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Diameter of Autologous Four Strand Hamstring Tendon for Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술을 위해 채취한 네 가닥 자가 슬괵건의 직경)

  • Choi, Jun-Weon;Han, Sang-Ho;Kim, Eu-Gene;Kim, Jong-Min
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.148-152
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    • 2006
  • Purpose: The purpose of this study was to investigate the distribution of the diameter of four strand autologous hamstring tendon and to identify the factors related to the diameter. Materials and Methods: Between December 2004 and July 2006, 66 patients underwent anterior cruciate ligament reconstruction using autologous hamstring tendon. Sixty one patients were male and the other 5 patients were female. Both semitendinosus and gracilis tendon were harvested in every case. Harvested two tendons were folded once together to create a four strand double loop graft and were passed through cylindrical sizer to measure their diameter. Parameters such as sex, age, height and weight were analyzed for their correlation with the diameter of the graft. Results: The diameter of the graft ranged from 6 mm to 10 mm. The graft with the diameter of 8 mm was most common and the average diameter of all the grafts was $7.85{\pm}0.92mm$. Seven patients (10.6%) had a graft with the diameter of 6 mm, which is considered too thin to be ideal one. No statistically significant correlation was found between age of the patient and the diameter of the graft. However, the diameter of the graft was significantly correlated with sex, height and weight of the patient. Female patients had a significant tendency to have thinner hamstring tendons. Both small height and light weight of the patients were correlated with thinner hamstring tendons significantly. Conclusion: Sex, height and weight of the patients were the factors that had a statistically significant correlation with the diameter of the graft. Being aware of the risk factors related with harvesting exceedingly thin hamstring tendon prior to anterior cruciate ligament reconstruction, one can utilize wide range of options in selecting an optimal graft.

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Reticulocyte hemoglobin content for the diagnosis of iron deficiency in young children with acute infection (급성 감염성 질환을 가진 영유아에서 철결핍 진단 지표로서의 망상적혈구혈색소량)

  • Kim, Jon Soo;Choi, Jun Seok;Choi, Doo Young;You, Chur Woo
    • Clinical and Experimental Pediatrics
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    • v.51 no.8
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    • pp.827-833
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    • 2008
  • Purpose : Early identification of iron deficiency in young children is essential to prevent damaging long-term consequences. It is often difficult for the pediatrician to know which indices should be used when diagnosing these conditions especially in hospitalized young children. This study investigated the clinical significances of reticulocyte hemoglobin content in young children with acute infection. Methods : We studied 69 young children aged from 6 to 24 months admitted with acute infection in a single center. Venous blood was drawn to determine hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), hemoglobin content (CH), reticulocyte hemoglobin content (CHr), and red blood cell distribution width (RDW) using ADVIA 120 (Bayer Diagnostics, NY, USA). For evaluating iron status, iron, total iron binding capacity, ferritin and transferrin saturation (Tfsat) were determined. Iron deficiency was defined as Tfsat less than 20%, and iron deficiency anemia as Tfsat less than 20% and Hb level less than 11 g/dL. Results : In all, 47 were iron deficient; 17 of these had iron deficiency anemia. CHr was the only significant predictor of iron deficiency (likelihood ratio test=71.25; odds ratio=0.67; P<0.05). Plasma ferritin level had no predictive value (P=0.519). Subjects with CHr less than 27.4 pg had lower Hb level, MCH, CH, Tfsat, and iron levels than those with CHr 27.4 pg or more (P<0.05 for all). Conclusion : CHr level was a sensitive screening tool and the strongest predictor of iron deficiency in hospitalized infants with acute infection; it was cost saving and avoiding additional sampling. However its reference range should be established.

The changed expression of CGRP immune-positive nerve in the periodontal ligament of rat molar during tooth movement (실험적 치아이동에 의한 백서 치주인대내 CGRP 면역 양성 신경섬유의 변화)

  • Sung, Jung-Ok;Park, Hyo-Sang;Bae, Yong-Chul;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.581-590
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    • 1996
  • Bone resorptiion was predominate in compression site, bone formation in tension site of periodontal ligament during tooth movement. The biologic response at compressiion site was different from tension site. Thus the CGHP immuno-positive nerve fiber will respond differently to mechanical force according to the area( compression or tension site). The purpose of this study was to investigate this response of CGRP immune-positive nerve fiber in the periodontal ligament according to the duration of applied force and the area (compression or tension site) during experimental tooth movement. The experimental animals were 7 week old male rat (approximately 200 gm). The orthodontic force was applied mesially to the right maxillary molar using the Ni-Ti coil spring during 12hours, 1, 3, 7, and 120days. Immunohistochemical staining using antibody against CGRP was performed after sacrifice. The results were as follows. The CGRP immune-positive nerve bundle showed reduced immunoreactivity and nerve fibers reduced in density after application of orthodontic force for 12 hours and 1day. The CGRP immune-positive nerve fibers showed many thin branches at the apical periodontal ligament after application of force for 3 days as compared with normal. The tension site in the apical periodontal ligament showed more branches than the compression site. In 7 day group, the CGRP immune-positive nerve fibers increased in terms of the number and had many thin branches in the apical periodontal ligament. The tension site had more branches than the compression site. In 12 day group, the CGRP immune-positive nerve fibers showed similar distribution to normal control at compression site of apical periodontal ligament, but the fibers at the tension site increased in number. The CGRP immuno-positive nerve fibers showed more increased at tension site than compression site after application of orthodontic force. Therefore it seems to have some relation to the bone remodeling besides the local inflammatory process.

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The Occurrence of Degenerative Change in the Mandibular Condyles of Korean Patients with Temporomandibular Disorders (측두하악장애 환자에서 하악과두의 퇴행성 변화의 발생 양상에 대한 연구)

  • Jo, Jung-Hwan;Park, Min-Woo;Kim, Young-Ku;Lee, Jeong-Yun
    • Journal of Oral Medicine and Pain
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    • v.36 no.1
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    • pp.53-63
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    • 2011
  • Osteoarthritis (OA), the most common form of arthritis, is a result of both mechanical and biological events that destabilize the normal coupling of degradation and synthesis of articular cartilage chondrocytes and extracelluar matrix, and subchondral bone. Although it is likely that the molecular basis of pathogenesis is similar to that of other joints, additional study of the temporomandibular joint (TMJ) is required due to its unique structure and function. This study was carried out to evaluate the epidemiologic characteristics of TMJ osteoarthritis. The purpose of this study was to investigate the prevalence of TMJ OA in Patients with temporomandibular disorders (1405 men and 2922 women whose mean age was $30.2\; {\pm}\; 15.4$ and $33.1\;{\pm}\;15.2$ years, respectively) who had visited the TMJ and Orofacial Pain Clinic of Seoul National University Dental Hospital in 2007. Orthopantomograms, TMJ tomograms and transcranial radiographs were used to evaluate degenerative change of the mandibular condyle. The obtained results were as follows: 1. Degenerative change of the mandibular condyle was observed in 883 (20.4%) of 4327 subjects. The prevalence was significantly higher in women (706 patients, 24.1%) than in men (177 patients, 12.6%), and this significant difference between genders was observed in all age groups. 2. The prevalence of degenerative change of the mandibular condyle in TMD patients showed a gentle increase along with age. Such increase was statistically significant in women (P < 0.001), but not in men. 3. Sclerosis was observed the most frequently in all age groups and the mean age of the patients with osteophyte was the highest among four types of degenerative change. 4. Although men showed degenerative change in the left side more often and women showed degenerative change more frequently in both sides, the difference of distribution in sides between genders was not significant. In conclusion, the prevalence of degenerative change of the mandibular condyle in TMD patients is higher in women than in men, and increases steadily with aging, but not as dramatically as in other joints that show a steep increase in prevalence around the age of 45 years. It can be suggested that the epidemiologic characteristic of OA of the TMJ differs from those of other joints, and that a more extensive study based on the general population is necessary.

A STUDY OF INTRAORAL ANATOMIC LANDMARKS OF KOREAN ADULT-UPPER JAW (성인 유치악자 상악골의 악궁과 치열궁의 형태에 관한 조사)

  • Oh, Yu-Ree;Lee, Sung-Bok;Park, Nam-Soo;Choi, Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.4
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    • pp.753-768
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    • 1995
  • For accurate impression taking of dental patient and esthetic denture treatment of ednetulous patient, measuring between intraoral anatomic landmarks is useful.In this study the subjects selected at a random were two-jundred forty persons with a mean age 22.5(range 21-24) and were taken impression of by irreversible hydrocolloid impression material(Alginate). On the study model made by dental stone, each individual tray was made and final impresion was taken by border moilding. On final model measurings were performed with 3-dimensional measuring device and the values were analyzed by t-test The results is following : ABOUT THE MEASURED VALUES. 1. The width between maxillary right and left canine cusp tip was average 36.44mm(s.d. 2.48), man 36.67mm, woman 35.83mm(p<0.05). 2. The width between labial height of contour of maxillary right and left canine was average 40.08mm(s.d. 2.42), man 40.29mm, woman 39.52mm(p<0.05). 3. The width between mesio-lingual cusps of maxillary first molar was average 43.14mm(s.d. 3.33), man 43.56mm, woman 42.05mm(p<0.05). 4. The width between buccal alveolar ridge on axis of mesiolingual cusp of right and left maxillary first molar was average 64.89mm(s.d. 3.88), man 65.58mm, woman 62.92mm(p<0.05). 5. The width between buccal alveolar ridge on axis of mesiolingual cusp of right and left maxillary second molar was average 68.58mm(s.d. 3.91), man 69.29mm, woman 66.30mm (p<0.05). 6. The width between right and left hamular notch was average 49.80mm(s.d. 3.96), man 50.70mm, woman 48.20mm(p<0.05). 7. The length from labial heigth of contour of maxillary central incisor to center of incisive papilla was average 9.52mm(s.d. 1.18), man 9.46mm, woman 9.63mm(p>0.05). 8. The length from labial heigth of contour of maxillary central incisor to palatine fovea was average 53.27mm(s.d. 2.93), man 53.93mm, woman 52.08mm(p<0.05). 9. The center of incisive papilla ws located posterior to intercanine line at 0.40mm(s.d. 1.16), man 0.51mm, woman 0.11mm(p<0.05). 10. The height from incisal edge of maxillary central incisor to the labial vestibule was average 21.84mm(s.d. 1.38), man 22.01mm, woman 21.00mm(p<0.05). 11. The height from mesiolingual cusp of maxillary first molar to buccalvestible was average 17.45mm(s.d. 1.42), man 17.56mm, woman 17.08mm(p>0.05). 12. The height from hamular notch to standard occlusal plane was average 6.84mm(s.d. 1.06), man 6.91mm, woman 6.70mm(p>0.05). 13. The height from the deepest point of palatal vault to standard occlsalplane was average 19.95 mm(s.d. 2.03), man 20.19mm, woman 19.12mm(p<0.05). ABOUT THE ARCH FORM 1. The arch form was able to classify into four typr by the rate of the measured values. Each arch form distribution was that the 1 group had 32.46% the 2 group 2.19%, the 3 group 52.83%, the 4 group 12.72%. The sexual composition was that in 1 group man had 73.5%, woman 26.5%, in 2 group man had 40.0%, woman 60.0%, in 3 group man had 83.3%, woman 16.7%, and in 4 group man had 55.17%, woman 44.83%. 2. When canine cusp tip was marked as point O, the intersection point between labial height of contour of maxillary central incisor and intermaxillary suture as point A, height of contour of maxillary second molar buccal alveolar ridge as B point, ${\angle}$AOB was measured $133.8^{\circ}$for the 1 group, $133.0^{\circ}$for the 2 group, $132.3^{\circ}$for the 3 group, $128.9^{\circ}$for the 4 group.

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Proposal for Estimation Method of the Suspended Solid Concentration in EIA (환경영향평가에서 부유사 농도 추정 방법 제안)

  • Choo, Tai Ho;Kim, Young Hwan;Park, Bong Soo;Kwon, Jae Wook;Cho, Hyun Min
    • Journal of Wetlands Research
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    • v.19 no.1
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    • pp.30-36
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    • 2017
  • SS(Suspended Solid) concentration by soil erosion into river at normal and flood season should be measured. However, to present the variation of SS due to various development project such as EIA(Environmental Impact Assessment), River Master Plan, and so on, it is necessary to estimate not measure SS, but there are not exist how to estimate SS. In the present study, therefore, we propose the hydrologic method of estimating SS concentration using the results of particular frequency flood discharge and sediment discharge by RUSLE method. SS consists of silty and clay soil and colloid particle etc. However, in the present study, silty and clay soils of sediment discharge except send set up SS standards. The flow discharge to estimate SS concentration are 1~2 years for normal season, 30~100 years for flood season. Meanwhile, analysis software for probable rainfall uses Fard2006, probable rainfalls under 2-year frequency are estimated using rainfall data and frequency factor of Gumbel distribution. The results of estimating SS concentration using runoff volume by sediment and flow discharges of silty and cray soils as above method show that reliable level of SS concentration is considered in predevelopment of natural condition and under development of barren condition. Especially, SS concentration takes notice that the value of sediment discharge makes a huge difference according to channel slope, it was confirmed that the value obtained by dividing the SS concentration by the channel slope is relatively constant even though the topographical factors are different. Therefore, if the present study will be proceeded for various watersheds, it will be developed as estimation method of SS concentration.

Effects of small dam in a stream on benthic macro-invertebrate community (계류의 소형보가 저서성 대형무척추동물의 군집 특성에 미치는 영향)

  • Park, Hyekyung;Lee, Seong Jae;Cheong, SooA;Jeong, Hyeong Rae;Kim, Jae Geun
    • Journal of Wetlands Research
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    • v.19 no.2
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    • pp.252-258
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    • 2017
  • To determine the effects of small dam on benthic macro-invertebrate community, benthic macro-invertebrates were surveyed with both quantitative and qualitative collecting methods from 4 sites at a terraced interval (3.02 small dams per 100 m) and from 5 sites at a non-terraced interval (0.96 small dams per 100 m) in upper reach of Dorim stream, Seoul. The average water flow rate was higher at the non-terraced interval (0.149 m/s) than at the terraced interval (0.043 m/s). Diptera, which prefer slow water flow or lentic habitats, appeared more abundantly in the terraced interval (78.3%) than in the non-terraced interval (32.0%)(p<.05). Ephemeroptera, which prefer fast water flow or lotic habitats, appeared more abundantly in the non-terraced interval (14.1%) than in the terraced interval (4.5%)(p=.203). There was a difference in species distribution of Trichoptera in terraced and non-terraced intervals depending on preferred environment. In the terraced interval, the occupancy ratio of gathering-collector was 1.8 times higher than in the non-terraced interval (p<.05). In contrast, filtering-collector appeared to be about 4.4 times higher rate in the terraced interval (p=.124). The evenness indexes (J′) were found to be 0.41 and 0.77, respectively in terraced area and non-terraced intervals. KSI, evaluating biological water quality, showed an average of 4.0 and 2.4 respectively in terraced and non-terraced intervals. EPT/C index, indicating the balance of the community, showed an average of 0.1 and 0.7 respectively in terraced and non-terraced intervals. It suggests that we should make small dams in order to maintain biodiversity of benthic macro-invertebrates.

Quantitative Rainfall Estimation for S-band Dual Polarization Radar using Distributed Specific Differential Phase (분포형 비차등위상차를 이용한 S-밴드 이중편파레이더의 정량적 강우 추정)

  • Lee, Keon-Haeng;Lim, Sanghun;Jang, Bong-Joo;Lee, Dong-Ryul
    • Journal of Korea Water Resources Association
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    • v.48 no.1
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    • pp.57-67
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    • 2015
  • One of main benefits of a dual polarization radar is improvement of quantitative rainfall estimation. In this paper, performance of two representative rainfall estimation methods for a dual polarization radar, JPOLE and CSU algorithms, have been compared by using data from a MOLIT S-band dual polarization radar. In addition, this paper presents evaluation of specific differential phase ($K_{dp}$) retrieval algorithm proposed by Lim et al. (2013). Current $K_{dp}$ retrieval methods are based on range filtering technique or regression analysis. However, these methods can result in underestimating peak $K_{dp}$ or negative values in convective regions, and fluctuated $K_{dp}$ in low rain rate regions. To resolve these problems, this study applied the $K_{dp}$ distribution method suggested by Lim et al. (2013) and evaluated by adopting new $K_{dp}$ to JPOLE and CSU algorithms. Data were obtained from the Mt. Biseul radar of MOLIT for two rainfall events in 2012. Results of evaluation showed improvement of the peak $K_{dp}$ and did not show fluctuation and negative $K_{dp}$ values. Also, in heavy rain (daily rainfall > 80 mm), accumulated daily rainfall using new $K_{dp}$ was closer to AWS observation data than that using legacy $K_{dp}$, but in light rain(daily rainfall < 80mm), improvement was insignificant, because $K_{dp}$ is used mostly in case of heavy rain rate of quantitative rainfall estimation algorithm.

Distribution and Characteristics of Culturable Airborne Microorganisms in Composting Facility and Landfill (퇴비화 시설과 매립장에서 배양 가능한 공기중 미생물의 분포 및 특성)

  • Lee, Bo-Ra;Cha, Min-Ju;Jeong, Choon-Soo;Kim, Jong-Seol
    • Korean Journal of Microbiology
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    • v.48 no.1
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    • pp.8-15
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    • 2012
  • Bioaerosols generated from composting facilities and landfills may create health risks for workers and nearby residents. To determine the levels of culturable airborne bacteria and fungi in bioaerosols, samples were seasonally collected at a composting facility and a landfill in Ulsan, Korea with an impaction-type sampler. Concentrations of heterotrophic bacteria averaged (in $MPN/m^3$) $6.5{\times}10^3$ (range $1.5{\times}10^2-1.5{\times}10^4$) in the composting facility and $3.9{\times}10^3$ (range $6.0{\times}10^1-9.3{\times}10^3$) at the entrance of the facility. These concentrations were 460 and 280 times higher than those of reference sites. Coliform bacteria were detected both inside and entrance of the facility. On the landfill, heterotrophic bacterial concentrations averaged (in $MPN/m^3$) $4.9{\times}10^2$ (range $1.7{\times}10^2-1.0{\times}10^3$), while they averaged $3.7{\times}10^2$ (range $4.8{\times}10^1-1.3{\times}10^3$) at the parking lot of the landfill. These concentrations were 35 and 26 times higher than those of reference sites. When we isolated and tentatively identified heterotrophic bacteria, Pseudomonas luteola was the most dominant species in bioaerosols from the composting facility, whereas the most abundant one in reference samples was Micrococcus sp. Average concentrations of airborne fungi were measured between $4.8{\times}10^2$ and $7.9{\times}10^2\;MPN/m^3$ depending on sites, which were 2.1-3.4 times higher compared to those of reference sites. While Cladosporium, Alternaria, and Penicillium were commonly identified fungal genera, genus Aspergillus was identified only in bioaerosols from the composting facility.

Material Characteristics and Deterioration Assessment of the Stone Buddhas and Shrine in Unjusa Temple, Hwasun, Korea (화순 운주사 석조불감의 재질특성과 풍화훼손도 평가)

  • Park, Sung-Mi;Lee, Myeong-Seong;Choi, Seok-Won;Lee, Chan-Hee
    • Journal of Conservation Science
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    • v.24
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    • pp.23-36
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    • 2008
  • The stone Buddhas and Shrine of Unjusa temple (Korea Treasure No. 797) in Hwasun formed in Koryo Dynasty are unique style which the Buddha faces each other the back parts of south and north within the stone Shrine. The stone Buddhas and Shrine are highly evaluated in historical, artistic and academic respects. But, the stone properties have been exposed in the open system various aspects of degradations weathered for a long time without specific protective facilities. The rock materials of the stone Buddhas and Shrine are about 47 blocks, and total press load is about 56.6 metric ton. The host rocks composed mainly of white grey hyaline lithic tuff and rhyolitic tuff breccia. In addition, biotite granite used as part during the restoration works. The chemical index of alteration for host tuffaceous rocks and the replacement granites range from 52.1 to 59.4 and 50.0 to 51.0, respectively. Weathering types for the stone Buddhas and Shrine were largely divided with physical, chemical and biological weathering to make a synthetic deterioration map according to aspects of damage, and estimate share as compared with surface area. Whole deterioration degrees are represented that physical weathering appeared exfoliation. Chemical weathering is black coloration and biological weathering of grey lichen, which show each lighly deterioration degrees. According to deterioration degree by direction of stone Buddhas and Shrine, physical weathering mostly appeared by 39.1% on the sorthern part, and chemical weathering is 61.2% high share on the western part. Biological weathering showed 38.3% the largest distribution on the southern part. Therefore, it is necessary to try hardening for the parts with serious cracks or exfoliations, remove secondary contaminants and organisms through regular cleaning. Also necessary to make a plan to remove moisture of the ground which causes weathering, and estimate that need established and scientific processing through clinical demonstration of conservation plan that chooses suitable treatment.

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