• Title/Summary/Keyword: Over-the-head

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Deep Tissue Invasion of Dermatofibrosarcoma Protuberance (융기성 피부섬유육종의 심부 침습정도에 대한 고찰)

  • Kim, Kyoung-Hoon;Bae, Yong-Chan;Nam, Su-Bong;Choi, Soo-Jong;Kang, Cheol-Uk
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.417-421
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    • 2009
  • Purpose: Dermatofibrosarcoma protuberans(DFSP) is a moderate - degree malignant tumor of soft tissue from dermis to fat layer with high recurrences(11% to 73%) due to its local infiltrative characteristic. Many debates and controversies in deciding accurate surgical margin were presented before, but references about depth of invasion and appropriate surgical excision level were not properly made out. Therefore, we tried to identify the degree of tissue invasion of DFSP. Methods: Twenty patients, including 8 patients with recurrent lesions, over last 10 years were reviewed retrospectively. Different surgical margins were applied according to the location and based on histopathologic result, we have defined as a 'deep tissue invasion' if there were infiltration of tumor cell into fascia or underlying muscle layer was present. All invaded tissue including dermis, fat, fascia and muscle were excised until no tumor cell was found during intraoperative frozen section biopsy. And comparative analysis of deep tissue invasion according to age, primary site, duration of disease and recurrence was done. Results: Thirteen patients(65%) showed deep tissue invasion and incidence was found to be increasing with age(over 30 years old). All patients with DFSP on head and neck region revealed deep tissue invasion followed by trunk(54%) and lower extremities(50%). There was no relationship between duration of disease and deep tissue invasion. Conclusions: It is clear that many cases of DFSP had a deep tissue invasion. And high prevalence of deep tissue invasion with age, primary site was intimately associated. So, underlying deep tissue must be completely examined and excised sufficiently throughout the operation for clear resection of DFSP with no recurrences, especially when age is over 30s and on head and neck region.

A Study on Probability of Home-ownership over the Family Life Cycle -Case of Oaxaca City of Mexico- (가족생활주기상의 주택소유확률에 관한 연구 -멕시코 Oaxact시 의 경우를 중심으로-)

  • 이인수
    • Journal of the Korean housing association
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    • v.9 no.1
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    • pp.33-42
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    • 1998
  • This study has been designed to analyze longterm trend of home-ownership probability over the family life cycle. In this study, 633 female household heads were interviewed on their critical life event such as pregnancy, birth or death of households, marriage, and residential movement between 1987 and 1990 in Oxaca, Mexico. The raw data composed of 100,000 lines were transformed into yearly segmented observation data, proposed by Allison. The results are drawn as follws: 1) There is significant effect of marriage cohort on residential mobility and home ownership: couples who married in 1960s are likely to change their residence at early stage of family life than those who married in 1940s. They also have lower probability of home ownership for 10 years after marriage than the other cohorts. 2) Over all the cohorts, it is consistent tendency that probability of home ownership continuously increases over the entire family life cycle for 40 years. 3) Of the logistic regression analysis of home ownership on household socioeconomic variables, the homeownership was positively related with age of marriage and time since marriage, and was negatively related with education of female head. Over in this study, it is proven that home owenership is ultimate goal of most families, and it is a function of family event variables.

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Effect of push up plus on sling and stable surface on muscle activity and lung function in adults with forward head posture (슬링과 안정한 면에서의 푸쉬업 플러스 운동이 머리 전방 자세성인의 근활성도와 폐기능에 미치는 영향)

  • Yoon, Hee-Kang;Lee, Hong-Gyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.624-631
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    • 2017
  • This study aimed to identify the effect of the push-up plus exercise with sling on the muscle activity and lung function in adults with forward head posture over a period of 8 weeks. A total of 16 adults with forward head posture were recruited. The participants were divided into two groups : control (n-=8) and experimental (n=8). From July 6 until Aug 28, 2015, the participants were instructed to perform the knee push-up plus exercise and knee push-up plus using sling exercise three times a week to begin with and progressing to three sets of push-ups on each occasion after 8 weeks. The participants in both groups showed an increase in their craniovertebral angle (both groups p<0.001) and a decrease in their crania rotation angle (control p<0.05, experimental p<0.001). The participants in both groups showed a decrease in their trapezius activity (both groups p<0.001), an increase in their serratus anterior and lower trapezius muscle activity (both groups p<0.001), (and an increase in their) lung function (control group p<0.01, experimental group p<0.001). These findings show that push-up plus exercise improves posture and increases activation of lung function, while the push-up plus exercise in the sling is more effective in improving the forward head posture. The push-up plus exercise in the sling was more effective in improving the forward head posture, but there was no significant difference in the lung function between the two groups. Therefore, the push-up plus exercise in the sling is recommended as an exercise that is effective for the improvement of the posture and lung function of persons with forward head posture.

Single and 28-day repeated dose toxicity studies of botulinum toxin type A in mice and rats (마우스 및 랫드에서 botulinum toxin type A의 단회 및 28일 반복투여 독성시험)

  • Jeon, Tae-Won;Kim, Ji-Young;Hyun, Sun-Hee;Kim, Nam-Hee;Lee, Sang-Kyu;Kim, Chun-Hwa;Woo, Hee-Dong;Yang, Gi-Hyeok;Jung, Hyun-Ho;Jeong, Tae-Cheon
    • Korean Journal of Veterinary Research
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    • v.43 no.1
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    • pp.57-66
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    • 2003
  • Single and 28-day repeated dose toxicity studies of botulimnn toxin type A were carried out in ICR mice and Sprague-Dawley rats, respectively. In the single dose toxicity study, botulinwn toxin was injected intraperitoneally to male and female mice at a single dose of 40, 59, 89 133 and 200 ng/10 ml saline/kg. All animals died from 59 ng/kg group. Some clinical signs, such as decrease in locomotor activity, dyspnea, prone position and ptosis, were observed in most of both sexes from 59 ng/kg group, but no signs were seen in all animals at 40 ng/kg group. The results showed that the median lethal dose of botulinum toxin might be in the range of 40-59 ng/kg in both sexes. In the repeated dose toxicity study, the test material was administered intradermally for 28 days at doses of 0 (vehicle-treated control), 1.25, 2.5, 5.0 and $10.0ng/head/50{\mu}{\ell}$ saline in male and female rats. No test material-related changes were noted in survivals, clinical signs, food and water consumptions and gross finding in any group. Botulinum toxin treatment significantly decreased the body weight gain rate in male of 5.0 ng/head group and over and in female of 10.0 ng/head group compared to vehicle-treated control. One or more relative organ weights (i.e., spleen, thymus, liver and kidney) were increased significantly from 5.0 ng/head group compared to vehicle-treated control in both sexes. Serum biochemistry revealed increases in aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine phosphokinase, total protein and albumin in male, and increases in AST and ALT and decreases in $K^+$ and $Cl^-$ in female without dose-pendent manners. In the histopathological study, physical stimulation by needle caused slight inflammations of dennis. In addition, botulinum toxin treatment induced denervation of nerve cell and disuse of muscle, resulting in atrophy of skeletal muscle in both sexes from 2.5 ng/head group. When the antibodies to toxin were determined in all animals, a significant increase in serum antibodies was observed from 5.0 ng/head group. The results showed that the NOAEL of botulinum toxin might be 1.25 ng/head for 28-day repeated dose toxicity in rats.

Effect of Cochlear Implant Electrode Array Design on Electrophysiological and Psychophysical Measures: Lateral Wall versus Perimodiolar Types

  • Lee, Ji Young;Hong, Sung Hwa;Moon, Il Joon;Kim, Eun Yeon;Baek, Eunjoo;Seol, Hye Yoon;Kang, Sihyung
    • Journal of Audiology & Otology
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    • v.23 no.3
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    • pp.145-152
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    • 2019
  • Background and Objectives: The present study aims to investigate whether the cochlear implant electrode array design affects the electrophysiological and psychophysical measures. Subjects and Methods: Eighty five ears were used as data in this retrospective study. They were divided into two groups by the electrode array design: lateral wall type (LW) and perimodiolar type (PM). The electrode site was divided into three regions (basal, medial, apical). The evoked compound action potential (ECAP) threshold, T level, C level, dynamic range (DR), and aided air conduction threshold were measured. Results: The ECAP threshold was lower for the PM than for the LW, and decreased as the electrode site was closer to the apical region. The T level was lower for the PM than for the LW, and was lower on the apical region than on the other regions. The C level on the basal region was lower for the PM than for the LW whereas the C level was lower on the apical region than on the other regions. The DRs on the apical region was greater for the PM than for the LW whereas the DR was narrower on the apical region than on the other regions. The aided air conduction threshold was not different for the electrode design and frequency. Conclusions: The current study would support the advantages of the PM over the LW in that the PM had the lower current level and greater DR, which could result in more localized neural stimulation and reduced power consumption.

Effect of Cochlear Implant Electrode Array Design on Electrophysiological and Psychophysical Measures: Lateral Wall versus Perimodiolar Types

  • Lee, Ji Young;Hong, Sung Hwa;Moon, Il Joon;Kim, Eun Yeon;Baek, Eunjoo;Seol, Hye Yoon;Kang, Sihyung
    • Korean Journal of Audiology
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    • v.23 no.3
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    • pp.145-152
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    • 2019
  • Background and Objectives: The present study aims to investigate whether the cochlear implant electrode array design affects the electrophysiological and psychophysical measures. Subjects and Methods: Eighty five ears were used as data in this retrospective study. They were divided into two groups by the electrode array design: lateral wall type (LW) and perimodiolar type (PM). The electrode site was divided into three regions (basal, medial, apical). The evoked compound action potential (ECAP) threshold, T level, C level, dynamic range (DR), and aided air conduction threshold were measured. Results: The ECAP threshold was lower for the PM than for the LW, and decreased as the electrode site was closer to the apical region. The T level was lower for the PM than for the LW, and was lower on the apical region than on the other regions. The C level on the basal region was lower for the PM than for the LW whereas the C level was lower on the apical region than on the other regions. The DRs on the apical region was greater for the PM than for the LW whereas the DR was narrower on the apical region than on the other regions. The aided air conduction threshold was not different for the electrode design and frequency. Conclusions: The current study would support the advantages of the PM over the LW in that the PM had the lower current level and greater DR, which could result in more localized neural stimulation and reduced power consumption.

The Influence of Thermal Head and Feet Support on Early Stage Weight Gain in Premature Neonates (미숙아의 머리 및 발 보온이 출생초기 체중에 미치는 영향)

  • Paik Seung Nam;Hong Hye sung;Sung Mi Hae;Cho Kyoul Ja;Yhee Hyun Joo
    • Child Health Nursing Research
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    • v.6 no.3
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    • pp.397-410
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    • 2000
  • This is a nonequivalent control group pretest- posttest design in quasi experimental basis to assess how the thermal head and feet support influences on early stage weight gain in premature neonates. The clients were selected among the premature infants with the weight under 2000gms and with the gestational period under 37 weeks, admitted over 15 days in K university hospital, Seoul. The control group of 29 were selected from January 1998 to August 1998, who were without head and feet thermal support, and the experimental group of 30 were selected from September 1998 to May 1999, who were with the two thermal interventions. The results of the study follow, 1.The experimental group with thermal interventions showed more weight gain than the control group without thermal interven- tions, which was statistically significant between the two groups. 2.The physiological weight loss after birth showed less in the experimental group than in the control group. 3.The recovery of the birth weight after the physiologic weight loss showed no statistical difference between the experimental group and the control group. Consequently, the thermal head and feet supportive nursing intervention could be applied as a nursing intervention program to help the premature neonates' development. With the results above we should like to suggest the following: 1) A continuous application in the practice of our thermal supportive intervention for the premature neonates, a development of the content through evaluation, and a comparision of the results through a long time study. 2) A neccessity of deveopment of various study and cross comparision. 3) A neccessity of multi-angular study on the premature infants' characteristics influencing the thermal therapy and the study of the individual differences of the clients.

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Analysis on the Rigid Connections between the Large Diameter Drilled Shaft and the Pile Cap for the Sea-Crossing Bridges with Multiple Pile Foundations (다주식 기초 해상교량에서 대구경 현장타설말뚝과 파일캡의 강결합에 대한 분석)

  • Cho, Sung-Min;Park, Sang-Il
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.343-358
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    • 2008
  • Piles of a bridge pier are connected with a column through a pile cap(footing). Behavior of the pile foundation can be different according to the connection method between piles and the pile cap. This difference causes a change of the design method. Connection methods between pile heads and the pile cap are divided into two groups ; rigid connections and hinge connections. KHBDC(Korea Highway Bridge Design Code) has specified to use rigid connection method for the highway bridge. In the rigid connection method, maximum bending moment of a pile occurs at the pile head and this helps the pile to prevent the excessive displacement. Rigid methods are also good to improve the seismic performance. However some specifications prescribe that conservative results through investigations for both the fixed-head condition and the free-head condition should be reflected in the design. This statement may induce an over-estimated design for the bridge which have very good quality structures with casing covered drilled shafts and the PC-house contained pile cap. Because the assumption of free-head conditions (hinge connections) are unreal for the elevated pile cap system with multiple piles of the long span sea-crossing bridges. On the other hand, elastic displacement method to evaluate the pile reactions under the pile cap is not suitable for this type of bridges due to impractical assumptions. So, full modeling techniques which analyze the superstructure and the substructure simultaneously should be performed. Loads and stress state of the very large diameter drilled shaft and the pile cap for Incheon Bridge which will the longest bridge in Korea were investigated through the full modeling for rigid connection conditions.

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Detection of tension force reduction in a post-tensioning tendon using pulsed-eddy-current measurement

  • Kim, Ji-Min;Lee, Jun;Sohn, Hoon
    • Structural Engineering and Mechanics
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    • v.65 no.2
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    • pp.129-139
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    • 2018
  • Post-tensioning (PT) tendons are commonly used for the assembly of modularized concrete members, and tension is applied to the tendons during construction to facilitate the integrated behavior of the members. However, the tension in a PT tendon decreases over time due to steel corrosion and concrete creep, and consequently, the stress on the anchor head that secures the PT tendon also diminishes. This study proposes an automatic detection system to identify tension reduction in a PT tendon using pulsed-eddy-current (PEC) measurement. An eddy-current sensor is installed on the surface of the steel anchor head. The sensor creates a pulsed excitation to the driving coil and measures the resulting PEC response using the pick-up coil. The basic premise is that the tension reduction of a PT tendon results in stress reduction on the anchor head surface and a change in the PEC intensity measured by the pick-up coil. Thus, PEC measurement is used to detect the reduction of the anchor head stress and consequently the reduction of the PT tendon force below a certain threshold value. The advantages of the proposed PEC-based tension-reduction-detection (PTRD) system are (1) a low-cost (< $ 30), low-power (< 2 Watts) sensor, (2) a short inspection time (< 10 seconds), (3) high reliability and (4) the potential for embedded sensing. A 3.3 m long full-scale monostrand PT tendon was used to evaluate the performance of the proposed PTRD system. The PT tendon was tensioned to 180 kN using a custom universal tensile machine, and the tension was decreased to 0 kN at 20 kN intervals. At each tension, the PEC responses were measured, and tension reduction was successfully detected.

Comparing the Effects of Manual and Self-exercise Therapy for Improving Forward Head Posture

  • Gyeongseop Sim;Donghoon Kim;Hyeseon Jeon
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.184-193
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    • 2023
  • Background: Studies investigating the immediate effects of a single intervention to correct forward head posture are rare. Objects: This study aimed to compare the changes in treatment effects in patients with forward head posture and neck pain after manual and self-exercise therapy over a 1-hour period. Methods: Twenty-eight participants were randomly divided into manual and self-exercise therapy groups. Following the initial evaluation, manual or self-exercise therapy was applied to each group for 30 minutes each in the prone, supine, and sitting positions. The variables measured were the craniovertebral angle (CVA), stress level, pain level, and sternocleidomastoid (SCM) stiffness. After the intervention, re-evaluation was conducted immediately, 30 minutes later, and 1 hour later. Two-way analysis of variance (ANOVA) was used to compare the maintenance of treatment effects between the two groups. Results: Based on the two-way mixed ANOVA variance, there was no interaction between the groups and time for all variables, and no main effects were found between the groups. However, a significant effect of time was observed (p < 0.05). Post hoc tests using Bonferroni's correction revealed that in both groups, the CVA, pain, and stress showed significant improvements immediately after the intervention compared with before the intervention, and these treatment effects were maintained for up to 1 hour after the treatment (p < 0.0083) in the manual therapy group. However, the stress level was maintained until 30 minutes later (p < 0.0083) in the self-exercise group. There was no significant decrease in right SCM stiffness before and after the intervention; however, left SCM stiffness significantly decreased after the self-exercise intervention (p < 0.0083). Conclusion: Both manual and self-exercise therapy for 30 minutes were effective in reducing forward head posture related to the CVA, pain, and stress levels. These effects persisted for at least 30 minutes.