• Archives of Plastic Surgery
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• 제36권3호
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• pp.356-360
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• 2009

Purpose: Lipofibromatous Hamartoma(LFH) of nerve is a tumor - like lipomatous process principally involving the young persons. This is rare disease characterized by a soft slowly growing mass surrounding and infiltrating major nerves and their branches of the palm and digits. LFH of nerve usually affects the median nerve, with the most common sites of presentation being the distal forearm and hand in the wrist or palm. It may cause symptoms of compression neuropathy and is associated with macrodactyly. Recently, MRI plays a major role in confirming the diagnosis of LFH. Therefore, we present two cases of LFH in the hand with MRI features and surgical management. Methods: One is 6 - years - old female who presented with macrodactyly involving both the soft tissue and bony parts of the second, third and forth digits of her right hand. The other one is 16 - years - old man who presented involving the soft tissue of the second and third digits of his right hand, with pain and numbness, along with motor and sensory deficits in the median nerve distribution. To evaluation about LFH, we enforced preoperative MRI and physical examination. After confirming the diagnosis of LFH, we proposed decompression of all compromised peripheral nerve to help alleviate pain and paresthesia to reduce the likelihood of permanent motor and sensory sequelae. Results: A characteristic feature on MRI is the appearance of serpentiform nerve fascicle surrounded by fibro - fatty tissue within the expended nerve sheet. Distribution of fat between fascicles is asymmetric. Two cases were treated by limited debulking of the redundant tumor tissue and excision of epineurial fatty tissue. These cases were performed with relief of symptom. Conclusion: MRI not only confirms the diagnosis, it also provides a detailed assessment of nerve involvement preoperatively. Especially, on coronal images, the nerve has a spagetti - like appearance that is pathognomonic of LFH. Recommendations for early treatment include decompression of the carpal tunnel, debulking of the fibro - fatty sheath, microsurgical dissection of the neural elements and excision of involve nerve with or without grafting.

• 대한의용생체공학회:의공학회지
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• 제28권3호
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• pp.397-409
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• 2007

Owing to needs of biomechanical comprehension and analysis to obtain various medical treatment designs which are related with the spine in order to cure and diagnose LBP patients, the FE modeling and nonlinear analysis of lumbosacrum including a partial ilium and iliolumbar ligaments, were carried out. First, we investigated whether the geometrical configuration of vertebrae displayed by DICOM slice files is regular and normal condition. After constructing spinal vertebrae including a partial ilium, a sacrum and five lumbars (from L1 to L5)with anatomical shape reconstructed using softwares such as image modeler and CAD modeler, we added iliolumbar ligaments, lumbar ligaments, discs and facet joints, etc.. And also, we assigned material property and discretized the model using proper finite element types, thus it was completely modeled through the above procedure. For the verification of each segment, average sagittal ROM, average coronal ROM and average transversal ROM under various loading conditions(${\pm}10Nm$), average vertical displacement under compression(400N), ALL(Anterior Longitudinal Ligament) and PLL(Posterior Longitudinal Ligament) force at L12 level, strains of seven ligaments on sagittal plane at L45 level and maximal strain of disc fibers according to various loading conditions at L45 level, etc., they were compared with experimental results. For the verification of multilevel-lumbosacrum spine including partial ilium and iliolumbar ligaments, the cases with and without iliolumbar ligaments were compared with ROM of experiment. The results were obtained from analysis of the verified FE model as follows: I) Iliolumbar ligaments played a stabilizing role as mainly posterior iliolumbar ligaments under flexion and as both posterior and anterior iliolumbar ligaments of one side under lateral bending. 2) The iliolumbar ligaments decreased total ROM of 1-8% in total model according to various motion conditions, which changed facet contact forces of L5S level by approximately 0.8-1.4 times and disc forces of L5S level by approximately 0.8-1.5 times more than casewithout ilioligaments, under various loading conditions. 3) The force of lower discs such as L45 and L5S was bigger than upper discs under flexion, left and right bending and left and right twisting, except extension. 4) It was predicted that strains of posterior ligaments among iliolumbar ligaments would produce the maximum 16% under flexion and the maximum 10% under twisting. 5) It's expected that this present model applies to the development and design of artificial disc, since it was comparatively in agreement with the experimental datum.

• 감성과학
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• 제13권2호
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• pp.327-336
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• 2010

본 연구에서는 텐셀 자카드 직물에 은행나무 추출물(ginkgo biloba extract)과 실리콘 유연제(silicon softener)를 처리 할 때 실리콘유연제를 동시에 처리하는 방법과 은행나무추출액 처리하고 난 후에 다른 bath에서 실리콘유연제를 연속적으로 처리하는 방법 중 어느 것이 더 촉감이나 선호도에 더 영향을 주는지를 찾아내고자 하였다. 따라서 텐셀 자카드 직물에 은행나무추출액과 실리콘유연제를 처리하여 KES-FB system을 통하여 역학적 특성 및 객관적 태의 변화를 살펴보고, 침장용 직물이 가지는 개별 감각 및 종합 감각의 주관적 감성을 평가하였다. 이밖에도 침장용 직물에서 중요하게 여겨지는 소비자의 개별감각 요소를 평가하여 침장용 직물개발의 기초자료를 마련하고자 하였다. 텐셀 자카드 직물에 은행나무추출액과 실리콘유연제를 처리하게 되면 인장특성인 EM, WT, RT는 증가하여 신축성이 있고 형태안정성이 좋아지며, 인장특성 전단특성이 감소하여 유연성이 증가하고, 무게와 두께가 증가로 부피감이 커져, THV는 증가하였다. 주관적 감성 평가 결과 개별감각 중 부드러움, 따뜻함, 탄력감, 부피감은 증가하고 거침은 감소하는 것으로 평가하였다. 또한 부드러움, 부피감, 따듯함을 침장용 직물이 갖는 중요한 개별감각 요소로 평가하였다. 은행나무추출액과 실리콘유연제를 처리할 경우 촉감이 좋아지고 선호도가 높아지는 것으로 평가되었다.

• 대한정형외과스포츠의학회지
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• 제8권2호
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• pp.115-120
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• 2009

목적: 배측 분쇄가 있는 원위부 요골 골절에서 세가지 수술법에 따른 결과를 알아보고자 하였다. 대상 및 방법: 2006년 4월부터 2009년 5월 사이의 60세 이상의 배측 분쇄가 있는 원위부 요골 골절이 있으면서 불안정성을 보인 환자 49명을 대상으로 하였다. 수술 1년 후까지의 방사선학적 추시관찰을 통하여 골절 정복의 유지 여부 및 Mayo Wrist Score를 통한 임상적 결과를 비교하였으며, 일원배치 분산분석(One-Way ANOVA)을 통하여 연관성을 검정하였다. 결과: 세군 모두에서 수술 직후에는 만족스러운 정복을 얻을 수 있었으나, 추시 소견상 외고정장치 단독으로 고정시에는 외고 정장치에 동종골 이식을 추가한 군 및 수장측 잠김 압박 금속판을 사용한 군에 비해서 유의하게 정복 소실이 있음을 확인하였다.(p<0.05) Mayo Wrist Score는 세군 모두에서 의미있는 차이는 없었다. 결론: 배측 분쇄가 심한 원위부 요골의 관절내 골절에서 외고정 장치만 사용한 치료시에는 해면골 결손으로 인한 정복유지의 어려움이 있어 불충분한 치료로 판단된다.

• Journal of the Korean Wood Science and Technology
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• 제3권1호
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• pp.3-15
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• 1975

How to stabilize wood against shrinking and swelling in variable atmospheric moisture conditions is important to the wood-using industry and a challenge to research. Polyethylene glycol stabilize wood by bulking the fiber. PEG also serve as a chemical seasoning agent, suppress decay in high concentrations, and have slight effect on physical properties, gluing or finishing. The study designed to determine the effect of PEG-400 on the dimensional stabilization of local hardwoods for wood carvings that could supply a greatly expanding tourist trade and making curved furniture parts, lamp stands and other decorative objects, and possible gunstock. The species examined were 6 species, Seo-Namoo (Carpinus laxiflora), Cheungcheung-Namoo (Cornus controversa), Gorosae-Namoo (Acer mono), Karae-Namoo (Juglans mandshurica), Jolcham-Namoo (Quercusserrata) and Sanbud-Namoo (Prunus sargentii), used as block of 5cm thick radially to the grain, 7cm wide tangentially, and 70cm long parallel to the wood grain. All these test piecies were conditioned above the fiber saturation point before impregnation. The stabilization effects were determined for PEG-400 treated woods in a 50 percent solution for 20 days. The following conclusions were obtained. PEG retentions increased with treating time. It was more effective to treat at 60$^{\circ}C$ than at room temperature. In degree of PEG-400 impregnation on species, Cheungcheung-Namoo havinglow specific gravity had the highest retentions, 68.77% but the lowest, 56.33% was shown in Jolcham-Namoo with high specific gravity. Specific gravity of treated wood increased considerably with effectiveness of polymer loading. The increases in specific gravity were 5.36 to 13.16 percent. The highest was Jolcham-Namoo, the lowest Karae-Namoo. On the dimensional stability, a 40 percent of effectiveness of polymer loading was just as effective as 60 percent in reduction in water absorptivity (RWA), antishrinkage efficiency (ASE) and antiswelling efficiency (AE), and from over 60 percent they increased more rapidly. Also species response varied considerably. ASE was 30.12 to 69.97 percent tangentially and 27.86 to 56.37 percent radially, AE 34.06 to 73.76 percent tangentially and 30.11 to 70.12 percent radially, and RWA 42.31 to 65.32 percent. No differences in volume swelling among the 6 species were observed. Its values were ranged from 14.98 to 19.55 percent and also increased with PEG retentions. On the mechanical properties, the strengths very much decreased with PEG-400 loadings as shown in Figure 12; that were 11.41 to 22.90 percent in compression, 21.61 to 34.35 percent in bending and 22.83 to 36.83 percent in tensile strength. PEG retention in cell wall was less than 1 percent and the most of PEG were immersed in cell lumen. Except for Korae-Namoo, effectivenesses of polymer loading were as much high as 61.58 to 75.02 percent. This is believed to be due to the effect of PEG-400 on excellant dimensional stability of treated woods.

• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4335-4340
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• 2016

Background: Bone metastasis is a single condition but presents with various patterns and severities. Skeletal-related events (SREs) deteriorate overall performance status and reduce quality of life. However, guidelines for early detection and management are limited. This study includes a survey of the prevalence of bone metastasis in cases with common cancers in Thailand as well as a focus on survival patterns and SREs. Materials and Methods: A retrospective cohort analysis was conducted using a database of the Chiang Mai Cancer Registry and the Musculoskeletal Tumor Registry of the OLARN Center, Chiang Mai University. The prevalence of bone metastasis from each type of primary cancer was noted and time-to-event analysis was performed to estimate cancer survival rates after bone metastasis. Results: There were 29,447 cases of the ten most common cancers in Thailand, accounting for 82.2% of the entire cancer registry entries during the study period. Among those cases, there were 2,263 with bone metastases, accounting for 7.68% of entries. Bone metastasis from lung, liver, breast, cervix and prostate are common in the Thai population, accounting for 83.4% of all positive cases. The median survival time of all was 6 months. Of the bone metastases, 48.9% required therapeutic intervention, including treatment of spinal cord and nerve root compression, pathological fractures, and bone pain. Conclusions: The frequency of the top five types of bone metastasis in Thailand were different from the frequencies in other countries, but corresponded to the relative prevalence of the cancers in Thailand and osteophilic properties of each cancer. The results of this study support the establishment of country specific guidelines for primary cancer identification with skeletal lesions of unknown origin. In addition, further clinical studies of the top five bone metastases should be performed to develop guidelines for optimal patient management during palliative care.

• Clinics in Shoulder and Elbow
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• 제15권1호
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• pp.37-42
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• 2012

목적: 총상에 의한 상완골 골절 증례를 통해 치료의 원칙에 대하여 고찰한다. 대상 및 방법: 28세 남자가 좌측 상완부의 총상으로 수상 후 5일에 응급실로 내원하였다. 상지의 신경 및 혈관 손상의 징후 및 타장기의 손상은 없었으며, 생체징후는 안정적이었다. 수상 당시 타 병원에서 총상에 대한 변연 절제술 및 세척술 후에 일차적 봉합술을 시행받았으며, 상완부의 전외측에 5 cm 가량의 오염된 상처가 있었다. 본원에서 변연절제술 및 탄환 파편의 제거술을 시행하고 외고정을 통하여 해부학적 정렬을 유지하였다. 술 후 8일까지 상처에 대한 무균적 소독을 시행하였으며, 정맥 항생제를 유지하였다. 술 후 9일째에 광범위 변연 절제술 및 항생제를 섞은 시멘트 구슬 삽입술을 시행하였다. 감염이 호전되는 소견을 보여, 시멘트 구슬 삽입 2주째에 외고정 장치를 제거하고 외고정 핀 삽입부의 피부 봉합술을 시행하였다. 1주 후에, 금속판을 이용하여 내고정을 하였다. 결과: 유합술 후 3 개월째, 만족스러운 상완골의 정렬과 골 유합을 얻었다.

• Geomechanics and Engineering
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• 제14권3호
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• pp.247-255
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• 2018

Soil stabilization can make the soils becoming more stable by using an admixture to the soil. Lime stabilization enhances the engineering properties of soil, which includes reducing soil plasticity, increasing optimum moisture content, decreasing maximum dry density and improving soil compaction. Silica fume is utilized as a pozzolanic material in the application of soil stabilization. Silica fume was once considered non-environmental friendly. In this paper, the materials required are kaolin grade S300, lime and silica fume. The focus of the study is on the determination of the physical properties of the soils tested and the consolidation of kaolin mixed with 6% silica fume and different percentages (3%, 5%, 7% and 9%) of lime. Consolidation test is carried out on the kaolin and the mixtures of soil-lime-silica fume to investigate the effect of lime stabilization with silica fume additives on the consolidation of the mixtures. Based on the results obtained, all soil samples are indicated as soils with medium plasticity. For mixtures with 0% to 9% of lime with 6% SF, the decrease in the maximum dry density is about 15.9% and the increase in the optimum moisture content is about 23.5%. Decreases in the coefficient of permeability of the mixtures occur if compared to the coefficient of permeability of kaolin soft clay itself reduce the compression index (Cc) more than L-SF soil mix due to pozzolanic reaction between lime and silica fume and the optimum percent of lime-silica fume was found to be (5%+6%) mix. The average coefficient of volume compressibility decreases with increasing the stabilizer content due to pozzolanic reaction happening within the soil which results in changes in the soil matrix. Lime content +6% silica fume mix can reduce the coefficient of consolidation from at 3%L+6%SF, thereafter there is an increase from 9%L+6%SF mix. The optimal percentage of lime silica fume combination is attained at 5.0% lime and 6.0% silica fume in order to improve the shear strength of kaolin soft clay. Microstructural development took place in the stabilized soil due to increase in lime content of tertiary clay stabilized with 7% lime and 4% silica fume together.

• 한국재료학회지
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• 제25권2호
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• pp.75-80
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• 2015

The carbon dioxide($CO_2$) released while producing building materials is substantial and has been targeted as a leading contributor to global climate change. One of the most typical method to reducing $CO_2$ for building materials is the addition of slag and fly ash, like pozzolan material, while another method is reducing $CO_2$ production by carbon negative cement development. The MgO-based cement was from the low-temperature calcination of magnesite required less energy and emitted less $CO_2$ than the manufacturing of Portland cements. It is also believed that adding reactive MgO to Portland-pozzolan cements could improve their performance and also increase their capacity to absorb atmospheric $CO_2$. In this study, the basic research for magnesia cement using $MgCO_3$ and magnesium silicate ore (serpentine) as main starting materials, as well as silica fume, fly ash and blast furnace slag for the mineral admixture, were carried out for industrial waste material recycling. In order to increase the hydration activity, $MgCl_2$ was also added. To improve hydration activity, $MgCO_3$ and serpentinite were fired at $700^{\circ}C$ and autoclave treatment was conducted. In the case of $MgCO_3$ as starting material, hydration activity was the highest at firing temperature of $700^{\circ}C$. This $MgCO_3$ was completely transferred to MgO after firing. This occurred after the hydration reaction with water MgO was transferred completely to $Mg(OH)_2$ as a hydration product. In the case of using only $MgCO_3$, the compressive strength was 3.5MPa at 28 days. The addition of silica fume enhanced compressive strength to 5.5 MPa. In the composition of $MgCO_3$-serpentine, the addition of pozzolanic materials such as silica fume increased the compression strength. In particular, the addition of $MgCl_2$ compressive strength was increased to 80 MPa.

• 대한치과보철학회지
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• 제35권2호
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• pp.401-412
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• 1997

There has been many researches aimed at reinforcing the strength of resin, and these have led to the development and use of numerous materials in recent years. A case in point, is the recent development of plasma-treated polyethylene fiber which has been used mainly in fixed provisional restoration to reduce the incidence of fractures. This study aims at assessing whether plasma-treated polyethylene fiber as applied to composite resin is effective in increasing the flexural strength and how applied portions affect this. Twenty-four applied and eight unapplied composite resin bars were fabricated. Twenty-four applied specimens were divided into three groups. Plasma treated polyethylene fiber was applied to the groups each with different portions of composite resin. In the first group, plasma-treated polyethylene fiber was not applied. In the second group, fiber was applied to the compression side of composite resin. Fiber was applied to the tension side in the third group, while fiber was embedded in the tension side of the composite resin in the fourth group. Each specimen was tested by use of a three-point bending strength test with an instron testing machine, and the flexural strength was calculated. The following results were obtained. : 1. Under the conditions of this study, the third and fourth groups demonstrated a statistically greater flexural strength compared to the first and second groups. 2. But there was no statistically significant difference, not only between the first group and the second group, but also between the third group and the fourth group. Taken together, it can be concluded that plasma-treated polyethylene fiber applied to composite resin is an effective method in increasing flexural strength, and the best way of increasing the flexural strength is by application of plasma-treated polyethylene fiber to the tension side, or the embedding of same in composite resin. It must be mentioned however that this test used a static single-load test method. This method determined the maximum stresses that could be tolerated, but this might not be valid where the prediction of clinical failure is concerned. In order therefore to clinically utilize plasma-treated polyethylene fiber to reinforce the composite resin, it is suggested that a further study which considers the various loads be undertaken.