• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제42권3호
• /
• pp.133-138
• /
• 2016

Objectives: To assess the association between muscle invasion by oral squamous cell carcinoma of the posterior mandibular alveolar ridge and cervical lymph node metastasis on the basis of preoperative magnetic resonance imaging (MRI). Materials and Methods: Twenty-six patients with oral squamous cell carcinoma of the posterior mandibular alveolar ridge were evaluated by MRI. The associations between cervical lymph node metastasis and independent factors evaluated by MRI were analyzed. Overall survival was also analyzed in this manner. Representative biopsy specimens were stained with anti-podoplanin and anti-CD34 antibodies. Results: Mylohyoid muscle invasion was associated with cervical lymph node metastasis. A combinational factor of mylohyoid and/or buccinator muscle invasion was also associated with cervical lymph node metastasis. Cervical lymph node metastasis and masticator space invasion had a negative effect on overall survival. No lymphatic vessels were identified near the tumor invasion front within the mandible. In contrast, lymphatic vessels were identified near the front of tumor invasion in the muscles. Conclusion: This study demonstrates an association between muscular invasion by oral squamous cell carcinoma of the posterior mandibular alveolar ridge and cervical lymph node metastasis.

• Journal of Pharmaceutical Investigation
• /
• 제34권2호
• /
• pp.131-138
• /
• 2004

This study was aimed to investigate the feasibility of nasal delivery of caffeine for the elimination of sleepiness. The effects of various vehicles, solubilizers, and enhancers on the permeation of caffeine through rabbit nasal mucosa was observed. The permeation study was carried out using a Franz-type permeation system at $37^{\circ}C$, and the amount of caffeine permeated though the rabbit nasal mucosa was determined by a validated HPLC. The apparent solubility and phys iochemical stability of caffeine in various nasal formulations were was determined. The effect of hydrotropes and modified cyclodextrins on the solubility of caffeine in water was determined by equilibrium solubility method. The solubility of caffeine in water was 29 mg/mL at $30^{\circ}C$. The addition of sodium benzoate and nicotinamide at 10% improved the solubility of caffeine (115 and 132 mg/mL, respectively) in aqueous solution. The flux of caffeine though the nasal mucosa from aqueous solution was $2.1{\pm}0.26\;mg/cm^2/hr$. The addition of sodium benzoate reduced its permeation $(1.4{\pm}0.01\;mg/cm^2/hr)$, but sodium benzoate with 5% $2HP{\beta}CD$ and 0.03% monoterpenes increased its permeation $(2.4{\pm}0.04\;mg/cm^2/hr)$ markedly. The addition of nicotinamide also increased also increased its permeation $(2.5{\pm}0.36\;mg/cm^2/hr)$. markedly. As the concentration of caffeine in nasal formulation increased, the permeation flux increased linearly. Caffeine was stable physicochemically and enzymatically in the nasal mucosa extract at $37^{\circ}C$. These results suggest that caffeine can be efficiently delivered nasally and the development of nasal formulation will be feasible.

• 한국농림기상학회지
• /
• 제7권4호
• /
• pp.265-273
• /
• 2005

본 연구에서는 폐탄광 주변 산림의 복원을 위한 기초자료를 제공하고자 경북 문경지역에 위치한 폐탄광 중 4개의 광산을 대상으로 산림토양의 화학적 특성과 중금속 오염현황을 i.자한 결과를 보고한다 폐탄광지 산림토양의 pH는 $5.30\~6.76$의 범위에 있었으며, 대조구 지역의 토양 pH는 5.23이었다. 폐탄광지역의 산림토양 중 유기물과 전질소 함량은 각각 $4.46\~7.19\%,\;0.07\~0.15\%$의 범위에 있는 것으로 조사되었다. 평균 유효인산 함량은 삼창탄광 6.54, 봉명탄광 6.52, 갑정탄광 3.94, 단봉탄광 5.45 그리고 대조구 5.25mg/kg으로 토양 pH와 정의 상관을 가지는 것으로 나타났다. 폐탄광지역의 치환성양이온 평균 함량은 Ca 196.1, Mg 88.7, K 88.2 그리고 Na $10.2cmol^+/kg$로 나타났으며, 그 범위는 Ca $132.1\~242.1,\;Mg 24.2\~138.6,\;K 64.9\~120.8$ 그리고 Na $8\~12.2cmol^+/kg$에 있는 것으로 조사되었다 대조구 지역의 Ca, Mg, K, Na의 평균 함량은 각각 192.8, 95.8, 104 and $21.2 cmol^+/kg$로 조사되었다. 폐탄광지 산림토양의 중금속(Al, As, Cd, Cr, Cu, Fe, Mn, Ni, Pb, Zn) 함량은 대조구 산림토양보다 높은 것으로 분석되었다. 특히, Al, Mn 그리고 Pb의 함량은 대조구에 비해 폐탄광지가 아주 높은 것으로 나타났다. 폐탄광지 산림토양의 Al함량은 $397\~917 ppm$으로 나타나 식물생육에 영향을 미칠 수 있을 것으로 추정된다 그러므로 과거 석탄채굴이 활발하게 이루어졌던 폐탄광지에 대해서는 환경문제를 최소화하기 위하여 산림토양을 대상으로 한 적절한 관리가 필요할 것으로 추정된다.

• 한국환경농학회지
• /
• 제30권3호
• /
• pp.310-315
• /
• 2011

폐미역을 이용한 생물흡착제의 중금속 제거능력을 조사하기 위해 lab-scale의 생물흡착시스템에서 최적조건을 구명하고, lab-scale의 생물흡착시스템의 최적조건하에서 large-scale PBCC 시스템의 중금속 제거능력을 조사하였다. Lab-scale 생물흡착시스템별 중금속 제거능력은 PBCC보다 CSTR이 뛰어났지만 CSTR은 폐수유입속도가 48 L/day이상에서 완전혼합상태를 유지하지 못하여 안정적인 운전이 가능한 PBCC가 적합하였다. Cu용액의 유입속도 및 농도별 Cu 제거능력은 유입속도 12 L/day 및 유입농도 10 mg/L일 때 Cu용액 처리량이 가장 뛰어났으나 경제적인 부분을 검토한 결과 유입속도 24 L/day 및 유입농도 100 mg/L가 적절할 것으로 판단되었다. 처리단계별 Cu 제거능력은 컬럼을 연속식으로 배열하는 것이 Cu 제거효율이 높았다. 중금속 종류별 제거능력은 Pb, Cr의 처리효율이 높았고 Cu용액 이외의 다른 중금속 용액들도 Cu와 동등한 수준 이상의 처리효율을 나타내었다. Lab-scale의 PBCC 시스템을 27배 규모로 scale-up한 large-scale PBCC 시스템의 Cu 제거능력은 138 L로 lab-scale의 5 L와 비교하였을 때 동등한 수준을 유지하였다. 따라서 중금속 처리를 위한 최적 폐미역 활용 생물흡착시스템은 PBCC 시스템인 것으로 판단되나, 실제 중금속 폐수에 본 최적시스템을 적용하기 위해서는 중금속 폐수 특성에 따른 적용성 연구가 추가로 진행되어야 할 것으로 판단된다.

• Journal of Chest Surgery
• /
• 제37권2호
• /
• pp.131-138
• /
• 2004

이공심폐기를 사용하지 않는 관상동맥 우회술에서 출혈로부터 수술시야를 확보하기 위해 사용하는 고유량의 가스 통기는 관상동맥 내피세포에 나쁜 영향을 미칠 수 있다. 본 연구에서는 이산화탄소 가스 통기가 유량에 따라서 관상동맥 내피세포에 다른 영향을 미치는가를 규명하고, 가습의 추가가 관상동맥 내피세포에 보호효과를 나타내는지를 평가하고자 하였다. 대상 및 방법: 돼지(n=9)를 이용하여 정중흉골 절개 후 좌전하 관상동맥을 노출한 후 4개의 분절로 나누어, 심박동 상태에서 각각의 관상동맥 분절에 절개를 가한 후, 가장 원위부 분절은 가스통기 없이 10분간 노출하였고(대조군), 다음 원위부 분절은 가습 없이 5 L/min의 유량으로(I군), 중앙 분절은 가습하면서 5 L/min의 유량으로 (II군), 근위부 분절은 가습하면서 10 L/min의 유량으로(III군) 각각 10분간 절개부위에 이산화탄소를 통기하였다. 관상동맥 분절들을 적출 후 내피세포층의 손상 정도를 평가하기 위해 hematoxyline-eosin 염색, 특수염색인 탄력섬유 염색, CD34 monoclonal antibody를 이용한 면역염색 등을 시행하고 전자현미경을 통하여 관상동맥 내막의 미세구조를 관찰하였다. 결과: I, II, III군 모두에서 내탄력판은 손상없이 온전하였으나 관상동맥 내피세포층은 모두에서 유의한 손상이 관찰되었다. 내피세포의 평균 잔존비율은 각각 I군이 20.9$\pm$16.7%, II군이 39.3$\pm$19.6%, III군이 6.8$\pm$5.3%로, II군이 다른 군들에 비해서 통계적으로 유의하게 높았으며(p=0.008), I군은 III군보다 유의하게 높았다. 결론: 이상의 결과로 이산화탄소 가스 통기로 인한 관상동맥 손상의 정도는 주로 통기 가스의 유량에 달려있으며, 10 L/min 이상의 고유량의 이산화탄소 가스 통기 시에는 가습을 하더라도 관상동맥 내피세포층의 보호효과를 기대하기 힘들다고 할 수 있다.

• 한국보건간호학회지
• /
• 제10권1호
• /
• pp.118-138
• /
• 1996

Because of accelerated urbanization public body visiting nursing project that started according as matter of health on urban class in the lower brackets of income was concentrated on Social interests has a unsatisfied points to propel project efficiently from the lack of rating materials. Therefore centering around written contents in documentary literature of citizen health by household in five years from starting year of project to now. visiting frequency by medical manpower was evaluated quantitatively and qualitatively in aspect of management hereupon. for the sake of giving a basic materials for public health project of this field. This research presents documentary literature of citizen health which become materials is that as one person's charged region of nurse in duty scale. district is Kang-Buck Gu. the object is resident in the lower brackets of income grounded livelihood protection law and who is admitted by the head of organ~chief of health care). and the number of material centering around the head of a household is 415 copy. The result of research is summarized. as follow. 1. Average visiting frequency examinated by medical manpower show difference according to valuables of supervision characteristics namely average visiting. Frequency of nurse has long term residence in case registration season is early and supervision season is the first year and is high incase a kind of house is unlicdnsed mountain town. Average visiting frequency with doctor is high incase supervision season is the first year and the medical insurance system is admitted by chief of health care. That shows that a man of discomfort behavior left alone are yet many in local society. The meaning of this result shows that the continuity of official relation about class in the lowest brackets of income of long term residence goes well between househole who is a user of visiting nursing service of the object according to midway income under management influences a given duty of nurse s and so causes quantitative decrease. 2. In case behavier and condition of health that nurse diagnoses are bad. as the type matter is a lack of health and the number of patient is large. the average visiting frequency of nurse is high. because average visiting frequency with doctor is high as the condition of health is bad and the number of patient is large. That is similar with that of nurse. CD Average visiting frequency of nurse s seen by matter of disease is very high only in apoplexy by 39.50 and is confined within limits from 7.63 to 11.36 in other disease. But average visiting frequency with doctor is double as many as that of nurse but defined in apoplexy hypertension and articulate. (1) Average visiting frequency of nurse by existence in inoculation of hepatitis is low by 6.73 in unidentified group and very high by 26.89 in group of non-inoculation and the case of the antigenic positive man of B type hepatitis or epileptic who can't be inoculated shows 13.00 and that even family nursing service is needed to them. That result shows that though one person nurse of local charge has a large scale of duty. as visting nursing service is given a class who has a large demand preferentially by respectively accurate nursing diagnosis. the number of diagnosis service is similar with it. 3. During five years. average visiting frequency of nurse is 10.84 and average visiting frequency with doctor is 76.50 seeing from the official scale of nurse. visiting by household is performed two more per year to the average. Seeing this by type of service. average visiting frequency of nurse is higher in indirectly nursing than in directly nursing and that suggests that at the time of visiting household nurse performs education of protection lively save patient but at the time of contrastedly visiting with doctor. directly nursing is more contents of service show no difference by man power and medication dressing by demand is 14.3 and 18.6 the aid of hardship term of doctor and nurse is high by 18.7 and 17.00 in the request of hospitalization when seeing by demands. 4. Action by turns exemplified 1994 is well in sequence of 2/4 turn. 3/4 turn. 1/4 turn. 4/4 turn. When seen by average visiting frequency of nurse but gradually is even. Without difference by turns. average visiting frequency of doctor is much higher in 1/4 turn than other turns. Type of service by turns is all even but directly nursing is inactive in 4/4 and indirectly nursing. Very increases in 4/4 and so. Nurse's quantity of duty is plentiful that shows that by evaluation of last turn and plan of project. Contents of service follows that medication and dressing is the highest by' 5.57 in 1/4turn. goes down gradually by turn. becomes 3.57 in 3/4 turn. and increases again by 4.83 in 4/4 turn. the rest service is higher in 2/4 turn than other turns. 5. Total visiting frequency of nurse is explained to total $37.5\%$ by six valuables of visiting frequency of doctor. nursing demand. demand of diagnosis. condition of behavior. year. Special terms and magnitude of influential power is the same as sequence of enumerated valuables. Namely. the higher the visiting frequency of doctor. the bigger nursing and demand of diagnosis is. the worse the condition of behavior is. the older the object is and the more the household of special terms is. the high total visiting frequency of nurse is.