• 대한족부족관절학회지
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• 제11권1호
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• pp.23-27
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• 2007

Purpose: Scarf osteotomy can provide the simultaneous correction of the hallux valgus angle (HVA), 1-2 intermetatarsal angle ($IMA_{1-2}$), DMAA and the plantar displacement of the fragment. The study was conducted to understand the multi-dimensional correction of the hallux valgus. Materials and Methods: Fourty eight patients who had undergone Scarf osteotomy with hallux valgus at more than $30^{\circ}$ of HVA and more than $15^{\circ}$ of $IMA_{1-2}$ were studied. Before an osteotomy, a reference K-wire was inserted to the 1st metatarsal head. After the osteotomy, the plantar fragment was moved laterally and the proximal end of the fragment was forced beyond the distal end which resulted in an internal rotation of the head fragment to correct the DMAA. Results: The HVA improved an average of $33.3^{\circ}$ to $7.7^{\circ}$ with the IMA1-2 respectively from $15.4^{\circ}$ to $6.5^{\circ}$. The DMAA improved an average of $19.5^{\circ}$ ($5.2-30.9^{\circ}$) to $4.5^{\circ}$ ($0.4-13.8^{\circ}$). By checking the angle, which was at an average of $25^{\circ}$ between the plantar surface of the foot and the osteotomy plane, the average distance of 1.9 mm (1.18-3.1 mm) of plantar displacement was measured using the value of sine (sin 25 = 0.422). Conclusions: It is possible to correct the HVA, IMA1-2 and DMAA simultaneously with one osteotomy making the lateral shift, the internal rotation and the plantar displacement of the plantar head fragment as desired. Despite the technicality and difficulty of the Scarf osteotomy, once familiarized through myriad procedures, all disadvantages are outweighed by the success and satisfaction of both patient and surgeon.

• 구강회복응용과학지
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• 제21권2호
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• pp.169-182
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• 2005

The purpose of this study was to compare the stress distribution around the surrounding bone according to the splinted and non-splinted conditions on the finite element models of the two implant crowns with the different vertical bone level. The finite element model was designed with the parallel placement of the two fixtures ($4.0mm{\times}11.5mm$) with reverse buttress thread on the mandibular 1st and 2nd molars. As the bone quality, the inner cancellous bone and the outer 2 mm cortical bone were designed, and the cortical and cancellous bone were assumed to be perfectly bonded to the implant fixture. The splinted model(Model 1) had 2 mm contact surface and the non-splinted model(Model 2) had $8{\mu}m$ gap between two implant crowns. Two group (Splinted and non-splinted) was loaded with 200 N magnitude in the vertical and oblique directions on the loading point position on the central position of the crown, the 2 mm and 4 mm buccal offset point from the central position. Von Mises stress value was recorded and compared in the fixture-bone interface in the bucco-lingual and mesio-distal sections. The results were as follows; 1. In the vertical loading condition of central position, the stress was distributed on the cortical bone and the cancellous bone around the thread of the fixture in the splinted and non-splinted models. In the oblique loading condition, the stress was concentrated toward the cortical bone of the fixture neck, and the neck portion of 2nd molar in the non-splinted model was concentrated higher than that of 1st molar compared to the splinted model. 2. In the 2 mm buccal offset position of the vertical loading compared to the central vertical loading, stress pattern was shifted from apical third portion of the fixture to upper third portion of that. In the oblique loading condition, the stress was distributed over the fixture-bone interface. 3. In the 4 mm buccal offset position of the vertical loading, stress pattern was concentrated on the cortical bone around the buccal side of the fixture thread and shifted from apical third portion of the fixture to upper third portion of that in the splinted and non-splinted models. In the oblique loading, stresses pattern was distributed to the outer position of the neck portion of the fixture thread on the mesio-distal section in the splinted and non-splinted models. Above the results, it was concluded that the direction of loading condition was a key factor to effect the pattern and magnitude of stress over the surrounding bone of the fixture under the vertical and oblique loading conditions, although the type with or without proximal contact did not effect to the stress distribution.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.29-40
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• 2003

The purpose of this study was to compare the muscle activity during a push-up on a suspension sling and a fixed support at the same level. Tests were performed on 15 male subjects. Electromyography using a surface EMG recorded the activity of the triceps, pectoralis major, and internal and external oblique muscles during each push-up. EMG activity was recorded at 0, 45, and 90 degrees of elbow flexion in the push-up position on a suspension sling or a fixed support at the same height above the floor (30 cm). The testing order was selected randomly. The subjects were asked to maintain the push-up position with straight knees, hips, and trunk for 5 seconds at each elbow angle. The mean root mean square (RMS) of EMG activity was calculated. EMG activity was normalized using the maximum voluntary isometric contractιn elicited using a manual muscle testing technique. Two-factor repeated measures analysis of variance (ANOVA) was used to compare the average RMS value of EMG activity for each condition. The EMG activity for the pectoralis major, and internal and external oblique muscles during a push-up on a sling was significantly higher than on a fixed support at all angles of elbow flexion (p<.01). There were significant differences in the EMG activity of the pectoralis major and triceps brachii muscles at difference angles of elbow flexion (p<.05). The pectoralis major muscle had the highest EMG activity at 90 degrees of elbow flexion on both the sling and fixed support. The triceps brachii muscle had the highest EMG activity at 45 degrees of elbow flexion on both the sling and fixed support. The internal and external oblique muscles had the highest EMG activity at 0 degrees of elbow flexion, although the difference with angle of flexion was not significant. These results suggest that to improve proximal and trunk stability and muscle strength, push-ups are more useful when performed on a suspension sling than On a fixed support.

• Archives of Plastic Surgery
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• 제37권2호
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• pp.137-142
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• 2010

Purpose: Tumor ablation and traumatic intractable ulceration of the plantar surface of the foot results in skin and soft tissue defects of the weight-bearing sole. Simple skin grafting is not sufficient for reconstruction of the weight-bearing areas. Instead, the island medial plantar flap (instep flap) and distally-based island medial plantar flap was used for proper reconstruction of the weight bearing area. However, there are some disadvantages. In particular, an island medial plantar flap has a short pedicle limiting the mobility of the flap and the distally-based island medial plantar flap is based on a very small vessel. We investigated whether good results could be obtained using a reverse island medial plantar flap based on the lateral plantar vessel as a solution to the above limitations. Methods: Three patients with malignant melanoma were cared for in our tertiary hospital. The tumors involved the lateral forefoot, the postero-lateral heel, and the medial forefoot area. We designed and harvested the flap from the medial plantar area, dissected the lateral and medial plantar artery and vena comitans, and clamped and cut the vessel 1 cm proximal to the branch from the posterior tibial artery and vena comitans. The medial plantar nerve fascicles of these flaps anastomosed to the sural nerve, the 5th interdigital nerve, and the 1st interdigital nerve of each lesion. The donor sites were covered with skin grafting. Results: The mean age of the 3 subjects was 64.7 years (range, 57 - 70 years). Histologically, all cases were lentiginous malignant melanomas. The average size of the lesion was $5.3\;cm^2$. The average size of the flap was $33.1\;cm^2$. The flap color and circulation were intact during the early postoperative period. There was no evidence of flap necrosis, hematomas or infection. All patients had a normal gait after the surgery. Sensory return progressively improved. Conclusion: Use of an island medial plantar flap based on the lateral plantar vessel to the variable weight-bearing sole is a simple but useful procedure for the reconstruction of any difficult lesion of the weight-bearing sole.

• Ocean and Polar Research
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• 제28권1호
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• pp.1-12
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• 2006

Analyses of sedimentological and geochemical parameters from two radiocarbon-dated sediment cores (JM98-845-PC and JM98-818-PC) retrieved from the central part of Isfjorden, Svalbard, in the Arctic Sea, reveal detailed paleoclimatic and paleoceanographic histories over the last 15,000 radiocarbon years. The overconsolidated diamicton at the base of core JM98-845-PC is supposed to be a basal till deposited beneath pounding glacier that had advanced during the LGM (Last Glacial Maximum). Deglaciation of the fjord commenced after the glacial maximum, marked by the deposition of interlaminated sand and mud in the ice-proximal zone by subglacial meltwater discharge, and prevailed between 13,700 and 10,800 yr B.P. with enriched-terrigenous organic materials. A return to colder conditions occurred at around 10,800 yr B.P. with a drop in TOC content, which is probably coincident with the Younger Dryas event in the North Atlantic region. At this time, an abrupt decrease of TOC content as well as an increase in C/N ratio suggests enhanced terrigenous input due to the glacial readvance. A climatic optimum is recognized between 8,395 and 2,442 yr B.P., coinciding with 'a mid-Holocene climatic optimum' in Northern Hemisphere sites (e.g., the Laurentide Ice sheet). During this time, as the sea ice receded from the fjord, enhanced primary productivity occurred in open marine conditions, resulting in the deposition of organic-enriched pebbly mud with evidence of TOC maxima and C/N ratio minima in sediments. Fast ice also disappeared from the coast, providing the maximum of IRD (ice-rafted debris) input. Around 2,442 yr B.p. (the onset of Neoglacial), pebbly mud, characterized by a decrease in TOC content, reflects the formation of more extensive sea ice and fast ice, which might cause decreased primary productivity in the surface water, as evidenced by a decrease in TOC content. Our results provide evidence of climatic change on the Svalbard fjords that helps to refine the existence and timing of late Pleistocene and Holocene millennial-scale climatic events in the Northern Hemisphere.

• The Journal of Korean Physical Therapy
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• 제22권3호
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• pp.71-77
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• 2010

Purpose: To determine whether upregulation of inducible nitric oxide synthase (iNOS) transcription and translation is related to radicular pain in a model of lumbar disc herniation. Also, to investigate the temporal changes of mRNA expression of iNOS and the identity of iNOS and transient receptor potential vanilloid (TRPV) 1 channel expression cells in dorsal root ganglion (DRG) of a model of lumbar disc herniation. Methods: A lumbar disc herniated rat model was developed by implantation of the autologous nucleus pulposus, harvested from the coccygeal vertebra of each tail, on the left L5 nerve root just proximal to the DRG. Rats were tested for mechanical allodynia of the plantar surface of both hind paws 2 days before surgery and 1, 5, 10, 20 and 30 days postoperatively. Reverse transcription polymerase chain reaction (RT-PCR) was used to follow iNOS mRNA expression. To stain iNOS and TRPV1 in DRG, an immunohistochemical study was done 10 days after surgery. Results: A significant drop in mechanical withdrawal threshold on the ipsilateral and contralateral hind paws was observed 1 day after surgery and was prolonged to 30 days in rats with lumbar disc herniation. The expression of mRNA for iNOS peaked at postoperative day 10 on both sides of the DRG. iNOS-positive sensory neurons in the DRG varied in size from large to small diameter cells. A majority of small and intermediate sensory neurons were TRPV1-positive cells. Double immunofluorescence staining for TRPV1 and iNOS revealed that most intermediate TRPV1-positive sensory neurons co-localized with iNOS-positive neurons. Conclusion: Nucleus pulposus-induced mechanical allodynia can be generated without mechanical compression. This pain is related to temporal changes in expression of iNOS mRNA in the DRG. Co-localization of TRPV1 and iNOS in intermediate neurons of the DRG is correlated with pain modality and intensity.

• 한국발생생물학회지:발생과생식
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• 제2권1호
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• pp.75-80
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• 1998

메기 정자는 그 길이가 약 62.5 \mu m이며 구형의 핵, 짧은 중편 및 꼬리를 ㄱ진 일반적인 메기류 정자의 미세구조적 특징을 나타내었다. 정자는 대부분의 경골어류의 정자에서와 같이 첨체를 가지고 있지 않았으며 염색질은 완전치 농축되어 있었다. 핵와(nuclear fossa)는 약 0.6 \mu m 함입되어 있었고 그 속에 기부 중심립과 말단 중심립의 일부가 포함되어 있었다. 두 중심립은 140 \circ C의 각도로 배열되어 있었으며 말단 중심립에서 9개의 부수체가 언형질막을 향하여 배열되어 있었다. 미토콘드리아는 중편 세포질에서 2층 또는 3층으로 배열되어 있었으며 핵의 후반부와 꼬리의 기부를 둘러싸고 있었다. 꼬리는 축사만으로 구성되어 있었으며 lateral fins는 관찰되지 않았다. 메기 정자의 가장 큰 구조적 특징은 중편 세포질에 구성되어 있는 관구조(tubular structure)이었다. 대부분의 경골어류의 정자는 중편 세포질에 미토콘드리아만을 포함하고 있으나, 메기 정자에서는 중편 세포질의 전반부에 미토콘드리아가 포함되어 있고, 후반부에는 소관이 모여 망상구조를 형성하는 관구조가 잘 발달되어 있었다. 이와 같은 관구조는 현재까지 Characiformes의 정자 이외의 다른 경골어류에서는 보고된 바 없으며 이러한 구조는Characiformes과 메기류의 계통학적 관계를 연구하는데 매우 중요한 형질로 여겨진다. ^u The spermatozoa of Silurus asotus are appoximately 62.5 \mu m in length and relatively simple cells composed of spherical head, a short midpiece and a tail as in most Siluriformes. The ultrastructure of the spermatozoa of S. asotus is characterized by the following features. The nucleus measuring about 1.5 \mu m in length is depressed with a deep nuclear fossa of about 0.6 \mu m in length, two fifth of the nuclear diameter. The fossa contains the proximal centriole and the half of the distal centriole. Two centrioles form an angle of approximately 140 \circ to each other. the nine satellite rays radiate from the outer surface of the distal centriole. the mitochondrea surround the basal nucleus and the axoneme, and are arranged in two or three layers in the postnuclear cytoplasm. The lateral fins are lost in the sperm tail. The most significant feature is manifested in the midpiece. The midpece comprises two parts, the mitochondria and the tubular structure unlike other teleost fishes containing only the mitochondria. The tubular structure was reported only in the spermatozoa of Citharinus belonging to the characiformes of teleost fishes. Thus it is considered to be a good characteristics for the study of phylogenetic link between Siluriformes and Characiformes.

• 한국발생생물학회지:발생과생식
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• 제5권2호
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• pp.167-173
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• 2001

Ulex europaeus agglutinin I(UEA I), succinylated wheat germ agglutinin(sWGA), Griffonia simplicifolia lectin-I(GSL-I)을 이용하여 생쥐 부정소 조직내 당쇄의 분포를 조사하였다. 당쇄의 측쇄 말단의 $\alpha$-L-fucose 잔기에 특이적으로 결합하는 UEA I은 체부 및 미부 부정소를 제외한 두부 부정소 선단의 세정관 상피를 강하게 표지하였으나 관강은 중간 정도의 강도로 모두 표지되어 $\alpha$-L-fucose 잔기를 갖는 부정소 항원들은 부정소 선단부에서 주로 합성된 후 분비되는 것으로 추정된다. 이와 반대로 당쇄 말단의 $\alpha$-D-galactose 잔기에 특이적으로 결합하는 GSL-I은 두부 부정소를 제외한 체부와 미부 부정소 상피의 투명세포의 세포질과 섬모 및 기저세포를 표지하였다. 다당 사슬 및 복잡한 구조를 갖는 glycan의 당쇄의 N-acetyl-giucosamine 잔기에 특이적으로 결합하는sWCA는 부정소 부위별로 커다란 차이를 보이지 않았으나, 체부와 미부 부정소의 투명세포는 주세포에 비해 더 강하게 표지되어 sWGA 표지는 투명세포 기능분화의 표식자로 추측된다. UEA I 및 sWGA에 의한 관강의 표지 강도는 체부보다는 미부에서 약하게 관찰되어 미부 부정소 관강내에 $\alpha$-L-fucose 및 N-acetyl-glucosamine 잔기의 절단과 관련된 효소활성이 존재하는 것으로 추정된다. 요약하면 $\alpha$-L-fucose, $\alpha$-D-galactose, N-acetyl-glucosamine 잔기를 갖는 당쇄의 분포가 상피세포의 종류 및 부정소의 길이를 따라 차이를 보임을 확인하였다. 이는 정자의 성숙을 조절하는 부정소 각 절편 및 특정 절편 내 소관상피 세포의 기능적 분화를 대변하는 것으로 사료된다.

• 대한치과보철학회지
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• 제48권2호
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• pp.94-100
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• 2010

연구목적: 본 연구는 상악과 하악의 각 치아부위에 $Lava^{TM}$ All-Ceramic System을 이용하여 지르코니아 전부도재관을 제작하고 각각의 파절강도를 알아보고자 하였다. 연구방법:중절치와 견치는 절단연의 삭제량을 2.0 mm, 소구치와 대구치는 교합면의 삭제량을 1.5 mm, 그리고 축면 경사도는 $8^{\circ}$로하여모두8군의 실험군을 설정하였다. 금속 다이와 지르코니아 도재관을 제작한 후 레진시멘트 (Rely $X^{TM}$ Unicem)를 이용하여 합착하고 만능시험기상에서 치아 장축에 $30^{\circ}$경사지게 하여 중절치와 견치에 제작된 지르코니아 도재관은 절단연 중앙 부위에 하중을 가하였고, 소구치와 대구치에 제작된 지르코니아 도재관은 기능교두의 협설측 경사면 중앙부위에 하중이 가해지도록 한 후 파절강도를 측정하였다. 결과:1. 지르코니아 도재관의 평균 파절강도는 하악 제1대구치에서 2963 N으로 가장 높게 나타났으며, 하악 중절치에서 1035 N으로 가장 낮게 나타났다. 2. 지르코니아 도재관과 IPS Empress 도재관과의 평균 파절강도는 모든 치아에서 지르코니아 도재관이 더 크게 나타났다. 3. 지르코니아 도재관의 파절 양상은 하중이 가해진 중앙 부위에서 치아 장축으로 수직적인 파절상을 보였다. 4. 상악과 하악의 동일 부위에 제작된 지르코니아 도재관의 파절강도는 소구치에서 상악이 하악에 비하여 낮은 것으로 나타났으며 (P< .05), 다른 부위에서는 유의한 차이가 없었다 (P> .05). 결론: 본 실험의 결과로 지르코니아 도재관은 임상에서 활용하기에 만족할 만한 강도를 갖고 있음을 알 수 있었다.

• 대한관절경학회지
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• 제13권1호
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• pp.82-85
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• 2009

목적: 전방 십자 인대 재건술시 잔류조직 보존은 이식건 치유를 향상시키고 고유수용 감각 기능을 보존할 수 있어 저자들은 10시 혹은 2시 방향 경경골 대퇴 터널을 천공하고 잔류조직을 보존하는 술기를 소개하고자 한다. 수술 술기: 잔류조직은 가능한 많이 보존하고자 하였으며 그 중에서 경골 부착부위 전방부와 후방 십자 인대와 연결된 활액막 및 잔류조직은 반드시 보존하여 잔류조직의 장력을 어느정도 유지하고 흘러내림을 방지하여 과간 절흔의 충돌을 방지 하였다. 경골 drill guide의 각도를 40~45도로 하고 관절 내 guide tip을 고식적인 위치보다 1 mm씩 전방 및 내측으로 이동하였다. 경골에서 유도 강선의 시작점은 거위발 건의 근위부, 내측 측부 인대의 전방부로 하였다. 경골 터널은 먼저 이식건의 두께보다 1 mm 작은 확공기를 이용하여 만들되, 경골 관절면의 피질골에 닿으면 조심스럽게 진행하여 피질골을 뚫자마자 멈춤으로써 가능한 잔류조직에 손상이 가지 않도록 하였으며, 다시 이식물과 같은 크기의 확공기를 이용하여 경골 터널과 10시 혹은 2시 방향의 대퇴 터널을 완성하였다. 결론: 전방 십자 인대 재건술시 10시 혹은 2시 방향 경경골 대퇴 터널을 천공하고 잔류조직을 보존하는 술기를 소개하였다.