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A Correlation Study of Clinical Outcomes by Quantification of Fatty Degeneration of the Subscapularis: Partial vs. Whole Cross-section

  • Park, Joo Hyun;Lee, Kwang Yeol;Rhee, Sung Min;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.21 no.2
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    • pp.67-74
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    • 2018
  • Background: Fatty degeneration of rotator cuff is a well-known predictor of postoperative outcome. The purpose of this study was to evaluate the clinical features of rotator cuff tears involving subscapularis, and investigate whether fatty degeneration quantified from only the upper subscapularis correlates better with clinical outcomes than quantified from the whole subscapularis. Methods: We retrospectively analyzed 315 consecutive patients who underwent arthroscopic repair for rotator cuff tears involving subscapularis with a minimum follow-up of 1 year. Preoperative and postoperative visual analogue score for pain, range of motion and functional scores were assessed. Integrity of the repaired tendon was assessed at the 1-year follow-up with either magnetic resonance imaging or ultrasonography. Results: The mean Goutallier grade of whole cross-section was significantly lower than that of upper cross-section (1.59 vs. 1.71, p<0.05), but significantly higher than that of lower cross-section (1.59 vs. 1.01, p<0.05). In analysis of 37 re-tears, the occupancy of severe fatty degeneration in upper cross-section was 86.5%, which was significantly higher than that seen in whole cross-section (56.8%, p<0.05). We calculated the cut-off tear size for prediction of re-tears as 19.0 mm for retraction and 11.0 mm for superior-inferior. The cut-off Goutallier grade was 2.5 for both whole and upper cross-sections, but area under the curve was greater in the upper cross-section than the whole (0.911 vs. 0.807). Conclusions: As fatty degeneration of upper subscapularis demonstrated a more distinct spectrum than whole subscapularis, we suggest that measuring fatty degeneration of upper subscapularis can be a more useful method to predict clinical prognosis.

Effects of Nitrogen Application Rate on the Yields, Nutritive Value and Silage Fermentation Quality of Whole-crop Wheat

  • Li, C.J.;Xu, Z.H.;Dong, Z.X.;Shi, S.L.;Zhang, J.G.
    • Asian-Australasian Journal of Animal Sciences
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    • v.29 no.8
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    • pp.1129-1135
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    • 2016
  • Whole-crop wheat (Triticum aestivum L.) as forage has been extensively used in the world. In this study, the effects of N application rates on the yields, nutritive value and silage quality were investigated. The N application rates were 0, 75, 150, 225, and 300 kg/ha. The research results indicated that the dry matter yield of whole-crop wheat increased significantly with increasing N rate up to 150 kg/ha, and then leveled off. The crude protein content and in vitro dry matter digestibility of whole-crop wheat increased significantly with increasing N up to 225 kg/ha, while they no longer increased at N 300 kg/ha. On the contrary, the content of various fibers tended to decrease with the increase of N application. The content of lactic acid, acetic acid and propionic acid in silages increased with the increase of N rate (p<0.05). The ammonia-N content of silages with higher N application rates (${\geq}225kg/ha$) was significantly higher than that with lower N application rates (${\leq}150kg/ha$). Whole-crop wheat applied with high levels of N accumulated more nitrate-N. In conclusion, taking account of yields, nutritive value, silage quality and safety, the optimum N application to whole-crop wheat should be about 150 kg/ha at the present experiment conditions.

The Immediate Effect of Inspiratory Muscle Training with Whole Body Vibration on Pulmonary Function of Stroke Patients (전신진동이 결합된 흡기근 훈련이 뇌졸중 환자의 폐 기능에 미치는 즉각적인 효과)

  • Park, Si-Hyun;Seo, Dong-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.29-37
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    • 2017
  • PURPOSE: This study investigated the immediate effect of inspiratory muscle training with whole-body vibration on the pulmonary function of subacute stroke patients. METHODS: All participants (n=30) were allocated to the following groups: (1) the inspiratory muscle training group with whole-body vibration (n=10), wherein the patients received inspiratory muscle training with whole-body vibration comprising 3minutes of vibration per session and respiratory training of 30 times and 2 sessions for one day. (2) the inspiratory muscle training group with visual feedback (n=10), wherein the patients received inspiratory muscle training with visual feedback. (3) the inspiratory muscle training group (n=10), wherein the patients received inspiratory muscle training. RESULTS: After the experiment, the inspiratory muscle training group with whole-body vibration exhibited significantly higher forced vital capacity, forced expiratory volume at 1 second, peak inspiratory flow rate, maximal inspiratory pressure, and chest expansion (p<.05), compared to the other groups. Inspiratory muscle training group with whole-body vibration had significantly higher peak expiratory flow rate and maximal voluntary ventilation than the other groups (p<.05). CONCLUSION: These results show that pulmonary function, maximal inspiratory pressure, and chest expansion were significantly better in the inspiratory muscle training group with whole-body vibration than in the other groups. Thus, this treatment will help recovery of pulmonary function in stroke patients.

Effect of Muscle Function and Muscular Reaction of Knee Joint in the Twenties on the Whole Body Vibration Exercise (전신진동운동이 20대 성인남녀의 슬관절 근기능과 근반응성에 미치는 영향)

  • Kang, Seung Rok;Jeong, Gu Young;Bae, Jong Jin;Min, Jin Young;Yu, Chang Ho;Kim, Jung Ja;Kwon, Tae Kyu
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.7
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    • pp.762-768
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    • 2013
  • This study investigated the effect of whole-body vibration on muscle function and muscular reaction in the knee joint. We recruited thirty healthy subjects and divided them into a training group, who experienced whole-body vibration, and a control group, who did not. The training group performed whole-body vibration exercises for 30 min per day, 3 days a week, for 8 weeks. We measured knee joint torque to estimate muscle strength and reaction, using BIODEX System 3. Knee joint peak torque and total work performed increased significantly in the training group, and muscle acceleration time decreased. These results suggest that stimulation by whole-body vibration can improve muscle strength and reaction by improving muscle tone and increasing blood temperature and flow speed in muscular fiber. Our results also indicate that 4 weeks of exercise with whole-body vibration is required to improve the reaction response, and six weeks to improve strength.

Clinical Observation of Whole Brain Radiotherapy Concomitant with Targeted Therapy for Brain Metastasis in Non-small Cell Lung Cancer Patients with Chemotherapy Failure

  • Cai, Yong;Wang, Ji-Ying;Liu, Hui
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.5699-5703
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    • 2013
  • Objective: To investigate the clinical effects of whole brain radiotherapy concomitant with targeted therapy for brain metastasis in non-small cell lung cancer (NSCLC) patients with chemotherapy failure. Materials and Methods: Of the 157 NSCLC patients with chemotherapy failure followed by brain metastasis admitted in our hospital from January 2009 to August 2012, the combination group (65 cases) were treated with EGFR-TKI combined with whole brain radiotherapy while the radiotherapy group (92 cases) were given whole brain radiotherapy only. Short-term effects were evaluated based on the increased MRI in brain 1 month after whole brain radiotherapy. Intracranial hypertension responses, hematological toxicity reactions and clinical effects of both groups were observed. Results: There were more adverse reactions in the combination group than in radiotherapy group, but no significant differences were observed between the two groups in response rate (RR) and disease control rate (DCR) (P>0.05). Medium progression free survival (PFS), medium overall survival (OS) and 1-year survival rate in combination group were 6.0 months, 10.6 months and 42.3%, while in the radiotherapy group they were 3.4 months, 7.7 months and 28.0%, respectively, which indicated that there were significant differences in PFS and OS between the two groups (P<0.05). Additionally, RPA grading of each factor in the combination group was a risk factor closely related with survival, with medium PFS in EGFR and KRAS mutation patients being 8.2 months and 11.2 months, and OS being 3.6 months and 6.3 months, respectively. Conclusions: Whole brain radiotherapy concomitant with target therapy is favorable for adverse reaction tolerance and clinical effects, being superior in treating brain metastasis in NSCLC patients with chemotherapy failure and thus deserves to be widely applied in the clinic.

The Whole Body Counting Experience on the Internal Contamination of $^{131}I$ at Korean Nuclear Power Plants (전신계측기를 이용한 원전종사자의 $^{131}I$ 내부방사능 측정 경험 및 개선방향에 대한 연구)

  • Kim, Hee-Geun;Kong, Tae-Young
    • Journal of Radiation Protection and Research
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    • v.34 no.3
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    • pp.121-128
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    • 2009
  • During the maintenance period at Korean nuclear power plants, internal exposure of radiation workers occurred by the inhalation of $^{131}I$ released to the reactor building when primary system was opened. The internal radioactivity of radiation workers contaminated by $^{131}I$ was immediately measured using a whole body counter and the whole body counting was performed again after a few days. In this study, the intake estimated from the record history of entrance to radiation control areas and the measurement results of air sampling for $^{131}I$ in those areas, were compared with that from the results of whole body counting. As a result, it was concluded that the intake estimation using whole body counting and air sampling showed similar results.

An Intercomparison of Counting Efficiency and the Performance of Two Whole-Body Counters According to the Type of Phantom

  • Pak, Minjung;Yoo, Jaeryong;Ha, Wi-Ho;Jin, Young-Woo
    • Journal of Radiation Protection and Research
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    • v.41 no.3
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    • pp.274-281
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    • 2016
  • Background: Whole-body counters are widely used to evaluate internal contamination of the internal presence of gamma-emitting radionuclides. In internal dosimetry, it is a basic requirement that quality control procedures be applied to verify the reliability of the measured results. The implementation of intercomparison programs plays an important role in quality control, and the accuracy of the calibration and the reliability of the results should be verified through intercomparison. In this study, we evaluated the reliability of 2 whole-body counting systems using 2 calibration methods. Materials and Methods: In this study, 2 whole-body counters were calibrated using a reference male bottle manikin absorption (BOMAB) phantom and a Radiation Management Corporation (RMC-II) phantom. The reliability of the whole-body counting systems was evaluated by performing an intercomparison with International Atomic Energy Agencyto assess counting efficiency according to the type of the phantom. Results and Discussion: In the analysis of counting efficiency using the BOMAB phantom, the performance criteria of the counters were satisfied. The relative bias of activity for all radionuclides was -0.16 to 0.01 in the Fastscan and -0.01 to 0.03 in the Accuscan. However, when counting efficiency was analyzed using the RMC- II phantom, the relative bias of $^{241}Am$ activity was -0.49 in the Fastscan and 0.55 in the Accuscan, indicating that its performance criteria was not satisfactory. Conclusion: The intercomparison process demonstrated the reliability of whole-body counting systems calibrated with a BOMAB phantom. However, when the RMC-II phantom was used, the accuracy of measurements decreased for low-energy nuclides. Therefore, it appears that the RMC-II phantom should only be used for efficiency calibration for high-energy nuclides. Moreover, a novel phantom capable of matching the efficiency of the BOMAB phantom in low-energy nuclides should be developed.

Development of Spatial Geometry Cognition in 3-, 4-, and 5-Year-Old (3, 4, 5세 유아의 공간기하 인지 발달)

  • Kim, Bokyung;Yi, Soon Hyung
    • Human Ecology Research
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    • v.55 no.2
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    • pp.125-140
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    • 2017
  • This study composed spatial cognition tasks within the system of geometric area to study children's spatial cognition development systematically. It surveyed children's execution of direction, rotation, symmetry, conjugation, and part/whole cognition tasks. A spatial geometry cognition task set (consisting of total 27 sub-tasks) was presented to 60 children (20 each in groups of 3-, 4-, and 5-year-old) in order to confirm how children's execution of spatial geometry cognition changed depending on children's age and sex as well as if the execution of the spatial geometry cognition showed a difference after each task area. As a result, the execution of the whole direction task and the part/whole task gradually increased between age 3 and age 5. The execution of the whole rotation task, whole symmetry task, and whole conjugation task rapidly increased between age 3 and age 4. Significant sexual difference did not appear in the execution of spatial geometry cognition tasks. The execution of the conjugation and part/whole task was high in each task area, and the execution of the direction, rotation, and symmetry task was relatively low. In addition, the difference of task execution appeared in the sub-tasks of direction, symmetry, and conjugation areas. This result suggests the theoretical discussion possibility of children's spatial geometry cognition development. In addition, the empirical results of this study can be applied to child education plans and activity compositions appropriate for child development.

A Study on the Structural System of Space Configuration in Architectural Plane - Focusing on the Coalesce scheme development for part-whole Process - (건축 평면에서 공간 형상의 구조 체계에 관한 연구 - 부분이 전체를 이루는 합체 도식 개발을 중심으로 -)

  • Piao, Shun-Mei;Yoon, Chae-Shin
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.9
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    • pp.9-20
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    • 2018
  • There are many large and small spaces in the interior of the building, and these spaces are arranged and connected to form a systematic spatial structure. A structure is a collection of several parts to form a whole. In other words, the spatial structure in architecture can be seen as a whole organized and organized as individual unit spaces are gathered together. Therefore, in order to understand the spatial structure, we first need to define the unit spaces that form part, how they are interconnected and arranged, and then understand how and how these unit spaces are organized to form a whole. The main purpose of this study is to study the structural system of space based on the shape information of space on architectural plane. This means interpreting the process and method of how the unit spaces defined as a certain shape on the architectural plane are organized step by step, integrated into a higher level, and eventually integrated into one whole. In this paper, the shape and layout of the unit space are identified in the architectural plan, the connection relation is defined, and expressed in the network form. And suggests a new methodology for interpreting the organizational process in which the following spaces are integrated as a whole. This new methodology is based on human perceptual characteristics. When people recognize an object, they recognize the object partly and completely. We want to explain the relationship between parts of space and the whole according to their characteristics.

Growth and Yield of Double Cropping Potatoes Produced Using Seed Tubers of Different Types and Sizes

  • Park, Hyun Jin;Lee, Gyu Bin;Park, Young Eun;Cho, Ji Hong;Choi, Jang Gyu;Seo, Jin Hee;Cheon, Chung Gi;Chang, Dong Chil
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.66 no.4
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    • pp.375-382
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    • 2021
  • For stable cultivation in double cropping, it is important to use potato (Solanum tuberosum L.) cultivars with a short dormancy period of 50-70 days and plant seed tubers of appropriate type and size. An experiment was conducted during 2018-2019 to investigate the effects of seed tuber type and size on growth and yield performance in double cropping. Whole tubers of three sizes (10-20 g, 30-40 g, and 50-60 g) and conventional cut tubers weighing 30-40 g from three cultivars with different dormancy periods, namely 'Daeji' (40-60 days), 'Eunsun' (50-60 days), and 'Saebong' (50-80 days), were planted, and their field performance was compared. Regardless of the cultivar, the increase in the whole tuber weight up to 30-40 g led to fast emergence, thereby increasing ground cover rate, shoot growth rate, and tuber growth rate, which ultimately improved tuber yield by 33-54%. Comparing the whole and cut tubers, 'Daeji' and 'Eunsun' showed similar growth and yield performance; as such, the performance of whole tubers weighing 10-20 g was comparable to that of cut tubers weighing 30-40 g. However, 'Saebong', a cultivar with relatively long dormancy period, performed better with cut tuber than with whole tubers. Based on these results, we recommend the use of whole tubers weighing over 30 g for double cropping. Further studies to break tuber dormancy are warranted in cultivars with relatively long dormancy periods (50-80 days), such as 'Saebong'.