• Title/Summary/Keyword: essential matrix

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Demineralized Bone Matrix (DBM) as a Bone Void Filler in Lumbar Interbody Fusion : A Prospective Pilot Study of Simultaneous DBM and Autologous Bone Grafts

  • Kim, Bum-Joon;Kim, Se-Hoon;Lee, Haebin;Lee, Seung-Hwan;Kim, Won-Hyung;Jin, Sung-Won
    • Journal of Korean Neurosurgical Society
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    • v.60 no.2
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    • pp.225-231
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    • 2017
  • Objective : Solid bone fusion is an essential process in spinal stabilization surgery. Recently, as several minimally invasive spinal surgeries have developed, a need of artificial bone substitutes such as demineralized bone matrix (DBM), has arisen. We investigated the in vivo bone growth rate of DBM as a bone void filler compared to a local autologous bone grafts. Methods : From April 2014 to August 2015, 20 patients with a one or two-level spinal stenosis were included. A posterior lumbar interbody fusion using two cages and pedicle screw fixation was performed for every patient, and each cage was packed with autologous local bone and DBM. Clinical outcomes were assessed using the Numeric Rating Scale (NRS) of leg pain and back pain and the Korean Oswestry Disability Index (K-ODI). Clinical outcome parameters and range of motion (ROM) of the operated level were collected preoperatively and at 3 months, 6 months, and 1 year postoperatively. Computed tomography was performed 1 year after fusion surgery and bone growth of the autologous bone grafts and DBM were analyzed by ImageJ software. Results : Eighteen patients completed 1 year of follow-up, including 10 men and 8 women, and the mean age was 56.4 (32-71). The operated level ranged from L3/4 to L5/S1. Eleven patients had single level and 7 patients had two-level repairs. The mean back pain NRS improved from 4.61 to 2.78 (p=0.003) and the leg pain NRS improved from 6.89 to 2.39 (p<0.001). The mean K-ODI score also improved from 27.33 to 13.83 (p<0.001). The ROM decreased below 2.0 degrees at the 3-month assessment, and remained less than 2 degrees through the 1 year postoperative assessment. Every local autologous bone graft and DBM packed cage showed bone bridge formation. On the quantitative analysis of bone growth, the autologous bone grafts showed significantly higher bone growth compared to DBM on both coronal and sagittal images (p<0.001 and p=0.028, respectively). Osteoporotic patients showed less bone growth on sagittal images. Conclusion : Though DBM alone can induce favorable bone bridging in lumbar interbody fusion, it is still inferior to autologous bone grafts. Therefore, DBM is recommended as a bone graft extender rather than bone void filler, particularly in patients with osteoporosis.

Insulin - Like Growth Factor-I Effects on the Proliferation and Bone Matrix Protein Gene Expression of MC3T3-E1 Cell (MC3T3-E1 세포증식 및 골기질 단백질 발현에 대한 인슐린유사성장인자-I의 효과)

  • Lee, Dong-Sik;Lee, Jae-Mok;Suh, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.30 no.2
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    • pp.389-405
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    • 2000
  • The purpose of this study is to evaluate the effect of IGF-I for DNA synthetic activity and the mRNA expression of bone matrix protein, type I collagen and osteopontin in prolifetation and differentiation of MC3T3-E1 cells. To evaluate DNA synthetic activity, cells were seeded at $2{\times}10^4cells/ml$ in 24 well plates and to evaluate mRNA of type I collagen and osteopontin cells were seeded at $5{\times}10^5cells/ml$ in 100mm culture dishes. These cells were cultured in alpha-minimum essential medium(${\alpha}-MEM$) containing 10% fetal bovine serum at $37^{\circ}C$, 5% $CO_2$ incubator. For DNA synthetic activity test 1, 10, 100ng/ml IGF-I were added to the cells which had been cultured for 3 days before 24 hours. For type I collagen mRNA expression 1, 10ng/ml IGF-I were added to the cells which had been cultured for 5, 10 days and for osteopontin mRNA expression 0.1, 1, 10ng/ml IGF-I were added to the cells which had been cultured for 5, 15, 20 days. Cell proliferaton was measured by the incorporation of [$^3H$]-thymidine into DNA and expression for type I collagen and osteopontin were measured by northern blot analysis. The results were as follows : DNA synthetic activity were generally higher in experimental group than control group. Expressions of type I collagen mRNA were higher at 5 day group and much lower at 10 day group in the control groups. In the experimental groups, mRNA expressions were slightly increased when 1 ng/ml IGF-I were added to 5 day group and decreased in all experimental 10 day groups. Expressions of osteopontin mRNA were higher at 20 day groups and lower at 15 day groups than the control groups. In the experimental groups, mRNA expressions were incereased when 0.1, 1 ng/ml IGF-I were added to 5 day group and in all the 15 day groups, but decreased when 0.1, 1, 10 ng/ml IGF-I were added to 20 day groups. IGF-I stimulated DNA synthetic activity of MC3T3-E1 cells during proliferation stage significantly, did not greatly changed effects on type I collagen mRNA expression and stimulated osteopontin mRNA expression at 15 day especially. In conclusion, we suggests that IGF-I have a tendency of stimulation effect of DNA synthetic activity but do not stimulate type I collagen mRNA in proliferation stage of MC3T3-E1 cell cultures, and stimulate osteopontin mRNA in differentiation stage of MC3T3-E1 cell cultures.

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Clinical Laboratory Aspect of Carbapenem-Resistant Enterobacteriaceae (카바페넴내성장내세균속균종의 임상검사 측면)

  • Park, Chang-Eun
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.1
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    • pp.18-27
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    • 2020
  • The correct distinction of carbapenem-resistant Enterobacteriaceae (CRE) and ccarbapenemase producing Enterobacteriaceae (CPE) and the rapid detection of CPE are important for instituting the correct treatment and management of clinical infections. Screening protocols are mainly based on cultures of rectal swab specimens on selective media followed by phenotypic tests to confirm a carbapenem-hydrolyzing activity, the rapid carbapenem inactivation method, lateral flow immunoassay, the matrix-assisted laser desorption ionization-time-of-flight test and molecular methods. The CPE is accurate for detection, and is essential for the clinical treatment and prevention of infections. A variety of phenotypic methods and gene-based methods are available for the rapid detection of carbapenemases, and these are expected to be routinely used in clinical microbiology laboratories. Therefore, to control the spread of carbapenemase, many laboratories around the world will need to use reliable, fast, high efficiency, simple and low cost methods. Optimal effects in patient applications would require rapid testing of CRE to provide reproducible support for antimicrobial management interventions or the treatment by various types of clinicians. For the optimal test method, it is necessary to combine complementary test methods to discriminate between various resistant bacterial species and to discover the genetic diversity of various types of carbapenemase for arriving at the best infection control strategy.

Predicting Potential Distribution of Monochamus alternatus Hope responding to Climate Change in Korea (기후변화에 따른 솔수염하늘소(Monochamus alternatus) 잠재적 분포 변화 예측)

  • Kim, Jaeuk;Jung, Huicheul;Park, Yong-Ha
    • Korean journal of applied entomology
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    • v.55 no.4
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    • pp.501-511
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    • 2016
  • Predicting potential spatial distribution of Monochamus alternatus, a major insect vector of the pine wilt disease, is essential to the spread of the pine wilt disease. The purpose of this study was to predict future domestic spatial distribution of M. alternatus by using the CLIMEX model considering the temperature condition of the vector's life history. To predict current distribution of M. alternatus, the administrative divisions data where the pine wilt spots caused by M. alternatus were found from 2006 to 2014 and the 10-year mean climate observed data in 68 meteorological stations from 2006 to 2015 were used. Eight parameter sets were chosen based on growth temperature range of M. alternatus reported in preceding researches. Error matrix method was utilized to select and simulate the parameter sets showing the highest correlation with the actual distribution. Regarding the future distribution of M. alternatus, two periods of 2050s(2046-2055) and 2090s(2091-2100) were predicted using the projected climate data of RCP 8.5 Scenario generated from Korea Meteorological Administration. Overall results of M. alternatus distribution simulation were fit in the actual distribution; however, overestimation in Seoul Metropolitan area and Chungnam Region were shown. Gradual expansion of M. alternatus would be expected to nationwide from western and southern coastal areas of Korea peninsula.

Shell Finite Element for Nonlinear Analysis of Reinforced Concrete Containment Building (철근콘크리트 격납건물의 비선형 해석을 위한 쉘 유한요소)

  • Choun Young-Sun;Lee Hong-Pyo
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.19 no.1 s.71
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    • pp.93-103
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    • 2006
  • It is absolutely essential that safety assessment of the containment buildings during service life because containment buildings are last barrier to protect radioactive substance due to the accidents. Therefore, this study describes an enhanced degenerated shell finite element(FE) which has been developed for nonlinear FE analysis of reinforced concrete(RC) containment buildings with elasto-plastic material model. For the purpose of the material nonlinear analysis, Drucker-Prager failure criteria is adapted in compression region and material parameters which determine the shape of the failure envelop are derived from biaxial stress tests. Reissner-Mindlin(RM) assumptions are adopted to develop the degenerated shell FE so that transverse shear deformation effects is considered. However, it is found that there are serious defects such as locking phenomena in RM degenerated shell FE since the stiffness matrix has been overestimated in some situations. Therefore, shell formulation is provided in this paper with emphasis on the terms related to the stiffness matrix based on assumed strain method. Finally, the performance of the present shell element to analysis RC containment buildings is tested and demonstrated with several numerical examples. From the numerical tests, the present results show a good agreement with experimental data or other numerical results.

Evaluation of impact resistance of high performance fiber reinforced cementitious composites under high-speed projectile crash (고속 비상체 충돌에 대한 고성능 섬유보강 시멘트 복합체의 방호성능 평가)

  • Moon, Jae-Heum;Park, Jung-Jun;Park, Gi-Joon;Cho, Hyun-Woo;Kim, Sung-Wook;Lee, Jang-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4950-4959
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    • 2015
  • The importance of public infrastructures' protection against crash or blast loads has been emerging issue as structures are becoming bigger and population densities in downtown cities are growing up. However, there exists no sufficient study which considers the developments of protective building materials, that are essential for protective design and construction. To assess the protection performance and the applicability as protective materials of high performance fiber reinforced cementitious composites(HPFRCC), this study performed the impact tests with 40 mm gas-gun propelled projectile crash machine. From this study, it has observed that both high compressive strength of cement matrix and fiber reinforcement are beneficial for the improvement of impact resistance.

Simultaneous Estimation of Diffuse Pollution Loads and Model Parameters for River Water Quality Modeling (하천 수질모형에 의한 비점 오염 부하량과 모형 매개변수의 동시 추정)

  • Jun, Kyung-Soo;Kang, Ju-Whan
    • Journal of Korea Water Resources Association
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    • v.37 no.12
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    • pp.1009-1018
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    • 2004
  • A systematic method using an optimal estimation algorithm is presented for simultaneous estimation of diffuse pollution distributed along a stream reach and model parameters for a stream water quality model. It was applied with the QVAL2E model to the South Han River for optimal estimation of kinetic constants and diffuse loads along the river. Initial calibration results for kinetic constants selected from a sensitivity analysis reveal that diffuse source inputs for nitrogen and phosphorus are essential to satisfy the system mass balance. Diffuse loads for total nitrogen and total phosphorus were estimated solving the expanded inverse problem. Comparison of kinetic constants estimated simultaneously with diffuse sources to those estimated without diffuse loads, suggests that diffuse sources must be included in the optimization not only for its own estimation but also for adequate estimation of the model parameters. Application of optimization method to river water quality modeling is discussed in terms of the sensitivity coefficient matrix structure.

Factors of the -Taegyo- of korean Pregnant Women -Self Care of Pregnant Women Based on Oriental Folk Behavior- (한국 임부의 태교요인 -동양 민속행위적인 임부의 자가관리-)

  • 장순복;박영주;최연순;정재원
    • Journal of Korean Academy of Nursing
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    • v.26 no.2
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    • pp.345-358
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    • 1996
  • All human health behavior is deeply rooted one's beliefs or value system usually encompassed within the culture in which they live. The Taegyo, based on Oriental folk medicine, is defined as the behavior and self care of pregnant women administered for herself and her fetus(unborn child). Taegyo is believed to be desirable, effective, and healthy behavior by most of Korean pregnant women. It is essential in our contemporary culture, to ascertain what the components of Taegyo are and to integrate them into current, western nursing care, particularly in the area of prenatal care. 910 Korean women were the subjects of this study, who were in a gestation period of pregnancy between 10 weeks to three months postpartum. The subjects were selected by clustered smpling from 10 representative cities in Korea. Data was collected from February 10 to March 30 1995 by a constructed Questionnaire which consisted of 95 items. The questionnaire was developed through three steps such as content analysis, calculation of content validity index, and pretest. Data was analyzed by descriptive statistics and rotated matrix factor analysis with pc-SAS. The mean age of the subjects was 28.9 years : 36.5% of them were employed and the mean income per month was about 2000 dollars. The component of Taegyo was clustered into five factors such as fetus psychological stability(equity), fetus personality development, maternal-fetal interaction, fetus intellectual development and physical health promotion. The variance of each factor were 23.7%, 8.3%, 4. 7%, 4.1%, and 3.3% respectively in that order. The Eigen value of each factor was 13.03, 4.57, 2.60, 2.23, and l.83 respectively. It was found that the Taegyo is an unique and holistic self care behavior of Korean pregnant women. Therefore it has been concluded that this study has broadened the understandability of the implications the Taegyo. It is suggested that further studies on the effects of the Taegyo are needed to provide a scientific basis for professional maternity nursing.

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A Case Report of Chondroid Syringoma of Philtrum (인중에 발생한 연골모양 땀샘종의 치험례)

  • Cha, Jeong Ho;Kim, Jin Woo;Shin, Han Kyung;Jung, Jae Hak;Kim, Young Hwan;Sun, Hook
    • Archives of Craniofacial Surgery
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    • v.11 no.2
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    • pp.107-110
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    • 2010
  • Purpose: Chondroid syringoma is a rare mixed tumor of the skin that was first described by Hirsch and Helwig (1961). Characteristically, it is composed of the proliferation of epithelial cells in a myxoid and chondroid matrix. Most lesions occur on the head and neck region, and their size may range from 0.5~3 cm. Since a chondroid syringoma presents similar characteristics to other masses on the head and neck region, it is significantly important to distinguish with other masses by a surgical biopsy. Methods: A 51-year old woman presented with a painless nodular mass ($0.5{\times}0.5{\times}0.5cm$) on the philtrum, which appeared during the previous year. The mass was treated with a laser without a surgical biopsy. However, the size of the mass showed no changes. Surgical excision under local anesthesia was performed and sent for histopathology. Results: Gross examination showed a mass surrounded by a well developed capsule within the dermal layer. After complete excision without injury to the orbicularis oris muscle, the wound was covered with a local flap. The histology examination revealed numerous cuboid epithelial cells with tuboalveolar structures and keratinous cysts within a chondroid stroma. No recurrence or metastasis was observed at the follow-up visits. Conclusion: Chondroid syringoma is a rare mass on the face. An accurate diagnosis is essential for optimal treatment. This paper reports a case of a chondroid syringoma on the philtrum with a brief review of the relevant literature.

The Cut Detection System using Sum of Square Difference of Color between frames of Video Image Data (동영상데이터의 프레임간 색상차의 자승합을 이용한 컷 검출시스템)

  • 김병철;정창렬;고진광
    • Journal of Internet Computing and Services
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    • v.3 no.5
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    • pp.51-62
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    • 2002
  • The development of computer technology and the advancement of the technology of information and communications spread the technology of multimedia and increased the use of multimedia data with large capacity, Users can grasp the overall video data and they are able to play wanted video back. To grasp the overall video data it is necessary to offer the list of summarized video data information, In order to search video efficiently on index process of video data is essential and it is also indispensable skill, Therefore, this thesis suggested the effective method about the cut detection of frames which will become a basis of an index based on contents of video image data. This suggested method was detected as the unchanging pixel color intelligence value, classified into diagonal direction. Pixel value of color detected in each frame of video data is stored as A(i, j) matrix-i is the number of frames. j is an image height of frame. By using the stored pixel value as the method of sum of squared difference of color two frames I calculated a specified value difference between frames and detected cut quickly and exactly in case it is bigger than threshold value set in advance, To carry out on experiment on the cut detection of frames comprehensively, I experimented on many kinds of video. analyzing and comparing efficiency of the cut detection system.

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