• Title/Summary/Keyword: middle ear

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The Clinical Considerations of Serous Otitis Media and Ventilation Tube (삼출성중이염과 중이내 통기관 유치술의 임상적 고찰)

  • 김영명;박인용;장태영;심형보
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.14.2-15
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    • 1982
  • Serous otitis media (SOM) is one of the most common otologic diseases which was first discribed by Politzer in 1869. Currentely, among many methods introduced to treat SOM, ventilation tube insertion is considered to be the most popular and standard method being used. However due to complication of it, there remains many disputable various problems. In order to review the clinical aspect of SOM and search for the effects and safety of ventilation tube, we studied 97 SOM patients, who had performed V-tube from Jan. 1981 to Feb. 1982 at ENT dept. of Severance Hospital. Analizing the clinical symptoms, age distribution, associated disease, otoscopic findings of ear drum, degree of hearing loss, hearing gain after insertion of V-tube and complications, following results were obtained. 1) As a subjective symptom, among 29 cases all patients had hearing loss, 19 cases (65.6%) had tinnitus, 12 cases (44.4%) had autophony and 10 cases (34.5%) of the patients had sensation of ear fullness. 2) In age distribution, 6 to 10 year old group was most numerous up to 42 cases (43.3%) and 20 years and over was 23 cases (23.5%) 3) In adult group SOM tend to be involved unilaterally whereas young child group had tendency involving bilaterally. 4) 49 cases (50.05%) were associated with tonsillitis and adenoid vegetation, 15 cases (15.5%) were associated with sinusitis, 4 cases (4.1%) had nasal allergy. 5) In preoperative otoscopic findings, 62 ears (47.7%) had retraction, 37 ears (23.6%) had bulging, 34 ears (21.7%) had color change, and 29 ears (19.7%) had no significant findings. 6) In characteristics of middle ear fluid, child group was tend to have mucinous content (84.2%) while adult group had serous content (62.5%). 7) Average preoperative air-bone gap of pure tone was 25.3 dB. 8) 24 ears (72.7%) had over 10 dB of postoperative hearing gain and average hearing gain was 17.2 dB. 9) There were 44 ears (28.1%) of complications. Among them 37 ears (23.6%) had infection, 3 ears had atelectasis, 2 ears had granulation tissue, 2 ears had permanent perforations. 10) Among 37 ears suffered from post-op. infection, 19 ears (51.4%) had initial infection just after insertion of ventilation tube, 18 ears (48.6%) were infected during the course of post-ventilation tube. Of 37 infected ears, 26 ears (70.3%) responded to conservative care, while 11 ears (29.7%) was cured after removal of ventilation tube.

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Growth and Yield Characteristics of Foxtail Millet, Proso Millet and Sorghum According to Sowing Date in Middle Area in Korea (중부지방에서 파종기에 따른 조, 기장, 수수의 생육 및 수량 특성)

  • Yoon, Seong-Tak;Jae, Eun-Kyeong;Kim, Young-Jung;Jeong, In-Ho;Han, Tae-Kyu;Kim, Tae-Yun;Cho, Young-Son;Kang, Hang-Won
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.60 no.2
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    • pp.197-211
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    • 2015
  • In order to investigate optimum and marginal sowing date of foxtail millet, proso millet and sorghum in middle area (Anseong, Gyeonggi province) of korea, four levels of sowing date [(May 15(1st), June 6(2th), June 26(3th), July 13(4th)] with mulching and non-mulching were treated in this experiment. We used three crops of foxtail millet, proso millet and sorghum with four varieties of Samdachal, Samdamae, Kyeongkwan1, Hwanggeumjo in foxtail millet, Leebaekchal, Manhongchal, Hwangsilchal, Hwanggeumgijang in proso millet and Nampungchal, Hwanggeumchal, DS202, Moktaksusu in sorghum achieved from RDA. In culm length, sowing date of June 26 was the highest in all varieties of foxtail millet, proso millet and sorghum. Sowing date of May 15 showed the highest ear length in foxtail and proso millet, whereas the highest ear length was obtained from sowing date of June 26 in sorghum. In numbers of leaf, sowing date of May 15 showed the highest in all three crops of foxtail millet, proso millet and sorghum. Days from sowing to heading date were reduced in Samdamae, Kyeongkwan1 and Samdachal as sowing date was late. In Hwanggeumjo it was reduced from the sowing date from May 15 to June 26, but it was same days was taken between June 26 and July 13 sowing date. Days from sowing to heading date of four varieties in proso millet were reduced as sowing date was late. Days from sowing to heading date in sorghum were reduced as sowing date was late, whereas it was increased the $4^{th}$ sowing date of July 13. There were no significant differences in growth and yield characteristics between mulching and non-mulching in four varieties of foxtail millet, proso millet and sorghum with four varieties. The highest grain numbers per panicle, 1000 grain weight and yield per 10a were obtained from sowing date of June 26 in four varieties of foxtail millet, proso millet and sorghum. In sowing date of July 13, all varieties of foxtail millet, proso millet and sorghum were not able to be ripened because of late sowing except Hwnaggeumjo, Manhongchal and Hwanggeumgijang.

Molecular Diagnosis of Streptococcus pneumoniae in Middle Ear Fluids from Children with Otitis Media with Effusion (삼출성 중이염 소아의 중이액에서 폐구균의 분자적 진단)

  • Byun, Sung Wan;Kim, Han Wool;Yoon, Seo Hee;Park, In Ho;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.22 no.2
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    • pp.106-112
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    • 2015
  • Purpose: The long-term administration of antibiotics interferes with bacterial culture in the middle ear fluids (MEFs) of young children with otitis media with effusion (OME). The purpose of this study is to determine whether molecular diagnostics can be used for rapid and direct detection of the bacterial pathogen in culture-negative MEFs. Methods: The specificity and sensitivity of both polymerase chain reaction (PCR) and loop-mediated isothermal amplification (LAMP) to the lytA gene of Streptococcus pneumoniae were comparatively tested and then applied for pneumococcal detection in the clinical MEFs. Results: The detection limit of the PCR assay was approximately $10^4$ colony forming units (CFU), whereas that of LAMP was less than 10 CFU for the detection of S. pneumoniae. Both PCR and LAMP did not amplify nucleic acid at over $10^6$ CFU of H. influenzae or M. catarrhalis, both of which were irrelevant bacterial species. Of 22 culture-negative MEFs from children with OME, LAMP positivity was found in twelve MEFs (54.5%, 12/22), only three of which were PCR-positive (25%, 3/12). Our results showed that the ability of LAMP to detect pneumococcal DNA is over four times higher than that of PCR (P<0.01). Conclusions: As a high-resolution tool able to detect nucleic acid levels equivalent to <10 CFU of S. pneumoniae in MEFs without any cross-reaction with other pathogens, lytA -specific LAMP may be applied for diagnosing pneumococcus infection in OME as well as evaluating the impact of a pneumococcal conjugate vaccine against OME.

Evaluation of Agronomic Characteristics, Forage Production and Quality of Corn hybrids for Silage at Paddy Field in the Middle Region of Korea (중부지방 논에서 사일리지용 옥수수의 생육특성, 생산성 및 품질 비교)

  • Ji, Hee-Chung;Kim, Won-Ho;Lee, Sang-Hoon;Cho, Jung-Ho;Kwon, Oh-Doo
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.31 no.2
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    • pp.127-134
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    • 2011
  • This experiment was carried out to know the adaptability and forage production and quality of corn hybrid for silage at paddy field of Chungnam region from 2008 to 2009. Among agronomic characteristics, 'Kangdaok' and 'Kwangpyongok' hybrid were somewhat strong for waterlogging and good stay green, lodging, disease and insect resistance. The dry matter yield of 'Kangdaok' and 'Kwangpyongok' hybrid were the highest among korean corn hybrids. Among introduced hybrid, 'P32T83' hybrid was strong for lodging and insect resistance, and had lower ear height and high Brix ($B^o$, %). The dry matter yield of 'P32T83' and 'P32P75' hybrid were 20,150 kg/ha and 20,500 kg/ha, respectively. The 'P32P75' hybrid was high as 73% in vitro dry matter digestibility (IVDMD) and good stay green. The result of this study indicated that 'Kangdaok', 'Kwangpyongok', 'P32T83' and 'P32P75' hybrid could be recommended as having good characters according to production, waterlogging tolerance, stay green, disease and insect resistance at paddy field in the middle region of Korea.

Growth Characteristic and Productivity of Forage Corn Varieties Sown at the Last Ten Days of May in Central Region of Korea (중부지역에서 5월 하순 파종한 사료용 옥수수의 품종별 생육특성과 조사료 생산성)

  • Choi, Gi Jun;Jung, Jeong Sung;Choi, Ki Choon;Hwang, Tae Young;Kim, Ji Hye;Kim, Won Ho;Lee, Eun Ja;Sung, Kyung Il;Lee, Ki-Won
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.39 no.1
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    • pp.17-23
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    • 2019
  • This experiment was carried out to evaluate the characteristic and productivity of forage corn varieties sown at the last ten days of May at Cheonan of Korea on 2017 and 2018. Forage corn varieties sown on 24th May 2017 and $25^{th}$ May 2018 were emerged in 5th and 1st June, respectively. Silking date of forage corns was different among varieties(p<0.05). Stem length of forage corns was not different among the varieties, except Kwangpyeongok(KPA) and Nero IT. Stem diameter of forage corns was not different amaong the varieties. Outbreak rate of black streaked dwarf virus was lower than 3% in all varieties. Total digestible nutrient(TDN) yield was different among corn varieties(p<0.05), which was higher in P32P75, followed by P2088, P31N27, and KPA. The TDN yield of varieties had direct correlation with stem length, stem diameter and ear yield, respectively(p<0.01). Average of TDN in all varieties was 69.8%. These results suggested that forage corn variety with late-seeding adaptability is more important for increasing the productivity of forage corn If harvesting of winter forage crops have to be finished in the middle ten days of May in middle region of Korea.

Prodcutivity of Silage Corn Affected by Planting Dates in the Rice Black-streaked Dwarf Virus Prevalent Area (흑조위축병 발생지역에서 파종기에 따른 Silage 옥수수의 생산성)

  • 이석순;이진모
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.32 no.3
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    • pp.249-255
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    • 1987
  • To find out the optimum planting date of silage corn in the rice black-streaked dwarf virus (RBSDV) pre-valent area, a resistant hybrid of Jinjuok and a susceptible hybrid of Suweon 19 were planted at the 8 planting dates from April 1 to June 10 at the la-day intervals. Considering escape of RBSDV and silage yield, the optimum planting date seems to be during the April in both hybrids. At the April plantings silage yield of two hybrids ranged from 17 to 23 tons/ha on the dry matter base due to a lower infection rate and higher tolerance to RBSDV and there was no difference in silage yield between two hybrids. At the May plantings yield of ear, stover, and silage, culm length, and digestible dry matter decreased significantly as planting date delayed due to an increase in RBSDV infection rate in both hybrids although performance of a resistant hybrid of Jinjuok was better than a susceptible hybrid of Suweon 19. At the June 10 planting RBSDV infection rate was low and performance of corn was better than that at the May plantings but poorer than that at the April plantings. The peak of small brown planthopper population occurred in late March or early April, middle June, middle July, and early September although it fluctuated a little yearly. Very low small brown planthopper population during the May may attribute to a lower RBSDV infection and high silage yields at the April plantings because the plants grow enough to be tolerant when infected by RBSDV in middle June. However, at the May plantings plants are too young to be tolerant when infected by RBSDV in middle June.

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Dietary Fiber Intake of Middle School Students in Chungbuk Area and Development of Food Frequency Questionnaire (충북지역 중학생의 식이섬유 섭취 실태 및 식품섭취빈도조사지 개발)

  • Kim, Young-Hye;Kang, Yu-Ju;Lee, In-Seon;Kim, Hyang-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.2
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    • pp.244-252
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    • 2010
  • This study aimed to offer groundwork for grasp and evaluation of nutritional status and dietary fiber intake through 24-hr recall method among middle school students in Chungbuk area. In addition, this study attempted to develop food frequency questionnaire (FFQ) for dietary fiber intake. Average calorie intake per person a day was 2035.6 kcal for boys, and 1876.7 kcal for girls which were 75.4% and 93.8% of estimated energy requirement (EER), respectively. Percent estimated average requirements (%EAR) of calcium, iron and folate were the lowest showing 34.3%, 54.2%, 67.5% for boys and 36.6%, 59.2%, 64.4% for girls, respectively. Average dietary fiber intake per day was $17.6\pm5.3$ g for boys and $16.5\pm4.8$ g for girls which indicate 54.8% and 68.8% of adequate intake (AI), respectively. The main food sources of dietary fiber were polished rice and kimchi. The main food source groups were vegetables, cereals and their products were fruits, seaweeds in the order named, indicating 68.44% total dietary fiber intake from vegetables and cereals. From preliminary 39 food items, 19 food items were selected to derive the correlation coefficient of each food item between 24-hr recall and FFQ method. Correlation coefficient was increased from 0.71 to 0.78 with significant level of p<0.01 after adjustment of FFQ from 39 items to 19 items set. Percentage of classifying subjects into the same levels by food frequency questionnaire and 24-hr recall based on joints classification quartile Kappa value was evaluated. Agreement was highest in the second lowest group showing percentage to correspond rose from 90.2% to 92.4% and Kappa value of 0.54 to 0.59. Consequently, FFQ developed in this study would be useful for estimating the groups which show low intake.

Effect of the Sowing and Harvesting Dates on the Agronomic Characteristics and Feed Value of Corn and Sorghum×Sorghum Hybrid in Youngnam Mountain Area (영남산간지역에서 옥수수와 수수×수수 교잡종의 파종시기와 수확시기가 조사료 생육 특성과 사료가치에 미치는 영향)

  • Lee, Hyuk-Jun;Joo, Young-Ho;Lee, Seong-Shin;Paradipta, Dimas Hand Vidya;Han, Ouk-Kyu;Ku, Ja-Hwan;Min, Hyeong-Gyu;Oh, Jung-Sik;Kim, Sam-Churl
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.39 no.2
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    • pp.53-60
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    • 2019
  • This study was carried out from 2015 to 2016 to identify the suitable sowing and harvesting dates of summer crops in the mountain of Yeongnam, South Korea. The experimental design consisted of the different sowing and harvesting dates as follows: corn hybrid (Z. mays, Kwangpyeongok) of sowing (May 8, 19, and 27) and harvesting (August 10, 20, and 30); sorghum${\times}$sorghum hybrid (Sorghum bicolor ${\times}$ Sorghum bicolor, SS405) of sowing (May 27, June 19 and June 27) and harvesting (August 10, 20, and 30). In corn hybrid, ear rate and dry matter (DM) yield decreased (p<0.05) with the postponement of sowing date. Otherwise, ear rate and DM yield increased (p<0.05) with the postponement of harvesting date. Crude protein content decreased (p<0.05) with the postponement of sowing date, but neutral detergent fiber content increased (p<0.05). In sorghum${\times}$sorghum hybrid, plant length and DM yield with the postponement of harvesting date increased (p<0.05), while crude protein content with the postponement of harvesting date decreased (p<0.05). This study concluded that sowing corn hybrid in early May and sorghum${\times}$sorghum hybrid in early June then harvest in the middle of August was recommend to increase dry matter yield and feed value.

Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana

  • Frimpong, Paul;Amponsah, Emmanuel Kofi;Abebrese, Jacob;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.1
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    • pp.29-36
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    • 2017
  • Objectives: Acquired immunodeficiency syndrome (AIDS) is a disease of the human immune system caused by the human immunodeficiency virus (HIV). People with AIDS are much more vulnerable to infections, including opportunistic infections and tumors, than people with a healthy immune system. The objective of this study was to correlate oral lesions associated with HIV/AIDS and immunosuppression levels by measuring clusters of differentiation 4 (CD4) cell counts among patients living in the middle western regions of Ghana. Materials and Methods: A total of 120 patients who visited the HIV clinic at the Komfo Anokye Teaching Hospital and the Regional Hospital Sunyani of Ghana were consecutively enrolled in this prospective and cross-sectional study. Referred patients' baseline CD4 counts were obtained from medical records and each patient received an initial physician assessment. Intraoral diagnoses were based on the classification and diagnostic criteria of the EEC Clearinghouse, 1993. After the initial assessment, extra- and intraoral tissues from each enrolled patient were examined. Data analyses were carried out using simple proportions, frequencies and chi-square tests of significance. Results: Our study included 120 patients, and was comprised of 42 (35.0%) males and 78 (65.0%) females, ranging in age from 21 to 67 years with sex-specific mean ages of 39.31 years (males) and 39.28 years (females). Patient CD4 count values ranged from 3 to 985 cells/mL with a mean baseline CD4 count of 291.29 cells/mL for males and 325.92 cells/mL for females. The mean baseline CD4 count for the entire sample was 313.80 cells/mL. Of the 120 patients we examined, 99 (82.5%) were observed to have at least one HIV-associated intraoral lesion while 21 (17.5%) had no intraoral lesions. Oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis and xerostomia were the most common oral lesions. Conclusion: From a total of nine oral lesions, six lesions that included oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis, xerostomia and oral hairy leukoplakia were significantly correlated with declining CD4 counts.

Reduction of Patient Dose in Radiation Therapy for the Brain Tumors by Using 2-Dimensional Vertex or Oblique Vertex Beam Technique

  • Kim, Il-Han;Chie, Eui-Kyu;Park, Charn-Il
    • Journal of Radiation Protection and Research
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    • v.28 no.3
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    • pp.225-231
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    • 2003
  • Up-front irradiation technique as 3-dimensional conformation, or intensity modulation has kept large proportion of brain tumors from being complicated with acute radiation reactions in the normal tissue during or shortly after radiotherapy. For years, we've cannot help but counting on 2-D vertex beam technique to reduce acute reactions in the brain tumor patients because we're not equipped with 3-dimensional planning system. We analyzed its advantages and limitations in the clinical application. From 1998 to 2001, vertex or oblique vertex beams were applied to 35 patients with primary brain tumor and 25 among them were eligible for this analysis. Vertex(V) plans were optimized on the reconstructed coronal planes. As the control, we took the bilateral opposed techniques(BL) otherwise being applied. We compared the volumes included in 105% to 50% isodose lines of each plan. We also measured the radiation dose at various extracranial sites with TLD. With vertex techniques, we reduced the irradiated volumes of contralateral hemisphere and prevented middle ear effusion at contralateral side. But the low dose volume increased outside 100%; the ratio of V to BL in irradiated volume included in 100%, 80%, 50% was 0.55+/-0.10, 0.61+/-0.10, and 1.22+/-0.21, respectively. The hot area within 100% isodose line almost disappeared with vertex plan; the ratio of V to BL in irradiated volume included in 103%, 105%, 108% was 0.14+/-0.14, 0.05./-0.17, 0.00, respectively. The dose distribution within 100% isodose line became more homogeneous; the ratio of volume included in 103% and 105% to 100% was 0.62+/-0.14 and 0.26+/-0.16 in BL whereas was 0.16+/-0.16 and 0.02+/-0.04 in V. With the vertex techniques, extracranial dose increased up to $1{\sim}3%$ of maximum dose in the head and neck region except submandibular area where dose ranged 1 to 21%. From this data, vertex beam technique was quite effective in reduction of unnecessary irradiation to the contralateral hemispheres, integral dose, obtaining dose homogeneity in the clinical target. But it was associated with volume increment of low dose area in the brain and irradiation toward the head and neck region otherwise being not irradiated at all. Thus, this 2-D vertex technique can be a useful quasi-conformal method before getting 3-D apparatus.