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The Use of Pedicle Screw-Rod System for the Posterior Fixation in Cervico-Thoracic Junction

  • Cho, Won-ik;Eid, Ahmed Shawky;Chang, Ung-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.48 no.1
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    • pp.46-52
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    • 2010
  • Objective : In cervico-thoracic junction (CTJ), the use of strong fixation device such as pedicle screw-rod system is often required. Purpose of this study is to analyze the anatomical features of C7 and T1 pedicles related to screw insertion and to evaluate the safety of pedicle screw insertion at these levels. Methods : Nineteen patients underwent posterior CTJ fixation with C7 and/or T1 included in fixation levels. Seventeen patients had tumorous conditions and two with post-laminectomy kyphosis. The anatomical features were analyzed for C7 and T1 pedicles in 19 patients using computerized tomography (CT). Pedicle screw and rod fixation system was used in 16 patients. Pedicle violation by screws was evaluated with postoperative CT scan. Results : The mean values of the width, height, stable depth, safety angle, transverse angle, and sagittal angle of C7 pedicles were $6.9{\pm}1.34\;mm$, $8.23{\pm}1.18\;mm$, $30.93{\pm}4.65\;mm$, $26.42{\pm}7.91$ degrees, $25.9{\pm}4.83$ degrees, and $10.6{\pm}3.39$ degrees. At T1 pedicles, anatomic parameters were similar to those of C7. The pedicle violation revealed that 64.1% showed grade I violation and 35.9% showed grade II violation, overall. As for C7 pedicle screw insertion, grade I was 61.5% and grade II 38.5%. At T1 level, grade I was 65.0% and grade II 35.0%. There was no significant difference in violation rate between the whole group, C7, and T1 group. Conclusion : C7 pedicles can withstand pedicle screw insertion. C7 pedicle and T1 pedicle are anatomically very similar. With the use of adequate fluoroscopic oblique view, pedicle screw can be safely inserted at C7 and T1 levels.

Somatostatin Receptor 2 and 5 Expressions in Gastroenteropancreatic Neuroendocrine Tumors in Turkey

  • Yerci, Omer;Sehitoglu, Ibrahim;Ugras, Nesrin;Cubukcu, Erdem;Yuce, Suleyman;Bedir, Recep;Cure, Erkan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.10
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    • pp.4377-4381
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    • 2015
  • Background: Gastroenteropancreatic neuroendocrine tumors (GNs) are slow growing and although their incidence has increased in recent years, they are relatively rarely seen. Somatostatin analogues are used in the treatment of GNs that express somatostatin receptor (SR). We aimed to investigate the expression of SR2 and SR5 in GNs. Materials and Methods: In this study the expression of SR2 and SR5 was investigated immunohistochemically in 49 cases (26 males, 23 females) diagnosed and graded with GN according to the World Health Organization classification 2010. Results: The percentage of SR2 staining was 91.0% in grade 1, 82.8% in grade 2 and 100% in grade 3. On the other hand, the percentage of SR5 staining was 81.8% % in grade 1, 60.0% in grade 2 and 0% in grade 3. According to the tumor localization, the percentages of SR2 expression were as follows: pancreas 85.7%, stomach 100%, small bowel 70%, appendix 85.7% and rectum 100%. The percentages of SR5 expression were: pancreas 61,9%, stomach 37.5%, small bowel 70%, appendix 71.5% and rectum 66.6%. There was a significant negative correlation between ki67 percentage and SR5 expression (r=-0.341, p=0.016). Conclusions: In this study, GNs were found to highly express SR2 and SR5. Although the expression of SR2 and SR5 changed according to tumor localization, the expression of SR2 was higher than the expression of SR5 in GN. There was a significant negative correlation between ki67 and SR5. Accordingly, SR5 may be a prognostic indicator of GN.

Relationship between the Economical Defects of Broiler Meat Carcass and Quality Grade A with a Meat Grader (경제성 관련 계육 도체 결함과 축산물등급사에 의한 품질 A등급의 상관관계)

  • Choe, Jun-Ho;Lee, Jae-Cheong;Jo, Cheor-Un
    • Food Science of Animal Resources
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    • v.29 no.4
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    • pp.494-499
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    • 2009
  • To investigate the relationship between the carcass defects considered by a meat grader and quality grade A, a total of 59,700 broiler carcasses, which were reared from September 1, 2007 to August 31, 2008 and randomly selected from 597 broiler farms with 100 broilers in each farm, were graded by a meat grader using the Korean meat grading system. The average slaughter weight of the broilers increased at the 31- to 33-d age but decreased after the 37-d age. The average daily gain to grade A ratio of the broilers was highest in autumn, and the bruises, flesh blemishes, and abnormalities of the carcasses were found to have been most frequent in winter (p<0.05). The number of economical defects (EDs) increased with the increase in the slaughter age, and the correlation coefficients of the EDs and grade A were -0.88, -0.48, and -0.12 in terms of the conformation, exposed flesh/cuts/tears, and skin discolorations of the carcasses, respectively. The correlation coefficients of the non-economical defects (NEDs) and the grade A of the broiler carcasses were -0.16, -0.22, and -0.32 in terms of the feathers, alien substances, and carcass treatment, respectively. The total number of defects (EDs + NEDs) and the grade A were highly correlated (-0.93), and in particular, the correlation between the grade A and the EDs was -0.91. It can be deemed that the grade A from a meat grader is highly correlated with the EDs. Therefore, the results suggest that broiler carcass grade evaluation using a meat grading system can provide direct information on profits in the market. The resulting carcass grade of broilers can also provide the information needed to decide on a proper incentive for a farm that has attained a good quality grade.

A study of Conjunctival Cellular Changes in Dry Eye Patients by Impression Cytology (Impression cytology를 이용한 건성안의 결막 세포변화에 관한 연구)

  • Kim, Jai-Min;Kho, Eun-Gyung;Chae, Soo-Chul;Kim, Soon-Ae
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.333-343
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    • 2004
  • Impression cytology refers to application of cellulose acetate filter material to the ocular surface to remove the superficial layers of the conjunctival epithelium. The technique is non-invasive, is easy to perform, causes minimal discomfort to the patient, and can be used to follow changes in the conjunctival ocular surface over time. With this method, the morphology of the conjunctival ocular surface can be studied and the degree of squmaous metaplasia assessed. This study was performed to evaluate the conjunctival surface by impression cytology in dry eye patients. A total of 70 students with no contact lens wearing history were recruited. Subjects were required to fill in a McMonnies dry eye symptom questionnaire. The non-invasive tear thinning time(TIT) test of each subject was measured, followed by Schirmer tear test(STI), tear film break-up time(TBUT) tests and Rose-bengal staining were performed as a baseline. Conjunctival epithelial cells from the inferior bulbar conjunctiva were harvested by the impression cytology technique. The specimens collected were labelled and stained with PAS(Periodic Acid Schift)-haematoxylin. The goblet cells and conjunctival epithelial cells were observed under a light microscope of 400x magnification. The specimens were classified according to the Nelson Grading scale which was based on the degree of squamous metaplasia such as changes of goblet cells density, size/form, N:C(nucleus : cytoplasm) ratio. Dry eye patients were observed morphological changes of the epithelial cells, different nuclear alterations, decrease of the goblet cells density. The degree of cytological changes was related to severity of dry eye conditions. When the epithelial cell morphology was graded according to the system described by Nelson, specimens from the control group revealed 91.43% of the eyes to be grade 0 and 8.57% to be grade 1, whereas of the dry eye patients, 20% were grade 0, 42.86% grade 1, 34.29% grade 2 and 2,86% grade 3. Impression cytology represents a non- or minimally invasive biopsy of the ocular surface epithelium with no side effects or contraindications. It has demonstrated to be a useful diagnostic aid for a wide variety of processes involving the ocular surface. This technique is a safe, simple method and may help increase understanding of various ocular surface alterations in dry eye patients.

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A Study on the Deterioration Status of the Seonjaryeong Forest Trails in the Baekdudaegan Ridge (백두대간 마루금 선자령순환등산로의 숲길훼손실태 연구)

  • Lee, Sugwang;Lee, Jinkyu;Kim, Myeongjun;Bang, Hongseok
    • Journal of Korean Society of Forest Science
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    • v.110 no.1
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    • pp.91-105
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    • 2021
  • We conducted a study to identify the relationships between the investigated factors and provide a methodology and generate data by applying deterioration classes to the Seonjaryeong Forest Trail (4.3 km) in the Baekdudaegan Ridge. The average trail width (1.7 m) and bare width (1.4 m) were wider than those obtained in the previous studies. The frequency of trail deterioration was also high. Specific data on deterioration classes were obtained and evaluated using qualitative criteria. Specific data for heavy class stands at 20.1% in trail grade, 13.3 cm on average, and 16.1 cm in the center of erosion depth, 16.2 cm of CSA, 12.3 kg/cm (20.1 mm) on average and maximum 39.3 kg/cm (29.6 mm) of soil hardness. We observed a positive correlation between the deterioration class and trail grade, and the average and maximum soil erosion depths of the hill side were deeper than those of the ridge. The soil hardness data showed a statistically significant difference in terms of the transect site and calculation method (㎏/㎠, mm). Therefore, trail deterioration was observed at the sites having ≥20% trail grade; thus, continuous monitoring at fixed sites over time will be required for sustainability. Furthermore, the trail grade should be of the utmost priority in trail design and management.

A Study on the Vulnerability Assessment of Solar Power Generation Facilities Considering Disaster Information (재해정보를 고려한 태양광발전시설의 취약성 평가에 관한 연구)

  • Heejin Pyo
    • Land and Housing Review
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    • v.15 no.2
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    • pp.57-71
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    • 2024
  • This study aims to develop an evaluation method for solar power facilities considering disaster impacts and to analyse the vulnerabilities of existing facilities. Haenam-gun in Jeollanam-do, where the reassessment of existing facilities is urgent, was selected as the study area. To evaluate the vulnerability from a more objective perspective, principal component analysis and entropy methods were utilised. Seven vulnerability assessment indicators were selected: maximum hourly rainfall, maximum wind speed, number of typhoon occurrence days, number of rainfall days lasting more than five days, maximum daily rainfall, impermeable area ratio, and population density. Among these, maximum hourly rainfall, maximum wind speed, maximum daily rainfall, and number of rainfall days lasting more than five days were found to have the highest weights. The overlay of the derived weights showed that the southeastern regions of Haenam-eup and Bukil-myeon were classified as Grade 1 and 2, whereas the northern regions of Hwawon-myeon, Sani-myeon, and Munnae-myeon were classified as Grade 4 and 5, indicating differences in vulnerability. Of the 2,133 facilities evaluated, 91.1% were classified as Grade 3 or higher, indicating a generally favourable condition. However, there were more Grade 1 facilities than Grade 2, highlighting the need for countermeasures. This study is significant in that it evaluates solar power facilities considering urban disaster resilience and is expected to be used as a basic resource for the installation of new facilities or the management and operation of existing ones.

Schemes to enhance the integrity of P91 steel reheat steam pipe of a high-temperature thermal plant (고온 화력 P91강 재열증기배관의 건전성 제고 방안)

  • Lee, Hyeong-Yeon;Lee, Jewhan;Choi, Hyun-Sun
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.16 no.1
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    • pp.74-83
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    • 2020
  • A number of so-called 'Type IV' cracking was reported to occur at the welded joints of the P91 steel or P92 steel reheat steam piping systems in Korean supercritical thermal power plants. The reheat steam piping systems are subjected to severe thermal and pressure loading conditions of coolant higher than 570℃ and 4MPa, respectively. In this study, piping analyses and design evaluations were conducted for the piping system of a specific thermal plant in Korea and suggestions were made how structural integrity could be improved so that type IV cracks at the welded joints could be prevented. Integrity evaluations were conducted as per ASME B31.1 code with implicit consideration of creep effects which was used in original design of the piping system and as per nuclear-grade RCC-MRx code with explicit consideration of creep effects. Comparisons were made between the evaluation results from the two design rules. Another approach with modification or reduction of the redundant supports in the piping systems was investigated as a tool to mitigate thermal stresses which should essentially contribute to prevention of Type IV cracking without major modification of the existing piping systems. In addition, a post weld heat treatment method and repair weld method which could improve integrity of the welded joint of P91 steel were investigated.

Case Study of Treating Acne Scar Using Scar Regeneration Acupuncture Therapy and Micro-needle Therapy (흉터재생침과 미세피부침을 이용한 여드름 흉터의 치험례)

  • Lee, Ki-Su;Kim, You-Ra;Choi, Hyeong-Seok
    • Journal of Acupuncture Research
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    • v.29 no.4
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    • pp.81-91
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    • 2012
  • Objectives : There are numerous methods in treating acne scar. On the contrary there are hardly any cases on treating acne scars through Korean medicine. By observing we compared how much acne scar was treated by scar regeneration acupuncture therapy and micro-needle therapy treatment through observing pre and post case photos, KAGS, KCADI and patient satisfaction. Results : By comparing pre and post procedure through acne scar grade criteria, total of 5 patients showed improvement and could see distinct change in skin comparing case photos. After comparing pre and post procedures, total of 5 patients showed improvements in figures of Korean acne index. 4 patients replied very satisfied and 1 replies satisfied on patient satisfaction survey. Conclusions : After observing patients satisfaction, and comparing case photos, acne scar grade criteria, korean acne index, it can be considered that scar regeneration acupuncture therapy and micro-needle therapy done in our clinic to be valid treatment.

Laboratory Testing of Material Properties of Asphalt Binder Containing Wasted Vinyl (폐비닐을 함유한 아스팔트 바인더 물성의 실내 시험)

  • Lee, Kang-Hun;Kim, Young-Chin;Kim, Byeong-Jun;Lim, Jin-Sun;Jeong, Jin-Hoon
    • International Journal of Highway Engineering
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    • v.14 no.5
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    • pp.85-91
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    • 2012
  • PURPOSES: In this study, various laboratory tests were performed to investigate the suitability of wasted vinyl as a modifier of asphalt binder. METHODS: Based on the ASTM specification, variations in material properties of asphalt binder such as penetration, flash point, softening point, ductility, penetration index (PI), and performance grade (PG) with vinyl content were tested and analyzed. RESULTS: Lavoratory tests revealed that penetration and ductility of the asphalt binder increased with the vinyl content. The flash point, softening point, and PI decreased, and PG changed from 64-22 to 70-22 with increase of the vinyl content. CONCLUSIONS: Wasted vinyl modified the material properties of the asphalt binder. However, the asphalt binder with vinyl content over 6.0% was unsuitable as a pavement material.

Head Louse Infestation among School Children in Sanbuk-myon, Mungyong-gun, Kyongsangbuk-do (1985) (경상북도 문경군 산북면 국민학생의 머릿니 감염 상황(1985))

  • Pai, Ki-Soo;Huh, Sun
    • Parasites, Hosts and Diseases
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    • v.25 no.1
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    • pp.85-86
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    • 1987
  • In order to know the prevalence of head louse among the school children in rural area, we visited 3 primary schools and a kindergarten in Sanbuk-myon, Mungyong-gun, Kyongsangbuk-do in July 1985, and examined the children to identify the adult worms of head louse and/or its nits on the hair. The overall infestation rate was 91.9% among 420 children examined, and there was a difference between schools (P<0.05). The school girls' rate, 96.1% was higher than that of boys' 88.9%(P<0.05). By grade, the rate of infant school was 88.5% and 1st to 6th grade were 100, 100, 95.8, 90.4, 89.7, 80.0% respectively. Above result indicates that the head louse is an important health problem in this community. Therefore, the chemotherapy and the effort to improve the hygiene are necessary in this community by physicians, teachers and health administrators.

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