• Title/Summary/Keyword: 상태전이

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Improvement of the Elbow Function with Early Mobilization and Rigid Fixation of Coronoid Fracture by Tension Band Technique (압박 긴장대 방법을 이용한 구상 돌기 골절의 견고한 고정과 조기 운동을 통한 주관절 기능의 향상)

  • Rhyou, In-Hyeok;Suh, Bo-Gun;Kim, Hyung-Jin;Chung, Chae-Ik;Kim, Kyung-Chul
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.159-166
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    • 2009
  • Purpose: We wanted to evaluate the surgical results of early mobilization after rigid fixation of small coronoid fracture using the tension band technique Materials and Methods: Eight cases of coronoid fracture were fixed with the tension band technique and using K-wire and wire through the medial approach. All the cases were Regan-Morrey type 2. According to O'Driscoll, they were classified as 5 cases of the tip type (subtype 2) and 3 cases of the anteromedial type (1 case of subtype 2, and 2 case of subtype 3). The associated collateral ligament injuries (6 cases) and radial head/neck fractures (4 cases) were managed simultaneously. After immobilization for 5~7 days, active ROM exercise with a fitted hinge brace started and continued till postoperative 6 weeks. The patients were assessed for pain, ROM and functional disability using the Mayo elbow performance score (MEPS) at an average of 11 months (range: 6~28 months). The ulnar nerve symptoms were also investigated. Results: We observed solid union in all the coronoid fractures without hardware failure. An average of 2.2 wires (range: 2~4) were used. The mean extension was $3^{\circ}$(range: $0^{\circ}\sim25^{\circ}$), the mean flexion was $137^{\circ}$(range: $130^{\circ}\sim140^{\circ}$), the mean pronation was $69^{\circ}$(range: $45^{\circ}\sim90^{\circ}$) and the mean supination was $78^{\circ}$(range: $45^{\circ}\sim90^{\circ}$). The mean MEPS was 96 (range: 65~100). Ulnar nerve symptoms occurred at postoperative one day and persisted in one patient with the terrible triad of taking radial head excision and residual medial instability. Conclusion: The tension band technique uses easily obtained, economic K-wires and the wire was strong enough to permit early elbow ROM exercise and the technique might improve the elbow function. It was especially useful for fixation of multiple small fragments.

Comparison of Several Agronomic Characteristics as Affected by Seeding Dates (파종기 이동이 맥류의 실용적 저형질에 미치는 영향)

  • Hyung-Soo Suh
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.26 no.4
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    • pp.298-303
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    • 1981
  • A study was conducted to find out the varietal difference in some important agronomic characters in response to different seeding time in barely from 1975 to 1976 at Chikugo Agric. Expt. Station in Japan. Thirteen varieties which are diverse in growth period were used. Nine seeding time were tried. Seedling emergence, primary tillering, and formation of flower primodia were delayed in proportion to the seeding time. And also heading and maturing time showed the same tendency. This tendency appeared more conspicuous in the late maturing varieties. Therefore, days to heading and maturing duration were inversely shortened by the delay of seeding time and by earliness of variety. Number of spikes as well as culm length and spike length was reduced in the late seeding. Grain yield was reduced in all varieties by late seeding, easpecially with late maturing varieties. In this test, widely adaptable variety to late seeding time was not found, but earliness and high tillering in growth habit appeared more favorable to yield increase.

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Remediation of Heavy Metal Contaminated Groundwater by Using the Biocarrier with Dead Bacillus sp. B1 and Polysulfone (Bacillus sp. B1 사균과 Polysulfone으로 이루어진 미생물 담체를 이용한 중금속 오염 지하수 정화)

  • Lee, Min-Hee;Lee, Ji-Young;Wang, Soo-Kyun
    • Economic and Environmental Geology
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    • v.43 no.6
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    • pp.555-564
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    • 2010
  • Remediation process by using the bio-carrier (beads) with dead Bacillus sp. B1 and polysulfone was investigated for heavy metal contaminated groundwater. Sorption batch experiments using the bio-carrier were performed to quantify the heavy metal removal efficiencies from the contaminated solution. The analyses using SEM/EDS and TEM for the structure and the characteristic of precipitates on/inside the beads were also conducted to understand the sorption mechanism by the bio-carrier. Various amounts of freeze-dried dead Bacillus sp. B1 were mixed with polysulfone + DMF(N,N-dimethylformamide) solution to produce the bio-carrier (beads; less than 2mm in diameter) and 5% of Bacillus sp. B1 in the bio-carrier was optimal for Pb removal in the solution. The removal efficiency ratings of the bio-carrier for Pb, Cu and Cd were greater than 80% after adding 2g of bio-carrier in 50ml of aqueous solution (<10mg/L of each heavy metal concentration). Reaction time of the bio-carrier was very fast and most of the sorption reaction for heavy metals were completed within few hours. Batch experiments were duplicated at various pH conditions of aqueous solutions and Cu and Pb removal efficiencies highly maintained at wide pH ranges (pH 2-12), suggesting that the bio-carrier can be useful to clean up the acidic waste water such as AMD. From SEM/EDS and TEM analyses, it was observed that the bio-carrier was spherical shape and was overlapped by many porous layers. During the sorption experiment, Pb was crystallized on the surface of porous layers and also was mainly concentrated at the boundary of Bacillus sp. B1 stroma and polysulfone substrate, showing that the main mechanism of the bio-carrier to remove heavy metals is the sorption on/inside of the bio-carriers and the bio-carriers are excellent biosorbents for the removal of heavy metal ions from groundwater.

Quantitative Descriptive Analysis and Principal Component Analysis for Sensory Attributes of Commercial Milk Preserved at Different Temperature (보존온도를 달리한 상업적 우유제품의 묘사적 관능분석 및 PCA 분석)

  • Chung, Seo-Jin;Noh, Bong-Soo;Ju, Jong-Cheol;Lee, Min-Hyang;Park, Seung-Yong
    • Journal of Dairy Science and Biotechnology
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    • v.29 no.2
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    • pp.25-35
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    • 2011
  • The objectives of this study were to evaluate the sensory characteristic quality of commercial milk brands selling in the market under the preservation at the temperature of $7^{\circ}C$ and $10^{\circ}C$ stored during the period of shelf-life. Quantitative descriptive analysis after developing of descriptive terms and cluster characterization by PCA analysis over a total of 128 LTLT, HTST, UHT and UHT-ESL milks, were conducted by 8 trained panelists. A total of fourteen attributes; three aroma attributes (grassy, milky, cultured milk aroma) and seven flavor/taste attributes (sweet, salty, sour, milk, cooked, cheesy, paper board) and one aftertaste attributes (rancid flavor) and one texture attributes (viscous), were developed as descriptive terms. Significant differences (P<0.01) in the sensory attributes; sweet, milky, cheesy etc. in UHT milk and sour, cheesy, paper board, rancid etc. in UHT-ESL milk were also found between the two different temperatures within the shelf life, but both type of pasteurized milk samples (LTLT and HTST) showed significant differences (P<0.01) in the attributes, such as cultured milk aroma, salty, sour, cheesy, rancid in LTLT milk and grassy, milky, salty in HTST milk and difference (P<0.05) in cultured milk aroma for HTST milk. Therefore, from the viewpoint of not only hygienic quality but also sensory characteristics, it is required for the better acceptance of milk consumers to amendment on the regulation in relation to the preservation standard of pasteurized milk as well as UHT milk to lower than $7^{\circ}C$.

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A Comparative Study of the Security Prevention Strategies on Arson: Focused on the Behavioral Characteristics between Serial Arsonists and Simple Arsonists (방화범죄의 경비예방 전략에 관한 비교연구 - 연쇄방화범과 단순방화범의 행위적 특성을 중심으로 -)

  • You, Wan-Seok;Hwang, Sung-Hyun
    • Korean Security Journal
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    • no.29
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    • pp.139-162
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    • 2011
  • The purpose of this study is to compare with the general and behavioral characteristics between simple and serial arsonists using the data derived from Scientific Crime Analysis System, Criminal Filing Search System, and Crime Information Management System. The analysis and findings reported here are derived from data extracted from 160 arsonists arrested by police officer. The independent variables included such socio-economic characteristic as arsonists' gender, age, occupation, education level, and previous criminal records of arsonists, and finally the general characteristics of the scene of fire settings. The dependent variable is whether or not serial fire setter. To achieve the purpose, the analysis of frequencies and cross-tab were conducted. According to frequence and cross-tab analysis, there are great differences of the general and behavior characteristics between two groups. In the comparison of simple and serial arsonists, serial arsonists are more likely to have previous criminal records, low socio-economic status, unmarried and no cohabitants than simple arsonists. furthermore, serial arsonists are more likely to use garbage papers for fire setting in the scene of the crime, to have mental or psychological problems, and to get involved in fire setting for the psychological pleasure than simple arsonists do. The present research has some obvious limitations. First, the analysis is based only on arsonists arrested by police officers. These may be considerable differences in arsonists arrested by police officers and fire setters not arrested by them. Additional research is needed to assess the extent to which these findings would apply to fire setters not arrested by police officer in Korea. Secondly, the data in this study are cross-sectional and simple cross-tab analysis are used. Potential limitation of cross-sectional data concerns the inability to specify the changes in measures as arsonists behavioral characteristics. Therefore, further studies need to use longitudinal data and more complicate statistical techniques such as correlation analysis, multiple regression analysis, or LISREL models to specify the casual relationships between dependent and independent variables for fire settings. Even if this study has some limitations, it is meaningful in which it first investigated the comparison of simple and serial arsonists focusing on the general and behavioral characteristics between two groups in Korea.

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The Outcome of Cardiac Surgery in Low Birth Weight Infants (저체중 출생아의 심기형 수술의 성적)

  • 성시찬;김시호;이영석
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.430-438
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    • 2002
  • It is known that low birth weight is a risk factor for poor outcome in cardiac surgery for many cardiac defects. We reviewed our recent surgical experiences on congenital heart defect (other than patent ductus arteriosus) in low birth weight babies. Material and Method: From September 1994 to February 2001, 31 consecutive infants weighing 2500 g or less underwent cardiac surgery with (OHS group n=12) or without cardiopulmonary bypass (CHS group n=19). A retrospective study was carried out to evaluate short-and intermediate-term outcome. Mean gestational age and age at operation were 36.9 weeks(range, 32.3-42weeks) and 32.1days (range, 0-87days) respectively. Mean body weight at birth and operation were 1972g (range, 1100-2500g) and 2105g (range, 1450-2500 g) respectively. There was no difference between the two groups in age and body weight. Defects included ventricular septal defect (VSD) (n=3), VSD with arch anomaly (n=2), total anomalous pulmonary venous return (n=2), transposition of the great arteries (TGA) (n=2), truncus arteriosus (n=2), and univentricular heart with cor triatriatum (n=1) in OHS group, and coarctation of aorta (n=7), tetralogy of Fallot (TOF) (n=3), TOF with pulmonary atresia (n=3), multiple muscular VSDs (n=1), double outlet right ventricle (n=1), pulmonary atresia with intact ventricular septum (n=2), tricuspid atresia (n=1), and TGA with multiple VSD (n=1) in CHS group. 13 patients (41.9%) were intubated pre-operatively. Result: There were 4 early deaths(<30 days); 1 (8.3%) in OHS group and 3 (15.8%) in non-OHS group. All these early deaths were related to the pulmonary artery banding(PAB). There was no operative mortality in infants undergoing complete repair and palliative operations other than PAB. Delayed sternal closure was required in 3 patients. Prolonged postoperative mechanical ventilation (>7 days) was required in 7 patients(58.3%) in OHS and 7(38.8%) in CHS group. Late mortality occurred in 3 patients, two of which were non-cardiac. A patient in OHS group was documented to have neurologic sequelae. All the survivors except two are in NYHA class 1. Conclusion: Complete repair and palliative operations other than PAB can be performed in low birth weight infants with low operative mortality and an acceptable intermediate-term result. However, about a half of the patients required long-term postoperative mechanical ventilation.

Echocardiographic Follow-up after Arterial Switch Operation for Transposition of the Great Arteries (동맥전환술을 시행한 대혈관전위 환자에서 심초음파를 이용한 술후 추적)

  • 한승세;정태은;이동협;오정훈;이정철
    • Journal of Chest Surgery
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    • v.34 no.10
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    • pp.754-762
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    • 2001
  • Background: To evaluate the efficacy of arterial switch operation for transposition of great arteries, serial echocardiographic studies were performed in 8 patients who underwent the surgery between 1989 and 1998 at Dept. of Thoracic & Cardiovascular Surgery, Yeungnam University Hospital in Daegu City, Korea. Material and Method: Follow-up period ranged from 6 months to 11 years(average of 4.1 years). Body weight ranged from 2.6kg to 4.8kg, with average of 3.6kg. 5 of 8 patients were preoperatively diagnosed as TGA+VSD, and 3 as TGA+IVS. LV function was evaluated by the measurement of LV shortening fraction, LVSTI, and LVEF. RVSTI was also measured. Postoperative function of valve and growth of great vessels were analyzed by the measurement of PSPGV, valvular regurgitation, LA/AO ratio, root dimension of aorta and pulmonary artery, comparing with the age matched controls, respectively. Result: LVEF had an average of 65.0+9.03% which is tended to increase serially. LVAOPG had an average of 15.9mmHg. RVPAPG, 27.5mmHg. From the measurement of aortic root dimension of 6 patients at end-systole, aortic root growth was assumed to increase more than the mean value of normal growth. PA root dimension at end-systole showed a similar growth progress when compared with age matched normal controls. Postoperative pulmonic valve regurgitation was noted in 5 of total 8 patients, in which 1 patient who showed grade 2 and 4 showed below grade 1. AR, in 6 patients and all grade 1 Except 1 patient, all the valvular regurgitations were below grade 1, which was presumed to be clinically insignificant.

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A Study on the Guardian's Perception of Attending Patient in Pediatric Radiography (소아 방사선 검사 시 보호자 참여에 대한 인식도 조사)

  • Kwak, JongHyeok;Jeong, JaeBeom
    • Journal of the Korean Society of Radiology
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    • v.8 no.4
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    • pp.189-201
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    • 2014
  • The purpose of this study was to survey guardian's opinion on assisting pediatric radiography and their level of awareness of radiation, improving the quality of pediatric radiography. In this study, the recognition was analyzed for 210 parents of child patients in Pusan National University Hospital from August 20 to September 15, 2013. A total of 66.2 percent of the respondents said they had participated in pediatric radiography in the past. The reason why they did is "Radiologist's request", the highest. According to the survey, 84.3 percent said they thought it is necessary to attending patient in pediatric radiography. "The stability of the child" is the reason for it. And respondents who thought there's no need to do that answered back, the reason for this is "Radiologist's work." There was a significant difference on the psychological state for the medical radiation by gender and child age. (p<0.05) In the analysis of recognition for the radiation, there was the significance by gender and education. (p<0.05) Regarding the awareness of the radiation protector, there was a statistical significance in age, gender, child age and education. (p<0.05) Considering the results, pediatric patient's guardians recognized that it is necessary to attend a child on X-ray for their child's stability and accurate exam above all. It must make guardians wear X-ray protector and radiologist should let the guardians recognize the X-ray examination method, before starting pediatric x-ray. It needs to improve the atmosphere of the examination room and to be considered to take visual and auditory approaches in comfort for reducing the children's fear and anxiety.

Antigenic localities in the tissued of Metagonimus yokogawai observed by immunogoldlabeling method (면역황금 표식법을 이용한 요꼬가와흡충의 조직내 항원성 부위에 관한 연구)

  • Ahn, Hyuk;Rim, Han-Jong;Kim, Soo-Jin
    • Parasites, Hosts and Diseases
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    • v.29 no.3
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    • pp.245-258
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    • 1991
  • In order to determine the antigenic localization in the tissues of the adult Metagonimus yokegawai, immunogoldlabeling method was applied using serum immunoglobulins (IgG) of cats which were infected with isolated metacercariae from Plecoglossus altivelis. The sectioned worm tissue was embedded in Lowicryl HM 20 medium and stained with infected serum IgG and protein A gold complex (particle size: 12 nm) , It was observed by electron microscopy at each tissue of the worm. The gold particles were observed on the tegumental syncytium as well as cytoplasm of tegumental cells and epithelial lamella of the caecum. The gold particles were not observed on the basal lamina of the tegument, interstitial matrix of the parenchyma, the muscle tissue and mitochondria of the tegument. The gold particles were specifically labeled in the secretory granules in the vitelline cells. They were also labeled on the lumen of bladder and egg shell. The above findings showed that antigenic materials in the tissue of adult worms were specifically concentrated on the tegumental syncytium as well as cytoplasm of tegumental cells and epithelial lamella of the caecum.

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Histopathological and Serological Observations on Experimental Anisakiasis of Rabbits (실험적 토끼 아니사키스증에서의 조직학적 병변과 혈청 항체가의 경시적 변동 양상)

  • 홍성태;이손형
    • Parasites, Hosts and Diseases
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    • v.25 no.2
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    • pp.168-180
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    • 1987
  • This study was performed to observe histopathological changes and serological reactions in chronic anisakiasis of rabbits. Each rabbit was infected per os with 30 larvae of Anisakis type I. Their sera were collected chronologically and the rabbits were killed for histopathological examination, 3, 13, 20, 30, 60, 90 and 150 days after the infection. The results were summarized as below. 1. Most of the larvae were recovered from the stomach, but a few from the omentum, intestine, mesentery and abdominal wall. The recovery rates and distribution of worms by organ were not differed by duration of infection. 2. Histologically the lesion was abscess type on 13 days, i.e., the dead worms were surrounded by fibrinous exudate, histiocytes and thick zone of numerous inflammatory cells. After 30 days, histiocytes were found to invade the worms and the lesion was changing into abscessgranulomatous type. Also a calcified worm was found on the 30th day. After then the worms were observed to be dissolved slowly until 90 days. On 150 day, only one calcified worm was observed. 3. The levels of serum IgG antibody by ELISA reached their maximum 30 days after the infection. After then, it decreased slowly until 150 days after the infection. Above serological and histopathological findings indicated that antigenic stimulation from degenerating Anisakis larvae was the greatest during the first 30 days after infection. This period was corresponding with the beginning of worm resolution or calcification. Serologic test by ELISA would be a valuable tool for confirming chronic anisakiasis.

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