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전단파 탄성 초음파(Shear Wave Elastography)를 이용한 조기 간섬유화 예측 (Early Prediction of Liver Fibrosis Using Shear Wave Elastography)

  • 추서원;송종남;전철민;한재복
    • 한국방사선학회논문지
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    • 제17권7호
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    • pp.1057-1065
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    • 2023
  • 비침습적 간섬유화 진단은 만성 간질환 환자들에게 매우 중요한 사항이다. 많은 환자들에게 간조직검사를 시행할 수가 없기 때문에 의미 있는 간섬유화 정도를 조기에 예측함으로써 만성 간질환의 치료와 간세포암 및 간경변증으로 인한 합병증을 감소시킬 수 있다. 본 연구는 비침습적인 간섬유화 검사 방법 중 간초음파 소견과 함께 전단파 탄성 초음파를 이용하여 간섬유화의 정량적 측정과 간탄성도 수치와 연관성을 갖는 혈청학적 인자도 비교 분석하였다(p<0.05). 그 결과 정상 집단의 횡파탄성측정값은 4.55 ± 0.69 kPa였으며, 에코 패턴의 비정상 대조군은 8.27 ± 1.83 kPa로 B형 간염 보균 집단에서 전단파 탄성 초음파 측정값이 높게 나타났으며, 혈청학적 인자들 중 AST, ALT, GGT, PT가 SWE 범주에 따른 섬유화의 정도에 따라 통계학적으로 유의한 양의 연관성을 보였으나(p<0.05) ALP와 TB는 통계적으로 유의미한 차이를 나타내지 않았다(p=0.163, p=0.567). 반면에 Albumin과 PLT는 유의한 음의 연관성을 보였다(p<0.05). 임상적으로 간경변 증후가 없는 만성 B형 간염 환자들의 간섬유화 추적 관찰 및 반복 검사 시 간초음파와 전단파 탄성 초음파 검사를 통한 탄성도 값을 추가로 활용한다면 검사자 간 객관적 진단에 있어 도움이될 것이며, 일차적인 진료에 유용할 것으로 사료된다.

Antituberculosis Agents X. Synthesis and Evaluation of In Vitro Antituberculosis Activity of 2-(5-Nitro-2-furyl)-and 2-(1-Methyl-5-nitro-1H-imidazol-2-yl)-1 ,3,4-thiadiazole Derivatives

  • Alireza-Foroumadi;Fatemeh-Soltani;Raheleh-Jabini;Moshafi, Mohammad-Hasan;Rasnani, Fatemeh-Mohammadian
    • Archives of Pharmacal Research
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    • 제27권5호
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    • pp.502-506
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    • 2004
  • Two series of 2-(5-nitro-2-furyl)- and 2-(1-methyl-5-nitro-1H-imidazol-2-yl)-5-propyl, allyl and propargyl)thio-1,3,4-thiadiazoles (6a-f) and 2-(5-nitro-2-furyl)- and 2-(1-methyl-5-nitro-1 H-imidazol-2-yl)-5-(nitrobenzyl)thio-1,3,4-thiadiazole derivatives (8a-f) have been synthesized and evaluated against Mycobacterium tuberculosis, as part of the TAACF TB screening program under direction of the US National Institute of Health, the NIAID division. Primary screening was conducted at a single concentration, 6.25 $\mu\textrm{g}$mL$^{-1}$ , against M. tuberculosis H$_{37}$ Rv in BACTEC 12B medium, using the Microplate Alamar Blue Assay (MABA). The minimum inhibitory concentration (MIC) was determined for the compounds that demonstrated $\geq$90% growth inhibition in the primary screening. A varying degree of antituberculosis activity (from 0-97% of growth inhibition) was observed with the alkylthio series (6a-f), and the nitroimidazole derivative with a propylthio group (6b) and the nitrofuran derivative with a propargylthio group (6e), were the most active compounds (MIC=3.13 and 1.56 /$\mu\textrm{g}$mL$^{-1}$ , respectively). Among the nitrobenzylthio derivatives (8a-f), all the ortho, meta and para nitrobenzyl isomers in the nitrofuran series exhibited good antituberculosis activity (MIC=3.13 $\mu\textrm{g}$mL$^{-1}$ ), while the corresponding nitroimidazole analogues were completely inactive (Inhibition=0%).

라돈 환경계통의 제어 매개변수 모델링 (Modeling a Radon Environment System with Dose Sensitivity to the Controllable Parameters)

  • 주운표;김건중;장시영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1991년도 하계학술대회 논문집
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    • pp.753-756
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    • 1991
  • This paper aimed to analyse dose sensitivity to the controllable parameters of in-door radon $(^{222}Rn)$ and its decay products(Rn-D) by applying the input-output linear system theory. Physical behaviors of $^{222}Rn$ & Rn-D were analyzed in terms of $^{222}Rn$ gas generation, -migation and - infiltration to indoor environments, and the performance output-function(i.e. mean dose equivalent to Tracho-Bronchial(TB) lung region was assessed to the following ranges of the controllable parameters; a) the ventilation rate constant $({\lambda}_v)$ : $0{\sun}500[h^{-1}]$. b) the attachment rate constant$({\lambda}_a)$ : 0-500 $[h^{-1}]$. c) deposition rate constant $({\lambda}{_{d}^{u}})$: 0-50$[h^{-1}]$. A linear input-output model was reconstructed from the original models in literatures, as follows, which was modified into the matrices consisting of 111 nodal equations. a) indoor ${222}Rn$ & Rn-D Behaviour: jacobi- Porstendorfer- Bruno model. b) lung dosimerty : Jacobi-Eisfeld model. Some of the major findings, which identify the effectiveness of this model, were as follows. a) ${\lambda}_v$ is most effective, dominant controllable parameters in dose reduction, if mechanical ventilation is applied. b) ${\lambda}_v$, depending on the air particle-concentration, reduces the dose somewhat within ${\lambda}_v$<1 $h^{-1}R range. However, the dose increases conversely, ${\lambda}_v$>1 $h^{-1}R range range. c) ${\lambda}{_{d}^{4}}$ reduces the dose linearly as ${\lambda}_v$ dose. Such dose(z-axis) sentivities are shown with three-dimensional plots whoes x,y-axes are combined 2out the 3 parameter${\lambda}_v{\lambda}_s,\;{\lambda}_d^s$.

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지체(肢體) 부자유(不自由) 아동(兒童)의 구강상태(口腔狀態)에 관(關)한 고찰(考察) (A SURVEY OF THE ORAL STATUS OF A GROUP OF ORTHOPEDICAIIY HANDICAPPED CHILDREN.)

  • 김상옥
    • 대한소아치과학회지
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    • 제2권1호
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    • pp.13-17
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    • 1975
  • The purpose of this investigation was to make a comprohensive study and evaluation of the oral health of a group of orthopedically handicapped children by considering the DMF rate, occlusion, and oral hygiene status of 194 orthopedic children. The obtained results were as follows. 1. The DMF rate of over all examined children was 59.85%, and when the four orthopedic groups were compared among themselves, it was found that Cerebral Palsy group had a significant higher DMF rate than that occuring in any of the remaining groups. 2. Total prevalence of malocclusion was 50. 10%, and it was found that Cerebral Palsied children had a significantly higher incidence of malocclusion ($67.90{\pm}4.12$), and that Cerebral Palsy group showed a significantly different distribution of higher percentage of Class II occlusions from that observed in the remaining groups. 3. In dental plaque index, Average plaque index per tooth was 2.09. Plaque index of each group was as follows A) Cerebral palsy: 2.35 B) Poliomyelitis: 2.24 C) Tb Group: 1.65 D) miscellaneous Group: 1.72.

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ANISOTROPY CONSTANTS OF $(Sm_{0.5}RE_{0.5})Fe_{11}Ti$ COMPOUNDS (RE=RARE EARTH)

  • Kim, H.T.;Kim, Y.B.;Park, W.S.;Kim, C.S.;Kim, T.K.;Jin, Han-Min
    • 한국자기학회지
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    • 제5권5호
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    • pp.683-686
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    • 1995
  • Using by the x-ray diffractometry(XRD), the thermomagnetic analysis(TMA), a scanning electron microscopy (SEM-EDX), we knew that the $(Sm_{0.5}RE_{0.5})Fe_{11}Ti$ (RE=Ce,Pr,Nd,Sm,Gd,Tb) compounds were formed to tetragonal $ThMn_{12}$-type structure having a uniaxial magnetocrystalline anisotropy with easy magnetization c-axis. The intrinsic magnetic properties of those were determined by fitting the two magnetization curves of experimental and calculation magnetization. The anisotropy constant $K_{1}$ of this compounds was in the range of $1.75\;-\;9.2\;MJ/m^{3}$ and approximately one order higher than $K_{2}$. $SmFe_{11}Ti$ had the highest anisotropy of $K_{1}\;=\;9.2\;MJ/m^{3}$, $K_{2}\;=\;0.4\;MJ/m^{3}$ and ${\mu}_{o}H_{A}=\;19.8\;T$ among the compounds, substitution of any other rare earth elements for Sm decreased magnetocrystalline anisotropy.

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$K_3$$Li_2$$Nb_5$$O_{15}$ 단결정의 성장과 특성에 관한 연구 (The growth and characteristics $K_3$$Li_2$$Nb_5$$O_{15}$ of single crystals)

  • 김진수;김정남;김태훈;노지현;진병문
    • 한국결정성장학회지
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    • 제9권5호
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    • pp.463-469
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    • 1999
  • $K_3$$Li_2$$Nb_5$$O_{15}$KLN) 단결정을 $K_x$$Li_{1-x}$$NbO_3$의 조성에서 x= 0.04~0.6으로 결정성장방법으로 성장시켰다. 균열이 없는 양질의 결정성장을 위해 c축 및 a축 방향을 택하였고, 단결정 성장을 위한 최적의 조건에 대하여 연구하였다. 성장된 결정은 편광현미경 관찰을 통해 일축성 무늬를 볼수 있었고, X-선 회절실험에서 결정된 격자상수는 a=b=12.500 $\AA$, c=3.996$\AA$이었으며, 1HF : $2HNO_3$ 용액의 부식에서 c축 방향으로 정사각형 및 a축 방향으로 직사각형의 부식상을 볼수 있었다. 광투과율 측정과 온도에 따른 유전상수 측정등을 통해 KLN 결정의 광학적 특성 및 다른 조성을 갖는 시료에서 유전특성을 조사하였다. $420^{\circ}C$에서 상전이 온도를 갖는 결정은 확산상전이(diffuse phase transition) 특성을 갖는 반면 $493^{\circ}C$에서 상전이 온도를 보이는 결정은 날카로운(shap) 유전특성을 나타내었다.

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점적관개에서 관개율이 Sandy Loam토양의 습윤양상에 미치는 영향 (Effects of the irrigation Rate on Wetted Patterns in Sandy Loam Soil Under Trickle irrigation Condition)

  • 김철수;이근후
    • 한국농공학회지
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    • 제31권2호
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    • pp.104-115
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    • 1989
  • In an effort to clarify the wetted patterns of sandy loam soil under trickle irrigation conditions, the distance of wetted zone, infiltration capacity and soil wetted patterns, etc. were measured by gypsum block as soil moisture sensor located every 5 cm vertically and horizontaly in the soil bin under the such conditions as a). irrigation rates set to 2, 4, 6, 8 liters per hour b). total amount of water applied fixed to 14.62 liters per soil bin c) the hearing force of soil measured by plate penetrometer ranging from 1.04 to 1.22kg/cm$_2$ The results can be summarized as follows ; 1. The wetted distance in horizontal direction(H), the wetted distance in vertical direction(D), the horizontal infiltration capacity (iH) and the vertical infiltration capacity(in)could by explained as a function of time t. 2. The horizontal wetted distance (H) is explained by an exponetial function H= a$.$ t where b was found ranging from 021 to 026 under surface trickle irrigation, which was considered a lotlower than the classical value of 0.5 and these measurements were indifferent to the increasing irrigation rates. 3. As for the surface trickle irrigation where horizontal infiltration capacity(iH) is explained as iH = A $.$ t h, the coefficient A increases with respect to irrigation rates within the limits of 0.89~1.34. 4. In terms of surface trickle irrigation of the ratio of Dm Which is maximum vertical wetted distance to Hm, which is maximum horizontal wetted distance, found to be within range of 1.0 to 1.21. It was also noted that the value of Dm decreses when irrigation rates increases while the value of Hm changes the opposite direction. 5. The optimum location of sensors from emitter for surface trickle irrigation should he inside of hemisphere whose lateral radius is 28~30cm long and vertical radius is 10~12cm long. The distance between emitters should be within 60cm long. 6. In the study of vertical wetted distance( D) where D= a $.$ tb, the exponential coefficient b ranged from 0.61 to 0.75 in surface trickle irrigation, and from 0A9 to 0.68 for subsurface trickle irrigation. These measurements showed an increasing tendency to with respect to irrigation rates. 7. In case of vertical infiltration capacity( in), where iD= A $.$ t 1-h, the coefficient A for surface trickle irrigation found to be within range of 0.16 to 0.19 and did not show any relationships with varying degree of irrigation rates. However, the coefficient was varying from 0.09 to 0.22 and showed a tendency to increase vis-a-vis irrigation rates for subsurface trickle irrigation, in contrast. 8. In the observation of subsurface trickle irrigation, it was found that Dm/Hm ratio was within 1.52 to 1.91 and showed a decreasing tendency with respect to increasing rates of irrigation. 9. The location of sensors for subsurface trickle irrigation follows same pattern as above, with vertical distance from emitter being 10~17cm long and horizontal 22~25cm long. The location of emitter should be 50 cm. 10.The relationship between VS which is the volume of wetted soil and Q which is the total amount of water when soil is reached field capacity could be explained as VS= 2.914Q0.91and the irrigation rates showed no impacts on the above relationship.

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Magnetic Properties of FePt:C Nanocomposite Film

  • Ko, Hyun-Seok;A. Perumal;Shin, Sung-Chul
    • 한국자기학회:학술대회 개요집
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    • 한국자기학회 2003년도 하계학술연구발표회 및 한.일 공동심포지엄
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    • pp.220-221
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    • 2003
  • Equiatomic FePt and CoPt alloy thin films have received considerable attention as possible magnetic and magneto-optic recording because of their high magnetic anisotropy energy and high coercivity. The high coercivity in these thin films is due to the presence of finely dispersed ordered FePt phase mixed with disordered FePt phase. However, a high temperature treatment, either substrate heating during deposition or post annealing, is needed to obtain the ordered L1$\_$0/ phase with high value of magneto crystalline anisotropy. Recent microstructural studies on these films suggest that the average grain size ranges from 10-50 nm and the grains are magnetically coupled between each other. On the other hand, the ultrahigh-density magnetic recording media with low media noise imposes the need of a material, which consists of magnetically isolated grains with size below 10 nm. The magnetic grain isolation can be controlled by the amount of additional non-magnetic element in the system which determines the interparticle separation and therefore the interparticle interactions. Recently, much research work has been done on various non-magnetic matrices. Preliminary studies showed that the samples prepared in B$_2$O$_3$ and Carbon matrices have shown strong perpendicular anisotropy and fine grain size down to 4nm, which suggest these nanocomposite films are very promising and may lead to the realization of a magnetic medium capable of recording densities beyond 1 Tb/in$^2$. So, in this work, the effect of Carbon doping on the magnetic properties of FePt nanoparticles were investigated.

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우황청심원이 당뇨병 Rat의 혈액순환장애에 미치는 영향 (The Effect of Woohwangcheongsim-won on Circulatory Disturbance in Diabetes)

  • 황성록;정승현;신길조;이원철
    • 대한한의학회지
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    • 제23권2호
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    • pp.164-179
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    • 2002
  • Object: Death rate due to hypertension, atherosclerosis, ischemic heart disease and cerebral infarction induced by Westernized diet and increased average life span is on the rise. Decrease in blood circulation, activation of thrombus generation and intravascular lipid accumulation, cited as the principal causes of the above mentioned diseases in recent studies, result in circulatory disturbance and blood vessel obstruction leading to ischemic cell death of heart, brain and peripheral vessels. Method: We investigated the biochemical changes in microvascular permeability, aggregation of platelet and the intravascular lipid accumulation in induced-diabetic rat using Streptozotocin. We also studied the effects of Woohwangcheongsirn-won after oral administration on blood circulation, platelet function and lipid metabolism. The results are as follows: I. Woohwangcheongsim-won increased blood circulation in microvessels. 2. Woohwangcheongsim-won increased the reduced erythrocyte deformability in diabetes. 3. Woohwangcheongsim-won induced the reduction of contents of 2, 3-DPG, but failed to affect the reduced contents of ATP in erythrocyte in diabetes. 4. Woohwangcheongsim-won reduced the activity of Ca/sup 2+/-ATPase in the membrane of erythrocyte. 5. Woohwangcheongsim-won reduced the platelet aggregation evoked by platelet agglutinin factor. 6. Woohwangcheongsim-won reduced the production of platelet-derived granules. 7. Woohwangcheongsim-won reduced the production of metabolites of arachidonic acid in diabetes, and also reduced the production of increased thromboxane B2. 8. Woohwangcheongsim-won reduced the synthesis of oxidized LDL-cholesterol. In conclusion, Woohwangcheongsim-won enhanced blood circulation in microvesseles, erythrocyte deformability and inhibited the increased platelet aggregation and the synthesis of oxidized LDL-cholesterol in diabetes. Therefore Woohwangcheongsim-won is believed to positively affect blood circulation (J Korean Oriental Med 2002;23(2):164-179)

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결핵균에서 gyrA 유전자 돌연변이에 따른 Fluoroquinolone계 약제들의 교차내성 (Cross Resistance of Fluoroquinolone Drugs on gyrA Gene Mutation in Mycobacterium tuberculosis)

  • 박영길;박찬홍;고원중;권오정;김범준;국윤호;조상래;장철훈;배길한
    • Tuberculosis and Respiratory Diseases
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    • 제59권3호
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    • pp.250-256
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    • 2005
  • 배 경 : FQ계 약제는 다제내성 결핵환자들의 치료를 위한 주용 2차 항결핵약제의 하나이다. 그러나 FQ계 여러 약제들 간 교차내성정도와 내성관련 유전자인 gyrA의 돌연변이간 관련성을 조사하게 되었다. 방 법 : 결핵균 중에서 OFX 내성인 63균주와 감수성인 10균주를 대상으로 Lowenstein-Jensen 배지에 CIP, LVX, MXF, GAT, SPX 등에 대한 교차내성을 조사하였다. 퀴놀론계 각 약제를 $0.5-3{\mu}g/ml$ 농도로 첨가한 배지에서, $2{\mu}g/ml$ 이상에서 균이 발육한 경우를 내성으로 판정하였다. OFX 내성인 균주의 gyrA 및 gyrB 유전자의 돌연변이가 잘 발생하는 곳을 염기서열 분석하여 약제별로 그 교차내성 양상을 비교하였다. 결 과 : OFX 내성인 63균주 모두가 CIP약제에서는 교차내성을 나타내었고, LVX에는 90.5%, MXF에는 44.4%, GAT에는 36.5%, SPX에는 46.0%가 교차내성을 보였다. 이들 내성균주의 81.0%가 gyrA 유전자에 돌연변이를 가지고 있었으며, 그 분포는 아미노산 88번, 90번, 91번, 94번에서 나타났다. 그 중에서도 Gly88Ala, Ala90Val, Asp94Ala 돌연변이는 제3세대 FQ계 약제인 MXF, GAT, SPX에 감수성을 나타내는 경향이 있었다. 한편 gyrB 유전자에서는 63개 OFX 내성균주 중 4균주만이 돌연변이를 나타내었으나, 이들과 gyrB 유전자내 돌연변이가 없는 균주들 사이에서 FQ의 내성에 관련해서 차이가 없었다. 결 론 : OFX 내성균 중에서 약 60% 정도가 제3세대 FQ계 약제에서 감수성을 보였다. 따라서 이 들 약제에 대해서는 별도로 감수성검사를 실시하여 처방에 활용한다면, OFX 내성환자의 치료를 크게 향상시킬 수 있을 것으로 판단되었다.