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Operative Treatment of the Clavicular Midshaft Fractures in Adult - A Comparison between Intramedullary Multiple Steinmann Pins Fixation and Reconstruction Plate Fixation - (성인 쇄골 간부 골절의 수술적 치료-골수강내 다발성 Steinmann핀 고정술과 재구성 금속판 고정술과의 비교-)

  • Lee Young Kuk;Gu Hae Seo
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.14-20
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    • 1999
  • Purpose: Despite of the popular use of the reconstruction plate for the fixation of clavicular shaft fractures, some disadventages have been raised such as long period of immobilization, long skin incision, loosening of plate and screws, and increased chance of nonunion due to severe periosteal injury. Thus, the authors have performed intramedullary multiple Steinmann pins fixation that could reduce the disadvantages of plate fixation in order to compare the treatment results between the two groups. Materials & Methods: From 1994. Jan. to 1997. Dec. the department of orthopaedic surgery of the Kwak's hospital treated operatively for 56 cases of the clavicular shaft fractures in adult. 39 cases of them were treated with the plate fixation and 17 cases with the intramedullary multiple Steinmann pins fixation(SP group). Reconstruction plates(Plate group) were used for 26 out of 39 patients treated with plate fixation. Among the Plate group and SP group, each 15 cases were selected by age and sex and compared each other according to the bone union time, union rate, complication, and functional results. The follow-up period was 12 months at the shortest and 48 months at the longest and the average was 16 months. Results: The Plate group showed that the bone union time was 7 weeks and the bone union rate was 93%. The SP group showed 6.5 weeks and 100% respectively. In complication, the Plate group had 1 case of loosening of plate and screws and delayed union; SP group had 1 case of pin migration. The functional results according to Kang's criteria, 87% of the Plate group and 93% of the SP group showed good or excellent. Conclusion : The SP group showed very comparable results in terms of the bone union time, bone union rate, complication, and functional results comparing to the Plate group. The intramedullary multiple Steinmann pins fixation showed several advantages over the reconstruction plate fixation, which were simple operative technique, easy removal of pins, being able to perform immediate postoperative full range of motion exercise. Therefore, the intramedullary multiple Steinmann pins fixation is thought to be one of the useful operative techniques in treatment of the clavicular shaft fractures in adult.

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Genetic Transformation of Chrysanthemum with Cold Regulated Gene (BN115) (저온저항성 유전자를 이용한 국화 형질전환)

  • Han, Soo-Gon;Choi, In-Young;Kang, Chan-Ho;Ko, Bok-Rai;Choi, Joung-Sik;Lee, Wang-Hyu
    • Journal of Plant Biotechnology
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    • v.33 no.1
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    • pp.19-25
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    • 2006
  • With the use of Agrobacterium and gene-gun, cold regulated gene (BN115) has been injected in Chrysanthemum leaf disc and transgenic plants have been produced successfully on the selection media containing phytohormone. To determine the presence of the transferred cold regulated gene (BN115) in the transgenic Chrysanthemum, PCR-amplification indicated the presence of that gene. Real-Time PCR for confirmation of the putative transgenic plants was established. The copy number of cold regulated gene (BN115) is extrapolated on the basis of a standard curve. Serial dilutions of known number of gene copies were in triplicates. In this diagram, PCR cycles are plotted against the fluorescence intensity. The cycle at which the fluorescence reaches a threshold cycle is inversely proportional to the starting amount of target DNA.

Effects of Intramedullary K-wire Insertion on Femoral Lengthening in Canine with Monolateral External Fixator (단측성 외고정 기구를 이용한 개의 대퇴골 신연에 있어서 골수강내 K-강선 삽입의 효과)

  • Hwang, Jae-Min;Kim, Young-Ki;Chin, Hee-Tec;Seok, Seong-Hoon;Lee, Hee-Chun;Koh, Phil-Ok;Chang, Hong-Hee;Lee, Hyo-Jong;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.291-299
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    • 2006
  • During long bone lengthening, there are many disadvantages including axial deviation, malalignment and re-fracture which are commonly encountered inspite of its proven abilities. To study the effects of intramedullary K-wire application on the lengthening of long bone, ten skeletally mature mongrel dogs were separated into two groups(Group I, II). Right femurs of group I(5 dogs) were fixed with only monolateral external fixator after subperiosteal osteotomy. Right femurs of group II(5 dogs) were fixed with mono lateral external fixator and intramedullary K-wire after subperiosteal osteotomy. Lengthening was started at 7 days after the surgery with the rate of 0.5 mm per day for 5 weeks and the dogs were sacrificed after 15 weeks postoperatively to examine histologic differences and evaluate bone mineral density. Radiographic examination at an interval of two weeks was done to evaluate the type of callus formed and to analyze complications including instability of external skeletal fixation and axial deviation. Bone mineral density at the lengthened area and contralateral nonlengthened area were measured using quantitative computerized tomography. Histological examination of regenerated bone was performed using Masson's trichrome stain method. The radiographs demonstrated poor callus formation, higher incidence of axial deviation and screw loosening in the group I compared to the group II. The bone mineral density at the lengthened area in the group II was higher than that of the group I(P<0.05). Histological examination showed that the new bone trabeculae in the group II were greater than that of the group I. In conclusion, the combination of monolateral external fixator and intramedullary K-wire can prevent pin loosening, axial deviation and reduce healing period in dogs.

Preparation of a axis oriented $YBa_2Cu_3O_{7-\delta}$ thin films by RF magnetron sputtering (RF 마그네트론 스퍼터링법에 의한 a-축 배향 $YBa_2Cu_3O_{7-\delta}$박막의 제조)

  • Lee, J.J.;Kim, Y.H.;Shin, J.;Lee, K.H.;Choi, S.S.;Hahn, T.S.
    • Korean Journal of Materials Research
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    • v.4 no.4
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    • pp.459-465
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    • 1994
  • A-axis oriened YBCO thin flims were grown on $LaAIO_{3}$ single crystal substrate by off-axis rf magnetron sputtering method. We used two kinds of process to get a-axis oriented fi1ms;one-step process and two-step process. In one-step process, films are grown in single step in which substrate temperature( $T_s$) is in the range of $590^{\circ}C$ to $680^{\circ}C$. On the other hand, in two step process a-axis oriented thin film templates i f about 30nm thickness is deposited at low temperature first, and subsequently films are grown at elevated temperature to the final thickness of about 100nm. In the case of one step process($T_s$ ~)$600^{\circ}C$), prefered a-axis orientation is dominant and Cu-rich phases segregate at the surface. Segregations decrease and ($00 \ell$) peaks increase upon increasing $T_s$. The films prepared by two step method appeared to have strong(h00) peaks as the deposition rate increased. Microstructure shows pin holes resulted from mixed phases of a-axis and c-axis oriented films. In both cases of one step and two step process, as TS decreases, prepared films show stronger a-axis orientation. However electrical properties of the films are depressed with lower $T_c$ and wider $\Delta T$ as $T_s$ decreases.

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Comparative Study on the Urohyal of the Subfamily Gobioninae of Korea (한국산(韓國産) 모래무지아과(亞科)(Gobioninae) 어류의 미설골(尾舌骨)에 대한 비교연구)

  • Kim, Ik-Soo;Kang, Eon-Jong
    • Korean Journal of Ichthyology
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    • v.1 no.1_2
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    • pp.24-34
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    • 1989
  • We reexamined the skulls of 14 gobionine genera of Korea to study taxonomic status of Gobioninae. The character transformation series found in the morphology of urohyal was very distinct among other skeletal characters. The gobioninae fishes of Korea were divided into 4 groups based on their morphology of urohyal as follows ; 1. Coreoleuciscus, Gnathopogon group ; The horizontal plate of urohyal has a ellipse shape with posterior edge wedged and the length is longer than that of vertical plate. 2. Hemibarbus, Squalidus group ; The horizontal plate has a elongated rhombeus shape with posterior edge pointed and the length is shorter than that of vertical plate. 3. Sarcocheilichthys, Pseudopungtungia, Pseudorasbora, Pungtungia group ; the horizontal plate has a expanded rhombeus shape, the length is longer than that of vertical plate, the hypohyal attatchment is not bifurcated, and the profile of the horizontal and vertical plate curved ventrally. 4. Ladislavia, Gobiobotia, Abbottina, Hicrophysogobio, Pseudogobio, Saurogobio group ; The horizontal plate has a pin or wedge shape expanded anteriorly, the length is shorter than that of vertical plate, and the hypohyal attatchment is thickened laterally. This results agreed with those by the adductor mandibulae complex, the geniohyoideus of cephalic muscles, and the cephalic-lateral line canals.

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An Empirical Study on the Factors Affecting the Usage and Performance of E-trade in Chinese SMEs (중국 중소기업의 전자무역 활용과 성과에 영향을 마치는 요인에 관한 연구)

  • Lee, Jin-Seok;Jiang, Yu-Shan;Cho, Pin
    • International Commerce and Information Review
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    • v.13 no.3
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    • pp.31-53
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    • 2011
  • The purpose of this study is to find out the factors affecting the usage and performance of e-Trade in Chinese Small and Medium-sized Enterprises(SMEs). To achieve the purpose of the study, the research model and hypotheses, depicting the relationship among external factors, internal factors, relationship characteristics, e-Trade usage level, and performance were developed based on the existing literature on e-Trade. To test the significance of the research model and hypotheses, an empirical survey were conducted to the Chinese SMEs in Yangtze River Delta area, which are actively using the e-Trade in their trade processes. According to the result of the statistical analyses on the 85 effective questionnaires from the sample firms, support of the government related institutions(one of the external factors) and CEO's support(one of the internal factors) had significant relationship with e-Trade usage level, but no significant relationship was found between the relationship characteristics and e-Trade usage level. Like the results of the most of the existing literature, e-Trade usage level were formed to significantly affected the e-Trade performance. Finally, based on results of the empirical survey, several implications on the Chinese SME's e-Trade strategies and policy alternatives were proposed as a concluding remark.

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Experimental Study on Buckling Restrained Knee Bracing Systems Using Bolted Channel Sections (볼팅 고정 채널 형강 보강재를 이용한 비좌굴 Knee Bracing System의 내진성능에 대한 실험 연구)

  • Lee, Jin;Lee, Ki-Hak;Lee, Sung-Min;Shin, Ji-Wook;Kim, Young-Min
    • Journal of the Earthquake Engineering Society of Korea
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    • v.13 no.2
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    • pp.37-46
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    • 2009
  • In this study, the seismic performance of the Buckling Restrained Knee Bracing (BRKB) system was evaluated through a pin-connected 1-bay 1-story frame. The BRKB system using a bolted channel section developed was composed of a steel plate as a load-resisting core member and two channel sections as a restrainment of the local and global buckling of the core plate. The main purpose of the BRKB system is to be used as an effective tool to re-strengthen/rehabilitate old low- and mid-rise RC frame buildings, which do not have enough seismic resistance to earthquake loadings. The main variables for the test specimens were the size of the core plates, stiffeners and the use of guide plates. The test results showed that the size of the core plate, which was the main element for the load-resisting member, was the most important parameter to achieve ductile behavior under tension as well as compression, until the maximum displacement exceed twice the design drift limit given by the AISC Seismic Provisions.

Quality Characteristics of Seasoned Skewered Chicken Added with Fermented Carrot Juice (당근발효액 첨가에 따른 닭꼬치의 품질 특성)

  • Kim, Hyun-Jeong;HwangBo, Mi-Hyang;Hwang, Eun-Young;Jung, Young-Tae;Park, Soo-Kyoung;Lee, Sam-Pin;Lee, In-Seon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.38 no.8
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    • pp.1097-1103
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    • 2009
  • This study was conducted to evaluate the quality characteristics of seasoned skewered chicken added with fermented carrot juice (FCJ) during storage at $4^{\circ}C$ for 21 days. The carrot juice was fermented using 2% Leuconostoc mesenteroides SM at $25^{\circ}C$ for 18$\sim$20 hr. Seasoned skewered chicken was produced containing 0, 5% and 10% FCJ. The pH and color values of seasoned skewered chicken were decreased with longer storage periods, while the VBN content was increased during storage. Bacteria was not detected in seasoned skewered chicken containing FCJ. The saturated fatty acid in seasoned skewered chicken decreased with increasing additions of FCJ, whereas the unsaturated fatty acid was increased compared to the control. The texture, resilience, springiness, cohesiveness and chewiness of seasoned skewered chicken were not significantly different, while the hardness of seasoned skewered chicken added with 10% FCJ was significantly the lowest (p<0.05). With regard to sensory evaluation, seasoned skewered chicken added with 10% FCJ resulted in higher overall acceptability than other skewered chickens. These results suggest that manufacture of seasoned skewered chicken added with FCJ can help to improve quality of skewered chicken.

Incorporating a continuous suction system as a preventive measure against fistula-related complications in head and neck reconstructive surgery

  • Chang, Hsien Pin;Hong, Jong Won;Lee, Won Jai;Kim, Young Seok;Koh, Yoon Woo;Kim, Se-Heon;Lew, Dae Hyun;Roh, Tae Suk
    • Archives of Plastic Surgery
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    • v.45 no.5
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    • pp.449-457
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    • 2018
  • Background Although previous studies have focused on determining prognostic and causative variables associated with fistula-related complications after head and neck reconstructive surgery, only a few studies have addressed preventive measures. Noting that pooled saliva complicates wound healing and precipitates fistula-related complications, we devised a continuous suction system to remove saliva during early postoperative recovery. Methods A continuous suction system was implemented in 20 patients after head and neck reconstructive surgery between January 2012 and October 2017. This group was compared to a control group of 16 patients at the same institution. The system was placed orally when the lesion was on the anterior side of the retromolar trigone area, and when glossectomy or resection of the mouth floor was performed. When the orohypopharynx and/or larynx were eradicated, the irrigation system was placed in the pharyngeal area. Results The mean follow-up period was $9.2{\pm}2.4$ months. The Hemovac system was applied for an average of 7.5 days. On average, 6.5 days were needed for the net drain output to fall below 10 mL. Complications were analyzed according to their causes and rates. A fistula occurred in two cases in the suction group. Compared to the control group, a significant difference was noted in the surgical site infection rate (P<0.031). Conclusions Clinical observations showed reduced saliva pooling and a reduction in the infection rate. This resulted in improved wound healing through the application of a continuous suction system.

Identification of disease resistance to soft rot in transgenic potato plants that overexpress the soybean calmodulin-4 gene (GmCaM-4) (대두 칼모듈린 단백질, GmCaM-4를 발현하는 형질전환 감자의 무름병 저항성 확인)

  • Park, Hyeong Cheol;Chun, Hyun Jin;Kim, Min Chul;Lee, Sin Woo;Chung, Woo Sik
    • Journal of Plant Biotechnology
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    • v.47 no.2
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    • pp.157-163
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    • 2020
  • Calmodulin (CaM) mediates cellular Ca2+ signals in the defense responses of plants. We previously reported that GmCaM-4 and 5 are involved in salicylic acid-independent activation of disease resistance responses in soybean (Glycine max). Here, we generated a GmCaM-4 cDNA construct under the control of the cauliflower mosaic virus (CaMV) 35S promoter and transformed this construct into potato (Solanum tuberosum L.). The constitutive over-expression of GmCaM-4 in potato induced high-level expression of pathogenesis-related (PR) genes, such as PR-2, PR-3, PR-5, phenylalanine ammonia-lyase (PAL), and proteinase inhibitorII (pinII). In addition, the transgenic potato plants exhibited enhanced resistance against a bacterial pathogen, Erwinia carotovora ssp. Carotovora (ECC), that causes soft rot disease and showed spontaneous lesion phenotypes on their leaves. These results strongly suggest that a CaM protein in soybean, GmCaM-4, plays an important role in the response of potato plants to pathogen defense signaling.