• 제목/요약/키워드: Re-examination

검색결과 322건 처리시간 0.116초

난포낭종우에서 GnRH 또는 GnRH와$PGF_2{\alpha}$병용치료에 대한 난소 및 낭종의 반응 (Response of Ovaries and Cysts According to Treatment with GnRH or Combination of GnRH and $PGF_2{\alpha}$ in Dairy Cows with Follicular Cysts)

  • 강현구;김일화;손창호
    • 한국임상수의학회지
    • /
    • 제21권4호
    • /
    • pp.384-394
    • /
    • 2004
  • This study was carried out to monitor the response of ovaries and cyst according to treatment with GnRH or combination of GnRH and $PGF_2{\alpha}$ in dairy cows with ovarian follicular cysts. Thirty cows were diagnosed as having follicular cysts by rectal palpation, ultrasonography and progesterone (P4) assays. Ten cows were treated with GnRH (control), and the other twenty were treated with $PGF_2{\alpha}$ at 10 days after GnRH treatment. All the animals were re-examined by ultrasonography and blood was collected for the measurement of plasma P4 concentration at day 0 (the day of treatment), day 7, day 10, day 13, day 24 and day 34, respectively. In 30 cows that were diagnosed with follicular cysts, mean plasma P 4 concentrations on day -II and day -I were 0.3 ng/ml and 0.4 ng/ml. On day 10 increased as 2.7$\pm$0.2 ng/ml. Mean cystic wall thickness by ultrasonography on day -11 and day -I were 2.1 mm and 2.2 mm. In 9 cows responded on luteinization of cystic wall, cystic wall thickness was 3.9$\pm$0.5 mm at day 10 after GnRH treatment. The responses of ovaries until day 10 after GnRH treatment included development of corpus luteum in the ovary bearing the cyst or in the contralateral ovary (12 cows), luteinization of cystic wall (6 cows) and clouding of the anechoic antrum of cysts (2 cows). The ovarian responses according to the combination of GnRH and $PGF_2{\alpha}$ included regression of the corpus luteum (12 cows), increase (1 cow) and no change (1 cow) of cyst size until last examination, and complete disappearance on day 13 (6 cows), 23 (6 cows) and 34 (4 cows). Combination treatment group of GnRH and $PGF_2{\alpha}$ showed a higher pregnancy rate within 100 days after initial treatment (40.0 vs 65.0%) and shorter intervals from the treatment to conception (45.4$\pm$25.8 vs 53.5$\pm$31.4 days) compared with control. It was concluded that the administration of $PGF_2{\alpha}$ following GnRH treatment is effective in shortening the interval from treatment to conception in cows with follicular cyst. Also, this study suggested that the response of the cyst according to treatment revealed various types. Therefore, veterinarians should pay attention to monitor of the response of cystic ovaries after treatment, specially no change, slowly decrease or increasement of cyst size after treatment.

타협과 실험의 공간으로서의 특구: 대만 가오슝가공수출구를 사례로(特區作爲一種妥協與實驗空間: 台灣 高雄加工出口區) (Zoning as a Space of Compromise and Experimentation: The Case Study of Kaohsiung Export Processing Zone)

  • 쉬진위;박배균
    • 한국경제지리학회지
    • /
    • 제19권2호
    • /
    • pp.173-188
    • /
    • 2016
  • 본 연구에서 필자들은 동아시아 최초의 수출자유지역인 대만의 가오슝 가공수출구(Kaohsiung Export Processing Zone; KEPZ)의 설립이 1960년대 냉전시기 지정-지경학적 이해관계의 타협의 결과라고 주장한다. KEPZ는 국민당(KMT) 정부로 하여금 국유화된 산업분야를 축소시키고 사기업을 육성하며 해외투자를 장려하도록 만들기 위해 미국 원조 기관이 권고한 자유화 정책 중 일부였다. 국민당 정부는 미국의 이러한 정책적 권고를 전면적으로 수용하지는 않았지만, 냉전 지정-지경학의 조건 하에서 미국의 요구를 완전 거부할 수는 없어서 미국 권고안의 일부를 선택적으로 수용하여 이행하였다. 특히, 국민당 정부는 1) 미국이 요구한 사기업 활동에 대한 자유화와 2) 국가의 영토적 통제권 유지를 위한 국민경제에 대한 지속적 규제 사이에서 타협을 추구하였고, 그 결과가 KEPZ를 설치하는 것이었다. 즉, 국민당 정부는 KEPZ의 설치를 통해 미국으로부터의 지정학적 지원을 잃지 않으면서도, 1960년대의 새로운 국제적 노동분업으로 인해 생겨나는 지경학적 기회도 동시에 잡으려 하였다. 특구가 이러한 지정-지경학적 이해가 타협하는 공간이라고 생각하게 되면, 국가의 산업화를 위한 장기적 안목 하에서 계획합리성을 가진 발전주의 국가가 고용기회의 확대, 해외투자 유치, 수출의 증가 등과 같은 경제적 목표를 달성하기 위해 가공수출구를 설치하였다는 전통적인 기능주의적 주장에 대해 우리는 비판적으로 재검토해야 할 필요성에 직면하게 된다.

  • PDF

조기 위암의 근치적 절제술 후 재발예측인자 (Risk Factors for Recurrence after Curative Surgery for Early Gastric Cancer)

  • 신동우;형우진;노성훈;민진식
    • Journal of Gastric Cancer
    • /
    • 제1권2호
    • /
    • pp.106-112
    • /
    • 2001
  • Purpose: Even with excellent surgical outcome, recurrence of early gastric cancer (EGC) after a curative resection is not declining because the incidence of EGC is increasing. The aim of this study was to propose an appropriate treatment strategy by assessing the risk factors for recurrence of curatively resected early gastric cancer. Materials and Methods: Of 3662 patients who had undergone gastric resections for gastric cancer from 1987 to 1996, the cases of 1050 curatively resected EGC patients were reviewed retrospectively. Among those 1050 patients, 50 patients ($4.8\%$) were diagnosed as having recurrent cancer, which was confirmed by clinico-radiological examination or re-operation. The risk factors that determined the recurrence patterns were investigated by using univariate and multivariate analyses. Results: The mean time to recurrence was 30.9 months, and hematogenous recurrence was the most frequent type ($32.0\%$). Among the 50 recurred patients, peritoneal recurrence showed the shortest mean time to recurrence ($18.5\pm17.7$months). Between the recurred and the non-recurred patients, there was no statistically significant difference with respect to age, sex, operation type, tumor size, tumor location, gross appearance, or histological differentiation. However, depth of invasion (submucosal invasion) and nodal involvement were significantly different (P<0.001) between the two groups. Using logistic regression analyses, nodal involvement was the only significant risk factor for recurrence in early gastric cancer (P<0.001). The median survival after the recurrence had been diagnosed was 4 months. Conclusion: Although the prognosis for EGC patients is excellent and recurrence of EGC after a curative resection is rare, the time to recurrence and the patterns of recurrence in EGC patients were diverse and unpredictable, and the result after recurrence is dismal. Considering the impact of lymph node metastasis on recurrence of EGC, a systematic lymphadenectomy, rather than limited surgery, should be performed if lymph node involvement is confirmed pre- or intraoperatively. Also if the postoperative pathologic findings reveal lymph node involvement, adjuvant chemotherapy is recommended.

  • PDF

렘수면중 심한 저산소혈증을 보인 사립체근병증 1례 (A Case of Mitochondrial Myopathy Showing Severe Hypoxemia during REM Sleep)

  • 김주상;김성경;이상학;안중현;김치홍;문화식
    • 수면정신생리
    • /
    • 제14권1호
    • /
    • pp.49-53
    • /
    • 2007
  • 사립체근병증은 운동시 근력약화와 같은 경한 증상에서 부터 중추신경계 질환으로 조기 사망에 이르기까지 돌연변이의 정도에 따라서 다양한 증상를 나타내는 질환이다. 그러므로 질환이 의심되는 경우 반드시 조직검사를 고려하여야 한다. 사립체근병증이 있더라도 다른 증상이 없이 무호흡 증후군이나 저환기 증후군의 형태로 처음 진단되는 경우가 드물지만, 사립체근병증이 진단된 후에는 폐기능 검사를 통해 질환의 진행에 대한 예측이 필요하며, 호흡 부전이 발생할 가능성이 높은 경우 비침습적기계환기를 통해 환자를 치료 할 수 있다. 저자들은 초기 중추성 수면 무호흡 증후군으로 오인되었다가 저환기 증후군으로 진단하고, 원인질환으로 사립체근병증을 진단하였으며, 비침습적 기계환기를 통해 성공적으로 치료하여 추적관찰 중인 1례를 경험하였기에 보고하는 바이다.

  • PDF

진행성 폐암에서 광역동 치료로 호전된 5례에 관한 임상적 경험 (Clinical Experience of Photodynamic Therapy in Five Patients with Advanced Lung Cancer)

  • 김양기;이영목;김기업;어수택;김용훈;박춘식
    • Tuberculosis and Respiratory Diseases
    • /
    • 제57권1호
    • /
    • pp.72-77
    • /
    • 2004
  • 연구배경 : 폐암의 말기에 관찰되는 기도 폐쇄는 호흡곤란, 기침, 객혈 및 발열 등을 일으키고 반복적인 호흡기계 감염의 원인이 되기도 한다. 그러나 대부분의 경우 방사선 치료, 항암화학요법 또는 수술적 치료를 받았기 때문에 더 이상 치료를 할 수 없는 어려움이 있다. 따라서 기도 폐쇄를 호전시키기 위한 보조적인 방법으로 광역동 치료가 한 방법임이 알려져 있다. 방 법 : 기도 폐쇄가 관찰되는 폐암 환자에게 기관지 내시경 시행 48시간 전에 광감작물질인 porfimer sodium (Photofrin$^{(R)}$)을 kg당 2mg으로 정맥주사 후 일광화상 및 광과민반응을 방지하기 위해 직사광선을 차단시켰다. Light source는 diode laser를 이용하였고, light dose는 180-200 $joul/cm^2$, 방사하는 빛의 강도는 400 $mW/cm^2$ 으로 하였으며 interstitial irradiation 및 cylindrical diffuser 를 이용하여 630nm의 레이져를 조사하였다. 시행 48시간 후 기관지내시경을 시행하여 괴사된 조직을 제거하고 남아있는 종양 부위에 대해 재조사를 시행하였다. 결 과 : 폐암 수술 후 수술부위의 국소적인 재발을 보인 경우가 1예, 기도 폐쇄로 인한 호흡곤란을 호전시키기 위해 시행한 경우가 4예였다. 광역동 치료를 통해 종양조직의 선택적인 괴사를 관찰할 수 있었고 괴사조직을 제거한 후에는 기도 폐쇄가 4예에서 호전되었다. 광역동 치료 종결 후 호흡곤란 및 활동도가 호전된 경우가 3예에서 관찰되었고 폐쇄성 폐렴으로 인한 객담 및 발열의 소견 및 기관지암에 의한 객혈의 경우에도 광역동 치료 후 호전되었다. 결 론 : 기도 폐쇄가 관찰되는 폐암 환자에서 보존적인 치료 방법으로 기관지내시경을 이용한 광역동 치료는 호흡곤란, 반복적인 호흡기계 감염 및 객혈 등을 호전시키기 위한 효과적인 방법 중의 하나이다.

FORMATION AND EVOLUTION OF SELF-INTERACTING DARK MATTER HALOS

  • AHN KYUNGJIN;SHAPIRO PAUL R.
    • 천문학회지
    • /
    • 제36권3호
    • /
    • pp.89-95
    • /
    • 2003
  • Observations of dark matter dominated dwarf and low surface brightness disk galaxies favor density profiles with a flat-density core, while cold dark matter (CDM) N-body simulations form halos with central cusps, instead. This apparent discrepancy has motivated a re-examination of the microscopic nature of the dark matter in order to explain the observed halo profiles, including the suggestion that CDM has a non-gravitational self-interaction. We study the formation and evolution of self-interacting dark matter (SIDM) halos. We find analytical, fully cosmological similarity solutions for their dynamics, which take proper account of the collisional interaction of SIDM particles, based on a fluid approximation derived from the Boltzmann equation. The SIDM particles scatter each other elastically, which results in an effective thermal conductivity that heats the halo core and flattens its density profile. These similarity solutions are relevant to galactic and cluster halo formation in the CDM model. We assume that the local density maximum which serves as the progenitor of the halo has an initial mass profile ${\delta}M / M {\propto} M^{-{\epsilon}$, as in the familiar secondary infall model. If $\epsilon$ = 1/6, SIDM halos will evolve self-similarly, with a cold, supersonic infall which is terminated by a strong accretion shock. Different solutions arise for different values of the dimensionless collisionality parameter, $Q {\equiv}{\sigma}p_br_s$, where $\sigma$ is the SIDM particle scattering cross section per unit mass, $p_b$ is the cosmic mean density, and $r_s$ is the shock radius. For all these solutions, a flat-density, isothermal core is present which grows in size as a fixed fraction of $r_s$. We find two different regimes for these solutions: 1) for $Q < Q_{th}({\simeq} 7.35{\times} 10^{-4}$), the core density decreases and core size increases as Q increases; 2) for $Q > Q_{th}$, the core density increases and core size decreases as Q increases. Our similarity solutions are in good agreement with previous results of N-body simulation of SIDM halos, which correspond to the low-Q regime, for which SIDM halo profiles match the observed galactic rotation curves if $Q {\~} [8.4 {\times}10^{-4} - 4.9 {\times} 10^{-2}]Q_{th}$, or ${\sigma}{\~} [0.56 - 5.6] cm^2g{-1}$. These similarity solutions also show that, as $Q {\to}{\infty}$, the central density acquires a singular profile, in agreement with some earlier simulation results which approximated the effects of SIDM collisionality by considering an ordinary fluid without conductivity, i.e. the limit of mean free path ${\lambda}_{mfp}{\to} 0$. The intermediate regime where $Q {\~} [18.6 - 231]Q_{th}$ or ${\sigma}{\~} [1.2{\times}10^4 - 2.7{\times}10^4] cm^2g{-1}$, for which we find flat-density cores comparable to those of the low-Q solutions preferred to make SIDM halos match halo observations, has not previously been identified. Further study of this regime is warranted.

초파리의 성 옆색체의 구성이 제 3옆색체의 분리에 미치는 영향에 대하여 (Study on the Sex Chromosome Dependent Segregation of the Third Chromosome in Drosophila melanogaster)

  • Kang, M.J.;Kang, S.J.;Chung, Y.J.
    • 한국동물학회지
    • /
    • 제13권1호
    • /
    • pp.15-20
    • /
    • 1970
  • 초파리의 성 염색체의 구성 여하에 따라 그 제 3염색체의 분리가 달라지는가를 조사하기 위하여 성 염색체의 구성이 다른 8가지 인자형을 만들고 제 3염색체 marker로서 e와 se를 이용하여 se의 분리를 k값으로 검토하고 아울러 성비를 조사 검토한 결과는 다음과 같다. 1. se의 분리 즉 k 값은 인자형간에 그리고 성간에 매우 유의적인 차를 보였으며 인자형과 성과의 상호작용도 유의적 차이를 보여 주었다. 이것은 분명히 se 제3염색체의 분리가 성 염색체의 구서에 영향을 받은 것을 말해 준다. 2. k(여) 값이나 k(남)값은 다 같이 인자형간에 유의적 차이를 볼 수 없다. 3. se자손의 성비는 인자형간에 매우 유의적 차이를 보였으나 e자손에서는 뚜렷한 차이를 볼수 없었다. 4. 평균적으로 k(남) 값은 k(여)값보다 높고, se자손의 성비는 e자손의 성비보다 높았다. 5. 이러한 결과는 어떤 종류의 prezygotic selection이 작용하는 것으로 해석할수 있는데, 즉 e 제3염색체와 Y염색체의 조합이 수정전에 감수되는 것으로 생각할 수 있다. 이러한 문제는 종래 초파리 등에서 실시했던 생존력 추정을 재 평가할 필요성을 말해주는 것이다.

  • PDF

도심하천 퇴적물의 이화학적 특성과 영양염 용출 (Physicochemical Characteristics and Nutrient Release from Sediment in an Urban Stream)

  • 김태훈;정재훈;최선화;최이송;오종민
    • Ecology and Resilient Infrastructure
    • /
    • 제2권2호
    • /
    • pp.167-176
    • /
    • 2015
  • 본 연구대상지인 굴포천은 인천, 부천, 서울, 김포를 걸쳐 흐르는 도심하천으로서 수질오염이 심하고 지속적인 하천개수사업으로 인하여 하천의 자연성이 미비한 실정이다. 본 연구에서는 굴포천에서 하천수 및 하상 퇴적물의 이화학적 특성을 분석하였고, 퇴적물로부터 영양염 용출특성을 실내실험으로 호기와 혐기 조건에서 규명하고자 하였다. 굴포천의 수질은 영양염의 농도가 높을 뿐만 아니라 용존산소가 매우 낮아서 혐기화로 인한 다양한 수질문제를 야기할 우려가 있었다. 또한, 완만한 경사 및 느린 유속으로 인하여 유수가 정체되어 있기에 하상 내에 퇴적 오니가 쌓이게 되고, 이러한 퇴적오니는 다량의 유기물질과 영양염이 흡착하고 있어 재용출에 의한 내부오염의 가능성이 높았다. 결론적으로 굴포천 퇴적물은 혐기조건에서 오염물질이 용출될 가능성이 크고, 이로 인하여 하천 수질에 악영향을 미칠 수 있기에 준설 등의 주기적인 퇴적물 관리가 필요하다.

만성질환 이환율을 이용한 여자노인의 체질량지수에 대한 아시아-태평양지역 기준과 Entropy모델 기준 비교 (A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease)

  • 정구범;박진용;권세영;박경옥;박필숙;박미연
    • 대한지역사회영양학회지
    • /
    • 제19권5호
    • /
    • pp.490-498
    • /
    • 2014
  • Objectives: This study was conducted to propose the need of re-establishing the criteria of the body weight classification in the elderly. We compared the Asia-Pacific Region Criteria (APR-C) with Entropy Model Criteria (ENT-C) using Morbidity rate of chronic diseases which correlates significantly with Body Mass Index (BMI). Methods: Subjects were 886 elderly female participating in the 2007-2009 Korea National Health and Nutrition Examination Survey (KNHANES). We compared APR-C with those of ENT-C using Receiver Operating Characteristics (ROC) curve and logistic regression analysis. Results: In the case of the morbidity of hypertension, the results were as follows: Where it was in the T-off point of APR-C, sensitivity was 67.5%, specificity was 43.1%, and Youden's index was 10.6. While in the cut-off point of ENT-C, it was 56.7%, 56.6%, and 13.3 respectively. In the case of the morbidity of diabetes, the results were as follows: In the cut-off point of APR-C, Youden's index was 14.2. While in the cut-off point of ENT-C, it was 17.2 respectively. The Area Under the ROC Curve (AUC) of the subjects who had more than 2 diseases among hypertension, diabetes, and dyslipidemia was 0.615 (95% CI: 0.578-0.652). Compared to the normal group, the odds ratio of the hypertension group which will belong to the overweight or obesity was 1.79 (95% CI: 1.30-2.47) in the APR-C, and 2.04 (95% CI: 1.49-2.80) in the ENT-C (p < 0.001). Conclusions: We conclude that the optimal cut-off point of BMI to distinguish between normal weight and overweight was $24kg/m^2$ (ENT-C) rather than $23kg/m^2$ (APR-C).

데이터마이닝을 이용한 유치치아우식증 관련요인 분석 (Effect of Mothers' Oral Health Knowledge and Behaviour on Dental Caries in Their Preschool Children)

  • 김진수;김효진;전홍석
    • 한국치위생학회지
    • /
    • 제5권2호
    • /
    • pp.171-184
    • /
    • 2005
  • In order to investigate correlation between mother's dental ca re for her children and their dental caries, this study was conducted wi th the dental examination record of 365 children who showed the same number of questionnaires with those examined for dental conditions and questionnaires written by mothers among children between three and six years of age and their mothers in Yeoncheon, Gyeonggi province in June 2004 to estimate frequency and percentage of general properties of subjects and mother's oral health care behaviors for her children by research items, to carry out cross-tabulation analysis and correlation analysis following Chi-square distribution for the presence of dental caries in deciduous teeth and oral health care behaviors, and to use decision tree analysis among data mining techniques for those factors associated with the presence of dental caries in deciduous teeth, and drew the following conclusions. 1. For mother's oral health care behaviors and attitudes for her children, 225 mothers(61.6%) confirmed their children's teeth-brushing; 278(76.2%) used no fluorine; and 286(78.6%) observed their children's teeth, 322 mothers(88.2%) instructed their children in teeth-brushing while 268 (73.4%) provided dental care, 232 mothers(63.7%) treated their children's cavity; 290(79.4%) believed that their children had good dental conditions; and 294(80.5%) answered that they began to provide their children with dental care in deciduous teeth. 2. As for the presence of dental caries in deciduous teeth and dental health care behaviors, there were statistically significant differences in employment, confirmation after teeth-brushing, teeth observation, instruction in time for teeth-brushing, use of fluorine, cavity treatment, time for dental care, and perception of dental conditions(p<0.05). 3. As for correlation between dental caries in deciduous teeth and oral health care behaviors, mothers who worked, who believed that their children didn't have good dental condition, and who thought that it was necessary to begin to provide dental care in permanent teeth were found to get their children to suffer from dental caries in deciduous teeth. Besides, those who failed to confirm teeth-brushing, who used no fluorine, and who failed to observe teeth and gave no instruction in time for teeth-brushing were shown to get their children to suffer from dental caries in deciduous teeth. 4. Variables to determine the presence of dental caries in deciduous teeth were classified by cavity treatment, mother's employment, time for dental care, and observation of children's teeth. The first node to determine the presence of dental caries in deciduous teeth was found to be cavity treatment; the next criteria for classification after cavity treatment were shown to be mother's employment and time for dental care. In case of children with no cavity, they were found to be mother's employment and teeth observation.

  • PDF