• Title/Summary/Keyword: RHA

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Management of Intractable Cerebrospinal Fluid Collection after Cerebellar Tumor Resection: A Case Report (소뇌 종양 적출 후 두개강 내 발생한 난치성 뇌척수액 고임의 치험례)

  • Rha, Eun Young;Oh, Deuk Young;Kim, Hye Young;Lee, Jung Ho;Moon, Suk Ho;Seo, Je Won;Rhie, Jong Won;Ahn, Sang Tae
    • Archives of Craniofacial Surgery
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    • v.11 no.2
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    • pp.95-98
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    • 2010
  • Purpose: CSF (Cerebrospinal fluid) leakage is the most common complication of neurosurgery. Early management with conservative care or surgery must be followed appropriately due to the increased risk of lethal complications, such as meningitis. We report a case of intractable CSF leakage that occurred after a cerebellar tumor resection, which was treated successfully. Methods: A 53-year old male consulted our department for continuous CSF leakage for 3 months after having received conservative care and lumbar drainage. CSF collection was observed in the dead space of the posterior fossa after a cerebellar tumor resection and postoperative radiotherapy. Using a free latissimus dorsi muscle flap, the dead space within the skull was filled and the defects were covered successfully. Results: At 6 weeks after surgery, the follow-up MRI and CT revealed proper coverage and filling in the area where cerebellar tumor had been removed. No CSF leakage was observed at the postoperative 3 month follow-up. Conclusion: Recurrent CSF leakage was treated after cerebellar tumor resection with a relatively satisfactory result. In terms of the patient's treatment, much better results can be achieved by performing dead space filling using a flap with a sufficient size, in addition to coverage of the defects of the dura.

Comparison of the Results after the Surgical Treatments of the Trimalleolar Ankle Fractures (족관절 삼과 골절에 대한 치료 후 결과 비교)

  • Rha, Jong-Deuk;Park, Hyun-Soo;Lim, Chang-Suk;Jang, Yeung-Soo;Park, Sang-Won;Chung, Tae-Won;Jeon, Yong-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.86-91
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    • 2004
  • Purpose: To evaluate the methods and results of the surgical treatment in the trimalleolar fracture of the ankle. Materials and Methods: We analysed the results of the ankle trimalleolar fracture which were treated with open reduction and internal fixation from January 1999 till September 2003. There were 45 patients who had at least six months follow up, 16 men, and 29 women. We have analysed the mechanism of injury, methods of operation and postoperative complications. Results: The results were assessed on ankle AP, lateral and mortise X-rays and retrospective chart review. There were 30 supination-external rotation, 13 pronation-external rotation, 2 pronation-abduction in the mechanism of injury by Lauge-Hansen classification. Cases of the posterior malleolar fracture which involved more than 25% of the weight bearing surface were 7 (15.6%). Medial malleolar mono-fixation was done in 5 cases, fibular mono-fixation in 2 cases, bimalleolar fixation in 32 cases, trimalleolar fixation in 6 cases. 38 cases (84.4%) were good or excellent in clincal assessment and 39 cases (86.7%) were good or excellent in radiological assessment according to the criteria of the Meyer. There was no difference of results among the surgical treatment methods. Conclusion: The results of our study indicate that the rigid fixation with early ankle motion and weight bearing is needed in ankle trimalleolar fracture. But minimal fixation is not bad in slight displaced fracture. Both anterior approach and posterior approach were useful methods to stabilization the posterior malleolar fracture. And pre-operative evaluation to detect the hidden soft tissue injuries and fracture mechanism is very important to avoid the failure.

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The Factor Analysis of Satisfaction with Temple Food, Motivation for Temple-stay and Revisit Intention to Temple-stay in Temple-stay Tourism (템플스테이 체험관광에 있어서 사찰음식만족도를 중심으로 한 행동요인 분석)

  • Shin, Kyung-Yi;Jeon, Hyo-Woon;Rha, Young-Ah
    • Culinary science and hospitality research
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    • v.20 no.1
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    • pp.238-252
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    • 2014
  • This study aimed to provide a practical suggestion to temple stay tourism by identifying the value of Korean temple food among temple stay tourists. Interviewing method was adopted for the survey carried out from March to June, 2013. Out of 500 distributed survey sheets, 477 were responded, and among them, 5 were excluded due to severe tendency of bias or inconsistency for analysis. For remaining 472 responses, SPSS 18.0 program and AMOS 18.0 version were applied for factor analysis and reliability verification. Then, covariance analysis was carried out to verify the hypothesis of the study. Summary of the results are as follows; 1. Temple stay tourism has a positive effect on experience motivation. 2. Temple stay experience has a positive effect on satisfaction level, intention to recommend and revisit. 3. Satisfaction with temple food experience has a meaningful positive effect on intention to recommend and revisit. Intention to recommend also has a positive effect on intention to revisit.

Mobile App Privacy Checklist for Consumer (모바일 앱 프라이버시 보호를 위한 소비자 체크리스트)

  • Li, Hua-Yu;Kim, Lin-Ah;Rha, Jong-Youn
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.1-12
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    • 2015
  • In recent years, the privacy concern for mobile consumers is emerging as the use of mobile application(apps) is growing according to the rapid spread of mobile devices such as smart phones and tablet PCs. To improve privacy protections in the mobile communications and apps, overseas organizations are announcing guidelines and/or checklists for stake holders. Although personal information protection guidelines for application developers have been prepared in the country, efforts to improve consumer privacy capability is insufficient. Thus, in this paper we first scope the app privacy related guidelines in both domestic and foreign affairs, then present the risk factors of privacy invasion by the stage of mobile application use based on the "Privacy Protection Act", offering privacy checklists for consumers. This checklist will enhance the self-management capability of consumer privacy and create virtuous cycle in the mobile ecosystem.

Effects of the APACHEIII Score, Hypermetabolic Score on the Nutrition Status and Clinical Outcome of the Patients Administered with Total Parenteral Nutrition and Enteral Nutrition (경정영양과 중심정맥영양을 공급받는 환자에서 질병의 상태(APACHEIII Score), 과대사 정도가 영양상태 및 임상적 결과에 미치는 영향)

  • Rha Mi yong;Kim Eun mi;Cho Young Y.;Seo Jeong Meen;Choi Hay mie
    • Korean Journal of Community Nutrition
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    • v.11 no.1
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    • pp.124-132
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    • 2006
  • The aim of this study is to evaluate the clinical outcome. Between January 1,2002 to September 30, 2002, we prospectively and retrospectively recruited III hospitalized patients who received Enteral Nutrition (EN group n = 52) and Total Parenteral Nutrition (TPNgroup n = 59) for more than seven days. The factors of clinical outcomes are costs, incidences of infection, lengths of hospital stay, and changes in weight. The characteristics of patients were investigated, which included nutritional status, disease severity CAP ACHE III score) and hypermetabolic severity Chypermetabolic score). Hypermeta-bolic scores were determined by high fever (> $38^{\circ}C$), rapid breathing (> 30 breaths/min) , rapid pulse rate (> 100 beats/min), leukocytosis (WBC > 12000 $mm^{3}$), leukocytopenia (WBC > 3000 $mm^{3}$), status of infection, inflammatory bowel disease, surgery and trauma. There was a positive correlation between hypermetabolic score and length of hospital stay (ICU), medical cost, weight loss, antibiotics adjusted by age while APACHEIII score did not show correlation to clinical outcome. Medical cost was higher by $18.2\%$ in the TPN group than the EN group. In conclusion, there was a strong negative correlation between the clinical outcome (cost, incidence of infection, hospital stay) and hypermetabolic score. Higher metabolic stress caused more malnutrition and complications. For nutritional management of patients with malnutrition, multiple factors, including nutritional assessment, and evaluation of hypermetabolic severity are needed to provide nutritional support for critically ill patients.

The Surface Morphology and Characteristics of Poly (ethylene Terephthalate) Film (Poly(ethylene Terephthalate) 필름의 표면모폴로지와 표면특성)

  • Kang, In-Sook;Mun, Mi-Hwa;Rha, Jong-Joo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.34 no.11
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    • pp.1880-1888
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    • 2010
  • This study was a preliminary investigation of the influence of surface characteristics of substrates on the detergency of particulate soil. A PET film was surface modified with NaOH and DMF for different times. The surface morphology of the film was scanned by AFM and the surface energies were calculated from the measured contact angles between several solutions and film based on a geometric mean and the Lewis acid base method. The surface morphology of the PET film treated with NaOH and DMF became more etched and swelled with an increased treatment time, respectively. The surface roughness and surface area of film treated with NaOH enlarged with increased treatment time. However, the coefficient of friction of film treated with NaOH and coefficient of friction, surface roughness, and surface area of film treated with DMF increased and then decreased with increased treatment time. The contact angle of film treated with DMF decreased with increased treatment time in water and surfactant solution; however, the effect of treatment time on the contact angle was different in both solutions for film treated with NaOH. By the treatment of PET film with NaOH and DMF, the polar group of the surface energy increased and the nonpolar group decreased; however, the change of total surface energy was not significant.

Induction of Ovulation by Hormone Treatment in Ussurian Bullhead Leiocassis ussuriensis

  • Lim, Sang Gu;Kim, Young Soo;Han, Hyung Kyun;Kim, Kwang Suk;Kim, Dae Jung;Kang, Eon Jong;Son, Sang Gyu;Kim, Eung Oh
    • Development and Reproduction
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    • v.16 no.4
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    • pp.271-277
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    • 2012
  • The effects of ovulation induction in ussurian bullhead, Leiocassis ussuriensis, were investigated by treating ussurian bullhead with hCG, LHRHa, GnRHa, ovaprim, and pimozide. hCG was injected to ussurian bullhead at 0.75% NaCl, 5,000, 10,000, 20,000, and 30,000 IU, respectively. The ovulation inducement rates were 100% in 20,000 and 30,000 IU. Fertilization rates were 82.7% and 79.8%. Hatching rates were 59.4% and 57.2%. Ovulation time was between 16-19 hr The concentrations of LHRHa injected were 0.75 NaCl, 50, 100, 200, 300, and $300{\mu}g/kg$. The ovulation inducement rates were 100% in 300 and $400{\mu}g/kg$. Fertilization and hatching rates were 84.9% and 68.4% at $200{\mu}g/kg$. The times to ovulation were between 23 hr and 34 hr. Ovaprim of 0.75% NaCl, 1.0, 1.5, 2.0, 2.5 and 3.0 ml/kg were injected to the abdominal cavity. The ovulation inducement rate was highest at 2.0 and 3.0 ml/kg to 92% and ovulation time was between 27-38 hr. LHRHa concentrations of 0.75% NaCl, 50, 100, 200, 300 and $400{\mu}g$ were injected with pimozide ($1,000{\mu}g$). Ovulation inducement rate was 100% from 200 to 400 IU with pimozide. Ovulation time was 22-36 h. Fertilization and hatching rates were 88.9% and 70.4% in $200{\mu}g/kg$ with pimozide.

A Case of Solitary Warthin's Tumor from Cervical Lymph Node (주침샘의 병변 없이 경부림프절에 발생한 Warthin씨 종양 1예)

  • Lee, Young-Su;Park, Ji-Su;Rha, Ki Sang;Koo, Bon Seok;Chang, Jae Won
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.39-42
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    • 2015
  • Warthin's tumor is the second most common salivary gland benign tumor, typically occurring in the fifth to seventh decades of life which shows an indolent feature. It is usually found in the parotid gland but occasionally in extra-parotid locations such as peri-parotid lymph node. However, Report of solitary Warthin's tumor in cervical lymph node is unusual. We here report a case of 72-year-old male with simultaneous malignant melanoma on eyelid and cervical lymph node enlargement in cervical level II area thus mimicking malignancy metastasis. After excisional biopsy under the local anesthesia, pathology was reported as papillary cystadenoma lymphomatosum, which is a histologically pathognomic finding of Warthin's tumor. However, there was no suspicious tumorous lesion in major or minor salivary glands. This case suggests that Warthin's tumor should be considered as a possible pathology in solitary lymph node lesion of neck.

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Registered Patents related to Food Delivery Service based on ICT : A Consumer Perspective (소비자 관점에서 분석한 ICT 기반의 음식배달서비스 관련 특허 등록 현황)

  • Kim, Suyoun;Rha, Jong-Youn;Yoon, Jihyun
    • The Korean Journal of Food And Nutrition
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    • v.30 no.6
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    • pp.1199-1209
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    • 2017
  • Food environment has been going through significant changes with the introduction of Information and Communication Technology (ICT). This study was conducted to investigate the current development status of ICT related to food delivery service by analyzing the relevant registered patents according to consumer buying process. Patents registered between 2002 and 2016 were searched with 'food' and 'delivery' as main keywords through Korea Intellectual Property Rights Information Service (www.kipris.or.kr). The search resulted in 624 patents among which 219 patents were related to food delivery service; 108 patents based on ICT were selected and analyzed. The patents were examined by applicant and year. The patents were classified into the six steps of consumer buying process: 'need recognition', 'information search', 'evaluation', 'choice', 'purchase', and 'postpurchase evaluation'. Patents belonging to more than one step were coded to all the corresponding steps. The patents were registered mainly by domestic companies (50.9%) and individuals (35.2%), having shown dramatic increase of registration since 2012. Over 2/3 (67.6%) of the patents were related to the 'purchase' step. About 32% were associated with the 'information search' step. Approximately 18% of the patents were relevant to the 'evaluation' and 'choice' steps, respectively. The numbers of patents related to the 'postpurchase evaluation (13.9%)' and 'need recognition (12.0%)' steps were relatively low. The current ICTs related to food delivery service in Korea were largely associated with service providers' profit generation rather than consumers' benefit. There is still much room for technology development that could contribute to increasing consumers' benefit.

Effect of missing values in detecting differentially expressed genes in a cDNA microarray experiment

  • Kim, Byung-Soo;Rha, Sun-Young
    • Bioinformatics and Biosystems
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    • v.1 no.1
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    • pp.67-72
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    • 2006
  • The aim of this paper is to discuss the effect of missing values in detecting differentially expressed genes in a cDNA microarray experiment in the context of a one sample problem. We conducted a cDNA micro array experiment to detect differentially expressed genes for the metastasis of colorectal cancer based on twenty patients who underwent liver resection due to liver metastasis from colorectal cancer. Total RNAs from metastatic liver tumor and adjacent normal liver tissue from a single patient were labeled with cy5 and cy3, respectively, and competitively hybridized to a cDNA microarray with 7775 human genes. We used $M=log_2(R/G)$ for the signal evaluation, where Rand G denoted the fluorescent intensities of Cy5 and Cy3 dyes, respectively. The statistical problem comprises a one sample test of testing E(M)=0 for each gene and involves multiple tests. The twenty cDNA microarray data would comprise a matrix of dimension 7775 by 20, if there were no missing values. However, missing values occur for various reasons. For each gene, the no missing proportion (NMP) was defined to be the proportion of non-missing values out of twenty. In detecting differentially expressed (DE) genes, we used the genes whose NMP is greater than or equal to 0.4 and then sequentially increased NMP by 0.1 for investigating its effect on the detection of DE genes. For each fixed NMP, we imputed the missing values with K-nearest neighbor method (K=10) and applied the nonparametric t-test of Dudoit et al. (2002), SAM by Tusher et al. (2001) and empirical Bayes procedure by $L\ddot{o}nnstedt$ and Speed (2002) to find out the effect of missing values in the final outcome. These three procedures yielded substantially agreeable result in detecting DE genes. Of these three procedures we used SAM for exploring the acceptable NMP level. The result showed that the optimum no missing proportion (NMP) found in this data set turned out to be 80%. It is more desirable to find the optimum level of NMP for each data set by applying the method described in this note, when the plot of (NMP, Number of overlapping genes) shows a turning point.

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