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Clinical Features of Vocal Cord Paralysis after Anterior Cervical Spine Surgery (전방 접근법을 통한 경추 수술 후 성대 마비의 임상양상)

  • Kim, Il-Woo;Kim, Beom-Gyu;Kim, Young-Bok;Rho, Young-Soo;Ahn, Hwoe-Young;Park, Il-Seok
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.17 no.2
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    • pp.111-114
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    • 2006
  • Objective : The anterior approach to the cervical spine now selves as the surgical across of choice for cervical spine disease. Vocal cord paryalysis(VCP) follow the procedure as a complication, and it is most common complication of this procedure. However, the frequency and etiology of this injury are not clearly defined. This study was performed to establish the clinical features of vocal cord paralysis in anterior cervical spine surgery(ACSS). Material and Method : Retrospectively, medical records of patients who underwent ACSS at Hallym university medical center, Hangang Sacred Heart Hospital between January 2000 and March 2006 were reviewed. Further detailed review of the patients with documented VCP after surgery was then performed. Results : 242 ACSSs were performed and 9 patients with VCP were identified (3.71%) In 9 patients with VCP, 8 patients had right-sided approaches (6.01%) and 1 patient had left-sided approach (0.91%). All 9 patients had VCP on ipsilateral side and 8 patients were recovered completely on follow up period. Duration of ACSS, multilevel exposure and low-level (below the C6 level) exposure have been found to be associated with higher risk. Conclusion : For avoiding the recurrent laryngeal nerve injury, surgeon have to understand the clinical features of VCP in ACSS. As right-sided approach has a greater risk of recurrent laryngeal nerve injury, we suggest that the left-sided approach be given more consideration.

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Occurrence of a Natural Hybrid between Acheilognathus signifer and A. lanceolatus (Pisces: Cyprinidae) (묵납자루 Acheilognathus signifer와 납자루 A. lanceolatus 사이의 자연 잡종 출현)

  • Kim, Hyeong Su;Yun, Seung Woon;Kim, Hyun Tae;Park, Jong Young
    • Korean Journal of Ichthyology
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    • v.27 no.3
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    • pp.199-204
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    • 2015
  • A natural hybrid between Acheilognathus signifer and A. lanceolatus was collected in their sympatric area, the Gimhwanamdaecheon of Hangang (River), Korea. Morphological characters, mitochondrial cytochrome b gene (cyt b), and recombination-activating gene 1 (RAG-1) were investigated to confirm the natural hybrid origin. As a result of morphological characters, the natural hybrid was appeared to have intermediate characters between two parental species in three characters; the band of dorsal fin, the color patterns of anal fin membrane, and the body color. In analysis of cyt b, it was revealed that the maternal species of the natural hybrid was appeared to be A. signifer due to their 99.9% sequence identity. Also, in analysis of RAG-1, an electropherogram of the hybrid individual displayed double peaks, strongly indicating its hybrid state.

A retrospective computed tomography analysis of maxillary fractures and the clinical outcomes of their unreduced parts

  • Chung, Chan Min;Tak, Seung Wan;Lim, Hyoseob;Cho, Sang Hun;Lee, Jong Wook
    • Archives of Craniofacial Surgery
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    • v.20 no.6
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    • pp.370-375
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    • 2019
  • Background: Some parts of a maxillary fracture-for example, the medial and posterior walls-may remain unreduced because they are unapproachable or hard to deal with. This study aimed to investigate the self-healing process of unreduced maxillary membranous parts of fractures through a longitudinal computed tomography (CT) analysis of cases of unilateral facial bone injuries involving the maxillary sinus walls. Methods: Thirty-two patients who had undergone unilateral facial bone reduction surgery involving the maxillary sinus walls without reduction of the medial and posterior walls were analyzed in this retrospective chart review. Preoperative, immediate postoperative, and 3-month postoperative CT scans were analyzed. The maxillary sinus volume was calculated and improvements in bone continuity and alignment were evaluated. Results: The volume of the traumatized maxillary sinuses increased after surgery, and expanded significantly by 3 months postoperatively (p< 0.05). The significant preoperative volume difference between the normal and traumatized sides (p= 0.024) resolved after surgery (p> 0.05), and this resolution was maintained at 3 months postoperatively (p > 0.05). The unreduced parts of the maxillary bone showed improved alignment and continuity (in 75.0% and 90.6% of cases, respectively), and improvements in bone alignment and bone continuity were found to be correlated using the Pearson chi-square test (p= 0.002). Conclusion: Maxillary wall remodeling through self-healing occurred concomitantly with an increase in sinus volume and simultaneous improvements in bone alignment and continuity. Midfacial surgeons should be aware of the natural course of unreduced fractured medial and posterior maxillary walls in complex maxillary fractures.

Fatty Acid Composition of Human and Cow's milk (인유(入乳) 및 우유(牛乳)의 지방산 조성에 관하여)

  • Yoon, Tai-Heon;Lim, Kyung-Ja;Kim, Eul-Sang;Chung, Wood-Kap
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.11 no.1
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    • pp.15-20
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    • 1982
  • The fatty acid composition of human milk was determined in 20 milk samples (ten colostrum and 10 mature) obtained at different stages of lactation. Human colostrum contained a lower percentage of total lipids than mature milk. In comparison with mature milk, human colostrum was characterized by a lower percentage of saturated fatty acids, a higher percentage of monounsaturated fatty acids and a higher percentage of extra-long-chain polyunsaturated fatty acid metabolites of both linoleic acid ($\omega$ 6 series) and linolenic acid ($\omega$ 3 series). The linoleic acid levels reported here are considerably higher than those reported previously in Korea. This shift has paralleled an increase in the use of vegetable oils in Korean diet. The human mature milk differed from marketing cow's milk in fatty acid composition, as it had a lower content of short-, medium-and long-chain saturated fatty acids and a higher content of long-chain monounsaturated and polyunsaturated fatty acids.

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Application of ArcGIS-based Model Developed to Estimate Monthly Potential Soil Loss (월단위 토양유실가능성 추정을 위해 개발된 ArcGIS 기반의 모형 적용)

  • Yu, Na Young;Shin, Min Hwan;Kim, Jonggun;Park, Youn Shik
    • Journal of The Korean Society of Agricultural Engineers
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    • v.59 no.5
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    • pp.109-126
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    • 2017
  • Universal soil loss equation (USLE) is used to estimate soil loss solely or employed in any hydrologic models. Since soil erosion has been an issue in South Korea for decades, the Ministry of Environment enacted a law to regulate soil erosion in 2012, which is the Notification of topsoil erosion status. The notification is composed of preliminary and field investigations, the preliminary investigation suggests to use USLE and provides USLE factors. However, the USLE factors provided in the notification was prepared at least 10 years ago, therefore it is limited to reflect recent climate changes. Moreover the current yearly USLE approach does not provide an opportunity to consider seasonal variation of soil erosion in South Korea. A GIS-based model was therefore applied to evaluate the yearly USLE approach in the notification. The GIS-based model employs USLE to estimate soil loss, providing an opportunity to estimate monthly soil loss with monthly USLE factor databases. Soil loss was compared in five watersheds, which were Geumgang, Hangang, Nakdonggang, Seomjingang, and Yeongsangang watersheds. The minimum difference was found at Seomjingang watershed, the yearly potential soil loss were 40.15 Mg/ha/yr by the notification approach and 34.42 Mg/ha/yr by the GIS-based model using monthly approach. And, the maximum difference was found at Nakdonggang watershed, the yearly potential soil loss were 27.01 Mg/ha/yr by the notification approach and 10.67 Mg/ha/yr by the GIS-based model using monthly approach. As a part of the study result, it was found that the potential soil loss can be overestimated in the notification approach.

Quality Characteristics of Yukwa (Popped Rice Snack) made by Different Varieties of Rice (쌀 품종별 유과제조 특성)

  • Shin, Dong-Hwa;Kim, Myung-Kon;Chung, Tae-Kyu;Lee, Hyun-Yu
    • Korean Journal of Food Science and Technology
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    • v.21 no.6
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    • pp.820-825
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    • 1989
  • Yukwa (one of most popular Korean traditional popped rice snacks) was made by four different varieties of rice, Shinsun (Japonica) and Hangang $(Japonica{\times}Indica)$ which are waxy rice and Dongjin (Japonica) and Samgang $(Japonica{\times}Indica)$ which are non waxy rice, for their quality by total expansion volume, hardness and brittleness. It was notified that hydration rate of waxy and non waxy rice for preparation of Yukwa were different by 30% and 42% in moisture content respectively soaked at $12^{\circ}C$ for 12 hours and the gelatinization temperature of their starch was $64.5-67.5^{\circ}C$ with no big difference by varieties. The quality of Yukwa was deeply related with amylose contents ranging from 18.5% of non waxy rice to 2-3% of waxy rice. Superior quality (p<0.05) was got from waxy rice. Lactic acid bacterial fermentation didn't improve the quality, and soybean and rice bran oil can be used for popping in even value.

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Proximal Dome Osteotomy for Hallux Valgus (반월형 절골술을 이용한 무지 외반증의 치료)

  • Park, Yong-Wook;Kim, Do-Young;Lee, Sang-Soo;Yoon, Tae-Kyung;Noh, Kyu-Cheol;Son, Hyun-Il
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.2
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    • pp.174-178
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    • 2003
  • Purpose: The purpose of this study was to evaluate the radiographic results and complications after the proximal dome osteotomy for hallux valgus. Material and Methods: 127 cases of clinically moderate to severe hallux valgus from October 1994 to September 1997 were included in this study. All had been surgically corrected with proximal dome osteotomy, bunionectomy, and distal soft tissue release. We compared the hallux valgus angle(HVA) and intermetatarsal angle(IMA) at preoperative, postoperative 3 weeks, postoperative 6 weeks, and postoperative 3 months. Also we reviewed the postoperative com plications. Result: The HVA averaged $34.1^{\circ}$ at preoperative, $4.3^{\circ}$ at 3 weeks after operation, $8.1^{\circ}$ at 6 weeks after operation, and $10.2^{\circ}$ at 3 months after operation. The lMA averaged $14.6^{\circ}$ at preoperative, $5.1^{\circ}$ at 3 weeks after operation, $5.6^{\circ}$ at 6 weeks after operation, and $7.3^{\circ}$ at 3 months after operation. We experienced 7 cases of malunion, 5 cases of limitation of motin at the first metatarso-phalangeal joint, 3 cases of hallux varus deformity, 2 cases of delayed union. Conclusion: Proximal dome osteotomy for moderate to severe hallux valgus deformity was considered as one of the effective treatment methods. And we try to avoid limitation of motion at the first metatarso-phalangeal joint after operation.

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Laryngotracheal stenosis in burn patients with inhalation injury (흡인화상환자에서 발생하는 후두 및 기관 협착)

  • Park Il-Seok;Chang Jai-Hyuk;Kim Beom Gyu;Kim Yong Bok;Rho Young Soo;Ahn Hwoe Young;Kim Jong Hyun
    • Korean Journal of Bronchoesophagology
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    • v.11 no.1
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    • pp.10-14
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    • 2005
  • Background and Objectives : Laryngotracheal stenosis in bum patients with inhalation have features distinct from other stenosis after intubation or tracheostomy. However few studies have been reported and the incidence was reported variable. The purpose of this study is to evaluate the clinical manifestation and the incidence of laryngotracheal stenosis in bum patients with inhalation. Methods We retrospectively analyzed 138 bum Patients diagnosed inhalation injury who admitted to Hangang Sacred Heart Hospital from July 2002 to June 2004. Result : 5 patients were developed laryngotracheal stenosis. The incidence of Laryngotracheal stenosis in bum patients with inhalation was $3\%$. Symptom developed early in 2 patients, late in 3 patients.4 patients required trachostomy as initial airway support. The location of stenosis is subglottic region except 1 patient. Montgomery T-tube was inserted in 3 patients, and Single-stage laryngotracheal reconstruction was performed in 1 patient. Conclusion Incidence of laryngotracheal stenosis in our study is lower than other reports due to late presentation of symptom and early discharge after acute bum stage. Inhalation injury may lead to severe complication and sequelae, therefore physicians should be have a awareness for early diagnosis and all burn patients who have a history of inhalation injury should be followed closely.

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Analysis of Tidal Effect on the Han and Imjin River (한강 및 임진강의 조위영향분석)

  • Kim, Sang-Ho;Kim, Won;Choi, Hung-Sik
    • Journal of Korea Water Resources Association
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    • v.36 no.2
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    • pp.301-313
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    • 2003
  • Effects of the West sea tide to the flow of the Han and Imjin river during floods and normal seasons was analyzed by the hydraulic model. Tidal effect diagrams which represent the inter-relationships between flow of two livers and tide of Wolgot were developed using the results of analysis. At Jamsu and Hangang bridge, the stage rise due to the tide can be reached about 2m at maximum when the discharge of Paldang dam is less than 5,000cms, and the stage rise is very small when the discharge of Paldang dam is more than 15,000cms. In the Imjin river, the stage rise can be reached about 3.5m at maximum when the discharge is below 5,000cms, and can be neglected when the discharge is over 5,000cms.

Two new naturalized species from Korea, Euphorbia dentata Michx. and Securigera varia (L.) Lassen (한국 미기록 귀화식물: 톱니대극(Euphorbia dentata Michx.)과 왕관 갈퀴나물(Securigera varia (L.) Lassen))

  • Lee, You-Mi;Park, Su-Hyun;Jung, Su-Young;Yun, Seok-Min
    • Korean Journal of Plant Taxonomy
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    • v.39 no.2
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    • pp.114-119
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    • 2009
  • Two naturalized species, Euphorbia dentata Michx. and Securigera varia (L.) Lassen were newly reported from Korea. Euphorbia dentata, "Top-Ni-Dae-Geuk", was found from Jungbu Highway, Daechang-ri, Daechang-myeon, Yeongcheon-si, Gyeongsangbuk-do. It is distinguished from E. pulcherrima by its life form, which is herbaceous, and its upper leaves, which are uniformly green. Securigera varia, "Wang-Gwan-Gal-Kwi-Na-Mul", was found from Hangang, Yeouido, Seoul. The genus Securigera is unrecorded in Korea and distinguished from genus Hedysarum by rose-colored flowers, a peduncle 5-10 cm and by having dense umbels at the tips of the peduncles.