• Title/Summary/Keyword: TOE

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Thumb Reconstruction with Rib Transplantation (늑골을 이용한 무지 결손의 재건)

  • Chung, Duke-Whan;Pyo, Na-Sil
    • Archives of Reconstructive Microsurgery
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    • v.9 no.1
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    • pp.56-61
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    • 2000
  • Recommendable reconstructive surgery in the patient with thumb amputation through base of the first metacarpal bone is pollicization. Some patients who do not agree with harvest sound finger as a new thumb, we can consider other options as toe transplantation or osteoplastic thumb reconstruction for creating thumb. Toe transplantation to the thumb is effective procedure in the amputation of distal to metacarpal shaft, it is rarely indicated in the cases of proximal to base of the first metacarpal bone. We performed three cases of modified osteoplastic thumb reconstruction with free vascularized rib that combined with scapular free flap or radial forearm flap. The length of transplanted rib ranged from 7~11cm, the donor vessels are posterior intercostal artery and vein which anastomosed to radial artery. The grafted rib wrapped with additional free flap for creating new thumb. Result of that procedure was not much encouraging, aesthetic appearance and mobility of thumb were not so satisfactory but reconstructed thumb gave improvement of the hand function without sacrificing toe or other digit. That gave reasonable stability for powerful side pinch and three pod pinch and opposable thumb with normal carpo-metacarpal joint motion that can give much function to the thumb absent hand. In spite of those disadvantages, thumb reconstruction with rib transfer can be useful for patients who do not want to lose another part of the body for creating thumb in basal amputation of the thumb metacarpal.

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Determinants of E-Government Assimilation in Indonesia: An Empirical Investigation Using a TOE Framework

  • Pudjianto, Boni;Zo, Hangjung;Ciganek, Andrew P.;Rho, Jae-Jeung
    • Asia pacific journal of information systems
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    • v.21 no.1
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    • pp.49-80
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    • 2011
  • E-government needs to be successfully implemented and assimilated into organizations to take advantage of its potential values and benefits for organizations. This study examines factors for e-government assimilation in Indonesia and employs the TOE (Technology-Organization-Environment) framework to develop a theoretical model to explain e-government assimilation. It also investigates how organizational type (central vs. local) plays a role in the assimilation of e-government. One hundred eighteen respondents from the central and local governments in Indonesia participated in the survey and an in-depth analysis based on partial least squares (PLS) was carried out. The results show that ICT infrastructure has the strongest significant relationship with e-government assimilation, Top management support, regulatory environment, ICT expertise, and competitive environment are also significant factors to explain e-government assimilation in Indonesia. Central and local governments Significantly differ in terms of e-government assimilation, so organizational type can be a moderator in the process of e-government assimilation. These findings present the efficacy of the proposed model for analyzing e-government assimilation and contribute additional insights for academia as well as practitioners and policy makers.

An Intraosseous Epidermoid Cyst That Originated from the Nail Bed of Great Toe with Concurrent Joint Infection: A Case Report

  • Chung, Myung Ki;Park, Moon Seok;Kim, Yong Sung;Lee, Taeseung;Lee, Kyoung Min;Cho, Byung Chae
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.50-53
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    • 2016
  • We report on a rare case of an intraosseous epidermoid cyst in the distal phalanx of the great toe with concurrent infection in a 71-year-old woman with diabetes mellitus. The lesion was initially considered simple infectious arthritis and concomitant osteomyelitis in a patient with diabetes. However, after surgery, an intraosseous epidermoid cyst originating from the nail bed and involving the articular surface of the distal phalanx was detected. The epidermoid cyst may have contributed to the infectious arthritis in the interphalangeal joint. The lesion was treated via mass excision, arthrotomy, debridement, and intravenous antibiotics.

Fracture mechanics approach to bending fatigue behavior of cruciform fillet welded joint (십자형 필렛 용접 이음부 의 굽힘피로 특성 에 대한 파괴역학적 고찰)

  • 엄동석;강성원;김영기
    • Journal of Welding and Joining
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    • v.3 no.2
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    • pp.52-63
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    • 1985
  • Fillet welded joints, specially in ship structure, are well known the critical part where stress concentrate or crack initiates and grows. This paper is concerned with the study of the behavior of fatigue crack growth t the root and toe of load carrying cruciform fillet welded joints under three points bending by the determination of stress intensity factor from the J-Integral, using the Finite Element Method. The stress intensity factor was investigated in accordance to the variation of the weld size (H/Tp). weld penetration (a/W) and plate thickness (2a'/Tp). As mixed mode is occurred on account of shearing force under the three points bending, Stern's reciprocal theory is applied to confirm which mode is the major one. The main results may be summarized as follows 1) The calculation formula of the stress intensity factor at the both of root and toe of the joint was obtained to estimate the stress intensity factor in the arbitrary case. 2) The change of stress field around crack tip gives much influence on each other at the roof and toe as H/Tp decreases. 3) Mode I is a major mode under the three points bending.

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Patterns and Characteristics of Fatigue Failure in Cruciform Fillet Weld Joint (십자형 필릿 용접부에서의 피로파괴 형상과 특성)

  • Lee, Yong-Bok;Chung, Joon-Ki;Park, Sang-Heup
    • Journal of Welding and Joining
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    • v.29 no.4
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    • pp.67-72
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    • 2011
  • The proportion of the welding in the production process of machinery, buildings and marine structures is increasing and the joining are mainly conducted by butt and fillet weld. In the case of fillet weld, the shape of structures is complicated depending on the constraint on the geometry of the structures, therefore, the full penetration is mostly difficult. Accordingly, it is necessary to establish safe and economical criteria of design of the structures through the strength based on the penetration state of the fillet weld. Patterns of fatigue failure in cruciform fillet weld jont appear in the form of the root, toe and mixed failure. In the case of toe and mixed failure, the fatigue strength is higher than root failure. Therefore, we have to make the enough depth of penetration or perform the welding work through improving the fatigue strength of cruciform joints in welded structures. So it is necessary to optimize the penetrated depth in the range of the possible mixed failure and find the way in the cost-effective design to lessen the amount of the welding work.

A Case of Fetal Valproate Syndrome Associated with Both Elbow Joint Contractures (팔꿈치관절의 구축을 동반한 Fetal Valproate 증후군 1례)

  • Choi, Yun Chang;Kim, Eun Young;Moon, Kynug Rye;Rho, Young Il
    • Clinical and Experimental Pediatrics
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    • v.45 no.10
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    • pp.1288-1291
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    • 2002
  • Fetal valproate syndrome has been described as a distinctive pattern of minor anomalies of the face and digits. This pattern has not been delineated completely but appears to involve brachycephaly with a high forehead, shallow orbit, ocular hypertelorism, small nose, small mouth, low set posteriorly rotated ears, long overlapping fingers and toes, and hyperconvex fingernail. Cleft palate and congenital heart disease have occasionally been described in babies exposed to valproate during embryogenesis. We report a neonate born from an epileptic mother receiving sodium valproate during pregnancy. This neonate presented with characteristic facial abnormalities, both elbow contractures, and overlapping of right first and second toe, forth and fifth toe, and left first and second toe. This case raises the possibility that these abnormal appearances might be caused by intrauterine valproate exposure.

Social Media Adoption in SMEs Impacted by COVID-19: The TOE Model

  • EFFENDI, Mohamad Irhas;SUGANDINI, Dyah;ISTANTO, Yuni
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.11
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    • pp.915-925
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    • 2020
  • The purpose of the research is to analyze the behavioral intention to adopt social media in SMEs affected by the COVID-19 crisis, based on the TOE Model. This study uses the TOE framework as a theoretical basis. This research is important because COVID-19 has destroyed most of the SMEs, and SMEs are exposed to social media technology to market their products. The success of social media adoption has helped SMEs to be able to rise from adversity. Respondents in this study were 250 SMEs in the Special Region of Yogyakarta, Indonesia. The data analysis technique used is structural equation modeling with AMOS. The results of this study indicate that SMEs affected by the COVID-19 crisis have a high awareness of social media and have a high intention to adopt social media as a way to market their products and connect with customers. The intention to adopt social media is significantly influenced by the technological context, organizational context, environmental context, and social media awareness. The findings of this study suggest that in times of crisis due to the COVID-19 pandemic, the Government support is needed. The Government needs to open services for SMEs whose businesses are affected by the pandemic.

Approximation of Polynomials and Step function for cosine modulated Gaussian Function in Neural Network Architecture (뉴로 네트워크에서 코사인 모듈화 된 가우스함수의 다항식과 계단함수의 근사)

  • Lee, Sang-Wha
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.49 no.2
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    • pp.115-122
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    • 2012
  • We present here a new class of activation functions for neural networks, which herein will be called CosGauss function. This function is a cosine-modulated gaussian function. In contrast to the sigmoidal-, hyperbolic tangent- and gaussian activation functions, more ridges can be obtained by the CosGauss function. It will be proven that this function can be used to aproximate polynomials and step functions. The CosGauss function was tested with a Cascade-Correlation-Network of the multilayer structure on the Tic-Tac-Toe game and iris plants problems, and results are compared with those obtained with other activation functions.

Fibro-osseous Pseudotumor of the Great Toe: A Case Report (제 1족지에 발생한 섬유골성 가종양: 1예 보고)

  • Song, Woo-Suk;Choi, Joon-Cheol;Kim, Hak-Soo;Han, Eun-Mee
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.91-94
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    • 2010
  • Fibro-osseous pseudotumor is an extremely rare benign lesion which is fast-growing and painful. It is often misdiagnosed as a malignancy, but it is a noninvasive entity and can be cured by simple resection. We report a case of fibro-osseous pseudotumor of the distal phalanx of great toe in 20-year-old female patient who present with painful mass.

A study on the Adoptability of the Bo-Son Construction Method Based on Teachng Materials (교수 자료에 나타난 버선 제도의 적합성 연구)

  • 정옥임
    • Journal of the Korean Home Economics Association
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    • v.34 no.2
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    • pp.129-142
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    • 1996
  • This paper pursues a comparative study on the design and function of the ready-made Bo-Son and the Bo-Son Pattern based on teaching and learning materials. It intends to investigate whether the Bo-Son is designed to suit to Kinetics of foot or to give the ease of wearing and taking off. The following results came out through trial wearing. 1) The Bo-Son pattern suggested in teaching materials can not satisfy the wearers with partial modification due to design problem. On the other hand, the ready-made Bo-Son can satisfy them with partial modification. 2) The important factor in designing the pattern of Bo-Son is the posture of foot when putting on it, that is, the height of the heel of the foot from the floor, the length of the heel, the length of toe and the bending angle of toe. 3) As a result of this study, in the design of the improved Bo-Son pattern, it is most suitable when the size of foot is 230mm, the height of the heel of the foot is 12.5cm, and and angle of the front toe of a sock is 35$^{\circ}C$.

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