• Journal of Gastric Cancer
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• 제7권4호
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• pp.213-218
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• 2007

목적: 조기위암 수술에 복강경 적용의 용이성 및 종양학적 안정성에 대해서는 많은 연구가 아루어지고 있으나, 복 강경 적용의 또 다른 목적인 '삶와 질' 향상에 대한 연구 는 아직 미흡한 현실이다. 이에 저자들은 위암 수술에 복강경 적용이 '삶의 질' 향상에 미치는 장기적 영향을 평가 하고자 본 연구를 고안하였다. 대상 및 방법: 2003년 1월부터 2004년 12월까지만 2년간 순천향대학병원 외과에서 위 절제 수술 후 위암 1기로 진단된 154명의 환자들을 대상으로 수술 후 1년 이상 경과한 시점에서 설문조사를 시행하였다. EORTC OLQ-C30(3판)과 EORTC QLQ-ST022 한글판을 이용하여 한 명의 전문 간호사에 의해 외래 방문 시 직접 면담 혹은 전화 상담을 통해 설문조사를 시행했으며, 통계처리는 SPSS 12.0 for Windows를 이용하였다. 결과: 전체 대상 환자 154명 중 86명에서 설문 조사가 이루어져 58%의 응답률을 보였으며, 86명(개복군: 57명, 복강경군: 29명)의 평균 연령은 55세였고, 남자가 60명 여자가 26명으로 남녀 비는 2.3 : 1 이었다. 개복 군의 종양 크기는 평균 2.42 cm로 복강경군의 평균 종양 크기 1.8 cm에 비해 유의하게 크기가 컸으며(P=0.003), 평균 획득 림프절 수도 개복 군에서 36개로 유의하게 더 많았다(P=0.000). 그 외 종양관련 인자인 원발암와 침윤도, 림프절 전이 및 TNM 병기에 있어서 양 군 간에 차이는 없었다. 전반적인 건강 상태와 관련된 2 항목의 평균 점수는 개복 군이 57 (${\pm}20.6$), 복강경 군이 60.3 (${\pm}20.4$)으로 양 군 간에 유의한 차이는 없었으며, 기능과 관련된 15 항목과 증상과 관련된 13항목에 있어서도 양군 간에 유의한 차이는 없었다. EORTC QLQ-STO22를 이용한 '삶의 질' 비교 결과 개복군의 평균 점수는 94.5 (${\pm}97.3$), 복강경군은 68.9 (${\pm}64.9$)로 개복군에서 전반적으로 불편한 증상을 많이 호소하였으나 통계학적인 차이는 없었다. 결론: EORTC QLQ-C30 (3판)과 EORTC QLQ-STO22 한글판을 이용한 설문조사 결과 장기적인 측면에서 위 절제술에 복 강경 적용이 환자의 '삶의 질' 향상에 영향을 미치지 못했다.

• 치과방사선
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• 제29권2호
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• pp.417-422
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• 1999

Purpose : The aim of this study was to assess the validity of standard deviation of gray scale histogram in digital subtraction radiography as a test parameter for superimposition error. Materials and Methods : Twenty periapical radiographs were used as baseline images and they were copied to exclude the influence of exposure geomety and contrast differences. These subsequent images were linearly displaced by 0.1-0.5 mm in the x-. y- and xy-directions, rotated by 0.5-3° and distorted by angular contraction of 1-5° in x- and y-axis before subtraction. The standard deviations of gray levels in the subtraction images were obtained and paired t-tests were performed. Pearson correlation coefficients(r) were calculated between the standard deviations and the superimposition errors. Results : Linear displacement showed high correlation coefficients of 0.997, 0.997 and 0.995 in x-. y- and xy-axis respectively. Statistically significant different standard deviation existed among all linearly displaced groups(p<0.05). Distortion showed relatively low correlation coefficients of 0.982 and 0.959 in x- and y-axis. The standard deviations between the two distortion groups were statistically significant different(p<0.05). Conclusion : Standard deviation of gray level distribution in digital subtraction images is satisfactory but not perfect similarity measure to assess the superimposition errors.

• Bulletin of the Korean Chemical Society
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• 제33권5호
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• pp.1509-1516
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• 2012

Nano-assisted inclusion separation of alkali metals from basic solutions was reported by inclusion-facilitated emulsion liquid membrane process. The novelty of this study is application of nano-baskets of calixarene in the selective and efficient separation of alkali metals as both the carrier and the surfactant. For this aim, four derivatives of $p-tert-calix$[4]arene bearing different sulfonamide moieties were synthesized and their inclusion-extraction parameters were optimized including the calixarene scaffold $\mathbf{3}$ (4 wt %) as the carrier/demulsifier, the commercial kerosene as diluent in membrane, sulphonic acid (0.2 M) and ammonium carbonate (0.4 M) as the strip and the feed phases, the phase and the treat ratios of 0.8 and 0.3, mixing speed (300 rpm), and initial solute concentration (100 mg/L). The selectivity of membrane over more than ten interfering cations was examined and the results reveled that under the optimized operating condition, the degree of inclusion-extraction of alkali metals was as high as 98-99%.

• Asian-Australasian Journal of Animal Sciences
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• 제27권11호
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• pp.1526-1531
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• 2014

Matrix metalloproteinases (MMP) are key enzymes involved in cell and tissue remodeling during ovarian follicle development and ovulation. The control of MMP9 transcription in ovarian follicles occurs through a core promoter region (-2,400 to -1,700 bp). The aim of this study was to screen genetic variations in the core promoter region and examine MMP9 transcription regulation and reproduction performance. A single cytosine deletion/insertion polymorphism was found at -1954 $C^+/C^-$. Genetic association analysis indicated significant correlation between the deletion genotype ($C^-$) with total egg numbers at 28 weeks (p = 0.031). Furthermore, luciferase-reporter assay showed the deletion genotype ($C^-$) had significantly lower promoter activity than the insertion genotype ($C^+$) in primary granulosa cells (p<0.01). Therefore, the identified polymorphism could be used for marker-assisted selection to improve chicken laying performance.

• Journal of Chest Surgery
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• 제50권5호
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• pp.386-390
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• 2017

$Birt-Hogg-Dub{\acute{e}}$ syndrome (BHDS) is a rare disease with autosomal dominant inheritance that manifests through skin tumors, pulmonary cystic lesions, and renal tumors. A mutation of FLCN located on chromosome 17p11.2, which encodes a tumor-suppressor protein (folliculin), is responsible for the development of BHDS. We report the case of a patient presenting with spontaneous pneumothorax, in whom a familial genetic study revealed a novel nonsense mutation: $p.(Arg379^*)$ in FLCN.

• 대한간호학회지
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• 제41권1호
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• pp.36-46
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• 2011

practice in operating room nursing and to examine the learning effects. Methods: Based on content and need analysis, 9 learning modules were developed for nursing care in operating rooms and with operating equipment. To verify the effects of the program, a quasi- experimental pretest-posttest control group design was employed. The participants in this study were 74 third-year nursing students (34 in the experimental and 40 in the control group) from a junior college in G-city, Korea, who were engaged in a one week clinical practicum in an operating unit. Frequencies, $X^2$-test and t-test with the SPSS program 17.0 were used to analyze the data. Results: Knowledge was significantly higher in the experimental group compared to the control group (p=.018). However, there was no significant difference between the two groups in self-directed learning. The experimental group had significantly higher motivation toward learning, which was examined posttest only (p=.027). Conclusion: These results indicate that the implementation of an e-Learning program needs to be continued as an effective educational tool, but more research on the best way to implement e-Learning in students' practicum is needed.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권2호
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• pp.1201-1216
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• 2017

In this study, we described the development of a methodology to measure tip-pinch strength on the paretic hand rehabilitation device and aimed to investigate reliability of the device. FSR sensors were embedded on the device, and tip pinch strength was estimated with data collected from the sensors using a developed equation while participants were demonstrating tip pinch. Reliability tests included inter-rater, test-retest, and inter-instrument reliability. B&L Engineering pinch gauge was utilized for the comparison. Thirty-seven healthy students participated in the experiment. Both inter-rater and test-retest reliability were excellent as Intraclass Correlation Coefficients (ICCs) were greater than 0.9 (p<0.01). There were no statistically significant differences in tip-pinch strengths. Inter-instrument reliability analysis confirmed good correlation between the two instruments (r = 0.88, p < 0.01). The findings of this study suggest that the two instruments are not interchangeable. However, the tip-pinch mechanism used in the paretic hand rehabilitation device is reliable that can be used to evaluate tip pinch strength in clinical environment and can provides a parameter that monitors changes in the hand functions.

• 한국수정란이식학회지
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• 제29권3호
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• pp.241-248
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• 2014

본 연구에서 생쥐 초기 배아를 이용하여 동결 보존된 배아의 생존율 또는 발달율에 영향을 미치는 요인들의 상관관계를 알아본 결과, 배아의 발달 단계에 따른 동결 - 해동 후 생존율에 있어서는 2세포기 배아가 4~8세포기 배아보다 유의하게 높았으나(p<0.01), 배 발달율에 있어서는 4~8세포기 배아가 유의하게(p<0.01), 높아 생존율과 배 발달율과는 상관관계가 없는 것으로 사료된다. 또한, 동결 보호제에 따른 배아의 생존율에 있어서는 2, 4~8세포기 배아 모두 DMSO에서 유의하게 높았으나(p<0.01), 배 발달율에 있어서는 EG가 DMSO에 비해 더 유의하게 높은 성적을 나타내어(p<0.01, p<0.05) 동해로 인한 상해가 적은 것으로 생각되어 2, 4~8세포기 배아에서 EG가 더 효과적인 동결 보호제로 사료되며, 동결 프로그램으로는 완만 동결 - 급속 해동법이 더 우수한 프로그램으로 보인다.

• 대한치과보철학회지
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• 제54권3호
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• pp.280-285
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• 2016

하악골의 결손은 선천적 기형, 외상, 골수염, 종양 절제술 등에 의하여 초래될 수 있는데, 이중 결손부위가 큰 경우는 주로 종양절제술에 의한 결손이다. 악골 결손 부위가 커질수록 저작, 연하, 교합, 발음 등에 큰 지장을 초래하게 되며 심미적으로도 불량하여 일상생활에 많은 불편을 주게 된다. 하악골이 절제된 후 그 자리에 완전히 재생되는 경우는 희박하며 인공적으로 재건해 주어야 한다 일반적으로 자가골 이식을 이용한 재건술을 시행하며, 통상적인 부분의치 혹은 총의치를 시행하거나, 지지할 수 있는 골을 얻은 상태에서 임플란트 고정성 보철, 임플란트 보조 국소의치 혹은 피개의치 등을 시행할 수 있다. 본 증례는 2004년 2월 25일, 편평세포암종 pT1N0M0, stage I로 진단 받고 구강악안면외과에서 동년 3월, 하악 좌측 부위 COMMANDO 수술(combined mandibulectomy and neck dissection operation), 광범위 절제술(wide excision), 하악골 변연절제술(marginal mandibulectomy), 견갑 설골 상부 경부청소술(supraomohyoid neck dissection, SOHND), 시행받은 환자를 하악 좌측 중절치, 하악 좌측 제3대구치 부위에 임플란트 식립하여 임플란트 보조 국소의치로 수복하였고 충분한 피개와 임플란트로의 적절한 교합력 분산을 통해 통상적인 국소의치보다 더 이로운 지지, 유지, 안정을 얻을 수 있었다. 현재까지 경과 관찰 기간은 4년 정도 되었으며, 하악 좌측 제3대구치 부위에는 주위골의 흡수양상이 관찰되어 주기적인 검진이 필요한 상황이다.

• Bulletin of the Korean Chemical Society
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• 제33권3호
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• pp.790-794
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• 2012

Trace metal ions such as $Cd^{2+}$, $Ni^{2+}$, and $Zn^{2+}$ in a highly saline sample were subjected to on-line complexation with 4-(2-thiazolylazo) resorcinol (TAR) dissolved in a background electrolyte (BGE) under transient isotachophoresis (TITP) conditions. A long plug of the saline sample, containing the trace metal ions but devoid of TAR, was injected into a coated capillary filled with a BGE composed of 150 mM 2-(cyclohexylamino) ethanesulfonic acid (CHES) and 110 mM triethylamine (TEA) at pH 9.7. Since the electrophoretic mobility of TAR fell between the mobilities of the anionic leading electrolyte ($Cl^-$ in the sample) and the anionic terminating background electrolyte ($CHES^-$), a highly concentrated zone of TAR from the BGE was formed at the rear of the sample matrix and then the metal cations toward the cathode were swept by isotachophoretically assisted on-line complexation (IAOC) between the metal ions and the isotachophoretically stacked TAR. As a result, anionic metal-TAR complexes were formed efficiently, which satisfy the TITP conditions between $Cl^-$ and $CHES^-$. The enrichment factors of metal ions including $Cd^{2+}$ were up to 780-fold compared to a conventional CZE mode using absorbance detection. The detection limits were 17 nM, 15 nM, and 27 nM for $Ni^{2+}$, $Zn^{2+}$, and $Cd^{2+}$ in a 250 mM NaCl matrix, respectively. Our method was successfully applied to the analysis of urine samples without desalting.