• 제목/요약/키워드: RE51

검색결과 345건 처리시간 0.03초

Efficacy of the Disappearance of Lateral Spread Response before and after Microvascular Decompression for Predicting the Long-Term Results of Hemifacial Spasm Over Two Years

  • Kang, Min-Cheol;Choi, Yu-Seok;Choi, Hak-Ki;Lee, Sang-Hoon;Ghang, Chang-Gu;Kim, Chang-Hyun
    • Journal of Korean Neurosurgical Society
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    • 제52권4호
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    • pp.372-376
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    • 2012
  • Objective : The purpose of this large prospective study is to assess the association between the disappearance of the lateral spread response (LSR) before and after microvascular decompression (MVD) and clinical long term results over two years following hemifacial spasm (HFS) treatment. Methods : Continuous intra-operative monitoring during MVD was performed in 244 consecutive patients with HFS. Patients with persistent LSR after decompression (n=22, 9.0%), without LSR from the start of the surgery (n=4, 1.7%), and with re-operation (n=15, 6.1%) and follow-up loss (n=4, 1.7%) were excluded. For the statistical analysis, patients were categorized into two groups according to the disappearance of their LSR before or after MVD. Results : Intra-operatively, the LSR was checked during facial electromyogram monitoring in 199 (81.5%) of the 244 patients. The mean follow-up duration was $40.9{\pm}6.9$ months (range 25-51 months) in all the patients. Among them, the LSR disappeared after the decompression (Group A) in 128 (64.3%) patients; but in the remaining 71 (35.6%) patients, the LSR disappeared before the decompression (Group B). In the post-operative follow-up visits over more than one year, there were significant differences between the clinical outcomes of the two groups (p<0.05). Conclusion : It was observed that the long-term clinical outcomes of the intra-operative LSR disappearance before and after MVD were correlated. Thus, this factor may be considered a prognostic factor of HFS after MVD.

악성흡수에 OK-432를 이용한 흉막유착술 (Treatment of Malignant Effusion with Intracavitary OK-432 Chemical Pleurodesis)

  • 김맹호;이헌재
    • Journal of Chest Surgery
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    • 제29권4호
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    • pp.414-419
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    • 1996
  • 본 고려대학교 흉부외과 교실에서는 1990년부터 1994년까지 악성흡수로 진단된 81명을 대상으로 악 성흥수의 임상적 인 증상과 원인을 살펴보고, 이 중 64명을 대상으로 화학적 흥막유착술을 실시하여 그 결과를 관찰하였다. 악성흥수의 가장 많은 원인 질환은 남녀 (27세 ∼82세)모두 폐암으로 50 % 의 빈도를 보였고, 가장 흔 한 증상으로는 호흡기 증상이 였다. 화학적 흥막유착술을 실시한 환자의 평균시술횟수는 4회이 였으며, 1달 이내 흥수가 재발하지 않은 단 기간반웅성공율은 92 % 였고, 1달 이상 흥수의 재발이 없었던 장기간 반응성공율은 94 %로 다른 scler- osant보다 높은 성공률을 볼 수 있었다 또한, 화학적흥막유착술을 실시한 후 발생한 부작용은 주로 발 열과 통증으로 이는 비스테로이드성 소염진통제를 투여하여 조절할 수 있었다 악성흥수의 치료에 OK-4)2로 화학적 흥막유착술을 실시하여 좋은 결과를 얻었기에 이에 보고하는 바이다.

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24시간 회상법으로 조사한 연천지역성인의 식생활평가(2) : 식품섭취평가 (Assessment of Dietary Intake Obtained by 24-hours Recall Method in Adults Living in Yeonchon Area(2) : Assessment Based on Food Group Intake)

  • 이심열
    • Journal of Nutrition and Health
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    • 제31권3호
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    • pp.343-353
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    • 1998
  • To assess the food intake and diet quality of Korean adults living in rural areas , a dietary survey using a one day 24-hour recall method was conducted with 2037 subjects over 30 years of age living in Yeonchon-gun , Kyungki province of Korea. Eighty percent of total food intake was in the form of vegetable food and the rest in the form o fanimal food . Diet quality was assessed by food group pattern, dietary diversity score(DDS), and dietary variety score(DVS). When counting the major food groups consumed (DDs), 47% of subjects had a DDS of 3 and 31% of subjects had a DDs of 4. On average, subjects habitually consumed 14.9 different foods daily, with the mean score of diet variety (DVS) for males(14.4) being significantly lower than for females (15.2). Persons who had higher DDSS also had higher DVSS(p<0.001). As the DDs increased , MAR(Mean adequacy ratio) improved. Correlation coefficients between NAR(nutrient adequacy ratio) and DVS ranged from r=0.34 for vitamin C to re=0.51 for vitamin B$_2$. NAR also improved as the number of foods or food groups consumed increased (p<0.001). Associations between the NAR of most nutrients with DVS was better than those with DDS. Based on these results, the food intake of the study subjects was not adequate, especially with regards to the dairy and fruit groups . Dietary diversity (DDS) and especially dietary variety (DVS) would be useful in assess nutrient intake because of their associations with total diet quality.

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Food security experiences of displaced North Korean households

  • Lee, Soo-Kyung;Nam, So-Young
    • Nutrition Research and Practice
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    • 제8권2호
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    • pp.198-204
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    • 2014
  • BACKGROUND/OBJECTIVES: Food shortage situation in North Korea has gained much interest, however food insecurity caused by the food shortage in North Korean households has not been much investigated. This study examined food security experiences and food consumption pattern of displaced North Korean households currently living in South Korea. SUBJECTS/METHODS: Food security experience among 51 North Korean households living in South Korea was examined using the Household Food Insecurity Access Scale (HFIAS) in three time points: immediately before childbirth, immediately before leaving North Korea, and immediately before entering South Korea. Meal/snack consumption frequencies and food diversity were also examined. RESULTS: Food security situation was the worst at the time of immediately before leaving North Korea with the average HFIAS score of 10.05. The households that were food insecure, they tended to be "severely" insecure. Although majority of the subjects reported having three or more meals a day, food diversity in their diet was very low with the average food diversity score of 2.17 immediately before childbirth and 1.74 immediately before leaving North Korea. Their diet appeared to heavily rely on grain and vegetable. CONCLUSIONS: This study is one of few that specifically examined food security of North Korean households with a pre-developed scale, and that demonstrated food security situation at different time points in quantified terms. Replicating this study with different groups of North Korean households for different time points would allow more complete understanding of impacts of food shortage. Food diversity score could provide a good way to examine changes of food consumption occurring to North Koreans in the process of adaptation. More attention to the changes occurring during adaption to South Korea should be given to understand the process and impact and to prepare public nutrition policy for the re-unified Korea.

Value recognition and eating patterns of Kimchi in female middle school students and their mothers

  • Kim, Jung-Hyun;Lee, Min-June;Yoon, In-Kyung
    • Nutrition Research and Practice
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    • 제1권2호
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    • pp.150-157
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    • 2007
  • This study analyzed Kimchi eating culture in 178 households with female middle school children located in Incheon and Seosan areas, investigated the Kimchi eating patterns of female middle school students, and also analyzed the differences in value recognition for Kimchi between mothers and their female middle school students. Results showed that 23.0% of subject households answered eat Kimchi at every meal and the main reason for eating Kimchi in most households was good for taste. Most households made their own Kimchi, and only 12.3% of households bought Kimchi. Subject households preferred hot and spicy taste (34.8%) and pleasing taste (20.2%), and 44.4% of middle school children answered as eating Kimchi at every meal, and the source for information on Kimchi was home in 51.6% and mass media in 33.7%, suggesting the lack of school education. Both mothers and their female middle school students placed high value on Kimchi for its nutritional aspect and on Kimchi from the market for its convenience. Mothers showed significantly higher value (p<0.05) on the storage aspect of Kimchi compared to their middle school students, and female middle school students showed significantly higher value (p<0.05) on the value recognition for Kimchi as an international food compared to their mothers. Also, the value for hot pepper powder was high among other additional ingredients, and both mothers and middle school students had high values for Kimchi stew among other food dishes using Kimchi, and middle school students showed higher values (p<0.001) on foreign dishes using Kimchi such as Kimchi pizza and Kimchi spaghetti compared to the mothers group. Therefore, based on these results, the development of educational programs on Kimchi is needed not only at home but also at schools, by re-emphasizing the importance of value recognition for Klmchi in our food culture.

중.소 도시하천의 물질수지를 통한 수질관리 방안 도출 (Water Quality Management Plan through Mass Balance at Small Urban Stream)

  • 오종민;신동환;최이송
    • 한국방재학회 논문집
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    • 제4권1호
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    • pp.51-56
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    • 2004
  • 본 연구는 전형적인 도심소재 중 소하천인 오산천 상류를 중심으로 수질변화 현상을 정확히 파악하기 위하여 24시간에 걸친 연속측정을 통해 수질의 변화를 조사하였고, 이러한 결과를 통하여 효율적인 하천관리 방향을 제시하였다. 오산천 수질의 연속조사의 결과로부터, 본류의 수질개선을 위해서는 다음과 같은 일들이 선행되어야 할 것으로 판단된다. 첫째, 본류 수질개선을 위해서는 유입지류의 효율적인 관리방안이 필요하다. 둘째, 하천 본류의 저질로부터 재용출 되는 오염을 방지하기 위한 대처방안이 필요하다. 본 연구에서는 수질저하를 방지하기 위해 단순한 조사만으로도 중 소하천의 효과적인 관리 방안을 제시했다. 따라서 하천에서의 연속적인 수질 모니터링은 하천수질 개선을 위해 중요하며, 나아가 하천환경에서 일어나는 물질순환 및 물질수지는 건전한 하천조성을 위하여 정확히 평가되어야 한다.

향후 신뢰도 목표를 만족하는 개폐기 설치 기준 제시 (The Switch Installation Criteria For Satisfying Future Reliability Goal)

  • 조남훈;오정환;하복남;이흥호
    • 대한전기학회논문지:전력기술부문A
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    • 제51권9호
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    • pp.433-440
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    • 2002
  • The addition of switches to a distribution feeder does, in general, increase reliability by decreasing the duration of the outage of many to the customers on the feeder. To cover its service area so that feeder-level delivery reaches sufficiently close to all customers, feeders typically split their routes many times, in what is often called a lateral feeder. It is interesting to note, however, that the effectiveness of a switch is very much dependent on the types of lateral feeder. The types of lateral are classified into two types. The first is loop lateral feeder that can connect its load to an adjacent feeder through a tie line in case that a fault occurs in its feeder and it is laid out so that every feeder has complete fault backup through re-switching of its loads to other sources like a main feeder The second is the radial lateral feeder cannot connect its load to an adjacent line, no provision is made for contingency backup of feeders. There are no other circuits in the radial lateral feeder form which to restore power. In this study, we evaluate the effectiveness of a switch installation between on the radial and loop lateral feeders to increase reliability by decreasing the duration of the outage. These results can help power utility to design the switch layouts on the radial and loop lateral feeder system.

CEA 발현 수지상 세포를 이용한 CEA 특이 살해 T 세포의 유도 (Induction of CEA-specific Cytotoxic T Lymphocytes by Murine Dendritic Cells Expressing CEA)

  • 원은하;김창현;박미영;조현일;오승택;홍용길;김태규
    • IMMUNE NETWORK
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    • 제3권4호
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    • pp.295-301
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    • 2003
  • Background: Carcinoembryonic antigen (CEA) is well-known soluble tumor marker frequently detectable in peripheral blood of carcinoma patients and considered as good target for antigen-specific immunotherapy. In this study, we used a replication-deficient adenovirus containing CEA to study CTL induction in vitro after adenovirus-mediated gene transfer into DC. Methods: DC were obtained from mouse bone marrow and cultured with IL-4 and GM-CSF. For measuring CTL activity, splenocytes were harvested from the mice, which were immunized with DC that had been infected AdV-CEA or pulsed with CEA peptide. Untreated DC was used as a control. Splenocytes were re-stimulated in vitro with DC pulsed with CEA peptide for 7 days and CTL activity with CEA peptide-pulsed EL-4 cells were assessed in a standard $^{51}Cr$-release assay. The frequencies of antigen-specific cytokine-secreting T cell were determined with $mIFN-{\gamma}$ELISPOT. Results: DC infected with recombinant adenovirus expressing CEA induced CEA-specific CTL responses in vivo. Splenocyte induced from mice immunized with AdV-CEA-infected DC increase in the number of $IFN-{\gamma}$ secreting T cells compared with those from mice immunized with CEA peptide-pulsed DC. Conclusion: These results suggested that DC infected with recombinant adenovirus has advantages over other forms of vaccination and could provide an alternative approach vaccination therapies.

해양의 인공위성 자료 현황과 배포 소개 (Current Status of Ocean Satellite Remote Sensing Data and Its Distribution)

  • 양찬수
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2007년도 추계학술발표회
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    • pp.51-55
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    • 2007
  • As for satellite programs, the multipurpose satellite 1(KOMPSAT-1) was successfully launched on Dec. 21, 1999 and operated for three years. It is still properly operated even though its life cycle was ended. The development of KOMPSAT-2 (Korea Multipurpose Satellite-2) is near completion and the development of KOMPSAT-3, KOMPSAT-5 and COMS (Communication, Ocean, Meterological Satellite) are proceeding swiftly. In KORDI(Korea Ocean Research and Development Institute), the KOSC (Korea Ocean Satellite Center) construction project is being prepared for acquisition, processing and distribution of sensor data via L-band from GOCI(Geostationary Ocean Color Imager) instrument which is loaded on COMS(Communication, Ocean and Meteorological Satellite); it will be launched in 2000. Ansan(the headquarter of KORDD has been selected for the location of KOSC between 5 proposed sites, because it has the best condition to receive radio wave. The data acquisition system is classified antenna and RF. Antenna is designed to be ${\emptyset}$ 9m cassegrain antenna which has 19.35 $G/T(dB/^{\circ}K)$ at 1.67GHz, RF module, is divided into LNA(Low noise amplifier) and down converter, those are designed to send only horizontal polarization to modem The existing building is re-designed and classified for the KOSC operation concept; computing room, board of electricity, data processing room, operation room Hardware and network facilities have been designed to adapt for efficiency of each functions. The distribution system which is one of the most important systems will be constructed mainly on the internet, and it is also being considered constructing outer data distribution system as a web hosting service for to offering received data to user under an hour.

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Recipient vessel selection for head and neck reconstruction: A 30-year experience in a single institution

  • Chung, Jae-Ho;Kim, Ki-Jae;Jung, Kwang-Yoon;Baek, Seung-Kuk;Park, Seung-Ha;Yoon, Eul-Sik
    • 대한두개안면성형외과학회지
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    • 제21권5호
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    • pp.269-275
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    • 2020
  • Background: The advance in microsurgical technique has facilitated a proper approach for reconstruction of extensive head and neck defects. For the success of free tissue reconstruction, selection of the recipient vessel is one of the most important factors. However, the vascular anatomy of this region is very complex, and a clear guideline about this subject is still lacking. In this study, we present our 30 years of experiences of free tissue reconstruction for head and neck defects. Methods: In this retrospective study, we analyzed a total of 138 flaps in 127 patients who underwent head and neck reconstruction using free tissue transfer following tumor resection between October 1986 to August 2019. Patients who underwent facial palsy reconstruction were excluded. Medical records including patient's demographics, detailed operation notes, follow-up records, and photographs were collected and analyzed. Results: Among a total of 127 patients, 10 patients underwent a secondary operation due to cancer recurrence. The most commonly used type of flap was radial forearm flap (n=107), followed by the anterolateral thigh flap (n=18) and fibula flap (n=10). With regard to recipient vessels, superior thyroid artery was most commonly used in arterial anastomosis (58.7%), and internal jugular vein (51.3%) was the first choice for venous anastomosis. The flap survival rate was 100%. Four cases of venous thrombosis were resolved with thrombectomy and re-anastomosis. Conclusion: Superior thyroid artery and internal jugular vein were reliable choices as recipient vessels. Proper recipient vessel selection could improve the result of head and neck reconstruction.