• 한방재활의학과학회지
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• 제30권4호
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• pp.143-154
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• 2020

Objectives To analyze the prognosis of patients with low back pain according to the severity of abnormal lumbar lordotic angle and Ferguson's angle. Methods Data from electronic medical record of a total of 199 patients hospitalized in Korean medicine hospital were analyzed. With the sagittal view of lumbar spine X-ray, lumbar lordotic angle was defined as the angle between the superior endplate of L1 with the inferior endplate of L5. Ferguson's angle was defined as the angle between the superior surfaces of the sacral with a horizontal line. 'Measure Cobb's Angle Tool' of 'INFINITT PACS' was used to measure both angles. Lumbar lordotic angle and Ferguson's angle were subdivided into five sections. The number of days from onset and the duration of hospitalization were analyzed in each section. Results Severe hypolordotic lumbar lordotic angle group were found to have longer medical history and hospitalization duration than the control group. The ratio of long-term hospitalization (over 15 days) and chronic medical history (over 180 days) of patients with severe hypolordotic Ferguson's angle were significantly higher than the control group. The ratio of patients with chronic medical history (over 180 days) was significantly higher in severe hyperlordotic Ferguson's angle group than the control group. Conclusions Severe hypolordotic lumbar lordotic angle was related to patient's prognosis. Both severe hyperlordotic and severe hypolordotic Ferguson's angle were found to be related to patient's prognosis. However, a moderate loss of lumbar lordotic angle and Ferguson's angle was not related to prognosis of low back pain patients.

• 한국항만경제학회지
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• 제26권4호
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• pp.63-87
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• 2010

본 논문에서는, 국내와 외국에서 선행된 항만분야의 SFA분석과 관련된 선행연구들을 간략하게 검토하였으며, 또한 국내 컨테이너터미널 8곳의 3년간(2002년, 2003년, 2004년)자료를 이용하고, 4개의 투입물[종업원수(명), 부두길이(m), 부지면적(평방m), 갠트리크레인 대수(대)])과 1개의 산출물[년간 컨테이너 처리실적(TEU)]을 이용하여 SFA 및 DEA측정방법으로 실증분석하는 방법을 보여주었으며, 양자의 효율성 순위를 스피어만의 상관분석을 통해 검증하여 보았다. 주요한 실증분석 결과는 다음과 같다. 첫째, 반정규분포를 갖는 기술적 비효율성효과가 존재하지 않는다는 귀무가설을 기각하고 반정규분포를 갖는 기술적 비효율성효과가 존재한다는 대립가설을 채택함으로써 전통적인 평균반응함수(average response function)가 자료를 적절히 표현하지 못한다는 것을 검증하였다. 트랜스로그모형에서는 검정통계량이 19.12로 이 값은 유의수준 0.5%에서 자유도 6을 가진 혼합카이자승분포의 임계치 16.074보다 크므로 유의미하다. 둘째, 시계열자료를 이용한 분석에서는 콥더글러스모형과 트랜스로그모형에서 모두 유의미한 결과를 보였다. 셋째, 우리나라의 컨테이너터미널의 기술적 효율성을 살펴보면 콥더글러스모형에서는 평균 73.49%, 트랜스로그모형에서 평균은 79.04%를 나타냈다. 따라서 국내 컨테이너터미널의 기술적 효율성은 약간 높은 수준임을 알 수 있다. 즉, 한국컨테이너터미널들은 생산요소를 생산변경(production frontier)에 어느정도 근접한 생산량을 산출하도록 약간 높은 효율적으로 투입함으로써 컨테이너터미널을 관리운영하는 과정에서 비효율적인 요소가 어느 정도 존재하지만, 규모에 대한 수익체증(increasing returns to scale)을 나타내고 있다는 것을 시사하고 있다. 넷째, 국내 컨테이너터미널들이 기술적인 효율성을 높이기 위해서는 컨테이너 화물처리량을 높혀야만 되는 것으로 나타났다. 다섯째, DEA효율성수치에 의한 순위와 SFA효율성 수치에 의한 순위상관분석에서는 높은(84.45%) 순위상관이 있는 것으로 나타났다. 본 연구의 정책적인 함의는 항만운영에 관여하는 정책입안가들은 본 연구에서 사용한 SFA모형을 항만의 기술적인 효율성 측정에 도입하는 한편, 기술적인 효율성을 높이기 위해서 컨테이너화물의 처리량(TEU)을 높이는 방법을 도입해야만 한다.

• 한국잠사곤충학회지
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• 제14권2호
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• pp.95-103
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• 1972

The major purpose of this study is to collect the information related on the aspects of economic efficiency for solving the problems which are faced by farmers and areas, and providing scientific facts to farmers and related institutions for further development of sericultural sector in Korea. In order for obtaining the related information 12 sample areas among 23 major sericultural farming areas and 30 farm units in each area are selected and analyzed in this study. The fold suevey is made by member of this study team and graduate students in the Department of Sericultural Science with a prepared questionnaires. Cross-section and regression analysis methods are employed for processing the data in this study. The major findings obtained are as followings. 1. Sericultural earnings per Tanbo is, on the average, 22, 752 won in new cultivated areas and 29, 403 won in ordinary ones. There are big difference in the size of earnings by areas, especially, 46, 968 won in Kumo mountain area, compared with 16, 798 won in Yeoju and Yichun areas. General trend is finded that small scale farming units are made higher earnings and operating their farms efficiently. 2. Cocoon production expences per Tanbo is 16, 737 won in new cultivated areas and 19, 802 won in ordinary areas. There are also big difference in farming expences, especially, 27, 389 won in Sudang area, compared with 11, 689 won in Emjin area. 3. Sericultural income per Tanto is 10, 664 won in ordinary areas and 6, 898 won in new cultivated areas. Farmers in Kumo mountain area make the highest income of 21, 164 won and lowest income of 1, 296 won in Sudang area. It can be generized that about 30-50 a sized farmers make higher income. 4. Land, labor and capital productivities estimated by fitting Cobb-Douglas functions in ordinary areas are higher than in new cultivated areas, especially, labor productivity is higher in ordinary areas. 5. Changsung, Kwangna, Yunsun and Kumo mountain areas are technically and economically efficient. Sudang and Mujinchang areas are technically successful but economically inefficient and Emjin and Honam areas are technically inefficient but economically efficient. YeojuYichun, Chunwon and West Kyongnam are technically and economically inefficient. Technical and economic improvement program should be implemented for these areas. 6. Estimated Internal Rate of Return (IRR) on capital investment in Chongwon are is 23.5 percent. It is economically feasible, if we consider 20 percent of opportunity cost of capital in our economy.

• 대한교통학회지
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• 제22권6호
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• pp.159-173
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• 2004

본 논문은 일반 초월대수 함수형태의 다산출물 총비용함수모형을 이용해 시설부문과 운영부문이 수직적으로 통합된 우리나라 철도산업의 규모 및 범위의 경제성을 분석하였다. 이때 철도청은 노동, 동력 및 유지보수, 차량 및 자본의 세 가지 생산요소를 투입하여 인키로, 톤키로, 승객평균탑승거리, 화물평균운송거리의 네 가지 산출물을 생산하는 기업행태로 상정되었다. 비용함수와 요소비용비중식으로 구성된 연립방정식 체계는 철도청의 26개 연도(1977~2002)별 시계열 자료와 반복결합일반화최소자승법을 사용해 추정되었다. 추정결과 우리나라 철도산업의 생산기슬은 코브-더글라스 특성을 갖지 않으며, 동조적이며 동차적인 특성도 갖지 않는 것으로 나타났다. 한편 우리나라의 철도산업은 여객과 화물운송부문별로 각각 규모의 경제가 존재하고, 두 운송부문간에 상당히 큰 범위의 경제가 존재하며, 전반적으로 대단히 큰 규모의 경제가 존재하는 것으로 나타났다. 또한 여객과 화물움송부분간에 존재하는 범위의 경제는 연구기간동안 전체 산출량에서 인키로가 차지하는 비율은 점차 증가하였던 반면 승객평균탑승거리는 점차 감소하였으므로 최근으로 올수록 보다 더 커졌으며, 승객평균탑승거리보다 인키로 비율에 더 큰 영향을 받는 것으로 나타났다.

• Journal of Korean Neurosurgical Society
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• 제61권6호
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• pp.716-722
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• 2018

Objective : Lateral interbody fusion (LIF) is attractive as a less invasive technique to address anterior spinal pathology in the treatment of adult spinal deformity. Its own uses and benefits in treatment of adult degenerative scoliosis are undefined. To investigate the radiographic and clinical outcomes of LIF, and staged LIF and posterior spinal fusion (PSF) for the treatment of adult degenerative scoliosis patients, we analyzed radiographic and clinical outcomes of adult degenerative scoliosis patients who underwent LIF and posterior spinal fusion. Methods : Forty consecutive adult degenerative scoliosis patients who underwent LIF followed by staged PSF at a single institution were retrospectively reviewed. Long-standing 36" anterior-posterior and lateral radiographs were taken preoperatively, at inter-stage, 3 months, 1 year, and 2 years after surgery were reviewed. Outcomes were assessed through the visual analogue scale (VAS), 36-Item Short Form Health Survey (SF-36), and Oswestry Disability Index (ODI). Results : Forty patients with a mean age of 66.3 (range, 49-79) met inclusion criteria. A mean of 3.8 levels (range, 2-5) were fused using LIF, while a mean of 9.0 levels (range, 3-16) were fused during the posterior approach. The mean time between stages was 1.4 days (range, 1-6). The mean follow-up was 19.6 months. Lumbar lordosis was significantly restored from $36.4^{\circ}$ preoperatively up to $48.9^{\circ}$ (71.4% of total correction) after LIF and $53.9^{\circ}$ after PSF. Lumbar coronal Cobb was prominently improved from $38.6^{\circ}$ preoperatively to $24.1^{\circ}$ (55.8% of total correction) after LIF, $12.6^{\circ}$ after PSF respectively. The mean pelvic incidence-lumbar lordosis mismatch was markedly improved from $22.2^{\circ}$ preoperatively to $8.1^{\circ}$ (86.5% of total correction) after LIF, $5.9^{\circ}$ after PSF. Correction of coronal imbalance and sagittal vertebral axis did not reach significance. The rate of perioperative complication was 37.5%. Five patients underwent revision surgery due to wound infection. No major perioperative medical complications occurred. At last follow-up, there were significant improvements in VAS, SF-36 Physical Component Summary and ODI scores. Conclusion : LIF provides significant corrections in the coronal and sagittal plane in the patients with adult degenerative scoliosis. However, LIF combined with staged PSF provides more excellent radiographic and clinical outcomes, with reduced perioperative risk in the treatment of adult degenerative scoliosis.

• Journal of Korean Neurosurgical Society
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• 제62권5호
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• pp.594-602
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• 2019

Objective : Although surgical intervention, such as percutaneous vertebroplasty (PVP), is the standard treatment for osteoporotic vertebral compression fractures (OVCFs), its effectiveness and safety are unclear. Therefore, this study compared the safety and efficacy of conservative treatment with that of PVP for acute OVCFs. Methods : Patients with single-level OVCFs who were treated conservatively with a transdermal fentanyl patch (TFP) or with PVP between March 2013 and December 2017 and followed-up for more than 1 year were retrospectively evaluated. Patients with pathologic fractures, fractures of more than two columns, or a history of PVP were excluded. Clinical outcomes (visual analog scale [VAS] scores) and radiographic factors were evaluated, including changes in the compression rate of the corresponding vertebral body at onset and after 12 months, sagittal Cobb angle at onset and after 6 and 12 months, and the incidence of adjacent compression fractures. Results : Of the 131 patients evaluated, 75 were treated conservatively using TFPs and 56 underwent PVP. We divided the patients into TFP and PVP groups. Their baseline characteristics (including sex, level of fracture, and bone mineral density T-scores) were similar, but the TFP group was significantly younger. The overall VAS score for pain showed a greater decrease during the first month (1 week after PVP) in the PVP group but remained similar in the two groups thereafter. The compression rate after 12 months increased in the TFP group but decreased in the PVP group. Five patients in the PVP group, but none in the TFP group, experienced adjacent compression fractures within 12 months. Conclusion : We compared clinical and radiological outcomes between the TFP and PVP groups. The immediate pain reduction effect was superior in the PVP group, but the final clinical outcome was similar. Although the PVP group had a better-preserved compression rate than the TFP group for 1 year, the development of adjacent fractures was significantly higher. Although TFPs seemed to be beneficial in reducing the failure rate of conservative treatment, the possibility of side effects (22.6%, 17 out of 75 patients, in this study) should be carefully monitored.

• Asian-Australasian Journal of Animal Sciences
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• 제32권6호
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• pp.865-873
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• 2019

Objective: The study was designed to investigate the effects of restraint method, restraint duration, and body weight on stress-linked hormones (corticosterone, adrenaline, and noradrenaline), blood biochemical (namely glucose and lactate), and the meat quality in broiler chickens. Methods: A total of 120 male broiler chickens (Cobb 500) were assigned to a $2{\times}3{\times}2$ factorial arrangement in a completely randomized design using two restraint methods (shackle and cone), three durations of restraint (10, 30, and 60 s), and two categories of live body weight ($1.8{\pm}0.1kg$ as lightweight and $2.8{\pm}0.1kg$ as heavyweight). Results: Irrespective of the duration of restraint and body weight, the coned chickens were found to have lower plasma corticosterone (p<0.01), lactate (p<0.001), lower meat drip loss (p<0.01), cooking loss (p<0.05), and higher blood loss (p<0.05) compared with their shackled counterparts. The duration of restraint had significant effects on the meat initial pH (p<0.05), ultimate pH (p<0.05), and yellowness (p<0.01). The lightweight broilers exhibited higher (p<0.001) blood loss and lower (p<0.05) cooking loss compared to the heavyweight broilers, regardless of the restraint method used and the duration of restraint. However, the interaction between the restraint method, duration of restraint, and body weight contributed to differences in pre-slaughter stress and meat quality. Therefore, the interaction between the restraint method and the duration of restraint affected the meat shear force, lightness ($L^*$) and redness ($a^*$). Conclusion: The duration of restraint and body weight undoubtedly affect stress responses and meat quality of broiler chickens. Regardless of the duration of restraint and body weight, the cone restraint resulted in notably lower stress, lower meat water loss, and higher blood loss compared to shackling. Overall, the findings of this study showed that restraint method, duration of restraint, and body weight may affect the stress response and meat quality parameters in broilers and should be considered independently or interactively in future studies.

• Asian-Australasian Journal of Animal Sciences
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• 제32권8호
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• pp.1161-1171
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• 2019

Objective: The current study aimed to replace soybean oil in broiler diets with linseed oil, which is rich in omega-3 fatty acid supplemented with pomegranate peel extract (PPE) and measured its effect on broiler performance, carcass traits, lipid profile, as well as fatty acids composition, phenols and flavonoids content of broiler muscles and immunity of broiler chicks. Methods: A total of 300 1-day-old Cobb chicks were randomly allotted into six experimental groups, T1 fed on basal diet with soybean oil without any additives, T2 fed on basal diet with soybean oil with addition of 0.5 g/kg diet PPE, T3 fed on fed on basal diet with soybean oil with addition of 1 g/kg diet PPE, T4 fed on basal diet with linseed oil without any additives, T5 fed on basal diet with linseed oil with addition of 0.5 g/kg diet PPE and T6 fed on basal diet with linseed oil with addition of 1 g/kg diet PPE. The PPE supplementation with 0.05% improved final body weight with either soybean oil ration or linseed oil ration. Results: The PPE improved carcass dressing percentage in comparison with the control groups. Body fat levels decreased with increasing PPE levels, especially with a linseed oil diet. Replacing soybean oil with linseed oil decreased the total cholesterol and triacylglycerol levels in broiler serum. The PPE supplementation decreased serum total cholesterol levels and increased high-density lipoprotein cholesterol levels. The content of the breast muscle alpha linolenic acid improved after replacement of soybean oil with linseed oil in broiler diets. PPE supplementation increased the phenol and flavonoid content in broiler meat and increased lysozyme activity. Conclusion: Replacing soybean oil with linseed oil in broiler diets with the addition of PPE enriched muscle meat with omega-3 fatty acids and antioxidants and improved broiler immunity and their serum lipid profile.

• Journal of Korean Neurosurgical Society
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• 제65권1호
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• pp.96-106
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• 2022

Objective : The most common complication of anterior cervical discectomy and fusion (ACDF) is cage subsidence and maintenance of disc height affects postoperative clinical outcomes. We considered cage subsidence as an inappropriate indicator for evaluating preservation of disc height. Thus, this study aimed to consider patients with complications such as reduced total disc height compared to that before surgery and evaluate the relevance of several factors before ACDF. Methods : We retrospectively reviewed the medical records of 40 patients who underwent stand-alone single-level ACDF using a polyetheretherketone (PEEK) cage at our institution between January 2012 and December 2018. Our study population comprised 19 male and 21 female patients aged 24-70 years. The minimum follow-up period was 1 year. Twenty-seven patients had preoperative bone mineral density (BMD) data on dual-energy X-ray absorptiometry. Clinical parameters included sex, age, body mass index, smoking history, and prior medical history. Radiologic parameters included the C2-7 cobb angle, segmental angle, sagittal vertical axis, disc height, and total intervertebral height (TIH) at the preoperative and postoperative periods. Cage decrement was defined as the reduction in TIH at the 6-month follow-up compared to preoperative TIH. To evaluate the bone quality, Hounsfield unit (HU) value was calculated in the axial and sagittal images of conventional computed tomography. Results : Lumbar BMD values and cervical HU values were significantly correlated (r=0.733, p<0.001). We divided the patients into two groups based on cage decrement, and 47.5% of the total patients were regarded as cage decrement. There were statistically significant differences in the parameters of measuring the HU value of the vertebra and intraoperative distraction between the two groups. Using these identified factors, we performed a receiver operating characteristic (ROC) curve analysis. Based on the ROC curve, the cut-off point was 530 at the HU value of the upper cortical and cancellous vertebrae (p=0.014; area under the curve [AUC], 0.727; sensitivity, 94.7%; specificity, 42.9%) and 22.41 at intraoperative distraction (p=0.017; AUC, 0.722; sensitivity, 85.7%; specificity, 57.9%). Using this value, we converted these parameters into a bifurcated variable and assessed the multinomial regression analysis to evaluate the risk factors for cage decrement in ACDF. Intraoperative distraction and HU value of the upper vertebral body were independent factors of postoperative subsidence. Conclusion : Insufficient intraoperative distraction and low HU value showed a strong relationship with postoperative intervertebral height reduction following single stand-alone PEEK cage ACDF.

• 한방재활의학과학회지
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• 제33권4호
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• pp.185-193
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• 2023

Objectives This study was conducted to find out the correlation between lumbar malposition and lumbar disc herniation. Methods Among the patients who visited Gwangju Jaseng Hospital of Korean Medicine from January 2019 to January 2021, taking 92 patients under age 60 who had the records of X-rays and magnetic resonance imaging (MRI) images as the research subjects, Cobb's angle was measured in anterior-posterior (AP) view and lateral (LAT) view, the number of displacements was scored by listing categories defined by The Korean Society of Chuna Manual Medicine for Spine and Nerves. The degree of lumbar intervertebral disc herniation was expressed as a percentage according to the method of Kato, etc., and the correlation between each factor was analyzed. Results AP curvature and MRI herniation index showed significant positive correlation in L4-L5 level but there was no significant difference in L5-S1 level. LAT curvature and MRI herniation index had no correlation in L4-L5 level, but there was a significant negative correlation in L5-S1 level. Malposition score and MRI herniation index had a significant positive correlation in L5-S1 level, whereas there was no correlation in L4-L5. Conclusions As a result of the study, AP curvature and MRI herniation index showed a significant positive tendency in L4-L5 lumbar spine, and LAT curvature and MRI herniation index showed a significant negative tendency in L5-S1 lumbar spine. Malposition score and MRI herniation index were found to have a significant positive tendency in L5-S1 lumbar spine.