• Title/Summary/Keyword: Ha-Treatment

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Comparative Interrupted Time Series Analysis of Medical Expenses in Patients with Intertrochanteric Fracture Who Underwent Internal Fixation and Hemiarthroplasty

  • Seung-Hoon Kim;Yonghan Cha;Suk-Yong Jang;Bo-Yeon Kim;Hyo-Jung Lee;Gui-Ok Kim
    • Hip & pelvis
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    • v.36 no.2
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    • pp.144-154
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    • 2024
  • Purpose: The objective of this study was to assess postoperative direct medical expenses and medical utilization of elderly patients who underwent either hemiarthroplasty (HA) or internal fixation (IF) for treatment of a femoral intertrochanteric fracture and to analyze differences according to surgical methods and age groups. Materials and Methods: Data from the 2011 to 2018 Korean National Health Insurance Review & Assessment Service database were used. Risk-set matching was performed for selection of controls representing patients with the same sex, age, and year of surgery. A comparative interrupted time series analysis was performed for evaluation of differences in medical expenses and utilization between the two groups. Results: A total of 10,405 patients who underwent IF surgery and 10,405 control patients who underwent HA surgery were included. Medical expenses were 18% lower in the IF group compared to the HA group during the first year after the fracture (difference-in-difference [DID] estimate ratio 0.82, 95% confidence interval [CI] 0.77-0.87, P<0.001), and 9% lower in the second year (DID estimate ratio 0.91, 95% CI 0.85-0.99, P=0.018). Length of hospital stay was significantly shorter in the IF group compared to the HA group during the first two years after time zero in the age ≥80 group. Conclusion: A noticeable increase in medical expenses was observed for patients who underwent HA for treatment of intertrochanteric fractures compared to those who underwent IF over a two-year period after surgery. Therefore, consideration of such findings is critical when designing healthcare policy support for management of intertrochanteric fractures.

Effect of Fertilizer Application Level considering Irrigation Water Quality on Rice (Oryza sativa L.) Productivity and Agricultural Environment (관개수질을 고려한 시비가 벼의 생산성과 농업환경에 미치는 영향)

  • Uhm, Mi-Jeong;Park, Hyun-Cheol;Kim, Kab-Cheol;Ryu, Jeong;Choi, Joung-Sik
    • Korean Journal of Environmental Agriculture
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    • v.23 no.1
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    • pp.7-14
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    • 2004
  • This study was conducted to investigate the effect on agricultural environment and crop productivity by different amount of applied fertilizer in consideration of irrigation water quality. N, P and K contents of irrigation water used in this experiment were 6.16, 0.26 and 9.37 mg/L, respectively. N, P and K Concentrations of runoff water were lower than those of inflow water during rice cultivation. N, P and K Concentrations of ponded and percolated water were changed according to the amount and time of applied fertilization. During rice cultivation in paddy soil, nitrogen balance was closed to 0 in SFT 50% (50% level of soil testing fertilization), 0.14 kg/ha, but it was 95.3 kg/ha in CF (conventional fertilization) treatment In SW 50% and STF (soil testing fertilization) treatment yield of perfect rice was not greatly different as compared with CF treatment due to the superiority of ripening rate, 1,000 grains weight and milling characteristics. Mechanical paratability of rice was excellent in NF (non fertilization) treatment, STF 50% treatment showed higher in nutrient availability and fertilizers use efficiency than other treatments.

Effects of Side-furrow-treated Carbofuran (3G) on the Control of Onion Maggots (Hylemyia antiqua Meigen; Anthomyiidae) and on the Growth Response of Garlics (Carbofuran (3G) 조춘토중처리에 의한 고자리파리의 방제 및 마늘의 생육촉진반응)

  • Choi S.Y.;Lee S.W.;Chung B.K.
    • Korean journal of applied entomology
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    • v.22 no.4 s.57
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    • pp.271-276
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    • 1983
  • In field studies, the insecticides carbofuran(Furadan 3G) and diazion(3G) at the rate of 1,8 kg a.i./ha as a single side-furrowing treatment from March 13 to April 10(7 to 10 days intervals) were evaluated in terms of the control effects to the onion maggots(Hylemyia antique Meigen) and some phytotonic effects to the garlic plants. The treatments with carbofuran were significantly more effective in onion maggot control than the treatment with diazinon and untreated, and the earlier treatments the better control effects were obtained. Phytotonic effects only with carbofuran on garlic plants were of served as increases ranged $16.5\~23.2\%$ in plant heights, $22.0\~32.0\%$ in stem diameters and $15.5\~22.8\%$ in bulb diameters compared to the untreated. The greatest yield of garlics was resulted in the plots of Match-13 treatments with carbofuran, ca. 10,700kg/ha in the carbofuran treatment, ca. 5637kg/ha in the diazinon treatment and ca. 4728kg/ha in the untreated plots. The magnitude of yield increase of garlics in the plots treated with carbofuran was attributable to positively stimulate the growth response of garlic plants as well as the control effects to onion maggots.

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The Effect of Hyaluronan Treatment in Endotoxemic Rats

  • Rho, Byung-Hak;Kwon, Kun-Young;Choi, Won-Il
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.5
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    • pp.390-396
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    • 2011
  • Background: Hyaluronan (HA) is an unbranched glycosaminoglycan. It has been proposed that HA acts as a vehicle for cytokines due to the strong negative charge on its surface. We hypothesized that HA would function like a cytokine scavenger and reduce the inflammatory signaling cascade and this would lead to improved survival in rats suffering with endotoxemia. Methods: Endotoxin (Salmonella, 10 mg/kg) or an equal amount of 0.9% NaCl (NS) was injected into the jugular vein of rats. HA (1,600 kDa, 0.35%) or NS was given at 0.1 mL/kg/h for 3 hours. HA or NS infusion was started at 4 hour after endotoxin injection. The rats were divided into the control and HA groups (n=16 for each group). The mean arterial pressure (MAP) was monitored during HA or normal saline infusion. Survival was assessed every 12 hours for 3 days throughout the experiment. Results: The survival rate (%) of the rats treated with HA was higher (60%) than that of the controls (20%) when HA was infused 4 hours after lipopolysaccharide (LPS) injection. The bronchoalveolar lavage (BAL) fluid of the animals surviving HA or NS infusion 4 hours after LPS showed that the total cell counts and number of neutrophils were significantly (p < 0.01) reduced in the HA treated groups compared with that of the controls (total cell count, $9.2{\times}10^4$/mL vs. $61{\times}10^4$/mL; neutrophils, $21{\times}10^4$/mL vs. $0.2{\times}10^4$/mL, respectively). There was no significant MAP difference between the HA or control groups either with or without endotoxin. Conclusion: Infusion of hyaluronan (1,600 kDa) reduced the BAL total cell count and the number of neutrophils and it improved the survival rate of the endotoxemic rats.

Comparative Study on Seed and Straw Productivity of Italian Ryegrass (Lolium multiflorum Lam.) 'GreenCall' According to Nitrogen Fertilization Level in Southern Region of Korea (남부지역에서 질소 시비량에 따른 이탈리안 라이그라스(Lolium multiflorum Lam.) '그린콜' 품종의 종자 및 짚 생산성 비교 연구)

  • Young Sang Yu;Li Li Wang;Yan Fen Li;Xaysana Panyavong;Bae Hun Lee;Jong Geun Kim
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.44 no.2
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    • pp.64-70
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    • 2024
  • The experiment was conducted to determine the changes in seed productivity of Italian ryegrass (Lolium multiflorum Lam.) according to nitrogen fertilization levels in the southern region of Korea. Italian ryegrass (IRG) variety 'Green Call' was sown in the fall of 2021 in Jinju, Gyeongsangnam-do. The experiment consisted of three nitrogen fertilizer levels (100, 120, and 140 N kg/ha) with three replications using a randomized complete block design. Harvesting was done approximately 30 days after heading on May 18th. There was no difference in heading date among treatments, which occurred on April 18th. The longest IRG was observed in the 140 N kg/ha treatment, but there was no significant difference. No significant differences were observed in lodging, disease resistance, and cold tolerance among treatments, but lodging was severe in all treatments. The length of the spike averaged 44.95 cm, with no difference among treatments, and the number of seeds per spike was highest in the 120 N kg/ha treatment. Seed yield increased with increasing nitrogen fertilizer levels, averaging 3,707 kg/ha (as-fed basis). DM content of seed and straw averaged 76.95% and 62.19%, respectively, with no significant differences among treatments. The remaining straw after harvesting averaged 6,525 kg/ha on a dry matter basis, with the highest value observed in the 140 N kg/ha treatment. Overall, considering the results, the optimal nitrogen fertilizer application rate for seed production of Italian ryegrass in the southern region when sown in autumn was found to be 120 N kg/ha.

Seasonal Changes of Pasture Production by Cutting Dates and Nitrogen Application Levels under Summer Stress of Cheju Area (제주혼파초지에서 하고기 예취시기와 질서비료수준에 따른 목초생산의 계절적 변화)

  • 김문철;김영휘;조남기;이수일;이승협
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.13 no.2
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    • pp.112-121
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    • 1993
  • To study management practices suitable for the least production loss of temperate pasture under summer stress, two different cutting dates (late June and mid July) under summer stress and five different nitrogen treatment application levels (0, 100. 200, 300 and 400 kg/ha) were tried during the trial period between Oct. of 1986 and Oct. of 1989. The late June cutting showed a statistically significant increase of dry matter yield of pasture in comparison with the mid-July cutting(P<0.05). Nitrogen application also gave significant increase in dry matter yield. Botanical composition at the 4th cuttings in 1988 and 1989 was dominated by weeds to the level of 50%, Application ofnitrogen at 200 kgs per ha was found to be the best with production of grasses at 70%, legumes at 10 % and weeds at 20% in botanical composition comparison of pastures at the 4th cutting time the last year, showing a great decrease of weeds. K contents of pasture in June cuttings showed to be more than them in July cutting, and N and Na contents increased with increases of the nitrogen application level. It was concluded that treatment with June cutting and nitrogen application of 200 kg per ha was a way to keep temperate pasture from summer stress in the Cheju area.

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Yield and Free Sugar Contents of Burdock (Arctium lappa L.) depending on Nitrogen Levels

  • Lee, Ye-Jin;Sung, Jwa-Kyung;Lee, Seul-Bi;Lim, Jung-Eun;Song, Yo-Sung;Lee, Deog-Bae
    • Korean Journal of Soil Science and Fertilizer
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    • v.49 no.6
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    • pp.677-681
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    • 2016
  • Excessive nitrogen fertilization influences crop yields and quality as well as environmental pollution. In this study, yields, nitrogen use efficiency and free sugar contents of burdock (Arctium lappa L.) were evaluated at different levels of nitrogen fertilization. Nitrogen fertilizer was applied at 5 levels (0, 50, 100, 150, 200%) based on the conventional fertilization ($N=230kg\;ha^{-1}$), and phosphate and potassium fertilizer were treated by conventional P and K fertilization ($P_2O_5-K_2O=140-210kg\;ha^{-1}$) in all plots. The root yields of burdock were the highest in N 100~150% treatment plots. Nitrogen use efficiency and nitrogen recovery decreased from over N 150% treatment. Nitrogen uptake of root was greater than that of shoot in N 50~200% treatments. Fructose contents in root were inversely proportional to the level of nitrogen fertilization. As considering nitrogen recovery and root quality, economical burdock yield was obtained in N $230kg\;ha^{-1}$.

THE THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION AND DISPLACEMENT IN MANDIBLE ACCORDING TO TREATMENT MODALITIES OF MANDIBULAR ANGLE FRACTURES (하악각 골절의 치료 방법에 따른 하악골의 응력 분포 및 변위에 관한 삼차원 유한요소법적 연구)

  • Ku, Je-Hoon;Kim, Il-Kyu;Chang, Jae-Won;Yang, Jung-Eun;Sasikala, Balaraman;Wang, Boon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.3
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    • pp.207-217
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    • 2010
  • The purpose of this study was to evaluate the effects of the stress distribution and displacement in mandible according to treatment modalities of mandibular angle fractures, using a three dimensional finite element analysis. A mechanical model of an edentulous mandible was generated from 3D scan. A 100-N axial load and four masticatory muscular supporting system were applied to this model. According to the number, location and materials of titanium and biodegradable polymer plates, the experimental groups were divided into five types. Type I had a single titanium plate in the superior border of mandibular angle, type II had two titanium plates in the superior tension border and in the inferior compression border of mandibular angle, type III had a single titanium plate in the ventral area of mandibular angle, type IV had a single biodegradable polymer plate in the superior border of mandibular angle, type V had a single biodegradable polymer plate in the ventral area of mandibular angle. The results obtained from this study were follows: 1. Stress was concentrated on the condylar neck of the fractured side except Type III. 2. The values of von-Mises stress of the screws were the highest in the just-posterior screw of the fracture line, and in the just-anterior screw of Type III. 3. The displacement of mandible in Type III was 0.04 mm, and in Type I, II, IV, and V were 0.10 mm. 4. The plates were the most stable in the ventral area of mandibular angle (Type III, V). In conclusion, the ventral area of mandibular angle is the most stable location in the fixation of mandibular angle fractures, and the just- posterior and/or the just-anterior screws of the fracture line must be longer than the other, and surgeons have to fix accurately these screws, and the biodegradable polymer plate also was suitable for the treatment of mandible angle fracture.

Effects of Seeding Method on the Winter Survival, Dry Matter Yield and Nutrient Value of Italian Ryegrass in Paddy Field (논에서 이탈리안 라이그라스의 파종방법이 월동, 건물수량 및 사료가치에 미치는 영향)

  • Kim, Meing-Jooung;Choi, Gi-Jun;Yook, Wan-Bang;Lim, Young-Chul;Yoon, Sei-Hyung;Kim, Jong-Geun;Park, Hyung-Soo;Seo, Sung
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.27 no.4
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    • pp.269-274
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    • 2007
  • This experiment was conducted to determine the effect of seeding method on winter survival and dry matter yield of Italian ryegrass(Lolium multiflorum Lam. "Kospeed") in paddy field for two years. The experiment was arranged in randomized complete block design with three replications. The treatment consisted of four different seeding methods, R-LS-P(rotary-line sowing-packing), R-BS-P(rotary-broadcast seeding-packing), R-BS(rotary-broadcast seeding), R-BS-TR(rotary-broadcast seeding-trifling rotary), BS-TR(broadcast seeding-trifling rotary). The emergence ratio of broadcast was decreased by 12% and winter survival was decreased by 17% compared with line sowing. The R-BS-TR treatment which was practical seeding method of rye was decreased seeding stand ratio by 65.2% and winter survival by 6.7% compared with others seeding methods. Dry matter yield of line sowing(8,151 kg/ha) was higher than that of broadcast(6,281 kg/ha) and R-BS-P treatment was the highest DM yield as 7,166 kg/ha. There was not found significant difference among seeding method in forage quality. The results of this experiment indicated that R-BS-P(rotary-broadcast seeding-packing) was recommendable the best seeding method after harvested whole crop rice in paddy field.

Anti-aging Effect of Artocarpin in UVA-irradiated Normal Human Epidermal Keratinocytes (자외선 조사에 의해 노화된 인간각질형성세포에서 Artocarpin의 항노화 효능)

  • Shim, Joong Hyun
    • Korean Journal of Pharmacognosy
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    • v.51 no.1
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    • pp.49-54
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    • 2020
  • The aim of this study was to investigate the epidermal moisturizing effects of artocarpin on normal human epidermal keratinocytes (NHEKs). To investigate the effects of artocarpin on NHEKs, cell viability and the expression of mRNAs related to skin hydration were measured. In addition, hyaluronic acid (HA)-ELISA assay was performed. Here, the effects of artocarpin on AQP3, HAS2, KRT1, and KRT10 mRNA expression, and on HA production, following UVA treatment were reported. The Quantitative real-time PCR results demonstrate that artocarpin increased AQP3, HAS2, KRT1, and KRT10 mRNA levels. The HA-ELISA assay revealed that artocarpin also increased HA production in NHEKs. Through these experiments, the epidermal moisturizing effects of artocarpin have been elucidated, providing evidence that artocarpin may be a potent cosmetic ingredient in skin anti-aging and moisturizing products. Based on these results, I anticipate that further research on the mechanisms of action of artocarpin may allow the development of not only cosmetics, but also medicines and healthcare foods.