• 제목/요약/키워드: $^{166}Ho$

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안면마비 환자에 대한 Sunnybrook Facial Grading System의 적용 실태 분석 : 후향적 관찰연구 (The Application State of the Sunnybrook Facial Grading System for Facial Palsy Patients : A retrospective study)

  • 한지선;권민수;김정환;조대현;조희진;최지은;김지혜;김현호;이상훈;박영재;박영배
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.101-108
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    • 2016
  • Objectives : Among the assessment tools for evaluating facial function, the House-Brackmann scale is used as a standard tool, but it has some shortcomings. The Sunnybrook Facial Grading System can assess the after effects of facial palsy and facial movement by each part of the face. By understanding the application state of this Sunnybrook Facial Grading System, we intend to analyze the relationship between House-Brackmann scale score and Sunnybrook Facial Grading System score so that we can examine the advantages of the Sunnybrook Facial Grading System as a more accurate tool. Methods : We screened both inpatients and outpatients who visited the Facial Palsy Center at Kyung Hee University Hospital for Korean medical treatment and were evaluated with the Sunnybrook Facial Grading System from December 2015 to October 2016. A total of 159 out of 166 patients were studied, including basic characteristics and missing data. We used descriptive statistics for general features of patients and SPSS Ver.18 for statistical analysis. Results : House-Brackmann scale and Sunnybrook Facial Grading System have high negative correlation through Pearson Correlation Coefficient with a score of -0.884. Analyzing outlier data resulting from relation analysis between the House-Brackmann scale and the Sunnybrook Facial Grading System showed many outliers when the damaged state of each part of the face is different. Conclusion : Sunnybrook Facial Grading System can make up for faults of the House-Brackmann scale, which is inferior in accuracy when each damage status of each part of the face is different. Sunnybrook Facial Grading System performs a detailed assessment of facial function and sequelae of facial palsy easier than the House-Brackmann scale.

코골이 및 폐쇄성 수면 무호흡증의 두부 규격 방사선 계측학적 기여 인자 (Cephalometric Predisposing Factors of the Snoring and Obstructive Sleep Apnea)

  • 서은우;이호경;한민우;서미현;김현준;송승일
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권3호
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    • pp.161-166
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    • 2013
  • Purpose: This study was intended to perform a cephalometric comparison between the patients with and without obstructive sleep apnea (OSA). The factors influencing the OSA in the lateral cephalogram were also investigated. Methods: Fifty patients who had visited the Sleep Disorder Clinic at the Ajou University Hospital and evaluated with the polysomnograph (PSG) and cephalogram, were included in the study. The patients had the apnea-hypopnea episode over 5 times per hour (apnea-hypopnea index $[AHI]{\geq}5$) were diagnosed as OSA after the overnight PSG. To evaluate the hard and soft tissue profiles, the cephalometric radiograms were taken at the maximal intercuspation. The correlation between the patient's age, height, weight, body mass index (BMI) and AHI was inspected in the OSA and control group. The difference between the OSA and control group was evaluated (Mann-Whitney U Test). The cephalometric influencing factors to OSA were analyzed (Pearson's correlation coefficient) statistically using SPSS statistics. Results: The OSA Group had a significantly higher BMI than the control group. The mean lower facial height (ANS-Me) was longer in the OSA group; however, statistically significant difference was not detected in the anteroposterior craniofacial measurements. The distance between mandibular plane and hyoid bone of the OSA group was significantly longer than that of the control group. The hyoid position (MP-Hyoid) had a positive correlation between AHI (P<0.001). However, the measurements of oropharyngeal airway were not different between the two groups. The hypothesis, that the antero-posteriorly narrow oropharyngeal airway may aggravate the airway resistance and give rise to a higher AHI, was rejected in the study. Conclusion: We suggest that the lateral cephalogram may be utilized as a useful method to evaluate OSA. The patients with a lower hyoid position can be expected to have higher risks of OSA. However, a comprehensive intraoral inspection, including the soft palate and tonsilar hypertrophy, is emphasized, as the lateral cepahlogram cannot visualize the oropharyngeal status completely.

제주지역 감귤재배용 단일피복 무가온하우스의 구조안전성 분석 (Analysis of the Structural Safety in a Non-heating Greenhouse with a Single Cover for Citrus Cultivation in Jeju)

  • 염성현;김학주;전희;이시영;강윤임;김영효;김용호
    • 생물환경조절학회지
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    • 제14권3호
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    • pp.166-173
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    • 2005
  • 길이 40m,폭 5.5m의 단일피복 구조의 8연동 무가온하우스 상단부에 설계적설심 19.1 cm의 눈이 쌓인다는 조건과 시설 측면으로 설계풍속 $36.6\;m{\cdot}s^{-1}$의 바람이 분다는 조건 그리고 참고자료로 활용하기 위해 적용한 최대적설심 37.8cm의 눈이 쌓인다는 조건과 순간최대풍속 $60.0\;m{\cdot}s^{-1}$의 강풍이 분다는 조건에서 유동 및 구조강도 해석을 수행하였다. 적설하중 조건에서는 설계적설심 19.1 cm와 최대적설심 37.8cm에서 파이프에 걸리는 최대응력이 각각 $53.8\;N{\cdot}mm^{-2}$$107\;N{\cdot}mm^{-2}$으로 재료의 허용응력 보다 작은 것으로 나타나 안전한 것으로 분석되었으나, 설계풍속 $36.6\;m{\cdot}s^{-1}$와 순간최대풍속 $60.0\;m{\cdot}s^{-1}$의 풍하중 조건에서는 파이프에 걸리는 최대응력이 각각 $250\;N{\cdot}mm^{-2}$$672\;N{\cdot}mm^{-2}$으로 재료의 허용응력을 모두 초과하여 플라스틱하우스가 불안전한 것으로 분석되었다.

외상성 복부 장기 손상 및 골반 손상에 의한 혈복강으로 동맥 색전술을 시행 받은 환자에서 예후 인자 (Prognostic Factors in Patients Who Performed Angiographic Embolization for the Bleeding from Injury of the Intraabdominal Organ and Pelvic Area)

  • 이진호;장지영;심홍진;이재길
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.166-171
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    • 2012
  • Purpose: In patients with traumatic hemoperitoneum or pelvic bone fracture who underwent angiography and embolization, we want to find the prognostic factors related with mortality. Methods: Patients(333 patients) who visited our hospital with traumatic injury from March 2008 to April 2012 were included in this study. Only 37 patients with traumatic hemoperitoneum or pelvic bone fracture underwent angiography and embolization. A retrospective review was conducted, and Glasgow coma scale (GCS), Revised trauma score (RTS), Injury severity score (ISS), initial laboratory finding and time interval, the amount of transfusion from the arrival at the ER to the start of embolization, and the vital signs before and after procedure were checked. Stastical analysis was conducted using the Chi square and Mann-Whitney U test. Results: In univariate analysis, the amount of transfusion, the base deficit before procedure, the systolic blood pressure before and after the procedure, the GCS, the RTS and the ISS were significantly associated with prognosis. In the multivariate analysis, the ISS and the base deficit had significant association with prognosis. Of the 37 patients who underwent angiography and embolization, 31 patients needed not additional procedure (Group A) while the other 6 patients needed an additional procedure (Group B). After procedure, a statistically significant higher blood pressure was observed in Group A than in Group B. As to the difference in blood pressure before and after the procedure, a statistically significant decrease in systolic blood pressure was observed in Group B, but an increase was observed in Group A. Conclusion: In traumatic hemoperitoneum or pelvic bone fracture patients who underwent angiography and embolization, GCS, ISS, RTS, transfusion amount before the procedure, initial base deficit and systolic blood pressure were factors related to mortality. When patients who underwent angiography and embolization only were compared with patients who underwent re-embolization or additional procedure after the first embolization, an increase in systolic blood pressure after embolization was a prognostic factor for successful control of bleeding.

Prognostic value of neutrophil-to-lymphocyte ratio in locally advanced non-small cell lung cancer treated with concurrent chemoradiotherapy

  • Park, Eun Young;Kim, Yeon-Sil;Choi, Kyu Hye;Song, Jin Ho;Lee, Hyo Chun;Hong, Sook-Hee;Kang, Jin-Hyoung
    • Radiation Oncology Journal
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    • 제37권3호
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    • pp.166-175
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    • 2019
  • Purpose: This study aimed to investigate neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as prognostic factors in patients with locally advanced non-small cell lung cancer (NSCLC) who received concurrent chemoradiotherapy (CCRT). Materials and Methods: We retrospectively analyzed 66 patients with locally advanced NSCLC treated with definitive CCRT. Among these patients, 95% received paclitaxel/carboplatin or docetaxel/cisplatin. The median radiation dose was 66 Gy in 33 fractions. The NLR and PLR before/after CCRT were evaluated. The maximally selected log-rank test was used to obtain the cutoff values related to the overall survival (OS). Results: Patients with high post-CCRT NLR (>3.12) showed worse OS, locoregional progression-free survival (LRPFS), and distant metastasis-free survival (DMFS) than those with low NLR (2-year OS: 25.8% vs. 68.2%, p < 0.001; 2-year LRPFS: 12.9% vs. 33.8%, p = 0.010; 2-year DMFS: 22.6% vs. 38.2%, p = 0.030). Patients with high post-CCRT PLR (>141) showed worse OS and LRPFS than those with low PLR (2-year OS: 37.5% vs. 71.1%, p = 0.004; 2-year LRPFS: 16.5% vs. 40.3%, p = 0.040). Patients with high NLR change (>1.61) showed worse OS and LRPFS than those with low NLR change (2-year OS: 26.0% vs. 59.0%, p < 0.001; 2-year LRPFS: 6.8% vs. 31.8%, p = 0.004). The planning target volume (hazard ration [HR] = 2.05, p = 0.028) and NLR change (HR = 3.17, p = 0.025) were the significant factors for OS in the multivariate analysis. Conclusion: NLR change after CCRT was associated with poor prognosis of survival in patients with locally advanced NSCLC. An elevated NLR after CCRT might be an indicator of an increased treatment failure risk.

흉벽에서 발생한 점액성섬유육종 (Myxofibrosarcoma Originating from Chest Wall)

  • 차병기;이미경;이삼윤;최종범;최순호
    • Journal of Chest Surgery
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    • 제39권2호
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    • pp.166-170
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    • 2006
  • 점액성섬유육종은 성인과 장년의 환자에서 사지의 가장 흔한 연조직 육종의 하나를 나타내고 있다. 하지만 이 종양은 흉벽에서는 희귀하게 발생한다. 58세의 여자환자가 본: 병원 일반외과에서 절제에 이은 수개월 후 재발하여서 우측 아래 흉벽에서 8${\times}$6.5 cm의 거대 종양덩어리를 보였다. 조직은 침윤성 심부에 위치한 피하층 종양이었고 명확한 점액성 변화와 중등도의 세포 충실성을 보이면서 명확한 엽성 성장을 보였다. 종양세포는 다양한 정도의 세포양상과 유사분열을 갖고 있는 방추형세포였고 궁형의 혈관양상을 보였다. 5-100, CD68과 Mac387 그리고 FX IIIa의 면역염색은 음성이었고 Vimentin 염색은 양성을 보였다. 조직양상은 점액성 섬유육종의 증간등급이었다. 광범위절제를 하였고 한달 후 퇴원하였는데 항암제나 방사선치료 없이 결손부위의 피부이식을 준비하고 있다.

불가사리 구제기구의 개발과 그 성능에 관한 연구 (A Study on the Development of the Extermination gear for Starfish, Asterias amurensis and its Efficiency)

  • 박성욱;김태호;오희국
    • 수산해양기술연구
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    • 제33권3호
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    • pp.166-172
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    • 1997
  • 우리나라 연안 해역의 패류 양식장과 마을어장에 서식하는 불가사리를 효율적으로 구제하기위하여 자루걸레형과 썰매형 구제 기구를 설계, 제작하여 1995년 4월부터 5월까지 경상남도 거제시 장목면 유로리 연안에서 민간 형망어선 (복성호, 4.95톤)을 사용하여 구제 기구별 포획 성능과 예인 거리에 따른 포획 효율을 시험한 결과를 요약하면 다음과 같다. 자루걸레형과 썰매형 구제 기구는 해저의 암초에 걸리지 않고 계속 예인하면서 불가사리를 구제할 수 있었고, 적정 예인 거리는 300~500m였다. 썰매형에 의한 불가사리류의 포획비율은 57%로 자루걸레형의 43%보다 다소 우수 하였으나 어패류의 흔획 포획비율은 자루걸레형보다 21배 정도 높았다. 썰매형은 자갈인 암초가 산재된 마을어장에 적합한 밤년, 자루걸레형은 어패류의 흔획과 유용 패류에 상처를 입힐 수 있는 면적이 작아 패류 양삭장에 효과적이었다.

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고려인삼(高麗人蓼) 갈변물질(褐變物質)의 항산화효과(抗酸化效果) (Antioxidant Activity of Panax Ginseng Browning Products)

  • 김상달;도재호;오훈일
    • Applied Biological Chemistry
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    • 제24권3호
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    • pp.161-166
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    • 1981
  • 홍삼(紅蔘)의 특징(特徵)이라고 할 수 있는 갈색화반응(褐色化反應)에 의(依)해서 생성(生成)된 갈변물질(褐變物質)의 항산화효과(抗酸化?果)와 여러가지 기본적(基本的)인 성질(性質)을 조사(調査)하였다. 인삼(人蔘) model system을 이용(利用)하여 갈변반응(褐變反應)을 시킨 결과(結果) 갈색도(褐色度)는 반응시간(反應時間)에 비례(比例)하여 증가(增加)하였으나 항산화효과(抗酸化?果)는 반응시간(反應時間) 17시간(時間)까지 갈색도(褐色度)에 비례(比例)하여 증가(增加)하였으나 그 이후에는 일정(一定)한 level을 유지하였다. 증삼시간별(蒸蔘時間別)로 실제(實際) 홍삼(紅蔘)을 제조(製造)하여 갈색도(褐色度) 및 항산화능(抗酸化能)을 조사(調査)한 바 model system에서 얻은 결과(結果)와 유사(類似)하였다. 투석(透析)에 의해서 분리(分離)된 인삼갈변반응물질(人蔘褐變反應物質)은 외액(外液)이 내액(內液)보다 갈색도(褐色度)가 낮았지만 더 강(强)한 항산화효과(抗酸化效果)를 보였다. 인삼갈변물질(人蔘褐變物質)을 Amberlite 이온교환수지(交換樹脂)를 사용(使用)하여 3개의 peak로 분리(分離)하였으며 유출(流出)차례에 따라 fraction I, II 및 III으로 명명(命名)하였다. 가장 갈색도(褐色度)가 강(强)한 fraction II는 전체(全體) peak의 80.7%로 강(强)한 항산화효과(抗酸化效果)를 나타냈으며 Somogyi-Nelson시약(試藥)에 대(對)하여 환원능(還元能)을 보였고 ninhydrin반응(反應)에 양성(陽性)이었다. 인삼갈변반응물질(人蔘褐變反應物質)과 백삼(白蔘) 및 홍삼(紅蔘)의 75% ethanol 추출물(抽出物)이 DPPH에 대(對)한 수소공여성(水素供與性)을 측정(測定)한 바 백삼(白蔘)은 수소공여성(水素供與性)이 거의 없었으나 홍삼추출물(紅蔘抽出物)은 수소공여성(水素供與性)이 강(强)하였다. 특히 인삼갈변반응물질(人蔘褐變反應物質)은 5mg/ml의 농도(濃度)에서 BHA와 같은 level의 수소공여성(水素供與性)을 나타냈다.

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차세대염기서열 분석을 이용한 고려인삼과 미국삼의 전사체 분석 (Characterization of Root Transcriptome among Korean Ginseng Cultivars and American Ginseng using Next Generation Sequencing)

  • 조익현;김영창;이승호;김장욱;김선태;현동윤;김동휘;김기홍;김홍식;정종욱;방경환
    • 한국약용작물학회지
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    • 제22권5호
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    • pp.339-348
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    • 2014
  • The transcriptomes of four ginseng accessions such as Cheonryang (Korean ginseng cultivar), Yunpoong (Korean ginseng cultivar), G03080 (breeding line of Korean ginseng), and P. quinquefolius (American ginseng) was characterized. As a result of sequencing, total lengths of the reads in each sample were 156.42 Mb (Cheonryang cultivar), 161.95 Mb (Yunpoong cultivar), 165.07 Mb (G03080 breeding line), and 166.48 Mb (P. quinquefolius). Using a BLAST search against the Phytozome databases with an arbitrary expectation value of 1E-10, over 20,000 unigenes were functionally annotated and classified using DAVID software, and were found in response to external stress in the G03080 breeding line, as well as in the Cheonryang cultivar, which was associated with the ion binding term. Finally, unigenes related to transmembrane transporter activity were observed in Cheonryang and P. quinquefolius, which involves controlling osmotic pressure and turgor pressure within the cell. The expression patterns were analyzed to identify dehydrin family genes that were abundantly detected in the Cheonryang cultivar and the G03080 breeding line. In addition, the Yunpoong cultivar and P. quinquefolius accession had higher expression of heat shock proteins expressed in Ricinus communis. These results will be a valuable resource for understanding the structure and function of the ginseng transcriptomes.

Mode of Action of Streptomycin Resistance in the Citrus Canker Pathogen (Xanthomonas smithii subsp. citri) in Jeju Island

  • Hyun, Jae-Wook;Kim, Hyo-Jung;Yi, Pyoung-Ho;Hwang, Rok-Yeon;Park, Eun-Woo
    • The Plant Pathology Journal
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    • 제28권2호
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    • pp.207-211
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    • 2012
  • It has been known that streptomycin resistance in bacteria can occur as a results of chromosomal mutation or through gene acquisition or both. Chromosomal mutations for resistances are point mutations in the rpsL gene, which alter ribosomal protein S12. Acquired resistance has occurred when an $Sm^R$ plasmid carrying transposon Tn5393 with tandem strA-strB gene is transferred by conjugation. A total of 686 isolates of Xanthomonas smithii subsp. citri causal agent of citrus canker disease were collected from 26 citrus orchards in Jeju Island in 2003 and 2004 seasons. Forty-nine of 111 isolates from streptomycin non-sprayed orchards in 2003 season were resistant to streptomycin. Of 107 isolates from orchards sprayed one time with streptomycin, 58 isolates were resistant, and 166 of 221 isolates from orchards sprayed two times with streptomycin were resistant. In 12 orchards sprayed three or more times with streptomycin, 219 of 247 isolates were resistant to streptomycin. Twenty-five isolates of X. smithii subsp. citri were surveyed to identify the mechanisms of streptomycin resistance in this study. Twenty-one of these 25 isolates were resistant to streptomycin, and it was proven by PCR assay that 18 of the 21 streptomycin resistant isolates have the strB gene. In sixteen of the 21 streptomycin resistant isolates, it was occurred a point mutation altered codon lysine (AAG)-41 of rpsL gene to arginine (AGG). The streptomycin-sensitive isolates easily acquired the resistance by mixed culture with resistant isolates. The strB gene was amplified from the isolates that acquired the resistance by mixed culture, and one isolate of them was also point-mutated in codon 41 of rpsL gene to be resistant. In this study, most of the streptomycin-resistant isolates of X. smithii sub sp. citri in Jeju island expressed the resistance by both chromosomal point mutation and gene acquisition, and the resistance was easily acquired through conjugation by culture mixed with streptomycin resistant and sensitive strains.