• 제목/요약/키워드: incidence matrix

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Effect of Mixture of Recombinant Human Bone Morphogenic Protein-2 and Demineralized Bone Matrix in Lateral Lumbar Interbody Fusion

  • Jun Ik Son;Young-Seok Lee;Myeong Jin Ko;Seong-Hyun Wui;Seung Won Park
    • Journal of Korean Neurosurgical Society
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    • 제67권3호
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    • pp.354-363
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    • 2024
  • Objective : This study aims to determine the optimal dose of recombinant-human bone morphogenic protein-2 (rhBMP-2) for successful bone fusion in minimally invasive lateral lumbar interbody fusion (MIS LLIF). Previous studies show that rhBMP is an effective alternative to autologous iliac crest bone graft, but the optimal dose remains uncertain. The study analyzes the fusion rates associated with different rhBMP doses to provide a recommendation for the optimal dose in MIS LLIF. Methods : Ninety-three patients underwent MIS LLIF using demineralized bone matrix (DBM) or a mixture of rhBMP-2 and DBM as fusion material. The group was divided into the following three groups according to the rhBMP-2 usage : group A, only DBM was used (n=27); group B, 1 mg of rhBMP-2 per 5 mL of DBM paste (n=41); and group C, 2 mg of rhBMP-2 per 5 mL of DBM paste (n=25). Demographic data, clinical outcomes, postoperative complication and fusion were assessed. Results : At 12 months post-surgery, the overall fusion rate was 92.3% according to Bridwell fusion grading system. Groups B and C, who received rhBMP-2, had significantly higher fusion rates than group A, who received only DBM. However, there was no significant increase in fusion rate when the rhBMP-2 dosage was increased from group B to group C. The groups B and C showed significant improvement in back pain and Oswestry disability index compared to the group A. The incidence of screw loosening was decreased in groups B and C, but there was no significant difference in the occurrence of other complications. Conclusion : Usage of rhBMP-2 in LLIF surgery leads to early and increased final fusion rates, which can result in faster pain relief and return to daily activities for patients. The benefits of using rhBMP-2 were not significantly different between the groups that received 1 mg/5 mL and 2 mg/5 mL of rhBMP-2. Therefore, it is recommended to use 1 mg of rhBMP-2 with 5 mL of DBM, taking both economic and clinical aspects into consideration.

녹차의 피부보호효과 (Skin Care Effects of Green Tea)

  • 이병곤
    • 대한화장품학회지
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    • 제31권4호
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    • pp.311-321
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    • 2005
  • 차(Camellia sinensis)는 세계적으로 애용되는 음료이다. 그 중, 아시아권에서 주로 소비되는 녹차는 다양한 생리활성을 가지고 있어 화장품, 기능성식품을 위한 기능성 소재로서 선호되고 있다. 녹차의 피부에 대한 활성은 세포보호에서부터 피부 기질 단백질의 합성까지 다양하게 나타난다. 녹차 폴리페놀(green tea polyphenols; GTPs)은 활성을 나타내는 주성분으로서 항산화 활성 이외에 항암, 항염증, 피부면역능 저하방지활성 등을 보이며, 세포내 신호전달 경로에도 관여한다 GTPs는 표피각질형성세포에서 자외선 조사에 의한 산화 스트레스를 감소시키고, 그에 따르는 mitogen-activated protein kinase (MAPK) 신호전달과 세포사멸을 억제한다. 또한, 같은 세포에서 tumor necrosis factor alpha $(TNF{\alpha})$나 다른 화학물질에 의해 cyclooxygenase-2(COX-2), interleukin-8 (IL-8) 및 vascular endothelial growth factor (VEGF) 같은 염증매개물질이 유발되는 것을 막아준다. 또한, GTPs는 등물실험에서 화학물질이나 자외선에 의한 피부암의 발생도 억제하는데, 경구투여 외에 경피투여로도 효과가 있었다. 피부보호작용 이외에도 GTPs는 각질형성세포의 분화촉진, 노화된 피부세포의 증식능 회복, 피부기질단백질의 분해억제 등의 기능이 있으며, 피부세포에서의 기질단백질 생합성을 직접적으로 촉진하기도 한다. 녹차성분이 보이는 이러한 피부에 대한 활성은, 제형 측면에서의 연구가 진행되어 감에 따라 보다 효과적인 피부를 위한 소재로서의 사용 가능성을 더욱 높여주고 있다.

조명 설계 소프트웨어의 사용자 정의 코팅 기능을 사용한 콜레스테릭 액정 컬러 필터 시뮬레이션에 관한 연구 (Simulation of Cholesteric Liquid Crystal Color Filter by Using User-defined Coating Property of an Illumination Design Software)

  • 범태원;최호;이학석;양정문;박종락;윤기철;장원근
    • 한국광학회지
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    • 제19권4호
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    • pp.294-301
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    • 2008
  • 콜레스테릭 액정 컬러 필터의 광학적 특성 분석을 위한 모델링 및 시뮬레이션을 수행하였다. Berreman $4{\times}4$ 행렬법을 사용하여 입사각도별 콜레스테릭 액정 컬러 필터의 반사 스펙트럼을 계산하였고, 이를 광선 추적법에 기초한 조명설계 소프트웨어인 LightTools의 사용자 정의 코팅 파라미터로 입력하였다. LightTools를 이용하여 평면 투과형 콜레스테릭 액정 컬러 필터의 시야각에 따른 색변화를 시뮬레이션 하였다. 5도 간격 이하의 입사각도별 반사 스펙트럼을 LightTools의 사용자 정의 코팅 파라미터로 사용하였을 때, Berreman $4{\times}4$ 행렬법의 결과와 부합하는 결과를 얻을 수 있었다. 또한 반구형 패턴을 갖고 있는 반사형 콜레스테릭 액정 컬러 필터의 시야각에 따른 색변화를 시뮬레이션 하였는데, 본 논문의 시뮬레이션 방법을 비 평면형 구조에도 적용할 수 있음을 확인하였다.

Considerations for patient selection: Prepectoral versus subpectoral implant-based breast reconstruction

  • Yang, Jun Young;Kim, Chan Woo;Lee, Jang Won;Kim, Seung Ki;Lee, Seung Ah;Hwang, Euna
    • Archives of Plastic Surgery
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    • 제46권6호
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    • pp.550-557
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    • 2019
  • Background In recent years, breast implants have been frequently placed in the subcutaneous pocket, in the so-called prepectoral approach. We report our technique of prepectoral implant-based breast reconstruction (IBR), as well as its surgical and aesthetic outcomes, in comparison with subpectoral IBR. We also discuss relevant considerations and pitfalls in prepectoral IBR and suggest an algorithm for the selection of patients for IBR based on our experiences. Methods We performed 79 immediate breast reconstructions with a breast implant and an acellular dermal matrix (ADM) sling, of which 47 were subpectoral IBRs and 32 were prepectoral IBRs. Two-stage IBR was performed in 36 cases (20 subpectoral, 16 prepectoral), and direct-to-implant IBR in 43 cases (27 prepectoral, 16 subpectoral). The ADM sling supplemented the inferolateral side of the breast prosthesis in the subpectoral group and covered the entire anterior surface of the breast prosthesis in the prepectoral group. Results The postoperative pain score was much lower in the prepectoral group than in the subpectoral group (1.78 vs. 7.17). The incidence of seroma was higher in the prepectoral group (31.3% vs. 6.4%). Other postoperative complications, such as surgical site infection, flap necrosis, implant failure, and wound dehiscence, occurred at similar rates in both groups. Animation deformities developed in 8.5% of patients in the subpectoral group and rippling deformities were more common in the prepectoral group (21.9% vs. 12.8%). Conclusions The indications for prepectoral IBR include moderately-sized breasts with a thick well-vascularized mastectomy flap and concomitant bilateral breast reconstruction with prophylactic mastectomy.

Image Enhancement for Sub-Harmonic Phased Array by Removing Surface Wave Interference with Spatial Frequency Filter

  • Park, Choon-Su;Kim, Jun-Woo;Cho, Seung Hyun;Seo, Dae-Cheol
    • 비파괴검사학회지
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    • 제34권3호
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    • pp.211-219
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    • 2014
  • Closed cracks are difficult to detect using conventional ultrasonic testing because most incident ultrasound passes completely through these cracks. Nonlinear ultrasound inspection using sub-harmonic frequencies a promising method for detecting closed cracks. To implement this method, a sub-harmonic phased array (PA) is proposed to visualize the length of closed cracks in solids. A sub-harmonic PA generally consists of a single transmitter and an array receiver, which detects sub-harmonic waves generated from closed cracks. The PA images are obtained using the total focusing method (TFM), which (with a transmitter and receiving array) employs a full matrix in the observation region to achieve fine image resolution. In particular, the receiving signals are measured using a laser Doppler vibrometer (LDV) to collect PA images for both fundamental and sub-harmonic frequencies. Oblique incidence, which is used to boost sub-harmonic generation, inevitably produces various surface waves that contaminate the signals measured in the receiving transducer. Surface wave interference often degrades PA images severely, and it becomes difficult to read the closed crack's position from the images. Various methods to prevent or eliminate this interference are possible. In particular, enhancing images with signal processing could be a highly cost-effective method. Because periodic patterns distributed in a PA image are the most frequent interference induced by surface waves, spatial frequency filtering is applicable for removing these waves. Experiments clearly demonstrate that the spatial frequency filter improves PA images.

The Antibiosis Action and Rice-Induced Resistance, Mediated by a Lipopeptide from Bacillus amyloliquefaciens B014, in Controlling Rice Disease Caused by Xanthomonas oryzae pv. oryzae

  • Li, Shu Bin;Xu, Shi Ru;Zhang, Rui Ning;Liu, Yuan;Zhou, Ren Chao
    • Journal of Microbiology and Biotechnology
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    • 제26권4호
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    • pp.748-756
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    • 2016
  • In the present study, a lipopeptide (named AXLP14) antagonistic to Xanthomonas oryzae pv. oryzae (Xoo) was obtained from the culture supernatant of Bacillus amyloliquefaciens B014. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry analysis demonstrated that AXLP14 consisted of surfactin homologs. The minimum inhibition concentration and minimum bactericidal concentration of AXLP14 against Xoo were determined to be 1.25 and 2.50 mg/ml, respectively. At a concentration of 0.613 mg/ml, AXLP14 strongly inhibited the formation of Xoo biofilm. AXLP14 also inhibited the motility of Xoo in a concentration-dependent manner. Applying AXLP14 to rice seedlings significantly reduced the incidence and severity of disease caused by Xoo. In Xoo-infected rice seedlings, AXLP14 strongly and continuously up-regulated the expression of both OsNPR1 and OsWRKY45. In addition, AXLP14 effectively inhibited the Xoo-induced up-regulation of the expression of the abscisic acid biosynthesis gene OsNECD3 and the abscisic acid signalingresponsive gene OsLip9, indicating that AXLP14 may protect rice against Xoo-induced disease by enhancing salicylic acid defense and interfering with the abscisic acid response to virulence.

Detection of MicroRNA-21 Expression as a Potential Screening Biomarker for Colorectal Cancer: a Meta-analysis

  • Jiang, Jian-Xin;Zhang, Na;Liu, Zhong-Min;Wang, Yan-Ying
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권18호
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    • pp.7583-7588
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    • 2014
  • Background: Colorectal cancer (CRC) is a major cause of cancer-related death and cancer-related incidence worldwide. The potential of microRNA-21 (miR-21) as a biomarker for CRC detection has been studied in several studies. However, the results were inconsistent. Therefore, we conducted the present meta-analysis to systematically assess the diagnostic value of miR-21 for CRC. Materials and Methods: Using a random-effect model, the pooled sensitivity (SEN), specificity (SPE), positive likelihood ratio (PLR), negative likelihood ratio (NLR), and diagnostic odds ratio (DOR) were calculated to evaluate the diagnostic performance of miR-21 for CRC. A summary receiver operating characteristic (SROC) curve and an area under the curve (AUC) were also generated to assess the diagnosis accuracy of miR-21 for CRC. Q test and I2 statistics were used to assess between-study heterogeneity. Publication bias was evaluated by the Deeks' funnel plot asymmetry test. Results: A total of 986 CRC patients and 702 matched healthy controls from 8 studies were involved in the meta-analysis. The pooled results for SEN, SPE, PLR, NLR, DOR, and AUC were 57% (95%CI: 39%-74%), 87% (95%CI: 78%-93%), 4.4 (95%CI: 2.4-8.0), 0.49 (95%CI: 0.32-0.74), 9 (95%CI: 4-22), and 0.83 (95%CI: 0.79-0.86), respectively. Subgroup analyses further suggested that blood-based studies showed a better diagnostic accuracy compared with feces-based studies, indicating that blood may be a better matrix for miR-21 assay and CRC detection. Conclusions: Our findings suggest that miR-21 has a potential diagnostic value for CRC with a moderate level of overall diagnostic accuracy. Hence, it could be used as auxiliary means for the initial screening of CRC and avoid unnecessary colonoscopy, which is an invasive and expensive procedure.

Prevalence and Microbial Flora of Chicken Slaughtering and Processing Procedure

  • Seol, Kuk-Hwan;Han, Gi-Sung;Kim, Hyoun Wook;Chang, Oun-Ki;Oh, Mi-Hwa;Park, Beom-Young;Ham, Jun-Sang
    • 한국축산식품학회지
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    • 제32권6호
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    • pp.763-768
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    • 2012
  • This study has been performed to measure the prevalence and microbial flora on chicken slaughtering as well as the processing process from the months of October to November. Whole-chicken rinsing technique was used in order to analyze the incidence of microorganisms on chicken carcass at the stage before chilling (after evisceration), after chilling and after cutting. The swab technique was used on processing the processed samples, such as working plates and cutting knives. Brine and cooling water from four cooling tubs were taken from each processing processes and were used as samples. Furthermore, the matrix-assisted laser desorption/ionization mass spectrometry (MALDI MS) for whole cell fingerprinting in combination with a dedicated bioinformatic software tool was used to identify the isolated microorganisms. Of the tested samples and processes, brine ($4.50{\pm}0.64$ Log CFU/mL) and chicken carcass before chilling ($4.15{\pm}0.46$ Log CFU/mL) showed the highest population of microorganisms; the predominant microbial flora of them were Moellerella wisconsensis (54.84%), a member of the Enterobacteriaceae family, and Escherichia coli (60.36%), respectively. However, the predominant microbial flora of cut carcass was changed to Staphylococcus aureus (27.32%), which is a kind of pathogenic microorganism that can cause a food-borne illness. Therefore, the slaughtering and processing procedure of chicken are needed to be controlled more hygienically.

Increased interleukin-6 and TP53 levels in rotator cuff tendon repair patients with hypercholesterolemia

  • Jong Pil Yoon;Seung Gi Min;Jin-Hyun Choi;Hyun Joo Lee;Kyeong Hyeon Park;Sung Hyuk Yoon;Seong Soo Kim;Seok Won Chung;Hun-Min Kim;Dong Hyun Kim
    • Clinics in Shoulder and Elbow
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    • 제25권4호
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    • pp.296-303
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    • 2022
  • Background: A previous study reported that hyperlipidemia increases the incidence of tears in the rotator cuff tendon and affects healing after repair. The aim of our study was to compare the gene and protein expression of torn rotator cuff tendons in patients both with and without hypercholesterolemia. Methods: Thirty patients who provided rotator cuff tendon samples were classified into either a non-hypercholesterolemia group (n=19, serum total cholesterol [TC] <200 mg/dL) and hypercholesterolemia group (n=11, serum TC ≥240 mg/dL) based on their concentrations of serum TC. The expression of various genes of interest, including COL1A1, IGF1, IL-6, MMP2, MMP3, MMP9, MMP13, TNMD, and TP53, was analyzed by real-time quantitative reverse transcription polymerase chain reaction (qRT-PCR). In addition, Western blot analysis was performed on the proteins encoded by interleukin (IL)-6 and TP53 that showed significantly different expression levels in real-time qRT-PCR. Results: Except for IGF1, the gene expression levels of IL-6, MMP2, MMP9, and TP53 were significantly higher in the hypercholesterolemic group than in the non-hypercholesterolemia group. Western blot analysis confirmed significantly higher protein levels of IL-6 and TP53 in the hypercholesterolemic group (p<0.05). Conclusions: We observed an increase in inflammatory cytokine and matrix metalloproteinase (MMP) levels in hypercholesterolemic patients with rotator cuff tears. Increased levels of IL-6 and TP53 were observed at both the mRNA and protein levels. We suggest that the overexpression of IL-6 and TP53 may be a specific feature in rotator cuff disease patients with hypercholesterolemia.

SUMRAY: R and Python Codes for Calculating Cancer Risk Due to Radiation Exposure of a Population

  • Michiya Sasaki;Kyoji Furukawa;Daiki Satoh;Kazumasa Shimada;Shin'ichi Kudo;Shunji Takagi;Shogo Takahara;Michiaki Kai
    • Journal of Radiation Protection and Research
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    • 제48권2호
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    • pp.90-99
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    • 2023
  • Background: Quantitative risk assessments should be accompanied by uncertainty analyses of the risk models employed in the calculations. In this study, we aim to develop a computational code named SUMRAY for use in cancer risk projections from radiation exposure taking into account uncertainties. We also aim to make SUMRAY publicly available as a resource for further improvement of risk projection. Materials and Methods: SUMRAY has two versions of code written in R and Python. The risk models used in SUMRAY for all-solid-cancer mortality and incidence were those published in the Life Span Study of a cohort of the atomic bomb survivors in Hiroshima and Nagasaki. The confidence intervals associated with the evaluated risks were derived by propagating the statistical uncertainties in the risk model parameter estimates by the Monte Carlo method. Results and Discussion: SUMRAY was used to calculate the lifetime or time-integrated attributable risks of cancer under an exposure scenario (baseline rates, dose[s], age[s] at exposure, age at the end of follow-up, sex) specified by the user. The results were compared with those calculated using another well-known web-based tool, Radiation Risk Assessment Tool (RadRAT; National Institutes of Health), and showed a reasonable agreement within the estimated confidential interval. Compared with RadRAT, SUMRAY can be used for a wide range of applications, as it allows the risk projection with arbitrarily specified risk models and/or population reference data. Conclusion: The reliabilities of SUMRAY with the present risk-model parameters and their variance-covariance matrices were verified by comparing them with those of the other codes. The SUMRAY code is distributed to the public as an open-source code under the Massachusetts Institute of Technology license.