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Use of custom glenoid components for reverse total shoulder arthroplasty

  • Punyawat Apiwatanakul;Prashant Meshram;Andrew B. Harris;Joel Bervell;Piotr Lukasiewicz;Ridge Maxson;Matthew J. Best;Edward G. McFarland
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.343-350
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    • 2023
  • Background: Our purpose was to evaluate a custom reverse total shoulder arthroplasty glenoid baseplate for severe glenoid deficiency, emphasizing the challenges with this approach, including short-term clinical and radiographic outcomes and complications. Methods: This was a single-institution, retrospective series of 29 patients between January 2017 and December 2022 for whom a custom glenoid component was created for extensive glenoid bone loss. Patients were evaluated preoperatively and at intervals for up to 5 years. All received preoperative physical examinations, plain radiographs, and computed tomography (CT). Intra- and postoperative complications are reported. Results: Of 29 patients, delays resulted in only undergoing surgery, and in three of those, the implant did not match the glenoid. For those three, the time from CT scan to implantation averaged 7.6 months (range, 6.1-10.7 months), compared with 5.5 months (range, 2-8.6 months) for those whose implants fit. In patients with at least 2-year follow-up (n=9), no failures occurred. Significant improvements were observed in all patient-reported outcome measures in those nine patients (American Shoulder and Elbow Score, P<0.01; Simple Shoulder Test, P=0.02; Single Assessment Numeric Evaluation, P<0.01; Western Ontario Osteoarthritis of the Shoulder Index, P<0.01). Range of motion improved for forward flexion and abduction (P=0.03 for both) and internal rotation up the back (P=0.02). Pain and satisfaction also improved (P<0.01 for both). Conclusions: Prolonged time (>6 months) from CT scan to device implantation resulted in bone loss that rendered the implants unusable. Satisfactory short-term radiographic and clinical follow-up can be achieved with a well-fitting device. Level of evidence: III.

Barrier Factors Influencing Glycemic Control in Korean Adults with Diabetes (한국 당뇨병 성인의 혈당조절 장애요인)

  • Taehui Kim;Bohyun Kim
    • Journal of Industrial Convergence
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    • v.22 no.2
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    • pp.143-151
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    • 2024
  • This study compared the health behaviors, health related clinical characteristics between individuals with Glycated Hemoglobin A1C≧6.5% and < 6.5% in 30~59yr. Factors that were associated with A1C were identified by sex, health behaviors, health literacy. This study was an observational study with a cross-sectional design based on data from 2019~2021 Korea National Health and Nutrition Examination Survey. Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors to identify the risk factors for Glycated Hemoglobin. The prevalence of A1C≧6.5% among the total was 79.4%(weighted %, n=348). In the A1C≧6.5%, 71.8% were men. In univariate logistic regression for A1C≧6.5%, sex, duration with diabetes, and body mass index(BMI) were influencing factors. In multiple logistic regression by sex, the factors associated with A1C≧6.5 in women were as follows: education(OR 4.5; 95% CI:1.1, 18.5), duration with diabetes(OR 2.9; 95% CI 1.1, 7.9). Strategies should be targeted to improve health behaviors and clinical characteristics for those in their sex, women in low education level, duration with diabetes. Moreover, healthcare providers should understand the barriers to health behaviors and health literacy to effectively deliver healthcare service.

Geotechnical Properties of Pelagic Red Clay in Northeast Equatorial Pacific (북동태평양 원양성 적점토의 지질공학적 특성에 관한 연구)

  • Chi, Sang-Bum;Lee, Hyun-Bok;Hyeong, Ki-Seong;Ju, Se-Jong;Lee, Gun-Chang;Ham, Dong-Jin
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.13 no.3
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    • pp.286-294
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    • 2008
  • In order to understand the physical properties of deep-sea sediments, which mainly consist of pelagic red clays, sediment samples were collected at 24 stations using a multiple corer in the Clarion-Clipperton fracture zone of the northeast equatorial Pacific. The sampled sediment cores were examined for the mass physical properties(i.e. grain size distribution, mean grain size, water content, specific grain density, wet bulk density, void ratio, and porosity) and the geotechnical properties(i.e. shear strength and consistency limits) with the content of biogenic opal and mineral composition. Although KR1 and KR2 areas on the same latitude are logitudinally far from each other, the mass physical properties of these areas are not distinctly different except for shear strengths. The maximum shear strength of surface sediments in KR2 area is higher than that in KR1 due to the appearance of a consolidated lower layer(Unit 3) in the sediment core from KR2.

Statistical Relationship between Sawtooth Oscillations and Geomagnetic Storms (Sawtooth 진동 현상과 지자기 폭풍의 통계적 관계)

  • Kim, Jae-Hun;Lee, Dae-Young;Choi, Cheong-Rim;Her, Young-Tae;Han, Jin-Wook;Hong, Sun-Hak
    • Journal of Astronomy and Space Sciences
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    • v.25 no.2
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    • pp.157-166
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    • 2008
  • We have investigated a statistical relationship between sawtooth oscillations and geomagnetic storms during 2000-2004. First of all we selected a total of 154 geomagnetic storms based on the Dst index, and distinguished between different drivers such as Coronal Mass Ejection (CME) and Co-rotating Interaction Region (CIR). Also, we identified a total of 48 sawtooth oscillation events based on geosynchronous energetic particle data for the same 2000-2004 period. We found that out of the 154 storms identified, 47 storms indicated the presence of sawtooth oscillations. Also, all but one sawtooth event identified occurred during a geomagnetic storm interval. It was also found that sawtooth oscillation events occur more frequently for storms driven by CME $({\sim}62%)$ than for storms driven by CIR $({\sim}30%)$. In addition, sawtooth oscillations occurred mainly $({\sim}82%)$ in the main phase of storms for CME-driven storms while they occurred mostly $({\sim}78%)$ during the storm recovery phase for CIR-driven storms. Next we have examined the average characteristics of the Bz component of IMF, and solar wind speed, which were the main components for driving geomagnetic storm. We found that for most of the sawtooth events, the IMF Bz corresponds to -15 to 0 nT and the solar wind speed was in the range of $400{\sim}700km/s$. We found that there was a weak tendency that the number of teeth for a given sawtooth event interval was proportional to the southward IMF Bz magnitude.

Characteristics of posteroanterior cephalometric analysis in children with skeletal Class I malocclusion (성장기 골격성 I 급 부정교합 환자의 정모두부방사선 계측의 특징)

  • Moon, Yoon-Shik;Kim, Jung-Kook;Jung, Hyun-Sung;Sung, Sang-Jin
    • The korean journal of orthodontics
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    • v.31 no.2 s.85
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    • pp.159-172
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    • 2001
  • Three dimensional analysis of malocclusion and craniofacial deformation is essential for the successful orthodontic treatment. But the orthodontists are not familiar with diagnosis and treatment plane based on lateral cephalometric analysis. Since orthodontists do not posses a sufficient knowledge in standard value of posteroanterior cephalometric anaysis and of clinical importance for transverse jaw growth. In this study male(n=130) and female(n=171) aged from 6 to 16 and diagnosed as Class I malocclusion were selected to analysis width of cranium, maxilla and mandible on the posteroanterior cephalogram. The changes as a function of chronologic age and cervical vertebrae maturity index(CVXI) were examined. The Proper regression model was selected by sex with polynominal regression models and method of variable selection. Mean of each measurements and 70% confidence interval of individual measurement according to age was assesed and a graphs were made. Results are as follows :1. All the measurements for the width are gradually incresed as increase in chronologic age and CVMI. From the total amount of change between age 6 and 16, there is a tendency that mandibular width is broader than maxillary width and the width of male is broader than female. 2. There is no statistically significant sexual difference in Mx-Mn difference, Mx-Mn width differential, Mx/Mn ratio according to age and CVMI. 3. Mean of each measurement and 70% confidence interval of individual measurement according to age and sex were assessed and graphs were made for maxillary width, mandibular width, Mx-Mn difference, Mx/Mn ratio. 4. The width of maxilla and mandible in Korean children are broader than Western children during growth period.

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Anti-Obesity Effects of Fermented Soybean Oils in 3T3-L1 Pre-Adipocytes and High Fat Diet-Fed C57BL/6J Mice (발효콩 유지의 3T3-L1 지방전구세포와 고지방식이를 급여한 C57BL/6J 생쥐에 대한 항비만 효과)

  • Kim, Seon-Woong;Kim, Nam-Seok;Oh, Mi-Jin;Kim, Ha-Rim;Kim, Min-Sun;Lee, Da-Young;Yoon, Suk-Hoo;Jung, Mun-Yhung;Kim, Hun-Jung;Lee, Chang-Hyun;Oh, Chan-Ho
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.46 no.3
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    • pp.279-288
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    • 2017
  • This study investigated the manufacturing of fermented soybean oil using a fermenting strain commonly processed for soybeans [Bacillus amyloliquefaciens (BA), Bacillus subtilis (BS), Lactobacillus acidophilus (LBA), and B. subtilis+L. acidophilus (BLO)] and evaluated its anti-obesity activities. Cytotoxicity of four kinds of fermented soybean oils was not observed in 3T3-L1 preadipocytes at 10 and $50{\mu}g/mL$. Triglyceride content was reduced by 20.6% in the BLO group at a treatment concentration of $50{\mu}g/mL$. The simultaneous treatment of fermented soybean oil and differentiation induction medium decreased $PPAR{\gamma}$ and $C/EBP{\alpha}$ gene expression at a concentration of $50{\mu}g/mL$ and blocked adipocyte differentiation by increasing adiponectin gene expression. The inhibitory effect of adipocyte differentiation was greatest in the BLO group. C57BL/6J mice were examined for 4 weeks after being separated into seven groups [normal diet group (N), high fat diet group (C), group fed high fat diet combined with regular soybean oil (SO), group fed non-fermented soybean oil (NF), and groups fed high fat diet combined with 5% fermented soybean oil (BA, BS, LBA, and BLO)] to identify the effects of soybean oil on body weight, serum lipid, adiponectin, insulin, and leptin levels in mice with high fat diet-induced obesity. The body weight and serum lipid level of the C group increased drastically compared to those of the N group. In contrast, the group fed a diet combined with fermented soybean oil showed decreases in weight, serum total cholesterol, LDL-cholesterol, and triglyceride levels compared to those of the C group. Moreover, soybean oil was found to be effective in the BLO group. In conclusion, fermented soybean oil has positive effects in prohibiting adipocyte differentiation increased by high fat diet and improving serum lipid composition. Therefore, fermented soybean oil can be used as a functional food material with anti-obesity activity.

아까시나무(Robinia pseudo-acacia)종자 단백질의 전기 영동 변이

  • 김창호;이호준;김용옥
    • The Korean Journal of Ecology
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    • v.16 no.4
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    • pp.515-526
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    • 1993
  • In order to study the ecotypic variation of Rohinia pseudo-acacia L. distributed in southern area of Korean peninsula, 15 local populations(Daejin, Sokcho, Kangneung, Mt. Surak, Hongcheon, Kwangneung, Namhansanseong, Chungju, Yesan, Andong, Jeonju, Dalseong, Changweon, Mokpo and Wando), located from $34^{\circ}18'N\;to\;38^{\circ}36'N$, were selected based on the latitudes and geographical distances. Seeds of these populations were collected and protein contents of seeds and their band patterns were investigated. The seed proteins of all populations were electrophoresed on SDS-polyacrylamide gel. Total number of protein bands were 35, whose molecular weights ranged from 17, 258 daltons to 142, 232 daltons. The number of bands of seed proteins was 23 in Dalseong and Hongcheon and was 32 in Daejin and Sokcho, showing an increasing tendency in the number of bands as the latitude goes high. The local populations were classified into 3 local types based on protein analysis: the middle north east coastal type(Daejin, Sokcho. Kangneung), the central type (Mt. Surak, Hongcheon, Kwangneung, Namhansanseong, Chungju) and the southern type(Yesan, Andong, Jeonju, Dalseong, Changweon, Mokpo, Wando). According to the results of cluster analysis by UPGMA based on the similarity index(c0efficient of Jaccard) of the patterns, 3 local types were subdivided further into 6 types: the middle north east coastal type(Sokcho, Kangneung), the north central type I (Mt. Surak, Hongcheon), the north central type II (Narnhansanseong, Chungju, Daejin), the north central type III (Kwangneung), the south central type (Yesan, Dalseong, Jeonju) and the southern type(Andong, Changweon, Mokpo, Dalseong, Wando). The No. 12 band of the separated seed proteins showed the highest colored density in the preparations from all the populations. The No. 11~13 and No. 23~28 bands also showed high densities. As a whole, southern type populations (Changweon, Mokpo, Wando) showed high protein contents and high colored density. Total protein contents of the seeds in each population were variable from 9. 68mg / g (Mt. Surak) to 17.30mg/g (Jeonju), showing an increasing trends toward low latitudes.

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Effect of Brassica rapa Sprouts on Lipid Metabolism in Rats Fed High Fat Diet (순무 싹이 고지방식이를 급여한 흰쥐의 지질대사에 미치는 영향)

  • Lee, Jae-Joon;Ha, Tae-Man;Lee, Yu-Mi;Kim, Ah-Ra;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.5
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    • pp.669-676
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    • 2010
  • This study was performed to investigate the effect of Brassica rapa (BR) sprouts on weight reduction and cholesterol-lowering action in rats fed high fat diet for 4 weeks. Weight-matched male Sprague-Dawley rats were assigned to four groups according to dietary fat levels (10% or 20% of diet wt.). Experimental groups were normal diet group (N), high fat diet group (HF), high fat diet with 5% BR sprouts powder group (HF-BRL), and high fat diet with 10% BR sprouts powder group (HF-BRH). The body weight gain was increased in HF group, but gradually decreased to the corresponding level of the N group fed BR sprouts powder. The concentrations of serum LDL-cholesterol, atherogenic index and cardiac risk factor tended to decrease in the BR sprouts powder fed groups compared with the HF group. However, HDL-cholesterol concentration in serum decreased in the HF group and markedly increased in the BR sprouts powder fed groups. Concentrations of triglyceride and total cholesterol in liver were also markedly decreased in the BR sprouts powder fed groups. Triglyceride concentrations of epididymal and mesenteric adipose tissues in the BR sprouts powder fed groups were also decreased compared with the HF group. These results indicate that BR sprouts powder may reduce fat accumulation and body weight, and have cholesterol-lowering effect.

Spatial Distribution of Rice Root under Long-term Chemical and Manure Fertilization in Paddy (화학비료 및 희비 장기시용에 따른 벼 뿌리 분포 특성)

  • 전원태;박창영;조영손;박기도;윤을수;강위금;박성태;최진용
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.48 no.6
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    • pp.484-489
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    • 2003
  • It is well known that root distribution of rice is a crucial factor for nutrient absorbtion and affect by soil fertility management. However, the findings on root distribution are limited due to laborious and tedious work. The characteristics of root distribution were investigated in long-term fertilizer experiment plots that were established in paddy soil, a fine silty family of typic Hal-paqueps (Pyeongtaeg series) in 1967. fertilizer experiment plots of no fertilizer, compost, NPK and NPK+compost plot have been maintained consistently for the past thirty six year and Npk+silicate plot for the past twenty two years. In NPK plot, 150kg N (urea), 100kg -$\textrm{P}_2\textrm{O}_5$ (fused phosphate) and 100kg $\textrm{K}_2\textrm{O}$(potassium chloride) per hectare have been applied. For NPK+silicate plot, 500kg $\textrm{Si}\textrm{O}_2$ (silicate) was applied in addition to fertilizer in NPK plot. For the compost plot, 10,000kg rice straw compost per hectare were applied. Root samples were taken from the positions of hill-center (below hill) and mid-point of four adjacent rice hills at heading stage by cylinder monolith (CM) method. The soil cores were sampled 20cm depth from the soil surface and partitioned four into layers at an interval of 5cm. The soil particles surrounding roots were washed out with tap water, Length and weight of the roots in each soil layer were measured and root length density (RLD), root weight density (RWD), specific root length(SRL) and rooting depth index (RDI) were calculated. Total root length was measured by intersection method. Plant height, tiller and shoot dry weight were the highest in NPK+compost plot. But RLD of hill-center soil cores was the highest in no-fertilizer plots. In the soil cores from mid-point position of four adjacent hills, RLD at 15-20cm soil depth was higher in compost plot than NPK plot. RLD in compost plots showed even distribution compared to those in chemical- fertilizer plots. RWD was the highest in the NPK+compost plot. SRL was the lowest in the NPK+silicate plot. RDI was the highest in the compost plot. Also, in this experiment it was found that the distribution of roots was closely related to the physical properties of the soil as affected by fertilization management.

A Comparative Study of Influencing BMD Factors in Postpartum and General Women in Their Twenties and Thirties ($20{\sim}30$대 여성의 골밀도 영향 인자에 대한 출산 후 여성과 일반여성과의 비교 연구)

  • Kim, Sun-Geun;Oh, Chan-Ho;Kweon, Dae-Cheol
    • Journal of radiological science and technology
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    • v.30 no.1
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    • pp.25-32
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    • 2007
  • This study is to evaluate the factors that affect to the bone mineral density(BMD) of postpartum women by comparing BMD between postpartum and general women who are ages from 20 to 39, and to identify correlation between various factors weight, height, body mass index(BMI), hemoglobin(Hb) and BMD. Study subjects were postpartum(n=159) and general(n=180) women. We checked the BMD of femoral neck and lumbar spine by using dual energy X-ray bone densitometry. The mean age was $30.69{\pm}3.32$ in postpartum care group and $31.22{\pm}5.66$ in general women group. In postpartum care group, the mean BMD of femoral neck and lumbar spine were -0.187 and -0.076. In general women group, the mean BMD of femoral neck and lumbar spine were -0.029, and -0.169. According to BMI level, each group was divided into two subgroups. One was 23 or more BMI subgroup, and the other was under 23 BMI subgroup. There was a significant difference in BMD of femoral neck and lumbar spine between two subgroups in general women group, but only a significant difference in BMD of lumbar spine is noted between two subgroups of postpartum group. According to Hb level, each group was divided into two subgroups. One was 11g/dl or more subgroup, and the other was under 11g/dl subgroup. There was not a statistically significant difference of BMD in all subgroups. BMD of femoral neck and lumbar spine showed a significant correlation with weight, height, BMI in both groups. There was a significant correlation between BMD and Hb level in postpartum care group, but a significant correlation was not noted in general women group. The postpartum women showed a significant correlation between BMD and various factors such as weight, height, BMI just like in general women. There was a significant correlation between BMD and Hb in postpartum women, but not in general women.

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