• Korean Journal of Radiology
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• 제22권5호
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• pp.725-734
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• 2021

Objective: To intraindividually compare hepatocellular carcinoma (HCC) washout between MRIs using hepatobiliary agent (HBA) and extracellular agent (ECA). Materials and Methods: This study included 114 prospectively enrolled patients with chronic liver disease (mean age, 55 ± 9 years; 94 men) who underwent both HBA-MRI and ECA-MRI before surgical resection for HCC between November 2016 and May 2019. For 114 HCCs, the lesion-to-liver visual signal intensity ratio (SIR) using a 5-point scale (-2 to +2) was evaluated in each phase. Washout was defined as negative visual SIR with temporal reduction of visual SIR from the arterial phase. Illusional washout (IW) was defined as a visual SIR of 0 with an enhancing capsule. The frequency of washout and MRI sensitivity for HCC using LR-5 or its modifications were compared between HBA-MRI and ECA-MRI. Subgroup analysis was performed according to lesion size (< 20 mm or ≥ 20 mm). Results: The frequency of portal venous phase (PP) washout with HBA-MRI was comparable to that of delayed phase (DP) washout with ECA-MRI (77.2% [88/114] vs. 68.4% [78/114]; p = 0.134). The frequencies were also comparable when IW was allowed (79.8% [91/114] for HBA-MRI vs. 81.6% [93/114] for ECA-MRI; p = 0.845). The sensitivities for HCC of LR-5 (using PP or DP washout) were comparable between HBA-MRI and ECA-MRI (78.1% [89/114] vs. 73.7% [84/114]; p = 0.458). In HCCs < 20 mm, the sensitivity of LR-5 was higher on HBA-MRI than on ECA-MRI (70.8% [34/48] vs. 50.0% [24/48]; p = 0.034). The sensitivity was similar to each other if IW was added to LR-5 (72.9% [35/48] for HBA-MRI vs. 70.8% [34/48] for ECA-MRI; p > 0.999). Conclusion: Extracellular phase washout for HCC diagnosis was comparable between MRIs with both contrast agents, except for tumors < 20 mm. Adding IW could improve the sensitivity for HCC on ECA-MRI in tumors < 20 mm.

• 에너지공학
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• 제23권1호
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• pp.21-32
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• 2014

본 논문은 한국 태양광기업을 대상으로 가치사슬(Value Chain, 이하 VC)과 가치시스템(Value System, 이하 VS)분석을 통해 기업 내 공정 간에 부가가치의 선순환구조가 형성되어 있는지와 산업 내 공정 간에 선순환적 생태계가 구축되어 있는지를 분석하였다. 연구 방법은 기업 설문조사를 실시한 후, VC과 VS 내 공정 간 인과관계에 대해 회귀분석을 하였다. 분석의 결과, 한국 태양광산업의 VC은 정부 R&D지원 증가가 관련 기업 R&D투자 증가로 이어졌고, 기업 R&D투자 증가가 기업 R&D성과 증가에 기여하였으며, R&D성과 증가가 태양광 제품 생산량 증가에 영향을 주었다. 또한 기업의 태양광 생산비용 감소가 매출액 대비 경상이익률 증가에 영향을 주었다. 그러나 기업의 제품 생산량 증가가 제품 생산비용 감소에 기여하지 못하고 있는 것으로 나타났다. 한편, 기업의 매출액 대비 경상이익률 증가가 생산량 증가에는 영향을 주고 있으나, 기업의 R&D투자 증가에는 기여하지 못하고 있는 것으로 나타나 선순환구조에 들어서 있지 못한 것으로 분석되었다. 한국 태양광산업의 VS은 태양전지기업의 매출액 대비 경상이익률 증가가 모듈기업의 매출액 대비 경상이익률 증가에만 영향을 줄 뿐, 그 외의 산업 내 모든 공정에서는 영향을 미치지 못하는 것으로 분석되었다. 이는 잉곳 웨이퍼기업, 태양전지기업, 모듈기업, 시스템기업이 상호 협력하여 만들어내야 하는 선순환적 산업생태계가 아직 미완성상태에 있다는 것을 보여주고 있다.

• 대한한방소아과학회지
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• 제27권4호
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• pp.57-67
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• 2013

Objectives The purpose of this study is to investigate the safety and effect of Biman-tang (BMT) on two different administration periods in the treatment of childhood overweight and obesity. Methods In retrospective study, 39 overweight and obese ($85^{th}$ percentile ${\leq}$ Body Mass Index (BMI)) children were treated with BMT from January 2006 to April 2013 at Korean Medical Clinic in Suwon, Korea. The primary outcomes were the changes in BMI and Obesity Index (OI) from baseline to the treatment groups. Secondary outcomes included the changes in height, weight and safety of the medicine. Comparisons of BMI, OI, height and weight between the short-period (SP) treatment group and the long-period (LP) treatment group were done by using ANCOVA. Results The change of the mean of BMI ($-0.5{\pm}0.6kg/m^2$ vs $-1.4{\pm}0.8kg/m^2$, respectively; p=0.003) and OI ($-3.6{\pm}3.9%$ vs $-9.7{\pm}4.7%$, respectively; p<0.001) showed significant reduction both in SP (n=16) and LP treatment group (n=23). The mean height showed no significant difference in both groups. The mean weight of LP treatment group showed significant reduction compared to SP treatment group ($-0.2{\pm}1.3kg$ vs $-1.6{\pm}1.6kg$, respectively; p=0.006). Most of the children were compliant to the medication and no serious adverse events were found in two groups. Conclusions These findings emphasize that BMT is effective in the treatment of childhood obesity and it requires at least 45 days of treatment for the best result.

• Journal of Periodontal and Implant Science
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• 제50권5호
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• pp.340-354
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• 2020

Purpose: This pilot study was conducted to evaluate the cleaning efficacy of an angled implant brush for home oral hygiene of full-arch fixed-implant prostheses. Methods: Forty-one patients treated with a full-arch implant rehabilitation in the maxilla or mandible (164 implants) for at least 4 months were enrolled. The screw-retained fixed prostheses were removed and baseline (T0) parameters were recorded, including plaque index (PI), probing depth (PD), and bleeding on probing (BOP). All patients completed a 5-item questionnaire on hygiene maintenance and received an implant brush for home hygiene. After 1 month (T1) PI, PD, and BOP were recorded again and patients completed a 7-item questionnaire to evaluate their satisfaction with the implant brush. One-way repeated-measures analysis of variance was conducted to evaluate the significance of changes in PI, PD, and BOP. A P value <0.05 was considered to indicate statistical significance. Results: A statistically significant reduction of BOP (0.62±0.6 at T0 vs. 0.5±0.5 at T1; P=0.032) was found, while no statistically significant changes in PD (1.74±0.5 mm at T0 vs. 1.77±0.5 mm at T1; P=0.050) or PI (1.9±0.7 at T0 vs. 1.7±0.7 at T1; P=0.280) occurred. According to the 7-item questionnaire, patients reported no difficulty in using the angled brush (63.4%) and deemed it highly (46.3%) or very highly (4.8%) effective in improving their home oral hygiene. Conclusions: Within the limits of the present pilot study, the patients experienced a reduction of BOP 1 month after being instructed to use the angled implant brush. The angled implant brush appeared to be a well-accepted device for home-care hygiene of full-arch fixed-implant rehabilitations.

• Asian-Australasian Journal of Animal Sciences
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• 제25권6호
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• pp.812-817
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• 2012

Nitrate can serve as a terminal electron acceptor in place of carbon dioxide and inhibit methane emission in the rumen and nitrate reducing bacteria might help enhance the reduction of nitrate/nitrite, which depends on the type of feed offered to animals. In this study the effects of three levels of sodium nitrate (0, 5, 10 mM) on fermentation of three diets varying in their wheat straw to concentrate ratio (700:300, low concentrate, LC; 500:500, medium concentrate, MC and 300:700, high concentrate, HC diet) were investigated in vitro using buffalo rumen liquor as inoculum. Nitrate reducing bacteria, isolated from the rumen of buffalo were tested as a probiotic to study if it could help in enhancing methane inhibition in vitro. Inclusion of sodium nitrate at 5 or 10 mM reduced (p<0.01) methane production (9.56, 7.93 vs. 21.76 ml/g DM; 12.20, 10.42 vs. 25.76 ml/g DM; 15.49, 12.33 vs. 26.86 ml/g DM) in LC, MC and HC diets, respectively. Inclusion of nitrate at both 5 and 10 mM also reduced (p<0.01) gas production in all the diets, but in vitro true digestibility (IVTD) of feed reduced (p<0.05) only in LC and MC diets. In the medium at 10 mM sodium nitrate level, there was 0.76 to 1.18 mM of residual nitrate and nitrite (p<0.01) also accumulated. In an attempt to eliminate residual nitrate and nitrite in the medium, the nitrate reducing bacteria were isolated from buffalo adapted to nitrate feeding and introduced individually (3 ml containing 1.2 to $2.3{\times}10^6$ cfu/ml) into in vitro incubations containing the MC diet with 10 mM sodium nitrate. Addition of live culture of NRBB 57 resulted in complete removal of nitrate and nitrite from the medium with a further reduction in methane and no effect on IVTD compared to the control treatments containing nitrate with autoclaved cultures or nitrate without any culture. The data revealed that nitrate reducing bacteria can be used as probiotic to prevent the accumulation of nitrite when sodium nitrate is used to reduce in vitro methane emissions.

• Biomolecules & Therapeutics
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• 제11권4호
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• pp.257-264
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• 2003

Carnitine, hydroxycitric acid, and soy peptide have been known to be anti-obesity agents. The purpose of this study was to evaluate the combined effects of carnitine, hydroxycitric acid, and soy peptide mixture as a potential anti-obesity supplement in overweight women. Overweight premenopausal women (n=33; PIBW>110; 20 to 39 years) were randomized into two groups: the placebo group and the functional beverage group (the test group). Functional beverage was composed of 2000 mg soy peptide, 20 mg L-carnitine and 300 mg garcinia(40% hydroxycitric acid). Body weight and 3 day food dimes, biochemical measurements and computerized tomography were measured at baseline and 8-week. After 8-week consumption of functional beverage with usual diet and exercise, body weight fell an average of 1.4 kg (2.1%). Visceral fat area reduced an average of 7.8% at L1($69.6{\pm}8.7\;vs\;64.2{\pm}7.5\;\textrm{cm}^2$) and 5.1% ($60.7{\pm}4.9\;vs\;57.6{\pm}4.8\;\textrm{cm}^2$, p<0.05) at L4level after weight loss in the test group. Calf fat area in the test group showed about 10% reduction ($31.0{\pm}2.7\;vs=\;27.7{\pm}1.7\;\textrm{cm}^2$, p<0.05) after weight loss. These reductions in fat areas were not shown in the placebo group. There were tendencies of increase in serum levels of $\beta-hydroxybutyrate$, acetoacetate, and total ketones in the test group. There were 7% and 17% insignificant increase in fasting free fatty acid (FFA) and response area of FFA during oral glucose tolerance test(OGTT), respectively, in this group. ill addition, little weight loss in the test group showed 8% but not significant reduction in insulin response area during OGTT. In conclusion, this study shows that taking a mixture of carnitine, hydroxycitric acid, and soy peptide as a potential anti-obesity supplement for 8-week produced advantageous changes in the weight and visceral fat accumulation of overweight women.

• Archives of Plastic Surgery
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• 제45권6호
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• pp.517-524
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• 2018

Background Infantile hemangioma (IH) is a common vascular tumor in pediatric patients, and is commonly treated with propranolol. We describe our experiences with dosage, response to treatment, and side effects in 23 IH patients treated with propranolol. Methods For this nonrandomized comparative cohort study, the authors enrolled 23 patients treated with propranolol. Photographs were taken before propranolol administration and at 3, 6, 9, and 12 months after treatment. Treatment responses were objectively analyzed with a computer program. Results There were three male and 20 female patients. Common tumor locations were the head and neck (13 cases, 56.5%), trunk (four cases, 17.4%), extremities (three cases, 13.0%), and combined locations (three cases, 13.0%). The response to propranolol was significantly lower in patients with two or more lesions than in patients with a single lesion in terms of both color fading (P<0.001) and size reduction (P<0.001). In male patients ($42.2{\pm}3.9$), the change in a-values, indicating coloration, was higher than in female patients ($19.8{\pm}13.8$) (P<0.001). In patients who started treatment before 6 months after birth, the size reduction was greater than in their counterparts (62.3%; range, 3.0%-93.0% vs. 15.8%; range, 1.0%-79.0%; P<0.001). Conclusions Propranolol is an efficacious treatment with a good safety profile. In patients with a single lesion, the response to treatment was better in terms of color fading and size reduction. Furthermore, male patients responded better to propranolol treatment in terms of color fading than female patients, and starting treatment before 6 months after birth was more advantageous for size reduction.

• Composites Research
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• 제14권3호
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• pp.1-9
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• 2001

피로 손상을 입은 복합재료 적층보의 모재 균열로 인한 유효 휨 강성 저하 모델를 제시하고 이 모형에 대한 고유 진동수 변화를 예측하는 새로운 비파괴 예측 모델을 개발하였다. 인장 하중하에서 피로 손상을 입은 직교 복합재료 적층보의 고유진동수는 유효 휨 강성 저하를 $0^{\circ}$층과 $90^{\circ}$층의 탄성 계수와 함수 관계로 둠으로서 복합재료 적층보의 피로수명을 예측하였다. 피로 하중하에서 복합재료 적층보의 $90^{\circ}$층 탄성 계수 저하와 다른 층($0^{\circ}$층)에 본래 갖고 있는 탄성 계수를 적층판 이론에 적용하여 유효 휨 강성을 유도하였다. 직교 복합재료 적층보에 대해 피로 실험시 초기의 파단 양상은 대개 $90^{\circ}$층에서의 모재 균열이 지배적으로 나타나는데, 이를 이용하여 고유진동수 감소 모델은 직교 복합재료 적층보에서의 고유진동수 대 피로 사이클 곡선을 나타낼 수 있었다. 이와 같은 고유진동수 감소 모델의 타당성을 입증하기 위하여 $[{90}_2/0_2]_s$ 탄소섬유/에폭시 복합재료 적층보에 대한 진동 실험을 수행하였다. 본 모델의 예측 결과와 실험 결과가 잘 일치하는 바 본 논문에서 제시한 강성 저하 모델의 타당성을 입증하였다.

• 한국콘텐츠학회논문지
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• 제6권1호
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• pp.80-84
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• 2006

모음을 삽입시키거나 자음을 탈락시킴으로써 한 음절 내의 영어 연속음을 없애는 자음군 축약 전략이 기존의 연구들마다 다르다는 점에 동기를 부여받아서 한국 학생들의 영어 자음군 축약 전략을 탐구하게 되었다. 대학생 60명의 어두와 어말 자음군 발음을 조사한 결과, 초성이냐 종성이냐 하는 운율적 위치와 자음군이 몇 개로 구성되어 있느냐는 자음군 숫자에 따라 모음 삽입이냐 자음 탈락이냐 하는 자음군 축약 전략에 영향을 미치는 것으로 나타났다. 삽입과 탈락의 오류 비율은 초성보다는 종성에서 높았고 두 개의 자음군보다는 세 개의 자음군에서 높았다. 전반적으로 삽입 오류 비율이 탈락 오류 비율보다 높았으나, 종성 위치의 세 개의 자음군에서는 탈락 비율이 삽입 비율보다 중요하게 높았다. 종성 위치 세 개의 자음군에서 탈락 비율이 높은 것 때문에 운율 위치에 상관없이 세 개의 자음군에서 삽입보다 탈락 비율이 높게 나타났으며 전반적으로 종성에서 탈락 비율이 높이 나타났다.

• 한국지하수토양환경학회지:지하수토양환경
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• 제11권6호
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• pp.83-91
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• 2006

회분식 반응조에서 마이크로(mZVI) 및 나노(nZVI) 크기의 영가 철을 환원물질로 이용하여 고폭화약물질 3종에 대한 환원동역학을 측정하였다. 각 화약류를 이용하여 어미물질에 대한 nZVI와 mZVI의 비표면적 환원상수 $k_{SA}$과 비중량 환원상수 $k_{M}$을 측정한 후, 중간산물의 거동을 비교하였다. 그 결과 두 상수를 사용해서는 nZVI 반응조내 어미 물질과 중간환원산물들의 거동을 완전히 설명할 수 없었다. 화약물질을 mZVI로 처리한 반응조에서는 초기 환원물질인 nitroso-RDXs, nitroso-HMXs 및 hydroxylamino-TNT가 주로 축적되었으나, nZVI로 처리한 반응조에서는 동일한 겉보기 반응속도임에도 불구하고 환원말기물질인 극성중간산물들과 TAT가 축적되었다. 그러므로 중간산물들의 환원까지 고려하는 새로운 매계변수의 개발이 필요한 것으로 판단된다.