• Title/Summary/Keyword: Foot area

Search Result 446, Processing Time 0.031 seconds

Podocytopathy and Morphologic Changes in Focal Segmental Glomerulosclerosis (초점분절사구체경화증에서 발세포병증과 형태 변화)

  • Jeong, Hyeon Joo
    • Childhood Kidney Diseases
    • /
    • v.17 no.1
    • /
    • pp.13-18
    • /
    • 2013
  • Podocytopathy is glomerular lesions characterized by podocyte injury. It is observed in various glomerular diseases, but minimal change disease and focal segmental glomerulosclerosis (FSGS) are the prototypes. In this review, morphologic features of podocyte injury and subtypes of FSGS will be reviewed briefly. Effacement of podocyte foot processes is the most common feature of podocyte injury. As podocytic injury progresses, intracytoplasmic vacuoles, subpodocytic cyst, detachment of podocytes from the glomerular basement membrane and apoptosis develop. Glomerular capillary loops in epithelium-denuded area undergo capillary collapse. Synechia and hyalinosis may accompany this lesion. To manifest segmental sclerosis, podocyte loss above a threshold level may be required. Injured podocytes can injure neighboring intact podocytes, and thereby spread injury within the same lobule. FSGS can be categorized into five subtypes by morphologic characteristics; not otherwise specified (NOS), perihilar, cellular, tip, and collapsing types. Each subtype has been reported to show different clinical courses and associated conditions, but there are controversies on its significance. With recent progress in the discovery of genetic abnormalities causing FSGS and plasma permeability factors, we expect to unravel pathophysiology of FSGS and to understand histological sequences leading to FSGS in near future.

Genetic Diversity of Fusarium proliferatum Populations from Maize, Onion, Rice and Sugarcane in Iran Based on Vegetative Compatibility Grouping

  • Alizadeh, Alireza;Javan-Nikkhah, Mohammad;Fotouhifar, Khalil-Berdi;Motlagh, Elahe Rabiee;Rahjoo, Vahid
    • The Plant Pathology Journal
    • /
    • v.26 no.3
    • /
    • pp.216-222
    • /
    • 2010
  • Fusarium proliferatum is the causal agent of stalk and root rot disease of maize, foot rot disease of rice, basal and root rot disease of onion and knife cut disease of sugarcane in Iran. In recent years, incidence and severity of these diseases have been increased in Iran. Fifty seven F. proliferatum single-spore isolates collected from diseased maize, rice, onion and sugarcane plants at different areas were used to study genetic diversity by determination of vegetative compatibility groups (VCGs). Chlorate-resistant nitrate non-utilizing (nit) mutants were recovered from selected isolates of F. proliferatum and used in complementation tests. All isolates in which both nit1 and NitM (or nit3) mutants were recovered, demonstrated self-compatibility. Vegetative compatibility tests by pairing nit mutants identified 30 VCGs among 57 isolates. Twenty-three isolates belonged to singlemember VCGs and the remaining 34 isolates, belonged to other seven multimember VCGs. Segregation of F. proliferatum isolates obtained from various area and host plants into different VCGs in Iran is reported for the first time. In this study, none of isolates obtained from rice complemented with any other isolates from onion and sugarcane and, non complementation occurred between onion and sugarcane isolates. Also, only one complementation occurred between one isolate of maize and one isolate of sugarcane and rice. Thus, a correlation between VCGs grouping and host preferences was founded. It is concluded that natural populations of F. proliferatum in Iran are probably genetically divergent and include isolates representing a potential risk for disease development.

Relationship Between Angle of Metatarsophalangeal Joint and Abductor Hallucis in Hallux Valgus (젊은성인 엄지발가락가쪽휨증의 발허리발가락관절 각도와 엄지벌림근의 관계)

  • Kang, Sun-Young;Choung, Sung-Dae;Kim, Moon-Hwan;Jeon, Hye-Seon
    • The Journal of Korean Physical Therapy
    • /
    • v.26 no.2
    • /
    • pp.56-61
    • /
    • 2014
  • Purpose: The aim of this study was to investigate relationship between the angle of the first metatarsophalangeal joint (1st MPJ) and the dimensions of the abductor hallucis; dorso-plantar (DP) thickness, medio-lateral (ML) width, and cross-sectional area (CSA), in subjects with and without hallux valgus. Methods: Sixty feet, mean (SD) age of 22.5 (2.1) years old, were included in this study (hallux valgus = 30; control = 30). An X-ray device was used for measurement of the angle of the 1st MPJ, and an ultrasound system was used for determination of mean (SD) DP thickness, ML width, and CSA of the abductor hallucis muscle in each foot from three trials. Results: The results showed the DP thickness, ML width, and CSA of the abductor hallucis did not differ significantly between subjects with and without hallux valgus. In addition, the correlations between the angle of the 1st MPJ and DP thickness, ML width, and CSA of the abductor hallucis showed poor correlation (Pearson r=-0.09, -0.20, and -0.18, respectively). Conclusion: Based on these findings, we speculate that morphological changes to the abductor hallucis muscle cannot be representative of the angle of the 1st MPJ, and also cannot be used in differentiation between subjects with and without hallux valgus.

Correlations among Respiratory Function, UPDRS and Senior Fitness in Parkinson's Disease Patients (파킨슨병환자의 호흡기능, UPDRS 및 Senior Fitness의 관련성)

  • Kang, Dong-Yeon;Cheon, Sang-Myung;Cheon, Sang-Myung;Lee, Kyung-Soon;Kim, Kyoung
    • The Journal of Korean Physical Therapy
    • /
    • v.26 no.2
    • /
    • pp.48-55
    • /
    • 2014
  • Purpose: The purpose of this study was to examine correlations among UPDRS, respiratory function, and senior fitness and to investigate the effects of restrictive respiratory function on these factors in Parkinson's disease patients. Methods: Subjects (n=25, Hoehn & Yahr (H&Y) stage: 2-3, $69.3{\pm}5.9$ yrs) from D Hospital Parkinson's Disease Center at Busan metropolitan area in the Republic of Korea volunteered for this study. They performed the pulmonary function test, UPDRS, and the senior fitness test. SPSS 18.0 was used for analysis of data, and the collected data were analyzed using Pearson's correlation coefficient (n=25). In addition, Independent t-test was used for determination of differences between two groups (between the normal pulmonary function group (n=10) and the restrictive pulmonary function group (n=10)). Results: Forced vital capacity (FVC (L)) showed significant negative correlation (r=-0.44, p<0.05) with H&Y stage in Parkinson's disease patients, and chair stand showed significant negative correlations (r=0.41, 0.43, 0.42, p<0.05) with FVC (L), FVC (%), and FEV1 (L). FVC (%) showed significant positive correlations (r=0.44, r=0.44, p<0.05) with right and left back scratch. In addition, the restrictive respiratory function group showed significantly lower FVC (%) (p<0.01) and was significantly slower (p<0.05) in the 8-foot up-and-go test than the normal respiratory function group. Conclusion: In conclusion, these results suggest that restrictive respiratory function in PD was related to H&Y stage. In addition, agility of PD patients was lower in the restrictive respiratory function group than in the normal function group.

A Study on the Influence of the Space Syntax and the Urban Characteristics on the Incidence of Crime Using Negative Binomial Regression (음이항 회귀모형을 이용한 공간구문론 및 도시특성요소가 범죄발생에 미치는 영향 연구)

  • Kim, Hyeong Jun;Choi, Yeol
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.36 no.2
    • /
    • pp.333-340
    • /
    • 2016
  • The aim of this study is to specifically understand the characteristics of the crime by empirical analysis for the determining factors that affect determining the crime through the space syntax in Busan. In this study, poisson regression and negative binomial regression were used for accurate analysis. 8 variables that were significant of the total 13 variables. The summary if this study based on the results is as follow. Statistically significant variables are female ratio, over 65 population ratio, administration are and commercial area ratio in characteristics. And the more CCTVs a region has, the lower crime rate it shows. As a results of examing whether space syntax variables can predict crime occurrence places. Space with low connectivity come to be a crime causal factor because they have few other related spaces and thereby have low possibility of sudden appearance of interrupters, which results in low surveillance levels of foot passengers. It will provide the basic data that can contribute to urban planning and implementation of crime prevention aspects.

An Analysis of Paresthesia Areas Evoked by Spinal Cord Stimulation in Relation to the Position of Electrode Tip (척수자극기 전극의 위치에 따른 자극 부위에 대한 분석)

  • Lee, Mi Geum;Lee, Hyo Min;Jo, Ji Yon;Choi, Yun Suk;Ku, Ui Kyoung;Lee, Chul Joong;Lee, Sang Chul;Kim, Yong Chul
    • The Korean Journal of Pain
    • /
    • v.19 no.2
    • /
    • pp.146-151
    • /
    • 2006
  • Background: Spinal cord stimulation is a well-established method for the management of several types of chronic and intractable pain. This form of stimulation elicits a tingling sensation (paresthesia) in the corresponding dermatomes. The goal of this study was to establish a correlation between the spinal levels of the implanted epidural electrodes and the paresthesia elicited due to stimulation of the neural structures. Methods: Thirty five patients, who received trial spinal cord stimulation, were evaluated. After the insertion of the lead to the selected position, the areas of paresthesia evoked by stimulation were evaluated. Results: Seventy-one percent of cases showed paresthesia in the shoulder area when the tip of the electrode was located between the C2⁣-C4 levels. At the upper extremities, paresthesia was evoked in 86⁣-93% of cases, regardless of the location of the electrode tip within the cervical spinal segments. The most common tip placement of the leads eliciting hand stimulation was at the C5 level. The most common level of electrode tip placement eliciting paresthesia of the anterior and posterior thigh and the foot were at the T7-⁣T12, T10⁣-L1 and T11-⁣L1 vertebral segments, respectively. Conclusions: Detailed knowledge of the patterns of stimulation induced paresthesia in relation to the spine level of the implanted electrodes has allowed the more consistent and successful placement of epidural electrodes at the desired spine level.

Reconstruction of the Lower Extremity Using Free Flaps

  • Kang, Min Jo;Chung, Chul Hoon;Chang, Yong Joon;Kim, Kyul Hee
    • Archives of Plastic Surgery
    • /
    • v.40 no.5
    • /
    • pp.575-583
    • /
    • 2013
  • Background The aim of lower-extremity reconstruction has focused on wound coverage and functional recovery. However, there are limitations in the use of a local flap in cases of extensive defects of the lower-extremities. Therefore, free flap is a useful option in lower-extremity reconstruction. Methods We performed a retrospective review of 49 patients (52 cases) who underwent lower-extremity reconstruction at our institution during a 10-year period. In these patients, we evaluated causes and sites of defects, types of flaps, recipient vessels, types of anastomosis, survival rate, and complications. Results There were 42 men and 10 women with a mean age of 32.7 years (range, 3-72 years). The sites of defects included the dorsum of the foot (19), pretibial area (17), ankle (7), heel (5) and other sites (4). The types of free flap included latissimus dorsi muscle flap (10), scapular fascial flap (6), anterolateral thigh flap (6), and other flaps (30). There were four cases of vascular complications, out of which two flaps survived after intervention. The overall survival of the flaps was 96.2% (50/52). There were 19 cases of other complications at recipient sites such as partial graft loss (8), partial flap necrosis (6) and infection (5). However, these complications were not notable and were resolved with skin grafts. Conclusions The free flap is an effective method of lower-extremity reconstruction. Good outcomes can be achieved with complete debridement and the selection of appropriate recipient vessels and flaps according to the recipient site.

Relationships between physical pain and preventive actions against musculoskeletal diseases among dental hygiene students (치위생과 재학생들의 신체통증과 근골격계질환 지식 및 예방행위)

  • Jung, You-Sun
    • Journal of Korean society of Dental Hygiene
    • /
    • v.9 no.2
    • /
    • pp.45-56
    • /
    • 2009
  • The purposes of this study were to investigate the relationships between the degree of physical pain and the knowledge and preventive actions of musculoskeletal diseases among dental hygiene students with a potential risk of contracting those diseases and thus to help them prevent them. A survey was taken among 207 sophomores and juniors specializing in dental hygiene at S1 and S2, Gyeonggi Province in the area of physical pain, knowledge of musculoskeletal diseases, and preventive actions against them. The findings were as follows: 1. The mean scores of the sophomore in the knowledge of musculoskeletal diseases were $6.20{\pm}2.21$, and those of the juniors were $6.72{\pm}2.29$. The mean scores of the sophomores and juniors in the preventive actions against musculoskeletal diseases were $22.50{\pm}2.37$ and $22.29{\pm}3.01$, respectively. 2. The subjects displayed severe physical pain in the lower back, shoulder, and neck in the descending order and medium physical pain in the neck, shoulder, and lower back in the descending order. 3. The higher level knowledge of musculoskeletal diseases they had, the less physical pain they felt. And there were significant differences among the shoulder, lower back, hip, ankle, and foot. 4. There were relationships between physical pain and the preventive actions against musculoskeletal diseases in "placing the hands at the height of the elbows during treatment", "reducing such positions as bending and extending during treatment", "narrowing the distance with the patient", "taking regular breaks during treatment for recovery", "trying not to incline the neck, back, arm, and wrist as much as possible", and "trying to keep the torso in the neutral position." 5. As for the education about musculoskeletal diseases, 74 sophomores(88.10%) and 102 juniors(89.74%) answered they received no such education. The results suggest that there should be some instructions to help dental hygiene students practice the preventive actions against musculoskeletal diseases and further prevention programs against those diseases.

  • PDF

Structural Safety of Nozzle Plate using Simulation (시뮬레이션을 이용한 노즐플레이트의 구조안전성)

  • Jung, Jong Yun;Park, Heesung;Kim, Joon-Seob
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.41 no.3
    • /
    • pp.186-193
    • /
    • 2018
  • Modern manufacturing industries is to produce both precise and robust mechanical parts without failure while they are in service. In order to prevent a part failure for its lifetime, a mechanical design for a part should be examined on a basis of mechanical simulation. A nozzle plate, being a key part in steam engines, changes flow directions of steam in a turbine used in power plant. This paper is to the design and test for part safety and durability. Currently, nozzle plates are fabricated by welding nozzles to their plates. Welding causes some defects on the used materials while they are being manufactured. Another major defect is un-even pitches between welded nozzles. Welding causes phase changes because of high melting temperature of metal. This leads to decay on the welding spots, which weakens their structural strength and then, may lead to early damages on mechanical structures. This research proposes assembly-typed nozzle plate without welding. From the beginning, nozzle and plate are designed for insertion-typed assembly. Nozzle head and foot are designed in accordance with the grooves on outer ring and inner ring of a plate to make mating surfaces. Then the nozzle plate should be proved for structural and fatigue safety before they are put in manufacturing. This research adopts commercial softwares for modeling and mechanical simulation. The test result shows that the design with smaller mating area and deeper insertion produces higher safety in terms of structure and durability. From the conclusion, this paper proposes the assembly-typed nozzle plate to replace the welding typed.

Volcanic Geomorphology of Gonaengisool-oreum, Bonggae-dong, Jeju (제주시 봉개동 고냉이술 오름의 화산형태학적 특성)

  • Lee, Jeong-Hyun;Yun, Sung-Hyo
    • The Journal of the Petrological Society of Korea
    • /
    • v.20 no.3
    • /
    • pp.151-159
    • /
    • 2011
  • The geology of the Gonaengisool-oreum, Bonggae-dong, Jeju consists of Yeongpyeong-dong basalt, Shinan-dong basalt, Bonggae-dong basalt and cinder in ascending order. Yeongpyeong-dong and Shinan-dong basalt is situated at the mid-mountain slope in southern part of the Gonaengisool-oreum, and Bonggae-dong basalt is located at the Gonaengisool-oreum area and nortgbern low foot of the mountain. Bonggae-dong basalt is aa lava flows with thick clinker. The Gonaengisool-oreum is isolated small volcano, that is, a lava shield having wide crater in the summit with several small pit craters. The average basal elevation of the Gonaengisool-oreum cone is 297.5 m(highest 300 m and lowest 295 m), and the highest summit is 304.5 m, average cone basal width is 597.5 m and cone height is 7.9 m, and mean slope of $1.5^{\circ}$ for the flank of the shield cone.