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      • KCI등재후보
      • SCOPUSKCI등재

        대장직장 종양에 대한 내시경 점막하 절제술의 연대순 임상 결과와 학습 곡선

        이상민 ( Sang Min Lee ),김은수 ( Eun Soo Kim ),박경식 ( Kyung Sik Park ),조광범 ( Kwang Bum Cho ),김동춘 ( Dong Choon Kim ),강유진 ( Yu Jin Kang ),이유진 ( Yoo Jin Lee ),이정민 ( Jung Min Lee ),최은성 ( Eun Sung Choi ),최재혁 ( Ja 대한소화기학회 2014 대한소화기학회지 Vol.64 No.4

        Background/Aims: Endoscopic submucosal dissection (ESD) is an effective procedure for en-bloc curative resection of the colorectal tumor. As it requires high technical skills and experience in therapeutic endoscopy, it is important to understand learning curve of ESD technique. The aim of this study was to retrospectively describe the clinical results of ESD and to evaluate learning curve for the ESD of colorectal tumors. Methods: A total of 90 patients with 90 colorectal neoplasms, who had undergone ESD at a tertiary referral hospital from July 2009 to December 2012, were enrolled. The ESD was performed by a single endoscopist. All ESD cases were divided into three periods: first, cases 1-30; second, cases 31-60; and third, cases 61-90. Results: The en-bloc resection rates in third period (100%) was significantly higher than that of the first (93.3%) and second period (80%) (p=0.025). The perforation rate in third period (0%) also significantly decreased compared with that of the first (13.3%) and second period (20%) (p=0.032). To calibrate the difference of tumor size among periods, proficiency was calculated, as the procedure time per specimen area (min/cm2). The proficiency in third period (4.3) was significantly shorter than that of the first (16.8) and second period (10.2) (p=0.004). Conclusions: The learning curve of colorectal ESD in our study shows that at least 60 cases of ESD have to be conducted to acquire sufficient skill of degree without perforation. (Korean J Gastroenterol 2014;64:198-205)

      • KCI등재

        소동물 폐종양의 정량적 개선을 위한 내부 움직임 평가

        유정우,우상근,이용진,김경민,김진수,이교철,박상준,유란지,강주현,지영훈,정용현,김병일,임상무,Yu, Jung-Woo,Woo, Sang-Keun,Lee, Yong-Jin,Kim, Kyeong-Min,Kim, Jin-Su,Lee, Kyo-Chul,Park, Sang-Jun,Yu, Ran-Ji,Kang, Joo-Hyun,Ji, Young-Hoon,Chung, Y 한국의학물리학회 2011 의학물리 Vol.22 No.3

        이 연구에서는 폐종양의 정량적 개선을 위하여 분자체를 이용하여 내부 움직임을 측정하고 평가된 데이터를 기반으로 소동물 PET 영상내의 폐종양을 국소화하고자 하였다. 소동물 폐 영역의 내부 움직임은 방사성물질을 흡착한 분자체를 이용하여 소동물 폐 영역에 부착함으로써 구현하였다. 폐 영역의 내부 움직임 표적으로 사용된 분자체는 약 37 kBq의 Cu-64를 흡착시켜 폐종양을 모사하였다. 소동물 PET 영상은 Siemens Inveon 스캐너를 이용하여 획득하였으며 외부 움직임 데이터는 트리거 생성 장치인 BioVet을 이용하였다. SD-Rat PET 영상은 $^{18}F$-FDG 37 MBq/0.2 mL을 미정맥으로 주사하고 60분 후 20분간 데이터를 획득하였다. 리스트모드 데이터의 각 선응답은 외부 트리거 장치에 의해 획득된 트리거신호를 이용하여 2 bin에서 16 bin으로 사이노그램을 획득하였다. 획득된 사이노그램 데이터는 OSEM 2D 알고리즘을 이용하여 4회의 반복으로 재구성하였다. 종양의 정량적 분석을 위한 PET 영상은 종양을 묘사한 분자체 영역에 관심영역을 설정하고 계수와 SNR 그리고 FWHM을 이용하여 평가하였다. 움직임 표적으로 사용된 분자체의 크기는 $1.59{\times}2.50mm$이었으며, 기준 영상으로 획득한 체외 분자체 수직 및 수평 FWHM은 $2.91{\times}1.43mm$이었다. 정적영상과 4 bin 그리고 8 bin 영상에서의 수직 FWHM은 각각 3.90 mm, 3.74 mm, 3.16 mm이었으며 수평 FWHM은 각각 2.21 mm, 2.06 mm, 1.60 mm이었다. 정적영상, 4 bin, 8 bin, 12 bin 그리고 16 bin의 계수 값은 각각 4.10, 4.83, 5.59, 5.38, 5.31이었다. 정적영상, 4 bin, 8 bin, 12 bin 그리고 16 bin의 SNR은 4.18, 4.05, 4.22, 3.89, 3.58이었다. FWHM은 게이트 수의 증가에 따라 계속 향상됨을 확인하였다. 그러나 계수 값과 SNR은 게이트 수의 증가에 따라 계속 향상되지 않고 특정 bin 수에서 가장 높은 값을 보여 소동물 폐 영역에서의 종양 영상화시 SNR의 손실을 최소화하면서 향상된 계수 값을 얻을 수 있는 게이트 수를 획득하였다. 내부 움직임 측정은 최적화된 종양 국소화 영상을 획득할 수 있으며 외부 움직임 모니터링 시스템을 사용하지 않고 장기별 움직임 예측 모델링을 위한 유용한 방법이 될 것으로 기대된다. The purpose of this study was to estimate internal motion using molecular sieve for quantitative improvement of lung tumor and to localize lung tumor in the small animal PET image by evaluated data. Internal motion has been demonstrated in small animal lung region by molecular sieve contained radioactive substance. Molecular sieve for internal lung motion target was contained approximately 37 kBq Cu-64. The small animal PET images were obtained from Siemens Inveon scanner using external trigger system (BioVet). SD-Rat PET images were obtained at 60 min post injection of FDG 37 MBq/0.2 mL via tail vein for 20 min. Each line of response in the list-mode data was converted to sinogram gated frames (2~16 bin) by trigger signal obtained from BioVet. The sinogram data was reconstructed using OSEM 2D with 4 iterations. PET images were evaluated with count, SNR, FWHM from ROI drawn in the target region for quantitative tumor analysis. The size of molecular sieve motion target was $1.59{\times}2.50mm$. The reference motion target FWHM of vertical and horizontal was 2.91 mm and 1.43 mm, respectively. The vertical FWHM of static, 4 bin and 8 bin was 3.90 mm, 3.74 mm, and 3.16 mm, respectively. The horizontal FWHM of static, 4 bin and 8 bin was 2.21 mm, 2.06 mm, and 1.60 mm, respectively. Count of static, 4 bin, 8 bin, 12 bin and 16 bin was 4.10, 4.83, 5.59, 5.38, and 5.31, respectively. The SNR of static, 4 bin, 8 bin, 12 bin and 16 bin was 4.18, 4.05, 4.22, 3.89, and 3.58, respectively. The FWHM were improved in accordance with gate number increase. The count and SNR were not proportionately improve with gate number, but shown the highest value in specific bin number. We measured the optimal gate number what minimize the SNR loss and gain improved count when imaging lung tumor in small animal. The internal motion estimation provide localized tumor image and will be a useful method for organ motion prediction modeling without external motion monitoring system.

      • Antinociceptive profiles and mechanisms of orally administered coumarin in mice.

        Park, Soo-Hyun,Sim, Yun-Beom,Kang, Yu-Jung,Kim, Sung-Su,Kim, Chea-Ha,Kim, Su-Jin,Lim, Su-Min,Suh, Hong-Won Pharmaceutical Society of Japan 2013 BIOLOGICAL & PHARMACEUTICAL BULLETIN Vol.36 No.6

        <P>In the present study, the antinociceptive profiles of coumarin were examined in ICR mice. Coumarin administered orally (from 1 to 10 mg/kg) showed an antinociceptive effect in a dose-dependent manner as measured in the acetic acid-induced writhing test. Duration of antinociceptive action of coumarin maintained at least for 60 min. But, the cumulative response time of nociceptive behaviors induced by a subcutaneous (s.c.) formalin injection, intrathecal (i.t.) substance P (0.7 ?g) or glutamate (20 ?g) injection was not affected by coumarin. In addition, intracerebroventricular (i.c.v.) or intrathecal (i.t.) administration with coumarin (10-40 ?g) attenuated acetic acid-induced writhing response in a dose dependent manner. Intraperitoneal (i.p.) pretreatment with naloxone (an opioid receptor antagonist) attenuated antinociceptive effect induced by coumarin in the writhing test. Furthermore, i.c.v. or i.t. pretreatment with naloxone (5 ?g) reversed the decreased acetic acid-induced writhing response. However, methysergide (a 5-HT serotonergic receptor antagonist) or yohimbine (an α2-adrenergic receptor antagonist) did not affect antinociception induced by coumarin in the writhing test. Our results suggest that coumarin exerts a selective antinociceptive property in the acetic acid-induced visceral-derived pain model. Furthermore, the antinociceptive effect of coumarin may be mediated by activation of central opioid receptors, but not serotonergic and adrenergic receptors.</P>

      • 초등학생의 1000m 달리기-걷기 평가방법에 관한 연구

        박철호,박은경,고봉민,우상헌,안민호,차유림 東亞大學校附設스포츠科學硏究所 2002 스포츠科學硏究論文集 Vol.20 No.-

        This research aims to develop a new evuluation method of endurance for elementary school students. The norm of the event of 1,000m running-walking was examined and reviewed. As a result, a new highly-valid norm for the present 1,000m running-walking was made. Among the 5th and 6th graders, 2,144 pupils were chosen. The subjects were given 1,000m running-walking and step test. The new norm led to the following results: 1. The frequency distribution of PEI according to Cajori's 5-stage evaluation method turned out to be normal for both 5th and 6th graders. In conclusion, this new norm of 1,000m running-walking is believed to provide more valid and credible scores for elementary school students. The 1,000m running-walking records and the PEI will be used as the basic data for foretelling one's endurance.

      • 양방향 요소제거법을 이용한 신뢰성 기반 최적설계

        유진식,박재용,황승민,임민규,오영규,한석영 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

        This research presents a Reliability-Based Topology Optimization (RBTO) using Bi-directional Evolutionary Structural Optimization (BESO). An actual design involves uncertain conditions such as material property, operational load and dimensional variation. Deterministic Topology Optimization (DTO) is obtained without considering of uncertainties related to the uncertainty parameters. However, RBTO involves evaluation of probabilistic constraints, which can be done in two different ways, the reliability index approach (RIA) and the performance measure approach (PMA). The reliability index approach (RIA) and the performance measure approach (PMA) are adopted to evaluate the probabilistic constraints. In order to apply the BESO method to the RBTO, sensitivity number is defined as the change in the reliability index due to the addition or the removal of the ith element. In the BESO, a mesh-independency filter using nodal variables is used to remove the checkerboard patterns. The optimal topologies of RIA and PMA are obtained very similarly. It is shown that RBTO based on BESO can be effectively applied from the presented examples.

      • SCIESCOPUSKCI등재

        Hop Extract Produces Antinociception by Acting on Opioid System in Mice

        Park, Soo-Hyun,Sim, Yun-Beom,Kang, Yu-Jung,Kim, Sung-Su,Kim, Chea-Ha,Kim, Su-Jin,Seo, Jee-Young,Lim, Su-Min,Suh, Hong-Won The Korean Society of Pharmacology 2012 The Korean Journal of Physiology & Pharmacology Vol.16 No.3

        In the present study, the antinociceptive profiles of hop extract were characterized in ICR mice. Hop extract administered orally (from 25 to 100 mg/kg) showed an antinociceptive effect in a dose-dependent manner as measured in the acetic acid-induced writhing test. Antinociceptive action of hop extract was maintained at least for 60 min. Moreover, cumulative response time of nociceptive behaviors induced with intraplantar formalin injection was reduced by hop extract treatment during the 2nd phases. Furthermore, the cumulative nociceptive response time for intrathecal injection of substance P ($0.7{\mu}g$) or glutamate ($20{\mu}g$) was diminished by hop extract. Intraperitoneal pretreatment with naloxone (an opioid receptor antagonist) attenuated antinociceptive effect induced by hop extract in the writhing test. However, methysergide (a 5-HT serotonergic receptor antagonist) or yohimbine (an ${\alpha}_2$-adrenergic receptor antagonist) did not affect antinociception induced by hop extract in the writhing test. Our results suggest that hop extract shows an antinociceptive property in various pain models. Furthermore, the antinociceptive effect of hop extract may be mediated by opioidergic receptors, but not serotonergic and ${\alpha}_2$-adrenergic receptors.

      • Reconstruction of Vascular Structure with Multicellular Components using Cell Transfer Printing Methods

        Lee, Yu Bin,Jun, Indong,Bak, Seongwoo,Shin, Young Min,Lim, Youn-Mook,Park, Hansoo,Shin, Heungsoo Wiley (John WileySons) 2014 Advanced Healthcare Materials Vol.3 No.9

        <P>Natural vessel has three types of concentric cell layers that perform their specific functions. Here, the fabrication of vascular structure is reported by transfer printing of three different cell layers using thermosensitive hydrogels. Tetronic-tyramine and RGD peptide are co-crosslinked to prepare cell adhesive and thermosensitive hydrogels. The hydrogel increases its diameter by 1.26 times when the temperature reduces from 37 C to 4 C. At optimized seeding density, three types of cells form monolayers on the hydrogel, which is then transferred to the target surface within 3 min. Three monolayers are simultaneously transferred on one substrate with controlled shape and arrangement. The same approach is applied onto nanofiber scaffolds that are cultured for more than 5 d. Every type of monolayer shows proliferation and migration on nanofiber scaffolds, and the formation of robust cell-cell contact is revealed by CD31 staining in endothelial cell layer. A vascular structure with multicellular components is fabricated by transfer of three monolayers on nanofibers that are manually rolled with the diameter and length of the tube being approximately 3 mm and 12 mm, respectively. Collectively, it is concluded that the tissue transfer printing is a useful tool for constructing a vascular structure and mimicking natural structure of different types of tissues.</P>

      • KCI등재

        치경부 5급 와동 수복물의 표면 거칠기와 미세누출에 관한 연구 : 표면 전색의 효과

        김민정,이미정,유미경,박수정,이광원 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.1

        The purpose of this study was to compare the effect of surface sealing materials on microleakage and surface roughness in Class V composite restorations. Twenty five standardized Class V cavity preparations were made on the facial surface of human premolars and were randomly assigned to 5 groups. The teeth were restored with Z-250 after applying Single Bond. Following 7 days storage in distilled water at 37℃, the restorations were sealed as following systems : No sealing ; Single Bond Adhesive ; Biscover ; Fortify ; Optiguard. Then, toothbrush abrasion test was conducted using a wear testing machine. Surface roughness was measured by means of profilometer before and after toothbrushing and the results were statistically analysed by using a paired t-test and ANOVA. The bonded interfaces and the changes of surface roughness were examined by SEM. For microleakage test, specimens were stained in a 2% methylene blue solution, then longitudinally sectioned and analyzed for leakage at occlusal and cervical interfaces using stereomicroscope. The results were statistically analysed by using a Kruskal-Wallis and Mann-Whitney U test. Surface roughness was increasing in all groups after toothbrushing, but no statistically significant differences. In SEM observation, surface sealant was partially retained and partially detached in bonded interfaces. Especially, microgap was identified in cervical margins. In microleakage test, there was better seal in the enamel region and a significant difference between groups at occlusal margin. Control group and Single Bond group had significantly better marginal seal at enamel margin than cervical margin. 수복물의 변연 미세 누출과 마모 개선을 위해 표면 전색제가 개발되었으며 이의 효과에 대해 알아보기 위해, 규격화된 치경부 5급 와동을 25개의 소구치의 협면에 형성하고 Single Bond와 Z-250으로 수복한 뒤, 37℃의 증류수에 7일간 보관한 후 무작위로 5군으로 나누고 다음과 같은 재료로 제조사의 지시에 따라 표면 처리하였다 : No sealing ; Single Bond Adhesive ; Biscover ; Fortify ; Optiguard. 그 후 잇솔질 마모시험을 시행하였다. 표면 조도는 잇솔질 전후에 profilometer로 측정되었고 paired t-test와 ANOVA로 비교하였다. 접착면과 표면변화는 전자현미경으로 관찰하였다. 미세누출 평가를 위해 시편은 2% methylene blue 용액으로 염색한 뒤, 협설로 잘라 제작하였다. 입체현미경을 이용하여 교합면쪽과 치경부쪽 계면에서 미세누출을 관찰하고 Kruskal-Wallis와 Mann-Whitney U test를 이용하여 그 결과를 비교하였다. 표면 조도는 잇솔질 후 수치가 증가하였으나 통계학적으로 유의한 차이를 나타내지는 않았다. 전자 현미경 관찰 결과, 표면 전색제가 접착면에 부분적으로 남아있기도 하였으나 많은 부분에서 떨어져 나간 상태였다. 특히, 미세 틈새가 치경부쪽 변연에서 나타났다. 미세누출 실험에서는 법랑질에서 더 봉쇄효과가 좋았으며 교합면쪽 변연에서 군간에 유의할만한 차이를 나타내었다. 조절군과 Single Bond를 도포한 군에서는 치경부쪽 변연보다 법랑질쪽 변연에서 유의하게 좋은 변연 봉쇄 효과를 나타내었다.

      • KCI등재후보

        운동유발성 아나필락시스 환자에서 혈 중 tryptase 측정 1례

        예영민,임선교,서유진,최정희,서창희,남동호,박해심 대한천식 및 알레르기학회 2004 천식 및 알레르기 Vol.24 No.1

        Exercise-induced anaphylaxis(EIA) is a medical emergency in that it derives from a physical allergy. We reported a case of food-independent EIA based on history and laboratory data. A 40-year-old male patient was presented with generalized urticaria, angioedema, and syncope after jogging. He had suffered from allergic rhinitis for 25 years. Increased level of serum tryptase was noted. Mast cell activation might be suggested in the pathophysiologic mechanism of EIA. (J Asthma Allergy Clin Immunol 24 : 152-5, 2004)

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