• 제목/요약/키워드: 5-MP

검색결과 616건 처리시간 0.029초

골 성숙도 단계의 골령 평가를 위한 Greulich-Pyle 방법을 이용한 인공지능 프로그램의 활용 (Utilization of an Artificial Intelligence Program Using the Greulich-Pyle Method to Evaluate Bone Age in the Skeletal Maturation Stage)

  • 김지훈;서혜준;박소영;이은경;정태성;남옥형;최성철;신종현
    • 대한소아치과학회지
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    • 제50권1호
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    • pp.89-103
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    • 2023
  • 이 연구의 목적은 Greulich-Pyle (GP)방법을 기반으로 한 인공지능 프로그램을 이용해 골령을 측정하고 경추골 성숙도(Cervical vertebral maturation, CVM)와 중지 중절골 성숙도(Middle phalanx of the third finger, MP3) 각 단계에 해당하는 골령을 파악하는 것이다. 연구는 2013년부터 2021년까지 경희대학교와 부산대학교 치과병원 소아치과에 내원한 총 3,118명을 대상으로 하였다. CVM은 Baccetti 분류에 따라 5단계로 나누었고, MP3는 Hägg와 Taranger 의 방법에 따라 5단계로 나누었다. 골령은 GP 방법 기반의 인공지능 프로그램을 통해 평가하였다. 최대 성장기의 CVM 단계는 II, III로 CVM II의 평균 골령은 남자 11.00 ± 1.81세, 여자 10.00 ± 1.49세였고, III는 남자 13.00 ± 1.46세, 여자 12.00 ± 1.44세였다(p < 0.0001). MP3 최대 성장기는 G 단계로 평균 골령은 남자 13.14 ± 1.07세, 여자 11.40 ± 1.09세였다(p < 0.0001). 인공지능을 통한 골령 평가는 임상적 활용 가치가 있으며 신속하고 정확한 진단이 가능할 것으로 예상된다.

절단부위에 따른 수무지 재건의 기능적 평가 (Functional Evaluation of Thumb Reconstruction according to the Level of Amputation)

  • 이광석;박종웅;서동훈;정웅교
    • Archives of Reconstructive Microsurgery
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    • 제7권2호
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    • pp.135-145
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    • 1998
  • In 1980 Morrison and O'Brien reported their experiences about the reconstruction of amputated thumb using wrap-around neurovascular free flap from the great toe with a nonvascularized iliac bone graft. From then it has been considered to be a good reconstructive procedure for the amputated thumb, but it's indication has been limited distal to the metacarpophalangeal(MP) joint. We have performed 37 cases of wrap-around free flap from the great toe for the reconstruction of thumb amputated at distal or proximal to the MP joint and investigated their functional results according to the level of amputation. Level of amputation was distal to the MP joint in 25 cases and proximal to it in 12 cases. Pinching and grasping power, two point discrimination and the amount of opposition to the other fingers were compared to the uninjured hand. Pinching and grasping power were not significantly different according to the level of amputation but the amount of two point discrimination was significantly high in the cases amputated proximal to the MP joint. The opposition of reconstructed thumb to the other fingers was completely possible in all cases amputated distal to the MP joint. In 12 cases amputated proximal to the MP joint of the thumb, opposition was completely possible in 6 cases in which the iliac bone block was fixated in the position of $30^{\circ}$ flexion and $45^{\circ}$ internal rotation but in 6 cases in the fixation of $30^{\circ}$ flexion and $30^{\circ}$ internal rotation, the opposition of reconstructed thumb to the ring and little fingers were impossible in 5 cases and only to the little finger in 1 case. In this study, we concluded that even if amputation proximal to the MP joint, it is no more contraindication of the wrap-around free flap procedure for thumb reconstruction, however in these cases we recommend iliac bone block fixation in the position of $30^{\circ}$ flexion and $45^{\circ}$ infernal rotation for the better functional outcome.

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Pancreaticoduodenectomy with superior mesenteric artery first-approach combined total meso-pancreas excision for periampullary malignancies: A high-volume single-center experience with short-term outcomes

  • Thanh Khiem Nguyen;Ham Hoi Nguyen;Tuan Hiep Luong;Kim Khue Dang;Van Duy Le;Duc Dung Tran;Van Minh Do;Hong Quang Pham;Hoan My Pham;Thi Lan Tran;Cuong Thinh Nguyen;Hong Son Trinh;Yosuke Inoue
    • 한국간담췌외과학회지
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    • 제28권1호
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    • pp.59-69
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    • 2024
  • Backgrounds/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results. There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178-540 min), the median intraoperative blood loss was 209 mL (30-1,600 mL). Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions: The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

기름나물 과실의 Coumarin성분 연구 (II) (Studies on the Coumarins of the fruits of Peucedanum terebinthaceum Fisher et Turcz)

  • 육창수;김현숙;김정태
    • 약학회지
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    • 제30권2호
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    • pp.73-78
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    • 1986
  • Peucedanum terebinthaceum Fischer (Umbelliferae) known as "Gi Reum Na Mool" in Korea and used for the treatment of cough, phlegm, headache and common cold etc. The substances were isolated from the fruits of Peucedanum terebinthaceum and identified by UV, GLC, IR, NMR, Mass spectra and physico-chemical tests. The steroidal compounds from the fruits were identified as $\beta$-sitosterol (tR 33.01 min.) and stigmasterol (tR 28.87 min.) by GLC. Substance I (colorless prismatic crystal, $C_{19}H_{20}O_5$, mp $110~111^{\circ}$) was identified as decursin which is one of the pyranocoumarin. Hydrolysis of substance I with 5%-potassium hydroxide produced decursinol. Acetylation of decursinot gave its monoacetate, white needles, $C_{16}H_{16}O_5$. Substance II(light yellowish white needle crystal, $C_9H_6O_3$, mp $227~228^{\circ}$) was proved to be umbelliferone. Substance I, decursin, was isolated for the first time from the fruits of Peucedanum spp. (Umbelliferae).

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Effect of Raw Fish-Based Moist Pellet (MP) and Commercial Red Sea Bream Feed (CF) on Growth and Body Composition of Sunshine Bass (M. saxatilis male X M. chrysops female) Reared at Various Salinity During the Winter Season

  • Cho Sung Hwoan;Lee Jong Kwan
    • Fisheries and Aquatic Sciences
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    • 제5권3호
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    • pp.229-234
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    • 2002
  • Possibility of raising sunshine bass during the winter season in Korea was investigated. Also, the effect of feed on growth and body composition of sunshine bass was compared at the various salinity. Twenty sunshine bass $(Mean\;weight\;\pm S.D.\: :\;53.9 \pm 0.24 g)$ were stocked into the eighteen circular flow-through tanks. A 2 (feed) $\times$ 3 (salinity) factorial design with triplicate was used for this study. Feed was prepared into the 2 groups: the raw fish-based me>ist pellet (MP) containing $59.5\%$ crude protein and $9.4\%$ crude lipid, and commercial sinking red sea bream feed (CF) containing $49.9\%$ crude protein and $9.4\%$ crude lipid, respectively. And salinity was prepared into the 3 groups: freshwater $(0\%)$, brackishwater $(15\%)$, and seawater $(32\%)$. Fish were fed to satiation twice daily for 6 days a week. Fish were all survived at the end of the 8-week feeding trial. Weight gain (WG) and specific growth rate (SGR) of sunshine bass were significantly (P<0.05) affected by both feed and salinity. WG and SGR of sunshine bass fed the MP were significantly (P<0.05) higher than those of fish fed the CF in the same salinity. Amount of dry feed fed was significantly (P<0.05) affected by both feed and salinity. Feed consumption by sunshine bass fed on the MP was significantly (P<0,05) higher than by fish fed on the CF in the same salinity. Feed efficiency ratio (FER) was significantly (P<0,05) affected by salinity, but not by feed. Protein efficiency ratio (PER) was significantly (P<0.05) affected by both feed and salinity. Moisture and protein content of the whole-body of fish was not significantly (P>0.05) affected by either feed or salinity. However, lipid and ash content of the whole-body of fish was significantly (P<0.05) affected by salinity, but not by feed. In conclusion, the MP was superior to CF for growth of sunshine bass during the winter season in Korea and no mortality occurred. And sunshine bass seemed to grow better in freshwater $(0\%)$ and brac-kishwater $(15\%)$ than seawater $(32\%)$ under these experimental conditions, in terms of improvement in FER and PER in freshwater or brackishwater.

타피오카 전분을 이용한 넙치(Paralichthys olivaceus)용 고효율 배합사료 개발 (Development of High Efficiency Extruded Pellets with Tapioca Starch in Olive Flounder Paralichthys olivaceus)

  • 김강웅;이진혁;배기민;김경덕;이봉주;한현섭;이경준;김성삼
    • 한국수산과학회지
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    • 제47권6호
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    • pp.818-823
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    • 2014
  • This study compared the effects of feeding diets consisting of an experimental extruded pellet with tapioca starch (EEP), commercial extruded pellet (CEP), and raw-fish-based pellet (MP) on the growth, flesh quality, and apparent digestibility coefficient of the olive flounder Paralichthys olivaceus. Two replicated groups of 4,000 fish each (initial mean weight: $81.8{\pm}3.5g$) were fed one of the experimental diets for 5 months. After the feeding trial, the final mean weight, weight gain, specific growth rate, and feed efficiency of fish fed the EEP was significantly higher than those of fish fed the CEP and MP. Moisture content in the whole-body of fish fed MP was significantly higher than those of fish fed other diets. However, the highest crude protein in the whole-body was found in fish groups fed the EEP. Significantly higher contents of 24:1n-9, 20:5n-3, 22:6n-3 and lower 18:1n-7 was observed in fish fed the EEP compared with fish fed the MP. The amino acid contents in the whole-body showed significant differences in the composition depending on the feed, but the distribution of free amino acids showed similar patterns. Among amino acids, glutamic acid showed the highest content in all the experimental groups, and the threonine, cysteine, and lysine contents were significantly higher in the groups fed with EEP and CEP than in the group fed with MP. Digestibility of nutrients of the EEP was significantly higher than that of fish fed the CEP. This suggests that extruded pellets can be used to feed olive flounder without compromising growth and flesh quality in comparison to raw-fish-based moist pellets. Formulation of the EEP could be used as a practical feed for olive flounder.

넙치 미성어 건조 배합사료 및 습사료의 장기사육 평가 (Long-tenn Evaluation of Extruded Pellet Diets Compared to Raw Fish Moist Pellet Diet for Growing Flounder, Paralichthys olivaceus)

  • 김장웅;강용진;김경민;이해영;김경덕;배승철
    • 한국양식학회지
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    • 제18권4호
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    • pp.225-230
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    • 2005
  • 이 연구는 배합사료(상품사료)및 생사료의 영양학적 효과를 비교${\cdot}$평가를 통해 경제적이고 환경친화적인 넙치용 실용 배합사료를 개발하고자 장기사육시험을 수행하였다. 실험어는 평균 192 g인 넙치 미성어를 사용하였으며, 어체중의 $1{\~}2.5\%$ (건물기준)로 1일 2회(오전 9시, 오후 4시)급이 하였으며, 주 사육실험기간은 12개월간 실시하였다. 실험사료는 충 6가지 사료구로 자체 제작한 실험배합사료 2종(FEP1과 2), 상업용 배합사료 3종(CEP1, 2와 3) 및 습사료(MP)로 공급하였으며, 자체 제작한 넙치 미성어 배합사료(FEP1과 2)는 단백질 함량 $50{\~}51\%$, 지질 $10{\~}12\%$로 설계되었다. 증체율은 FEP1 및 CEP3 사료구가 다른 사료구들과 비교하여 유의적으로 높은 증체율을 보였으며, FEP2, CEP1, CEP2, MP 사료구에서 유의적으로 낮은 증체율을 보였다(P<0.05). 사료효율 및 일간성장률에 있어서는 FEP1 및 CEP3 사료구가 다른 사료구들과 비교하여 유의적으로 높게 나타났다. 단백질 전환효율은 MP 사료구가 FEPl 및 CEP3 사료구가 다른 사료구들과 비교하여 유의적으로 높게 나타났다(P<0.05). 생존율에 있어서 배합사료구가 MP사료구보다 유의적으로 높게 나타났다(P>0.05). 혈청 성분분석 결과는 GOT, GPT 및 Total cholesterol에 있어서는 전체적으로 배합사료구보다 HP 사료구에서 높게 나타났다. 전어체 성분분석에 있어서 조단백질함량은 FEP1 및 CEP3에서 다른사료구보다 높은 경향을 보였다. 따라서, 넙치 미성어의 FEP1은 상업사료 및 습사료보다 충분히 가능성이 있으며, 양식장 현장실험을 거쳐서 산업화 보급을 할 수 있을 것으로 생각된다.

Lysobacter antibioticus HS124를 이용한 배추좀나방 (Plutella xylostella L.)의 생물학적 방제 (Biological Control of Diamondback Moth (Plutella xylostella L.) by Lysobacter antibioticus HS124)

  • 강성준;이용성;이소연;윤근영;홍성현;박윤석;김익수;박노동;김길용
    • 한국토양비료학회지
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    • 제43권5호
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    • pp.659-666
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    • 2010
  • 선행연구에서 근권 토양으로부터 분리된 Lysobacter antibioticus HS124 (HS124)는 lytic enzyme으로써 chitinase, gelatinase, lipase 및 protease 등의 효소와 항생물질인 4-hydroxyphenylacetic acid (4-HPAA)를 생성하였다. 본 실험에서는 HS124를 이용하여 배추좀나방 (diamondback moth, Plutella xylostella L.) 3~4령 유충의 살충활성을 검정하였다. HS124 배양액을 배추좀나방 유충에 처리하였을 때 유충은 파괴되어 분해되었다. HS124가 생성하는 4-HPAA를 유충에 처리하였을 때 처리 농도가 높을수록 살충율은 증가하였으며, HS124 배양액에 Tween 80을 첨가하였을 때 첨가하지 않은 처리구보다 살충율이 1.4배 높았다. 한편 화학 살충제 (IS), HS124 배양액 (HS124), 식물추출물 (매직파이; MP), HS124 배양액+식물추출물 (HS124+MP) 및 멸균수 (SDW)를 이용하여 배추좀나방 유충의 살충율을 검정하였다. HS124+MP 처리구에서 가장 높은 살충율을 나타내었고, IS, MP, HS124 및 SDW 처리구 순으로 살충율이 감소하였다. HS124 처리구는 대조구인 멸균수처리구보다 31% 높은 살충율을 나타내었고, HS124+MP처리구 보다 40% 낮은 살충율을 나타내었다. 이러한 결과로 보아 항생물질과 다양한 lytic enzyme을 생성하는 L. antibioticus HS124 배양액과 식물추출물의 혼합제제는 배추좀나방의 생물학적 방제제로써 가치가있다고 사료된다.

RGP lens 다목적용액의 습윤성에 관한 비교 연구 (The Comparative Study on the wettability of the RGP lens multi-purpose solutions(MPSs))

  • 박현주;고은경;서은선;김재민;이기영
    • 한국안광학회지
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    • 제8권2호
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    • pp.119-127
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    • 2003
  • 지질이 소수성인 RGP lens의 관리용액인 다목적용액(multipurpose solution, MPS)에서 중요한 요소인 습윤성에 대해 알아보고자 시중에 유통 중인 6개사 제품을 측정 비교해 보았다. 실험에 사용한 MPS는 ALCON의 OPTI-SOAK, CIBA Vision의 SOLO care hard, ALLEKGAN의 Total care, BOSTON의 Simplicity, B&L의 Wetting and Soaking Sol., 그리고 Saehan의 Aquas-multi였으며, 실험방법은 각각에 대해 접촉각과 표면장력, 점도를 측정하였다. 결과는 RGP lens를 8시간 MPS에 담근 후 인공누액을 떨어뜨려 측정한 접촉각은 $25^{\circ}{\sim}36^{\circ}$의 범위로 렌즈와 MPS는 비교적 우수한 습윤성을 보여주었으며, 표면장력은 19.8~31.3 mN/m의 값이 얻어졌다. 각각의 다목적용액에 렌즈를 홀더에 얹은 상태로 계면과 렌즈가 분리될 때의 표면장력을 측정하였을 때는 26.5~33.5mN/m의 값이 측정되었다. 점도는 $4^{\circ}C$$28^{\circ}C$에서 측정했으며 측정온도에 따라 온도가 낮을수록 높게 측정되었고, MPS의 온도 $28^{\circ}C$에서 측정했으며 측정온도에 따라 온도가 낮을수록 높게 측정되었고, MPS의 온도 $28^{\circ}C$에서 점도는 9.5~65.5 cps를, $4^{\circ}C$에서는 6.5~137 cps의 값을 보였다. RGP lens MPS는 soft lens MPS에 비해 접촉각과 표면장력은 낮고, 점도는 높아서 습윤성이 더 우수하였는데 제조회사에 따라 습윤성의 차이가 다소 있었다.

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Metaplastic Breast Carcinoma: Case Series and Review of the Literature

  • Esbah, Onur;Turkoz, Fatma P.;Turker, Ibrahim;Durnali, Ayse;Ekinci, Ahmet S.;Bal, Oznur;Sonmez, Ozlem Uysal;Budakoglu, Burcin;Arslan, Ulku Y.;Oksuzoglu, Berna
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4645-4649
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    • 2012
  • Metaplastic breast carcinoma (MpBC) is a rare disease entity, accounting for less than 1% of all breast carcinomas. Furthermore, it is a heterogenous disease with different subgroups, including malignant epithelial (carcinoma) and stromal (sarcoma) features. Here we evaluated, retrospectively, 14 female MpBC patients admitted to Ankara Oncology Training and Research Hospital between 2005 and 2011. Median age was 45.5 (range:16.0-76.0) and tumor size 57.5 mm (range: 20.0-80.0 mm). Histopathological subtypes were as follows: 5 carcinosarcoma, 5 squamous and 4 adenosquamous carcinoma. All but one with upfront lung metastasis, had their primary breast tumor operated. Axillary lymph nodes were involved in 64.3%. The most common sites of metastasis were lungs and brain. Chemotherapy including antracycline, taxane and even platinium was planned for adjuvant, neoadjuvant and palliative purposes in 9, 3 and 1 patient, respectively. Median cycles of chemotherapy was 6 (range:4-8). Median follow-up of the patients was 52 months (95%CI 10.4-93.6 month). Median 3 year progression free survival (PFS) and overall survival (OS) in this patients cohort were 33% and 56%, respectively. In conclusion, MpBC is a rare and orphan disease without standardized treatment approaches and the prognosis is poor so that larger studies to investigate different treatment schedules are urgently needed.