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Compression Plate Fixation with Autogenous Bone Graft for Humerus Shaft Nonunion (상완골 간부 불유합에 대한 금속판 고정 및 자가골 이식술)

  • Cho, Chul-Hyun;Song, Kwang-Soon;Bae, Ki-Cheor;Kim, In-Kyoo;Kwon, Doo-Hyun
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.33-37
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    • 2009
  • Purpose: To evaluate the results of the compression plate fixation and autogenous bone graft in the management of humerus shaft nonunion. Materials and Methods: Eighteen cases were treated for humerus shaft nonunion using compression plate fixation and an autogenous iliac bone graft. The mean follow-up period was 28 months. Bony union was confirmed from the serial radiographs and the clinical outcomes were assessed according to ASES scoring system. Results: In 12 cases of initial plate fixation, the causes of nonunion were 6 cases of inadequate plate length, 2 with a broken plate, 2 with screw loosening, 1 infection and 1 noncompliance of a psychiatric patient. In 3 cases of initial intramedullary fixation, the cause of nonunion was a distraction of the fracture site. In 3 cases of external fixation, the cause of nonunion was inadequate fixation. All cases showed bony union after an average of 24 weeks. The clinical outcomes were 11 excellent, 6 good and 1 fair. Conclusion: In the treatment for nonunion, compression plate fixation with autogeneous bone graft after complete removal of the fibrous and necrotic tissue is believed to give satisfactory results.

Reverse Total Shoulder Arthroplasty: Early Outcome and Complication Report

  • Park, Yong-Bok;Jung, Sung-Weon;Ryu, Ho-Young;Hong, Jin-Ho;Chae, Sang-Hoon;Min, Kyoung-Bin;Yoo, Jae-Chul
    • Clinics in Shoulder and Elbow
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    • v.17 no.2
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    • pp.68-76
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    • 2014
  • Background: Recently, reverse total shoulder arthroplasty (RTSA) has been accepted as a main treatment option in irreparable massive rotator cuff tear with cuff arthropathy. The purpose of this study was to evaluate the early complication incidence and the preliminary clinical results of RTSAs performed in single institute. Methods: Fifty-seven RTSAs (56 patients) were performed between April 2011 and March 2013. The indications for RTSA were cuff tear arthropathy and irreparable massive rotator cuff tear with or without pseudoparalysis. Exclusion criteria were revision, preoperative infections and fractures. At final follow-up, 45 shoulders were enrolled. Mean follow-up duration was 12.5 months (range, 6-27 months). The mean age at the time of surgery was 73.6 years (range, 58-87 years). All the patients were functionally accessed via Constant score, American Shoulder and Elbow Surgeons (ASES) score, pain and functional visual analogue scale (VAS) scores and active range of motion. Complications were documented as major and minor. Major complications include fractures, infections, dislocations, nerve palsies, aseptic loosening of humeral or glenoid components, or glenoid screw problems. Minor complications include radiographic scapular notching, hematomas, heterotopic ossification, algodystrophy, intraoperative dislocations, intraoperative cement extravasation, or radiographic lucent lines of the glenoid. Results: The mean Constant score increased from 31.4 to 53.8 (p < 0.001). The pain and functional VAS scores improved (5.2 to 2.7, p < 0.001, 4.0 to 6.7, p < 0.001) and active forward flexion improved from $96.9^{\circ}$ to $125.6^{\circ}$ (p = 0.011). One or more complications occurred in 16 (35.6%) of 45 shoulders, with one failure (2.2%) resulting in the removal of implants by late infection. The single most common complication was scapular notching (9 [20%]). There were 4 (8.9%) axillary nerve palsies postoperatively (n=3: transient n. palsy, n=1: Symptom existed at 11 months postoperatively but improving). Conclusions: In a sort term follow-up, RTSA provided substantial gain in overall function. Most common early complications were scapular notching and postoperative neuropathy. Although overall early complication rate was as high as reported by several authors, most of the complications can be observable without compromise to patients' clinical outcome. Long term follow-up is required to clarify the clinical result and overall complication rate.

Amylase Release from Pancreatic Slices of Rat Treated with Adrenergic Drugs (아드레나린성 약물 전처치 흰쥐의 취절편 효소분비에 관한 실험)

  • Kim, Kyung-Hwan;Kim, Hea-Young;Ahn, Young-Soo;Lee, Woo-Choo;Hong, Sa-Suk
    • The Korean Journal of Pharmacology
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    • v.20 no.2
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    • pp.49-57
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    • 1984
  • The exocrine pancreatic secretion is controlled mainly by gastrointestinal hormones as well as cholinergic nerves. The adrenergic influence on exocrine pancreas is thought not to he important and the evidences supporting this contention are still contradictory. In an effort to elucidate the adrenergic influence on the exocrine pancreas, we have determined the amylase release from pancreatic slices of rats treated with adrenergic drugs. The albino rats of either sex, weighing $60{\sim}80\;g$, were decapitated and the uncinate pancreata were isolated and incubated in screw top vials containing 2 ml krebs-Ringer bicarbonate buffer solution gassed with 95% $O_2$ and 5% $CO_2$. These vials were shaken continuously in a waterbath maintained at $37^{circ}C$, and enzyme release was stimulated with acetylcholine$(10^{-5}M)$. For chronic treatment methoxamine$(an\;{\alpha}-adrenergic\;agonist,\;5\;mg/kg)$, isoproterenol (a\;{\beta}-adrenergic\;agonist,\;10\;mg/kg) and reserpine (0.5 mg/kg) along with cholecystokinin octapeptide$(CCK-op,\;2{\mu}g/kg)$ were given i.p. in rats daily for 3, 5, 7, 9 or 12 days. For acute experiment these drugs were added directly to the incubation medium in a concentration of $10^{-5}M$ except CCK-OP $(10^{-9}M)$. The results are summarized as follows. 1) The addition of methoxamine, isoproterenol or reserpine to the incubation medium containing pancreatic slices augmented the release of amylase induced by acetylcholine and among them the effect of isoproterenol was most prominent. 2) Chronic treatment of methoxamine or reserpine caused enhancement of acetylcholine response in amylase release from pancreatic slice throughout the experimental period, but the amylase release was less than that of control by 12 days isoproterenol treatment. 3) In the pancreatic slices obtained from 12 days treatment of CCK-OP, the amylae release responding to acetylcholine was enhanced. By these finding it is suggested that methoxamine, isoproterenol and reserpine had marked influence on the exocrine pancreatic functions in rats and that these effects are due to their inherent actions rather than sympathetic nerve or adrenergic receptor function.

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Study on the rheological, thermal and mechanical properties of thermoplastic starch plasticized by glycerol (열가소성 녹말의 유변학 성질, 열적 성질 및 기계적 성질에 관한 연구)

  • Bui, Duc Nhat;Son, Younggon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.21-26
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    • 2018
  • Thermoplastic starch (TPS) was prepared by mixing starch with glycerol as a plasticizer. The glycerol content ranged from 20 to 35 wt. % and TPS was prepared in a twin screw extruder. The shear viscosity, thermal and mechanical properties of the TPS were investigated. The viscosity of TPS exhibited typical shear thinning behavior: decreasing viscosity with increasing shear rate. The power index, n, increased with increasing glycerol content. This is because as the content of glycerol, a Newtonian fluid, increases, the viscosity behavior of the TPS becomes closer to that of a Newtonian fluid. The thermal behavior of TPS showed that starch and glycerol are miscible. In addition, when TPS was aged for more than one day at room temperature, TPS showed a partially miscible phase structure. The moisture absorbed into the TPS was assumed to change the phase behavior. The mechanical properties of TPS were found to be strongly dependent on the content of the plasticizer. Both the toughness and stiffness increased with increasing plasticizer content. DSC showed that this unusual result was due to the combined effect of humidity and the high amylose content in starch.

Effects of Blend Composition and Compatibilizer on the Mechanical Properties of Polypropylene/Acrylonitrile-Butadiene-Styrene Blends (블렌드 조성과 상용화제가 폴리프로필렌/ABS 블렌드의 기계적 물성에 미치는 영향)

  • Park, Jung-Hoon;Sung, Yu-Taek;Kim, Woo-Nyon;Hong, John-Hee;Hong, Byeong-Kwon;Yoo, Tae-Wook;Yoon, Ho-Gyu
    • Polymer(Korea)
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    • v.29 no.1
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    • pp.19-24
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    • 2005
  • Polymer blends containing polypropylene (PP) with compatibilizers were prepared using twin screw extruder. Physical properties were investigated using universal test machine (UTM) and Izod impact tester. In the PP/acrylonitrilebutadiene-styrene (ABS) blends, mechanical strength was increased with the addition of PP-g-styrene acryloritrile (PP-g-SAN) compatibilizer, and the ductility was increased with the addition of ethylene-ethyl acrylate-maleic anhydride (E-EAMAH-g-SAN) compatibilizer. For the PP/ABS/ polycarbonate (PC)/Nylon-6,6 blends, impact strength was increased with the addition of ethylene glycidylmethacrylate (E-GMA compatibilizer) up to 0.5 phr. In the case of the PP/ABS/PC/Nylon-6,6/poly(methyl methacrylate) (PMMA)/poly(oxymethylene) (POM)/poly(vinyl acetate) (PVC)/poly(butylene terephthalate) (PBT) blends, mechanical properties were increased by the complex compatibilizing effects of PP-g-SAN, E-EA-MAH-g-SAN and E-GMA, respectively.

Rapid Preparation and Quality Control of $^{99m}Tc$-ECD, $MAG_3$ and MIBI using Microwave Heating and Sep-Pak Cartridges (마이크로웨이브와 Sep-Pak 카트리지를 이용한 $^{99m}Tc$-ECD, $MAG_3$, MIBI의 신속한 제조 및 정도관리)

  • Oh, Seung-Jun;Moon, Dae-Hyuk;Ryu, Jin-Sook;Lee, Hee-Kyung
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.4
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    • pp.430-438
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    • 1999
  • Purpose: We evaluated a rapid preparation procedures for the labeling and quality control of $^{99m}Tc$-ECD, $MAG_3$, and MIBI using microwave heating and Sep-Pak cartridges. Materials and Methods: $^{99m}Tc$ labeling of ECD, $MAG_3$, and MIBI kit preparation was performed according to the package inserts with microwave heating modification. Heating time was 10-15 sec, and heating was performed with 3 mm plastic bottle with screw cap to prevent radiation contamination. Labeling efficiency was obtained with $C_{18}$ or Alumina N Sep-Pak cartridges. Results: The radiochemical purity of $93{\sim}96%$ for $^{99m}Tc$-ECD and $95{\sim}99%$ for $^{99m}Tc$-MIBI was obtained using Alumina N Sep-Pak cartridge. The optimum irradiation time of microwave method for 3 ml $^{99m}Tc$-labeled radiopharmaceutical solution was 10 sec for $^{99m}Tc$-ECD and $^{99m}Tc$-MIBI, and 15 sec for $^{99m}Tc-MAG_3$. The results of quality control data with Sep-Pak cartridges were well correlated with TLC method. The total preparation time of these radiopharmcaeuticals was $5{\sim}6min$ including quality control procedure. Conclusion: This study demonstrates that radiopharmaceuticals preparation by microwave heating and quality control by Sep-Pak cartridges can be efficiently utilized as an alternative to the recommended method by manufacturer's manual.

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Properties of Nanocomposites Based on Polymer Blend Containing PVDF, Carbon Fiber and Carbon Nanotube (PVDF를 포함한 고분자 블렌드와 탄소섬유/탄소나노튜브를 이용한 복합재료의 특성)

  • Kim, Jeong Ho;Son, Kwonsang;Lee, Minho
    • Applied Chemistry for Engineering
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    • v.25 no.1
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    • pp.14-19
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    • 2014
  • Nanocomposites based on poly(methyl methacrylate) (PMMA)/poly(vinylidene fluoride) (PVDF) and poly(ethylene terephthalate) (PET)/(PVDF) blended with carbon fibers (CF) and carbon nanotube (CNT) were prepared by melt mixing in the twin screw extruder. Morphologies of the PMMA/PVDF/CF/CNT and PET/PVDF/CF/CNT nanocomposites were investigated using SEM. The aggregation of CNT was observed in PMMA/PVDF/CF/CNT nanocomposites while the good dispersion of CNT was shown in PET/PVDF/CF/CNT nanocomposites. In SEM image of PET/PVDF/CF/CNT nanocomposite, the CNT were mainly located at the PET domain of phase-separated PET/PVDF blend due to the ${\pi}-{\pi}$ interaction between the phenyl ring of PET and graphite sheet of the CNT's surface. In addition, a fairly good compatibility between PET/PVDF matrix and CF was shown in the SEM image. In the case of PET/PVDF nanocomposites blended with the co-addition of CF and CNT, the volume electrical resistivity decreased while no change was observed in PMMA/PVDF/CF/CNT composites. The degree of CNT dispersion in morphology results was consistent with the electrical conductivity results. From the DSC results, the crystallization temperature (Tc) of PET/PVDF/CF/CNT nanocomposites increased due to the co-addition of CF and CNTs acting as a nucleating agent. Flexural modulus of PET/PVDF/CF/CNT were sharply enhanced due to increasing the interaction between PET and CF.

Vitamin Retention in Rice Bran during Extrusion Cooking (Extrusion Cooking처리가 미당(米糖)에 함유하는 비타민의 잔존율에 미치는 영향)

  • Kim, Bok-Nam;Cheigh, Hong-Sik;Lee, Kyu-Han
    • Korean Journal of Food Science and Technology
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    • v.18 no.3
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    • pp.187-191
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    • 1986
  • Vitamin retention in rice bran during the extrusion cooking adapted for the rice bran stabilization was studied. The rice bran of different moisture content (9.5% and 15.6%) were extruded with cooking extruder (screw dia: 100mm. strew rpm:900. L/D ratio: 10.0) under the given conditions of specific power consumption(42.1 67.9 W/Kg) and extrusion temperatures $(99-135^{\circ}C)$. The affected retention rates of thiamine, riboflavin and niacin in extruded rice bran were determined. The extruded rice bran with higher moisture level had a lower or similar vitamin retention rate at lower specific power consumption and extrusion temperatures, relatively. The vitamin retention in extruded rice brail with the same moisture level were gradually decreased by the increased specific politer consumption and extrusion temperatures. The vitamin retention of rice bran during the extrusion cooking for the rice bran stabilization were observed as 89.9-97.0% for thiamin, 83.4- 97.3% for riboflavin and 94.0 - 97.7% for niacin, respectively.

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Bone-Preserving Decompression Procedures Have a Minor Effect on the Flexibility of the Lumbar Spine

  • Costa, Francesco;Ottardi, Claudia;Volkheimer, David;Ortolina, Alessandro;Bassani, Tito;Wilke, Hans-Joachim;Galbusera, Fabio
    • Journal of Korean Neurosurgical Society
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    • v.61 no.6
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    • pp.680-688
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    • 2018
  • Objective : To mitigate the risk of iatrogenic instability, new posterior decompression techniques able to preserve musculoskeletal structures have been introduced but never extensively investigated from a biomechanical point of view. This study was aimed to investigate the impact on spinal flexibility caused by a unilateral laminotomy for bilateral decompression, in comparison to the intact condition and a laminectomy with preservation of a bony bridge at the vertebral arch. Secondary aims were to investigate the biomechanical effects of two-level decompression and the quantification of the restoration of stability after posterior fixation. Methods : A universal spine tester was used to measure the flexibility of six L2-L5 human spine specimens in intact conditions and after decompression and fixation surgeries. An incremental damage protocol was applied : 1) unilateral laminotomy for bilateral decompression at L3-L4; 2) on three specimens, the unilateral laminotomy was extended to L4-L5; 3) laminectomy with preservation of a bony bridge at the vertebral arch (at L3-L4 in the first three specimens and at L4-L5 in the rest); and 4) pedicle screw fixation at the involved levels. Results : Unilateral laminotomy for bilateral decompression had a minor influence on the lumbar flexibility. In flexion-extension, the median range of motion increased by 8%. The bone-preserving laminectomy did not cause major changes in spinal flexibility. Two-level decompression approximately induced a twofold destabilization compared to the single-level treatment, with greater effect on the lower level. Posterior fixation reduced the flexibility to values lower than in the intact conditions in all cases. Conclusion : In vitro testing of human lumbar specimens revealed that unilateral laminotomy for bilateral decompression and bone-preserving laminectomy induced a minor destabilization at the operated level. In absence of other pathological factors (e.g., clinical instability, spondylolisthesis), both techniques appear to be safe from a biomechanical point of view.

Effects of Extrusion and Enzyme Treatment on Extraction of β-Glucan from Agaricus blazei Murill (압출성형과 효소처리가 신령버섯 β-Glucan의 추출에 미치는 영향)

  • Gil, Sun-Kook;Shin, Joong-Yup;Kang, Dae-Il;Ryu, Gi-Hyung
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.3
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    • pp.380-385
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    • 2016
  • This study analyzed changes in ${\beta}$-glucan content in Agaricus blazei Murill concentrates according to extrusion and extraction conditions. Screw speed and feed rate were fixed to 250 rpm, and 100 g/min, respectively. Moisture contents (20 and 30%) and barrel temperature (130 and $140^{\circ}C$) were adjusted. ${\beta}$-Glucan content of the extruded sample at a moisture content of 20% and barrel temperature of $130^{\circ}C$ was higher compared to other extrusion conditions. ${\beta}$-Glucan content of the extruded sample at a moisture content of 20% and barrel temperature of $130^{\circ}C$ treated with Rohament CL enzyme was higher compared to Viscozyme L, and Plantase TL enzyme treatments under the same extrusion conditions. In conclusion, extrusion and pretreatment with Rohament CL enzyme enhanced yield of ${\beta}$-glucan extract.