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Magnetic resonance imaging analysis of screw in-type lateral anchor pull-out in large to massive rotator cuff repair in patients older than 60 years

  • Lee, Sang-Yoon;Noh, Young-Min
    • Clinics in Shoulder and Elbow
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    • v.25 no.1
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    • pp.15-21
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    • 2022
  • Background: This study was performed to identify the incidence of screw in-type lateral anchor pull-out in patients older than 60 years who underwent rotator cuff repair for large to massive rotator cuff tear (RCT). Methods: We reviewed 25 patients over 60 who were diagnosed with large to massive RCT and underwent arthroscopic rotator cuff repair in our hospital from March 2017 to February 2021. Preoperative tear size (anterior to posterior, medial to lateral) was measured via preoperative magnetic resonance imaging (MRI). All 25 patients underwent MRI scanning on postoperative day 1 and at 3 months after surgery. The change of anchor position was measured in axial views on MRI images postoperative day 1 and 3 months after surgery. And it was statistically compared according to bone mineral density (BMD), sex, and number of lateral anchors. Results: Two MRIs (postoperative day 1 and 3 months) in 25 patients were compared. Anchor pull-out occurred in six patients during 3 months (6.7%), and the mean pull-out length difference was 1.56 mm (range, 0.16-2.58 mm). There was no significant difference in the number of pull-out anchors, degree of pull-out difference by comparing BMD (A, BMD≤-2.5; B, BMD>-2.5), sex, or number of anchors used in each surgery (C, two anchors; D, three anchors) (p>0.05). Conclusions: Pull-out of screw in-type anchors was rarely observed and the mean pull-out length difference was negligibly small in our study. The screw in-type lateral anchor seems to be a decent option without concern of anchor pull-out even in elderly patients.

The effects of intensive gait training with body weight support treadmill training on gait and balance in stroke disability patients: a randomized controlled trial

  • Lee, Byung Joon;Lee, Hwang Jae;Lee, Wan Hee
    • Physical Therapy Rehabilitation Science
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    • v.2 no.2
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    • pp.104-110
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    • 2013
  • Objective: The purpose of this study was to investigate the effects of intensive gait training with body weight support treadmill training on gait and balance in stroke disability patients. Design: Randomized controlled trial. Methods: Twenty-six stroke patients (20 men and 6 women) participated in this study. All subjects were hospitalized patients. They were randomly divided into two groups: the experimental group (body weight supported treadmill training group, n=14) and control group (treadmill group, n=12). The mean ages were 52.07 years (experimental group) and 53.83 years (control group). Subjects in both groups received conventional training 10 times/wk. Subjects in the experimental group practiced body weight supported treadmill training for 30 minutes a day, 3 day/wk. Subjects in the control group practiced treadmill training for 30 minutes. The Berg Balance Scale (BBS) and GAITRite were used to evaluate balance and gait parameters (step length, cadence and gait speed) before and after the intervention. Results: BBS scores in the experimental group showed significantly greater improvement ($4.33{\pm}1.54$), compared with the control group (p<0.05). Significantly greater improvement in the gait speed ($24.13{\pm}4.53$ cm/s), affected side step length ($10.40{\pm}3.42$ cm), sound side step length ($11.97{\pm}3.29$ cm), and cadence ($23.88{\pm}5.52$ step/min), compared with the control group (p<0.05). Conclusions: Intensive gait training with Body Weight Support Treadmill Training may improve gait and balance in subacute stroke.

A study of signal control with COSMOS on National Highway (신신호시스템(COSMOS)의 일반국도 적용에 대한 연구)

  • Baek Hyon-Su;Kim Young-Chan;Moon Hak-Yong;Kim Jong-Sik
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.3 no.2 s.5
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    • pp.29-40
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    • 2004
  • The performance of the National Highway is raised, but the capacity of the signalized intersection on the National Highway is low. It's operated by TOD(Time Of Day) mode. To evaluate of the performance of COSMOS(Cycle, Offset, Split Model for Seoul), a real time traffic adaptive signal control system, on the National Highway, studied volume, travel time and queuing length at TOD control and TRC(Traffic responsive Control). Consequently, the average travel speed at TRC is high $2.9\~16.7$km/h then the average travel speed at TOD control. And te queuing length at TRC is low $15\~196m$ then the queuing length at TOD control.

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Development and Application of Critical Pathway for Nasal Bone Fracture Patients (코뼈골절 환자에서 표준진료지침의 개발과 적용)

  • Hwang, Kun;Shin, Jung Yae;Lee, Hye Kyung;Lee, Hwan Jun
    • Quality Improvement in Health Care
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    • v.10 no.2
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    • pp.154-163
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    • 2003
  • Purpose: The aim of this study is to develop and apply the critical pathway to the nasal bone fracture patients and to elucidate its effect. Methods: Critical pathway (CP) sheet and questionnaire were developed by a team approach. Critical pathway were applied to 30 nasal bone fracture patients (CP group) from June 2001 to November 2001. Length of hospitalization, cost for hospitalization and bed turnover rate of CP group were compared to those of the 30 patients who had same disease entities and treated by conventional regimen (control group). Results: Length of hospitalization in the CP group (4.20 day) were significantly shorter than that of control group (6.21 day). Mean cost for hospitalization of the CP group (492,106 won) were significantly lower than that of control group (678,376 won). Bed turnover rate in CP group (2.5) were higher than that of control group. The patients satisfaction for the medical personnel, explanation regarding operation procedure, therapeutic operation fee, and length of hospitalization were all affirmative. Conclusion: Critical pathway that we developed for nasal bone fracture definitely improved the quality of treatment and lowered cost of medical service. Furthermore, other critical pathways should be developed for another facial trauma patients.

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Estimation of Actual Evapotranspiration using Multi-Satellite Data over Korea Peninsula (다중 위성 자료를 이용한 한반도에서의 실제 증발산량 산출에 관한 연구)

  • Lee, Min-Ji;Han, Kyung-Soo;Kim, In-Hwan
    • Journal of Korean Society for Geospatial Information Science
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    • v.19 no.4
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    • pp.145-151
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    • 2011
  • Evapotranspiration (ET) is an important process acrossa wide range of disciplines, including ecology, hydrology and meteorology.In this study, daily actual evapotranspiration (ETa) is based energy balance equation and considering high surface roughness length to estimate. This study was used variety of satellite data and ground observation data in Korea Peninsula from 1 January to 31 December 2009. In this study, sensible heat flux is one of the important parameters of ETa. Measurements of sensible heat flux are, however, complex and can't be easily obtained. So this study was used an empirical coefficient B to simplify estimate of sensible heat flux. The coefficient B in the ETa model requires a careful definition of aerodynamic resistance. So this study proposed ETa model considering aerodynamic resistance and high surface roughness length. This study was conducted validation in comparison of the proposed daily ETa results with Priestley-Taylor ETp.

The Different Growth Rate by Predation Risk in Larval Salamander, Hynobius leechii (한국산 도롱뇽의 포식압 유, 무에 따른 성장률의 변화)

  • Hwang, Ji-Hee;Chung, Hoon
    • Korean Journal of Environment and Ecology
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    • v.25 no.5
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    • pp.666-672
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    • 2011
  • This study examined the different growth rate of larval salamander Hynobius leechii by the predation risk. We collected salamander's eggs from Mountain Inwang. Eggs were treated by two different conditions: (1) cue - which had a predation risk three times a day; (2) no cue - which had no predation risk. Predation risk was conducted by using chemical cue from Chinese minnows. The chemical cue treatment started from the next day after the collection and ended one week after the hatching. Between the first week and the second week after the hatching we fed salamander larvae with tubifex ad. libitium. After the treatment phase, we measured snout - vent length of the each larva on the first week and the second week after the hatching. The results showed that there was a significant difference in the growth rate by the predation risk. From these results we found that predation risk can cause the different growth rate to the larval salamander and these changes could be affect their mortality.

Change of Medical Utilization Claims in Self-employees before and aster the Economic Crisis in Korea (IMF 경제위기 전.후 지역의료보험가입자들의 진료비 청구내용의 변화)

  • Lee, Sin-Jae;Jhang, Won-Ki;Choi, Soon-Ae;Lee, Sang-Yi;Kim, Nam-Soon;Jeong, Baek-Geun;Moon, Ok-Ryun
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.28-34
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    • 2001
  • Objectives : To investigate the changing pattern of medical utilization claims following the economic crisis in Korea. Methods : The original data consisted of the claims of the 'Medical insurance program of self-employees' between 1997 and 1998. The data was selected by medical treatment day ranging between 8 January and 30 June. Medical utilizations were calculated each year by the frequency of claims, visit days for outpatients, length of stay for inpatients, total days of medication, and the sum of expenses. Results : The length of stay as an inpatient in 1998 was decreased 4.7 percent in comparison to 1997. However, inpatient expenses in 1998 increased 10.8 percent as compared to 1997. Inpatient hospital claims in 1998 increased 6.2 percent over 1997, although general hospital inpatient claims in 1998 decreased 3.3 percent in comparison to 1997. The outpatient claim frequency decreased 7.3 in 1998 percent as compared to 1997 Outpatient visit days of in 1998 were decreased 8.5 percent in comparison to that recorded in 1997. Outpatient claim frequencies of 'gu region' in 1998 decreased 10.5 percent comparison to that in 1997, but 'city and gun region' decreased less than 'gu region'. Conclusions : Medical utilization in 1998 deceased in relation to 1997 Medical utilization by outpatients decreased more than that of inpatients. Medical utilization by 'gu region' decreased mere than the other regions.

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Effect of Explant Types, Auxin Concentration and Light Condition on In Vitro Root Production and Alkaloid Content of Rauvolfia serpentina (L.) Benth. ex Kurz

  • Yahya, Andi Fadly;Hyun, Jung-Oh;Lee, Jae-Ho;Jung, Myung-Suk
    • Journal of Korean Society of Forest Science
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    • v.96 no.2
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    • pp.178-182
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    • 2007
  • Rauvolfia serpentina (L.) Benth. ex Kurz is a medicinal plant and an endangered tropical rainforest plant species. Since the field cultivation that aims to fulfill the industrial needs is never accomplished, tissue culture appears to be the most feasible way to improve the quality and quantity of R. serpentina. This experiment used two kinds of explants (roots and shoots) to induce optimal root formation in different combinations of auxin and photoperiod. Each explants exhibited different responses on given treatments. Differentiated root could be produced from explants cultured in IBA 20 mg/L with and without light. The highest number of roots, root length and root weight induced from shoot explants were effective on MS medium containing IBA 20 mg/L and incubated under dark condition, while highest total weight (callus and root) from root explants cultured on MS medium supplemented 10 mg/L IBA and 10 mg/L NAA and incubated under day length (11/13 hr). The root induced from shoot explants produced the highest major alkaloid content. The highest content of ajmaline (2.17 ppm fresh weight) and reserpine (1.30 ppm fresh weight) were observed in shoot explants cultured in MS medium containing combination of IBA 10 mg/L and NAA 10 mg/L and incubated under dark condition, yohimbine (1.47 ppm fresh weight) was in the shoot explants cultured in MS medium containing NAA 20 mg/L and incubated under day length, while serpentine was absent.

Morphological Development of Eggs, Larvae and Juveniles of the Far Eastern Catfish, Silurus asotus in Korea (Pisces: Siluridae)

  • Mun, Seong Jun;Yim, Hu Sun;Han, Kyeong Ho;Park, Jae Min
    • Development and Reproduction
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    • v.21 no.4
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    • pp.399-406
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    • 2017
  • This study was conducted to investigate egg development and larvae morphological development of catfish and to provide basic data to clarify the genetic relationship with Siluriformes fish. The mother fish that was used in this study was caught in the stream of Nakdong River in Uiseong-gun, Gyeongbuk. The temperature range of the breeding was $23.0-25.0^{\circ}C$ (mean $24.0{\pm}1.0^{\circ}C$) and egg size was 1.62-1.70 mm (mean $1.66{\pm}0.05$, n=30). Eggs of catfish began hatching at 54 hours and 40 minutes after fertilization. Immediately after hatching, the total length of larvae was 3.60-3.65 mm (mean $3.62{\pm}0.03$, n=5) and had an egg yolk without swimming ability. On the third day after hatching, the larvae at the medium stage was 8.00-8.65 mm (mean $8.32{\pm}0.45$) in total length, and two pairs of whiskers formed around the mouth were elongated. On the 12th day after hatching, the larvae at the juvenile stage was 16.5-17.0 mm (mean $16.7{\pm}0.35$) in total length, and the stem of each fin was in the range, and the juvenile at this period was morphologically similar to the mother fish.

Estiniation of Genetic Parameters for Body Weight, Shank Length, and Shank Width in Korean Pheaaant (한국꿩의 체중과 정강이 길이 및 정강이 두께에 대한 유전모수 추정에 관한 연구)

  • Kim, J.;Yang, Y.H.
    • Korean Journal of Poultry Science
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    • v.24 no.3
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    • pp.153-160
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    • 1997
  • This study was carried out to estimate the heritability and genetic correlation for body weight, shank length and shank width at various wk of age in growing Korean pheasant. All the measurements were done from one day to 20 wk of age with 4 wk interval. The heritability estimates for body weight were in the range of 0.54~0.59 for male and of 0.49~0.81 for female from 4 to 20 wk of age. The heritability estimates of male and female were in the range of 0.38~0. 82 and 0.41~0.67 for shank length, and of 0.48~0.88 and 0.49~0.71 for shank width, respectively. Genetic and phenotypic correlation coefficients between the measurements at different ages in each trait of body weight, shank length and shank width were medium to high positive values. Because the estimates of heritabilities and genetic correlations were high, the genetic gain for body weight is expected by either a direct selection or an early selection based on the record of early growing stage.

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