• Title/Summary/Keyword: 유지문

Search Result 622, Processing Time 0.025 seconds

The Short Term and Intermediate Term Results of using a T-tube in Patients with Tracheal Stenosis (기관 협착 환자에서의 T-튜브의 중단기 결과)

  • Sa, Young Jo;Moon, Seok-Whan;Kim, Young-Du;Jin, Ung;Park, Jae-Kil;Kim, Jae Jun;Kim, Chi-Kyung;Jo, Keon Hyon;Park, Chan Beom;Yim, Hyeon Woo
    • Journal of Chest Surgery
    • /
    • v.42 no.1
    • /
    • pp.63-71
    • /
    • 2009
  • Background: The treatment of tracheal stenosis includes less invasive bronchoscopic intervention and more invasive segmental resection & anastomosis. Depending on the patient's clinical features, sometimes all these methods are inappropriate. Silicone T-tube stenting has recently been used as an alternative, safe management of tracheal stenosis. We studied the short term and Intermediate term results of using T-tubes in patients with tracheal stenosis, and this tracheal stenosis was caused by various underlying diseases. Material and Method: We retrospectively reviewed 57 patients with tracheal stenosis and who were treated with T-tubes between Jan 1997 and Apr 2007. Based on the patient's medical records and the imaging studies, we evaluated the clinical findings and status of T-tube removal. Result: There was no T-tube related morbidity or mortality in this series. On follow-up, one patient underwent sleeve resection and end-to-end anastomosis. The T-tube could be successfully removed from 13 patients (13/57, 22.8%) without additional interventions. For another four patients, a T-tube was again inserted after removal of the first T-tube due to tracheomalacia or recurrent stenosis. Four patients died of underlying disease and cancer. The patients' gender and previous tracheostomy significantly affected T-tube removal. By contrast, multiple logistic regression analysis identified gender as a predictor of successfully removing a T-tube. Gender (p=0.033) and previous tracheostomy (p=0.036) were the two factors for success or failure of T-tube removal. Conclusion: A T-tube provided reliable patency of a stenotic airway that was caused by any etiology. We have proven that using a T-tube is safe and effective therapy for patients with tracheal stenosis for the short term or the intermediate term.

Microbiological and Sensory Characteristics of Vacuum Packed Korean Chilled Pork Loins for Export (한국산 수출용 진공포장 냉장 돈육 등심의 미생물학적 및 관능적 품질특성)

  • Choi, Y.S.;Park, B.Y.;Lee, J.M.;Kim, I.S.;Lee, S.K.;Kim, B.C.
    • Journal of Animal Science and Technology
    • /
    • v.44 no.3
    • /
    • pp.351-360
    • /
    • 2002
  • The Korean fresh pork loins in vacuum packaged were obtained from three different Korean export companies and investigated for microbiological and sensory properties. The fresh pork loins were stored at 2$^{\circ}C$ for 50 days and analyzed with an interval of 5$\sim$10 days. The results were as follows: The overall numbers of total plate counts and coliform bacteria were higher in swab method than in meat sampling method. The total plate counts in the loins from the company I were maintained low levels ($\prec$10$^5$ cfu/$cm^2$ or $\prec$10$^5$ cfu/g) for entire storage periods(50 days at 2$^{\circ}C$), whereas the loins from the company III had high levels when they were compared to the domestic standard for the allowance limit. The samples from the company III showed that total plate counts were over 106 after about 30 days when determined by meat sampling method and total plate counts were over 106 after 15 days when determined by swab method. The overall numbers of coliform bacteria were also significantly lowest in the samples from the company I, whereas they were highest in the company III. Therefore, all meat companies will have to make an effort to prevent bacterial contamination in each stage such as slaughtering, marketing and consumer in order to ensure the production of safe meat and the extension of shelf-life. For fresh products, scores of intramuscular fat were higher in samples form the companies II and III than those from the company I when visibly evaluated with the standard. There were no significant differences in scores of meat color, drip and fresh meat flavor. However, the samples from the company I had the lowest score of off-flavor and highest score of overall acceptability. For cooked products, there were no significant differences in meat flavor, off-flavor, juiciness and overall acceptability.

Feasibility Study of Isodose Structure Based Field-in-Field Technique for Total Body Irradiation (전신조사방사선치료 시 Isodose Structure를 이용한 Field-in-Field Technique의 유용성 평가)

  • Lee, Yoon Hee;Ban, Tae Joon;Lee, Woo Seok;Kang, Tae Young;Back, Geum Mun
    • The Journal of Korean Society for Radiation Therapy
    • /
    • v.25 no.1
    • /
    • pp.15-24
    • /
    • 2013
  • Purpose: In Asan Medical Center, Two parallel opposite beams are employed for total body irradiation. Patients are required to be in supine position where two arms are attached to mid axillary line. Normally, physical compensators are required to compensate the large dose difference for different parts of body due to the different thicknesses compared to the umbilicus separation. There was the maximum dose difference up to 30% in lung and chest wall compared to the prescription dose. In order to resolve the dose discrepancy occurring on different body regions, the feasibility of using Fieid-in-Field Technique is investigated in this study. Materials and Methods: CT scan was performed to The RANDO Phantom with fabricated two arms and sent to Eclipse treatment planning system (version 10.0, Varian, USA). Conventional plan with physical lead compensator and new plan using Field-in-Field Technique were established on TPS. AAA (Anisotropic Analytical Algorithm) dose calculation algorithm was employed for two parallel opposite beams attenuation. Results: The dose difference between two methods was compared with the prescription dose. The dose distribution of chest and anterior chest wall uncovered by patient arms was 114~124% for physical lead compensator while Field-in-Field Technique gave 106~107% of the dose distribution. In-vivo dosimetry result using TLD showed that the dose distribution to the same region was 110~117% for conventional physical compensator and 104~107% for Field-in-Field Technique. Conclusion: In this study, the feasibility of using FIF technique has been investigated with fabricated arms attached Rando phantom. The dose difference was up to 17% due to the attached arms. It is shown that the dose homogeneity is within ${\pm}10%$ with the CT based 3-dimensional 4 step FIF technique. The in-vivo dosimetry result using TLD was showed that 95~107% dose distribution compared to prescription dose. It is considered that CT based 3-dimensional Field-in-Field Technique for the total body irradiation gives much homogeneous dose distribution for different body parts than the conventional physical compensator method and might be useful to evaluate the dose on each part of patient body.

  • PDF

Effects of Oxygen-Derived Free Radicals on Brain Microsomal $Na^+-K^+-ATPase$ Activity (산소유리라디칼이 뇌조직 미크로좀분획의 $Na^+-K^+-ATPase$ 활성도에 미치는 영향)

  • Oh, Sae-Moon;Son, Young-Sook;Choi, Kil-Soo;Lim, Jung-Kyoo;Chung, Myung-Hee
    • The Korean Journal of Pharmacology
    • /
    • v.18 no.2
    • /
    • pp.1-14
    • /
    • 1982
  • The effects of xanthine-xanthine oxidase reaction on brain microsomal $Na^+-K^+-ATPase$ activity were studied to see possible involvement of oxygen free radicals in pathologic change occurring in ischemic state of CNS accompanied by cerebral vascular occlusion or impact injury. When microsomal fraction was incubated with xanthine ana xanthine oxidase, $Na^+-K^+-ATPase$ activity of the fraction was markedly inactivated (80% inactivation) whereas btssl $Mg^{++}-ATPase$ was much less sensitive (less than 10% inactivation) compared to that of $Na^+-K^+-ATPase$. The inactivation was observed only in the presence of both xanthine and xanthine oxidase, not either of them alone, and the extent of inactivation was dependent on the concentration of xanthine. In an attempt to determine which of the oxygen species was responsible for the inactivation, the ability of various scavengers to overcome the inactivation was tested. Superoxide dismutase, catalase and 1,4-diazabicyclo(2,2,2)octane were shown to reverse the inactivation of the ATPase in dose-dependent manner. In contrast, mannitol as well as other $OH{\cdot}$quenchers were ineffective in limiting oxygen radical-induced inactivation. Thus $O_{\bar{2}}{\cdot},\;H_2O_2$ and $^1O_2$ were implicated to be mediators involved in the inactivation. Since oxygen radicals are suspected as being a cause of the peroxidative damaging process in train ischemia, the ATPase inactivation by oxygen radicals may be a possible contributing factor which gives rise to functional derangement of nerve cells observed in the pathologic process.

  • PDF

Study on the Community Structure of Benthic Macro-Invertebrates in Jangsu-cheon, an Urban Restoration Stream of Incheon City (인천시 도시복원하천 장수천의 저서성대형무척추동물의 군집구조에 관한 연구)

  • Song, Yeong-Ju;Ju, Yong-Don;Park, Bo-Sun;Kim, Jong-Myung;Kwon, Eun-Ho;Chae, Do-Young;Lee, Hee-Jo;Bae, Yang-Seop
    • Journal of Wetlands Research
    • /
    • v.18 no.1
    • /
    • pp.32-38
    • /
    • 2016
  • The purpose of this study is to investigate the effects of the natural river conservation work and to find remedies for them, targeting Jangsu-cheon with high frequency of use by citizens among the rivers in Incheon Metroplitan City, Korea; for this, this study conducted investigations and analyses of Jangsu-cheon completed in December, 2008. As a result of investigating 3 spots for the water system of Jangsu-cheon over a total of 3 years (2009, 2010, 2014), it was found that benthic macro-invertebrates of a total of 3 phyla, 5 classes, 11 orders, 26 families, 56 species, and 980 specimens were distributed there. When they were analyzed by year, 18 families and 30 species in 2009, right after the natural river conservation work, and 22 families and 37 species in 2010, 2 years after the work, were found, with 7 species increasing in number; after that, as a result of the investigation in 2014, 22 families and 38 species were found, which tells the river has entered the stabilization stage since the recovery in 2010.Therefore, this study could identify: the water environment of the river was improved due to the natural river conservation work for Jangsu-cheon; in addition, Jangsu-cheon showed good ecological environment due to the continuous maintenance of the good wetlands in Incheon Grand Park in the upper area of the river; and the natural river conservation work of Jangsu-cheon created positive effects.

Property Changes of Anion Exchange Pore-filling Membranes According to Porous Substrates (지지체 종류에 따른 음이온 교환 함침막 특성 변화)

  • Jeon, Sang Hwan;Choi, Seon Hye;Lee, Byeol-Nim;Son, Tae Yang;Nam, Sang Yong;Moon, Sun Ju;Park, Sang Hyun;Kim, Ji Hoon;Lee, Young Moo;Park, Chi Hoon
    • Membrane Journal
    • /
    • v.27 no.4
    • /
    • pp.344-349
    • /
    • 2017
  • Alkaline fuel cells using polymer electrolyte membranes are expected to replace proton exchange membrane fuel cells, which have similar system configurations. In particular, in alkaline fuel cells, a low-cost non-platinium catalyst can be used. In this study, to fabricate high performance and high durability anion exchange membranes for alkaline fuel cell systems, two kinds of supports, polybenzoxazole and polyethylene supports, were impregnated with Fumion FAA ionomer, by which we tried to fabricate the support-impregnated membrane which has higher mechanical strength and higher ion conductivity than the Fumion series. Finally, the Pore-filling membranes were successfully fabricated and ionic conductivity and mechanical properties were different depending on the properties of the supports. In the pore-filling membranes with Fumion ionomer on the PE support, excellent mechanical properties were obtained, but ionic conductivity decreased. On the other hand, when the PBO support was impregnated with Fumion ionomer, high ionic conductivity was shown after impregnation due to high basicity of PBO, but the mechanical strength was relatively low as compared with Fumion-PE membrane. As a result, it was concluded that it is necessary to consider the characteristics of the support according to the operating conditions of the alkaline fuel cell during the preparation of the pore-filling membranes.

Radiological Safety Perception Change after Spatial Dose Measurement of Radiology Department Students (방사선학과 학생들의 공간선량 측정 경험이 방사선 안전 인식에 미치는 영향)

  • Moon, Jae Mi;Park, Sang Tae;Yu, Ji Hyun
    • Journal of Radiation Protection and Research
    • /
    • v.40 no.3
    • /
    • pp.174-180
    • /
    • 2015
  • There are currently many research papers on the knowledge, perceptions and actions of radiation-related staff, but hardly any papers on radiation major students in college who are to be staff members of radiation related jobs in the future. It is of course important to understand the perceptions of staff working on the lines and change their knowledge and perceptions, but in the long term it seems more efficient to understand those who are in the stage of being educated to be staff members-their knowledge and perception of radiation so that ultimately they can attain the right kind of understanding. Therefore the aim of this study is to grasp the pre-radiation staff's basic concept of radiation and space dose, their understanding of radiation safety based on this, and whether there is a change in their perception before and after the space dose measurement experiment; in the end this is to see if the space dose measurement experiment is effective in changing perception on radiation safety. This study took as its subject 64 students majoring radiation in college, I.e. pre-radiation staff members, and gauged their basic conceptualization of radiation, understanding of space dose, and understanding of radiation safety; in the X-ray room within the department the students were asked to measure space dose for themselves, so as to see whether there was a change in their understanding of radiation safety before and after the experiment, according to their understanding of the basic concept of radiation and of space dose. As a result of the space dose measurement experiment, students' increased basic knowledge of concept of radiation and understanding of the dangers of space dose were noteworthy, and accordingly their understanding of radiation safety became stricter and more conservative. In spite of this, their work ethic stayed in the lead of their understanding of radiation safety; this implies the need of a more departmentalized safety education program. Therefore instead of safety education that simply uses visual-audial material in a kind of lecture, I suggest here that there be a more experiential safety education program that enables learners to try out space dose measurement experiments for themselves, a work ethic education that aims for a conventional point of view towards radiation safety as well as a stern attitude.

Uplift Bearing Capacity of Spiral Steel Peg for the Single Span Greenhouse (온실용 나선철항의 인발저항력 검토)

  • Lee, Bong Guk;Yun, Sung Wook;Choi, Man Kwon;Lee, Si Young;Moon, Sung Dong;Yu, Chan;Yoon, Yong Cheol
    • Journal of Bio-Environment Control
    • /
    • v.23 no.2
    • /
    • pp.109-115
    • /
    • 2014
  • This study examined the uplift bearing capacity of spiral steel pegs according to the degree of soil compaction and embedded depth in a small-scaled lab test. As a result, their uplift bearing capacity increased according to the degree of soil compaction and embedded depth. The uplift bearing capacity under the ground condition of 85% compaction rate especially recorded 48.9 kgf, 57.9 kgf, 86.2 kgf and 116.6 kgf at embedded depth of 25 cm, 30 cm, 35 cm and 40 cm, respectively, being considerably higher than under other ground conditions. There were huge differences in the uplift bearing capacity of spiral steel pegs according to the compaction conditions of ground. Their maximum uplift bearing capacity was 116.6 kgf under the ground condition of 85% compaction rate and at embedded depth of 40 cm, and it is very high considering the data of spiral steel pegs. It is thus estimated that wind damage can be effectively reduced by careful maintenance of ground condition surrounding spiral steel pegs. In addition, spiral steel pegs will be able to make a contribution to greenhouse structural stability if proper installation methods are provided including the number and interval according to the types of greenhouse as well as fixation of plastic film. The findings of the study indicate that the optimal effects of spiral steel pegs for greenhouse can be achieved at embedded depth of more than 35cm and compaction degree of more than 85%. The relative density of the model ground in the test was 67% at compaction rate of 85%.

The infestation states and changing patterns of human infecting metacercariae in freshwater fish in Kyongang-do and Kyonggi-do, Korea (식이성 윤충류질환의 관리전략수립을 위한 감염원의 역학 및 병원체의 생물학적 특성에 관한 조사연구 - 경상도내 3개 강 및 경기도내 4개 하천에서 채집한 민물어류의 인체기생 흡충류 피낭유충 감염상 및 변동)

  • 임한종;김기홍
    • Parasites, Hosts and Diseases
    • /
    • v.34 no.2
    • /
    • pp.95-106
    • /
    • 1996
  • The infestation rates and abundances of human infecting metacercariae (Clonorchis sinensis, Metcgonimus spry. , Centrocestus crmatus, Echinostoma hortense, Echinochusnus japonicw, Clinostomum complanctum) in freshwater fish were investigated at the three river areas - Taewhagang (river), Hyongsangang (river), Nakdonggang (river) - in Kyongsang-do and at four streams - Yonpungchon, Munsanchon, Kyonganchon, and Konjiamchon- in Kyonggi-do, Korea in 1994-1995. The fish caught at Taewhagang were heavily infested with metacercariae of Clonorchis sinensis and Centrocestw armctus. At Hyongsangang, Zncco platypus and Z. temmincki were moderately infested with metacercariae of C. crmctus. Chomanpo, at the basin of Nakdonggang, was still endemic for C. sinensis. In the fish caught at four streams of Kyonggi-do, metacercariae of C. sinensis exhibited the highest infestation rate and intensity out of 6 species of metacercariae. The infestation intensity of C. sinensis metacercariae in fish flesh was markedly different according to each division of flesh. The cause of this difference was conjectured as a result of larval behavior. The metacercariae of C. omnt5 were found in almost all parts, except scales and fins, of fish. The infestation rates and intensities of C. sinensis and C. armntus metacercariae in Taewhagang greatly increased as compared with those of previous reports . RhinoBobius bmnneus and Aconthorhone5 macropterus are newly recorded intermediate hosts of Echinostonn hortense. The reason of large differences from previous data was discussed and the standard method of metacercaria examination was proposed.

  • PDF

Relationship between RNA- and Protein-Synthesis and Cell Wall Acidification in Auxin-Mediated Elongation of Sunflower Hypocotyls (해바라기 하배축의 오옥신 유도 신장에서 RNA 및 단백질의 합성과 세포벽 산성화의 관계)

  • 조형택
    • Journal of Plant Biology
    • /
    • v.35 no.2
    • /
    • pp.107-116
    • /
    • 1992
  • The roles of RNA- and protein-synthesis and $H^{+}$ excretion in 1AA ($10\;\mu\textrm{M}$)-induced elongation were investigated using abraded hypocotyl segments of sunflower (Helianthus annuus L.). The response of elongation initiated about 13 min after IAA treatment. Removal of cuticle, acting as diffusion barrier for inhibitors, by mechanical abrasion of hypocotyl segments enhanced the effect of inhibitors markedly, but the degree of abrasion for the saturated effect of inhibition was different among inhibitors. The elongation induced by 1M was completely inhibited when cycloheximide ($10\;\mu\textrm{M}$) was applied to abraded hypocotyl segments as shortly as 4 min before the onset of the growth response (= 10 min after administration of IAA). Cordycepin ($200\;\mu\textrm{M}$) prevented completely 1AA-induced elongation when applied as shortly as 19 min before the onset of the growth response (=5 min before administration of 1AA). Vanadate (1 mM) inhibited both lAA-induced elongation and medium acidification via lAA-induced $H^{+}$ excretion to apoplast. Cycloheximide and cordycepin also prevented lAA-induced $H^{+}$ excretion strongly. However, inhibition by cycloheximide of lAA-induced elongation was not alleviated by acidifying the cell wall to pH 4.5. The results indicate that, a few minutes before the initiation of growih, protein synthesis is demanded for the initiation of 1AA-induced elongation and the $H^{+}$ excretion to cell wall, and that the H+ excretion, even though it may be necessary for elongation, does not seem to bring about acid growth simply through acidifying cell wall.l wall.

  • PDF