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      • KCI등재후보

        백서 척수후근절로부터 슈반세포의 효과적인 체외 배양법

        김성민,이종호,김남열,안강민,최원재,최시호,차미주,이주영,황순정,장정원,명훈,최진영,서병무,정필훈,김명진 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

        Schwann cells(SCs), an important component of the peripheral nervous system, intract with nerous to mutually support growth and replication for the peripheral nerve regentation. Recently, ading SCs to the lumen of guidance channel is widely tried to improve regeneration or to make regeneration possible over otherwise irreparable gaps. however, it is not easy to isolate and multiplicate SCs as much as enough to help the axonal regeneration. For the allogeneic SCs source for tubular nerve guidance, we developed a little bit improved technique of harvesting and multiplicating SCs. by culturing dispersed dorsal root ganglia in specially designed medium with growth factors and serial processing, we repeatedlly generate relatively homogenous SC cultures. Our technique was compared with other methods of literature using immunostaining methods such as GFAP, S100, BDNF and the total SC count assessment at different time interval after primary culture.

      • SCIESCOPUSKCI등재

        자궁경부에 발생한 배아성 횡문근육종 2예

        박정열,조준식,김대연,이동헌,김종혁,김용만,김영탁,목정은,남주현 대한부인종양 콜포스코피학회 2002 Journal of Gynecologic Oncology Vol.13 No.3

        횡문근육종은 소아와 청소년기에 가장 흔한 연부조직 육종이다. 발생 부위는 일반적으로 두부 및 경부, 그 다음으로 비뇨생식계이다 조직학적으로 배아성 횡문근육종, 국화상 육종, 폐포성 횡문근육종, 다형성 횡문근육종으로 나누어진다. 횡문근육종의 약 20%가 비뇨생식기에서 발생하고, 50% 이상이 배아성 횡문근육종이다. 여성 생식기의 배아성 횡문근육종은 드문 악성 종양으로,주로 유소아의 질에서 발생하며, 자궁경부에서 발생하는 횡문근육종은 청소년기에 흔하고, 질에서 기원하는 횡문근육종이 자궁경부에 기원하는 경우보다 5배 정도 많다. 폐경기여성에서는 자궁체부에서 가장 흔히 발생한다. 비뇨생식기의 횡문근육종의 치료는 과거에는 골반장기 적출술만으로 치료를 시도하였으나. 서서히 다중 항암화학요법, 방사선요법, 근치적 절제술을 포함한 병합요법으로 바뀌어가고 있으며, 이에 따라 생존율이 현저하게 향상되었다. 이에 저자들은 최근 본원 산부인과에서 자궁경부에 발생한 배아성 횡문근육종 2예를 경험하였기에 문헌 고찰과 아울러 보고하는 바이다. Rhabdomyosarcoma is the most common soft tissue sarcoma in childhood and young adult. Genitourinary tract is the econd most common site of rhabdomyosarcoma. Rhabdomyosarcoma can be classified into one of four major types; embryonal, alveolar, pleomorphic and undifferentiated. Embryonal rhabdomyosarcoma of the female genital tract is rare malignant tumor and usually occurs during childhood in the vagina. In rare cases, rhabdomyosarcoma can originate in the uterine cervix, with a peak incidence in the second decade. Recently we have experienced two cases of embryonal rhabdomyosarcoma of the uterine cervix. These cases are presented with a brief review of the literature.

      • 폐내 기관지 낭종

        이석열,이숭진,박형주,이철세,이길노,김윤정,나주옥 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

        A 33-year-old female was admitted to our hospital due to removal of lung mass which indicentally detected Chest radiography. Chest computerized tomography revealed lung parenchymal cystic lesion. Open thoracotomy was done for diagnosis and therapy. Cystic lesion was communicated to bronchus and wedge resection including cystic lesion was done. Bronchogenic cyst is congenital disease and mainly locate in mediastinum. It is rare in lung parenchyme. Herein we report a case of intrapulmonary bronchogenic cyst.

      • 등산운동이 중년여성의 면역글로블린에 미치는 영향

        박태열,김주혁,김영준 東亞大學校附設스포츠科學硏究所 1998 스포츠科學硏究論文集 Vol.16 No.-

        The purpose of this study was to compare response of immuenoglobulin(Ig) in 5 middle-aged women(38.1±3.76yrs) pre and post mountain-climbing exercise. The 12 weeks mountain-climbing program was held 5 times per weeks and one hour a day. An altitude of mountain was 350m. The results of this study was obtained as follows : IgG and M showed a simillar sigificant increse(P≤0.01) at 12 weeks post mountine-climbing exercise. IgE was no significant differerence between 12 weeks pre and post mountine-climbing exercise.

      • 조정선수의 호흡순환 기능 및 에너지 대사

        이상우,박태열,김주혁 東亞大學校附設스포츠科學硏究所 1996 스포츠科學硏究論文集 Vol.14 No.-

        The purpose of this study was to evaluate of the cardiorespiatory function and energy expenditure in men-rowing. The subjects were two groups; men rowing group in which career had for 5.4 ±1.13 year, Control group were college students. They did exercise with start speed of 120m/min without treadmill slope, the speed was incremental 20m/min per two minute and they were finally led to exhaustion. The results were as follows; 1. The cardiorespiratory was non-significant difference in rest, during maximum exercise ventilation was 162.6 ±11.69ℓ/min in rowing group, 142.3 ±21.34ℓ/min in control group. ?? o₂max/kg was 61.5 ±4.91㎖/kg/min in control group. The ????, RR ?? o₂, ??o₂/kg were significant difference in during maximum exercise. 2. The energy expenditure was non-significant in rest. The EQO₂was significant difference in rest. The MET in during maximum exercise was 21.2 ±2.67 in rowing group, 18.7 ±4.56 in control group, the cal/day was 5,864.5 ±341.47Kcal in rowing group, 4,662.6 ±563.67Kcal in control group.

      • KCI등재

        허혈 및 재관류후 흰쥐 앞정강근과 가자미근에서 나타나는 미세구조와 SOD 활성의 변화

        백두진,안동춘,황규성,김혜주,박철홍,정호삼,조근열 대한체질인류학회 1999 해부·생물인류학 (Anat Biol Anthropol) Vol.12 No.2

        에너지 획득방법, 당원의 분포, 모세혈관의 분포 및 미세구조의 차이가 나는 백색근육섬유와 적색근육섬유에서 허혈시간에 따라 나타나는 미세구조의 변화와 SOD의 활성변동을 비교 관찰하여 다음과 같은 결과를 얻었다. 1. 앞정강근에서는 2시간 허혈시 사립체에서 바탕질의 전자밀도가 감소하고 사립체능선이 팽대하였고, 재관류 24시간 경과시에는 근육원섬유사이의 거리가 멀어지고 근육세포질세망의 수조와 종말수조가 팽대하였으며 재관류 72시간 경과시에는 정상대조군과 유사한 소견이 나타났다. 2. 가자미근에서 2시간 허혈시 사립체에서는 사렵체바탕질의 전자밀도가 감소하였으며, 재관류 24 시간 경과시는 근육세포질세망의 수조가 팽대하였고, 재관류 72시간 경과시에는 정상대조군과 유사하였다. 3. 4시간 및 6시간 허혈시 미세구조의 변화는 허혈시간과 재관류 시간경과에 따라 심해져 앞정강근에서는 사립체에서 바탕질의 전자밀도가 감소하고 사렵체능선은 불분명하고 소용돌이소체가 나타났으며 근육원섬유 용해와 곤육원섬유괴사가 관찰되었다. 가자미근에서는 근육원섬유에서 근육미세섬유의 배열과 끝가로막이 불규칙해지고 근육세포질세망의 수조가 팽대하였으며 근육원섬유용해가 나타났다. 4. 앞정강근에서 Cu, Zn-및 Mn-SOD 활성은 미약한 흑은 약한 양성반응을 나타내었고, 가자미근에서는 Cu, Zn-SOD는 미약한 양성반응을, Mn-SOD 는 미약한 혹은 약한 양성반응을 나타내었다. 허혈후 Cu, Zn- 및 Mn-SOD 의 활성은 허혈시간이 길수록 더욱 증가하였다. 5. Cu, Zn- 및 Mn-SOD 활성은 2시간 허혈 및 재관류 24 시간 경과시 약간 증가하였으며 72시간 경과시에는 앞정강근과 가자미근에서 정상대조군과 유사하게 나타났다. 6. 4시간 및 6시간 허혈 및 재관류후 두 근육에서 Cu, Zn- 및 Mn-SOD활성은 증가하였다. 두 근육에서 Mn-SOD의 활성변동은 유사하였으나 Cu, Zn- Mn-SOD의 활성증가는 앞정강근보다 가자미근에서 크게 나타났다. 이상의 결과를 종합하면 허혈 및 재관류 손상은 허혈시간과 재관류시간 경과에 따라 심하게 나타났고 가자미근보다 앞정강근에서 심하게 나타났으며, 손상의 차이는 두 근육에서 나타나는 SOD활성변동과 깊은 연관이 있는 것으로 생각된다. Skeletal muscles are known to have tolerance to ischemia, but a prolonged ischemia can cause damage to muscular tissues. The ischemia-reperfusion injury results from the oxygen free radicals released by leucocytes and formed by the reaction of hypoxanthine and xanthine oxidase. Superoxide dismutase (SOD), one of major antioxidant enzymes occurring in the various tissues of the body metabolizes or scarvanges the oxygen free radicals. Although many studies reported difference in tolerance to ischemia and reperfusion between white and red muscles, some other investigators failed in finding such difference. The present study was performed to examine effects of graded periods of ischemia and reperfusion on the cellular ultrastructure and activity of SOD in white and red muscles. The Sprague-Dawley rats (200~250 g) were used as experimental animals. Under pentobarbita] (50 mg/kg IP) anesthesia, incision was made on lower abdomen and left common iliac artery was occluded by means of a vascular clamp for 2, 4 and 6 hour (hrs). Thereafter, the superficial portion of mid-belly of anterior tibial muscle and soleus muscles were excised at 0, 24 and 72 hrs after onset of reperfusion. The specimens were sectioned into slices, 2 mm in length, 1 mm in width and thickness. Some specimens were prepared for electron microscopic observation and others for determination of SOD activity by using antihuman CU, Zn- and Mn-SOD antibodies. The results obtained were as follows. 1. In anterior tibial muscle, areas with loose electron-density and dilated cristae were observed in the mitochondria immediately after 2 hrs of ischemia, while widened intermyofibrillar spaces and dilated cisternae of sarcoplasmic reticulum were seen after 2 hrs and 24 hrs reperfusion. When subjected to 2 hrs ischemia and 72 hrs reperfusion, no significant change was found in the cellular ultrastructure. 2. In soleus muscle, electron density was loose in the matrix of mitochondria immediately after 2 hrs of ischemia, while cisternae of sarcoplasmic reticulum were dilalated after 2 hrs of ischemia and 24 hrs reperfusion. Following 2 hrs of ischemia and 72 hrs repeifusion, the electron microscopic findings were similar to those of normal rats. 3. The changes in cellular ultrastructure were more prominent in both the 4 hrs and 6 hrs ischemia groups, in which degree of ultrastructural changes were proportional to duration of reperfusion. 4. In anterior tibial muscle, trace or weak immunoreactivities of Cu, Zn- and Mn-SOD were seen, whereas trace immunoreactivity of Cu, Zn-SOD and trace or weak immunoreactivity of Mn-SOD were observed in soleus muscle. 5. The immunoreactivities of CU, Zn- and Mn-SOD were not altered in 2 hrs ischemic and 72 hrs reperfused group, while they were increased slightly in 2 hrs ischemic and 24 hrs reperfused group. 6. In both muscles, the activity of SOD increased following 4 hrs or 6 hrs ischemia and 24 hrs or 72 hrs reperfusion. The changes in immunoreactivity of Mn-SOD were not different between two muscles, whereas immunoreactivity of Cu, Zn-SOD were higher in anterior tibial muscle. Consequently, it is suggested that significant ischemia reperfusion injuries are produced after 4 ~ 6 hrs ishemia followed by 24 hrs or 72 hrs reperfusion, that anterior tibial muscle is more susceptible to ischemic reperfusion injury and that the ischemic-reperfusion injury is closely related with activity of SOD.

      • KCI등재
      • SCOPUSKCI등재

        Whole pelvic intensity-modulated radiotherapy for high-risk prostate cancer: a preliminary report

        Joo, Ji Hyeon,Kim, Yeon Joo,Kim, Young Seok,Choi, Eun Kyung,Kim, Jong Hoon,Lee, Sang-Wook,Song, Si Yeol,Yoon, Sang Min,Kim, Su Ssan,Park, Jin-Hong,Jeong, Yuri,Ahn, Hanjong,Kim, Choung-Soo,Lee, Jae-Lyu The Korean Society for Radiation Oncology 2013 Radiation Oncology Journal Vol.31 No.4

        Purpose: To assess the clinical efficacy and toxicity of whole pelvic intensity-modulated radiotherapy (WP-IMRT) for high-risk prostate cancer. Materials and Methods: Patients with high-risk prostate cancer treated between 2008 and 2013 were reviewed. The study included patients who had undergone WP-IMRT with image guidance using electronic portal imaging devices and/or cone-beam computed tomography. The endorectal balloon was used in 93% of patients. Patients received either 46 Gy to the whole pelvis plus a boost of up to 76 Gy to the prostate in 2 Gy daily fractions, or 44 Gy to the whole pelvis plus a boost of up to 72.6 Gy to the prostate in 2.2 Gy fractions. Results: The study cohort included 70 patients, of whom 55 (78%) had a Gleason score of 8 to 10 and 50 (71%) had a prostate-specific antigen level > 20 ng/mL. The androgen deprivation therapy was combined in 62 patients. The biochemical failure-free survival rate was 86.7% at 2 years. Acute any grade gastrointestinal (GI) and genitourinary (GU) toxicity rates were 47% and 73%, respectively. The actuarial rate of late grade 2 or worse toxicity at 2 years was 12.9% for GI, and 5.7% for GU with no late grade 4 toxicity. Conclusion: WP-IMRT was well tolerated with no severe acute or late toxicities, resulting in at least similar biochemical control to that of the historic control group with a small field. The long-term efficacy and toxicity will be assessed in the future, and a prospective randomized trial is needed to verify these findings.

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