• Journal of Korean Foot and Ankle Society
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• v.20 no.3
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• pp.121-125
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• 2016

Purpose: This study investigates the amputation rate within 1 year after the diagnosis of diabetic foot ulcer and its associated risk factors. Materials and Methods: This study enrolled 60 patients with diabetic foot ulcer. The mean and standard deviation age was $64.4{\pm}12.8years$ (range, 32~89 years); the mean and standard deviation prevalence period for diabetes mellitus was $21.0{\pm}7.5years$ (range, 0.5~36 years). The amputation rate was evaluated by dividing the subjects into two groups - the major and minor amputation groups - within 1 year following the initial diagnosis of diabetic foot ulcer. Multivariate Cox proportional hazards regression analysis was used to identify the risk factors for amputation. Results: The total amputation rate of 38.3% (n=23) was comprised of the amputation rate for the major amputation group (10.0%) and rate for the minor amputation group (23.8%). There was a high correlation between peripheral artery disease (toe brachial pressure index <0.7) and amputation (hazard ratio [HR] 5.81, confidence interval [CI] 2.09~16.1, p<0.01). Nephropathy was significantly correlated with the amputation rate (HR 3.53, CI 1.29~9.64, p=0.01). Conclusion: Clinicians who treat patients with diabetic foot complications must understand the fact that the amputation rate within 1 year is significant, and that the amputation rate of patients with peripheral artery disease or nephropathy is especially high.

• Journal of Biomedical Engineering Research
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• v.34 no.2
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• pp.80-90
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• 2013

Recently, functional insoles of wedge-type it is for the young to raise their height inserted between insole and heel cause foot pain and disease. Additionally, these have a problem with stability and excessively load-bearing during gait like high-heel shoes. In this study, we compared the changes in biomechanical characteristics of foot with different insole thickness then we will utilize for the development of the insole with the purpose of relieving the pain and disease. Subjects(male, n = 6) measured COP(center of pressure) and PCP(peak contact pressure) on the treadmill(140cm/s) using F-scan system and different insole thickness(0~50 mm) between sole and plantar surface during gait. Also, we computed changes of stresses at the foot using finite element model with various insole thickness during toe-off phase. COP moved anterior and medial direction and, PCP was increased at medial forefoot surface, $1^{st}$ and $2^{nd}$ metatarsophalangeal, ($9%{\uparrow}$) with thicker insoles and it was show sensitive increment as the insole thickness was increased from 40 mm to 50 mm. Change of the stress at the soft-tissue of plantar surface, $1^{st}$ metatarsal head represents rapid growth($36%{\uparrow}$). Also, lateral moments were increased over the 100% near the $1^{st}$ metatarsal as the insole thickness was increased from 0 mm to 30 mm. And it is show sensitive increment as the insole thickness changed 10 mm to 20 mm. As a result, it was expected that use of excessively thick insoles might cause unwanted foot pain at the forefoot region. Therefore, insole thickness under 30 mm was selected.

• Journal of Korean Orthopaedic Sports Medicine
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• v.6 no.2
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• pp.99-104
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• 2007

Purpose: To research match injuries related to Taekwondo in adolescent athletes and find out preventing injuries. Materials and Methods: We analyzed 162 match injuries of middle and high school athletes, who were surveyed in 2005 and 2006 national tournament. Results: Among 162 match injuries, injuries in foot and hand were the most common and there were 35 cases in serious injuries such as fracture, open dislocation, open fracture of epiphyseal plate and so on. The very fast speed and destructive power of Takwondo athlete can cause open dislocation of great toe and can cause fracture of foot and upper extremity when kicking. Conclusion: We consider that injured athletes need proper treatments and sufficient rest not to accumulate training injuries and match injuries and need to improve mats of stadium, braces for feet and hands and put on braces for elbows to prevent match injuries.

• Korean Journal of Applied Biomechanics
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• v.24 no.3
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• pp.239-248
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• 2014

The purpose of this study was to quantify kinematic and kinetic characteristics of Yin-yang Bo gait according to their motor expertise, one of the Seokmun Ilwol martial art gait patterns. Yin-yang Bo gait pattern shows initial forefoot contact instead of heel contact, and increased time of stance phase time, internal-external rotation of ankle-knee-hip joints and pelvic. It aims to produce and store the more energy through continuous homeostasis of center of gravity (COG) and performance of stretch-shortening cycle. Some of these characteristics also were similar to the gait modification strategies for reducing knee adduction moment such as toe-out progression, medial thrust, internal rotation of hip joint. To identify the characteristics, four factors of expert Yin-yang Bo gait performance group were compared to that of none expert group; 1) angles of COG displacement and rotation 2) distal joint pre-rotation in internal-external rotation of ankle-knee-hip joints and pelvic, 3) invariability pelvic potential and pelvic segment total energy 4) knee abduction moment. Six healthy(three male) subjects participated in the experiment to perform Yin-yang gait pattern. Three-dimensional and force plate data were collected. Kinematic and kinetic data were compared between two groups using t-tests. Results showed that 1) the peak point of COG internal rotation angle was reduced in expert group, 2) kneeexternal and hip joint -internal and pelvic rotation angle peak frames were more near points in expert group.

• Journal of The Korean Society of Inherited Metabolic disease
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• v.14 no.1
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• pp.60-65
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• 2014

Smith-Lemli-Opitz syndrome (SLOS) is an autosomal recessive disease caused by a defect in cholesterol biosynthesis. This mutation encodes 7-dehydrocholesterol reductase (DHCR7), which is located on chromosome 11q13. It is characterized by typical facial appearances, microcephaly, small up-turned nose, cleft palate, syndactyly, and is correlated with cardiac, gastrointestinal and genital malformations. There may also be mental retardation, behavioral problems and growth retardation. It causes a broad spectrum of effects, ranging from a mild disorder of learning and behavior to a lethal malformation. There are four reports of Smith-Lemli-Opitz syndrome in Korean children. Here, we describe a two months old female with microcephaly, toe syndactyly and a cleft soft palate who was diagnosed as SLOS with c. 1054 C>T (p.R352W) and c.907G>A (p. G303R) mutations.

• Journal of Fashion Business
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• v.11 no.6
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• pp.35-51
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• 2007

This research was administered in order to know the effects of heels on the foot by comparing the foot environmental characteristics when common shoes and elevated shoes are worn. First, 157 male adults in their 20s through 40s living in Busan were the inquiry subjects to reveal the shoes-wearing reality of adult males. Second, 7 male adults in their early 20s became the subjects for the experiments of wearing common shoes and elevated shoes. 1. Inquiry Results of Shoes-Wearing Reality Common-shoes wearers were in the order: 20s (43.9%) > 30s (24.8%) > 40s (8.3%). Elevated-shoes wearers were mostly 20s (12.1%), followed by 30s (8.3%) and 40s (2.5%). Among the wearing effects of elevated shoes were 'looking taller' (66.7%), 'no height complex & more confidence' (30.6%), and 'higher work efficiency' (2.8%). In sum, 97.3% of the male subjects believed in great positive effects by wearing elevated shoes. 2. Shoes-Wearing Experiment Results In foot skin temperature, significant differences between the two groups were admitted in outer foot a (p<0.05) and other areas (p<0.001), except in the instep. Elevated-shoes group had bigger skin temperature, while the order of temperature was the instep, the big toe, inner foot a/b/c and outer foot a/b/c. Significant difference was accepted in total sweat rate (p<0.05) and local sweat rate (p<0.01). Elevated-shoes group appeared higher in both rates. Significant difference (p<0.001) between the two groups was recognized in fatigue degrees after wearing, whereas significance (p<0.05) in elevated-shoes group was approved in fatigue before and after exercise. So elevated-shoes group experienced more fatigue, especially after exercise.

• Magazine of the Korean Society of Agricultural Engineers
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• v.42 no.5
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• pp.151-159
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• 2000

Dynamic loading of structures often causes excursions of stresses will into the inelastic range and the influence of geometry changes on the response is also significant in may cases. In general , the shell structures designed according to quasi-Static analysis may collapse under condition of dynamic loading. Therefore, for a more realistic prediction on the lad carrying capacity of these shell. both material and geometric nonlinear effects should be considered. In this study , the material nonlinearity effect on the dynamic response is formulated by the elasto-viscoplastic model highly corresponding to the real behavior of the material. Also, the geometrically nonlinear behavior is taken into account using a Total Lagrangian formulation. the reinforcing bars are modeled by the equivalent steel layer at the location of reinforcements, and Von Mises yield criteria is adopted for the steel layer behavior. Also, Drucker-Prager yield criteria is applied for the behavior of concrete. the shape imperfection of dome is assumed as 'dimple type' which can be expressed Wd1=Wd0(1-(r-a)m)n while the shape imperfection of wall is assumed as sinusoidal curve which is Wwi =Wwo sin(n $\pi$y/l). In numerical test, three cases of shape imperfection of 0.0 -5.0cm(opposite direction to loading ; inner shape imperfection)and 5cm (direction to loading : outward shape imperfection) and thickness of steel layer determined by steel ratio of 0,3, and 5% were analyzed. The effect of shape imperfection and steel ratio and behavior characteristics of perfect shape shell and imperfect shape shell are identified through analysis of above mentioned numerical test. Dynamic behaviors of dome and wall according toe combination of shape imperfection and steel ratio are also discussed in this paper.

• Archives of Plastic Surgery
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• v.36 no.6
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• pp.679-684
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• 2009

Purpose: Human lipoaspirate cells are relatively easy to obtain in large quantities without cell culture. The aim of this in vitro pilot study was to determine the effect of cell therapy using uncultured lipoaspirate cells on cell proliferation and collagen synthesis of diabetic fibroblasts, which are the major contributing factors in wound healing. Methods: In order to get diabetic fibroblasts, dermis tissues were obtained from foot skin of diabetic patients who underwent debridements or toe amputations(n = 4). In order to isolate lipoaspirate cells, the same diabetic patients' abdominal adipose tissues were obtained by liposuction. The diabetic fibroblasts were co - cultured with or without autogenous lipoaspirate cells using porous culture plate insert. Initial numbers of the lipoaspirate cells and diabetic fibroblasts seeded were 15,000 cells/well, respectively. For cell proliferation assay, two treatment groups were included. In group I, diabetic fibroblasts were cultured with the insert having no cells, which serves as a control. In group II, the lipoaspirate cells were added in the culture plate insert. For collagen synthesis assay, one additional group(group III), in which diabetic fibroblasts were not seeded in the well and only lipoaspirate cells inside the insert were incubated without diabetic fibroblasts, was included for a reference. Results: One hundred to one hundred sixty thousand lipoaspirate cells were isolated per ml of aspirated adipose tissue. After 3 - day incubation, the mean cell numbers in group I and II were 17,294/well and 22,163/well. The mean collagen level in group I, II, and III were 29, 41, and 2 ng/ml, respectively. These results imply that both cell proliferation and collagen synthesis in the lipoaspirate cell treatment group were 28 and 44 percents higher than in the control group, respectively(p < 0.05). Conclusion: Uncultured lipoaspirate cell autografts may stimulate the wound healing activity of diabetic fibroblasts.

• Journal of the Korean Society for Precision Engineering
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• v.27 no.2
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• pp.145-152
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• 2010

Gait phase detection is important for evaluating the recovery of gait ability in patients with paralysis, and for determining the stimulation timing in FES walking. In this study, three different motion sensors(tilt sensor, gyrosensor and accelerometer) were used to detect gait events(heel strike, HS; toe off, TO) and they were compared one another to determine the most applicable sensor for gait phase detection. Motion sensors were attached on the shank and heel of subjects. Gait phases determined by the characteristics of each sensor's signal were compared with those from FVA. Gait phase detections using three different motion sensors were valid, since they all have reliabilities more than 95%, when compared with FVA. HS and TO were determined by both FVA and motion sensor signals, and the accuracy of detecting HS and TO with motion sensors were assessed by the time differences between FVA and motion sensors. Results show of that the tilt sensor and the gyrosensor could detect gait phase more accurately in normal subjects. Vertical acceleration from the accelerometer could detect HS most accurately in hemiplegic patient group A. The gyrosensor could detect HS and TO most accurately in hemiplegic patient group A and B. Valid error ranges of HS and TO were determined by 3.9 % and 13.6 % in normal subjects, respectively. The detection of TO from all sensor signals was valid in both patient group A and B. However, the vertical acceleration detected HS validly in patient group A and the gyrosensor detected HS validly in patient group B. We could determine the most applicable motion sensors to detect gait phases in hemiplegic patients. However, since hemiplegic patients have much different gait patterns one another, further experimental studies using various simple motion sensors would be required to determine gait events in pathologic gaits.

• Korean Journal of Poultry Science
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• v.12 no.2
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• pp.65-73
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• 1985

More than 1,000 chickens of Korean native Yeonsan Ogolgye (Natural Monument No. 256) were used in this study in order to investigate their various external characteristics. The aims of this study were to define the Ogolgye chicken as a breed, and to provide basal data necessary for the genetic improvement of this breed. The investigated items are as follows : color of feather and toe; presense or absence of shank feather; the number of toes: color of shank and comb; the growth rates of shank, comb and feathers in various feather tracts; and finally, the livability. Data and informations were presented in tabular form in table 1 through 12. In summary, the various external traits of the Korean native Ogolgye breed can be characterized as follows. It has normal feather than silkic one as in the western type, with black color per-dominant. The frquency of white feather color is very low. The color of toes is devided into two categories; black toes in black plumage lines, and white toes in white plumage lines. Both seres have single combs with black color. The shank is gray- black and featherless. The breed has normally four toes. The eye color is black.