• 제목/요약/키워드: HAD-B

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삼출성중이염과 중이내 통기관 유치술의 임상적 고찰 (The Clinical Considerations of Serous Otitis Media and Ventilation Tube)

  • 김영명;박인용;장태영;심형보
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.14.2-15
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    • 1982
  • 삼출성 중이염은 이 질환중 가장 많은 도를 차지하는 질환의 하나로서 1869 년 Politzer가 최초로 기술하고 치료법을 소개한 이후로 현재까지 그 병인 및 다양한 치료법이 연구 개발되어 왔으며 이중 중이내 통기관 유치술은 1954년 Armstrong에 의해 성공적으로 시행된 이후 여러 학자들에 의해 변형 발전되어 최근에 이르러서는 삼출성 중이염의 치료에 있어서 가장 보편적인 방법으로 사용되고 있으나 또한 그에 따른 합병증 때문에 논란의 대상이 되고 있다. 연자 등은 삼출성중이염의 임상적 측면을 재검토하고 중이내 통기관유치술의 치료효과 및 합병증을 조사하여 그 유용성을 확인 하고자 1981. 1. 1부터 1982. 2. 28 까지 1년 2 개월 동안 본원 이비인후과에서 중이내 통기관유치술을 시행한 환자 97명 (157이)을 대상으로 하여 삼출성중이염의 증상, 연령분포, 동반질환, 고막의 이학적 소견, 청력손실의 정도와 술후의 청력증진, 합병증 등을 분석하여 다음과 같은 결과를 얻었다. 사용한 통기관으로는 Sheehy의 collar button tube와, Per Lee tube였다. 1) 증상의 빈도는 29례중 청력소실 29례(100%) 이명 19례 (65.6%) 자성강청(Autophony), 12례 (44.4%) 이충만감 10례 (34.5%)의 순이었다. 2) 연령분포는 6∼10세가 42례 (43.3%)로 제일 많은 비율을 차지하였고 20세 이상의 성인도 23례(23.5%)나 있었다. 3) 소아에서는 주로 양측성으로, 성인에서는 일측성으로 발생하는 경향을 보여주었다. 4) 동반질환으로는 편도 및 아데노이드비후가 49례 (50.5%). 부비동염 15례 (15.5%), 비알레르기 4례 (4.1%)등의 순이었다. 5) 술전 고막소견은 함몰 62귀 (42.7%), 팽윤 37귀 (23.6%), 변색(21.7%)등의 순이었으며 특별한 병적 소견이 없는 경우고 29귀 (18.5%)나되었다. 6) 삼출액의 특성은 15세이하의 소아에서는 점액성이 84.2%로 많았고 성인에서는 장액성이 62.5%로 많았다. 7) 술전 기골도차는 21∼30dB가 48귀 (30.6%)로 제일 많은 비율을 차지하고 있었으며 평균 25.3dB이었다. 8) 술후 청력증지은 10dB 이상 증가한 경우가 24귀 (72.7%)로서 평균 17.2dB였다. 9) 합병증으로는 감염이 37귀 (23.6%) 무기화 3귀(1.9%)과립조직의 증식 2귀 (1.3%) 영구천공 2귀 (1.3%)의 순이었다. 10) 술후 감염증이 있었던 37 귀중 수술직후부터 계속되었던 경우가 19 귀(51.4%), 도중에 발생한 경우가 18 귀(48.6%)였으며 이들중 26귀(70.3%)에서는 대증요법으로서 치유되었으며 11귀 (29.7%)에서는 통기관을 제거한 후에야 감염증이 치유되었다.

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기관지 압박을 초래한 만성 해리성 대동맥류(Type B) -임상적 치험 1례- (Tracheal Compression by Xhronic Dissecting Aeurysm(TYpe B) -A Case Report-)

  • 송정근
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.328-331
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    • 1995
  • A 42-year-old Marfan female had a chronic dissection of the descending aorta[Type B and the aneurysmal expansion of the descending aorta caused compression of the trachea resulting in respiratory distress which mimicked bronchial asthma. The patient has been successfully managed by resection and replacement of the aneurysm in the descending aorta. The operation could be done without the aid of the partial cardiopumonary bypass. As the patient had been prepared by unilateral axillo-bifemoral by-pass using prosthetic graft 8mm in diameter 10days prior to the main operation.

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악관절증에서의 하악과두의 방사선학적 소견 (RADIOLOGICAL STUDY OF THE CONDYLAR HEADS IN TEMPOROMANDIBULAR JOINT ARTHROSIS)

  • 유동수
    • 치과방사선
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    • 제15권1호
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    • pp.13-20
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    • 1985
  • The author obtained the oblique lateral trans cranial radiograms from 376 patients (114 of male, and 262 of female) with temporomandibular joint arthrosis. After tracing each film, the author analyzed the dimensional changes of the condylar heads with pain, clicking, mouth opening limitation, and masticatory difficulty respectively, which were the chief complaints of the TMJ arthrosis and compared these data with control group. The results were as follows; 1. There was a great predilection for occurrence of the TMJ arthrosis in female (262 cases) over male (114 cases). But there was no significant difference in ratio between the sexes on each symptom. In male, 60 patients (52.6%) had pain, 28 patients (24.6%) had clicking, 21 patients (18.4%) had mouth opening limitation, and 5 patients (4.4%) had masticatory difficulty. In female, 148 parients (56.5%) had pain, 57 patients (21.8%) had clicking, 47 patients (17.9%) had mouth opening limitation, and 10 patients (3.8%) had masticatory difficulty. 2. Examined controlled group, the author analyzed the dimension of W-W', 0-H, 0-A, 0-B on the right side first, and left side second. In male, the dimension of W-W' was 14.52㎜, 14.13㎜; 0-H was 13.92㎜, 13. 71㎜' 0-A was 8.91㎜, 9.0㎜ and 0-B was 8.67㎜, 8.78㎜. In female, W-W' was 13.77㎜, 13.51㎜; 0-H was 13.42㎜, 13.35㎜; 0-A was 8.92㎜, 9.01㎜; and 0-B was 8.59㎜, 8.80㎜. 3. W-W' and 0-H of the experimental group were distinctly lesser than the controlled group. Male with mouth opening limitation show the least (12.70㎜, 13.00㎜) on W-W', but both sexes with pain show the least on 0-H. There was no significant difference between experimental group with Clicking and controlled group on 0-H, 0-A, and 0-B. And also there was no difference on 0-B in patients with every symptom except masticatory difficulty. The dimensional changes of the condylar heads with those symptoms were as follows; a) In male patients, complaing of pain, W-W' of the right and left was 13.80㎜, 12.80㎜; 0-H was 13.10㎜, 12.90㎜; 0-A was 8.69㎜, 8.18㎜; 0-B was 8.33㎜, 8.42㎜. In female, W-W' was 13.01㎜, 12.90㎜; 0-H was 12.48㎜, 12.80㎜; 0-A was 8.60㎜, 8.49㎜; 0-B was 8.48㎜, 8.50㎜. b) In male patients with clicking, W-W' was 13.70㎜, 13.10㎜; 0-H was 13.90㎜, 13.10㎜; 0-A was 8.81㎜, 8.16㎜ 0-B was 8.34㎜, 8.25㎜. In female, W-W' was 13.10㎜, 13.50㎜; 0-H was 13.30㎜, 12.91㎜; 0-A was 8.95㎜, 8.49㎜; 0-B was 8.23㎜, 8.70㎜. c) In male patients with mouth opening limitation, W-W' was 12.70㎜, 13.00㎜; 0-H was 13.40㎜, 13.40㎜; 0-A was 8.37㎜, 8.48㎜; 0-B was 8.33㎜, 8.62㎜. In female, W-W' was 13.00㎜, 12.50㎜ 0-H was 12.90㎜, 13.10㎜; 0-A was 8.49㎜, 8.09㎜; 0-B was 8.77㎜, 8.01㎜. d) In male patients with masticatory difficulty, W-W' was 13.30㎜, 13.20㎜; 0-H was 13.40㎜, 12.60㎜; 0-A was 8.26㎜, 8.32㎜; 0-B was 7.80㎜, 8.20㎜. In female, W-W' was 12.30㎜, 12.00㎜; 0-H was 13.10㎜, 13.20㎜; 0-A was 8.68㎜, 7.95㎜; 0-B was 7.46㎜, 7.87㎜.

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Vitamin B12 와 Acetyl Choline 이 Rhodopsindml 재생에 미치는 영향에 관하여 (Studies on the Influence of Vitamin B12 and Acetyl Choline on the Regeneration of Rhodopsin)

  • 강성호
    • 한국동물학회지
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    • 제3권1호
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    • pp.1-4
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    • 1960
  • The test group and control group, which were grouped with the same weight of five frogs (Rana nigromaculata) respectively, were adapted to light for two hours. Then the anterior lymph heart of the test group were injected with 0.5 cc of 0.1% acetyl choline and 0.5cc of Vitamin B12 (50mc gm/cc). After the frogs of this group were dark-adapted for 90 minutes, their heads were cut off under the dim red light and then their retina removed from eye-balls were extracted with 2% digitonin solution for 20 hours at $0^{\circ}C$. The results of the comparison of these two groups whose optical densities were measured before and after the illumination areas follows : (1) The group which had been injected with 0.5cc of 0.1% acetyl choline solution had the protomotive action on the regeneration of rhodopsin in comparison with the control group. (2) The group which had been injected with 25 mc gm of Vitamin B12 and 0.5cc of 0.1% acetyl choline solution had the controlling action on the regeneration of rhodopsin in comparison with the control group.

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치과대학생 및 전공 에 있어서 B형간염면항원의 발현빈도에 관한 연구 (A Study on the Occurence Rate of HBsAg in a Dental School Population)

  • 이건복;정성창
    • Journal of Oral Medicine and Pain
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    • 제7권1호
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    • pp.66-70
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    • 1982
  • Medical personnek are one of several groups that have been reported to have a high incidence of hepatiris B. It is also thought that the occurrence rate of hepatitis B surface antigen(HBsAg), aserologic marker for hepatitis B virus(HBV), is expected to be high in the dental personnel who are frequently exposed to the blood and saliva of the patients. Although many studies have been done to determine the HBsAg status of virus groups, limited investigations have been performed on dental personnel, especially in this country. The main purpose of this study was to identify HBsAg positivity among dental students, interns, and residents who would be expected to be a high risk group of hepatitis B infection. Screening test for HBsAg of a dental school population was performed by indirect hemagglutination(IHA)in 1982. The results were as follows : 1. Thirty four out of a total 362 persons(9.4%)tested in the study had positive response for HBsAg in their serum samples. 2. Twenty seven out of 320 dental students(8.4%)had positive for HBsAg, and in Senior class 12 out of 82 dental students (14.6%)had positive response that was the highest incidence among dental students group. 3. Seven out of 42 interns and residents(16.7%)had positive for HBsAg, and it was the highest incidence in this dental school population.

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Responses of Holstein Cows to Different Bovine Somatotropin (bST) Treatments during the Transition Period and Early Lactation

  • Gulay, M.S.;Garcia, A.N.;Hayen, M.J.;Wilcox, C.J.;Head, H.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권6호
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    • pp.784-793
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    • 2004
  • Major objective was to evaluate three doses of bST (POSILAC(R)) injected into Holstein cows during the transition period and through 56 d of lactation for potential to improve DMI, BCS, BW, metabolites, hormones, IGF-I and milk production. Biweekly injections of bST (0, 5.1, 10.2, or 15.3 mg bST/d) began 28 d before expected parturition and continued through 56 d postpartum. Twenty-three of the 25 multiparous Holstein cows assigned randomly to four groups completed experiment (7, 5, 6 and 5 cows/group, respectively). The DMI, BW and BCS were recorded weekly throughout the prepartum and postpartum periods and blood samples were collected thrice weekly for analyses of ST, insulin, $T_{4}$, $T_{3}$, IGF-I, glucose and NEFA. Milk yields were recorded daily through 60 d postpartum and milk components measured once weekly. Mathematical model for data analyses for prepartum and postpartum periods included treatment, calving month, and the two-factor interaction. Cows injected with 10.2 and 15.3 mg bST prepartum had greater mean prepartum concentrations of ST and IGF-I. Prepartum injections of bST did not affect prepartum BW or BCS. On average, cows injected postpartum better maintained their BCS during first 60 d of lactation (3.15$\pm$0.06, 3.12$\pm$0.007, 3.20$\pm$0.006 and 3.58$\pm$0.009). Treatments did not affect mean prepartum DMI but cows injected with 15.3 mg bST/d had greatest DMI and greatest mean daily MY during the first 3 wk and tended to be greater during first 60 d of lactation. Cows injected with two highest bST doses (10.1 and 15.2 mg/d) had greater mean postpartum concentrations of ST and $T_{3}$, but IGF-I, $T_{4}$, glucose and NEFA did not differ across groups. No adverse effects of bST treatment were observed.

각종 변이원에 대한 쇠비름 추출물의 돌연변이 억제 효과 (Inhibitory Effects of Poturaca oleracea L. Extract on the Mutagenicity of Various Mutagen)

  • 최근표;정성원;김은정;함승시
    • 동아시아식생활학회지
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    • 제7권4호
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    • pp.527-537
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    • 1997
  • This study was performed to determine the effects of antimutagenicity of Porturaca oleracea L. in Korea. In Ames test, the ethanol extract of Poturaca oleracea L. inhibited mutagenic activity of N-methyl-N'-nitro-N-nitrosoguanidine(MNNG), , 4-nitroquinoline-1-oxide(4NQO), benzo($\alpha$)pyrene (B($\alpha$)P) and 3-amino-1,4-dimethyl-5H-pyrido-(4,3-b)indole (Trp-P-1) in Salmonella typhimurium TA98 and TA100. But hot-water extract Poturaca oleracea L. only Inhibited mutagenic activity of MNNG in Salmonella typhimurium TA100, On 4NQO, the ethanol extract 100-1,600$\mu\textrm{g}$/plate of Porturaca oleracea L. showed a slight inhibitory effect of 13-48%, 4-47% in TA98 and TA100, respectively, but on MNNG, it showed higher inhibitory effect of 6-86% in TA100, And the treatment of 1,600$\mu\textrm{g}$/plate of ethanol extract of Porturacea L. had strong antimutagenicity with 74-87% inhibition against TA98 and TA100 induced by B(a)P and with 85-93% inhibition against TA98 and TA100 induced by Trp-P-1. The ethanol extract was fractionated with ether. chloroform, ethylacetate, butanol and water. Among them, most of the fraction except water fraction showed strong antimutagenicity effects against mutation induced by 4-NQO, MNNG, B(a)P and Trp-P-1. Chloroform fraction had strong antimutagenicity with 91% inhibition against TA100 induced by MNNG, diethyl etherfraction had strong antimutagenicity with 92%, 98% inhibition against TA98 and TA100 induced by 4NQO, Chloroform fraction had strong antimutagenicity with 97% inhibition against TA100 induced by B (a)P and diethyl etherfraction had strong antimutagenicity with 98% inhibition against both strain Induced by Trp-P-1, respectively.

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A Study on Classification of Chinese Men's Body Types - Focused in Beijing and Shanghai -

  • Lim, Soon;Sohn, Hee-Soon;Kim, Jee-Yeon
    • 패션비즈니스
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    • 제6권6호
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    • pp.78-88
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    • 2002
  • The purpose of this study is to provide for some basic data useful to production of the apparels fit and measured well for the Chinese men. For this purpose, 389 men aged between 20 and 49 and living in Beijing and Shanghai, China were sampled to be measured for their constitutions. Then, their constitutions were classified and thereupon, according to the Men's Wear Specifications (GB/T 1335.1-1997), National Standards of People's Republic of China. The collected data were statistically processed using SAS 6.12 for technical statistical analysis, correlation analysis, factor analysis, group-wise analysis. The results of this study can be summarized as follows; 1. As a result of the factor analysis aiming to determine Chinese men's constitutional components, five components could be identified: constitutional obesity, lateral body size, longitudinal body size, shoulder and back width, and shoulder drooping. 2. As a result of classifying Chinese men's constitutions according to drop measurements, four types could be identified. Y type had the lowest obesity and the highest longitudinal body size. A type had a lower obesity and had an average longitudinal body size. B Type had the second highest obesity, the smallest longitudinal body size and shoulders/back width. C Type had the highest obesity, upper body length and shoulders/back width. 3. In terms of distribution, 'B' type (39.10%) of the sample, followed by 'A' type (29.26%), 'C' type (19.95%) and 'Y' type (11.70%). In all, the results of this study suggests that 'B' type represents the Chinese men in contrast with GB specifying that 'A' type represents the Chinese men. On the other hand, Beijing region was dominated most by 'B' type (37.06%), followed by 'A' type (28.82%), 'C' type (22.35%) and 'Y' type (11.76%), while Shanghai region was dominated most by 'B' type (41.13%), followed by 'A' type (31.21%), 'C' type (19.15%) and 'Y' type (8.51%).

B2B 거래관계에서 고객가치, 고객만족, 관계지속의도에 영향을 미치는 관계품질에 관한 연구 : PCB 제조기업의 고객사를 중심으로 (A Study on Relationship Quality Influencing Customer Value, Customer Satisfaction and Relationship Retention Intention in the B2B Transaction : Focused on Clients of PCB Manufacturing Corporation)

  • 김민정;이재광;정종관
    • 한국IT서비스학회지
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    • 제13권4호
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    • pp.139-153
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    • 2014
  • The purpose of this study is to examine the impact of relationship quality on customer value, customer satisfaction and relationship retention intention in the B2B transaction relationship. For the empirical study, we conducted a survey of the PCB corporation's client companies and used 110 surveys of them for analysis. The results of this study are summarized as follows : First, trust, relationship satisfaction, unity and performance as factors of relationship quality had significantly positive effect on relationship retention intention by the medium of customer satisfaction. Second, utilitarian value which is a parameter did not have significantly effect on customer satisfaction and relationship retention intention. Whereas, hedonic value which is influenced by relationship satisfaction, unity and performance had significantly positive effect on customer satisfaction and relationship retention intention. These results are not treated weightily in the preceding studies and managing the hedonic value in B2B transaction relationship is considered important to improve the customer satisfaction and relationship retention intention.

온라인 B2C 웹사이트에 기술수용모델 및 신뢰 신념의 적용 (Applying The Technology Acceptance Model and Trust Beliefs to Online B2C Websites)

  • 박관희
    • 한국정보시스템학회지:정보시스템연구
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    • 제13권2호
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    • pp.173-193
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    • 2004
  • B2C EC has two kinds of perspectives such as technology-oriented and trust-oriented perspectives. As lots of fraud damages on the B2C EC have been reported every day, the trust-oriented perspective receives lots of attention. In this study, an integrative typology for developing and validating trust measures for B2C EC proposed by McKnight et al.(2002a) and McKnight and Chevany(2002b) has been used for trust-oriented perspective, and the TAM(technology acceptance model) model proposed by Fred Davis in 1985 has been used for technology-oriented perspective. An research model had been developed by using the 4 factors of an integrative typology and 5 factors of the TAM model such as perceived usefulness, perceived ease of use, trust beliefs, intention, and actual transaction. All 13 hypotheses had been proposed from this research model and tested by field study. 12 hypotheses, including the 4 f actors of an integrative typology as antecedents on trust beliefs, were significant, whereas the hypothesis 5 on the relationship between structural assurance and perceived ease of use was insignificant. Structures on B2C EC like guarantees, regulations, promises, legal recourse, or other procedures seemed to be difficult to B2C EC customers. Therefore, these structures should be developed more easier to B2C EC customers.

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