• Title/Summary/Keyword: Seven Joint

Search Result 327, Processing Time 0.027 seconds

Preemptive pyloroplasty for iatrogenic vagus nerve injury in intrahepatic cholangiocarcinoma patients undergoing extensive left-sided lymph node dissection: a retrospective observational study

  • Hwang, Shin;Jung, Dong-Hwan;Jwa, Eun-Kyoung;Kim, Yumi
    • Journal of Yeungnam Medical Science
    • /
    • v.39 no.3
    • /
    • pp.235-243
    • /
    • 2022
  • Background: Intrahepatic cholangiocarcinoma (ICC) of the left liver often shows left-sided lymph node (LN) metastasis. If gastric lesser curvature is extensively dissected, it can induce an iatrogenic injury to the extragastric vagus nerve branches that control motility of the pyloric sphincter and lead to gastric stasis. To cope with such LN dissection-associated gastric stasis, we performed pyloroplasty preemptively. The objective of this study was to analyze our 20-year experience of preemptive pyloroplasty performed in 10 patients. Methods: We investigated clinical sequences of 10 patients with ICC who underwent preemptive pyloroplasty following left hepatectomy and extended left-sided LN dissection. Incidence of gastric stasis and oncological survival outcomes were analyzed. Results: All 10 patients were classified as stage IIIB due to T1-3N1M0 stage according to the 8th edition of American Joint Committee on Cancer staging system. The overall patient survival rate was 51.9% at 1 year, 25.9% at 2 years, and 0% at 3 years. Seven patients showed uneventful postoperative recovery after surgery. Two patients suffered from gastric stasis, which was successfully managed with supportive care. One patient suffered from overt gastric paresis, which was successfully managed with azithromycin administration for 1 month. Conclusion: We believe that preemptive pyloroplasty is an effective surgical option to prevent gastric stasis in patients undergoing extensive left-sided LN dissection. Azithromycin appears to be a potent prokinetic agent in gastroparesis.

Comparison of survival prediction models for pancreatic cancer: Cox model versus machine learning models

  • Kim, Hyunsuk;Park, Taesung;Jang, Jinyoung;Lee, Seungyeoun
    • Genomics & Informatics
    • /
    • v.20 no.2
    • /
    • pp.23.1-23.9
    • /
    • 2022
  • A survival prediction model has recently been developed to evaluate the prognosis of resected nonmetastatic pancreatic ductal adenocarcinoma based on a Cox model using two nationwide databases: Surveillance, Epidemiology and End Results (SEER) and Korea Tumor Registry System-Biliary Pancreas (KOTUS-BP). In this study, we applied two machine learning methods-random survival forests (RSF) and support vector machines (SVM)-for survival analysis and compared their prediction performance using the SEER and KOTUS-BP datasets. Three schemes were used for model development and evaluation. First, we utilized data from SEER for model development and used data from KOTUS-BP for external evaluation. Second, these two datasets were swapped by taking data from KOTUS-BP for model development and data from SEER for external evaluation. Finally, we mixed these two datasets half and half and utilized the mixed datasets for model development and validation. We used 9,624 patients from SEER and 3,281 patients from KOTUS-BP to construct a prediction model with seven covariates: age, sex, histologic differentiation, adjuvant treatment, resection margin status, and the American Joint Committee on Cancer 8th edition T-stage and N-stage. Comparing the three schemes, the performance of the Cox model, RSF, and SVM was better when using the mixed datasets than when using the unmixed datasets. When using the mixed datasets, the C-index, 1-year, 2-year, and 3-year time-dependent areas under the curve for the Cox model were 0.644, 0.698, 0.680, and 0.687, respectively. The Cox model performed slightly better than RSF and SVM.

Posterior decentering of the humeral head in patients with arthroscopic rotator cuff repair

  • Nakamura, Hidehiro;Gotoh, Masafumi;Honda, Hirokazu;Mitsui, Yasuhiro;Ohzono, Hiroki;Shiba, Naoto;Kume, Shinichiro;Okawa, Takahiro
    • Clinics in Shoulder and Elbow
    • /
    • v.25 no.1
    • /
    • pp.22-27
    • /
    • 2022
  • Background: In some patients with rotator cuff tear (RCT), the axial view of magnetic resonance imaging (MRI) shows subtle posterior decentering (PD) of the humeral head from the glenoid fossa. This is considered to result from a loss of centralization that is typically produced by rotator cuff function. There are few reports on PD in RCT despite the common occurrence of posterior subluxation in degenerative joint disease. In this study, we investigated the effect of PD in arthroscopic rotator cuff repair (ARCR). Methods: We conducted a retrospective study of consecutive patients who underwent ARCR at our institute and were followed-up for at least 1 year. PD was identified as a 2-mm posterior shift of the humeral head relative to the glenoid fossa in the axial MRI view preoperatively. The tear size and fatty degeneration (FD, Goutallier classification) were also evaluated using preoperative MRI. Retears were evaluated through MRI at 1 year postoperatively. Results: We included 135 shoulders in this study. Ten instances of PD (including seven retears) were observed preoperatively. Fifteen retears (three and 12 retears in the small/medium and large/massive tear groups, respectively) were observed postoperatively. PD was significantly correlated with tear size, FD, and retear occurrence (p<0.01 each). The odds ratio for PD in retears was 34.1, which was greater than that for tear size ≥3 cm and FD grade ≥3. Conclusions: We concluded that large tear size and FD contribute to the occurrence of PD. Furthermore, PD could be a predictor of retear after ARCR.

A Study on the Chimi of Hwangnyongsa Temple and the Building Condition of Chimi Installed (황룡사 치미와 사용처의 건축조건 연구)

  • Kim, Sookyung
    • Journal of architectural history
    • /
    • v.31 no.6
    • /
    • pp.59-68
    • /
    • 2022
  • This paper is an architectural historical study on Chimi of Hwangnyongsa Temple. In this research, the shape and cross-section of the chimi are reviewed. The results of the study are as follows. The chimi is a form in which the head part facing the maru is omitted, and the upper and lower body are separated. The upper and lower bonds are assembled into a two types of joint throughout the side of the torso, and then bound with an iron strap. Because of the absence of ridge line in the front, and the narrow curved surface which makes the side plate close to the plane, the entire cross-section is triangular, and the rear plate maintains the shape of the chimi. The naerimmaru connected to the side of the chimi has a slope, so it is clear that the chimi was used on the woojingak-jibung(hipped-roof), and the wing part and back of the chimi are erected on the side roof. The height of the yongmaru and chunyeomaru is about the same and the roofing tiles of those are in contact. The roofing tiles of chunyemaru should be cut to fit the angle of the contacting part. The maru is 30 stories high of roofing tiles as a result of the on-board survey. Based on reference on the shape and timing of the production of chimi, the height of chimi, and the maru is believed to have been built before the Unified Silla Period and used in buildings with at least seven-kan frontage. Buildings corresponding to these construction conditions can be seen as Central hall and East hall in Hwangnyongsa temple.

The Residual Characteristic of Chromafenozide and Pyridalyl in Kale (케일 중 살충제 Chromafenozide와 Pyridalyl의 잔류 특성)

  • Sun, Jung-Hun;Hwang, Kyu-Won;Jeong, Kyoung-Su;Lee, Tae-Hyun;Kim, Hyun-Jin;Park, Sang-Jeong;Moon, Joon-Kwan
    • Korean Journal of Environmental Agriculture
    • /
    • v.41 no.2
    • /
    • pp.125-134
    • /
    • 2022
  • BACKGROUND: It is a very important task to block distribution of the agricultural products contaminated with pesticides in advance to protect consumers from residual pesticides among the agricultural products. Therefore, this study was performed to determine residual characteristics of pesticides in time-dependent manner and present scientific evidences for pre-harvest residue limit (PHRL) setting. METHODS AND RESULTS: The tested pesticides, chromafenozide and pyridalyl were sprayed onto the kale twice (seven day intervals) and then the plant samples were collected at 0 (after 3 hours), 1, 2, 3, 5, 7, and 10 days after the last spraying. Residual concentration of chromafenozide in kale decreased with 74.9% (of decreased fraction, field 1) and 85.3% (field 2) and pyridalyl decreased with 81.2% (field 1) and 85.8% (field 2), calculated by comparisons of the concentrations at 0 day and 10 days. Also biological half-lives of chromafenozide in kale were 5.6 day (field 1) and 3.4 day (field 2), and those of pyridalyl were 4.3 day (field 1) and 3.5 day (field 2). CONCLUSION(S): If the residues of chromafenozide and pyridalyl in kale from 10 days before harvest are less than 37.6 mg/kg and 58.9 mg/kg, respectively, it is expected that safe kale below MRL can be supplied on the pre-harvest day.

Korean Firms' Entry Strategy in Mongolia (한국 기업들의 몽골 시장 진출 전략)

  • Kim, Jai-Rim;Seo, Jeongil;Chung, Sun-Wook
    • Asia-Pacific Journal of Business
    • /
    • v.12 no.4
    • /
    • pp.107-134
    • /
    • 2021
  • Purpose - Korean firms have entered the Mongolia, the world's top 10 resource rich country with huge market potential, since the diplomatic relations between Korea and Mongolia were established in 1990, but little is known about Korean firms' entry strategy in the Mongolian market. With this background, this study aims to investigate the seven cases of Korean firms doing business in Mongolia (SK Telecom, Samsung S1, T-Money, E1 Energy, Cafe Bene, E-Mart, and CU). Methodology - this study is based on numerous primary and secondary data about the Mongolian market, as well as Korean firms in Mongolia. Findings - the following three implications were derived from our case analysis: first, when entering into Mongolia, a thorough analysis of political and social risks and a good understanding of institutional voids should be preceded. Second, for this reason, entering through cooperation with local partners, such as joint ventures or franchising, is expected to increase the possibility of success. Third, unlike in the early days of Korean firms in Mongolia, the business environment in Mongolia has become more stable and predictable, and a friendly atmosphere for Koreans and Korean firms is forming, increasing the possibility of success and settlement of Korean firms. Research implications - this study contributes to extant literature by providing more systematic research on Korean firms in Mongolia and by presenting practical implications through the analysis of success and failure cases of Korean firms in the Mongolian market.

Antioxidant, Anti-inflammatory and Cartilage Regeneration Effects of Euiiin-tang (의이인탕(薏苡仁湯)의 항산화, 항염증 및 연골재생 효과)

  • Hong-Tak Park;Young-Jun Kim;Woo-Seok Shon;Chang-Hoon Woo
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.33 no.3
    • /
    • pp.17-32
    • /
    • 2023
  • Objectives The purpose of this study was to investigate the antioxidant, anti-inflammatory and cartilage regeneration effects of Euiiin-tang water extract (EIIT) in the treatment of monosodium iodoacetate (MIA)-induced osteoarthritis in rats. Methods Animal models were divided into five groups. The normal group didn't do any treatments causing osteoarthritis. The control group was orally administerd distilled water instead of the drug, the positive control group used indomethacin 5 mg/kg, the EIIT 100 group used EIIT 100 mg/kg and the EIIT 200 group used EIIT 200 mg/kg, and seven rats were placed per group. We administered drug to rats for 2 weeks and analyzed oxidative stress-related proteins in joint tissue. Inflammation mediators and inflammatory cytokines induced by the activity of inflammation-related proteins were analyzed. In addition, the expression of anti-inflammatory cytokines and collagen-related factors were analyzed, and H&E staining and Safranin-O staining were performed to see the effect on histopathological changes. Results 1) Oxidative stress-related proteins were significantly reduced. 2) Inflammationrelated proteins, inflammatory mediators and inflammatory cytokines were significantly reduced. 3) Anti-inflammatory cytokines were significantly increased. 4) Collagen proteolysis factors significantly decreased, and collagen degradation inhibitory factor was significantly increased. 5) EIIT administration significantly reduced cartilage degeneration and deformation in H&E staining, and reduced proteoglycan destruction in Safranin-O staining. Conclusions From the above experimental results, it judges that Euiiin-tang has antioxidant, anti-inflammatory, and cartilage regeneration effects on osteoarthritis in rats induced by MIA.

A Design and Demonstration of Future Technology IT Humanities Convergence Education Model (미래기술 IT인문학 융복합 교육모델 설계 및 실증)

  • Eunsun Choi;Namje Park
    • The Journal of the Convergence on Culture Technology
    • /
    • v.9 no.3
    • /
    • pp.159-166
    • /
    • 2023
  • Humanities are as crucial as the technology itself in the intelligent information society. Human-centered convergence information technology (IT), which reflects emotional and human nature, can be considered a unique technology with an optimistic outlook in the unpredictable future. Based on this research background, this paper proposed an education model that can improve the IT humanities capabilities of various learners, including elementary and secondary students, prospective teachers, incumbent teachers, school managers, and the general public, through analysis of previous studies on convergence education models. Furthermore, the practical aspects of the proposed model were closely examined so that the proposed education model could be stably incorporated and utilized in the educational field. There are seven strategies for implementing the education model proposed in this paper, including research on textbooks, teaching and learning materials, activation of research results, maker space creation, global joint research, online education operation, developing living lab governance, and diversification of self-sustaining platforms for sustainable and practical education. In the future, validity verification through expert Delphi is required as a follow-up study.

Radiographic Changes of the Medial Epicondyle in Little League Baseball Player (청소년기 야구선수의 주관절 내상과의 방사선학적 변화)

  • Choi Chang-Hyuk;Eum Dong-Hwan
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.1 no.1
    • /
    • pp.43-48
    • /
    • 2002
  • Purpose : We evaluated radiographic changes and clinical manifestations of the elbow joint to identify the effects of the throwing between dominant and non-dominant arms. Materials and Methods : A hundred and five little leaguer’s baseball player in 5 elementary school and 2 middle school were evaluated for clinical symptoms and radiographic changes about elbow joint. Mean age was 12 years old and average periods of exercise were 32 months. Elbow functions were evaluated using ASES standardized assessment form and radiographic changes of medial epicondyle were examinated for enlargement, separation of the apophyses, fragmentation and irregularity. Results : Thirty seven players (35$\%$) were complained pain with throwing and the average score was 4.8 using visual analog scale. There were no significant differences in range of motion except flexion angle, valgus angle, and strength between dominant arm and non-dominant arm. Valgus laxity was more prominent in dominant arm. Ulnohumeral tenderness, radiocapitellar tenderness and medial flexor origin tenderness were in 18, 6, and 17 cases respectively in dominant arm. Medial epicondyle was enlarged in dominant arm with 13.0 by 6.3 mm compared to non-dominant arm with 11.7 by 6.1 mm. Apophyseal separation was 0.8 mm in dominant arm and 0.5 mm in non-dominant arm. Fragmentation and irregularity were 14 (13$\%$) and 25 (24$\%$) cases respectively in dominant arm. Conclusion : In little league baseball player, it needs usage of ball and bat with appropriate weight, and careful conditioning programs through throwing exercise in order to avoid elbow injuries.

  • PDF

Retrospective Analysis of Canine Tumors(non-mammary and non-cutaneous) in Korea(2003-2006) (개 비유선 및 비피부 유래 종양의 발생현황분석(2003-2006))

  • Bae, Il-Hong;Kang, Min-Soo;Jee, Hyang;You, Mi-Hyeon;Yoon, Jin-Won;Kim, Hyung-Jin;Kim, Dae-Yong
    • Journal of Veterinary Clinics
    • /
    • v.24 no.4
    • /
    • pp.542-549
    • /
    • 2007
  • During a designated period(Jan. 2003$\sim$Jun. 2006), a total of 2,051 biopsy and necropsy cases submitted to Veterinary Medical Teaching Hospital of Seoul National University and local practitioners were diagnosed as canine tumors based on microscopic evaluation in the Department of Veterinary Pathology, College of Veterinary Medicine, Seoul National University. Four hundred and twenty of 2,051 tumor specimens excluding mammary(883, 43.1%) and cutaneous(748, 36.5%) tumors were included in this retrospective study. They were composed of genital tumors(189, 45.0%) followed by alimentary(113, 26.9%), hematopoietic(52, 12.4%), urinary(20, 4.8%), bone & joint(15, 3.6%), ocular & otic(9, 2.1%), respiratory(6, 1.4%), endocrine(6, 1.4%), and miscellaneous(10, 2.4%). Particular top ten tumor most frequently diagnosed were seminoma(48, 11.4%) followed by fibrous epulis(38, 9.0%), lymphoma(38, 9.0%), leiomyoma(33, 7.9%), fibroma(26, 6.2%), ovarian cyst(19, 4.5%), melanoma(15, 3.6%), papilloma(14, 3.3%), cystic endometrial hyperplasia(13, 3.1%), granulosa cell tumor(13, 3.1%) in descending order comprising 257(61.2%). The affected age of the animals with ten frequent tumors ranged from 3 months to 17 years old with a mean of 9.2 years old(n=218). There were no significant sex prevalence except female leiomyoma. The top seven anatomical sites of tumors inclusive were gingiva(62, 14.8%), testis(61, 14.5%), ovary(48, 11.4%), vagina(40, 9.5%), uterus(36, 8.6%), lymph node(30, 7.1%), and spleen(21, 5.0%).