• Journal of Korean Neurosurgical Society
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• 제65권3호
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• pp.457-468
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• 2022

Objective : The clinical management paradigm of skull base chordomas is still challenging. Surgical resection plays an important role of affecting the prognosis. Endonasal endoscopic approach (EEA) has gradually become the preferred surgical approach in most cases, but traditional transcranial surgery cannot be completely replaced. This study presents a comparison of the results of the two surgical strategies and a summary of the treatment algorithms for skull base chordomas. Methods : We retrospectively analyzed the surgical outcomes and follow-up data of 48 patients with skull base chordomas diagnosed pathologically who received transnasal midline approaches (TMA) and transcranial lateral approaches (TLA) from 2010 to 2020. Results : Among the 48 patients, 36 cases were adopted TMA and 12 cases were performed with TLA. In terms of gross total resection (GTR) rate, 27.8% in TMA and 16.7% in TLA and with EEA alone it was increased to 38.9%, while 29.7% in primary surgery. In TMA, the cerebrospinal fluid (CSF) leak remains the most common complication (13 cases, 36.1%), other main complications included death, cranial nerve palsy, hypopituitarism, all the comparisons were no statistical significance. The Karnofsky Performance Scale scores in TMA were all better than those in TLA at different time, and the overall survival (OS) and recurrence free survival/progression free survival was just the reverse. Conclusion : The EEA for skull base chordomas resection has improved the GTR rate, but transcranial approach is still an alternative approach. It is necessary to select an appropriate surgical approach based on the location and the pattern of tumor growth in order to obtain the best surgical outcomes.

• 디지털콘텐츠
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• 9호통권52호
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• pp.34-38
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• 1997

본 보고서는 유럽의 전자정보서비스시장에 대한 분석과 경제사회에서의 정보 역할에 대한 전략적 이해를 돕고 정부와 EC의 관련정책수립의 근거자료로서, 또한 다양한 계층의 분야종사자들이 활용할 수 있도록 EU집행위원회 산하의 24개 총국중의 하나인 DG X III/E가 info2000 프로그램 수행의 한분야로 작성하였다. 이번호에서는 공급측면에서 EEA의 EIS 관련부분들만 다투기로 하여 다음호에서 수요측면을 다루기로 하겠다.

• 대한흉부심장혈관외과학회:학술대회논문집
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• 대한흉부외과학회 1996년도 제 28차 추계학술대회 및 총회 대한흉부외과학회
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• pp.101-101
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• 1996

• Child Health Nursing Research
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• 제15권1호
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• pp.42-52
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• 2009

Child is a being and provides the genetic continuity of parents and society, and therefore the fitness of these children for survival, growth and development towards reproduction, is of significance to parents and society. The aim of health care for high-risk children is not only to minimize or eliminate health problems, but also to optimize their fitness. Considering that the health care of children is influenced by available resources of parents and society, and sociocultural values and paradigms in a given environment of evolutionary adaptedness (EEA), child health care professionals need to understand factors affecting the optimal fitness of children with risks. This paper introduces a new integrated theory for health care in high-risk children, entitled, Health for Optimal Fitness of High-Risk Children. Five main components were identified with associate concepts or midrange theories affecting heath for optimal fitness of high-risk children; EEA, optimal fitness, health problems, investment resources, and anthropological values. It may provide an integrated perspective on health of high-risk children in both the proximately biomedical approach and ultimately evolutionary approach as optimizing their fitness. Further study is needed to develop substantial statements between components with existential examples.

• 전기학회논문지
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• 제56권4호
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• pp.739-744
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• 2007

In this paper, we have investigated mechanical and chemical properties by changing the content of carbon nanotube, which is component part of semiconductive shield in underground power transmission cable. Specimens were made of sheet with the eight of those for measurement. The condition of specimens was a solid sheet. Chemical properties of specimens was measured by FT-ATR (Fourier Transform Attenuated Total Reflectance). Stress-strain of specimens was measured by TENSOMETER 2000. A speed of measurement was 200[mm/min], ranges of stress and strain were 400[Kgf/Cm] and 600[%]. We could observe (unctional group (C=O, carbonyl group) of specimens through FT-ATR. From these experimental result, the concentration of functional group [C=O] was high accor야ng to increasing the content of carbon nanotube. We could know CNT/EEA was excellent more than other specimens from above experimental results. In Addition, the elongation ratio was decreased, and yield strength was increased according to increasing the content of carbon nanotube. Also, from these experimental result, we could know that a small amount of CNT/EEA has a excellent mechanical and chemical properties.

• 대한전기학회논문지:전기물성ㆍ응용부문C
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• 제55권11호
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• pp.514-519
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• 2006

To improve the mean-life and the reliability of power cable, we have investigated specific heat (Cp) and thermal conductivity of XLPE insulator and semiconducting materials in 154[kV] underground power transmission cable. Specimens were made of sheet form with the seven of specimens for measurement. Specific heat (Cp) and thermal conductivity were measured by DSC (Differential Scanning Calorimetry) and Nano Flash Diffusivity. Specific-heat measurement temperature ranges of XLPE insulator were from $20[^{\circ}C]\;to\;90[^{\circ}C]$, and the heating rate was $1[^{\circ}C/min]$. And the measurement temperatures of thermal conductivity were $25[^{\circ}C],\;55[^{\circ}C]\;and\;90[^{\circ}C]$. In case of semiconducting materials, the measurement temperature ranges of specific heat were from $20[^{\circ}C]\;to\;60[^{\circ}C]$, and the heating rate was $1[^{\circ}C/min]$. And the measurement temperatures of thermal conductivity were $25[^{\circ}C]\;and\;55[^{\circ}]C$. From these experimental results both specific heat and thermal conductivity were increased by heating rate because volume of materials was expanded according to rise in temperature. We could know that a small amount of CNT has a excellent thermal properties.

• Elastomers and Composites
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• 제37권3호
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• pp.177-182
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• 2002

범용으로 사용할 수 있는 low smoke type의 난연 polyolefin(halogen free)계 컴파운드의 최적 배합을 구현하기 위해 LDPE, EVA, EEA를 수지로 하고 상용화제로 MAH-graft-PE를 이용하였으며, 난연제로 수산화마그네슘, 수산화알루미늄과 적린을 사용하여 변량 시험을 하였다. 물성은 상온 인장강도, 신장율과 노화후 인장신장 잔율을 기본으로 smoke density 산소 지수 시험을 하였고, 난연성은 UL-94로 확인하였으며, 수산화마그네슘과 수산화알루미늄의 대표 배합을 SEM 촬영하여 분산구조를 확인하였다. HCI 함량 시험을 하여 halogen content를 확인하였다. 또한 halogen free로 난연성(UL-94, V-0)과 저연성을 만족하는 2종의 배합을 도출해 냄으로서 여러 가지 용도로서의 전용이 가능할 것으로 보인다.

• Molecules and Cells
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• 제37권9호
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• pp.691-698
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• 2014

SCYL1-BP1 is thought to function in the p53 pathway through Mdm2 and hPirh2, and mutations in SCYL1-BP1 are associated with premature aging syndromes such as Geroderma Osteodysplasticum; however, these mechanisms are unclear. Here, we report significant alterations in miRNA expression levels when SCYL1-BP1 expression was inhibited by RNA interference in HEK293T cells. We functionally characterized the effects of potential kernel miRNA-target genes by miRNA-target network and protein-protein interaction network analysis. Importantly, we showed the diminished SCYL1-BP1 dramatically reduced the expression levels of EEA1, BMPR2 and BRCA2 in HEK293T cells. Thus, we infer that SCYL1-BP1 plays a critical function in HEK293T cell development and directly regulates miRNA-target genes, including, but not limited to, EEA1, BMPR2, and BRCA2, suggesting a new strategy for investigating the molecular mechanism of SCYL1-BP1.

• Journal of Gastric Cancer
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• 제4권4호
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• pp.252-256
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• 2004

목적: 최근 자동단단문합기를 이용한 위전절제술의 비율이 높아가고 있으나 술 후 식도공장문합부 협착의 발생을 현저히 감소시키지는 않는 것으로 보고 되고 있다. 이에 저자들은 자동단단문합기 사용과 식도공장문합부 협착 발생의 상관관계를 알아보기 위해 본 연구를 시작하였다. 방법: 1998년 9월부터 2000년 12월까지 만 2년 3개월 동안 인제의대 서울 백병원 한국위암센터에서 자동단단문합기를 사용하여 위전절제술을 시행 받은 환자 228예를 대상으로 연령 및 성별, 수술방법, 자동 단단 문합기의 지경과 그에 따른 수술 후 협착의 발생여부, 그리고 역류성 식도엽의 동반여부를 조사하였다. 결과: 전체 228예의 환자의 연령은 60대가 64예로 가장 많았고 다음으로 50대와 40대 순이었다. 남녀성비는 2.3:1로 남자에서 많았다. 문합부 협착이 있었던 32예 모두는 looptlr 문합술을 시행한 경우에 발생하였고 Roux-en-Y 문합술을 사용한 경우에는 발생하지 않았다. 전체 228예 중 32예($14\%$)서 협착이 발생하였으며 자동단단문합기 25mm에서는 69예 중 11예($15.9\%$), 28 mm에서는 159예 중 21예($13.2\%$)에서 발생하여 두 군간 차이는 없는 것으로 나타났다(P>0.05). 역류성 식도염은 228예 중 56예에서 발생하였으며, 이 중 7예($12.5\%$)에서 협착이 발생하였고, 역류성 식도염이 없었던 172예 중 25예($14.5\%$)에서 협착이 발생해, 두 군 간에 차이를 보이지 않았다(P>0.05). 협착의 발생시기는 6개월까지 16예, 이중 역류성 식도염이 동반된 경우는 4예($25\%$)이었으며 7개월에서 18개월까지는 14예, 역류성 식도염이 동반된 경우는 3예($21.4\%$), 19개월 이후에는 2예가 발생하여 위-식도 문합부 협착과 발생시기 또는 역류성 식도염과는 상관관계가 없었다(P>0.05). 결론: 위전절제술후에 발생하는 식도공장문합부 협착의 발생은 식도공장문합술식, 자동단단문합기의 크기, 그리고 역류성 식고염과는 상관이 없는 것으로 나타났고, 식도 공장문합부는 협착을 예방하거나 감소시키기 위해서 저자들은 적절한 크기의 자동단단문합기를 사용하여 문합부 긴장의 감소와 충분한 혈류의 공급을 유도하는 것이 중요하다고 생각한다.

• 한국대기환경학회지
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• 제32권6호
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• pp.613-623
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• 2016

In this study, pilot experiments were conducted by setting operation conditions to analyze characteristics of emission for air pollutant from small two-stroke engines. Emission factors of the measured concentration of pollutant were compared with EEA. Emission factor of CO analyzed by experiments - concentration, flow rate, fuel consumption, etc.- was estimated at 816,011 g-CO/ton-fuel in average. It was confirmed that more than 80% of the fuel consumption is discharged to the Carbon Monoxide, and that as the engine load becomes higher, emission factor of CO increases in the form of log function. The average emission factor of $NO_x$ and $PM_{10}$ was $3,801g-NO_x/ton-fuel$ and $3,730g-PM_{10}/ton-fue$l each. The deviation was not large by comparing the fuel-based emission factor of EEA and the result of this study. Since considerable pollutants are expected to be discharged from the small two-stroke engines, continuous research and support of the policy is required.