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Clinical Experience of the Dynamic Stabilization System for the Degenerative Spine Disease

  • Lee, Soo-Eon;Park, Sung-Bae;Jahng, Tae-Ahn;Chung, Chun-Kee;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.43 no.5
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    • pp.221-226
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    • 2008
  • Objective : The aim of the present study was to assess the safety and efficacy of the dynamic stabilization system in the treatment of degenerative spinal diseases. Methods : The study population included 20 consecutive patients (13 females, 7 males) with a mean age of $61{\pm}6.98$ years (range 46-70) who underwent decompression and dynamic stabilization with the Dynesys system between January 2005 and August 2006. The diagnoses included spinal stenosis with degenerative spondylolisthesis (9/20, 45%), degenerative spinal stenosis (5/20, 25%), adjacent segmental disease after fusion (3/20, 15%), spinal stenosis with degenerative scoliosis (2/20, 10%) and recurrent intervertebral lumbar disc herniation (1/20, 5%). All of the patients completed the visual analogue scale (VAS) and the Korean version of the Oswestry Disability Index (ODI). The following radiologic parameters were measured in all patients : global lordotic angles and segmental lordotic angles (stabilized segments, above and below adjacent segments). The range of motion (ROM) was then calculated. Results : The mean follow-up period was $27.25{\pm}5.16$ months (range 16-35 months), and 19 patients (95%) were available for follow-up. One patient had to have the implant removed. There were 30 stabilized segments in 19 patients. Monosegmental stabilization was performed in 9 patients (47.3%), 9 patients (47.3%) underwent two segmental stabilizations and one patient (5.3%) underwent three segmental stabilizations. The most frequently treated segment was L4-5 (15/30, 50%), followed by L3-4 (12/30, 40%) and L5-S1 (3/30, 10%). The VAS decreased from $8.55{\pm}1.21$ to $2.20{\pm}1.70$ (p<0.001), and the patients' mean score on the Korean version of the ODI improved from $79.58%{\pm}15.93%$ to $22.17%{\pm}17.24%$ (p<0.001). No statistically significant changes were seen on the ROM at the stabilized segments (p=0.502) and adjacent segments (above segments, p=0.453, below segments, p=0.062). There were no patients with implant failure. Conclusion : The results of this study show that the Dynesys system could preserve the motion of stabilized segments and provide clinical improvement in patients with degenerative spinal stenosis with instability. Thus, dynamic stabilization systems with adequate decompression may be an alternative surgical option to conventional fusion in selected patients.

Minimum 2-Year Follow-Up Result of Degenerative Spinal Stenosis Treated with Interspinous U ($Coflex^{TM}$)

  • Park, Seong-Cheol;Yoon, Sang-Hoon;Hong, Yong-Pyo;Kim, Ki-Jeong;Chung, Sang-Ki;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.292-299
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    • 2009
  • Objective : Clinical and radiological results of posterior dynamic stabilization using interspinous U (ISU, $Coflex^{TM}$, Paradigm Spine $Inc.^{(R)}$, NY, USA) were analyzed in comparison with posterior lumbar interbody fusion (PLIF) in degenerative lumbar spinal stenosis (LSS). Methods : A retrospective study was conducted for a consecutive series of 61 patients with degenerative LSS between May 2003 and December 2005. We included only the patients completed minimum 24 months follow up evaluation. Among them, 30 patients were treated with implantation of ISU after decompressive laminectomy (Group ISU) and 31 patients were treated with wide decompressive laminectomy and posterior lumbar interbody fusion (PLIF; Group PLIF). We evaluated visual analogue scale (VAS) and Oswestry Disability Index (ODI) for clinical outcomes (VAS, ODI), disc height ratio disc height (DH), disc height/vertebral body length ${\times}100$), static vertebral slip (VS) and depth of maximal radiolucent gap between ISU and spinous process) in preoperative, immediate postoperative and last follow up. Results : The mean age of group ISU ($66.2{\pm}6.7$ years) was 6.2 years older than the mean age of group PLIF ($60.4{\pm}8.1$ years; p=0.003). In both groups, clinical measures improved significantly than preoperative values (p<0.001). Operation time and blood loss was significantly shorter and lower in group ISU than group PLIF (p<0.001). In group ISU, the DH increased transiently in immediate postoperative period ($15.7{\pm}4.5%{\rightarrow}18.6{\pm}5.9%$), however decreased significantly in last follow up ($13.8{\pm}6.6%$, p=0.027). Vertebral slip (VS) of spondylolisthesis in group ISU increased during postoperative follow-up ($2.3{\pm}3.3{\rightarrow}8.7{\pm}6.2$, p=0.040). Meanwhile, the postoperatively improved DH and VS was maintained in group PLIF in last follow up. Conclusion : According to our result, implantation of ISU after decompressive laminectomy in degenerative LSS is less invasive and provides similar clinical outcome in comparison with the instrumented fusion. However, the device has only transient effect on the postoperative restoration of disc height and reduction of slip in spondylolisthesis. Therefore, in the biomechanical standpoint, it is hard to expect that use of Interspinous U in decompressive laminectomy for degenerative LSS had long term beneficial effect.

Long-Term Follow-Up Results of Anterior Cervical Inter-Body Fusion with Stand-Alone Cages

  • Kim, Woong-Beom;Hyun, Seung-Jae;Choi, Hoyong;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.59 no.4
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    • pp.385-391
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    • 2016
  • Objective : The purpose of this study was to evaluate long-term follow-up radiologic/clinical outcomes of patients who underwent anterior cervical discectomy and inter-body fusion (ACDF) with stand-alone cages (SAC) in a single academic institution. Methods : Total 99 patients who underwent ACDF with SAC between February 2004 and December 2012 were evaluated retrospectively. A total of 131 segments were enrolled in this study. Basic demographic information, radiographic [segmental subsidence rate, fusion rate, C2-7 global angle, and segmental angle changes)/clinical outcomes (by Odom's criteria and visual analog score (VAS)] and complications were evaluated to determine the long-term outcomes. Results : The majority were males (55 vs. 44) with average age of 53.2. Mean follow-up period was 62.9 months. The segmental subsidence rate was 53.4% and fusion rate was 73.3%. In the subsidence group, anterior intervertebral height (AIH) had more tendency of subsiding than middle or posterior intervertebral height (p=0.01). The segmental angle led kyphotic change related to the subsidence of the AIH. Adjacent segmental disease was occurred in 18 (18.2%) patients. Total 6 (6%) reoperations were performed at the index level. There was no statistical significance between clinical and radiological outcomes. But, overall long-term clinical outcome by Odom's criteria was unsatisfactory (64.64%). The neck and arm VAS score were increased by over time. Conclusion : Long-term outcomes of ACDF with SAC group were acceptable but not satisfactory. For optimal decision making, more additional comparative long-term outcome data is needed between ACDF with SAC and ACDF with plating.

Developing an Endangered Species Habitat Management System based on Location Information (위치정보 기반 멸종위기종 서식지 관리시스템 개발)

  • Kim, Sun-Jib;Kim, Sang-hyup
    • Journal of Internet of Things and Convergence
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    • v.6 no.3
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    • pp.67-73
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    • 2020
  • The research status of endangered amphibians in Korea was mainly studied the life-cycle and distribution status of species from the 1980s to the early 2000s. Although a relatively diverse range of studies have been conducted on mackerels, studies on habitat prediction, analysis, change and management are insufficient. WEB, which provides biota information using location information in Korea, is a site operated by the National Bio Resource Center under the Ministry of Environment, but there is no information on endangered species and general species information has also been found to be very scantily. For this research, we secured a database of location information of Narrow-mouth frog, an endangered species, by combining literature and field research, and established a system by applying new technologies and open-based platform technologies that can be easily accessed by non-technical personnel of IT among IT technologies. The system was divided into administrator functions and user functions to prevent indiscriminate sharing of information through authentication procedures through user membership of users. The established system was authorized to show the distance between the current location and the location of the Narrow-mouth frog. Considering the ecological characteristics of the Narrow-mouth frog, which is an endangered species, a radius of 500m was marked to determine the habitat range. The system is expected to be applied to the legal system to change existing protected areas, etc. and to select new ones. It is estimated that practical reduction measures can be derived by utilizing the development plan for reviewing the natural environment. In addition, the deployed system has the advantage of being able to apply to a wide variety of endangered species by modifying the information entered.

Therapeutic Effect of Eprinomectin against Chorioptes texanus in Naturally Infected Dairy Cows Reared in Korea (Chorioptes texanus에 자연감염된 국내사육 젖소에 대한 Eprinomectin 치료효과)

  • Hur, Tai-Young;Kang, Seog-Jin;Jung, Young-Hun;Choi, Chang-Yong;Ryu, Il-Sun;Son, Dong-Soo;Kang, Tae-Yeong;Shin, Sung-Shik;Son, Chang-Ho;Kim, Hong-Jib;Suh, Guk-Hyu
    • Journal of Veterinary Clinics
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    • v.26 no.5
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    • pp.450-456
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    • 2009
  • This study evaluated the efficacy of topical eprinomectin (0.5% pour-on solution, $Eprinex^{(R)}$, Merial) against Chorioptes texanus (C texanus) infestation in dairy cows reared in Korea. Dairy cows naturally infected with C texanus showed skin lesions as alopecia, erythema, excoriations and crusts on the tail head, the caudal folds, the back of udder and the rump area. Fourteen adult Holstein dairy cows with chorioptic mange at National Institute of Animal Science were selected on the basis of gross lesion and microscopic examination. Experimental dairy cows infected with chorioptic mange were treated with eprinomectin ($Eprinex^{(R)}$, Merial, France) at the rate of 1 ml /10 kg/BW. Evaluation of therapeutic effect is based on mite counts and gross lesion at weekly interval for 6 weeks. Milk yields were measured every day and calculate at the mean of milk yield at weekly interval. Mange mites absolutely removed after 1 week of topical eprinomectin against C. texanus infestation on dairy cows. The skin lesion of dairy cows infested with C. texanus recovered normal status after 6 weeks of eprinomectin treatment. After eprinomectin treatment, return to the normal level of milk yields in diary cows infested with C. texanus has indirectly indicated that C. texanus infestation have negative effect on productivity of dairy farm. However, it would be suggested that the investigation of actual condition and the effective control method of C. texanus infestation of dairy farms in Korea should be studied in the future.

Investigation of diseases incident to pre- and pos-weaning piglets (포유 및 이유자돈의 질병발생 동향)

  • Oh, Myong-ho;Eun, Gil-soo;Kim, Hong-jib;Kyon, Young-bang
    • Korean Journal of Veterinary Research
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    • v.40 no.1
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    • pp.173-186
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    • 2000
  • This experiment was carried out to investigate the tendency of incident diseases in pre- and post- weaning piglets which ages were 1 to 7 weeks old by laboratory diagnosis and in order to minimize death in preweaning piglets and of stunted growth in postweaning piglets. The result of this experiment used as the basic data for the preventive programs in pre- and post- weaning piglets and were as follows: 23 different diseases diagnosed in 331 cases were studied in relation to age, season, and etiology. The most prevelent diseases of pre- and post- weaning piglet were Colibacillosis(79 case, 23.9%) and the major diseases were Salmonellosis(44 cases, 13.3%), Anemia(37 cases, 11.2%). Unknown viral disease(20 case, 6.1%), Rota viral infection(19 case, 5.8%), Porcine reproductive & respiratory syndrome(PRRS; 15 case 4.5%), Transmissible gastroenteritis(TGE; 12 case, 3.6%). The gastrointestinal disease, such as Colibacillosis, Salmonellosis, Swine dysentery, Clostridial infection, Rotaviral infection, TGE, Porcine epidemic diarrhea(PED) and Ballantidiosis occured pro- dominently in the period of pre- and post- weaning, which were 178 cases(53.8%) and not related to occurrence according to age and season. The respiratory diseases were Atrophic rhinitis(AR), Swine enzootic pneumonia, Pneumonic pasteurellosis, Pleuropneumonia, Branchopneumonia, PRRS and which were 48 cases(14.5%) and higher prevalent in spring and summer. The viral diseases was 73 cases(22.1%) that occurred in the period of 5 weeks piglet and prevalent mainly in spring. The bacterial diseases were 188 cases(56.8%) that were not related to occurrence according to age and season. Salmonellosis was prevalent in 3 to 5 weeks piglet and mainly occurred in summer. Viral septicemia and rotaviral infection occurred after 5 weeks piglets intensively and 3 to 5 weeks, respectively. And the both occurred without relation with season. PRRS occurred after 4 weeks piglet and prevalent in summer. TGE occurred 1 to 7 days old piglets and prevalent in spring and winter. Hematologic values of anemia was decrease in number of Red Blood Cell, concentration of Hemoglobin and Hematocrit. Amikacin, cephalothin, colistin, norfloxacin were effective to E coli, and amikacin, cephalothin, nortloxacin, neomycin were effective to Salmonellra spp. but clindamycin, erythromycin, penicillin, sulfonamides were resistant to E coli and Salmonella spp.

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Study of Equilibrium, Kinetic and Thermodynamic Parameters about Fluorescein Dye Adsorbed onto Activated Carbon (활성탄을 이용한 플루오레세인 염료 흡착에 대한 평형, 동력학 및 열역학 파라미터의 연구)

  • Lee, Jong-Jib;Um, Myeong Heon
    • Applied Chemistry for Engineering
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    • v.23 no.5
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    • pp.450-455
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    • 2012
  • The paper includes the utlization of an activated carbon as a potential adsorbent to remove a hazardous fluorescein dye from an aqueous solution. Batch adsorption experiments were carried out for the removal of fluorescein dyes using a granular activated carbon as an adsorbent. The effects of various parameters such as pH, amount of adsorbent, contact time, initial concentration and temperature of the adsoprtion system were investigated. The experimental results revealed that activated carbon exhibit high efficiencies to remove fluorescein dyes from the aqueous solution. The equilibrium process can be well described by Freundlich isotherm in the temperature range from 298 K to 318 K. From adsorption kinetic experiments, the adsorption process followed a pseudo second order kinetic model, and the adsorption rate constant ($k_2$) decreased with increasing the initial concentration of fluorescein. The free energy of adsorption ${\Delta}G^0$), enthalpy ${\Delta}H^0$), and entropy (${\Delta}S^0$) change were calculated to predict the nature adsorption. The estimated values for ${\Delta}G^0$ were -17.11~-20.50 kJ/mol over an activated carbon at 250 mg/L, indicated toward a spontaneous process. The positve value for ${\Delta}H^0$, 33.2 kJ/mol, indicates that the adsorption of fluorescein dyes on an activated carbon is an endothermic process.

Analysis of Major Traits for Native Ginseng(Panax ginseng C.A. Meyer) Collected from Poonggi Area in Korea Using DNA Marker (DNA marker를 이용한 풍기 재래인삼의 주요 특성 분석)

  • Rhim, Soon-Young;Choi, Hong-Jib;Ryu, Tae-Seok;Kwon, Tae-Ryong;Choi, Jin-Kook;Sohn, Jae-Keun
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.55 no.3
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    • pp.253-258
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    • 2010
  • In this study, a total of 25 lines consisting of five native ginseng collections from Poonggi area, five lines from Geumsam area and 15 varieties were analyzed and clustered for the selection of Poonggi native ginseng in Korea using DNA markers. The results indicated that the long cluster distance were observed between the collections of 331002, 331004, 331005, 331007 and 331026 from Poonggi area, and the collections of 332009, 332021, 332046, 332050 and 332066 from Geumsan area because of the sensible differences on the number of leaves per stem, stem color and petiole color. Thus, the collections from Poonggi area with specific characters consisting of one stem per plant, five leaves per stem and broad elliptic leaflet shape were finely classified using nine primers including OPD05, OPD20, OPG17, OPH05 and so on. In this study, the collection of 331007 from Poonggi area was considered as the respective collection with above characters. Thus, the nine primers such as OPD05 and so on, will be used to select the Poonggi ginseng in the future studies.

Degradation Properties and Production of Fuels from Hemicellulose by Pyrolysis-liquefaction (열분해액화반응에 의한 헤미셀룰로오스의 분해특성 및 연료물질 생성)

  • Lee, Jong-Jib
    • Applied Chemistry for Engineering
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    • v.19 no.2
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    • pp.199-204
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    • 2008
  • Hemicellulose, consisteing of pentose as xylose and mannose, is usable as high octane fuels and heavy oil additives if depolymerized to monomer unit. In this study, thermochemical degradation by pyrolysis-liquefaction of hemicellulose, the effects of reaction temperature, conversion yield, degradation properties and degradation products were investigated. Experiments were performed in a tube reactor by varying reaction temperatures from $200^{\circ}C$ to $400^{\circ}C$ at 40 min of reaction time. The liquid products from pyrolysis-liquefaction of hemicellulose contained various kinds of ketones. Ketones, as 2,3-dimethyl-2-cyclopenten-1-one, 2,3,4-trimethyl-2-cyclopentan-1-one, and 2-methyl-cyclopentanone, could be used as high-octane-value fuels and fuel additives. However, phenols are not valuable as fuels. Combustion heating value of liquid products obtained from thermochemical conversion processes of hemicellulose was in the range of 6,680~7,170 cal/g. After 40 min of reaction at $400^{\circ}C$ in pyrolysis-liquefaction of hemicellulose, the energy yield and mass yield were as high as 72.2% and 41.2 g oil/100 g raw material, respectively.

Catalytic Cracking of Waste Lubricant Oil over Solid Acid Catalysts (고체산 촉매를 이용한 폐윤활유의 촉매 분해)

  • Hwang, In Hye;Yang, Hyeon Sun;Lee, Jong-Jib;Choi, Ko-Yeol;Lee, Chang-Yong
    • Applied Chemistry for Engineering
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    • v.23 no.3
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    • pp.320-325
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    • 2012
  • The catalytic cracking of waste lubricant oil was carried out on silica-alumina (SA), hydrogen-type mordenite (HM), and dealuminated mordenite (DM) with the silica/alumina ratio of 10.5, 10, and 12.5, respectively. Activity in the catalytic cracking was found to be in the order of SA > DM > HM. Carbon number distribution of the oil obtained over SA was similar to that of gasoline while that of the oil obtained over DM was similar to that of diesel. Carbon number distribution of the oil obtained over HM was similar to that between gasoline and diesel. Acid amounts of three kinds of catalysts were found to be in the order of $SA\;{\approx}\;HM$ > DM. Unlike HM and DM with pores of an uniform diameter below 10 A, SA had a pore size distribution within the range of 10 to 50 A. These results indicate that the acid amount and pore size of the catalysts may be related to the carbon number distribution of the cracked oil. The decrement of surface area by the accumulation of carbon and impurities on the surface of the catalyst was found to be in the order of SA > DM > HM.