• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권1호
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• pp.41-48
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• 2024

Objectives: Botulinum toxin type A (BTX), a powerful neurotoxin, can be an effective treatment choice for diverse muscular disorders and can reduce abnormal muscle activities. Abnormal movements of the mandible can be caused by involuntary and uncontrolled contractions of the lateral pterygoid muscle (LP) in various pathological situations. Previous reports have shown that BTX can reduce abnormal contractions of the LP. However, needle placement into the LP for BTX injection requires skill, experience, and sufficient anatomical knowledge. To place the needle precisely into the LP, ultrasonography (USG) can be used as an effective needle-guidance modality. USG is a non-invasive imaging modality able to create real-time images without any potential risks, including radiation exposure. Patients and Methods: The patients who had been performed USG-guided BTX injection into the LP using an intraoral approach were included in this study with a literature review and case presentations. Using the USG, four patients received BTX injections to treat recurrent temporomandibular dislocation and oromandibular dystonia resulting from involuntary LP activity. Result: Involuntary movements of the mandible were improved successfully in all patients, and showed satisfactory results without significant complication. Conclusion: The intraoral approach could prevent potential complications during needle placement. USG-guided BTX injection is an effective, convenient, and safe method that provides real-time imaging without unnecessary pain to the patient.

• Journal of Cardiovascular Imaging
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• 제31권4호
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• pp.159-168
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• 2023

BACKGROUND: The gold standard for diagnosis of cardiac tumours is histopathological examination. Cardiovascular magnetic resonance (CMR) is a valuable non-invasive, radiation-free tool for identifying and characterizing cardiac tumours. Our aim is to understand CMR diagnosis of cardiac tumours by distinguishing benign vs. malignant tumours compared to the gold standard. METHODS: A systematic search was performed in the PubMed, Web of Science, and Scopus databases up to December 2022, and the results were reviewed by 2 independent investigators. Studies reporting CMR diagnosis were included in a meta-analysis, and pooled measures were obtained. The risk of bias was assessed using the Quality Assessment Tools from the National Institutes of Health. RESULTS: A total of 2,321 results was obtained; 10 studies were eligible, including one identified by citation search. Eight studies were included in the meta-analysis, which presented a pooled sensitivity of 93% and specificity of 94%, a diagnostic odds ratio of 185, and an area under the curve of 0.98 for CMR diagnosis of benign vs. malignant tumours. Additionally, 4 studies evaluated whether CMR diagnosis of cardiac tumours matched specific histopathological subtypes, with 73.6% achieving the correct diagnosis. CONCLUSIONS: To the best of our knowledge, this is the first published systematic review on CMR diagnosis of cardiac tumours. Compared to histopathological results, the ability to discriminate benign from malignant tumours was good but not outstanding. However, significant heterogeneity may have had an impact on our findings.

• 한국토양비료학회지
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• 제19권2호
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• pp.115-121
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• 1986

원자력시설(原子力施設)에서 방출(放出)될 수 있는 장반감기핵종중(長半減期核種中)의 하나인 $Cs^{137}$을 5개 답토양(畓土壤)에 처리(處理)하여 토양중(土壤中)에서의 흡(吸) 탈착상태(脫着狀態)를 조사하여 다음과 같은 결과를 얻었다. 1. $Cs^{137}$은 토양(土壤)에 다량(多量) 흡착(吸着)되며 치환성형태(置換性形態)의 탈착량(脫着量)은 K첨가에 따라서는 감소(減少)하였고, $Cs^{137}$ 처리량(處理量)의 증가에 따라서는 비례적으로 증가하였으며 치환성형태의 탈착량(脫着量)은 수용성(水溶性)에 비하여 매우 높았다. 2. 토양(土壤)에 첨가된 $Cs^{137}$의 존재형태(存在形態)는 토양(土壤)에 따라서 차이(差異)가 있으나 평균적으로 수용성(水溶性)이 5.9%, 치환성(置換性)이 17.1%, 비치환성(非置換性)이 77.0%로 나타났다. 3. 토양(土壤)에 흡착(吸着)된 $Cs^{137}$의 수용성(水溶性) 및 치환성탈착량(置換性脫着量)은 토양(土壤)pH와 치환성 염기함량의 증가에 따라 감소(減少)하였고, 유기물과 점토함량(粘土含量)의 증가에 따라서는 증가하였다. 4. 토양(土壤)에 흡착(吸着)된 $Cs^{137}$은 Illite와 Vermiculite가 많은 토양(土壤)에서 비치환성형태(非置換性形態)로의 흡착(吸着)이 많았다.

• Journal of Korean Neurosurgical Society
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• 제30권11호
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• pp.1263-1270
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• 2001

Objective : To analyze the radiosurgical results of intracranial meningiomas after Gamma Knife radiosurgery (GKS) and to assess the possible factors related to the outcome and complications in treating meningiomas. Patients and Methods : We retrospectively reviewed the clinical and radiological data in 179 patients(194 lesions) treated with GKS for intracranial meningiomas between May 1992 and October 2000. Radiosurgical responses were categorized as shrinkage, stasis and enlargement, and we defined the shrunken and static group as a radio-logical control. A Cox proportional hazards model was used to evaluate the correlation between the radiosurgical outcomes and various factors such as location and size of tumor, age and gender of patients, relation to venous sinus, pre-GKS degree of edema, treatment modality, radiosurgical parameters, and pathologic findings. Results : Patients were grouped into skull base meningiomas(57.7%), non-skull base tumor including convexity, parasagittal, and falx meningiomas(37.1%), and others(5.2%) according to the location of tumors. The mean maximum dose and the margin dose of tumor was 30.0Gy(19-45Gy) and 15.1Gy(9.5-24.5Gy), respectively. The mean volume of the tumors was 9.4cc(0.003-45.0cc). The radiologic control rate was 97.1%. The radiation induced imaging change with or without neurologic deficit was the most common complication(23.6%). There were seen mostly in convexity, parasagittal, and falx meningiomas which were deeply embedded in cortex. Conclusion : GKS for intracranial meningioma seems to be safe and effective treatments. However, GKS should be considered very cautiously in non-skull base tumor such as convexity, parasagittal, or falx meningiomas with regards to patient's age and general condition, size and location of tumor, pattern of embedding into cortex, presenting symptoms and patient's preference.

• Clinical and Experimental Reproductive Medicine
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• 제44권4호
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• pp.207-213
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• 2017

Objective: This study investigated the prevalence of infections with human papillomavirus, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, and Mycoplasma genitalium in the semen of Korean infertile couples and their associations with sperm quality. Methods: Semen specimens were collected from 400 men who underwent a fertility evaluation. Infection with above five pathogens was assessed in each specimen. Sperm quality was compared in the pathogen-infected group and the non-infected group. Results: The infection rates of human papillomavirus, C. trachomatis, U. urealyticum, M. hominis, and M. genitalium in the study subjects were 1.57%, 0.79%, 16.80%, 4.46%, and 1.31%, respectively. The rate of morphological normality in the U. urealyticum-infected group was significantly lower than in those not infected with U. urealyticum. In a subgroup analysis of normozoospermic samples, the semen volume and the total sperm count in the pathogen-infected group were significantly lower than in the non-infected group. Conclusion: Our results suggest that infection with U. urealyticum alone and any of the five sexually transmitted infections are likely to affect sperm morphology and semen volume, respectively.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.624-629
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• 2018

본 논문은 NDIR(Non Dispersive Infra Red) 방식을 적용하여 $CO_2$ 및 $CH_4$의 두 가지 가스를 하나의 휴대용 장치에서 측정이 가능하도록 제작된 복합 가스 측정 장치에 대한 연구이다. 측정 장치의 구성은 적외선램프에서 적외선이 방출되면 방출된 파장이 광학창을 거치면서 흡수로 인하여 빛이 줄어들게 되고 이 감소량(흡수도)을 검출기에서 검출하고 이를 전기적 신호로 변환 증폭하여(3.5V~6V) 정확한 측정이 가능함을 보여준다. 기존의 Single Sensor 방식은 적외선에서 특수파장을 흡수하여 상대 측정량을 검출하는 방식으로 가스의 경우 $4.26{\mu}m$파장의 빛만을 검출하여 측정하는 방식으로 센서의 값을 보정할 수 있는 기준센서가 없어 오차가 발생하는 문제가 발생하였다. 본 연구에 적용된 Dual Sensor 방식은 다른 가스의 영향을 받지 않는 $3.91{\mu}m$의 기준치와 가스의 $4.26{\mu}m$의 두 파장을 검출하여 비교측정 함으로써 오차가 적어 신뢰도가 높은 방식으로, 휴대형으로 소형화하여 저 전력화가 가능하며, $CO_2$ 및 $CH_4$의 2가지 가스농도를 복합적으로 측정 할 수 있다는 특징이 있다. 측정 범위는 $CO_2$의 경우 0ppm~5,000ppm이고 $CH_4$의 경우는 0~5%의 부피 농도로 실내 공기량 1,000ppm을 측정 할 수 있도록 제작되어 휴대용이나 주택의 Home automation과 연동하여 소화연동이 가능함으로 화재예방에 매우 효과적일 것으로 확인하였다.

• Tuberculosis and Respiratory Diseases
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• 제65권2호
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• pp.105-109
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• 2008

연구배경: Fascin은 세포 운동에 관여하는 액틴 결합 단백질로서 정상적인 상피세포에는 증가되어 있지 않으며, 일부 악성종양에서 fascin이 증가되어 있다는 보고가 있다. 본 연구는 비소세포폐암 환자의 조직에서 fascin 발현을 조사하고 fascin이 예후 인자로 역할을 하는지를 알아보고자 하였다. 방 법: 제 1기 비소세포폐암으로 근치적 절제수술을 받고 추적조사가 가능했던 환자 81명의 조직에서 fascin 발현을 면역조직화학 염색 방법으로 조사하였다. 결 과: Fasin 발현은 전체 81예 중 59예(73%)에서 양성이었다. Fascin 발현 정도에 따른 5년 생존율은 fascin 발현 음성군에서 68%, fascin 저발현군에서 76%, fascin고발현군에서 79%으로 각 군간에 유의한 차이가 없었다(p=0.86). 결 론: Fascin발현이 비소세포폐암으로 근치적 수술을 받은 환자에서 예후 인자로서 역할을 하는지 알아보았으나 통계학적으로 유의한 관련성이 없었다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5691-5696
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• 2014

Background: Many clinical trials have been conducted to evaluate sorafenib for the treatment of advanced NSCLC, but the results for efficacy have been inconsistent. The aim of this study was to evaluate the efficacy and safety of sorafenib in patients with advanced NSCLC in more detail by meta-analysis. Methods: This meta-analysis of randomized controlled trials (RCTs) was performed after searching PubMed, EMBASE, ASCO Abstracts, ESMO Abstracts, and the proceedings of major conferences for relevant clinical trials. Two reviewers independently assessed the quality of the trials. Outcomes analysis were disease control rate (DCR), progression- free survival (PFS), overall survival (OS) with 95% confidence intervals (CI) and major toxicity. Subgroup analysis was conducted according to sorafenib monotherapy, in combination with chemotherapy or EGFR-TKI to investigate the preferred therapy strategy. Results: Results reported from 6 RCTs involving 2, 748 patients were included in the analysis. Compared to sorafenib-free group, SBT was not associated with higher DCR (RR 1.31 (0.96- 1.79), p=0.09), PFS (HR 0.82 (0.66-1.02), p=0.07) and OS (HR 1.01 (0.92-1.12), p=0.77). In terms of subgroup results, sorafenib monotherapy was associated with significant superior DCR and longer PFS, but failed to show advantage with regard to OS. Grade 3 or greater sorafenib-related adverse events included fatigue, hypertension, diarrhea, oral mucositis, rash and HFSR. Conclusions: SBT was revealed to yield no improvement in DCR, PFS and OS. However, sorafenib as monotherapy showed some activity in NSCLC. Further evaluation may be considered in subsets of patients who may benefit from this treatment. Sorafenib combined inhibition therapy should be limited unless the choice of platinum-doublet regimen, administration sequence or identification of predictive biomarkers are considered to receive better anti-tumor activity and prevention of resistance mechanisms.

• 한국농업기계학회:학술대회논문집
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• 한국농업기계학회 2000년도 THE THIRD INTERNATIONAL CONFERENCE ON AGRICULTURAL MACHINERY ENGINEERING. V.II
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• pp.210-218
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• 2000

Since the SSC(soluble solid contents) and titratable acidity of fruit are highly concerned to the taste, the need for measuring them by non-destructive technology such as NIR(Visual and Near-infrared) spectroscopy is increasing. Specially, in order to grade the quality of each fruit with a sorter at sorting and packing facilities, technologies for online measurement satisfying the tolerance in terms of accuracy and speed should be developed. Many researches have been done to develop devices to measure the internal qualities of fruit such as SSC, titratable acidity, firmness, etc. with the VIS(Visual)/NIR(Near Infrared) reflectance spectra. The distributions of the SSC, titratable acidity, firmness, etc. are different with respect to the position and depth of fruit, and generally the VIS/NIR light can interact with fruit in a few millimeters of pathlength, and it is very difficult to measure the qualities of inner flesh of fruit. Therefore, to measure the average concentrations of each quality factor such as SSC and titratable acidity with the reflectance-type NIR devices, the spectra of fruit at several positions should be measured. Recently, the interest about the transmittance-type VIS/NIR devices is increasing. NIR light can penetrate through the fruit about 1/10-1/1,000,000 %. Therefore, very intensive light source and very sensitive sensor should be adopted to measure the transmitted light spectra of intact fruit. The ultimate purpose of this study was to develop a device to measure the transmitted light spectra of intact fruit such as apple, pear, peach, etc. With the transmittance-type VIS/NIR device, the feasibility of measurement of the SSC and titratable acidity in intact fruit cultivated in Korea was tested. The results are summarized as follows; A simple measurement device which can measure the transmitted light spectra of intact fruit was constructed with sample holder, two 500W-tungsten halogen lamps, a real-time spectrometer having a very sensitive CCD array sensor and optical fiber probe. With the device, it was possible to measure the transmitted light spectra of intact fruit such as apple, pear and peach. Main factors affecting the intensity of transmitted light spectra were the size of sample, the radiation intensity of light source and the integration time of the detector. Sample holder should be designed so that direct light leakage to the probe could be protected. Preprocessing method to the raw spectrum data significantly influenced the performance of the nondestructive measurement of SSC and titratable acidity of intact fruit. Representative results of PLS models in predicting the SSC of peach were SEP of 0.558 Brix% and R2 of 0.819, and those in predicting titratable acidity were SEP of 0.056% and R2 of 0.655.

• 한국농림기상학회지
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• 제20권2호
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• pp.183-189
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• 2018

고측고 토마토 전용 하우스에서 비순환식 토마토 암면재배 시 배지 내 수분함량이 토마토 '데프니스' 품종의 생육 및 과실의 생산성에 미치는 영향을 보고자 수행하였다. 양액공급량은 일사량제어가 FDR센서 수분제어보다 3.8배 많았다. 일사량제어의 수분함량은 90-95%였고, FDR센서 수분제어의 수분함량은 60-65%였다. 초장의 길이 및 토마토의 과중은 일사량 제어가 FDR센서 수분제어보다 1.2-1.9배 길었고, 1.2-2.0배 무거웠다. 상품과는 일사량 제어가 FDR센서 수분제어보다 1.3배 많았다. 과실의 당도는 처리간 차이가 없었다. 열과 발생량은 일사량 제어가 FDR센서 수분제어보다 2.0배 높았다. 따라서 비순환식 암면 배지에서 토마토의 생육 및 생산성을 향상시키기 위해서는 일사량제어가 적당하다고 판단된다.