• 한국어류학회지
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• 제13권1호
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• pp.19-23
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• 2001

미꾸리과 어류 2종 수수미꾸리 Niwaella multifasciata, 좀수수치 Kichulchoia brevifasciata의 성숙란에 대하여 난막구조를 조사하였다. 성숙란의 난막 (egg envelope)은 부착구조 (adhesive structure)가 부착하는 zona radiata externa와 여러 전자밀도층을 가지는 zona radiata interna층으로 구성되어 있다. 수수미꾸리의 zona radiata externa는 짧은 융모형태 (short villus-like protuberance)의 구조를 가지며 길이는 약 1.5~2.5 ${\mu}m$로서 2.0~2.5 ${\mu}m$ 간격으로 배열하고 있었다. 반면에 좀수수치는 물결모양 형태 (wave-like structure)를 가지는데 길이는 약 1.5~2.5 ${\mu}m$ 크기로 서로 2.5~3.3 ${\mu}m$ 간격으로 배열되어 있다.

• Journal of Korean Neurosurgical Society
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• 제54권5호
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• pp.405-410
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• 2013

Objective : The objective of this study was to investigate changes in the posterior cranial fossa in patients with symptomatic Chiari malformation type I (CMI) compared to a control group. Methods : We retrospectively reviewed clinical and radiological data from 12 symptomatic patients with CMI and 24 healthy control subjects. The structures of the brain and skull base were investigated using magnetic resonance imaging. Results : The length of the clivus had significantly decreased in the CMI group than in the control group (p=0.000). The angle between the clivus and the McRae line (p<0.024), as the angle between the supraocciput and the McRae line (p<0.021), and the angle between the tentorium and a line connecting the internal occipital protuberance to the opisthion (p<0.009) were significantly larger in the CMI group than in the control group. The mean vertical length of the cerebellar hemisphere (p<0.003) and the mean length of the coronal and sagittal superoinferior aspects of the cerebellum (p<0.05) were longer in the CMI group than in the control group, while the mean length of the axial anteroposterior aspect of the cerebellum (p<0.001) was significantly shorter in the CMI group relative to control subjects. Conclusion : We elucidate the transformation of the posterior cranial fossa into the narrow funnel shape. The sufficient cephalocaudal extension of the craniectomy of the posterior cranial fossa has more decompression effect than other type extension of the craniectomy in CMI patients.

• 대한약침학회지
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• 제17권1호
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• pp.70-73
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• 2014

Objectives: Yamen is the fifteenth acupoint of the Governor Vessel Meridian (GV15). It is anatomically close to the medulla oblongata, so finding the safety depth of the acupoint is very important. However, few studies on the safety depth of GV15 have been done. Methods: This study tried to measure the safety depth of GV15 by using magnetic resonance imaging (MRI) scans and to analyze the factors affecting the safety depth through multiple regression analyses. This study was carried out for patients who had a brain MRI scan while visiting Jeonju Wonkwang Hospital, Korea. The shortest distance between the glabella and the occipital protuberance (DGO), the horizontal distance between the glabella and the back of the head (DGB) and the dangerous depth (DD) were measured from the sagittal views of the MRI images. The DD is the horizontal distance from the skin's surface at GV15 to the spinal dura mater. Results: The model suggested that the safety depth (SD) was significantly associated with gender (${\beta}$ = 0.474, P < 0.0001), DGO (${\beta}$ = 0.272, P = 0.027), and BMI (${\beta}$ = 0.249, P = 0.005) and the combination of three variables can explain the SD, with $R^2$ = 0.571 (Table 3). A longer SD was associated with males and with greater BMI and DGO. Conclusion: This study suggests that gender, BMI and DGO may be important factors when the SD of GV15 is considered clinically through a multiple regression analysis of GV15.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.417-421
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• 2009

Purpose: Dermatofibrosarcoma protuberans(DFSP) is a moderate - degree malignant tumor of soft tissue from dermis to fat layer with high recurrences(11% to 73%) due to its local infiltrative characteristic. Many debates and controversies in deciding accurate surgical margin were presented before, but references about depth of invasion and appropriate surgical excision level were not properly made out. Therefore, we tried to identify the degree of tissue invasion of DFSP. Methods: Twenty patients, including 8 patients with recurrent lesions, over last 10 years were reviewed retrospectively. Different surgical margins were applied according to the location and based on histopathologic result, we have defined as a 'deep tissue invasion' if there were infiltration of tumor cell into fascia or underlying muscle layer was present. All invaded tissue including dermis, fat, fascia and muscle were excised until no tumor cell was found during intraoperative frozen section biopsy. And comparative analysis of deep tissue invasion according to age, primary site, duration of disease and recurrence was done. Results: Thirteen patients(65%) showed deep tissue invasion and incidence was found to be increasing with age(over 30 years old). All patients with DFSP on head and neck region revealed deep tissue invasion followed by trunk(54%) and lower extremities(50%). There was no relationship between duration of disease and deep tissue invasion. Conclusions: It is clear that many cases of DFSP had a deep tissue invasion. And high prevalence of deep tissue invasion with age, primary site was intimately associated. So, underlying deep tissue must be completely examined and excised sufficiently throughout the operation for clear resection of DFSP with no recurrences, especially when age is over 30s and on head and neck region.

• Investigative Magnetic Resonance Imaging
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• 제14권2호
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• pp.134-138
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• 2010

뼈주위 지방종은 골막과 밀접한 관련성을 지니며 발생하는 드문 양성지방종으로 조직소견은 전형적인 연부조직 지방종과 같은 성숙지방세포로 구성된다. 영상에서 특징적으로 뼈와 인접한 지방성의 덩어리로 나타나며 인접한 골피질에 다양한 반응성 변화를 일으킨다. 자기공명영상에서는 뼈주위에 위치한 양성지방종, 이와 연결된 뼈의 돌기 또는 반응성 골피질 변화, 또한 신경 압박에 의한 이차적 근육 퇴행 등의 소견을 관찰할 수 있다. 이 보고에서는 중족골에 연해 발생한 뼈주위 지방종의 증례를 자기공명영상 소견을 중심으로 기술하고자 한다.

• 한국자원식물학회지
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• 제36권2호
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• pp.122-132
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• 2023

한국산 며느리밥풀속(Melampyrum L.) 6분류군(M. roseum, M. roseum var. japonicum, M. roseum var. ovalifolium, M. setaceum, M. setaceum var. nakaianum, and M. koreanum)을 대상으로 외부형태학적 형질을 관찰하였다. 조사 결과, 잎의 형태, 포의 형태, 포 가장자리 강모의 분포 위치와 수는 유용한 검색형질로 확인되었으며, 줄기의 횡단면 형태와 털의 분포, 포의 기부 형태, 꽃받침 열편과 정단부 돌기의 형태, 화관의 색과 길이는 유용한 검색형질로 나타났다. 이러한 외부형태학적 형질을 바탕으로 한국산 며느리밥풀속의 검색표를 제시하였다.

• 대한두경부종양학회지
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• 제40권1호
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• pp.49-53
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• 2024

Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma, with an incidence of about 0.8% to 5% per million people per year, accounting for 1% of soft tissue sarcomas. In its early stage, DFSP is typically found as a violet or pinkish macule or patch, and it can develop into a palpable mass with ulceration or bleeding. The standard treatment for DFSP is wide local excision of the tumor with a 2- to 3-cm negative margin, and radiation therapy or chemotherapy can be conducted with surgical treatment. A 35-year-old man had a palpable mass on the left side of his occipital scalp without color change, ulceration, or bleeding, which typically are present in malignancy. A magnetic resonance imaging (MRI) scan showed a 3-cm homogenous enhanced mass without adhesion between the scalp and the mass. Unexpectedly, a biopsy revealed the round mass to be DFSP. A wide excision and rotation of the scalp flap were performed. The patient recovered without any complications and received adjuvant radiotherapy at a dose of 60 Gray (Gy) for six weeks. There was no recurrence through six months of follow-up. Here we report this unique case of DFSP with atypical presentation.

• Journal of Acupuncture Research
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• 제17권1호
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• pp.27-41
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• 2000

The meridian system is the most essential and basic connecting structure that maintains the vital activities of viscera and bowels by connecting them with each part of body's surface. Doctors can understand the healthy condition, and the region and deficiency-excessiveness of disease by observing the condition of Qi flowing. Deficiency and excessiveness could be differentiated by various symptoms expressed in meridian system. Especially there could be several clues like pain, heat-cold, protuberance-depression, change of color and shine in the line of channel leads to the judgment of deficiency-excessiveness The diagnosis of deficiency and excessiveness can be generalized by quantification of elastic status in skin surface along the meridian system. By comparing data from measurement of elastic condition with those from traditional deficiency and excessiveness, it could be utilized for the development of oriental medicine. All biological activities in the human body are based on meridian system according to the oriental medicine. Also the meridian system is viewed as basic and essential structure connecting internal viscera and each part of body. The areas of expressed channel phenomena are muscle to bone, muscle to muscle and bone to bone. These areas are called depression where meridian system is present and any changing state on those points can be measured. It could be difficult in diagnosing the reaction of meridian system because doctor can depend on his own judgment. Therefore, it is necessary to quantify and indexate channel reactions. To quantify the channel reactions, specially manufactured instrument was used to quantify the protuberance and depression to differentiate the deficiency and excessiveness. The results follow as below; 1. The elastic index measurement by the equipment proved a pattern of agreement showing the values that ranged within standard deviation 0.05kgf/cm throughout the experiment except few cases' measurement in CV-17. 2. To evaluate the state of deficiency & excessiveness of elastic index measurements in frontal point, elastic index measurements in the front paint were compared to the elastic index measured surrounding the point within 2.5 cm. Such result of indexing procedure was closely matched to the concept of palpitation. 3. If the elastic index values in the surrounding front point closely located to the elastic index values in the front point, the judgement on the state of deficiency and excessiveness was delayed. Otherwise, it was judged as deficiency or excessiveness. 4. Out of total 12 cases of comparing the elastic index values to the elastic index values in the surrounding front point, Three to nine front points were judged as either in the state of deficiency or excessiveness. 5. Among the nine front points judged as either in the state of deficiency or excessiveness, Four cases were matched to the electric index measured by EAV that evaluating the internal organs by five different phases. If more clinical cases are accumulated, it is expected to systematically theorize and improve the concept of deficiency and excessiveness in the internal organs using the front point.

• 대한소아치과학회지
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• 제36권2호
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• pp.305-309
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• 2009

치외치(Dens Evaginatus)란 교합면에 법랑질이 원추형으로 돌출되어 결절을 형성한 치아로 치아발육중 법랑기의 내측법랑상피가 외부로 과증식되거나 치수 간엽조직이 국소적으로 과증식되어 나타난다. 결절은 교합력이나 저작에 의해 파절 또는 마모되기 쉬우며 따라서 이로 인하여 치수노출에 의한 감염이 야기될 수 있다. 치외치는 예방목적으로 결절을 주기적으로 조금씩 갈아주어 2차 상아질을 유도하거나 전색제등으로 결절주위를 보강하여 자연마모를 유도할 수 있다. 반면 이미 증상을 보인 치아에 대해서는 근관치료를 시행하거나, 미완성치근인 경우 치근단유도술(Apexogenesis)이나 치근단형성술(Apexification)을 시행한다. 치근단유도술이란 생활력을 가진 미성숙 영구치의 손상, 또는 치아우식에 의한 치수노출 시 치수절단술을 시행하여 치수의 생활력을 유지시켜 정상적인 치근으로 발육하도록 유도하는 술식을 말한다. 주로 수산화칼슘을 이용한 통상의 치수절단술이 이용되고 이후 계속적인 치근형성 확인을 위해 주기적 방사선검사가 요구된다. 본 증례는 하악 좌측 제2소구치 부위의 동통을 주소로 내원한 한자에 대한 것으로, 임상검사결과 양측 소구치 부위에 치외치를 확인하게 되었다. 이에 수산화칼슘을 통한 치근단유도술을 시도하였고, 3년간 주기적 내원을 통해 치료한 결과 치근의 근심면의 비정형적 발달을 보였다. 현재 이 치아는 임상증상과 방사선 사진을 통해 확인한 결과 특이한 염증소견 없는 예후를 보이고 있기에 보고하는 바이다.

• Parasites, Hosts and Diseases
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• 제22권1호
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• pp.85-95
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• 1984

한국 시장에서 얻은 명태의 장내 기생 조충류 조사의 일환으로 이 연구를 실시하였다. 명태의 장에서 얻은 각종 충체에 대하여 형태학적 계측과 박절표본을 작성한 소견을 가지고 Schmidt와 Yamaguti의 검색표에 의거하여 속과 종을 동정한 바 다음과 같은 결과를 얻었다. 1. 본 실험에서 국내에 미기록된 신종으로 Eucestoda 아강 Caryophyllidae목 Caryophyllaeidae과 Lytocesinae아과 Khawa속과 Eucestoda아강 Trypanorhyncha목 Acystidea아목 Paranybeliniidae과 Pseudonybelinia속과, Eucestoda아강 Trypanorhyncha목 Aeystidea아목 Tentaculariidae과 Nybelinia속과 Tentacularia속 그리고 Eucestoda아강 Trypanorhyncha목 Cystidae아목 Lacistorhynchidae과 Eulacistorhynchus속과 이들의 종을 확정하였다. 2. Khawia sinesis의 특징은 두절에 소포가 없으며 넓고 펑평하나 가장자리가 들쑥날쑥한 점과 목이 짧고 체부와 두부사이가 명화하지 않은 점이었다. 3. Eulncistorhynchus chiloscyllius의 특징은 두절이 꽤 긴 편이며 가장자리가 들쑥날쑥하지 않다. 구문낭도 길다. 수축근은 남의 기저부에 부착되어 있다. 흡구는 둘로 난형 혹은 원형이며 후단에, 절흔이 없다. 촉모는 길 갈고리들이 변형되어 있으며 이중의 chainette가 있다. 체절은 acraspedote하고 성숙체질은 체폭보다 길이가 더 길다. 4. Tentacularia coryphaenea의 특징은 두절이 들쑥 날쑥하지 않고 원주형이다. 흡구는 분리되었고 후단 유리 연에는 작은 가시가 있다. 두절에서 나온 4개의 수축성 촉모에는 갈고리들이 나선형으로 배열되어 있다. 촉모를 둘러싼 초는 꼬여있지 않다. 근낭은 긴 타원형이다. 5. Pseudonybelinia odontacantha의 특징은 두절이 들쑥날쑥하지 않고 촉모는 계구의 전쳔부에 가까이 부착되어 있다. 갈고리는 좌측으로 부터 나선상으로 배열되어 있다. 근낭은 폭보다 길이가 3배정도 긴다. 6. Nykelinia lingu구곤의 특징은 두절이 짧고 들쑥 날쑥하지 않다 흡구는 4개로 분리되어 있으며 각기 자유판을 갖고 있다. 촉모는 원통상으로 단단한 갈고리로 무장되어 있다.