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고립성 폐결절의 조직학적 진단에 있어서 경기관지폐생검의 진단적 가치
김치훈,김정주,왕준호,연규민,김형수,리원연,용석중,신계철 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-
Transbronchial lung biopsy(TBLB) is a relatively simple and convenient diagnostic tool in solitary pulmonary nodule(SPN) on chest radiograph, which is cannot be diagnosed through routine tests. To investigate the diagnostic value and diagnostic rate of TBLB according to the variable factor, we analyzed 69 patients with radiologically SPN lesion on chest radiograph which was confirmed histologically. A histologic diagnosis of TBLB was made in 47 of 69 patients(68.1%), in which 26 of 37(70.3%) with malignancy and 21 of 32(65.6%) with benign lesion. There were no significant differences in diagnostic yield according to age, sex and location of the lesion. The diagnostic rate tended to increase with the more than 5 pieces to acquired by TBLB. When the size of SPN was less than 3 ㎝, it cannot be diagnosed. In conclusion, TBLB is a diagnostic procedure with good yield and safety, but percutaneous needle aspiration, transbronchial needle aspiration, and bronchial washing fluid cytology may be a complementary procedure to overcome the limitation of TBLB and get higher diagnostic yield for SPN.
위암 환자의 예후인자로서 림프관 정맥 및 신경 침범의 의의
김치호,장석원,강수환,김상운,송선교,Kim Chi-Ho,Jang Seok-Won,Kang Su-Hwan,Kim Sang-Woon,Song Sun-Kyo 대한위암학회 2005 대한위암학회지 Vol.5 No.2
목적: 표준화된 술식으로 위절제술을 시행한 위암 환자를 대상으로 임상병리학적 특성, 특히 암세포의 림프관, 정맥 및 신경 침범 유무가 환자의 예후에 미치는 영향을 확인 하고자 하였다. 대상 및 방법: 1995년 1월부터 1999년 12월까진 만 5년간 영남대학교 의과대학 부속병원 외과에서 위암으로 진단되어 위절제를 시행받은 1,018명의 의무기록을 토대로 후향적 연구를 시행하였다. 통계는 chi-dquare test를 이용하고 예후 인자들은 Cox proportional hazards regression model을 사용한 다변량 분석을 통해 분석하였다. 생존율은 Kaplan-Meier 방법으로 5년 생존율을 구하고 log-rank test로 검정하였다. 유의 수준은 P < 0.05를 기준으로 하였다. 통계처리는 SPSS for Windows (Version 10.0, SPSS lnc, USA) 프로그램을 이용하였다. 결과: 각 임상병리학적 특성에 대한 단변량 분석 결과, 환자의 연령, 종양의 크기 및 위치, Borrmann형, 조직 분화도, 위절제술의 범위, 암의 위벽 침윤도, 림프절 전이 정도, 병기, 원격 전이 유무, 수술의 근치도 등이 유의하였으며, 이상의 유의한 인다들을 다변량 분석한 결과 암의 위벽 침윤도, 림프절 전이, 림프관 침범, 신경 침범 및 수술의 근치도가 독립적 예후 인자로서 유의하였다. 결론: 기존의 TNM 병기 분류법이 병의 진행 상태를 객관적으로 표현할 수 있고 기본적인 예후 인자로서 역할을 하지만, 병리조직학적 검사 소견에서 림프관 및 신경 침범 유무를 확인하는 것은 위암의 예후 판정에 추가적인 정보를 제공할 수 있을 것으로 기대한다. Purpose: Some controversies exist over the prognostic values of lymphatic, venous, and neural invasion in patients with gastric cancer. This study was conducted to confirm the prognostic values of these histopathologic factors in gastric cancer patients who received a gastrectomy. Materials and Methods: Data for clinicopathologic factors and clinical outcomes were collected retrospectively from the medical records of 1,018 gastric cancer patients who received a gastrectomy at Yeungnam University Medical Center between January 1995 and December 1999. A statistical analysis was done using the SPSS program for Windows (Version 10.0, SPSS Inc., USA). The Kaplan-Meier method was used for the survival analysis. Prognostic factors were analyzed by using a multivariate analysis with Cox proportional hazard regression model. Results: Ages ranged from 21 to 79 (median age, 56). A univariate analysis revealed that age, tumor size, location, gross type, depth of invasion, extent of gastrectomy or lymph node dissection, lymph node metastasis, distant metastasis, lymphatic invasion, venous invasion, neural invasion, pathologic stage, histologic type, and curability of surgery had statistical significance. Among these factors, lymph node metastasis, curability of surgery, neural invasion, lymphatic invasion, and depth of invasion were found to be independent prognostic factors by using a multivariate analysis. Venous invasion showed no prognostic value in the multivariate analysis. Conclusion: Neural invasion and lymphatic invasion are useful parameters in determining a prognosis for gastric cancer patients.
Chi, Won Seok,Lee, Chang Soo,Long, Hu,Oh, Myoung Hwan,Zettl, Alex,Carraro, Carlo,Kim, Jong Hak,Maboudian, Roya American Chemical Society 2017 ACS APPLIED MATERIALS & INTERFACES Vol.9 No.42
<P>A simple and flexible strategy for controlled synthesis of mesoporous metal oxide films using an amphiphilic graft copolymer as sacrificial template is presented and the effectiveness of this approach for gas-sensing applications is reported. The amphiphilic graft copolymer poly(vinyl chloride)-g-poly(oxyethylene methacrylate) (PVC-g POEM) is used as a sacrificial template for the direct synthesis of mesoporous SnO2. The graft copolymer self assembly is shown to enable good control over the morphology of the resulting SnO2 layer. Using this approach, mesoporous SnO2 based sensors with varied porosity are fabricated in situ on a microheater platform. This method reduces the interfacial contact resistance between the chemically sensitive materials and the microheater, while a simple fabrication process is provided. The sensors show significantly different gas-sensing performances depending on the SnO2 porosity, with the highly mesoporous SnO2 sensor exhibiting high sensitivity, low detection limit, and fast response and recovery toward hydrogen gas. This printable solution-based method can be used reproducibly to fabricate a variety of mesoporous metal oxide layers with tunable morphologies on various substrates for high-performance applications.</P>
Chi, Won Seok,Roh, Dong Kyu,Kim, Sang Jin,Heo, Sung Yeon,Kim, Jong Hak The Royal Society of Chemistry 2013 Nanoscale Vol.5 No.12
<P>Alumina (Al2O3) nanoparticles were covalently surface-modified with an ionic liquid (IL) to improve their miscibility with ILs such as 1-methyl-3-propylimidazolium iodide (MPII). Hybrids consisting of MPII and the surface-modified IL-Al2O3 nanoparticles were utilized as an I2-free electrolyte for quasi-solid-state dye-sensitized solar cells (DSSCs). The synthesis and properties of the IL-Al2O3 nanoparticles and hybrid electrolytes were characterized by Fourier transform infrared (FT-IR) spectroscopy, UV-visible spectroscopy, thermogravimetric analysis (TGA), X-ray photoelectron spectroscopy (XPS), and transmission electron microscopy (TEM). The viscosity of the electrolyte continuously increased with the content of IL-Al2O3, and the fluidity almost disappeared completely when the MPII:IL-Al2O3 weight ratio was 95 : 5 or 90 : 10. The energy conversion efficiencies of DSSCs fabricated with IL-Al2O3 were always greater than those with pristine Al2O3. Such a finding is due to the favorable interactions and good miscibility between MPII and IL-Al2O3, which in turn results in the formation of an interconnected channel pathway for ion transport. Incident photon-to-electron conversion efficiency (IPCE), intensity modulated photocurrent spectroscopy (IMPS)/intensity-modulated photovoltage spectroscopy (IMVS), and electrochemical impedance spectroscopy (EIS) measurements were used to investigate the interfacial properties and electron transport characteristics. Upon utilizing double-layer structures with mesoporous TiO2 beads, the efficiency increased to 7.6% at 100 mW cm(-2), one of the highest values reported for quasi-solid-state DSSCs.</P>