• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권6호
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• pp.549-558
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• 2011

The latissimus dorsi myocutaneous flap (LDMF) was initially described at the turn of the century by Tansini et al, and latissimus dorsi myocutaneous free flap (LDMFF) was also first described for the coverage of a chronically infected scalp by Maxwell et al. As a pedicled flap, LDMF has been often used for breast reconstruction and for soft tissue replacement near the shoulder and the lower reaches of the head and neck. LDMFF is a flat and broad soft tissue flap with large-caliber thoracodorsal vessels for microvascular anastomosis. A skin paddle of the LDMFF can be more than $20{\times}40$ cm, so very large defects in the oral cavity and outer facial region can be covered by this LDMFF. Other advantages include consistent vascular anatomy, acceptable donor site morbidity and the ability to perform simultaneous flap harvest with tumor resection. For a better understanding of LDMFF as a routine reconstructive procedure in large defects of the oral cavity and facial legion, anatomical findings must be learned and memorized by young doctors during the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article discusses the anatomical basis of LDMFF with Korean language.

• 한국발생생물학회지:발생과생식
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• 제18권3호
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• pp.179-186
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• 2014

Characteristics of the developmental stages of spermatids during spermiogenesis and phylogenetic classicfication of the species using sperm ultrastructures in male Crassostrea ariakensis were investigated by transmission electron microscope observations. The morphology of the spermatozoon of this species has a primitive type and is similar to those of Ostreidae. Ultrastructures of mature sperms are composed of broad, modified cap-shaped acrosomal vesicle and an axial rod in subacrosomal materials on an oval nucleus, four spherical mitochondria in the sperm midpiece, and satellite fibres which appear near the distal centriole. The axoneme of the sperm tail shows a 9+2 structure. Accordingly, the ultrastructural characteristics of mature sperm of C. ariakensis resemble to those of other investigated ostreids in Ostreidae in the subclass Pteriomorphia. In this study, particularly, two transverse bands (stripes) appear at the anterior region of the acrosomal vesicle of this species, unlike two or three transverse bands (stripes) in C. gigas. It is assumed that differences in this acrosomal substructure are associated with the inability of fertilization between the genus Crassostrea and other genus species in Ostreidae. Therefore, we can use sperm ultrastructures and morphologies in the resolution of taxonomic relationships within the Ostreidae in the subclass Pteriomorphia. These spermatozoa, which contain several ultrastructures such as acrosomal vesicle, an axial rod in the sperm head part and four mitochondria and satellite fibres in the sperm midpiece, belong to the family Ostreidae in the subclass Pteriomorphia.

• 분석과학
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• 제26권5호
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• pp.299-306
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• 2013

죽초액은 대나무 숯 제조시 발생하는 강한 산성을 가진 부산물로 80-90%의 수분과 200 종 이상의 유기화합물로 구성되어 있으며, 일반적으로 토양 질 개선, 식물 생육 조절, 아토피 피부염 개선 및 항균효과 등 피부관련 질환에 널리 활용되고 있다. 본 연구에서는 담양군에서 제조한 죽초액 휘발성성분을 direct analysis (DA)법, head space solid phase microextraction (HS-SPME)법, stir bar sorptive extraction (SBSE)법을 이용하여 GC/MS로 분리하고 동정하였다. 위 세 가지 방법을 이용하여 103 종의 화합물을 검출하였으며, HS-SPME와 SBSE방법에서 페놀류 화합물의 선택적 분석이 가능하였다. 죽초액의 주요한 화합물은 유효한 생리활성 물질로 알려진 cresol, guaiacol, p-ethyl guaiacol, syringol이 분석되었다.

• 한국안전학회지
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• 제29권3호
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• pp.79-84
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• 2014

Human error is one of the major contributors to the accidents. A lot of risk assessment techniques have been developed for prevention of accidents. Nevertheless, most of them were interested in physical factors, because quantitative evaluation of human errors was difficult quantitatively. According to lack of risk assessment techniques about human errors, most of industrial risk assessment for human errors were based on data of accident analysis. In order to develop an effective countermeasure to reduce the risk caused by human errors, a systematic analysis is needed. Generally, risk assessment system is composed of 5 step(classification of work activity, identification of hazards, risk estimation, evaluation and improvement). This study aimed to develop a risk identification technique for human errors that could mainly be applied to industrial fields. In this study, Ergo-HAZOP and Comprehensive Human Error Analysis Technique were used for developing the risk identification technique. In the proposed risk identification technique, Ergo-HAZOP was used for broad-brush risk identification. More critical risks were analysed by Comprehensive Human Error Analysis Technique. In order to verify applicability, the proposed risk identification technique was applied to the work of pile head cutting. As a consequence, extensive hazards were identified and fundamental countermeasures were established. It is expected that much attention would be paid to prevent accidents by human error in industrial fields since safety personnel can easily fint out hazards of human factors if utilizing the proposed risk identification technique.

• 한국사회복지학
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• 제63권1호
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• pp.85-111
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• 2011

다차원적 빈곤접근에 있어 빈자의 구분방식에는 복합지수방식, 합집합 및 교집합방식이 있는데 이들 방식들은 타당하지 않은 문제들이 있었다. Alkire와 Foster는 이 문제를 해소하는 방법으로 합집합과 교집합의 중간 형태로서 결핍차원들의 개수를 경계선으로 이용하는 차원계수방식을 이론화하였다. 차원계수방식에 의해 우리나라의 다차원적 빈곤을 측정한 결과, 3개 결핍차원을 정책적 차원빈곤선으로 하는 경우 다차원적 빈곤율은 20% 수준으로서 10명 중 2명이 다차원적으로 빈곤하였다. 다차원적 빈곤율이 높은 것은 자산, 소득, 사회보장, 건강 등 여러 차원으로 결핍의 폭이 넓은데 기인하였다. 여성, 한 부모, 노인, 비경제활동인구 등 취약계층일수록 다차원 빈곤의 폭이 넓고 가중되고 있었다. 연구결과 현행 기초생활보장제도가 탈 빈곤유도와 기초생활보장이라는 두 가지 정책목표를 각각 효과적으로 달성하기 위해서는 근로능력 유무에 따라 수급자선정과 지원체제를 이원화하고 차원계수방식을 적용하는 것이 유용하다고 본다.

• Journal of Genetic Medicine
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• 제11권2호
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• pp.74-78
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• 2014

Sotos syndrome (SS, OMIM 117550) is characterized by prenatal and postnatal overgrowth with multiple congenital anomalies. However, there have been few cases of growth retardation caused by renal failure from infancy. We report a case of dysplasia of the bilateral kidneys with renal failure and poor postnatal growth. A 2-month-old boy visited the emergency room owing to poor oral intake and abdominal distension. He was born at the gestational age of 38 weeks with a birth weight of 4,180 g. After birth, he had feeding difficulty and abdominal distension. Upon physical examination, his height and weight were in less than the 3rd percentile, while his head circumference was in the 50th percentile on the growth curve. He also showed a broad and protruding forehead and high hairline. Blood laboratory tests showed severe azotemia; emergent hemodialysis was needed. Abdominal ultrasonography revealed bilateral renal dysplasia with multiple cysts and diffuse bladder wall thickening. A posterior urethral valve was suggested based on vesicoureterography and abdominal magnetic resonance findings. Results of a colon study to rule out congenital megacolon did not reveal any specific findings. The conventional karyotype of the patient was 46, XY. Array comparative genomic hybridization study revealed a chromosome 5q35 microdeletion including the NSD1 gene, based on which SS was diagnosed. We describe a case of SS presenting with end stage renal disease due to posterior urethral valve. The typical somatic overgrowth of SS in the postnatal period was not observed due to chronic renal failure that started in the neonatal period.

• Parasites, Hosts and Diseases
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• 제59권3호
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• pp.189-225
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• 2021

The use of albendazole and mebendazole, i.e., benzimidazole broad-spectrum anthelmintics, in treatment of parasitic infections, as well as cancers, is briefly reviewed. These drugs are known to block the microtubule systems of parasites and mammalian cells leading to inhibition of glucose uptake and transport and finally cell death. Eventually they exhibit ovicidal, larvicidal, and vermicidal effects on parasites, and tumoricidal effects on hosts. Albendazole and mebendazole are most frequently prescribed for treatment of intestinal nematode infections (ascariasis, hookworm infections, trichuriasis, strongyloidiasis, and enterobiasis) and can also be used for intestinal tapeworm infections (taeniases and hymenolepiasis). However, these drugs also exhibit considerable therapeutic effects against tissue nematode/cestode infections (visceral, ocular, neural, and cutaneous larva migrans, anisakiasis, trichinosis, hepatic and intestinal capillariasis, angiostrongyliasis, gnathostomiasis, gongylonemiasis, thelaziasis, dracunculiasis, cerebral and subcutaneous cysticercosis, and echinococcosis). Albendazole is also used for treatment of filarial infections (lymphatic filariasis, onchocerciasis, loiasis, mansonellosis, and dirofilariasis) alone or in combination with other drugs, such as ivermectin or diethylcarbamazine. Albendazole was tried even for treatment of trematode (fascioliasis, clonorchiasis, opisthorchiasis, and intestinal fluke infections) and protozoan infections (giardiasis, vaginal trichomoniasis, cryptosporidiosis, and microsporidiosis). These drugs are generally safe with few side effects; however, when they are used for prolonged time (>14-28 days) or even only 1 time, liver toxicity and other side reactions may occur. In hookworms, Trichuris trichiura, possibly Ascaris lumbricoides, Wuchereria bancrofti, and Giardia sp., there are emerging issues of drug resistance. It is of particular note that albendazole and mebendazole have been repositioned as promising anti-cancer drugs. These drugs have been shown to be active in vitro and in vivo (animals) against liver, lung, ovary, prostate, colorectal, breast, head and neck cancers, and melanoma. Two clinical reports for albendazole and 2 case reports for mebendazole have revealed promising effects of these drugs in human patients having variable types of cancers. However, because of the toxicity of albendazole, for example, neutropenia due to myelosuppression, if high doses are used for a prolonged time, mebendazole is currently more popularly used than albendazole in anti-cancer clinical trials.

• Radiation Oncology Journal
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• 제12권1호
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• pp.27-31
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• 1994

종양의 조직학적 형태에 따라 또 같은 조직의 종양에서도 각 환자에 따라 방사선 치료에 대한 반응 정도에는 많은 차이가 관찰된다. 이러한 방사선 감수성을 예측하는 한 방법으로 각 환자에서 떼어낸 종양조직을 일차 배양하여 방사선 조사에 의한 세포 생존 곡선을 구한뒤 2Gy에서의 생존(SF2)을 얻었다. 방사선 치료가 계획된 두경부 종양과 자궁경부암 환자의 종양 조직을 얻어 기계적인 방법으로 미세절편으로 만든 후 collagenase type IV와 2시간 배양하여 단일 종양세포 혼탁액을 얻었다. Cell adhesive matix로 전처리된 24 well plate에 각 well당 일정수의 세포를 넣어 24시간 배양한뒤 각 열에 0, 1, 2, 3, 4. 6Gy의 방사선을 조사하였다. 13일간 배양후 crystal violet으로 염색한뒤 image analysis system을 이용하여 각 well의 광학밀도를 측정하여 세포 생존을 구한다. Linear quadratic model에 의한 생존 곡선을 얻은 뒤 2Gy에서의 생존율을 구하였다. 배양된 세포가 편평상 피암세포임을 확인하기 위하여 cytokeratin과 epithelial monoclonal 항체를 이용한 Immunocytochemical 염색을 하여 형광 현미경으로 관찰하였다. 5명의 두경부종양 환자와 20명의 자궁경부암 환자의 종양조직을 얻어 실험하여 15명(60$ \% $) 종양의 2Gy 생존을 얻는데 성공하였다. 10명의 일차 배양 실패의 원인은 단일 종양세포 혼탁액에 종양세포가 너무 적었거나 세포 이식후 배양이 잘 자라지 않은 것으로 판정되었다. 15편평 상피암 세포의 SF2의 평균은 0.55$\pm$0.17이었으며 범위는 0.20에서 0.79까지로 같은 편평상피암이라도 각 환자에 따라 SF2 간에 큰 차이를 보이는 것을 알 수 있었다. 이상에서 같은 부위에 생긴 같은 조직 유형의 종양이라도 각 환자마다 SF2 값의 차이가 큰 것으로 보아 방사선 치료의 효과를 예측할 수 있는 한 인자로 SF2 값을 이용할 수 있을 것으로 생각된다.

• 대한수의학회지
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• 제27권2호
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• pp.167-183
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• 1987

The anatomical structure of the Skeleton of thoracic limb of thirty-one adult Korean native goats(body weight: 14~17kg) was observed after skeletal preparation, and the osteometry was performed in each bone. The results were as follows; 1. The thoracic limb of the Korean native goat was composed of scapula, humerus, radius, ulna, carpal bones, metacarpal bones, phalanges and sesamoid bones. 2. The scapula was flat and triangular in shape. There were no distinct tuber of spine and acromion in the spine. The subscapular fossa was deep and triangular in shape and the vertebral border was sigmoid form. The coracoid bone was formed as the coracoid process at the medial aspect of the supraglenoid tubercle but the clavicle wa.s not observed. The left and right scapular indexes were 57.92 and 58.31 and the glenoid cavity indexes were 89.23 and 86.82, respectively. 3. The greater tubercle of the humerus was devided into cranial and caudal parts. The third tubercle was observed and the face for the infraspinatus muscle was rectangular form. The left and right humerus indexes were 32.44 and 32.63, the head indexes were 94.13, 96.62 and the trochlear-epidondyle indexes were 67.32 and 65.81, respectively. 4. The radius and ulna were fused entirely except at the broad proximal and narrow distal interosseous spaces. The ulna was longer than the radius, and its reduced body and distal end were fused at the caudomedial surface of the radius. 5. The carpal bones were six in number. There were radial, intermediate, ulnar, accessory, second-third and fourth carpal hones in carpal bones. 6. The metacarpal bone was composed of a large metacarpal bone resulted from the fusion of the third and fourth metacarpal bones, and there was a metacarpal tubercle at the dorsolateral part of the proximal end. There were no vestiges of the second and fifth metacarpal bones. 7. The digits were composed of third and fourth digits and each digit was composed of the proximal, middle and distal phalanges. 8. The sesamoid bones were six in number. There were two at the fetlock joint and one at the coffine joint palmarly in each digit. 9. The ratios of the lengths among the scapula, humerus, antebrachium and metacarpal bone were 1.42 : 1.47 : 1.77 : 1.00 in the left and 1.42 : 1.45 : 1.77 : 1.00 in the right, respectively.

• 생물정신의학
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• 제6권1호
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• pp.21-29
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• 1999

외상성 뇌 손상은 다양한 신경행동학적 후유증을 나타낸다. 불안정한 기분, 무감동증, 공격성, 충동성, 과민성 등을 나타내고 기억력 상실, 집중력 장해, 정보처리 지연, 지남력 감소, 자기인식 결여, 및 문제 해결 능력의 결여 등 인지 기능의 손상을 나타낸다. 이러한 신경행동학적 증상은 직업과 가정을 포함하는 개인의 역할 수행에 다양한 충격을 주고 이는 또한 다양한 정도의 감정적 어려움을 더하게 되어, 이러한 생물학적, 심리적, 사회적 요인들이 우울증을 일으킨다. 외상성 뇌 손상이후의 우울증의 발병률은 주요 우울증이 25~50%, 기분저하 장애가 15~30%로 보고되고 있다. 외상성 뇌 손상이후의 우울증의 양상은 근본적으로는 일반적인 우울증의 양상과 별다른 차이가 없는 것으로 보고된 바 있다. 뇌 손상이후의 시간에 따라 우울증 양상에서의 차이를 보여 첫 6개월에 나타나는 경우에는 불안, 초기 불면증, 기분의 조석 변동, 및 식욕 장애 등이, 그리고 12개월의 경우에는 말기 불면증, 성욕 상실, 집중력 저하 등이 각각 두드러진 것으로 보고된 바 있다. 또한 외상성 뇌 손상이후의 급성 기에 발생하는 우울증은 보다 더 생물학적 원인이 관여하는 것으로, 지연성 우울증의 경우에는 심리적인 요인들이 더 많이 관여하는 것으로 보고되고 있다. 좌측전반부 병소와 주요 우울증의 연관성이 여러 연구에서 보고되고 있으며, 특히 불안을 호소하는 우울증은 우반구 병소와 그리고 불안의 호소가 적은 우울증은 좌측 전반부와 연관된다고 보고되었다. 외상성 뇌 손상이후에 우울증을 나타내는 경우의 병리생리학적 변화는 우울증의 원인론과 연관되어 많은 관심을 받고있으나 아직 어떠한 결론을 도출해내기에는 이르다. 치료에는 fluoxetine, desipramine 등 부작용이 적은 항우울제가 선택된다.