Effect of Total Hip Arthroplasty on Ipsilateral Lower Limb Alignment and Knee Joint Space Width: Minimum 5-Year Follow-up

Choi Yun Seong,Park Jung-Wee,Kim Tae Woo,Kang Kee Soo,Lee Young-Kyun,Koo Kyung-Hoi,Chang Chong Bum 대한의학회 2023 Journal of Korean medical science Vol.38 No.20

Background: This study aimed to 1) assess the effect of total hip arthroplasty (THA) on coronal limb alignment, namely, the hip–knee–ankle angle (HKA), 2) identify factors that determine changes in the HKA, and 3) determine whether alignment changes influence the knee joint space width. Methods: We retrospectively evaluated 266 limbs of patients who underwent THA. Three types of prostheses with neck shaft angles (NSAs) of 132°, 135°, and 138° were used. Several radiographic parameters were measured in the preoperative and final radiographs (at least 5 years after THA). A paired t-test was used to confirm the effect of THA on HKA change. Multiple regression analysis was performed to identify radiographic parameters related to HKA changes following THA and changes in knee joint space width. Subgroup analyses were performed to reveal the effect of NSA change on the HKA change, and the proportion of total knee arthroplasty usage and changes in radiographic parameters between maintained joint space and narrowed joint space groups were compared. Results: The preoperative mean HKA was 1.4° varus and increased to 2.7° varus after THA. This change was related to changes in the NSA, lateral distal femoral angle, and femoral bowing angle. In particular, in the group with a decrease in NSA of > 5°, the preoperative mean HKA was largely changed from 1.4° varus to 4.6° varus after THA. The prostheses with NSA of 132° and 135° also led to greater varus HKA changes than those with an NSA of 138°. Narrowing of the medial knee joint space was related to changes in the varus direction of the HKA, decrease in NSA, increase in femoral offset. Conclusion: A large reduction in NSA can lead to considerable varus limb alignment after THA, which can have adverse effects on the medial compartment of the ipsilateral knee.

Clinicopathological study on metastatic skin cancer

( Chang Il Kwon ),( Seo Mi Gon Jeong ),( Young Bin Shin ),( Yun Sun Moon ),( Eui Chang Jung ),( Chi Yeon Kim ),( Tae Jin Yoon ) 대한피부과학회 2020 대한피부과학회 학술발표대회집 Vol.72 No.1

Background: Various primary tumors can cause metastatic skin cancer. Metastatic skin lesion should be distinguished from other skin lesion. Objectives: We studied patients with metastatic skin cancer to find out average age, gender distribution, frequency of primary tumor, time interval between manifestation and primary cancer, and their clinical appearance, location and other metastatic sites. Methods: We reviewed the medical records, clinical photographs and histopathologic records of patients who had been diagnosed with metastatic skin cancer. Results: In the comparison according to clinical records, the mean age at the time of diagnosis was 60.6 years. The ratio of men to women was 1.05:1. The most frequent primary tumors were breast cancer (22.0%), lung cancer (17.0%), head and neck cancer (17%), melanoma (17.0%), gastrointestinal cancer (11%), urologic cancer (11%), and gynecologic cancer (6%). Metastatic skin cancers usually presented as discrete, painless, hard nodules, with sudden onset (88%). Conclusion: Based on the results of this study, it is believed that it is important to recognize the metastatic lesion between various skin lesion such as infections and granulomatous changes of other cause due to drugs and reactive changes.

실험적 진폐증에서 투여약제에 따른 면역학적 병리학적 조직변화

윤임중,임현우,노영만,오상용,정장영,임영,김경아 가톨릭 대학 산업의학 쎈타 산업의학연구소 1993 韓國의 産業醫學 Vol.32 No.2

To access the effects of some drugs such as piperazine phosphare, azathioprine and allopurinol in the experimental pneumoconiosis, 263 rats weighted 240-320 gm was divided into the control and eight experimental groups. To each group, the turbid solution mixed free silica, talc and natural coal dust of 50 mg in 0.8 ml saline were instilled intratracheally. At the begining and 5th week of experiment, piperazine phosphate(8mg/week orally), aspirin(1.5mg/day intramuscularly), azathioprine(25mg/day orally) and allopurinol(1.5mg/day orally) were administered simultaneously, while the dust turbid solution was only given to the control group. For each group the change of body weight. dry right lung weight, cellularity including total cell, macrophage, lymphocyte and neurtrophil in bronchoalveolar lavage fluid, superoxide ion, hydroxyproline, leukotriene B₄, tumor necrotsis factor, prostaglandin E₂were examined, and observed the pathological chages in lung tissue. The results were as follow : 1. The larger amount of their instilled dust and the longer observation period, the severer pathological findings were found in the lung tissue of each experimental group. 2. The body and dry right lung wight was not significantly changed in the experimental groups compared with the control group. 3. The number of total cell in bronchoalveolar lavage fluid was markedly less in the experimental group than the control one, while no significant difference was found in the percent alveolar macrophages and lymphocytes in both groups. However, the percent of neutrophiles was usually lower than in the control group. 4. The amount of superoxide ion was frequently less in the experimental group compared with the control one. 5. The amount of hydroxyproline was significantly lower in the experimental group than in the control one. 6. The amount of leukotriene B₄was usually less in the drug administered group than in the control one. 7. The amount of tumor necrotic factor was also frequently lower in each experimental group than in the control one. 8. The amount of prostaglandin E₂was usually higher in each experimental group than in the control one.

농업부문 에너지 수급 구조와 전망

김연중(Yun-Jung Kim),박기환(Ki-Hwan Park),강창용(Chang-Yong Kang),김윤형(Yun-Hyung Kim),김한호(Han-Ho Kim),오세익 한국농촌경제연구원 2010 한국농촌경제연구원 기본연구보고서 Vol.- No.-

According to economic development and changes in internal and external economic conditions, the energy consumption structure and consumption by energy source of our country are largely changing. Nevertheless, South Korea depends on imports for most of its energy, because natural energy resources are insufficient, and is very sensitive to energy-related issues. Recently, because the International Convention on Climate Change raised concern about diminishing fossil fuels and global warming, the importance of energy efficiency is increasing. To understand the energy input structure of the agricultural sector in order to prepare for efficient energy management plans, it is necessary to predict energy consumption by main items. For this, input-outpur analysis was conducted. It was found that our agriculture and forestry and fisheries industry consumed 3.79 million tons oil equivalent(toe) in 2007, and the agriculture sector is expanding; on the other hand, the livestock and forestry and fisheries sectors are generally shrinking. The agriculture sector remarkably uses energy for vegetables and flowering plants, and in the case of vegetables, consumption has increased by more than 9%, and even consumption of flowering plants has increased by more than 11% above the annual average. In addition, the energy input coefficient in the agriculture sector decreased by more than 30% compared with 1995, confirming that, in general, dependence on energy is being avoided. The agriculture sector is an industry dependent on energy as a result of the relatively large input coefficient in horticulture. Meanwhile, domestic new renewable energy use in our country is just 2.43% of total consumption of the first energy but has shown a tendency to swiftly increase the supply rate of new renewable energy since 2000; however, consumption in the agriculture sector is mainly oil related compared with other industries, and the consumption of new renewable energy is almost nothing. Nevertheless, the government established a goal of expanding the supply rate level of new renewable energy to 4.3% in 2015, 6.1% in 2020, and 11% in 2030, so the use of new renewable energy is expected to increase even in the agriculture sector in the future. Energy is the most important resource for the entire range of the national economy, and because of the effect of oil price increases, it has become a major interest of agriculture. Therefore, the government is preparing various policies for the efficient use of energy as well as energy saving. Accordingly, it is important to plan energy-related efficient policy by supplying basic data on energy policy establishment in the agriculture sector by analyzing the supply and demand status of clean energy in the agriculture sector along with the potential energy demand of the main agricultural and livestock products.

만성 신부전증 환자의 중중 고혈당에 따른 의식 변화 결정에 대한 연구

위형중,이창범,박성광,강성귀,임천규,박은주,윤경택,한상웅,안유헌,김호중· 대한신장학회 2000 대한신장학회잡지 Vol.19 No.6

Cu-6Ni-6Sn 합금에서 시효경화 거동에 미치는 Mn 첨가의 효과

김창주,이정무,정윤철,한승전 대한금속재료학회(대한금속학회) 1998 대한금속·재료학회지 Vol.36 No.8

The effects of addition of Mn on age hardening behaviors of Cu-6wt.%Ni-6wt.%Sn were investigated. The microstructural and hardness changes of alloys aged at 350 to 550℃ were studied by optical microscopy and X-ray diffraction techniques. The Mn free alloy decomposed spinodally by aging at 350℃ followed by the formation of metastable γ' phase which accompanies the increase of hardness. Further aging transformed metastable γ' phase to cellular structure of α+γ. When the specimens were aged at 450℃ and above, cellular structure of α+γ formed without spinodal decomposition and transition of metastable phase. The additions of Mn affected the sequences of precipitation. Additions of Mn suppressed spinodal decomposition of the alloy in the early stage of aging and exhibited a incubation period in hardness change. Hardening was accompanied by the formation of MnNi₂Sn phase.

냉기 치료에 따른 둔근에서의 피부 및 근육내 온도 변화

정우성,김미정,박시복,이상건,김영호,양길태,장윤희 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.2

Comparison of changes in retentive force of three stud attachments for implant overdentures

Kim, Su-Min,Choi, Jae-Won,Jeon, Young-Chan,Jeong, Chang-Mo,Yun, Mi-Jung,Lee, So-Hyoun,Huh, Jung-Bo The Korean Academy of Prosthodonitics 2015 The Journal of Advanced Prosthodontics Vol.7 No.4

PURPOSE. The aim of this study was to compare the changes in retentive force of stud attachments for implant overdentures by in vitro 2-year-wear simulation. MATERIALS AND METHODS. Three commercially available attachment systems were investigated: Kerator blue, O-ring red, and EZ lock. Two implant fixtures were embedded in parallel in each custom base mounting. Five pairs of each attachment system were tested. A universal testing machine was used to measure the retentive force during 2500 insertion and removal cycles. Surface changes on the components were evaluated by scanning electron microscopy (SEM). A Kruskal-Wallis test, followed by Pairwise comparison, was used to compare the retentive force between the groups, and to determine groups that were significantly different (${\alpha}$<.05). RESULTS. A comparison of the initial retentive force revealed the highest value for Kerator, followed by the O-ring and EZ lock attachments. However, no significant difference was detected between Kerator and O-ring (P>.05). After 2500 insertion and removal cycles, the highest retention loss was recorded for O-ring, and no significant difference between Kerator and EZ lock (P>.05). Also, Kerator showed the highest retentive force, followed by EZ lock and O-ring, after 2500 cycles (P<.05). Based on SEM analysis, the polymeric components in O-ring and Kerator were observed to exhibit surface wear and deformation. CONCLUSION. After 2500 insertion and removal cycles, all attachments exhibited significant loss in retention. Mechanism of retention loss can only be partially explained by surface changes.

Thermosensitive Biodegradable Poly(organophosphazene) Gels and Their Blends

( Sung Bum Jung ),( Gyung Don Kang ),( Jung Yun Huh ),( Sung Sook Ahn ),( Estela C. Monge ),( Gil Son Khang ),( Soo Chang Song ) 한국조직공학과 재생의학회 2006 조직공학과 재생의학 Vol.3 No.2

Thermo-sensitive poly(organophosphazene) hydrogels with hydrophilic α-amino-ω-methoxy-poly(ethyleneglycol) (AMPEG), hydrophobic amino acid esters (L-isoleucine ethyl ester) and glycine lactate ethyl ester as a side group have been synthesized. The poly(organophosphazenes) were characterized by 1H-, 31P-NMR spectroscopies and GPC. The viscosities of the gels were measured by viscometer along with the temperature changes. The poly(organophosphazenes) synthesized form solutions in water at low temperature while they form gels as the temperature increases showing lower critical solution temperature. To control the gelation properties we have studied polymer blends system. We grouped the polymers synthesized in two group such as hard polymers with low Tmax and high Vmax and soft polymers with high Tmax and low Vmax. When these polymers were blended at the appropriate ratio, the blended aqueous solution changed into a transparent hydrogel at the targeted body temperature. According to DSC and IR measurements, the two polymers were blended homogeneously.

The influence of diabetes mellitus on periodontal tissues: a pilot study

Um, Yoo-Jung,Jung, Ui-Won,Kim, Chang-Sung,Bak, Eun-Jung,Cha, Jeong-Heon,Yoo, Yun-Jung,Choi, Seong-Ho Korean Academy of Periodontology 2010 Journal of Periodontal & Implant Science Vol.40 No.2

Purpose: The purpose of this study was to preliminarily evaluate the influence of diabetes mellitus (DM) on periodontal tissue without establishment of periodontitis. Methods: Seven-week-old db/db mice were used for the diabetic experimental group and systematically healthy mice of the same age were used as controls. After 1 week of acclimatization, the animals were sacrificed for hard and soft tissue evaluation. The pattern of bone destruction was evaluated by stereomicroscope evaluation with alizarin red staining and radiographic evaluation by microscopic computerized tomography images. Histological evaluation was performed with hematoxylin and eosin stain for evaluation of soft tissue changes. Results: In both stereomicroscope evaluation and radiograph image analysis, aggressive form of bone destruction was observed in diabetic animals when compared to the systematically healthy controls. In histological evaluation, apical migration of junctional epithelium with slight inflammatory cell infiltration was observed with disarrangement of connective tissue fibers. Conclusions: Within the limits of this study, diabetic animals presented distortion in periodontal attachment and an aggressive bone loss pattern when compared to the healthy controls, suggesting that DM has an independent effect on periodontal tissue destruction irrespective of the presence or absence of periodontal disease.