• Title/Summary/Keyword: stratification

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Prediction of Risk Factors after Spine Surgery in Patients Aged >75 Years Using the Modified Frailty Index

  • Kim, Ji-Yoon;Park, In Sung;Kang, Dong-Ho;Lee, Young-Seok;Kim, Kyoung-Tae;Hong, Sung Jin
    • Journal of Korean Neurosurgical Society
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    • v.63 no.6
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    • pp.827-833
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    • 2020
  • Objective : Spine surgery is associated with higher morbidity and mortality rates in elderly patients. The modified Frailty Index (mFI) is an evaluation tool to determine the frailty of an individual and how preoperative status may impact postoperative survival and outcomes. This study aimed to determine the usefulness of mFI in predicting postoperative complications in patients aged ≥75 years undergoing surgery with instrumentation. Methods : We retrospectively reviewed the perioperative course of 137 patients who underwent thoracolumbar-instrumentation spine surgery between 2011 and 2016. The preoperative risk factors were the 11 variables of the mFI, as well as body mass index (kg/㎠), preoperative hemoglobin, platelet, albumin, creatinine, anesthesia time, operation time, estimated blood loss, and transfusion amount. The 60-day occurrences of complication rates were used for outcome assessment. Results : Major complications after spinal instrumentation surgery occurred in 34 of 138 patients (24.6%). The mean mFI score was 0.18±0.12. When we divided patients into a pre-frail group (mFI, 0.09-0.18; n=94) and a frail group (mFI ≥0.27; n=44), only the rate of sepsis was statistically higher in the frail group than in the pre-frail group. There were significantly more major complications in patients with low albumin levels or in patients with infection or who had experienced trauma. The mFI was a more useful predictor of postoperative complications than the American Society of Anesthesiologists physical status score. Conclusion : The mFI can successfully predict postoperative morbidity and mortality in patients aged ≥75 years undergoing spine surgery. The mFI improves perioperative risk stratification that provides important information to assist in the preoperative counselling of patients and their families.

Vegetation Structure and Dynamics of a Betula davurioa Forest in Mt. Chiri (지리산(智異山) 물박달나무림(林)의 식생구조(植生構造)와 동태(動態))

  • Ahn, Hyun-Chul;Lee, Jeong-Hwan
    • Journal of Korean Society of Forest Science
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    • v.87 no.3
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    • pp.445-458
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    • 1998
  • The present study focused on the vegetation structure and dynamics of Betula davurica forest were to provide the information for management, distribution and utilization of B. davurica forest in Mt. Chiri national park, southern Korea. The layer structure of B. davurica forest were consist of tree layer(18 species), middle layer(29 species), shrub layer(43 species) and herb layer(68 species). According to the importance value of stratification of layers, In tree layer, B. davurica dominant the highest value of 123.97%, Alnus hirsuta 49.04., Castanea crenata 25.58%, Quercus serrata 25.02%, Stewartia koreana 14.49%, in middle layer were B. davurica 70.81%, Q. serrata 37.74%, Fraxinus rhynchophylla 25.35% Lindera erythrocarpa 24.52%, S. koreana 18.86%, shrub layer were Sasa borealis 28.28%, L. erythrocarpa 24.94%, Rhus trichocarpa, 20.42%, Stephanandra incisa 19.90% and herb layer Schizandra chinensis 18.51%, Aster scaber 12.26%. Disporum smilacinum 10.63% etc, respectively. Results of chi-square test statistics based on presence-absence parameters, the positively associated species pair were Quercus variablis - Q. acutissima, Stewartia koreana - Symplocos paniculata, Acer pseudo-sieboldianum - Quercus mongolica. And covariation was calculated based on quantitative measure of density. The results showed that the association and covariation values among species not agreed with each other. The frequency distribution of DBH Betula davurica species showed reverse J-shaped, therefore it's seems to retrain as a dominant species. When predicting succession in Betula davurica forest, it is seedling and saplings were not richness, succession was governed by competition of hardwood species of subtree and tree layer.

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Characteristics of Microbial Community Structures of the Methane Hydrate Sediments in the Ulleung Basin, East Sea of Korea (동해 울릉분지 메탄 하이드레이트 퇴적토의 미생물 군집 특성)

  • Shin, Ji-Hye;Nam, Ji-Hyun;Lee, Jin-Woo;Lee, Dong-Hun
    • Korean Journal of Microbiology
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    • v.50 no.3
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    • pp.191-200
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    • 2014
  • Gas hydrates play a significant role in the global carbon cycle and climate change because methane, a greenhouse gas, can be released from the dissociation of gas hydrate. Anaerobic oxidation of methane (AOM) is an important process that consumes more than 90% of the methane released into the hydrosphere and atmosphere. In this study, the microbial community associated with the methane gas hydrate sediment in the Ulleung basin, East Sea of Korea (UBGH) was analyzed by phylogenetic analysis of the mcrA and 16S rRNA gene libraries. A vertical stratification of the dominating anaerobic methane oxidizer (ANME)-1 group was observed at the surface and the sulfate methane transition zone (SMTZ). The ANME-2c group was found to be dominant in the high methane layer. The archaea of marine benthic group B, which is commonly observed in the AOM region, accounted for more than 50% of the identifications in all sediments. Nitrate reducing bacteria were predominant at SMTZ (Halomonas: 56.5%) and high methane layer (Achromobacter: 52.6%), while sulfate reducing bacteria were not found in UBGH sediments. These results suggest that the AOM process may be carried out by a syntrophic consortium of ANME and nitrate reducing bacteria in the gas hydrates of the Ulleung Basin of the East Sea.

Seed Germination Improvement by Pon-Pon Treatment and Asexual Multiplication by Cuttings in Zanthoxylum piperitum (초피나무에 있어서 Pon-Pon 처리(處理)에 의(依)한 종자(種子) 발아촉진(發芽促進)과 삽목(揷木)에 의(依)한 무성번식(無性繁殖) 개선(改善))

  • Goo, Gwan Hyo;Youn, Ki Sik;Choi, Jai Sik
    • Journal of Korean Society of Forest Science
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    • v.82 no.3
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    • pp.227-234
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    • 1993
  • This study was carried out to seek for a most effective hastening method of seed germination by Pon-Pon treatment and asexual multiplication method by cutting in Zanthozylum piperitum. The results obtained in this study were as follows : 1. Cold moist stratification under the ground accompanied with Pon-Pon treatment was shown 74.3% of seed germination, which was the most effective one among pretreatment methods with significance at 1% level. 2. Height growth was shown continuous growth pattern and the maximum growth was shown during the period 1 July to 31 July, which corresponds 40.3% of total annual growth. 3. Although no noticeable difference among the kind of plant growth regulator in the rooting rate, there was difference among concentrations with significance at 1% level. 4. In the case of number of primary roots and T/R rate of rooted cuttings, treatment of plant growth regulators was significantly superior to control. 5. T/R rate in rooted cuttings was a high negative correlation (r=-0.7164) with the number of primary roots.

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Study on Lateral Flow Distribution and Momentum Analysis at Flood season and Neap tide of the Seokmo Channel in the Han River estuary (소조기 홍수시 한강하구 석모수로에서의 횡 방향 2차 흐름 및 운동량 분석)

  • Choi, Nak Yong;Woo, Seung-Buhm
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.24 no.6
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    • pp.390-399
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    • 2012
  • This research observed the cross section current of 7 survey lines in Seokmo Channel of Gyeonggi bay with a lot of freshwater inflow and S-shaped for 13 hours during flood season and neap tide. We indicated the distribution of the current velocity by comprehending the speed and direction of the current velocity of each line during maximum flood, ebb tide and observed the distribution of salinity. Moreover, in order to understand what lateral momentum causes the lateral flow in each survey line, we practiced the momentum analysis through the observation data. As a result, the lateral baroclinic pressure gradient force and vertical friction of the Seokmo channel during neap tide were the strongest, and this is why the flow by the distribution of salinity and stratification most often occurs. In north of the Seokmo channel, where have wide intertidal and a lot of freshwater inflow, the secondary circulation is caused by balance of lateral baroclinic pressure gradient force and other forces, and the vertical friction was strong in the lines with small depth. On the other hand, in the southern part of the Seokmo channel where the water is deep and the waterway is curved, the advective acceleration and centrifugal force become stronger by the geographical causes during ebb and the influence of fresh water. Therefore, the lateral flow in the Seokmo channel was caused by the distribution of the momentum that differs by location, depth, curve, etc.

Studies on the Physiological Chemistry of Germination in Ginseng Seed (인삼종자발아에 있어서의 생리화학적 연구)

  • Jong-Kyu Hwang;Hee-Chun Yang
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.17
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    • pp.135-142
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    • 1974
  • A study on the metabolism of the chemical companents of endosperm and enbryonic othans of ginseng seeds during their germination were inverstigated and the results of the changes in the contents of nitrogen conponds, carbohydrates, lipids and phosphorus conpounds are summarized as follow; 1. When a seeding grows to 5cm the fresh weight of the embryonic organ incerases 13 times compared with that of its ripened embryo veore germination and its dry weight increases 4.5 times. On the other hand, about 65% of the dry weight of the endosperm is lost. 2. During germinarion the total nitrogen content of a sedding (endosperm+embryonic organ) decreases and when the seeding grows to 5cm there is a loss of 10% of total nitrogen content. At this time, soluble nitrogen content amounts to 40~50% of the total nitrogen, a comparatively high content. 3. When theseeding grows to 5cm, the total phosphorus content decreases by 15%. During the germination period 70~75% of the total phosphorus is distributed in the embryonic orang and 25% of it is in endosperm.In the embryonic organ 35~50% of the acid soluble phosphorus is inorganic phosphorus and in the endisperm, 20~25% of the acid soluble phosphorus is inorganic phosphorus,75~80% of the organic phosphorus is contained in the endosperm. 4.One the seedling grew to 2~3cm, carbohydrates such as soluble sugars,reducong sugars,nonreducong sugars, and crude starch interconverted remarkably. 5.After stratification (just before germination) the lipid content of the endosperm is about 54% of the total weight and lipid content of the embryo is about 61%. During germination 6.81mg of the fat contained in the endosperm per seed decreases to 4.13mg while the change of fat content in the embryonic organ is not so great.

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The Artisan of Bauhaus and Deisgn Democracy: Collision and Collaboration of Art and Technology (바우하우스의 장인과 디자인 민주주의: 예술과 기술의 충돌과 협력)

  • Ryu, Seoung-Ho
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.61-72
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    • 2015
  • The capitalistic resistance movement attempted in most modern art areas was carried out through a complete convergence of the art and skill, which was the new formation of the symbolic boundary. Although this resistance movement was aimed at restoring artisan art through the revival of tbe work of handicraftsmen, it consequently caused the stratification of the art and became a de-artisan art excluding the autonomous labor. Hereupon, this study would focus on Bauhaus which attempted to dismantle the symbolic boundary through the convergence of the technology and art which actively used the condition the great industry brought only as an effort for the restoration of artisan labor, and would examine the actor-network of Bauhaus. Therefore, this study would examine the Bauhaus' artistic trend, the 16C Renaissance art promotion movement, and the 19C art crafts movement in the network-oriented relation, and would analyze the Bauhaus' ideological source which expressed design democracy through the bridging role of and analyze the artisan art and the mechanism that had the new technology fused. Furthermore, the convergence possibility of the 'collaboration spirit' being embodied as a philosophy of the democracy in the design continues with the tremendous influence of the new technology.

Influence of Discontinuous Layer on Plankton Community Structure and Distribution in Masan Bay, Korea (마산만에서 관찰된 불연속층과 플랑크톤 군집구조와의 관계)

  • HAN Myung-Soo;KIM Se-Wha;KIM Young-Ok
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.24 no.6
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    • pp.459-471
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    • 1991
  • The community structure and micro-scale distribution of plankton in relation to hydrography were investigated in Masan Bay, Korea in October 1989. Warmer and less saline waters with stratification was located in the inner part of the Pudo Strait, and chlorophyll-a and nutrients were higher. Both phytoplankton biomass and nutrients was changed dramatically around the Strait. Offshore/oceanic species in phytoplankton i.e., Chaetoceres decipiens, Rhizosolenia stolterforthii, Rhizosolenia styliformis and Ceratium trichoceros and zooplankton i.e., Sagitta enflata, Oncaea uenusta and Oikopluera longicaudata occurred mainly in well mixed waters of the outer part. This suggests that discontinuous layer seems to play an important role as an approximate border for the plankton population. This layer was located between Station 3 and Station 4 near the Pudo Strait, since the layer consisted of a series of micro-scale discontinuties of salinity and dissolved inorganic nutrients gradient. Phytoplankton patchs of more than 801e1 were found only in the inner part of the bay. Depletion of silicate caused by a rapid assimilation of phytoplankton in the inner part of the bay seemed to be responsible for the decline of blooms.

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Eutrophication and Seasonal Variation of Water Quality in Masan-Jinhae Bay (마산-진해만의 수질 부영양화 및 계절 변동)

  • Cho, Kyung-Je;Choi, Man-Young;Kwak, Seung-Kook;Im, Sung-Ho;Kim, Dae-Yun;Park, Jong-Gyu;Kim, Young-Eui
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.3 no.4
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    • pp.193-202
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    • 1998
  • Water quality of Masan-Jinhae Bay was monitored from January 1996 to August 1997. The monitoring focused on the spatial and vertical gradients and seasonal changes of eutrophication parameters such as nutrients, DO and water transparency. Flagellate phytoplanktons persistently bloomed from April to October with monospecific or mixed algal blooms and dynamic algal successions were observed in this area. Algal blooms were highly correlated with salinity drops and made the water less transparent. Stratification of oxygen content was persistent through summer and oligo-oxygenation was developed in the bottom waters. Nutrient gradients were consistently maintained through the depth in summer and through spatial distribution from inner Masan Bay to outer Jinhae Bay in winter. Except the rainfall seasons, water quality was under the influence of the waste waters discharged from watershed around the Masan Bay. The waste waters would act as the primary factor for the water quality deterioration of the bay. Literature data for eutrophication were gathered and analyzed to review the water quality trends of the Masan and Jinhae bays since 1970. Annual mean COD and phosphate concentration consistently increased from 1975 to 1990 and decreased or dropped after 1991. The sediment of inner part of Masan Bay was dredged from 1991 to 1994 as a decontamination process and it is assumed that the dredging has weakened more or less the deterioration trend of the water quality of the bay.

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Study II of Diagnosis Criteria for Qi deficiency in Stroke (중풍 기허증 진단 기준에 관한 연구 II)

  • Kang, Byoung Kab;Heo, Tae Young;Yun, Kyung Jin;Park, Tae Yong;Lee, Ju Ah;You, Soo Seong;Park, Geon Hee;Lee, Myeong Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.76-81
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    • 2014
  • The aim of this study was to build the diagnosis criteria of Qi deficiency using distribution of sum of 11 items for Qi deficiency in stroke patients. Between September 2006 and December 2010, 2,994 patients from 11 Korean medical hospitals were asked to complete the Korean Standard Pattern Identification for Stroke (K-SPI-Stroke) questionnaire as a part of project 'Fundamental study for the standardization and objectification of pattern identification in traditional Korean medicine for stroke (SOPI-Stroke). Each patient was independently diagnosed by two experts (traditional Korean medicine physicians) from the same site according to one of five patterns. 2,994 patients were divided modeling and testing in 70:30 ratio by stratification of pattern identification. We calculated the sensitivity, specificity, accuracy and odds ratio (OR) using distribution of sum of 11 items (signs and symptoms) for Qi deficiency. More than four from 11 items of Qi deficiency in modeling dataset, sensitivity, specificity, accuracy and OR was 70.07%, 74.94%, 73.92% and 7.00, respectively. In testing dataset, 78.31%, 73.45%, 74.47% and 9.98, respectively. Although this values are not high, after values of sensitivity, specificity, accuracy and OR should be more than current value, and then we should be able to suggest as objective diagnosing criteria.