• Title/Summary/Keyword: Indirect fixation

Search Result 31, Processing Time 0.033 seconds

Natural History of the Calcaneal Avulsion Fracture in Neuropathic Arthropathy in a Young Diabetic Patient (A Case Report) (젊은 당뇨 환자에서 신경병성 관절병증 종골 견열 골절의 자연 경과(1예보고))

  • Ko, Young-Chul;Eun, Il-Soo;Jung, Chul-Young;Kim, Jin-Wan;Choi, Hyeon-Soo;Kim, Ok-Gul
    • Journal of Korean Foot and Ankle Society
    • /
    • v.12 no.2
    • /
    • pp.230-233
    • /
    • 2008
  • The avulsion fracture of the calcaneal tuberosity is rare injury. Usually, it occurs from indirect trauma in old patients with osteoporosis or in patients with diabetic neuropathy. Especially, the bone and joint damage occurred in active patient with severe sensory loss or arthropathy related to nerve damage regardless of the cause is referred to neuropathic arthropathy. Generally, a patient with nondisplacement or minimally displacement is treated by conservative therapy and a patient with severe displacement is treated by open reduction and internal fixation. We experienced a 33 years-old woman with diabetes mellitus who had the displaced avulsion fracture of the calcaneal tuberosity without significant trauma and did not treat. We report upon this case at the 2 years follow-up.

  • PDF

The Refinement Project of Health Insurance Relative Value Scales: Results and Limits (건강보험 상대가치 개정 연구의 성과와 한계)

  • Kang, Gil-Won;Lee, Choong-Sup
    • Health Policy and Management
    • /
    • v.17 no.3
    • /
    • pp.1-25
    • /
    • 2007
  • Relative value scales introduced in 2001 remarkably improved health insurance fee schedule, but current relative value scales have many problems. In the beginning the government intended to introduce 'resource based relative value scales(RBRVSs)' like USA, but political adjustment of RBRVS studied in 19.17 weakened the relationship between relative value scale and resource consumption. So unbalance of health insurance fees are existing till now. Also relative value was not divided to physician work and practice expense, and malpractice fee was not divided separately. To correct the unbalance of current relative value scales, the refinement project of health insurance relative value scales started in 2003. The project team divided relative value scales into three components, which are physician work, practice expense, malpractice fee. Physician work was studied by professional organizations like Korean medical association. To develop the practice expense relative value, project team organized clinical practice expert panels(CPEPs) composed of physicians, nurses, and medical technicians. CPEPs constructed direct expense data like labor costs, material costs, equipment costs about each medical procedures. The practice expense relative values of medical procedures were developed by the allocation of the institution level direct & indirect costs according to CPEPs direct costs. Institution level direct & indirect costs were collected in 21 hospitals, 98 medical clinics, 53 dental clinics, 78 oriental clinics, and 46 pharmacies. The malpractice fee relative values were developed through the survey of malpractice related costs of hospitals, clinics, pharmacies. Putting together three components of relative values in one scale, the final relative values were made. The final relative values were calculated under budget neutrality by medical departments, that is, total relative value score of a department was same before and after the revision. but malpractice fee relative value scores were added to total scores of relative values. So total score of a department was increased by the malpractice fee relative value score of that department This project failed in making 'resource based' relative value scales in the true sense of the word, because the total relative value scores of medical departments were fixed. However the project team constructed the objective basis of relative value scale like physician's work, direct practice expense, malpractice fee. So step by step making process of the basis, the fixation of total scores by the departments will be resolved and the resource based relative value scale will be introduced in true sense.

Allozyme Variation and Population Structure of Carex okamotoi (Cyperaceae), a Korean Endemic Species (한국 내 국부적으로 분포하는 지리사초의 알로자임 변이와 집단구조)

  • Huh, Man-Kyu;Choi, Joo-Soo
    • Journal of Life Science
    • /
    • v.20 no.8
    • /
    • pp.1151-1158
    • /
    • 2010
  • The genetic diversity and population structures of fourteen Carex okamotoi (Cyperaceae) populations in Korea were determined using genetic variation at 25 allozyme loci. The Carex okamotoi species is native to Korea. It is endemic to three mountains (Mt. Taeback, Mt. Sobak, and Mt. Noreong) where it is found at 700~1,500 m above sea level. The percentage of polymorphic loci was 40.0%. Genetic diversity at the species level and at the population level was low ($H_{ES}$=0.106; $H_{EP}$=0.094), and the extent of the population divergence was relatively low ($G_{ST}$=0.082). Measurement of deviation from random mating ($F_{IS}$) within the 14 populations was 0.238. An indirect estimate of the number of migrants per generation was 2.78 (Nm=2.78). Analysis of fixation indices revealed a substantial heterozygosity deficiency in some populations and at some loci. Mean genetic identity between populations was 0.986.

A Case of Decannulation Difficulty Due to Cricoid Stenosis (윤상연골 협착에 의한 기관 Cannula 발거곤란증의 치험 1례)

  • 송기준;김흥곤;이형석;추광철;김선곤
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1982.05a
    • /
    • pp.12-12
    • /
    • 1982
  • We have recently experienced a case of decannulation difficulty resulted from head and thoracic injury. The patient was 21-year-old male who undergone craniectomy and tracheotomy at other hospital about 7 months ago prior to admission On admission, there was swelling in glottic and subglottic region in indirect laryngoscopy and bronchoscopy with fixation of vocal cords in paramedian position. We tried to reestablish an adequate air way with bougination using Jackson esophageal bougie but there was no effect with it. So we performed vertical incision through cricoid cartilage and tracheal rings and insertion of Teflon tube in stenotic lesion for 9 months and removed it. At present time, the patient has been satisfactory corking training course.

  • PDF

Efficacy of two commonly used potentized homeopathic drugs, Calcarea carbonica and Lycopodium clavatum, used for treating polycystic ovarian syndrome (PCOS) patients: II. Modulating effects on certain associated hormonal levels

  • Das, Debarsi;Das, Indira;Das, Jayeeta;Koyal, Saroj Kumar;Khuda-Bukhsh, Anisur Rahman
    • CELLMED
    • /
    • v.6 no.1
    • /
    • pp.7.1-7.7
    • /
    • 2016
  • In view of greater attention given to the incidence of Polycystic Ovarian Syndrome (PCOS) in women of reproductive age, particularly in urban and semi-urban population in India, research works in both the regimens of orthodox and complementary and alternative medicines have been rejuvenated in recent years. We report here relative efficacy of two potentized homeopathic remedies, Calcarea carbonica (Calc) and Lycopodium clavatum (Lyco) used traditionally for the removal of ovarian cysts. These drugs are most frequently used based on guiding symptoms of individual patients. Effects of either of these remedies on its ability of removing cysts, along with amelioration of certain other hormones and hormone-related parameters of PCOS, such as follicle stimulating hormone, luteinizing hormone, Estradiol, Testosterone (Free/Total), Dehydroepiandosterone, Prolactine, Progesterone (17- Hydroxyprogesterone), TSH including T3, T4, and Insulin were studied. The Insulin-related parameters like changes in fasting or postprandial glucose levels were also studied. The mentioned hormones play some- direct or indirect roles in causing irregular menstrual cycle and PCOS. The data collected at three fixation time points, namely, at 6, 12, and 18 months were considered. Results showed that out of 40 patients initially having PCOS, cysts were totally removed in 21 patients along with amelioration of other relevant symptoms. Both Calc and Lyco had amelioration of similar nature. Results of this study therefore validate safe and effective use of both Calc and Lyco in homeopathy, to patients with basic guiding symptoms for either drug, and can be recommended for patients with PCOS as they do not have any reported side-effects.

Genetic Diversity and Population Structure of Chimaphila japonica in Southern Part of Korea (한국 남부지역의 매화노루발의 유전적 다양성과 집단구조)

  • Joo-Soo Choi;Man-Kyu Huh
    • Journal of Life Science
    • /
    • v.8 no.6
    • /
    • pp.687-694
    • /
    • 1998
  • Enzyme electrophoresis was used to estimate genetic diversity and population structure of Chimaphila japonica Miq. in Korea. The percent of polymorphic loci within the enzymes was 48.7%. Genetic diversity at the species level and at the population level was high (Hes=0.278 ; Hep=0.222, respectively), whereas the extent of the population divergence was relatively low ( $G_{ST}$ =0.079). $F_{IS}$ , a measure of the deviation from random mating within the 7 populations, was 0.355. An indirect estimate of the number of migrants per generation (Nm=2.61) indicates that gene flow is high among Korean populations of the species. In addition, analysis of fixation indices revealed a substantial heterozygosity deficiency in some populations and at some loci. Factors contributing to the high levels of genetic dive-rsity found in the entire species of C. japonica include wide distribution, long-lived perennials, ability to regenerate due to rhizomatous spread, outcrossing induced by animal vectors, and occasional pollen dispersal by wind.

  • PDF

Genetic Diversity and Population Structure of Pseudobagrus fulvidraco in the Nakdong River (낙동강에 분포하는 동자개 집단의 유전적 다양성과 집단구조)

  • Huh, Man-Kyu;Choi, Joo-Soo;Heo, Youn-Seong;Lee, Bok-Kyu
    • Journal of Life Science
    • /
    • v.17 no.7 s.87
    • /
    • pp.882-888
    • /
    • 2007
  • Enzyme electrophoresis was used to estimate genetic diversity and population genetic structure of Pseudobagrus fulvidraco in Korea. Nine of the 14 loci (64.3%) showed detectable polymorphism. Genetic diversity at the population and species levels were 0.286 and 0.277, respectively. Analysis of fixation indices, calculated for all polymorphic loci in each population, showed a substantial deficit of hetero-zygotes relative to Hardy-Weinberg expectations. This deficit is expected that it is due to a limited effective number of individuals per population. The average $G_{ST}$ for polymorphic loci was 0.064, indicating that most (93.6%) of the genetic diversity occurred within populations. The indirect estimate of gene flow based on mean $G_{ST}$ was 3.67. Given limited gene flow is expected to diverge genetically due to drift and reduced populations. Most populations in our study experience annual, severe demo-graphic bottlenecks due to drought and floods.

Genetic Diversity and Population Structure of Pyrola fauriena (Pyrolaceae) in Korea (한국내 주걱노루발의 유전적 다양성과 집단구조)

  • Huh, Man-Kyu
    • Journal of Life Science
    • /
    • v.16 no.1
    • /
    • pp.64-70
    • /
    • 2006
  • Starch gel electrophoresis was used to estimate genetic diversity and population structure of Pyrola fauriena H. Andr. in Korea. The percentage of polymorphic loci within enzymes was $57.1\%$. The values of genetic diversity at the species level and at the population were higher than average values for herbaceous with similar life history traits (Hes : 0.149; Hep = 0.134, respectively), whereas the extent of the population divergence was relatively low $(G_{ST}=0.082)$. $F_{IS}$, a measure of the deviation from random mating within the 12 populations, was 0.298. An indirect estimate of the number of migrants per, generation (Nm = 2.81) indicates that gene flow is moderate among Korean populations of the species. Analysis of fixation indices revealed a substantial heterozygosity deficiency in some populations and at some loci. This indicates that some populations sampled may have been substructured largely due to rhizotamous spread and decrease of population sizes.

Genetic Diversity and Population Structure of Liriope platyphylla (Liliaceae) in Korea (한국내 맥문동의 유전적 다양성과 집단 구조)

  • Huh, Hong-Wook;Choi, Joo-Soo;Lee, Bok-Kyu;Huh, Man-Kyu
    • Journal of Life Science
    • /
    • v.17 no.3 s.83
    • /
    • pp.328-333
    • /
    • 2007
  • Genetic diversity and population structure of eleven Liriope platyphylla (Liliaceae) populations in Korea were determined using genetic variation at 20 allozyme loci. The percent of polymorphic loci within the enzymes was 55.9%. Genetic diversity at the species level and at the population level was high(Hes = 0.178; Hep = 0.168, respectively), whereas the extent of the population divergence was relatively low ($G_{ST}$ = 0.064). $F_{IS}$, a measure of the deviation from random mating within the 11 populations, was 0.311. Total genetic diversity values ($H_T$) varied between 0.0 and 0.535, giving an average over all polymorphic loci of 0.323. The interlocus variation in within population genetic diversity ($H_S$) was high (0.305). An indirect estimate of the number of migrants per generation (Nm = 3.66) indicates that gene flow is high among Korean populations of the species. In addition, analysis of fixation indices revealed a substantial heterozygosity deficiency in some populations and at some loci. Mean genetic identity between populations was 0.988. It is highly probable that directional toward genetic uniformity in a relatively the homogenous habitat is thought to be operated among Korean populations of L. platyphylla.

Influence of Endorser's Gaze Direction on Consumer's Visual Attention, Attitude and Recognition: Focused on the Eye Movement (광고 모델의 위치와 시선 방향이소비자의 시각적 주의, 태도 및재인에 미치는 효과: 안구운동추적기법을 중심으로)

  • Chung, Hyenyeong;Lee, Ji-Yeon;Nam, Yun-Ju
    • (The) Korean Journal of Advertising
    • /
    • v.29 no.7
    • /
    • pp.29-53
    • /
    • 2018
  • In our study, we investigated the effects of position of endorser and endorser's gaze direction(direct/averted_image/averted_text) on advertising attitude, purchase intent and brand recognition using eye-tracking method. Focusing on the printed cosmetic ads which the role of endorser is important and indirect persuade route is relatively is emphasized, we conducted experiment on 36 participants in 20s. As prior studies, our results shows that participants paid attention to more and faster on specific element which the endorser is gazing at. But it was not reflected to ad attitude and purchase intent directly. When the endorser is positioned in left the side, the highest purchase intent was shown in direct gaze condition, while when the endorser is on the right side, the highest ad attitude was shown in gazing image condition. Additionally, the brand recognition task following eye-tracking experiment shows that recognition accuracy was higher only in condition which the endorser is in the left side looking at the product image. These results demonstrated that the gaze direction of endorser plays a role as attentional guidance, which means it can lead customer's attention to particular region in the printed ad, but the effect can be varied depending on the position of endorser and which type of information the endorser is gazing at. Therefore, ultimately, to increase customer's ad attitude and purchase intent, complex consideration of not only the gazing direction of the endorser, but the position of endorser and other diverse elements is necessary.