• 대한족부족관절학회지
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• 제23권3호
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• pp.91-99
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• 2019

Purpose: This retrospective study reports the intermediate-term clinical outcomes including the practical function in daily and sports activities after total ankle arthroplasty for end-stage rheumatoid arthritis, as well as the effects of modification of perioperative anti-rheumatic medications. Materials and Methods: Twelve patients were followed for a minimum of 2 years after total ankle replacement for end-stage rheumatoid arthritis. Perioperative anti-rheumatic medications in all patients were modified based on a specific guideline. Clinical evaluations consisted of American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM) scores. Periodic radiographic evaluation was conducted to detect changes in ankle alignment and postoperative complications. Results: Mean AOFAS, FAOS, and FAAM scores improved significantly from 37.5 to 81.2, 39.1 to 72.4, and 33.8 to 64.0 points at final follow-up, respectively (p<0.001). Functional outcomes in daily and sports activities at final follow-up were found to be 76.5 and 55.8 points for the FAOS and 70.5 and 57.5 points for the FAAM, respectively. As early postoperative complications, there was one case of local wound necrosis, one case of medial malleolar fracture, and one case of deep peroneal nerve injury. Radiological evaluation revealed two cases of asymptomatic heterotopic ossification and one case of progressive arthritis in the talonavicular joint. Reoperation was performed in only one patient (8.3%) with a medial soft tissue impingement at a mean of 35.6 months follow-up. Conclusion: Total ankle arthroplasty appears to be an effective surgical option for end-stage rheumatoid arthritis. Practical functions in daily and sports activities were significantly improved at intermediate-term follow-up. Modification of perioperative anti-rheumatic medications can be one of the solutions to reduce the postoperative complication rate.

• BMB Reports
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• 제30권6호
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• pp.397-402
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• 1997

A thiol-specific spin label was attached to cysteine-102 of yeast cytochrome c and electron paramagnetic resonance (EPR) spectra were measured as a function of added cytochrome c oxidase concentration. The intensity decreased due to line broadening as cytochrome c formed a complex with cytochrome c oxidase and reached a minimum when the ratio of cytochrome c to cytochrome c oxidase became one. Replacement of either Lys-72 or Lys-87 of cytochrome c by Glu did not result in a significant change in binding affinity. Interestingly the K72E mutant, unlike K87E, had a much lower rate of electron transfer than the wild type. These results indicate that many positively charged residues as a group participate in complex formation but Lys-72 might be important for cytochrome c to be locked in an orientation for an efficient electron transfer. A stoichiometry of 1 was also confirmed by optical absorption of the cytochrome c-cytochrome c oxidase complex which had been run through a gel chromatography cloumn to remove unbound cytochrome c. The EPR spectrum of this 1:1 complex, however, was a mixture of two components. This explains a biphasic kinetics for a single binding site on cytochrome c oxidase without invoking conformational transition.

• 멤브레인
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• 제21권1호
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• pp.22-29
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• 2011

중전기의 유지 보수 및 교체 과정에서 절연체로 사용된 $SF_6$ 가스는 교체 충전과 정제과정에서 유입되는 공기와의 아크 방전에 의해 많은 종류의 부산물($N_2$, $O_2$, $CF_4$, $SO_2$, $H_2O$, HF, $SOF_2$, $CuF_2$, $WO_3$ 등)이 발생된다. 부산물 중에서도 대부분을 차지하는 것이 $N_2$, $O_2$, $CF_4$이며, $SF_6$가스를 재사용하기 위해서는 이들을 효과적으로 분리 회수하는 공정이 필요하다. 주요 부산물인 $N_2$, $O_2$, $CF_4$와의 분리 효율 측면에서 분리막법은 기존의 흡착, 심냉법에 비하여 상대적으로 높은 효율을 보이고 있어 이에 대한 관심 또한 증가하고 있다. 따라서 본 논문에서는 중전기 산업에서 발생되는 $SF_6$ 가스 함유 농도 90 vol% 이상의 가스에 대하여 분리막법을 적용하여 $N_2$, $O_2$, $CF_4$와 $SF_6$ 가스의 온도와 배출유량의 변화에 따른 분리 회수 가능성을 관찰하였다. PSF와 PC 중공사 분리막을 이용하여 고농도 $SF_6$에 대한 분리 회수 실험 결과, PSF 분리막의 최대 회수율은 압력 0.3 MPa, 온도 $25^{\circ}C$, 배출유량 150 cc/min에서 92.7%를 나타내었으며, PC 분리막에서는 압력 0.3 MPa, 온도 $45^{\circ}C$, 배출유량 150 cc/min 일 때 74.8%의 최대 회수율을 나타내었다. 또한, 사용된 두 가지 분리막과 운전 조건에서 주요 부산물인 $N_2$, $O_2$, $CF_4$의 최대 제거율은 각각 약 80%, 74%, 그리고 58.9%가 관찰되었다. 이로부터 분리막 공정은 고농도 폐 $SF_6$ 가스에서 주요 부산물로부터 $SF_6$의 효과적인 분리 및 회수가 가능한 공정으로 적용할 수 있는 가능성을 파악 할 수 있었다.