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Analyzing the Significance of T1 Slope minus Cervical Lordosis in Patients with Anterior Cervical Discectomy and Fusion Surgery

  • Lee, Ho Jin;You, Soon Tae;Sung, Jae Hoon;Kim, Il Sup;Hong, Jae Taek
    • Journal of Korean Neurosurgical Society
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    • v.64 no.6
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    • pp.913-921
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    • 2021
  • Objective : Accurate measurement of T1 slope (a component of T1s minus cervical lordosis [CL]) is often constrained by anatomical limitations. In this situation, efforts should be made to find the exact meaning of T1s-CL and whether there are any alternatives to it. Methods : We enrolled 117 patients who received two-level anterior cervical discectomy and fusion (ACDF). Occipital slope, C2 slope (C2s), C7 slope (C7s), T1, O-C2 angle (O-C2A), C2-7 angle (C2-7A), O-C7 angle (O-C7A), T1s-CL, C7-T1 angle (C7-T1A), and C2-7 sagittal vertical axis were measured. We determined 16° (T1s-CL) as the reference point for dividing subjects into the mismatch group and the balance group, and a comparative analysis was performed. Results : The mean value of C7-T1A was constantly maintained within 2.6° peri-operatively. In addition, C2s and T1s-CL showed the same absolute change (Δ|0.8|°). The mean values of T1s-CL of the mismatch and balance groups were 23.0° and 7.6°, respectively. The five factors with the largest differences between the two groups were as follows : C2s (Δ13.3°), T1s-CL (Δ15.4°), O-C2A (Δ8.7°), C2-7A (Δ14.7°), and segmental angle (Δ7.9°) before surgery. Only four factors showed statistically significant change between the two groups after ACDF : T1s-CL (Δ4.0° vs. Δ0.2°), C2s (Δ3.2° vs. Δ0.7°), O-C2A (Δ2.6° vs. Δ1.3°), C2-7A (Δ6.3° vs. Δ1.3°). A very strong correlation between T1s-CL and C2s was also found (r=|0.88-0.96|). Conclusion : C2s itself may be the essential key to represent T1s-CL. The amounts and directions of change of these two factors (T1s-CL and C2s) were also almost identical. The above phenomenon was re-confirmed once again through the correlation analysis.

Characteristic of Precipitated Metal Carbonate for Carbon Dioxide Conversion Using Various Concentrations of Simulated Seawater Solution (해수 농축수 내 금속 이온 농도에 따른 이산화탄소 전환 생성물의 특성연구)

  • Choi, Eunji;Kang, Dongwoo;Yoo, Yunsung;Park, Jinwon;Huh, Il-sang
    • Korean Chemical Engineering Research
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    • v.57 no.4
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    • pp.539-546
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    • 2019
  • Global warming has mentioned as one of the international problems and these researches have conducted. Carbon Capture, Utilization and Storage (CCUS) technology has improved due to increasing importance of reducing emission of carbon dioxide. Among of various CCUS technologies, mineral carbonation can converted $CO_2$ into high-cost materials with low energy. Existing researches has been used ions extracted solid wastes for mineral carbonation but the procedure is complicated. However, the procedure using seawater is simple because it contained high concentration of metal cation. This research is a basic study using seawater-based wastewater for mineral carbonation. 3 M Monoethanolamine (MEA) was used as $CO_2$ absorbent. Making various concentrations of seawater solution, simulated seawater powder was used. Precipitated metal carbonate salts were produced by mixing seawater solutions and $rich-CO_2$ absorbent solution. They were analyzed by X-ray Diffraction (XRD), Scanning Electron Microscope (SEM), and Thermogravimetric Analysis (TGA) and studied characteristic of producing precipitated metal carbonate and possibility of reusing absorbent.

Effect of Packaging Materials on the Postharvest Quality of Fresh Wild Garlic Leaves during Room Temperature Storage (포장재 종류가 산마늘 상온저장 중 품질에 미치는 영향)

  • Choi, Ji-Weon;Lee, Ji-Hyun;Kim, Chang-Kug;Lee, Jung Soo;Shin, Il Sheob
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.04a
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    • pp.109-109
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    • 2019
  • 2018년 5월 전라북도 남원군에서 재배하여 수확 후 $0^{\circ}C$ 저장고에서 예냉을 마친 산마늘을 사용하였으며 외 포장 상자는 골판지로 구성된 통기공이 없는 골판지상자 1kg용을 사용하였다. 골판지상자와 함께 내부 포장으로 사용하기 위한 내포장 필름은 $20{\mu}m$ 두께의 HDPE으로 된 필름 봉지, 흡습종이는 파라핀왁스 코팅 종이($32{\times}35cm$, 태영산업)를 이용하여 조합 처리하고 국내에서 개발한 기능성 필름2종으로 포장처리는 총 4가지로 (1) PE(관행) (2) PE+흡습지 (3) 기능성필름1($30{\times}58cm$, 기능성물질 1%+40,000OTR, 제조사: 신영산업사) (4) 기능성필름2($30{\times}58cm$, Key fresh, 제조사: 씨앤케이프로팩(주)) 각 처리당 1kg 씩의 산마늘 잎을 포장하였다. 실험은 포장 처리 후 상온상태로 전북 완주군 실험실까지 수송하였으며 실험실 도착 후 상온 실험실에 두고 2일과 6일 후 중량감소율, 색도, 엽록소, 손실률 및 종합선도 등 품질특성 변화를 조사하였고 각 포장방법별 온도와 상대습도 변화를 보기 위하여 산마늘 잎이 포장된 상자 내부 중앙 부분에 디지털온습도기록계(SP-2000-20R)를 고정한 후 측정하였다. 대조구로 사용한 PE필름 단용으로 포장한 산마늘 잎은 상온저장 6일 경과 후 중량 소율이 1.7%, PE필름+신선지 처리는 1.0%, 기능성필름1과 기능성필름2는 거의 중량감소가 없어 1% 미만의 변화를 보였다. 산마늘 잎의 SPAD 값에 의한 엽록소 수치와 색도를 측정한 명도($L^*$)와 Hue angle 값의 변화는 기능성필름1과 기능성필름2가 유사하게 높게 유지되었고 반면에 PE필름은 저장 2일 후 부터 값이 감소하기 시작하여 6일 후 크게 감소하였다. 저장 6일 후 기능성필름1과 기능성필름2가 외관품위에서 높은 평가를 받아 상품성을 유지하고 있었으나 PE필름 처리와 PE필름+흡습지 처리는 상품성을 상실한 상태였다. 이러한 경향은 건전율에 있어서도 유사하였으며 기능성필름1(다공성 나노 물질이 혼입되어 있으며 산소투과율을 $40,000cc/m2{\cdot}day{\cdot}atm$으로 조성한 필름)이 상온저장 6일 후 상품성을 유지하는 건전율이 83%로 가장 높았다.

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Application of Subsurface Drip Fertigation System to Increase Growth and Yield of Maize (옥수수의 생육 및 수량 증대를 위한 지중점적 관비 시스템의 적용)

  • Jong Hyuk Kim;Yeon Ju Lee;Il Rae Rho
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.68 no.3
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    • pp.197-206
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    • 2023
  • This study was conducted to investigate how maize (Zea maize L.) growth and yield were affected by irrigation and fertigation using a subsurface drip system. The system consisted of a buried (40 cm underground) drip pipe that can be used in a semi-permanent manner without affecting agricultural work on the ground. The amount of water required for the fertigation treatment was determined to be 24.3 tons 10a-1 for the sandy loam soil used in this experimental field. Fertigation treatments based on the previously calculated 24.3 tons 10a-1 were carried out as topdressing applications. They were applied through the subsurface drip system with the following fertilizer concentration (nitrogen only, written in kg 10a-1: N 4, N 6, N 8, N 10 ). The other treatments were irrigation only and control (non-treatment). The results indicated that the N 8 treatment was the most effective, increasing yield by 30% and 14% compared with the control and irrigation treatments, respectively. These results highlight the effectiveness of fertigation (N 8 kg 10a-1) at V6 and R1 stage as a form of topdressing fertilization using a subsurface drip system for achieving a high yield and stable maize production.

The Analysis of Risk Factors and Significance of Tumor Necrosis Factor(TNE)-$\alpha$ in Henoch-$Sch\ddot{o}nlein$ Nephritis (Henoch-$Sch\ddot{o}nlein$ 자반증 환아에서 신침범에 대한 위험인자 분석 및 tumor necrosis factor-$\alpha$의 의의)

  • Song Young-Jun;Ha Tae-Sun
    • Childhood Kidney Diseases
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    • v.4 no.1
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    • pp.40-47
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    • 2000
  • Purpose: Renal involvement is the most important prognostic factor of HSP. Therefore, the pathogenesis and prognostic factors in renal involvement have been studied by many researchers. The aim of this study was to evaluate the clinical risk factors and the role of TNF-$\alpha$ in renal involvement of HS purpura. Methods: The subjects of this study were 12 patients of HS purpura, 7 patients of HS nephritis, and 5 age-matched controls. We have analysed the rist factors for renal involvement in clinical symptoms and collected the sera and urines of all subjects in acute and convalescent stage. The concentration of TNF-$\alpha$ in the collected sera and urines were measured by sandwich ELISA and compared with that of age-matched controls. Results: Statistical analysis showed that persistent purpura increased the risk of developing renal involvement (P=0.0018). and serum TNF-$\alpha$ levels in the acute stage of patients with renal involvement($11.45{\pm}7.01$ pg/ml) were significantly higher than those of without renal involvement($6.32{\pm}1.31$pg/m1) and of age-matched controls($5.99{\pm}1.34$pg/m1)(P=0.012, 0.027, respectively). However, urine TNF-$\alpha$ levels have no correlation with renal involvement. On investigation of serum TNF-$\alpha$ levels in acute stage of HS purpura, persistent purpura had a significantly higher increase(P=0.038). Conclusion: Serum concentration of TNF-$\alpha$ is a risk factor and has a predictable value along with clinical risk factors, such as, persistent purpura for renal involvement in HS purpura. Also, the effectiveness of the specific treatment fur antagonizing TNF-$\alpha$ in HS nephritis may need further study.

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Result of Radiation Therapy of Cerebellar Medulloblastoma - with Emphasis on the Neuraxis Dose - (전중추신경계 조사선량을 중심으로 한 수아세포종의 방사선치료성적)

  • Kim Joo Young;Kim Il Han;Ha Sung Whan;Park Charn Il
    • Radiation Oncology Journal
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    • v.11 no.1
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    • pp.69-77
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    • 1993
  • Treatment of cerebellar medulloblastoma has been much improved with modern surgical technique for gross total tumor removal and adequate radiation therapy for the whole craniospinal axis. Questions have been arosen about the optimal radiation dose for the preventive treatment of whole cranium and whole spinal axis. Recently, many authors have reported their treatment results as comparable to older data, using lower than conventional dose of 3,600 cGy-4,000 cGy. For 50 patients treated between 1981 and 1990 at the Department of Radiation Therapy of SNUH, retrospective analysis was done for the treatment result, especially the neuraxis control, by radiation dose for the presymptomatic area of the disease. Analysis only by total spinal dose did not give any significant difference. But further analysis by following patient group; 3,600 cGy/150 cGy (n=6), 3,000 cGy/150 cGy (n=10), 2,400 cGy/150 cGy (n=17) and 2,400 cGy/100-120 cGy (n=11) showed significant improvement of neuraxis control by decreasing order (p =0.003). There was no significant difference in overall survival between the groups. For the 19 patients who had been confirmed initially as having no neuraxis disease, TDF 30 was the cur-off value that could prevent neuraxis failure (p =0.004). We couldn't define any TDF value that give reasonable control for the patient group with positive CSF study at initial diagnosis.

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Clarithromycin Therapy for Scrub Typus (쯔쯔가무시(Tsutusgamushi)병에서 Clarithromycin의 치료 효과)

  • Kim, Soon;Jung, Eun Mi;Moon, Kyung Hyun;Yoe, Sung Yeob;Eum, Soo Jung;Lee, Joo Hyung;Jo, Sung Rae;Ma, Sang Hyuk
    • Pediatric Infection and Vaccine
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    • v.9 no.2
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    • pp.175-181
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    • 2002
  • Purpose : Scrub typhus(tsutsugamushi disease) is a febrile disease characterized by fever, rash, eschar, lymphadenopathy. Therapy with tetracycline(doxycycline) or chloramphenicol is currently recommended for the treatment for scrub typhus. But there are limitations in usage a tetracycline(doxycycline) for scrub typhus in the children. Recently, there was a report that azithromycin, a macrolide antibiotic was used for scrub typhus in pregnant woman successfully. So we evaluated the effectiveness of the Clarithromycin, other a macrolide antibiotic, for scrub typhus. Methods : Seven patients with scrub typhus at department of internal medicine and three patients with scrub typhus at department of pediatrics Masan Fatima Hospital were involved for this study. A serologic diagnosis for scrub typhus were performed by use of passive hemagglutination test. Clarithromycin(Abbott Laboratories, North Chicago, IL, USA) was administrated orally in a daily dose of 500 mg for adult patients and 15 mg/kg/bid/day for pediatric patients. Results : There were 7 cases of adult patients, varying from 28 to 76 years of age and 3 cases of pediatirc patients, varying from 4 to 7 years of age with scrub typhus. All of cases had fever, myalgia, headache, rash, eschar. Seven cases had positive passive hemagglutination test and eight cases had abnormal liver function. Mean duration for the removal of fever after medication was 1.3 day(1~2 days) and all cases were recovered without complications. Conclusion : Our results suggest that Clarithromycin therapy may be effective for scrub typhus.

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Nocturnal Arterial Oxygen Saturation Monitoring in Patients with Respiratory Disease (호흡기 질환 환자들에서 야간 동맥혈 산소포화도 감시 성적)

  • Choi, In-Seon;Yang, Jae-Beom;Kim, Young-Chul;Chung, Ik-Joo;Kang, Yu-Ho;Koh, Yeoung-Il;Park, Sang-Seon;Lee, Min-Su;Park, Kyung-Ok
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.2
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    • pp.103-110
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    • 1994
  • To find out the predictors of nocturnal arterial oxygen desaturation in patients with respiratory diseases, transcutaneous oxygen saturation($StcO_2$) monitoring studies using a pulse oximeter were performed during sleep in 20 patients. $StcO_2$ was decreased more than 4% from the baseline value in 18 patients(90%) and more than 10%("Desaturator") in 8(40%). Five of the seven patients(71.4%) with awake $PaO_2$<60mmHg and three of the thirteen patients(23.1%) with awake $PaO_2{\geq}60mmHg$ were "desaturators". The awake $PaO_2/FIO_2$ and $PaO_2/PAO_2$ could distinguish "desaturator" from "nondesaturator", and $PaO_2,\;SaO_2$ or $StcO_2$ could not. These results suggest that the nocturnal oxygen desaturation depends on the severity of the underlying disease rather than the baseline $PaO_2$. Anthropomorphic and lung function factors could not separate between "desaturator" and "non-desaturator", and about a quater of patients with a wake $PaO_2{\geq}60mmHg$ developed significant desaturation. Therefore, it is necessary to monitor the nocturnal arterial oxygen saturation in patients with respiratory diseases regardless of their severity of airflow obstruction or awake $PaO_2$.

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Optimization of Medium for the Carotenoid Production by Rhodobacter sphaeroides PS-24 Using Response Surface Methodology (반응 표면 분석법을 사용한 Rhodobacter sphaeroides PS-24 유래 carotenoid 생산 배지 최적화)

  • Bong, Ki-Moon;Kim, Kong-Min;Seo, Min-Kyoung;Han, Ji-Hee;Park, In-Chul;Lee, Chul-Won;Kim, Pyoung-Il
    • Korean Journal of Organic Agriculture
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    • v.25 no.1
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    • pp.135-148
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    • 2017
  • Response Surface Methodology (RSM), which is combining with Plackett-Burman design and Box-Behnken experimental design, was applied to optimize the ratios of the nutrient components for carotenoid production by Rhodobacter sphaeroides PS-24 in liquid state fermentation. Nine nutrient ingredients containing yeast extract, sodium acetate, NaCl, $K_2HPO_4$, $MgSO_4$, mono-sodium glutamate, $Na_2CO_3$, $NH_4Cl$ and $CaCl_2$ were finally selected for optimizing the medium composition based on their statistical significance and positive effects on carotenoid yield. Box-Behnken design was employed for further optimization of the selected nutrient components in order to increase carotenoid production. Based on the Box-Behnken assay data, the secondary order coefficient model was set up to investigate the relationship between the carotenoid productivity and nutrient ingredients. The important factors having influence on optimal medium constituents for carotenoid production by Rhodobacter sphaeroides PS-24 were determined as follows: yeast extract 1.23 g, sodium acetate 1 g, $NH_4Cl$ 1.75 g, NaCl 2.5 g, $K_2HPO_4$ 2 g, $MgSO_4$ 1.0 g, mono-sodium glutamate 7.5 g, $Na_2CO_3$ 3.71 g, $NH_4Cl$ 3.5g, $CaCl_2$ 0.01 g, per liter. Maximum carotenoid yield of 18.11 mg/L was measured by confirmatory experiment in liquid culture using 500 L fermenter.

Establishment of Biotin Analysis by LC-MS/MS Method in Infant Milk Formulas (LC-MS/MS를 이용한 조제유류 중 비오틴 함량 분석법 연구)

  • Shin, Yong Woon;Lee, Hwa Jung;Ham, Hyeon Suk;Shin, Sung Cheol;Kang, Yoon Jung;Hwang, Kyung Mi;Kwon, Yong Kwan;Seo, Il Won;Oh, Jae Myoung;Koo, Yong Eui
    • Journal of Food Hygiene and Safety
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    • v.31 no.5
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    • pp.327-334
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    • 2016
  • This study was conducted to establish the standard method for the contents of biotin in milk formulas. To optimize the method, we compared several conditions for liquid extraction, purification and instrumental measurement using spiked samples and certified reference material (NIST SRM 1849a) as test materials. LC-MS/MS method for biotin was established using $C_{18}$ column and binary gradient 0.1% formic acid/acetonitrile, 0.1% formic acid/water mobile phase is applied for biotin. Product-ion traces at m/z 245.1 ${\rightarrow}$ 227.1, 166.1 are used for quantitative analysis of biotin. The linearity was over $R^2=0.999$ in range of $5{\sim}60{\mu}g/L$. For purification, chloroform was used as a solvent for eliminating lipids in milk formula. The linearity was over 0.999 in range of 5~60 ng/mL. The detection limit and quantification limit were 0.10, 0.31 ng/mL. The accuracy and precision of LC-MS/MS method using CRM were 103%, 2.5% respectively. Optimized methods were applied in sample analysis to verify the reliability. All the tested milk formulas were acceptable contents of biotin compared with component specification and standards for nutrition labeling. The standard operating procedures were prepared for biotin to provide experimental information and to strengthen the management of nutrient in milk formula.