• 제목/요약/키워드: Toe

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Forefoot disorders and conservative treatment

  • Park, Chul Hyun;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • 제36권2호
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    • pp.92-98
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    • 2019
  • Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Metatarsalgia is a painful foot condition affecting the metatarsal (MT) region of the foot. A MT pad, MT bar, or forefoot cushion can be used to alleviate MT pain. Hallux valgus is a deformity characterized by medial deviation of the first MT and lateral deviation of the hallux. A toe spreader, valgus splint, and bunion shield are commonly applied to patients with hallux valgus. Hallux limitus and hallux rigidus refer to painful limitations of dorsiflexion of the first metatarsophalangeal joint. A kinetic wedge foot orthosis or rocker sole can help relieve symptoms from hallux limitus or rigidus. Hammer, claw, and mallet toes are sagittal plane deformities of the lesser toes. Toe sleeve or padding can be applied over high-pressure areas in the proximal or distal interphalangeal joints or under the MT heads. An MT off-loading insole can also be used to alleviate symptoms following lesser toe deformities. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve that leads to a painful condition affecting the MT area. The MT bar, the plantar pad, or a more cushioned insole would be useful. In addition, patients with any of the above various forefoot disorders should avoid tight-fitting or high-heeled shoes. Applying an insole or orthosis and wearing proper shoes can be beneficial for managing forefoot disorders.

CMIP5 자료를 활용한 미래 우리나라의 인위적 영향에 의한 온난화 발현 시기 분석 (Emergence of Anthropogenic Warming over South Korea in CMIP5 Projections)

  • 부경온;심성보;김지은;변영화;조천호
    • 한국기후변화학회지
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    • 제7권4호
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    • pp.421-426
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    • 2016
  • Significant warming by anthropogenic influences over Korea is analyzed using CMIP5 projections (monthly mean, maximum and minimum temperatures) from RCP 8.5, 4.5, and 2.6 scenarios. Time of emergence (TOE) in JJA and DJF is chosen as the year when the magnitude of warming against the natural climate variability satisfies S/N>2 in 80% of the models in this study. Significant emergence in JJA is expected to appear in 2030s in three RCP scenarios, earlier than TOE in DJF. In DJF, TOE is expected to be 2040s in RCP 8.5 and is delayed in 2060s, 2080s in RCP 4.5, 2.6, respectively. Later emergence in low emission scenarios implies an importance of climate change mitigation consistent with previous studies. Maximum and minimum temperatures show similar results to the case of mean temperature. ToE is found to be affected by the amplitude of natural variability by season, variables and model spread, which requires further understanding.

공통평가기준에 의한 보안정책모델 평가방법 (An Evaluation Method for Security Policy Model Based on Common Criteria)

  • 김상호;임춘성
    • 정보보호학회논문지
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    • 제13권5호
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    • pp.57-67
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    • 2003
  • 보안정책모델은 평가대상제품(Target of Evaluation, TOE)의 보안정책을 비정형적, 준정형적, 또는 정형적 방법을 사용하여 구조적으로 표현하는 한 것이다. 보안정책모델은 보안기능요구사항과 기능명세간의 일관성 및 완전성을 제공함으로써 평가대상제품이 요구사항과 기능명세간 불명확성으로 인한 보안결점을 최소화할 수 있도록 보증성을 보장한다. 이러한 이유로 ISO/IEC 15408(공통평가기준. CC) 등 IT 제품 및 시스템의 보안성 평가기준의 고등급 평가에서 보안정책모델을 요구하고 있다. 본 논문에서는 보안정책모델의 개념과 관련 연구 및 공통평가기준의 보안정책모델 보증요구사항을 분석하여 보안정책모델 평가방법을 제시한다.

The Impact of TOE Framework on E-Commerce Advantage Among Small Medium Enterprise (SME's) Digital Channel In Malaysia

  • TAMIN, Masran;ABDUL ADIS, Azaze-Azizi
    • 유통과학연구
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    • 제20권8호
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    • pp.33-46
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    • 2022
  • Purpose: This study aims to understand the impact of e-commerce's advantage among SME's digital channel in Malaysia. To achieve the objective, this study used Technology, Organization, Environment (TOE) framework, Diffusion of Innovation (DOI) theory and Resource-Based View (RBV) theory. Research design, data and methodology: This study is quantitative method involve 195 SMEs online business in Malaysia. The integrated framework highlights the conceptual insight in multidimensional technology context (i.e. relative advantage, compatibility, and complexity); organizational context (i.e. top management support, innovation capability, branding capability, market-sensing capability, and human and organization capability); and environmental context (i.e. government support and supplier pressure). Results: The findings revealed that complexity, branding capability, human and organization capability, government support, and supplier pressure have significant positive relationship with e-commerce advantage. Meanwhile, relative advantage, compatibility, innovation capability, and market-sensing capability have significant negative relationship with e-commerce advantage. However, top management support has found no significant relationship with e-commerce advantage. Conclusions: The extended theoretical framework dimension improves existing knowledge on e-commerce advantage as well as the prospect of SMEs digital channel.

Empirical Analysis of the Factors Affecting FTA Utilization by Exporting SMEs: Evidence from the South Korean Textile Industry

  • Song, Joon-heon
    • East Asian Economic Review
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    • 제26권3호
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    • pp.227-253
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    • 2022
  • Despite the proliferation of free trade agreements (FTAs), many exporting firms are still confronted with several challenges in utilizing the FTA preferential tariffs. Based on the Technology-Organization-Environment (TOE) framework, this study empirically examines the factors affecting the utilization of FTA schemes by exporting firms. To clarify the key factors influencing FTA utilization, this study develops a conceptual model from the perspective of the adoption of information technology innovations. Eight factors derived from the TOE framework are proposed to explore the determinants of FTA utilization in export. Partial least squares structural equation modeling is employed to analyze the data collected from 162 exporting small- and medium-sized enterprises in the South Korean textile industry. The findings reveal that compatibility and trading partner influence are positively associated with FTA utilization, while complexity is negatively related. Factors of organizational context do not show any relationship with FTA utilization. This study is the first to theoretically analyze and empirically test the determinants of FTA utilization from the perspective of technological innovation adoptions. By examining the relative importance of TOE factors in the utilization of FTA schemes, this study expects to advance a holistic understanding on the perceived factors that could potentially affect the utilization of FTA schemes.

Analyzing the Factors Influencing the Intention to Adopt Autonomous Ships Using the TOE Framework and DOI Theory

  • Park, You-Jin;Jeong, Yu-Jin;An, Young-Su;Ahn, Jong-Kap
    • 한국항해항만학회지
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    • 제46권2호
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    • pp.134-144
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    • 2022
  • The development and operation of autonomous ships are spotlighted as a next-generation technology that will provide newbenefits for the maritime business during the fourth industrial revolution. To expand the adoption of autonomous ships, the much more interest of the nation and the industries will have to be changed to actual adoption in shipping companies. For this, it is judged that research to identify the factors impacting the adoption intention of autonomous ships should be preceded. However, most studies on autonomous ships have focused on developing the technology, revising the law, establishing policies, and managing human resources, with few studies on influencing factors in the adoption of autonomous ships. A model, to identify the factors that impact the intention to the adoption of autonomous ships, based on the theory of diffusion of innovation and the TOE framework was developed. The suggested model was verified through empirical analysis targeting the shipping companies and the marine industries in Korea. As the result of this study, it was found that top management support, financial slack, and competitive intensity significantly impacted the intention to adopt autonomous ships. Additionally, it was revealed that the overall awareness of autonomous ships among Korean shipping companies is poor.

무지 근위지골에 발생한 기괴 방골성 골연골성 증식증: 1예 보고 (Bizarre Parosteal Osteochondromatous Proliferation of the Proximal Phalanx of the Great Toe: A Case Report)

  • 김경일;김유미;한원철;한별
    • 대한족부족관절학회지
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    • 제25권4호
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    • pp.195-198
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    • 2021
  • Nora et al. first reported a bizarre parostealosteochondromatous proliferation (BPOP) as a small size bone malformation mainly in the foot and hand in April 1983 that was called Nora's lesion or Nora's disease. Nora's disease is known for its low incidence and is characterized as a benign lesion, without a malignancy or metastasis with different histological, radiological, and clinical features from other common lesions. Several cases of Nora's disease on the hand, foot, and long bone have been reported in Korea. This paper reports a case of BPOP of the proximal phalanx of the great toe.

Subungual Osteochondromas of the Toe: Two Case Reports for Diagnosis and Treatment

  • Myung Chul Lee;Chan Eol Seo;Wook Youn Kim;Wan Seop Kim;Jeenam Kim;Donghyeok Shin;Hyungon Choi
    • Archives of Plastic Surgery
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    • 제50권1호
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    • pp.101-105
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    • 2023
  • Benign cartilaginous tumors, known as chondrogenic tumors, show cartilage components in the microscopic diagnosis. We present two clinical cases with cartilaginous tumors of the toes showing distinctive clinical manifestations. Two juvenile patients visited our outpatient clinic due to tumors with toenail deformities. A 10-year-old girl presented with a palpable mass with a nail deformity on the left third toe. The initial pathology report was soft tissue chondroma until complete resection. Another 15-year-old male patient visited the dermatology department with a toenail deformity and underwent a punch biopsy. The pathology report was fibrosis with myxoid degeneration. Excisional biopsies were performed for both patients. In the operative field, we observed exophytic tumors connected to the distal phalangeal bones. The final pathology reports were subungual osteochondroma on both patients. The specimen exhibited mature bone trabeculae with a focal cartilaginous cap. Benign cartilaginous tumors have a slow, progressive course and do not show significant symptoms. However, tumors in subungual areas are accompanied by toenail deformities and they can cause pain. Their clinical characteristics lead to a delayed diagnosis. Surgeons can be confused between soft tissue and chondrogenic tumors. When they conduct physical examinations, these categories should be considered in the differential diagnosis.

발가락 거대지 환자에게 7년에 걸쳐 시행한 단계적 수술: 증례 보고 (Two-Stage Operation Over a Period of 7 Years for a Patient with Macrodactyly: A Case Report)

  • 권용욱;서영채;전가원;이효영
    • 대한족부족관절학회지
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    • 제27권1호
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    • pp.24-29
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    • 2023
  • Macrodactyly of the toe is a rare congenital anomaly characterized by the overgrowth of a digit/digits in the foot and is one of the most difficult conditions to treat. Since the condition alters functionality and appearance, the treatment goal is to restore function and cosmetically enhance the appearance. Various surgical techniques are used for toe macrodactyly, including amputation, debulking, and epiphysiodesis. Herein, we present a case of a six-year-old patient with a second toe macrodactyly who was successfully treated with a two-stage operation over a seven-year period. We initially performed an ostectomy of the middle phalanx with a fusion of the proximal and distal phalanges and then performed a soft tissue debulking procedure.

수정된 PNF 발목 움직임 패턴이 능동적 발등 굽힘 가동범위 및 다리 근활성도에 미치는 영향 (The Effects of Modified PNF Ankle Movement Patterns on Active Dorsiflexion Range of Motion and Leg Muscle Activity)

  • 김인균;최수홍;이상열
    • PNF and Movement
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    • 제21권3호
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    • pp.319-326
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    • 2023
  • Purpose: The purpose of this study was to investigate the effects of modified ankle movement patterns on participants' active dorsiflexion range of motion and leg muscle activity. Methods: This study recruited twenty-five participants, all of whom were healthy individuals with no abnormalities in the ankle or knee joints. The research methodology involved measuring the active dorsiflexion range of motion and muscle activity in each person's legs based on the presence or absence of toe extension while the subjects were in a comfortable, supine position. A statistical analysis was conducted using SPSS 25.0, and a paired samples t-test was employed. The significance level was set at 0.05. Results: When the participants demonstrated the modified ankle movement pattern with a controlled toe grip, there was an increase in their active dorsiflexion angle. However, during the proprioceptive neuromuscular facilitation technique without a controlled toe grip, a higher level of activity was observed in the leg muscles. Conclusion: The results of this study could be used as foundational data for establishing a rehabilitation exercise program designed to enhance range of motion and muscle activation in the ankle joint.