• 제목/요약/키워드: regular ideal

검색결과 216건 처리시간 0.022초

단일 나사형 Cage를 이용한 후방 요추체간 융합술과 두개의 나사형 Cage를 이용한 PLIF의 생체 역학적 비교 (Posterior Lumbar Interbody Fusion Using Posterolateral Placement of A Single Cylindrical Threaded Cage and Two Regular Cages : A Biomechanical Study)

  • 박춘근;황장회;지철;권성오;성재훈;최승진;이상원;김문규;박성찬;조경석;박춘근;;강준기
    • Journal of Korean Neurosurgical Society
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    • 제30권7호
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    • pp.883-890
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    • 2001
  • Objectives : An in vitro biomechanical study of posterior lumbar interbody fusion(PLIF) with threaded cage using two different approaches was performed on eighteen functional spinal units of bovine lumbar spines. The purpose of this study was to compare the segmental stiffnesses among PLIF with one long posterolateral cage, PLIF with one long posterolateral cage and simultaneous facet joint fixation, and PLIF with two posterior cages. Methods : Eighteen bovine lumbar functional spinal units were divided into three groups. All specimens were tested intact and with cage insertion. Group 1(n=12) had a long threaded cage($15{\times}36mm$) inserted posterolaterally and oriented counter anterolaterally on the left side by posterior approach with left unilateral facetectomy. Group 2(n=6) had two regular length cages($15{\times}24mm$) inserted posteriorly with bilateral facetectomy. Six specimens from group 1 were then retested after unilateral facet joint screw fixation in neutral(group 3). Likewise, the other six specimens from group 1 were retested after fixation with a facet joint screw in an extended position(group 4). Nondestructive tests were performed in pure compression, flexion, extension, lateral bending, and torsion. Results : PLIF with a single cage, group 1, had a significantly higher stiffnesses than PLIF with two cages, group 2, in left and right torsion(p<0.05). Group 1 showed higher stiffness values than group 2 in pure compression, flexion, left and right bending but were not significantly different. Group 3 showed a significant increase in stiffness in comparison to group 1 for pure compression, extension, left bending and right torsion(p<0.05). For group 4, the stiffness significantly increased in comparison to group 1 for extension, flexion and right torsion(p<0.05). Although there was no significant difference between groups 3 and 4, group 4 had increased stiffness in extension, flexion, right bending and torsion. Conclusion : Posterior lumbar interbody fusion with a single long threaded cage inserted posterolaterally with unilateral facetectomy enables sufficient decompression while maintaining a majority of the posterior elements. In combination with a facet joint screw fixation, adequate postoperative stability can be achieved. We suggest that posterolateral insertion of a long threaded cage is biomechanically an ideal alternative to PLIF.

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국민식생활(國民食生活) 향상(向上)을 위(爲)한 곡류제품(穀類製品)의 경제적( 經濟的) 영향강화(營養强化)에 관(關)한 연구(硏究) (A Study on the Economical Nutrition Supplement of Cereal Food for Improvement in our National Eating Habits)

  • 주진순;유종열;김숙희;이기열;한인규
    • Journal of Nutrition and Health
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    • 제6권1호
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    • pp.1-9
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    • 1973
  • I. Subject of the Study: Studies on the economical nutrition supplement of cereal foods for the improvement in our notional eating habits. II. Purpose and Importance of the Study: 1. Our nation is confronted with the situation that the rice, a principal food, short of some essential amino acids, lysine and threonine, leads to imbalanced meals insufficient in the nutrient of protein, to bring many difficulties in the elevation of our national physique. 2. The shortage of even the rice imperfect in the nutrient of protein makes the import of lots of foreign rice inevitable. It is considered that the protein supplement and decrease in the consumption amount, of rice, is a serious key to the solution of our food difficulty, and then a way of the proetin supplement of rice through the addition of essential amino acid is to be rarely applied in the view of the our present finance and situation. 3. In the present experiment, therefore, it aims to the suggestion of an aspect of the improvement in our national eating habits guiding in the nutrition elevation which our nation can afford economically through the development of first, a way of the protein supplement by the mixture of cereals producted plentifully in our country, and second, a way of the decrease in the consumption amount and the improvement in the nutrition of rice through the substitution of the other cereals for rice. III. Contents of Scope of the Study: 1. Objects of the study: Objects of the study are the following three items; a) The nutrition supplement of rice through the mixture of cereals. Our nation makes mainly rice as a principal food, but practically many kinds of cereal are produced in our country. They contain different levels and qualities of each nutrient and they are different from one another in the kinds of essential amino acid consisting protein. For that reason, the mutual complement efficeincy of insufficient nutrients is observed through the mixture of cereals. b) The nutrition supplement of rice through the addition of superior protein sources to rice, a principal food. The development of rice as superior foods in the sense of nutrition is conducted through the risement in protein quality by the addition of protein sources in good quality, for example, fish flour (anchovy flour), egg powder, milk powder, and so on, and through the supplement of vitamins and minerals. c) The decrease in the consumption amount of rice through the substitution of the other cereals for rice, as a principal food. The compensation for the short amount of rice is made by the reduction in the consumption of rice through the discovery of a way of substitution of the other cereals for rice, as a principal food and of the settlement of problems in nutrition and finance subsequent to this. 2. Contents of the study: a) An ideal mixture-ratio of cereals is established for rats by feeding mixed foods(rice-barely or rice-wheat) containing 5%, 15%, 25%, 35% and 45% level of either barely or wheat. b) The nutritive value is determined in the whole subsititution of other foods for rice, and then, a way of the complement of over and under nutrients is devised. c) The ideal combination is investigated for rats through feeding mixed foods of main food, rice and supplement foods of protein sources, soy bean, fish flour, egg powder and milk Powder. d) According to results from the above three experiments, the concise functional test for men and the examination of economical property are made. 3. Scope of the study: a) The observation of the effect of each diet on the growth rate for rats. The growth rate of rats was observed for 15 groups of mixed foods of a main food, rice, and wheat flour, barley powder or soy bean powder, respectively, and 12 groups of wheat flour diets supplemented with $1{\sim}3%$ milk powder, and rice or wheat flour diets supplemented with 5% of milk powder, egg powder, fish flour or soy bean powder, respectively. b) The determination of food consumption. The food consumption was determined at weekly intervals for 27 kinds of diet described in a) item. c) The determination of food efficiency rate. The food efficiency rate for each diet was determined by calculation from the gained body weight and the food consumption amount at the same intervals described in b) item. d) The determination of protein efficiency rate. The protein efficiency rate for each diet was determined by calculation form gained body weight and the protein amount of the food consumption amount at the same intervals described c) item. e) The determination of the body component. The hematocrite and hemoglobin levels in the blood, total nitrogen in the serum, blood sugar, and lipids and glycogen in the liver were determined. f) The observation of nitrogen balance. As a means of the observation of nitrogen balance, the total nitrogen in the urine was determined. g) The analysis of economical property. The economical property was analyzed as the gained body weight to the amount equivalent to one won through the conversion of the food consumption amount into money. h) The functional test for men. The concise functional test for men was made in order to establish if the best diet for experimental animals can be applied to men. IV. Results of the Study: The national food product plan, nationwide nutritive enlightment and the improvement activities in our country eating habits, especially, mixed and powder food problems are to be significantly referred, and the following results must be applied. a) In the mixed foods of cereals, the mixed food of the rice-barley containing $5{\sim}15%$ level of barley is best in terms of nutrition. b) The addition of superior protein sources, egg, Bilk, soy bean, or fish, respectively to either rice or wheat flour makes a great risement in the nutritive value. c) The animal protein is more effective in the elevation of nutritive value of cereals. d) Rice takes the most nutritive operation and has the highest preference, among rice, wheat flour and barley. e) Wheat flour is more economical than rice in evaluation of the gained body weight to the regular money, and the addition of fish or soy bean is more economical than that of any other supplement food. But the above results are true of the range of nutrition and economical property. f) The study on the nutrition composition and barley will lead to the improvement in our national eating habits as mixed food of the rice-barley containing $5{\sim}15%$ level of barley is more nutritive. g) This study on the nutrition only for the growing animal can not be considered as a perfect and entire evaluation. Consequently, the perfect data for our national nutrition can be obtained from the experiment similar to this for the much longer period examining, in details, the growth rate, change of physical strength, mental and bodily change, average life span, and resistance ability to infectious diseases.

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원주지역 중학생들의 성별에 따른 식행동과 신체만족도 및 체중조절 관심도에 영향을 미치는 변인 (Dietary Behaviors, Body Satisfaction and Factors Affecting the Weight Control Interest According to Gender of Middle School Students in Wonju Area)

  • 김복란;김윤선
    • 한국식품영양과학회지
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    • 제39권9호
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    • pp.1295-1304
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    • 2010
  • 본 연구는 원주지역 중학생 446명을 대상으로 성별에 따른 비만도, 식행동 및 신체만족도, 그리고 체중조절 관심도에 영향을 미치는 변인을 조사하였으며 그 결과는 다음과 같다. 남학생의 평균 신장과 체중은 각각 $164.8{\pm}8.3\;cm$$55.5{\pm}12.3\;kg$이었고, 여학생은 $158.8{\pm}5.0\;cm$$48.7{\pm}7.4\;kg$으로 나타났으며, 평균 BMI는 남학생과 여학생이 각각 20.3과 19.3으로 나타났다. 하루 식사 중 세 끼를 다 먹는 경우는 남녀학생 모두 69.7%로 나타났으며, 식사를 거르는 경우는 남녀학생 모두 아침결식율(43%)이 가장 높은 것으로 나타났다(p<0.01). 간식은 거의 대부분이 하루에 1번 이상 섭취(95.5%)하고 있었는데, 가공식품 구매 및 선택 시 영양표시를 읽는 지의 여부에 관해 '읽지 않는다'가 73.1%로 나타나 거의 대부분의 학생들이 영양표시를 읽지 않고 가공식품을 선택하는 것으로 나타났다(p<0.05). 식이섭취태도 전체점수는 여학생이 $35.08{\pm}5.91$점, 남학생이 $33.81{\pm}5.45$점으로 여학생이 남학생보다 높게 나타났는데(p<0.01), 이는 남학생이 여학생보다 고열량 및 지방이 많이 함유된 식품을 선호하였기 때문인 것으로 생각된다. 식이자기효능감의 전체점수는 여학생이 남학생보다 높게 나타났으나 유의적인 차이는 없었다. 식이장애증상 전체점수는 여학생이 남학생보다 높은 것으로 나타났으며(p<0.01), 조사대상자의 87.2%가 정상군으로, 12.8%가 식이장애가 있는 것으로 나타났으나 성별에 따른 유의적인 차이는 없었다. 그러나 남학생의 식이장애 위험군은 다른 연구에 비해 매우 높은 수준을 나타내었다. 신체만족도는 여학생이 $28.00{\pm}5.52$점, 남학생이 $30.16{\pm}5.08$점으로 여학생이 남학생보다 신체만족도가 낮은 것으로 나타났다(p<0.001). 각 변인들 간의 상호관련성을 알아본 결과, 식이자기효능감은 식이섭취태도와 양의 상관관계(r=0.398, p<0.01)를 나타내었으며, 신체만족도는 식이섭취태도와 양의 상관관계(r=0.117, p<0.05)를, 식이장애증상(r=-0.104, p<0.05)과는 음의 상관관계를 나타내었다. 또한 성별, BMI, 식이섭취태도 및 식이자기효능감, 식이장애증상 그리고 신체만족도와 같은 변인들이 체중조절 관심도에 미치는 영향을 알아보기 위하여 다중회귀분석을 실시한 결과, 여러 독립변인들은 체중조절 관심도를 33.3% 설명해 주고 있으며, 신체만족도($\beta=-0.387$, p<0.001)가 체중조절 관심도에 영향을 미치는 가장 중요한 변인으로 작용하였다. 이상의 결과에서 청소년들이 영양적으로 균형 잡힌 식사방법과 자신의 신체에 대한 올바른 인식을 형성할 수 있는 체계적인 영양교육 프로그램이 청소년들의 식행동 및 신체만족도를 높일 수 있도록 개발된다면 청소년들의 건강한 식사패턴과 이상체형에 대한 왜곡된 인식을 개선해 나가는데 큰 도움이 될 것으로 생각된다.

흉부촬영(胸部撮影)에서 증감지(增感紙)-필름계의 선질변화(線質變化)에 따른 감도(感度)와 화질에 관(關)한 연구(硏究) (Image and Exposure Dose in Accordance with Radiation Quality on Plain Chest Radiography)

  • 김정민;김동현;임태랑;석전유치;전전미향;앵정달야
    • 대한방사선기술학회지:방사선기술과학
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    • 제15권1호
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    • pp.65-78
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    • 1992
  • Routine chest radiography is generally imaged by high voltage technique but some radiological technologists use low voltage for imaging. High voltage is usually said between $120\;kV{\sim}140\;kV$. Some RTs like using heavy filtration but others seldom like using it. However which is better for use calcium tungustate film screen system or ortho system and high contrast film or wide latitude c-type film for the exculusive use of chest radiography. We could not make a decision which is ideal method for use. In my opinion any method is not always exellent for chest radiography. In my experiments that I had at Kaken hospital in Japan last year I expect to keep the balance between image quality and diagnostic range and to reduce radiation dose for patients. My experiments are as follows. 1. We have looked into system characteristics(speed and contrast) in accordance with kVp($80{\sim}140$) and added filter($no{\sim}1/16\;VL$) in three screen film systems(BX3+CRONEX4, SRO750+MGH, SRO750+MGL). 2. We have looked into skin dose and film dose with same D=1.8 lung field density in accordance with kVp($80{\sim}140$) and added filter($no{\sim}1/16\;VL$) in three screen film systems. 3. We have compared with the evaluation between correlation of physical image quality(MTF) and optical diagnostic capability. Result are follows. 1. Speed of BX3+CRONEX4 became higher in accodance with kVp and thickness of filter but speed of ortho system was not as like regular system. Thicker filter diminished the speed over 100 kV range in SRO750+MGL. In case of SRO750+MGH speed of 1/16VL filter was looked into lower than speed of 1/4VL filter. Sensitivity of ortho system depends on tube voltage and added filter. 2. Skin dose has been detected $225\;{\mu}Gy{\sim}66\;{\mu}Gy$ in BX3+CRONEX4 from 80 kV, no filter to 140 kV, 1/16VL filter. SRO750+MGH could reduce the patient dose $1/2{\sim}1/3$ level in comparison to that of BX3+CRONEX4. 3. The higher kV was the worse MTF became the thicker filter was the worse MTF became too. MTF of BX3+CRONEX4 was detected better than MTF of SRO750+MGH but SRO750+MGH's optical detectability of small lesion in lung field came out better than that of BX3+CRONEX4. Conclusion Recently routine chest radiography is generally imaged by high voltage but it seems to be there are some questions in using of film screen combination. In high voltage chest radiography the subject contrast will come down that means latitude become wider. In this case if we select the low contrast film screen system(C or L type) the film contrast will fall down extremly and detectability of small lesion will be deteriorated. Wide latitude C, L type film has a merit of high detectability on mediastinum. Furthermore high contrast film screen system has the advantage to keep the high contrast in low density region as like mediastinum and heart shadow. Therefore in low subject contrast high voltage chest radiography we would rather choose the high contrast film screen system(H type) I think. From a view point of patient dose detectability of mediastinum and lung field. The optimum technical facter was found out 120 kV, 1/16VL filter : BX3+CRONEX4, 140 kV, 1/4VL filter : SRO750+MGH, 100 kV, 1/4VL filter : SRO750+MGL.

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군용타마(軍用馱馬)(제주마(濟州馬))의 혈액상(血液像) (Blood Picture of Army Pack Horses(Jeju Horses))

  • 문경기;이도필;정순동
    • 대한수의학회지
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    • 제15권2호
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    • pp.147-152
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    • 1975
  • Although considerable research has been done on the blood picture of the horse, hot-blooded and cold-blooded, little work has been made of the blood picture of the army pack horse, Jeju horse. The object of the present investigation was to make good this deficiency, and to suggest standard for the blood picture of army pack horses kept under the regular military training and the ideal feeding in the heart of a mountain. Blood samples were drawn from the jugular vein through a 15-gauge bleeding needle from 41 males and 28 females, aging 3 to 9 years old. It was taken between seven and nine o'clock in the morning. Animals were handled as quietly as possible to avoid any excitation. No restraint other than a halter was used. Enumeration of erythrocyte, total and differential leukocyte count, determination of hemoglobin in blood, and the value of packed cell volume were male in the usual manner, and erythrocytic constant was calculated by the method of Wintrobe. Erythrocyte count was $7.83{\pm}0.20(4.95{\sim}11.05){\times}10^6/mm^3$(SE). This value was much lower than hot-horses, but slightly higer than the values of cold-horse reported from foreign country. Concentration of hemoglobin in blood was $13.0{\pm}0.33(9.5{\sim}17.8)g/100ml$. This value was much higher than that of cold-horses observed by the other authors, approaching to the values of hot-horses. Packed cell volume was $32.1{\pm}0.92(22{\sim}42)ml/100ml$. This vague was a little higher than that of the other cold-horses. Mean corpuscular volume was $41.5{\pm}1.20(26.6{\sim}59.3){\mu}m^3$. This value matched so well with the other results recorded by various investigators. Mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration were $16.9{\pm}0.43(12.3{\sim}25)$ pg and $41.0{\pm}0.45(29.1{\sim}51.1)g/100ml$, respectively. These values were significantly higher than the values found by the other investigations. Total leukocyte enumeration was $10.5{\pm}0.41(5.6{\sim}17.9){\times}10^3/mm^3$, being considered as normal. And differential leukocyte count of neutrophil was $44.5{\pm}2.23(15{\sim}76)%$, $5,527{\pm}234(2,231{\sim}9,144)/mm^3$, of lymphocyte $50.5{\pm}1.19(19{\sim}77)%$, $4,307{\pm}125(1,456{\sim}11,098)/mm^3$, of monocytel (0~4)%, $105(0{\sim}352)/mm^3$, of eosiophil 3.2(0~14)%, $340(0{\sim}1,232)/mm^3$ and of basophil 0.25(0~3)%, $23(0{\sim}236)/mm^3$. The percentage of the differential count obtained from the present work showed a good agreement with the results of various authors. Of the horses examined monocyte was found from 42 horses, eosinophil from 62 horses and basophil from 10 horses. No significant differences recognized between male and female horses, and the effect of age was not observed between three to nine years old. Judging from the blood picture of the present investigation, it could be stated that the army pack horses on training were kept better than the average farming conditions.

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고혈압 전단계 및 고혈압 환자에서 의학영양치료와 병행한 생리활성 펩티드 함유 유산균 발효유 섭취가 혈압에 미치는 영향 (Effect of Supplementation of Fermented Milk Containing Active Peptides(IPP, VPP) in Accordance with Medical Nutrition Therapy in Pre- and Hypertension Subjects)

  • 김지영;김윤영;김혜랑;윤숭섭;김완식;예현수;정진영;이인회;조여원
    • 동아시아식생활학회지
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    • 제18권6호
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    • pp.918-926
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    • 2008
  • 본 연구는 2006년 1월부터 2007년 5월까지 수축기/이완기 혈압이 120/80 mmHg이상인 고혈압 전단계 및 본태성 고혈압 환자 43명 (대조군 21명, 시험군 23명)을 대상으로 12주간의 의학 영양 치료와 병행하여 생리활성 펩타이드가 함유된 유산균 발효유 섭취가 혈압에 미치는 영향을 조사한 결과를 요약하면 다음과 같다. 1. 본 연구 대상자의 평균 연령은 대조군이 $47.8{\pm}12.9$세, 시험군은 $49.9{\pm}11.9$세였으며, 연구 시작 시 혈압은 각 군에서 수축기/이완기 혈압이 $135.4{\pm}8.8/85.0{\pm}6.9$, $135.7{\pm}7.4/88.0{\pm}5.5\;mmHg$로 군 간의 차이가 없었다. 2. 식이 섭취 조사 결과, 연구 12주 후 대조군, 시험군 모두 열량, 단백질, 지질, 콜레스테롤, 나트륨의 섭취가 유의적으로 감소하였다(p<0.05). 칼슘과 칼륨의 섭취는 시험군에서만 유의적으로 증가하였으며, 다른 영양소의 섭취는 군 간에는 유의적인 차이를 보이지 않았다. 3. 연구 기간 동안 수축기 혈압은 대조군과 시험군 모두 연구 4주 후부터 유의적인 감소를 보였으며, 연구 12주까지 두 군 모두에서 유의적으로 감소하였다(p<0.05). 이완기 혈압은 시험군에서만 연구 4주 후부터 유의적으로 감소하였다(p<0.05). 결론적으로, 고혈압 전단계 및 고혈압 환자에게 12주간의 의학 영양 치료와 함께 유산균 발효유의 섭취는 총열량, 지방, 콜레스테롤, 나트륨의 섭취를 감소시켰고 칼슘 및 칼륨의 섭취를 증가시켰으며 수축기와 이완기 혈압을 유의적으로 감소시켰다. 따라서 생리활성 펩타이드가 함유된 유산균 발효유를 의학영양치료와 병행하여 섭취할 경우, 수축기 혈압감소뿐만 아니라 이완기 혈압 감소 모두에 긍정적인 영향을 미칠 것으로 기대한다.

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