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Clinical Outcomes of Spontaneous Spinal Epidural Hematoma : A Comparative Study between Conservative and Surgical Treatment

  • Kim, Tackeun;Lee, Chang-Hyun;Hyun, Seung-Jae;Yoon, Sang Hoon;Kim, Ki-Jeong;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.52 no.6
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    • pp.523-527
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    • 2012
  • Objective : The incidence of spontaneous spinal epidural hematoma (SSEH) is rare. Patients with SSEH, however, present disabling neurologic deficits. Clinical outcomes are variable among patients. To evaluate the adequate treatment method according to initial patients' neurological status and clinical outcome with comparison of variables affecting the clinical outcome. Methods : We included 15 patients suffered from SSEH. Patients were divided into two groups by treatment method. Initial neurological status and clinical outcomes were assessed by the American Spinal Injury Association (ASIA) impairment scale. Also sagittal hematoma location and length of involved segment was analyzed with magnetic resonance images. Other factors such as age, sex, premorbid medication and duration of hospital stay were reviewed with medical records. Nonparametric statistical analysis and subgroup analysis were performed to overcome small sample size. Results : Among fifteen patients, ten patients underwent decompressive surgery, and remaining five were treated with conservative therapy. Patients showed no different initial neurologic status between treatment groups. Initial neurologic status was strongly associated with neurological recovery (p=0.030). Factors that did not seem to affect clinical outcomes included : age, sex, length of the involved spinal segment, sagittal location of hematoma, premorbid medication of antiplatelets or anticoagulants, and treatment methods. Conclusion : For the management of SSEH, early decompressive surgery is usually recommended. However, conservative management can also be feasible in selective patients who present neurologic status as ASIA scale E or in whom early recovery of function has initiated with ASIA scale C or D.

Effect of Temperature Abuse on Quality and Metabolites of Frozen/Thawed Beef Loins

  • Kwon, Jeong A;Yim, Dong-Gyun;Kim, Hyun-Jun;Ismail, Azfar;Kim, Sung-Su;Lee, Hag Ju;Jo, Cheorun
    • Food Science of Animal Resources
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    • v.42 no.2
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    • pp.341-349
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    • 2022
  • The objective of this study was to examine the effect of temperature abuse prior to cold storage on changes in quality and metabolites of frozen/thawed beef loin. The aerobic packaged samples were assigned to three groups: refrigeration (4℃) (CR); freezing (-18℃ for 6 d) and thawing (20±1℃ for 1 d), followed by refrigeration (4℃) (FT); temperature abuse (20℃ for 6 h) prior to freezing (-18℃ for 6 d) and thawing (20±1℃ for 1 d), followed by refrigeration (4℃) (AFT). FT and AFT resulted in higher volatile basic nitrogen (VBN) values than CR (p<0.05), and these values rapidly increased in the final 15 d. Cooking loss decreased significantly with an increase in the storage period (p<0.05). In addition, cooking loss was lower in the FT and AFT groups than in the CR owing to water loss after storage (p<0.05). A scanning electron microscope (SEM) revealed that frozen/thawed beef samples were influenced by temperature abuse in the structure of the fiber at 15 d. Metabolomic analysis showed differences among CR, FT, and AFT from partial least square discriminant analysis (PLS-DA) based on proton nuclear magnetic resonance (1H NMR) profiling. The treatments differed slightly, with higher FT than AFT values in several metabolites (phenylalanine, isoleucine, valine, betaine, and tyrosine). Overall, temperature abuse prior to freezing and during thawing of beef loin resulted in accelerated quality changes.

Observational Feature of Ejecta-Companion Interaction of A Type Ia SN 2021hpr Via The Very Early Light Curve

  • Lim, Gu;Im, Myungshin;Paek, Gregory S.H;Yoon, Sung-Chul;Choi, Changsu;Kim, Sophia;Seo, Jinguk;Kang, Wonseok;Kim, Taewoo;Sung, Hyun-Il;Kim, Yonggi;Yoon, Joh-Na
    • The Bulletin of The Korean Astronomical Society
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    • v.46 no.2
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    • pp.50.3-51
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    • 2021
  • The progenitor of Type Ia supernovae is largely expected as a close binary system of a carbon/oxygen white dwarf (WD) primary and its secondary non-degenerate (single degenerate; SD) or degenerate companion (double degenerate; DD). Here we present a high-cadence monitoring observation of SN 2021hpr in a spiral galaxy, NGC 3147. SN 2021hpr shows typical characteristics as a normal type Ia supernova from its photometric (Δm15(B)=1.01±0.03, dust free MB,max=-19.45±0.02) and spectroscopic data. To investigate its progenitor system, we fit the early part of BVRI-band light curve simultaneously with a combined version of ejecta-companion and simple power-law model. As a result, we found a significant feature of an early excess possibly from a 7.63±0.52R-sized companion at the optimal viewing angle while the fit is not successful at the common viewing angle. No possible red sources brighter than F555W=-7.01 AB mag is detected at the SN location in Hubble Space Telescope (HST) pre-explosion images, excluding massive stars with initial mass of >16M as companions. We suggest the progenitor system of SN 2021hpr can be a fairly large companion such as a main sequence, a low mass subgiant, and a helium giant star. In addition, a possibility of the ejecta-Disk Originated Matter (DOM) interaction for the DD scenario considering linearly-rising early flux still remains.

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Cyclin-Dependent Kinase Inhibitor 2A is a Key Regulator of Cell Cycle Arrest and Senescence in Endothelial Colony-Forming Cells in Moyamoya Disease

  • Seung Ah Choi;Youn Joo Moon;Eun Jung Koh;Ji Hoon Phi;Ji Yeoun Lee;Kyung Hyun Kim;Seung-Ki Kim
    • Journal of Korean Neurosurgical Society
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    • v.66 no.6
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    • pp.642-651
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    • 2023
  • Objective : Endothelial colony-forming cells (ECFCs) have been reported to play an important role in the pathogenesis of moyamoya disease (MMD). We have previously observed stagnant growth in MMD ECFCs with functional impairment of tubule formation. We aimed to verify the key regulators and related signaling pathways involved in the functional defects of MMD ECFCs. Methods : ECFCs were cultured from peripheral blood mononuclear cells of healthy volunteers (normal) and MMD patients. Low-density lipoproteins uptake, flow cytometry, high content screening, senescence-associated β-galactosidase, immunofluorescence, cell cycle, tubule formation, microarray, real-time quantitative polymerase chain reaction, small interfering RNA transfection, and western blot analyses were performed. Results : The acquisition of cells that can be cultured for a long time with the characteristics of late ECFCs was significantly lower in the MMD patients than the normal. Importantly, the MMD ECFCs showed decreased cellular proliferation with G1 cell cycle arrest and cellular senescence compared to the normal ECFCs. A pathway enrichment analysis demonstrated that the cell cycle pathway was the major enriched pathway, which is consistent with the results of the functional analysis of ECFCs. Among the genes associated with the cell cycle, cyclin-dependent kinase inhibitor 2A (CDKN2A) showed the highest expression in MMD ECFCs. Knockdown of CDKN2A in MMD ECFCs enhanced proliferation by reducing G1 cell cycle arrest and inhibiting senescence through the regulation of CDK4 and phospho retinoblastoma protein. Conclusion : Our study suggests that CDKN2A plays an important role in the growth retardation of MMD ECFCs by inducing cell cycle arrest and senescence.

Enhancement of outcoupling efficiency of OLEDs by using nanoimprinted polymer nanostructures

  • Jeon, So-Hee;Kang, Jae-Wook;Park, Hyung-Dol;Shim, Jong-Youp;Jeong, Jun-Ho;Kim, Se-Heon;Youn, Jae-R.;Kim, Jang-Joo
    • 한국정보디스플레이학회:학술대회논문집
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    • 2008.10a
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    • pp.521-522
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    • 2008
  • An etch-less simple method was developed to fabricate two-dimensional nanostructures on glass substrate directly by using UV curable polymer resin and UV nanoimprint lithography in order to improve output coupling efficiency of OLEDs. OLEDs integrated on nanoimprinted substrates enhanced electro-luminance intensity by up to 50% compared with the conventional device.

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Genotype analysis of Cryptosporidium spp. prevalent in a rural village in Hwasun-gun, Republic of Korea

  • PARK Jae-Hwan;GUK Sang-Mee;HAN Eun-Taek;SHIN Eun-Hee;KIM Jae-Lip;CHAI Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.44 no.1 s.137
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    • pp.27-33
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    • 2006
  • Two species of Cryptosporidium are known to infect man; C. hominis which shows anthroponotic transmission between humans, and C. parvum which shows zoonotic transmission between animals or between animals and man. In this study, we focused on identifying genotypes of Cryptosporidium prevalent among inhabitants and domestic animals (cattle and goats), to elucidate transmittal routes in a known endemic area in Hwasun-gun, Jeollanam-do, Republic of Korea. The existence of Cryptosporidium oocysts was confirmed using a modified ZiehlNeelsen stain. Human infections were found in 7 $(25.9\%)$ of 27 people examined. Cattle cryptosporidiosis cases constituted 7 $(41.2\%)$ of 17 examined, and goat cases 3 $(42.9\%)$ of 7 examined. Species characterizations were performed on the small subunit of the rRNA gene using both PCR-RFLP and sequence analysis. Most of the human isolates were mixtures of C. hominis and C. parvum genotypes and similar PCR-RFLP patterns were observed in cattle and goat isolates. However, sequence analyses identified only C. hominis in all isolates examined. The natural infection of cattle and goats with C. hominis is a new and unique finding in the present study. It is suggested that human cryptosporidiosis in the studied area is caused by mixtures of C. hominis and C. parvum oocysts originating from both inhabitants and domestic animals.

Star Cluster System in M33

  • Park W. -K.;Lee M. G;Park H. S.;Kim S. C.;Park J. -H.;Lee S. -G.;Oh S. J;Lee Y -W.;Sohn Y. -J.;Rey S. -C.;Yuk I. -S.;Kim H. -I.;Han W.
    • The Bulletin of The Korean Astronomical Society
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    • v.29 no.2
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    • pp.26.2-26.2
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    • 2004
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Search for star clusters in M33

  • Park W. -K.;Lee M. G.;Kim S. C.;Park H. S.;Park J. -H.;Lee S. -G.;Oh S. J.;Lee Y. -W.;Sohn Y. -J.;Rey S. -C.;Yuk I. -S;Kim H. -I.;Han W.
    • The Bulletin of The Korean Astronomical Society
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    • v.28 no.2
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    • pp.89-89
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    • 2003
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