• Title/Summary/Keyword: 척추 전만

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The Clinical Experience of The Descending Thoracic and Thoracoabdominal Aortic Surgery (하행대동맥 및 흉복부 대동맥 수술의 임상적 경험)

  • 조광조;우종수;성시찬;최필조
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.584-589
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    • 2002
  • Background : The thoracic and thoracoabdominal aortic surgery is a complicated procedure that has various method of approach and protection. The authors have performed several methods to treat these diseases. Therefore, we attempt to analyze their results and risks. Material and Method: From June of 1992 to August of 2001, we performed 26 cases of thoracic aortic surgery and 10 cases of thoracoabdominal aortic surgery. There were 17 aortic dissections, 17 aortic aneurysms, one coarctation of aorta and one traumatic aortic aneurysm. The thoracic aortic replacement was performed under a femorofemoral bypass, an LA to femoral bypass, or a deep hypothermic circulatory arrest. The thoracoabdominal aortic replacement was performed under a femorofemoral bypass or a pump assisted rapid infusion. Result: There were 7 renal failures, 11 hepatopathies, 7 cerebral vascular accidents, 2 heart failures, 5 respiratory insufficiencies, and 2 sepsis in postoperative period. There were 9 hospital mortalities which were from 2 bleedings, 2 heart failures, 2 renal failures, a sepsis, a respiratory failure, and a cerebral infarction. There were 3 late deaths which were from ruptured distal anastomosis, cerebral infarction, and pneumonia. Conclusion: Deep hypothermic circulatory arrest was not good supportive methods for thoracic aortic replacement. Total thoracoabdominal aortic replacement was a high risk operation.

A Case of Lung Cancer with Metastasis to the Right Fifth Toe (제 5 우족지의 전이를 동반한 폐암 1예)

  • Lee, Hong-Lyeol;Kim, Se-Kyu;Lee, Hwan-Mo;Shin, Dong-Hwan;Chang, Jung-Hyun;Kwak, Seung-Min;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.1
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    • pp.72-78
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    • 1993
  • Background: In malignancies, detection of metastatic foci is of value in making therapeutic plans for treatment of disease and prevention of life-threatening complications. Common sites for metastasis of bronchogenic cancer include lymph nodes, liver, brain, adrenals and bone. Skull, vertebrae, ribs and long bones are common sites for bone metastasis. But in epidermoid carcinoma, the incidence of bone metastasis is relatively low and especially to the distal phalangeal bone is rare. Methods: We experienced a case of epidermoid carcinoma with the first distant metastasis to the fifth distal phalangeal bone, right toe. Results: The initial stage in the diagnosis of epidermoid carcinoma was T4N3MO. During the third round of anticancer chemotherapy, we recognized the distant metastasis to the fifth distal phalangeal bone for the first time. Localized abnormal findings were noted by bone X-ray and scanning. By a histopathologic examination of the amputated toe, we confirmed the metastasis of epidrmoid bronchogenic carcinoma. Conclusion: If localized abnormal finding is discovered at an unusual site for metastasis, we recommend physicians to consider the possibility of metastasis even though it is very low.

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The Effects of Natural Disturbances on Benthic Macro-invertebrate (저서성 대형무척추동물의 자연적 교란에 대한 영향)

  • Kwak, Inn-Sil;Song, Mi-Young;Chon, Tae-Soo
    • Korean Journal of Ecology and Environment
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    • v.37 no.1 s.106
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    • pp.87-95
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    • 2004
  • Community dynamics of benthic macroinvertebrates in response to natural disturbances (flooding and water temperature) were investigated in the Suyong and Soktae Streams in Busan from October 1997 to September 1998. Oigochaeta and Chironomus, organic polluted indicators, were dominant and various taxa were observed at the study sites. The density and biomass of two dominant taxa increased in warm months while the indicators were washed away in the flooding season. From October to February when the water temperature was less than $15^{\circ}C$, Oligochaeta appeared to be dominant at the Soktae Stream. In contrast various taxa were collected at the Suyong stream. The densities of Oligochaeta and Chironomus increased at the Soktae and the Suyong streams in March. Due to the big flooding in April, the density of dominant taxa decreased abruptly. The community structure showed differences patterns in the flooding season at two streams from June to August. In the Soktae stream, the density increased in August. The reverse patterns were observed in the Suyong stream, washing out in June followed by slow recovery of densities in the fellowing months. Density and biomass showed relatively higher correlations in most taxa. CCA (Canonocial Correspondence Analysis) showed that taxa was different response to different environmental factors.

Vitellogenin ELISA System Based on Monoclonal and Polyclonal Antibodies against Vitellin of Floating Goby (Chaenogobius annularis) (꾹저구(Chaenogobius annularis)의 난황단백질에 대한 다클론 항체와 단글론 항체을 이용한 Vitellogenin ELISA System)

  • Kang, Bong-Jung;Jung, Jee-Hyun;Lee, Je-Yong;Kim, Myung-Hee;Han, Chang-Hee
    • Development and Reproduction
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    • v.9 no.2
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    • pp.135-142
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    • 2005
  • Vitellogenins(VTGs) are the precursor of egg-yolk proteins in most oviparous species from invertebrates to vertebrates. In oviparose vertebrates, VTGs are synthesized in the liver and transported through the blood to oocytes. In female fish, concentrations of plasma VTG increase rapidly at onset of vitellogenesis in the normal reproductive cycle. Male fishes also possess the gene for VTG, but plasma concentrations of the protein typically remain small, presumably due to low levels of endogenous estrogens. However, exposure of males to exogenous estrogenic mimics can result elevated. Therefore, the VTG in fish can be used as a useful biomarker for appropriate tools of endocrine disrupting compounds effects. In this studies, we prepared the test methods that can measure the plasma VTG level in the gobies that live in polluted area with mimic estrogen. For the purpose, we purified VTG of floating goby(Chaenogobius annularis) and prepared specific monoclonal and polyclonal antisera to yolk protein, then developed a sandwich competitive ELISA system for measurement of plasma VTG levels. Validation for the ELISA system using monoclonal and polyclonal antibodies against VTG was tested. The absorbance curve of serial dilutions of serum from vitellogenic female was paralleled to the standard curve of VTG, but normal male was not paralleled. The developed sandwich ELISA system was measured for VTG levels in plasma of common goby(Acanthogobius flaviman) and javeline goby(A. hasta) as well as in plasma of floating goby(C. annularis).

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Effect of Crude Oil on Early Life Stage of the Flounder, Paralicthys olivaceus (원유의 WSF (Water Soluble Fraction)가 넙치, Paralicthys olivaceus의 초기생활사에 미치는 영향)

  • Shin, Yun-Kyung;Cho, Kee-Chae;Jang, Deg-Jong;Jin, Young-Guk
    • Environmental Analysis Health and Toxicology
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    • v.24 no.2
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    • pp.119-125
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    • 2009
  • This study was carried out to investigate the toxic effect of WSF (water soluble fraction) in crude oil on the hatch, survival rate, abnormality and physiological activity of fertilized eggs and early larvae in Paralicthys olivaceus. The time required in hatching the fertilized eggs exposure to crude oil was 50.8${\sim}$53.2 hours both in control group and experimental group, showing no significant difference(p>0.05). The hatching rate in the control group was more than 80% in 1.9 ${\mu}g/mL$ WSF concentration, but hatching rate was less than 55.7% in below of 3.9 ${\mu}g/mL$ WSF concentration, showing significant difference (p<0.05). The survival rate on the 3rd day of early larval stage was 61.96% with 1.9 ${\mu}g/mL$ WSF, 11.1% with 3.9 ${\mu}g/mL$ WSF, and they all died with other concentration levels. The oxygen consumption rate in experimental groups was lower than control group. The heart rate (no./min) was 47.4${\sim}$52.8 before hatching and there was no significant difference between control group and experimental group, but heart rate reduced with the decrease of WSF concentration after hatching. The abnormality was 1.1% in the control group whereas 36.7% with 3.9${\mu}g/mL$ WSF, and abnormality was mostly comprised of incomplete spinal formation and spinal curvature. The results of this study suggest that even low concentration to WSF affects the early development of the flounder, Paralicthys olivaceus.

Effect of β-glucan on immune parameters in the Manila clam Ruditapes philippinarum (β-glucan이 바지락의 면역력에 미치는 영향)

  • Nam, Ki-Woong;Park, Kyung-il
    • The Korean Journal of Malacology
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    • v.31 no.2
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    • pp.123-127
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    • 2015
  • ${\beta}$-Glucan is a polysaccharide that is widely used as an adductive in fish feed to facilitate immune stimulation. This study aimed to investigate the effect of ${\beta}$-glucan on immune responses in the Manila clam Ruditapes philippinarum. For this purpose, three groups of R. philippinarum were exposed to 0%, 0.1%, or 1% ${\beta}$-glucan in sea water for 1 hr/day for 2 weeks using an immersion method. Thereafter, two immune parameters-phagocytic rate and antibacterial activity-were measured. R. philippinarum exposed to 1% ${\beta}$-glucan showed an approximate 30% significant increase in phagocytic rate. In addition, ${\beta}$-glucan significantly limited the growth of the pathogenic bacteria Vibrio tapetis, V. parahaemolyticus, and V. ordalii. Moreover, the mortality rates of ${\beta}$-glucan-treated clams decreased during a 17-day experiment. Our study suggests that treatment with ${\beta}$-glucan significantly increases the immune responses in R. philippinarum, and that immersion is a simple and effective method for immune stimulation in this species.

An Experimental Study on the Effect of Supporting Vest for Musculoskeletal Disorders in Low Back (허리 근골격계질환 예방 보조 조끼의 효과에 대한 실험적 연구)

  • Kim, Yun-Jeong;Jang, Jee-Hun;Cho, Yoe-han;Jeong, Jin-Hyoung;Cheong, Ha-Young;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.3
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    • pp.219-225
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    • 2020
  • With the aging population, the prevalence of musculoskeletal disorders in the elderly continues to increase. In addition, musculoskeletal disorders are the third most common social and economic loss among occupational illnesses in Workers' compensation insurance benefits as of 2015 standard and are also common among workers. In this study, a vest that can assist in the prevention and treatment of musculoskeletal disorders of the waist was produced, and it is intended to confirm the presence or absence of the effect through experiments. Diseases of the waist are closely related to core muscles. Therefore, the produced vest was made in a form that supports the core muscles. Before and after wearing the vest for effectiveness verification, the While performing 10-times of the Mackenzie exercises, a waist extension exercise, collected the EMG data of the internal oblique, Rectus abdominis, and Erector spinae, which correspond to the core muscles. The collected data were analyzed through the electromyography analysis program RM-3 to obtain RMS values for 10-times measurements of each muscle and to compare the average values. After comparing the data, to verify the significance, the technical statistical value of the measurement result was calculated and the average difference was verified through PASW ver18.0, And the paired t-test is performed on the experimental results to perform statistical processing. and Statistical processing was performed by setting the significance level to α=.05.

Characterization of Benthic Macro-Invertebrate Communities and Hydraulic Factors in Small- Scale Habitats in a Polluted Stream (오염하천 소규모 서식처에서의 저서성 대형 무척추 동물군집과 수리학적 인자의 특성화)

  • Kwak, Inn-Sil;Liu, Guangchun;Park, Young-Seuk;Song, Mi-Young;Chon, Tae-Soo
    • Korean Journal of Ecology and Environment
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    • v.35 no.4 s.100
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    • pp.295-305
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    • 2002
  • Benthic macro- invertebrates were collected in a 200 m reach located in the $3^{rd}$ order Yangjae Stream, a tributary of the Han River, Seoul, from April 1996 to March 1998. Although species richness was relatively low due to organic pollution, community abundance patterns appeared to be different depending upon location of the sampling sites. At the sample sites in the straight zone with high water velocity and large substrates, species richness was high and species relatively less-tolerant to organic pollution was additionally present. At the sample sites in the pool zone with lower velocity and high sedimentation, species richness was low and a few tolerant species to organic pollution were abundantly collected. The principle component analysis indicated that some sample sites in the straight zone appeared to be related to water velocity and shear velocity, and associated with diverse taxa less tolerant to organic pollution. Additionally the sample site transplanted with large substrates was associated wit]h hydraulic characters such as substrate diversity and roughness, and was related to species indicating partial recovery of water. The sample sites located at the pool zone tended to be associated with organic matter that had sedimented on to the substrates and the taxa tolerant to organic pollution, including Oligochaeta and Chironomus.

A study on indicator & criteria for assessment of river environmental naturalness -focused on biological characteristics (하천환경 자연도의 평가지표 및 기준 연구 - 생물적 특성을 중심으로)

  • Chun, Seung Hoon
    • Journal of Korea Water Resources Association
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    • v.52 no.spc2
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    • pp.765-776
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    • 2019
  • The purpose of this study is to provide the legal and institutional guidelines and standards that can be used in the whole river restoration project and to analyze and evaluate the performance of the river project. We constructed an assessment system of four biological taxa that can represent the river environments, namely, evaluation indexes and standards of vegetation and birds, benthic invertebrates and fishes. Specifically, the assessment indicator and criteria of biological characteristics are summarized, so that in case of vegetation community, vegetation diversity, vegetation complexity, and vegetation naturalness can be quantitatively assessed through the combination of three indices. Based on the scientific basis of the advanced techniques, benthic invertebrates, fishes, and birds were proposed to quantitatively evaluate assessment grades according to the classification of biological data. In order to evaluate biological characteristics, which are a part of river environmental naturalness, we proposed a comprehensive biological index and evaluation grade applying the weight of these four biological taxa, and it clearly reflects the characteristics of river environment in test bed.

From TMJ to 3D Digital Smile Design with Virtual Patient Dataset for diagnosis and treatment planning (가상환자 데이터세트를 기반으로 악관절과 심미를 고려한 진단 및 치료계획 수립)

  • Lee, Soo Young;Kang, Dong Huy;Lee, Doyun;Kim, Heechul
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.71-90
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    • 2021
  • The virtual patient dataset is a collection of diagnostic data from various sources acquired from a single patient into a coordinate system of three-dimensional visualization. Virtual patient dataset makes it possible to establish a treatment plan, simulate various treatment procedures, and create a treatment planning delivery device. Clinicians can design and simulate a patient's smile on the virtual patient dataset and select the optimal result from the diagnostic process. The selected treatment plan can be delivered identically to the patient using manufacturing techniques such as 3D printing, milling, and injection molding. The delivery of this treatment plan can be linked to the final prosthesis through mockup confirmation through provisional restoration fabrication and delivery in the patient's mouth. In this way, if the diagnostic data superimposition and processing accuracy during the manufacturing process are guaranteed, 3D digital smile design simulated in 3D visualization can be accurately delivered to the real patient. As a clinical application method of the virtual patient dataset, we suggest a decision-making method that can exclude occlusal adjustment treatment from the treatment plan through the digital occlusal pressure analysis. A comparative analysis of whole-body scans before and after temporomandibular joint treatment was suggested for adolescent idiopathic scoliosis patients with temporomandibular joint disease. Occlusal plane and smile aesthetic analysis based on the virtual patient dataset was presented when treating patients with complete dentures.