• Clinics in Shoulder and Elbow
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• v.20 no.3
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• pp.133-137
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• 2017

Background: To determine the natural progression of conservatively treated rotator cuff tears, we evaluated changes in radiologic and clinical parameters in patients whose recalcitrant tears were neglected after conservative treatment. Methods: A total of 73 patients with recalcitrant rotator cuff tears in spite of conservative treatment were included in this study. We measured changes in tear size and in the extent of fatty infiltration of the rotator cuff by comparing the initial and final follow-up magnetic resonance imagings (MRIs). To determine factors influencing the change in tear size, we collected the medical history of patients taken at the time of initial admission. Results: The average follow-up period was 20.1 months, and the average increase in tear size across this period was 6.2 mm. In terms of steroid injection, we found that the increases in tear size of the steroid injection group (p=0.049) and of the sub-group that had received more than three steroid injections (p=0.010) were significantly greater than that of the non-steroid injection group. Conclusions: We found that the increase in cuff tear size was on average 6.2 mm across the follow-up period, indicating that neglecting cuff tears may cause them to progress into more severe tears. We also observed that a history of steroid injection might be a possible risk factor for a worse prognosis of cuff tears. Therefore, we suggest that patients with rotator cuff tears and a history of steroid injection are recommended aggressive modes of treatment such as surgery.

• Archives of Reconstructive Microsurgery
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• v.23 no.2
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• pp.89-92
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• 2014

An 8-year-old girl diagnosed with dilated cardiomyopathy and Russell-Silver syndrome was admitted to our pediatric intensive care unit due to low cardiac output and multiple-organ dysfunction. The patient was placed on the heart transplant waiting list and extracorporeal membrane oxygenation was performed as a bridge to transplantation. After 17 days, heart transplantation was performed. The donor was a 46-year-old female (weight, 50 kg; height, 150 cm). The donor:recipient weight ratio was 3.37:1. Because the dimension and volume of the recipient's thoracic cage were insufficient, the sternum could not be closed. Nine days after transplantation, the patient underwent delayed sternal closure. To obtain adequate space, we left the sternum 4.5 cm apart from each margin using four transverse titanium plates. A transverse rectus abdominis musculocutaneous flap was chosen to cover the wound. Due to the shortage of donors, a size-mismatched pediatric heart transplantation is sometimes unavoidable. Closure of the opened sternum of a transplant recipient can be challenging. Sternal reconstruction after an extremely oversized heart transplantation with transverse titanium plate fixation and a musculocutaneous flap can effectively achieve sternal closure and stability.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.31 no.5
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• pp.429-434
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• 2009

Basal cell nevus syndrome is a rare inherited disorder characterized by mulitple cutaneous basal cell carcinoma, pits of the palms and soles, cysts of the jaws, skeletal abnormalities and ectopic calcifications. Currently there are new lines of investigation based on biomolecular studies, which aim at identifying the molecules responsible for these cysts and thus early allowing an early diagnosis of these patients. We report a case of a 9-year-old boy with the various manifestation of basal cell nevus syndrome, which are multiple odontogenic keratocysts, pits of the soles, bifid ribs, ectopic calcification, macrocephaly, and hypertelorism, etc. Total five odontogenic keratocysts were found. For the reduction of the size of the odon-togenic keratocysts, following preoperative marsupialization, there were surgically enucleated. And the impacted upper right lateral incisor and canine are tracted orthodontically.

• Journal of Cardiovascular Imaging
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• v.31 no.4
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• pp.188-190
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• 2023

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.34 no.3
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• pp.376-382
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• 2008

Anterior open bite is a condition in which maxillary and mandibular incisors do not occlude at central occlusion. It is a vertical discrepancy of the jaws and dental arches that has many etiologic factors making it difficult in diagnosis, treatment and prediction of prognosis. One of the causes of open bite is abnormal size and shape of the tongue. Macroglossia, a condition in which tongue is oversized, is caused by several factors which are not clearly identifiable, and it may be a major factor of anterior and posterior open bite. Macroglossia is subdivided into true, functional and pseudomacroglossia depending on its relative size in the oral cavity. In this case report, a patient was diagnosed as skeletal Class II with pseudomacroglossia, and was treated with SARPE in order to expand the narrowed maxillary arch and Quad helix for the mandibular arch. As a result the transverse deficiency was treated. In the adult patients where no skeletal growth is expected, SARPE has shown to be effective in treating maxillomandibular transverse discrepancies in which macroglossia was accompanied as in this case.

• Journal of the Korea Society of Computer and Information
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• v.16 no.2
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• pp.17-23
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• 2011

In this paper, daily life stress monitoring system is proposed. The proposed wireless ECG module, reducing the noise and increasing the size of signal, amplification circuit was designed for. Using HRV(Heart Rate Variability), extracted by measuring R-wave, stress diagnostic algorithms to assess the stress of human emotion were developed. For monitoring the activities, the proposed system is consist of small rectangular size for portable and by simple measurement it is possible to measure at any time. Through experiments, the proposed approach to represent user's stress level can be confirmed. Through that, it can see appropriate structure to obtain R-wave for stress assess as well as high resemblance to the clinical electrocardiogram. In this paper, performed experiments was developed nonrestraint measuring and wearable wireless biometric scanner that is able to monitor the heart's electrical activity of everyday life.Using this, the algorithm system, that is able to assess stress index through time-domain and frequency-domain analysis of the front and the rear of performing stress load protocol, was developed,

• Journal of Biomedical Engineering Research
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• v.10 no.2
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• pp.139-150
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• 1989

A new motor-driven blood pump for artificial heart was developed. In this blood pump, a small size, high torque brushless DC motor was used as an energy converter and the motor rolls back and forth on a circular track. This movement of the "rolling-cyliner" causes blood ejection by alternately pushing left or right polyurethane blood sacs. This moving-actuator mechanism could be eliminate two potential problems of other motor-driven artificial hearts such as large size and poor anastomosis for the implantation. Theoretical analyses on the pump efficiency, the temperature rise, and the inflow mechanism were also performed. In a series of mock circulation tests, the theoretical analyses were compared to the measured hemodynamic and mechanical values. The pump system was shown to have sufficient cardiac output (upto 9 L/min), sensitivity to preload, and mechanical stability to be tested as an implantable total artificial heart.ial heart.

• Archives of Plastic Surgery
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• v.39 no.2
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• pp.118-123
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• 2012

Background : An area of the skull exposed by burn injury has been covered by various methods including local flap, skin graft, or free flap surgery. Each method has disadvantages, such as postoperative alopecia or donor site morbidities. Due to the risk of osteomyelitis in the injured skull during the expansion period, tissue expansion was excluded from primary reconstruction. However, successful primary reconstruction was possible in burned skull by tissue expansion. Methods : From January 2000 to 2011, tissue expansion surgery was performed on 10 patients who had sustained electrical burn injuries. In the 3 initial cases, removal of the injured part of the skull and a bone graft was performed. In the latter 7 cases, the injured skull tissue was preserved and covered with a scalp flap directly to obtain natural bone healing and bone remodeling. Results : The mean age of patients was $49.9{\pm}12.2$ years, with 8 male and 2 female. The size of the burn wound was an average of $119.6{\pm}36.7cm^2$. The mean expansion duration was $65.5{\pm}5.6$ days, and the inflation volume was an average of $615{\pm}197.6mL$. Mean defect size was $122.2{\pm}34.9cm^2$. The complications including infection, hematoma, and the exposure of the expander were observed in 4 cases. Nonetheless, only 1 case required revision. Conclusions : Successful coverage was performed by tissue expansion surgery in burned skull primarily and no secondary reconstruction was needed. Although the risks of osteomyelitis during the expansion period were present, constant coverage of the injured skull and active wound treatment helped successful primary reconstruction of burned skull by tissue expansion.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.4
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• pp.1903-1907
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• 2013

Heart condition should be observed for long periods of time because it does not appear abnormal all the time. However, there are many difficulties checking our health for a long time due to its size, operation of equipment, and cost. To solve these problems, an electrocardiograms(ECG), specially interfacing three gel-less metal electrodes for low cost portable applications, is designed and implemented. Gel-less metal electrodes are used for ECG monitoring system instead of gel-type electrodes that can cause skin rashes and itching problem. The whole ECG system consists of two parts-analog and digital circuits. The analog measurement circuit that has a 18*25mm size is made up of op-amps maintaining a sufficiently high common-mode noise rejection and passive elements of SMD type. Analog heart signal is converted to digital stream suitable for display on a TFT-LCD by an 8-bit microcontroller. The size of the completed ECG system is 25*80*50mm and its weighing is about 150g, which is small enough to be easily used. Therefore, the implemented ECG system can be used as a portable one.

• Korean Journal of Acupuncture
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• v.21 no.2
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• pp.161-176
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• 2004

Objectives : The purpose of this study was to investigate the effects of acupuncture stimulation and relaxation therapy on autonomic nervous system for students with examination stress by HRV, PSV and to find out relationship with anti-stress effect. Methods : The study group consists of 42 students were classified into three groups randomly : acupuncture stimulation group(male n=8, female n=6), relaxation therapy group(male n=8, female n=6) and rest group(male n=8, female n=6). Using heart rate variability and pupil size variability, we measured the value of HRT, SDNN, SDSD, LF norm, HF norm, LF/HF ratio, Pupil area, and compared the changes the sympathetic- parasympathetic activity. Measurement value were compared before and after, during midterm examination and normal times. Results : 1. HRT, LF/HF ratio, LF norm of acupuncture group was significantly decreased and HF norm were significantly increased in HRV after acupuncture stimulation at a term of examination. While variables of the other group were no significantly different. 2. SDNN of acupuncture group were significantly increased in HRV after acupuncture stimulation at normal times. 3. Pupil area, LF norm, HF norm of three group were no significantly different in PSV at a term of examination. 4. Pupil area of relaxation group were significantly decreased in PSV at normal times. While variables of the other group were no significantly different. 5. HRT of rest group were significantly decreased in HRV between three groups at a term of examination and normal times. 6. Pupil area of relaxation group were significantly decreased in PSV between three groups at a term of examination and normal times. Conclusion : The results suggest that acupuncture stimulation is associated with changed activity in the sympathetic and parasympathetic nervous system. Measurement values of HRV and PSV are suitable to estimate the activity of automatic nervous system.