• Journal of Korean Neurosurgical Society
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• 제57권4호
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• pp.229-234
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• 2015

Objective : Pedicle screw fixation for spine arthrodesis is a useful procedure for the treatment of spinal disorders. However, instrument failure often occurs, and pedicle screw loosening is the initial step of a range of complications. The authors recently used a modified transpedicular polymethylmethacrylate (PMMA) screw augmentation technique to overcome pedicle screw loosening. Here, they report on the laboratory testing of pedicle screws inserted using this modified technique. Methods : To evaluate pullout strengths three cadaveric spinal columns were used. Three pedicle screw insertion methods were utilized to compare pullout strength; the three methods used were; control (C), traditional transpedicular PMMA augmentation technique (T), and the modified transpedicular augmentation technique (M). After control screws had been pulled out, loosening with instrument was made. Screw augmentations were executed and screw pullout strength was rechecked. Results : Pedicle screws augmented using the modified technique for pedicle screw loosening had higher pullout strengths than the control ($1106.2{\pm}458.0N$ vs. $741.2{\pm}269.5N$; p=0.001). Traditional transpedicular augmentation achieved a mean pullout strength similar to that of the control group ($657.5{\pm}172.3N$ vs. $724.5{\pm}234.4N$; p=0.537). The modified technique had higher strength than the traditional PMMA augmentation technique ($1070.8{\pm}358.6N$ vs. $652.2{\pm}185.5N$; p=0.023). Conclusion : The modified PMMA transpedicular screw augmentation technique is a straightforward, effective surgical procedure for treating pedicle screw loosening, and exhibits greater pullout strength than traditional PMMA transpedicular augmentation. However, long-term clinical evaluation is required.

• Journal of Korean Neurosurgical Society
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• 제64권3호
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• pp.437-446
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• 2021

Objective : To investigate the radiographic characteristics of the uppermost instrumented vertebrae (UIV) and UIV+1 compression fractures that are predictive of revision surgery following long-segment spinal fixation. Methods : A total 27 patients who presented newly developed compression fracture at UIV, UIV+1 after long segment spinal fixation (minimum 5 vertebral bodies, lowest instrumented vertebra of L5 or distal) were reviewed retrospectively. Patients were divided into two groups according to following management : revisional surgery (group A, n=13) and conservative care (group B, n=14). Pre- and postoperative images, and images taken shortly before and after the occurrence of fracture were evaluated for radiologic characteristics Results : Despite similar degrees of surgical correction of deformity, the fate of the two groups with proximal junctional compression fractures differed. Immediately after the fracture, the decrement of adjacent disc height in group A (32.3±7.6 mm to 23.7±8.4 mm, Δ=8.5±6.9 mm) was greater than group B (31.0±13.9 mm to 30.1±15.5 mm, Δ=0.9±2.9 mm, p=0.003). Pre-operative magnetic resonance imaging indicated that group A patients have a higher grade of disc degeneration adjacent to fractured vertebrae compared to group B (modified Pfirrmann grade, group A : 6.10±0.99, group B : 4.08±0.90, p=0.004). Binary logistic regression analysis indicated that decrement of disc height was the only associated risk factor for future revision surgery (odds ratio, 1.891; 95% confidence interval, 1.121-3.190; p=0.017). Conclusion : Proximal junctional vertebral compression fractures with greater early-stage decrement of adjacent disc height were associated with increased risk of future neurological deterioration and necessity of revision. The condition of adjacent disc degeneration should be considered regarding severity and revision rate of proximal junctional kyphosis/proximal junction failures.

• Journal of Microbiology and Biotechnology
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• 제10권2호
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• pp.119-136
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• 2000

Being autotrophic, algae occupy a trategic place in the biosphere. They produce oxygen both directly and indirectly through the chloroplasts of all green plants. The chloroplasts are believed to have originated from archaic prokaryotic algae through endosymbiosis with primitive eukaryotic cells. Phytoplankton and other algae regulate the global environment not only by releasing oxygen but also by fixing carbon dioxide. They affect water quality, help in the treatment of sewage, and produce biomass. They can be used to produce hydrogen which is a clean fuel, and biodiesel, and fix $N_2$ for use as a biofertilizer. Some other services of algae to the environment include restoration of metal damaged ecosystems, reducing the atmospheric $CO_2$ load and citigating global warming, reclamation of saline-alkaline unfertile lands, and production of dimethyl sulphide (DMS) and oxides of nitrogen (NOx) involved in the regulation of UV radiation. ozone concentration, and global warming. Algae can be valuable in understanding and resolving certain environmental issues.

• 한국물환경학회지
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• 제31권2호
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• pp.159-165
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• 2015

The organic matter sources of phytoplankton and related environmental factors influencing algal bloom in Paldang reservoir were studied using nitrogen and carbon isotope ratio(${\delta}^{15}N$, ${\delta}^{13}C$). Phytoplankton samples for stable isotope analysis were collected from four points in reservoir using a plankton net. Physicochemical water quality, algal taxa and hydrological data were collected from published monitoring material. Phytoplankton samples were analyzed by IRMS. CN ratio of each sample was very similar to that of phytoplankton from literature cited. ${\delta}^{15}N$ of each sample was decreased during July. Mixing and dilution of nitrogen sources due to increment of influx by concentrated rainfall were considered as the main reason for the decline of ${\delta}^{15}N$. Based on analyzed ${\delta}^{15}N$ value of each sample, nitrogen source of Bughan river sample was presumed to come from soil. The nitrogen sources of Namhan river and Kyeongan stream samples seemed to be sewage or animal waste. Low ${\delta}^{15}N$ value in August (2012) seemed to be influenced by isotope fractionation due to the blooming of nitrogen-fixation blue-green algae (Anabaena spp.). Variation in ${\delta}^{15}N$ values particularly by blue-green algal bloom was considered the important factor for estimating the organic matter sources of phytoplankton.

• Archives of Hand and Microsurgery
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• 제23권4호
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• pp.230-238
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• 2018

목적: 중수골 골절에서 시행되는 두 가지 수술 방법; 즉, 폐쇄적 정복술 및 평행핀 외고정술, 개방적 정복술 및 플레이트 내고정술 시행 이후 골절각의 변화를 수술 직후 및 추적 관찰하여 비교 분석하였다. 방법: 2008년 4월부터 2018년 1월까지 수부 단일 중수골 골절에 대해 수술적 처치를 받은 46명의 환자를 대상으로 후향적 연구를 진행하였다. 관절 외 중수골 골절에서 폐쇄적 정복술 및 가로 방향 평행 핀 외고정술(그룹 1) 또는 개방적 정복술 및 플레이트 내고정술(그룹 2)을 진행하고, 수술 전후 및 추시 후 수부 방사선 비스듬영상에서 골절각을 측정하여 분석하였다. 결과: 두 그룹 모두 정복술 진행 후 유의한 골절각 교정 결과를 보였다. 그룹 1의 경우 수술 후 3-4주에 능동적 운동을 시작하였으며, 골절각 재발 소견이 다소 나타났다(그룹 1: 수술 직후 골절각 $20^{\circ}{\pm}7^{\circ}$, 추시 후 골절각 $24^{\circ}{\pm}10^{\circ}$, p<0.05). 반면에 그룹 2는 수술 후 2주에 운동 진행 이후에도 정복된 상태를 지속적으로 유지하였다(그룹 2: 수술직후 골절각 $19^{\circ}{\pm}5^{\circ}$, 추시 후 골절각 $18^{\circ}{\pm}6^{\circ}$). 결론: 관절 외 단일 중수골 골절에서 폐쇄적 정복술 및 평행 핀 외고정술과 개방적 정복술 및 플레이트 내고정술 모두 골절에 의한 각형성을 유의하게 교정할 수 있는 유용한 수술 방법이다. 폐쇄적 정복술 및 평행 핀 외고정술 이후 3-4주에 손 운동을 시작할 경우 골절 부위에 과도한 운동 또는 외부 자극에 의한 저항이 가해지면 유합 진행을 악화시킬 수 있으므로 주의 깊은 경과 관찰을 요하며, 골절 상태에 따라 적절한 수술 방법을 계획해야 한다.

• 한국토양비료학회지
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• 제10권1호
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• pp.23-28
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• 1977

경기도(京畿道) 일도(一圖)의 논토양(土壤) 질소고정미생물(窒素固定微生物)의 종류(種類)와 분포(分布), 그리고 이들 미생물(微生物)에 의(依)한 질소고정능(窒素固定能)을 알기 위(爲)하여 토양통별(土壤統別), 유형별(類型別), 지형별(地形別)로 분류(分類)하여 조사(調査)한 결과(結果)는 다음과 같다. 1. 논토양(土壤)(유기물(有機物)이 첨가(添加)되었을 때) 타양성(他養性) 질소고정미생물(窒素固定微生物)에 의(依)한 $C_2H_2$-환원력(還元力)은 해안평탄(海岸平坦)>내륙평탄(內陸平坦)>산간지(山間地)의 순(順)으로 높았다. 또한 토양통(土壤統) 간(間)에는 광활(廣活)>만경(萬頃)>석천(石泉)>평택(平澤)>부용(芙溶)>화동통(華東統) 등(等)의 순(順)으로 높았으며 그외(外) 토양통(土壤統) 간(間)에는 비슷한 경향(傾向)을 보였다. 2. 담수(湛水) 40일간(日間) $C_2H_2$-환원법(還元法)에 의(依)하여 환산(換算)된 질소고정력(窒素固定力)을 보면 해안평탄지(海岸平坦地)에서 유래(由來)된 토양(土壤)이 제일 높아 평균(平均) 약(約) 3.2kg/10a이고 내륙평탄지(內陸平坦地) 2.6kg/10a, 그리고 산간지(山間地) 토양(土壤)이 2.0kg/10a이었다. 3. 논토양(土壤) 타양성(他養性) 질소고정균(窒素固定菌)의 종류(種類)와 분포(分布)를 보면 가. 내륙평탄지(內陸平坦地)인 평택통(平澤統)에서 50개(個)의 Azotobacter의 취락(聚落)을 제외(除外)하고는 전(全) 토양(土壤) 공(共)히 Azotobacter와 Beijerinckia는 확인(確認)되지 않았으며 혐기성(嫌氣性) 질소고정균(窒素固定菌)인 Clostridia의 분포(分布)는 인정(認定)되었으나 그 수(數)가 질소(窒素) 공급(供給)에 영향(影響)할 수 있는 범위(範圍)에는 미달(未達)하였다. 나. 그외(外) 무질소배지(無窒素培地)에서 생육(生育)되는 미동정(未同定) 호기(好氣) 및 혐기성(嫌氣性) 질소고정미생물(窒素固定微生物)의 분포(分布)는 대단히 높아 시험지(試驗地) 토양(土壤)의 질소고정(窒素固定)은 이들 미생물(微生物)과 algae에 의(依)해서 주(主)로 일어나는 것으로 생각(生覺)된다.

• Archives of Plastic Surgery
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• 제39권2호
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• pp.130-136
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• 2012

Background : Complex elbow injuries with associated nerve, muscle, or joint injury commonly develop post-inury stiffness. In order to preserve function, joint congruency, elbow stability and durable wound coverage must be achieved in a timely manner. Methods : A retrospective review of patients who underwent orthopaedic fixation followed by free anterolateral thigh (ALT) flap soft tissue coverage was performed. Five patients were identified and included in this study. Results : We present a series of 5 cases managed with this principle. Soft tissue defects ranged in size from $4{\times}9cm$ ($36cm^2$) to $15{\times}30cm$ ($450cm^2$) and were located either posteriorly (n=4) or anteriorly (n=1). Associated injuries included open fractures (n=3) and motor nerve transection (n=2). Wound coverage was achieved in a mean duration of 18.8 days (range, 11 to 42 day). There were no flap failures and no major complications. The mean postoperative active elbow motion was $102^{\circ}$ (range, $45^{\circ}$ to $140^{\circ}$). Conclusions : In our small series we have highlighted the safety and utility of using the free ALT flap in complex elbow injuries. The ALT flap has many advantages which include abundant skin and subcutaneous tissue; vascularised vastus lateralis muscle that was used in our series to obliterate dead space, provide a vascular bed for nerve grafts and combat infection; and, access to fascia lata grafts for reconstruction of the triceps tendon.

• 한국토양비료학회지
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• 제17권4호
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• pp.349-355
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• 1984

대두(大豆)에서 유리질소(遊離窒素)의 고정(固定)과 밀접(密接)한 관련(關聯)을 갖고 있는 것으로 알려진 ureide 화합물(化合物)의 소장양상(消長樣相)을 품종간(品種間) 비교(比較)하기 위하여 세 가지 대두(大豆) 품종(品種)(황금(黃金)콩, williams79, 야생(野生)콩)을 공시(供試)하여 pot 재배(栽培)로 생육시간별(生育時間別) 식물체(植物體) 및 목질부(木質部) 분비액(分泌液) 중(中)의 ureide태(態)와 amide태(態) 질소화합물(窒素化合物)의 함량(含量) 변화(變化)를 조사(調査)하였으며 품종별(品種別) 이들 질소화합물(窒素化合物)의 함량(含量) 차이(差異)가 대두(大豆) 근류(根瘤)의 질소고정(窒素固定)에 대한 지표(指標)가 될 수 있는지를 일부(一部) 검토(檢討)하였다. 생장과정중(生長過程中) ureide 화합물(化合物)의 소장양상(消長樣相)은 공시품종간(供試品種間)에 비슷한 경향(傾向)으로 나타났으며 식물체(植物體)와 목질부(木質部) 분비액중(分泌液中)의 ureide 화합물(化合物)의 함량(含量)과 총가용성(總可溶性) 질소(窒素)에 대한 ureide태(態) 질소(窒素)의 함량비(含量比)는 전체적(全體的)으로 황금(黃金)콩에서 가장 높았고 다음이 williams79, 야생(野生)콩의 순서(順序)로 나타나 품종간(品種間)에 차이(差異)를 보였다. amide태(態) 질소(窒素)의 함량(含量)은 ureide태(態) 질소(窒素)와는 반대(反對)로 ureide태(態) 질소(窒素)의 함량(含量)이 가장 높았던 황금(黃金)콩에서 가장 낮았고 야생(野生)콩에서 가장 높았다. 이러한 차이(差異)는 식물체중(植物體中) 줄기 부분(部分)과 목질부분비액중(木質部分泌液中)에서 뚜렷이 나타났으며 이들 중(中)의 ureide태(態) 질소(窒素) 함량(含量)과 amide태(態) 질소(窒素) 함량(含量) 간(間)에는 높은 유의성(有意性) 있는 부(負)(일(一))의 상관관계(相關關係) ($r=-0.5193^{**}$, $-0.5053^*$)를 보였다. 질소(窒素)를 비료(肥料)로 따로 공급(供給)할 때 식물체중(植物體中) ureide태(態) 질소함량(窒素含量)이 감소(減少)하며 근류(根瘤)가 ureide 화합물(化合物)의 생성장소(生成場所)임을 감안(勘案)할 때 이상(以上)의 결과(結果)는 질소고정효과(窒素固定效果)의 차이(差異)를 나타내는 품종적(品種的) 특성(特性)으로 해석(解析)되며 줄기와 목질부(木質部) 분비액중(分泌液中)에서의 ureide태(態) 질소(窒素)의 함량(含量)을 두과작물(豆科作物)의 질소고정효과(窒素固定效果)에 대한 지표(指標)로 이용(利用)할 수 있을 것이며 또한 정량적(定量的)으로 질소고정력(窒素固定力)을 측정(測定)하는 수단(手段)으로도 응용(應用)할 수 있는 가능성(可能性)을 추구(追究)할 의의(意義)가 있을 듯하다.

• 미생물학회지
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• 제25권4호
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• pp.290-296
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• 1987

Some streptomycin resistant strains of Rhizobium trifolii having nodulation ability were selected, and their nitrogenase activities, symbiotic effects on plant growth, and nodule electronmicroscope were compared with those of the wild type. After NTG treatment, as a mutagen, at the concentration exhibiting 99.7% lethal rate, 5 strains of streptomycin resistant mutant having nodulating ability were selected. Among these nodulating mutant strains, 3 strains produced more nodules and 2 strains showed less nodules than wild type. But their nitrogenase activities were decreased significantly, and nodule formation time was also delay compared with those of the wild type, and there was no remarkable difference in effects on plant growth. Microstructure of nodules by electronmicroscopy had mant distinctive differences between red clover nodules inoculated with wild type and mutants.

• 한국의학물리학회지:의학물리
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• 제31권2호
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• pp.29-34
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• 2020

Purpose: The interaction of various substances inserted into the human body and radiation can confirm the radiation enhancement effect. A Leksell frame inserted into the human body for gamma knife treatment will cause not only pain and inconvenience to the patient, but also additional exposure to the patient's normal tissues. In this study, we attempt to confirm the additional exposure caused by the interaction of the Leksell frame and thermoplastic mask, and ⁶⁰Co used for gamma knife treatment. Methods: A ⁶⁰Co energy of 1.17, 1.33 MeV is applied using Monte Carlo simulation, and fixation screws and thermoplastic mask are fabricated using aluminum and titanium alloy, and Carbon compounds. Results: Results show a dose enhancement of up to 396.27% higher compared with that without a Leksell frame and up to 391.25% in thermoplastic mask. Conclusions: Hence, appropriate treatment methods and materials must be used to reduce additional exposure to normal tissues.