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Urgent Recanalization with Stenting for Severe Intracranial Atherosclerosis after Transient Ischemic Attack or Minor Stroke

  • Park, Tae-Sik;Choi, Beom-Jin;Lee, Tae-Hong;Song, Joon-Suk;Lee, Dong-Youl;Sung, Sang-Min
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.322-326
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    • 2011
  • Objective : Stenting of symptomatic intracranial stenosis has recently become an alternative treatment modality. However, urgent intracranial stenting in patients with intracranial stenosis following a transient ischemic attack (TIA) or minor stroke is open to dispute. We sought to assess the feasibility, safety, and effectiveness of urgent intracranial stenting for severe stenosis (>70%) in TIA or minor stroke patients. Methods : Between June 2009 and October 2010, stent-assisted angioplasty by using a balloon-expandable coronary stent for intracranial severe stenosis (>70%) was performed in 7 patients after TIA and 5 patients after minor stroke (14 stenotic lesions). Technical success rates, complications, angiographic findings, and clinical outcomes were retrospectively analyzed. Results : Stenting was successful in all 12 patients. The mean time from symptom onset to stenting was 2.1 days (1-8 days). Post-procedural angiography showed restoration to a normal luminal diameter in all patients. In-stent thrombosis occurred in one patient (n=1, 8.3%), and was lysed with abciximab. No device-related complications, such as perforations or dissections at the target arteries or intracranial hemorrhaging, occurred in any patient. The mortality rate was 0%. No patient had an ischemic event over the mean follow-up period of 12.5 months (range, 7-21 months), and follow-up angiography (n=7) revealed no significant in-stent restenosis (>50%). Conclusion : Urgent recanalization with stenting is feasible, safe, and effective in patients with TIA or acute minor stroke with intracranial stenosis of ${\geq}$ 70%.

A CLINICAL STUDY ON MALIGNANT SALIVARY GLAND TUMORS (타액선 악성종양의 임상적 연구)

  • Sung, Iel-Yong;Kim, Uc-Kyu;Kim, Jong-Ryoul;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.4
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    • pp.427-434
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    • 2000
  • The authors analyzed retrospectively the 36 patients with malignant salivary gland tumors who were treated at Department of Oral and Maxillofacial Surgery, Pusan National University Hospital from February, 1989 to September, 1997. The results obtained were as follows: 1. There were 14 males(38.9%) and 22 females(61.1%). The peak age of patients with major salivary gland tumors was the 6th decade, but with minor salivary gland was the 5th decade. 2. Of all salivary gland tumors, 5 cases arose in the parotid glands, 2 cases in the submanibular glands, 1 case in the sublingual gland and 28 cases in the minor salivary glands. 3. The incidence according to the anatomic primary site for minor salivary glands was 15 cases in the palate, 5 in the floor of mouth and 2 cases each arising in the tongue, lip, retromolar area and buccal mucosa. 4. Of all salivary gland tumors, adenoid cystic carcinoma was 5 cases in the major salivary glands and 8 in the minor salivary glands. mucoepidermoid carcinoma was 2 cases in the major salivary glands and 14 in the minor salivary glands and others were 2 cases of adenocarcinoma, 4 malignant mixed tumors and 1 undifferentiated carcinoma. 5. The incidence of cervical lymph node metastasis was 100%(2/2) in the submandibular glands, 80%(4/5) in the floor of mouth, 50%(1/2) in the tongue and 20%(1/5) in the parotid glands. The highest incidence of lymph node metastasis according to histopathological classfication was found in the high grade of mucoepidermoid carcinoma and tubular type of adenoid cystic carcinoma. 6. Nerve invasion was common in the adenoid cystic carcinoma. 7. The lung was the commonest site for distant metastasis comprising 7 cases among 7 cases in which distant spread occurred.

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Effect of Preoperative Fatty Degeneration of the Deltoid and the Teres Minor Muscles on the Clinical Outcome after Reverse Total Shoulder Arthroplasty

  • Moon, Sung-Hoon;Nam, Woo-Dong;Rheu, Chang-Hyun;Lee, Jae-Woo
    • Clinics in Shoulder and Elbow
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    • v.18 no.3
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    • pp.138-143
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    • 2015
  • Background: To evaluate the effect of preoperative fatty degeneration of deltoid and teres minor muscles on the clinical outcome in patient with reverse total shoulder arthroplasty (RTSA). Methods: Nineteen patients with RTSA were enrolled. The mean follow-up period was 16.1 months. The fatty degeneration of three distinct parts in each deltoid and the teres minor muscle was measured using a preoperative magnetic resonance imaging. Postoperatively, the muscle strengths for forward elevation (FE), abduction (Abd), and external rotation (ER) were measured using a myometer at the last follow-up. The parameters for clinical outcome were Constant Score (CS) and Korean Shoulder Score (KSS). Results: The number of cases was 10 in group 1 and 9 in group 2. The strength of FE and Abd were significantly higher in group 1 (p<0.001 and p<0.001, respectively), and the strength of ER was not different significantly between two groups (p=0.065). For the clinical outcome, both CS and KSS were higher in group 1 (p=0.002 and p=0.002, respectively). The number of patients in group A was 11, and group B was 8. Although there was not a significant difference in terms of FE and Abd between group A and B (p=0.091, p=0.238), ER was significantly higher in group A (p=0.012). We did not find a significant difference in the clinical scores (CS, p=0.177 and KSS, p=0.238). Conclusions: These findings suggest the importance of a preoperative evaluation of the fatty degeneration of deltoid and teres minor muscles for predicting postoperative strength and clinical outcome.

Ultimate Strength Analysis of Stiffened Plate with Minor Collision Damage (작은 충돌손상을 가진 보강판의 최종강도 해석)

  • Lee, Tak-Kee;Rim, Chae-Whan
    • Proceedings of the Korea Committee for Ocean Resources and Engineering Conference
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    • 2006.11a
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    • pp.226-229
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    • 2006
  • The safety of on-going ships is one of important concerns in the view of environment and human life. The ship in bad condition is likely to be subjected to accidental loads such as collision. Once she has one or several minor collision damages in the form of circle or ellipse, her ultimate strength under compression or tension load will be reduced. Here, it is important to evaluate the reduction ratio of ultimate strength due to the damage from safety point of view. The problem of strength reduction of a plate with cutout such as opening hole has been treated by many researchers. As a result, a closed-form formula on the reduction of ultimate strength of a plate considering the effect of several forms of cutout was suggested. However, the structure of ships is composed of a plate and a stiffener so-called a stiffened plate, and it is likely to be damaged at a plate and stiffeners together in collision. This paper is to investigate the effect of minor collision damage on ultimate strength of a stiffened plate by using numerical analysis. For this study, the shape of minor collision damage of a stiffened plate was made by using contact algorithm. The deformed shape was used as an initial shape for ultimate stress analysis. Then, a series of nonlinear FE analysis was conducted to investigate the reduction effects of ultimate strength of the stiffened plate. The boundary condition was applied as simply supported at all boundaries, and the tripping of stiffener among failure mode under compression loading was neglected. These results were settled in the form of reduction ratio between ultimate of original intact stiffened plate and that of damaged stiffened plate.

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Risk of Hemorrhage Attributed to Underlying Chronic Diseases and Uninterrupted Aspirin Therapy of Patients Undergoing Minor Oral Surgical Procedures: A Retrospective Cohort Study

  • Rojanaworarit, Chanapong;Limsawan, Soontaree
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.3
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    • pp.165-176
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    • 2017
  • Objectives: This study aimed to estimate the risk of bleeding following minor oral surgical procedures and uninterrupted aspirin therapy in high-risk patients or patients with existing chronic diseases compared to patients who did not use aspirin during minor oral surgery at a public hospital. Methods: This retrospective cohort study analyzed the data of 2912 patients, aged 20 years or older, who underwent 5251 minor oral surgical procedures at a district hospital in Thailand. The aspirin group was comprised of patients continuing aspirin therapy during oral surgery. The non-aspirin group (reference) included all those who did not use aspirin during surgery. Immediate and late-onset bleeding was evaluated in each procedure. The risk ratio of bleeding was estimated using a multilevel Poisson regression. Results: The overall cumulative incidence of immediate bleeding was 1.3% of total procedures. No late-onset bleeding was found. A significantly greater incidence of bleeding was found in the aspirin group (5.8% of procedures, p<0.001). After adjusting for covariates, a multilevel Poisson regression model estimated that the bleeding risk in the aspirin group was 4.5 times higher than that of the non-aspirin group (95% confidence interval, 2.0 to 10.0; p<0.001). However, all bleeding events were controlled by simple hemostatic measures. Conclusions: High-risk patients or patients with existing chronic diseases who continued aspirin therapy following minor oral surgery were at a higher risk of hemorrhage than general patients who had not used aspirin. Nonetheless, bleeding complications were not life-threatening and could be promptly managed by simple hemostatic measures. The procedures could therefore be provided with an awareness of increased bleeding risk, prepared hemostatic measures, and postoperative monitoring, without the need for discontinuing aspirin, which could lead to more serious complications.

Residues Analysis of Acetamiprid, Boscalid, Imidacloprid and Pyraclostrobin in the Minor Crop Mustard Green under Greenhouse Conditions for Evaluation of their Potentiality of PLS Violation

  • Kim, Young Eun;Kim, Seon Wook;Lim, Da Jung;Kim, In Seon
    • Korean Journal of Environmental Agriculture
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    • v.39 no.3
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    • pp.214-221
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    • 2020
  • BACKGROUND: The demand for pesticide registration has kept increasing for minor crop cultivation in greenhouse since Positive List System (PLS) has been launched. Thus, much study on the evaluation of pesticide residues in minor crops is required to examine the demand. In this study, we evaluated residues of acetamiprid, boscalid, imidacloprid and pyraclostrobin in the minor crop mustard green to provide the potential data for their registration. METHODS AND RESULTS: Pesticide granule formulations of acetamiprid, boscalid, imidacloprid and pyraclostrobin were incorporated into soil and applied onto field soil surface at rates of 3 kg/10a, 6 kg/10a, 3 kg/10a and 6 kg/10a, respectively. The pesticides were also applied at the two times higher than the rates to compare the residues between the application rates. Mustard green seeds were sown 1 day after pesticide application and cultivated under greenhouse conditions. LC/MS/MS analyses coupled with a modified QuEChERs method were employed for determination of the pesticides in plant samples. The method limits of quantitation (LOQ) of the pesticides were 0.01 mg/kg, and the matrix calibration curves of the pesticides showed linearity with coefficient values of determination (r2) greater than 0.995. The average recovery values of the pesticides fortified in control samples at rates of LOQ and 10LOQ ranged from approximately 77.5% to 101.2% with relative standard deviation values lower than 14%. The pesticides in the mustard green samples cultivated for 53 days after sown were determined to be lower than the LOQ level. CONCLUSION: Acetamiprid, boscalid, imidacloprid and pyraclostrobin were found at a level lower than 0.01 mg/kg in the minor crop mustard green. Thus, their residues in mustard green would not violate PLS under greenhouse conditions.

Effects of Passive Scapular Alignment on Electromyographic Activity of Trapezius in People With Shortness of Pectoralis Minor Muscle (수동적 어깨뼈 정렬이 작은가슴근 단축된 사람의 등세모근 근활성도에 미치는 영향)

  • Choi, Ji-Young;Jang, Jun-Hyeok;Oh, Jae-Seop
    • Physical Therapy Korea
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    • v.19 no.2
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    • pp.12-19
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    • 2012
  • The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

Concentration of Polybrominated Diphenyl Ethers and Their Composition in Octopus minor Collected from Seosan Intertidal Zone (낙지(Octopus minor)에서의 브롬계화합물(Polybrominated diphenyl ethers, PBDEs)의 잔류농도와 조성특성)

  • Lee, Hyo-Jin;Kim, Gi-Beum;Stapleton, Heather
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.13 no.1
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    • pp.68-74
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    • 2010
  • Octopus(Octopus minor), benthic cephalopod, were collected from intertidal zone in Seosan, Choongnam and analyzed for polybrominted diphenyl ethers(PBDEs). PBDEs concentrations ranged from 29 to 109 ng/g lipid wt(mean; 54 ng/g) in mantle and from 12 to 89 ng/g lipid wt(mean; 48 ng/g) in internal organ. PBDEs concentrations in octopus internal organ were lower about two times than that in common squid collected in Yellow Sea, indicating Seosan is relatively less contaminated with PBDEs. Major congener was BDE 206, occupying 72% and 49% of total PBDE concentration in mantle and in internal organ, respectively, which is very different from PBDE composition in common squid with major congeners of BDE 47 and 99. From PBDE composition, octopus seemed to concentrate higher brominated BDE rather than lower brominated BDE. This PBDE composition in octopus may be affected by sediment with extremely high contribution of deca-BDE to total PBDE concentration.

Fundamental Studies on the Landscape Use of Evergreen Ground Cover Plants in KANG WON Area -Propagation, Shade Tolerance, Cold Resistance, and Growth Rate (강원도 지역에서의 상록지피식물의 조경적 이용에 관한 기초적 연구(I) -증식, 내음성, 내한성, 생육량의 차이에 관하여)

  • 홍종운;이기철;허범람;원경렬;임병춘
    • Asian Journal of Turfgrass Science
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    • v.7 no.1
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    • pp.19-30
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    • 1993
  • Experiments were conducted to investigate propagation, shade tolerance, cold resistance and growth rate of evergreen ground cover plants ; Vinca minor K , Ajuga reptans L., Ophiopogon japonicus ker. f nanus hort , and Hedera helix.. The results were as follows : 1.It is convenient to use the growing case for rice seed to grow and transplant Vinca minor seed-ling. The most proper density of transplanting Vinea was 180 plants per 1m$^2$. At the end of growing season, the coverage came up to 90% The rooting ability of Hedera helix was best to cut from April to May (temperature 15~23˚C). The seedling length of Parthenocissus quinguefohlia were irregular and ranged from 5 cm of 200cm. 2. Ajuga reptans L., Ophiopogon j. and Vinca minor L. grew better under 50% light intensity than full sunlight. Particularly, under full sunlight and aestival high temperature, there were a few withering plants in Ajuga reptans L. , and V Vilica minor L. 3. Of Vinca minor K., Ajuga reptans L. , Ophiopogon japonicus ker. f. nanus hort. and Hedera helix. acclimatized in open field, where temperature was from -7~8˚C. There were few plants had damage in low temperature incubator to -16˚C after field acclimatization. 4.Tendrils of Parthenocissus quinguefolia strongly clung to the wire netting stone fence but intruded into the gap and cranny of the precast concrete fence and so clung to, so that it needed to install the bending net on the precast concrete fence.

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Relationship Between Curvature Angle and BMI According to Wearing a Scoliosis Brace (척추측만증보조기 착용에 따른 만곡각도와 체질량지수의 관계)

  • Lee, Gwangho
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.149-157
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    • 2019
  • Purpose : This study aims to check the relationship between the size of curvature in scoliosis patients and the reduction rate of curvature after wearing a brace and the relationships of the size of curvature and correction angle with Body Mass Index (BMI). Methods : With 30 adolescent girls who had never worn a brace, their Cobb angle and BMI were measured before manufacturing braces, and their corrected Cobb angle was measured after wearing the manufactured scoliosis braces. Results : The size of the major curvature before wearing the brace and the reduction rate of the curvature after putting it on had a negative correlation in both the major curvature (r=-.465, p<.01) and the minor curvature (r=-.516, p<.01). The size of the minor curvature and the reduction rate of the minor curvature before and after putting it on also had a negative correlation (r=-.429, p<.05). As for the relationship between the size of curvature and BMI, they had a negative correlation in both the major curvature (r=-.141) and the minor curvature (r=-.123), and as for the relationship between the reduction rate of curvature and BMI after wearing the brace, they had a positive correlation in both the major curvature (r=.251) and the minor curvature (r=.136); however, it was not statistically significant (p>.05). Conclusion : In conclusion, the larger the size of curvature, the lower the reduction rate of curvature after wearing the brace became. The larger the size of curvature, the lower the BMI became. The higher the BMI, the higher the correction ratio of the brace became. Therefore, it is judged that it is necessary to provide early treatment and manage body composition before scoliosis progresses.