• Clinics in Shoulder and Elbow
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• 제19권1호
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• pp.2-7
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• 2016

Background: The purpose of this study is to compare the radiological and clinical outcomes after open reduction and plate fixation of midshaft clavicle fractures between patients who achieved successful anatomical reduction and those who had a remaining fracture gap even after open reduction and plate fixation, and were thus treated with additional demineralized bone matrix (DBM). Methods: This retrospective analysis was conducted on 56 consecutive patients who underwent open reduction and internal fixation using a locking compression plate for acute displaced midshaft clavicle fractures, and who underwent radiographic and clinical outcome evaluations at least 6 months postoperatively. The outcomes between those who achieved perfect anatomical reduction without remnant gap (n=32) and those who had a remaining fracture gap even after open reduction and plate fixation treated with additional DBM (n=24) were evaluated. Results: There were no differences in the use of lag screws or wiring and operation time (all p>0.05) between those with and without remnant gap. No difference in the average radiological union time and clinical outcomes (satisfaction and Constant score) was observed between the two groups (all p>0.05). However, significantly faster union time was observed for AO type A fracture compared with other types (p=0.012), and traffic accident showed association with worse clinical outcomes compared with other causes of injury. Conclusions: Surgical outcome of midshaft clavicle fracture was more affected by initial fracture type and event, and re-reduction and re-fixation of the fracture to obtain a perfect anatomical reduction spending time appears to be unnecessary if rigid fixation is achieved.

• Journal of Korean Neurosurgical Society
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• 제53권1호
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• pp.26-30
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• 2013

Objective : The purpose of this study was to compare the results of three types of short segment screw fixation for thoracolumbar burst fracture accompanying osteopenia. Methods : The records of 70 patients who underwent short segment screw fixation for a thoracolumbar burst fracture accompanying osteopenia (-2.5< mean T score by bone mineral densitometry <-1.0) from January 2005 to January 2008 were reviewed. Patients were divided into three groups based on whether or not bone fusion and bone cement augmentation procedure 1) Group I (n=26) : short segment fixation with posterolateral bone fusion; 2) Group II (n=23) : bone cement augmented short segment fixation with posterolateral bone fusion; 3) Group III (n=21) : bone cement augmented, short segment percutaneous screw fixation without bone fusion. Clinical outcomes were assessed using a visual analogue scale and modified MacNab's criteria. Radiological findings, including kyphotic angle and vertebral height, and procedure-related complications, such as screw loosening or pull-out, were analyzed. Results : No significant difference in radiographic or clinical outcomes was noted between patients managed using the three different techniques at last follow up. However, Group I showed more correction loss of kyphotic deformities and vertebral height loss at final follow-up, and Group I had higher screw loosening and implant failure rates than Group II or III. Conclusion : Bone cement augmented procedure can be an efficient and safe surgical techniques in terms of achieving better outcomes with minimal complications for thoracolumbar burst fracture accompanying osteopenia.

• 미생물학회지
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• 제11권2호
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• pp.51-58
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• 1973

Three kinds of organic matter such as glucose, oxalic acid, and ethanol were added to the media(N-free or $NO_{3}$-riched) and their effects on the nitrogen fixation of Nostoc pruniforme were measured by manometric technique through the experiments in vivo. 1) The organic matters used in this experiments showed effective results as a role of substrate for the fixation of atmospheric nitrogen. 2) In the nitrogen-free medium treated with the both of flucose nad ethanol, the highest nitrogen uptakes were detected in the treated of low concentrations (glucose ; 0.1%, 0.5%, ethanol : 0.1%, 0.5%). On the contrary, the highest nitrogen uptakes in $NO_{3}$-riched medium were measured at the treated of high concentrations (glucose ; 2%, 1%, ethanol ; 1.5%, 1.0%). 3) The highest nitrogen uptakes in N-free medium treated with oxalic acid were measured at the concentration of 2% and 1%, respectively. In the medium of $NO_{3}$-riched, the nitrogen uptakes were in the opposite directions.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.768-772
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• 2014

Background To compare clinical and radiographic outcomes between intramedullary nail fixation and percutaneous K-wire fixation for fractures in the distal third portion of the metacarpal bone. Methods A single-institutional retrospective review identified 41 consecutive cases of metacarpal fractures between September 2009 and August 2013. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the distal third of the metacarpal bone. The patients were divided by the method of fixation (intramedullary nailing or K-wire). Outcomes were compared for mean and median total active motion of the digit, radiographic parameters, and period until return to work. Complications and symptoms were determined by a questionnaire. Results During the period under review, 41 patients met the inclusion criteria, and the fractures were managed with either intramedullary nailing (n=19) or percutaneous K-wire fixation (n=22). The mean and median total active range of motion and radiographic healing showed no statistically significant difference between the two groups. No union failures were observed in either group. The mean operation time was shorter by an average of 14 minutes for the percutaneous K-wire fixation group. However, the intramedullary nailing group returned to work earlier by an average of 2.3 weeks. Complications were reported only in the K-wire fixation group. Conclusions Intramedullary nailing fixation is advisable for fractures in the distal third of the metacarpal bone. It provides early recovery of the range of motion, an earlier return to work, and lower complication rates, despite potentially requiring a wire removal procedure at the patient's request.

• 대한기계학회논문집A
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• 제33권4호
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• pp.430-439
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• 2009

Posterior Cruciate Ligament (PCL) plays an important role in knee extension. Rotational instability due to injured PCL can be restored by various PCL reconstruction methods. In this study, the initial lengthening affected by fixation device and location was demonstrated, and furthermore, the slippage and the relationship between lengthening ratio and slippage ratio in the calcaneus and soft tissue fixation methods was newly suggested. Eight specimens of proximal tibia and Achilles tendon grafts were harvested from four cadavers and divided into four groups in regard to the four different types of transtibial fixation techniques. The cyclic load ranged from 50 N to 250 N applied to each graft fixed to proximal tibia in 55 degrees. The initial lengthening ratio to the total elongation has been approximately constant regardless of the fixation methods. The soft tissue fixation method with an interference screw showed about 56.4% slippage ratio to the total elongation and the same method with a double cross-pin presented about 45.4% slippage ratio. The soft tissue fixation method with an interference screw demonstrated approximately 2 mm less total elongation and about 13% more slippage than lengthening because of poor fixation compared to the same method with a double cross-pin.

• 한국유기농업학회지
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• 제21권3호
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• pp.381-389
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• 2013

본 연구는 보리와 완두 혼파 포장에서 유기질소질 비료의 시용 수준이 건물생산성, 질소 고정 그리고 이동율 및 이동량을 측정하기 위하여 실시하였다. 처리는 유기질소 40kg, 80kg, 그리고 120kg/ha의 3처리와 질소고정 측정을 위해 대조구로 보리단파구를 각 처리마다 배치하였다. 난괴법 3처리 3반복으로 처리하여 3월부터 6월까지 재배하였다. 보리는 40kg/ha와 완두 80kg/ha를 파종 후 발아를 촉진하기 위하여 흑색 비닐을 멀칭하였다. 질소 고정을 측정하기 위하여 99.8원자% $15N(NH_4)_2SO_4$를 4월 15일 ha당 1kg 수준으로 증류수에 혼합하여 $30{\times}20cm$ 쿼드랏에 시용 하였다. 공중질소 고정율은 32.4%에서 0% 사이였다. 보리에서 완두에로의 질소 이동률은 차이법에서 47.6%에서 21.8% 사이 그리고 동위원소 희석액 처리법에서 24.6%와 21.4%를 나타냈다. 이동량은 차이법에서 92.8kg/ha에서 41.9kg/ha 및 49.7kg 반면 120kg N 유기질 시용구는 동위원소희석법에서는 질소이동이 일어나지 않은 것으로 나타났다. 결론적으로 유기질 비료의 증가에 따른 두과작물의 공중질소고정 향상, 화본과 작물로의 질소이동효과가 분명하지 않았다.

• 한국유기농업학회지
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• 제10권1호
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• pp.49-63
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• 2002

In order to supply 85% of total organic feed in ruminants and 80% in non-ruminants for organic animal production, nitrogen fixation ability of legume should be used in domestic roughages production. 50% of Europe organic farmer use intercropping legume in as green manure. This article is dealing with amount of biologically fixed nitrogen used by legumes and methods for estimating the transfer of biologically fixed N in rotation and separating the N benefit into fixed N and non-fixed N components are reviewed. Available data indicate that transfer amount of N to non legumes was from 50∼9.6(kg/ha) in legume-cereal rotations and proportion of legume N varied with seasons, 90% in summer, 50% in autumn. The important point in cropping system for legumes have to be included for organic forage production 6 year rotation is based on pasture system of 3 year pasture + 2 year annual(com, sudangrass), again pasture. Rye, barly and Italian ryegrass+legumes(vetch, crimson and pea) can be one of option in spring, com, soybean, sudangrass and Japanese bamyard millet would be seeded after spring harvest in the field. Farmer can make good use of rice paddy field as forge production potential area after harvesting rice. Italian, burly and rye+vetch and crimsonclover may be grown in autumn or spring time at the rice field.

• 한국초지조사료학회지
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• 제13권1호
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• pp.16-22
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• 1993

방목초지에서 자생하는 라디노 클로버 포복경을 l/5,000a 와그너 포트에 이식하여 온실에서 겨울동안 1일 12시간 조명시키면서 재배하였다. 50일 동안 재배 후 제 1차 수화하였고 20일 후 2차, 그리고 다시 20일 후에 3차 수확을 하였다. 처리로는 질소시비를 2.5kg/10a, 5.0kg/10a, 7.5kg/10a를 이식 및 각 예취후에 시비하였다. 조사항목으로는 생장점, 지상부 수량, 지하부 수량 그리고 엽면적을 측정하였고 그밖에 질소고정량 및 지하부의 조단백질 함량 그리고 예취 후 질소고정능의 경시적 변화를 조사하였다. 그 결과을 요약하면 다음과 같다. 1. 직물체의 생장점, 지상부 그리고 지하부 생산량을 1차. 2차에서는 5kg/10a구가 가장 많았던 반면 3차에서는 2.5kg/10a구에서 제일 좋았으며 7.5kg/10a구는 질소를 계속 시비함에 따라 식물체는 3차시에 고사하였다. 생장점수는 처리간 유의성이 인정되었다. 2. 라디노 클로버의 질소고정은 1회 예취에서 2.5kg/10a구가 가장 우수한 것으로 나타나 그 후 예취 및 질소시비를 계속함에 따라 고정량은 저하하였다. 3. 잎의 조단백질 함량은 뿌리와 포복경의 조단백함량보다 많았으며 제2차 예취시 까지는 질소시비수준을 높임에 따라 조단백질의 함량도 높아지는 경향이었으나 3차 예취시에는 다시 저하하였다. 4.아세틸렌 환원능은 예취 3주후에 최저치를 나타내다가 5주후에 예취전 상태로 회복하였으며 뿌리의 건물중도 같은 경향을 나타내었다.

• 한국의류학회지
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• 제24권3호
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• pp.411-411
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• 2000

• Journal of Korean Neurosurgical Society
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• 제55권2호
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• pp.73-77
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• 2014

Objective : The purpose of this study was to evaluate the efficacy of implant removal of percutaneous short segment fixation after vertebral fracture consolidation in terms of motion preservation. Methods : Between May 2007 and January 2011, 44 patients underwent percutaneous short segment screw fixation due to a thoracolumbar burst fracture. Sixteen of these patients, who underwent implant removal 12 months after screw fixation, were enrolled in this study. Motor power was intact in all patients, despite significant vertebral height loss and canal compromise. The patients were divided into two groups by degree of osteoporosis : Group A (n=8), the non-osteoporotic group, and Group B (n=8), the osteoporotic group. Imaging and clinical findings including vertebral height loss, kyphotic angle, range of motion (ROM), and complications were analyzed. Results : Significant pain relief was achieved in both groups at final follow-up versus preoperative values. In terms of vertebral height loss, both groups showed significant improvement at 12 months after screw fixation and restored vertebral height was maintained to final follow-up in spite of some correction loss. ROM (measured using Cobb's method) in flexion and extension in Group A was $10.5^{\circ}$ ($19.5/9.0^{\circ}$) at last follow-up, and in Group B was $10.2^{\circ}$ ($18.8/8.6^{\circ}$) at last follow-up. Both groups showed marked improvement in ROM as compared with the screw fixation state, which was considered motionless. Conclusion : Removal of percutaneous implants after vertebral fracture consolidation can be an effective treatment to preserve motion regardless of osteoporosis for thoracolumbar burst fractures.