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      • 복강경하 대장절제술을 시행 받는 환자에서 라모세트론과 온단세트론외 술 후 오심 및 구토 예방 효과 비교

        김효중;어전영;어근무;어정한;엄세훈;조광래;김명훈 인제대학교 2011 仁濟醫學 Vol.32 No.-

        Objectives : We evaluated the efficacy of ramosetron and ondansetron for preventing postoperative nausea and vomiting (PONV) in laparoscopic colectomy. Methods and Materials : Eighty patients who received laparoscopic colectomy were randomly divided into two groups: R group (ramosetron 0.1mg PO) and O group (ondansetron 4mg twice IV). Injection or oral medication was administered before the induction of anesthesia in each group. Injection was administered at the end of surgery in O group. General anesthesia was induced using propofol and rocuronium, and maintained with sevoflurane, remifentanil and air (FiO2 0.5), We investigated the incidences of PONV in each group by the Rhodes index of nausea, vomiting and retching (RINVR) at postoperative 6 and 24 hours. Results : The incidence of PONV was not different between group at each time points after surgery (at postoperative 6 hours: 20% in group R, 17.5% in group 0, at postoperative 24 hours; 12.5% in group R, 7.5% in group 0). There was no difference in the severity of PONV, satisfaction, rescue drug usage. Conclusion : Prophylactic therapy with ramosetron is as effective as conventional prophylactic therapy with ondansetron for preventing PONV in general anesthesia for laparoscopic colectomy.

      • 전치태반의 임상적 고찰

        정갑인,이해혁,이효환,유정완,남계현,이임순,이권해 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2

        Objective : Our purpose was to make preparations of what for proper emergency care and delivery in order to improve maternal and fetal well-being. Methods : The study was undertaken for the clinical evaluation and statistical analysis on the patients with placenta previa who had been admitted and delivered at Soonchunhyang University Hospital from January, 1994 to May, 1998, retrospectively. Results : The incidence of placenta previa was 2.0%. Placenta previa has occurred more often in multigravida(92%) than primigravida(8%). Vaginal bleeding was most frequent(37.3%) presentation. The mean gestational age at the first bleeding episode was 31~35 weeks(46.4%). The type of placenta previa was totalis (31.3%), Partialis(18%), marginalis(32.7%), low lying(18%). Conclusion . This study indicates that the obstetrician and the pediatrician should be prepared for emergency care and delivery of the placenta previa patients, with the improvement of delivery room and neonatal intensive care unit.

      • Cognitive training이 알츠하이머 치매의 인지, 실행에 미치는 영향

        이효정 忠州大學校 2008 한국교통대학교 논문집 Vol.43 No.-

        This study was performed for effects of intervention of attention training, general cognitive training which influenced on the change of cognitive and performance with patients caused by Alzheimer's dementia. The cognitive training program was provided to experimental groups for 4 weeks(5 times a week) and no intervention was provided to control group. Measurements of pre, 2wks, post(4wks) and follow up(2wks, 4wks and 8wks) experiment were K-MMSE and ACL. The results of this study showed that in comparison of pre, 2wks, post and follow up(2wks, 4wks and 8wks) changes, A group noticeable changes in cognitive. B group noticeable changes in cognitive and performance(ACL). These results mean cognitive training provides cognitive and performance with Alzheimer's dementia. Comprehensive research is required about a point of time and duration for intervention and severity degree in clinical approach for Alzheimer's dementia.

      • 플라보노이드의 세포 신호전달 조절

        이응룡,강근호,강용진,김우열,최혜연,김봉우,정효순,조쌍구 충남대학교 형질전환복제돼지연구센터 2007 논문집 Vol. No.10

        Many studies revealed the neuroprotective, cardioprotective, and chemopreventive actions of dietary flavonoids. The plausible mechanistic interpretation of the various effects of flavonoids was concentrated on the anti-oxidant or free radical-scavenging properties of these phytochernicals, both in model systems and under in vivo conditions. While there has been a major focus on the anti-oxidant properties. there is an emerging view that flavonoids and their in vivo metabolites. do not act as conventional hydrogen-donating anti-oxidants. but they may exert regulatory functions in cells through actions at protein kinase or lipid kinase signaling pathways. Flavonoids and more recently their metabolites. have been reported to act at phosphoinositide 3-kinase(PI 3-kinase). Akt/protein kinase B(Akt/PKB), protein kinase C (PKC), mitogen activated protein kinase(MAP kinase), and various tyrosine kinases signaling cascades. Inhibitory or stimulatory actions at these pathways are likely to affect cellular function profoundly by altering the phosphorylation state of target molecules and by modulating gene expression. A clear understanding of the mechanisms of action of flavonoids, either as anti-oxidants or modulators of cellular signaling pathways, and the influence of their metabolism on these properties are key to the evaluation of these potent biomolecules as anti-cancer agents, cardio-protectants, and inhibitors of neurodegeneration.

      • 태양 추적 장치를 갖는 집광 시스템의 집열 특성

        이용훈,최석천,지명국,이상철,정효민,정한식 경상대학교 해양산업연구소 2002 해양산업연구소보 Vol.15 No.-

        The purpose of this research is to obtain the heat transfer characteristics of the absorber type solar collector. This new system moving by time and degree. The second system had the solar tracking system. The x-y axis were designed at intervals of 0.33˚/min and 0.16˚/min respectively. In this system the absorber specification was 1OOLX80Φ1.4t. This experiment was conducted from July to August. 2002. The temperature of solar collector was reached about mean temperature 250℃.

      • 편마비 환자의 밀기증후군에 관한 연구

        이효정 충주대학교 2006 한국교통대학교 논문집 Vol.41 No.-

        Cerebrovascular disease is a major cause of cognitive and physical impairment in hemiplegic patient. hemiplegic patient survivors often face a long physical therapy process to regain a normal life. physical therapist must assess the probable outcome of their patients physical therapy program, and their ability to accurately estimate a patient level. A "pusher syndrome" encompassing postural imbalance and hemi-neglect is believed to aggravate the unaffected side of the body. Standard treatment for pusher syndrome in hemiplegic patient includes definition, character, typical sign and treatment.

      • KCI등재

        항고형암제의 활성평가를 위한 in vitro 삼차원 암세포 배양계의 확립

        이상학,이주호,구효정 한국약제학회 2004 Journal of Pharmaceutical Investigation Vol.34 No.5

        For the efficient determination of activity against solid tumors, an in vitro tumor model that resembles the condition of in vivo solid tumors, is required. The purpose of this study was to establish a rapid culture method and viability assay for an in vitro 3-dimensional tumor model, multicellular spheroid (MCS). Among 12 human cancer cell lines, a few cell lines including DUD-1 (human colorectal carcinoma cells) formed fully compact MCS which was adequate for in vitro viability assay. DLD-1 MCS showed steady growth reaching 700 pm diameter after 11 day culture. DUD-1 cells grown as MCS showed significant increase in G_(0)/G₁ phase compared to the monolayer cells (73.9% vs 45.7%). but necrotic regions or apoptotic cells were not observed. The cells cultured as MCS showed resistance to 5-FU (10.3 fold higher IC_(50)) compared to monolayers. however, tirapazamine (a hypotoxin) showed similar activity in both culture systems. In summary, MCS may be a valid in vitro model for activity screening of anticancer agents against human solid tumors and also exploitable for studying molecular markers of drug resistance in human solid tumors.

      • KCI등재후보

        인공신경망 이론을 이용한 충주호의 수질예측

        정효준,이소진,이홍근 한국환경과학회 2002 한국환경과학회지 Vol.11 No.3

        This study was carried out to evaluate the artificial neural network algorithm for water quality forecasting in Chungju lake, north Chungcheong province. Multi-layer perceptron(MLP) was used to train artificial neural networks. MLP was composed of one input layer, two hidden layers and one output layer. Transfer functions of the hidden layer were sigmoid and linear function. The number of node in the hidden layer was decided by trial and error method. It showed that appropriate node number in the hidden layer is 10 for pH training, 15 for DO and BOD, respectively. Reliability index was used to verify for the forecasting power. Considering some outlying data, artificial neural network fitted well between actual water quality data and computed data by artificial neural networks.

      • 표정인식을 위한 PCA와 템플릿 정합을 사용한 얼굴 요소 추출

        우효정, 이슬기, 김동우, 류성필, 안재형 충북대학교 산업과학기술연구소 2013 산업과학기술연구 논문집 Vol.27 No.2

        This paper proposed an extracting algorithm of human facial components for the recognition of facial expressions. First face image is acquired using the Haar-like feature mask from an input image. The face image is divided into two images. One is the upper image including eye and eyebrow. The other is the lower image including mouth and jaw. The extraction of facial components, such as eye and mouth, begins getting eye image and mouth image. Then eigenfaces are produced by the PCA training process with learning images. An eigeneye and an eigenmouth are produced from eigenfaces. Result eye image is obtained by template matching the upper image with the eigeneye, and the mouth image is obtained by template matching the lower image with the eigenmouth. The simulation results show that the proposed method has superior extraction ratio than previous method.

      • SCOPUSKCI등재

        가토에서 경정맥 이식을 이용한 요도결손 재건술

        정재호,이상원,설정현,김효헌 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5

        There are several methods for the reconstruction of partial urethral defect, including split-thickness skin graft, full-thickness skin graft, and preputial flap and free flap. Despite partial success using these methods, most results are unsatisfactory due to frequent complications such as postoperative infection, fistula formation, hair growth and stricture. There have been several pioneering experiments in this field using autogenous vein graft and the results have been controversial. However, the fact that the endothelial lining is replaced by natural urethral epithlium is generally accepted as a positive effect of this method. This experiment was designed to identify the possibility of using vein graft for the reconstruction of partial urethral defect. Two different types of vein graft method were performed in a total of 20 New Zealand White rabbits with partial urethral defect. Firth, for the patch-graft group, a 1×1 cm rectangular vein graft was sutured at a defective area of the same size. Second, for the tubed-graft group, a vein graft segment 1 cm long was replaced at a segmental urethral defect of the same length. Histologic study was performed at three and eight weeks postoperatively in each group. The process of transitional ell epithelial replacement within the grafted vein was uniformly observed in both experimental groups at three weeks postoperatively. At eight weeks postoperatively, the epithelial replacement was almost complete and histologically undistinguishable. In the retrograde urethrogram performed after 8 weeks, the urinary flow in the patch-graft group was normal and showed no stricture, and two of five rabbits in the tubed-graft group showed partial stricture at the graft site. In conclusion, natural urethral epithelium was restored in grafted venous segments irrespective of the type of graft. Partial stricture was observed in 40% of the tubed-graft group while complete reconstruction was possible in the patch-graft group.

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