• Title/Summary/Keyword: 안정성 평가

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The Effect of Nasal BiPAP Ventilation in Acute Exacerbation of Chronic Obstructive Airway Disease (만성 기도폐쇄환자에서 급성 호흡 부전시 BiPAP 환기법의 치료 효과)

  • Cho, Young-Bok;Kim, Ki-Beom;Lee, Hak-Jun;Chung, Jin-Hong;Lee, Kwan-Ho;Lee, Hyun-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.190-200
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    • 1996
  • Background : Mechanical ventilation constitutes the last therapeutic method for acute respiratory failure when oxygen therapy and medical treatment fail to improve the respiratory status of the patient. This invasive ventilation, classically administered by endotracheal intubation or by tracheostomy, is associated with significant mortality and morbidity. Consequently, any less invasive method able to avoid the use of endotracheal ventilation would appear to be useful in high risk patient. Over recent years, the efficacy of nasal mask ventilation has been demonstrated in the treatment of chronic restrictive respiratory failure, particularly in patients with neuromuscular diseases. More recently, this method has been successfully used in the treatment of acute respiratory failure due to parenchymal disease. Method : We assessed the efficacy of Bilevel positive airway pressure(BiPAP) in the treatment of acute exacerbation of chronic obstructive pulmonary disease(COPD). This study prospectively evaluated the clinical effectiveness of a treatment schedule with positive pressure ventilation via nasal mask(Respironics BiPAP device) in 22 patients with acute exacerbations of COPD. Eleven patients with acute exacerbations of COPD were treated with nasal pressure support ventilation delivered via a nasal ventilatory support system plus standard treatment for 3 consecutive days. An additional 11 control patients were treated only with standard treatment. The standard treatment consisted of medical and oxygen therapy. The nasal BiPAP was delivered by a pressure support ventilator in spontaneous timed mode and at an inspiratory positive airway pressure $6-8cmH_2O$ and an expiratory positive airway pressure $3-4cmH_2O$. Patients were evaluated with physical examination(respiratory rate), modified Borg scale and arterial blood gas before and after the acute therapeutic intervention. Results : Pretreatment and after 3 days of treatment, mean $PaO_2$ was 56.3mmHg and 79.1mmHg (p<0.05) in BiPAP group and 56.9mmHg and 70.2mmHg (p<0.05) in conventional treatment (CT) group and $PaCO_2$ was 63.9mmHg and 56.9mmHg (p<0.05) in BiPAP group and 53mmHg and 52.8mmHg in CT group respectively. pH was 7.36 and 7.41 (p<0.05) in BiPAP group and 7.37 and 7.38 in cr group respectively. Pretreatment and after treatment, mean respiratory rate was 28 and 23 beats/min in BiPAP group and 25 and 20 beats/min in CT group respectively. Borg scale was 7.6 and 4.7 in BiPAP group and 6.4 and 3.8 in CT group respectively. There were significant differences between the two groups in changes of mean $PaO_2$, $PaCO_2$ and pH respectively. Conclusion: We conclude that short-term nasal pressure-support ventilation delivered via nasal BiPAP in the treatment of acute exacerbation of COPD, is an efficient mode of assisted ventilation for improving blood gas values and dyspnea sensation and may reduce the need for endotracheal intubation with mechanical ventilation.

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Evaluation of the Parameters of Soil Potassium Supplying Power for Predicting Yield Response, K2O Uptake and Optiumum K2O Application Levels in Paddy Soils (수도(水稻)의 가리시비반응(加里施肥反応)과 시비량추정(施肥量推定)을 위한 가리공급력(加里供給力) 측정방법(測定方法) 평가(評価) -I. Q/I 관계(関係)에 의(依)한 가리(加里) 공급력측정(供給力測定)과 시비반응(施肥反応))

  • Park, Yang-Ho;An, Soo-Bong;Park, Chon-Suh
    • Korean Journal of Soil Science and Fertilizer
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    • v.16 no.1
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    • pp.42-49
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    • 1983
  • In order to find out the possibility of predicting fertilizer K requirement from the K supplying capacity of soil, the relative K activity ratio, Kas/kai, the potential buffering capacity of $K^+$ ($PBC^k$ ; the liner regression coefficient) and its activity ratio ($AR^k_o$ ; $^{k+}$/${\sqrt{Ca^{+2}+Mg^{+2}}}$ in mol/l) at ${\delta}K$ = O, in the Q/I relationships of Beckett(1964), were determined for the soils before flooding and the samples taken at heading stage of transplanted rice in pot experiment. These parameters assumed as the K supplying capacity of soils were subjected for the investigation through correlation stady between themselves and other factors such as grain yield or the amounts of $K_2O$ uptake by rice plant at harvest. The results may be summarized as follows; 1. The potassium supplying power of the flooded soil was considered to be ruled by the amounts of exchangeable K before flooding, since there was little change in exchangeable K concentration from no-exchangeable K during the incubation periods of 67 days. 2. The $PBC^k$ values, in soils before flooding were 0.027, 0.014 and 0.009, where as the $AR^k_o{\times}10^{-3}$ values were 9.1, 7.6, and 15.4, respectively, in clay, loamy and sandy loam soils. 3. The $PBC^k$ values, determined in the soil samples taken at heading stage, varied little compared with the values of orignal soil, regardless of those different fertilizer treatments and textures, showing the possibility of using them as a factor for the improvement of soil to increase the efficiency of fertilizer K. 4. The significant yield responses to potassium fertilizer application were observed wherever the $AR^k_o$ values in soil at heading stage drop down to the original $AR^k_o$ values, regardless of any levels of fertilizer application. 5. The higher correlations between the gain yield or the amounts of $K_2O$ uptake and by the use of both soil factors of $PBC^k$ and $AR^k_o$ at heading stage were observed compared with the use of any single factor. 6. The Kas/Kai value in the soil, estimated prior to the experiment, had high possitive correlation with the $AR^k_o$ determined in the soil at heading stage and could be used as a soil factor for predicting potassium fertilizer requirement.

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Ecological Characteristic between the Re-introduction Population and the Original Population (Jojong Stream, Sudong Stream) of Zacco koreanus in the Bongseonsa Stream, Korea (봉선사천의 참갈겨니(Zacco koreanus) 재도입 개체군과 원개체군(조종천, 수동천) 간 생태학적 특징)

  • Wang, Ju-Hyoun;Choi, Jun-Kil;Lee, Hyuk-Je;Lee, Hwang-Goo
    • Korean Journal of Environment and Ecology
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    • v.31 no.6
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    • pp.537-548
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    • 2017
  • The purpose of this study was to investigate the species composition and the aquatic environment of Jojong Stream and Sudong Stream, which were the original habitats of Zacco koreanus population and restored population re-introduced in Bongseonsa Stream. It also compared and analyzed the states of the growth and reproductive ability of Z. koreanus habiting in each of the three streams. The investigation was conducted in June 2016 which was known as the spawning season of Z. koreanus. The results of the physical aquatic environments showed the slight differences in altitude, width and depth of water among three streams, but the bottom structure was found to be quite different in the composition of the boulder, cobble, and pebble among the streams. The result of the physicochemical aquatic environment analysis showed that there were no significant differences in water temperature, pH, DO, BOD, and EC among the three stream. In the fish fauna investigation, 530 individuals of 11 species of 3 families were collected in Bongseonsa Stream, 293 individuals of 12 species of 4 families were collected in Jojong Stream, and 361 individuals of 11 species of 4 families were collected in Sudong Stream. All three streams were dominated by Z. koreanus and Z. platypus. Six Korean endemic species appeared in each of the three streams, showing the high occurrence rate of indigenous species of 50.0% or more. The aggregation index analysis revealed that the mean dominance index ranged from 0.63 (${\pm}0.05$, BS) to 0.72(${\pm}0.01$, JJ), mean diversity index from 1.55 (${\pm}0.06$, JJ) to 1.78 (${\pm}0.11$, BS), mean evenness index from 0.71 (${\pm}0.03$, JJ) to 0.76 (${\pm}0.02$, BS), and mean richness index from 1.61 (${\pm}0.33$, JJ) to 1.73 (${\pm}0.24$, SD). The result indicated that the observed differences between the stream community indices were statistically nonsignificant. The similarity analysis showed that 75.4% similarity was divided into two groups of A and B and that the fish fauna on each analyzed point was similar. The quantitative habitat evaluation index (QHEI) analysis showed that the average value of QHEI was 151.0 (${\pm}46.0$), which means that it was a suboptimal habitat environment. The result of length-weight analysis of Z. koreanus populations showed that the regression coefficient b of the restoration population and the original habitat population were at 3.0 or higher while the condition factor had a positive slope. Moreover, it was found that the slopes of the regression coefficient b and condition factor of the original habitat population were larger than the restored population. The analysis of the length frequency distribution of the Z. koreanus population revealed that all three streams maintained the stable life cycle although it was found that the growth rate of the original habitat population was faster than the restored population in the one-year-old class. The result of the gonadosomatic index (GSI) analysis showed that the GSI median value of the Z. koreanus population in the restored habitat Bongseonsa Stream was higher than the population in the original habitat Jojong Stream and Sudong Stream for both of males and females.

A Study of Image Quality and Exposed Dose by Field Size Changing on CBCT (CBCT 촬영 시 조사야 조절에 따른 영상의 최적화 및 피폭선량에 관한 고찰)

  • Bang, Seung Jae;Kim, Young Yeon;Jeong, Il Seon;Kim, Jeong Soo;Kim, Young Gon
    • The Journal of Korean Society for Radiation Therapy
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    • v.25 no.2
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    • pp.175-180
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    • 2013
  • Purpose: Modern radiation therapy technique such as IGRT has become a routine clinical practice on LINAC for decrease patient's set-up error. CBCT can be used to adjust patient set-up error and treat patient more accurately. The Purpose of this study is to evaluate field size of CBCT for improving Image quality and suggest reference date of CBCT field size. Materials and Methods: Image date were acquired using KV CBCT and Catphan phantom (Half fan and full fan mode were scanned from 2 ~16 cm, at intervals of 2 cm). Field size were categorized by Small field size (2 cm, 4 cm), Medium field size (8 cm, 10 cm), Large field size (more than 14 cm) and evaluate. To estimated the CTDi using CTDi phantom and Ion chamber. Results: CT number linearity of Small and Large field size are greater than Medium field size. Spatial resolution are not significantly different without Small field size. But half fan mode is more different than full fan mode. In full fan, except Medium field size, all field size exceed recommendation for HU uniformity. But half pan has stability for all field except Small field size. CTDi makes radical sign function graph in Medium field size. Conclusion: The worst result was given by Small field size for Image quality and practically. Medium field size can be useful to prevent patient from radiation exposure and give better Image quality. So this study recommends that Medium field size (8~10 cm) is more suitable for CBCT.

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A Structural Relationship of Topography, Developed Areas, and Riparian Vegetation on the Concentration of Total Nitrogen in Streams (지형, 개발지역, 수변림과 하천 내 총질소 농도와의 구조적 관계 분석)

  • Lee, Sang-Woo;Lee, Jong-Won;Park, Se-Rin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.48 no.1
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    • pp.25-34
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    • 2020
  • Land use in watersheds has been shown to be a major driving factor in determining the status of the water quality of streams. In this light, scientists have been investigating the roles of riparian vegetation on the relationships between land use in watersheds and the associated stream water quality. Numerous studies reported that riparian vegetation could alleviate the adverse effects caused by land use in watersheds and on stream water quality through various hydrological, biochemical and ecological mechanisms. However, this concept has been criticized as the true effects of riparian vegetation must be assessed by comprehensive models that mimic real environmental settings. This study aimed to estimate a comprehensive structural equation model integrating topography, land use, and characteristics of riparian vegetation. We used water quality data from the Nakdong River system monitored under the National Aquatic Ecosystem Monitoring Program (NAEMP) of the Korean Ministry of Environment (MOE). Also, riparian vegetation data and land use data were extracted from the Land Use/Land Cover map (LULC) produced by the MOE. The number of structural equation models (SEMs) were estimated in Amos of IBM SPSS. Study results revealed that land use was determined by elevation, and developed areas within a watershed significantly increased the concentration of Total Nitrogen (TN) in streams and LDI in riparian vegetation. On the contrary, developed areas significantly reduced LPI and PLAND. At the same time, PLAND and LDI significantly reduced the concentration of TN in streams. Thus, it was clear that developed areas in watersheds had both a direct and an indirect impact on the concentration of TN in streams, and spatial pattern and the amount of vegetation of riparian vegetation could significantly alleviate the negative impacts of developed areas on TN concentration in streams. To enhance stream water quality, reducing developed areas in a watershed is critical for long-term watershed management plans, restoration patterns for riparian vegetation could be immediately implemented since riparian areas were less developed than most other watersheds.

Improvement Plan to Facilitate a Landscape Architectural Promotion Facility and Complex System (조경진흥시설과 조경진흥단지 제도 활성화 방안 연구)

  • Kim, Yong-Gook;Kim, Shin-Sung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.46 no.1
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    • pp.9-16
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    • 2018
  • Landscape architecture is an indispensable professional service in building sustainable land and urban environments. The landscape architecture industry is closely related to the promotion of the health and welfare of the people, urban revitalization and residential environment improvement as well as job creation. Despite various public interest values of landscape architecture, the growth engine of the landscape architecture industry, which is supposed to improve the quality of landscape services, has stagnated. In 2015, the Landscape Architecture Promotion Act was enacted to provide a landscape architectural promotion facility and complex system to support revitalization through the integration of the landscape architecture industry. The purpose of this study is to suggest an improvement plan to enhance the effectiveness of the landscape architectural promotion facility and complex system. The results of the analysis are as follows: First, workers and experts in landscape architecture recognized the need for policies and projects to promote the landscape architecture industry. Second, the industrial types suitable for the landscape architectural promotion facility were landscape design, landscape maintenance and management, and landscape construction industry. Meanwhile the industrial types suitable for a landscape architectural promotion complex were landscape trees and landscape facilities production and distribution. Third, the expected effect of the designation of the landscape architectural facility was 'the increase of the business opportunity through the expansion of the network'. On the other hand, that of the landscape architectural promotion complex was 'the activation of various information sharing'. Fourth, 'the size of the local government landscape architecture industry and the capacity to cultivate' was the most important among the designation criteria of the landscape architectural promotion facility. As for that of the landscape architectural promotion complex, the 'feasibility of promotion plan' was the most crucial. Fifth, 'tax benefit and deductible exemption' was considered as a necessary support method for the activation of the landscape architectural promotion facility, and 'maintenance and management fee support' was recognized in the case of the landscape architectural promotion complex.

0.1 MW Test Bed CO2 Capture Studies with New Absorbent (KoSol-5) (신 흡수제(KoSol-5)를 적용한 0.1 MW급 Test Bed CO2 포집 성능시험)

  • Lee, Junghyun;Kim, Beom-Ju;Shin, Su Hyun;kwak, No-Sang;Lee, Dong Woog;Lee, Ji Hyun;Shim, Jae-Goo
    • Applied Chemistry for Engineering
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    • v.27 no.4
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    • pp.391-396
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    • 2016
  • The absorption efficiency of amine $CO_2$ absorbent (KoSol-5) developed by KEPCO research institute was evaluated using a 0.1 MW test bed. The performance of post-combustion technology to capture two tons of $CO_2$ per day from a slipstream of the flue gas from a 500 MW coal-fired power station was first confirmed in Korea. Also the analysis of the absorbent regeneration energy was conducted to suggest the reliable data for the KoSol-5 absorbent performance. And we tested energy reduction effects by improving the absorption tower inter-cooling system. Overall results showed that the $CO_2$ removal rate met the technical guideline ($CO_2$ removal rate : 90%) suggested by IEA-GHG. Also the regeneration energy of the KoSol-5 showed about $3.05GJ/tonCO_2$ which was about 25% reduction in the regeneration energy compared to that of using the commercial absorbent MEA (Monoethanolamine). Based on current experiments, the KoSol-5 absorbent showed high efficiency for $CO_2$ capture. It is expected that the application of KoSol-5 to commercial scale $CO_2$ capture plants could dramatically reduce $CO_2$ capture costs.

Evaluation of the Movement Pattern of Squaliobarbus curriculus Inhabiting in the Mid-lower Part of Geum River Using Acoustic Telemetry (수중 음향 측정방식을 이용한 금강 중.하류의 눈불개 이동성 평가)

  • Yoon, Ju-Duk;Kim, Jeong-Hui;In, Dong-Su;Hwang, Eun-Ji;Yoon, Johee;Lee, Young-Joon;Chang, Kwang-Hyeon;Jang, Min-Ho
    • Korean Journal of Ecology and Environment
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    • v.45 no.4
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    • pp.482-489
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    • 2012
  • Visual monitoring is hard to apply on fish because they are living in a water system. To overcome this problem, acoustic telemetry, which is effective for underwater monitoring, is often used for studying fish behaviors, such as movement distance, route and patterns. In this study, in order to monitor the movement pattern of Squaliobarbus curriculus (family Cyprinidae), we used acoustic telemetry and identified the home range and movement distances. A total of nine individuals were released at two different locations: one is at the estuary barrage (Sc1~3) and the other is at the lower part of Baekjae Weir (Sc4~9), located in Geum River. Approximately, a 70 km section from the estuary barrage was investigated. Fish, which were released at the estuary barrage, utilized up to 12.7 km upstream as home range from the release site. At the lower part of Baekjae Weir, most of the fish moved and stayed within a 7.2 km downstream area, except for Sc6, which moved 53.4 km (linear maximum distance from release site) downstream from the release site. Relatively small sized fish (Sc7~9) did not show any movement. Accumulated movement distance significantly correlated with the standard length of S. curriculus ($r_s$=0.715, p=0.03). Moreover, the standard length of moving fish was significantly larger than that of not moving fish (Mann-Whitney U test, p=0.024). Therefore, the movement distance of S. curriculus has been correlated with fish size; movement distance was increased with the standard fish length. Although the sample size of monitored fish was small, various meaningful data were collected by acoustic telemetry. Consequently, this technique could be a method available for effectively monitoring the behavior and ecology of native Korean and endemic species.

Cooking Properties of Fresh Pasta Using Korean Wheat and Durum Rimachinata (우리밀과 Durum Rimachinata를 이용한 생면 파스타의 조리특성)

  • Kim, Yeon-Ju;Ju, Jong-Chan;Kim, Rae-Young;Kim, Won-Tae;Park, Jae-Hee;Chun, Soon-Sil
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.40 no.10
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    • pp.1474-1481
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    • 2011
  • This study investigated the physicochemical characteristics of Korean wheat flour substituted for 0%, 15%, 30%, 45%, and 60% durum rimachinata wheat in order to develop a Korean wheat pasta suitable for consumer-preferred soft textures. The particles of Korean wheat that were less than 250 ${\mu}M$ were 87.03% of all particles, while 68.7% of durum rimachinata had particles more than 250 ${\mu}M$ in size. Durum rimachinata had more protein (13.84${\pm}$0.03) and ash (0.70${\pm}$0.02) than Korean wheat. In farinograph characteristics, water absorption, development time, stability, and weakness increased as the amounts of substituted Korean wheat flour increased. Also, the gelatinization characteristics of the amylograph exhibited an increase of gelatinization temperature and decrease in maximum viscosity. However, maximum viscosity was shown to be more than 550 B.U. until 30% of the substitution level of Korean wheat flour to durum rimachinata wheat. Also, it did not affect the texture of the noodle product. We could make pasta with softness and springiness with less than a 15% substitution level of Korean wheat flour due to similar characteristics in cooking properties such as weight, volume, water absorption, turbidity, and cooking loss when compared to the control. L and a values increased, and the b value decreased in color as substitution amounts of Korean wheat flour increased. The hardness and adhesiveness of cooking noodles was shown to be a low value at more than a 30% substitution level of Korean wheat flour, and springiness, gumminess, and chewiness all exhibited high values. In a sensory evaluation, overall acceptability was shown to have the highest score in control. More than 30% of substitution of Korean wheat flour showed high preferences. Therefore, 15% of the substitution level of Korean wheat flour could be adapted in dough and cooking properties for making pasta-substituted Korean wheat. However, a texture analyzer and sensory evaluation of cooked pasta was shown to have a good quality at more than 30% substitution level of Korean wheat flour.

Comparison of the Incidence and Risk Factors for Developing Osteoarthritis after ACL Reconstruction - Patellar Versus a Hamstring Autograft - (전방 십자 인대 재건술 후 골관절염의 발생 빈도 및 위험 인자들에 대한 비교 - 자가 슬개건과 자가 슬괴건을 이용한 방법 -)

  • Song, Eun-Kyoo;Seon, Jong-Keun;Kim, Hyung-Soon;Kang, Kyung-Do;Byun, Jae-Wook
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.1
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    • pp.48-57
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    • 2010
  • Purpose: To compare the incidence and risk factors for osteoarthritis after anterior cruciate ligament (ACL) reconstruction between two groups using bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) autograft. Materials and Methods: 53 cases of ACL reconstruction using patellar tendon and 40 cases using hamstring tendon were followed up at least 8 years. Radiographic evaluation was done according to the Kellgren and Lawrence's classification. Clinical functional testing (Lysholm Knee Scores, the Tegner activity scores) and laxity testing (Lachman, pivot shift tests), and the instrumented laxity testing with $Telos^{(R)}$ were all examined in relation to the development of osteoarthritis. Results: Radiographic osteoarthritic changes were detected in 24 patients (45.3%) in BPTB group and 14 patients (35.0%) in HT group. Accompanying meniscal injury (BPTB p<0.001; HT p=0.091), intervals from the injury to reconstruction of > 12 months (BPTB p=0.037; HT p=0.021), and patient's age at reconstruction of > 25 years (BPTB p=0.003; HT p=0.048) were found to be significant independent predictors of osteoarthritis. However, no statistically significant correlations were found between the development of osteoarthritis and the clinical outcome or the radiographic stability in both groups. Conclusion: Although ACL reconstruction using BPTB or HT autograft had good clinical results at an average follow-up of 10 years, considerable incidence of radiographic osteoarthritic changes were noted. Various factors such as accompanying meniscal injury, protracted time from injury to reconstruction, more than 25 years old at the time of reconstruction were related to radiographic osteoarthritic changes.

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