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Kim, Yu-Yil,Lee, Jun-Hak,Kwon, Young-Eun,Gim, Tae-Jun The Korean Pain Society 2010 The Korean Journal of Pain Vol.23 No.1
A herniated intervertebral disc is the most common type of soft tissue mass lesion within the lumbar spinal canal. Magnetic resonance imaging (MRI) is a useful tool for the assessment of patients with lower back pain and radiating pain, especially intervertebral disc herniation. MRI findings of intervertebral disc herniation are typical. However, from time to time, despite an apparently classic history and typical MRI findings suggestive of disc herniation, surgical exploration fails to reveal any lesion of an intervertebral disc. Our patient underwent lumbar disc surgery with the preoperative diagnosis of lumbar disc herniation; however, nothing could be found during the surgical procedure, except a swollen nerve root.
Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block
Yu Yil Kim,Young Eun Kwon,Tae Jun Gim,이준학 대한통증학회 2010 The Korean Journal of Pain Vol.23 No.1
A herniated intervertebral disc is the most common type of soft tissue mass lesion within the lumbar spinal canal. Magnetic resonance imaging (MRI) is a useful tool for the assessment of patients with lower back pain and radiating pain, especially intervertebral disc herniation. MRI findings of intervertebral disc herniation are typical. However, from time to time, despite an apparently classic history and typical MRI findings suggestive of disc herniation, surgical exploration fails to reveal any lesion of an intervertebral disc. Our patient underwent lumbar disc surgery with the preoperative diagnosis of lumbar disc herniation; however, nothing could be found during the surgical procedure, except a swollen nerve root. (Korean J Pain 2010; 23: 51-54)
Variations in the number of CCL3L1 gene copies and Kawasaki disease in Korean children.
Kim, Hye-Eun,Kim, Jae-Jung,Han, Myung Ki,Lee, Kyung-Yil,Song, Min Seob,Lee, Hyoung-Doo,Kim, Dong Soo,Yu, Jeong Jin,Park, In-Sook,Yun, Sin Weon,Hong, Young Mi,Jang, Gi Young,Lee, Jong-Keuk Springer International] 2012 Pediatric cardiology Vol.33 No.8
<P>High-dose intravenous immunoglobulin (IVIG) therapy is the highly effective and standard treatment for Kawasaki disease (KD). However, similar to 20 % of KD patients have persistent fever or recurrence of fever after the initial IVIG treatment, which increases the risk for coronary artery lesions (CALs). Furthermore, the mechanism of IVIG resistance in KD patients still is unknown. The number of CC chemokine ligand 3-like 1 (CCL3L1) gene copies is reported to be associated with KD and IVIG resistance in Japanese patients. In addition, the authors observed significant upregulation of the CCL3L1 gene expression after in vitro immunoglobulin treatment in B cell lines derived from KD patients. Therefore, this study of 459 KD patients and 496 healthy control subjects tested whether the number of CCL3L1 gene copies is associated with a risk of KD, CALs, and/or IVIG resistance in Korean KD patients. However, the number of CCL3L1 gene copies was not associated with KD (P = 0.18), CAL formation (P = 0.062), or the IVIG resistance (P = 0.90). Therefore, the results indicate that the number of CCL3L1 gene copies does not have a role in susceptibility to KD or CALs nor with IVIG resistance in Korean KD patients.</P>
초보자에서 ProSeal(TM) 후두마스크(LMA)의 집게손가락 삽입법과 도관 유도 삽입법의 비교
김유일 ( Yu Yil Kim ),이상귀 ( Sang Kyi Lee ),이지선 ( Ji Sun Yi ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6
Background: Insertion of a ProSeal(TM) laryngeal mask airway (PLMA(TM)) by experienced users was more successful with using a catheter-guided (CG) technique than a digital technique. The purpose of this study is to assess the efficacy of the CG insertion technique for a PLMA(TM) by inexperienced personnel. Methods: Forty patients aged 18-65 yr and who were undergoing general anesthesia were randomly allocated to the index finger (IF) or CG insertion techniques for PLMA(TM) insertion. The IF technique was performed with the routine insertion technique. The CG technique was performed using a catheter inserted PLMA(TM), which was primed into the drain tube of the PLMA(TM) with using a soft flexible catheter. Successful insertion was primarily judged by the clinical function of the airway. The number of insertion attempts and the insertion time were recorded. Postoperative airway morbidity (sore throat, dysphonia, dysphagia) was assessed at 24 hr postoperatively. Results: The success rate was similar between the groups (IF, 18/20; CG, 15/20). The successful insertion time (the time to provide an effective airway) was similar between the groups but the insertion time at the first attempt was shorter for the IF technique (IF, 21.6±5.3 s; CG, 27.4±10.3 s). There were no differences between the groups for the postoperative airway morbidity. Conclusions: This study suggests that the CG insertion technique is not a useful alternative technique for inexperienced personnel. (Korean J Anesthesiol 2009; 56: 634~8)
IgA Levels Are Associated with Coronary Artery Lesions in Kawasaki Disease
Jae-Jung Kim,Hea-Ji Kim,Jeong Jin Yu,Sin Weon Yun,Kyung-Yil Lee,Kyung Lim Yoon,Hong-Ryang Kil,Gi Beom Kim,Myung-Ki Han,Min Seob Song,이형두,Hyun Ok Jun,Kee Soo Ha,Young Mi Hong,장기영,Jong-Keuk Lee 대한심장학회 2021 Korean Circulation Journal Vol.51 No.3
Background and Objectives: Kawasaki disease (KD) is an acute systemic vasculitis that affects the coronary arteries. Abnormal immune reactions are thought to contribute to disease pathogenesis. The effect of immunoglobulin (Ig) isotype (IgG, IgA, IgM, and IgE) on inflammatory data and clinical outcomes of patients with KD was examined. Methods: Ig levels in 241 patients with KD were measured during the acute, subacute, convalescent, and normal phases of the disease. Results: Compared with reference Ig values, IgG, IgA, and IgM levels were significantly higher in the subacute phase, while IgE levels were elevated in 73.9% (178/241) of patients with KD in all clinical phases. However, high IgE levels were not associated with clinical outcomes, including intravenous immunoglobulin unresponsiveness and coronary artery lesions (CALs). Significantly more CALs were observed in the high IgA group than in the normal IgA group (44.7% vs. 20.8%, respectively; p<0.01). In addition, IgA levels in the acute phase (p=0.038) were 2.2-fold higher, and those in the subacute phase were 1.7-fold higher (p <0.001), in the CAL group than in the non-CAL group. IgA concentrations increased along with the size of the coronary artery aneurysm (p <0.001). Furthermore, there was a strong correlation between IgA levels and CAL size (r=0.435, p<0.001), with a high odds ratio of 2.58 (p=0.022). Conclusions: High IgA levels in patients with KD are prognostic for the risk of CALs.
Su Jin Kim,Duk Jun Yu,Ji Hyo Kim,Tae-Choon Kim,Byoung Yil Lee,Hee Jae Lee 한국원예학회 2004 Horticulture, Environment, and Biotechnology Vol.45 No.3
Photosynthetic characteristics of ‘Rancocas’ highbush blueberry (Vaccinium corymbosum) leaves were monitored under well-watered and water-stressed conditions. Two-year-old trees in 4-L pots were daily irrigated (well-watered) or not irrigated for 7 days (water-stressed). Soil water potentials in well-watered and water-stressed conditions were measured to be approximately -0.22 and -0.99 ㎫, respectively, whereas leaf water potentials in well-watered and water-stressed blueberries were about -1.07 and -1.79 ㎫, respectively. The CO₂ assimilation rates of well-watered and water-stressed blueberries were both saturated at about 500 μmolㆍm?²ㆍs?¹ photosynthetic photon flux density (PPFD) following the initial linear increases with increasing PPFD up to about 200 μmolㆍm?²ㆍs?¹. Well-watered blueberry exhibited higher CO₂ assimilation rate than water-stressed blueberry by 3-5 μmolㆍm?²ㆍs?¹ depending on PPFD ranged from 0 to 2,000 μmolㆍm?²ㆍs?¹. Maximum CO₂ assimilation rates of well-watered and water-stressed blueberries were 8.8 and 4.6 μmolㆍm?²ㆍs?¹, respectively. Apparent quantum yields appeared to be similar in well-watered and water-stressed blueberries, but both light compensation point and dark respiration rate were higher in water-stressed blueberry. Stomatal conductance in well-watered blueberry in response to incident PPFD showed linear increase at low PPFD and saturation at high PPFD, but no clear asymptote was observed in water-stressed blueberry. The relationship between net CO₂ assimilation rate and stomatal conductance was linear (r² = 0.96<SUP>**</SUP>) in well-watered blueberry, but curvilinear (r² = 0.90<SUP>**</SUP>) in water-stressed blueberry, demonstrating the involvement of non-stomatal factors in photosynthesis under water stress condition. Net CO₂ assimilation rates during the day were always higher in well-watered than in water-stressed blueberry. In water-stressed blueberry, the diurnal time course of net CO₂ assimilation rates showed a sustained decrease until midday followed by afternoon recovery. However, such change was less apparent in well-watered blueberry. Stomatal conductance and transpiration rate during the day were always higher in well-watered than in water-stressed blueberry, being decreased until midday and then increased. Their diurnal changes were more apparent in well-watered than in water-stressed blueberry. However, the differences in stomatal conductance and transpiration rate between well-watered and water-stressed blueberries were diminished until midday and then became larger thereafter.