• Title/Summary/Keyword: center loss

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Minimally Invasive Surgery without Decompression for Hepatocellular Carcinoma Spinal Metastasis with Epidural Spinal Cord Compression Grade 2

  • Jung, Jong-myung;Chung, Chun Kee;Kim, Chi Heon;Yang, Seung Heon
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.467-475
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    • 2019
  • Objective : There is a lack of knowledge regarding whether decompression is necessary in treating patients with epidural spinal cord compression (ESCC) grade 2. The purpose of this study was to compare the outcomes of minimally invasive surgery (MIS) without decompression and conventional open surgery (palliative laminectomy) for patients with hepatocellular carcinoma (HCC) spinal metastasis of ESCC grade 2. Methods : Patients with HCC spinal metastasis requiring surgery were retrospectively reviewed. Patients with ESCC grade 2, medically intractable mechanical back pain, a Nurick grade better than 3, 3-6 months of life expectancy, Tomita score ${\geq}5$, and Spinal Instability Neoplastic Score ${\geq}7$ were included. Patients with neurological deficits, other systemic illnesses and less than 1 month of life expectancy were excluded. Thirty patients were included in the study, including 17 in the open surgery group (until 2008) and 13 in the MIS group (since 2009). Results : The MIS group had a significantly shorter operative time ($94.2{\pm}48.2minutes$ vs. $162.9{\pm}52.3minutes$, p=0.001), less blood loss ($140.0{\pm}182.9mL$ vs. $1534.4{\pm}1484.2mL$, p=0.002), and less post-operative intensive care unit transfer (one patient vs. eight patients, p=0.042) than the open surgery group. The visual analogue scale for back pain at 3 months post-operation was significantly improved in the MIS group than in the open surgery group ($3.0{\pm}1.2$ vs. $4.3{\pm}1.2$, p=0.042). The MIS group had longer ambulation time ($183{\pm}33days$ vs. $166{\pm}36days$) and survival time ($216{\pm}38days$ vs. $204{\pm}43days$) than the open surgery group without significant difference (p=0.814 and 0.959, respectively). Conclusion : MIS without decompression would be a good choice for patients with HCC spinal metastasis of ESCC grade 2, especially those with limited prognosis, mechanical instability and no neurologic deficit.

Changes in microbial population and chemical composition of corn stover during field exposure and effects on silage fermentation and in vitro digestibility

  • Sun, Lin;Wang, Zhijun;Gentu, Ge;Jia, Yushan;Hou, Meiling;Cai, Yimin
    • Asian-Australasian Journal of Animal Sciences
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    • v.32 no.6
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    • pp.815-825
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    • 2019
  • Objective: To effectively use corn stover resources as animal feed, the changes in microbial population and chemical composition of corn stover during field exposure, and their silage fermentation and in vitro digestibility were studied. Methods: Corn cultivars (Jintian, Jinnuo, and Xianyu) stovers from 4 random sections of the field were harvested at the preliminary dough stage of maturity on September 2, 2015. The corn stover exposed in the field for 0, 7, 15, 30, 60, 90, and 180 d, and their silages at 60 d of ensiling were used for the analysis of microbial population, chemical composition, fermentation quality, and in vitro digestibility. Data were analyzed with a completely randomized $3{\times}6$ [corn stover cultivar $(C){\times}exposure$ d (D)] factorial treatment design. Analysis of variance was performed using SAS ver. 9.0 software (SAS Institute Inc., Cary, NC, USA). Results: Aerobic bacteria were dominant population in fresh corn stover. After ensiling, the lactic acid bacteria (LAB) became the dominant bacteria, while other microbes decreased or dropped below the detection level. The crude protein (CP) and water-soluble carbohydrate (WSC) for fresh stover were 6.74% to 9.51% and 11.75% to 13.21% on a dry matter basis, respectively. After exposure, the CP and WSC contents decreased greatly. Fresh stover had a relatively low dry matter while high WSC content and LAB counts, producing silage of good quality, but the dry stover did not. Silage fermentation inhibited nutrient loss and improved the fermentation quality and in vitro digestibility. Conclusion: The results confirm that fresh corn stover has good ensiling characteristics and that it can produce silage of good quality.

Comparison of Uniportal versus Multiportal Video-Assisted Thoracoscopic Surgery Pulmonary Segmentectomy

  • Lee, June;Lee, Ji Yun;Choi, Jung Suk;Sung, Sook Whan
    • Journal of Chest Surgery
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    • v.52 no.3
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    • pp.141-147
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    • 2019
  • Background: Uniportal video-assisted thoracoscopic surgery (VATS) has proven safe and effective for pulmonary wedge resection and lobectomy. The objective of this study was to evaluate the safety and feasibility of uniportal VATS segmentectomy by comparing its outcomes with those of the multiportal approach at a single center. Methods: The records of 84 patients who underwent VATS segmentectomy from August 2010 to August 2018, including 33 in the uniportal group and 51 in the multiportal group, were retrospectively reviewed and analyzed. Results: Anesthesia and operative times were similar in the uniportal and multiportal groups (215 minutes vs. 220 minutes, respectively; p=0.276 and 180 minutes vs. 198 minutes, respectively; p=0.396). Blood loss was significantly lower in the uniportal group (50 mL vs. 100 mL, p=0.013) and chest tube duration and hospital stay were significantly shorter in the uniportal group (2 days vs. 3 days, p=0.003 and 4 days [range, 1-14 days] vs. 4 days [range, 1-62 days], p=0.011). The number of dissected lymph nodes tended to be lower in the uniportal group (5 vs. 8, p=0.056). Conclusion: Our preliminary experience indicates that uniportal VATS segmentectomy is safe and feasible in well-selected patients. A randomized, prospective study with a large group of patients and long-term follow-up is necessary to confirm these results.

Bone healing dynamics associated with 3 implants with different surfaces: histologic and histomorphometric analyses in dogs

  • Lee, Jungwon;Yoo, Jung Min;Amara, Heithem Ben;Lee, Yong-Moo;Lim, Young-Jun;Kim, Haeyoung;Koo, Ki-Tae
    • Journal of Periodontal and Implant Science
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    • v.49 no.1
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    • pp.25-38
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    • 2019
  • Purpose: This study evaluated differences in bone healing and remodeling among 3 implants with different surfaces: sandblasting and large-grit acid etching (SLA; IS-III $Active^{(R)}$), SLA with hydroxyapatite nanocoating (IS-III $Bioactive^{(R)}$), and SLA stored in sodium chloride solution ($SLActive^{(R)}$). Methods: The mandibular second, third, and fourth premolars of 9 dogs were extracted. After 4 weeks, 9 dogs with edentulous alveolar ridges underwent surgical placement of 3 implants bilaterally and were allowed to heal for 2, 4, or 12 weeks. Histologic and histomorphometric analyses were performed on 54 stained slides based on the following parameters: vertical marginal bone loss at the buccal and lingual aspects of the implant (b-MBL and l-MBL, respectively), mineralized bone-to-implant contact (mBIC), osteoid-to-implant contact (OIC), total bone-to-implant contact (tBIC), mineralized bone area fraction occupied (mBAFO), osteoid area fraction occupied (OAFO), and total bone area fraction occupied (tBAFO) in the threads of the region of interest. Two-way analysis of variance (3 types of implant $surface{\times}3$ healing time periods) and additional analyses for simple effects were performed. Results: Statistically significant differences were observed across the implant surfaces for OIC, mBIC, tBIC, OAFO, and tBAFO. Statistically significant differences were observed over time for l-MBL, mBIC, tBIC, mBAFO, and tBAFO. In addition, an interaction effect between the implant surface and the healing time period was observed for mBIC, tBIC, and mBAFO. Conclusions: Our results suggest that implant surface wettability facilitates bone healing dynamics, which could be attributed to the improvement of early osseointegration. In addition, osteoblasts might become more activated with the use of HA-coated surface implants than with hydrophobic surface implants in the remodeling phase.

Comparison of eating habits and inappropriate weight control efforts of secondary school students enrolled in a weight control program

  • Kang, EunKyo;Kim, Soojeong;Yun, Young Ho
    • Nutrition Research and Practice
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    • v.15 no.5
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    • pp.628-638
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    • 2021
  • BACKGROUND/OBJECTIVES: Numerous school-based weight control programs have been initiated for weight loss among adolescents. However, the relationship between these programs and inappropriate weight control efforts, dietary habits and behavior of students, have not been investigated sufficiently. This study was undertaken to investigate the association between body mass index (BMI) of adolescents, and their health status and inappropriate weight-control efforts. We further examined the relationship between attendance to school-based weight-control programs and attempting inappropriate weight-control efforts, dietary habits, and behavior. SUBJECTS/METHODS: A survey of 1,742 students was conducted in Korea. Logistic regression was used to assess differences in the health status (grouped by BMI and improper weight control) and dietary habits, based on attendance to the weight-control programs. RESULTS: Obese students were significantly more dissatisfied with physical, mental and spiritual health. Students who attended weight-control programs were likely to be underweight (P < 0.001), whereas those who did not attend weight-control programs were likely to attempt weight control improperly (P < 0.001). Students who participated in the program also had relatively healthy dietary habits (P < 0.001-0.027), and students who did not attend had comparatively unhealthy dietary habits (P < 0.001-0.008). Students who attended weight-control programs were likely to be underweight (P < 0.001) with relatively healthy dietary habits (P < 0.001-0.027), whereas students who did not attend the programs were likely to attempt weight control improperly (P < 0.001) and had comparatively unhealthy dietary habits (P < 0.001-0.008). CONCLUSIONS: Attending school-based weight-control programs was significantly associated with not attempting inappropriate weight-control efforts, as well as following healthy dietary habits. Our data indicates that offering school-based weight-control programs is valuable to student health, and is anticipated to reducing the public health burden.

Effects of the Substitution of Wet-Milled Rice Flour for Wheat Flour on the Physicochemical Properties and Acceptability of Yellow Layer Cake (습식제분 쌀가루의 첨가가 옐로 레이어 케이크의 이화학 특성과 소비자 기호도에 미치는 영향)

  • Kim, Ji-Young;Jeon, Jae-Eun;Lee, In-Seon
    • Journal of the Korean Society of Food Culture
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    • v.36 no.5
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    • pp.492-501
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    • 2021
  • This study investigated the physicochemical properties and acceptability of yellow layer cake prepared using various levels of wet-milled rice flour (RF). RF was used to substitute 0% (control group), 15% (RF-15 group), 30% (RF-30 group) and 45% (RF-45 group) of wheat flour (WF) to manufacture yellow layer cakes. The substitution of WF with RF showed no significant effect on the pH but decreased the specific gravity and viscosity of the batter. Baking loss rates ranged from 4.65% to 5.03%, showing no significant difference among samples. In the color measurement, the experimental groups showed higher redness (a) and yellowness (b) than the control group (p<0.05). The experimental groups showed lower gumminess and chewiness than the control group. According to the results of intensity measurement of sensory properties, the RF-30 and RF-45 groups showed stronger intensities for darkness, sweetness, moistness and softness than the control group. The acceptance test found that the RF-45 group had significantly higher or similar results for all acceptance attributes than the control group. These results indicate that RF addition as a replacement of WF at a ratio of 45% is optimal for producing yellow layer cakes.

Collapse resistance of steel frames in two-side-column-removal scenario: Analytical method and design approach

  • Zhang, JingZhou;Yam, Michael C.H.;Soltanieh, Ghazaleh;Feng, Ran
    • Structural Engineering and Mechanics
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    • v.78 no.4
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    • pp.485-496
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    • 2021
  • So far analytical methods on collapse assessment of three-dimensional (3-D) steel frames have mainly focused on a single-column-removal scenario. However, the collapse of the Federal Building in the US due to car bomb explosion indicated that the loss of multiple columns may occur in the real structures, wherein the structures are more vulnerable to collapse. Meanwhile, the General Services Administration (GSA) in the US suggested that the removal of side columns of the structure has a great possibility to cause collapse. Therefore, this paper analytically deals with the robustness of 3-D steel frames in a two-side-column-removal (TSCR) scenario. Analytical method is first proposed to determine the collapse resistance of the frame during this column-removal procedure. The reliability of the analytical method is verified by the finite element results. Moreover, a design-based methodology is proposed to quickly assess the robustness of the frame due to a TSCR scenario. It is found the analytical method can reasonably predict the resistance-displacement relationship of the frame in the TSCR scenario, with an error generally less than 10%. The parametric numerical analyses suggest that the slab thickness mainly affects the plastic bearing capacity of the frame. The rebar diameter mainly affects the capacity of the frame at large displacement. However, the steel beam section height affects both the plastic and ultimate bearing capacity of the frame. A case study on a six-storey steel frame shows that the design-based methodology provides a conservative prediction on the robustness of the frame.

Evaluation on Cavity Expansion under Pavement based on Groundwater Injection test (지하수 주입실험을 통한 도로노면 하부의 공동 확장 평가)

  • Park, Jeong-Jun;You, Seung-Kyong;Hong, Gigwon
    • Journal of the Korean Geosynthetics Society
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    • v.18 no.3
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    • pp.79-88
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    • 2019
  • This study described a results of groundwater injection test in cavity, in order to evaluate characteristics of cavity expansion under pavement. That is, groundwater amount proportional to the cavity volume was injected into the generated cavity step by step, and then the cavity with the changed size was monitored as the injected groundwater was drained. The test result showed that the cavity volume by groundwater injection increased, and then it converged or decreased. This means that some of the relaxation soil around the cavity collapsed, and the fine-grained soils in some soils filled the void in the surrounding soils when the cavity is expanded by groundwater injection. The volume change and expansion characteristics of the cavity according to the groundwater injection step were analyzed. The result showed that the cavity extended laterally. Therefore, it was found that the cavity expansion is caused by the repetition of the relaxation soil collapse due to the groundwater flow and the loss of the collapsed soil below the cavity.

A Basic Study on the Recycling of Wasted Cemented Carbide by the Zn Bath Process(I) (Zn bath 프로세스에 의한 폐초경합금의 재활용에 관한 기초연구(I))

  • Kim, Kyung-Sik;Kim, In-Ho;Lee, Chan-Gi;Song, Chang-Bin
    • Resources Recycling
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    • v.29 no.6
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    • pp.35-40
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    • 2020
  • In this study were carried out basic experiments mainly to investigate important reaction mechanism, the reaction temperature, time and the addition amount of Zn in recycling of waste cemented carbide by the zinc bath process. As a result, it was required that the Zn bath reaction was heated more than at 800℃ to accelerate reaction of melted Zn and Co inside of wasted cemented carbide. Furthermore, thickness of the waste cemented carbide was reduced linearly according to increase of reaction time at 700℃ for 0.5~2h in the zinc bath reaction. Also the zinc bath reaction was examined that heating in lower than at 800℃ for 3h and then heated more than at 900℃ for 1h(above 3.0×10 torr-2 vaccum) was suitable to reduce vapour loss amount of Zn in the zinc bath process.

Measurement method of the signal transfer characteristic(S21) of the impedance transformer (임피던스 변환회로의 신호 전달특성(S21) 측정 방법)

  • Park, Ung-hee
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.10
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    • pp.1282-1289
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    • 2019
  • In order to measure the transfer characteristic(S21) of the impedance transformer, two impedance transformers must be symmetrically connected. However, the transfer characteristic of two symmetrically connected impedance transformers is influenced by the length of the intermediate connection line. This paper theoretically examines closely the length of the intermediate connection line to obtain the accurate transfer characteristic of the impedance transformer. The electrical length of the intermediate connection line for obtaining the accurate transfer characteristic of the 4:1(50-Ω:12.5-Ω) impedance transformer is calculated about 45°. Using the calculated length of the connection line, The λ/4-microstrip impedance transformer is fabricated at 1 GHz to measure the transfer characteristic. The symmetrically connected impedance transformer is measured the reflection characteristic(S11) of -40.64dB and the transfer characteristic(S21) of -0.154dB at 0.980GHz. This value is approximately equal to the theoretical calculated 987MHz center frequency and -0.15dB transfer loss value of the λ/4-microstrip impedance transformer.