• Tuberculosis and Respiratory Diseases
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• 제46권3호
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• pp.311-316
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• 1999

연구배경: 결핵치료의 성패는 감수성있는 약제의 선택과 이를 충분한 기간동안 복용하는 것에 달려있다. 최근 약제의 내성율이 떨어지는 추세이지만 아직도 약제내성은 국가보건의 중요한 문제로 되어있고 치료를 시작하기 전에 약제내성을 예측하는데는 많은 어려움이 따르고 있다. 이에 저자들은 결핵환자에서 과거의 항결핵 치료력, 흉부 X-선상의 병변, 결핵균 검사를 위한 검체물의 종류가 약제내성에 미치는 영향을 알아보기위해 본 연구를 시행하였다. 방 법: 1989년 1월부터 1994년 1월까지 중앙대학교부속 용산병원 내과에서 1회 이상의 객담 또는 기관지세척으로 얻어진 검체의 도말 또는 배양검사상 결핵균양성으로 판정된 환자 253명을 대상으로 환자가록 및 흉부 X-선사진을 검토하여 치료력, NTA분류에 따른 흉부 X-선상의 병변, 결핵균검사를 위한 검체물의 종류에 따른 약제내성율을 분석한 결과 다음과 같은 성적을 얻었다. 결 과: 전체 253명중 약제내성을 보인 환자는 66명 (26.1%)이었다. 치료력에 따른 약제내성율은 재치료환자에서 유의하게 높았다(p<0.01). 흉부 X-선상 공동을 보이는 경우가 그렇지 않은 경우보다 높은 내생율을 보였다 (p<0.05). 초치료환자에서 NTA분류에 따른 약제내성율은 중증에서 경증에 비해 유의하게 높은 결과를 나타내었다(p<0.05). 결핵균검사를 위한 검체물의 종류에 따른 약제내성율은 객담검사 음성이며 기관지세척검사 양성인 환자가 객담검사 양성인 환자보다 의미있게 낮았다(p<0.05). 결 론: 이상의 결과로 과거의 항결핵 치료력, 공동형성의 유무, 결핵균 검사를 위한 검체물의 종류 등이 약제내성에 영향을 미치는 요소라고 생각되며 우리나라와 같이 결핵균의 약제내성율이 높은 지역에서는 초치료의 환자에서도 중증도에 따른 치료약체의 선택 및 치료기간 고려하여야 할 것으로 사료된다.

• International Journal of Oral Biology
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• 제38권4호
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• pp.175-180
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• 2013

Xylitol is a five-carbon sugar alcohol that reduces the incidence of caries by inhibiting the growth of oral streptococci, including Streptococcus mutans. Since xylitol is transported via the fructose phosphotransferase system, we hypothesized that it could also affect the growth of other oral bacteria strains. We tested the effects of xylitol against non-periodontopathogenic oral bacteria frequently found in healthy subjects as well as periodontopathogens including Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia. With 5% xylitol, Streptococcus vestibularis and Gemella morbillorum showed marked growth inhibition. With 10% xylitol, all of the tested periodontopathogens and Actinomyces naeslundii showed marked growth inhibition, whereas the growth inhibition of Neisseria mucosa, Neisseria sicca and Veillonella parvula was mild only. Xylitol is a widely used sweetener and the concentration used in our experiment is easily achieved in the oral cavity. If xylitol reduces the growth of periodontopathogens more preferentially, it could also reduce the prevalence of these pathogens and have clinical utility in the prevention or treatment of periodontal disease.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권4호
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• pp.449-453
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• 2000

저자등은 하악 복잡골절 정복후 골과 연조직 결손을 보이는 환자에게 internal resorvoir를 이용한 연조직 확장 후 장골 이식으로 골결손 수복을 함으로써 양호한 안모개선을 얻었기에 문헌고찰과 함께 보고하는 바이다.

• Applied Microscopy
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• 제18권2호
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• pp.91-101
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• 1988

The ultrastructure of the sac and tail portion of the large ampullate gland and production of the silk materials in the orb web spider, Nephila clavata L. Koch, are studied with electron microscope. Large ampullate glands, the largest glands among the seven kinds of silk glands in this species, are composed of three parts which are the excretory duct, the storage sac and the convoluted tail. The wall of the sac is composed of a single layer of columnar epithelial cells. In the cytoplasm of these cells several kinds of the secretory granules, which are commonly associated with the rough endoplasmic reticula and had characteristic crystalloid, are seen. According to the morphology and internal textures of these granules, the sac portion is subdivided into proximal(connected with the convoluted tail) and distal(connected with excretory duct) portion. Between these two portions, the proximal portion is longer than the distal by four times. Silk materials, being synthesized to the shape of secretory granules, within the glandular epithelial cell of the tail portion are released to the inner cavity by the mechanism of the eccrine secretion. These secretory granules are originated from the rough endoplasmic reticula of the glandular epithelial cells, whereas no Golgi complexes has been found in any of the cells which have been examined.

• Applied Microscopy
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• 제19권1호
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• pp.49-58
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• 1989

Ultrastructure of the excretory duct of the small ampullate gland in the orb web spider, Nephila clavata L. Koch are studied with light and electron microscopes. The small ampullate glands, located near the midline portion of the abdominal cavity, are connected with the spigots(large spinning tubes) on the middle spinnerets and composed of three parts which are the excretory duct, the storage sac and the convoluted tail. The excretory duct of this gland is enclosed by a thin layer of the outer connective tissues. By the morphology of the apical cuticles and internal textures of the epithelial cells, the duct is subdivided into two regions which are proximal duct region near the sac and distal duct region near the spinnerets. At the distal region of the ducts, the subcuticle which had the function of water removal form the progenetive silk material is well developed, whereas at the proximal region this cuticle disappeared and instead of these, endocuticle is developed. Moreover the epithelium of the distal duct region is composed of columnar epithelial cells, but at the proximal region the epithelium is changed to squamous or cuboidal forms. In the cytoplasm of the epithelial cells, rough endoplasmic reticula, Golgi comlexes and large secretory vesicles related to the production of the cuticular materials are well developed. And between the adjacent epithelial cells, specialized septate junction and desmosomes are formed along the plasma membrane.

• Archives of Reconstructive Microsurgery
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• 제8권1호
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• pp.28-34
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• 1999

The need for reconstruction of large bone, soft tissue defect of mandible has greater emphasis due to development of industry, traumatic accident and increase of tumor. The mandibular reconstruction had greatly progressed through the first and the second World Wars. The Fibular free flap by using microscope was reported in 1970 and many maxillofacial reconstructive surgeons had used. In 1988, Dr. Hidalgo first reported mandibular reconstruction by using fibular free flap. Mandibular reconstruction by using fibular free flap has several advantages. First, it provides up to 25 cm of bone, enough to reconstruct any length of mandible defect. Second, a skin island, based on a septocutaneous blood supply, is available in a size large enough to simultaneously reconstruct internal and external soft tissue defect. Third, The fibular donor site morbidity is low, fourth, it provides a esthetic effect of mandible line. And finally bone viability is good. The Fibular osteocutaneous free flap was performed after COMMANDO operation due to squamous cell cancer in oral cavity (15 cases). Therefore we report out successful operation of the mandible reconstruction by using fibular osteocutaneous free flap.

• 대한기계학회논문집A
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• 제29권5호
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• pp.647-654
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• 2005

This research Proposes a Process design of injection molded microcellular plastic gears for enhancing the fatigue strength/durability and accuracy of the gears applying thermodynamic instability to microcellular foaming process. To develop the injection molded plastic gears by way of microceliular process, it is absolutely necessary the following two process design. The first is microcellular forming process for enhancing the strength/durability of plastic gears. To be microcellular process succeeded, based on the microcellular principle, mechanical apparatus is designed where nucleation and cell growth are to be generated renewably. The second is the counter pressure process which is mainly fur improving the tooth surface roughness and the accuracy of microcellular gears. For the former process, screw, nozzle and gas equipment are newly designed, and for the latter, counter pressure by nitrogen gas is intentionally brought about into mold cavity when injecting plastic gears. Based on the proposed process design, using gear mold, experiments of injection molding show that, in internal space of plastic gears, microcellular nuclear cells less than 5 lim in diameter have been generated homogeneously via electron microscope photos.

• 대한의생명과학회지
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• 제22권4호
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• pp.115-126
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• 2016

Audiometric calibration is a prerequisite for securing the reliability of audiometric test results by checking the internal consistency of the relevant instrument. The purpose of this review is to help instrument operators understand the calibration procedure of aural acoustic immittance instrument which is frequently used for objective assessment. By referring to the latest international standards and the national standards relevant to the aural acoustic immittance instrument, the following parameters will be reviewed: 1) introduction of performance characteristics, 2) detailed procedure of the calibration method. According to the newest international and national standards [IEC 60645-5 (2004), ANSI S3.39-1987 (R2012)], the aural acoustic immittance instrument basically includes six components: 1) calibration cavity, 2) acoustic immittance analysis system, 3) probe assembly/unit and signal, 4) pneumatic air-pressure pump system, 5) acoustic reflex activator system and 6) tympanogram and acoustic reflex plotting system, each of these components should meet set standards. The result of behavioral hearing tests is influenced by various complex factors including the examinee's cooperation, background noise of the examination room, measurement method, skill level of the audiologist and calibration status, but the objective hearing tests is more influenced by the calibration status of the instrument than any other factors. The audiologist should take full responsibility for the reliability of the hearing test result, so he/she should carry out the calibration check and adjustments of aural acoustic immittance instrument periodically and maintain the instrument continuously by referring to the newest standards and the manufacturer's instruction manual.

• Journal of Chest Surgery
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• 제28권8호
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• pp.797-800
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• 1995

Pulmonary sequestration is an uncommon congenital pulmonary malformation characterized by presence of nonfunctioning lung tissue which receives its blood supply mostly from the anomalous systemic arteries - descending thoracic aorta or abdominal aorta, subclavian artery, innominated artery and internal mammary artery, etc. In our country, 39 cases were reported previously. The patient was a 40 years old woman and admitted due to productive cough for 1 year. The chest X-ray and chest C-T showed a dense mass containing a large cavity with air-fluid level and multiple radiolucent cysts in the right lower lung field. On the operative field, we could identify an aberrant large artery [ $\phi$7mm which arose directly from the descending thoracic aorta at eighth thoracic spinal level and fed the sequestrated portion of the right lower lobe. The aberrant artery was double ligation after division. Only sequestrated lobe on the superolateral lesion of the right lower lobe was resected because of nonseparated lobes in all the right lobes. An abnormal vein and bronchiole were ligated with black silk. The patient`s postoperative course was unevenful.

• 에너지공학
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• 제26권2호
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• pp.73-79
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• 2017

In nucleation assisted crystallization process formed $CO_2$ leaves as colloid gas and is used as the template by the rapidly growing crystals in the nucleation site. This emulsion of $CaCO_3$ micro-crystals & $CO_2$ micro-bubbles forms hollow particles. Formed hollow particles are double walled, both internal and external faces belonging to the cleavage aragonites which separate the surrounding water from the enclosed gas cavity. Hence, the reverse reaction of $CO_2$ with water forming Carbonic Acid is not possible and the pH stability is maintained. In fact every excess $CaCO_3$ crystals are buffering any carbonic acid left over. This $CO_2$ based nucleation technology prevents scale formation in water channels, but it also helps to reduce the previously formed scales. This process takes out water dissolved $CO_2$ in almost-visible micro-bubbles forms that helps reducing previously formed scale over a period of time (depends on the usage period). The aragonite crystals can't form scale because of its stable molecular structure and neutral surface electro potentiality.