• 대한견주관절학회:학술대회논문집
• /
• 대한견주관절학회 2009년도 제17차 학술대회
• /
• pp.222-222
• /
• 2009

Primary malignant bone tumors of the scapula are very rare, and little literature is available regarding their characteristics and outcome. We studied the clinical characteristics, and outcome of patients with primary malignant bone tumors of the scapula. From 1979 to 2008, we treated 7 patients at our institute (4 men and 3 women; chondrosarcoma 3, Ewing's sarcomas 3, Osteosarcoma 1). The mean age was 45 years (range, 5~65 years). The follow-up period was 2 - 180 months. Six patients were performed operations: total scapulectomy 3, partial scapulectomy 1, forequarter resection 1, total resection of the shoulder girdle (Tikhoff-Linberg procedure) 1. No-operative treatment was chosen for one patient with a limited life expectancy. Local recurrence occurred in one patient. Distant metastasis occurred in 3 patients. Of the 7 patients, 4 patients are died because of propagation of the disease. Three patients were alive and apparently disease-free, and these patients were evaluated for functional results with the functional evaluation system of the International Society of Limb Salvage (ISOLAS). Functional result of partial scapulectomy was excellent, however, the function after total scapulectomy or Tikhoff-Linberg procedure is severely impaired. Our study indicates reconstruction procedure needs to be reconsidered following total scapulectomy or Tikhoff-Linberg procedure.

• Journal of Chest Surgery
• /
• 제28권1호
• /
• pp.42-46
• /
• 1995

Vertical axillary muscle sparing thoracotomy is newly appeared and excellent alternative method of standard posterolateral thoracotomy.It has many advantages compared to standard posterolateral thoracotomy , less postoperative pain, well preserved thoracic muscle strength, full range of motion of the shoulder girdle and attractive cosmetic results. We performed vertical axillary muscle sparing thoracotomy in 36 patients from November 1993 to July 1994. The ages of the patients ranged from 6 months to 71 years[mean 45.1 years , and the patients consisted of 20 males and 16 females.The preoperative diagnosis were as follows : lung cancer in 17 patients, tbc destroyed lung in 7, bronchiectasis in 3, bullous emphysema in 3 and the others are mediastinal tumor, bronchogenic cyst, lung abscess, empyema, esophageal diverticulum, and CCAM [congenital cystic adenomatoid malformation . The operative procedures were as follows : lobectomy and bilobectomy in 16 patients, segmentectomy in 4, wedge resection in 3, penumonectomy in 7, and the others were open biopsy, lobectomy with diaphragm excision, sleeve right upper lobectomy, decortication, mediastinal mass excision, and esophageal diverticulectomy. We had 6 complications : postoperative bleeding in 2 cases, operative wound infection, arrrhythmia[atrial fibrillation , Horner`s syndrome, hoarseness. The subcutaneous seroma occurred in 4 cases but did not require drainage and relieved within 4 weeks spontaneously. We concluded that vertical axillary muscle sparing thoracotomy could be done in most of all thoracic surgery with safety. Comparing to standard posterolateral thoracotomy vertical axillary muscle sparing thoracotomy has many advantages such as less postoperative pain, well preserved muscle strengths and good cosmetic results.

• Animal cells and systems
• /
• 제16권6호
• /
• pp.431-437
• /
• 2012

Calpains are a class of proteins that belong to the calcium-dependent, non-lysosomal cysteine proteases. There are three major types of calpains expressed in the skeletal muscle, namely, ${\mu}$-calpain, m-calpain, and calpain 3, which show proteolytic activities. Skeletal muscle fibers possess all three calpains, and they are $Ca^{2+}$-dependent proteases. The functional role of calpains was found to be associated with apoptosis and myogenesis. However, calpain 3 is likely to be involved in sarcomeric remodeling. A defect in the expression of calpain 3 leads to limb-girdle muscular dystrophy type 2A. Calpain 3 is found in skeletal muscle fibers at the N2A line of the large elastic protein, titin. A substantial proportion of calpain 3 is activated 24 h following a single bout of eccentric exercise. In vitro studies indicated that calpain 3 can be activated 2-4 fold higher than normal resting cytoplasmic [$Ca^{2+}$]. Characterization of the calpain system in the developing muscle is essential to explain which calpain isoforms are present and whether both ${\mu}$-calpain and m-calpain exist in differentiating myoblasts. Information from such studies is needed to clarify the role of the calpain system in skeletal muscle growth. It has been demonstrated that the activation of ubiquitous calpains and calpain 3 in skeletal muscle is very well regulated in the presence of huge and rapid changes in intracellular [$Ca^{2+}$].

• 한국운동역학회지
• /
• 제20권2호
• /
• pp.197-204
• /
• 2010

Scapular position and motion are essential for normal upper limb mobility; Further, the posture of patients with thoracic kyphosis is related to shoulder girdle function and disorder. The purpose of this study was to examine the effects of thoracic posture on the shoulder range of motion and on three-dimensional scapular kinematics. Thirty healthy subjects performed right-arm abduction along the frontal plane while standing in both erect and in slouched trunk posture. The scapular position and rotation, and shoulder and thoracic angles were recorded using a motion analysis system. The scapular upward rotation and internal rotation were significantly altered according to postural tatiges; however, scapular tilt was not affected. Shoulder angle was significantly decreased in the slouched posture as c rpared to tatt in the erect posture. Thus, a slouched posture(thoracic kyphosis) significantly affects the shoulder range of motion and scapular kinematics during shoulder abduction in the frontal plane.

• 한국어류학회지
• /
• 제9권1호
• /
• pp.130-140
• /
• 1997

한국산(韓國産) 납자루아과(亞科)에 속하는 각시붕어(Rhodues uyekii) 골격(骨格)의 주요 형태적 특징을 기재하고자 조사를 수행하였다. 본 조사에서 R. uyekii의 두골(頭骨), 척추골(脊椎骨), 지느러미 골격(骨格)을 조사였던 바, 두개부(頭蓋部)에 fontanell이 없으며, 상사골(上篩骨)의 전단에 돌기가 없고, 유리신경간극(遊離神經間棘)이 넓은 판상(板狀)이고, 상후두골(上後頭骨)은 높은 삼각형 형태의 돌기를 갖고 있으며, 제4 안하골(眼下骨)이 매우 축소 되어 있고, 미설골(尾舌骨)의 선단(先端)이 2분지(分枝)되고 수평판(水平板)과 수직판(垂直板)의 후방(後方)이 넓어지며 후연(後緣)이 돌출되는점, 견대부(肩帶部)에는 오훼골(烏喙骨) 구멍이 존재하지 않았고, 미기추전추체에 미신경골(尾神經骨)이 나타나지 않는 특징을 보였다.

• 척추신경추나의학회지
• /
• 제5권2호
• /
• pp.135-149
• /
• 2010

Objectives : This study was designed to observe the effect of Chuna manual therapy on the asymmetrical alignment. Methods : To analyze static structural alignment, posterior inferior ilium deviation(PI), inflare change of pelvis were checked from full spine AP X-ray. And Cobb's angle of spine and height of shoulder girdle were analyzed. To evaluate the pain visual analogue score(VAS) was scored. Chuna therapy treated 8-10 times for 1 month. Results and Conclusions : In 3 cases, VAS was improved significantly. Full spine AP X-ray shows improvement of structural imbalace. Shoulder height difference, cobb's angle, pelvic insufficiency improved considerably. These results suggest that Chuna therapy might be effective for malalignment patients.

• Annals of Clinical Neurophysiology
• /
• 제18권1호
• /
• pp.21-24
• /
• 2016

Primary aldosteronism is one of the most common cause of secondary hypertension and can be accompanied with hypokalemia. Rhabdomyolysis with hypokalemia in primary aldosteronism has been rarely reported. We describe a patient of primary aldosteronism who presented with limb-girdle type weakness.

• The Korean Journal of Legal Medicine
• /
• 제42권4호
• /
• pp.159-163
• /
• 2018

Progressive muscular dystrophy (PMD) is a primary muscle disease characterized by progressive muscle weakness and wasting, which is inherited by an X-linked recessive pattern and occurs mainly in males. There are several types of muscular dystrophies classified according to the distribution of predominant muscle weakness including Duchenne and Becker, Emery-Dreifuss, facioscapulohumeral, oculopharyngeal, and limb-girdle type. Clinical manifestations of PMD are clumsy, unsteady gait, pneumonia, heart failure, pulmonary edema, hydropericardium, hydrothorax, aspiration, syncopal attacks, and sudden cardiac death. The deceased was a 34-year-old man, and the onset of the first clinical symptom, gait disturbance, was in his late teens. His elder brother had the same disease and experienced brain death after a head trauma and died after mechanical ventilation was discontinued. After an autopsy, we found contracture of the joints, pseudohypertrophy of the calf, wasting and fat replacement of the thigh muscle, pericardial effusion (80 mL), fibrosis and fat replacement of the cardiac ventricular wall, pulmonary edema, and froth in the bronchus. The cause of death was heart failure and dyspnea due to muscular dystrophy. There was no sign or suspicion of foul play in his death.

• 한국결정성장학회지
• /
• 제13권1호
• /
• pp.46-50
• /
• 2003

천연의 다이아몬드 원석을 이용하여 최대한의 중량을 유지하도록 브루팅하는데 있어서 원석 나름대로의 특성 (모양, 광물조직 등)을 가지고 있기 때문에 외형에 따른 중량을 유지하는 깃이 중요하다. 일반적으로 가장 많이 산출되는 다이아몬드 원석을 이용하여 이상적인 디자인으로 브루팅 작업을 한 결과. 팔면체형을 $6.75\times 6.75\times 3.83$ mm 크기의 round brilliant 형으로, 십이면체형을 $6.86\times 6.86\times 3.95$mm 크기의 cushion barion 형으로, 휀시형을 $6.92\times 3.78\times 3.46$mm 크기의 marquise 형으로 연마하였다 그에 따른 소모율은 round brilliant 24.5%, cushion barion 15.5%, marquise 18.7%이었다.

• 복식문화연구
• /
• 제6권4호
• /
• pp.26-38
• /
• 1998

This paper is based on a survey of consumers 'opinions on underwears. The questions in the survey dealt with what materials were used to manufacture underwears, which underwears were worn together in combinations, and how comfortable underwears were. In addition, the respondents were asked about how many pieces of different underwears they posses. Through such research, this paper aims to provide a guide to manufacturing domestic underwears that are competitive against foreign bands. 336 women in their twenties, thirties, forties and fifties from Seoul and it's suburbs were surveyed. Statistical analysis was performed by calculating the average, frequency and standard deviation, and through one-way analysis and the Duncan test. The following are the results of the study : 1. Consumers were moderately satisfied with Korean-made underwears. In order to complete with foreign brands, products with high consumer-satisfaction levels must be produced. 2. Upper garments usually consisted of brassieres with shoulder straps and sleeveless shirts. For lower underwears, most people tended to wear panties under girdle, with garlets on top. This is most likely the resut of more people wearing slacks than skirts. 3. Consumer in their twenties had anaverage of 1.71 slips, while those in their thirties had 3.07, those in their forties and 3.25, and people in their fifties had 3.88 slips. Thus the number of slips a consumer possesses increases as age increases. for socks, people in their twenties had 7.4 pairs on average, those in their thirties had 5.5, those in their forties had 6.7, and those in their fifties had 5.3. Thus, those in their twenties possessed the most number of socks. Consumers in their twenties also had the largest proportion of socks among all the types of hosiery combined, with 47.1% of their hosiery being socks. 4. Consumers did tend to prefer cotton underwears, but according to the type of underwears, producting using mixed fabrics of cotton and synthetic fibers were also frequently worn. 5. The shape and form of underwear that consumers prefer in a ceratin time frame varies according to the latest fashion in outer wear. Therefore, planning design of underwear products by predicting the future trend of outer wear fashion is necessary.