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The Usefulness of the Endonasal Incisional Approach for the Treatment of Nasal Bone Fracture

  • Kim, Hyo-Seong;Suh, Hyeun-Woo;Ha, Ki-Young;Kim, Boo-Yeong;Kim, Tae-Yeon
    • Archives of Plastic Surgery
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    • v.39 no.3
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    • pp.209-215
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    • 2012
  • Background : Among all facial fractures, nasal bone fractures are the most common, and they have been reduced by closed reduction (CR) for a long time. But several authors have reported suboptimal results when using CR, and the best method of nasal bone reduction is still being debated. We have found that indirect open reduction (IOR) through an endonasal incisional approach is a useful method for more accurate reduction of the nasal bone. Methods : A retrospective chart review was performed of 356 patients who underwent reduction of a nasal bone fracture in our department from January, 2006, to July, 2011. We treated 263 patients with IOR. We assessed patients' and doctors' satisfaction with surgical outcomes after IOR or CR. We evaluated the frequency of nasal bleeding owing to mucosal injury, and followed the surgical outcomes of patients who had simultaneous dorsal augmentation rhinoplasty. Results : According to the analysis of the satisfaction scores, both patients and doctors were significantly more satisfied in the IOR group than the CR group (P<0.05). Mucosal injury with nasal bleeding occurred much less in the IOR group (5.3%) than the CR group (12.9%). Dorsal augmentation rhinoplasty with IOR was performed simultaneously in 34 cases. Most of them (31/34) showed satisfaction with the outcomes. Conclusions : IOR enables surgeons to manipulate the bony fragment directly through the endonasal incisional approach. However, we propose that CR is the proper technique for patients under 16 and for those with comminuted nasal bone fractures because submucosal dissection in IOR can damage the growth or circulation of nasal bone.

Effect of Mouse Leukemia Inhibitory Factor on the Development of In Vitro Produced Pig Embryos (돼지 체외수정란의 발달에 미치는 Mouse Leukemia Inhibitory Factor의 영향)

  • 엄상준;정형민;박진기;이장형;이훈택;정길생
    • Korean Journal of Animal Reproduction
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    • v.18 no.3
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    • pp.207-216
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    • 1994
  • 본 연구는 돼지 난포란으로부터 생산된 수정란의 체외발달에 미치는 아미노산, 우태아혈청 (FBS)과 Leukemia Inhibitry Factor의 영향을 조사하였다. 돼지난포란은 도살된 돼지의 난소로부터 회수하여 39$^{\circ}C$, 5% CO2 배양조건하에서 1$\mu\textrm{g}$/ml FSH-p, 1$\mu\textrm{g}$/ml Estradiol-17$\beta$와 10%FBS가 첨가된 TCM-199 배양액내에서 42시간동안 성숙시켰다. 사출된 정자의 수정능 획득은 45와 90% Percoll density gradient법을 통한 원심분리에 의해 얻었으며, 이들 수정능획득된 정자를 성숙된 난포란이 함유된 배양액에 3$\times$105/ml의 농도로 주입하여 10$\pm$1시간동안 배양함으로서 체외수정을 유도하였다. 수정된 난포란은 ; 1) 10% FBS가 함유된 TCM-199, DMEM, mKRB 또는 CR1aa 배양액, 2) 아미노산 또는 10% FBS가 첨가된 CR1 배양액, 3) STO 세포 또는 mLIF (1,000 unit/ml) 첨가된 CR1aa(10%FBS) 배양액, 4) mLIF (1,000 unit/ml)를 수정 직후 또는 8-세포기 이후에 첨가된 CR1aa(10%FBS)의 네가지 배양조건에서 각각 분리 배양하였다. 그결과 체외수정란의 배반포까지 발달율은 아미노산과 10%FBS가 포함된 CR1 배양액에서 다른 배양액에서보다 양호하였고, 특히 8-세포기 이후에 mouse LIF를 첨가한 CR1aa(10% FBS) 배양액에서는 다른 배양조건보다 현저히 높은 결과를 보였으며, 부화 배반포까지도 배발달을 유도할 수 있었다. 따라서 돼지수정란의 발달에 있어서 배양액내에 아미노산과 FBS 및 mouse LIF의 첨가는 효과가 있으며, 특히 8-세포기 이후에 있어서 mouse LIF의 첨가는 돼지의 수정란을 배반포 이후의 단계에까지 발달시킬 수 있었다.

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Effects of the Addition of Mn and $AB_5$ Type Alloy on the Electrochemical Characteristics of Ti-Cr-V BCC Type Alloys (BCC계 Ti-Cr-V 합금의 전기화학적 특성에 미치는 Mn 및 $AB_5$계 합금 첨가 효과)

  • Kim, J.Y.;You, J.H.;Park, C.N.;Park, C.J.;Choi, J.;Cho, S.W.
    • Transactions of the Korean hydrogen and new energy society
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    • v.18 no.1
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    • pp.52-59
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    • 2007
  • We investigated the effects of the addition of Mn and $AB_5$ type alloy on the electrochemical characteristics of Ti-Cr-V BCC type alloys as anode materials for Ni-MH battery. The activation behavior and discharge capacity of the BCC type alloys were significantly improved by ball-milling with the $LmNi_{4.1}Al_{0.25}Mn_{0.3}Co_{0.65}$ alloy, because the $AB_5$ type alloy acted as hydrogen path on the surface of the BCC type alloy. Among the Mn substituted alloys($Mn=0.03%{\sim}0.08%$), the $Ti_{0.32}Cr_{0.38}Mn_{0.05}V_{0.25}$ alloy ball-milled with $AB_5$ type alloy exhibited the greatest discharge capacity of $336\;mAh{\cdot}g^{-1}$. In addition, Mn substituted alloys exhibited the lower plateau pressure in P-C- T curve, the better hydrogen storage capacity and faster surface activation compared with the alloy without Mn.

Mechanical Properties and Creep Behaviors of Zr-Sn-Fe-Cr and Zr-Nb-Sn-Fe Alloy Cladding Tubes (Zr-Sn-Fe-Cr 및 Zr-Nb-Sn-Fe 합금 피복관의 기계적 특성 및 Creep 거동)

  • Lee, Sang-Yong;Ko, San;Choi, Young-Chul;Kim, Kyu-Tae;Choi, Jae-Ha;Hong, Sun-Ig
    • Korean Journal of Materials Research
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    • v.18 no.6
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    • pp.326-333
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    • 2008
  • Since the 1990s, the second generation of Zirconium alloys containing main alloy compositions of Nb, Sn and Fe have been used as a replacement of Zircaloy-4 (Zr-Sn-Fe-Cr), a first-generation Zirconium alloy, to meet severe and rigorous reactor operating conditions characterized by high-burn-up, high-power and high-pH operations. In this study, the mechanical properties and creep behaviors of Zr-Sn-Fe-Cr and Zr-Nb-Sn-Fe alloys were investigated in a temperature range of $450{\sim}500^{\circ}C$ and in a stress range of $80{\sim}150\;MPa$. The mechanical testing results indicate that the yield and tensile strengths of the Zr-Nb-Sn-Fe alloy are slightly higher compared to those of Zr-Sn-Fe-Cr. This can be explained by the second phase strengthening of the $\beta$-Nb precipitates. The creep test results indicate that the stress exponent for the steady-state creep rate decreases with the increase in the applied stress. However, the stress exponent of the Zr-Sn-Fe-Cr alloy is lower than that of the Zr-Nb-Sn-Fe alloy in a relatively high stress range, whereas the creep activation energy of the former is slightly higher than that of the latter. This can be explained by the dynamic deformation aging effect caused by the interaction of dislocations with Sn substitutional atoms. A higher Sn content leads to a lower stress exponent value and higher creep activation energy.

Combined Treatment with Coptidis Rhizoma Extract and Arsenic Trioxide Enhanced Apoptosis through Diverse Pathways in H157 Cells

  • Youn, Myung-Ja;Kim, Yun-Ha;Kim, Hyung-Jin;Song, Je-Ho;Jeon, Ho-Sung;Yu, Dong-Hee;Sul, Jeong-Dug;So, Hong-Seob;Park, Rae-Kil
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.6
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    • pp.1449-1459
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    • 2009
  • Coptidis rhizoma (huanglian) is an herb that is widely used in traditional Chinese medicine that has recently been shown to possess anticancer activity. However, the molecular mechanism underlying the anticancer effects of this herb is poorly understood. In this study, we investigated the anticancer activity of a combination of CR extract and arsenic trioxide, as well as the apoptotic pathway associated with its mechanism of action in human lung cancer H157 cells. Combined treatment of H157 cells with CR extract and arsenic trioxide resulted in significant apoptotic death. In addition, combined treatment with CR extract and arsenic trioxide acted in concert to induce a loss of mitochondrial membrane potential (${\Delta}{\Psi}$), the release of cytochrome c from mitochondria, and an increase in the expression of pro-apoptotic p53 and Bax protein, which resulted in activation of caspases and apoptosis. CR extract combined with arsenic trioxide also increased the lipid peroxidation, mRNA expression of DR4 and DR5 and caspase-8 activity. These data indicate that combined treatment with CR extract and arsenic trioxide enhanced apoptotic cell death in H157 cells through diverse pathways, including mitochondrial dysfunction and death receptors, particularly DR4 and DR5. Thus, this treatment may be an effective from of chemotherapy.

Antinociceptive Effect of Cyperi rhizoma and Corydalis tuber Extracts on Neuropathic Pain in Rats

  • Choi, Jae-Gyun;Kang, Suk-Yun;Kim, Jae-Min;Roh, Dae-Hyun;Yoon, Seo-Yeon;Park, Jin Bong;Lee, Jang-Hern;Kim, Hyun-Woo
    • The Korean Journal of Physiology and Pharmacology
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    • v.16 no.6
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    • pp.387-392
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    • 2012
  • In this study, we examined the antinociceptive effect of Cyperi rhizoma (CR) and Corydalis tuber (CT) extracts using a chronic constriction injury-induced neuropathic pain rat model. After the ligation of sciatic nerve, neuropathic pain behavior such as mechanical allodynia and thermal hyperalgesia were rapidly induced and maintained for 1 month. Repeated treatment of CR or CT (per oral, 10 or 30 mg/kg, twice a day) was performed either in induction (day 0~5) or maintenance (day 14~19) period of neuropathic pain state. Treatment of CR or CT at doses of 30 mg/kg in the induction and maintenance periods significantly decreased the nerve injury-induced mechanical allodynia. In addition, CR and CT at doses of 10 or 30 mg/kg alleviated thermal heat hyperalgesia when they were treated in the maintenance period. Finally, CR or CT (30 mg/kg) treated during the induction period remarkably reduced the nerve injury-induced phosphorylation of NMDA receptor NR1 subunit (pNR1) in the spinal dorsal horn. Results of this study suggest that extracts from CR and CT may be useful to alleviate neuropathic pain.

Removal Characteristics of Heavy Metals by Continuous Neutralization of Plating Wastewater with Waste-Oyster Shells (폐굴껍질에 의한 산성도금폐수의 연속 중화시 중금속제거 특성)

  • 김형석;송동근;성낙창
    • Resources Recycling
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    • v.7 no.3
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    • pp.36-41
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    • 1998
  • Objective of the research is to deteonine the praeLic따 running parameters for neutralization and removal of heavy metals from plating wastewater with waste-oyster shells by the Bohart$.$Adams equation. Waste-oyster shells discharged from the d domestic oyster cultnring fields cause a serious ocean environmental pollution. However, it is expected that those are able to b be recycled for removal of heavy metals through neutralization of plating wastewater because the shells contain approximate 93% $CaCO_3$, and have multi-pore voids. By applying the results of the continuous experiments to Bohart-Adams equation, s service time decreases in the order of Cr>Fe>Cu while removal efficiencies of metals become less in the order of Fe>Cr>Cu.

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Availability of Blood Urea Nitrogen/Creatinine Ratio in Gastrointestinal Bleeding with Melena in Children

  • Kim, Kyu Seon;Kang, Chan Ho;Kim, Jae Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.1
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    • pp.30-38
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    • 2015
  • Purpose: The aims of our study were to evaluate the blood urea nitrogen to creatinine ratio (BUN/Cr ratio) for distinguishing between an upper and lower gastrointestinal bleeding (GIB), and differentiating between the two most common causes of upper gastrointestinal bleeding (UGIB) presenting with melena in children. Methods: Retrospective data of patients with GIB presenting with melena were analyzed. The data from 60 cases were reviewed including demographics, laboratory findings, diagnostic modalities and results, treatments, and transfusions. Results: Among the 60 cases, UGIB and lower gastrointestinal bleeding (LGIB) were found in 35 cases (58.3%) and 14 cases (23.3%), respectively. The two common causes of UGIB were varices (37.1%), and peptic ulcer diseases (PUD) (31.4%). The BUN/Cr ratio of 30 or greater was higher in UGIB than LGIB (odds ratio [OR], 6.9; 95% confidence interval [95% CI], 1.3-37.2). In UGIB, the BUN/Cr ratio of the varices group was higher than that of the PUD group (p=0.015). The OR for the BUN/Cr ratio appeared as 1.2 per unit increase in the varices group than the PUD group (95% CI, 1.03-1.3). There was no difference between the PUD group and Meckel's diverticulum group. Conclusion: The BUN/Cr ratio was not uneven in differentiating UGIB from LGIB of children with melena in our study. This suggests that BUN/Cr ratio should be interpreted carefully.

Comparison the Initial Effects of Nerve Mobilization Techniques, Static Stretching and Contract-Relax on Hamstring Flexibility and Walking Ability in Post-Stroke Hemiplegia Patients (뇌졸중으로 인한 편마비 환자의 슬괵근 유연성과 보행능력에 대한 신경가동기법, 정적 신장기법 및 수축-이완기법의 즉각적 효과 비교)

  • Kim, Yong-Jeong;Kim, Taek-Yean;Kim, Suhn-Yeop;Oh, Duck-Won
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.4
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    • pp.369-379
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    • 2011
  • Purpose : The purpose of this study is to compare the initial effect of nerve mobilization (NM), static stretching (SS), and contract-relax (CR) techniques to find the best method in improving hamstring flexibility and gait function in patients with hemiplegia. Methods : Eleven patients with hemiplegia were included in this study. Passive knee extension (PKE) range of motion and the sit and reach (SR) test were used to measure hamstring flexibility, while timed up and go (TUG) and the 10m walking (10MW) test were used to measure the subject's gait. Measurements on each test were assessed prior to the experiment, immediately following the experiment, and 30 minutes after the experiment. Analysis of the results utilized a repeated measures analysis of variance to examine hamstring flexibility and the difference in walking ability. Results : The results suggest significant increases in NM, SS, and CR techniques as they relate to hamstring flexibility (p<.05) following (both immediate and 30 minutes post experiment) PKE range of motion and the SR test, but post-hoc showed no significant difference between the three techniques (p>.05). Additionally, the results suggest significant increases in NM, SS, and CR techniques as they relate to gait function (p<.05) following the TUG test, but found no significant difference in the 10MW test (p>.05). Post-hoc analysis between the three techniques suggests that only the NM technique significantly changed gait function. The time of TUG and 10MW test showed no significant difference between the three techniques before an experiment, just after an experiment, and 30 minutes following the experiment according to the measurement points in time (p>.05). Conclusion : This study suggests NM, SS, and CR techniques immediately improve hamstring length and flexibility while improving gait function in patients with hemiplegia.

Effects of Dicarboxylic Acid as an Alternative to Antibiotic on in vitro Rumen Parameters, Milk yield and Milk Compositions in Lactating Cows (항생제 대체제로서 Dicarboxylic Acid 급여가 in vitro 반추위 발효성상, 착유우의 유량 및 유성분에 미치는 영향)

  • Nam, In-Sik;Ahn, Yong-Dae;Jeong, Ki-Hwan;Ahn, Jong-Ho
    • Korean Journal of Organic Agriculture
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    • v.24 no.3
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    • pp.453-463
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    • 2016
  • This study was undertaken to investigate the effects of dicarboxylic acid supplementation, as replacement antibiotics, of on in vitro ruminal parameters and milk yield and milk composition in lactating cows. in vitro treatments were 1) Con (4 g of basal diet), 2) CM (4 g of basal diet + 0.05 ml of monensin), 3) CR (4 g of basal diet + 0.1 ml of dicarboxylic acid) and in vivo treatments were 1) Con (25 kg of basal diet/head/day), and 2) CR (25 kg of basal diet + 5 g of dicarboxylic acid/head/day), respectively. A total 10 lactating dairy cows ($649{\pm}19kg$ average body weight, $99{\pm}65$ average milking days) were divided in to two groups according to mean milk yield and number of days of postpartum. The cows fed a basal diet during adaptation (2 wk) and experimental diets during the treatment periods (4 wk). In the first in vitro experiment, there were no statistical differences between treatments in pH, gas production, and ammonia-N and lactic acid concentration during incubation. However, dry matter digestibility was significantly higher in CR treatment compared to control or CM treatment (P<0.05). Total VFA was tended to higher in CR treatment than those of control and CM treatment (P>0.05). In the second experiment, milk yield was significantly higher in treatment (40.39 kg) compared to control (35.19 kg), (P<0.05). Milk composition and MUN were not changed by dietary supplementing dicarboxylic acid. Therefore the present results reporting that supplementation of dicarboxylic acid might enhance the stabilization of ruminal fermentation and increase the milk yield of lactating cows.