• 제목/요약/키워드: P2P-assisted

검색결과 572건 처리시간 0.031초

폐암에서의 흉강경 폐엽절제술 치험 133예 (Video-Assisted Thoracic Surgery Lobectomy for Non-Small Cell Lung Cancer: Experience of 133 Cases)

  • 김형렬;조정수;장희진;이상철;최은석;전상훈;성숙환
    • Journal of Chest Surgery
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    • 제42권5호
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    • pp.615-623
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    • 2009
  • 배경: 흉강경 수술이 점차 확대되고 있으며 폐암에서의 적용도 늘어나고 있다. 본 연구에서는 폐암 환자에서 시행한 흉강경 폐엽절제술의 안정성을 평가해보고, 개흉 폐엽절제술과의 성적과 비교해 보았다. 대상 및 방법: 2003년 5월부터 2008년 3월까지 임상적 I기 폐암으로 흉강경 폐엽절제술을 시행 받은 133명과 개흉 폐엽절제술을 시행받은 202명을 후향적으로 분석하였다. 임상적 I기 폐암은 수술전 컴퓨터단층촬영과 양성자방출단층촬영 등을 포함한 진단 방법으로 결정되었다. 흉강경 폐엽절제술은, 초기에는 장경 3 cm 미만, 2006년 이후에는 $4{\sim}5\;cm$의 병변까지 확대하였으며, 2개 혹은 3개의 포트와 늑골 벌림 없는 $3{\sim}6\;cm$의 작업창을 이용하였다. 병리학적으로 I기로 확진된 환자들을 2009년 2월까지 추적관찰하여, 흉강경 폐엽절제술군과 개흉 폐엽절제술군의 생존률과 무병생존률을 비교하였으며, 흉강경 수술 중 개흉술로 전환한 8명은 양군의 비교분석에서 제외되었다. 결과: 흉강경 폐엽절제술군의 평균 연령은 $61.8{\pm}9.8$세로 개흉 폐엽절제술군의 평균 연령($64.6{\pm}9.6$세)보다 유의하게 낮았다(p=0.008). 흉강경 폐엽절제술군에서 여성과 선암의 비율이 통계적으로 유의하게 높았고, 수술 후 IA로 확진된 환자가 유의하게 많았다(p<0.001). 수술 사망은 없었고, 32명의 환자에서 34예의 합병증이 발생하였으며 이중 50%가 5일 이상 지속된 공기누출이었다. N1 림프절 전이, 폐문부위의 종괴, 폐동맥 손상으로 인한 출혈, 석회화된 림프절 및 심한 유착 등으로 총 8명의 환자에서 흉강경을 시도하였다가 개휼술로 전환하였다. 흉강경 폐엽절제술군에서 흉관 유지 기간(p=0.031) 및 술후 재원 일수(p<0.001)가 통계적으로 유의하게 짧았고, 절제된 림프절 수(p<0.001)와 병리학적 종괴의 크기(p<0.001)가 작았다. 병리학적 병기 I기에서의 3년 생존율은 두 군 간에 차이가 없었으나(p=0.15), 무병생존율은 개흉술을 시행 받은 군에서 통계적으로 유의하게 낮았다(p<0.001). 결론: 폐암에 대한 흉강경 폐엽절제술은 합병증이나 사망률, 생존률 및 무병생존률에서 개흉 폐엽절제술과 비교하여 비슷하거나 좋은 결과를 얻을 수 있었고, 초기 폐암에서 안전하게 시행될 수 있을 것으로 사료된다.

Studying the influence of the concentration of alkaline solution to the formation of TiO2 nanotube prepared by microwave-assisted hydrothermal method

  • Hao, Nguyen Huy;Cho, Sung Hun;Lee, Soo W.
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 2014년도 추계학술대회 논문집
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    • pp.260-261
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    • 2014
  • $TiO_2$ nanotubes (TNT) synthesized by microwave-assisted hydrothermal method by using $TiO_2-P25$ as a precursor at hydrothermal temperature $150^{\circ}C$ in 4 hours. The concentration of alkaline solution is between 4M and 10M. Samples were characterized by X-ray diffraction (XRD), Raman spectroscopy (RS), Transmission electron microscopy (TEM), Brunauer-Emmett-Teller (BET) and UV-vis DRS spectroscopy. The results demonstrated the effects of the alkali concentration to the formation of nanotubes. The photocatalytic activity was investigated by degradation of Methylene Blue (MB).

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Effects of On-Line Community Assisted Small Group Peer Tutoring on University Students' Learning Strategies

  • JUN, Myongnam;EOM, Wooyong
    • Educational Technology International
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    • 제6권2호
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    • pp.101-111
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    • 2005
  • This study was to examine effects of On-Line Community Assisted Small Group Peer Tutoring(OCSPT) on university students' learning strategies. To achieve the purpose, twenty-eight university students were randomly selected. Fourteen students participated in OCSPT and they were divided into small groups consisted of 2 to 5. Students in experimental group participated in OCSPT for total thirty-four hours during sixteen weeks. There is no treatment for the other fourteen students in control group. To measure students' learning strategies, Motivated Strategies for Learning Questionnaire (MSLQ) shorts has been used. The result revealed that students in experimental group showed higher possession than control group in resource-management strategy(p<.05). However, there were no significant difference between both groups in cognitive and motivative strategies.

Noble metal catalytic etching법으로 제조한 실리콘 마이크로와이어 태양전지 (The Si Microwire Solar Cell Fabricated by Noble Metal Catalytic Etching)

  • 김재현;백성호;최호진
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2009년도 추계학술대회 논문집
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    • pp.278-278
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    • 2009
  • A photovoltaic device consisting of arrays of radial p-n junction wires enables a decoupling of the requirements for light absorption and carrier extraction into orthogonal spatial directions. Each individual p-n junction wire in the cell is long in the direction of incident light, allowing for effective light absorption, but thin in orthogonal direction, allowing for effective carrier collection. To fabricate radial p-n junction solar cells, p or n-type vertical Si wire cores need to be produced. The majority of Si wires are produced by the vapor-liquid-solid (VLS) method. But contamination of the Si wires by metallic impurities such as Au, which is used for metal catalyst in the VLS technique, results in reduction of conversion efficiency of solar cells. To overcome impurity issue, top-down methods like noble metal catalytic etching is an excellent candidate. We used noble metal catalytic etching methods to make Si wire arrays. The used noble metal is two; Au and Pt. The method is noble metal deposition on photolithographycally defined Si surface by sputtering and then etching in various BOE and $H_2O_2$ solutions. The Si substrates were p-type ($10{\sim}20ohm{\cdot}cm$). The areas that noble metal was not deposited due to photo resist covering were not etched in noble metal catalytic etching. The Si wires of several tens of ${\mu}m$ in height were formed in uncovered areas by photo resist. The side surface of Si wires was very rough. When the distance of Si wires is longer than diameter of that Si nanowires are formed between Si wires. Theses Si nanowires can be removed by immersing the specimen in KOH solution. The optimum noble metal thickness exists for Si wires fabrication. The thicker or the thinner noble metal than the optimum thickness could not show well defined Si wire arrays. The solution composition observed in the highest etching rate was BOE(16.3ml)/$H_2O_2$(0.44M) in Au assisted chemical etching method. The morphology difference was compared between Au and Pt metal assisted chemical etching. The efficiencies of radial p-n junction solar Cells made of the Si wire arrays were also measured.

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Early Outcomes of Robotic Versus Video-Assisted Thoracoscopic Anatomical Resection for Lung Cancer

  • Park, Ji Hyeon;Park, Samina;Kang, Chang Hyun;Na, Bub Se;Bae, So Young;Na, Kwon Joong;Lee, Hyun Joo;Park, In Kyu;Kim, Young Tae
    • Journal of Chest Surgery
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    • 제55권1호
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    • pp.49-54
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    • 2022
  • Background: We compared the safety and effectiveness of robotic anatomical resection and video-assisted thoracoscopic surgery (VATS). Methods: A retrospective analysis was conducted of the records of 4,283 patients, in whom an attempt was made to perform minimally invasive anatomical resection for lung cancer at Seoul National University Hospital from January 2011 to July 2020. Of these patients, 138 underwent robotic surgery and 4,145 underwent VATS. Perioperative outcomes were compared after propensity score matching including age, sex, height, weight, pulmonary function, smoking status, performance status, comorbidities, type of resection, combined bronchoplasty/angioplasty, tumor size, clinical T/N category, histology, and neoadjuvant treatment. Results: In total, 137 well-balanced pairs were obtained. There were no cases of 30-day mortality in the entire cohort. Conversion to thoracotomy was required more frequently in the VATS group (VATS 6.6% vs. robotic 0.7%, p=0.008). The complete resection rate (VATS 97.8% vs. robotic 98.5%, p=1.000) and postoperative complication rate (VATS 17.5% vs. robotic 19.0%, p=0.874) were not significantly different between the 2 groups. The robotic group showed a slightly shorter hospital stay (VATS 5.8±3.9 days vs. robotic 5.0±3.6 days, p=0.052). N2 nodal upstaging (cN0/pN2) was more common in the robotic group than the VATS group, but without statistical significance (VATS 4% vs. robotic 12%, p=0.077). Conclusion: Robotic anatomical resection in lung cancer showed comparable early outcomes when compared to VATS. In particular, robotic resection presented a lower conversion-to-thoracotomy rate. Furthermore, a robotic approach might improve lymph node harvesting in the N2 station.

Characterization of Novel Plasmid p1B146 from Corynebacterium tuberculostearicum

  • Wieteska, Lukasz;Szewczyk, Eligia M.;Szemraj, Janusz
    • Journal of Microbiology and Biotechnology
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    • 제21권8호
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    • pp.796-801
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    • 2011
  • Corynebacterium tuberculostearicum B146, a strain derived from healthy human skin, contains a medium copy plasmid, p1B146. This plasmid was cloned and its complete nucleotide sequence determined. As a result, p1B146 was found to be 4,2 kb in size with a 53% G+C content, plus six open reading frames (ORFs) were distinguished. According to a computer-assisted alignment, two of the ORFs exhibited significant similarities to already-known common plasmid proteins, the first being the RepA gene, responsible for plasmid replication via a rolling-circle mechanism, and the second being an FtsK-like protein, the function of which remains unclear. The presence and quantity of RNA fragments in the putative ORFs were also evaluated.

스마트폰을 이용한 대장내시경 장정결 동영상 교육의 효과 (Effects of Video Assisted Education Using Smartphone on Bowel Preparation for Colonoscopy)

  • 최미희;송준아
    • 기본간호학회지
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    • 제24권1호
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    • pp.60-71
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    • 2017
  • Purpose: The purpose of this study was to develop video assisted education on bowel preparation for colonoscopy (VEBPC) and use a snartphone to evaluate effects of the VEBPC. Methods: Adult patients who were scheduled for colonoscopy were recruited from a university general hospital and randomly assigned to three groups. Group 1 (n=30) watched the video using a computer set in the endoscope consulting room. Group 2 (n=29) watched it using a smartphone, and group 3, the control group (n=29) received education with existing instructions at the reservation-reception desk. Participants were evaluated on knowledge on taking bowel preparation agents and diet, compliance on taking bowel preparation agents and diet, satisfaction with education, and actual level of bowel preparation. Results: Group 1 and 2 showed significantly (p<.001) higher scores for knowledge, compliance, and satisfaction compared to the control group. However, in post-hoc test analyses there were no significant differences in these variables between group 1 and 2. No significant difference was found in the actual level of bowel preparation among the three groups. Conclusion: Findings from this study show that VEBPC using smartphone is a better option than existing educational methods. However, replication studies are necessary to confirm these findings.

Microwave Assisted Energy Efficient Biodiesel Production from Crude Pongamia pinnata (L.) Oil Using Homogeneous Catalyst

  • Kumar, Ritesh;Sethy, A.K.
    • Journal of Forest and Environmental Science
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    • 제31권1호
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    • pp.1-6
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    • 2015
  • Microwave assisted biodiesel production from crude Pongamia pinnata oil using homogeneous base catalyst (KOH) was unsuccessful because of considerable soap formation. Therefore, a two step process of biodiesel production from high free fatty acid (FFA) oil was investigated. In first step, crude P. pinnata oil was acid catalyzed using $H_2SO_4$ and acid value of oil was reduced to less than 4 mg KOH/g. Effect of sulfuric acid concentration, alcohol-oil molar ratio and microwave irradiation time on acid value of oil was studied. Result suggested that 1.5% $H_2SO_4$ (w/w), 6:1 methanol oil molar ratio and 3 min microwave irradiation time was sufficient to reduce the acid value of oil from 12 and 22 mg KOH/g to 2.9 and 3.9 mg/KOH/g, respectively. Oil obtained after pretreatment was subsequently used for microwave assisted alkali catalyzed transesterification. A higher biodiesel yield (99.0%) was achieved by adopting two step processes. Microwave energy efficiency during alkali catalyzed transesterification was also investigated. The results suggested a significant energy saving because of reduced reaction time under microwave heating.

콩 P34 단백질 결핍 유전자를 이용한 SSLP 마커 개발 (Development of SSLP Marker Targeted to P34 Null Gene in Soybean)

  • 양기웅;고종민;이영훈;전명기;정찬식;백인열;김현태;박금룡
    • 한국육종학회지
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    • 제42권5호
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    • pp.502-506
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    • 2010
  • 콩 알레르기에 민감한 사람들은 15가지가 넘는 콩 알레르기 단백질을 인지한다. 이러한 알레르기 단백질 때문에 콩의 광범위한 사용이 제한적이다. 시스테인 프로테아제에 속하는 P34 단백질은 콩의 주된 알러젠이다. 미국 국무부에서 16,226개의 유전자원에서 P34 단백질이 결핍된 PI567476 유전자원을 찾아냈다. P34 유전자 염기서열과 P34 유전자가 결실된 염기서열을 NCBI 데이터베이스에서 확인한 결과 P34 유전자가 결실된 염기서열에서 4 bp 가 삽입되었다는 것을 확인하였고, 그 부위에서 SSLP 마커를 개발하였다. 본 연구에서는 태광콩과 PI567476을 이용한 교배조합 $F_2$ 339개체를 개발한 분자표지마커로 확인하였다. 실험결과 태광콩 유형과 heterozygous 유형 및 PI567476 유형의 분리비는 85: 187: 67로 $X^2{_{0.05}}=5.99$, df=2에서 1:2:1의 분리비로 하나의 유전자가 관여한다는 것으로 나타났다. 앞으로 P34 단백질 관련 분자마커가 단백질 수준에서 정확히 일치하는지 확인 할 것이다.

돼지 MC4R 유전자 892G>A 다형성이 비육돈의 도체형질에 미치는 영향 (Effects of a Porcine MC4R Polymorphism(892G>A) on Carcass Traits in Commercial Pigs)

  • 한상현;이성수;고문석;성필남;박범영;조인철
    • Journal of Animal Science and Technology
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    • 제49권5호
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    • pp.569-576
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    • 2007
  • 임의적으로 선정된 비육돈 집단에서 melano- cortin-4 receptor(MC4R) 유전자의 유전적 변이와 도체형질의 연관성을 조사하였다. 돼지 MC4R 유전자형은 Asp298Asn(nt. 892G>A) 돌연변이를 PCR-RFLP 방법으로 결정하였다. 비육돈 집단에서 유전자형 A/A, A/G, G/G가 모두 출현하였고, 빈도는 각각 28.8, 48.4, 22.8%를 나타내었다. 전체 비육돈에서 유전자형 A/-은 G/G에 비해 근내지방도가 유의적으로 높게 나타났다(P<0.05). 동형접합자 A/A와 G/G가 이형접합자 A/G인 도체에 비해 육색도는 더 낮고 수분삼출도는 높은 것으로 확인되었다(P<0.01). 반면, -/G인 거세돈의 도체중이 A/A에 비해 도체중이 유의적으로 무겁게(약 2.5kg) 나타났다(P<0.05). 각 유전자형의 도체형질에 대한 효과는 미경산돈에서는 전체 비육돈 집단에 대한 효과와 유사하나, 거세돈 집단과는 다소 차이가 있었고, 이는 도체형질에 대한 현재까지 알려지지 않은 성-관련 효과로 추정된다. 본 연구에서 비육돈 생산에 있어 MC4R A/- 유전자형이 육질을 향상시킬 수 있을 것으로 기대된다. 하지만, MC4R 유전자형들이 성과 관련되어 차별적으로 도체형질에 영향을 주고 있기 때문에, 비육돈 생산을 위한 marker-assisted selection을 위해서는 성과 유전자형 모두가 고려되어져야 할 것이다.