Kim, Hyung-Jun;Kim, Woong;Lee, Jong-Suk;Hong, Gue-Ru;Park, Jong-Sean;Sin, Dong-Gu;Kim, Young-Jo;Shim, Bong-Sup
Journal of Yeungnam Medical Science
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v.17
no.1
/
pp.75-81
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2000
Background: Systemic embolism, especially, cerebral infarction is one of the most important complications in patients with mitral stenosis. The authors analyzed the some factors that could predict the development of cerebral infarction in cases of mitral stenosis and propose preventive therapeutic measures. Methods: Retrospective study of 127 patients with rheumatic mitral stenosis was performed by analyzing their medical records for transthoracic(TTE) or transesophageal echocardiography(TEE) over a 12 months period. The patients were divided into two groups according to the presence (Group I: n=26, age: $55.0{\pm}13$ years) or absence (Group II: n=101, age: $48.5{\pm}13$ years) of cerebral infarction. No significant difference was observed between the two groups with respect to sex and functional class. Results: Patients in group I were older ($55.0{\pm}13$ vs $48.5{\pm}13$;p<0.05). had more dilated left atrial size($5.10{\pm}0.48$ vs $4.81{\pm}0.70$;p<0.05) and smaller mitral surface area($1.01{\pm}0.39$ vs $1.21{\pm}0.45$;p<0.05). In Group 1. the incidence of atrial fibrillation(22 out of 26 vs 57 out of 101;p<0.05) and spontaneous left intra-atrial contrast phenomenon(22 out of 26 vs 44 out of 101;p<0.05) was more frequently observed. On multivariate analysis. atrial fibrillation and anticoagulant therapy were the independent predictive factors. Conclusion: Age, left atrial dilatation, the severity of mitral stenosis, the presence of spontaneous contrast, and especially the presence of atrial fibrillation are the main predictive factors of the development of cerebral infarction in mitral stenosis. Patients presenting one or several of these factors may benefit from prophylactic anticoagulant treatment.
Lim Hong Chul;Wang Joon Ho;Rho Young Jin;Hwang Jin Ho
Journal of the Korean Arthroscopy Society
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v.7
no.2
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pp.206-214
/
2003
Purpose : To analysis each clinical results after arthroscopic ACL reconstruction with using variable fixatives which are metallic and bioabsorbable interference screw, and RIGIDfix. Therefore, We reported the clinical reliability and safty of ACL reconstruction using RIGIDfix. Materials and Methods : We evaluated the results of arthroscopic ACL resconstruction with patellar tendon autograft among three groups, of which group 1 is used metal interference screw for 44 patients, group 2 used bioabsorbable interference screw for 47 patients, group 3 used RIGIDfix for 42 patients. We compared the clinical results by physical examination (anterior drawer test, Lachman test and pivot shift test), Lysholm score and KT-2000 arthrometer and compared the radiological results by measurement of tunnel and fixatives position and widening and by MRI findings. We analyzed the results by SAS 8.2 Ducan. Tukey and paired t-test Results : Physical instability was in 5 cases, which group 2 had 4 cases and group 3 had 1 case. Lysholm score improved from 59.8. 64.4, 61 to 90.1, 92.3. 92. KT-2000 arthrometer instability improved from 9.20, 10.2, 9.5 to 1.43. 1.62. 2.00 (p=0.478). Radiologically, all cases had excellent tunnel position and cyst change was observed the 8 cases in the group 2, but, all 20 cases 2nd MRI had signal change of peri-fixatives. But, no correlation of clinical results. Conclusion : No statistical difference of clinical instability was found among three groups. And femoral tunnel changes were much observed in group I, II than III. We considered the RIGIDfix has much advantages because the short operation time, better fixation position and much bone contact surface. But, further long term follow up study was needed.
The purpose of this study was to analyze the stress distribution at supporting bone according to the types of connection modality between implant and tooth in the superstrcture. This investigation evaluated the stress patterns in a photoelastic model produced by three different types of dental implants such as Branemark, Steri-Oss, IMZ and resin tooth using the techniques of quasi three dimensional photoelasticity. The teeth-supported bridge had a first molar pontic supported by second premolar and second molar as a control group. The implant and toothsupported bridge had a first molar pontic supported by second premolar and implant posterior retainer as an experimental group. Prostheses were mechanically connected to an adjacent second premolar by the rigid of nonrigid connection, Nonrigid connection used an attachment placed between the tooth-supported and fixture-supported component. The female(keyway) of attachment was placed on the distal end of the retainer supported by the tooth ; the male(Key) of attachment connected to the osseointegrated bridge was engaged into the keyway. All prostheses were casted in the same nonprecious alloy and were cemented and screwed on their respective abutments and implants. 16㎏ of vertical loads on central fossae of second premolar, first molar pontic, implant of second molar were applied respectively and 6.5㎏ of inclined load on middle buccal surface of first molar pontic was applied. The results were as follows : 1. Under the vertical load on the central fossa of first mloar pontic, the stress developed at the apex of tooth of implat was more uniformly distributed in the case of nonrigid connection than in the case of rigid connection. 2. Under the vertical load on the central fossa of first molar pontic, the stress developed around the cervical area of tooth of implant was larger in the case of rigid connection than in the case of nonrigid connection because the bending moment was more occured in the case of rigid connection than in the case of nonrigid connection. 3. Stress was more restricted to the loaded side of nonrigid connection than to that of rigid connection 4. Under the inclined load. The set screw loosening of implant was more easily occured in the case of nonrigid connection than in the case of rigid connection due to torque moment. 5. In the case of Branemark implant, the stress concentration in second premolar was larger and the stress developed around the cervical area of implant was lower than any other cases under the vertical load, because Branemark implant with the flexible gold screw was showed in incline toward second premolar by a bending moment. 6. The stress developed around the apex of tooth or implant was more uniformly distributed in the case of Steri-Oss implant with stiff screw than in the case of Branemark implant under the vertical load. But, the stress developed around the cervical area of the Steri-Oss implant was larger than that of any other implants because bending moment was occured by vertical migration of second premolar. 7. The stress distribution in the case of IMZ implant was similar to the case of natural teeth under small vertical load. But, the residual stress around the implant was showed to occurdue to deformation of IMC and sinking of screw under larger vertical load.
I. Shear Bond Strength to Air-dried and Remoistened Dentin.. The effect of air-drying and remoistening of acid-conditioned dentin before priming with the primer of All-Bond 2(BISCO. INC., U. S. A.) on shear bond strength(SBS) was investigated. Ninty freshly extracted sound human molars were divided at random into 9 groups of 10 teeth each. SBSs were meaured for acid-conditioned and non-conditioned dentin to which the primer and bonding agent of All-Bond 2 and composite resin(Z-100, 3M Dental Products, U. S. A.) were applied. The following values(Mean${\pm}$ SD, MPa) were obtained for the groups conditioned with 10% phosphoric acid for 15 seconds: Group l(blot dried) $6.7{\pm}4.1$ ; Group 2(10 seconds dried) $16.1{\pm}5.3$ ; Group 3(20 seconds dried) $15.4{\pm}4.8$ ; Group 4(30 seconds dried) $15.2{\pm}6.3$ ; Group 5(10 seconds dried/remoistened) $26.4{\pm}2.6$ ; Group 6(20 seconds dired/remositened) $22.2{\pm}2.7$ ; Group 7(30 seconds dried/remoistened) $21.5{\pm}4.1$. For the non-conditioned groups the values were: Group 8 (blot dried) $13.3{\pm}2.6$ ; Group 9(10 seconds dried) $12.9{\pm}3.5$. The data were analyzed using ANOVA. In the acid-conditioned groups, mean values of SBS for the air-dried specimens(Grps. 2, 3 and 4) and the 20 and 30 seconds dried/remoistened specimens (Grps. 6 and 7) were significantly lower than that of blot dried specimens.(p<0.05) The value for 10 seconds dried/remoistened specimens (Grp. 5), however, was not statistically different compared to that of blot dried specimens.(p>0.05) In the non-conditined groups, there was no statistical difference between blot dried and 10 seconds dried specimens.(p>0.05) The results suggest that the acid-conditioned dentin surface is more vulnerable to dentin bonding when it is air-dried or even remoistened after long period of drying. II. Shear bond stengh to the moistened and primed enamel. The effect of moistening and priming of enamel compared to the air-drying of enamel on the shear bond strength of enamel bonding agent was investigated. The experiment was divided into 4 groups each containing 10 caries-free maxillary incisor teeth. Shear bond strength values were measured for the primed and non-primed enamel to which All-Bond 2 and Z-100 were applied. The following values(MPa) were obtained for the primed groups pretreated with 32 % phosphoric acid for 15 seconds. : Group 1 (10 seconds dried) $29.8{\pm}2.2$ ; Group 2(moistened) $26.8{\pm}5.4$. For the non-primed groups the values were: Group 3(10 seconds dried/primed) $27.6{\pm}5.0$ ; Group 4(mostened/primed) $28.2{\pm}3.5$. The data were subjected to statistical analysis using ANOVA. The results showed that mean shear bond strengths among the experimental groups were not statistically different. (p>0.05) Conclusively, It is suggested that the bonding ability to enamel is not decreased by the moistening and priming of the enamel.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.8
/
pp.442-448
/
2016
This study was conducted to determine the appropriateness of systemic radiation exposure control for students in clinical practice by comparing radiation exposure in radiography employees at different stations of a hospital with that of students conducting clinical practice using identical stations. Overall, 121 students who conducted clinical practice in the department of radiology area of C university hospital from July 2014 to August 2014 and 62 workers working in the same medical facility (47 in the department of radiology, 8 in the department of radiation oncology, 7 in the department of nuclear medicine) were investigated. The radiation exposure experienced by students was measured for 8 weeks, which is the duration of the clinical practice. Additionally, radiation exposure of workers were classified into 4 groups, department of radiology, department of radiation oncology, and department of nuclear medicine was compared. Dose was measured with OSLD and differences among groups were identified by ANOVA followed by Duncan's multiple range test. Among employees, those in the department of radiology, oncology and nuclear medicine were exposed depth doses of $0.127{\pm}0.331mSv$, $0.01{\pm}0.003mSv$, and $0.431{\pm}0.205mSv$, respectively, while students were exposed to $0.143{\pm}0.136mSv$. Additionally, workers in the department of radiology, oncology and nuclear medicine were exposed to surface doses of $0.131{\pm}0.331mSv$, $0.009{\pm}0.003mSv$, and $0.445{\pm}0.198mSv$, respectively, while students were exposed to $0.151{\pm}0.14mSv$, which was significantly different in both doses (p < 0.01). The average dose that students received is higher than that of the other groups (except for nuclear medicine workers), indicating that further improvements must be made in systemic controls for individual radiation exposure by including the students as subjects of management for protection from radiation.
Journal of the Korean Society for Marine Environment & Energy
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v.19
no.2
/
pp.87-98
/
2016
During the period between July 3 and 27 of 2009, water samples were collected from the Russian coast at a depth of 30m from 26 stations (including Ulleung and Japan basins) onboard the Russian survey vessel R/V Lavrentyev following 4 lines (D, R, E, and A). The samples were analyzed for nutrients and chlorophyll a contents. All parameters exhibited higher values in warm waters than in cold waters ($NH_4:1.8-fold$, $PO_4:1.8-fold$, $SiO_2:1.2-fold$, and chlorophyll-${\alpha}$:1.9-fold), except nitrates, which was 1.4-fold higher in cold waters than in warm waters. The horizontal distribution of ammonia, phosphate, and chlorophyll-${\alpha}$ was very similar to each other and showed the highest values in the waters near Russia, where a upwelling influence of cold current and bottom water prevails, while relatively low distribution was observed at the Ulleung Basin. On the other hand, nitrates showed the highest concentration at the Ulleung Basin, which is under the direct influence of the Tsushima warm water, and showed a gradual decrease northward. The N/P ratio showed the highest value in the Tsushima middle water, rather than in the North Korean Cold Water, the Tsushima Warm Water was the primary source of nitrate flow into the East Sea. However, the average concentration of phosphate in the warm waters was < $0.2{\mu}M$, thereby limiting phytoplankton growth, while a high concentration of phosphate in cold waters showed a direct correlation with chlorophyll-${\alpha}$. The results of principal component analysis for the identification of primary factors that influence the marine environment showed that principal component I was water temperature and principal component II was influenced chlorophyll-${\alpha}$ and nutrients. Therefore, Study area has greatest influenced by water temperature, and clearly distinct cold and warm water regions were observed in the East Sea.
This experiment was carried out to investigate effects of dense planting on the growth and productivity in varieties of hot pepper at open field. Three varieties (Joseng jinheung, Weonkyo No. 304 and Bulam house Putgochu) were sowed on Jan. 30th and transplanted on May 12th. The planting densities used were 3,300, 5,500 and 8,300 plants per 10a. The results obtained are as follows: 1) With higher plant density, the plant shape was changed from open-type to upright-type and the yield was increased, presumably due to the increase of leaf area index. 2) LAI and SLA per unit area were increased by denser planting. Wonkyo No. 304 presented the highest LAI and the lowest SLA. 3) Dry matter weight per unit area was also increased, however the LW/SW ratio was tended to decrease on denser planting. 4) Through crop growth analysis, it was determined that CGR and NAR were increased during the early growth stages and became decreased from last June. 5) Light intensity under the canopy formed by denser planting was decreased by 40% measured at 60 ㎝ above the soil surface. The vertical distribution of fruits became concentrated the upper part of plant. Fruit yield per unit area in denser planting was increased as compared to the conventional planting. The number of fruit setting decreased. 6) Generally, no differences in yield were detected in comparison between denser planting and conventional planting harvested on Aug. 30th and Oct. 15th, respectively. But Weonkyo No. 304 increased yield by 18% in denser planting.
Pollutants from industry, mining, agriculture, and other sources have contaminated sediments in many surface water bodies. Sediment contamination poses a severe threat to human health and environment because many toxic contaminants that are barely detectable in the water column can accumulate in sediments at much higher levels. The purpose of this study was to make optimal treatment and disposal plan o( sediment for water quality improvement in small-scale resevoir based on an evaluation of degree of contamination. The degree of contamination were investigated for 23 samples of 9 site at different depth of sediment in small-scale J river. Results for analysis of contaminated sediments were observed that copper concentration of 4 samples were higher than the regulation of hazardous waste (3 mg/L) and that of all samples were exceeded soil pollution warning levels for agricultural areas. Lead and mercury concentration of all samples were detected below both regulations. Necessary of sediment dredge was evaluated for organic matter and nutrient through standard levels of Paldang lake and the lower Han river in Korea and Tokyo bay and Yokohama bay in Japan. The degree of contamination for organic matter and nutrient was not serious. Compared standard levels of Japan, America, and Canada for heavy metal, contaminated sediment was concluded as lowest effect level or limit of tolerance level because standard levels of America and Canada was established worst effect of benthic organisms. The optimal treatment method of sediment contained heavy metal was cement-based solidification/stabilization to prevent heavy metal leaching.
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
/
v.7
no.1
/
pp.20-31
/
2002
This study was carried out to investigate the composition and the distribution of the benthic polychaetous communities in Deugryang Bay, semi-enclosed bays, on the southern coast of Korea and to deduce temporal changes in community with the comparison of the past studies. In Deugryang Bay, benthic polychaetous community structure was investigated on the base of the samples from 98 stations in 1996 and 1997. The main facies of surface sediment was clayey silt. The overall benthic macrofaunal density was 871 ind./m$^{2}$. The density was highest in the middle part of the bay because Musculus senhousia (Bivalvia) and cumaceans (Crustacea) had their highest densities in some stations. Benthic polychaetes were comprised of 100 species with a mean density of 138 ind./m$^{2}$. Their abundances were higher in the inner bay, in the middle bay, and in the mouth of bay, but poor community structures were established in the whole bay. The dominant species over 1.0 percentage were composed of the total 21 species, and they occupied 78.3% of the total abundance of the benthic polychaetes. The most dominant species was Lumbrineris longifolia (9.3%), followed by Eteone longa (7.3%), Heteromastus filifomis (7.1%), Sternaspis scutata (6.1%). From the cluster analysis, the study area could be divided into three station groups. Station group AI was located in the inner bay and in the shallow coastal region, and its most dominant species was Heteromastus filiformis. At the station group AII in the mouth of bay and in some channel region, its most dominant species were Lumbrineris longifolia and Eteone longa. And at the station group B located in middle part of the bay, the most dominant specis was Sternaspis scutata. In comparison with previous studies, the benthic polychaetous community experienced great change in the view of species number, density and dominant species. The dominant species were Sternaspis scutata and Eteone longa, but their densities declined greatly. Instead of these species, Lumbrineris longifolia and Heteromastus filiformis, known as the potential organic enrichment indicator species, appeared to the new dominant species even if their low densities. These facts mean that Deugryang Bay was maintained yet as little organic enriched area compared to other bays on the coast of Korea, but needed some caution of marine environmental management.
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
/
v.7
no.1
/
pp.8-19
/
2002
Spatial distribution pattern of macrozoobenthos was studied along the salinity gradient and sedimentary environment in the Watancheon estuary, Beobseongpo, southwest coast of Korea. Ten stations were set from the mouth towards the head of estuary. Three replicate sediment samples were taken using a van Veen grab (surface area $0.1m^{2}$) at each station between June 1998 and January 1999. A total of 114 species were collected during the study period and they are composed of 44 species of polychaetes (39%), 34 of crustaceans (30%), 24 of molluscs (21%) and 12 of miscellaneous. The former two taxa together accounted for 69% in the total number of species. The mean density was 3,053 ind./m$^{2}$, comprising 2,536 ind./m$^{2}$ from polychaetes (83%) and 439 ind./m$^{2}$, crustaceans (14%). Moreover, the mean biomass was 58.23 gwwt./m$^{2}$, consisting of 29.56 gwwt./m$^{2}$ from polychaetes (51%), 23.38 gwwt./m$^{2}$, molluscs (40%). A spionid polychaete Minuspio japonica, two corophiid amphipods Grandidierella japonica and Corophium sinense, a bivalve Potamocorbula amurensis were major dominants at the head of estuary where the salinity was relatively lower compared with contiguous sites. The distributions of M. japonica and G. japonica were significantly related to the salinity and sediment environment, respectively, whereas C. sinense and P, amurensis showed no significance. The nereid polychaete, Hediste japonica, also predominated at the head of the estuary where bottom salinity was relatively low. Species diversity was high at the mouth area whereas low diversity and few species number were seen at the stations in the head of the estuary, influenced by freshwater and sandy sediment. Based on the cluster analysis, the macrobenthic community was classified into four station groups from head (station group A) toward mouth (group D) in the study area. The number of species and abundance between station group B and C were significantly different. And the abundance of between two neighboring station groups (station group A and B, B and C, C and D) was also different. These results suggested that the spatial distribution pattern of macrobenthos in this estuary seemed mainly related to gradients in bottom salinity and sediment grain size among environmental factors.
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