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.

담배 박각시나방 Manduca sexta의 계획된 세포죽음동안의 Proteasome의 변화

이구봉,우기민,조만희,이상한,장예진,김창세 순천향의학연구소 2000 Journal of Soonchunhyang Medical Science Vol.6 No.2

모든 진핵세포의 주요 단백질 분해요소인 proteasome은 변성되거나 상해된 불필요한 단백질을 제거할 뿐만 아니라, 세포주기를 비롯한 다양한 대사과정들의 주요 효소들을 필요 시 적절히 분해함으로써 항상성을 유지시키는 필수적인 효소로 잘 알려져 있다. 또한 proteasome은 특정 포유동물 조직의 계획된 세포죽음(programmed cell death 또는 apoptosis)와 밀접하게 관련되어 있다고 보고된 바, 본 연구에서는 담배 박각시나방(Manduca sexta)의 변태과정에서 일어나는 마디간 근육(intersegmental muscle)의 급격한 파괴과정동안의 proteasome의 변화양상을 발현 및 단백질 분해활성을 중점으로 조사하였다. 정상근육과 파괴직전의 근육으로부터 proteasome을 분석한 결과 단백질 분해활성이 최소한 6배 이상 증가하였으며, proteasome의 주요 구성성분들의 발현 변화를 각각의 항체(antibody)를 이용하여 조사한 결과 세포죽음 직전에 급격히 증가함을 보였다. 이러한 구성성분들의 발현증가가 proteasome 복합체 형성을 통해 활성의 증가를 일으키는지 조사한 결과, 세포내에서 실질적으로 단백질 분해활성을 담당한다고 여겨지는 26S proteasome(2,000 kDa)의 위치에서 커다란 활성의 변화와 구성성분의 증가를 볼 수 있었다. 따라서, 담배 박각시나방의 계획된 세포죽음 현상은 특정 호르몬의 신호에 의해 proteasome의 발현이 급격히 증가하여 26S proteasome의 복합체 형태로 세포 내 대부분의 단백질들을 분해함으로써 30시간이내 근육조직을 완전히 소멸시키는 것을 알 수 있었다. 한편, proteasome을 구성하는 특정 구성성분의 과다 발현이 세포의 단백질 분해현상에 어떠한 영향을 미치는 지 조사하기 위하여 쥐의 fibroblast cell에 26S proteasome의 ATPase 구성성분인 m56 유전자를 삽입한 후 세포의 추출물로부터 proteasome의 양과 활성의 변화를 관찰하였다. Proteasome을 초원심분리로 추출하여 관찰한 결과, 담배 박각시나방의 경우와는 달리 유전자 삽입 세포는 모든 실험에서 정상 세포와 전혀 차이를 보이지 않았다. 이 결과로부터 세포의 생명 유지에 필수적이고 매우 다양한 기능을 가진 proteasome은 40여개의 구성성분들의 발현이 매우 정교하게 조절되고 있으며, 특정 세포죽음 자극(apoptotic signal)이 왔을 때 일련의 구성 성분들의 발현과 26S proteasome 복합체 형성이 증가함으로써 그 기능을 수행하는 것을 알 수 있으며, 보다 자세한 연구는 비정상적 단백질 분해나 세포죽음을 동반하는 여러 질환들의 원인과 현상을 규명할 수 있으며, 또한 그 활성을 조절함으로써 궁극적인 치료의 방향도 제시 가능할 것으로 기대된다.

Ischemia-Related Changes in Galanin Expression in the Dentate Hilar Region after Transient Forebrain Ischemia in Gerbils

LEE, Hyeon Yong,HWANG, In Koo,KIM, Dae Ho,KIM, Jung Hwa,KIM, Chang Ho,LIM, Beong Ou,KANG, Tae-Cheon,BANG, Kyung Hwan,SEONG, Nak Sul,LEE, Hak Ju,KIM, Jong Dai,WON, Moo Ho Japanese Association for Laboratory Animal Science 2005 EXPERIMENTAL ANIMALS Vol.54 No.1

<P>Although galanin (GAL) protects hippocampal neurons from ischemic damage, no study has examined ischemia-related changes in endogenous GAL in the hippocampal dentate gyrus. We investigated the chronological changes of GAL, well-known as the potassium channel opener, expression in the dentate gyrus at various times after 5 min of transient forebrain ischemia in gerbils. A few GAL-immunoreactive (IR) neurons were found in the polymorphic layer of the sham-operated group. Three hours after ischemia-reperfusion, the pattern of GAL immunoreactivity was similar to that of the sham-operated group and the number of GAL-IR neurons and immunoreactivity were highest 12 h after ischemic insult. At this time, GAL-IR neurons in the polymorphic layer showed strong GAL immunoreactivity. Thereafter, GAL-IR neurons and immunoreactivity significantly decreased in the dentate hilar region. Four days after ischemic insult, GAL-IR neurons were not detectable. In addition, the results of a Western blot study showed a pattern of GAL expression similar to the immunohistochemical changes. GAL protein content also was highest 12 h after ischemia. In conclusion, the increased expression of endogenous GAL in the dentate gyrus after ischemia is related to response to the ischemic damage.</P>

사염화탄소 장기투여로 초래된 간세포의 Lysosome의 전자 현미경적 연구

이동구,이원순,서창환 中央醫學社 1976 中央醫學 Vol.30 No.2

It is an well established fact that the long term administration of carbon tetrachloride to the experimental animal may cause hepatocellular degeneration which may advance to liver cirrhosis and occasionally even to liver cancer. However, there are not so much reports about the electron microscopic change of various organells in the cytoplasm of hepatocytes, and nearly no reports about the relationship between these structural alterations and functional change. Among the various changes in hepatocytes of the rats of Spraque Dowley which was treated with carbon tetrachloride for long term, the authors studied especially the change in lysosome which has close relationships with the intracellular digestive process. The following results were obtained: 1) The lysosomes of normal hepatocytes were very similar with those observed by other investigators. 2) Generally, the lysosomes of hepatocytes under long term administration of carbon tetrachloride was increased in number and particularly remarkable around the golgi complex and bile canaliculi. 3) There were found some differences in the content of increased lysosomes due to carbon tetrachloride and it was appreciated as a periodical differences of secondary lysosomes which were formed by union of autophagosome and primary lysosome. 4) Considering the fore mentioned results, the increase of lysosomes caused by the administration of carbon tetrachloride seemed to have close relationships with autophagocytosis.

혐기화 시간에 따른 활성슬러지의 물리·화학적 특성변화

이창한,나영수,김도한,이송우,송승구 한국환경과학회 2002 한국환경과학회지 Vol.11 No.4

Physico-chemical properties of the activated sludges(Suyoung and Changlim treatment plant). such as SVI(sludge volume index), absorbance, specific surface area, and specific resistance using Buchener funnel test were investigated with changing anaerobic storage time. This experimental condition was found that it was possible to estimate a linear relationship between their parameters such as specific area, specific resistance, and sludge volume index(SVI). The specific surface area and the specific resistance to filtration of the activated sludges of Suyoung and Changlim treatment plant were found as 123.6~136.6㎡/gDS and 41.5 ~ 44.9㎡/gDS(dry solid), and 1.09×10^14 ~ 5.48×10^14m/㎏, respectively. The results gave a good linear relationship between the specific surface area and the specific resistance. r=2.25×10^12s-8.10×10^13(R^2=0.8885) at Suyoung treatment plant and r=1.26×10^13s-4.75×10^14(R^2=0.8756) at Canglim treatment plact.

Sarcomatoid Carcinoma Arising from Mature Cystic Teratoma

Ho-Chang Lee1, Seung-Myoung Son, Yong-Moon Lee, Ji Hae Koo, Song-Yi Choi, Ok-Jun Lee, Eun-Hwan Jeong 충북대학교 동물의학연구소 2012 Journal of Biomedical and Translational Research Vol.13 No.2

Malignant transformation of mature cystic teratoma (MCT) is rare. Sarcomatoid carcinoma is a neoplasm comprising malignant mesenchymal cells and a conventional carcinomatous area. Here, we report on a case of sarcomatoid carcinoma arising from an MCT in the left ovary of a 45-year-old female. A unilocular cyst consistent with MCT was observed; however, a nodule within the cyst was confirmed from the resected ovary. Microscopically, the nodule showed both squamous cell carcinoma and pleomorphic sarcomatous components admixing with each other. Lining epithelial cells at the periphery of the main tumor showed squamous metaplasia. When a sarcomatous component is observed in the ovary tumor, it is important to find a squamous cell component, either benign or malignant.

Prednisolone 投與로 因한 家兎中樞淋巴組織의 形態學的硏究

河在昌,李東久,洪錫宰 啓明大學校 醫科大學 1982 계명의대학술지 Vol.1 No.1

成熟家兎를 實驗動物로 하여 prednisolone 을 5㎎ 및 10㎎ 씩 1日 1回 連 3日間 注射하고 中樞淋巴組織인 胸腺과 蟲垂淋巴組織에 惹起되는 變化를 機能的組織構造에 따라 光學 및 電子顯微鏡的으로 檢索한 結果를 要約하면 다음과 같다. 組織學的으로 胸腺에 있어서는 小葉皮質에서 淋巴球의 甚한 消失과 細綱細胞 및 大食細胞의 顯著한 增加를 볼 수 있었으나 隨質에서는 淋巴球가 거의 減少되지 않았다. 蟲垂淋巴組織은 dome, corooa 및 follicle에서 다같이 大小淋巴球의 甚한 消失과 大食細胞의 著明한 增加를 볼 수 있었으며 TDA에서는 淋巴球가 極히 輕한 程度로 減少하였을 뿐으로서 거의 正常한 狀態로 보였다. 電子顯微鏡的으로 胸腺皮質의 淋巴球는 核邊綠의 不規則, 核膜의 消失 및 核破壞 等의 甚한 變性 내지 壞死性變化가 惹起되었으며 細綱細胞 및 大食細胞에서는 空胞의 養性擴張, mitochondria의 종신 및 cristae의 消失 그리고 破壞된 淋巴球의 탐식 等이 5㎎ 注射群보다는 10㎎ 群에서 좀 더 顯著하게 나타났다. 그러나 隨質에서는 몇몇 淋巴球에서 核濃縮과 核邊綠의 不規則性이 있을뿐 著明한 變性變化는 없었다. 蟲垂淋巴組織에서도 dome, corona 및 follicle의 淋巴球는 甚한 壞死性變化를 보였으며 TDA에서는 그 變化가 極히 輕하였다. Dome 및 follicle의 大食細胞에서는 破壞된 淋巴球가 가끔 탐식되어 있었다. 以上의 成績으로 보아 一般的으로 cortiosteroid의 中樞淋巴組織에 對한 影響은 胸腺에서는 皮質의 淋巴球에 그리고 蟲垂淋巴組織에서는 주로 B淋巴球領域의 淋巴球에 일어나며 그 變化는 非可逆性 壞死까지도 誘發하는 것으로 推定된다. This study was carried out to investigate morphological changes in the central lymphoid tissue of thymus gland and appendix of 12 healthy adult rabbits treated with injecting prednisolone of 5 and 10mg each to the animals once per day 3 consecutive days. The results were as follows: Light microscopically, a considerable loss of lymphocytes in lobular cortex of thymus gland, along with noticeable increase of macrophages and reticulum cells, were found. However, no significant decrease of lymphocytes in its medulla persent. Significant loss of large and small lymphocytes and considerable increased macrophages in the areas of dome, corona, and follicles of appendiceal lymphoid tissue were noted. However, very meagre decrease of lymphocytes in thymus dependent area only was noticed. Electron microscopically marked degeneration and necrotic changes of lymphocytes, such as irregularity of nulear margin, loss of nuclear membrane, and destruction of lymphocytes in the cortex of thymus gland occured. in reticulum cells and macrophages, cystic degeneration of vesicles, swelling of mitochondria, loss of cristae, and phagocytosis of destructed lymphocytes were prominent in the group of 10mg injection than in that of 5mg. Nevertheless, nuclear condensations and irregularities of nuclear margin of some lymphocytes were noticed in medulla with no clear degenerative changes. In appendiceal lymphoid tissue, a severe nocrotic changes of lymphocytes of dome, corona and follicles were observed. However, its changes in thymus dependent area were very little. In macrophages of dome and follicles, destructed lymphocytes were seen to be occasionally phagocytosed. It may be summarized that the effects of corticosteroid on the central lymphoid tissue take place in lymphocytes in cortex of thymus gland and in lymphocytes of B lymphocytical area of appendiceal lymphoid tissue. It may also be assumed that the changes aforementioned can include irreversible necrosis.

Study on Aging Effect of Adhesion Strength Between Polyimide Film and Copper Layer

Seok‑Bon Koo,Chang‑Myeon Lee,Sang‑Jun Kwon,Jun‑Mi Jeon,Jin‑young Hur,Hong‑Kee Lee 대한금속·재료학회 2019 METALS AND MATERIALS International Vol.25 No.1

This paper experimentally confirmed that the adhesion strength of the copper layer formed on the surface of the polyimidefilm by wet plating greatly changes with the aging time. The adhesion strength of the copper layer showed a rapid increasefrom 4 to 10 h after aging had begun and then converged to a value without a significant change. The adhesion enhancementbetween polyimide film and copper layer by aging is due to the interlocking effect caused by the volume expansion of copperoxide (CuO) formed in the polyimide, the increased mobility of copper particles enlarged by the decrease of impuritiesin the copper layer grain boundaries, and the consequent change of the crystal structure of the copper layer leading to theinternal stress reduction. Such adhesion improvement can be confirmed by the progress of the cohesive failure indicatingthe breakdown of the polyimide film.

Estimation of Demand For Meat In Korea

( Won W. Koo ),( Seung Ryong Yang ),( Chang Buhm Lee ) 한국농촌경제연구원 1993 Journal of Rural Development Vol.16 No.2

This study estimates the Korean meat demand, using a general switching AIDS model, and tests if the demand structure changes over time. The demand for beef, pork, chicken, and other meat products is estimated, using annual data from 1970 to 1989. The separability test suggests that fish does not have to be included in this meat demand analysis. The results indicate that structural change in meat consumption occurred between 1977 and 1989, possibly with no termination during the sample period. Significant structural changes are detected in the beef and pork demands, but not in the chicken demand. While price elasticity of beef remains inelastic before and after the structural change, demand for pork becomes less price elastic and that for chicken more elastic after the structural change.

혼입불순물이 구리 도금층의 미세조직변화에 미치는 영향

구석본(Seok-Bon Koo),전준미(Jun-Mi Jeon),이창면(Chang-Myeon Lee),허진영(Jin-Young Hur),이홍기(Hong-Kee Lee) 한국표면공학회 2018 한국표면공학회지 Vol.51 No.4

The self-annealing which leads evolution of microstructure in copper electroplating layers at room temperature occurs after forming deposition layer. During the process, crystal orientation, size and sheet resistance of plating layer change. Lastly, it causes the change of physical and mechanical characteristics such as a tensile strength of plating layer. In this study, the variation of incorporated impurities, microstructure and sheet resistance of copper plating layer formed by electroplating are measured with and without inorganic additives during the self-annealing. In case of absence of inorganic additives, the copper layer presents strong total intensity of incorporated impurities. During the self-annealing, such width of reduction was significant. Moreover, microstructure and crystal size are increased while the tensile strength is decreased noticeably. On the other hand, in the presence of inorganic additives, there is no observable distinction in the copper plating layer. According to the observation on movements of the incorporated impurities in electrodeposition copper layer, within 12 hours the impurities are continuously shifted from inside of the plating layer to its surface after as-deposited electroplating. Within 24 hours, except for the small portion of surface layer, it is considered that most of the microstructure is transformed.