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Clinical and Radiological Outcomes of Posterior Vertebral Column Resection for Severe Spinal Deformities

  • Lee, Byoung Hun;Hyun, Seung-Jae;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Yongjung J.;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.61 no.2
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    • pp.251-257
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    • 2018
  • Objective : The aim of this study was to investigate clinical and radiological outcomes of patients who underwent posterior vertebral column resection (PVCR) by a single neurosurgeon in a single institution. Methods : Thirty-four consecutive patients with severe spinal deformities who underwent PVCR between 2010 and 2016 were enrolled. The radiographic measurements included a kyphotic angle of PVCR levels (VCR angle), sagittal vertical axis (SVA), thoracic kyphosis, lumbar lordosis (LL), and spinopelvic parameters. The data of surgical time, estimated blood loss, duration of hospital stay, complications, intraoperative neurophysiologic monitoring, and the Scoliosis Research Society (SRS)-22 questionnaire were collected using a retrospective review of medical records. Results : The VCR angle, LL, and SVA values were significantly corrected after surgery. The VCR and LL angle were changed from the average of $38.4{\pm}32.1^{\circ}$ and $-22.1{\pm}39.1^{\circ}$ to $-1.7{\pm}29.4^{\circ}$ (p<0.001) and $-46.3{\pm}23.8^{\circ}$ (p=0.001), respectively. The SVA was significantly reduced from $103.6{\pm}88.5mm$ to $22.0{\pm}46.3mm$ (p=0.001). The clinical results using SRS-22 survey improved from $2.6{\pm}0.9$ to $3.4{\pm}0.8$ (p=0.033). There were no death and permanent neurological deficits after PVCR. However, complications occurred in 19 (55.9%) patients. Those patients experienced a total of 31 complications during- and after surgery. Sixteen reoperations were performed in twelve (35.3%) patients. The incidence of transient neurological deterioration was 5.9% (two out of 34 patients). Conclusion : Severe spinal deformities can be effectively corrected by PVCR. However, the PVCR technique should be utilized limitedly because surgery-related serious complications are relatively common.

The Voice Change after Conservative Laryngeal Surgery (조기 후두암 환자에서 보전적 후두수술 후 음성 변화)

  • Lee, Yoon-Se;Park, Jung-Je;Choi, Seung-Ho;Kim, Sang-Yoon;Nam, Soon-Yuhl
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.15 no.2
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    • pp.128-132
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    • 2004
  • Objectives : The total laryngectomy for laryngeal cancer has made patients be afraid of voice loss. Early staged glottic or supraglottic cancer can be treated with conservative laryngeal surgery which preserve voice, though which was not normal voice comparing before. Voice analysis is used to evaluates objectively the quality of the voice in pre- and postoperation, 4 different types of conservative laryngeal surgery : laser cordectomy, supracticoid partial laryngectomy, vertical partial laryngectomy, and supralottic laryngectomy. Materials and Methods : The patients who received conservative laryngeal surgery(laser cordectomy : 23 cases, vertical partial laryngecotmy : 9cases, supracriocoid partial laryngectomy : 6cases, supraglottic laryngectomy : 8cases) from 1995 to 2001 in the Asan medical center. Fundamental frequency(F0), shimmer, jitter, noise to harmony ratio(NHR), maximum comfortable phonation time and subglottic pressure were used as parameters for voice analysis. Results : The patients who received laser cordectomy(shimmer : 5.26${\pm}$1.12%, jitter : 3.33${\pm}$0.42%, NHR : 0.47${\pm}$0.02, MPT : 9.32${\pm}$3.59sec) and supraglottic laryngectomy(shimmer : 4.39${\pm}$1.03%, jitter : 1.49${\pm}$0.14%, NHR : 0.51${\pm}$0.06, MPT : 8.9${\pm}$0.59sec) showed better results than other two procedures, but differed from normal value. Especially the patients who received supracricoid partial laryngectomy(shimmer : 9.23${\pm}$1.56%, jitter : 5.81${\pm}$1.23%, NHR : 5.89${\pm}$1.13, MPT : 6.3${\pm}$1.18sec, MFR : 632${\pm}$89ml/sec) had poorer quality of voice but presented fast functional recovery time, and the subjective symptom was improved as time goes by slowly. Conclusion : The appropriate conservative laryngeal surgery for each cancers and stage can preserve the acceptable voice for patients. Supracricoid partial laryngectomy for T1b glottic cancer can be used for acceptable voice despite its poor voice analysis.

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Protective Effect of Soybean-Derived Phosphatidylserine on the Trimethyltin-Induced Learning and Memory Deficits in Rats

  • An, Yong Ho;Park, Hyun Jung;Shim, Hyun Soo;Choe, Yun Seok;Han, Jeong Jun;Kim, Jin Su;Lee, Hye Jung;Shim, Insop
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.3
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    • pp.337-345
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    • 2014
  • The present study examined the effects of soybean-derived phosphatidylserine (SB-PS) on the learning and memory function and the neural activity in rats with trimethyltin (TMT)-induced memory deficits. The cognitive improving efficacy of SB-PS on the amnesic rats, which was induced by TMT, was investigated by assessing the Morris water maze test and by performing cholineacetyl transferase (ChAT), acetylcholinesterase (AChE) and cAMP responsive element binding protein (CREB) immunohistochemistry. A positron emission tomography (PET) scanning the rat brain was by performed administer 18F-Fluorodeoxy-glucose (18F-FDG). The rats with TMT injection showed impaired learning and memory of the tasks and treatment with SB-PS produced a significant improvement of the escape latency to find the platform in the Morris water maze at the 2nd day compared to that of the MCT group. In the retention test, the SB-PS group showed increased time spent around the platform compared to that of the MCT group. Consistent with the behavioral data, SB-PS 50 group significantly alleviated the loss of acetyl cholinergic neurons in the hippocampus compared to that of the MCT group. Treatment with SB-PS significantly increased the CREB positive neurons in the hippocampus as compared to that of the MCT group. In addition, SB-PS groups increased the glucose uptake in the hippocampus and SB-PS 50 group increased the glucose uptake in the frontal lobe, as compared to that of the MCT group. These results suggest that SB-PS may be useful for improving the cognitive function via regulation of cholinergic marker enzyme activity and neural activity.

Exogenous Sugars Involvement in Senescence and Ethylene Production of Tree Peony 'Luoyang Hong' Cut Flowers

  • Zhang, Chao;Liu, Miao;Fu, Jianxin;Wang, Yanjie;Li, Dong
    • Horticultural Science & Technology
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    • v.30 no.6
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    • pp.718-724
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    • 2012
  • Sugars play important roles in petal senescence of cut flowers. In the Expt. 1 of this study, the effects of different concentrations of glucose (60, 90, and $120g{\cdot}L^{-1}$) and sucrose (30, 60, and $90g{\cdot}L^{-1}$) application on the vase life, rate of flower diameter increase, rate of flower weight increase and ethylene production of cut tree peony (Paeonia suffruticosa 'Luoyang Hong') were evaluated. At the earlier stage, treatments of different concentrations of glucose and sucrose all retarded the process of flower opening and inhibited the increase of flower diameter and weight, while senescence of flowers fed with different concentrations of glucose was delayed at later stage. Flowers treated with $90g{\cdot}L^{-1}$ glucose displayed the longest vase life, which showed significant difference (P < 0.05) from those of flowers with the control and sucrose treatments. All treatments with glucose or sucrose not only retarded the decrease of flower diameter and weight, but also suppressed the ethylene production at the earlier stage and delayed the peak of ethylene evolution. In order to study the effect of exogenous sugar on the postharvest response of cut tree peony to ethylene, Expt. 2 was conducted. Cut flowers were treated with $90g{\cdot}L^{-1}$ glucose for 4 hours before (GE) or after (EG) exposed to $10{\mu}L{\cdot}L^{-1}$ ethylene for 4 hours. Generally, the opening process of flowers with GE and EG treatments was similar to that of the control, however GE treatment delayed flower senescence. Both GE and EG treatments improved flower diameter and weight, and GE treatment delayed the time of flower weight decrease. Besides, GE delayed climacteric ethylene evolution for 8 hours. All above suggest that exogenous sugars delay tree peony 'Luoyang Hong' cut flower senescence and extend flower vase life through their roles in the decrease of water loss and the suppression of sensitivity to ethylene and ethylene production.

A Study on the Habitait Suitability Considering Survival, Growth, Environment for Ruditapes philippinarum in Geunso Bay (Pado and Beopsan) (근소만 갯벌어장 내 바지락의 생존, 성장, 환경을 고려한 서식 적합성 연구)

  • Choi, Yong-Hyeon;Choi, Yoon-Seok;Cho, Yoon-Sik;Kim, Young-Tae;Jeon, Seung-Ryul
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.6
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    • pp.723-730
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    • 2016
  • Domestic Manila clam production has been reduced due to coastline changes and environmental degradation, but aquaculture industry is facing difficulties caused by an increase in imports. It is important to recognize the integral habitat environment in order to do sustainable aquaculture. The habitat environment of Manila clams (Ruditapes philippinarum) is closely related to the productivity of aquaculture farms. This study investigated 3 indexes, survival (sediment type, hydrodynamic), growth (Chlorophyll a, DIN, DIP) and environment (water temperature, dissolved oxygen, sediment chemical oxygen demand, ignition loss) as indicators of habitat characteristics for a tidal flat farm in Geunso Bay (Pado and Beopsan) from June 2015 to May 2016. As a result, Pado (maximums.; sand 48.76 %, hydrodynamic 10.59 cm/s, Chlorophyll a 12.70 ug/L, exposure time 3 hours, DO 18.65 mg/L) had a higher sand content, faster current speed, more abundant nutrients and DO, providing more favorable conditions for Manila clams than Beopsan (maximums.; sand 37.40 %, hydrodynamic 6.02 cm/s, Chlorophyll a 6.41 ug/L, exposure time 7 hour, DO 14.81 mg/L). In fact, Pado showed a higher density than Beopsan. This study considered the habitat environments of Pado and Beopsan to provide a basis for optimal management practices and potential suitable sites in Geunso bay.

Study on Pesticide Runoff from Soil Surface-II - Runoff of Phorate by Simulated Rainfall in Field - (농약의 토양 표면 유출에 관한 연구-II - 포장에서 인공강우에 의한 phorate의 유출특성 -)

  • Yeom, Dong-Hyuk;Kim, Jeong-Han;Lee, Sung-Kyu;Kim, Yong-Hwa;Park, Chang-Kyu;Kim, Kyun
    • Applied Biological Chemistry
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    • v.40 no.4
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    • pp.323-328
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    • 1997
  • Runoff of phorate, soil insecticide, were measured under simulated rainfall conditions in field using small test plot$(120\;cm{\times}120\;cm)$ at the loam area and loamy sand area. Fish acute toxicity tests were performed with runoff water to elucidate its toxicological effect on organisms in ecosystem. The average concentrations of phorate in runoff water from loam and loamy sand soil were 11.3 ppb and 4.8 ppb, respectively. However, there was no significant concentration difference between the heavy and the light rain. With loam soil, average runoff rates were 1.31 and 0.18%, while with loamy sand soil those were 0.48 and 0.012% under the heavy and the light rain conditions, respectively. Total average runoff rate was 0.50%. With killifish, no mortality was observed in runoff water from loamy sand soil, whereas half of the population was dead in runoff water from loam soil when it was diluted to 54.4% content.

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Neuronal Activity of the Vestibular Nuclei Following Acute Hypotension in Rats

  • Park, Byung-Rim;Kim, Min-Sun;Baik, Kum-Hyun;Lee, Moon-Young;Choi, Myung-Ae;Lee, Jae-Hyo
    • The Korean Journal of Physiology and Pharmacology
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    • v.6 no.4
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    • pp.199-205
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    • 2002
  • The role of peripheral vestibular receptors in acute hypotension was investigated in anesthetized rats. Acute hypotension was induced by either intravenous infusion of sodium nitroprusside (SNP) or by experimental hemorrhage, and electrical activity and expression of cFos-like immunoreactive (cFL) protein were measured in the medial vestibular nuclei (MVN). Blood pressure decreased proportionately to the does of intravenous SNP and to the volume of the hemorrhage. Blood pressure decreased 10, 30, 50% for the 5, 10, $15{\mu}g/kg$ SNP injection, respectively, and also decreased 30 and 50% after 1- and 2-ml blood loss, respectively, due to hemorrhage. In animals with intact labyrinths, acute hypotension induced by either intravenous infusion of SNP or hemorrhage produced different electrical activities with three different patterns in type I and II neurons of MVN. The responses of type I neurons showed excitatory in 2/3 of recorded neurons and inhibitory or no change in 1/3 of neurons, while the responses of type II neurons showed inhibitory in 2/3 of recorded neurons and excitatory or no change in 1/3 of neurons. In unilateral labyrinthectomized animals, 2/3 of type I neurons ipsilateral to the lesion showed an inhibitory response, and 2/3 of contralateral type I neurons showed an excitatory response after the induction of acute hypotension. The response patterns of type II neurons were opposite from those of the type I neurons. After 30% decrease in blood pressure, cFL protein expressed in the bilateral vestibular nuclei of control animals with intact labyrinths. Expression of cFL protein increased significantly proportionately to the reduction of blood pressure. The unilateral labyrinthectomized animals with acute hypotension produced expression of cFL neurons in contralateral vestibular nuclei to the lesion side, but not in ipsilateral vestibular nuclei. However, cFL protein was not expressed in bilateral vestibular nuclei after acute hypotension in bilateral labyrinthectomized animals. These results suggest that the peripheral vestibular receptors might play a significant role in controlling blood pressure following acute hypotension via activation of type I neurons and inhibition of type II neurons in the vestibular nuclei.

Antimicrobial Effect of Mouthwash against Streptococcus mutans by Visual Staining Method (시각적 염색 방법을 이용한 마우스워시의 구강균에 대한 항균효과 확인)

  • Park, Taehun;Cho, Jeong Hun;Sung, Youngeun;Cho, Jun-Cheol;Shin, Kyeho
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.40 no.2
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    • pp.187-193
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    • 2014
  • Dental caries are one of the most common oral diseases and Streptococcus mutans (S. mutans) plays an important role in the initiation and progression of dental caries. Oral malodor is primarily the result of microbial metabolism such as Porphyromonas gingivalis (P. gingivalis) that produce volatile sulfur compounds (VSCs), causing oral malodor. Prevotella intermedia (P. intermedia) is known as typical periodontopathic bacteria, and periodontal disease is chronic inflammatory disease that leads to damage of gingival connective tissue and alveolar bone, eventually loss of teeth. In this study, we investigated antimicrobial effect of mouthwash containing cetylpyridinium chloride (CPC), sodium fluoride (NaF), green tea water extract and pine needles water extract against cariogenic and periodontopathic bacteria sucn as S. mutans, P. gingivalis and P. intermedia. As a result, the reduction ratios of S. mutans and P. gingivalis were 4.00 Log and 4.68 Log reduction for 30 s, and P. intermedia were 2.40 Log reduction for 30 s and 2.70 Log reduction for 60 s. Dentocult SM Strip mutans (SM Strip) provides easy detection of visual data showing a significant inhibition on S. mutans. In conclusion, we expected that mouthwash containing CPC, NaF, green tea water extract and pine needles water extract could help preventing the dental disease like dental caries and oral malodor.

The Efficacy of Bioabsorbable Mesh in Craniofacial Trauma Surgery

  • Choi, Won Chul;Choi, Hyun Gon;Kim, Jee Nam;Lee, Myung Cheol;Shin, Dong Hyeok;Kim, Soon Heum;Kim, Cheol Keun;Jo, Dong In
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.135-139
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    • 2016
  • Background: The ultimate goal of craniofacial reconstructive surgery is to achieve the most complete restoration of facial functions. A bioabsorbable fixation system which does not need secondary operation for implant removal has been developed in the last decade. The purpose of this study is to share the experience of authors and to demonstrate the efficacy of bioabsorbable mesh in a variety of craniofacial trauma operations. Methods: Between October 2008 and February 2015, bioabsorbable meshes were used to reconstruct various types of craniofacial bone fractures in 611 patients. Any displaced bone fragments were detached from the fracture site and fixed to the mesh. The resulting bone-mesh complex was designed and molded into an appropriate shape by the immersion in warm saline. The mesh was molded once again under simultaneous warm saline irrigation and suction. Results: In all patients, contour deformities were restored completely, and bone segments were fixed properly. The authors found that the bioabsorbable mesh provided rigid fixation without any evidence of integrity loss on postoperative computed tomography scans. Conclusion: Because bioabsorbable meshes are more flexible than bioabsorbable plates, they can be molded and could easily reconstruct the facial bone in three dimensions. Additionally, it is easy to attach bone fragments to the mesh. Bioabsorbable mesh and screws is effective and can be easily applied for fixation in various craniofacial trauma reconstructive scenarios.

Thermal Behavior and Kinetics of Coal Blends during Devolatilization (탈휘발화 과정에서 혼탄의 반응률과 열적 거동에 관한 연구)

  • Ryu, Kwang-Il;Kim, Ryang-Gyoon;Li, Dong-Fang;Wu, Ze-Lin;Jeon, Chung-Hwan
    • Korean Chemical Engineering Research
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    • v.51 no.1
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    • pp.121-126
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    • 2013
  • The objective of this research is to predict the TG curve of blends of bituminous coal and sub-bituminous coal during devolatilization. TSL (Thermal Shock Large) TGA was used for Experiments, and Coats-redfern method was used for reaction order calculation. Based on reaction order, sum method was verified to be suitable for a single coal, then, prediction and comparison of TG curve of coal blends was conducted using both of WSM (Weight Sum Method) and MWSM (Modified Weight Sum Method), where the latter was developed in this research. The presented experiment results and WSM & MWSM were showed to be reasonable using linear least square method. MWSM performed more accurately than WSM for the case that TG curve had different slopes and the case that sharp weight loss happened due to release of volatile matter. The results showed that it's possible to predict the thermal behavior of coal blends during devolatilization based on the thermal behavior of single coals.