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Primary Intramedullary Spinal Sarcoma : A Case Report and Review of the Current Literatures

  • Kim, Su-Hyeong;Bak, Koang-Hum;Kim, Dong-Won;Kang, Tae-Hoon
    • Journal of Korean Neurosurgical Society
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    • 제48권5호
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    • pp.448-451
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    • 2010
  • Primary central nervous system (CNS) sarcomas are exceedingly rare, and, to the best of our knowledge, there has not yet been a report of intramedullary sarcoma. Here, we report a primary intradural intramedullary sarcoma of the spinal cord in a four-year-old boy who presented with low back pain and a radiculopathy involving both lower extremities. The tumor showed significant enhancement on magnetic resonance (MR) images due to its extreme vascularity. Gross total tumor removal was performed with microelectrical pulse recording, and the patient also received adjuvant radiotherapy and chemotherapy. After the operation, the patient's sensory deficits were improved. Because CNS dissemination is common, entire neuraxis evaluation is essential, although there was no evidence of dissemination in this case. The prognosis of primary CNS sarcoma is poor due to infiltrative nature and early CNS dissemination is common, and the treatment of choice is radical surgical resection. Adjuvant therapy is also beneficial with radiotherapy and chemotherapy.

복합운송주선업의 전략적 발전방안에 관한 연구 (A Study on the Strategic Development Plan of the Freight Forwarding Industry in Korea)

  • 배백식;문성혁;백인흠
    • 한국항해항만학회지
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    • 제31권5호
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    • pp.369-375
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    • 2007
  • 이 연구의 목적은 복합운송주선업 전문가들의 의견을 통해서 우리나라 복합운송주선업의 전략적 발전방안을 우선순위별로 제시하는데 있다. 이를 위해 선행 연구들과 전문가들로부터 브레인스토밍(brainstorming)을 수행하여 20개의 세부평가요인을 도출하여 SWOT Matrix를 작성하고 3개 계층으로 계층분석구조를 구축했다. SWOT/AHP기법을 통해 이러한 계층구조를 분석한 결과 각 계층의 상대적 중요도와 SWOT그룹별 세부요인들의 최종 우선순위를 도출하였다. 그리고 분석결과를 토대로 우리나라 복합운송주선업의 전략적 발전방안을 우선순위 별로 제시하였다.

The Effect of Jazf1 Overexpression in Zebrafish Cardiac Development

  • Shin, Mi-Jung;Yuh, Hyung-Soo;Seo, Byoung-Boo;Park, Hum-Dai;Yoon, Du-Hak;Ryoo, Zae-Young
    • Reproductive and Developmental Biology
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    • 제35권4호
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    • pp.457-461
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    • 2011
  • JAZF1 (Juxtaposed with Another Zinc Finger gene 1) transcription factor are Zn-finger proteins that bind to the nuclear orphan receptor TAK/TR4 (Nakajima et al., 2004). The nuclear orphan receptor TAK1/TR4 functions as a positive as well as a negative regulator of transcription. It was recently reported that congenital cardiovascular malformations are significantly more frequent in Neurofibromatosis 1 (NF1) patients with microdeletion syndrome than in those with classical NF1. JAZF1 was expressed in adult heart of patients with microdeletion syndrome. JAZF1 is highly conserved among various species include zebrafish. We hypothesized that the expression of zebrafish Jazf1 may lead to severe forms of congenital heart disease that allow the survival of newborns and adults. In this study, we created Jazf1 transgenic zebrafish which over-express zebrafish Jazf1 cDNA under control of the CMV promoter. Our results suggested that Jazf1 expression may play an important role in zebrafish cardiac development.

결정론적 모형에 의한 노인진료비 상승요인 분석 (An Analysis of Determinants of Elderly Medical Costs Inflation Using Deterministic Model)

  • 유승흠;손명세;박은철
    • Journal of Preventive Medicine and Public Health
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    • 제27권1호
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    • pp.135-144
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    • 1994
  • The purpose of this study compares determinants of eldery medical cost inflation with those of other age groups by analysing aggregated data with a deterministic model. The deterministic model of per capita medical cost inflation consists of increases in price, intensity of services, and medical utilization. We used a time series data($1985{\sim}1991$) from National Medical Insurance and analyzed by age groups. In total population, the average increase rates of inpatient and outpatient medical costs were respectively 9.5% and 8.8% during 6 years and the major cause of inflation was the increase in service intensity in both of inpatient and outpatient cases. But in the population of 65 years old and over, the average increase rates of inpatient and outpatient medical costs were respectively 13.8% and 14.8% and the major cause of inflation was the increase in per-capita medical utilization in both of inpatient and outpatient cases. Also, the increase in service intensity of 65 years old and over was the highest of other age groups. This pattern was similar during study periods. We concluded that the level of medical cost-inflation and the determinants in eldery was the highest-especially in per capita medical utilization, therfore, the inflation of medical costs in eldery will be higher than other age groups for the furture in Korea.

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유기노의 항산화 활성 및 멜라닌 생성 억제 효과 (Effect of Artemisia anomala S. Moore on Antioxidant Activity and Melanogenesis)

  • 이범천;김진화;김진희;표형배;;박흠대;조영호
    • 생약학회지
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    • 제36권4호통권143호
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    • pp.273-277
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    • 2005
  • In mammalian melanocytes, melanin synthesis is controlled by tyrosinase, the key enzyme in the pigment synthesis. In this study, to develop a new whitening agent, we have investigated the antioxidant and the inhibitory effect of Artemisia anomala extract on tyrosinase activity and melanigenesis in the B16/F1 melanoma cells. The inhibition ratio of tyrosinase activity of butanol fraction from A. anomala was higher than that of arbutin ($97.5{\pm}0.5%$ at the concentration of 2 mg/ml). The butanol fraction was shown scavenging activities of 1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals and superoxide anion radicals in a dose dependent manner. The highest inhibitory activity of melanogenesis was also butanol fraction ($25.0{\pm}3%$ at the concentration of $200\;{\mu}g/ml$). From these results, we suggest that the A. anomala extract might be used to be a potential agent for skin whitening.

파이버 공초점법을 이용한 레이저 빔 자동 초점 제어 장치에 관한 연구 (Study on Auto Focusing System of Laser Beam by Using Fiber Confocal Method)

  • 문성욱;김종배;김선흠;배한성;남기중
    • 한국레이저가공학회지
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    • 제9권3호
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    • pp.7-13
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    • 2006
  • Auto focusing system to find optimized focal position of laser beam used for material process has been investigated by using fiber confocal method. Wavelength of laser diode (LD) and diameter of single-mode fiber are 780nm and $5.3{\mu}m$, respectively. Intensity distributions of beam reflected from the surface of mirror and silicon bare wafer have been observed in a gaussian form. Experimental results show that focal position obtained by LD is shifted from one observed from surface scribed by laser about $80{\mu}m$. It is due to the difference of wavelength and each divergence of between LD and laser used for material process. It is confirmed that auto focusing control system through position calibration has operated steadily.

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건강진단 대상질환 선정 및 건강진단의 정확성 평가 (Periodic Health Examination : Selection of Manageable Diseases and Evaluation of the Sensitivity and Specificity)

  • 유승흠;노재훈;이해종;정상혁
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.45-50
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    • 1989
  • The purpose of this study was to select the manageable diseases which are prevalent in Korea for periodic health examinations and to evaluate the sensitivity and specificity of periodic health examination in detecting these diseases. The data was derived from reimbursement data of the Korea Medical Insurance Corporation over a two year period (April 15, 1986 to April 14,1988) and interviews with Yonsei Medical School professors. This study demonstrated that: 1. The manageable diseases which were selected for periodic health examinations are pulmonary tuberculosis, viral hepatitis, diabetes mellitus, syphilis groups, essential hypertension, renal disease groups, and iron deficiency anemia. 2. The sensitivity of the health screening for each disease was as follows: pulmonary tuberculosis 51.5%, viral hepatitis 60.3%, diabetes mellitus 64.7%, syphilis groups 63.3%, essential hypertension 49.9%, renal disease groups 44.0%, and iron deficiency anemia 80.9%. We conclude that peiodic health esaminations should focus on the manageable diseases that we have defined. The number of items in periodic health screening tests and hospital quality control should be increased for the diseases with a demonstrated low sensitivity.

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보건의료제도 변화에 대한 지역주민의 수용태도 분석 (A Study of Attitudes to Changed Health Care Delivery System in a Community)

  • 유승흠;손명세;박종연
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.162-168
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    • 1989
  • This study was conducted to analyse attitudes to a new health care system in a rural community. The specific purpose of this thesis was to classify attitudes to the patient referral system in Kangwha county, and to identify factors affecting the attitudes. Sampling was done by a multi-stage stratified cluster sampling method from the population. The data were collected in Kangwha county through a structured interview survey for two weeks in June, 1957. Attitudes to the patient referral system were classified into four types based upon answers to questions about awareness of the system, the recognition for the necessity of the system, and opinions on the improvement of the system. The four types of attitudes were active acceptance(10.2%), partial acceptance (27.2%), refusal(35.8%), and indifference(26.7%). The respondent's age, educational level, age of head of household, medical insurance fee, the number of ill family members, and the percentage of medical utilization by the family were the variables which affected the attitudes. The medical insurance fee, respondent's age, age of head of household, and the percentage of medical utilization by the family were the statistically significant discriminant factors of the four types of attitudes.

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플라즈마 용사 및 열처리 공정을 통한 Bi-2212/2223 초전도체 thick film 제조의 기술 개발 (Technique development of Bi-2212/2223 superconductor thick film manufacturing by plasma spraying and heat treatment)

  • Lee, Seon-Hong;Cho, Sang-Hum;Ko, Young-Bong;Park, Kyeung-Chae
    • 대한용접접합학회:학술대회논문집
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    • 대한용접접합학회 2005년도 추계학술발표대회 개요집
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    • pp.262-264
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    • 2005
  • $Bi_{2}Sr_{2}CaCu_{2}O_{x}$(Bi-2212) and $Bi_{2}Sr_{2}Ca_{2}Cu_{3}O_{y}$(Bi-2223) high-$T_{c}$ superconductor(HTS) coating have been prepared by plasma spraying and heaat treatment. The Bi-2212 HTS coating later is synthesized through the peritectic reaction between Sr-Ca-Cu oxide coating layer and Bi-Cu oxide coating later, and $Bi_{2}Sr_{2}CaCu_{2}O_{y}$(Bi-2212) superconducting phase grow by partial melting process. The superconducting characteristic depends strongly on the conditions of the partial melting process. the Bi-2212 HTS layer consists of the whiskers grown in the diffusion direction. Above the 2212 layer, Bi-2223 phase and secondary phase was observed. The secondary phase is distributed uniformly over the whole surface. This is caused to the microcrack on the coatings surface. Despite everything, the film shows superconducting with an onset $T_{c}$ of about 115K. There are two changes steps. One changes (1step) at 115K is due to the diamagnetism of the Bi-2223 phase and the other changes (2step) at 78K is due to the diamagnetism of the Bi-2212 phase.

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도화원도와 수치지도를 이용한 소음지도의 초과소음노출 면적 및 인구에 대한 비교 분석 (Comparison of Draft Map and Digital Map for Analysis of Areas and Populations of Excessive Noise Exposure from Noise Maps)

  • 연정흠;이병찬
    • 한국소음진동공학회논문집
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    • 제22권2호
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    • pp.156-162
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    • 2012
  • This paper presents differences of road traffic noise maps were generated by using the draft map and two digital maps with different versions. As a first step, the calculation of the areas of excessive noise exposure was made for the draft map and each digital map version. Subsequently, the areas of excessive noise exposure were compared so as to determine how different from each other. Then, comparison of the populations exposed to excessive noise was also conducted in the same way. It was found that the most accurate noise map was obtained when using the combination of the draft map containing all attribute information and the digital map Ver 2.0. This result indicates that more information on the height and the number of floors of the individual building is required in order to obtain more accurate population exposed to excessive noise, thus creating a more accurate noise map.