• Journal of Chest Surgery
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• v.42 no.2
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• pp.233-237
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• 2009

Background: Bupivacaine with fentanyl might be suitable as the spinal anesthesia for performing ambulatory surgery to treat varicose vein. Material and Method: Thirty patients who underwent spinal anesthesia for a varicose vein operation were enrolled in this study. They were classified into 2 groups of either fentanyl 25ug mixed with bupivacaine 4mg (group FB4) or bupivacaine 8mg (group B8). We compared the groups for the success of the analgesia, the recovery time from sensory and motor block, the side effects and the postoperative complications. Result: The groups did not differ significantly regarding the success of analgesia (13 of 15 [group FB4], 15 of 15 [group B8]). None of the patients were converted to general anesthesia due to surgical pain. None of the patients required medication for hypotension and/or bradycardia. The operative and nonoperative side effects of motor block (tested for by using a modified Bromage scale) was significantly lower in group FB4 than that in group B8, as checked at 2 hours after spinal anesthesia (p<0.05). Recovery from spinal block was significantly quicker in group FB4 than that in group B8 (p<0.05). The first voluntary micturition time did not differ significantly (6.5 hours v 4.5 hours [p=0.143]) between the groups, but a nelatone catheter was inserted into 2 of the group B8 patients due to dysuria. Conclusion: Adequate intraoperative analgesia and hemodynamic stability and faster mobilization were achieved using bupivacaine 4mg with fentanyl 25ug. Low dose spinal anesthesia with fentanyl is suitable for performing ambulatory surgery to treat varicose vein.

• Korean Journal of Environment and Ecology
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• v.32 no.4
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• pp.381-391
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• 2018

The purpose of this study is to investigate the influence of artificial disturbances occurring during water conveyance frequency on benthic macro-invertebrate by comparing and analyzing data before and after the construction of Boryeong dam in Boryeong-si, Chungcheongnam-do. We conducted the survey eight times in four points from April 2016 to September 2017. A total of 13,447 individuals from 125 species, 70 families, 19 orders, 7 classes, and 4 phyla were collected. The result of the community analysis showed that the dominant index was 0.55 (${\pm}0.07$) to 0.47 (${\pm}0.08$), diversity index was 2.06 (${\pm}0.26$) to 2.23 (${\pm}0.28$), evenness index was 0.69 (${\pm}0.05$) to 0.70 (${\pm}0.04$), and richness index was 3.43 (${\pm}0.72$) to 4.03 (${\pm}0.91$). After conveyance, the dominance decreased while the diversity, evenness, and richness increased. The result of the functional group analysis showed the portion of scrapers, filtering-collectors increased while that of shredders, gathering-collectors decreased in the functional feeding group and that the proportion of climbers and clingers increased while that of burrowers and sprawlers decreased in the habitat orientation group. The result of analysis of community stability showed that St. 1 and St. 2 decreased resistance and resilience after conveyance and new species appeared in the III characteristics group while St. 3 and St. 4 did not show much difference. The result of multidimensional scaling analysis showed that the variation of similarity was the highest at St. 1 after conveyance, and the variation of similarity at St. 4 was the lowest.

• Journal of Life Science
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• v.19 no.12
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• pp.1758-1763
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• 2009

Biological assessments of benthic macroinvertebrates community structure were carried out in ten reservoir inflow and outflow areas of the Nakdong river system from April 2008 to August 2008. The collected benthic macroinvertebrates from the surveyed sites were 9,427.6 inds./$m^2$, 42 species belonging to 29 families and 16 orders. A dominant species was Chironomus sp. and a subdominant species was Ecdyonurus levis. In the all sites, Ephemeroptera had the most number of species (17.81%) and Diptera had the most number of individuals (64.00%). Dominance, species diversity, species richness, and species evenness indexes were 0.68, 2.42, 2.96 and 0.54, respectively. The numbers of benthic macroinvertebrates species in each surveyed site were from 21 (site 9 Jilnal wetland) to 51 (site 2 Yeongcheon reservoir). As a result of an analysis about relative resistance and resilience of stability factors, the most popular group was group I with high indices in both resistance and resilience. Site 7 (Beongae wetland) and site 8 (Jangcheok reservoir) had the highest similarity in the result of cluster analysis using the surveyed benthic macroinvertebrates.

• Journal of Convergence for Information Technology
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• v.10 no.2
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• pp.184-192
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• 2020

This study presents a gait analysis method (including time series analysis) using a smart insole as an objective and quantitative evaluating method after lumbar scoliosis surgery. The participant is a degenerative lumbar scoliosis patient. She took 3-min-gait-test four times(before and 8, 16, and 204-days after surgery) and 6-min-gait-test once(204-days after surgery) with smart-insoles in her shoes. Each insole has 8-pressure sensors, an accelerometer, and a gyroscope. The measured values were used to compare the characteristics of gait before and after surgery. The analysis showed that all of the patient's gait parameters improved after surgery. And after 6 months, the gait was more stable. However, after long walk, the swing duration of one leg was slightly shorter than that of the other again. It was a preclinical problem that could not be found in the visual examination by the practitioner. With this analysis method we could evaluate the improvement of patient quantitatively and objectively. And we could find a preclinical problem. This analysis method will lead to the studies that define and distinguish gait patterns of certain diseases, helping to determine appropriate treatments.

• Korean Journal of Ichthyology
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• v.32 no.2
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• pp.84-90
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• 2020

We investigated carbon and nitrogen isotope ratios (δ¹³C and δ¹⁵N) of the slipmouth Leiognathus nuchalis to reveal the effects of body size, feeding strategy and spatial distribution on the food resource utilization during the migration in the Seomjin estuary and Gwangyang Bay. The δ¹³C values of L. nuchalis caught in the Seomjin estuary where the salinity is lower than 30 psu were much lower than those in the deep-bay area of Gwangyang Bay. Such a spatial heterogeneity in δ¹³C values of the L. nuchalis clearly indicates active feeding within the estuarine habitat. In contrast, the δ¹⁵N values of L. nuchalis showed a consistency among sites, indicating that this species occupies identical trophic level across the whole area. The slipmouth distributed throughout the bay area, reflecting its euryhaline characteristics. However, the distribution pattern appeared to be separated according to body size into smaller individuals in the low-saline estuary and larger ones in the deep bay. Overall results support the plastic feeding strategy of the slipmouth from zooplanktonic (estuarine habitat) to epibenthic (deep-bay habitat) feeder during the migration between estuarine to deep-bay habitats.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.728-728
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• 2012

본 연구에서는 자연하상 복원을 위한 하상복원공법을 개발하여 시험구간에 적용하였다. 공법적용 대상 지역은 안양시역내의 안양천 일정구간으로 화창교로부터 상류방향으로 약 500m 거리에 웅덩이 수제공법이 적용되어 있으며, 그로부터 다시 상류방향으로 130m 떨어진 거리에 낮은 바닥막이 공법이 적용되어 있다. 낮은 바닥막이 공법의 경우 완만한 곡류사주의 직상류 부로서 강한 수류와 함께 빠른 유속이 형성될 경우 하상의 세굴이 예상되어 이를 방지하기 위해 저수로의 유하방향으로 완만한 호형으로 설치하였으며, 웅덩이형수제 공법은 완만한 곡류로 좌안 수충부가 형성되어 있어 물의 흐름방향과 유속을 제어하여 흐름에 의한 호안침식을 방지하기 위해 현 위치를 선정 및 적용하였다. 첫 번째, 경관모니터링 결과 낮은 바닥막이 공법과 웅덩이 수제 공법을 적용한 구간에서 대규모 홍수 이후에도 저수로 호안과 하상의 안정성이 유지되었으며, 이는 공법 설치 전 후 하상 경관의 변화가 거의 없어 수리적 안정성 유지를 하고 있다고 볼 수 있다. 또한 웅덩이 수제 공법 설치 후, 미소서식처가 형성되면서 포식자인 왜가리, 백로류를 지속적으로 관찰할 수 있어 어류서식처로서의 기능이 강화되었음을 간접적으로 확인하였다. 두 번째, 생태계 모니터링 결과 저서성 무척추동물의 경우 한국오수생물지수(KSI)는 낮은 바닥막이 공법을 적용하여 하상구조가 변화된 조사 지점 st.1의 환경상태가 "양호"에서 "최적"으로 변화하였기 때문에 공법 적용이 서식처 건강성 증진에 도움을 준 것으로 판단된다. 세 번째, 수질 모니터링 결과 용존산소의 경우 상부지점보다 하부지점이 낮게 나타나는 결과를 보여주었다. 낮은 바닥막이 공법에 의한 용존산소 상승효과보다는 다양한 서식처의 제공이라는 측면이 보다 중요한 효과를 나타낸다. 결과적으로, 공법의 실용화를 위한 적용 공법에 대한 생태계 모니터링 및 평가를 통하여 하천에서의 다양한 서식처(Habitat) 창출을 통해 수생 생물의 다양성을 증진시키고, 하천 하상공법에 대한 생태계의 조사 및 평가기법을 확보하여 연구성과를 다른 하천으로의 확대 적용 할 수 있을 것으로 기대한다.

• Korean Journal of Environmental Biology
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• v.37 no.4
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• pp.664-671
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• 2019

This study was conducted to investigate the environmental impact of the construction of the Yeongju Dam, located near the upper stream of the Nakdong River, on benthic macroinvertebrates. The investigation was conducted four times from 2015 to 2016 and the composition of the benthic macroinvertebrate fauna from the four surveyed sites was compared. After the dam construction, the number of benthic macroinvertebrate species decreased and the species composition ratio of the E.P.T taxa(Ephemeroptera, Plecoptera, and Trichoptera) decreased, which favored the previous environment and the large riverbed structure. However, the species composition ratio of the O.C.H taxa (Odonata, Coleoptera, and Hemiptera), which favored the reservoir environment, increased. For the pattern of changes in the functional habitat groups, the proportion of 'Clinger(CL)' taxa decreased and the 'Burrower(BU), Climber(CB), Sprawler(SP), Swimmer(SW)' taxa increased in all surveys after the dam construction. A cluster stability comparison showed that the 'Stability Group II' species of St.2 and St.3 showed a drastic decrease. The average Benthic Macroinvertebrate Index(BMI) of all the survey sites in 2016 was lower than that in 2015. This research confirmed the temporal and spatial changes in the habitat type and community structure of the benthic macroinvertebrates resulting from the dam construction.

• Korean Journal of Environment and Ecology
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• v.27 no.1
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• pp.52-63
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• 2013

Benthic macroinvertebrates were investigated in Yongdam-dam and Hapcheon-dam resions from June to October 2011, Korea. Yongdam-dam and Hapcheon-dam are geographically contiguous, but they are classified as other water system. Experiment site(YE-1, 2, 3; HE-1, 2, 3) which is thought to be affected by dam, control site(YC-1, 2; HC-1, 2) which is thought not to be affected by dam were selected. Species composition, macroinvertebrate communities, composition of the functional feeding groups, habitat orientied groups and community stability were assessed Yongdam-dam and Hapcheon-dam regions. Ten sites were selected for quantitative(Surber sampler $30cm{\times}30cm$) of benthic macroinvertebrates. As a results, a total of 6,369 individuals including 69 species, 33 families, 12 orders, 6 classes and 4 phyla were recognized in Yongdam-dam region. Also, a total of 5,728 individuals including 81 species, 44 families, 13 orders, 5 classes and 4 phyla were recognized in Hapcheon-dam region. Dominance index was 0.27~0.50(mean${\pm}$SD $0.38{\pm}0.09$), diversity index was 2.22~2.97($2.67{\pm}0.29$), evenness index was 0.63~0.76($0.72{\pm}0.06$) and richness index was 4.43~7.06($5.69{\pm}0.99$) in Yongdam-dam region. Dominance index was 0.40~0.81($0.59{\pm}0.18$), diversity index was 1.40~2.39($2.00{\pm}0.43$), evenness index was 0.38~0.68($0.56{\pm}0.13$) and richness index was 4.04~5.80($4.95{\pm}0.70$) in Hapcheon-dam region. In the functional feeding groups, filtering-collectors and gathering-collectors were the highest in the whole sites. In the habitat orientied groups, burrowers, clingers and swimmers were considerably occupied in all sites. As a result of community stability analysis, experiment sites has been identified much as species high resistance and resilience to environmental changes in Yongdam-dam. Control sites has been identified much as species low resistance and resilience to environmental changes in Hapcheon-dam. Species belonging to the Igroup is considered to be important in the river ecosystem stability of large dams downstream areas.

• Journal of Korean Neurosurgical Society
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• v.30 no.10
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• pp.1210-1219
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• 2001

Introduction : The purpose of this study was to analyze the safety, pullout strength and radiographic characteristics of unicortical and bicortical screws of cervical facet within cadaveric specimens and evaluate the influence of level of training on the positioning of these screws. Methods : Twenty-one cadavers, mean 78.9 years of age, underwent bilateral placement of 3.5mm AO lateral mass screw from C3-C6(n=168) using a slight variation of the Magerl technique. Intraoperative imaging was not used. The right side(unicortical) utilized only 14mm screws(effective length of 11mm) while on the left side to determine the length of the screw after the ventral cortex had been drilled. Three spine surgeons(attending, fellow, chief resident) with varying levels of spine training performed the procedure on seven cadavers each. All spines were harvested and lateral radiographs were taken. Individual cervical vertebrae were carefully dissected and then axial radiographs were taken. The screws were evaluated clinically and radiographically for their safety. Screws were graded clinically for their safety with respect to the spinal cord, facet joint, nerve root and vertebral artery. The grades consisted of the following categories : "satisfactory", "at risk" and "direct injury". Each screw was also graded according to its zone placement. Screw position was quantified by measuring a sagittal angle from the lateral radiograph and an axial angle from the axial radiograph. Pull-out force was determined for all screws using a material testing machine. Results : Dissection revealed that fifteen screws on the left side actually had only unicortical and not bicortical purchase as intended. The majority of screws(92.8%) were satisfactory in terms of safety. There were no injuries to the spinal cord. On the right side(unicortical), 98.9% of the screws were "satisfactory" and on the left side(bicortical) 68.1% were "satisfactory". There was a 5.8% incidence of direct arterial injury and a 17.4% incidence of direct nerve root injury with the bicortical screws. There were no "direct injuries" with the unicortical screws for the nerve root or vertebral artery. The unicortical screws had a 21.4% incidence of direct injury of the facet joint, while the bicortical screws had a 21.7% incidence. The majority of "direct injury" of bicortical screws were placed by the surgeon with the least experience. The performance of the resident surgeon was significantly different from the attending or fellow(p<0.05) in terms of safety of the nerve root and vertebral artery. The attending's performance was significantly better than the resident or fellow(p<0.05) in terms of safety of the facet joint. There was no relationship between the safety of a screw and its zone placement. The axial deviation angle measured $23.5{\pm}6.6$ degrees and $19.8{\pm}7.9$ degrees for the unicortical and bicortical screws, respectively. The resident surgeon had a significantly lower angle than the attending or fellow(p<0.05). The sagittal angle measured $66.3{\pm}7.0$ degrees and $62.3{\pm}7.9$ degrees for the unicortical and bicortical screws, respectively. The attending had a significantly lower sagittal angle than the fellow or resident(p<0.05). Thirty-three screws that entered the facet joint were tested for pull-out strength but excluded from the data because they were not lateral mass screws per-se and had deviated substantially from the intended final trajectory. The mean pull-out force for all screws was $542.9{\pm}296.6N$. There was no statistically significant difference between the pull-out force for unicortical($519.9{\pm}286.9N$) and bicortical($565.2{\pm}306N$) screws. There was no significant difference in pull-out strengths with respect to zone placement. Conclusion : It is our belief that the risk associated with bicortical purchase mandates formal spine training if it is to be done safely and accurately. Unicortical screws are safer regardless of level of training. It is apparent that 14mm lateral mass screws placed in a supero-lateral trajectory in the adult cervical spine provide an equivalent strength with a much lower risk of injury than the longer bicortical screws placed in a similar orientation.

• Journal of Korean Orthopaedic Sports Medicine
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• v.1 no.2
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• pp.115-117
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• 2002

목적: 척추에통증을유발하는주된원인인근육질(Muscle Quality)의저하를향상시키는데있어서비교적안정적인방법(약물혹은수술이아닌요법)을시행하여치료중조직손상과부작용을최소화하면서신속한치료가이루어지는치료방법을찾는데주안점을두었다. 대상및방법: 임상실험기간은6주이었으며대상은평균연령34세(17 $\~$ 42세), 남녀30명,발병된지1년이상지난만성요통환자로서, 치료방법은근육마사지요법과운동요법을선택하였다.1군은근육마사지요법만을시행하였고, 2군은운동요법만을시행하였으며, 3군은근육마사지요법과운동요법을동시에병행하였다. 결과: 유연성측정결과와InBody 3.0에서의체성분결과를토대로분석한결과근육마사지요법만을시행한1군은즉각적인호전현상은보였으나시간경과후6일안으로다시이전의증상이원상복귀되어증상이개선되었다고보기는어려워보였다.한편운동요법만을시행한2군은연령에따른개인차는있었고6주안에만족할만한개선결과를보이지는않았지만증상개선이서서히이루어지고있었다. 그러나근육마사지요법과운동요법을병행한3군은1군과2군의실험결과와2단계이상의통증지수향상이관찰되었다. 결론: 요통의주된원인이되는근육질(Muscle Quality)의향상은근육질에긍정적인영향을주는모든요법중어느한가지를사용하는것보다는보다다각적인치료방법을개발하여적용시킬필요성이있다고사료된다.