• Title/Summary/Keyword: AtRA

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Comparison of IMRT and VMAT Techniques in Spine Stereotactic Radiosurgery with International Spine Radiosurgery Consortium Consensus Guidelines (International Spine Radiosurgery Consortium Consensus Guidelines에 따른 Spine Stereotactic Radiosurgery에서 IMRT와 VMAT의 비교연구)

  • Oh, Se An;Kang, Min Kyu;Kim, Sung Kyu;Yea, Ji Woon
    • Progress in Medical Physics
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    • v.24 no.3
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    • pp.145-153
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    • 2013
  • Stereotactic body radiation therapy (SBRT) is increasingly used to treat spinal metastases. To achieve the highest steep dose gradients and conformal dose distributions of target tumors, intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) techniques are essential to spine radiosurgery. The purpose of the study was to qualitatively compare IMRT and VMAT techniques with International Spine Radiosurgery Consortium (ISRC) contoured consensus guidelines for target volume definition. Planning target volume (PTV) was categorized as TB, $T_{BPT}$ and $T_{ST}$ depending on sectors involved; $T_B$ (vertebral body only), $T_{BPT}$ (vertebral body+pedicle+transverse process), and $T_{ST}$ (spinous process+transverse process). Three patients treated for spinal tumor in the cervical, thoracic, and lumbar region were selected. Eacg tumor was contoured by the definition from the ISRC guideline. Maximum spinal cord dose were 12.46 Gy, 12.17 Gy and 11.36 Gy for $T_B$, $T_{BPT}$ and $T_{ST}$ sites, and 11.81 Gy, 12.19 Gy and 11.99 Gy for the IMRT, RA1 and RA2 techniques, respectively. Average fall-off dose distance from 90% to 50% isodose line for $T_B$, $T_{BPT}$, and $T_{ST}$ sites were 3.5 mm, 3.3 mm and 3.9 mm and 3.7 mm, 3.7 mm and 3.3 mm for the IMRT, RA1 and RA2 techniques, respectively. For the most complicated target $T_{BPT}$ sites in the cervical, thoracic and lumbar regions, the conformity index of the IMRT, RA1 and RA2 is 0.621, 0.761 and 0.817 and 0.755, 0.796 and 0.824 for rDHI. Both IMRT and VMAT techniques delivered high conformal dose distributions in spine stereotactic radiosurgery. However, if the target volume includes the vertebral body, pedicle, and transverse process, IMRT planning resulted in insufficient conformity index, compared to VMAT planning. Nevertheless, IMRT technique was more effective in reducing the maximum spinal cord dose compared to RA1 and RA2 techniques at most sites.

Early Result of Coronary Artery Bypass Grafting Using the Radial Artery (요골동맥를 이용한 관상동맥우회술의 조기성적)

  • 박진홍;지현근;신윤철;김응중
    • Journal of Chest Surgery
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    • v.36 no.10
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    • pp.734-740
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    • 2003
  • Increasing interest in the use of arterial conduits is based on the better patency of left internal thoracic artery (LITA) than that of saphenous vein (SV) graft and radial artery (RA) is emerging as one of them. We compared the early result of coronary artery bypass grafting (CABG) using UTA and RA (RA group) with CABG using UTA and SV only (SV group). Material and Method: We compared the early operative results of 45 cases in RA group with 45 cases in SV group selected from 165 cases who had CABG between January 2000 and December 2002. The two groups had similar profiles of age, sex, NYHA functional class, left ventricular ejection fraction and coronary angiographic anatomy. We analysed each group on the preoperative risk factors and operative results. Result: There were no statically signigicant difference between groups in operative mortality and each morbidities (stroke, IABP insertion, perioperative MI), respectively. However, the overall incidence of mortality and morbidities was lower in RA group compared to SV group (p < 0.05). RA group (2.93$\pm$0.62 days) had shorter duration of ICU stay than SV group (3.55$\pm$0.95 days) (p<0.001). The patency on postoperative coronary angiography at 7∼14 days after operation in RA group patients were 100% of LITA and RA and 94.9% of SV. Conclusion: We had better early operative results in RA group compared with SV group.

Dedifferentiation Correlates with the Expression of Lysosomal Acid Phosphatase in the Limb Regenerates of Mexican Axolotl (멕시코산 엑소로틀 다리 재생조직의 탈분화와 리소솜 산성탈인산화효소의 발현)

  • Seo, Kwang-Seok;Park, Sook-Kyung;Ju, Bong-Gun;Jeon, Sang-Hak;Kim, Won-Sun
    • Development and Reproduction
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    • v.2 no.1
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    • pp.53-62
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    • 1998
  • The lysosomal acid hydrolases including lysosomal acid phosphatase (LAP) are believed to play an important role in intracellular and extracellular degradation. LAP was reported to increase its activity in dedifferentiation stage during urodele limb regeneration. In the paresent study, LAP localization in the Mexican axolotl (Ambystoma mexicanum) limb regenerates was investigated by immunohistochemistry. LAP immunoreactivity with monoclonal antibody against Korean salamander (Hynobius leehii) LAP was observed mainly in the wound epidermis, blastema cells, muscle, and cartilage which were under dedifferentiation process in axolotl limb regenerates. Moreover, LAP immunoreactivity increased gradually during the early phase of lib regeneration and reached the peak level at dedifferentiation stage. However, as redifferentiation begans, LAP immunoreactivity decreased slowly to the basal level. Retinoic acid (RA) which is known to induce skeleton pattern duplication in regenerating urodele limb appears to enhance LAP immunoreactivity. In the RA-treate limg regenerates, LAP immunoreactivity was higher than in the normal regenerates. In addition, the LAP expression period was more extended in the RA treated regenerates than in the normal regenerates. These results suggest that RA is involved in the extension of dedifferentiation state in RA-treated limb regenerate.

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Analysis of surface form change after performing prophylaxis procedure on implant surface using various oral hygiene instruments (다양한 구강위생기구를 이용하여 임플란트 표면의 Prophylaxis 시행시 표면형태의 변화분석)

  • Lee, Sun-Goo;Lim, Sung-Bin;Chung, Chin-Hyung;Kwon, Sang-Ho
    • Journal of Periodontal and Implant Science
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    • v.34 no.1
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    • pp.1-17
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    • 2004
  • It is improtant that performing prophylaxis procedure on an infected implant surface in order to treat peri-implantitis should not change the surface roughness and composition, so that the surface can be recovered to almost same condition as initial implant surface. This thesis, therefore, studied an effect of various oral hygiene instrument on implant surface. A surface roughness measurement instrument and an infection electron microscope were used to observe a change on surface. The purpose of this study was to obtain a clinical guidelines during implant care and peri-implantitis treatment. The result were as follows 1. Ra values (surface roughness value) at experimental group 1, group 2, and group 5 were increased significantly as compared with comparison group(p<0.05). 2. When compared experimental group 1 with each experimental groups at which prohylaxis procedure was performed, mean values of Ra at experimental group 2, group 3, group 6, and group 7 were decreased significantly(p<0.05). 3. Mean value of Ra was lowest at experimental group 2, and highest at experimental group 2, and highest at experimental group 5. 4. Analysis of SEM showed that was significant surface change at experimental group 2, group 3, group 4, group 5, and group 6 as compared with comparison group(X1000). 5. Analysis fo EDX showed that a quantity of Ti on surface for experimental group 6 was very similar to that for comparison group. In conclusion, air-powder abrasive and citric acid, plastic instrument are safe methods to use for performing prophylaxis procedure on implant care or for cleaning and sterilization process on treatment of peri-implantitis, based on the result that those method did not affect implant surface roughness and Ti composition.

A verification on the physical effectiveness of therapeutic horseback riding exercise: Focused on the EMG analysis

  • Kim, You-Sin;Yang, Jae-Young;Lee, Namju
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.2
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    • pp.317-324
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    • 2018
  • Various studies related to therapeutic horseback riding have been reported to be positive for the therapeutic effect of patients with cerebral palsy; however, most of the previous studies focused on to muscle development with training period related to the physical effects of therapeutic horseback riding. To identify the causes and phenomena of muscular activation of the body through actual therapeutic horseback riding exercise and to promote the excellence of physical effects of therapeutic horseback riding. This study was a nonrandomized prospective positive-controlled trial design. Twelve teenaged males with cerebral palsy were selected who had experienced riding exercise for 8-12 months. This study measured 8 muscle activities of the pectoralis major muscle (PM), biceps brachii (BB), rectus abdominis muscle (RA), latissimus dorsi muscle (LD), spinal erector muscle (SE), rectus femoris muscle (RF), anterior tibial muscle (AT), and external gastrocnemius muscle (EG) by using electromyography (EMG). Muscle activity was significantly higher in horse riding position than sitting on the common chair in all muscles (PM, BB, RA, LD, SE, RF, AT, and EG). The activity of the body muscles according to the difference of horse walking method (walk: WA; sitting trot: ST; and riding trot: RT) of therapeutic horse riding showed the highest muscle activity in the PM muscle at ST, and the highest activity at BB, RA, LD, SE, and AT muscles at ST and RT, and showed the highest muscle activity in RF and EG muscle at RT. The results of this study suggest that intervention for the treatment of cerebral palsy patients can use therapeutic riding exercise as a rehabilitation method.

Effects of Surface Roughness and Microstructure on Tensile Properties of As-Casted Ni-Al Bronze (Ni-Al 청동 주물의 인장 특성에 미치는 표면 조도 및 미세 조직의 영향)

  • Park, Tae-Dong;Kim, Dae-Young
    • Journal of Korea Foundry Society
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    • v.20 no.5
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    • pp.316-322
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    • 2000
  • Effect of surface roughness and microstructure of the specimen on tensile properties of Ni-Al bronze casting has been investigated. surface roughnesses of the tensile test specimen of interest are in range of 0.1 to 2.0 ${\mu}m$ in Ra obtained by changing machining conditions. Fracture of the Ni-Al bronze casting initiated at the surface and propagated in a brittle manner during tensile tests. Tensile elongation value of the casting was strongly dependent on the surface roughness range studied, while tensile and yield strengths were almost independent on it. The elongation value was almost constant up to the surface roughness of 1.0 ${\mu}m$ in Ra, and then decreased in a linear manner with an increase in Ra value up to 2.0 ${\mu}m$. However, tensile strength and hardness were strongly dependent on the microstructure, especially ${\alpha}$ phase fraction, and were decreased with increasing ${\alpha}$ phase fraction in microstructure. It is, therefore, recommended that decrease of surface roughness up to 1.0 ${\mu}m$ in Ra, shrinkage porosity and ${\alpha}$ phase are required in order to obtain good tensile properties for Ni-Al bronze casting.

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Accessory Respiratory Muscle Activation during Chest Expansion Exercise using Elastic Bands in Children with Cerebral Palsy

  • Shin, Seung-Oh;Kim, Nan-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.3
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    • pp.119-124
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    • 2016
  • PURPOSE: The aim of this study was to evaluate activation of accessory respiratory muscles using electromyography during chest expansion upper extremity flexion, abduction, and external rotation exercises with an elastic band in children with cerebral palsy. METHODS: The subjects were 10 children with cerebral palsy. The inclusion criterion for participation was a Gross Motor Function Classification System level of I to III. The subjects were instructed to perform upper extremity flexion, abduction, and external rotation exercises with inspiration, and extension, adduction, and internal rotation exercises with expiration while seated on a chair without a backrest. PM (Pectoralis major), SCM (sternocleidomastoid), RA (rectus abdominis), and EO (external oblique) muscle activities were measured using electromyography. RESULTS: All tested muscles showed a statistically significant increase in activity after elastic band exercise. There were significant differences in PM, SCM, RA, and EO results after chest expansion exercise using elastic band. SCM showed the largest increase in activity after use of elastic bands, at $52.37{\pm}45.88$%, followed by the RA ($50.56{\pm}79.31$), EO ($35.42{\pm}35.45$), and PM ($31.72{\pm}25.64$). The increase in the SCM was greatest, followed by increases in the RA, EO, and PM CONCLUSION: These finding suggest that activity of accessory respiratory muscles increases with use of elastic bands during chest expansion exercise in cerebral palsy.

Construction of 3D Earth Optical Model for Earth Remote Sensing (Amon-Ra) Instrument at L1 Halo Orbit

  • Ryu, Dong-Ok;Seong, Se-Hyun;Hong, Jin-Suk;Kim, Sug-Whan
    • Bulletin of the Korean Space Science Society
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    • 2011.04a
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    • pp.30.1-30.1
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    • 2011
  • We present construction of 3D Earth optical Model for in-orbit performance prediction of L1 halo orbiting earth remote sensing instrument; the Albedo Monitor and Radiometer (Amon-Ra) using Integrated Ray Tracing (IRT) computational technique. The 3 components are defined in IRT; 1) Sun model, 2) Earth system model (Atmosphere, Land and Ocean), 3)Amon-Ra Instrument model. In this report, constructed sun model has Lambertian scattering hemisphere structure. The atmosphere is composed of 16 distributed structures and each optical model includes scatter model with both reflecting and transmitting direction respond to 5 deg. intervals of azimuth and zenith angles. Land structure model uses coastline and 5 kinds of vegetation distribution data structure, and its non-Lambertian scattering is defined with the semi-empirical "parametric kernel method" used for MODIS (NASA) missions. The ocean model includes sea ice cap with the sea ice area data from NOAA, and sea water optical model which is considering non-Lambertian sun-glint scattering. The IRT computation demonstrate that the designed Amon-Ra optical system satisfies the imaging and radiometric performance requirement. The technical details of the 3D Earth Model, IRT model construction and its computation results are presented together with future-works.

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Effects of Rhizoma Arisaematis on Lipid and Glucose Metabolism and Histochemical Changes of Rats Fed High Fat Diet (천남성이 고지방식이로 유발된 비만 흰쥐의 당지질대사 및 조직화학적 변화에 미치는 효과)

  • Lee, Jeong-Ho;Kim, Ho-Jun;Lee, Myeong-Jong
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.211-223
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    • 2007
  • Objectives : This study was performed to investigate the effects of Rhizoma Arisaematis water extract on lipid and glucose metabolism and histochemical change of obese rats. Methods and materials : 10 rats were divided into normal, control and RA (Rhizoma Arisaematis) groups. We fed the control group a high-fat diet and administered normal saline for 8 weeks. We fed the experimental group of rats a high-fat diet and administered an extract of Rhizoma Arisaematis for 8 weeks. At the end of the experiment, the rats were sacrificed to determine their chemical composition. The groups were examined for effects on blood serum lipids, blood sugar, blood insulin concentration and epididymal fat cells. Results : 1. Serum total cholesterol, triglyceride, HDL-cholesterol and glucose of the RA group decreased compared with those of the control group. These decreased rates were significant(P<0.05). 2. Serum LDL-cholesterol, total lipid, free fatty acid and the average size of epididymal fat cells of the RA group decreased compared with those of the control group. These decreased rates were significant(p<0.01). Conclusions : These results suggest that RA may be used to prevent or cure the obesity iniduced by a high-fat diet.

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Lysosomal acid phosphatase mediates dedifferentiation in the regenerating salamander limb

  • Ju, Bong-Gun;Kim, Won-Sun
    • Animal cells and systems
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    • v.14 no.2
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    • pp.73-81
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    • 2010
  • In this study, monoclonal antibodies against lysosomal acid phosphatase (LAP) of a salamander, Hynobius leechii, were used to determine the spatial and temporal expression of the LAP in the regenerating limbs. The Western blot and immunohistochemical analysis in the limb regeneration revealed that LAP was highly expressed at the dedifferentiation stage, especially in the wound epidermis and dedifferentiating limb tissues such as muscle and cartilage. With RA treatment, the LAP expression became upregulated in terms of both level and duration in the wound epidermis, blastemal cell and dedifferentiating limb tissues. In addition, in situ activity staining of LAP showed a similar result to that of immunohistochemistry. Thus, the activity profile of LAP activity coincides well with the expression profile of LAP during the dedifferentiation period. Furthermore, to examine the effects of lysosomal enzymes including LAP on salamander limb regeneration, lysosome extract was microinjected into limb regenerates. Interestingly, when the lysosome extract was microinjected into limb regenerates with a low dose of RA($50\;{\mu}g/g$ body wt.), skeletal pattern duplication occurred frequently in the proximodistal and transverse axes. Therefore, lysosomal enzymes might cause the regenerative environment and RA plays dual roles in the modification of positional value as well as evocation of extensive dedifferentiation for pattern duplication. In conclusion, these results support the hypothesis that dedifferentiation is a crucial event in the process of limb regeneration and RA-evoked pattern duplication, and lysosomal enzymes may play important role(s) in this process.