• Title/Summary/Keyword: Cobb

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Can the Zero-Profile Implant Be Used for Anterior Cervical Discectomy and Fusion in Traumatic Subaxial Disc Injury? A Preliminary, Retrospective Study

  • Kim, Tae Hun;Kim, Dae Hyun;Kim, Ki Hong;Kwak, Young Seok;Kwak, Sang Gyu;Choi, Man Kyu
    • Journal of Korean Neurosurgical Society
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    • v.61 no.5
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    • pp.574-581
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    • 2018
  • Objective : The zero-profile implant (Zero-P) is accepted for use in anterior cervical fusion for the treatment of degenerative cervical disease. However, evidence pertaining to its efficiency and safety in traumatic cervical injury is largely insufficient. This study aimed to compare the overall outcomes of patients who underwent Zero-P for traumatic cervical disc injury. Methods : Data from a total of 53 consecutive patients who underwent surgery for traumatic or degenerative cervical disc disease using the Zero-P were reviewed. Seventeen patients (group A) had traumatic cervical disc injury and the remaining 36 (group B) had degenerative cervical disc herniation. The fusion and subsidence rates and Cobb angle were measured retrospectively from plain radiographs. The patients' clinical outcomes were evaluated using the Japanese Orthopedic Association (JOA) score and Odom's criteria. Results : The C2-7 Cobb and operative segmental angles increased by $3.45{\pm}7.61$ and $2.94{\pm}4.59$ in group A; and $2.46{\pm}7.31$ and $2.88{\pm}5.49$ in group B over 12 postoperative months, respectively. The subsidence and fusion rate was 35.0% and 95.0% in group A; and 36.6% and 95.1% in group B, respectively. None of the parameters differed significantly between groups. The clinical outcomes were similar in both groups in terms of increasing the JOA score and producing a grade higher than "good" using Odom's criteria. Conclusion : The application of Zero-P in patients with traumatic cervical disc injury was found to be acceptable when compared with the clinical and radiological outcomes of degenerative cervical spondylosis.

Correlation Analysis of Body Parameters between Chuna Posture Analysis System and X-ray (추나체형진단기와 단순 방사선 검사로 측정된 신체 지표들간의 상관 분석)

  • Kim, Chang-Gon;Lee, Jin-Hyun;Min, Seon-Jeong;Kim, Byung-Sook;Song, Yung-Sun;Lee, Su-Kyung;Ko, Youn-Suk;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.177-185
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    • 2014
  • Objectives This study analyzed the correlation between body parameters measured using X-ray and Chuna posture analysis system to determine their clinical value in diagnosing and evaluating skeletomuscular diseases. Methods X-ray and Chuna posture analysis system were performed for 105 patients to measure physical characteristics such as Interacromial angle, Pelvic obliquity angle, Structural leg length discrepancy (SLLD), Midpatella-midtalus angle (MMA) and Q-angle, Anterior head translation (AHT), Anterior superior iliac spine to posterior superior iliac spine angle (ASIS-PSIS angle), Interscapular angle, Scoliotic angle and Cobb's angle. Statistical analysis using statistical analysis techniques and Pearson correlation coefficients was performed to assess the body parameters obtained by X-ray and Chuna posture analysis system. Results Significant correlations were observed between the values for Interacromial angle, Pelvic obliquity angle, SLLD, MMA and Q-angle, AHT, ASIS-PSIS angle, Interscapular angle, Scoliotic angle and Cobb's angle obtained by X-ray and Chuna posture analysis system. Significant correlations were also observed between right MMA and left Q-angle as well as between left MMA and right Q-angle. Conclusions Chuna posture analysis system can be used instead of X-ray measure body parameters and perform posture analysis in clinical practice. This study's findings are expected to serve as a basis for further research on the clinical application of Chuna posture analysis system.

Use of multivitamin, acidifier and Azolla in the diet of broiler chickens

  • Islam, M.A.;Nishibori, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.5
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    • pp.683-689
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    • 2017
  • Objective: The experiments were carried out to measure the effect of multivitamin, acidifier and Azolla on growth performance, profitability and lipid profiles of blood of broiler chickens to produce safe and cost effective broilers. Methods: In experiment 1, 240 day-old Cobb-500 broiler chicks were fed diets; $D_1$ (control), $D_2$ ($D_1$ with 1 mL multivitamin/liter water), $D_3$ ($D_1$ with 1 mL acidifier/liter water), $D_4$ ($D_1$ with 1 mL multivitamin and 2 mL acidifier/liter water) having 3 replications in each, and 20 chicks/replication. In experiment 2, 150 day-old Cobb-500 broiler chicks were fed diets; $T_1$ (control), $T_2$ (5% Azolla in the diet), $T_3$ (7% Azolla in the diet) and $T_4$ ($T_1$ with 1 mL multivitamin and 1 mL acidifier/liter water) having 3 replications in each, and 20 chicks/replication in control, and 10 chicks/replication in the remaining dietary treatment groups for 35 days. Results: In experiment 1, the highest live weight was observed in $D_4$ (p<0.05), however, feed intake was statistically similar between diets (p>0.05). The lowest feed conversion ratio (FCR) (p<0.001) and mortality (p<0.05) were observed in $D_2$ followed by $D_4$, $D_1$, and $D_3$, respectively. There were no significant differences between diets for feed cost and net profit (p>0.05). However, evidently but not significantly, the highest net profit was obtained in $D_2$ followed by $D_4$, $D_1$, and $D_3$, respectively. In experiment 2, the highest live weight (p<0.05) and feed intake (p<0.001) were observed in $T_4$. Mortality (p<0.01), FCR (p<0.01), feed cost (p<0.05) and net profit (p<0.05) were significantly different among diets. Considering net profit, $T_2$ was the best performing dietary group followed by $T_3$, $T_1$, and $T_4$, respectively. The lowest lipid profiles were observed in $D_3$ followed by $D_1$, $D_4$, and $D_2$, respectively (p<0.05). In experiment 2, the lowest total cholesterol, TG, and the highest amount of high density lipoprotein were observed in $T_2$, followed by $T_3$, $T_1$, and $T_4$, respectively (p<0.05). Evidently but not significantly, low density lipoprotein was the highest in $T_2$ followed by $T_3$, $T_4$, and $T_1$, respectively (p>0.05). Conclusion: In conclusion, Azolla and acidifier reduced lipid profiles of broiler chickens. Considering net profit and lipid profiles, 5% Azolla may be the suitable dietary group for producing safe and profitable broilers. However, more studies are needed to confirm this study prior to suggesting using Azolla in the poultry industry.

Surgical Outcomes and Complications Following All Posterior Approach for Spinal Deformity Associated with Neurofibromatosis Type-1

  • Park, Byoung-Joo;Hyun, Seung-Jae;Wui, Seong-Hyun;Jung, Jong-Myung;Kim, Ki-Jeong;Jahng, Tae-Ahn
    • Journal of Korean Neurosurgical Society
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    • v.63 no.6
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    • pp.738-746
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    • 2020
  • Objectives : The purpose of this study was to evaluate surgical outcomes and complications of spinal deformity associated with neurofibromatosis type-1 (NF-1). Methods : From 2012 to 2018, patients suffering from spinal deformity associated with NF-1 who underwent surgical correction were identified. Demographic data and radiographic measures were retrospectively reviewed. Pre- and postoperative whole spine radiograph images were used to determine both coronal and sagittal Cobb angles. All of patients underwent 3-dimentional computed tomographic scan and magnetic resonance imaging scan to confirm dystrophic features. For evaluation of clinical outcomes, we surveyed the pre- and postoperative scoliosis research society-22r (SRS-22r) score. Results : Seven patients with spinal deformity associated with NF-1 were enrolled in this study. The mean age of patients was 29.5±1.2 years old. The mean follow-up period was 2.8±1.4 years. The apex of the deformity was located in cervicothoracic (n=1), thoracic (n=4), and lumbar region (n=2). Most patients have poor bone quality and decreased bone mineral density with average T-score of -3.5±1.0. All patients underwent surgical correction via posterior approach. The pre- and postoperative mean coronal and sagittal Cobb angle was 61.6±22.6° and 34.6±38.1°, 56.8±18.5° and 40.2±9.1°, respectively. Mean correction rate of coronal and sagittal angle was 44.7% and 23.1%. Ultimate follow-up SRS-22r score (average score, 3.9±0.4) improved comparing to preoperative score (average score, 3.3±0.9). Only one patient received revision surgery due to rod fracture. No serious complication occurred, such as neurological deficit, and viscerovascular injury. Conclusion : The surgical correction of patients having spinal deformity associated with NF-1 is challenging, however the radiographic and clinical outcomes are satisfactory. The all posterior approach can be a safe and effective surgical option for patients having dystrophic curves associated with NF-1.

Correlation Analysis Between Lumbar Scoliosis of X-ray and HIVD of L-spine MRI in LBP Patients who Visit Korean Medicine Hospital (한방병원에 요통으로 내원한 환자에서 X-ray상 요추측만과 MRI상 HIVD와의 연관성 분석)

  • Kim, Kil-Hwan;Choi, Young-Jun;Kwon, Ok-Jun;Joo, Young-Kuk;Song, Seung-Bae;Song, Gwang-Chan;Seo, Ji-Yeon;Choo, Won-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.41-51
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    • 2016
  • Objectives : This study is planned to classify Correlation between Cobbs Angle of Lumbar scoliosis and prevalence of Lumbar Intervertebral Disc. Methods : We Measured the lumbar scoliosis angle of the 114men and 91 women patients with lumbar pain in Bucheon Jaseng Korean Medicine Hospital. We use Cobb's angle method for measuring the lumbar scoliosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results : 1.There was no statistical relation between the Cobbs angle and gender(P>0.05) 2.There was no statistical relation between the Cobbs angle and age(P>0.05) 3.There was significant relation between the direction of lumbar scoliosis and the direction of disc herniation(P<0.05) 4.There was no statistical relation between on the Cobbs angle and disc herniation. The more severe of lumbar scoliosis has not tendency of disc herniation. 5.There was no statistical relation between lumbar scoliosis Cobbs Angle on HIVD of L-spine patient and direction of disc herniation on horizontal plane. Conclusions : The direction of disc herniation has tendency of the opposite direction of lumbar scoliosis. When disc herniation, opposite side bending broad intervertebral foramen and reduce pressure.

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Effects of Dietary Fermented Apple Pomace and Cinnamon Addition on Meat Quality and Performance in Broiler (육계에 사과박 발효물, 계피의 첨가, 급여가 생산성 및 계육 품질에 미치는 영향)

  • Kang, Hwan-Ku;Choi, Hee-Chul;Kang, Bo-Suk;Na, Jae-Cheon;Yu, Dong-Jo;Kang, Guen-Ho;Bang, Han-Tae;Park, Sung-Bok;Kim, Min-Ji;Seo, Ok-Suk;Kim, Dong-Wook;Kim, Sang-Ho
    • Journal of Animal Science and Technology
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    • v.51 no.4
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    • pp.315-320
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    • 2009
  • This experiment was conducted to investigate the effects of dietary supplementation of fermented apple pomace (FAP) and cinnamon on performance, blood profile and meat quality in broiler chickens. A total of six hundred, day old male broiler chicks (Cobb) were randomly divided into 5 groups with 4 replicates of 30 birds each. The treatment groups were; negative control (antibiotic-free diet), positive control (basal diet with 0.05% antibiotics and 0.03% anticoccidials), FAP 1.0%, cinnamon 0.1% and FAP 1.0% + cinnamon 1.0%. The body weight of the broilers fed the diets containing FAP 1.0% was higher than the other treatments during overall period. No synergistic effect in growth performance (weight gain and feed conversion rate) was found when FAP with cinnamon were fed to broilers. No significant differences were observed on the concentration of serum blood chemical. the TBARS was lower in the chickens fed 1.0% FAP diet compared to those of negative group and positive group. These results suggest the possibility that fermented of apple pomace could be used as an alternative to antibiotic growth promoters to improve the performance and meat quality of broiler chickens.

Clinical Study on 1 Case of Cervical Dystonia Treated by Korean Medicine and Transfer Energy Capacitive and Resistive (TECAR) Therapy (Transfer Energy Capacitive and Resistive (TECAR) Therapy와 한방치료를 병행한 경부 근 긴장성 사경 환자 증례 보고 1예)

  • Lee, Won-Jun;Yoon, Young-Suk;Kim, Jong-Ho;Lee, Keun-Jae;Kim, Mi-Hye;Ryu, Ho-Sun;Han, Su-Bin;Park, Byung-Hak;Son, Jae-Min;Lee, Nam-Woo;Han, Jeong-Hun;Seo, Hye-Jin;Kim, Ji-Hoon
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.4
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    • pp.109-115
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    • 2019
  • Cervical dystonia (CD) is a disorder characterized by sustained or intermittent, involuntary muscle contractions which cause twisting, repetitive movements and abnormal postures. In this case report, a CD patients was treated with transfer energy capacitive and resistive (TECAR) therapy and conventional Korean medicine, which consists of acupuncture, Chuna manual medicine, pharmacopuncture and herbal medicine. For outcome measures, this study evaluated Cobb's angle, EuroQol five dimension scale (EQ-5D), numerical rating scale (NRS), neck disabillity index (NDI) and cervical range of motion. As a result, improvements were found in Cobb's angle ($18.65^{\circ}$ to $15.90^{\circ}$), EQ-5D score (0.808 to 0.862), NRS (5 to 3), NDI (16 to 8) and angle of cervical lateral bending ($15^{\circ}$ to $25^{\circ}$). In conclusion, this study shows that combined therapy of conventional Korean medicine treatment and TECAR therapy can be effective for CD patients.

Estimation of Industrial Water Supply Benefits Using Production Function Approach (생산함수 접근법에 의한 공업용수 공급편익 산정 방안)

  • Kim, Gil Ho;Yi, Choong Sung;Lee, Sang Won;Shim, Myung Pil
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.2B
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    • pp.173-179
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    • 2009
  • Industrial water supplied by water resource project is essential input materials along with labor, capital and land for companies. It is very important to stably secure these input materials in order for the industry to generate additional values. If the supply of industrial water is stopped, it is known damage for the industry is greater than domestic water or agriculture water based on same amount of supply. Like this, the actual value of industrial water has been highly acknowledged from the intuitive perspective, but study on the value and benefits of industrial water has been rarely conducted. Therefore, this study verified the value of industrial water supplied from water resource project, and used marginal production value as a measure to estimate the benefits of industrial water in the analysis of economic efficiency. As a result of empirical analysis using Cobb-Douglas production function and Translog production function, industries' average marginal production value was $5,427KRW/m^3$ and $5,583KRW/m^3$ respectively. The marginal production value for eleven industries were estimated by using same method. The marginal production value by industries presented by this study will be used as important data to calculate benefits of industrial water in the future. Moreover, the result of this study will provide reasonable criteria for decision making on the allocation of water in emergency situation, and problem of resource supply from water resource project.

Toward An Integrative Pluralism of Religions: Embodying Yijing, Whitehead, and Cobb

  • Cheng, Chung-ying
    • Journal of the Daesoon Academy of Sciences
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    • v.17
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    • pp.239-279
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    • 2004
  • 이 글에서 나는 세 단계의 다른 종교이해 방식을 구분하여 세 가지 형태의 종교다원주의 정의하고 그 특징을 설명하고 있다. 그 첫째는 차별적 다원주의인데, 현존하는 혹은 앞으로 그 모습을 드러낼 종교들 사이의 차별성을 그대로 인정하는 형태이다. 둘째는 상보적 다원주의로써 현존하는 또는 앞으로 출현할 종교들은 각각의 종교적 실천과 그 믿음이 그 내용상 상호보충적인 성격을 지니고 있다고 보는 것이다. 셋째는 통합적 다원주의이다. 이 관점은 모든 종교를 인류와 인간의 세계이해의 전체론적 발전 과정의 필수적 부분들로 보는 것이다. 이 가운데 통합적 형태의 다원주의가 가장 중요하다. 왜냐하면 이 관점은 각각의 다른 종교들에게 그것 고유의 이질적 역사적 관점에 의한 하나의 토대를 제공하기 때문이다. 이 관점은 또한 각기 다른 종교들의 차이점들을 창조적 전체와 연관시켜보는 개방적이고 창조적인 통찰력을제공함으로써 그 종교들이 인간의 앎과 실천에 가장 중요한 비젼과 관련하여 각각이 궁극적으로 적절한 위상을 성취할 수 있도록 하며, 상호간에 배우고 더욱 발전할 수 있는 존재로 서로 이해되고 격려하도록 하는 기능을 수행한다. 이와 같은 종교적 통찰력의 면에서 나는 상호보충적인 다원주의 이론을 발전시킨 존 콥과 데이비드 그리핀의 업적에 심심한 고마움을 전한다. 그러나 동시에 각 종교의 독특성은 유지하면서도 상대주의는 피하기 위해서는 어떻게 이 상호보충적인 다원주의가 화이트헤드의 창조성 철학의 관점에 의해 부분의 개성을 유지하면서도 전체를 감싸 아우르는 통합적 다원주의로 반드시 한 걸음 더 나아가야 하는지를 강조 설명하고 있다. 이 글의 후반부에서는, 나는 또한 통합적 다원주의 관점의 종교적 진리와 믿음의 고양이 중요함을 이해하기 위하여 서로 연관된 네 가지 주제를 논한다: (1) 지역적으로 상대적인 인류의 필요에 동시에 응하고자 하는 동서의 세계종교의 목표에 부응하기 위해서는 화이트헤드적 사유의 틀과 역경의 철학이 보여주는 사유의 틀이 어떻게 통합되어야 하는가 (2) 어떻게 상대주의의 내적 논리에 의해 제기된 논쟁점들이 세계종교 안에서 동시에 극복되고 고려되어 종교가 계속 발전하는데 도움을 줄 수 있는지 (3) 어떻게 인류가 창조성의 또는 창조자로써의 신의실존-우주론적 견해의 풍부함으로 인도 되는 신적 개별화의 근본 은유적 존재로 역할을 해왔는지 (4) 유가와 도가의 통합적 조화의 역사적 모범에 기초해 볼 때, 기독교와 불교 이 두 세계종교의 통합적 조화가 가능한지, 그리고 왜 이 두 종교가 세계의 종교들이 서로 다른 종교적 믿음과 행위의 통합적 조화의 상태로 나아가는 미래의 변화를 이루는데 유효한 종교가 되는지.

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The Study of the Relevanceindex between Scoliosis and Sasang Constitution. (사상체질분류검사지(QSCC)II를 통한 척추측만증 환자의 질병친화도 연구)

  • Kim, Yong;Lee, Jung-hun;Park, Young-eun;Kim, Sung-yong;Shin, Jun-sik
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.1
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    • pp.1-8
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    • 2005
  • Objectives : This dissertation is to study the relationship between Scoliosis and Sasang Constitution. Methods : The researcher discriminated the Sasang constitutions of those observed - the out-patients - who were treated from January to June 2004, and showed, through whole spine X-ray, over 10 degrees in Cobb's angle. The result coming out from this study was compared firstly with the existing Sasang constitution theory from 《Dongyi Suse Bowon》 《東醫壽世保元》 and secondly with the existing of QSCCII statistics. The statistics were taken as Goodness-of-fit test, T-test, and ANOVA test. Results : 1. Of those 29 observed, 4(13.79%) were categorized in Taeum-in, 14(48.28%) in Soyang-in, and 11(37.93%)in Soum-in. 2. The result showed a significant difference with the Sasang constitution from Dong-isusebowon. 3. The result showed a difference with the existing from QSCCII. 4. There of no significant relations between each constitutions and Scoliosis. 5. There no significant relations between distinction and Scoliosis. Conclusions : In this study, rate of Soyang-in, among patients diagnosed scoliosis, was the higher.