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Surgical Outcome of Spinal Cord Hemangioblastomas

  • Park, Chang Hyun;Lee, Chang-Hyun;Hyun, Seung Jae;Jahng, Tae-Ahn;Kim, Hyun-Jib;Kim, Ki-Jeong
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.221-227
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    • 2012
  • Objective : Spinal cord hemangioblastomas are rare tumors. Despite their benign, slow-growing nature, they can cause severe neurological consequences. The purpose of this study was to evaluate variable factors, including clinical features, tumor findings, the extent of resection, and its recurrence or progression, which determine postoperative functional outcomes. Methods : This study included sixteen patients at our institute who underwent microsurgical resection for sporadic spinal intramedullary hemangioblastomas and spinal intramedullary hemangioblastomas associated with von Hippel-Lindau (VHL) disease, between June 2003 and March 2012. Results : A total of 30 operations were performed. Total resection (TR) of the tumor was achieved in 10 patients, and subtotal resection (STR) was achieved in 6. Postoperatively, the initial presenting symptoms were improved in 18.7% of the patients and were unchanged in 56.3%, but 25% were worse. Stable postoperative neurological functions were found in 83% of patients with preoperative McCormick grade I, and TR was achieved in 75% of these patients. In the STR group, poorer neurological status was observed in one patient, despite multiple operations. There were no poorer outcomes in the four cases of VHL disease. Various factors were analyzed, but only a correlation between the pre- and postoperative neurological status was verified in the TR-group patients. Conclusion : Preoperative focal neurological impairment and meticulous microsurgical manipulation may be predictors of favorable outcomes for solitary hemangioblastomas. In addition, the preservation of function is more important than the extent of resection in VHL disease.

Optimization of Submerged Culture Conditions for Mycelial Growth and Exopolysaccharides Production by Agaricus blazei

  • Kim, Hyun-Han;Na, Jeong-Geol;Chang, Yong-Keun;Chun, Gie-Taek;Lee, Sang-Jong;Jeong, Yeon-Ho
    • Journal of Microbiology and Biotechnology
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    • v.14 no.5
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    • pp.944-951
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    • 2004
  • The influences of inoculum size, pH, and medium composition on mycelial growth and exopolysaccharides (EPS) production were investigated in shake flasks and in a bioreactor. The optimum inoculum size for both mycelial growth and EPS production was identified to be 10% (v/v) in shake flask cultures. The optimal initial pH for mycelial growth and EPS production in shake flask cultures were found to be 5.0 and 7.0, respectively. However, the optimal pH was 5.0 for both mycelial growth and EPS production in bioreactor cultures where the pH was regulated. The optimal mass ratio of the two major carbon sources, glucose to dextrin, was 1:4. The optimal mass ratio of the two major nitrogen sources, yeast extract to soy tone peptone, was 2:1. When 500 mg $1^{-1}$ of $MnSO_4-5H_2O$ was added to the bioreactor culture, both mycelial growth and EPS production were enhanced by approximately 10%. Under the optimized conditions, a mycelial biomass of 9.85 g $1^{-1}$ and an EPS concentration of 4.92 g $1^{-1}$ were obtained in 4 days.

The Effect of Mugwort Extract on the Characteristics of Curd Yogurt (쑥 추출물의 첨가가 요구르트 특성에 미치는 영향)

  • 김지인;박신인
    • Journal of Food Hygiene and Safety
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    • v.14 no.4
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    • pp.352-357
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    • 1999
  • Changes in titratable acidity, viable cells and sensory properties of curd yogurt during lactic fermentation in milk added with mugwort extract have been studied. Milk added with 5%, 10%, 15% or 20% of mugwort extract was fermented with single or mixed culture of Lactobacillus bulgaricus and Streptococcus thermophilus for 24 hours. Addition of mugwort extract markedly stimulated the acid production and propagation of lactic acid bacteria. Among the organism tested, the mixed culture of Lactobacillus bulgaricus and Streptococcus thermophilus produced the highest amount of acid, and Lactobacillus bulgaricus showed the highest number of viable cell counts. Sensory property of curd yogurt added with mugwort extract was evaluated as better than reference sample(milk yogurt). The sample prepared by fermenting milk containing mugwort extract at 5% level with Lactobacillus bulgaricus showed the most favorite characteristics.

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Is the Complete Resection of Craniopharyngiomas in Adults Feasible Considering Both the Oncologic and Functional Outcomes?

  • Lee, Eun Jung;Cho, Young Hyun;Hong, Seok Ho;Kim, Jeong Hoon;Kim, Chang Jin
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.432-441
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    • 2015
  • Objective : To assess the impact of the complete resection of craniopharyngioma (CP) in adults on oncologic and functional outcomes. Methods : We retrospectively analyzed 82 patients with CP who were surgically treated by the same neurosurgeon at our institution between January 1994 and December 2012. Results : Gross total resection (GTR) was achieved in 71 patients (86.6%), near total resection (NTR) in 7 patients (8.5%), and subtotal resection (STR) in 3 patients (3.7%). The disease-specific overall survival rate was 100% with the exclusion of 2 surgery-related mortalities. The overall recurrence rate was 12.2% (10 of 82 patients), however the recurrence rate according to extent of resection (EOR) was 9.9% (7 of 71 patients) after GTR, 14.3% (1 of 7 patients) after NTR, and 66.7% (2 of 3 patients) after STR. The overall recurrence-free survival (RFS) rates at 5 and 10 years were 87.0% and 76.8%, respectively. Postoperatively, most patients (86.3%) needed hormone replacement for at least 1 hypothalamic-pituitary axis. Vision improved in 56.4% of the patients with preoperative abnormal vision, but deteriorated in 27.4% of patients. Hypothalamic dysfunction developed in 32.9% of patients. There were no significant differences in the risks of pituitary dysfunction, visual deterioration, or hypothalamic dysfunction between the groups with complete vs. incomplete removal. The overall rate of postoperative complications was 22.0%, which did not differ between groups (p=0.053). Conclusion : The complete removal of a CP at first surgery can provide a chance for a cure with acceptable morbidity and mortality risks.

Weather-sensitive Diseases and Their Correlations with Meteorological Factors: Results from Academic Papers (학술논문 분석을 통한 기상민감질환 선정 및 기상인자와의 관련성고찰)

  • An, Hye Yeon;Jeong, Ju-Hee;Kim, Taehee;Yun, Jinah;Kim, Hyunsu;Oh, Inbo;Lee, Jiho;Won, Kyung-Mi;Lee, Young-Mi;Kim, Yoo-Keun
    • Journal of Environmental Science International
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    • v.25 no.6
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    • pp.839-851
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    • 2016
  • The effect of weather on disease was investigated based on results reported in academic papers. Weather-sensitive disease was selected by analyzing the frequency distributions of diseases and correlations between diseases and meteorological factors (e.g., temperature, humidity, pressure, and wind speed). Correlations between disease and meteorological factors were most frequently reported for myocardial infarction (MI) (28%) followed by chronic ischemic heart disease (CHR) (12%), stroke (STR) (10%), and angina pectoris (ANG) (5%). These four diseases had significant correlations with temperature (meaningful correlation for MI and negative correlations for CHR, STR, and ANG). Selecting MI, as a representative weather-sensitive disease, and summarizing the quantitative correlations with meteorological factors revealed that, daily hospital admissions for MI increased approximately 1.7%-2.2% with each $1^{\circ}C$ decrease in physiologically equivalent temperature. On the days when MI occurred in three or more patients larger daily temperature ranges ($2.3^{\circ}C$ increase) were reported compared with the days when MI occurred in fewer than three patients. In addition, variations in pressure (10 mbar, 1016 mbar standard) and relative humidity (10%) contributed to an 11%-12% increase in deaths from MI and an approximately 10% increase in the incidence of MI, respectively.

Trend Complex Analysis of Exercise Content on the Rings Final in the Korea Cup 2014 (2014 코리아컵 국제체조대회 링 경기 복합연기내용 분석)

  • Song, Joo-Ho;Park, Jong-Hoon;Min, A-Young
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.377-385
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    • 2015
  • The purpose of the study was to perform trend analysis of the exercise content i.e. element difficulty distribution scores, element group distribution scores obtained by the athletes during 2014 Korea Cup International Gymnastic finals. The conclusion drawn from the analysis are as follows: Firstly in terms of tournament technical difficulty value, Korean athletes showed characteristics of reliance on swing element rather than strength hold element which could actually secure higher difficulty scores. Secondly, skill acquisition of higher difficulty value is demanded by taking advantage of familiar characteristics from the swing element i.e. Jonasson and Roll bwd. Slowly with str. arms and body to swallow (2s.). Thirdly, development of sensory training and strengthening exercise program are essential to enhance strength hold technique.

Influence of the material for preformed moulds on the polymerization temperature of resin materials for temporary FPDs

  • Pott, Philipp-Cornelius;Schmitz-Watjen, Hans;Stiesch, Meike;Eisenburger, Michael
    • The Journal of Advanced Prosthodontics
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    • v.9 no.4
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    • pp.294-301
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    • 2017
  • PURPOSE. Temperature increase of $5.5^{\circ}C$ can cause damage or necrosis of the pulp. Increasing temperature can be caused not only by mechanical factors, e.g. grinding, but also by exothermic polymerization reactions of resin materials. The aim of this study was to evaluate influences of the form material on the intrapulpal temperature during the polymerization of different self-curing resin materials for temporary restorations. MATERIALS AND METHODS. 30 provisonal bridges were made of 5 resin materials: Prevision Temp (Pre), Protemp 4 (Pro), Luxatemp Star (Lux), Structure 3 (Str) and an experimental material (Exp). Moulds made of alginate (A) and of silicone (S) and vacuum formed moulds (V) were used to build 10 bridges each on a special experimental setup. The intrapulpal temperatures of three abutment teeth (a canine, a premolar, and a molar,) were measured during the polymerization every second under isothermal conditions. Comparisons of the maximum temperature ($T_{Max}$) and the time until the maximum temperature ($t_{TMax}$) were performed using ANOVA and Tukey Test. RESULTS. Using alginate as the mould material resulted in a cooling effect for every resin material. Using the vacuum formed mould, $T_{Max}$ increased significantly compared to alginate (P<.001) and silicone (P<.001). In groups Lux, Pro, and Pre, $t_{TMax}$ increased when the vacuum formed moulds were used. In groups Exp and Str, there was no influence of the mould material on $t_{TMax}$. CONCLUSION. All of the mould materials are suitable for clinical use if the intraoral application time does not exceed the manufacturer's instructions for the resin materials.

The performance evaluation for H2 reforming of the plate type hydrogen generation system (평판형 수소생산시스템의 수소개질 성능평가)

  • Heo, Su-Bin;Yun, Bong-Seock;Lee, Do-Hyung
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.6
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    • pp.602-608
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    • 2014
  • Hydrogen energy, a field of low-carbon substitute energy, can be produced by fossile fuel reforming and electrolysis of water etc. We developed 1kW class flat type reformer for PEM Fuel Cells. The PEMFC is highly sensitive to carbon monoxide because CO has detrimental effects on the performance of the fuel cell. Thus, reformed gas supplied to Fuel cell system, which maintained CO concentration below 10ppm. After applying optimum drive condition, reformed gas was measured with gas chromatography and could find out about each experimental condition of $H_2$ and CO concentration. As a results, The 1kW class plate type hydrogen generation system's optimum condition is A/F ratio ${\alpha}=1.3$, STR temperature 1023K, S/C ratio 3, and $PrOx1{\cdot}2$ 30cc/min. It turns out that installation of PrOx 2 stage is more efficient for reducing CO concentration.

Antimicrobial resistance and distribution of resistance gene in Enterobacteriaceae and Pseudomonas aeruginosa isolated from dogs and cats (개와 고양이에서 분리된 Enterobacteriaceae와 Pseudomonas aeruginosa의 항균제 내성 및 내성 유전자의 분포)

  • Cho, Jae-Keun;Kim, Jin-Hyun;Kim, Jeong-Mi;Park, Choi-Kyu;Kim, Ki-Seuk
    • Korean Journal of Veterinary Service
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    • v.36 no.3
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    • pp.171-180
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    • 2013
  • This study was carried out to investigate the antimicrobial resistance pattern and distribution of resistance gene in 44 Enterobacteriaceae and 21 Pseudomonas (P) aeruginosa isolated from hospitalized dogs and cats in animal hospital from 2010 to 2011 in Daegu. Among Enterobacteriaceae, Escherichia (E) coli was highly resistant to ampicillin (56.7%), followed by tetracycline (53.3%), cephalothin, streptomycine, sulfamethoxazole/trimethoprim, gentamicin and norfloxacin (40.0~43.3%). The remaining isolates of Enterobacteriaceae had high resistance to ampicillin (64.3%) and streptomycin (42.9%). Whereas, P. aeruginosa was low resistant to all antimicrobials tested (less than 15%). int I 1 gene was detected in 20 (57.1%) of 35 antimicrobial resistant Enterobacteriaceae and 2 (9.5%) of 21 P. aeruginosa., but int I 2 gene was not detected in all isolates. The eight resistance genes were found either alone or combination with other gene (s): $bla_{TEM}$, aadA, strA-strB, clmA, tetA, tetB, sul I and sul II. About 78% of integron-positive isolates were resistance to more than four antimicrobial agents. The findings suggest that class I integrons are widely distributed in E. coli among Enterobacteriaceae from dogs and cats and multi-drug resistance related to the presence of class I integrons. The prudent use of antimicrobials and continuous monitoring for companion animals are required.

Antimicrobial-resistant Escherichia coli isolated from dogs and cats at animal hospitals in Daegu (대구지역 동물병원에서 입원중인 개와 고양이로부터 분리된 항생제 내성 대장균)

  • Cho, Jae-Keun;Kim, Jeong-Mi;Kim, Hwan-Deuk;Kim, Kyung-Hee
    • Korean Journal of Veterinary Service
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    • v.40 no.3
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    • pp.193-200
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    • 2017
  • This study was carried out to investigate the antimicrobial resistance profiles and resistance genes in 62 Escherichia coli isolated from dogs and cats hospitalized at animal hospitals in Daegu. E. coli isolates showed high resistance to nalidixic acid (46.8%) and ampicillin (45.2%). Resistance to the other antimicrobial agents was less than 30%, and no resistant isolates were detected for imipenem and amikacin. Of the 28 ampicillin-resistant isolates, TEM and CTX-M genes were detected in 16 (57.1%) and 11 (39.3%), respectively. The aadA gene was found in 4 (26.7%) of 15 gentamicin-resistant isolates, and strA-strB gene was found in 10 (66.7%) isolates. The sul I and sul II genes were detected in 11 (61.1%) and 14 (77.8%) of 18 trimethoprim/sulfamethoxazole-resistant isolates, and tetB gene in 9 (81.8%) of 11 minocycline-resistant isolates, and cmlA gene in 2 (22.2%) of 8 chloramphenicol-resistant isolates. The qnrB and qnrS genes were found in 3 (10.3%) and 1 (3.4%) of 28 nalidixic acid-resistant isolates, respectively. Whereas, none of the SHV, CMY-2, tetA, dfr Ia and dfr VII, and qnrA genes were found. Our results show a wide variety of resistance genes in E. coli isolates from dogs and cats. This study also represents the first report of qnrB and qnrS gene producing E. coli isolates from dogs in republic of Korea.