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Does a Preoperative Temporary Discontinuation of Antiplatelet Medication before Surgery Increase the Allogenic Transfusion Rate and Blood Loss after Total Knee Arthroplasty? (항 혈소판 제제의 술 전, 일시적 중단은 슬관절 전치환술 이후의 실혈량 및 동종수혈의 필요성을 증가시키지 않는가?)

  • Cho, Myung-Rae;Lee, Young Sik;Kwon, Jae Bum;Lee, Jae Hyuk;Choi, Won-Kee
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.127-132
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    • 2019
  • Purpose: The aim of this study was to determine if preoperative temporary discontinuation of antiplatelet medication (aspirin, clopidogrel, or cilostazol) is a safe procedure that does not increase early postoperative bleeding and allogenic blood transfusion after a total knee arthroplasty. Materials and Methods: A retrospective analysis was conducted among consecutive patients who underwent navigation assisted primary total knee arthroplasty performed by a single surgeon, from January 2013 to December 2016. A total of 369 patients enrolled in this study were divided into two groups, 271 patients with no history of antiplatelet therapy and 98 patients who underwent 7 days of temporary withdrawal of antiplatelet therapy. Comparative analysis between the two groups, on the variation of hemoglobin and hematocrit during the first and second postoperative days, was conducted to determine the amount of early postoperative bleeding and the frequency of allogenic blood transfusion during hospitalization. Results: The variation of hemoglobin, hematocrit during the first and second postoperative days and the frequency of allogenic blood transfusion between no history of antiplatelet medication and discontinuation antiplatelet medication before 7 days from surgery were similar in both groups. Of the 369 patients, 149 patients received a blood transfusion during their hospitalization. Compared to patients who did not receive a blood transfusion, those who did received blood transfusion were significantly older in age, smaller in height, lighter in weight, and showed significantly lower preoperative hemoglobin and hematocrit values. No statistically significant differences in sex, preoperative American Society of Anesthesiologists scores, and the history of antiplatelet medication until 7 days prior to surgery were observed between the two groups according to blood transfusion. Conclusion: Compared to patients with no history of antiplatelet medication, the temporary discontinuation of antiplatelet medication 7 days prior to surgery in patients undergoing antiplatelet medication did not increase the amount of postoperative bleeding or the need for allogenic blood transfusion.

Characteristics of Blood Mixed Cement in Percutaneous Vertebroplasty (경피적 척추 성형술에서 혈액 혼합 시멘트의 특성)

  • Seo, Jin-Hyeok;Woo, Young-Ha;Jeong, Ju-Seon;Kim, Do-Hun;Kim, Ok-Gul;Lee, Sang-Wook;Park, Chan-Ho
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.435-439
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    • 2019
  • Purpose: This study evaluated the efficacy of blood mixed cement for osteoporotic vertebral compression fractures in reducing the complications of percutaneous vertebroplasty using conventional cement. Materials and Methods: This study was performed retrospectively in 80 patients, from January 2016 to January 2017. Porous cement was formed by mixing 2, 4, and 6 ml of blood with 20 g of cement used previously. A tube with a diameter and length of 2.8 mm and 215 mm, respectively, was used and the polymerization temperature, setting time, and optimal passing-time were measured and compared with those using only conventional cement. Radiologically, the results were evaluated and compared. Results: The polymerization temperature was 70.3℃, 55.3℃, 52.7℃, and 45.5℃ in the conventional cement (R), 2 ml (B2), 4 ml (B4), and 6 ml (B6), respectively, and the corresponding setting time decreased from 960 seconds (R) to 558 seconds (B2), 533 seconds (B4), and 500 seconds (B6). The optimal passing-time was 45 seconds (B2), 60 seconds (B4), and 78 seconds (B6) at 73 seconds (R), respectively and as the amount of blood increased, it was similar to the cement passing-time. The radiological results showed that the height restoration rates and the vertebral subsidence rates similar among the groups. Two cases of adjacent vertebral compression fractures in the R group and one in the B2 and B4 groups were encountered, and the leakage rate of the cement was approximately two times higher than that in the conventional cement group. Conclusion: In conventional percutaneous vertebroplasty, the procedure of using autologous blood with cement decreased the polymerization temperature, reduced the setting time, and the incidence of cement leakage was low. These properties may contribute to more favorable mechanical properties that can reduce the complications compared to conventional cements alone.

Optimized Production through Enlargement Comparison Grown in Various Mixed Soils using Tubers of In vitro Pinellia triparita(Blume) Schott (기내증식 대반하의 상토 조성별 괴경 비대 조건 비교를 통한 최적 배양묘 생산 조건 확립)

  • Lee, Ka Youn;Min, Ji Yun;Kim, Mi Sun;Moon, Byeong Cheol;Kang, Young Min
    • Journal of agriculture & life science
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    • v.50 no.2
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    • pp.33-43
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    • 2016
  • Pinellia tripartita(Blume) Schott is a herbaceous perennial plant belonging to the Araceae and distributed on Asia including of Korea, Japan, and China. P. tripartita is often used for gardening but has not been developed mass-breeding methods. In this study, we compared the tuber growth in different combinations of mixed soils used six compositions. Tubers used to study was cultured in vitro and divided into two groups. Type I was diameter more than 1cm and the group of Type II was diameter below than 1cm. Enlargement of tubers and growth of aerial parts were measuring the plant height, number of fresh leaves and dead leaves, number of bullets, tuber size, and fresh / dry weight. The size/weight and numbers of tubers from the mixed soil B (coir 68.0%, peat moss 14.7%, perlite 3.0%, vermiculite 7.0% and zeolite 7.0%) were the best grown up for eight weeks. In case of Type I, GI (Growth index) of tuber size and weight were 45% and 101%, respectively. The difference of growth was doubled compared to the bad growth treatment as the mixed soil E(Coir 14.3%, peat moss 14.3%, perlite 42.9%, vermiculite 14.3%, and zeolite 14.3%). These results could be used as the basic information for the similar experimental design for the P. ternata.

Estimation of Genetic Parameter for Milk Production and Linear Type Traits in Holstein Dairy Cattle in Korea (국내 Holstein 젖소의 유생산 형질과 유방 및 지제 선형심사 형질에 대한 유전모수 추정)

  • Won, J.I.;Dang, C.K.;Lim, H.J.;Jung, Y.S.;Im, S.K.;Yoon, H.B.
    • Journal of agriculture & life science
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    • v.50 no.1
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    • pp.167-178
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    • 2016
  • This study was conducted to estimate genetic parameters for milk production and linear type traits in Holstein dairy cattle in Korea. The data including milk yields, fat yields, protein yields, fat percent, protein percent, somatic score and 15 linear type traits for 10,218 first parity cows collected by Dairy Cattle Improvement Center, National Agricultural Cooperative, Korea, which were calving from January 2009 to April 2013. Genetic and error (co)variances between two traits selected form 19 traits were estimated using bi-trait pairwise analyses with WOMBAT package. The estimated heritabilities for milk yield(MY), fat yield(FY), protein yield(PY), fat percent(FP), protein percent(PP), somatic cell score(SCS), udder depth(UD), udder texture(UT), median suspensory(MS), fore udder attachment(FUA), front teat placement (FTP), rear attachment height(RAH), rear attachment width(RAW), rear teat placement(RTP), front teat length(FTL), foot angle(FA), heel depth(HD), bone quality(BQ), rear legs side view(RLSV), rear legs rear view(RLRV) and locomotion(LC) were 0.128, 0.144, 0.100, 0.273, 0.333, 0.090, 0.179, 0.066, 0.104, 0.109, 0.127, 0.099, 0.059, 0.069, 0.154, 0.014, 0.010, 0.052, 0.065, 0.175 and 0.031, respectively. Among the genetic correlations, UD, UT, FTP, RAW, FTL, FA and RLSV with MY were -0.334, 0.271, 0.445, 0.544, 0.076, -0.281 and -0.228, respectively, and MS, FTP, RTP, FTL, FA, BQ, RLSV, RLRV and LC with PP were -0.147, -0.182, -0.262, -0.136, 0.355, 0.311, 0.135, 0.233 and 0.143, respectively. Especially, MY had the highest positive genetic correlation with RAW (0.544), while SCS had the highest negative genetic correlation with LC (-0.603). FP had negative genetic correlation with most udder traits, whereas, FP had positive genetic correlation with leg and hoof traits (0.056 - 0.355).

Factors Limiting the Vertical Distribution of the Deep-Water Asian Eelgrass, Zostera asiatica on the East Coast of the Korean Peninsula (동해 연안 왕거머리말의 수직분포 제한 요인)

  • KIM, JONG-HYEOB;KIM, HYEGWANG;KIM, SEUNG HYEON;KIM, YOUNG KYUN;LEE, KUN-SEOP
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.25 no.4
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    • pp.117-131
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    • 2020
  • Although most species in genus Zostera inhabit shallow coastal areas and bays with weak wave energy, the Asian eelgrass, Zostera asiatica is distributed in deep water depth (8-15 m) unlike other seagrasses on the eastern coast of Korea. To examine factors limiting distribution Z. asiatica in relatively deep coastal areas, a transplantation experiment was conducted on October 2011, in which Z. asiatica shoots were transplanted from the reference site (donor meadow, ~9 m) to the shallow transplant site (~3 m). We compared shoot density, morphology, and productivity of Z. asiatica as well as environmental factors (underwater irradiance, water temperature, and nutrients) between the reference and transplant sites from October 2011 to September 2012. Shoot density and shoot height of transplants dramatically decreased within a few months after transplantation, but were similar with Z. asiatica in the reference site during spring. Shoot productivity were significantly higher in the transplant site than in reference site because of high light availability and nutrient concentrations. Transplants showed photoacclimatory responses such as higher rETRmax and Ek and lower photosynthetic efficiency in the transplant site than those in the reference site. Most of Z. asiatica transplant in the shallow transplant site disappeared in summer, which may be due to the high wave energy and physical damages induced by typhoons (TEMBIN and SANBA) in August and September 2012. According to the results of this study, Z. asiatica could not survive in shallow areas despite of more favorable light and nutrient conditions. Thus, Z. asiatica may restrictively occur in deep areas to avoid the intense physical stresses in the shallow area on the east coast of Korea.

Effect of Shading and Supplemental Lighting for Greenhouse Cultivation of Cucumber in Summer Season (하절기 오이 온실재배 시 차광 및 보광 효과)

  • Jin Yu;Ji Hye Yun;So Yeong Hwang;Eun Won Park;Jeong Hun Hwang;Hyeong Eun Choi;Jeong Kil Koo;Hee Sung Hwang;Seung Jae Hwang
    • Journal of Bio-Environment Control
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    • v.32 no.3
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    • pp.226-233
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    • 2023
  • High solar radiation in summer season causes excessive respiration of crops and reduces photosynthesis. In addition, the rainy season, which mainly occurs in summer, causes a low light condition inside the greenhouse. A low light condition can reduce crop growth and yield. This study was conducted to evaluate the effect of shade and supplemental lighting on the growth and yield of cucumber during summer season. Cucumber grafted seedlings were transplanted in two plastic greenhouses on August 30, 2022. To reduce the light intensity inside the greenhouse, a 50% shading screen was installed in one greenhouse. Supplemental lighting was conducted from September 7, 2022 to October 20, 2022. HPS (high-pressure sodium lamp), W LED (white LED, red:green:blue = 5:3:2), and RB LED (combined red and blue LED, red:blue = 7:3) were used for supplemental lighting sources, and non-treated (nonsupplemental lighting) was as the control. The supplemental lighting was conducted before sunrise and after sunset for 2 hours with a photosynthetic photon flux density of 150 ± 20 µmol·m-2·s-1. The plant height, leaf length, leaf width, and SPAD value tended to increase in the shading group. RB LED increased stem diameter regardless of shading treatment. Fresh and dry weights of fruits were not significantly different in shading and supplemental lighting. Average fresh weight of fruits was not significantly different among supplemental lighting as the harvest date passed. In conclusion, in this study 50% shade treatment significantly improved the growth of cucumber during the summer season. In addition, the growth and fruit characteristics are better than the control without supplemental lighting. This study can be used as basic research data for applying supplemental lighting technology to cucumber cultivation.

Evaluation of Cultivation Characteristics according to NO3- Ratio of Nutrient Solution for Korean Melon in Hydroponic Culture (양액의 NO3- 비율이 수경재배 참외의 생육과 수량에 미치는 영향)

  • Do Yeon Won;Ji Hye Choi;Chang Hyeon Baek;Na Yun Park;Min Gu Kang;Young Jin Seo
    • Journal of Bio-Environment Control
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    • v.32 no.3
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    • pp.249-255
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    • 2023
  • Korean melon (Cucumis melo L.) is grown mostly in Northeast Asia area, and as a fruit mainly produced in Korea, the yield per unit area continues to improve, but the cultivation method is limited to soil cultivation, so it is necessary to develop hydroponic cultivation technology for scale and labor-saving is needed. As the ratio of NO3- increased, the plant height, the leaf length, the leaf width, and the internode length became longer and larger. On the other hand, the SPAD value decreased. The lower the ratio of NO3-, the faster the female flower bloom, and there was no difference in fruit maturity between treatments. There was no difference in the shape of fruit according to the ratio of NO3-, and the hardness was higher as the ratio of NO3- was lower. The total yield from March to July was KM3 5,650 kg/10a and KM1 4,439 kg/10a, 27% higher in KM3 and, in particular, 36% higher in quantity from March to May, when Korean melon prices were high season. Therefore, it was judged that it would be appropriate to supply NO3- suitable for hydroponic cultivation of Korean melon, which was formalized in December and produced from spring, at the level of 6.5 to 10 me·L-1.

Effect of Band Application of Slow Release Fertilizer on Rice Growth and Yield in Puddled-soil Drill Seeding (벼 무논골뿌림재배시 완효성비료의 측조 시비가 생육 및 수량에 미치는 영향)

  • Kim, Sang-Su;Choi, Min-Gyu;Park, Keon-Ho;Lee, Seon-Yong;Cho, Su-Yeon;Cho, Dong-Sam
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.41 no.1
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    • pp.68-76
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    • 1996
  • To elucidate the optimum fertilizer level and application method for band application under puddled-soil drill seeding in Jeonbuk series of fluvio-marine alluvial soil at National Honam Agricultural Experiment Station in 1995, using Dongjinbyeo, slow releasing compound fertilizer of 100% and 80% to conventional application level was applied totally as basal fertilizer simultaneously with seeding under 3cm and 5cm depth from soil surface in a distance of 4cm from the seeded row. Plant height was taller and tiller number was higher in band application than conventional application but ratio of effective tiller was vice versa. Panicle number was more but ratio of effective tiller ratio was lower in 100% than 80% level of band application and they were higher in 3cm than 5cm depth from soil surface. Leaf area index and dry weight was higher in conventional application at early growth stage but was vice versa after maximum tillering stage, and they were higher in 3cm depth at early growth stage but 5cm depth after maximum tillering stage. NH$_4$-N in soil was higher in conventional application at 25 days after seeding but, thereafter was lower than band application and it was higher in 3cm than 5cm depth till 40 days after seeding but was versa, thereafter. Lodging degree was slightly higher in band application, 100% level and 5cm depth than in their counterparts. Panicle number and grain number per $m^2$ was lower in conventional application than 80% or 100% level of band application without significant difference between band application levels or application methods. Yield was higher at 80% level of band application under 3cm depth than conventional application, but no significantly different among other application methods. Therefore, 80% level of band application under 3cm depth of soil surface was more effective for puddled-soil drill seeding on the basis of the reduction of application efforts, better plant growth and higher yield in rice.

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Bone Density and Related Factors of Vegetarian and Non-vegetarian University Students in Seoul Area (서울지역 채식.비채식 대학생의 골밀도에 미치는 영향요인에 관한 연구)

  • Chung, Nam-Yong;Choi, Soon-Nam
    • Journal of the Korean Society of Food Culture
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    • v.21 no.1
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    • pp.86-98
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    • 2006
  • This study was conducted to investigate factors affecting bone density of food and nutrition vegetarian and non-vegetarian university students in Seoul area. Data for food habits, dietary and health-related behaviors were obtained by self administered questionnaires. BQI(bone quality index) of the subjects was measured by an Quantitative Ultrasound (QUS). The results are summarized as follows: The average height, weight, BMI and osteopenia percentage of the vegetarian and non-vegetarian male and female student were 172.61cm, 62.42kg, 20.98 and 24.2%; 175.38cm, 72.52kg, 23.71 and 16.7%; 160.47cm, 55.76kg, 21.66 and 55.9%; 161.77cm, 56.34kg, 21.53 and 37.6%, respectively. The BQI of the subjects were 101.73 and 107.43 in male student group, and 84.15, 89.64 in female student group, respectively. The BQI, Z-score value of bone density was significantly different in female group. Weight and BMI were positively related with BQI in male and female group. BQI was positively affected by nutrition supplement and negatively affected by seafood in vegetarian male student group. In vegetarian female student group, amount of meal was positively related with BQI and meal regularity was negatively related BQI. The result of this study revealed that the desirable food habits, dietary behaviors and health-related lifestyles may have a beneficial effect on bone density. They should have practically and systematically organized nutritional education on optimum body weight, good eating habits, weight bearing exercise and intakes of good quality nutrient for higher bone density level.

Numerical Analyses for Evaluating Factors which Influence the Behavioral Characteristics of Side of Rock Socketed Drilled Shafts (암반에 근입된 현장타설말뚝의 주면부 거동에 영향을 미치는 변수분석을 위한 수치해석)

  • Lee, Hyuk-Jin;Kim, Hong-Taek
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.6C
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    • pp.395-406
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    • 2006
  • Drilled shafts are a common foundation solution for large concentrated loads. Such piles are generally constructed by drilling through softer soils into rock and the section of the shaft which is drilled through rock contributes most of the load bearing capacity. Drilled shafts derive their bearing capacity from both shaft and base resistance components. The length and diameter of the rock socket must be sufficient to carry the loads imposed on the pile safely without excessive settlements. The base resistance component can contribute significantly to the ultimate capacity of the pile. However, the shaft resistance is typically mobilized at considerably smaller pile movements than that of the base. In addition, the base response can be adversely affected by any debris that is left in the bottom of the socket. The reliability of base response therefore depends on the use of a construction and inspection technique which leaves the socket free of debris. This may be difficult and costly to achieve, particularly in deep sockets, which are often drilled under water or drilling slurry. As a consequence of these factors, shaft resistance generally dominates pile performance at working loads. The efforts to improve the prediction of drilled shaft performance are therefore primarily concerned with the complex mechanisms of shaft resistance development. The shaft resistance only is concerned in this study. The nature of the interface between the concrete pile shaft and the surrounding rock is critically important to the performance of the pile, and is heavily influenced by the construction practices. In this study, the influences of asperity characteristics such as the heights and angles, the strength characteristics and elastic constants of surrounding rock masses and the depth and length of rock socket, et. al. on the shaft resistance of drilled shafts are investigated from elasto-plastic analyses( FLAC). Through the parametric studies, among the parameters, the vertical stress on the top layer of socket, the height of asperity and cohesion and poison's ratio of rock masses are major influence factors on the unit peak shaft resistance.