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Value of Tibiotalocalcaneal Arthrodesis Using Retrograde Intramedullary Nailing in Severe Hindfoot Deformity and Arthritis (심한 후족부 변형 및 경거종골간 관절염에서 골수강내 금속정을 이용한 경거종골 관절 유합술의 가치)

  • Park, Jae-Gu;Chung, Hyung-Jin;Bae, Su-Young;Lee, Jung-Hwan;Kim, Hwi-Young;Lee, Jun Seok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.133-140
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    • 2019
  • Purpose: This study examined the radiological and clinical outcomes of tibiotalocacalcaneal arthrodesis using retrograde intramedullary nailing in a severe hindfoot deformity and ankle/subtalar arthritis. Materials and Methods: A total of 22 patients (22 cases) with a severe hindfoot deformity and arthritis underwent tibiotalocalcaneal arthrodesis with retrograde intramedullary nails. The average age was 57.4 years (22-82 years) and the mean follow-up was 29.6 months (12-74 months). The radiological outcomes included an assessment of the preoperative and postoperative coronal ankle alignment, hindfoot alignment, sagittal alignment, and postoperative union time. The clinical outcomes were evaluated using the visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score, and postoperative complications. The results were analyzed statistically by dividing the patients into two groups based on a 10° angle of deformity. Results: Regarding the preoperative coronal ankle alignment, 14 patients had a mean varus deformity of 17.8°±14.5° and six had a mean valgus deformity of 8.1°±6.6°. Postoperatively, a satisfactory postoperative coronal ankle alignment of less than 5° was obtained in all patients. Regarding the preoperative hindfoot alignment, 12 patients showed a mean varus deformity of 15.2°±10.5° and six had a mean valgus deformity of 8.1°±4.2°. In total, 94.4% (17 patients) had satisfactory postoperative hindfoot alignment of less than 5°. Radiological union was achieved in 90.9% at an average of 19.2 weeks (12-32 weeks) and there were 2 cases of nonunion. The clinical outcomes showed improvement in the mean VAS and AOFAS scores (p<0.001, p<0.001, respectively). Even a preoperative severe deformity more than 10° showed a significant deformity correction of coronal ankle alignment and hindfoot alignment, postoperatively (p<0.001, p<0.001, respectively). No significant differences were found between the patients with a preoperative coronal ankle deformity more than 10° and those less than 10° regarding the mean postoperative coronal ankle alignment (p=0.162). Conclusion: Tibiotalocalcaneal arthrodesis using retrograde intramedullary nailing is an acceptable technique for achieving satisfactory deformity correction, high union rate with minimal complications, and improvement of the clinical outcomes. In addition, tibiotalocalcaneal arthrodesis using retrograde intramedullary nailing is considered an effective treatment option, particularly in severe ankle and hindfoot deformities.

Analysis of Ruminal Dry Matter and Crude Protein Digestibility on Major Roughage, Wormwood and Green Tea (주요 조사료원과 쑥, 녹차의 반추위 건물 및 조단백질 소화율에 대한 분석)

  • Lee, Shin Ja;Lee, Su Kyoung;No, Jin Gu;Kim, Do Hyung;Lim, Jung Hwa;Moon, Yea Hwang;Lee, Sung Sill
    • Journal of agriculture & life science
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    • v.50 no.5
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    • pp.139-152
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    • 2016
  • The comparative in vitro and in situ analysis were conducted to evaluate the rumen degradability and physical structure of domestic roughage as rice straw, timothy, alfalfa, wormwood and green tea. The feedstuffs incubated with rumen fluid and was used to determine gas production, microbial growth rate and pH changes in an in vitro experiment. The gas production was increased during incubation times and was significantly(p<0.05) lower in green tea than other feedstuffs. The microbial growth rate in the feedstuffs was increased during incubation times. However, microbial growth rate was significantly(p<0.05) lower in wormwood and green tea than other feedstuffs. Ruminal pH was decreased during incubation times, and timothy was the lowest, and rice straw was the highest among feedstuffs. The disappearance rate of dry matter(DM) and crude protein(CP) in all feedstuffs were increased during incubation times and green tea was the highest(p<0.05) compared with other feedstuffs. In effective degradability, when rumen out-flow rate was assigned to 4%, wormwood showed the highest in DM, and alfalfa was the highest in CP. Whereas, green tea was the highest in both in situ DM and CP degradability. Many cilia on the surface and stoma of wormwood and stoma in green tea were observed by scanning electron microscopy. Microbes breaked down the cilia at the beginning and then degraded the surface in wormwood. In case of green tea, microbes attached to stoma. Therefore, wormwood and green tea have a potential value as ruminal feed stuffs.

Analysis on the Effects of Flood Damage Mitigation according to Installation of Underground Storage Facility (지하저류조 설치에 따른 침수피해 저감효과 분석)

  • Kim, Young Joo;Han, Kun Yeun;Cho, Wan Hee
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.1B
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    • pp.41-51
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    • 2010
  • In this study, runoff simulation was carried out in the area of Bisan 7-dong, Seo-gu, Daegu as drainage basin and the effects of the installation of underground storage facilities were analyzed during heavy rainfall. SWMM model was used for the runoff and pipe network analysis on Typhoon Maemi, 2003. 2-D inundation analysis model based on diffusion wave was employed for inundation analysis and to verify computed inundation areas with observed inundation trace map. The simulation results agree with observed in terms of inundation area and depth. Also, the effects of flood damage mitigation were analyzed through the overflow discharge and 2-D inundation analysis, depending upon whether the underground storage facility is installed or not. When the underground storage facility ($W:120m{\times}L:180m{\times}H:1.7m$) is installed, volume of overflow could be reduced by 72% and flooding area could be reduced by 40.1%. When the underground storage facility ($W:120m{\times}L:180 m{\times}H:2.0m$) is installed, volume of overflow could be reduced by 84.8% and flooding area could be reduced by 50.6%. When the underground storage facility ($W:120m{\times}L:180m{\times}H:2.2m$) is installed, volume of overflow could be reduced by 94% and flooding area could be reduced by 91.2%. There is no overflow of manhole, when the height of storage facility is 2.5 m. It is expected that the study results presented through quantitative analysis on the effects of underground facilities can be used as base data for socially and economically effective installation of underground facilities to prevent flood damage.

Evaluation of Water Quality Characteristics of Saemangeum Lake Using Statistical Analysis (통계분석을 이용한 새만금호의 수질특성 평가)

  • Jong Gu Kim
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.4
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    • pp.297-306
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    • 2023
  • Saemangeum Lake is the largest artificial lake in Korea. The continuous deterioration of lake water quality necessitates the introduction of novel water quality management strategies. Therefore, this study aims to identify the spatiotemporal water quality characteristics of Saemangeum Lake using data from the National Water Quality Measurement Network and provide basic information for water quality management. In the water quality parameters of Saemangeum Lake, water temperature and total phosphorous content were correlated, and salt, total nitrogen content, pH, and chemical oxygen demand were significantly correlated. Other parameters showed a low correlation. The spatial principal component analysis of Saemangeum Lake showed the characteristics of its four zones. The mid-to-downstream section of the river affected by freshwater inflow showed a high nutrient salt concentration, and the deep-water section of the drainage gate and the lake affected by seawater showed a high salt concentration. Two types of water qualities were observed in the intermediate water area where river water and outer sea water were mixed: waters with relatively low salt and high chemical oxygen demand, and waters with relatively low salt and high pH concentration. In the principal component analysis by time, the water quality was divided into four groups based on the observation month. Group I occurred during May and June in late spring and early summer, Group II was in early spring (March-April) and late autumn (November-December), Group III was in winter (January-February), and Group IV was in summer (July-October) during high temperatures. The water quality characteristics of Saemangeum Lake were found to be affected by the inflow of the upper Mangyeong and Dongjin rivers, and the seawater through the Garuk and Shinshi gates installed in the Saemangeum Embankment. In order to achieve the target water quality of Saemangeum Lake, it is necessary to establish water quality management measures for Saemangeum Lake along with pollution source management measures in the upper basin.

Distribution and Frequency of SSR Motifs in the Chrysanthemum SSR-enriched Library through 454 Pyrosequencing Technology (국화 SSR-enriched library에서 SSR 반복염기의 분포 및 빈도)

  • Moe, Kyaw Thu;Ra, Sang-Bog;Lee, Gi-An;Lee, Myung-Chul;Park, Ha-Seung;Kim, Dong-Chan;Lee, Cheol-Hwi;Choi, Hyun-Gu;Jeon, Nak-Beom;Choi, Byung-Jun;Jung, Ji-Youn;Lee, Kyu-Min;Park, Yong-Jin
    • Journal of the Korean Society of International Agriculture
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    • v.23 no.5
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    • pp.546-551
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    • 2011
  • Chrysanthemums, often called mums or chrysanths, belong to the genus Chrysanthemum, which includes about 30 species of perennial flowering plants in the family Asteraceae. We extracted DNA from Dendranthema grandiflorum ('Smileball') to construct a simple sequence repeat (SSR)-enriched library, using a modified biotin-streptavidin capture method. GS FLX (Genome Sequencer FLX System which provides the flexibility to perform the broad range of applications) sequencing (at the 1/8 run specification) resulted in 18.83 mega base pairs (Mbp) with an average read length of 280.06 bp. Sequence analyses of all SSR-containing clones revealed a predominance of di-nucleotide motifs (16,375, 61.5%) followed by tri-nucleotide motifs (6,616, 24.8%), tetra-nucleotide motifs (1,674, 6.3%), penta-nucleotide motifs (1,283, 4.8%), and hexa-nucleotide motifs (693, 2.6%). Among the di-nucleotide motifs, the AC/CA class was the most frequently identified (93.5% of all di-nucleotide types), followed by the GA/AG class (6.1%), the AT/TA class (0.4%), and the CG/GC class (0.03%). When we analyzed the distribution of different repeat motifs and their respective numbers of repeats, regardless of the motif class, of 100 SSR markers, we found a higher number of di-nucleotide motifs with 70 to 80 repeats; we also found two di-nucleotide motifs with 83 and 89 repeats, respectively, but their product lengths were within optimum size (297 and 300 bp). In future work, we will screen for polymorphisms of possible primer pairs. The results will provide a useful tool for assessing molecular diversity and investigating the population structure among and within Chrysanthemum species.

Establishment of Safety Factors for Determining Use-by-Date for Foods (식품의 소비기한 참고치 설정을 위한 안전계수)

  • Byoung Hu Kim;Soo-Jin Jung;June Gu Kang;Yohan Yoon;Jae-Wook Shin;Cheol-Soo Lee;Sang-Do Ha
    • Journal of Food Hygiene and Safety
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    • v.38 no.6
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    • pp.528-536
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    • 2023
  • In Korea, from January 2023, the Act on Labeling and Advertising of Food was revised to reflect the use-by-date rather than the sell-by-date. Hence, the purpose of this study was to establish a system for calculating the safety factor and determining the recommended use-by-date for each food type, thereby providing a scientific basis for the recommended use-by-date labels. A safety factor calculation technique based on scientific principles was designed through literature review and simulation, and opinions were collected by conducting surveys and discussions including industry and academia, among others. The main considerations in this study were pH, Aw, sterilization, preservatives, packaging for storage improvement, storage temperature, and other external factors. A safety factor of 0.97 was exceptionally applied for frozen products and 1.0 for sterilized products. In addition, a between-sample error value of 0.08 was applied to factors related to product and experimental design. This study suggests that clearly providing a safe use-by-date will help reduce food waste and contribute to carbon neutrality.

Assessment of Eutrophication Using Trophic State Index and Water Quality Characteristics of Saemangeum Lake (새만금호의 수질 특성 및 영양상태지수를 이용한 부영양화 평가)

  • Jong Gu Kim
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.6
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    • pp.587-597
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    • 2023
  • We evaluated the eutrophication of Saemangeum Lake, which causes abnormal growth of algae, using the Carlson index. Eutrophication characteristics of Saemangeum Lake were analyzed. For the study, water quality surveys were conducted at 7 stations in Saemangeum Lake every month in 2021. The concentration of Chl.a was slightly higher in the Mankyeong water system in winter, and slightly higher in the Dongjin water system in spring and summer, but overall, except for some periods, the concentration was similar to or lower than the lake water quality environmental standard of class 3. COD showed water quality similar to or above the lake quality environmental standard of grade 4 in both the Mankyeong and Dongjin water systems in the summer and Autumn. TOC concentrations were within lake water quality standard 3 at all sites. Total phosphorus concentrations exceeded the lake water quality standard of Class 4 and were higher in January and August after rainfall. In the correlation analysis between water quality factors, the correlation of organic matter, total phosphorus, and total nitrogen to salinity was relatively high. This reflected the water quality characteristics of freshwater, brackish water, and seawater areas due to seawater inflow through the drainage gate and freshwater inflow through upstream rivers. According to the characteristics of eutrophication fluctuations in Saemangeum Lake by trophic state index, the indices of Chl.a, SD, and TN showed water quality in the early stage of eutrophication, while the TP index showed a severe eutrophication state. The magnitude of the eutrophication index among water quality components was TSI(TP) > TSI(TN) > TSI(SD) > TSI(CHL) in all water systems. Quadrant analysis of the deviation of TSI(CHL) from TSI(TP) and TSI(SD) on a two-dimensional plane showed that there was no limiting effect of total phosphorus on algal growth in all water systems. In addition, the factors af ecting light attenuation appeared to be dominated by small particulate matter from outside sources.

Distribution of the Seagrass in the Nakdong River Estuary (낙동강하구의 잘피(seagrass) 분포 현황)

  • Jung-Im Park;Hee Sun Park;Jongil Bai;Gu-Yeon Kim
    • Korean Journal of Ecology and Environment
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    • v.56 no.3
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    • pp.207-217
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    • 2023
  • This study was conducted to investigate the current status of seagrass species in the Nakdong River estuary from May to June 2023. To survey the seagrass habitat area, the Nakdong River estuary was divided into seven zones. Aerial photography using drones was conducted to find seagrass areas, GPS tracking was carried out on foot in the intertidal zone and by boat and SCUBA diving in the subtidal zone. To analyze the seagrass status, we measured the morphological characteristics, shoot density, and biomass of representative seagrass species in each zone. Four seagrass species were found in this area: Zostera japonica, Z. marina, Ruppia maritima, and Phyllospadix japonicus. The distribution areas of each species was 338.2 ha, 92.9 ha, 0.9 ha, and 1.4 ha, respectively, with a total area of 432.5 ha. Z. japonica was widely distributed in most of the tidal flats and mudflats of the Nakdong River estuary, while Z. marina was restricted to Nulcha-do, Jinu-do, and Dadae-dong. R. maritima occurred within the habitat of Z. japonica in Eulsukdo and Myeongji mudflats, and P. japonicus inhabited rocky areas in Dadae-dong. The shoot density of each species was 4,575.8±338.3 shoots m-2, 244.8±12.0 shoots m-2, 11,302.1±290.0 shoots m-2, and 2862.5±153.5 shoots m-2, respectively. The biomass of each species was 239.7±18.5 gDW m-2, 362.3±20.5 gDW m-2, 33.3±1.2 gDW m-2, and 1,290.0±37.0 gDW m-2, respectively. The results of this study revealed that Z. japonica was dominant in the Nakdong River estuary. In particular, Z. japonica habitats of Eulsukdo, Daema-deung, and Myeongji mudflats were identified as the largest in Korea. The Nakdong River estuary is an important site of ecological, environmental, and economic value, and will require continuous investigation and management of the native seagrasses.

Comparison of Inpatient Medical Use between Non-specialty and Specialty Hospitals: A Study Focused on Knee Replacement Arthroplasty (전문병원과 비전문병원 입원환자의 의료이용 비교 분석: 인공관절치환술(슬관절)을 대상으로)

  • Mi-Sung Kim;Hyoung-Sun Jeong;Ki-Bong Yoo;Je-Gu Kang;Han-Sol Jang;Kwang-Soo Lee
    • Health Policy and Management
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    • v.34 no.1
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    • pp.78-86
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    • 2024
  • Background: The purpose of this study was to determine the effectiveness of the specialty hospital system by comparing the medical use of inpatients who had artificial joint replacement surgery in specialty hospitals and non-specialty hospitals. Methods: This study utilized 2021-2022 healthcare benefit claims data provided by the Health Insurance Review and Assessment Service. The dependent variable is inpatient medical use which is measured in terms of charges per case and length of stay. The independent variable was whether the hospital was designated as a specialty hospital, and the control variables were patient-level variables (age, gender, insurer type, surgery type, and Charlson comorbidity index) and medical institution-level variables (establishment type, classification, location, number of orthopedic surgeons, and number of nurses). Results: The results of the multiple regression analysis between charges per case and whether a hospital is designated as a specialty hospital showed a statistically significant negative relationship between charges per case and whether a hospital is designated as a specialty hospital. This suggests a significant low in charges per case when a hospital is designated as a specialty hospital compared to a non-specialty hospital, indicating that there is a difference in medical use outcomes between specialty hospitals and non-specialty hospitals inpatients. Conclusion: The practical implications of this study are as follows. First, the criteria for designating specialty hospitals should be alleviated. In our study, the results show that specialty hospitals have significantly lower per-case costs than non-specialty hospitals. Despite the cost-effectiveness of specialty hospitals, the high barriers to be designated for specialty hospitals have gathered the specialty hospitals in metropolitan and major cities. To address the regional imbalance of specialty hospitals, it is believed that ease the criteria for designating specialty hospitals in non-metropolitan areas, such as introducing "semi-specialty hospitals (tentative name)," will lead to a reduction in health disparities between regions and reduce medical costs. Second, it is necessary to determine the appropriateness of the size of hospitals' medical staff. The study found that the number of orthopedic surgeons and nurses varied in charges per case. Therefore, it is believed that appropriately allocating hospital medical staff can maximize the cost-effectiveness of medical services and ultimately reduce medical costs.

A Comparative Study on Topic Modeling of LDA, Top2Vec, and BERTopic Models Using LIS Journals in WoS (LDA, Top2Vec, BERTopic 모형의 토픽모델링 비교 연구 - 국외 문헌정보학 분야를 중심으로 -)

  • Yong-Gu Lee;SeonWook Kim
    • Journal of the Korean Society for Library and Information Science
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    • v.58 no.1
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    • pp.5-30
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    • 2024
  • The purpose of this study is to extract topics from experimental data using the topic modeling methods(LDA, Top2Vec, and BERTopic) and compare the characteristics and differences between these models. The experimental data consist of 55,442 papers published in 85 academic journals in the field of library and information science, which are indexed in the Web of Science(WoS). The experimental process was as follows: The first topic modeling results were obtained using the default parameters for each model, and the second topic modeling results were obtained by setting the same optimal number of topics for each model. In the first stage of topic modeling, LDA, Top2Vec, and BERTopic models generated significantly different numbers of topics(100, 350, and 550, respectively). Top2Vec and BERTopic models seemed to divide the topics approximately three to five times more finely than the LDA model. There were substantial differences among the models in terms of the average and standard deviation of documents per topic. The LDA model assigned many documents to a relatively small number of topics, while the BERTopic model showed the opposite trend. In the second stage of topic modeling, generating the same 25 topics for all models, the Top2Vec model tended to assign more documents on average per topic and showed small deviations between topics, resulting in even distribution of the 25 topics. When comparing the creation of similar topics between models, LDA and Top2Vec models generated 18 similar topics(72%) out of 25. This high percentage suggests that the Top2Vec model is more similar to the LDA model. For a more comprehensive comparison analysis, expert evaluation is necessary to determine whether the documents assigned to each topic in the topic modeling results are thematically accurate.