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Short Segment Anterior Correction of Adolescent Idiopathic Scoliosis

  • Han, In-Ho;Chin, Dong-Kyu;Kim, Keun-Su
    • Journal of Korean Neurosurgical Society
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    • v.44 no.1
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    • pp.52-56
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    • 2008
  • Objective : The purpose of this study was to introduce our surgical experiences of scoliosis and to evaluate the effectiveness of anterior correction and fusion in adolescent idiopathic scoliosis (AIS). Methods : Between August 2004 and August 2007, four patients with AIS were treated with anterior segmental fusion and fixation at our hospital. Mean follow-up period was 9 (6-12) months. The average age was 14.0 (13-15) years. According to Lenke classification, three patients showed Lenke 1 curve and one patient with Lenke 5 curve. Single rod instrumentation was performed in one patient, dual rod instrumentation in one patient and combined rod instrumentation in two patients. Coronal Cobb measurements were performed on all curves in thoracic, thoracolumbar and, lumbar spine and the angle of hump was measured by a scoliometer pre- and postoperatively. Results : The average operative time was 394 minutes (255-525) with an average intraoperative blood loss of 1,225 ml (1,000-1,700). The mean period of hospital stay was 19.3 days and there was no complication related to the surgery. The mean Cobb angle was reduced from $43.3^{\circ}$ to $14.8^{\circ}$ (65.8% correction) postoperatively and the rib hump corrected less than $5^{\circ}$. All patients and their parents were satisfied with the deformity correction. Conclusion : Anterior spinal correction and fusion of AIS with Lenke 1 and 5 curve showed excellent deformity correction without any complications. In particular, we recommend anterior dual rod instrumentation because of mechanical stability, better control of kyphosis, and a higher fusion rate.

Effects of Dietary Methionine and Folate Supplementation in Ethanol-Fed Rats

  • Mun, Ju-Ae;Min, Hye-Sun
    • Nutritional Sciences
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    • v.9 no.2
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    • pp.106-111
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    • 2006
  • Chronic alcohol consumption is associated with perturbation of hepatic metabolism of sulphur-containing amino acid. The goal of present study was to evaluate the influence of dietary supplementation of methionine or folate to chronically ethanol-fed mts on the metabolism of sulfur-containing amino acids and one-carbon metabolism. Sprague-Dawley male mts were fed Lieber-Decarli liquid diet with 0% ethanol (control), 36% ethanol (E), 36% ethanol combined with methionine supplement (EM) or folate supplement (EF) for 8 weeks. Hepatic S-adenosylmethionine (SAM) and S-adenosylhomocysteine (SAH), plasma folate and homocysteine (Hcy), urinary excretion of folate and formiminoglutamate were investigated after feeding experimental diets. Growth was retarded by 36% ethanol consupmtion (E, EM and EF) (p<0.01). Liver total fat (p<0.05) and plasma ALT (P<0.01) were increased by methionine supplementation (EM), implicating fatty liver and liver injury. Liver folate was increased slightly by folate supplementation (EF) (p=0.077). Urinary folate loss was increased 2.3 fold by ethanol consumption (E) and 17.2 fold by folate supplementation (EF), while decreased by methionine supplementation (EM) (p<0.000l). Plasma Hcy was increased 1.9 fold by methionine supplementation (EM) in ethanol-fed mts (p<0.05), which was related with decreased methionine synthase activity (p<0.05). Hepatic SAM/SAH ratio was depressed by methionine supplementation in ethanol-fed mts (EM) (p<0.05). Urinary formininoglutamate (Figlu) excretion after histidine loading was increased by ethanol ingestion and reduced by methionine supplementation (p<0.00l). Based on these data, methionine supplementation appears to accelerate histidine oxidation. In conclusion, dietary supplementation of methionine to ethanol-fed mts exacerbates alcoholic liver injury possibly by complicating sulphur-containing amino acid metabolism, as while it may have beneficial effects on folate and histidine metabolism.

Recurrent Osteosarcoma in Skull Base : A Case Report (두개 기저부에 생긴 재발성 골육종 : 1예 보고)

  • Choi Seung Woo;Park Sun Won;Kim Joon Mee;Ryu Chang Woo;Suh Chang Hae;Lim Myung Kwan
    • Investigative Magnetic Resonance Imaging
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    • v.9 no.1
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    • pp.57-61
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    • 2005
  • Osteosarcomas are highly malignant bone tumors which commonly affect metaphyseal portions of long bones and those of the skull are distinctly rare as primary neoplasm. We report a case of recurrent osteosarcoma originated from the skull base which destructed sphenoid bone in two months. The CT and MR images of 28 years old man with headache, dizziness, and loss of touch sense in right buccal area showed 3-cm sized homogenously well-enhancing mass with internal small cystic portions. Craniotomy and mass excision was done and chemotherapy was combined for 1 month. After about 2 month, follow up MR images showed larger recurrent mass in original site and confirmed as the same osteosarcoma after 2nd operation.

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Comparative Analysis of the Result of Minimally Invasive Anterior Plating and Open Reduction and Internal Fixation in Humerus Shaft Simple Fracture

  • Ko, Sang-Hun;Choe, Chang-Gyu;Lee, Ju-Hyung
    • Clinics in Shoulder and Elbow
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    • v.18 no.2
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    • pp.75-79
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    • 2015
  • Background: This retrospective comparative study aims to evaluate the surgical outcomes and complications of two surgical methods for simple fractures of the humeral shaft; minimally invasive anterior plating and open reduction combined with internal fixation. Methods: A total of 26 patients with humeral shaft simple fractures, who had surgery between June 2009 and September 2013 and were followed-up at least 12 months, were included in our analysis. They were divided into two groups; group 1 comprised of 12 patients who underwent minimally invasive anterior plating and group 2 comprised of 14 patients who underwent an open reduction and internal fixation. The clinical outcomes, radiological results, and complications were compared and analyzed. Results: We found that bone union was achieved in all patients, and the mean union periods were $20.7{\pm}3.34$ and $20.3{\pm}3.91$ weeks for groups 1 and 2, respectively. In most patients, we found that shoulder and elbow functions were recovered. At 12 months post-operation, we found that the Korean Shoulder Scoring system, the University of California at Los Angeles score and Mayo elbow performance score were $91.4{\pm}7.97$, $33.4{\pm}1.15$, and $90.8{\pm}2.23$ for group 1, and $95.2{\pm}1.53$, $33.3{\pm}1.43$, and $90.17{\pm}1.85$ for group 2. In terms of complications, we found that 2 patients had radial nerve palsy after open reduction and internal fixation, but all cases spontaneously resolved within 6 months. Complications such as infection and loss of fixation were not reported. Conclusions: Both minimally invasive anterior plating and open reduction with internal fixation produced satisfactory outcomes in the treatment of simple fractures of the humeral shaft.

Correction of Antenna Position for Projection Center Coordinates by Kinematic DGPS-Positioning (동적 DGPS 측위에 의한 투영중심좌표 결정을 위한 수신기 위치의 보간)

  • 이종출;문두열;신상철
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.15 no.2
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    • pp.165-173
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    • 1997
  • The combined bundle block adjustment with projection center coordinates determined by kinematic DGPS-positioning has reached a high level of accuracy. Standard deviations of the ground coordinates of $\pm{10cm}$ or even better can be reached. On this accuracy level also smaller error components are becoming more important. One major point of this is the interpolation of the projection centers as a function of time between the GPS-antenna locations. A just linear interpolation is not respecting the not linear movement of the aircraft. Based on a least squares polynomial fitting the aircraft maneuver can be estimated more accurate and blunders of the GPS-positions caused by loss of satellite and cycle slips are determinable. The interpolation with a time interval of 3sec in the study area RHEINKAMP is quite different to the interpolation with a time interval of 6-7sec in the study area MAAS. The GPS-positions of the study area are identified as blunders based on a local polynomial regression. This cannot be neglected for precise block adjustment.

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Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap

  • Lee, Min Jae;Yun, In Sik;Rah, Dong Kyun;Lee, Won Jai
    • Archives of Plastic Surgery
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    • v.39 no.4
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    • pp.367-375
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    • 2012
  • Background The anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocutaneous flaps. Methods We retrospectively reviewed patients in whom free-tissue transfer was performed between 2005 and 2011 for the reconstruction of lower extremity soft-tissue defects. Twenty-four patients were divided into two groups: reconstruction using an ALT-FC flap (12 cases) and reconstruction using a vastus lateralis myocutaneous (VL-MC) flap (12 cases). Postoperative complications, functional results, cosmetic results, and donor-site morbidities were studied. Results Complete flap survival was 100% in both groups. A flap complication was noted in one case (marginal dehiscence) of the ALT-FC group, and no complications were noted in the VL-MC group. In both groups, one case of partial skin graft loss occurred at the donor site, and debulking surgeries were needed for two cases. There were no significant differences in the mean scores for either functional or cosmetic outcomes in either group. Conclusions The VL-MC flap is able to fill occasional dead space and has comparable survival rates to ALT-FC with minimal donor-site morbidity. Additionally, the VL-MC flap is easily elevated without myocutaneous perforator injury.

Wall charge effects on structural properties of a coarse-grained FENE polyelectrolyte confined in slit nanochannels by Brownian dynamics simulation

  • Jeon, Jong-Gu;Chun, Myung-Suk
    • Korea-Australia Rheology Journal
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    • v.19 no.2
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    • pp.51-59
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    • 2007
  • A polyelectrolyte chain confined in a slit nanochannel exhibits a structural transition from the one in free space. In this paper, the effect of the long-range electrostatic interactions between the xanthan polyelectrolyte and the slit wall on the confined xanthan conformation is investigated via the Brownian dynamics simulation. A neutral and two negatively charged surfaces of polydimethylsiloxane (PDMS) and glass are combined to make four kinds of slit channels with different charge characteristics: i) neutral-neutral, ii) glass-glass, iii) neutral-PDMS and iv) neutral-glass walls. Their walls are characterized by uniform surface charge densities determined from experimental data of zeta potential. Both the nonmonotonic chain size variation and the loss of long-range bond vector correlation, previously observed under confinement in the PDMS-PDMS slit, are also found in the neutral slit, demonstrating the nonelectrostatic origin of such crossover behaviors. As expected, the effect of wall charges is negligible at sufficiently high medium ionic strength of 100mM but it becomes significant in the opposite limit of 0.01mM. In the latter case, the high charge density of glass walls strengthens the effective confinement of a negatively charged polyelectrolyte and produces a xanthan structure comparable to that confined in a much narrower neutral slit. The obtained structural data suggest the possibility of controlling the structure of confined polyelectrolytes by the modification of surface charge characteristics of micro/nanofluidic devices in combination with the adjustment of the medium ionic strength.

Experimental Simulation of Local External Forcing of the Contained Rotating Flow (회전반 유체실험에서 국지적 외력의 실험적 모의)

  • Yi, Chang-Won;Na, Jung-Yul
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.5 no.2
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    • pp.77-85
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    • 2000
  • Simulation of local external forcing and its response in the rotation table experiment has been investigated. Spatially-uniform external forcings have been applied in many experimental studies, however, based on the fact that the north-south distribution of the wind-stress curl and the existence of local maximum of the sea surface heat loss in the northern part of the East Sea, new method of combined effects of local forcings has been employed in separate experiments. Carefully designed local source or sink at the bottom of the cylindrical container can produce horizontal pressure gradient within the Ekman layer, and consequently the interior also attains the same pressure gradient that produces geostrophic interior circulation. In order to keep free surface during the local-surface cooling, a side-wall cooling method is suggested. For the various type of local forcing including the effects local cooling and the periodic change of local wind-stress curl, western-boundary flow in terms of its strength, position of separation from the boundary have been observed.

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Scientific Conservation Treatment and Restoration of the Monument for Jo Heon and the Soldiers in Chilbaeguichong (Chilbaeguichong Jungbongjoheonseonsaengilgunsunuibi) (칠백의총 중봉조헌선생일군순의비의 과학적 보존처리와 복원)

  • Lee, Joo-Wan;Lee, Myeong-Seong;Choi, Yong-Seok;Oh, Jeong-Hyeon;Kim, Jae-Hwan;Kim, Sa-Dug
    • Journal of Conservation Science
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    • v.26 no.2
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    • pp.191-201
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    • 2010
  • This study was focused on conservation treatment and restoration of the monument for Jo Heon and the Soldiers in Chilbaeguichong. The monument has been ruined by bombing in the era of Japanese colonial(1940) and restored in 1971. Nevertheless, it still showed serious problems such as loss of original form, structural instability, and unnatural appearance. In order to improve its conservation state, the stele basement which was lost by bombing was restored and combined with body and top stones. The broken part of the top stone was also restored with new material through provenance interpretation.

Interference Management by Vertical Beam Control Combined with Coordinated Pilot Assignment and Power Allocation in 3D Massive MIMO Systems

  • Zhang, Guomei;Wang, Bing;Li, Guobing;Xiang, Fei;lv, Gangming
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.8
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    • pp.2797-2820
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    • 2015
  • In order to accommodate huge number of antennas in a limited antenna size, a large scale antenna array is expected to have a three dimensional (3D) array structure. By using the Active Antenna Systems (AAS), the weights of the antenna elements arranged vertically could be configured adaptively. Then, a degree of freedom (DOF) in the vertical plane is provided for system design. So the three-dimension MIMO (3D MIMO) could be realized to solve the actual implementation problem of the massive MIMO. However, in 3D massive MIMO systems, the pilot contamination problem studied in 2D massive MIMO systems and the inter-cell interference as well as inter-vertical sector interference in 3D MIMO systems with vertical sectorization exist simultaneously, when the number of antenna is not large enough. This paper investigates the interference management towards the above challenges in 3D massive MIMO systems. Here, vertical sectorization based on vertical beamforming is included in the concerned systems. Firstly, a cooperative joint vertical beams adjustment and pilot assignment scheme is developed to improve the channel estimation precision of the uplink with pilots being reused across the vertical sectors. Secondly, a downlink interference coordination scheme by jointly controlling weight vectors and power of vertical beams is proposed, where the estimated channel state information is used in the optimization modelling, and the performance loss induced by pilot contamination could be compensated in some degree. Simulation results show that the proposed joint optimization algorithm with controllable vertical beams' weight vectors outperforms the method combining downtilts adjustment and power allocation.