• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7457-7461
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• 2015

Some thyroid cancer patients undergone insufficient tumor removal in the primary surgery in China. our aim is to evaluate the impact of dissection of the recurrent laryngeal nerve during a salvage thyroid cancer operation in these patients to prevent nerve injury. Clinical data of 49 enrolled patients who received a salvage thyroid operation were retrospectively reviewed. Primary pathology was thyroid papillary cancer. The initial procedure performed included nodulectomy (20 patients), partial thyroidectomy (19 patients) and subtotal thyroidectomy (10 patients). The effect of dissection and protection of the recurrent laryngeal nerve and the mechanism of nerve injury were studied. The cervical courses of the recurrent laryngeal nerves were successfully dissected in all cases. Nerves were adherent to or involved by scars in 22 cases. Three were ligated near the place where the nerve entered the larynx, while another three were cut near the intersection of inferior thyroid artery with the recurrent laryngeal nerve. Light hoarseness occurred to four patients without a preoperative voice change. In conclusion, accurate primary diagnosis allows for a sufficient primary operation to be performed, avoiding insufficient tumor removal that requires a secondary surgery. The most important cause of nerve damage resulted from not identifying the recurrent laryngeal nerve during first surgery, and meticulous dissection during salvage surgery was the most efficient method to avoid nerve damage.

• Journal of Environmental Health Sciences
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• v.35 no.5
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• pp.411-416
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• 2009

This study was initiated to improve the cooling water quality by chemical coagulation and sedimentation in steel mills. Due to the inefficient flocculation in the settling tanks of blast furnace cooling water systems, the solid particles in the cooling water overflow accumulate and clog the cooling system. To protect the cooling water system from such fouling, proper flocculants must be continuously used. Laboratory tests were performed for the indirect cooling water system of a plate mill. The batch test in the gas scrubbing cooling water system of a blast furnace showed that the proposed coagulant was more effective for the improvement of coagulation and sedimentation than the existing one. During the tests, cationic flocculants were more effective than use of only an anionic flocculant. The suggested combination of anionic and cationic flocculants can probably improve the turbidity removal efficiency of the cooling water. Proper control of the overflow rate by the designed residence time would help turbidity removal efficiency in the settling tank. In addition, the settling can be enhanced by adopting rapid and slow mixing alternatively. Scale problems in blast furnace cooling water system were reduced to some extent by efficient settling.

• Journal of Marine Life Science
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• v.2 no.2
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• pp.49-55
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• 2017

Four chemical treatments with hydrogen peroxide (H₂O₂), copper sulfate (CuSO₄), potassium permanganate (KMnO₄) and chlorine (Cl₂) were applied to the effluent pond water of a hybrid striped bass saltwater recirculating aquaculture system to compare their oxidation power. Four chemicals were applied at concentrations of 0 (control), 1, 5, 10 and 20 mg/l. An additional concentration of 40 mg/l was included in the chlorine treatment. Water samples from four hybrid striped bass ponds were tested with KMnO₄ and Cl₂. H₂O₂ did not reduce any of BOD, COD and chlorophyll-a, and copper sulfate was only effective on chlorophyll-a for the effluent pond. Removal efficiencies for chlorophyll-a by copper sulfate were 19.2%, 37.5%, 54.2% and 74.1% dose-dependently. Potassium permanganate effectively removed the BOD, COD and chlorophyll-a. The COD removal rates in four fish ponds varied from 15.9% to 31.6% at the concentration of 10 mg/l. Interestingly, Cl₂ did not reduce the BOD and COD at all, but the BOD and COD instead increased drastically with increasing the Cl₂ concentration. The pond water with the highest initial BOD and COD values among the fish ponds tested increased by 350% in the BOD and 150% in the COD at 20 mg/l. Furthermore, Cl₂ did not significantly reduce any types of solid matter in this study, while KMnO₄ seemed to reduce some extent volatile dissolved solid in the fish pond.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.26 no.3B
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• pp.321-327
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• 2006

This study was performed to provide basic information for evaluating the efficiency and applicable extent of photocatalysis for the treatment of swine wastewater. Acid area was more efficient than neutral and alkalic areas in wastewater treatment, and level of pH3 was the most effective and the treatment efficiency continually increased as the amount of photocatalyst was increased. When the photocatalyst was increased, $TCOD_{Mn}$ was removed faster than chromaticity. Pollutants were more effectively eliminated with both UV light illumination and $TiO_2$ than with either UV or $TiO_2$ alone. The removal efficiency was increased with the addition of $H_2O_2$ as an oxidant, but the removal efficiency was decreased with over an dosage of $H_2O_2$. The optimal dosage of $H_2O_2$ was 200 mg/L. Continuous injection of $H_2O_2$ was required for effective oxidation.

• Journal of Korean Neurosurgical Society
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• v.59 no.6
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• pp.577-583
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• 2016

Objective : The inter-rater reliability of the modified Knosp's classification was measured before the analysis. The clinical validity of the parasellar extension grading system was evaluated by investigating the extents of resection and complication rates among the grades in the endoscopic endonasal transsphenoidal surgery (EETS) for pituitary adenomas. Methods : From November 2008 to August 2015, of the 286 patients who underwent EETS by the senior author, 208 were pituitary adenoma cases (146 non-functioning pituitary adenomas, 10 adrenocorticotropic hormone-secreting adenomas, 31 growth hormone-secreting adenomas, 17 prolactin-secreting adenomas, and 4 thyroid-stimulating hormone-secreting adenomas; 23 microadenomas, 174 macroadenomas, and 11 giant adenomas). Two neurosurgeons and a neuroradiologist independently measured the degree of parasellar extension on the preoperative sellar MRI according to the modified Knosp's classification. Inter-rater reliability was statistically assessed by measuring the intraclass correlation coefficient. The extents of resection were evaluated by comparison of the pre- and post-operative MR images; the neurovascular complications were assessed by reviewing the patients' medical records. The extent of resection was measured in each parasellar extension grade; thereafter, their statistical differences were calculated. Results : The intraclass correlation coefficient value of reliability across the three raters amounted to 0.862. The gross total removal (GTR) rates achieved in each grade were 70.0, 69.8, 62.9, 21.4, 37.5, and 4.3% in Grades 0, 1, 2, 3A, 3B, and 4, respectively. A significant difference in the extent of resection was observed only between Grades 2 and 3A. In addition, significantly higher complication rates were observed in the groups above Grade 3A. Conclusion : Although the modified Knosp's classification system appears to be complex, its inter-rater reliability proves to be excellent. Regarding the clinical validity of the parasellar extension grading system, Grades 3A, 3B, and 4 have a negative predictive value for the GTR rate, with higher complication rates.

• Proceedings of the IEEK Conference
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• 2001.10a
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• pp.91-96
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• 2001

Restoration of contaminated soils to an environmentally acceptable condition is important. One of the newer techniques in soil remediation is a method based on electrokinetic phenomena in soils. The technology uses electricity to affect chemical concentrations and water flow through the pores of soils. An important advantage of electrokinetic soil remediation over other in-situ processes such as soil flushing is the capability of control over the movement of the contaminants. Because the migration of the contaminants is confined by the electric field, there is little dispersion outside the treatment zone. Furthermore, the process is effective for soils with low and variable permeability. In the present study, the distributions of cadmium in the electrokinetic processing of kaolinite under the condition of constant applied voltage are investigated. Cadmium accumulates near the cathode without reducing the diffusion of hydroxide ion into the soil. In keeping the catholyte pH at neutrality, cadmium migrates toward the cathode without any accumulation of cadmium near the cathode and is successfully removed at the cathode reservoir. It was also found that the progress of electrokinetic processing of cadmium could be gasped to a certain extent by monitoring the local voltage and the current density.

• The Journal of the Korean dental association
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• v.58 no.6
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• pp.336-345
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• 2020

Peri-apical implant lesion, also known as 'retrograde peri-implantitis' can occur with multifactorial etiological factors. The purpose of this case report is to demonstrate resolution of periapical implant lesion by removal of causative factors and saving implant by regenerative therapy. A 54-year old male patient with mild dull pain around implant on the right mandibular second premolar area due to persistent peri-apical infection of the adjacent first premolar was treated. Extraction of tooth with symptomatic apical periodontitis and regenerative therapy on the buccal fenestration area of the implant and extraction site were performed. After 6-month reentry, notable regenerated bone tissue around implant was found, and implant placement on the previous extraction site was performed. After 14-month follow-up from the regenerative therapy, neither biological nor mechanical complication could be found around the implant, evidenced by high implant stability, normal clinical probing depth, and absence of discomfort spontaneously and during masticatory function. In conclusion, surgical intervention including regenerative therapy using bone graft and barrier membrane on periapical implant lesion can be suggested as one of the treatment options considering the extent of periapical lesion.

• Restorative Dentistry and Endodontics
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• v.41 no.4
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• pp.310-315
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• 2016

Two case reports describing a new technique of creating a repositionable piezoelectric bony window osteotomy during apicoectomy in order to preserve bone and act as an autologous graft for the surgical site are described. Endodontic microsurgery of anterior teeth with an intact cortical plate and large periapical lesion generally involves removal of a significant amount of healthy bone in order to enucleate the diseased tissue and manage root ends. In the reported cases, apicoectomy was performed on the lateral incisors of two patients. A piezoelectric device was used to create and elevate a bony window at the surgical site, instead of drilling and destroying bone while making an osteotomy with conventional burs. Routine microsurgical procedures - lesion enucleation, root-end resection, and filling - were carried out through this window preparation. The bony window was repositioned to the original site and the soft tissue sutured. The cases were re-evaluated clinically and radiographically after a period of 12 - 24 months. At follow-up, radiographic healing was observed. No additional grafting material was needed despite the extent of the lesions. The indication for this procedure is when teeth present with an intact or near-intact buccal cortical plate and a large apical lesion to preserve the bone and use it as an autologous graft.

• Archives of Craniofacial Surgery
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• v.21 no.2
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• pp.137-140
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• 2020

Epidermoid cysts are benign tumors that account for approximately 1% of intracranial tumors. In very rare cases, temporally located extradural intradiploic epidermoid cysts can cause neurological symptoms and skull perforation. Herein, we report the case of a 34-year-old woman who underwent successful treatment of an epidermoid cyst in the temporal region accompanied by neurological symptoms. Accurate radiological evaluation and complete removal of the tumor and capsule play a vital role in ensuring favorable long-term outcomes. Computed tomography and magnetic resonance imaging scans can provide an accurate assessment of the extent of intracranial expansion and invasion of the cerebral parenchyma, as well as enabling the precise localization and characterization of the bone defect and mass. In addition, collaborative surgery with a neurosurgeon is required for cases involving intracranial expansion and dural invasion.

• Journal of Microbiology and Biotechnology
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• v.2 no.3
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• pp.197-203
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• 1992

Studies of the pretreatment of chitin and its subsequent hydrolysis by Aspergillus carneus chitinase are reported. Ball milling was found to be the most effective way among the pretreatment methods tested. Data are presented describing the effect of enzyme and substrate concentrations on the rate and extent of the hydrolysis process. It was found that the successive addition of enzyme improved the saccharification yield. Significant product inhibition of the chitinase was observed when N-acetylglucosamine concentration was 3.6％ or higher. Adsorption of enzymes to the substrate occurred during a 24 hr hydrolysis period. An initial rapid and extensive adsorption occurred, followed by gradual desorption which increased during the time of reaction. Intermediate removal of the hydrolyzate and continuation of the hydrolysis by adsorbed enzyme on the residual chitin was also investigated. A total of 75.4 g/l reducing sugars, corresponding to 69.2％ saccharificaton yield (as N-acetylglucosamine) was obtained. In addition an increase in the amount of recoverable enzymes was observed under these conditions. Evidence presented here suggests that the technique, whereby the free enzymes in the recovered hydrolyzate are re-adsorbed onto the new substrate, may provide a means of recirculating the dissolved enzymes.