• 한국어류학회지
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• 제26권4호
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• pp.267-273
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• 2014

본 연구는 개베도라치의 산란행동 및 난 발생과 자어의 형태발달을 조사하여 분류학적 연구의 기초자료로 이용하고자 실시하였다. 수정란은 구형으로 백색의 불투명한 침성 점착란이었고 유구의 수는 10~11개였으며, 난의 크기는 0.90~1.43 mm (평균 $1.11{\pm}0.23mm$, n=10)범위였다. 사육 수온은 $25.5{\sim}28.5^{\circ}C$ (평균 $27.0^{\circ}C$), 염분 32.5~33.5‰ (평균 33.0‰) 범위를 유지하였다. 난 발생 과정은 2세포기 후 24시간에 배반이 난황의 2/3 이상을 덮고 내려와 초기 낭배기에 달하였다. 2세포기 후 330시간에는 비공과 입이 형성되었고, 머리부터 난막을 뚫고 나오면서 부화가 시작되었다. 부화 직후의 전기 자어는 전장 2.59~3.02 mm ($2.81{\pm}0.25mm$, n=5)로 입과 항문은 열려 있었고, 난황과 유구는 흡수된 상태였다. 부화 후 3일째 후기 자어는 전장 3.02~3.07 mm ($3.04{\pm}0.04mm$)로 막으로 된 꼬리지느러미가 원기모양으로 분화하기 시작하였다. 부화 후 13일째 후기 자어는 전장 3.04~3.20 mm ($3.12{\pm}0.11mm$)로 아래턱과 윗턱이 발달하면서 먹이 섭취하기 시작하였다.

• Advances in pediatric surgery
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• 제8권2호
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• pp.119-125
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• 2002

The aim of this study was to evaluate the posterior sagittal anorectoplasty (PSARP) as a re-do operation in patients who failed initial repair of anorectal malformation. Nine patients (4 boys and 5 girls) who had previous failed surgery for anorectal malformation underwent secondary operations through posterior sagittal approach. The main reasons of surgery were constipation (n=3) and persistent anatomical derangement in spite of previous correction surgery (n=6). In addition to constipation, the former group (n=3) had various anatomical defects, and the latter group (n=6), of course, had constipation in some degrees. Patients ranged in age from 2 to 19 years (median 3 years) with only one over the age of 6 years. The primary procedures included PSARP (n=8) and anoplasty (n=1). The rectum was mobilized from surrounding structures through posterior sagittal approach and anatomical defects were corrected. The rectum underwent reconstruction, which involved relocation of the rectum and anus within the limits of the intact muscle complex. Patients underwent follow-up for periods ranging from 6 to 77 months (mean 37 months) after surgery. Anatomical corrections of all the defects were successfully fulfilled in 9 patients. All the patients were satisfied with the functional results after redo-PSARP compared with the preoperative defecatory function. This study suggests that (1) some of the patients with troublesome constipation may have anatomical defects, prominent or hidden, (2) surgeons should suspect the possibility of anatomical defect as the cause of incontinence and (3) preoperative thorough investigation to reveal the anatomical defects should be included in estimating patients with severe incontinence after previous surgery and planning the correction for failed previous surgery as well.

• 한국양식학회지
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• 제12권1호
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• pp.15-24
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• 1999

1997년 1월부터 5월까지 전라남도 완도 연안에서 연승어업에 의해 채집된 붉은쏨뱅이 어미들을 육상수조로 운반하여 체내에서 수정된 난을 인위적으로 채란하여 난의 형태를 관찰하였고, 산출자치어의 성장에 따른 형태변화를 관찰하였다. 1. 붉은쏨뱅이의 수정란 및 미수정란은 구형으로 무채투명하여, 이경은 0.72~0.80mm(평균 0.75mm, n=50)이고, 큰 유구 하나와 작은 유구 2~7개가 분포한다. 2. 산출직후의 자어는 전장이 3.79~3.97mm이며, 입과 항문이 열려있고, 눈에 색소포가 착색되어있다. 3. 산출 1~2일째의 자어는 전장이 3.90~4.13mm으로 난황을 완전 흡수하여, 아래턱에 처음으로 흑색소포가 출현한다. 4. 산출 11일째 자어는 성장이 4.23~4.60mm으로 가슴지느러미에 9~10개의 줄기가 출현하며, 후두부에 나뭇가지모양의 흑색소포가 나타난다. 5. 산출 21일째 자란은 전장이 5.83~7.10mm으로 통색말단이 $45^{\circ}$ 각도로 굽어진다. 6. 산출 33일째 개채의 전장은 9.80~12.36mm으로 모든 지느러미 줄기가 정수에 달하여 치어기로 이행한다.

• 사상체질의학회지
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• 제25권2호
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• pp.108-114
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• 2013

Objectives This study was aimed to review a standardized method of retention enema by extracting elements associated with methods of retention enema from papers involved. Methods 1) Data sources : Retrieval was made, using 'Enema' or 'Retention Enema' as search words in MEDLINE, The Cochrane Library, KISS, RISS, and NDSL DB. 2) Study selection : Two authors excluded irrelevant papers and chose qualified abstracts in the rest of the papers. The chosen studies were reviewed fully by the authors so that they could screen the significant papers based on the exclusion criteria. 3) Data extraction : Data on the total number of subjects, the target disease, the type, quality, length, diameter of catheter, the insertion length of catheter, the sample, the sample volume, the process of retention enema and the number of performing retention enema were extracted from the selected studies. Results & Conclusions The retention enema can be applied to gastrointestinal diseases, genitourinary diseases, metabolic diseases such as hypertension and diabetes, headaches and neurological disorders. The standardized treatment method is as following: 1) inserting a rental tube of 18-28 Fr that measures 20 to 30 cm into the patient's anus, 2) injecting herbal medicines which have purgative action or benefit on stomach and intestinal tract at the rate of 4 ml/min, and 3) holding them for 10 to 15 minutes.

• 한국어류학회지
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• 제25권4호
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• pp.200-207
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• 2013

우리나라 고유종인 참갈겨니를 2011년 남한강에서 채집하여 Zacco속의 유연관계와 종 보존의 기초자료를 얻기 위하여 난 발생 과정과 초기생활사를 연구하였다. Z. koreanus 난은 실험실에서 건식법으로 수정되었다. 수정란은 원형이고 투명하며, 엷은 황색난황을 가지고 있고, 유구가 없으며, 약한 점착성 침성란으로 난경은 $3.09{\pm}0.07$ mm(n=10)이었다. 수온 $20.0{\sim}23.0^{\circ}C$에서 수정 후 68시간 전후하여 난 발생이 완성되었으며, 부화자어의 크기는 전장 $10.30{\pm}0.40$ mm (n=10)이었다. 부화 6일 후에는 전장 $16.12{\pm}0.42$ mm(n=8)로 성장하였고, 난황이 거의 흡수되었으며 입과 항문이 열린 후기자어기가 되었다. 부화 17일 후에는 전장 $18.21{\pm}0.38$ mm(n=6)로 자랐고, 대부분의 지느러미에 기조가 나타났으며, 복부에는 갈색반점이 출현하였다. 부화 27일 후에는 전장 $20.01{\pm}1.12$ mm(n=5)로 성장하였고, 모든 지느러미의 기조수가 정수에 도달하였다. 부화 120일 후에는 전장 $23.29{\pm}3.12$ mm(n=10)로 성장하였으며, 외형과 반문이 성어와 유사하였다.

• 미생물학회지
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• 제42권3호
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• pp.199-204
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• 2006

제주지역 양식넙치의 주요 세균성 질병의 일종인 연쇄구균증 발병동향과 특성을 분석하였다. 제주지역 양식넙치의 연쇄구균증은 연중 발생하는 양상을 보였으나 상대적으로 고수온기에 발생율이 높았으며, 30cm 이상의 개체에서 주로 관찰되었다. 2003년 6월부터 2005년 5월 사이에 분리된 연쇄구균 균주를 multiplex PCR assay 기법을 이용하여 종 조성을 분리한 결과 Streptococcus iniae와 S. parauberis로 동정되었으며 그 비율은 각각 46%와 54%이었다. S. iniae는 상대적으로 9월과 10월에 높은 분리율을 나타내었으나 S. parauberissms 3월과 4월에 분리율이 높게 나타났다. S. iniae와 S. parauberis 감염개체의 병리학적 중상은 일부분 유사하였으나 S. iniae 분리개체는 복부팽만, 탈장, 복수저류증상이 주로 관찰되는 반면, S. parauberis 분리개체는 체색흑화, 무안측 발적 중상이 두드러지게 관찰되었다. 이 두 종의 병원체 모두 ampicillin과 amoxicillin에 감수성이 높았으며, S. iniae 균주들은 S. parauberis 균주들보다 상대적으로 doxycycline, erythromycin, oxytetracycline에 감수성이 높았다.

• 센서학회지
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• 제17권5호
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• pp.350-360
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• 2008

In every large hospital, nurses must perform simple repetitive tasks such as measuring body temperature. Such tedious work reduces nurses' motivation to provide quality medical care, which is an important element of the medical services provided by a hospital. If a device were available to measure body temperature, nurses could focus on the more important aspects of providing quality medical care to the patients. However, body temperature is generally measured from the throat, anus, tympanum or armpit, where it is difficult to affix a patch type device. In addition, general body temperature measuring points shows moving artifact error; therefore, it is not good point to continually measure the temperature. In this paper, a patch type skin temperature measuring system was developed. To appropriately measure the skin temperature, a thermal transducer was implemented with a thin (0.5 mm) temperature sensor. The system is small and thin ($H6.6{\sim}5.3{\times}L35{\times}W24\;mm$), and weighs only 5 g including a battery, case and circuit; therefore, it is small and light enough to function as a patch type device. Moreover, the system worked for 5 days. To investigate differences between the experimental and conventional thermometer, simple clinical experiments were performed with 17 volunteers, and the result showed some correlation between the implemented system and conventional thermometer (Correlation coefficient = 0.647, P<0.1).

• Archives of Plastic Surgery
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• 제37권6호
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• pp.831-834
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• 2010

Purpose: Congenital absence of the vagina is a rare case. It occurs as a result of Mullerian duct aplasia or complete androgen insensitivity syndrome. The reconstructive modality includes skin graft, use of intestine and various methods of flap. We report a patient who underwent vulvoperineal fasciocutaneous flap to reconstruct congenital absence of the vagina, while the external genitalia and ovaries are normal. Methods: A 26-year-old woman presented with vaginal agenesis. Under general anesthesia, a U-shaped incision was made between the urethral meatus and the anus. The new vaginal pocket was created up to the level of the peritoneal reflection between the urinary structures and the rectum. Next, the vulvoperineal fasciocutaneous flaps were designed in a rectangular fashion. Flap elevation was begun at the lateral margin which the adductor longus fascia was incised and elevated, and the superficial perineal neurovascular pedicle was invested by the fascial layer. The medial border was then elevated. A subcutaneous tunnel was created beneath the inferior of the labia to rotate the flaps. The left vulvoperineal flap was rotated counterclockwise and the right was rotated clockwise. The neovaginal pouch was formed by approximating the medial and lateral borders. The tubed neovagina was then transposed into the cavity. Results: In 3 weeks, the vaginal canal remained supple After 6 weeks, the physical examination showed normalappearing labia majora and perineum with an adequate vaginal depth. A year after the operation, the patient had a 7 cm vagina of sufficient width with no evidence of contractures nor fibrous scar formation. The patient was sexually active without difficulty. Conclusion: Although many methods were described for reconstruction of vaginal absence, there is not a method yet to be approved as a perfect solution. We used the vulvoperineal fasciocutaneous flap to reconstruct a neovagina. This method had a following merits: a single-stage procedure, excellent flap reliability, the potential for normal function, minimal donor site morbidity and no need for subsequent dilatation, stents, or obturators. We thought that this operation has a good anatomic and functional results for reconstruction of the vagina.

• Radiation Oncology Journal
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• 제35권4호
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• pp.368-379
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• 2017

Purpose: The purpose of this study was to explore the dosimetric difference between simultaneous integrated boost intensity-modulated radiotherapy (SIB-IMRT) and three-dimensional conformal radiotherapy (3DCRT), and the clinical outcomes of anal squamous cell carcinoma (ASCC) chemoradiotherapy featuring SIB-IMRT. Materials and Methods: This study included ten patients with ASCC who underwent chemoradiotherapy using SIB-IMRT with 5-fluorouracil and mitomycin C. SIB-IMRT delivered 54 Gy to each primary tumor plus metastatic lymph nodes and 45 Gy to regional lymph nodes, in 30 fractions. Four patients received additional boosts to the primary tumors and metastatic lymph nodes; the median total dose was 54 Gy (range, 54 to 60 Gy). We additionally created 3DCRT plans following the Radiation Therapy Oncology Group 9811 protocol to allow dosimetric comparisons with SIB-IMRT. Locoregional control, overall survival, and toxicity were calculated for the clinical outcome evaluation. Results: Compared to 3DCRT, SIB-IMRT significantly reduced doses to the external genitalia, bladder, and intestine, delivering the doses to target and elective nodal region. At a median follow-up time of 46 months, 3-year locoregional control and overall survival rates were 88.9% and 100%, respectively. Acute toxicities were treated conservatively. All patients completed radiotherapy with brief interruptions (range, 0 to 2 days). No patient experienced ${\geq}grade$ 3 late toxicity during the follow-up period. Conclusion: The dosimetric advantages of SIB-IMRT appeared to reduce the toxicity of chemoradiotherapy for ASCC achieving high locoregional control in the extended period.

• Parasites, Hosts and Diseases
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• 제53권5호
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• pp.619-625
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• 2015

The present study was performed to determine the infection status of swamp eels with Gnathostoma sp. larvae in Myanmar. We purchased total 37 Asian swamp eels, Monopterus albus, from a local market in Yangon in June and December 2013 and 2014. All collected eels were transferred with ice to our laboratory and each of them was examined by the artificial digestion technique. A total of 401 larval gnathostomes (1-96 larvae/eel) were detected in 33 (89.2%) swamp eels. Most of the larvae (n=383; 95.5%) were found in the muscle. The remaining 18 larvae were detected in the viscera. The advanced third-stage larvae ($AdL_3$) were 2.3-4.4 mm long and 0.25-0.425 mm wide. The characteristic head bulb ($0.093{\times}0.221mm$ in average size) with 4 rows of hooklets, muscular long esophagus (1.025 mm), and 2 pairs of cervical sacs (0.574 mm) were observed by light microscopy. The average number of hooklets in the 1st, 2nd, 3rd, and 4th rows was 41, 45, 48, and 51, respectively. As scanning electron microscopic findings, the characteristic 4-5 rows of hooklets on the head bulb, a cervical papilla, tegumental spines regularly arranged in the transverse striations, and an anus were well observed. Based on these morphological characters, they were identified as the AdL3 of Gnathostoma spinigerum. By the present study, it has been confirmed for the first time that Asian swamp eels, M. albus, from Yangon, Myanmar are heavily infected with G. spinigerum larvae.