• Title/Summary/Keyword: 제4군

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Clinical Results and Optimal Timing of OPCAB in Patients with Acute Myocardial Infarction (급성 심근경색증 환자에서 시행한 OPCAB의 수술시기와 검색의 정도에 따른 임상성적)

  • Youn Young-Nam;Yang Hong-Suk;Shim Yeon-Hee;Yoo Kyung-Jong
    • Journal of Chest Surgery
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    • v.39 no.7 s.264
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    • pp.534-543
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    • 2006
  • Background: There are a lot of debates regarding the optimal timing of operation of acute myocardial infarction (AMI). Off pump coronary artery bypass grafting (OPCAB) has benefits by avoiding the adverse effects of the cardio-pulmonary bypass, but its efficacy in AMI has not been confirmed yet. The purpose of this study is to evaluate retrospectively early and mid-term results of OPCAB in patients with AMI according to transmurality and timing of operation. Material and Method: Data were collected in 126 AMI patients who underwent OPCAB between January 2002 and July 2005, Mean age of patients were 61.2 years. Male was 92 (73.0%) and female was 34 (27.2%). 106 patients (85.7%) had 3 vessel coronary artery disease or left main disease. Urgent or emergent operations were performed in 25 patients (19.8%). 72 patients (57.1%) had non-transmural myocardial infarction (group 1) and 52 patients (42.9%) had transmural myocardial infarction (group 2). The incidence of cardiogenic shock and insertion of intra-aortic balloon pump (IABP) was higher in group 2. The time between occurrence of AMI and operation was divided in 4 subgroups (<1 day, $1{\sim}3\;days,\;4{\sim}7\;days$, >8 days). OPCAB was performed a mean of $5.3{\pm}7.1$ days after AMI in total, which was $4.2{\pm}5.9$ days in group 1, and $6,6{\pm}8.3$ days in group 2. Result: Mean distal an-astomoses were 3.21 and postoperative IABP was inserted in 3 patients. There was 1 perioperative death in group 1 due to low cardiac output syndrome, but no perioperative new MI occurred in this study. There was no difference in postoperative major complication between two groups and according to the timing of operation. Mean follow-up time was 21.3 months ($4{\sim}42$ months). The 42 months actuarial survival rate was $94.9{\pm}2.4%$, which was $91.4{\pm}4.7%$ in group 1 and $98.0{\pm}2.0%$ in group 2 (p=0.26). The 42 months freedom rate from cardiac death was $97.6{\pm}1.4%$ which was $97.0{\pm}2.0%$ in group 1 and $98.0{\pm}2.0%$ in group 2 (p=0.74). The 42 months freedom rate from cardiac event was $95.4{\pm}2.0%$ which was $94.8{\pm}2.9%$ in group 1 and $95.9{\pm}2.9%$ in group 2 (p=0.89). Conclusion: OPCAB in AMI not only reduces morbidity but also favors hospital outcomes irrespective of timing of operation. The transmurality of myocardial infarction did not affect the surgical and midterm outcomes of OPCAB. Therefore, there may be no need to delay the surgical off-pump revascularization of the patients with AMI if surgical revascularization is indicated.

Genetic Studies of Korean Population 29. Sister Chromatid Exchange Frequency in Homicidal Schizophrenic Patient Treated with Antipsychotic Drugs (한국인 집단의 유전학적 연구 29. 약물치료를 받은 정신분열 살인환자의 자매염색분체 교환 빈도)

  • 김영진;강남이
    • The Korean Journal of Zoology
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    • v.37 no.4
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    • pp.533-544
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    • 1994
  • 정신분열 살인환자로 격리 치료를 받고 있는 집단을 대상으로 이들을 치료하고자 복용시키는 Haloperidol, Perphenazine, Lithium carbonate 등과 같은 항정신질환 치료제가 자매염색분체 교환(Sister Chromatid Exchange SCE)에 미치는 영향을 조사하였다. 항정신질환 치료제를 계속적으로 복용하고 있는 환자 100명(남자: 76명, 여자: 24명)과 치료제를 전혀 복용하지 않은 남자 환자 10명을 대조군으로 하여 SCE의 빈도를 분석한 결과 항정신질환 치료제를 복용한 환자군에서의 SCE 평균빈도는 세포당 12.24$\pm$0.20으로 항정신질환 치료제를 복용하지 않은 대조군에서의 평균빈도인 세포당 8.77$\pm$0.20보다 높아 유의한 차이를 볼 수 있었다 그러나 항정신질환 치료제를 복용하지 않은 대조군에서의 평균빈도는 이미 보고된 바 있는 정상인 한국인 집단에서의 평균빈도인 세포당 8.78$\pm$0.24(Park et al. , 1992)와 별 차이가 없었다 한편 항정신질환 치료제를 장기간 복용하는데 따른 SCI 빈도의 차이가 있는지의 여부를 보기 위하여 1년 미만에서 6년 정도까지의 치료제 복용기간에 따른 SCE의 평균빈도를 비교 분석한 바 복용기간에 따른 SCE 평균빈도의 유의한 차이는 볼 수 없었다. 정신분열환자들이 복용하고 있는 항정신질환 치료제가 SCE에 영향을 줄 수 있다는 결과를 얼었다.

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COMPARISON OF MICROLEAKAGE IN SEALANT REPAIRED WITH DIFFERENT SURFACE TREATMENT (파손된 치면열구전색제의 수리 방법에 따른 미세누출 비교)

  • Kang, Myung-Bong;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taek;Lee, Sang-Hoon;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.204-214
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    • 2007
  • The aim of this study was to investigate whether differences in surface treatment prior to repair influenced the seal of a resin fissure sealant placed on the occlusal surfaces of permanent molar teeth. One hundred and twenty extracted human molars were selected and a light curing sealant was placed on their occlusal surface following cleaning by prophylaxis and acid etching. The teeth were deliberately damaged, and then stored in artificial saliva for four weeks. Sixty teeth with the desired morphology of sealant failure were randomly divided into four groups where one group was treated with only etching agent, another by only air-abrasion, another by applying an etching agent followed by a bonding agent, and the last by air-abrasion followed by a bonding agent each. After sealant application, the samples were thermocycled and the degree of microleakage was determined. The results were as follows : 1. In the sealant/sealant interface group 2(0.22), 4(0.23) using air-abrasion showed a significantly lower microleakage score than group 1(0.38), 3(0.35) using an etching agent(p<0.05). There were no statistically significant differences(p>0.05) between groups 1, 2 and groups 3, 4. 2. In the sealant/tooth interface, group 3(0.20), 4(0.20) which used a bonding agent showed a significantly lower microleakage score than group 1(0.35), 2(0.40) (p<0.05). There were no statistically significant differences(p>0.05) between groups 1, 3 and groups 2, 4. 3. In SEM examination, while sealant surfaces treated with etching did not result in highly rough surfaces, those treated with air-abrasion did show rough surfaces.

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The Tooth Size RelaTionship Between Crowding Patients and Normal Subjects in Korean (총생치열을 갖는 교정환자와 정상인의 치아크기 비교)

  • Han, Man-Deuk;Jeon, Eun-Sook
    • Journal of dental hygiene science
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    • v.6 no.1
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    • pp.29-34
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    • 2006
  • This study was undertaken to compare the tooth and arch size between crowding patient and normal subjects. Two group of dental casts were selected on the basis of crowding patients and normal subjects. One group, consisting of 40 pair of dental casts(20 male and 20 female), exhibited noncrowded dentitions. A second group, consisting of 40 pairs of dental cast(21 male and 21 female), exhibited remarkably crowding need for orthodontic treatment. Tooth width measurements were made with a sliding digital caliper with Vernier scale neared 0.01 mm. Mean, standard deviation, T-test of the following parameters were used to compare two group : individual mesiodistal crown widths, arch width and arch length. The following result were obtained. In the mesiodistal crown widths, normal subjects had generalized larger teeth than Wheeler's results(human tooth size index), except for maxillary central incisor, maxillary 2nd premolar, mandibular canine, and mandibular 1st molar. In the orthodontic patients with crowded dentitions, the mesiodistal tooth crown widths were generalized larger teeth than noncrowded normal subjects. In the arch width and arch length, the crowded dentition group had smaller arch width and arch length than the normal group.

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Clinical outcome in relation to stability of longitudinal meniscal tear associated with anterior cruciate ligament rupture (전방 십자인대 파열에 동반된 반월상 연골판 종파열의 파열부위 안정성에 따른 치료 결과)

  • Seo, Seung-Suk;Kim, Chang-Wan;Kim, Jin-Seok;Kim, Jeon-Gyo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.91-97
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    • 2010
  • Purpose: The purpose of this study was to evaluate the results of treatment for longitudinal meniscal tear in ACL rupture patients by clinical evaluation and $2^{nd}$ look arthroscopy. Materials and Methods: Among the patients who underwent surgery due to ACL rupture and longitudinal meniscal tear between 2002~2009, 32 patients were selected for the study. The patients were devided into three groups; group 1 had repair, group 2 had partial menisectomy due to impossible to repair, group 3 had conservative treatment due to stable meniscus. Comparative retrospective analysis was applied with KT 1000 arthrometer, Lysolm' score, Tegner activity score, IKDC subjective score, and $2^{nd}$ look arthroscopy. Results: Lysolm' score, Tegner activity score, IKDC subjective score showed no statistical difference in all three groups. KT-1000 side to side difference improved from 6.2, 6.15, 6.38 before surgery to 2.56, 2.49, 2.58 after surgery in group 1, 2, and 3, respectively. In group 1, second-look arthroscopy revealed complete healing in 12 patients, incomplete healing without any clinical symptoms in 2, and healing failure in 1. In group 2, second-look arthroscopy showed partial regeneration on margin of meniscectomy. In group 3, second-look arthroscopy revealed complete healing in 2 patients, while 4 showed incomplete healing so that have repaired. Conclusion: In the study, the outcome was better when the stable longitudinal meniscal tear on posterior horn with ACL rupture had active treatment.

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Military Issues to Overcome in the 4th Industrial Revolution and the 3rd Offset Strategy (제4차 산업혁명과 제3차 상쇄전략 추진 시 극복해야 될 군사적 이슈)

  • Han, Seung Jo;Shin, Jin
    • Convergence Security Journal
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    • v.19 no.1
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    • pp.145-152
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    • 2019
  • In the era of the 3rd Offset Strategy led by the 4th Industrial Revolution, the use of robots with AI and autonomous abilities is becoming more active in military field. The 3rd Offset Strategy is based on the technology of the 4th Industrial Revolution, and S. Korea is heavily dependent on US military technology and is directly and indirectly influenced by the military revolutionary strategy and the alliance relationship. There are many issues that need to be addressed beyond technical maturity for both strategies to be successfully applied in the military. However, there are few discussions about these limitations in many studies and media reports in comparison with the advantages of the techniques. This research describes robot ethics & technology unbalance, problems of autonomous functions, display fatigue induced by VR/AR/MR, cyber/network security to be solved for successful strategies, also the solutions are addressed.

Randomized Trial of Early Versus Late Alternating Radiotherapy/ Chemotherapy in Limited-Disease Patients with Small Cell Lung Cancer (국한성병기 소세포폐암 환자에서 조기 혹은 지연 교대 방사선-항암제치료의 전향적 비교연구)

  • Lee Chang Geol;Kim Joo Hang;Kim Sung Kyu;Kim Sei Kyu;Kim Gwi Eon;Suh Chang Ok
    • Radiation Oncology Journal
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    • v.20 no.2
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    • pp.116-122
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    • 2002
  • Purpose : A randomized prospective study was conducted to compare the efficacy of early or late alternating schedules of radiotherapy, and carboplatin and ifosfamide chemotherapy in patients with limited-disease small cell lung cancer. Materials and Methods: From August 1993 to August 1996, a total of 44 patients with newly diagnosed, limited-disease small cell lung cancer, PS $H0\~2$, wt $loss<10\%$ were enrolled in a randomized trial which compared early alternating radiotherapy (RT)/chemotherapy (CT) and late alternating RT/CT. The CT regimen included ifosfamide $1.5\;g/m^2$ IV, d1-5 and carboplatin AUC 5/d IV, d2 peformed at 4 week intervals for a total of 6 cycles. RT (54 Gy/30 fr) was started after the first cycle of CT (early arm, N=22) or after the third cycle of CT (late arm, N=22) with a split course of treatment. Results : The pretreatment characteristics between the two arms were well balanced. The response rates in the early $(86\%)$ and late $(85\%)$ arm were similar. The median survival durations and 2-year survival rates were 15 months and $22.7\%$ in the early arm, and 17 months and $14.9\%$ in the late arm (p=0.47 by the log-rank test). The two-year progression free survival rates were $19.1\%$ in the early arm and $19.6\%$ in the late arm (p=0.52 by the log-rank test). Acute grade 3 or 4 hematologic and nonhematologic toxicities were similar between the two arms. Eighteen patients $(82\%)$ completed 6 cycles of CT in the early arm and 17 $(77\%)$ in the late arm. Four patients received less than 45 Gy of RT in the early arm and two in the late arm. There was no significant difference in the failure patterns. The local failure rate was $43\%$ in the early arm and $45\%$ in the late arm. The first site of failure was the brain in $24\%$ of the early arm patients compared to $35\%$ in the late arm (p=0.51). Conclusion : There were no statistical differences in the overall survival rate and the pattern of failure between the early and late alternating RT/CT in patients with limited-disease small cell lung cancer.

A STUDY ON THE EFFECT OF THE ND:YAG LASER IRRADIATION ON THE MECHANICALLY EXPOSED PULP (기계적 노출치수의 Nd:YAG 레이저 조사효과에 대한 연구)

  • Lee, Sang-Ho;Lee, Chang-Seop;Kim, Su-Gwan
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.2
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    • pp.146-158
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    • 2002
  • The purpose of this study was to investigate the effects of Nd:YAG laser on mechanically exposed pulp of dog by the observation of pulpal inflammatory change and heal process including dentinal bridge, structural changes of fibroblasts of thr remaining vital pulp tissue. In experimental group 1, the exposed pulps were irradiated with Nd:YAG laser(3W, 30Hz, 0.2sec) for $2{\sim}3$ second followed by capped with aluminium tin foil. In group 2 and group 3, the exposed pulps were irradiated with Nd:YAG laser via contact(Group 2) and non-contact(Group 3) methods followed by capped with calciumhydroxide paste. The animal were sacrificed at the intervals of 3, 7, 14 and 30days for histologic evaluation. The results were as follows : 1. The dentinal bridges were formwd more fast and broadly in the experimental group 1 and 2 than other groups, but there were no histologic differences in the degree of their formation among control group, experimental group 1. 2. Odontoblastic activities at amputated pulp was increased in the experimental group 2, 3 than other group but there no histologic difference in the odontblastic activitiy among control group, experimental group 1. 3. The infalmmation was severe at the postoperative 1 week of all groups, but its condition subsideed with time elapsed. At the postoperative 3, 7 days, its condition in experimental group 2, 3 were less severe than in the group 1. 4. There were no histologic differences between the experimental group 2 and 3 according to the degree of dentin bridge formation.

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The Effect of Cool Dialysis on Dialytic Stability, Feeling of Fatigue, Pruritus and Dialysis adequacy in Hemodialysis Patients (저온투석이 혈액투석환자의 투석안정성, 피로감, 소양증과 투석적절도에 미치는 영향)

  • Kim, Yun Ah;Han, Eun Kyoung;Kim, Mi Young
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.11-20
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    • 2018
  • The purpose of this study was to examine the effect of the application of cool dialysis on dialytic stability, feeling of fatigue, pruritus and dialysis adequacy in hemodialysis. Methods: The study design was nonequivalent control group pretest-posttest design. The subjects were 50 patients who were hospitalized to hemodialysis. The experimental group cool dialysis(n=25) and the control group received only the usual treatment (n=25). The collected data were analyzed using independent t-test to examine study hypothesis. Results: The level of dialytic stability (F=5.53, p=.023) and feeling of fatigue (F=4.01, p<.001) in the experimental group were significantly different from that of the control group. However, the level of pruritus(F=.74, p=.394) and dialysis adequacy(F=1.02, p=.327) in the experimental group were not different from that of the control group. Conclusion: The study findings confirm that cool dialysis as an effective intervention alleviating dialytic stability and feeling of fatigue.

Effect and Safety of Replacement Therapy for PMS〔post-Premenopausal Syndrome〕 (PMS 〔post-/Premenopausal Syndrome〕 여성에 대한 대체요법의 유효성 및 안전성)

  • 이득주;홍억기;김재수;조한성;한인권
    • KSBB Journal
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    • v.19 no.1
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    • pp.83-87
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    • 2004
  • This research was designed to investigate the effects of Estromon including FGF271 (Female Growth Factor 271) which was developed as a phytoestrogen for post- and pre-menopausal syndrome (PMS). The oral administration of two capsules of Estromon twice a day for 3 months significantly improved PMS (Post-/Premenopausal Syndrome) about 5 times more than placebo group (OR=5.04, 95% C.1. 1.40-18.14). In the group of 24 patients having taken Estromon, the concentration of alkaline phosphatase asn the bone marker decreased by -9.3${\pm}$9.5 IU/L after 3 months with a statistic significance. Since the concentration of osteocalcin as the other bone marker also decreased in more patients in Estromon group than in placebo group, the bone density might be expected to be improved in long-term treatment. Serum human growth hormone level increased in 17 out of 24 patients. Triglycerides decreased by -8.0${\pm}$40 (mg%) after 1 month and by -4.4${\pm}$36 (mg%) after 3 months in Estomon group while triglycerides increased in both cases in placebo group (p.0.01). Therefore, PMS patients might benefit from Estromon as a phytoestrogen supplement without any serious side effects.