• Archives of Reconstructive Microsurgery
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• 제25권2호
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• pp.43-48
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• 2016

Purpose: Perforator flap-using ischial sore reconstruction is performed in a prone position. But after the surgery, recurrence frequently occurs in a sitting position. In this sense, we introduce modified flap insetting method which closely resembles patient's sitting position to lessen the flap tension surgically. Materials and Methods: Authors tried to check a skin tension difference between prone position and sitting position in normal people group and to find out the importance of performing flap insetting in hip flexion position. Healthy volunteers were collected (n=20) and designed the same length of 4 divided sections around the ischium. Lengths of each section were measured when hip joint was flexed to 90 degree and when both hip and knee joints were flexed to 90 degree and the statistical evaluation was performed. Twenty cases with ischial sore underwent reconstructive surgery using perforator flap under hip flexion position and followed-up for any recurrences. Results: There was a meaningful difference between the joint flexed skin length and that of the neutral position. Flap showed sufficient thickness over 12 months. Conclusion: It seems that recurrence could be reduced when the reconstructed flap could sufficiently cover in a sitting position regarding its significant length difference in normal people group.

• 한국환경보건학회지
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• 제27권2호
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• pp.73-81
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• 2001

The purpose of this study was to determine the adverse effects of methylmercuric chloride(MMC) against the fetal growth and the ossification rate of fetal pectoral and pelvic girdle, stermebrae, ribs and tail in pregnant Fischer 344 rats administered orally on day 7 of gestation. The resulted obtained are as follows. The weight and size of fetus were highly reduced by MMC. The reduction of fetal weight and size were 16. 2%~24.5%(p<0.01), and 34.1%~48.8%(p<0.01), and that of the litter’s weight were 67.0%(p<0.01) and 89.2%(p<0.01) by 20 and 30mg/kg MMC, respectively. Ossification centers were never formed in pectoral and pelvic phalanges and sternebrae, and was reduced as much as 70% in tail by 30mg/kg MMC. And also those were 82.4%~ 91.2%(p<0.01) in ischium, and 52.4~66.7%(p<0.01) in the others(ilium, fenur, tibia, fibula, metatarsals)of pelvic girdle by 30 mg/kg MMC. Ossification of sternebrae was terrible. 5th bone of sternebrae was not ossificated by 20 and 30 mg/kg MMC(p<0.01), and 2nd was also not ossificated by 30 mg/kg MMC(p<0.01).And reduction of ossification rate was 84.8~97.8%(p<0.01) in the others of sternebrae by 30 mg/kg MMC. And then, the reduction of ossification rate was 26.65~49.8%(p<0.01) in fetal ribs by 30 mg/kg MMC, and they were trend to increased as following from center to each edge. In conclusion, it was observed that fetal weight, size, and ossification of each bone were highly significantly reduced by the increased dosage of MMC.

• Journal of Species Research
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• 제5권3호
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• pp.272-278
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• 2016

The first record of Korean cyproideid amphipod, Cyproidea liodactyla Hirayama, 1978 is reported here with description and illustrations. This species has the following characteristics: the presence of dorsal keel of peduncle 2 on antenna 1, posterodistal process of ischium on gnathopod 1 and carpal process on gnathopod 2. In this study, the minor differences between the original description and our Korean specimens of Cyproidea liodactyla are discussed and a brief comparison to other related species such as C. serratipalma Schellenbeg, 1938 and C. robusta Ren, 2006 are suggested. In addition, a key to Korean species belonging to the family Cyproideidae is provided.

• Animal Systematics, Evolution and Diversity
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• 제39권4호
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• pp.314-318
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• 2023

The genus Athanas is a member of alpheid shrimps living in temperate and tropical waters worldwide. Species of the genus Athanas are small and inhabit coral reefs, rock or muddy bottoms. As a result of continuous taxonomic research on shrimps collected from Korean waters, Athanas parvus is newly added to Korean fauna through the description of adult form. Athanas parvus is distinguished from A. japonicus by the biunguiculated dactyli of third, fourth and fifth pereopods and spines on ischium of first pereopod. The Korean Alpheidae fauna now consists of nine genera and 27 species including two species of the genus Athanas.

• Animal Systematics, Evolution and Diversity
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• 제40권2호
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• pp.135-139
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• 2024

A newly recorded species, Aora pseudotypica Hirayama, 1984, belonging to the family Aoridae Stebbing, 1899 was collected from Geomundo and Jejudo Islands in South Korea. This species is characterized by having large triangular process on basis of male gnathopod 1. It is morphologically similar to A. typica Krøyer, 1845, but distinguishable by the lack of a large rounded process on the anterior margins of basis and ischium on male gnathopod 1 and having small distal segment on outer ramus of uropod 3. To date, only two genera, Aoroides Walker, 1898 and Grandidierella Coutière, 1904, of the family Aoridae have been recorded in Korea, so this is the first record of the genus Aora from Korea.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.387-393
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• 2014

Background Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. Methods We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. Results All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months. Conclusions The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.

• 한국방사선학회논문지
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• 제16권3호
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• pp.281-288
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• 2022

본 연구에서는 고관절에 금속삽입물(Metal implant)이 삽입되어 있는 환자를 대상으로 일반적인 CT검사(Before MAR) 영상과 MAR을 사용하여 얻어진(After MAR) 영상을 4개의 알고리즘(Soft, Standard, Detail, Bone)에 적용하여 Noise, SNR, CNR을 비교 분석하여 정량적 평가로 최적의 알고리즘을 알아보고자 하였다. 분석방법으로는 4개의 알고리즘으로 재구성한 영상에 이미지 분석과 영역 및 픽셀값을 계산할 수 있는 Image J 프로그램을 사용하였다. Noise, SNR, CNR을 구하기 위해 측정부위를 영상에서 금속삽입물이 가장 인접해 있는 Bone(궁둥뼈, ischium)을 지정하여 HU mean값과 HU SD값을 구하고 배경잡음(Background)은 주위 근육으로 하였다. 관심영역(region of interest, ROI)은 뼈의 크기를 감안하여 동일하게 15×15 mm로 지정하였으며 SNR과 CNR의 값은 주어진 식에 의거하여 산출하였다. 결과적으로 노이즈는 After MAR, Soft 알고리즘에서 노이즈가 가장 낮게 나타났으며, SNR, CNR은 Before MAR, Soft 알고리즘이 가장 높게 나타났다. 따라서 Soft 알고리즘이 고관절 금속삽입술 CT에 가장 적절한 알고리즘으로 판단된다.

• Journal of Animal Science and Technology
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• 제59권12호
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• pp.26.1-26.8
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• 2017

Background: The change in size and weight of the female reproductive organs during gestation and birth might be affect the perineal muscles and this condition in dairy cow not been reported. This study aimed to assess the ultrasonographic image of coccygeus muscle in 11 inseminated dairy cows with different gestational ages and postpartum. Methods: Gestational age was calculated based on the record of artificial insemination and confirmed by using transrectal brightness mode ultrasonography. Perineal hair between the sacrum and ischium bones was shaved along 3-5 cm before being ultrasound. The images of perineal area were obtained by transcutaneous ultrasound using a 5.0 MHz transducer. The thickness and intensity of the coccygeus muscle were measured and analyzed by gestational status and postpartum to show the differences. Results: The results showed that the thickness of coccygeus muscle increased with the increase in gestational age. Muscle intensity only increased at young gestational age. However, it decreased with the increase in gestational age (P < 0.05). Conclusions: The ultrasound image of coccygeus muscle was affected by gestational status, thus this method may be used as one of the new methods of indirect gestational detection on dairy cows.

• Archives of Plastic Surgery
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• 제32권4호
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• pp.543-546
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• 2005

Pulmonary embolism is a one of the major cause of postoperative death. Surgery predisposes patients to pulmonary embolism, even as late as one month after the operation. The accurate detection of pulmonary embolism remains difficult, and the differential diagnosis is extensive. The prevention of pulmonary embolism is thus of paramount importance. We report a case of pulmonary embolism after coverage of pressure sore on the left ischium on the 8th day after operation. The patient was 60 years old, a severe smoker, in the high quantity of body mass index and had hypertension. The risk factors are 60 years of age or older who were in the highest quantity of body mass index. Heavy cigarette smoking and high blood pressure are also identified as risk factors. Plastic surgeons should keep the probability of pulmonary embolism development after operation in mind. When taking history, the risk factors should be checked certainly. The immobilization may explain the probability of pulmonary embolism development. Therefore absolute bed rest or positional maintenance should be avoided. Until recently, low molecular weight heparin has been used for preoperative prophylaxis. Plastic surgeons should be concerned in low molecular weight heparin for prophylaxis of the pulmonary embolism and study the indications and effectiveness in liposuction or abdominoplasty.

• Investigative Magnetic Resonance Imaging
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• 제20권1호
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• pp.66-70
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• 2016

Introduction: Distant metastases of mucoepidermoid carcinoma (MEC) are reported with the most common sites being the soft tissue of skin, lung, liver, and bone. We report here a very rare case of MEC with multiple metastases to the kidney, adrenal gland, skull and gluteus maximus muscle. Case report: A 63-year-old male patient presented with left-sided headache. Radiologic evaluations including CT and MRI showed ill-defined soft tissue lesion involving the left infratemporal fossa and left sphenoid sinus, and multiple enlarged lymph nodes in neck and mediastinum. PET-CT demonstrated multiple hypermetabolic lesions in and around the left kidney, left adrenal gland, right ischium, right gluteus maximus and skull base. These lesions were confirmed as MEC with multiple metastases through biopsy. Discussion: Only one case of metastasis to the skull has been previously reported, and moreover, there has not been a case of metastatic MEC to the kidney, adrenal gland and gluteus maximus muscle so far in the medical literature. It is important to acknowledge the possibility of every unusual MEC metastases, since the presence of metastasis has statistically significant influence on the survival of MEC.