• Journal of the Optical Society of Korea
• /
• v.12 no.4
• /
• pp.309-313
• /
• 2008

We studied the sapphire and germanium fibers to determine which optical fiber best transmits Erbium:YAG laser for intracorporeal lithotripsy. Human calculi were ablated with an Erbium:YAG laser in contact mode using two fibers. Optical outputs at the distal end of fibers were measured before and after laser lithotripsy. Upon the irradiation on the calculus with the 50 mJ and 100 mJ pulse energy, the output energy at the distal end of germanium fiber declined to approximately 50% of the input energy. For the sapphire fiber, the output energy at the distal end remained unchanged with 100 mJ input energy; however the output energy had dropped to 50% for 200 mJ input energy. In order to examine how the types of target tissue affect the fiber damage, the sapphire fiber was tested for the irradiation on soft tissue and water as well. No energy decline was observed during soft tissue and water irradiation. We also characterized ablation craters with both optical fibers. Both fibers produced similar craters on calculi in terms of depth and diameter. Sapphire fibers are better suited than germanium fibers for Erbium:YAG lithotripsy in terms of the fiber damage.

• Archives of Plastic Surgery
• /
• v.36 no.4
• /
• pp.516-518
• /
• 2009

Purpose: To retrieve the retracted flexor tendon, additional incision and wide dissection are conventionally required. We introduce minimal - incision tenorrhaphy using 1 cm - length incision and minimal dissection. Methods: Transverse incision about 1 cm - length is made over the level of retracted tendon. Nelaton's catheter is advanced into tendon sheath from distal primary laceration wound to emerge proximally through the incisional wound. Catheter is sutured to proximal tendon in end - to - end fashion. By gently pulling the catheter, retracted tendon is delivered to distal wound. Tenorrhaphy with core suture and epitendinous suture is then carried out. Results: This retrieving technique provides minimal incision, minimal dissection, minimal bleeding, minimal injury to tendon end, and shorter operation time with preservation of vincula tendinum and pulley system. Conclusion: In case of flexor tendon rupture with retraction, this operative method is believed to allow reliable and effective tenorrhaphy and excellent postoperative outcomes.

• Korean Journal of Poultry Science
• /
• v.39 no.4
• /
• pp.297-303
• /
• 2012

To investigate the effects of dietary substituent of corn distiller's dries grains with solubles (CDDGS) on the amino acid digestibility of broiler diet, twenty four Ross broilers (6-wk-old) were used in this study. Basal diet (CP 19%, ME 3,150 kcal/kg) was formulated on corn-soybean meal and two levels of CDDGS (6 and 12%) were supplemented to basal diet. CDDDS levels (0, 6 and 12%) and 4 different sites of chicken intestines (distal end of jejunum, the middle part of the ileum, the distal end of ileum and the distal end of the rectum) were evaluated factorial as $3{\times}4$ three arrangement. Statistical analysis did not show any significant interaction between dietary treatments and the sites of the intestines in amino acid digestibility (P>0.05). There was no significant difference among the sites of chicken intestines in the digestibility (P<0.05). The digestibility of lysine (essential amino acid) and glycine (non-essential amino acid) decreased at increasing supplementation of CDDGS (P<0.05). There was no significant difference on the digestibility of other amino acids studied. In conclusion, the result of this work showed that CDDGS can use as alternative resources in broiler diets.

• Clinics in Shoulder and Elbow
• /
• v.19 no.3
• /
• pp.168-171
• /
• 2016

Fractures at the lateral end of the clavicle inevitably require surgical treatment as there is high potential for delayed union or nonunion. Acromioclavicular dislocation also requires stable and solid fixation for healing, and surgical treatment is recommended for the maintenance of joint function. The hook plate maintains the biomechanics of the acromioclavicular joint, enabling early range of motion. Therefore, for the past 10 years, the hook plate has been widely used in distal clavicle fractures and acromioclavicular joint injuries. However, the hook plate is associated with several complications, such as proximal clavicle fractures, widening of the hook hole, rotator cuff tear, subacromial impingement, and often acromial fractures. We report on two unusual cases of acromion fracture after hook plate fixation in patients with distal clavicle fracture and acromioclavicular dislocation alongside a literature review.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.6 no.1
• /
• pp.53-63
• /
• 1979

To Study the eruption pattern of the mandibular second permanent molar, the author took 425 cases of Oblique Cephalogram from 6 to 13 years old children and observed the vertical and mesiodistal directional change and tooth axis change. The following results were obtained. : 1. The eruption pattern of the mandibular second permanent molar was changed at about 10.0~10.1 ages or calcification stage IX. 2. At the early stage, the path of eruption of the mandibular second parmanent molar directed upward and forward and after calcification stage IX it changed to the direction of upward. 3. At the early stage, the distance from the distal end of the mandibular first permanent molar to the anterior portion of the ascending ramus was 0.9~1.0 times larger than the mesio-distal diameter of the mandibular second molar, but at the later stage it was increased 1.4 times larger than the mesio-distal diameter of the mandibular second permanent molar.

• Animal Systematics, Evolution and Diversity
• /
• v.39 no.1
• /
• pp.34-46
• /
• 2023

Three species of the genus Centropages(C. calaninus, C. orsinii, and C. sinensis) were newly collected from Korean waters. The Korean specimens were consistent with previous descriptions, but differ in the following characteristics: in C. orsinii male right antennule with spine on dorsoposterior surface of each segment XIII and XIV; distal end of segment XIX with humplike process on dorsal surface; in C. calaninus female long spinelike process on second exopodal segment of leg 5 of reaching 1/2 length of terminal spine on third exopodal segment; in male, first endopodal segment of leg 5 without inner seta; left second exopodal segment serrated on distal margin; and in C. sinensis male distal spine of left second exopodal segment of leg 5 not fused with segment. In this study, key characters for species identification also were provided.

• Journal of Chest Surgery
• /
• v.46 no.6
• /
• pp.439-443
• /
• 2013

Background: The surgically created arteriovenous fistula has recently been recommended as the best available angioaccess for hemodialysis. Therefore, in this study, we carried out a clinical analysis on surgical procedures in the ligation and division of a distal vein to achieve similar effects as those of vein end-to-arterial side after side-to-side anastomosis. Methods: We retrospectively reviewed the clinical data of 113 patients who came for an outpatient clinic follow-up to the department of internal medicine of our hospital; these patients were among the 125 patients who underwent radiocephalic arteriovenous fistula (side-to-side anastomosis with distal vein ligation and division) in our hospital in the period from January 2006 to December 2010. Results: The patency rate showed no statistical significance with respect to sex (p=0.775), age (p=0.775), hypertension (p=0.262), diabetes (p=0.929), and cardio-neurovascular disease (p=0.717). Patency rates were 96% for the first month, 93% for the first year, and 90% for the second year for the radiocephalic arteriovenous fistula (side-to-side anastomosis with distal vein ligation and division) performed on the wrist. Conclusion: The patency rates revealed favorable results and few postoperative complications as compared to those of previous reports. Therefore, radiocephalic fistula using side-to-side anastomosis with distal cephalic vein ligation is considered a recommendable surgical procedure in the distal part for the hemodialysis of CRF patients.

• Journal of Biomedical Engineering Research
• /
• v.13 no.3
• /
• pp.253-262
• /
• 1992

The wall shear stress in the vicinity of end-to end anastomoses under steady flow condi- tions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experi- mental measurements were in good agreement lith numerical results except In flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compli- ance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia (ANFH) in end-to-end anastomoses.

• Archives of Plastic Surgery
• /
• v.35 no.6
• /
• pp.751-754
• /
• 2008

Purpose: Delayed rupture of flexor pollicis longus as a sequelae of the plate inserted for distal radius fracture is a very rare. This is the first case reported and published in Korea. Methods: A 48 years old female patient visited hospital, complaining flexor disturbance of interphalangeal joint of left thumb, which suddenly occurred without any external wound. We found that she had received operation of fixing plate for fracture of left distal radius 10 years ago. As operational opinion, we have checked that flexor pollicis longus tendon has been ruptured with oblique ways being stimulated by extended plate to palmar side over long period. Results: Authors performed tenorrhaphy of flexor pollicis longus without tendon graft and presented a successful active flexion of the left thumb interphalangeal joint 1 year after the operation. Conclusion: If the extruded part of the end plate is observed during the operation or follow-up, it is considered to be necessary to get rid of the plate as early as possible after the fracture healing.

• The Journal of Korea Robotics Society
• /
• v.12 no.4
• /
• pp.411-418
• /
• 2017

During the intramedullary nailing procedure, surgeons feel difficulty in manipulation of the X-ray device to align it to axes of nailing holes and suffer from the large radiation exposure from the X-ray device. These problems are caused by the fact the surgeon cannot see the hole's location directly and should use the X-ray device to find the hole's location and direction. In this paper, we proposed the robotic guidance of the distal screwing using an optical tracking system. To track the location of the hole for the distal screwing, the reference marker is attached to the proximal end of an intramedullary nail. To guide the drill's direction robustly, the 6-degree-of-freedom robotic arm is used. The robotic arm is controlled so as to align the drill guiding tool attached the robotic arm with the obtained the hole's location. For the safety, the robot's linear and angular velocities are restricted to the predefined values. The experimental results using the artificial bones showed that the position error and the orientation error were 0.91 mm and $1.64^{\circ}$, respectively. The proposed method is simple and easy to implement, thus it is expected to be adopted easily while reducing the radiation exposure significantly.