• Title/Summary/Keyword: 척추경

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Dinosaur Track-Bearing Deposits at Petroglyphs of Bangudae Terrace in Daegokcheon Stream, Ulju (National Treasure No. 285): Occurrences, Paleoenvironments, and Significance in Natural history (국보 제285호 울주 대곡리 반구대 암각화 지역의 공룡발자국 화석층 : 산상, 고환경 및 자연사적 가치)

  • Kim, Hyun Joo;Paik, In Sung;Lim, Jong-Deock
    • Korean Journal of Heritage: History & Science
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    • v.47 no.2
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    • pp.46-67
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    • 2014
  • The Dinosaur track-bearing deposits recently found at Bangudae Petroglyph site in Ulju (National Treasure No. 285) have been studied in the aspects of sedimentology, paleoenvironments, and significance in natural history. The dinosaur tracks occur in the Daegu Formation (late Early Cretaceous), and over 80 footprints including 43 ornithopod footprints, 36 sauropod footprints, and 2 theropod footprints are preserved in this tracksite. The track-bearing deposits consist of irregularly interlaminated siltstone and mudstone, calcareous sandy to silty mudstone, thin-bedded tuffaceous sandstone, planar- to cross-laminated sandstone, and thin- to medium-bedded graded sandstone, and they are interpreted to be sheetflood deposits on an alluvial plain. Diverse types of ripples and mudcracks, rainprints, and invertebrate trace fossils are observed in these deposits, and the crest-lines of wave ripples do not show preferred orientation. Dinosaur footprints occur as true prints, underprints, overtracks, and casts on the bedding surfaces, and the orientation of trackways are scattered. It is interpreted that paleoclimatic condition of the track-bearing deposits were semiarid with alternation of wetting and drying periods, and that dinosaurs frequented small and shallow ponds during wetting periods and recorded their tracks on an alluvial plain. The frequent occurrence of dinosaur tracks in study area indicates that the Cretaceous deposits around Daegokcheon Stream are very useful sedimentological and paleontological records to understand the paleoecology and paleoenvironments during the dinosaur age in Korean Peninsula. Consequently the dinosaur track-bearing deposits around Daegokcheon Stream should be further studied in sedimentary geology and paleontology in order to enhance cultural heritage value of the Petroglyphs of Bangudae Terrace as the World Heritage.

Clinical Outcomes of Ultrasound-Guided Transmeniscal Injection in Medial Compartment Knee Osteoarthritis (무릎 내측 구획 골관절염에서 초음파 유도하 경 반월상 연골 주사의 임상적 효과)

  • Jung, Eui Yub;Wang, Joon Ho;Lee, Eui-Sub;Lee, Sung-Sahn;So, Sang-Yeon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.418-425
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    • 2020
  • Purpose: The purpose of this study was to introduce the ultrasound-guided transmeniscal injection in medial compartment knee osteoarthritis and analyze the clinical outcomes. Materials and Methods: The electronic medical records of 36 patients with medial compartment knee osteoarthritis who were treated with an ultrasound-guided transmeniscal injection from March 2019 to July 2019 were accessed for this retrospective review. Using an ultrasound guided spinal needle, the patients received an intra-articular steroid injection at the medial compartment of the knee. A physical examination was conducted at the initial visit (pre-injection), and at one week, four weeks, and eight weeks after the injection. The numeric pain rating scale (NRS), Lequesne index, and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) score were measured at each visit and analyzed over time. The percentage change of the patients who revealed substantial improvement was analyzed. The NRS, Lequesne index, and percentage of patients, who revealed substantial improvement over time classified by osteoarthritis grade, were analyzed. Results: The NRS and Lequesne index decreased at one week, four weeks, and eight weeks after the injection compared to the initial baseline, and the pain-relief effect continued without change until eight weeks. The percentage of patients who showed substantial improvement at one, four, and eight weeks was 50.0%, 47.2%, and 52.8%, respectively. The WOMAC scores decreased at one, four, and eight weeks compared to the initial baseline, and the decrease was continued without any difference until eight weeks. The percentage of patients with osteoarthritis stage 1 or 2 who revealed more than substantial improvement was significantly higher at one, four, and eight weeks than those with osteoarthritis stages 3 or 4 (p<0.05). Conclusion: In patients with medial compartment knee osteoarthritis, the pain reduction and functional improvement persisted for at least eight weeks after the ultrasound-guided transmeniscal injection at the medial compartment. In particular, patients with medial compartment osteoarthritis stage 1 or 2 showed more effective pain reduction.

The Results of Combined Modality Treatment with Transurethral Resection, Cisplatin and Radiation Therapy for Invasive Bladder Cancer (침윤성 방광암에서 경요도적절제술 및 Cisplatin과 방사선의 병용치료의 효과)

  • Oh, Yoon-Kyeong
    • Radiation Oncology Journal
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    • v.9 no.2
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    • pp.311-317
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    • 1991
  • Ten patients with deep muscle-invading bladder carcinoma (clinical stages T3a to T4b) who were not candidates for cystectomy were treated with combined modality treatment with transurethral resection, cisplatin chemotherapy and pelvic irradiation from 1989 through 1990, and were analyzed retrospectively. All patients were not candidates for cystectomy because the tumors were judged unresectable or they were not fit for a radical cystectomy. Of the patients 5 had clinical stage T3a, 3 stage T3b and 2 stage T4b disease. The minimum follow-up was 16 months. The complete response rate is 60$\%$ for all patients. The complete responses were achieved in 4 of 5(80$\%$) with stage cT3a, in 2 of 3(67$\%$)with stage cT3b and in none of 2(0$\%$) with stage cT4b. The partial responses were achieved in 2, so an overall response rate was 80$\%$. All six patients with grade I or II transitional cell carcinoma showed complete responses. Four patients with higher grade tumors showed partial responses in 2 and no response in 2, and all died of their bladder cancer. Six patients who showed complete responses after treatment are alive and only one of them showed a local recurrence 10 months after treatment. Distant metastases developed in 3 patients: lungs in 2(cT4b) of those who were never locally free of disease and spine in 1 patient (cT3b) among those with a partial response. Two patients died of metastases to lungs. During the follow-up diarrhea occurred in one which was improved after conservative treatment. On the basis of this analysis it is suggested that combined modality treatment seems to be a tolerable regimen and can be offered with a relatively high probability of success and conservation of bladder function in those with less advanced tumors by clinical stage and low grade.

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A Necessity for Lumbar Puncture and VCUG in Febrile UTI Infants less than 3 Months of Age (고열을 동반한3개월 미만 요로 감염 영아에서 척추천자와 배뇨성 방광요도조영술의 필요성)

  • Kim, Ji-Hee;Lee, Jun-Ho
    • Childhood Kidney Diseases
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    • v.13 no.1
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    • pp.33-39
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    • 2009
  • Purpose : Our aim is to reduce the rate of lumbar spinal tapping and voiding cystourethrography (VCUG) in febrile urinary tract infection (UTI) infants less than 3 months of age. Methods : We reviewed the prevalence of UTI, sepsis, meningitis and UTI with bacterial meningitis in febrile infants less than 3 months of age during the period from Jan. 2001 to Jun. 2008. Renal ultrasonography, Technetium-99m dimercaptosuccinic acid (DMSA) renal scan or VCUG were performed in infants with UTI. Infants with UTI were divided into two groups according to the presence of abnormal findings of ultrasonography and DMSA renal scan : group 1-Infants in whom both ultrasonography and DMSA were normal, group 2-Infants in whom ultrasonography or DMSA were abnormal. Prevalence of VUR was compared between the two groups. We followed up the clinical course of patients who had VUR in group 1. Results : Among 1962 Infants, UTI, sepsis and bacterial meningitis were diagnosed in 620 (31.6%), 63 (3.2%), 8 (0.4%) respectively. Lumbar puncture was performed in 413 (66.6%) infants with UTI and we did not detect a case of bacterial meningitis in association. 348 infants with proven UTI were undergone ultrasonography, DMSA, VCUG. In group 1 with 110 infants (31.6%), the presence of VUR was 4 (3.6%). In group 2 with 238 infants (68.4%), the presence of VUR was 51 (21.4%). Abnormal findings of ultrasonography or DMSA renal scan were closely related with high grade VUR. Most of patients with VUR in group1 had good prognosis. Conclusion : Lumbar puncture and VCUG are invasive procedures. Therefore we should decide whether to perform lumbar puncture or VCUG in infants less than 3 months. of age with their first febrile UTI.

The Value of Additional Cervicothoracic Spine Sagittal T2-weighted Images Included in Routine Lumbar Spine MR Imaging (요추 MR영상에 포함된 경흉추 시상T2강조영상의 효용성 평가)

  • Seo, Jiwoon;Park, So Young;Lee, Joon Woo;Lee, Guen Young;Kang, Heung Sik
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.2
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    • pp.91-100
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    • 2013
  • Purpose : To evaluate the usefulness of cervicothoracic spine sagittal T2-weighted images (CT SAG T2WIs) included in routine lumbar spine MRI. Materials and Methods: Institutional review board approval was obtained and informed consents were waived for this retrospective study. The study group comprised 2,113 patients who underwent lumbar spine MRI from January 2005 to December 2005. CT SAG T2WIs were added in the routine lumbar spine MRIs. Radiologic reports were reviewed retrospectively for pathologic lesions on CT SAG T2WIs by one radiologist. Information of additional cervical or thoracic spine MRI and/or CT for further evaluation of positive findings on CT SAG T2WIs and their treatment were collected by retrospectively reviewing medical records. Results: The CT SAG T2WIs revealed 142 pathologic lesions in 139 (6.58%) of the 2,113 patients. They were easily obtained without positional change in a scan time of less than 2 minutes. Additional cervical or thoracic spine MRI and/or CT for positive findings on CT SAG T2WIs were performed in 13 patients. Seven patients underwent surgical treatment. Conclusion: CT SAG T2WIs included in routine lumbar spine MRI were useful in finding the pathologic lesions in cervicothoracic spine for the patients who assumed to have lesions in lumbar spine.

Toxicity Evaluation of Burkholderia pyrrocinia CAB08106-4 in Cyprinus carpio and Daphnia magna (Burkholderia pyrrocinia CAB08106-4 원제가 잉어 및 물벼룩에 미치는 영향 연구)

  • Cho, Jae-Gu;Kim, Mee-Seon;Choi, Hyun-Jung;Kwon, Min;Kang, Tae-Gu;Chung, Chang-Kook;Kim, Kyun;Oh, Seung-Min;Park, Cheol-Beom
    • The Korean Journal of Pesticide Science
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    • v.18 no.1
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    • pp.21-25
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    • 2014
  • Bukholderia pyrrocinia CAB08106-4 has an anti-fungal effect on Garlic White Rot caused by Sclereotium cepivorum and Sclereotium sp. It is environmentally friendly microbial product that prevents and controls a variety of phytopathogens including Garlic White Rot caused by Sclereotium cepivorum and Sclereotium sp. The aim of this study was to assess the environmental toxicity using Cyprinus carpio and Daphnia magna. Bukholderia pyrrocinia CAB08106-4 ($1.0{\times}10^9cfu/mL$) was adminatrated to Cyprinus carpio and Daphnia magna according to the toxicity test guideline for peciticide. $LC_{50}$ of Bukholderia pyrrocinia CAB08106-4 is over $6.67{\times}10^4cfu/mL$ in Cyprinus carpio and Daphnia magna and no adverse effect was observed. Based on these results, we concluded that Bukholderia pyrrocinia CAB08106-4 has no toxiciy for Cyprinus carpio and Daphnia magna.

A Clinical Analysis of 101 blunt sternal fractures (둔상에 의한 흉골골절 101례의 임상적 분석)

  • Kim, U-Jong;Lee, Jun-Bok
    • Journal of Chest Surgery
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    • v.30 no.7
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    • pp.713-718
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    • 1997
  • Fracture of the sternum has been considered as a serious injury and also associated with major complications such as myocardial, major thoracic vascular, and spinal injury. Retrospective datas from blunt trauma victims admitted to our hospital were analyzed to determine significance of sternal fractures and possible associated injures. 101 sternal fractures by blunt trauma were admitted from january, 1986 to december, 1995. Frequency was about 3.51 olo of the nonpenetrating chest trauma. The ratio of male to female was 1.82 versus 1. Most common cause in the stemal fracture was high decelerating injury(73 cases). Most common fracture site was sternal body(75 cases). Average days of adm ssion were 26 days. Abnormal ECG findings were sinus bradycardia(Teases), complete or incomplete RBBB(6 cases), sinus tachycardia(4 cases), specific S-T change(3 cases), 1st degree A-V block(2 cases), LVH(1 case), PVC(1 case), and Low voltage(1 case). CPK-MB was increased about 32.Lolo of sternal fractures. Except of expired 2 patients, patients were treated with conservative treatment(94 cases) and open reductions & steel wire fixations(5 cases). Complication after operation was wound infection(1 case). Causes of death were 1 hypovolemia and 1 acute respiratory distress syndrome. In conclusion, although sternal fracture is less frequent, and mostly treats with conservative treatment, it shoed be carefully observed because of critical associated injuries.

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Chronic Effect Exposed to Carbon Dioxide in Benthic Environment with Marine Invertebrates Copepod(Tisbe sp.) and Amphipod(Monocorophium acherusicum) (저서환경에서 이산화탄소 노출에 따른 국내산 해산무척추동물 요각류(Tisbe sp.)와 단각류(Monocorophium acherusicum)의 만성영향)

  • Moon, Seong-Dae;Choi, Tae Seob;Sung, Chan-Gyoung;Lee, Jung-Suk;Park, Young-Gyu;Kang, Seong-Gil
    • Journal of Environmental Science International
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    • v.22 no.3
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    • pp.359-369
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    • 2013
  • Chronic effects such as reproduction and population dynamics with elevated $CO_2$ concentration were evaluated using two representative marine benthic species, copepod (Tisbe sp.) and amphipod (Monocorophium acherusicum) adopting long-term exposure. Juvenile copepod and amphipod individuals were cultivated in the seawater equilibrated with control air (0.395 mmol $CO_2$/air mol) and high $CO_2$ air having 0.998, to 3.03, 10.3, and 30.1 mmol $CO_2$/air mol during 20 and 46 days, respectively. After the exposure period, the number of benthic invertebrate was counted with separate larval and juvenile stage such as naupliar, copepodid and adult for copepod, or neonate and adult for amphipod, respectively. The individual number of both test species at each life-stage was significantly decreased in seawater with 10.3 mmol $CO_2$/air mol or higher. Recently, the technology of marine $CO_2$ sequestration has been developed for the reduction of $CO_2$ emission, which may cause climate change. However, under various scenarios of $CO_2$ leaks during the injection process or sequestrated $CO_2$ in marine geological structure, the potential risk to organism including various invertebrates can be expected to exposure. So the results of this study suggested that the detailed consideration on the adverse effect with marine ecosystem can be prerequisite for the marine $CO_2$ sequestration projects.

Radiation Therapy In Management Of Primary Non-Hodgkin's Lymphoma Of Central Nervous System (원발성 중추신경계 림프종에 대한 방사선치료)

  • Hong, Seong-Eon
    • Radiation Oncology Journal
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    • v.12 no.1
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    • pp.33-42
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    • 1994
  • From 1982 to 1991, sixteen Patients with primary non-Hodgkin's lymphoma of the central nervous system(CNS) were seen at Kyung Hee University Hospital. The most common subtypes were large, noncleaved cell lymphoma and immunoblastic lymphoma of B cells. Lesions most commonly involved were the parietal lobes and/or deep nuclei. Positive cerebrospinal fluid cytology was rare at initial presentation. Sixteen patients were treated with surgical biopsy or resection followed by whole brain radiotherapy at a median dose of 40 Gy(range=30-50 Gy) with variable boost doses. Of 16 patients who underwent surgery and postoperative radiotherapy, fourteen patients died between 2 and 49 months following treatment, and two are alive with no evidence of disease at 8 and 22 months. The 1-and 2-year survival rates were 55.6$ \% $ and 34.7$ \% $, respectively with 12 months of median survival. Patterns of failure were analyzed in eleven patients of total 16 patients. Failure at the original site of involvement was uncommon after radiotherapy treatment. In contrast, failure in the brain at sites other than those originally invovled was common in spite of the use of whole brain irradiation. Failure occurred in the brain 11/16(68.7$ \% $), in spinal axis 4/16(25.0$ \% $). The age, sex, location of involvement within CNS, numbers of lesion, or radiation dose did not influence on survival. The authors conclude that Primary CNS lymphoma is a locally aggressive disease that is poorly controlled with conventional radiation therapy. The limitation of current therapy for this disease are discussed, and certain promising modality should be made in regarding the management of future patients with this disease.

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A Study of the Clinical Application of Thermography in Musculoskeletal Disease (근골격계(筋骨格系) 영역(領域)에서 Thermography의 임상적(臨床的) 활용(活用)에 대(對)한 고찰(考察))

  • Shin, Hyun-Taeg;Chung, Seok-Hee;Lee, Jong-Soo;Kim, Sung-Soo;Shin, Hyun-Dae
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.47-67
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    • 2000
  • The purpose of this study is to assess the usefulness of thermography in patients with musculoskeletal disease. Thermography is noninvasive, easy to reading, objective and physiologic instrument by measuring and imaging infrared energy emitted from skin surface. Thermography can show the skin temperature changes in various conditions of the body with musculoskeletal disease. This literature review was done for the usefulness of thermography in diagnosing musculoskeletal disease. In conclusion, thermography was adapted in radiculopathy, MPS, peripheral neuropathy, RSD, Raynaud's phenomen, TMJ dysfunction, etc. It was useful as a secondary diagnostic method in those diseases, also possible as a primary diagnostic method in RSD, Raynaud's phenomen. And, it might be reliable tool for estimating disease procedure and consequence after treatment. But, the objectivity of the reading and the development of the operating method are required for further adaptation in musculoskeletal disease.

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