• Archives of Plastic Surgery
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• v.46 no.6
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• pp.580-588
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• 2019

Background There are various reconstructive options for nail bed defects. However, it is challenging not to leave a deformity. In this study, we investigated differences in outcomes depending on the reconstruction method, attempted to determine which method was better, and analyzed other factors that may affect outcomes. Methods The long-term outcomes of nail bed reconstruction were reviewed retrospectively. We performed three types of reconstruction depending on the defect type: composite grafts of severed segments, nail bed grafts from the big toe, and two-stage surgery (flap coverage first, followed by a nail bed graft). Subsequent nail growth was evaluated during follow-up, and each outcome was graded based on Zook's criteria. The reconstruction methods were statistically analyzed. Other factors that could contribute to the outcomes, including age, the timing of surgery, germinal matrix involvement, defect size, and the presence of bone injuries, were also compared. Results Twenty-one patients (22 digits) who underwent nail bed reconstruction were evaluated. The type of reconstruction method did not show a significant relationship with the outcomes. However, patients who sustained injuries in the germinal matrix and patients with a defect larger than half the size of the nail bed had significantly worse outcomes than the comparison groups. Conclusions The results suggest that no operative method was superior to another in terms of the outcomes of nail bed reconstruction. Nevertheless, involvement of the germinal matrix and defect size affected the outcomes.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.41 no.5
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• pp.65-70
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• 2004

In this paper, we present a new methodology to analyze the characteristic of artery by using 4 channels photoplethysmograpy. The proposed parameter is a time difference of pulse transit time(PTT) between Pulse waves at finger site and at toe site. To verify the usefulness of the developed system volume pulse waves on 4 sites were measured simultaneously for total 51 normal subjects (male 26 and female 25) aged from 9 to 83 years old. And then correlations between the analysis parameters and age were evaluated by using linear regression analysis method. As the result of experiments, the change of parameter was found according to ages. The result of regression analysis about relationships between the parameter and ages for n=51, the coefficient of correlation of non-normalized data has 0.79770 in left side and 0.80599 in right side and the coefficient of correlation of normalized data by height has 0.81345 in left side and 0.81605 in right side.

• Journal of Pharmacopuncture
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• v.17 no.4
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• pp.66-69
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• 2014

Objectives: Treating complex regional pain syndrome (CRPS) is difficult because it still does not have a recommended therapy. A 29-year-old man was diagnosed with CRPS after surgery on his $4^{th}$ and $5^{th}$ left toes 7 years ago. Though he had undergone diverse pain treatment, the symptoms persisted, so he visited Dunsan Korean Medicine Hospital of Daejeon University. This case report presents results on the effect of bee venom pharmacopuncture in treating patient with CRPS. Methods: Bee venom pharmacopuncture (BVP), 0.15 to 0.4 mL dosage, was administered at GB43. The treatment was applied each week for a total 14 times. The symptoms were evaluated using a numeric rating scale (NRS) and the dosage of pain medicine. Results: On the first visit, he was taking an anticonvulsant, a trycyclic antidepressant, and an analgesic. On the NRS the worst pain in the toes received a score of 8. He also complained of severe pain and hypersensitivity when the $4^{th}$ and the $5^{th}$ toes were touched just slightly. Other complaint included dyspepsia, rash, and depression. After treatment, on the NRS, the score for toe pain was 0, and he no longer needed to take pain medication. During the 4-months follow-up period, he has remained without pain; neither have additional symptoms appeared nor adverse events occurred. Conclusion: BVP may have potential benefits for treating patients with CRPS.

• Archives of Reconstructive Microsurgery
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• v.24 no.2
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• pp.62-67
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• 2015

Purpose: Pollicization typically involves surgical migration of the index finger to the position of the thumb. This procedure facilitates the conversion of a useless hand into a well-functioning one in patients who are not amenable to the toe-to-hand transfer. However, middle finger pollicization has been rarely reported. Materials and Methods: We reconstructed a thumb by immediate pollicization of the remnants of the middle finger in two patients who sustained a tumor and a trauma, respectively. The former, after cancer ablation was performed, has not been reported literally, and the latter involved free devitalized pollicization of the middle finger using a microsurgical anastomosis. The distal third extensor communis tendon was sutured to the proximal extensor pollicis longus tendon and the distal flexor digitorum superficialis and profundus were sutured to the proximal flexor pollicis longus. The abductor pollicis brevis tendon was sutured to the distal end of the first palmar interosseous muscle. Coaptation of the third digital nerve and the superficial radial nerve branch was performed. Results: Patients showed uneventful postoperative courses without complication such as infection or finger necrosis. Based on the principles of pollicization, a wide range of pinch and grasp movements was successfully restored. They were pleased with the functional and cosmetic results. Conclusion: Although the index finger has been the digit of choice for pollicization, we could also use the middle finger on specific occasions. This procedure provides an excellent option for the reconstruction of a mutilated thumb and could be performed advantageously in a single step.

• Korean Journal of Applied Biomechanics
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• v.18 no.1
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• pp.129-135
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• 2008

This research was examined the effect of Backward Walk on ground reaction force and we achieved it by using ground reaction force machine during the Backward Walk activity with Latin and Rumba dance. We find that it was significant difference of vertical(Fz) ground reaction force of right foot in touchdown and toe-off and vertical(Fz), horizontal(Fx), front-rear(Fy) ground reaction force of left foot. There was not significant differences in vertical ground reaction force between superior athlete and unskilled athlete, but there was a significant difference in left foot. Through this, we know that the sports capability of left foot which has been developed through the training is better in superior athlete group. Therefore understanding of difference in ground reaction force and repeated training can help the unskilled athlete and beginner to accomplish the accurate movement.

• Journal of Acupuncture Research
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• v.30 no.5
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• pp.211-217
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• 2013

Objectives : The purpose of this study was to prove the clinical safety of Sweet Bee Venom(BV) and observe the physical reaction(percentage of localized itching & pain) after Sweet BV treatment. Methods : This study was carried out on 130 patients who had been injected with Sweet BV in Koran Medicine Hospital of Woosuk University from March 20, 2012 to June 30, 2013. Patients were treated with Sweet BV daily and we checked the physical reaction. After that, we analyzed those according to treatment times and body parts of injection. Results : 37 patients(28.46 %) complained localized itching and 41 patients(31.54 %) complained localized pain after Sweet BV injection. In 37 patients who complained localized itching, 8 patients were experienced itching in the first treatment. And 27 patients were experienced itching in the 1st~5th treatment. Wrist, ankle and toe were the highest percentage of localized itching. Finger was the highest percentage of localized pain. Knee showed a relatively higher percentage of itching, pain, itching & pain than other body parts. Conclusions : This study suggested that Sweet BV treatment was relatively safe treatment and doctors should explain the physical reaction before treating patients. Further studies are needed to propose a guideline for safety and treatment.

• Journal of the Korean GEO-environmental Society
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• v.2 no.4
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• pp.39-50
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• 2001

In this study, in order to investigate the effects of reinforcement length and vertical spacing on the factor of safety, the road embankment reinforced by geogrid was analyzed using RSS(Reinforced Slope Stability) program based on limit equilibrium analysis. The result by computer analysis showed that the factor of safety for reinforced slope increased with increasing length of reinforcement and with decreasing vertical spacing of reinforcement up to certain limit. Also, numerical analysis by FLAC was performed on reinforced slope to evaluate the horizontal displacement, horizontal stress, and distribution of tensile forces of reinforcements in the cases of several reinforcement length. The results of analysis showed that the critical failure mode was toe failure or slope failure and the effect by the additional reinforcement length on the slope stability was negligible under stabilized condition.

• Geotechnical Engineering
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• v.6 no.4
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• pp.7-18
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• 1990

To deal with the case of a rigid retaining wall built close to a stable rock face with cohesionless backfill, analytical solution methods Proposed by Spangler- Handy and Sokolovskii are modified. The modified solution methods, taking into account different friction angles along the wall and the rock face, can estimate the developed static or dynamic horizontal earth pressures behind vertical retaining walls experiencing various types of outward wall movements. The range of application of each proposed method, which is represented by the ratio of the distance between the wall and the rock face to the height of the wall, is compared with each other and also is examined for different wall friction angles as well as soil friction angles. Further, the result predicted by the modified Spangler - Handy solution method is compared with that from the experimental model test on sand. The comparison shows in general good agreements at various stages of retaining wall rotation about its toe. Finally results of analytical parametric study, together with the design charts, are presented to demonstrate the effects of wall friction angles and horizontal acceleration coefficients.

• Journal of Korean Foot and Ankle Society
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• v.8 no.1
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• pp.58-63
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• 2004

Purpose: The purpose of this study is to evaluate the effectiveness of low-dose gabapentin for interdigital neuroma. Metrials and Methods: Between April 2000 and June 2003, 32 patients (39 feet) with interdigital neuroma were treated with using low-dose gabapentin. Two of the 32 patients were male, and thirty were female, and the average age was 47.4 years. The follow-up was 6 to 44months (mean 15.1 months). All cases were diagnosed by physical examination and ultrasonography or MRI. Low-dose gabapentin (300-600 mg) was prescribed and shoe modification was recommended. The patients were evaluated through questionnaire. Results: Neuroma was found in twenty one cases at the third intermetatarsal space, and thirteen at the second intermetatarsal space. The sensitivity of ultrasonography was 96% and that of MRI was 79%. Overall satisfaction was rated as excellent or good by 18 cases (57%). Average pain relief ratio was 50.3%, and in 14 cases, more than 80% of pain relief was noted. Nine (28%) of 32 patients showed they had no activity restrictions, such as daily activities or work, whereas 8 (25%) had mild restrictions and 15 (47%) had major restrictions. Twelve of 15 patient with major restrictions had been treated operatively (neurectomy; 10 cases, decompression; 2 cases). One case had gastrointestinal problem. Conclusion: Low-dose gabapentin for interdigital neuroma was one of the effective conservative treatments. The operation may be preserved for patient with the persist symptoms, nevertheless the conservative treatments and use of low-dose gabapentin.

• Physical Therapy Korea
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• v.11 no.4
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• pp.31-41
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• 2004

The purpose of this study was to examine the effect of the angle of a wedged insole on knee varus torque during walking. Fifteen healthy subjects were recruited. Knee varus torque was measured using three-dimensional motion analysis (Elite). Knee varus torque was normalized to gait cycle (0%: initial contact; 100%: ipsilateral initial contact) and stance phase (0%: initial contact; 100%: ipsilateral toe off). The average peaks of knee varus torque during the stance phase of the gait cycle according to the different insole angles (10 or 15 degrees) were compared using one-way ANOVA with repeated measures. The results showed that in the early stance phase, the average peak knee varus torque increased significantly for both the medial 10 and 15 degree wedged insole conditions and decreased significantly for both the lateral 10 and 15 degree wedged insole conditions as compared with no insole (p<.05). However, there were no significant differences between the 10 and 15 degree wedged insole conditions with either the medial or lateral wedged insole (p>.05). In the late stance phase, the average peak knee varus torque increased significantly for the medial 10 and 15 degree wedged insole conditions (p<.05), but not for the lateral 10 and 15 degree wedged insole conditions as compared with no insole (p>.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and lateral compartment forces in the knee varus-valgus deformity. Further studies of the effects of wedged insole angle on knee varus torque in patients with medial-lateral knee osteoarthritis are needed.