (VSS), and the scoring was made by averaging the evaluations of three plastic surgeons. Results Evaluated NRS showed 8.50 ± 1.83 for adults without a laser, 8.51 ± 1.47 for adults with a laser, 7.93 ± 2.10 for children without a laser, and 8.9 ± 1.24 for children with a laser. The image panel assessment revealed 7.06 ± 1.31 for adults without a laser, 6.40 ± 2.37 for adults with a laser, 6.86 ± 1.45 for children without a laser, and 5.93 ± 1.21 for children with a laser. Conclusion When the linear scar is managed using a CO₂ Fractional laser, it can be managed in children better than adults, which is believed to be useful because it leads to better satisfaction and prognosis.

• Medical Lasers
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• 제8권1호
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• pp.19-23
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• 2019

Background and Objectives The picosecond 755 nm alexandrite laser was first approved by the US FDA in 2012. A previous study described the use of a 1,064 nm picosecond laser with a micro-lens array (MLA) in peri-areolar scarring from breast reconstruction surgery and reported significant improvement in the texture and aesthetic appearance of the scar without other wound complications. The purpose of this study was to evaluate the improvement of overall scarring, not just pigmentation, in the picosecond laser treatment of patients with pigmentations. Materials and Methods Sixteen patients who underwent 1,064 nm picosecond laser treatment from June 2016 to December 2018 were enrolled in this study. Patients received two to six sessions of picosecond laser treatment at intervals of 4 weeks. Before and after the laser treatment, the patients evaluated their own satisfaction score and a physician evaluated the Vancouver Scar Scale. To evaluate the satisfaction score and complication rate, a retrospective chart review was done. Results Seven were female and nine were male. The mean of the patients' satisfaction score before the treatment was 1.44 (interquartile range [IQR], 1-2) and 3.00 (IQR 2.25-3.75) six months after treatment. The mean of the Vancouver Scar Scale before the treatment was 9.69 (IQR 8-11), and 6.25 (IQR 5-7.75) six months after treatment. All the results were statistically significant (p<0.01). Conclusion This study provides evidence that the use of a 1,064 nm picosecond laser treatment for pigmented scars can be effective in improving the pigmentation and overall scar status, including vascularity, height, and pliability, with the results of a decrease in the VSS scores between treatments.

• 원예과학기술지
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• 제31권6호
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• pp.756-763
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• 2013

당근의 기계적인 제모 시 발생하는 종자의 손실과 발아 시의 문제점을 개선한, 고품질의 당근 종자 생산을 위한 단모종자 당근 품종 육성에 이용할 분자표지를 개발하기 위하여 본 연구를 수행하였다. 본 연구에서는 2008년도부터 2013년도까지 단모종자 표현형 CT-SMR 616 OP 389-1 개체와 장모종자 표현형 CT-SMR 616-33 개체를 자가수분하여 세대 진전된 당근 계통들을 종자모 형질 관련 RAPD-SCAR 분자표지를 개발하는데 이용하였다. 이들 계통의 종자모 길이를 현미경을 이용하여 분석하였으며, 분석된 결과를 바탕으로 계통을 세대진전 시켜, 분자표지 다형성과도 비교분석하였다. 분자 표지 개발을 위하여 세대가 고정되었다고 판단되는 2011년 계통을 대상으로 80개의 random primer를 이용한 RAPD 분석을 통해 12개의 개체간 뚜렷한 차이를 보이는 종자모 형질 관련 특이적 band를 확인하였다. RAPD-SCAR 분자표지 개발을 위해 확인된 이들 특이적 band의 염기서열 분석을 통해 SCAR primer를 작성하였으며 각 SCAR primer는 24-28mer 크기로 3조합 이상 작성하였다. 분석 결과 작성된 SCAR primer 중 $SCA2_{1.2}$가 단모종자 표현형 계통에서만 특이적으로 증폭되는 것을 확인하였다. 이 $SCA2_{1.2}$ 분자표지의 정확성을 검증하기 위해 2012년도 계통과 2013년도 계통을 이용하여 재검증하였으며, 그 결과 개발된 SCAR 분자표지는 단모종자와 장모종자 계통을 구분할 수 있는 충분한 다형성을 제공하였다. 따라서 본 연구에서 개발된 SCAR 분자표지, $SCA2_{1.2}$는 당근의 단모종자 품종 육성 연구에 충분히 활용가능 할 것으로 기대된다.

• Childhood Kidney Diseases
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• 제7권1호
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• pp.44-51
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• 2003

목적 : 본 연구에서는 신반흔의 고위험 환아를 규명하고자 요로감염 후 DMSA 신주사를 이용하여 급성기와 치료 후 추적 검사를 통하여 신반흔을 형성한 군과 신반흔을 형성하지 않은 군에서 방광요관 역류 유무와 등급, DMSA 신주사 소견 등을 비교 분석하여 신반흔에 관련된 인자들을 평가하고 신반흔의 예측인자로서 방광요관 역류와 급성기 DMSA 신주사 소견의 유용성을 알아보고자 하였다. 방법 : 1992년 4월부터 2002년 3월까지 전북 대학교 병원 소아과에 요로감염으로 입원한 환아 442명을 대상으로 후향적으로 조사하였다. 요로감염의 급성기에 급성기반응 지표, DMSA 신주사를 시행하였고 치료 후 VCUG를 시행하여 방광요관 역류를 진단하였고 치료 4-6개월 후 DMSA 신주사를 시행하여 신반흔 유무에 따라 두 군으로 나누어 비교 분석하였다. 결과 : 연령 분포는 두 군 모두 1세 미만이 가장 많았으나 신반흔 형성군에서는 진단당시 연령이 신반흔 무형성군에 비해 높았고 성별에 따른 유의한 차이는 보이지 않았다. 원인균으로는 E.coli가 가장 많았으며 두 군간에 원인균에 따른 차이는 없었고 급성기에 시행한 백혈구, ESR, CRP 등의 급성기 반응지표는 신반흔 형성과 상관관계를 보이지 않았다. 신반흔 형성군에서는 방광요관 역류의 빈도가 78%, 신반흔 무형성군에서는 13%이었고, grade IV 이상의 중증의 역류가 차지하는 비율이 신반흔 형성군에서 높았으며 방광요관역류와 그 정도가 신반흔 형성과 밀접한 관계가 있음을 보여주었다. 급성기에 시행한 DMSA 신주사 소견상 다초점성 신피질 결손의 빈도가 신반흔 형성군에서 53%로 신반흔 무형성군의 32%에 비해 유의하게 높았고 방광요관 역류가 있으면서 신주사상 다초점성 결손을 보인 환아의 75%에서 신반흔이 형성되었다. 결론 : 신반흔 형성은 방광요관 역류의 유무와 정도, 급성기의 DMSA 신주사 소견과 밀접한 관계가 있었다. 따라서 초기 신주사 소견과 방광요관 역류는 신반흔 발생의 위험을 예측하는데 도움을 주며 고위험군으로서 추적관찰에 유용한 정보를 제공해 줄 것으로 생각된다.

• 한국균학회지
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• 제39권1호
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• pp.22-30
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• 2011

원형느타리버섯의 자실체는 다발형성이 잘되고 갓 색깔이 회색이면서 수량성이 높은 중요한 품종이다. 저자들은 핵산 지문법을 이용하여 느타리종에 속하는 70품종을 3 그룹으로 나누고 이 중 원형품종이 속한 그룹 35개 품종 중 원형품종과 동일하거나 구별성이 인정되지 않는 4개 품종을 보고한 바 있다. 본 연구에서는 이들 품종을 구분할 수 있는 원형 품종 특이 분자마커를 개발하였다. 원형 품종 특이적인 SCAR marker로 개발한 'S-OPO5' primer는 1436 bp 에서 원형 유사품종인 2183, 2240, 2595, 2725 품종에서만 특이적으로 단일 band를 보였다. 이들 원형 유사품종들의 SCAR PCR 산물을 대상으로 염기서열 분석을 한 결과 nucleotide 염기서열은 NCBI database에서 상동성이 있는 유전자를 찾을 수 없었으며, 이들 5품종간의 nucleotide sequence는 99% 상동성을 보여 매우 유사하였다. 아미노산 서열을 분석한 결과는 NCBI database내에 존재하는 모든 유전자들 중 송이속에 속하는 Tricholoma bakamatsutake의 reverse transcriptase와 가장 상동성이 높은 것으로 나타났다. 본 연구를 통하여 개발된 원형특이 마커는 정확한 품종구분이 요구되는 종균유통 과정에서 원형계통 품종을 구분하는 유용한 마커로 이용될 것으로 기대된다.

• Archives of Plastic Surgery
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• 제38권6호
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• pp.747-754
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• 2011

Purpose: The Abbe flap procedure has been used to correct disharmony of the upper and lower lips as well as for making a philtrum for patients with secondary cleft lip deformities. But the Abbe flap procedure adds two scars in addition to the prior operative scar on the upper lip. This study was conducted to determine the treatment outcomes of esthetic subunit excision of the scar on the philtrum and Abbe flap coverage for correction of cleft lip deformities with photogrammetric analysis. Methods: This study investigated a total of 11 patients with cleft lip deformities who underwent scar excision with Abbe flap coverage, and the patients were followed up for at least 6 months. Under general anesthesia, a mushroom-shaped Abbe flap was drawn on the lower lip with a width of 8 mm and a height 1~2 mm longer than that of the philtral midline. The epidermis and dermis of the scar on the upper lip were excised. In the cases with alar base depression, the orbicularis oris muscle was split vertically and transposed to the alar base. The Abbe flap was harvested as a pedicled flap containing a small amount of muscle and this was rotated 180-degree to be inserted into the upper lip. Mucosa, muscle, subcutaneous tissue and skin were closed in layers. The flap was divided at the 7~14 postoperative day. The postoperative outcomes were evaluated by using photogrammetric analysis. Three indices were measured from the standard clinical photographs taken before and after the surgery. For anthroposcopic assessment, observers described the postoperative outcomes using an ordinary scale method. Results: The postoperative values obtained in the photogrammetric analysis showed improvement as compared with the preoperative ones. Improved anthroposcopic outcomes were also noted. Conclusion: Scar excision and Abbe flap coverage were proven to be effective in improving protrusion and the height of the upper lip, the scar of the upper lip and the symmetry of Cupid's bow and the philtral column, as well as formation of the philtral dimple.

• 원예과학기술지
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• 제31권6호
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• pp.798-806
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• 2013

중요 작물의 신속 정확하고 비용 면에서 효율적인 품종 판별은 실용적인 육종과 육종가의 권리 보호를 위해 필수적이다. 감 품종을 구분하는 전통적인 방법은 형태적인 특성 평가를 근거로 하지만 유전적으로 밀접하게 연관되어 있는 품종들은 형태적 형질에 의해 품종을 구별하기는 어렵다. 본 연구는 국내와 일본 감 32 품종을 판별할 수 있는 신뢰성 있는 DNA 마커를 개발하고자 수행하였다. 40종의 임의 프라이머를 이용한 RAPD 분석을 통해 품종 간 다형성을 나타내는 밴드 309종을 획득하였다. 프라이머에 따라 얻은 다형성 밴드 수는 4(OPP-08)-14(UBC159)개로 평균 7.7개였다. SCAR 마커로 전환하기 위해 57종의 RAPD 단편들을 선발하여 염기서열을 분석하였고 그 중 15종이 SCAR 마커로 전환되었다. 개발된 15종의 SCAR마커는 프라이머 조합에 따라 RAPD 단편과 동일한 크기나 작은 크기의 단일 밴드가 증폭되었다. 이들 마커 중 8종(PS225_200, PSN05_420, PSF13_523, PSN11_540, PS372_567, PS485_569, PSP08_635, PS631_735)의 조합을 적용하여 증폭산물의 수와 크기에 따라 감 32품종의 판별이 가능하였다. 새로 개발된 마커들은 감 품종 판별을 위해 신뢰성 있는 수단으로서 효과적으로 이용될 수 있을 것으로 판단된다.