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Surgical Outcomes of the Reinforcing Technique of a Weakened Medial Capsule in Severe Hallux Valgus Using Internal Brace (약화된 내측 관절낭을 가진 중증 무지 외반증에 대해 Internal Brace를 이용한 보강술의 수술적 치료 결과)

  • Lee, Jeong-Kil;Kang, Chan;Hwang, Deuk-Soo;Lee, Gi-Soo;Hwang, Jung-Mo;Seo, Gang-Won;Kim, Dong-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.166-172
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    • 2019
  • Purpose: This study evaluated the clinical and radiological results after reinforcement of the weakened medial joint capsule using Internal Brace (Arthrex) for treating severe hallux valgus. Materials and Methods: This study reviewed 56 cases of 50 patients that were followed-up postoperatively for at least 12 months, from September 2017 until August 2018. An extended distal chevron osteotomy combined with a distal soft-tissue release was performed by a single surgeon to treat severe hallux valgus. Internal Brace was applied in 12 cases (group A) who had weakened medial joint capsules, and capsulorrhaphy was performed in 44 cases (group B), and these two groups were compared postoperatively for the clinical and radiological results. The postoperative complications were also investigated. Results: No significant differences at 1-year follow-up on the Manchester-Oxford Foot Questionnaire and the patients' satisfaction scores were found between the two groups (p=0.905 and p=0.668, respectively). For the radiology, the changes of the values between before surgery and at 1-year follow-up according to the group showed no significant differences in the hallux valgus angle, intermetatarsal angle, and the hallux interphalangeal angle (p=0.986, p=0.516, p=0.754, respectively). Recurrence of hallux valgus was reported in two cases in group A, and in three cases in group B. Transfer metatarsalgia occurred in 4 cases in group B. Conclusion: Based on these results, we recommend the capsule reinforcing technique using Internal Brace as a successful operative option for treating a weakened medial capsule in patients with severe hallux valgus.

Surgical Management of Urethral Plugs in a Male Shih-Tzu Dog (수컷 시츄견에서 발생한 유레쓰랄 플러그의 수술적 관리)

  • Hong, Su-Bin;Kim, Min-Kyung;Kim, Tae-Hwan;Kim, Keun-Yung;Kim, Hyo-Yeon;Lee, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.519-522
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    • 2015
  • A 6-year-old castrated male Shih-Tzu was admitted to the Gyeongsang Animal Medical Center with hematuria and vomiting. Serum chemistry indicated increases in blood urea nitrogen and creatinine values. Radiography showed radiopaque materials attached to the ventralis of the inner bladder wall. Penile urethra also was filled with radiopaque materials. Ultrasonography revealed bilateral perineal effusion in the kidney, thinned bladder wall, and materials with acoustic shadowing at the caudal extremity of the os penis. Because urination was not identified by urinary obstruction, cystocentesis was performed. Hematuria was diagnosed by urinalysis, but clear crystals were not identified. Owing to failure of securing patency to the bladder using retrohydropropulsion, cystotomy and urethrotomy with retrohydropropulsion were performed. In this report, we describe the clinical and radiographic findings of urethral plugs in a male Shih-Tzu dog, wherein the urethral plugs were treated successfully with hydropropulsion, cystotomy, and urethrotomy. It provides an option for the treatment of urethral plugs in a dog.

Predicting Successful Conservative Surgery after Neoadjuvant Chemotherapy in Hormone Receptor-Positive, HER2-Negative Breast Cancer

  • Ko, Chang Seok;Kim, Kyu Min;Lee, Jong Won;Lee, Han Shin;Lee, Sae Byul;Sohn, Guiyun;Kim, Jisun;Kim, Hee Jeong;Chung, Il Yong;Ko, Beom Seok;Son, Byung Ho;Ahn, Seung Do;Kim, Sung-Bae;Kim, Hak Hee;Ahn, Sei Hyun
    • Journal of Breast Disease
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    • v.6 no.2
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    • pp.52-59
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    • 2018
  • Purpose: This study aimed to determine whether clinicopathological factors are potentially associated with successful breast-conserving surgery (BCS) after neoadjuvant chemotherapy (NAC) and develop a nomogram for predicting successful BCS candidates, focusing on those who are diagnosed with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative tumors during the pre-NAC period. Methods: The training cohort included 239 patients with an HR-positive, HER2-negative tumor (${\geq}3cm$), and all of these patients had received NAC. Patients were excluded if they met any of the following criteria: diffuse, suspicious, malignant microcalcification (extent >4 cm); multicentric or multifocal breast cancer; inflammatory breast cancer; distant metastases at the time of diagnosis; excisional biopsy prior to NAC; and bilateral breast cancer. Multivariate logistic regression analysis was conducted to evaluate the possible predictors of BCS eligibility after NAC, and the regression model was used to develop the predicting nomogram. This nomogram was built using the training cohort (n=239) and was later validated with an independent validation cohort (n=123). Results: Small tumor size (p<0.001) at initial diagnosis, long distance from the nipple (p=0.002), high body mass index (p=0.001), and weak positivity for progesterone receptor (p=0.037) were found to be four independent predictors of an increased probability of BCS after NAC; further, these variables were used as covariates in developing the nomogram. For the training and validation cohorts, the areas under the receiver operating characteristic curve were 0.833 and 0.786, respectively; these values demonstrate the potential predictive power of this nomogram. Conclusion: This study established a new nomogram to predict successful BCS in patients with HR-positive, HER2-negative breast cancer. Given that chemotherapy is an option with unreliable outcomes for this subtype, this nomogram may be used to select patients for NAC followed by successful BCS.

Effects of Parent-Child Interaction Therapy on Parenting Skill and Children's Problem Behaviors: Meta-Analysis (부모-아동 상호작용치료가 양육기술과 아동의 문제행동에 미치는 영향: 메타분석)

  • Park, Min-Kyoung;Bak, Ah-Ream;Yoo, Doo-Han
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.2
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    • pp.50-63
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    • 2018
  • Objective : The purpose of this study is to examine the effects of parent - child interaction therapy on parenting skills and children's problem behaviors by meta - analysis and to provide a basis for intervention methods. Methods : This study was conducted from January 2007 to March 2018 and the study was conducted using the parent-child interaction program for children with disabilities. PubMed and CINAHL, EBSCOhost, Science Direct were used to search for studies, and reference searching was also conducted as a secondary search option. A total of 7 studies was selected to meet the selection criteria, and the final 7 studies were assessed by using the Jadad scale. Statistical tests were performed using the R-meta-analysis program. Results : The effect size of parenting skill was large and the size of the effect of parenting stress was moderate. The children's problem behaviors also showed moderate effect sizes and all p-values were statistically significant (p < .0001). Conclusion : This study examined the effects of parent-child interaction therapy on parenting skills, parenting stress, and children's problem behaviors. Future research is needed to establish the basis for intervention for family involvement in pediatric occupational therapy.

A Spatial Analysis Based on the Amendments in Seoul's 2030 Youth Housing Policy Using Propositional Logic (명제논리 기반 서울시 역세권 2030청년주택 운영기준의 개정효과 분석)

  • Kim, Seong-Hun;Cho, Hyeon-Jun;Choei, Nae-Young;Han, Dae-Jeong;Bak, Min-Ho
    • Journal of Cadastre & Land InformatiX
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    • v.49 no.1
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    • pp.157-179
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    • 2019
  • The Seoul's 2030 Youth-Housing has been regarded as the only option to procure rental housing sites in downtown Seoul. But its supply did not catch up with the initial expectation, and the criticism that it may disrupt the current zoning system of the city has persisted. Consequently, the 2030 Youth-Housing policy has undergone amendments for six times within the last three years, and the significant changes in its guideline also have been made within the last one year. The study, in this context, tries to figure out the tendencies of those changes made in the guidelines so far by analyzing the aspects of the parcels allowable for Youth-Housing as well as the areas allowable for up-zoning. In the process, the propositional logic is to be adopted to draw the scope of the buildable areas for Youth-Housing. For this, the study refines the raw GIS data, inputs the values for each proposition, and proceeds the logical operation to judge every parcel of the city to discern whether it is eligible for a buildable site and/or for up-zoning for Youth-Housing. It is seen that: 1) the buildable sites rather evenly distribute around the peripheral subway-station areas while more concentrating on the quasi-residential and commercial areas; and 2) the areas eligible for up-zoning have the tendency to concentrate more on quasi-residential areas than others.

Clinical Factors Influencing the Trial and Purchase of Bilateral Microphones with Contralateral Routing of Signal in Patients with Asymmetric Sensorineural Hearing Loss

  • Seong, Jeon;Yang, Seung Koo;Jang, Pilkeun;Lee, Sang-Yeon;Carandang, Marge;Choi, Byung-Yoon
    • Korean Journal of Audiology
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    • v.24 no.1
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    • pp.29-34
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    • 2020
  • Background and Objectives: Bilateral microphones with contralateral routing of signal (BiCROS) hearing aid is an option for hearing rehabilitation in individuals with asymmetric sensorineural hearing loss (ASNHL). The clinical factors influencing the trial and purchase of BiCROS were investigated. Subjects and Methods: We reviewed the medical records of 78 patients with ASNHL who were recommended to use BiCROS and analyzed the demographic and audiological factors influencing the trial and purchase of BiCROS. Results: Among the 78 patients, 52 (66.7%) availed of the free BiCROS trial and 21 (26.9%) purchased BiCROS. The mean pure tone audiometry (PTA) air conduction (AC) threshold of the better- and worse-hearing ears were 44.2±12.8 dB and 90.7±22.5 dB HL, respectively. The decision for trial or purchase of BiCROS was not influenced by age, sex, duration of hearing loss of the worse-hearing ear, or PTA AC threshold or speech discrimination score of both ears. The first and third quartiles of the PTA AC thresholds for the better-hearing ear of BiCROS buyers were 38.75 dB and 53.75 dB HL, respectively. The counterpart values for the worse-hearing ear were 72.50 dB and 118.75 dB HL, respectively. Conclusions: The clinical factors analyzed in this study were found to be irrelevant to the trial and purchase of BiCROS in patients with ASNHL. Nevertheless, the distribution range of the auditory thresholds of the subjects using BiCROS can be a useful basis for the counseling of patients with ASNHL and selection of candidates for BiCROS use.

Evaluation of forage production, feed value, and ensilability of proso millet (Panicum miliaceum L.)

  • Wei, Sheng Nan;Jeong, Eun Chan;Li, Yan Fen;Kim, Hak Jin;Ahmadi, Farhad;Kim, Jong Geun
    • Journal of Animal Science and Technology
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    • v.64 no.1
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    • pp.38-51
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    • 2022
  • Whole-plant corn (Zea may L.) and sorghum-sudangrass hybrid [Sorghum bicolor (L.) Moench] are major summer crops that can be fed as direct-cut or silage. Proso millet is a short-season growing crop with distinct agronomic characteristics that can be productive in marginal lands. However, information is limited about the potential production, feed value, and ensilability of proso millet forage. We evaluated proso millet as a silage crop in comparison with conventional silage crops. Proso millet was sown on June 8 and harvested on September 5 at soft-dough stage. Corn and sorghum-sudangrass hybrid were planted on May 10 and harvested on September 10 at the half milk-line and soft-dough stages, respectively. The fermentation was evaluated at 1, 2, 3, 5, 10, 15, 20, 30, and 45 days after ensiling. Although forage yield of proso millet was lower than corn and sorghum-sudangrass hybrid, its relative feed value was greater than sorghum-sudangrass hybrid. Concentrations of dry matter (DM), crude protein, and water-soluble carbohydrate decreased commonly in the ensiling forage crops. The DM loss was greater in proso millet than those in corn and sorghum-sudangrass hybrid. The in vitro dry matter digestibility declined in the forage crops as fermentation progressed. In the early stages of fermentation, pH dropped rapidly, which was stabilized in the later stages. Compared to corn and sorghum-sudangrass hybrid, the concentration of ammonia-nitrogen was greater in proso millet. The count of lactic acid bacteria reached the maximum level on day 10, with the values of 6.96, 7.77, and 6.95 Log10 CFU/g fresh weight for proso millet, corn, and sorghum-sudangrass hybrid, respectively. As ensiling progressed, the concentrations of lactic acid and acetic acid of the three crops increased and lactic acid proportion became higher in the order of sorghum-sudangrass hybrid, corn, and proso millet. Overall, the shorter, fast-growing proso millet comparing with corn and sorghum-sudangrass hybrid makes this forage crop an alternative option, particularly in areas where agricultural inputs are limited. However, additional research is needed to evaluate the efficacy of viable strategies such as chemical additives or microbial inoculants to minimize ammonia-nitrogen formation and DM loss during ensiling.

In Vitro Study on the Bond Strength Between 3D-Printed Resin and Resin Cement for Pediatric Crown Restoration (소아용 크라운 수복을 위한 3D 프린팅 레진과 레진 시멘트 간의 접착 강도 평가)

  • So Yung Kim;Yoosoek Shin;Ik-Hwan Kim;Je Seon Song
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.104-112
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    • 2023
  • A 3D-printed resin crown is a novel option for esthetic crown restoration for primary teeth, which are typically bonded with resin cement. The purpose of this study was to evaluate the bonding ability of a 3D printing resin and compare it with other indirect resin materials for crown fabrication. The shear bond strengths of two 3D printing resin materials, Graphy (GP) and NextDent (NXT), and two indirect resin materials, VIPI Block (VIPI) and MAZIC Duro (MZ), were compared in the study. For all materials, the shear bond strength at the interface between the surface of the resin material and resin cement was measured. The mean shear bond strength values of GP, NXT, MZ, and VIPI were 23.29 ± 3.88, 26.14 ± 4.67, 25.41 ± 4.03, and 18.79 ± 4.26 MPa, respectively. There was no significant difference among the SBSs of GP, NXT and MZ except for VIPI. The result of this study indicates that the 3D printing resin meets the essential requirement for clinical use by showing clinically adequate bond strength.

A Study on Improvement of Air Quality Dispersion Model Application Method in Environmental Impact Assessment (II) - Focusing on AERMOD Model Application Method - (환경영향평가에서의 대기질 확산모델 적용방법 개선 연구(II) - AERMOD 모델 적용방법을 중심으로 -)

  • Suhyang Kim;Sunhwan Park;Hyunsoo Joo;Minseop So;Naehyun Lee
    • Journal of Environmental Impact Assessment
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    • v.32 no.4
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    • pp.203-213
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    • 2023
  • The AERMOD model was the most used, accounting for 89.0%, based on the analysis of the environmental impact assessment reports published in the Environmental Impact Assessment Information Support System (EIASS) between 2021 and 2022. The mismatch of versions between AERMET and AERMOD was found to be 25.3%. There was the operational time discrepancy of 50.6% from industrial complexes, urban development projects between used in the model and applied in estimating pollutant emissions. The results of applying various versions of the AERMET and AERMOD models to both area sources and point sources in both simple and complex terrain in the Gunsan area showed similar values after AERMOD version 12 (15181). Emissions are assessed as 24-hour operation, and the predicted concentration in both simple and complex terrain when using the variable emission coefficient option that applies an 8-hour daytime operation in the model is lowered by 37.42% ~ 74.27% for area sources and by 32.06% ~ 54.45% for point sources. Therefore, to prevent the error in using the variable emission coefficient, it is required to clearly present the emission calculation process and provide a detailed explanation of the composition of modeling input data in the environmental impact assessment reports. Also, thorough reviews by special institutions are essential.

Hate Speech Detection Using Modified Principal Component Analysis and Enhanced Convolution Neural Network on Twitter Dataset

  • Majed, Alowaidi
    • International Journal of Computer Science & Network Security
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    • v.23 no.1
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    • pp.112-119
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    • 2023
  • Traditionally used for networking computers and communications, the Internet has been evolving from the beginning. Internet is the backbone for many things on the web including social media. The concept of social networking which started in the early 1990s has also been growing with the internet. Social Networking Sites (SNSs) sprung and stayed back to an important element of internet usage mainly due to the services or provisions they allow on the web. Twitter and Facebook have become the primary means by which most individuals keep in touch with others and carry on substantive conversations. These sites allow the posting of photos, videos and support audio and video storage on the sites which can be shared amongst users. Although an attractive option, these provisions have also culminated in issues for these sites like posting offensive material. Though not always, users of SNSs have their share in promoting hate by their words or speeches which is difficult to be curtailed after being uploaded in the media. Hence, this article outlines a process for extracting user reviews from the Twitter corpus in order to identify instances of hate speech. Through the use of MPCA (Modified Principal Component Analysis) and ECNN, we are able to identify instances of hate speech in the text (Enhanced Convolutional Neural Network). With the use of NLP, a fully autonomous system for assessing syntax and meaning can be established (NLP). There is a strong emphasis on pre-processing, feature extraction, and classification. Cleansing the text by removing extra spaces, punctuation, and stop words is what normalization is all about. In the process of extracting features, these features that have already been processed are used. During the feature extraction process, the MPCA algorithm is used. It takes a set of related features and pulls out the ones that tell us the most about the dataset we give itThe proposed categorization method is then put forth as a means of detecting instances of hate speech or abusive language. It is argued that ECNN is superior to other methods for identifying hateful content online. It can take in massive amounts of data and quickly return accurate results, especially for larger datasets. As a result, the proposed MPCA+ECNN algorithm improves not only the F-measure values, but also the accuracy, precision, and recall.