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Lateral Arm Free Flap for Small Sized Diabetic Foot Ulcer around Toes (족지 주위의 작은 크기의 당뇨 족부 궤양에 대한 외측 상완 유리 피판술)

  • Jung, Heun-Guyn;So, Gwang-Young;Kuk, Woo-Jong;Kim, Hee-Dong
    • Archives of Reconstructive Microsurgery
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    • v.17 no.1
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    • pp.28-35
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    • 2008
  • The purpose of this study was to present the clinical analysis of the results of lateral arm free flap for small sized and infected diabetic foot ulcer around toes. From May 2006 to December 2007, Seven patients were included in our study. Average age was 52.8 years, six were males and one was female. All had infected diabetic foot ulcer and had exposures of bone or tendon structures. Ulcers were located around great toe in four patients, 4th toe in one and 5th toe in two. Three patients had osteomyelitis of metatarsal or phalanx. After appropriate control of infection by serial wound debridement and intravenous antibiotics, lateral arm flap was applied to cover remained soft tissue defects. Posterior radial collateral artery of lateral arm flap was reanastomosed to dorsalis pedis artery of recipient foot by end to side technique in all cases in order to preserve already compromised artery of diabetic foot. All flaps were designed over lateral epicondyle to get longer pedicle and averaged pedicle length was 8 cm. Two cases were used as a sensate flap to achieve protective sensation of foot. All flaps survived and provided satisfactory coverage of soft tissue defects on diabetc foot ulcers. All patients could achieve full weight-bearing ambulation. No patients has had recurrence of infection, ulceration and further toe amputations. There were three complications, a delayed wound healing of flap with surrounding tissue, a partial peripheral loss of flap and a numbness of forearm below donor site. All patients were satisfied with their clinical results, especially preserving their toes and could return to the previous activity levels. Lateral arm free flap could be recommend for infected diabetic foot ulcers around toes, to preserve toes, coverage of soft tissue defect and control of infection with low donor site morbidity.

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In vitro eliminative effects three sorts of herbal extracts of against Ichthyophthirius multifiliis (3종의 식물 추출물에 의한 백점충의 in vitro 구제효과)

  • Kim, Jin-Do;Kim, Yi-Cheong;Jung, Sung-Hee;Seo, Jung-Soo;Park, Sung-Woo
    • Journal of fish pathology
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    • v.24 no.3
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    • pp.289-295
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    • 2011
  • The in-vitro eliminative effects of against three types of herbal extract and formalin Ichthyophthirius multifiliis were examined. All parasites were killed within one hour after exposure to the 500 fold dilution of the complex herb extract whereas the 10 fold dilution of the fertilized solution of Salvia plebeia R. Br. killed all parasites within one hour after exposure. The 5,000 fold dilution of the extracts of Ginkgo biloba leaves killed all parasites within one hour after exposure. As a comparative agent, formalin killed all parasites within one hour at 100 ppm. As the results, the extracts of Ginkgo biloba leaves extracts have the most eliminative ability against the parasite. No differences were found among different parasite density in eliminative effects of the three types of herbal extracts and formalin. Also there were no changes in the fish gill tissues after exposure for two hours to the 5,000 fold dilution of the extract of Ginkgo biloba leaves.

Design of All-in-One Descending Lifeline with Reduced Usage Time (사용시간이 단축된 일체형 완강기 설계)

  • Yun, Seul-Gi;Park, Jung-Woo;Jung, Geun-Hak;Jung, Min-Hee;Kang, Sangwook;Kim, Sang-Hyun
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.19 no.5
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    • pp.21-26
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    • 2020
  • A descending lifeline is the only self-escape fire apparatus for fire in high-rise buildings and is installed in most buildings according to fire-fighting law. However, it is difficult to properly use and quickly evacuate during an emergency due to its complex installation methods and procedures, even if users are pre-educated. In this paper, a new one-touch descending lifeline, which simplifies usage procedures and can be used regardless of whether users are educated, is proposed to solve the drawbacks of the conventional descending lifeline. All separate parts that require additional installation are initially assembled in a box, and the concept of a double square linkage is proposed to enable escape in a single motion of pushing the handle attached to the box. Three steps of kinematic design are explored to determine an appropriate configuration of double square linkage, and its dimensions are determined using Matlab and NX CAD software. The proposed all-in-one descending lifeline also follows the enforcement decree of the Fire Control Act, and its feasibility is verified through fabrication.

Thyroid Carcinoma in Children (소아에 발생한 갑상선 악성 종양)

  • Lee, Seung-Joo;Kim, Dae-Yeon;Kim, Seong-Chul;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.6 no.2
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    • pp.95-99
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    • 2000
  • Thyroid carcinoma is relatively rare in children. Eight cases of thyroid carcinoma were among 18 patients operated upon for thyroid tumors at Pediatric Surgery, Asan Medical Center in 11 years' period between 1989 and 2000. Five patients were boys and three were girls. The age distribution ranged from 10 to 14 years with a median age of 11.6 years. We studied clinical presentations, diagnostic workup, pathology, treatment, and follow-up (recurrence, mortality, and survival). All patients presented with anterior neck mass but one with multiple cervical lymph nodes enlargement. Familial history of thyroid cancer was seen in one case. All patients had a cold nodule by 1-131 thyroid scan. Fine needle aspiration (FNA) biopsy was performed in all patients. The right lobe was involved in four patients and the left lobe in two. Two had both lobes involvement. Pathologically, six cases were papillary carcinoma, one was follicular carcinoma, and one insular carcinoma. Four patients underwent unilateral lobectomy and isthmectomy. Total thyroidectomy was performed in three patients. The insular carcinoma case was preoperatively diagnosed as follicular neoplasm by FNA. After confirmation of the pathology by initial right thyroid lobectomy, total thyroidectomy was subsequently done. Cervical lymph node metastases were presented in three cases (37.5%), and lung metastasis in two cases (25%). Three patients received postoperative I-131 ablation. After a median follow-up of 53 months, all patients were alive without evidence of recurrence. In conclusion, thyroid carcinoma in children is frequently associated with lymph nodes involvement and distant metastasis, however, the prognosis is relatively good.

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ON MINIMAL PRODUCT-ONE SEQUENCES OF MAXIMAL LENGTH OVER DIHEDRAL AND DICYCLIC GROUPS

  • Oh, Jun Seok;Zhong, Qinghai
    • Communications of the Korean Mathematical Society
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    • v.35 no.1
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    • pp.83-116
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    • 2020
  • Let G be a finite group. By a sequence over G, we mean a finite unordered sequence of terms from G, where repetition is allowed, and we say that it is a product-one sequence if its terms can be ordered such that their product equals the identity element of G. The large Davenport constant D(G) is the maximal length of a minimal product-one sequence, that is, a product-one sequence which cannot be factored into two non-trivial product-one subsequences. We provide explicit characterizations of all minimal product-one sequences of length D(G) over dihedral and dicyclic groups. Based on these characterizations we study the unions of sets of lengths of the monoid of product-one sequences over these groups.

Philosophical Study on the Theory of Self-Discipline in Taijiquan (태극권 수련의 이론 전개에 대한 연구)

  • Park, Tae-Seob;Kim, Gyeong-Cheol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.5
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    • pp.1072-1080
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    • 2007
  • Taijiquan is possible for us to use not only as a martial art, but also as a physical exercise and a way to discipline human mind, and so it is called 'moving-Zen' and is a martial art to discipline human body and mind against different diseases and stress of modern adult people caused by our modern advanced civilization. We can look at natural passion as one of the most fundamental categories in Philosophy as a minimum material unit comprising all nature. Taijiquan is an exercise with natural passion, flowing through all the body, leading the natural passion with our mind, and moving our body with the natural energy. Also, all the motions in Taijiquan were made based on Yin and Yang. Taijiquan is a discipling way to reach Taegeuk through Yin and Yang and to train ourselves together. The realization of Taegeuk is to reach Taegeuk through the discipline of Taegeuk and can lead to Taegeuk through the unification of the inside and the outside(內外合一), the mutually complementing(剛柔相濟), the circling of the heavenly body(周天) of Taijiquan. The strength and the weakness help each other, the mind and the body is unified, the mixture of the rapidness and the slowness is appropriate, the form and the consciousness are combined into one and move, naturally unified into one(形意結合), and progressive and regressive Junsakyung are combined and move, naturally forming Turoh(套路) where Yin and Yang are unified. The discipline of Taijiquan is not only for maintaining our health, but also for leading to Taegeuk, an ultimate entity, which had existed before the day when all things were generated as its essence and has existed since then.

Design and Implementation of Sinkhole Router based IP Tracing System (싱크홀 라우터 기반 IP 추적 시스템 설계 및 구현)

  • Lee, Hyung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.10
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    • pp.2733-2740
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    • 2009
  • An advanced and proactive response mechanism against diverse attacks on All-IP network should be proposed for enhance its security and reliability on open network. There are two main research works related to this study. First one is the SPIE system with hash function on Bloom filter and second one is the Sinkhole routing mechanism using BGP protocol for verifying its transmission path. In this study, we proposed an advanced IP Tracing mechanism based on Bloom filter and Sinkhole routing mechanism. Proposed mechanism has a Manager module for controlling the regional router with using packet monitoring and filtering mechanism to trace and find the attack packet's real transmission path. Additionally, proposed mechanism provides advanced packet aggregation and monitoring/control module based on existing Sinkhole routing method. Therefore, we can provide an optimized one in All-IP network by combining the strength on existing two mechanisms. And the Tracing performance also can be enhanced compared with previously suggested mechanism.

Antimicrobial Susceptibility of Salmonella and Shigella Isolated in Taegu Area in 1977 (1977년(年) 대구(大邱)에서 분리(分離)한 Salmonella 및 Shigella의 항균제(抗菌劑) 감수성(感受性))

  • Park, Moon-Jae;Chun, Do-Ki
    • The Journal of the Korean Society for Microbiology
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    • v.13 no.1
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    • pp.31-36
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    • 1978
  • Twenty strains of Salmonella paratyphi A, 55 of S. typhi, 7 of Shigella flexneri, and 14 of Sh. sonnei which were isolated in Taegu area in 1977, were tested for the susceptibility to antimicrobial drugs. All strains of S. paratyphi A were resistant to sulfisomidine(Sa), but none was resistant to chloramphenical(Cm), tetracycline(Tc), streptomycin(Sm), ampicillin, nalidixic acid, kanamycin, gentamicin, amikacin, 1:20 mixture of trimethoprim and sulfamethoxazole, carbenicillin, cephaloridine, and rifampicin. Only one strain. of S. typhi was multiply resistant to Cm, Tc, Sm, and Sa, but all strains were susceptible to the other drugs tested. The resistant strain carried R plasmid; R(Cm Tc Sm Sa). All strains except one were highly resistant to Cm, Tc, Sm, and Sa, and all except one of multiply resistant strains carried R plasmid; R(Cm Tc Sm Sa).

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A Development of an All-in-one Ironing System for All Style Pants (바지 형태에 구애받지 않는 융합 다림질 시스템 개발)

  • Kim, Keunsik;Kim, Jong-Hoon
    • Journal of Convergence for Information Technology
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    • v.12 no.1
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    • pp.172-179
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    • 2022
  • Unlike other processes such as washing, the ironing process in the laundry process is difficult to standardize and thus relies on manual labor. Unlike upper garments, pants have pleats at the waist as well as a crease line below the waist, Therefore, two separate ironing devices have been developed and used. However, in this method, problems such as additional worker input, space loss, and wrinkling of pants occur due to manual movement between processes, Consequently, a pants ironing device that combines the two equipments is required. The all-in-one pants ironing system described in this paper automatically sequentially irons the upper part and side of the pants regardless of the length, shape, and upper pleats of the pants. It also performs a self-diagnosis function while displaying the ironing progress on the user's monitor. As a result of this study, it became possible to double the amount of ironing and reduce power consumption by more than 20% compared to the case of using two independent equipment.

Congenital Diaphragmatic Eventration: Report of 4 Cases (선천성 횡경막 내번증)

  • 김자억
    • Journal of Chest Surgery
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    • v.11 no.1
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    • pp.92-96
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    • 1978
  • Congenital diaphragmatic eventration is a rare disease and generally accepted as an abnormally high position of part or all of the diaphragm, usually associated with a marked decrease in muscle fibers and a membranous appearance of the abnormal area. There were 4 cases of the congenital diaphragmatic eventration at the Dept. of Thoracic Surgery, Seoul National University Hospital, from 1957 to 1977. They were two boys and two girls and ranging from 1 day to 3 years of age. They were all repaired by surgical operation and one was expired postoperatively, another one was dead one year later due to complication. The ratio between right and left was 1:3 and their symptoms were cyanosis, dyspnea and frequent respiratory disease. In physical examination there was noted decreased breathing sound on the affected lung field and bowel sound was audible in some cases. Diagnosis was done by Chest X-ray and plication of the affected diaphragm was usually done in operation. There were noted atelectasis and cystic change of the affected side lung. And the liver, colon, spleen and small intestine were found in the dome of the eventrated diaphragm.

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