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Feasibility of Bilateral Crossing C7 Intralaminar Screws : A Cadaveric Study

  • Baek, Tae-Hyun;Kim, Ilsup;Hong, Jae-Taek;Kim, Daniel H.;Shin, Dongsuk;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • 제56권1호
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    • pp.5-10
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    • 2014
  • Objective : When the pedicle screw insertion technique is failed or not applicable, C7 intralaminar screw insertion method has been used as an alternative or salvage fixation method recently. However, profound understanding of anatomy is required for safe application of the bilaterally crossing laminar screw at C7 in clinic. In this cadaveric study, we evaluated the anatomic feasibility of the bilateral crossing intralaminar screw insertion and especially focused on determination of proper screw entry point. Methods : The C7 vertebrae from 18 adult specimens were studied. Morphometric measurements of the mid-laminar height, the minimum laminar thickness, the maximal screw length, and spino-laminar angle were performed and cross-sectioned vertically at the screw entry point (spino-laminar junction). The sectioned surface was equally divided into 3 parts and maximal thickness and surface area of the parts were measured. All measurements were obtained bilaterally. Results : The mean mid-laminar height was 13.7 mm, mean minimal laminar thickness was 6.6 mm, mean maximal screw length was 24.6 mm, and mean spinolaminar angle was $50.8{\pm}4.7^{\circ}$. Based on the measured laminar thickness, the feasibility of 3.5 mm diameter intralaminar screw application was 83.3% (30 sides laminae out of total 36) when assuming a tolerance of 1 mm on each side. Cross-sectional measurement results showed that the mean maximal thickness of upper, middle, and lower thirds was 5.0 mm, 7.5 mm, and 7.3 mm, respectively, and mean surface area for each part was $21.2mm^2$, $46.8mm^2$, and $34.7mm^2$, respectively. Fourteen (38.9%) sides of laminae would be feasible for 3.5 mm intralaminar screw insertion when upper thirds of C7 spino-laminar junction is the screw entry point. In case of middle and lower thirds of C7 spino-laminar junction, 32 (88.9%) and 28 (77.8%) sides of laminae were feasible for 3.5 mm screw insertion, respectively. Conclusion : The vertical cross-sectioned area of middle thirds at C7 spinolaminar junction was the largest area and 3.5 mm screw can be accommodated with 77.8 % of feasibility when lower thirds were the screw entry point. Thus, selection of middle and lower thirds for each side of screw entry point in spino-laminar junction would be the safest way to place bilateral crossing laminar screw within the entire lamina. This anatomic study result will help surgeons to place the screw safely and accurately.

신(新)HSK와 초급용(初級用) TOPIK 어휘 중의 중한(中韓) 동형(同形) 동소(同素) 한자(漢字) 어휘의 비교 연구 (A Comparative Study of New HSK and Entry-Level of TOPIK Written in Sino-Korean in the same form and morpheme of vocabularies)

  • 최금단
    • 비교문화연구
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    • 제30권
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    • pp.187-222
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    • 2013
  • In this study, From 1,560 entry-level of TOPIK standard vocabularies are 702 Sino-Korean words selected which account for 45% of the whole vocabularies in TOPIK. In addition, the same form and morpheme words in Sino-Korean are sorted out by comparing them with 5,000 words of the NEW HSK vocabularies in Sino-Korean morpheme, array position of morpheme, meaning, and usage. Those are categorized into three parts : type of completely the same form-morpheme and same meaning, use, class(189 pairs), type of completely the same form-morpheme and partly same meaning, use, class(28 pairs), and type of completely the same form-morpheme and different meaning, use, class(10 pairs). The first type of words that account for 83.26% of them are used in exactly the same way in both Chinese and Korean. Through an accurate understanding of these vocabularies could either Chinese-speaking Korean learners or Korean-speaking Chinese learners apply those words in their mother tongue to the acquisition of the target language and get more effective means of learning methods for language proficiency test.

삼차신경통에 대한 감마나이프방사선 수술 (Outcome of Gamma Knife Radiosurgery for Trigeminal Neuralgia)

  • 전상룡;이동준;김정훈;김창진;권양;이정교;권병덕
    • Journal of Korean Neurosurgical Society
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    • 제29권9호
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    • pp.1228-1232
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    • 2000
  • 목 적 : 본 연구는 삼차신경통에 대한 감마나이프 방사선 수술을 한 경우에 있어서 그 장기추적 결과를 분석하고자 하였다. 방 법 : 총 증례수는 11례였고 신경근 입구부(nerve root entry zone)에 수술의 목표점으로 최대량 67~85Gy를 조사하였다. 4mm collimator를 사용하였고 목표점은 뇌교의 표면으로부터 1~6mm 원위부 신경근에 위치하였다. 초기 3례에 있어서는 신경근과 뇌교가 만나는 접합부를 방사선수술의 목표점으로 삼았다. 이들 증례에서는 뇌교에 56 혹은 60Gy가 조사되었다. 후반 8례에서는 목표점을 다소 신경근의 원위부로 이동하여 뇌교의 가장자리가 최대량의 20% 이하로 조사되도록 계획하였다. 결 과 : 평균추적 기간은 25개월(13~50개월)이었다. 통증감소의 시작시점은 수술후 일주일내에서부터 길게는 5개월째였다. 통증의 치료결과는 삼례에서 완전소실, 3례에서 현격히 감소(80~90%)하였고 4례에서는 의미있게 감소하였다. 단 한례에서 최종추적결과 수술전과 같은 정도의 통증재발이 있었다. 전례에서 감마나이프 방사선수술과 관련된 의미있는 정도의 부작용은 관찰되지않았다. 결 론 : 장기추적 결과 감마나이프 방사선 수술이 삼차신경통의 치료에 효과적임이 관찰되었고 향후 이 질환에 대한 일차적 치료법으로 정하기 위하여 좀더 많은 치료경험이 필요할 것으로 사료된다.

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$Outback^{(R)}$ $LTD^{TM}$ Catheter를 이용한 표재성 대퇴동맥의 만성동맥폐색증의 성공적인 재개통술: 3예 보고 (The $Outback^{(R)}$ $LTD^{TM}$ Catheter: The Novel Re-Entry Technique in Recanalization of Chronic Inflow Occlusion of the Superficial Femoral Arteries in 3 Cases)

  • 공준혁;허진;김덕실;김성완
    • Journal of Chest Surgery
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    • 제43권6호
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    • pp.785-789
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    • 2010
  • 만성동맥폐색증 환자의 혈관내 시술 시 발생되는 기술적 실패의 가장 많은 이유 중의 하나는 폐색부위를 내막하 진행 후 진강내 재진입의 실패에 기인한다. 진강내 재진입 카테터는 유도철사의 진강내 재진입을 용이하게 하여, 대부분 수술로 전환될 만성폐색질환에서 성공적인 혈관내 시술을 가능하게 한다. 본원에서는 표재성 대퇴동맥의 만성동맥폐색증의 혈관내 시술 시 기존의 장비로 진강내 재진입이 실패한 3예에서 $Outback^{(R)}$ $LTD^{TM}$ catheter를 이용하여 성공적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Toxic Pyrene Metabolism in Mycobacterium gilvum PYR-GCK Results in the Expression of Mammalian Cell Entry Genes as Revealed by Transcriptomics Study

  • Badejo, Abimbola Comfort;Chung, Won Hyong;Kim, Nam Shin;Kim, Se Kye;Chai, Jin Choul;Lee, Young Seek;Jung, Kyoung Hwa;Kim, Hyo Joon;Chai, Young Gyu
    • Journal of Microbiology and Biotechnology
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    • 제24권9호
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    • pp.1170-1177
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    • 2014
  • Mycobacterium gilvum PYR-GCK is a bacterial strain under study for its bioremediation use on heavy hydrocarbon pollutants in the environment. During the course of our study, mammalian cell entry (mce) genes, known to facilitate pathogenicity in M. tuberculosis, were highly expressed during a comparative and substrate-related cultural global transcriptomic study. RNA sequencing of the global transcriptome of the test strain in two different substrates, pyrene and glucose, showed high expression of the mce genes based on the differential results. After validating the expression of these genes with quantitative real-time PCR, we arrived at the conclusion that the genes were expressed based on the pyrene substrate (a phytosterol compound), and sterol metabolism is said to activate the expression of the mce genes in some actinomycetes bacteria, M. gilvum PYR-GCK in this case. This study is believed to be important based on the fact that some mycobacterial strains are undergoing a continuous research as a result of their use in practical bioremediation of anthropogenic exposure of toxic organic wastes in the environment.

Development of an RNA Expression Platform Controlled by Viral Internal Ribosome Entry Sites

  • Ko, Hae Li;Park, Hyo-Jung;Kim, Jihye;Kim, Ha;Youn, Hyewon;Nam, Jae-Hwan
    • Journal of Microbiology and Biotechnology
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    • 제29권1호
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    • pp.127-140
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    • 2019
  • Since 1990, many nucleic acid expression platforms consisting of DNA or RNA have been developed. However, although RNA expression platforms have been relatively neglected, several such platforms capped at the 5' end of RNA by an anti-reverse cap analog have now been developed. At the same time, the capping reaction is a bottleneck in the production of such platforms, with high cost and low efficiency. Here, we investigated several viral and eukaryotic internal ribosome entry sites (IRESs) to develop an optimal RNA expression platform, because IRES-dependent translation does not require a capping step. RNA expression platforms constructed with IRESs from the 5' untranslated regions of the encephalomyocarditis virus (EMCV) and the intergenic region of the cricket paralysis virus (CrPV) showed sufficient expression efficiency compared with cap-dependent RNA expression platforms. However, eukaryotic IRESs exhibited a lower viral IRES expression efficiency. Interestingly, the addition of a poly(A) sequence to the 5' end of the coxsackievirus B3 (CVB3) IRES (pMA-CVB3) increased the expression level compared with the CVB3 IRES without poly(A) (pCVB3). Therefore, we developed two multiexpression platforms (termed pMA-CVB3-EMCV and pCrPV-EMCV) by combining the IRESs of CVB3, CrPV, and EMCV in a single-RNA backbone. The pMA-CVB3-EMCV-derived RNA platform showed the highest expression level. Moreover, it clearly exhibited expression in mouse muscles in vivo. These RNA expression platforms prepared using viral IRESs will be useful in developing potential RNA-based prophylactic or therapeutic vaccines, because they have better expression efficiency and do not need a capping step.

Store-operated Ca2+ entry in muscle physiology and diseases

  • Pan, Zui;Brotto, Marco;Ma, Jianjie
    • BMB Reports
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    • 제47권2호
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    • pp.69-79
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    • 2014
  • $Ca^{2+}$ release from intracellular stores and influx from extracellular reservoir regulate a wide range of physiological functions including muscle contraction and rhythmic heartbeat. One of the most ubiquitous pathways involved in controlled $Ca^{2+}$ influx into cells is store-operated $Ca^{2+}$ entry (SOCE), which is activated by the reduction of $Ca^{2+}$ concentration in the lumen of endoplasmic or sarcoplasmic reticulum (ER/SR). Although SOCE is pronounced in non-excitable cells, accumulating evidences highlight its presence and important roles in skeletal muscle and heart. Recent discovery of STIM proteins as ER/SR $Ca^{2+}$ sensors and Orai proteins as $Ca^{2+}$ channel pore forming unit expedited the mechanistic understanding of this pathway. This review focuses on current advances of SOCE components, regulation and physiologic and pathophysiologic roles in muscles. The specific property and the dysfunction of this pathway in muscle diseases, and new directions for future research in this rapidly growing field are discussed.

Microbial Subversion of Heparan Sulfate Proteoglycans

  • Chen, Ye;Gotte, Martin;Liu, Jian;Park, Pyong Woo
    • Molecules and Cells
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    • 제26권5호
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    • pp.415-426
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    • 2008
  • The interactions between the host and microbial pathogen largely dictate the onset, progression, and outcome of infectious diseases. Pathogens subvert host components to promote their pathogenesis and, among these, cell surface heparan sulfate proteoglycans are exploited by many pathogens for their initial attachment and subsequent cellular entry. The ability to interact with heparan sulfate proteoglycans is widespread among viruses, bacteria, and parasites. Certain pathogens also use heparan sulfate proteoglycans to evade host defense mechanisms. These findings suggest that heparan sulfate proteoglycans are critical in microbial pathogenesis, and that heparan sulfate proteoglycan-pathogen interactions are potential targets for novel prophylactic and therapeutic approaches.

뇌간경색환자에 대한 임상적 고찰 (A Clinical study on the patients of Brain stem infarction)

  • 박규택;김영균;권정남;박숙자
    • 대한한방내과학회지
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    • 제21권5호
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    • pp.729-738
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    • 2000
  • Objective : We examined patients admitted to Dong Eui University Oriental Medical Hospital from 1st January to 31st December in 2000. We studied 110 cases of patients who were diagnosed as Brain stem(pons, mid brain, medullar) infarction with brain CT, MRI scan, MR Angiography. Methods : We analyzed patients into sex, age, onset time, invasion lesion, past and family history, risk factor, abnormal vital sign for early 2 weeks, prodromal symptoms, symptoms at entry, progress and incidental symptoms at acute stage, complications, the state of condition at discharge, demonstrations, herb medications, western and oriental medical cooperation and admission period. Results : Our study was similar to existing studies in the distribution of sex, age, past and family history and risk factors. But there was some differences in the prodromal symptoms, symptoms at entry progress and incidental symptoms at acute stage, and the state of condition at discharge. Conclusions : Our study shows the brain stem infarction patients differed from other cerebrovascular accident patients in the symptoms. We hoped that our study would be further studied in western and oriental medicine.

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터널내 교행 열차의 풍압에 대한 특성법 해석 (Analysis for Characteristics Method on Wind Pressure of Trains Crossing in Tunnel)

  • 남성원
    • 한국철도학회논문집
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    • 제16권6호
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    • pp.454-459
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    • 2013
  • 열차가 터널에 고속으로 진입하면, 압력파가 발생한다. 열차 선두부의 진입에 의하여 발생한 압축파는 터널을 따라 진행되어 터널 출구에서 반사되어 팽창파로 되돌아오며, 후미부의 진입에 의하여 발생한 팽창파도 터널을 따라 전파되어 터널 출구에서 압축파로 반사되어 터널 입구로 되돌아 온다. 열차 선두부 및 후미부에 의하여 발생한 이러한 압력파는 터널 입구 및 출구에서 각각 반사되어 터널 내부를 왕복하며, 차량 객실에 탑승한 승객들에게는 이명감을 일으키고, 터널 출구에서는 환경소음의 일종인 미기압파를 발생시킨다. 터널에서의 큰 압력 변동은 터널의 최적 단면적 설계에도 주요 인자로 고려되고 있으며, 차체의 반복 피로 하중으로 작용하므로, 이에 대한 정량적 및 정성적 분석이 필요하다. 본 연구에서는 고정 격자계를 이용하여 개발한 특성 해법을 교행하는 열차에 대하여 적용하였으며, 교행시의 열차 선두부 및 후미부의 경계 조건식을 개발하여, X-t선도와 같이 해석하였다. 해석 결과, 교행 열차의 특정 터널진입 시간에 압력파 간의 상쇄가 일어남을 알 수 있었다.