Background: It is not easy to surgically correct caustic pharyngeal strictures and a lot of effort is required to restore normal swallowing after the surgery. The authors reviewed the course in patients who underwent pharyngocolostomy. Material and Method: From August 1995 to March 1998, 6 patients with caustic stricture underwent esophageal reconstruction surgery. The time of injury to the replacement of the esophagus was from 3 months to 2 years and 4 months. The left colon was used in all patients. The surgical route was used under the sternum in 5 patients and through the esophageal hiatus in 1 patient. In the cervical anastomoses, the cervical pharyngocolic anastomosis was performed on the left pyriform sinus after a partial resection of the thyroid cartilage in 3 patients and on the posterolateral aspect of the inferior pharyngeal constrictor in 3 patients. Result: Postoperative complications consisted of a dysphagia in 3 patients and left vocal cord palsy in 1 patient. There was no cervical anastomotic stricture. Revisional procedures consisted of an esophageal dilation and free jejunal graft in 1 patient, supraglottic scar band resection in 1 patient, and colonic mucosal resection in 1 patient. Swallowing training was required in the 3 patients with dysphagia. Restoration of normal swallowing was obtained in all patients between the 9th and the 303rd day. Conclusion: Pharyngocolostomy is a satisfactory method of treatment for patients with intractable caustic stricture. Pharyngocolojejunostomy is an effective alternative for esophagocologastrostomy in cases where gastric outlets are involved.
Kim Sang Hoon;Cho Hong Sik;Lee Han Young;Lee Ki-Bum;Min Byung-Hyun
Journal of the Korean Arthroscopy Society
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v.7
no.1
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pp.52-57
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2003
Purpose : To evaluate the morphologic measurement and microvasculature of the normal human meniscus in Korean and to compare the difference of microvasculature according to the age and anatomical location. Materials and methods : Menisci of 21 cadavers divided into 3 groups according to the age. Each meniscus was divided into 10 parts of which the width and area of microvasculature were measured. Results : The average width of the medial and lateral menisci were $10.49{\pm}02.92mm$ and $10.55{\pm}2.05mm$, respectively. The average area of the microvasculature measured $20.29{\pm}8.44\%$ in the medial meniscus and $18.99{\pm}7.03\%$ in the lateral meniscus. The microvasculature of the medial meniscus was most abundant in the anterior horn and least abundant in the posterior horn (p<0.05). The lateral meniscus showed the most vessels in the posterior horn (p<0.05). The microvasculature of popliteal hiatus was not avascular but hypovascular. The area of microvasculature decreased with increasing age in all parts of the medial meniscus and body and posterior horn of the lateral meniscus (p<0.05). Conclusion : Differences in the anatomical distribution of the vessels were noted of both the medial and lateral menisci. The area of microvasculature generally decreased proportionally with increasing age in both medial and lateral meniscus.
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.4
no.1
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pp.50-62
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1999
Sediment core samples recovered from the Korea Deep Ocean Study (KODOS)-97 area were divided into two or three units according to their distinct changes in sediment colors and chemical and physical properties. Analyses of radiolarian faunas in the sediments and $^{10}Be$ ratios in each unit were performed to reveal stratigraphic and paleoceanographic history of the study area. In the upper part of the sediments, Tertiary radiolarians were mixed at various proportions with Quaternary assemblages probably by reworking process of bottom current and benthic animals. Dissolution of radiolarians was severe in deeper depth and in the Unit III, only few of the fragments of corroded Tertiary radiolarians were detectable. The mid layer of the Unit I belonged to Collosphaera invaginata Zone, the time period of 0.21 Ma. The Unit II belonged to Collosphaera tuberosa Zone with the time period younger than 0.42 Ma which was observed above the Stylatractus universus Zone. The Unit III is assigned to Tertiary, which is younger than the Late Eocene. Composition analyses of radiolarian assemblage and $^{10}Be$ ratio data indicated hiatus periods of more than 3 My between late of Middle Miocene and Pliocene resulting from erosion and dissolution caused by Antarctic Bottom Water. Stratigraphic evidence from radiolaria was well correlated with $^{10}Be$ data. Sedimentation rate during Quaternary can be suggested as 0.15-0.5 mm per 1000 years. Dominance of warm-water radiolaria species and the results reflected minimum climatic changes of tropical conditions.
Strata of the Central sub-basin in the Gunsan Basin, offshore, western Korea were analyzed by using integrated stratigraphy approach. As a result, five distinct unconformity-bounded units are recognized in the basin: Sequence I (Cretaceous or older(?)), Sequence II (Late Cretaceous), Sequence III (late Late Cretaceous or younger(?)), Sequence IV (Early Miocene or older(?)), Sequence V (Middle Miocene). Since the late Late Jurassic, along the Tan-Lu fault system wrench faults were developed and caused a series of small-scale strike-slip extensional basins. The sinistral movement of wrench faults continued until the Late Cretaceous forming a large-scale pull-apart basin. However, in the Early Tertiary, the orogenic event, called the Himalayan Orogeny, caused basin to be modified. From Late Eocene to Early Miocene, tectonic inversion accompanied by NW strike folds occurred in the East China. Therefore, the late Eocene to Oligocene was the main period of severe tectonic modification of the basin and Oligocene formation is hiatus. The rate of tectonic movements in Gunsan Basin slowed considerably. In that case, thermal subsidence up to the present has maintained with marine transgressions, which enable this area to change into the land part of the present basin.
Two rhyolitic rocks were taken at punggog of the Jangseong sheet in the Taebaegsan mineralized area and isotopically dated by K-Ar whole rock method. One is a rhyolite which gives $62.69{\pm}1.15Ma$ and the other is a rhyolitic tuff which gives $51.67{\pm}6.64Ma$, respectively. Generally K-Ar whole rock ages of the volcanic rocks can be assumed to be the formation age of them, if there is no geological criterion of secondary effects. But the two rhyolitic rocks were slightly hydrothermally altered and the age the rhyolitic tuff is a little younger than that of the rhyolite. However, there is no geological criterion to show any big hiatus between them in field, yet. Therefore, the age data would be interpreted, as that the rhyolitic rock mass has been probably extruded at about 60 Ma, a little older than 60 Ma, in the area. The ages of them probably appear to be secondary ages after the alteration. This fact well coincides with the K-Ar whole rock age of quartz-porphyry ($57.25{\pm}0.89Ma$) distributed near the 1st Yeonhwa Pb-Zn mine (Park et al., personal comm.), because the quartz-porphyry look to be a product of hydrothermal alteration of the volcanic rock.
A new phenomenon in recent trade is the rising interest in the trade of product production and manufacturing methods themselves, unlike in the past, when the interest was focused on the trade of tangible goods. That is, technology is considered as the object of trade instead of a simple element of production as "technology itself is commercialized". The broad meaning of technology encompasses all the property of knowledge with economic value. Its narrow meaning refers to technology used to produce and manufacture goods. Technologies have features such as no forms, heterogeneity, accumulation of value and extinction of right. The trade of technology commands different styles and content from that of tangible goods due to their unique characteristics; and accordingly, has various risk factors. In other words, technology can be traded in various ways according to commercial objectives including licensing, technical partnership, and joint investment in addition to general trading. The specific forms of technology transfer strategies depend on the purposes and situations between corporations. In case of technical trade with any form, the parties should be cautious about the following practical aspects: First, the contract should clearly define the scope and transfer method of technology. It is a very important matter how the provider of technology will provide the user of technology with abstract technology with no substantiality. Second, a monopoly on technology recognized as intellectual property rights is granted to their inventors for some periods of time, but anyone can have access to that technology after the term of existence. Thus, it is important to check the terms of existence of a patent as well as the terms of contract. Third, the user of technology should fulfill his confidentiality obligation to prevent the technology of the provider from being leaked to a third party unjustly. Fourth, the provider of technology should make a contribution to the successful implementation of the technology by the user as well as provide the licensed technology. Finally, a model contract is recommended to minimizing the legal hiatus of complex technology transfer trade when concluding a contract.
Both Earth science II and Korean geography textbooks emphasize the importance of content related to 'geology of the Korean Peninsula'. This study aimed to analyze the differences in the content related to the 'geology of the Korean Peninsula' presented in the textbooks, and to find out whether these differences are consistent with the latest scientific knowledge in any inconsistencies are found. For this purpose, seven textbooks (four Earth science II and three Korean geography) published under the 2015 revised curriculum were selected as the subject of analysis, and the difference in the description of the tectonic provinces of the Korean Peninsula, geologic time scale, and explanatory texts of geological characteristics between Earth science II and Korean geography textbooks were compared. As a result of the analysis, there are some cases of inconsistencies between Earth science II and Korean geography textbooks in terms of terminologies, names, and distribution ranges related to the tectonic provinces of the Korean Peninsula. The Korean geography textbooks had inconsistencies in the geochronologic data of the rocks as they cited outdated data. In addition, inconsistencies were found in the explanatory texts describing the 'distribution of rocks on the Korean Peninsula', 'characteristics of the Pyeongan Supergroup', and 'great hiatus of the Paleozoic Era'. Both Earth science and Geography have many concepts in common, therefore, effort is needed to minimize the differences in content. It is important to select the content appropriately which should reflect the latest scientific knowledge and presents the concepts consistently.
The Journal of Korean Orthopaedic Ultrasound Society
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v.7
no.2
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pp.105-112
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2014
Purpose: Ultrasound-guided epidural caudal block for low back pain and radiating pain is often performed in the treatment of outpatients. However, this procedure has a failure rate of up to 25% even when it performed by an experienced physician. The authors investigate the effectiveness of Ultrasound-guided epidural caudal block in patients related to disc herniation or spinal stenosis. Materials and Methods: Ultrasound-guided caudal epidural block was performed in 55 outpatients with LBP and radiating pain. Patient was placed in the prone position and sonographic image of sacral hiatus was obtained using linear probe. A 22-gauge needle was advanced into the sacrococcygeal membrane under ultrasound guidance and then medication was injected into the caudal epidural space. There were 31 cases of disc herniation, and 24 cases of spinal stenosis. Patients were evaluated by Visual Analog Scale (VAS) pain score at pre-treatment, post-treatment, 2 weeks and 4 weeks by telephone interviews. Results: 53 of the 55 cases (96.4%) of needle insertion into the sacral canal under ultrasound guidance were successful. Gender was not significantly different between disc herniation group and spinal stenosis group. But there was a significant age difference between disc herniation group ($42.3{\pm}10.8$), and spinal stenosis group ($62.8{\pm}15.1$) [p<0.001]. The VAS score at pre-treatment, post-treatment, 2 weeks, 4 weeks in disc group were 6.84, 3.1, 1.8 & 1.77. The VAS score at pre-treatment, post-treatment, 2 weeks, 4 weeks in spinal stenosis group were 6.88, 3.58, 4.33 & 4.88. The VAS score in both groups was significantly improved after the procedure (p<0.001). Over time, the two groups were statistically significant differences in VAS score after adjusting for age (p<0.001). Conclusion: Ultrasound-guided caudal epidural block seems to provide a high success rate and a significantly better response in disc group than spinal stenosis group.
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.2
no.2
/
pp.125-137
/
1997
To study the vertical variation of heavy metal and Rare Earth Element (REE) contents in deep-sea sediments, eighteen cores were sampled from the Korea Deep-sea Environmental Study (KODES)-96 area in the C-C zone (Clarion-Clipperton fracture zone), northeast equatorial Pacific. Sediment columns can be divided into three units based on sediment colors and geochemical characters; uppermost Unit I with brown color, middle Unit II with pale brown color and smaller Ni/Cu ratio than the ratio in Unit I, and lowermost Unit III with dark (brown) colors and higher contents of Mn, Ni, Cu, and REEs than those in Unit I and II. Unit II can be divided more into two layers of upper Unit IIa and lower Unit IIb. Unit IIb is characterized by high contents of Cu, 3+REEs (REEs except Ce), smectite, and severely deteriorated fossil tests. Unit III can also be divided into two units; upper Unit IIIa with dark brown color, and lower Unit IIIb with black color and enriched Mn and Fe. The KODES area was located near from the East Pacific Rise (EPR) When Unit III Sediments were deposited, considering the hiatus between Unit II and III (Quaternary-Tertiary boundary) and the spreading rate (10 cm/yr) and direction (north southern west) of the Pacific plate from the EPR. High contents of Mn and Fe in Unit IIIb may be related with hydrothermal influence from the EPR. Meanwhile, Unit IIb (about 2~3 Ma) and Unit III (11~30 Ma) layers were probably formed near (or under) the equatorial high productivity zone, and accordingly received a lot of organic materials. As a result, Cu and 3+REEs, closely associated with organic materials, are enriched in smectite and/or Ca-P composites (fish bone debrise, biogenic apatite) after decomposition and reprecipitation on the sea floor. Higher contents of Cu and 3+REEs in Unit IIb and III are suggested to be the result of abundant supply of organic substances in the equatorial high productivity zone.
Kim, Jin-Kyoung;Woo, Kyung-Sik;Yoon, Seok-Hoon;Suk, Bong-Chool
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.12
no.4
/
pp.328-336
/
2007
A piston core (587 cm long) was recovered from the upper slope of a seamount in the Korea Plateau. Three episodes of sedimentation were identified based on sedimentary facies, grain size distribution, carbonate constituents and initial $^{87}Sr/^{86}Sr$ ratio of carbonates. The lower part of the core, Unit I-a (core depth $465{\sim}587cm$) is composed of shallow marine carbonate sediments the deposited by storm surges, and is about $13{\sim}15Ma$ (Middle Miocene) based on $^{87}Sr/^{86}Sr$ initial ratio. This suggests that the depositional environment was relatively shallow enough to be influenced by storm activities. Unit I-b (core depth $431{\sim}465cm$) is mostly composed of turbidites, and Sr isotope ages of bivalves and planktonic formaminifera are about $11{\sim}14\;and\;6{\sim}13Ma$, respectively. This indicates that the Korea Plateau maintained shallow water condition until 11 Ma, and began to subside since then. However, planktonic foraminifera were deposited after 11 Ma and redeposited as turbidites as a mixture of planktonic foraminifera and older shallow marine carbonates about 6 Ma ago. Unit II (core depth $0{\sim}431cm$) is composed of pelagic sediments, and the Sr isotope age is younger than 1 Ma, thus the time gap is about 5 Ma at the unconformity. About 1 Ma ago, the Korea Plateau subsided down to a water depth of about 600 m. The sampling locality was intermittently influenced by debris flows and/or turbidity currents along the slope, resulting the deposition of re-transported coarse shallow marine and volcaniclastic sediments.
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