• Journal of Chest Surgery
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• 제30권5호
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• pp.506-511
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• 1997

1980년 10월부터 1995년 5월까지 대동맥근 치환을 받은 53명의 환자를 대상으로 inclusion technique(IT)과 open technique(OT)의 수술성적을 비교하였다 대동맥근 치환술의 원인으로 W군에서는 대동맥륜확장을 동반할 상3n대동맥 동맥류가 20례, 대동맥박리가 8례, 그리고 인공판막심내막염이 1례였다. 07군에서는 대동맥륜 가성동맥류가 1례 있었다. 수술방법으로 Bentall등이 기술한 방 확장이 9례, 대동맥박리가 14례, 상행대동맥 법 또: 약가 변형된 방법을 사용하였다. 수술사망은 W군에서 패혈증과 심실부정 맥으로 각각 1례가 사망하 o3고 07구에서는 출혈로 1례가 사망하였다. 만기합병증은 W군에서 8례 발생하였으며 Of군에서 2례 발생하다. 마기사망은 W군에서 7례,07군에서 1례 발생하였다. 12개월 event free는 W군과 07군에서 각각 87% 와 85%, 24개월 생존률은 각각 87% 와 95%로 W군이 24개월생존률이 약간 높았으나 두 군 간에 통계학적 이 유의성은 없었다. nan으로 대동맥륜확장을 동반한 상행대동맥류나 대동맥박리에서 composite valve를 이용한 대동맥근 치 화술으 마조할 만한 단기 수술결과를 보여주었으나 inclusionfwrap technique과 ope technique간에 통계학적으로 의미있는 차이는 발견할 수 없었다. 그러나 시간이 지남에 따라 prothesis와 관련된 만기 합병증의 빈도가 증가하기 때문에 수술 후 추적관찰에 대한 노력이 장기생존에 중요할 것으로 생각된다.

• Journal of Korean Neurosurgical Society
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• 제30권1호
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• pp.33-40
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• 2001

Objective : Aneurysms of vertebral artery and its branches make up approximately 3% of all intracranial aneurysms. As the aneurysm have an intimate relationship with lower cranial nerves and medulla, surgical management of the aneurysms are one of the challenging neurosurgical problems. The authors analyzed the management outcomes for aneurysms arising from vertebral artery and its branches. Methods : At the authors' institution between May 1989 and Jan. 2000, 42 patients were treated with transcranial and endovascular surgery for aneurysms of vertebral artery and its branches. The medical records and neuroimaging studies of the patients were reviewed retrospectively. Results : Forty two patients were comprised of 28 female and 14 male patients aged from 26-80 year old(mean : 51.8). Of the 42 patients, 37 patients(88%) had subarachnoid hemorrhage. Of the 37 patients with subarachnoid hemorrahge, 35 patients(95%) were in good neurological status(Hunt Hess grade I-III), 2 patients(5%) in poor grade(H-H grade IV-V) before operation. Location of the aneurysm were 16 in vertebral artery, 12 in vertebro-PICA junction, and 14 in the peripheral PICA. Twenty nine patients were treated with transcranial surgery and 13 patients with endovascular surgery. The management outcome of the transcranial surgery was : Glasgow outcome scale(GOS) I and II ; 24, GOS III ; 2, GOS IV ; 1 and GOS V(death) ; 2. The causes of mortality related to transcranial surgery were rebleeding after failure in clipping in one and suspected brainstem infarct in one. Morbidity was attributed to vasospasm(3), lower CN palsy(7, including temporary dysfunction) and pseudomeningocele(1). The management outcome of the endovascular surgery was : Glasgow outcome scale(GOS) I-II ; 9, GOS III ; 1, GOS IV ; 1, and GOS V(death) ; 2. The causes of mortality related to endovascular surgery were sepsis from pneumonia(1) and vasospasm(1). There were one cerebellar infarct and one lateral medullary syndrome. Conclusion : Excellent and good surgical results can be expected in 80% of the patients with aneurysms of vertebral arery and its branches. The outcomes of endovascular surgery in treating vertebral artery aneurysm were satisfactory and endovascular surgery may offer a therapeutic alternative especially in vertebral dissecting aneurysm.

• The Korean Journal of Physiology
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• 제14권1호
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• pp.1-5
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• 1980

This study was under taken to investigate the influences of predictable or unpredictable stress upon gastric ulceration, and the hippocampectomy upon the ulceration order the stressful conditions. Sixty male albino rats(Sprague-Dawley strain) were divided equally into 3 groups: One was the hippocampal group(N=20) which received hippocampal ablation by suction, another was the cortical control group(N =20) which received partial cortical ablation over the hippocampus, and a third was the normal control group(N=20). Each group was further divided into two subgroups: One was the predicted subgroup(N=10) in which animals could predict the imminent stressful stimuli by hearing a sound(1,000 Hz, 2 sec in duration) 3 sec before the onset of the stress, and the other was the unpredicted subgroup(N=10). After starvation for 24 hours, but water ad libitum, each rat received the electric stimulation(3 mA, 60 Hz, 2 sec in duration, and once per minute in average) for 6 hours via a pair of electrodes attached on the tale. The electric stimulation served as the stress causing the gastric ulcer. Five hours after completion of stimulation, the stomach filled with the physiological saline was removed under deep anesthesia and spread out on a small glass plate. The numbers of the ulcer in each stomach were counted and the shape was examined under the dissecting microscope. Results obtained were as follows: 1. The mean numbers of the ulcer of the predicted subgroups were significantly larger than those of the unpredicted subgroups in the normal control and the cortical control groups, but there was no difference between the values of the two subgroups in the hippocampal group. 2. The mean numbers of the ulcer of the predicted subgroups in the normal control and the cortical control groups were larger(but not significant) than that in the hippocampal group. It is inferred from the above results that the prediction of the stress strengthens the effect of the stress on the gastric ulceration, and the hippocampus facilitates the effect of the prediction of the stress.

• 한국패류학회지
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• 제32권2호
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• pp.133-139
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• 2016

The incubation time required for hatching of O. ocellatus were investigated through the processes of egg and embryonic developments by the dissecting microscopic and visual observations. And differences in ecological characteristics of the plankton mode of life or the benthic mode of life according to total numbers of the suckers on each short arm of the hatched juvenile larvae of O. ocellatus were studied by comparisons with other octopodidae species. Compared with the recent a few results reported by other researchers associated with the incubation time required for hatching by female adult mother of O. minor (73-90 days after spawning at $20.9-21.5^{\circ}C$ ranges), in this study, the incubation time required for hatching by female adult mother of O. ocellatus was 56-57 days after spawning at $11.0-20.4^{\circ}C$. Therefore, the incubation time required for hatching by female adult mother varied with Octopodidae species. In this studies, each ovarian egg laid by a female was connected to an egg string attaching to the surface of the wall or bottom of vacunt shell of Rapana venosa. Egg and embryonic developments of this species were studied in the indoor aquaria, in the specific gravity ranging 1.024-1.025. the hatched juvenile of O. ocellatus is 10.3 mm in the mean total length and 4.5 mm in mantle length, and each of its short arms has 18-20 suckers. The just hatched juvenile larvae of O. ocellatus enter the benthic mode of life (benthic larval stage) after hatching. In particular, regarding differences in ecological characteristics of the mode of life according to total numbers of the suckers, O. vulgaris may not need to have many suckers because they enter the planktonic mode of life after hatching, however O. ocellatus may need to have many suckers, because they should adapt to the benthic mode of life. And also the just hatched juvenile larvae of O. minor (bearing many suckers more than O. ocellatus) enter the benthic mode of life (benthic larval stage) after hatching. Therefore, the total number of the suckers on each short arm of the hatched juvenile larvae can be used for determining whether an octopus species has planktonic larval stages or benthic larval stage (benthic mode of life). In particular, The intracohort cannibalism phenomena appeared at the hatched juvenile larval stage because the larval stage of O. ocellatus and O. minor enter into the benthic larval stage in the early stage, unlike entering into the plaktonic larval stage in other Octopus species such as O. vulgaris: at this time, the early hatched larvae fed the late hatched larvae (they are the same species and almost same ages). Therefore, the intracohort cannibalism pheneomena occur in the just hatched juvenile stage of only O. ocellatus and O. minor.

• The Korean Journal of Physiology
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• 제10권2호
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• pp.39-45
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• 1976

This study was conducted to see whether the hippocampectomy exerted facilitatory influence upon gastric ulceration in animals, and if so, whether the effect of hippocampectomy could be suppressed by adrenalectomy. 107 male rats were divided into 5 groups: rats that had over 90% of their hippocampal tissue removed through an opening on each side of the cerebral cortex(hippocampal group, N=21), rats that received bilateral adrenalectomy(adrenal group, N=29), rats that received adrenalectomy as well as hippocampectomy(hippocampo-adrenal group, N=10), rats that received damage to each side of the cortex over the hippocampus(cortical control group, N=20), and rats that had solely their head skin incised(normal control group, N=27). All rats were kept without restraint or food deprivation until on the 25th day after surgery, the stomach of each rat was inflated with 7ml of physiological saline and then removed under deep anesthesia. The mucosal surface was sketched under dissecting microscope, and enlarged photographs$(4{\times})$ were taken. The percentage of animals developing gastric ulcer in each animal group was calculated, the number of ulcer in each stomach was counted, and the total area of ulceration per stomach was measured on the Photograph with the aid of superimposed graph paper and expressed as permillage of total area of the glandular mucosa. Results obtained were as follows: 1. The percentage of animals developing gastric ulcer was significantly larger in the hippocampal group than they were in the hippocampo-adrenal, the adrenal, the cortical, and the normal control groups. 2. The mean number of ulcer per stomach was significantly larger in the hippocampal group than they were in the adrenal, the cortical control, and the normal control groups, while no significant difference existed between the hippocampal and the hippocampo-adrenal groups. 3. Total area of ulcer per stomach was significantly larger in the hippocampal group than they were in the cortical control and the normal control groups, but no significant differ-ence existed among the hippocampal, the adrenal, and the hippocampo·adrenal groups. 4. All measured values of the adrenal group were not significantly different from those of the hippocampo-adrenal, the cortical control, and the normal control groups. It is inferred from the above results that the hippocampus exerts an inhibitory influence upon gastric ulceration and that the hippocampal influence is mediated only partly through suppression of pituitary·adrenal activity.

• 한국응용곤충학회지
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• 제4권
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• pp.59-64
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• 1965

본시험은 식이식물의 종류가 흰불나방의 용체중과 포란수에 어떠한 영향을 주며 이들의 영향은 식이식물의 N 함량과 어떠한 상관관계가 있는가를 알기 위해 실내에서 시행되었다. 그 실험결과는 다음과 같았다. (1) 용체중은 식이식물의 종류에 따라 현저한 차가 있었으며 또한 그것은 자웅성별에 따라 그 차는 더욱 현저하였다. 식이식물의 종류에 따르는 자웅별 용체중의 차는 그 순위에 있어서 일치하였으며 가장 체중이 큰 것은 뽕나무로 사육한 것이었으며 가장 체중이 낮은 것은 사과로 사육한 것이었다(제1표. 제1도). (2) 포란수에 있어서도 용체중과과 동일경향을 나타내었다. 란수가 가장 많은 것은 역시 뽕나무였고 가장 낮은 것은 사과였다(제2표, 제1도). 용체중과 포란수에는 고도의 양의 상관관계를 나타내었다(제4표). (3) 공시식이식물의 N함량은 식물의 종류에 따라 현저한 차를 나타내었다(제3표). 식이식물의 N 함량 용체중 및 포란수에 근사한 경향을 나타내었지만 상관관계에 유의성은 인정할 수 없었다. (제4표)

• Journal of Gastric Cancer
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• 제7권2호
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• pp.97-101
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• 2007

저자들은 조기위암 환자에서 복강경보조 위전절제술 및 췌장보존식 비장절제술을 경험하였기에 이를 보고 하고자 한다. 62세 남자 환자로 내시경 조직검사에서 위상부와 위하부에 2개의 병변을 가진 조기위암으로 진단되어 복강경보조 위전절제술을 계획하고 수술을 진행하였다. 기복을 형성 후 5개의 투관을 삽입하여 위의 대만을 초음파 소작기로 박리 후 비장의 하단으로 박리를 진행하던 중 비장문부의 림프절 종대가 관찰되어 동결절편검사를 시행한 결과 암전이가 확인되어 위전절제술과 함께 췌장보존식 비장절제술을 시행하였다. 검상돌기 직하부에 수직으로 4 cm의 절개창을 형성 후 위장과 비장을 꺼낸 후 Roux-en-Y 식도공장문합술을 시행하였다. 환자는 수술 후 3일째 첫 번째 가스배출과 함께 유동식을 시작하였으며 별다른 문제없이 수술 후 9일째 퇴원하였다. 저자들은 비장문부의 림프절 암전이가 발견된 근위부 조기위암의 경우에도 복강경을 통한 제2군 림프절 절제가 가능함을 알 수 있었으며 복강경 보조 위전절제술 및 췌장보존식 비장절제술을 안전하게 시행할 수 있다고 생각한다.

• Journal of Korean Neurosurgical Society
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• 제30권9호
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• pp.1086-1093
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• 2001

Object : With the recent variable treatment modalities and the development of microsurgical techniques, outcomes of surgical and medical management of aneurysm have shown much progress in the last 10 years. However, the management of posterior circulation aneurysm is still a debatable due to its difficulty in limited surgical approach, complicated anatomical structure and many small perforators to vital structure. The purpose of this study is to compare the results of clinical manifestation and outcome of surgery with respect to anterior and posterior circulation aneurysms. Material and Methods : We evaluated the 33 patients with PCAs(posterior circulation aneurysm) and 359 patients with ACAs(anterior circulation aneurysm) treated between 1994 and 1999, retrospectively. Results : Posterior circulation aneurysms showed higher tendency(5 cases, 14.7%) to have unusual shapes, such as dissecting or fusiform compared with anterior circulation aneurysm(15 cases, 4.2%). There were more multiple aneurysms in posterior circulation aneurysm(8 cases, 26.5%) than anterior circulation aneurysm(59 cases, 16.2%). The number of patients with Hunt-Hess grade III or IV on admission were 91(25.3%) in anterior circulation aneurysms, and 14(42.4%) in posterior circulation aneurysms. There were higher incidences of vasospasm and acute hydrocephalus in patients with posterior circulation aneurysm. In cases of anterior circulation aneurysm, neck clipping was possible in 97%. But, in posterior circulation aneurysm, neck clipping was possible only in 67.7% of each. Two hundred forty four cases(85.0%) of all anterior circulation aneurysms and 22 cases(78.6%) of all posterior circulation aneurysms showed good recovery(GR) or moderate disability(MD). The postoperative mortality rates of anterior and posterior circulation aneurysms were 4.9% and 10.7%, respectively. Conclusion : These results indicate that there exist substantial differences with respect to that there were few difference in the aspect of surgery and management outcome between posterior circulation aneurysms and anterior circulation aneurysms.

• 한국균학회지
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• 제24권4호통권79호
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• pp.246-254
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• 1996

1980년대 중반이후로 우리나라에서 영지의 재배면적과 생산량은 매년 증가해 오고 있지만 1980년대 말기부터 강화, 철원, 신탄지 등지에서 발생하기 시작한 새로운 병원성 진균의 출현에 의해서 영지재배는 막대한 경제적 손실을 입고 있으며 영지재배의 제한적 요인이 되고 있는 실정이다. 이 연구는 영지재배시에 발생하는 새로운 진균성 병해의 효과적인 방제수단을 찾기 위한 노력의 일환으로 병원성 진균을 분리하고 동정하기 위하여 실시되었다. 병원균에 의해 감염된 영지재배 원목에서 분리한 균주가 인공 접종시 전형적인 병징을 나타낼 수 있는지 병원성 검정을 실시하였고, 병원성 진균에 의해서 생성되는 병징, 균사, 분절포자, 자낭과, 자낭포자 등을 육안, 해부현미경, 광학현미경, 주사전자현미경 등을 사용하여 관찰하였다. 이 병원균에 의하여 형성되는 자낭과는 성숙시 검은색의 두꺼운 막으로 된 구형으로 직경은 $45{\sim}95\;{\mu}m$로 크기가 다양하였다. 자낭은 막이 얇고 형성되는 즉시 없어지기 때문에 매우 관찰하기 어려우며 자낭포자는 구형으로 무색이며 비교적 두꺼운 막으로 싸여 반들반들하게 보이고 크기는 $3.6{\sim}4.3\;{\mu}m$ 정도로 균일하였다. 분생자병은 즉시 막이 두꺼워지고 격막으로 나누어지면서 분절포자가 형성되었고 분절포자는 원통형으로 길이가 $3{\sim}6\;{\mu}m$족이 $3{\sim}4\;{\mu}m$정도였다. 따라서 이상의 형태학적인 특성에 기초하여 이 병원균의 완전세대는 Xylogone sphaerospora Van Arx & Nilsson로, 불완전세대는 Sporendonema purpurascens (Bonordon) Mason & Hughes로 동정되었으며, 이 균은 영지의 병원균으로는 처음 보고되는 것이다.

• 한국표면공학회:학술대회논문집
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• 한국표면공학회 2017년도 춘계학술대회 논문집
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• pp.77-77
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• 2017

Titanium and its alloys offer attractive properties in a variety of applications. These are widely used for the field of biomedical implants because of its good biocompatibility and high corrosion resistance. Titanium anodizing is often used in the metal finishing of products, especially those can be used in the medical devices with dense oxide surface. Based on SAE/AMS (Society of Automotive Engineers/Aerospace Material Specification) 2488D, it has the specification for industrial titanium anodizing that have three different types of titanium anodization as following: Type I is used as a coating for elevated temperature forming; Type II is used as an anti-galling coating without additional lubrication or as a pre-treatment for improving adherence of film lubricants; Type III is used as a treatment to produce a spectrum of surface colours on titanium. In this study, we have focused on Type II anodization for the medical (dental and orthopedic) application, the anodized surface was modified with gray color under alkaline electrolyte. The surface characteristics were analyzed with Focused Ion Beam (FIB), Scanning Electron Microscopy (SEM), surface roughness, Vickers hardness, three point bending test, biocompatibility, and corrosion (potentiodynamic) test. The Ti-6Al-4V alloy was used for specimen, the anodizing procedure was conducted in alkaline solution (NaOH based, pH>13). Applied voltage was range between 20 V to 40 V until the ampere to be zero. As results, the surface characteristics of anodic oxide layer were analyzed with SEM, the dissecting layer was fabricated with FIB method prior to analyze surface. The surface roughness was measured by arithmetic mean deviation of the roughness profile (Ra). The Vickers hardness was obtained with Vickers hardness tester, indentation was repeated for 5 times on each sample, and the three point bending property was verified by yield load values. In order to determine the corrosion resistance for the corrosion rate, the potentiodynamic test was performed for each specimen. The biological safety assessment was analyzed by cytotoxic and pyrogen test. Through FIB feature of anodic surfaces, the thickness of oxide layer was 1.1 um. The surface roughness, Vickers hardness, bending yield, and corrosion resistance of the anodized specimen were shown higher value than those of non-treated specimen. Also we could verify that there was no significant issues from cytotoxicity and pyrogen test.