Search

Objective: The purpose of this study is to evaluate the clinical outcome of cauda equina syndrome (CES) using percutaneous endoscopic lumbar discectomy (PELD) and open lumbar microdiscectomy (OLM).Methods: Fifteen patients with CES either underwent PELD or OLM from January 2017 to December 2019. The patients were divided into 2 groups according to the surgical methods: the PELD group (with 7 patients, 5 males and 2 females) and the OLM group (with 8 patients, 6 males and 2 females). The clinical outcomes were evaluated by the Visual Analogue Scale score (VAS), motor grade of lower extremities, perineal sensation, anal tone, and bladder dysfunction. Results: Both groups reported a significant postoperative reduction of VAS score for back and leg pain. When comparing the two groups, there was no significant difference in the improvement of leg pain. However, the improvement in back pain was significantly higher in the PELD group than in the OLM group (p=0.05). In the PELD and OLM groups, all 15 patients showed an improvement in preoperative CES symptoms including impaired lower limb motor power, perineal sensations, anal sphincter tone and bladder function at the one-year follow-up. The operation time (p=0.01) and length of hospital stay (p=0.01) were shorter in the PELD group compared with the OLM group. In the PELD group, the intraoperative bleeding was negligible whereas in the OLM group.Conclusion: The advantages of PELD, indicate it is a good alterative or option for the treatment of CES patients considering the appropriate indication.

Nine sesquiterpenes, including eight pentalenenes (1–8) and one bolinane derivative (9), were isolated from the culture broth of a marine-derived actinobacterium Streptomyces qinglanensis 213DD-006. Among them, 1, 4, 7, and 9 were new compounds. Their planar structures were determined by spectroscopic methods (HRMS, 1D, and 2D NMR), and the absolute configuration was established by biosynthesis consideration and electronic-circular-dichroism (ECD) calculations. All the isolated compounds were screened for their cytotoxicity against six solid and seven blood cancer cell lines. Compounds 4–6 and 8 showed a moderate activity against all of the tested solid cell lines, with GI50 values ranging from 1.97 to 3.46 µM.

The aim of this study was to investigate the efficacy of a cyst dyeing technique that was used during the surgical excision of facet joint cysts in 2 cases. We evaluated the patients’ clinical outcomes and perioperative complications after decompression of lumbar spinal stenosis caused by the cysts. Two patients, who underwent surgical decompression for symptomatic lumbar spinal stenosis caused by facet cysts in August and October 2020, were reviewed. Their main complaints were severe low back pain and sciatica 1 or 2 months ago, for which they visited Wooridul Spine Hospital, Daegu, Korea. Under general anesthesia, the cysts were removed with the cyst dyeing method, using indigo carmine. Clinical outcomes were assessed by preoperative and postoperative visual analog scale (VAS) scores. Perioperative complications were observed.Favorable clinical outcomes and no perioperative complications were reported. Low back pain and sciatica improved, as shown by changes of the VAS score from 9 or 8 to 1, and no dural defects were observed. The cyst dyeing method is an effective technique for the surgical removal of symptomatic lumbar spine facet joint cysts.

Lumbar epidural steroid injection (LESI) is an effective treatment for low back pain. However, it may result in increased blood glucose levels, decreased plasma cortisol concentrations, and suppression of the adrenocorticotropic hormone axis.We investigated the effects of 4 mg and 8 mg of dexamethasone as an LESI on back pain and the resulting changes in serum cortisol and glucose levels.Prospective study.Department of Anesthesiology and Pain Medicine, Neurosurgery at Daegu Wooridul Spine Hospital.Sixty-three patients were randomized into 2 LESI groups: one received 4 mg of dexamethasone (n = 25) and the other received 8 mg of dexamethasone (n = 28). Visual analog scale (VAS) scores and the Oswestry Disability Index (ODI) were determined. In addition, serum cortisol and glucose concentrations were measured before treatment, at the second LESI (one month follow-up), and at 2 months. All patients received LESI.Blood glucose and serum cortisol concentrations were not significantly different within a group and between groups. There was no difference in serum cortisol and glucose levels, VAS, and ODI between the first LESI and second LESI in both groups. The VAS and ODI were reduced in both groups and the difference between groups was not statistically significant.The dexamethasone dosage was not variable; hence, we could not use larger doses of dexamethasone. Secondly, the blood draw interval was longer in this study than in previous studies.After the first lumbar epidural injection of either 4 mg or 8 mg of dexamethasone, there was a reduction in pain in both groups. There was no significant difference in serum cortisol and glucose levels before treatment and during follow-up. Therefore, 4 mg or 8 mg of dexamethasone can be considered a treatment for patients who have low back pain.

Objective : Percutaneous pedicle screw (PPS) fixation is a needle based procedure that requires fluoroscopic image guidance. Consequently, radiation exposure is inevitable for patients, surgeons, and operation room staff. We hypothesize that reducing the production of radiation emission will result in reduced radiation exposure for everyone in the operation room. Research was performed to evaluate reduction of radiation exposure by modifying imaging manner and mode of radiation source.Methods : A total of 170 patients (680 screws) who underwent fusion surgery with PPS fixation from September 2019 to March 2020 were analyzed in this study. Personal dosimeters (Polimaster Ltd.) were worn at the collar outside a lead apron to measure radiation exposure. Patients were assigned to four groups based on imaging manner of fluoroscopy and radiation modification (pulse mode with reduced dose) : continuous use without radiation modification (group 1, n=34), intermittent use without radiation modification (group 2, n=54), continuous use with radiation modification (group 3, n=26), and intermittent use with radiation modification (group 4, n=56). Post hoc Tukey Honest significant difference test was used for individual comparisons of radiation exposure/screw and fluoroscopic time/screw.Results : The average radiation exposure/screw was 71.45±45.75 μSv/screw for group 1, 18.77±11.51 μSv/screw for group 2, 19.58±7.00 μSv/screw for group 3, and 4.26±2.89 μSv/screw for group 4. By changing imaging manner from continuous multiple shot to intermittent single shot, 73.7% radiation reduction was achieved in the no radiation modification groups (groups 1, 2), and 78.2% radiation reduction was achieved in the radiation modification groups (groups 3, 4). Radiation source modification from continuous mode with standard dose to pulse mode with reduced dose resulted in 72.6% radiation reduction in continuous imaging groups (groups 1, 3) and 77.3% radiation reduction in intermittent imaging groups (groups 2, 4). The average radiation exposure/screw was reduced 94.1% by changing imaging manner and modifying radiation source from continuous imaging with standard fluoroscopy setting (group 1) to intermittent imaging with modified fluoroscopy setting (group 4). A total of 680 screws were reviewed postoperatively, and 99.3% (675) were evaluated as pedicle breach grade 0 (

Submarine earthquakes have increased in the southwestern Ulleung Basin adjacent to the Korean Peninsula. This study analyzed the gravitational and magnetic properties of the three earthquake-prone areas (Hupo Bank and offshore regions near Pohang and Ulsan) in the basin. The basin was affected by tensile and compressive stresses during the formation of the East Sea. The southern Hupo Bank and the Pohang offshore exhibited high gravity anomalies and strong magnetic anomalies. Hupo Bank was separated from the peninsula and earthquakes in this region have been influenced by crustal fractures that facilitated igneous activities during the formation of the basin. Dense volcanic rocks and seaward dipping reflectors along the Pohang coast and continental slope suggest magmatic activities during the formation of the East Sea. Comparatively, the Ulsan offshore, with a thick sedimentary layer, exhibited a slightly higher gravity anomaly than the surrounding area, but no significant differences in the magnetic anomaly. Sequential tensile and compressive stresses related to the creation of the basin produced complex tectonic structures in this region. The magnetic tilt derivative results suggest that earthquakes were located near magnetic source boundaries. The results show that it is important to monitor earthquake-prone areas with gravity and magnetic anomalies.

Background: During the caudal epidural steroid injection (CESI), sacral foramen leakage can occur. The aim of this study was to evaluate incidence and the correlation of anterior sacral foramen leakage with several factors. Methods: We retrospectively analyzed the medical records of patients who underwent CESI. The epidural needle position and sacral foramen leakage (yes or no) in C-arm view were recorded. The following parameters were measured: 1) depth of the intervertebral disc at S1-S2, S2-S3, and S3-S4; 2) distances between the posterior borders of S1 and the apex of the sacral hiatus; and 3) depths of S1, S2 the sacral canal. Results: Ninety-one subjects were evaluated. The patients were predominately women (60%) with a mean age of 65.5 ± 11.6 years. There was leakage in 58% (53/91) of patients. One-level leakage occurred in the largest proportion of patients (27%). Age, gender, needle tip position, the depth of the intervertebral disc at S1-S2, S2-S3, and S3-S4, the distances between the posterior borders of S1 and the apex of the sacral hiatus, and the depths of S1, S2 the sacral canal were not correlated with sacral foramen leakage. Conclusion: We found leakage in 58% of patients regardless of age, gender, needle-tip position, the depth of the intervertebral disc at S1-S2, S2-S3, and S3- S4, the distances between the posterior borders of S1 and the apex of the sacral hiatus, and the depths of S1, S2 the sacral canal. Therefore, clinicians should be aware that leakage can occur in any circumstance. Keywords: incidence, factors, anterior, sacral, foramen, leakage, fluoroscopically, caudal, epidural, steroid, injection.

Objective The aim of this study is to evaluate the feasibility of posterior cervical foraminotomy (PCF) for adjacent segmental disease (ASD) after anterior cervical fusion (ACF). As ACF is accepted as the standard treatment for cervical spondylosis, many studies have been conducted to evaluate the efficacy of various surgical techniques to overcome symptomatic ASD after the previous surgery. Herein, PCF was performed for the treatment of symptomatic ASD and the feasibility of the surgery was evaluated. Methods Forty nine patients who underwent PCF due to symptomatic ASD from August 2008 to November 2017 were identified. For demographic and perioperative data, the sex, age, types of previous surgery, ASD levels, operation times, and bleeding amount were recorded. The clinical outcome was assessed using the visual analogue scale for the neck and arm, the modified Odom’s criteria as well as neck disability index. Radiologic evaluations were performed by measuring disc softness, disc height, the cervical 2–7 sagittal vertical axis, cervical cobb angle, and facet violation. Results Thirty-seven patients were enrolled in this study. The patients were divided into two groups based on the location of the pathology; paracentral (group P) or foramina (group F). Both groups showed significant clinical improvement (p0.05). Conclusion PCF showed satisfactory clinical and radiologic outcomes for both paracentral and foraminal pathologies of ASD after ACF. Complications related to anterior revision were also avoided. PCF can be considered a feasible and safe surgical option for ASD after ACF.

Low back pain (LBP) is caused by disc herniation, spinal stenosis, facet syndrome or etc. This LBP could be either nociceptive or neuropathic pain (NP). In addition, these neuropathic pain is a major contributor to chronic low back pain. It is already known that lumbar epidural steroid injection (ESI) is effective for low back pain, but no study has assessed both nociceptive and neuropathic pain separately. This study investigated whether neuropathic or nociceptive pain was better improved after an epidural steroid injection.This was a prospective study. Patients were classified according to the pre-procedure painDETECT questionnaire (PD-Q) score. If the PD-Q score was ≤12, it was considered as nociceptive pain, and it the PD-Q was ≥19, it was considered NP. The patients were given a transforaminal (TF) or interlaminar (IL) epidural steroid injection (ESI). The PD-Q was filled out by each patient prior to the ESI (baseline), and again at 4 weeks after the ESI. Outcomes was assessed using a numerical rating scale (NRS) score, short form McGill Pain Questionnaire (MPQ), and revised Oswestry Back Disability Index (ODI) at 1 month later.A total of 114 patients were enrolled and of these, 54 patients with a PD-Q score of ≤12 were classified into the nociceptive pain, and 60 patients with a PD-Q score ≥19 were classified into the neuropathic pain group. At 1 month after treatment, both groups had significantly lower than improved their mean NRS score. Not withstanding these improvements and difference between NRS, the differences in MPQ and ODI after treatment between the groups (nociceptive vs. neuropathic) not significant. After the procedure (TF-ESI or IL-ESI), the patients in group 1 (PD-Q score ≤12, n = 54) had no change in their PD-Q score. Among the patients in group 2 (pre-treatment PD-Q score ≥19, n = 41), 13 patients moved to a PD-Q score12 and 15 patients had a PD-Q score of 13-18.For the short-term relief of neuropathic pain, ESI was effective for both nociceptive and neuropathic pain, therefore ESI could be treat the try neuropathic pain component in patients with low back pain.

Background: Concerning of progression of deformity, it is reluctant to utilize a posterior approach if preoperative sagittal alignment is kyphotic or straight. The purpose of this study was to determine interval changes in cervical segmental angles after posterior cervical foraminotomy (PCF) and analyzing factors affecting cervical sagittal re-alignment in the postoperative period. Methods: Within 2 days and 6 months after PCF, postoperative plain radiograph was obtained to compare the cervical sagittal alignment with preoperative alignment in 286 consecutive patients. Sagittal angle between C2 and C7 formed by lines drawn at the base of axis and the superior endplate of the C7 vertebral body on lateral radiograph. To evaluate clinical outcomes, patients were routinely asked to gauge levels of pain they feeling at that point in time by visual analogue scale (VAS) on admission, prior to postoperative radiographs and 6 months after operation follow-up in outpatient. Results: More than two-third of the patients presenting with kyphotic or straight curvature improved short-term following operation. On follow-up plain radiographs after 6 months, the improvement of sagittal alignment was well maintained, but rather more prominent (P

Objective This study aimed to assess the effect of combined oral contraceptives (COCs) on polycystic ovarian morphology (PCOM) and serum anti-Mullerian hormone (AMH) levels in Korean women with polycystic ovary syndrome (PCOS). Methods This university hospital study enrolled 36 Korean women who were newly diagnosed with PCOS based on the Rotterdam criteria and were treated with COCs for at least 1 year. We retrospectively evaluated the ovarian volume and number of antral follicles using ultrasonography and assessed serum AMH levels at baseline and after 1 year of COC treatment. Results Significant decreases in ovarian volume and antral follicle count were observed after 1 year of COC treatment. Compared to baseline, serum AMH levels were significantly decreased after 1 year. Conclusion COC treatment significantly affects ultrasound-assessed PCOM and serum AMH levels of patients with PCOS.

Background: Lumbar stenosis is characterized by a narrowing of the spinal canal in association with progressive degenerative changes in the lumbar spine and surrounding structures, including hypertrophy of the ligamentum flavum (LF). Objectives: The aim of this study was to examine the usefulness of endoscope-assisted interlaminar lumbar decompression (EILD) for patients with lumbar stenosis and hypertrophy of the LF. Study Design: Retrospective study. Setting: Department of Anesthesiology and Pain Medicine, Neurosurgery at Wooridul Spine Hospital. Methods: A total of 51 patients were enrolled in this study. Outcomes were evaluated at baseline and at 2 weeks and 6 months postprocedure via the Numeric Rating Scale, Oswestry Disability Index (ODI), and Zurich Claudication Questionnaire (ZCQ). Results: Mean posttreatment pain scores at 2 weeks and 6 months were significantly lower, and ODI scores were significantly decreased compared with baseline. ZCQ scores were also significantly decreased compared with pretreatment surveys. Two patients required reoperation within one month. At postprocedure 6 months, a ≥ 50% reduction in pain score was recorded in 26 (80%) of 51 patients, and there was ≥ 40% reduction in ODI score in 82% of patients. No serious complications including epidural bleeding, dural or neural injuries, or infection were recorded. Limitations: This study lacked secondary outcome substantiation. In addition, the follow-up period was short (< 6 months), and no patients had postprocedure magnetic resonance imaging. The number of patients was also small. Conclusions: EILD provided good outcomes and may be a reasonable treatment option for carefully selected patients with hypertrophy of the LF.

Variations in mineralogy and chemical composition, layer structures, redox states of Fe and Mn, and microbial diversity are closely linked to the biogeochemical process when a ferromanganese crust layer forms. A sample collected from the Magellan Seamount (OSM11), in the western Pacific, was characterized in five well-defined layers, top to bottom (L1–5). Fe-vernadite occurs in all layers, compared to detritus quartz, feldspar, goethite, and hematite in L1 and L3, and carbonate fluorapatite (CFA) in L4–5. The relatively high concentrations of Ca and P in L4–5, and Fe, Co, and Si in L1 and L3 correspond to the mineralogical variations in the crust layer. Disappearance of elongated voids along the convex growth line is likely due to void filling precipitation of CFA in L4–5, resulting in the void reduction (31.6 to 6.0%). The oxidation states of Fe in Fe-vernadite measured by electron energy loss spectroscopy (EELS) ranges from 36 to 63% of Fe3+/Fetot, and a layer where CFA appeared (L4) contains a more reductive form of Fe (Fe3+/Fetot = 36–48%). Presence of Fe- (coxC) and Mn-oxidizing gene (cumA), particularly displaying a strong PCR band of coxC in L2–3, indicates a dominant oxidizing condition. Direct evidence of microbial activity in Fe - and Mn-oxide precipitation with various redox conditions was identified in the focused ion beam-sectioned microfossil. Particularly, a spectrum image displaying a more reducing form of Fe around the voids previously occupied by microorganisms, strongly supports that microorganisms play an important role in the redox reaction in the growth of a crust.

Background Discogenic pain is a common cause of disability and is assumed to be a major cause of nonspecific low back pain. Various treatment methods have been used for the treatment of discogenic pain. This study was conducted to compare the therapeutic success of radiofrequency (an intradiscal procedure) and laser annuloplasty (both an intradiscal and extradiscal procedure). Methods This single-center study included 80 patients and followed them for 6 months. Transforaminal laser annuloplasty (TFLA, 37 patients) or intradiscal radiofrequency annuloplasty (IDRA, 43 patients) was performed. The main outcomes included pain scores, determined by the numeric rating scale (NRS), and Oswestry disability index (ODI), at pre-treatment and at post-treatment months 1 and 6. Results The patients were grouped according to procedure. In all procedures, NRS and ODI scores were significantly decreased over time. Mean post-treatment pain scores at months 1 and 6 were significantly lower (P < 0.01) in both groups, and between-group differences were not significant. The ODI score was also significantly decreased compared with baseline. Among patients undergoing TFLA, 70.3% (n = 26) reported pain relief (NRS scores < 50% of baseline) at post-treatment 6 months, vs. 58.1% (n = 25) of those undergoing IDRA. There were no statistically significant differences between the groups in ODI reduction of > 40%. Conclusions Our results indicate that annuloplasty is a reasonable treatment option for carefully selected patients with lower back and radicular pain of discogenic origin, and TFLA might be superior to IDRA in patients with discogenic low back pain.

Background: Transforaminal endoscopic lumbar disc decompression (TELD) has emerged as a treatment alternative to open lumbar discectomy, but rates of herniated lumbar disc (HLD) recurrence after TELD are higher by comparison. Objectives: We conducted this study to identify factors correlating with early HLD recurrence after TELD. Study Design: Retrospective study. Setting: The Department of Anesthesiology and Pain Medicine, Neurosurgery at Spine Health Wooridul Hospital. Methods: As a retrospective review, we examined all patients undergoing TELD between 2012 and 2017, analyzing the following in terms of time to recurrence: age, gender, body mass index (BMI), comorbid conditions (diabetes mellitus [DM], hypertension [HTN]), smoking status, nature of disc herniation (central, paramedian, or foraminal), Modic changes, migration grade (rostral vs. caudal track + degree), herniated disc height (Dht) and base size (Dbase), and the presence of spondylolisthesis on magnetic resonance imaging. Results: During the 5-year study period, 1,900 patients underwent TELD procedures, resulting in 209 recurrences (11.0%). In 27 of these patients (12.9%), herniation recurred within 24 hours after surgery. Recurrences most often developed within 2-30 days (n = 76). The smaller the size of a herniated disc, the earlier it recurred. Recurrences were unrelated to gender, BMI, DM or HTN, smoking status, migration grade, nature (Dht or Dbase of herniated disc), or the presence of spondylolisthesis. Limitations: In addition to variables assessed herein, other clinical and radiologic parameters that may be important in recurrent disc herniation should be included. Furthermore, only univariate analyses were performed, making no adjustments for potential confounders, therefore, independent risk factors could not be assessed. A prospective study would likely generate more precise results, especially in terms of standardized sampling and data classification. Finally, multiple causes for primary discectomy failures may have rendered our patient groups nonhomogeneous, and inequalities in surgical options or physician-dictated surgical choices may have had an effect. Conclusions: In patients undergoing TELD procedures, smaller-sized herniated discs are linked to early recurrences. Key words: Disc herniation, lumbar, endoscopic, recurrence, early

BackgroundRadicular pain is related to lesions that either directly compromise the dorsal root ganglion (DRG) or indirectly compromise the spinal nerve and its roots by causing ischemia or inflammation of the axons.ObjectiveOur study aimed to assess the outcomes of pulsed readiofrequency treatment (PRF) according to electrodiagnosis results in patients with chronic intractable lumbosacral radicular pain.MethodsA total of 82 failed back surgery syndrome (FBSS) patients were included in this study. All of them underwent electromyography/nerve conduction studies before pulsed radiofrequency (PRF) treatment at the DRG, and they were classified according to the electrodiagnostic results as: group 1, no definite finding (normal); group 2, radiculopathy; and group 3, neuropathy. Pain intensity was assessed according to a numeric rating scale score and the Oswestry Disability Index (ODI) before treatment and at one, three, six, and 12 months after treatment, and successful treatment was defined as a pain score reduction of ≥50% at 12 months, as compared with the pretreatment score.ResultsPretreatment electrodiagnosis identified 28 patients with no definite findings, 31 patients with radiculopathy, and 23 patients with neuropathy. The patients with neuropathy had less pain relief after treatment than those with no definite findings and those with radiculopathy. The prevalence of pain reduction of at least 50% was lower in the neuropathy group than in the other groups. There was no statistically significant difference in ODI between group.ConclusionOutcomes after PRF at the DRG did not show strong differences according to electrodiagnostic findings in FBSS patients with chronic intractable lumbosacral radicular pain.

The dynamics of the Ecklonia cava-associated microbiota in four Korean populations, Dokdo Island (DI), Ulleungdo Island (UI), Sangbaekdo Island (SI), and Seogwipo, were investigated to provide the initial data on E. cava-bacteria interactions in different localities. A pyrosequencing 454 analysis of the bacterial 16S rRNA genes was carried out, and the obtained sequences were analyzed by bioinformatic methods. The Chao 1 index showed that the bacterial community richness was highest in the Seogwipo population, which contained more highly abundant bacteria than the other populations according to the ACE index. The Shannon diversity index showed that the UI population was highly diverse. Bacteria of the phylum Proteobacteria were most abundant in all four populations (49–94%). Fifty-two genera were identified in the four E. cava populations. The microbiota at DI was dominated by Granulosicoccus (17.33%) and HQ845450_g (10.67%); HQ845450_g (11.67%) and Rhodobacteraceae_uc (7.50%) were abundant in the UI population; HQ845450_g (25.32%), Streptococcus (11.39%), and Desulfomonile (11.39%) were dominant in the SI population; and Vibrio (44.91%) and AM259833_f_uc (16.37%) were dominant in the Seogwipo population. The genus Granulosicoccus was found in all four groups. The microbiota in E. cava are largely dependent on the algal location, because only three bacterial operational taxonomic units (OTUs) were commonly found among the 850 bacterial sequences from four E. cava populations. The microbiota differences among the E. cava populations may contribute to seaweed forest conservation strategies at different locations.

Transforaminal epiduroscopic annuloplasty with Nd:YAG laser (TEA) is a reasonable treatment option for carefully selected patients with discogenic back pain (Schwarzer et al., Spine (Phila Pa 1976) 20(17):1878–1883, 1995).

In this study, we investigated the seasonal phytoplankton community and phytoplankton functional types (PFTs) in the vicinity of Dokdo Island, located in the East/Japan Sea, in 2019. With strong seasonal winds, the water column was well mixed in winter. In spring and autumn, the upper mixed layer depth (MLD) was relatively deep, and the Subsurface Chlorophyll Maximum (SCM) formed in the middle layer. Small phytoplankton were dominant in the summer, which is a time of high water temperatures and strong stratification associated with a shallower MLD. Based on CHEMTAX analysis, in spring, the high phytoplankton biomass was mainly derived from cyanobacteria, diatoms, and dinoflagellates. In summer, >73.2% of the surface biomass was comprised of cyanobacteria. In autumn, pelagophytes accounted for the highest proportion of the biomass. The fraction of microphytoplankton (fmicro) was highest in winter and spring, whereas the fraction of nanophytoplankton (fnano) was highest in autumn and summer. A high fraction of picophytoplankton (fpico) was evident in the surface layers in summer. Values for both the photoprotection index (PI) and the ratio of photoprotective carotenoids (PPC) to photosynthetic carotenoids (PSC) indicate that this study area had high primary productivity in 2019. In order to predict long-term changes in marine food webs due to climate change, it is important to evaluate the size and composition of phytoplankton.

Background: Discogenic pain is recognized as the most important and most common cause of low back pain (LBP). Intradiscal pulsed radiofrequency (ID-PRF) is used for the treatment of chronic discogenic pain. Objectives: We investigated the effects of the duration of percutaneous monopolar ID-PRF application on chronic discogenic LBP. Study Design: Retrospective study. Setting: Department of Anesthesiology and Pain Medicine, Neurosurgery at Wooridul Spine Hospital. Methods: Forty-five patients were included in this retrospective study. The patients were assigned into 2 groups according to the duration of the PRF procedure they underwent (7-minute group = 17 patients vs. 15-minute group = 28 patients). The main outcome measures tested were pain score, as determined by the Numeric Rating Scale (NRS-11) and the Oswestry Disability Index (ODI), at baseline, at 2-week, and 6-month follow-up visits. Success was defined as a reduction in NRS11 of 50% or more or an ODI reduction of 40% or more. Results: The mean posttreatment pain scores at 2 weeks and 6 months were significantly lower (P < 0.05) in both groups, but the differences between the groups were not significant. ODI scores were also significantly lower compared with the baseline, but the differences between the groups were not significant. At the 6-month follow-up, 12 patients (70.6%) in the 7-minute group and 20 patients (71.4%) in the 15-minute group reported more than 50% reduction in the pain score (P = 0.16), and there was no significant difference between the 2 groups in the number of patients with more than 40% reduction in ODI score (P = 0.23). Limitations: This study was performed with a small sample size and there was no control group. Additional well-designed and well-controlled studies that include parameters such as the stimulation duration, mode, and intensity of PRF are needed to fully assess the efficiency of ID-PRF. Conclusions: ID-PRF was shown to be effective for the treatment of discogenic LBP regardless of duration of ID-PRF application (7 vs. 15 minutes). Key words: Discogenic pain, pulsed, radio frequency, duration, pain, reduction

The Dokdo and Ulleung islands (Korea) are volcanic islands in the East Sea (Sea of Japan), formed in the late Cenozoic. These volcanic islands, in the back-arc basin of the Japanese archipelago, provide important information about magma characteristics in the eastern margin of the Eurasian plate. The origin of the Dokdo and Ulleung intraplate volcanism is still controversial, and the role of fluids, especially water, in the magmatism is poorly understood. Here, we comprehensively analyzed the melt inclusions (10&ndash, 100 m in diameter) hosted in clinopyroxene phenocrysts of trachyte, trachyandesite, and trachybasalt. In particular, we observed Ti-magnetite and amphibole which were crystallized as daughter mineral phases within melt inclusions, suggesting that Ti-magnetite was formed in an oxidized condition due to H2O dissociation and H2 diffusion. The Ti-magnetite exhibited compositional heterogeneities of MgO (average of 8.28 wt %), Al2O3 (average of 8.68 wt %), and TiO2 (average of 8.04 wt %). The positive correlation of TiO2 with Cr2O3 is probably attributed to evolutionary Fe&ndash, Ti-rich parent magma. Correspondingly, our results suggested hydrous and oxidized magmatism for the Dokdo and Ulleung volcanic islands.

Dokdo's high marine biodiversity has received worldwide attention recently. A total of 578 macrozoobenthos are recorded since the 1960s, but ecology of Dokdo's fauna is unknown. We monitored Dokdo's subtidal macrozoobenthos for 5 years in 2013–17, in the present study. Five stations representing three subtidal habitats were monitored; 1) oceanic plateau, 2) coastal terrace, and 3) island wharf. In total, 13,664 individuals belonging to 141 taxa were recorded during the survey. The number of species and density varied greatly among stations without distinct year-round variation. Faunal compositions significantly differed in time and space, reflecting varied faunal adaptations in a harsh environment. Whilst, temporal stability in faunal assemblages was evidenced for some dominant or cosmopolitan taxa. High spatial heterogeneity reflects site-specific oceanographic conditions. Meantime, sea-surface temperature and wave action were associated with year-round faunal compositions. Overall, the Dokdo's macrozoobenthos significantly contribute to marine biodiversity of the East Sea.

Microbial interaction with minerals are significantly linked with depositional conditions during glacial and interglacial periods, providing a unique redox condition in the sedimentary process. Abiotic geophysical and geochemical properties, including sedimentary facies, magnetic susceptibility, grain size, clay mineralogy, and distribution of elemental compositions in the sediments, have been widely used to understand paleo-depositional environments. In this study, microbial abundance and diversity in the core sediments (6.7 m long) from the northeastern slope of Dokdo Island were adapted to characterize the conventionally defined sedimentary depositional units and conditions in light of microbial habitats. The units of interglacial (Unit 1, &lt, 11.5 ka) and late glacial (Unit 2, 11.5&ndash, 14.5 ka) periods in contrast to the glacial period (Unit 3, &gt, 14.5 ka) were distinctively identified in the core, showing a sharp boundary marked by the laminated Mn-carbonate (CaM) mud between bioturbated (Unit 1 and 2) and laminated mud (Unit 3). Based on the marker beds and the occurrence of sedimentary facies, core sediments were divided into three units, Unit 1 (&lt, 11.5 ka, interglacial), Unit 2 (11.5&ndash, 14.5 ka, late glacial), and Unit 3 (&gt, 14.5 ka, glacial), in descending order. The sedimentation rate (0.073 cm/year), which was three times higher than the average value for the East Sea (Sea of Japan) was measured in the late glacial period (Unit 2), indicating the settlement of suspended sediments from volcanic clay in the East Sea (Sea of Japan), including Doldo Island. The Fe and Mg-rich smectite groups in Unit 2 can be transported from volcanic sediments, such as from the volcanic island in the East Sea or the east side of Korea, while the significant appearance of the Al-rich smectite group in Unit 1 was likely transported from East China by the Tsushima Warm Current (TWC). The appearance of CaM indicates a redox condition in the sedimentary process because the formation of CaM is associated with an oxidation of Mn2+ forming Mn-oxide in the ocean, and a subsequent reduction of Mn-oxide occurred, likely due to Mn-reducing bacteria resulting in the local supersaturation of Mn2+ and the precipitation of CaM. The low sea level (&minus, 120 m) in the glacial period (Unit 3) may restrict water circulation, causing anoxic conditions compared to the late glacial period (Unit 2), inducing favorable redox conditions for the formation of CaM in the boundary of the two units. Indeed, Planctomycetaceae, including anaerobic ammonium oxidation (ANAMMOX) bacteria capable of oxidizing ammonium coupled with Mn-reduction, was identified in the CaM layer by Next Generation Sequencing (NGS). Furthermore, the appearance of aerobic bacteria, such as Alphaproteobacteria, Gammaproteobacteria, and Methylophaga, tightly coupled with the abundance of phytoplankton was significantly identified in Unit 1, suggesting open marine condition in the interglacial period. Bacterial species for each unit displayed a unique grouping in the phylogenetic tree, indicating the different paleo-depositional environments favorable for the microbial habitats during the glacial and interglacial periods.