• 한국의료질향상학회지
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• 제3권2호
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• pp.36-51
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• 1997

Background : Clinical practice guidelines define "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances" and help to improve patient care. The purpose of this study is to develop a clinical practice guideline for the most effective diagnoses and treatments of benign prostatic hyperplasia based on patient preference and clinical need. Methods : For this research project, extensive literature searches (208 articles) were conducted. As well, critical reviews and syntheses (meta-analysis) were used to evaluate empirical evidence and significant outcomes of the BPH literature. Questionnaires about clinical practice for BPH patients were distributed and consensus meetings were undertaken to grasp variations in clinical practice and to reach agreement on the guideline's development. The guideline was promoted under the sponsorship of the Korean Medical Association and the Korean urological Cancer. Society. For the task, the Benign Prostatic Hyperplasia Guideline Panel was composed of multidisciplinary experts in the field. Results : BPH is a disease that affects a patient's quality of life. This Clinical Practice Guideline was developed for the typical man over age 50 with symptoms of prostatism, but with no significant medical morbidities such as diabetes or other known causes of voiding dysfunction, such as urethral stricture or neurogenic bladder. The guidelines detail the relative benefits and obstacles associated with all diagnostic and treatment approaches, including watchful waiting. Conclusion : This guideline provides a cornerstone for our medical association. It represents the most current scientific knowledge regarding the development, diagnosis, and treatment of BPH. It will be revised and updated as needed.

• 농업과학연구
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• 제43권5호
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• pp.810-817
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• 2016

The aim of this experiment was to determine the effect of a high-energy diet on the level of serum metabolites and on carcass characteristics of Hanwoo steers. High energy diets have been used for enhancing intramuscular adipose tissue in high quality beef cattle. However, there is not much information about the physiological reactions to this diet. We hypothesized that a high energy diet would increase blood metabolites and the meat quality of Hanwoo steers during the early and final fattening periods. A $2{\times}2$ factorial arrangement (High, Control, and Early, Final) in a completely randomized design was used to feed 24 Hanwoo steers. Two steers were kept in the same pen and 12 pens were used for the experiment. Blood was drawn from each steer on the first week of every other month from 11 to 28 months. Overall Average Daily Gain (ADG) and feed efficiency were not different between high energy and control diets (p > 0.05). However, Dry Matter Intake (DMI greater with the control diet than DMI with the high energy diet during the final fattening period (p < 0.05). Serum non-esterified fatty acid (NEFA) concentrations were greater in the control diet group than in the high energy diet group during the final fattening period (p < 0.05). However, serum albumin, glucose, total protein, triglyceride, and phosphorus were greater in the high energy group than those of the control group (p < 0.05). Carcass traits or physico-chemical characteristics were not different between high energy diet treatment and the control. These data indicated that a high energy diet (+ 3% TDN) increased serum triglyceride during early fattening periods and decreased non-esterified fatty acids during final fattening periods in Hanwoo steers.

• 농업과학연구
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• 제45권1호
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• pp.84-93
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• 2018

This study was conducted to develop a pasture feeding program for reducing the Hanwoo feeding cost. Italian ryegrass (IRG) is a major plant which is abundantly produced in the southern area of South Korea. Locally produced Italian ryegrass has a 30 - 50% reduced pasture cost compared to imported pasture grasses. We hypothesized that Italian ryegrass feed could reduce the feeding cost but not change the physiological characteristics of the Hanwoo steers in the feedlot. Four treatments (Control, short fed IRG silage, long fed IRG silage, and IRG hay) in a completely random design were used to feed 27 Hanwoo steers. Three or four steers were fed in the same pen, and 8 pens were used for the treatments. Blood was drawn from each steer on the first week of every month from 11 to 30 months. Overall, the average daily gain and feed efficiency were not different among the treatments (p < 0.05) except for the final fattening diets (p < 0.05). The long fed IRG silage group had a low ADG compared to the other groups (p < 0.05). The serum non-esterified fatty acid and glucose concentrations were reduced during the fattening periods (p < 0.05); however, the serum albumin, total proteins, triglycerides, and phosphorus were increased during the fattening periods (p < 0.05). The carcass weight, longissimus muscle area and back-fat thickness were low in the long fed IRG silage group (p < 0.05). The IRG diet induced saturated fatty acids in the longissimus dorsi (p < 0.05). These results show that the IRG diet increased the serum triglycerides but reduced the glucose level at the final fattening diet and decreased the meat yield score in Hanwoo steers.

• 한국해양학회지:바다
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• 제8권3호
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• pp.295-306
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• 2003

산업혁명 이후 인류가 과량으로 방출한 이산화탄소가 지구환경에 어떤 영향을 미치는지, 그리고 해양이 흡수하는 탄소량의 크기가 얼마인지에 대한 연구들이 진행되고 있다. 대양과 비슷한 순환 특징을 가지고 있는 동해가 이산화탄소 증가와 지구온난화에 대해 어떻게 반응하는지를 알아보기 위한 연구계획의 일환으로 탄소순환에 중요하게 기여하는 생물펌프의 크기를 간단한 상자모형을 적용시켜 추정하였다. 매개변수로는 인산염을 사용하였는데, 동해에서 일어나고 있는 수층 구조의 변화를 고려해서 해수 수지와 용존산소 수지를 맞춘 다음에, 인산염의 과거 자료를 바탕으로 인의 순환 플럭스를 모사하였다. 1952년부터 2040년까지 모사해 본 결과, 동해에서 생물펌프는 점차 강화되고 있고, 현재 0.0156 Pg C yr$^{-1}$ 정도를 해양 내부로 내보내고 있는 것으로 추정된다. 한편 동해의 해수순환은 저층수를 만드는 것이 줄어드는 반면 중앙층으로 유입이 증가하는 추세이다. 산소가 풍부한 표층수가 중앙층으로 유입되면서 유광층에서 하강한 생물입자들의 분해가 이 층에서 활발해져서 영양염을 표층으로 되돌리는 것이 강화될 것으로 보인다. 이렇게 되면 생물에 의한 탄소제거가 늘어나게 될 깃이다. 지난 50년간의 생물펌프 변화로 블 때 산업혁명 이후 생물에 의한 동해의 인류기원 이산화탄소 흡수량은 0.025 Pg C 정도로 추정된다.

• Journal of Chest Surgery
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• 제51권4호
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• pp.247-253
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• 2018

Background: Early extubation after cardiovascular surgery has some clinical advantages, including reduced hospitalization costs. Herein, we review the results of ultra-fast-track (UFT) extubation, which refers to extubation performed on the operating table just after the operation, or within 1-2 hours after surgery, in patients with congenital cardiac disease. Methods: We performed UFT extubation in patients (n=72) with a relatively simple congenital cardiac defect or who underwent a simple operation starting in September 2016. To evaluate the feasibility and effectiveness of our recently introduced UFT extubation strategy, we retrospectively reviewed 195 patients who underwent similar operations for similar diseases from September 2015 to September 2017, including the 1-year periods immediately before and after the introduction of the UFT extubation protocol. Propensity scores were used to assess the effects of UFT extubation on length of stay (LOS) in the intensive care unit (ICU), hospital LOS, and medical costs. Results: After propensity-score matching using logistic regression analysis, 47 patients were matched in each group. The mean ICU LOS ($16.3{\pm}28.6$ [UFT] vs. $28.0{\pm}16.8$ [non-UFT] hours, p=0.018) was significantly shorter in the UFT group. The total medical costs ($182.6{\pm}3.5$ [UFT] vs. $187.1{\pm}55.6$ [non-UFT] ${\times}100,000$ Korean won [KRW], p=0.639) and hospital stay expenses ($48.3{\pm}13.6$ [UFT] vs. $54.8{\pm}29.0$ [non-UFT] ${\times}100,000KRW$, p=0.164) did not significantly differ between the groups. Conclusion: UFT extubation decreased the ICU LOS and mechanical ventilation time, but was not associated with postoperative hospital LOS or medical expenses in patients with simple congenital cardiac disease.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권4호
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• pp.314-318
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• 2009

The aim of this study was to evaluate the clinical applicability of a ridge splitting technique for reconstruction of narrowed edentulous alveolar ridges for dental implantation. 41 patients with 47 edentulous areas were included in this study. After corticotomy of a rectangular buccal segment and about 3-4 weeks healing period, the alveolar ridge was splitted, implant was placed. The initial ridge width varied between 2.5 and 7.0mm, average was 3.99mm. 68 dental implants were placed, and the gap between the implants and the bone is filled with various bone graft material, or none. All splitted sites showed sufficient bone volume for insertion of the implants at the moment of implantation. Over 1 year of follow-up period, five implants(7.3%) had mobility in two patients, among them, 2 implants(2.9%) sustained infection and removed. And any other complications were not noted. Our conclussion is that ridge splitting of the narrow edentulous area is a reliable and safe procedure in horizontally deficient ridges.

• Tuberculosis and Respiratory Diseases
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• 제60권3호
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• pp.347-352
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• 2006

저자들은 1개월간 지속된 왼쪽 어깨통증 및 갑자기 발생한 호흡곤란으로 내원한 36세 여자 환자에서, 편측성 종격동의 종괴와 흉막강으로 파열되어 반대측의 흉수를 동반한 기형종의 진단 및 치료 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.

• 한국임상수의학회지
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• 제32권3호
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• pp.219-223
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• 2015

Mycobacterium avium subsp. paratuberculosis (MAP)는 가축 및 야생동물에서 장 내 육아종성 감염증을 유발한다. 이 연구의 목적은 MAP 특이유전자 3개(IS900, F57 및 ISMAP02)의 빠른 검사를 위한 다중 실시간 중합효소연쇄반응기법을 개발하고 평가하는데 있다. 평가 결과 분석 민감도는 IS900이 150 cells/ml, F57이 1500 cells/ml, ISMAP02가 50 cells/ml로 확인되었다. 152개 소 분변시료를 대상으로 실시한 검사 결과 개발한 기법이 기존 검사방법보다 빠르고 적은 비용으로 동시검사가 가능한 것으로 확인되었다. 검사결과의 일치도는 94%로 나타났다. 불일치 결과는 개발한 기법이 양성으로 확인하였으나, 기존 검사에서는 음성으로 나타난 것 때문으로 확인되어, 개발한 기법이 더 높은 민감도를 갖는 것으로 나타났다. 개발한 다중 실시간 중합효소연쇄반응기법은 가축 및 야생동물에서 파라결핵 또는 요네병의 조사를 위한 빠르고 정확한 검사기법이 될 것이다.

• 한국수산과학회지
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• 제13권2호
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• pp.81-87
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• 1980

크릴젓을 식염농도별, 숙성기간별로 일반성분조성, pH, VBN 및 유리아미노질소의 변화, 아미노산조성 및 관능검사의 결과등을 종합하여 볼 때 크릴젓의 숙성은 극히 빠르고 보장력이 떨어 지므로 식염농도 $17\%$ 부적당하며, 반면 식염농도 $32\%$는 보장효과는 크나 염미가 너무 강하여 식용에 부적당하므로 식염농도가 $22\~27\%$인 것이 적당한 것으로 판정되었다. 또한 크릴젓을 담을 때 적당량의 알코올을 첨가하면 제품의 풍미, 외관 및 보장력을 크게 개선하는 효과를 나타 내었는데, 알코올의 농도는 식염농도가 $22\%$인 경우 $3.9\~5.9\%(v/w)$ 적당하였다. 크릴젓의 유리아미노산은 30일간 숙성기간중 3.2배로 증가하였으며 일반적으로 원료크릴에 함량이 적었던 aspartic acid, leucine, tyrosine, isoleucine 및 glutamic acid등의 증가율이 높고, 반대로 함량이 많았던 glycine, proline, lysine, arginine및 alanine등의 증가율이 낮은 경향을 나타내었다.

• 농업과학연구
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• 제40권2호
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• pp.155-162
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• 2013

Genome-wide association study was performed on data from 266 Hanwoo steers derived from 66 sire using bovine 10K mapping chip in Hanwoo (Korean Cattle). SNPs were excluded from the analysis if they failed in over 5% of the genotypes, had median GC scores below 0.6, had GC scores under 0.6 in less than 90% of the samples, deviated in heterozygosity more than 3 standard deviations from the other SNPs and were out of Hardy-Weinberg equilibrium for a cutoff p-value of $1^{-15}$. Unmapped and SNPs on sex chromosomes were also excluded. A total of 4,522 SNPs were included in the analysis. To test an association between SNP and QTL, GWAS for five genetic mode (additive, dominant, overdominant, recessive and codominant) was implemented in this study. Three SNPs (rs29018694, ss46526851 and rs29018222) at a threshold p< $1.11{\times}10^{-5}$ were detected on BTA12 and BTA21 for dressing percentages in codominant and recessive genetic mode. The G allele for rs29018694 has 4.9% higher dressing percentage than A allele, while the T allele for ss46526851 has 2.57 % higher dressing percentage than C allele. Therefore, rs29018694 SNP showed a bigger effect than the other two SNPs (ss46526851 and rs29018222) in this study. In conclusion, this study identifies three loci with moderate effects and many loci with infinitesimally small effect across genome in Hanwoo.