• Title/Summary/Keyword: pitfall

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Hypermetabolism of Compensatory Laryngeal Muscles in Unilateral Vocal Cord Palsy: Comparison Study between Speech and Silence with Normal Subjects by Co-registered PET-CT Fusion Images (일측 성대마비 환자의 보상기전에 관여하는 후두내근육 : PET-CT 융합 영상을 사용한 정상군과의 발성시 및 비발성시의 비교)

  • Pai, Moon-Sun;Kim, Hyon-Kyong;Kim, Han-Su
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.1
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    • pp.23-27
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    • 2006
  • Purpose: There are a few case reports on asymmetric vocal cord uptake on FDG-PET in patients with unilateral vocal cord paralysis, which could be a potential pitfall in the interpretation of FDG-PET images. We evaluated the metabolic activity of laryngeal muscles of patients with unilateral vocal cord paralysis in comparison to normal controls during both speech and silence. Methods: Eleven patients with unilateral vocal cord palsy (thyroldectomy=7, lung cancer=1, others=3) and 12 normal controls underwent FDG-PET with usual protocol. They were divided into two groups respectively; one group read books aloud for 20 minutes (phonation group) and the other kept silence (non-phonation groups) after FDG injection. Recent neck CT scan were co-registered with FDG-PET to produce PET-CT fusion images to elaborate small laryngeal muscles. Results: In patients with unilateral vocal cord palsy, contralateral non-paralyzed vocal cord showed hypermetabolism mainly on thyroarytenoid muscle, more intensely with phonation group ($SUV=5.88{\pm}2.65$) than with non-phonation group ($SUV=2.30{\pm}0.39$). Normal control subjects showed hypermetabolism ($3.68{\pm}0.96$) in interarytenoid muscle and symmetric mild hypermetabolism in both lateral cricoarytenoid muscles in only phonation group. Conclusion: FDG-PET with fusion images using CT scan in patients with unilateral vocal cord paralysis showed hypermetabolism of contralateral non-paralyzed thyroarytenoid muscle, suggesting compensatory action during phonation. Phonation durung FDG PET study enhanced FDG uptake on different laryngeal muscles between patients with unilateral vocal cord paralysis and normal subjects.

The Study on the Characteristics of Ground Beetle (Coleoptera: Carabidae) Community for Conservation of Biodiversity in Agricultural Landscape (농업경관에서의 생물다양성 보전을 위한 딱정벌레 군집 특성 연구)

  • Kang, Bang-Hun;Lee, Joon-Ho;Park, Jong-Kyun
    • Korean Journal of Environment and Ecology
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    • v.23 no.6
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    • pp.545-552
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    • 2009
  • This study was conducted to provide basic information for development of habitat-based conservation strategies of biological diversity in agricultural ecosystem. The carabid beetle assemblages were examined at four kinds of habitats(levee, dike, forest patch remnants and streamside) from three differently stressed areas located in Paltan-myun, Hwaseong city, Korea: agricultural and forest area(site 1), industrial area(site 2), and residential area(site 3). Pitfall trap samplings were carried out 39 times from November 2000 to November 2002. Our study's findings were that the composition of carabid beetle fauna, dominance species, and pattern of carabid beetle assemblage were different among the habitats. The similarity index was highest between two levees in site 2 and 3, and lowest between hillock in site 2 and streamside in site 3, and that among habitats fragmented by road with high traffic was lower than that among any other habitat types. So, we could know that agricultural land use respectively do an important role in diversity conservation and networking. These findings will be used to establish the land use and management plans in the aspects of conservation of biodiversity.

Characteristics of Ground-dwelling Invertebrate Communities at Nari Basin and Tonggumi Area in Ulleungdo Island (울릉도 나리분지와 통구미지역의 경작지와 그 주변지역에 서식하는 지표배회성 무척추동물 군집 비교)

  • Nam, Hyung-Kyu;Song, Young-Ju;Kwon, Soon-Ik;Eo, Jinu;Yoon, Sung-Soo;Kwon, Bong-Kwan;Kim, Myung-Hyun
    • Korean Journal of Environmental Biology
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    • v.36 no.1
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    • pp.21-32
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    • 2018
  • This study was carried out to define the characteristics of the identified ground-dwelling invertebrate communities at Nari basin and Tonggumi area in Ulleungdo Island, designated as a nationally important agricultural heritage. The habitat types were divided into the following categories: crop land, forest, and ecotone, and the soil-dwelling invertebrates were collected according to habitat type. The ground-dwelling invertebrates were collected using a pitfall trap, and a self-organizing map (SOM) was applied to the invertebrates dataset to define the characteristics in invertebrates distribution. The SOM clearly classified the relevant information into four clusters, and extracted ecological information from the invertebrates dataset. The cluster II was composed of invertebrate communities which are collected in the Tonggumi area. The Tonggumi area is where mountainous areas were developed for agricultural purposes, which has geographical features commonly observed in Ulleungdo Island. It is noted that the cluster II has different characteristics as compared other clusters. The results of this study are expected to be used for the preservation of agricultural environment and maintenance of biodiversity by providing basic data, on the biotope of Ulleungdo Island designated as a nationally important agricultural heritage and information on the characteristics of the applicable ground-dwelling invertebrate communities.

Comparative Analysis of Three Subgroups in Stage II Stomach Cancer (제2기 위암에서 3 Subgroup간의 비교 분석)

  • Suh Byung Sun;Kim Byung Sik;Kim Yong Ho;Yook Jung-Whan;Oh Sung-Tae;Kim Wan-Soo;Park Kun-Choon
    • Journal of Gastric Cancer
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    • v.1 no.1
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    • pp.32-37
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    • 2001
  • Purpose: Three subgroups of stage II stomach cancer (T1N2M0, T2N1M0, T3N0M0) by UICC-TNM staging system show obvious survival difference to each other, which becomes the pitfall of the current staging system. We analyzed the survival and relapse pattern of stage II stomach cancer patients in three subgroups retrospectively to prove the need for change in staging system. Materials and Methods: From July 1989 to December 1995, curative gastric resection was performed in 1,037 patients with gastric adenocarcinoma, and among them 268 patients ($26\%$) were in stage II. The number in each of subgroups (T1N2M0, T2N1M0, and T3N0M0) were 17, 139 and 112 respectively. Survival and relapse pattern were analyzed and median follow up period was 46 months. Results: The 3-year cumulative survival rates of T1N2M0, T2N1M0, and T3N0M0 were $50\%,\;80\%,\;and\;76\%$ respectively (p=0.001). And the 3-year cumulative survival rates of T1N2M0 was comparable to those of 2 subgroups of stage IIIa (T2N2M0, T3N1M0), $47\%\;and\;45\%$ (p>0.05). Peritoneal recurrence was the most frequent in T3N0M0. And hematogenous spread was more frequent in T2N1M0 while nodal spread was more frequent in T1N2M0. Ten out of 17 cases of T1N2M0 died of recurrence. Most of them showed submucosal tumor with depressed lesion and mean tumor size was 3.3 cm. Conclusions: Up-staging of T1N2M0 should be considered because it has the lowest survival rate and the worst prognosis among the three subgroups of Stage II stomach cancer patients. In early gastric cancer patients with high-risk factors (large tumor size, invasion into the submucosal layer, and lymphatic vessel involvement), lymph node dissection and postoperative adjuvant therapy is recommended in an attempt to prevent recurrence in the form of lymph node metastasis.

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THE DELAYED DEVELOPMENT OF MANDIBULAR SECOND PREMOLARS - A PITFALL FOR MISDIAGNOSIS OF CONGENITAL ABSENCE (선천 결손으로 오인될 수 있는 하악 제2소구치의 발육지연)

  • Woo, Youn-Sun;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.369-373
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    • 2001
  • The congenital missing of mandibular second premolars is among the common dental anomaly in children. When a second premolar is diagnosed as congenitally missed, we should consider many factors influencing the treatment plan such as patient's age, states of roots of 2nd primary molar, degree of crowding, skeletal growth pattern, facial profile, procumbency of the incisor and lower facial height, etc. The mineralization of the second premolars begins in the majority of cases at the age of $2\sim2\frac{1}{2}$ years, but this period varies more widely than those for other permanent teeth. Also, mandibular second premolars show the greatest variations in differentiation and calcification. For this reason, aplasia of this group of teeth cannot be diagnosed at early age and with the same degree of certainty. From the clinical studies with 2 cases and some literature review on late development of second premolars, it could be summarized as follows : 1. The 2 cases showed marked delay in the development of mandibular second premolars. 2. After the crypt formation, the speed of calcification seemed nearly normal, suggesting that the delay was due to differentiation rather than calcification. 3. When one is encountered with similar conditions, it would be desirable to consider the possibility of delayed tooth development.

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Influences of Disturbance Intensity on Community Structure, Species Richness and Abundance of Arthropod Predators (Araneae, Carabidae, Staphylinidae, and Formicidae) in Burned-pine Forest (산불지에서 절지동물 포식자(거미목, 딱정벌레과, 반날개과와 개미과)의 군집구조, 종풍부도 및 풍부도에 대한 교란강도의 영향)

  • Lee, Cheol Min;Kwon, Tae-Sung;Park, Young Kyu;Kim, Byung-Woo
    • Journal of Korean Society of Forest Science
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    • v.101 no.3
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    • pp.488-500
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    • 2012
  • The present study was carried out to evaluate arthropod predators (Araneae, Carabidae, Staphylinidae, and Formicidae) as bioindicator for forest disturbance. We selected 12 study sites according to disturbance intensities caused by fire intensity and recovery methods at Goseong, Gangneung, and Samcheok in Gangwondo. Intensities of disturbance were characterized as follows: 0 (no fire), 1 (surface fire), 2 (crown fire), and 3 (crown fire followed by reforestation). Arthropod predators were captured using pitfall trap. Species richness and abundance of Araneae, Carabidae, Staphylinidae, and Formicidae were not different along disturbance intensities. However, species richness and abundance of grassland ants significantly increased in higher disturbance intensities. Abundance of grassland ants such as Formica japonica and Camponotus japonicas linearly decreased along litter depth. Furthermore, ant communities were clustered along disturbance intensities. In a one-time survey, ants may be most useful as bioindicator for forest disturbance among the four predator taxa, because ants actively forage for long seasons.

Clinical Application of Radial Head Prosthesis (요골두 치환술의 임상적 적용)

  • Moon, Jun-Gyu
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.140-145
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    • 2011
  • Purpose: Installing a radial head prosthesis has developed into a reliable procedure to replace the native radial head for treating unreconstructible radial head fracture when this is associated with an unstable elbow or forearm. A variety of implants have been developed and these are now commercially available. This article reviews the literature related to the indications, the available implants and the surgical techniques of radial head replacement arthroplasty. Materials and Methods: The main indication for a metallic radial head prosthesis is a comminuted fracture that is not amenable to reconstruction, and particularly if it is associated with complex elbow injuries. Excision of the radial head should be avoided in the presence of combined injured ligaments or interosseous membrane injury. Three different implants are available in Korea, including the bipolar, press fit monopolar and loose fit monopolar radial head prostheses. A primary technical goal of radial head arthroplasty is the insertion of an implant that closely replicates the native radial head. The major pitfall when using a metallic radial head prosthesis is the insertion of a longer implant, which results in overstuffing of the radiocapitellar joint. Results and Conclusion: Satisfactory clinical results can be anticipated when a radial head prosthesis is used for the correct indications and when a systemic approach is undertaken to ensure proper sizing. For the future studies, we need data regarding the long term outcomes and comparison of the various types of prostheses.

Analysis of Allowable Stresses of Machine Graded Lumber in Korea (국내 기계등급구조재의 허용응력 분석)

  • Hong, Jung-Pyo;Oh, Jung-Kwon;Park, Joo-Saeng;Han, Yeon Jung;Pang, Sung-Jun;Kim, Chul-Ki;Lee, Jun-Jae
    • Journal of the Korean Wood Science and Technology
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    • v.43 no.4
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    • pp.456-462
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    • 2015
  • 365 pieces of domestic $38{\times}140{\times}3600mm$ Red pine structural lumber were machine graded conforming to a softwood structural lumber standard (KS F 3020). The allowable bending stresses calculated for each grade were compared with the values currently tabulated in the standard. Four calculation methods for lower $5^{th}$ percentile bending stress were non-parametric estimation with 75% confidence level, 2-parameter and 3-parameter Weibull distribution fit, and bending modulus of rupture (MOR)-modulus of elasticity (MOE) regression based method. Only the data set of Grades E8, E9, and E10 were statistically eligible for the $5^{th}$ percentile calculation. The MOR-MOE regression based method only was able to estimate the lower $5^{th}$ percentile values theoretically for the full range of grades. The results showed that all allowable bending stresses calculated were lower than the design values tabulated in the standard. This implies that the current machine grading system has the pitfall of structural safety. Improvement in current machine grading system could be achieved by introducing the bending strength and stiffness combination grade system.

Seizure Propagation on Ictal Brain SPECT : A Pitfall in the Localization of the Seizure Focus (발작기 뇌혈류 스캔에서의 간질 확산에 관한 연구 : 간질 병소 국소화의 오류)

  • Kim, Man-Deuk;Lee, Jong-Doo;Ryu, Young-Hoon;Kim, Do-Joong;Kim, Jai-Keun;Moon, Sung-Wook;Yoon, Pyeong-Ho;Lee, Chang-Hoon;Lee, Byung-In
    • The Korean Journal of Nuclear Medicine
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    • v.30 no.4
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    • pp.463-468
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    • 1996
  • 본 연구는 간질 병소의 국소화에 있어 발작기 및 발작간 뇌스캔의 정확도를 알아보고 발작기 뇌 스캔에서 나타나는 간질 확산이 정확한 간질 병소를 국소화 하는데 어떠한 영향을 미치는가에 대하여 알아보고자 하였다. 15명의 복잡 부분 발작 환자를 대상으로 하였으며, 간질 병소의 최종적인 국소화는 두피 및 발작 뇌파, 피질 뇌파, 자기 공명 영상, 임상양상 및 병리 소견을 종합한 근거로 하였다. 발작기 뇌스캔은 뇌파상 발작 중 또는 환자가 aura를 호소할 때 Tc-99m HMPAO 20mCi(740 MBq)를 정맥주입후 시행하였으며 발작간 뇌스캔은 발작기 뇌스캔 후 3일 이내 임상적으로 발작 증상이 없는 기간에 시행하였다. 간질 병소는 우측 측두엽이 8예, 좌측 측두엽이 6예, 측두엽 이외의 기원이 1예 였다. 발작기 뇌스캔상, 모두 11예(73.3 %)에서 단발성 또는 다발성 섭취 증가가 간질 병소 및 간질확산 부위에서 관찰되었으며, 간질 병소에만 국한된 섭취 증가는 4예(26.7%)에 불과 하였다. 발작간 뇌스캔에는 모두 11예(73.3 %)에서 간질 병소에만 섭취가 감소되었다. 자기 공명 영상에서는 8예(53.3 %)에서 hippocampal sclerosis를 포함한 간질 병소가 확인되었다. 본 연구로 복잡 부분 발작 환자에서, 간질 확산이 발작기 뇌 스캔 중 자주 관찰됨을 알 수 있었으며, 이러한 간질 확산에 따른 다발성 방사능 섭취가 발작기 뇌스캔상, 간질 병소의 국소화에있어 한계가 있음을 결론 내릴 수 있었다.

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Community Structure and Distribution of Ground Beetles (Coleoptera: Carabidae) of Mt. Bangtaesan in Gangwon-do, Korea (강원도 방태산의 지표성 딱정벌레류(딱정벌레목: 딱정벌레과)의 군집구조 및 분포)

  • Jung, Jong-Kook;Kim, Seung-Tae;Lee, Sue-Yeon;Yoo, Jeong-Seon;Lee, Joon-Ho
    • Korean Journal of Environment and Ecology
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    • v.25 no.3
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    • pp.307-317
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    • 2011
  • Ground beetle fauna of Mt. Bangtaesan in Inje-gun, Gangwon-do was investigated from June to October in 2010. Ground beetles were collected by pitfall trapping. A total of 34 species of 18 genera belonging to 7 families were identified from 1,041 collected ground beetles. Species richness was high in Pterostichinae (15 species, 44.1%), Carabinae (7 species, 20.6%), Harpalinae (4 species, 11.8%), Nebriinae (3 species, 8.8%) and others (5 species, 14.7%). Dominant species were Synuchus spp. (260 individuals, 25.0%), Aulonocarabus semiopacus (218 individuals, 20.9%), and Pterostichus audax (205 individuals, 19.7%) in order. Korean endemic species were collected 564 individuals belonging to 10 species. By principal component analysis (PCA), species distribution and abundance of ground beetles were different depending on habitat characteristics of vegetation, surrounding environment and feeding habitat. Carabinae and Pterostichinae which live in the forest were preferred in hardwoods and coniferous in the Bangtansan Natural Recreation Forest, while Callistinae and Harpalinae were collected in forest adjacent to grasslands. Overall, differences of habitat environments within forest are important factors associated with distribution of ground beetles. This result will provide useful informations with establishment of conservation program and long-term monitoring against environmental change within mountain by using ground beetles.