• Journal of Korean Foot and Ankle Society
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• v.21 no.1
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• pp.21-26
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• 2017

Purpose: To evaluate the clinical outcome of an operation with early rehabilitation from ankle fracture in accordance with the injury type. Materials and Methods: A total of 136 patients (70 males and 66 females) who underwent surgery and early rehabilitation for ankle fractures between December 2008 and December 2013 were retrospectively reviewed. The average age was 47.9 years, with a range of 18~79 years. The mean follow-up period was 28.7 months, with a range of 24~102 months. All patients were classified in accordance with the Lauge Hansen classification and anatomic fracture site. Moreover, the presence of ligament injuries were documented. A short-leg cast was applied postoperatively for two weeks; thereafter, patients began the range-of-motion exercises after cast removal. Full weightbearing was allowed at 2 weeks postoperatively. Each patient was assessed radiologically and clinically based on the OlerudMolander score, visual analogue scale (VAS) for pain, joint stiffness, and capability of single heel raising. Results: Seventeen patients (12.5%) complained of postoperative pain (VAS score 1~3), and the incidence was higher in patients with trimalleolar fractures or associated ligament injuries. Twenty-three patients (16.9%) complained of postoperative ankle stiffness. The mean Olerud-Molander score was 75.4/80 (range, 55~80). Olerud-Molander scores were lower in patients with ligament injuries than in those with fracture alone. There was no nonunion or fracture displacement even after early weightbearing walking. Conclusion: In this retrospective series, early rehabilitation after surgical restoration of ankle mortise by anatomical reduction and stabilization was shown to be successful. Earlier motion exercise and weightbearing walking can minimize fracture complications like joint stiffness or weakness in ankle fracture.

• Journal of Korean Foot and Ankle Society
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• v.24 no.2
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• pp.75-80
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• 2020

Purpose: The purpose of this study is to evaluate the results of Kidner procedure combined with medial displacement calcaneal osteotomy (MDCO) in patients with the symptomatic accessory navicular with hindfoot valgus. Materials and Methods: From January 2014 to January 2019, fifteen patients (15 cases) who had undergone a Kidner procedure combined with MDCO for symptomatic accessory navicular with hindfoot valgus were included. Their mean age was 36.3 years old (19~61 years old) and there were 6 males and 9 females. The clinical results were evaluated using visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, and postoperative subjective satisfaction. The radiographic results were evaluated using the talonavicular coverage angle and the anteroposterior talo-first metatarsal angle, the lateral talo-first metatarsal angle, the calcaneal pitch angle, and the hindfoot alignment angle. The postoperative complications were also evaluated. Results: The VAS and AOFAS midfoot scores continuously improved until 12 months after surgery. Subjective satisfaction after surgery was excellent in 10 cases and good in 5 cases. The hindfoot alignment angle significantly changed after surgery. Pain due to lateral impingement disappeared in five patients, and persisted in one patient. Five patients complained of irritation caused by their fixation devices, and all the symptoms improved after removal of the fixation devices. Conclusion: Kidner procedure combined with MDCO in patients with the symptomatic accessory navicular with hindfoot valgus showed good clinical results with satisfactory correction of hindfoot valgus. In particular, the clinical results showed continuous improvement until 12 months after surgery.

• Journal of Korean Neurosurgical Society
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• v.37 no.3
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• pp.187-192
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• 2005

Objective: Spinal myeloma has been treated with radiation therapy and chemotherapy. However, the role of surgery was not fully evaluated. This study is performed to evaluate the efficacy of surgery in the treatment of spinal myeloma. Methods: 22 patients who were treated with surgery for spinal myeloma from August 1999 to April 2003 were analyzed. Radiological finding, surgical methods and result were reviewed in retrospective study. For compression fracture due to myeloma infiltration, percutaneous vertebroplasy(PVP) was done. Decompression surgery with or without fixation was performed for patients with neurologic deficit. The modalities of surgery consist of PVP (14 cases), corpectomy and fixation (7 cases), and laminectomy and epidural mass removal (3 cases). To evaluate clinical outcome, visual analogue pain score and Frankel neurological scale were used. Results: In 14 cases of PVP, total 57 vertebral segments were treated including 21 thoracic vertebral bodies and 36 lumbar vertebral bodies. Pain relief was achieved in all cases. The pain score changed from 7.7 (preoperatively) to 2.5 (postoperatively). And pain relief effect was maintained over than one year. Frankel grade improved in decompression cases. Conclusion: Surgical treatment can alleviate pain and improve neurologic deficit immediately in spinal myeloma patients.

• Journal of Korean Neurosurgical Society
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• v.44 no.4
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• pp.185-189
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• 2008

Objective : The authors present their experiences with stereotactic multiplanar reformatted (MPR) computed tomography (CT)-guided catheter placement for thrombolysis of spontaneous intracerebral hematoma (sICH) and their clinical results. Methods : In 23 patients with sICH, MPR CT-guided catheter placement was used to select the trajectory and target point of hematoma drainage. This group was comprised of 11 men and 12 women, and the mean age was 57.5 years (range, 31-79 years). The patients' initial Glasgow Coma Scale scores ranged from 7 to 15 with a median of 11. The volume of the hematoma ranged from 24 mL to 86 mL (mean 44.5 mL). A trajectory along the main axis of the hematoma was considered to be optimal for thrombolytic therapy. The trajectory was calculated from the point of entry through the target point of the hematoma using reformatted images. Results : The hematoma catheter was left in place for a median duration of 48.9 hours (range 34 to 62 hours). In an average of two days, the average residual hematoma volume was 6.2 mL (range 1.4 mL to 10.2 mL) and was reduced by an average of 84.7% (range 71.6% to 96.3%). The residual hematoma at postoperative seven days was less than 5 mL in all patients. There was no treatment-related death during hospitalization. Conclusion : The present study indicates that stereotactic MPR CT-guided catheter placement for thrombolysis is an accurate and safe procedure. We suggest that this procedure for stereotactic removal of sICH should be considered for the optimization of the trajectory selection in the future.

• Journal of Soil and Groundwater Environment
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• v.21 no.6
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• pp.146-155
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• 2016

The field feasibility tests for a phytoextraction process were performed to identify the effect of citric acid as a chelate on the uranium (U) transfer into the plant for the naturally U contaminated soil in Duckpyeongri, Korea. For the feasibility tests, lettuce and Chinese cabbage were cultivated for 49 days on four testing grounds ($1m{\times}1m{\times}0.5m$ in each) in 2016. The citric acid solution was added to two testing grounds (one for lettuce and the other for Chinese cabbage) increasing the U transfer in two crop plants and their results were compared to those without the citric acid solution. When without the citric acid solution, the U concentration of plant after the cultivation was low (< $45{\mu}g/kg$ for leaves and < $450{\mu}g/kg$ for roots). However, with the addition of 50 mM citric acid solution, the U concentration of lettuce leaves and roots increased by 24 times and 1.8 times, and the U concentration of Chinese cabbage leaves and roots increased by 86.7 times and 5.4 times. The absolute accumulated U amount (${\mu}g$) in lettuce and Chinese cabbage also increased by 8.7 times and 50 times, compared to those without citric acid solution. Less than 8% of the U amount of exchangeable/carbonate phases was removed by using the lettuce and Chinese cabbage when the citric acid solution was not applied. However 52% and 66% of the U amount in exchangeable/carbonate phases were removed by the lettuce and the Chinese cabbage when the citric acid solution was added. The effect of the citric acid on the U transfer capability into the plants was quantitatively investigated by the field feasibility test, suggesting that U existing as exchangeable/carbonate phase in soil can be successfully removed by the phytoextraction process using Chinese cabbage with citric acid.

• Journal of Microbiology and Biotechnology
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• v.15 no.4
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• pp.780-786
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• 2005

The biomass of the brown seaweed, Ecklonia, was used to remove Cr(VI) from wastewater. Previously, Cr(VI) was removed through its reduction to Cr(III) when brought into contact with the biomass. In this study, the effects of ionic strength, background electrolytes, and Cr(III), Ni(II), Zn(II), and Fe(III) on the Cr(VI) reduction were examined. An increased ionic strength inhibited the Cr(VI) reduction. The presence of other heavy metals, such as Cr(III), Ni(II), or Zn(II), only slightly affected the Cr(VI) reduction, while Fe(III) enhanced the reduction. Although the above various parameters could affect the reduction rate of Cr(VI) by Ecklonia biomass, these effects were relatively smaller than those of pH and temperature. In addition, the previously derived rate equation was found to be applicable over a range of ionic strengths and with different background electrolytes. In conclusion, Ecklonia, bioniass may be a good candidate as a biosorbent for the removal of Cr(VI) from wastewaters containing various other impurities, and scale-up to a practical process may be accomplished using the previously derived rate equation.

• Membrane and Water Treatment
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• v.11 no.2
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• pp.123-130
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• 2020

Submerged Membrane bioreactor (SMBR) is one of the last techniques that allow a high quality of treated industrial effluents by coupling biological treatment and membrane separation. Thus, this research was an effort to evaluate performance of a SMBR treating a model textile wastewater (MTWW). Different SMBR operating parameters like mixed liquor suspended solids (MLSS) and Dissolved oxygen concentration, hydraulic retention time (HRT), and nutrients addition (N and P) have been investigated. MTWW (influent to the SMBR) was generated using the reactive azo-dye, Novacron blue FNG (100mg/L feed concentration). Results of MTWW treatment using SMBR under optimal operating conditions (MLSS, 4.2-13.3g/L; HRT, 4 days; pH, 6.9-7.2; conductivity, 400-900 μS/cm and temperature, 19.4-22.2 ℃) showed that COD and blue colour treatment performances are between 94-98% and 30-80%, respectively. It is concluded that SMBR can be used in large scale textile wastewater treatment plants to improve effluent quality in order to meet effluent discharge standards.

• Journal of Microbiology and Biotechnology
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• v.25 no.9
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• pp.1547-1554
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• 2015

The potential of microalgae biofuel has not been realized because of the low productivity and high costs associated with the current cultivation systems. In this study, a new low-cost and transparent attachment material was tested for cultivation of a filamentous algal strain, Stigeoclonium sp., isolated from wastewater. Initially, the different materials tested for Stigeoclonium cultivation in untreated wastewater were nylon mesh, polyethylene mesh, polypropylene bundle (PB), polycarbonate plate, and viscose rayon. Among the materials tested, PB led to a firm attachment, high biomass (53.22 g/m², dry cell weight), and total lipid yield (5.8 g/m²) with no perceivable change in FAME profile. The Stigeoclonium-dominated biofilm consisted of bacteria and extracellular polysaccharide, which helped in biofilm formation and for effective wastewater treatment (viz., removal efficiency of total nitrogen and total phosphorus corresponded to ~38% and ~90%, respectively). PB also demonstrated high yields under multilayered cultivation in a single reactor treating wastewater. Hence, this system has several advantages over traditional suspended and attached systems, with possibility of increasing areal productivity three times using Stigeoclonium sp. Therefore, multilayered attached growth algal cultivation systems seem to be the future cultivation model for large-scale biodiesel production and wastewater treatment.

• Journal of Microbiology and Biotechnology
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• v.20 no.1
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• pp.21-29
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• 2010

The phenolic compounds are a major contaminant class often found in industrial wastewaters and the biological treatment is an alternative tool commonly employed for their removal. In this sense, monitoring microbial community dynamics is crucial for a successful wastewater treatment. This work aimed to monitor the structure and activity of the bacterial community during the operation of a laboratory-scale continuous submerged membrane bioreactor (SMBR), using PCR and RT-PCR followed by denaturing gradient gel electrophoresis (DGGE) and 16S rRNA libraries. Multivariate analyses carried out using DGGE profiles showed significant changes in the total and metabolically active dominant community members during the 4-week treatment period, explained mainly by phenol and ammonium input. Gene libraries were assembled using 16S rDNA and 16S rRNA PCR products from the fourth week of treatment. Sequencing and phylogenetic analyses of clones from the 16S rDNA library revealed a high diversity of taxa for the total bacterial community, with predominance of Thauera genus (ca. 50%). On the other hand, a lower diversity was found for metabolically active bacteria, which were mostly represented by members of Betaproteobacteria (Thauera and Comamonas), suggesting that these groups have a relevant role in the phenol degradation during the final phase of the SMBR operation.

• Journal of Korean Society of Environmental Engineers
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• v.29 no.1
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• pp.40-46
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• 2007

A laboratory scale experiment on phenol conversion properties by pulsed corona discharge process was carried out. Effects of operating parameters such as applied voltage, input oxygen, and electrode geometry on phenol conversion and solution properties were investigated. Electrical discharges generated in liquid phase increased the liquid temperature by heat transfer from current flow, decreased the pH value by producing various organic acids from phenol degradation, and increased conductivity by generating charge carriers and organic acids. The oxygen supply enhanced the phenol conversion through the ozone generation dissolution and the production of OH radicals. Series type electrode configuration induced more ozone production than reference type configuration because it produced gas phase discharges as well as liquid phase discharges. Therefore, the higher phenol conversion and TOC(total organic carbon) removal efficiency were obtained in series type configuration.