• Journal of Korean Neurosurgical Society
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• 제60권2호
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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.

• Journal of Korean Neurosurgical Society
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• 제64권4호
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• pp.562-574
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• 2021

Objective : This study is to evaluate the efficacy and safety of demineralized bone matrix (DBM) gel versus DBM gel with recombinant human bone morphogenetic protein-2 (rhBMP-2) used in transforaminal lumbar interbody fusion (TLIF). Methods : This study was designed as a prospective, multi-center, double-blind method, randomized study. All randomized subjects underwent TLIF with DBM gel with rhBMP-2 group (40 patients) as an experimental group or DBM gel group (36 patients) as a control group. Post-operative observations were performed at 12, 24, and 48 weeks. The spinal fusion rate on computed tomography scans and X-rays films, Visual analog scale pain scores, Oswestry disability index and SF-36 quality of life (QOL) scores were used for the efficacy evaluation. The incidence rate of adverse device effects (ADEs) and serious adverse device effects (SADEs) were used for safety evaluation. Results : The spinal fusion rate at 12 weeks for the DBM gel with rhBMP-2 group was higher with 73.68% compared to 58.82% for the DBM gel group. The 24 and 48 weeks were 72.22% and 82.86% for the DBM gel with rhBMP-2 group and 78.79% and 78.13%, respectively, for the DBM gel group. However, there were no significant differences between two groups in the spinal fusion rate at 12, 24, and 48 weeks post-treatment (p=0.1817, p=0.5272, p=0.6247). There was no significant difference between the two groups in the incidence rate of ADEs (p=0.3836). For ADEs in the experimental group, 'Pyrexia' (5.00%) was the most common ADE, followed by 'Hypesthesia', 'Paresthesia', 'Transient peripheral paralysis', 'Spondylitis' and 'Insomnia' (2.50%, respectively). ADEs reported in control group included 'Pyrexia', 'Chest discomfort', 'Pain', 'Osteoarthritis', 'Nephropathy toxic', 'Neurogenic bladder', 'Liver function analyses' and 'Urticaria' (2.86%, respectively). There was no significant difference between the two groups in the incidence rate of SADEs (p=0.6594). For SADE in the experimental group, ''Pyrexia' and 'Spondylitis' were 2.50%. SADE reported in the control group included 'Chest discomfort', 'Osteoarthritis' and 'Neurogenic bladder'. All SADEs described above were resolved after medical treatment. Conclusion : This study demonstrated that the spinal fusion rates of DBM gel group and DBM gel with rhBMP-2 group were not significantly different. But, this study provides knowledge regarding the earlier postoperative effect of rhBMP-2 containing DBM gel and also supports the idea that the longer term follow-up results are essential to confirm the safety and effectiveness.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제17권11호
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• pp.2945-2965
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• 2023

The laser inertial measurement unit is a precision device widely used in rocket navigation system and other equipment, and its quality is directly related to navigation accuracy. In the quality evaluation of laser inertial measurement unit, there is inevitably uncertainty in the index input information. First, the input numerical information is in interval form. Second, the index input grade and the quality evaluation result grade are given according to different national standards. So, it is a key step to transform the interval information input by the index into the data form consistent with the evaluation result grade. In the case of uncertain input, this paper puts forward a method based on probability distribution to solve the problem of asymmetry between the reference grade given by the index and the evaluation result grade when evaluating the quality of laser inertial measurement unit. By mapping the numerical relationship between the designated reference level and the evaluation reference level of the index information under different distributions, the index evidence symmetrical with the evaluation reference level is given. After the uncertain input information is transformed into evidence of interval degree distribution by this method, the information fusion of interval degree distribution evidence is carried out by interval evidential reasoning algorithm, and the evaluation result is obtained by projection covariance matrix adaptive evolution strategy optimization. Taking a five-meter redundant laser inertial measurement unit as an example, the applicability and effectiveness of this method are verified.

• Safety and Health at Work
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• 제13권2호
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• pp.148-154
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• 2022

Background: Bus driving is a mentally demanding activity that requires prolonged attention to ensure safety. The aim of the study was to assess mental fatigue caused by driving a public bus and to find a profile of workers at higher risk. Methods: We evaluated changes of critical flicker fusion (CFF) (index of central arousal) and heart rate variability (HRV) (index of autonomic balance) in a 6-hour driving shift on a real route, in 31 professional bus drivers, and we tested the influence of personal factors such as sleep quality, BMI, and age. Paired t-test was used to test differences of CFF and HRV between both initial and final phase of driving, while multiple linear regression tested the influence of personal variables on the indexes of mental fatigue. Results: Results showed that CFF significantly decreased after 6 hours of bus driving (41.91 Hz, sd 3.31 vs. 41.15 Hz, sd 3.15; p = 0.041), and heart rate significantly decreased in the final phase of driving, with respect to the initial phase (85 vs. 78 bpm, p = 0.027). Increasing age (beta = -0.729, p = 0.022), risk of obstructive sleep apnea syndrome (beta = -0.530, p = 0.04), and diurnal sleepiness (beta = -0.406, p = 0.017) showed a significant effect on influencing mental fatigue. Conclusion: Elderly drivers at higher risk of sleep disorders are more prone to mental fatigue, when exposed to driving activity. Monitoring indexes of central arousal and autonomic balance, coupled with the use of structured questionnaires can represent a useful strategy to detect profile of workers at higher risk of mental fatigue in such duty.

• 한국측량학회지
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• 제38권2호
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• pp.97-107
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• 2020

To analyze temporal and spatial changes in vegetation, it is necessary to determine the associated continuous distribution and conduct growth observations using time series data. For this purpose, the normalized difference vegetation index, which is calculated from optical images, is employed. However, acquiring images under cloud cover and rainfall conditions is challenging; therefore, time series data may often be unavailable. To address this issue, La et al. (2015) developed a multilinear simulation method to generate missing images on the target date using the obtained images. This method was applied to a small simulation area, and it employed a simple analysis of variables with lower constraints on the simulation conditions (where the environmental characteristics at the moment of image capture are considered as the variables). In contrast, the present study employs variables that reflect the growth characteristics of vegetation in a greater simulation area, and the results are compared with those of the existing simulation method. By applying the accumulated temperature, the average coefficient of determination (R²) and RMSE (Root Mean-Squared Error) increased and decreased by 0.0850 and 0.0249, respectively. Moreover, when data were unavailable for the same season, R² and RMSE increased and decreased by 0.2421 and 0.1289, respectively.

• 전기학회논문지
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• 제63권2호
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• pp.205-210
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• 2014

The micro grid considered in this paper consists of a diesel generator, a photovoltaic array, a wind turbine, a fuel cell, and a energy storage system. This paper explains and simulates the micro grid components in terms of accuracy and efficiency of having a system model based on the costs of fuel as well as operation and maintenance. For operational efficiency, the objective function in a diesel generator consists of the fuel cost function similar to the cost functions used for the conventional fossil-fuel generating plants. The wind turbine generator is modeled by the characteristics of variable output. The optimization is aimed at minimizing the cost function of the system while constraining it to meet the customer demand and safety of micro grid. The operating cost in fuel-cell system includes the fuel costs and the efficiency for fuel to generate electric power. To develop the overall system model gives a possibility to minimize of the total cost of micro grid. The application of optimal operation can save the interruption costs as well as the operating costs, and improve reliability index in micro grid.

• BMB Reports
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• 제42권5호
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• pp.260-264
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• 2009

Tumor necrosis factor-$\alpha$ (TNF-$\alpha$) exhibits cytotoxicity towards various tumor cells in vitro and induces apoptotic necrosis in transplanted tumors in vivo. It also shows severe toxicity when used systemically for the treatment of cancer patients, hampering the development of TNF-$\alpha$ as a potential anticancer drug. In order to understand the structure-function relation of TNF-$\alpha$ with respect to receptor binding, we selected four regions on the bottom of the TNF-$\alpha$ trimer that are in close contact with the receptor and carried out mutagenesis studies and computational modeling. From the study, various TNF-$\alpha$ muteins with a high therapeutic index were identified. These results will provide a structural basis for the design of highly potent TNF-$\alpha$ for therapeutic purposes. By conjugating TNF-$\alpha$ muteins with a high therapeutic index to a fusion partner, which targets a marker of angiogenesis, it could be possible to develop TNF-$\alpha$ based anticancer drugs.

• 한국식품위생안전성학회지
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• 제38권2호
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• pp.69-78
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• 2023

본 연구에서는 EMS를 건강기능식품으로 활용하기 위한 기초적인 데이터를 제공하기 위해 EMS가 DEX으로 유도한 근위축 C2C12 모델에서 미치는 보호 효과를 조사하고자 하였다. DEX를 처리한 근위축 모델을 확립하였다. 그리고 DEX으로 유도한 근위축 C2C12 myotube에 24시간 동안 10, 50, 100 ㎍/mL 농도의 EMS를 처리하였으며, C2C12에 EMS와 DEX를 처리하여 XTT 세포독성 테스트와 myotube 형성 효능(myotube diameter와 fusion index) 측정, 단백질 발현량 분석을 수행하였다. 또한, 기능성을 입증받은 SE를 positive control로 사용하였다. EMS의 세포독성 평가 결과, 100 ㎍/mL 농도까지 유의한 독성이 없는 것을 확인하였다. C2C12 myotube에서 EMS는 DEX만 처리한 실험군과 비교하여 모든 농도에서 유의적으로 세포 보호 효능이 있음을 확인하였다. 또한 fusion index와 myotube diameter를 측정하여 DEX만 처리한 실험군과 비교하였을 때, EMS의 myotube 형성 효능을 확인하였다. EMS는 근육세포 분해 관련 단백질인 Fbx32와 MuRF1의 발현을 감소시키고, 그와 반대로 근력 강화 및 합성과 관련된 단백질인 SIRT1과 p-Akt/Akt의 발현은 증가시켰다. 이러한 연구결과는 EMS가 건강기능식품 개발의 성분으로 활용될 수 있으며, in vivo 동물 모델에서도 활용 가능할 것으로 사료된다.

• 대한방사선치료학회지
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• 제27권2호
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• pp.131-143
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• 2015

목 적 : MRI를 기반으로 한 CT fusion plan과 MRI only based plan을 비교함으로써 MRI only plan의 유용성을 평가하고, 나아가 Simulation과 치료계획을 포함한 방사선치료의 전 과정을 CT 촬영 없이 MRI 영상으로 구성하여 실시간 MR-IGRT를 구현하고자 한다. 대상 및 방법 : 본원에서 사용중인 BBB CT (Brilliance Big Bore CT, 16slice, Philips)와 Viewray MRIdian System (Viewray, USA)으로 환자 11명(Head and Neck 1명, Breast 5명, Lung 1명, Liver 3명, Prostate 1명)을 대상으로 CT & MR simulation 및 치료계획을 세웠다. Head and Neck, Breast, Prostate환자는 자유호흡(Free Breathing) 상태로, Lung과 Liver 환자는 흡기 호흡중지(Inhalation Breathing Holdng)상태로 Simulation을 진행하였다. Viewray의 Bore 크기 및 Coil 위치를 고려하여 환자 자세 및 고정기구를 동일한 조건을 유지하여 CT simulation을 시행하였다. Viewray MRIdian 시스템을 이용하여 MR 영상을 기반으로 한 CT fusion plan과 CT fusion 없이 [ICRU 46]에서 권고하는 폐, 공기, 뼈의 전자밀도를 입력한 동일한 조건의 MR only plan을 세웠다. Head and Neck, Breast, Prostate는 IMRT, Lung과 Liver 는 Gating치료계획을 세웠고, 치료계획의 평가는 PTV의 균질성 지표 (Homogeneity Index, HI)와 일치성 지표 (Conformity Index, CI), 그리고 각 PTV와 OAR의 DVH와 선량차이를 각각 비교하였다. 결 과 : 두 치료계획간 치료부위별 PTV에 대한 HI 값의 차이는 Head and Neck, Breast, Lung, Liver, Prostate 부위별로 각각 0.089, 0.26, 0.67, 0.2, 0.4%로 나타났으며, CI 값의 차이는 부위별로 각각 0.043, 0.84, 0.68, 0.46, 0.3%로 두가지 평가 값 모두 Head and Neck 부위가 가장 작은 차이를 나타냈다. PTV에 대한 평균선량 차이는 치료부위별로 각각 0.07, 0.29, 0.18, 0.3, 0.18 Gy로 나타났다. 이를 백분율로 나타냈을 때 0.06, 0.7, 0.29, 0.69, 0.44%으로 모두 1% 이하의 차이를 보였다. 두경부암의 각 OAR은 전체적으로 0.01~0.12 Gy의 평균선량 차이를 보였으며, 유방암은 0.04~0.06 Gy, 폐암에서는 0.01~0.21 Gy, 간암은 0.06~0.27 Gy, 전립선암은 0.02~0.23 Gy의 평균선량 차이를 나타냈다. 결 론 : MR 영상을 이용한 치료계획은 연부조직에서 탁월한 대조도를 나타낼 뿐만 아니라 CT fusion한 MR 치료계획과 비교했을 때 PTV의 HI, CI, 선량차이 모두 1%미만의 차이를 보였으며, OAR의 경우 비균질한 조직이 많은 부위일수록 최대 0.89 Gy 선량차이를 보였다. 이결과를 토대로 두경부암, 부분적 유방암이나 전립선암등 비균질도 차이가 적은 부위에는 CT촬영 없이 MR 영상만을 이용한 방사선치료의 가능성을 확인 할 수 있었다.

• 한국동물학회지
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• 제36권2호
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• pp.277-284
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• 1993

A possible involvement of maturation promoting factor (nfPF) in the two-cell block phenomenon was studied by fusion experiments. Germinal vesicle (GlF) ooeyte was fused with a blastomore from late or blocked 2-cell mouse embryos. and germinal vesicle breakdoum (GVBD) of fused GV oocvtes in the presence of dbcAMP (100$\mu$g/ml) was scored as an index of MPF aniviD. GnD was induced approximately 30% by fusion of a blastomere derived from late 2-cell embryos, but not from blocked 2-cell embryos. The rate of GVBD was changed when GV oocyte was fused with a blastomere from late 2-cell embryos which were treated with u-amanitin, puromvcin or colcemid before and after hsion: Treatment of late 2-cell embryos with puromycin (50 Is/mll but not with u-amanitin (100 Is/ml) clearly inhibited GVBD, indicating that do novo protein synthesis maw be required for the appearance of MPF activity in late 2-cell embryos. Treatment of late 2-cell embryos w기h colcemid (0.1 Is/mll doubled GVBD, presumably due to the maintenance of metaphase or mitotic phase. SDS-PAGE and twoiimensional electrophoresis revealed that there was no difference in protein synthetic pattern in late and blocked 2-cell embryos, but three phosphoproteins with 27, 35 and 46 M)a, presumsblv M-phase components were phosphorylated in late 2-cell embryos but not in blocked 2-cell embryos. It seems then that MPF activity is closely related to phosphorylstion of M-phase components in late 2-cell embryos.