This study aims to examine the trend of research articles for the age of youth at 20s during 10 years through topic modeling and keyword network analysis. In results, 'incomes', 'program', 'business start-up', and 'culture' were selected as main keywords, and the research articles were classified into six topics, which were employment support services, values, unstable life, government support policies, religious views, and business start-up support services. Additionally, we found the youth at 20s had higher rate of efficacy for digital technology, pursued efficient consumption of digital information, showed meaningful and athetical patterns of consumption, tried to search for their identity, and showed realistic action in daily. Finally, we raised some questions for value gap among aging groups, inbalance of regional development, and income inequality and suggested long-term youth policies to solve fundamental problems of youth at 20s.
Objective : The treatment of complex intracranial aneurysms remains challenging. One approach is the application of surgical flow alteration to treat aneurysms that are neither clippable, trappable, or coilable. The efficacy and limitations of surgical flow alteration have not yet been established. Methods : Cases of complex aneurysms treated with surgical flow alteration (proximal occlusion with or without bypass, distal occlusion with or without bypass and bypass only) were included in this retrospective study. Results : Among a total of 16 cases, there were 7 giant aneurysms (${\geq}25mm$ diameter) and 9 large aneurysms (>10 mm diameter); 15 of 16 aneurysms were unruptured. There were 8 aneurysms located in the anterior circulation, while the other 8 were in the posterior circulation. Aneurysms were treated with proximal occlusion in 10 cases and distal occlusion in 5 cases; in 1 case, the aneurysm occluded spontaneously after bypass without parent artery occlusion. All but 2 cases underwent prior or concurrent bypass surgery. Complete obliteration of the aneurysm at the latest imaging follow-up was shown in 12 of 16 cases (75.0%). Bypass patency was confirmed in 13 of 15 cases (86.7%). Surgery-related morbidity developed in 3 cases (18.8%, Glasgow outcome scale of 4) and all were perforator infarctions. There were no mortalities. Conclusion : Surgical flow alteration resulted in a high rate of aneurysmal obliteration with acceptable morbidity. Although several limitations remained, it could represent an alternative method for treating complex aneurysms.
Cho, Hoyeon;Jo, Kyung-Il;Yeon, Je Young;Hong, Seung-Chyul;Kim, Jong-Soo
Journal of Korean Neurosurgical Society
/
v.58
no.2
/
pp.107-111
/
2015
Objective : Patients treated with surgical clipping for anterior communicating artery (A-com) aneurysm often complain of anosmia, which can markedly impede their quality of life. We introduce a simple and useful technique to reduce postoperative olfactory dysfunction in A-com aneurysm surgery. Methods : We retrospectively reviewed the medical records of patients who underwent surgical clipping for unruptured aneurysm from 2011-2013 by the same senior attending physician. Since March 2012, olfactory protection using gelfoam and fibrin glue was applied in A-com aneurysm surgery. Therefore we categorized patients in two groups from this time-protected group and unprotected group. Results : Of the 63 enrolled patients, 16 patients showed postoperative olfactory dysfunction-including 8 anosmia patients (protected group : unprotected group=1 : 7) and 8 hyposmia patients (protected group : unprotected group=2 : 6). Thirty five patients who received olfactory protection during surgery showed a lower rate of anosmia (p=0.037, OR 10.516, 95% CI 1.159-95.449) and olfactory dysfunction (p=0.003, OR 8.693, 95% CI 2.138-35.356). Superior direction of the aneurysm was also associated with a risk of olfactory dysfunction (p=0.015, OR 5.535, 95% CI 1.390-22.039). Conclusion : Superior direction of aneurysm appears associated with postoperative olfactory dysfunction. Olfactory protection using gelfoam and fibrin glue could be a simple, safe, and useful method to preserve olfactory function during A-com aneurysm surgery.
Park, Sung-Bae;Han, Moon-Hee;Jahng, Tae-Ahn;Kwon, Bae-Ju;Chung, Chun-Kee
Journal of Korean Neurosurgical Society
/
v.44
no.6
/
pp.364-369
/
2008
Objective : The aim of this study was to evaluate the efficacy of endovascular therapy as a primary treatment for spinal dural arteriovenous fistula (DAVF). Methods : The authors reviewed 18 patients with spinal DAVFs for whom endovascular therapy was considered as an initial treatment at a single institute between 1993 and 2006. NBCA embolization was considered the primary treatment of choice, with surgery reserved for patients in whom endovascular treatment failed. Results : Surgery was performed as the primary treatment in one patient because the anterior spinal artery originated from the same arterial pedicle as the artery feeding the fistula. Embolization was used as the primary treatment modality in 17 patients. with an initial success rate of 82.4%. Two patients with incomplete embolization had to undergo surgery. One patient underwent multiple embolizations, which failed to completely occlude the fistula but relieved the patient's symptoms. Spinal DAVF recurred in two patients (one collateral development and one recanalization) during the follow-up period. The collateral development was obliterated by repeated embolization, but the patient with recanalization refused further treatment. The overall clinical status improved in 15 patients (83.3%) during the follow-up period. Conclusion : Endovascular therapy can be successfully used as a primary treatment for the majority of patients with spinal DAVFs. Although it is difficult to perform in some patients, endovascular embolization should be the primary treatment of choice for spinal DAVF.
Objective: Different types of interbody fusion cages are available for use in the surgical treatment of degenerative cervical diseases. The purpose of this study is to assess the technical feasibility, clinical efficacy and radiological results of intervertebral fusion with a carbon composite Osta-Pek frame cage (Co-Ligne AG, Switzerland) following anterior cervical discectomy. Methods: 41 patients (25males and 16females) with minimum 6months follow-up were included in the study. Disc height, cervical lordotic angle, segmental angle, and fusion rate were assessed by lateral radiographs. In this retrospective analysis, clinical outcome was assessed as evaluated according to Odom's criteria. Results: Fifty-four cages were implanted in 30 single-level, 9 two-level, and 2 three-level procedures. The mean disc height, cervical lordosis angle, segmental angle were $4.2{\pm}1.8mm,\;23.5{\pm}7.2^{\circ},\;2.3{\pm}3.3^{\circ}$ pre-operatively and $5.3{\pm}2.1mm,\;24.2{\pm}8.3^{\circ},\;3.8{\pm}3.5^{\circ}$ at 6months after the surgery. Six months after surgery, there was radiographic evidence of fusion in 92.7% (38/41) of the patients. According to Odom's criteria, 37 of 41 (90.2%) patients experienced good to excellent functional recovery. Conclusion: These clinical and radiological results suggest that the carbon composite Osta-Pek frame cages are safe and effective alternative to autologous bone graft after anterior cervical discectomy for treatment of degenerative cervical disease.
Objective : In recent years, CyberKnife has emerged as an important treatment modality in the management of pituitary adenomas. Treatment results after performing CyberKnife and the complications of this procedure are reviewed. Methods : Twenty-six patients with pituitary adenomas received stereotactic radiosurgery with the CyberKnife (CKRS). The follow-up periods ranged from 7 months to 47 months (mean$\pm$SD : $30{\pm}12.7$ months). The patients consisted of 17 with non-functioning adenomas, 3 with prolactinomas and 6 with acromegaly. The change in the tumor volume, visual acuity, hormonal function, and complications by this therapy were analyzed in each case. Results : The tumor control rate was 92.3%. Hormonal function was improved in all of the 9 (100%) functioning adenomas. Hormonal normalization was observed in 4 of the 9 (44%) patients with a mean duration of 16 months. In two patients (7.6%), visual acuity worsened due to cystic enlargement of the tumor after CKRS. No other complications were observed. Conclusion : CyberKnife is considered safe and effective in selected patients with pituitary adenomas. However, longer follow-up is required for a more complete assessment of late toxicity and treatment efficacy.
We are aim to evaluate antimicrobial effects of the extract of Galla rhois (GR) on the health status and performance of growing and finishing pigs. This study was conducted on the growing and finishing pigs (n = 200) for 130 days in a swine husbandry. The animals were divided with two groups; GR treated group (n = 100) and commercial diet feeding group (n = 100). GR treated animals had provided with commercial diet adding the extract of GR as 0.2%. During the study period, we compared clinical signs, weight increase rate, diet consumption amount, fecal scores, gross findings, necropsy findings, histopathological findings between the treated group and non treated group. After necropsy, bacteria isolation and PCR analysis were conducted with the clinical samples. As the results of this long-term clinical trial, GR showed the antimicrobial effects on respiratory disease and diarrhea. We were identified that GR had the anti-bacterial and anti-viral effects.
Lee, Sung-Il;Choi, Min-Jung;Hur, Jin;Islam, Md Ariful;Khatun, Mst Minara;Baek, Byeong-Kirl;Lee, Chang-Seup;Kakoma, Ibulaimu;Bolye, Stephen M;Srirangananathan, Nammalwar;Young, Edward John
Korean Journal of Veterinary Service
/
v.31
no.3
/
pp.331-338
/
2008
The study was carried out to evaluate the diagnostic efficacy of the tube agglutination test (TAT), enzyme-linked immunosorbent assay (ELISA) and the 2-Mercaptoethanol agglutination test (2-MAT) to detect human brucellosis patients in Korea. We examined 87 serum samples of people in the rural farm areas where bovine brucellosis had been reported. People in this study were divided into seven groups- farmers and their families, veterinarians, veterinary quarantine workers, livestock health control officers, artificial inseminators, livestock traders and healthy control individuals. Among 87 people, 65 were males and 22 were females ranging in age from 13 to 72 years. Of 87 serum samples, ELISA detected 21.84%, TAT detected 11.50% and 2-MAT detected 8.05% Brucella positive sera. Brucella specific IgG ELISA antibody titer was recorder higher in the individuals between the ages of 50 and 65 years. The highest prevalence rate of brucellosis(29.4%) was recorded in the cattle farmers and their family members followed by quarantine veterinary office workers (25%) and practicing veterinarians 01.1%). The majority of the Brucella sero-positive individuals in this study had a history of direct contact with animals.
The paper was reviewed the research results on weed dynamics and effective control methods in direct-seeded rice crop. Direct seeding method resulted in drastic increment of weed growth compared to transplanting method and also changed in troublesome weed flora. Two to three fold more weeds were harvested at the direct seeded rice and weed flora of dominant species shifted toward $C_4$type grass weeds. Some of the important troublesome weeds in direct seeded rice were Echinochloa crus-galle, Oryza saliva ssp spontanea, Leptochloa chinensis. Setaria viridus. Digitaria adsendens, Sesbania exaltata, Aeschynomene indica, Algae, etc. Yield loss due to weed competiton was about 40-60% for water-seeded and about 70-100% for dry-seeded rice while these for transplanted rice were about 25-35% for mechanical transplanting and about 10-20% for manual transplanting, respectively. Integrated weed management concept was neede to approach weed control effectively. Several cultural technologies were very effective to suppress the weed growth. These were tillage operation, water management, seeding date and seeding rate. Crop residues of barley, rice, wheat, oat and italian ryegrass were also effectivly suppressed the paddy weeds particularly to Potamogeton distiuctus, a perennial broadleaf weed. A pathogen of Epicoccosorus nematosporus identified from Eleocharis kuroguwai was an excellent potential bioagent to control the most troublesome perennial sedge weed of E. Kuroguwai without arising any detrimental effect. The herbicidal efficacy of this pathogen was as high as bentazon herbicide. Plant growth regulator of paclobutrazol (pp-333) was another possible alternative to reduce the herbicide use. In current, herbicide exhibited the most conspicuous results to control weeds in direct-seeded rice even though the application technologies were not fully established. Recommendations for herbicide application were suggested for in both water-and dry-seeded rice in USA, Japan and Korea, respectively. To make better and comprehensive recommendations further studies on weed ecology and herbicide development were emphasized.
With the increasing cultivation of acid-loving plants such as blueberries, the artificial acidification of soils is frequently required. This research was conducted to determine the application rates of elemental sulfur (S) required in the soil acidification for blueberry cultivation. Laboratory incubation experiment was conducted to acidify three arable soils (pH 6-7) of different texture to pH 4.5-5.0 by the addition of varying amounts of elemental S. All rates of elemental S addition reduced soil pH, although the efficacy of acidification was related to the application rate and soil characteristics. pH reduction was slow in sandy loam soil, and the final equilibrium pH was obtained after 60, 43, and 30 days of incubation in sandy loam, loam, and silty clay, respectively. Although the final pHs obtained after 93 days of incubation were not significantly different among the three soils, the equilibrium pH was relatively higher in soil of higher clay content in the application rates of 1.5-2.0 g S $kg^{-1}$ soil. The estimated amounts of elemental S required in lowering pH to 4.5-5.0 were 0.59-1.01, 0.67-1.03, and 0.53-0.88 g S $kg^{-1}$ for sandy loam, loam, and silty clay, respectively. The lowest estimated amount of elemental S in the acidification of silty clay soil was attributable to the low organic matter content. For clay soils containing optimum level of organic matter, the application rates of elemental S should be much higher than those values estimated in this research. Soil acidification did not significantly increase the available concentrations of Ca, Mg and K. Extractable Cu and Zn was not greatly affected by the acidification, but extractable Fe, Mn, and Al in the acidified soils were higher than those found in non-acidified soils. Such increases in solubility are attributable to the dissolution of oxides and hydroxides of the elements.
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