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Safe Margin beyond Dens Tips to Ventral Dura in Anterior Odontoid Screw Fixation : Analysis of Three-Dimensional Computed Tomography Scan of Odontoid Process

  • Sung, Min-Jae;Kim, Kyoung-Tae;Hwang, Jeong-Hyun;Sung, Joo-Kyung;Cho, Dae-Chul
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.503-508
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    • 2018
  • Objective : Anterior odontoid screw fixation is a safe and effective method for the treatment of odontoid fractures. The surgical technique is recommended for perforation of the apical cortex of the dens by the lag screw. However, overpenetration of the apical cortex may lead to potentially serious complications such as damages of adjacent vascular and neural structures. The purpose of this study was to assess the role of three-dimensional computed tomography (CT) scan to evaluate the safe margin beyond dens tip to ventral dura for anterior odontoid screw fixation. Methods : We retrospectively analyzed the three-dimensional CT scans of the cervical spines in 55 consecutive patients at our trauma center. The patients included 38 males and 17 females aged between 22 and 73 years (mean age${\pm}$standard deviation, $45.8{\pm}14.2years$). Using sagittal images of 3-dimensional CT scan, the safe margins beyond dens tip to ventral dura as well as the appropriate screw length were measured. Results : The mean width of the apical dens tip was $9.6{\pm}1.1mm$. The mean lengths from the screw entry point to the apical dens tip and posterior end of dens tip were $39.2{\pm}2.6mm$ and $36.6{\pm}2.4mm$. The safe margin beyond apical dens tip to ventral dura was $7.7{\pm}1.7mm$. However, the safe margin beyond the posterior end of dens tip to ventral dura was decreased to $2.1{\pm}3.2mm$, which was statistically significant (p<0.01). There were no significant differences of safe margins beyond dens tip to ventral dura with patient gender and age. Conclusion : Extension by several millimeters beyond the dens tip is safe, if the trajectory of anterior odontoid screw is targeted at the apical dens tip. However, if the trajectory of the screw is targeted to the posterior end of dens tip, extension beyond dens tip may lead to damage immediately adjacent to the vental dura mater.

Numerical Analysis of Groundwater Flow through Fractured Rock Mass by Tunneling in a Mountainous Area (산악 지역 내 터널 굴착 시 단열 암반 내 지하수 유동 분석)

  • Kim, Hyoung-Soo;Lee, Ju-Hyun;Ahn, Ju-Hee;Ahn, Gyu-Cheon;Yoon, Woon-Sang
    • Tunnel and Underground Space
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    • v.16 no.4 s.63
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    • pp.281-287
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    • 2006
  • Intake of groundwater by tunneling in a mountainous area mostly results from groundwater flow through fractured parts of total rock mass. For reasonable analysis of this phenomenon the representative joint groups 1, 2, and 3 have been selected by previous investigations, geological/geophysical field tests and boring works. Three dimensional fractures were generated by the FracMan and MAFIC which is a three dimensional finite element model has been used to analyse a groundwater flow through fractured media. Monte Carlo simulation was applied to reduce the uncertainty of this study. The numerical results showed that the average and deviation of amounts of groundwater intaked into tunnel per unit length were $5.40{\times}10^{-1}$ and $3.04{\times}10^{-1}m^3/min/km$. It is concluded that tunnel would be stable on impact of groundwater environment by tunneling because of the lower value than $2.00{\sim}3.00m^3/min/km$ as previous and present standard on the application of tunnel construction.

Effectiveness Analysis of Phosphorescent Pavement Markings for Improving Visibility and Design Standards: Focusing on Expressway Accident Hot Spots (축광노면표시 시인성 및 설치규격개선 효과분석: 고속도로 사고다발구간을 중심으로)

  • Yi, Yongju;Lee, Myunghwan;Choi, Keechoo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.4
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    • pp.685-694
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    • 2016
  • Visibility of lane marking is impaired at night, or in case of rain, and thereby threatens traffic safety. Recently, various studies and technology have been developed to improve lane marking visibility, such as the extension of lane marking life expectancy (up to 1.5 times), improvement of lane marking equipment, improvement of lane marking visibility (32.7%) by applying phosphorescent material mixed paint, and expressway lane design standards alternative (length 6m, gap 12m, width 13cm: 27.8% of painted surface are reduced) adoption with ergonomic analysis. In this study, a set of cost-benefit analyses was performed for the cases where such techniques were applied. Based on the literature review, 26.9% of traffic accidents would be prevented by improving lane marking visibility by 32.7%; accident reduction benefit was calculated as much as 12.5 billion KRW. Meanwhile, total increased cost when introducing phosphorescent material mixed paint and lane design standards alternative is calculated as 30.6 billion KRW. However, economic feasibility could not be secured with 0.41 of cost-benefit ratio when applied to the expressway network as a whole. Additionally, cost-benefit (B/C) analysis was applied to each of the top 20 night accident hot spots and the results of B/C ratios were between 0.67 and 4.20, showing that 11 out of 20 spot sections of expressway can have economic feasibility. This results indicate, with this kind of pavement marking applied to accident hot spots in rural expressway, better visibility and economic feasibility can be guaranteed through traffic accident reduction. Some limitations and future research agenda have also been discussed.

The Effects of Fertilizer Application Level and Top-dressing Method on the Yield Component and Fruit Yield of Lycium chinense MILL (시비량과 분시방법이 포기자의 수량형질에 미치는 영향)

  • 서관석;이주열;김소연;김준기;한규흥
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.31 no.4
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    • pp.465-469
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    • 1986
  • This study was conducted to investigate the proper fertilizer application level and top-dressing method of Lycium chinense MILL in 1984 and 1985. The results obtained were summerized as follows; Stem length was 4cm longer, leaf area was 45-490$\textrm{cm}^2$ larger, dry matter weight per plant was 1.6-5g heavier and average yield of dry fruit of two years was higher as 183kg per l0a in double amount of potassium( 14kg/l0a) application than in standard level of potassium(7kg/l0a). Highly positive correlation was found between absorption amount of inorganic elements of phosporus(l%), nitrogen, potassium(5%) and dry matter weight. Proper fertilizer application level was 13.8kg(N), 14.2kg(P) and 14.3kg(K) per l0a. Dry fruit yield of top-dress-ing plot was 20% heigher than that of basal dressing plot through increase of leaf area per plant and dry matter weight per plant.

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Current Status and Projection of Spent Nuclear Fuel for Geological Disposal System Design (심지층 처분시스템 설계를 위한 사용후핵연료 현황 분석 및 예측)

  • Cho, Dong-Keun;Choi, Jong-Won;Hahn, Pil-Soo
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.4 no.1
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    • pp.87-93
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    • 2006
  • Inventories, and characteristics such as dimension, fuel rod array, weight, $^{235}U$ enrichment, and discharge burnup of spent nuclear fuel (SNF) generated from existing and planed nuclear power plants based on National 2nd Basic Plan for Electric Power Demand and Supply were investigated and projected to support geological disposal system design. The historical and projected inventory by the end 2057 is expected to be 20,500 and 14,800MTU for PWR and CANDU spent nuclear fuel, respectively. The quantity of SNF with initial $^{235}U$ enrichment of 4.5 wt.% and below was shown to be 96.5% in total. Average burnup of SNF revealed $\sim36$ GWD/MTU and $\sim40$ GWD/MTU for the period of 1994-1999 and 2000-2003, respectively. It is expected that the average burnup of SNF will be $\sim45$ GWD/MTU at the end of 2000's. From the comprehensive study, it was concluded that the imaginary SNF with $16\times16$ Korean Standard Fuel Assembly, cross section of $21.4cm\times21.4cm$, length of 453cm, mass of 672 kg, initial $^{235}U$ enrichment of 4.5 wt.%, discharge burnup of 55 GWD/MTU could cover almost all SNFs to be produced by 2057.

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Growth Characteristics and Productivity of New Orchardgrass(Dactylis glomerata L.) Variety "Kordione" (오차드그라스 신품종 "코디원"의 생육특성과 수량성)

  • Choi, Gi-Jun;Sung, Byung-Ryul;Seo, Sung;Kim, Ki-Yong;Lee, Joung-Kyong;Park, Hyung-Soo;Moon, Chung-Sup;Ji, Hee-Chung
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.27 no.1
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    • pp.53-56
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    • 2007
  • A new orchardgrass (Dactylis glomerata L.) variety named "Kordione" has developed by the National Livestock Research Institute (NLRI) in 2005. To develope a new variety of orchardgrass, 5 superior clones were selected and polycrossed for seed production. Various agronomic growth paramaters and forage production of "Kordione" were examined at Suwon from 2001 to 2002. During 2003-2005, regional trials were conducted at Suwon, Pyungchang, Youngju, Iksan, and Jeju. "Kordione" showed a medium type growth habit in fall and spring, and short in length of flag leaf and upper internode. Plant height of "Kordione" was similar to that of standard variety, "Ambassador" and heading date was 2 days later than 10th May compared to Ambassador. "Kordione" showed enhanced winter hardiness, lodging tolerance and disease resistance compared to Ambassador. In addition, dry matter yield (12,081 kg/ha) of "Kordione" was also higher (11%) than that of the Amabassador. However, nutritive value was similar in both varieties.

Growth Characteristics and Productivity of New Orchardgrass(Dactylis glomerata L.) Variety "Korditwo" (오차드그라스 신품종 "코디투"의 생육특성과 수량성)

  • Ji, Hee-Chung;Choi, Gi-Jun;Sung, Byung-Ryul;Seo, Sung;Kim, Ki-Young;Lee, Joung-Kyong;Kim, Won-Ho;Park, Hyung-Soo;Moon, Chung-Sup
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.28 no.1
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    • pp.1-6
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    • 2008
  • Korditwo is a new orchardgrass(Dactylis glomerata L.) variety developed by the National Institute of Animal Science(NIAS) in 2005. To develope the new variety of orchardgrass, 5 superior clones, Dg8533, Dg9518, EDg9133, U8504 and U8519, were selected and polycrossed for seed production. That synthetic variety was designated newly as "Korditwo", and it's agronomic growth characteristics and forage productivity were examined at Suwon from 2001 to 2002, and regional yield trials were conducted in Suwon, Pyungchang, Youngju, Iksan, and Jeju from 2003 to 2005, respectively. "Korditwo" showed medium type growth habit in fall and spring and short in length of flag leaf and upper internode. Plant height of "Korditwo" was similar to that of standard variety, "Ambassador" and heading date was 4 days later than 14th May compared to Ambassador. Characteristics such as winter hardiness, lodging tolerance, disease resistance of "Korditwo" were stronger or better than those of Ambassador, specially in winter hardiness and lodging tolerance. "Korditwo" showed 10% higher dry matter yield(11.3 ton/ha) compared to Amabassador. Nutritive value was appeared to be similar in both varieties.

Reference Spent Nuclear Fuel for Pyroprocessing Facility Design (파이로공정 시설 개념설계를 위한 기준 사용후핵연료 선정)

  • Cho, Dong-Keun;Yoon, Seok-Kyun;Choi, Heui-Joo;Choi, Jong-Won;Ko, Won-Il
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.6 no.3
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    • pp.225-232
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    • 2008
  • An estimation has been made for inventories and characteristics of spent nuclear fuel(SNF) to be generated from existing and planned nuclear power plants based on the 3rd Basic Plan for Electric Power Demand and Supply. The characteristics under consideration in this study are dimensions, a fuel rod array, a weight, $^{235}U$ enrichment, and the discharge burnup in terms of fuel assembly. These are essentially needed for designing a pyroprocessing facility. It is appeared that the anticipated quantity by the end of 2077 is about 23,000 tU for PWR spent nuclear fuel. It is revealed that the proportion of SNF with the initial $^{235}U$ enrichment below 4.5 weight percent(wt.%) is approximately 95 % in total. For SNF with 16$\times$16 fuel rod array the proportion is expected approximately 74% in total. It appears that the average burnup of SNF will be 55 GWd/tU after the medium and/or latter part of 2010s while the average burnup is 45 GWd/tU at present. Finally, a requirement in terms of reference SNF for designing the pyroprocessing facility has been derived from the above-mentioned results. The anticipated SNF seems to be 16$\times$16 Korean Standard Fuel Assembly with a cross section of 21.4 cm$\times$21.4 cm, a length of 453 cm, a mass of 672 kg, the initial $^{235}U$ enrichment of 4.5 wt.%, and the discharge burnup of 55 GWd/tU.

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Effect of Whole Body Irradiation on Spontaneous Motility and Oxygen Consumption Rate of Mouse Isolated Duodenum and Its Response to Glucose and 5-hydrocytryptamine (X-선(線) 전신조사(全身照射)가 적출(摘出)마우스 십이지장(十二指腸)의 자동성운동(自動性運動) 및 산소(酸素) 소비량(消費量)에 미치는 영향(影響)과 Glucose 및 5-hydroxytryptamine 이 이들에 미치는 효과(效果))

  • Kwon, Yong-Ju;Choo, Young-Eun
    • The Korean Journal of Physiology
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    • v.4 no.2
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    • pp.45-51
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    • 1970
  • In an attempt to better understand the effect of whole body irradiation on the spontaneous motility and oxygen consumption rate of the isolated mouse duodenum, a whole body X-irradiation of 1,000r. was given to albino mouse, and 1) the total length of contraction of isolated duodenum was recorded on kymograph every five minutes for 60 minutes, 2) glucose and 5-hydroxytryptamine(5-HT) were added to the reaction medium of Kreb's-Ringer-bicarbonate buffer(KRB) and response of the isolated duodenum to the drugs was observed, and 3) the oxygen consumption rate $(QO_2)$ of the isolated duodenum as well as the effect of glucose and 5-HT on $QO_2$ were measured by Warburg's standard manometric method and the comparison was made with the control(i.e. normal) group. The results thus obtained are summarized as follows. 1. The spontaneous motility of the isolated duodenum in the irradiated groups showed a significantly elevated pattern for the first 15 minutes comparing with the control. The motility, however, decreased after 15 minutes and remained so in the irradiated groups to the level of the nonirradiated control, but 24 hours post-irradiation group showed a tendency of an increased motility while one hour post-irradiation group showed no difference comparing with the control. 2. Addition of glucose produced generally elevated motility of the isolated duodenum in both irradiated and non-irradiated groups comparing with the control throughout the experiment, but no difference was observed in contractile amplitude between the irradiated and non·irradiated groups. 3. When 5-HT was added to the irradiated group, the contractile amplitude of isolated duodenum was similar to that of the control, and 5-HT alone caused a slight increase of the motility comparing with the control. 4. The oxygen consumption rate $(QO_2)$ of the isolated duodenum was found to be ,slightly increased in one hour post·irradiated group, but similar in 24 hour post·irradiated group comparing with the control. Glucose produced a significant increase of $QO_2$ in all the groups, but 5-HT produced a tendency of decrease of $QO_2$ in all the groups.

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Evaluation of National School Foodservice Management : Labor Control Menu Management , and Maintenance of Equipments and Facilities (전국 초등학교 급식 관리 실태조사)

  • 정현주
    • Journal of Nutrition and Health
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    • v.30 no.6
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    • pp.704-714
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    • 1997
  • The purpose of this survey was to investigate the operation and the environment of foodservice in elementary schools nationwide. A questionnaire about foodservice management to practice and foodservice operation was mailed to dietitians of each school . Of the 1, 416 schools that participated in this survey, 388 schools were selected for analysis. The main results of this study are as follows. More schools in small cities . Education levels of dietitians were significantly different from area to area. Mean total length of employment for dietitians at school foodservice was 4.7 years and varied significantly by area and the type of foodservice system. Foodservice has been operated for 2-5 years in most of schools. Schools in large cities served more people than those in small cities and rural areas. Also , schools adapting conventional foodservice system served more people than those adapting commissary or joint management system. Foodservice expense also veried significantly by area and foodservice systems. Mean foodservice expense per meal were significantly higher in schools adapting commissary system than those adapting other systems. Most schools employed dietitians, cooks, and assistant cooks, but not engineers not drivers. Mothers of students were working voluntarily. The degree of participation by mothers in cooking , serving , and cleaning was higher in schools of small cities and rural areas than those in large cities, in schools adapting commissary or joint management system than those adapting conventional system. Education and training ranked as personnel management had one of the hardest tasks. Education and training of employees were also difficult for dietitians, especially in commissary or joint management systems. Percentage of schools having separate lunchroom was higher in small cities rural areas than in large cities, in joint management or commissary system than conventional system. Most difficult matters in serving was the portion control. Over 40% of schools did not use standard recipes. Menu cycles were shorter in schools in small cities and rural areas which adapted the joint management system than area other schools. Except refrigerators, thermos , display racks, sterilizers, sinks, worktables, and table, all other equipment were insufficient in most of schools. More than half of the schools didn't have rice cookers, flatware racks, and distributing carts which are stated plainly in detailed enforcement regulations for school foodservice. Cooking equipments were described as the most needed by dietians. According to the results of this survey, many and urgent problems need to be addressed improve the quality of school foodservice . Lunchroom setups, effective personnel management and expenses, recipes standardization, serving size control and regular checking and repairing of equipments are all problems to be addressed.

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