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이 연구는 개에서 내측 슬개골 탈구 2도와 3도를 수술적으로 교정한 증례를 활차성형술 적용 여부에 따라 후향적으로 평가한 것이다. 본 후향 연구는 63마리의 개에서 68건의 수술한 케이스를 대상으로 하였으며, 합병증, 회복기간 및 방사선 검사로 퇴행성 관절 변화를 평가하였다. 수술 후 최소 3개월 이상 정기적으로 예후를 평가하였다. 합병증은 총 10.3% (7/68)의 재탈구와 1 케이스에서 경골조면 이식 실패를 확인하였다. 재탈구와 합병증 때문에 재수술을 요하는 경우는 활차성형술을 적용한 군에서는 3케이스(3/47, 6.4%), 활차성형술을 적용하지 않은 군에서는 1케이스 (1/21, 4.8%)였다. 활차성형술을 적용하지 않은 군은 적용한 군에 비교하여 회복시간이 유의적으로 짧았고, 방사선 검사상 확인된 퇴행성 관절 변화에서 유의적인 차이를 보였다. 따라서, 2도와 3도의 내측 슬개골 탈구의 경우, 활차성형술을 적용하지 않는 수술방법이 수술적 예후를 향상 시킬 것으로 생각한다. We evaluated outcomes of dogs surgically treated for grade 2 or 3 medial patellar luxation (MPL) with and without trochleoplasty. A retrospective study of 63 dogs with grade 2 or 3 MPL surgically treated with or without trochleoplasty was performed. Results of radiographic evaluation were expressed numerically as degenerative joint disease score and were compared between the groups with and without trochleoplasty. The study included 7 (7/68, 10.3%) cases of reluxation and 1 case of tibial tuberosity transposition implant failure. Reluxation and complications requiring additional surgery were confirmed in 3 cases (3/47, 6.4%) in trochleoplasty group and in 1 case (1/21, 4.8%) in nontrochleoplasty group. The nontrochleoplasty group showed a shorter recovery time than the trochleoplasty group (P < 0·05). There was a significant difference in degenerative joint disease scores over time between the groups, with nontrochleoplasty group having lower scores (P < 0·05). This study suggests that surgical treatment without trochleoplasty results in favorable outcomes compared to treatment with trochleoplasty. It is not mandatory to exclude trochleoplasty when performing surgery for grade 2 or 3 MPL, but we propose that surgical treatment without trochleoplasty is one option when choosing a combination of surgical techniques.
( Young Dae Yoon ), ( Yong Hee Park ), ( Yong Sub Yi ), ( Young Shim Lee ), ( Geun Hyeong Jo ), ( Jun Cheol Park ), ( Joong Hoon Ahn ), ( Yoong Ho Lim ) 한국미생물 · 생명공학회 2010 Journal of microbiology and biotechnology Vol.20 No.9
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A 2-year-old lineolated parakeet (Bolborhynchus lineola) was presented with abdominal distention and respiratory distress for two months. The bird was poorly fleshed and the liver was enlarged on coelomic palpation. Plain and contrast radiographic examinations exhibited hepatomegaly and distended intestinal loop, which compromised the air sacs. Multifocal hyperechogenecity was observed in the liver on ultrasonography. Postmortem gross examination revealed hepatomegaly with numerous pinpoint tan foci in the hepatic parenchyma and distended small intestine filled with adult ascarids. Microscopically, granulomatous hepatitis and enteritis infected by intrahistiocytic acid-fast bacilli were evident. Polymerase chain reaction indicated that the acid-fast bacilli were Mycobacterium avium subsp. avium.
A next generation NU 1.8L/2.0L gasoline engine has been developed by Hyundai-Kia Motor Company for new vehicles. Independently developed Nu Engine will be applied to new Elantra in North America market. The new engine achieved high performance and improved fuel economy by applying dual continuously variable valve timing and two step variable induction system, which has enabled both low and mid speed torque and high speed power. In addition reduced noise level was realized by optimizing lower structure components and induction parts with maintaining lightweight. The engine meets U.S. SULEV and EURO 5 emission regulation in terms of green environment protection. The paper presents overview of a new I4 gasoline engine (Nu Engine) as well as features of each technology which embodies well tuned engine with respect to high engine performance, low fuel economy, emission and reduced NVH.
Purpose:This study was to determine whether median nerve mobilization has any effect on the recovery of muscle power and the reduction of pain for the patients with carpal tunnel syndrome. Methods:20 patients suffering from carpal tunnel syndrome were randomly divided into two groups: 10 subjects treated both with electrical therapy and median nerve mobilization(experimental group) and the other 10 subjects treated only with electrical therapy(control group). The therapy was taken three times a week for 3 weeks. Results:The grip strength increased in both groups. However, the experimental group showed more significant treatment effect than the control group, and the significant changes appeared every week during the experiment period. In terms of pain, both groups showed significant effects. But the experimental group showed but more significant treatment effect than the control group, and the significant changes appeared every week during the experiment period. Conclusions:It was significantly more effective for the patients with carpal tunnel syndrome to apply median nerve mobilization during the electrical therapy in order to reduce pain and to increase grip strength, compared with the method only using electrical therapy. Further research should be conducted to generalize these results in terms of the clinical effectiveness of the nerve mobilization.