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Relationship between Progressive Changes in Lamina Cribrosa Depth and Deterioration of Visual Field Loss in Glaucomatous Eyes

  • Kim, You Na;Shin, Joong Won;Sung, Kyung Rim
    • Korean Journal of Ophthalmology
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    • v.32 no.6
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    • pp.470-477
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    • 2018
  • Purpose: To investigate the relationship between the progression of visual field (VF) loss and changes in lamina cribrosa depth (LCD) as determined by spectral-domain optical coherence tomography (SD-OCT) enhanced depth imaging in patients with primary open angle glaucoma (POAG). Methods: Data from 60 POAG patients (mean follow-up, $3.5{\pm}0.7$ years) were included in this retrospective study. The LCD was measured in the optic disc image using SD-OCT enhanced depth imaging scanning at each visit. Change in the LCD was considered to either 'increase' or 'decrease' when the differences between baseline and the latest two consecutive follow-up visits were greater than the corresponding reproducibility coefficient value ($23.08{\mu}m$, as determined in a preliminary reproducibility study). All participants were divided into three groups: increased LCD (ILCD), decreased LCD (DLCD), and no LCD change (NLCD). The Early Manifest Glaucoma Trial criteria were used to define VF deterioration. Kaplan-Meier survival analysis and Cox's proportional hazard models were performed to explore the relationship between VF progression and LCD change. Results: Of the 60 eyes examined, 35.0% (21 eyes), 28.3% (17 eyes), and 36.7% (22 eyes) were classified as the ILCD, DLCD, and NLCD groups, respectively. Kaplan-Meier survival analysis showed a greater cumulative probability of VF progression in the ILCD group than in the NLCD (p < 0.001) or DLCD groups (p = 0.018). Increased LCD was identified as the only risk factor for VF progression in the Cox proportional hazard models (hazard ratio, 1.008; 95% confidence interval, 1.000 to 1.015; p = 0.047). Conclusions: Increased LCD was associated with a greater possibility of VF progression. The quantitative measurement of LCD changes, determined by SD-OCT, is a potential biomarker for the prediction of VF deterioration in patients with POAG.

Most Reliable Time in Predicting Residual Kyphosis and Stability: Pediatric Spinal Tuberculosis

  • Moon, Myung-Sang;Kim, Sang-Jae;Kim, Min-Su;Kim, Dong-Suk
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.1069-1077
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    • 2018
  • Study Design: A case study. Purpose: To assess the chronological changes of the disease-related kyphosis after chemotherapy alone, secondly to clarify the role of growth cartilage in the healed lesion on kyphosis change, and to define the accurate prediction time in assessing residual kyphosis. Overview of Literature: None of the previous papers up to now dealt with the residual kyphosis, stability and remodeling processes of the affected segments. Methods: One hundred and one spinal tuberculosis children with various stages of disease processes, age 2 to 15 years, were the subject materials, between 1971 to 2010. They were treated with two different chemotherapy formula: before 1975, 18 months of triple chemotherapy (isoniazid [INH], para-aminosalicylic acid, streptomycin); and since 1976, 12 months triple chemotherapy (INH, rifampicin, ethambutol, or pyrazinamide). The first assessment at post-chemotherapy one year and at the final discharge time from the follow-up (36 months at minimum and 20 years at maximum) were analyzed by utilizing the images effect of the remaining growth plate cartilage on chronological changes of kyphosis after initiation of chemotherapy. Results: Complete disc destruction at the initial examination were observed in two (5.0%) out of 40 cervical spine, eight (26.7%) out of 30 dorsal spine, and six (19.4%) out of 31 lumbosacral spine. In all those cases residual kyphosis developed inevitably. In the remainders the discs were partially preserved or remained intact. Among 101 children kyphosis was maintained without change in 20 (19.8%), while kyphosis decreased in 14 children (13.7%), and increased in 67 children (66.3%) with non-recoverably damaged growth plate, respectively. Conclusions: It could tentatively be possible to predict the deformity progress or non-progress and spontaneous correction at the time of initial treatment, but it predictive accuracy was low. Therefore, assessment of the trend of kyphotic change is recommended at the end of chemotherapy. In children with progressive curve change, the deformity assessment should be continued till the maturity.

A New Yellow and Semi-double Gerbera Cultivar 'Sunny Lemon' with Early Flowering and High Yielding (조기개화성 및 다수성 황색 반겹꽃 거베라 신품종 'Sunny Lemon')

  • Park, Sang Kun;Lim, Jin Hee;Choi, Seong Youl;Shin, Hak Ki;Lee, Jung Soo
    • Korean Journal of Breeding Science
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    • v.42 no.6
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    • pp.703-706
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    • 2010
  • A new gerbera cultivar 'Sunny Lemon' was released by the National Institute of Horticultural and Herbal Science (NIHHS) in 2009. A cross was made between 'Pavlov' and 'Patrick' with pink and semi-double in 2006. After investigation of the characteristics for four years (from 2006 to 2009), it was selected for the use of cut flower. 'Sunny Lemon' is a vigorous cultivar with yellow flower color (RHS Y9C), brown center and semi-double. The average flower diameter is 11.0 cm. And inner ray floret and disc diameter are 7.63 cm and 2.59 cm, respectively. Days to first blooming are 84.5, approximately 2 weeks earlier than the standard cultivar. It produces a large yield with continuous supply of cut flowers and has adequate peduncle height. We believe that 'Sunny Lemon' has a great potential for expanding cultivated area of domestic gerbera cultivars and increasing farmers' income.

Association between taste perception, nutrient intake, and mental health in young Japanese women

  • Okayama, Tomoko;Watanabe, Hiroko
    • Nutrition Research and Practice
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    • v.13 no.1
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    • pp.41-46
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    • 2019
  • BACKGROUND/OBJECTIVES: Taste perception is influenced by both nutritional factors and psychological factors. This study was undertaken to measure the 4 basic taste perceptions, nutrient intake, and mental health, and to examine the factors that affect insensitive taste perception in young Japanese women. SUBJECTS/METHODS: Young women in their late teens and twenties were enrolled as subjects. Taste perception was measured by applying the filter-paper disc method over areas of the chorda tympani nerve. Nutritional status was evaluated using brief, self-administered diet history questionnaires. The index of nutritional status was based on the 2015 Japanese dietary reference intakes. Mental health was assessed using the Japanese translation of the Profile of Mood States short version. This study was approved by the ethical committee at Osaka University. RESULTS: The normal taste perception group (four basic tastes [sweet, salty, sour, and bitter] identified as normal taste perception) comprised 55.4% of the subjects, while the abnormal taste perception group (more than 1 abnormal taste perception was perceived, regardless of flavor) comprised 44.6% of the subjects. There were no significant differences in nutrient intake (except manganese) and mental health between the normal and abnormal taste perception groups. Subjects who took 5 mg to less than 7.1 mg zinc per day were at significantly decreased risk of insensitive taste perception compared to subjects who consumed less than 5 mg zinc per day [Regression coefficient 0.831, 95% confidence interval 0.694-0.996]. CONCLUSION: The present results suggest that insensitive taste perception could be associated with zinc deficiency in young women in their late teens and twenties.

A Report on the Status of Cooperation through the Korean Medicine and Western Medicine Collaboration Process (한의학과 서양의학의 협진 프로세스를 통한 협진 현황 보고)

  • Lee, Kang-Joon;Lee, Gyu-Rae;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.129-139
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    • 2019
  • Objectives The purpose of this study is to investigate present status of cooperation through Korean medicine and Western medicine collaboration process. Methods We have established Korean medicine and Western medicine collaboration process to examine the status of cooperation. The medical records were investigated retrospectively, the general characteristics of gender, age of cooperative patients, classification of disease, frequency of medical treatment and type of insurance were analyzed. Results The Korean medicine and Western medicine collaboration process conducted in 4 stages, the convenience of patient movements is considered. A total of 245 people received cooperative medical treatment, 156 were out-patient department (OPD) patients and 89 were hospitalized patients, both group have more women than men. When classified as disease, OPD patients were most diagnosed with Sprain and strain of lumbar spine, while hospitalized patients were most diagnosed with lumbar and other intervertebral disc disorders with radiculopathy. A total of 72.7% patients were received cooperative medical treatment at once. In a survey of cooperative satisfaction, 68.5% of all medical staff responded positively to the treatment effect, and 68.6% said the need for cooperation was necessary. Conclusions As a result of this study, we were able to see the present status of cooperation, and through this, we found an improvement in the continuation of the cooperation. Based on the present study, It is hoped that a cooperative process will emerge that can improve the problems shown in this study.

A Basic Study on the Mobile Separator and Sorter Development of Small and Medium-sized Discharge Site's Mixed Construction Waste in Rural Area (농촌지역 혼합건설폐기물의 중·소규모 배출현장용 이동식 분리선별기 개발을 위한 기초연구)

  • Kim, Byung-Yun;Park, Ji-Sun
    • Journal of the Korean Institute of Rural Architecture
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    • v.21 no.3
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    • pp.17-24
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    • 2019
  • This study aimed to develop a mobile separating and sorting device for discharge sites to separate and sort mixed construction waste generated in small and medium scale in small provincial cities into inorganic materials and combustible materials. The study results can be summarized as follows: 1) As a result of analyzing the existing domestic technology for the separating and sorting mixed construction waste, a device sorting the waste by fusing the vibration screen, disc screen, air blowing methods and the separating and sorting the combustible waste is applied in Korea. 2) In foreign countries, the air blowing, screen, gravity sorters are used for separating and sorting combustible waste in the same way as in Korea. Especially German T Company suggests a construction waste separating and sorting system using an optical sorter. 3) As for the test device for separating and sorting mixed construction waste to be buried in landfill, the processing capacity was set as 16 tons per day. 4) For separating and sorting inorganic materials by granularity, this study set a trommel with two types of diameter as a basic. To operate the mobile all-in-one system, the device is designed to locate a conveyor, a combustible waste conveying device, inside of the trommel. 5) The device is designed in a mobile mode under the concept of primary separating and sorting device, and it can be transported using a 2.5-ton truck minimum. The diameter and length of the trommel are designed to be within 1500mm and 3000mm, respectively. In a further study, an optimized separating and sorting technology is planned to be presented through an experimental study for processing efficiency analysis at the mixed construction waste site by manufacturing the pilot experiment facility reflecting the design elements in the result of this study.

Effect of Thermal Grease on Thermal Conductivity for Mild Steel and Stainless Steel by ASTM D5470 (ASTM D5470 방법으로 연강과 스테인리스강의 열전도도 측정시 열그리스의 영향)

  • Cho, Young-Wook;Hahn, Byung-Dong;Lee, Ju Ho;Park, Sung Hyuk;Baeg, Ju-Hwan;Cho, Young-Rae
    • Korean Journal of Materials Research
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    • v.29 no.7
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    • pp.443-450
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    • 2019
  • Thermal management is a critical issue for the development of high-performance electronic devices. In this paper, thermal conductivity values of mild steel and stainless steel(STS) are measured by light flash analysis(LFA) and dynamic thermal interface material(DynTIM) Tester. The shapes of samples for thermal property measurement are disc type with a diameter of 12.6 mm. For samples with different thickness, the thermal diffusivity and thermal conductivity are measured by LFA. For identical samples, the thermal resistance($R_{th}$) and thermal conductivity are measured using a DynTIM Tester. The thermal conductivity of samples with different thicknesses, measured by LFA, show similar values in a range of 5 %. However, the thermal conductivity of samples measured by DynTIM Tester show widely scattered values according to the application of thermal grease. When we use the thermal grease to remove air gaps, the thermal conductivity of samples measured by DynTIM Tester is larger than that measured by LFA. But, when we did not use thermal grease, the thermal conductivity of samples measured by DynTIM Tester is smaller than that measured by LFA. For the DynTIM Tester results, we also find that the slope of the graph of thermal resistance vs. thickness is affected by the usage of thermal grease. From this, we are able to conclude that the wide scattering of thermal conductivity for samples measured with the DynTIM Tester is caused by the change of slope in the graph of thermal resistance-thickness.

Chemical compositions and biological activities of marine invertebrates from the East Sea of South Korea

  • Kim, Geun-Hyeong;Park, Hyeon-Ho;Chandika, Pathum;Ko, Seok-Chun;Jung, Kyung-Mi;Yoon, Sang Chul;Oh, Taeg-Yun;Kim, Young-Mog;Jung, Won-Kyo
    • Fisheries and Aquatic Sciences
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    • v.22 no.6
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    • pp.13.1-13.9
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    • 2019
  • Background: Marine invertebrates are well known as pivotal bioresources with bioactive substances such as anti-inflammatory sterols, antitumor terpenes, and antimicrobial peptides. However, there are few scientific reports on chemical compositions and bioactivities of marine invertebrates from the East Sea of South Korea. Methods: In this study, chemical compositions and biological activities were evaluated on both 70% EtOH and hot water extracts of 5 species of marine invertebrates (Crossaster papposus japonicus, Actinostola carlgreni, Stomphia coccinea, Actinostola sp., and Heliometra glacialis) collected from the East Sea of South Korea. The antioxidant activities were measured by ABTS radical scavenging assay. The cytotoxicity and anti-inflammatory activity were evaluated using MTT and Griess reagents. Moreover, the antibacterial effect was evaluated using paper disc assay and minimum inhibitory concentration (MIC) assay. Results: In the results of antioxidant activities, 70% EtOH extract of A. carlgreni showed the highest activity ($IC_{50}\;0.19{\pm}0.03mg/ml$) compared to other extracts. Moreover, 70% EtOH extract of A. carlgreni could significantly suppress the nitric oxide (NO) production in lipopolysaccharide-induced RAW 264.7. All extracts treated under $400{\mu}g/ml$ have no cytotoxic effects on RAW 264.7 macrophages. In the antibacterial test, both 70% EtOH extracts of C. papposus japonicus and H. glacialis showed a significant antibacterial effect on Staphylococcus aureus. The MIC values were evaluated at 256 and $512{\mu}g/ml$, respectively. Conclusions: These results suggested the bioactive potentials of marine invertebrates from the East Sea of South Korea in pharmaceutical and nutraceutical applications.

Numerical Study on Medium-Diameter EPB Shield TBM by Discrete Element Method (개별요소법을 이용한 중단면 토압식 쉴드TBM의 수치해석 연구)

  • Choi, Soon-Wook;Park, Byungkwan;Kang, Tae-Ho;Chang, Soo-Ho;Lee, Chulho
    • Journal of the Korean Geosynthetics Society
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    • v.17 no.4
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    • pp.129-139
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    • 2018
  • The Discrete Element Method (DEM) has been widely used in granular material researches. Especially, if material has a large deformation, such as ground, it can be a useful method to analyze. In this study, to simulate ground formations, DEM was used. The main purpose of DEM analysis was to investigate the numerical model which can predict the TBM performance by simulating excavating procedure. The selected EPB TBM has a 7.73 m of diameter and six spokes. And two pre-defined excavation conditions with the different rotation speeds per minute (RPM) of the cutterhead was applied. In the modeled cutterhead, the open ratio of cutterhead was 21.31% and number of cutters (including disc cutter and cutter bit) was 219. From the results, reaction forces and resistant torques at the cutterhead face and cutting tools, were measured and compared. Additionally the muck discharge rate and accumulated muck discharge by the screw auger were evaluated.

The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population

  • Ko, Sangbong;Choi, Wonkee;Lee, Jaejun
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.433-438
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    • 2018
  • Background: Cervical foraminal stenosis (CFS) is one of the degenerative changes of the cervical spine; however, correlations between the severity of stenosis and that of symptoms are not consistent in the literature. Studies to date on the prevalence of stenosis are based on images obtained from the departments treating cervical lesions, and thus patient selection bias may have occurred. The purpose of this study was to investigate the prevalence of CFS according to the site, extent, and morphology of stenosis using cervical computed tomography (CT) images obtained from patients who were visiting not because of symptoms related to the cervical spine, cervical pain, or upper limb pain. Methods: Among patients who underwent CT from January 2016 to March 2016 for reasons other than cervical spine symptoms, a total of 438 subjects were enrolled, and 2,628 cervical disc images (C4-5, C5-6, and C6-7; left and right sides) were examined. Three orthopedic surgeons performed two measurements each at 4-week intervals. Values were used for analysis if matched by more than two surgeons; if no match was found, the median values were used for analysis. The left and right sides on the same axial image were independently classified. Results: Left C5-6 stenosis was most common (24.66%) among patients. At the left C6-7, there were 20 focal types and 33 diffuse types. At bilateral C4-5 and right C6-7, the focal type was more common, whereas at bilateral C5-6 and left C6-7, the diffuse type was more common. Age and the severity of stenosis showed statistically significant correlation at all cervical levels. Conclusions: The prevalence of CFS was highest at the C5-6 level (19.06%). Compared to other levels, focal stenosis was more frequent at C4-5 and diffuse stenosis was more common at C5-6. At C6-7, the incidence of focal stenosis was higher on the right side and that of diffuse stenosis was higher on the left side.