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일반적인 체외수정 방법과 세포질내 정자주입술로 얻어진 배아의 동결-융해 후 이식의 결과
김정욱,한미현,변혜경,전진현,손일표,궁미경,백은찬,강인수,이호준,Kim, Jeong-Wook,Han, Mi-Hyun,Byun, Hye-Kyung,Jun, Jin-Hyun,Son, Il-Pyo,Koong, Mi-Kyoung,Paik, Eun-Chan,Kang, Inn-Soo,Lee, Ho-Joon 대한생식의학회 1997 Clinical and Experimental Reproductive Medicine Vol.24 No.1
Intracytoplasmic sperm injection (ICSI) recently has been utilized widely as the most successful technique to overcome the unfertilization problem in cases of severe male infertility in couples who could not be treated by conventional IVF. Recently, indications of ICSI have been extended further and more fertilized oocytes become available. Thus, it is necessary to examine the efficiency of freezing the surplus embryos obtained from ICSI. We compared the survival rate and the future outcome of cryopreserved embryos obtained either after conventional IVF or ICSI during the same period. After ICSI or IVF, five best-quality embryos from each patient were transferred in the stimulation cycle and the surplus pronuclear (PN) stage oocytes or multicellular embryos were cryopreserved by slow freezing protocol with 1,2-propanediol (PROH) as a cryoprotectant. A total of 792 embryos from ICSI trial were thawed and 65.2% (516/792) survived. The survival rates of PN stage oocyte, multicellular embryo and PN + multicellular embryo were 63.5%, 68.2%, 64.0%, respectively. After 111 transfers, 34 pregnancies were achieved, corresponding to a clinical pregnancy rate of 30.6% per transfers. We thawed 1033 embryos from IVF trials and 57.5% (594/1033) survived. In IVF cycle, the survival rates of PN stage oocyte, multicellular embryo and PN + multicellular embryo were 58.2%, 65.2%, 40.2%, respectively. Thirty eight clinical pregnancies were established after 134 transfers, corresponding to a pregnancy rate of 28.4% per transfer. The cleavage rate of thawed PN stage oocytes from ICSI trial (61.3%) was significantly higher than those from conventional IVF (53.4%). The developmental rates of good embryo (${\geqq}$ grade II) in thawed PN stage oocytes obtained from conventional IVF and ICSI were 63% and 65%, respectively. We concluded that PN stage oocytes, multicellular embryos resulting from ICSI procedure can be successfully frozen/thawed with reasonable clinical pregnancy rates comparable to those of IVF.
PET/CT검사에서 Dose Modulation Technic 적용시 BMI에 따른 선량 감소율 분석
김정욱,박세윤,조영준,박종엽,Kim, Jung Wook,Park, Se Yun,Jo, Young Jun,Park, Jong Yeop 대한핵의학기술학회 2012 핵의학 기술 Vol.16 No.2
PET/CT에서의 환자의 피폭선량을 줄이기 위한 많은 연구가 진행되고 있다. 본 연구는 2012년 2월부터 2012년 3월까지 PET/CT검사를 위해 본원 핵의학과에 내원한 환자 149명(평균연령 $58{\pm}12.4$세)을 대상으로 하였고 장비는 Biograph True Point 40 (Siemens, USA)과 Gemini TF 64 (Philips, Cleveland)를 사용하였다. SIEMENS사의 Care Dose 4D를 사용하여 75명의 환자를 BMI 지수에 따라 세 집단으로 나누어 선량 감소율과 CTDI를 측정하였고 PHILIPS사의 D-dom을 이용하여 74명의 환자를 세 집단으로 나누어 선량 감소율과 CTDI를 측정하였다. 각 장비별로 세 집단 간의 측정값들이 유의한 차이를 보이는지 알아보기 위하여 SPSS Ver.18.0 통계분석프로그램을 이용하였다. 각각의 집단별로 평균값을 비교한 결과 Care Dose 4D를 사용했을 때 선량 감소율, CTDI 모두 p-value가 0.000으로서 통계적으로 유의한 차이가 있었다. D-dom을 사용했을 때 집단 간의 p-value는 선량 감소율 0.284, CTDI 0.226으로서 p>0.05이므로 집단 간의 유의한 차이가 없었다. 집단별로 평균 선량 감소율과 CTDI를 분석한 결과 Care Dose 4D를 사용했을 때 각각 정상집단에서 53.4%, 5.3 mGy, 과체중집단에서 49.5%, 5.8 mGy, 비만 집단에서 42.0%, 6.6 mGy로 나타났다. 반면에 D-dom을 사용하였을 때는 각각 정상 집단에서 22.7%, 4.5 mGy, 과체중 집단에서 22.1%, 4.6 mGy, 비만 집단에서 22.9%. 4.5 mGy로 나타났다. D-dom의 원리인 투사각도에 따른 선량조절은 환자의 비만도에 영향이 많지 않음을 알 수 있었다. 그리고 Care Dose 4D의 경우에는 투사각도에 따른 선량조절뿐만 아니라 환자 장축의 감쇠계수에 따른 선량조절, 환자 사이즈에 따른 선량조절 원리를 사용하고 있다. 그러므로 환자 장축의 감쇠계수에 따른 선량조절과 환자 크기에 따른 선량조절 원리가 환자의 비만도에 영향이 있다고 생각된다. 비록 같은 BMI 집단 간에 환자의 체형에 따른 오차가 있다고 여겨지지만, 앞으로 더욱더 많은 연구가 이루어진다면 Dose Modulation Technic이 PET/CT검사에서 환자의 피폭선량을 줄이는데 많은 도움이 될 것으로 생각된다. Purpose : It is important to reduce radiation dose associated with computed tomography (CT) scanning to as low as reasonably achievable (ALARA). With Dose Modulation Technic, user select a desired image quality and the system adapts tube current to obtain the desired image quality with greater radiation dose efficiency. In this paper, we presents a comprehensive description of fundamentals, clinical applications and radiation dose benefits of Dose Modulation Technic depending on Body Mass Index(BMI). Materials and Methods : In this study, 149 patients were examined(The mean age : $58{\pm}12.4$ years old). Biograph True Point 40 (Siemens, USA) and Gemini TF 64 (Philips. Cleveland) were used for equipment. When we used Care Dose 4D (Siemens, USA) and D-dom (Philips, Cleveland), we measured dose reduction and Computed Tomography Dose Index (CTDI) depending on BMI. Then we analyze data using SPSS Ver.18. Results : When we used Care Dose 4D, p-value is considered statistically significant by groups with the result that we compared Care Dose 4D with D-dom. On the other hand, p-value isn't considered statistically significant by groups using D-dom. Conclusion : Dose modulation based on the projection angle didn't affect degree of obesity. And When using Care Dose 4D, dose reduction rate in the normal patients were higher than the obese. In this study, there are errors on somato type. So I think more research have to be done. Then application of Dose Modulation technic can help in maintaining acceptable image quality while reducing radiation dose by 20-60% in most instances.
동결수정란 이식주기에서 수정란 융해 후 생존율과 임신율에 영향을 미치는 요인
김정욱,변혜경,염혜원,전진현,박용석,송인옥,송지홍,최범채,궁미경,전종영,강인수,Kim, Jeong-Wook,Byun, Hye-Kyung,Youm, Hye-Won,Jun, Jin-Hyun,Park, Yong-Seog,Song, In-Ok,Song, Ji-Hong,Choi, Bum-Chae,Koong, Mi-Kyoung,Jun, Jong-Young,Kang, 대한생식의학회 2000 Clinical and Experimental Reproductive Medicine Vol.27 No.1
Objective: The purpose of this study was to determine the important factors affecting survival and pregnancy rate in frozen-thawed embryo transfer cycles. Methods: we performed retrospective analysis in 738 cycles of frozen-thawed embryo transfers, in relation to the insemination methods, the freezing stage of embryo, patient's age, infertility factors and the origin of injected sperm in ICSI cycles. After conventional IVF or ICSI, the supernumerary PN stage zygotes or multicellular embryos were cryopreserved by slow freezing protocol with 1,2-propanediol (PROH) as a cryoprotectant. Results: The survival rates of thawed embryos were 69.3% (1585/2287) in conventional IVF group and 71.7% (1645/2295) in ICSI group. After frozen-thawed embryo transfers, 27.0% (92/341) and 32.0% (109/341) of pregnancy rates were achieved in conventional IVF and ICSI group, respectively. There were no significant difference in the survival and pregnancy rates according to the insemination methods, the freezing stage and patient's age. However, the pregnancy rate (36.2%) of male factor infertility was significantly higher than the tubal (27.2%) and other female factor infertility (22.9%). In ICSI group, the origin of injected sperm did not affect the outcome of frozen-thawed embryo transfer cycles. Conclusion: The present study demonstrates that acceptable clinical outcomes can be achieved after the transfer of frozen-thawed embryos regardless of the stage of embryos for freezing, the patient's age and the origin of injected sperm.
분산MAC기반 UWB QoS 만족향상을 위한 통신 프로토콜
김정욱 ( Jung Wok Kim ),박진관 ( Jin Kwank Park ),김영주 ( Young Ju Kim ),양준철 ( Jun Chul Yang ),김경호 ( Kung Ho Kim ),이연우 ( Yeonwoo Lee ),이성로 ( Seong Ro Lee ) 한국정보처리학회 2012 한국정보처리학회 학술대회논문집 Vol.19 No.1
본 논문에서는 UWB 기술 기반 WiMedia Distributed Medium Access Control (D-MAC) 표준 프로토콜에 적용할 수 있는 Satisfaction of QoS (SoQ) 기반 협력 통신 프로토콜을 제안한다. 이를 위해 UWB 링크 전송 속도와 QoS 척도에 따른 릴레이 노드 선정 알고리즘을 제안한다. 본 논문에서 제안하는 SoQ 기반 협력 통신 프로토콜은 분산적인 D-MAC 표준 기술과 호환성을 갖고, 각 디바이스에서 독립적으로 실행되는 SoQ 기반 Relay Node Selection (RNS) 기준에 따라 실행된다.
김정욱 ( Jung Wook Kim ),김시영 ( Si Young Kim ),김창섭 ( Chang Sup Kim ),이준행 ( Jun Haeng Lee ),조용균 ( Yong Kyun Cho ),박창영 ( Chang Young Park ),손정일 ( Chong Il Sohn ),전우규 ( Woo Kyu Jeon ),김병익 ( Byung Ik Kim ),정을 대한소화기기능성질환·운동학회 2002 Journal of Neurogastroenterology and Motility (JNM Vol.8 No.2
N/A Pathogenesis of functional dyspepsia consists of motor abnormality, sensory abnormality, and psychologic abnormality. Anxiety, depression, and psychosomatic disorders are well known psychopathologies that lead to dyspepsia, and stress seems to be an additional etiology. The aim of this study is to assess whether stress can cause and/or provoke dyspepsia. Methods: Functional dyspepsia was defined and classified by Rome criteria. SCL-90-R for the detection of psychopathology, measurement of life stress scale by self-administered questionnaire, and measurement of stress coping mechanisms using a multidimensional stress coping scale test were performed in 79 functional dyspeptic patients and 25 normal controls. Results: No significant difference was found in the total amount of stress between functional dyspeptic patients and the normal control. However, the patients were more stressful about issues relating to health and marital relationship among stresses in individual daily life. As the patients become more stressful, they used more negative copingmechanisms such as restraint, fatalism, criticism, religiousness, and negativism. These seem to provoke several psychopathologies including interpersonal sensitivity, depression, anxiety, hostility. However, there was no relationship in the amount of stress, the stress coping mechanism, and psychopathology among the dyspeptic symptoms and subgroups of functional dyspepsia. Conclusion: There was no difference in the total amount of stress between functional dyspeptic patients and the normal control. In some individuals who utilize inadequate coping mechanisms against stress, the stress can provoke dyspepsia. (Kor ean J our nal of Gastr ointestinal Motility 2002;8:146-152)
Ti-AI-N과 Ti-AI-Si-N 코팅막의 상 특성 및 내산화 거동
김정욱(Jung Wook Kim),전준하(Jun-Ha Jeon),조건(Kurn Cho),김광호(Kwang Ho Kim) 한국표면공학회 2004 한국표면공학회지 Vol.37 No.3
Ti-AI-N (Ti??AI₂?N) and Ti-Al-Si-N (Ti??Al₂₃Si?N) coatings synthesized by a DC magnetron sputtering technique were studied comparatively with respect to phase characterization and high-temperature oxidation behavior. Ti??Al₂₃Si?N coating had a nanocomposite microstructure consisting of nanosized (Ti,AI,Si)N crystallites and amorphous Si1N4, with smooth surface morphology. Ti-Al-N coating of which surface Al₂O₃ layer formed during oxidation suppressed further oxidation. It was sufficiently stable against oxidation up to about 700℃. Ti-Al-Si-N coating showed better oxidation resistance because both surface Al₂O₃ and near-surface SiO₂ layers suppressed further oxidation. XRD, GDOES, XPS, and scratch tests were performed.