• 제목/요약/키워드: ENT

검색결과 484건 처리시간 0.234초

T1 Slope and Cervical Sagittal Alignment on Cervical CT Radiographs of Asymptomatic Persons

  • Park, Ji Hoon;Cho, Chul Bum;Song, Jun Ho;Kim, Seok Woo;Ha, Yoon;Oh, Jae Keun
    • Journal of Korean Neurosurgical Society
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    • 제53권6호
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    • pp.356-369
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    • 2013
  • Objective : We performed a retrospective analysis of medical records and radiographic images of patients who never underwent spinal treatment including diagnosis. The objective of this study is to explain the biomechanical and physiologic characteristics of cervical alignment related to thoracic inlet angle including T1 slope changes in each individual. Methods : We reviewed the cervical CT radiographs of 80 patients who visited ENT outpatient clinic without any symptom, diagnosis and treatment of cervical spine from January 2011 to September 2012. All targeted people were randomized without any prejudice. We assessed the data-T1 slope, Cobb's angle C2-7, neck tilt, sagittal vertical axis (SVA) C2-7 and thoracic inlet angle by the CT radiographs. Results : The relationships between each value were analyzed and we concluded that Cobb's angle C2-7 gets higher as the T1 slope gets higher, while the SVA C2-7 value decreases. Conclusion : We propose that the T1 slope is background information in deciding how much angle can be made in the cervical spinal angle of surgical lordotic curvature, especially severe cervical deformity.

Efficiency of a Lactobacillus plantarum-Bacillus subtilis Combination on Growth Performance and Fecal Microflora Populations of Broiler Chickens

  • Cha, Chun-Nam;Lee, Yeo-Eun;Kang, In-Jin;Kim, Suk;Choi, Hyun-Ju;Lee, Hu-Jang
    • 농업생명과학연구
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    • 제46권5호
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    • pp.83-90
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    • 2012
  • A study was investigated the effects of the probiotic mixture (PM) contained Lactobacillus plantarum (L. plantarum) SY-99 $2.4{\times}10^9CFU/kg$ and Bacillus subtilis (B. subtilis) SJ-61 $2.2{\times}10^9CFU/kg$ on growth performance and fecal microflora counts of broiler chickens. Referred to the previous studies, a total of 160 one-day-old male broiler chicken (Ross 308) were randomly assigned to four experimental groups, which were a basal diet alone (control) and supplemented with PM 0.1 g/kg feed (T1), PM 0.2 g/kg feed (T2), and PM 0.4 g/kg feed (T3). After 28 days of administration, the average daily feed intake of T1 and T3 was significantly different compared to that of control (p<0.05). In addition, the feed conversion ratio of T2 and T3 was significantly improved compared to that of control (p<0.05). On the 28th day after administration, all treatment groups were significantly increased fecal lactic acid bacteria (LAB) counts and decreased fecal Enterobacteriaceae (ENT) counts compared to T1 (p<0.05). The results of this study indicated that the combination of L. plantarum and B. subtilis strains in the range of 0.2-0.4 g/kg feed could be used for the improvement of growth performance and fecal microflora in broiler chickens.

식도 및 기도이물의 통계적 고찰 (Clinical observation of the foreign bodies in the air and food passages)

  • 이동수;옥흥남;문성무;이선철
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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    • pp.88.2-89
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    • 1976
  • 식도 및 기도이물은 연령, 성별, 민족에 관계없이 가끔 발생하는 이비인후과 질환으로 주위환경과 생활양식에 따라 중류나 발생기전이 다를 수 있다. 대부분의 경우 내시경적 방법으로 용이하게 제거할 수 있지만 경우에 따라 수술을 요하는 경우도 있고 사망례도 있다. 저자들은 1972년 1원 1일부터 1976년 3월 31일까지 4년 3개월 동안 한강성심법원 이비인후과에 내원했던 식도 및 기도이물 환자 205례에 대한 통계적 고찰을 하여 다음과 같은 결과를 얻었다. 1) 총 205례중 식도이물이 200례(97.6%로 대부분이고 기도이물은 5례이었다. 2) 종류 식도에서는 주화가 가장 많았고 (90%), 기도에서는 콩, 땅콩, 빨래집개, 플라스틱조각, 옥수수알 등이 있었다. 3) 이물의 부위는 식도의 제 1 협착부가 가장 많았다. (96.5%). 4) 남녀 발생빈도를 비교해보면 식도에서 1.4 : 1, 기도에서 3:2로 큰차이는 없었다. 5) 개재시간은 식도이물에서 3일 이내에 87%가 내원했고 기도이물에서는 1일 이내에 모두 내원했다.

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Potential impact of climate change on the species richness of subalpine plant species in the mountain national parks of South Korea

  • Adhikari, Pradeep;Shin, Man-Seok;Jeon, Ja-Young;Kim, Hyun Woo;Hong, Seungbum;Seo, Changwan
    • Journal of Ecology and Environment
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    • 제42권4호
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    • pp.298-307
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    • 2018
  • Background: Subalpine ecosystems at high altitudes and latitudes are particularly sensitive to climate change. In South Korea, the prediction of the species richness of subalpine plant species under future climate change is not well studied. Thus, this study aims to assess the potential impact of climate change on species richness of subalpine plant species (14 species) in the 17 mountain national parks (MNPs) of South Korea under climate change scenarios' representative concentration pathways (RCP) 4.5 and RCP 8.5 using maximum entropy (MaxEnt) and Migclim for the years 2050 and 2070. Results: Altogether, 723 species occurrence points of 14 species and six selected variables were used in modeling. The models developed for all species showed excellent performance (AUC > 0.89 and TSS > 0.70). The results predicted a significant loss of species richness in all MNPs. Under RCP 4.5, the range of reduction was predicted to be 15.38-94.02% by 2050 and 21.42-96.64% by 2070. Similarly, under RCP 8.5, it will decline 15.38-97.9% by 2050 and 23.07-100% by 2070. The reduction was relatively high in the MNPs located in the central regions (Songnisan and Gyeryongsan), eastern region (Juwangsan), and southern regions (Mudeungsan, Wolchulsan, Hallasan, and Jirisan) compared to the northern and northeastern regions (Odaesan, Seoraksan, Chiaksan, and Taebaeksan). Conclusions: This result indicates that the MNPs at low altitudes and latitudes have a large effect on the climate change in subalpine plant species. This study suggested that subalpine species are highly threatened due to climate change and that immediate actions are required to conserve subalpine species and to minimize the effect of climate change.

Fibromyalgia diagnostic model derived from combination of American College of Rheumatology 1990 and 2011 criteria

  • Ghavidel-Parsa, Banafsheh;Bidari, Ali;Hajiabbasi, Asghar;Shenavar, Irandokht;Ghalehbaghi, Babak;Sanaei, Omid
    • The Korean Journal of Pain
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    • 제32권2호
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    • pp.120-128
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    • 2019
  • Background: We aimed to explore the American College of Rheumatology (ACR) 1990 and 2011 fibromyalgia (FM) classification criteria's items and the components of Fibromyalgia Impact Questionnaire (FIQ) to identify features best discriminating FM features. Finally, we developed a combined FM diagnostic (C-FM) model using the FM's key features. Methods: The means and frequency on tender points (TPs), ACR 2011 components and FIQ items were calculated in the FM and non-FM (osteoarthritis [OA] and non-OA) patients. Then, two-step multiple logistic regression analysis was performed to order these variables according to their maximal statistical contribution in predicting group membership. Partial correlations assessed their unique contribution, and two-group discriminant analysis provided a classification table. Using receiver operator characteristic analyses, we determined the sensitivity and specificity of the final model. Results: A total of 172 patients with FM, 75 with OA and 21 with periarthritis or regional pain syndromes were enrolled. Two steps multiple logistic regression analysis identified 8 key features of FM which accounted for 64.8% of variance associated with FM group membership: lateral epicondyle TP with variance percentages (36.9%), neck pain (14.5%), fatigue (4.7%), insomnia (3%), upper back pain (2.2%), shoulder pain (1.5%), gluteal TP (1.2%), and FIQ fatigue (0.9%). The C-FM model demonstrated a 91.4% correct classification rate, 91.9% for sensitivity and 91.7% for specificity. Conclusions: The C-FM model can accurately detect FM patients among other pain disorders. Re-inclusion of TPs along with saving of FM main symptoms in the C-FM model is a unique feature of this model.

DMZ 일원 특산식물 개느삼의 생태적 특성 및 보전 방안 (Conservation strategies and vegetation characteristics of Echinosophora koreensis of Korean endemic plants in DMZ)

  • 안종빈;박기쁨;박진선;정지영;김준일;신현탁;박완근
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2019년도 춘계학술대회
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    • pp.27-27
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    • 2019
  • 본 연구는 한국 특산식물이고, IUCN Red List의 EN(위기종) 등급에 속하는 개느삼(Echinosophora koreensis)을 대상으로 자생지 분포, 식생구조 등의 생태적 특성과 현지 내외 보전 방안을 제시하기 위해 수행되었다. 개느삼의 자생지 분포 조사 결과 강원도 양구군 13곳, 인제군 3곳, 춘천시 2곳, 홍천군 1곳 총 19곳에 분포하는 것을 확인하였다. 개느삼 자생지의 해발고도는 169-711m에 분포하는 것으로 나타났고, 평균 해발고도는 375m 인 것으로 조사되었다. 개느삼 자생지의 면적 조사 결과, $8,000-734,000m^2$인 것으로 분석되었고, 평균 $202,789m^2$으로 조사되었다. 개느삼 자생지의 입지환경 분석을 수행한 결과, 자생지 내 우점종은 교목층에서 소나무가 대부분 우점하였고, 아교목층에서는 신갈나무가 우점하는 것으로 분석되었다. 관목층은 생강나무가 우점하였고, 초본층은 모든 조사구에서 개느삼이 우점하는 것으로 분석되었다. 개느삼 자생지의 식생군집분석 결과, 신갈나무, 소나무, 굴참나무 우점 군집 3개 군집으로 분류되었다. 개느삼 자생지를 대상으로 관속식물상을 조사한 결과, 총 82과 204속 289종 4아종 43변종 5품종 341분류군으로 확인되었다. 개느삼의 출현지점을 이용하여 자생지 분포역 예측 model 중 하나인 MaxEnt 분석을 통하여 잠재 분포지 분석을 수행한 결과, AUC값은 0.9762로 분석되었다. 분포예측 자생지는 강원도 양구군, 인제군, 춘천시, 화천군 지역에 집중되어 분포하는 것으로 나타났다.

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야생화분매개곤충 분포 모형을 활용한 과수원 수분 서비스 위험도 평가 (A Risk Assessment of Orchard Pollination Services using a Species Distribution Model for Wild Pollinators)

  • 고인수;최혜영;권혁수
    • 한국환경복원기술학회지
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    • 제23권6호
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    • pp.29-41
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    • 2020
  • Wild pollinators provide important pollination services for crops. However, their geographical ranges and impact on pollination services have not been fully explored within the scope of Korean agricultural land. This study aims to identify spatial supply-demand mismatches across orchard fields in the context of assessing pollination service risk. We first used National Ecosystem Survey data and a species distribution model (MaxEnt) to develop the geographic range of each of 32 wild pollinators belonging to three families (Diptera, Hymenoptera, and Lepidoptera). We then summed the modeled presence probability of each species to obtain a measure of spatially explicit pollinator richness. This modeled richness, defined as pollination supply, was compared with the summed area of orchard fields at the municipal boundary level to identify areas with supply-demand mismatches. The study found that Lepidoptera showed the highest species richness (8.3±1.5), followed by Hymenoptera (4.3±0.8) and Diptera (3.5±0.8) species. Median orchard area was 1.5 ㎢ (range of 0-176.7 ㎢) among 250 municipal regions in South Korea. The municipal regions were divided into three categories (tertiles) of low, middle, and high pollination supply and demand according to, respectivley, average polliator richness and orhard area. Finally, we found that 55 municipal regions (accounting for 49% of national orchard land) potentially faced high risk of pollination deficits, 81 regions (48% of national orchard land) faced intermediate risk, and 63 regions faced low risk (3% of national orchard land). In conclusion, this study revealed significant mismatch between pollination supply and demand and developed risk assessment map will guide our future efforts on pollinator habitat conservation and monitoring to conserve crop pollination services.

보육시설과 지역아동센터 칼과 도마의 미생물학적 안전성 평가 (Evaluation of Microbiological Safety of Knives and Cutting Boards in Child Care Centers)

  • 강주영;박은지;이한철;박민지;오도경;김찬영;정은선;이영주;김중범
    • 한국식품영양학회지
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    • 제33권6호
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    • pp.702-709
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    • 2020
  • The purpose of this study was to evaluate microbiological contamination of knives and cutting boards in child-care centers. Materials used in this study were swabbed of cutting boards and knives (blade, handle of knife, and joint of handle and blade) in 129 child-care centers. Mean values of total aerobic bacteria of swabs of knives and cutting boards were 1.7±0.7 log cfu/100 ㎠ and 1.7±0.9 log cfu/100 ㎠, respectively. Contamination levels of coliform bacteria from knives and cutting boards were 1.5±0.6 log cfu/100 ㎠ and 1.7±0.8 log cfu/100 ㎠, respectively. Comparing microbiological contamination levels of knives and cutting boards according to type and size of child-care centers, there was no significant difference. Bacillus cereus was detected in knife handles and cutting boards. Diarrhea-type toxin gene (entFM) was detected in B. cereus isolates. Antibiotic resistance tests showed that B. cereus was resistant to β-lactam antibiotics. To reduce microbiological contamination levels of knives and cutting boards in child-care centers and prevent food poisoning from bacteria contamination, continuous education by children's food-service management center is needed for sterilization and disinfection of knives and cutting boards.

C12A7을 함유한 열연슬래그를 혼입한 레미콘 회수수 활용 및 시멘트 모르타르의 적용 특성 (Utilization of Ready-mixed Concrete Recycling Water Mixed with Hot-rolled Slag Containing C12A7 and Application Characteristics of Cement Mortar)

  • 김영엽;이한승
    • 한국건설순환자원학회논문집
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    • 제9권1호
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    • pp.92-99
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    • 2021
  • CaO 화합물의 원료로는 일반적으로 CaO, SO3, Al2O3 등으로 구성된 CaO 기반인 산업부산물이 있다. 이러한 CaO 계 산업부산물을 레미콘의 회수수에 적용할 경우 시멘트, 플라이애시, 슬래그미분말 등의 콘크리트 분말 원료의 수화 반응이 가속화되어 콘크리트 성능을 향상시킬 수 있다. 본 연구에서는 레미콘의 회수수에 C12A7을 함유한 열연 슬래그를 혼입하여 레미콘의 회수수에 적용할 수 있는 활성슬러지를 제조하였으며, 시멘트 페이스트 응결시간 및 모르타르 압축강도 성능 테스트를 통해 수화반응에 대한 영향을 확인하고자 하였다.

후두 결핵의 임상 양상 분석: 최근 10년간 단일 기관의 경험 (Clinical Analysis of Laryngeal Tuberculosis: Recent 10 Years' Experience in a Single Institution)

  • 김지훈;공태훈;최홍식;변형권
    • 대한후두음성언어의학회지
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    • 제31권2호
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    • pp.61-65
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    • 2020
  • Background and Objectives The overall incidence of laryngeal tuberculosis (LT) has generally decreased over the recent years, yet there is still a discrete population of patients newly diagnosed with the disease. This study is aimed to examine the patients with LT over the recent 10 years and to investigate the changes in clinical pattern with respect to the past period. Materials and Method A retrospective review has been performed on 20 patients who have been initially diagnosed with LT between 2005 and 2015. Results The age of the patients ranged from 25 years to 95 years with an average age of 45.6 years. Seventeen patients (85%) showed hoarseness, which was the most common clinical symptom. Most affected lesion was the true vocal cord. Laryngoscopic examination showed various clinical manifestations: polypoid 30%, granulomatous 25%, nonspecific 25%, ulcerative 20%. A variety of methods were used for diagnostic confirmation of LT [acid-fast bacilli (AFB) smear 45%, AFB culture 40%, polymerase chain reaction 30%, surgical pathology 45%]. Coexisting pulmonary tuberculosis (PT) was detected in 10 patients (50%). Relative to the patients with inactive PT or normal lung status, those with active PT showed higher incidence of laryngeal lesions located in areas other than true vocal cord (p=0.050). Conclusion Based on the analytic results from this study, laryngologists should recognize the changes in the recent clinical patterns of LT and always be ready for clinical suspicion of this disease on such atypical laryngeal findings which can often mimic laryngeal malignancies to provide the pertinent treatment.