• The Journal of Internal Korean Medicine
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• v.36 no.2
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• pp.207-216
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• 2015

Objectives: The purpose of this study is to report the clinical application of acupuncture, herbal medication, and antibiotic treatment to a patient with a diabetic foot infection. Methods: We treated the patient-who had ulcerations of the 1st, 2nd, and 4th toes and osteomyelitis on the right 1st and 2nd toes-with acupuncture, herbal medication, and antibiotics. We measured the state of this case by changes in his MRI signal and ulceration of his toes. Results: After treatment, the MRI signal indicated that the osteomyelitis had disappeared and the ulceration was diminished. Conclusions: A combination of acupuncture, herbal medication, and antibiotic treatment is effective for treatment of ulceration and osteomyelitis caused by diabetic foot infection.

• The Journal of Korean Physical Therapy
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• v.11 no.2
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• pp.21-28
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• 1999

The purpose of this study were to describe the performance 67 kindergartener who aged from 4 to 7 years on the Pediatric Clinical Test of Sensory Interaction for Balance(P-CTSIB) and to determine difference with foot position and age. All Subjects were performance with different foot position that were feet-together, heel-toes. the starting position was that subject placed their hands on the hips, The results of this study were as follows 1. There were significiant difference in all instances by age whoa subjects were foot together(p<0.05). 2. There were singificiant difference in all instances by age excepts condition V awhen subjects were heel toes(p<0.05). 3. Duration of balance performance, of 4-year-olds were shortest and duration of balance performance of 7-year-olds were longest.

• Journal of Welding and Joining
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• v.22 no.4
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• pp.73-81
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• 2004

Failure mechanisms of welded joints under fatigue loads are interpreted that multiple collinear surface cracks initiating randomly along the weld toes propagate under the mutual interaction and coalescence of adjacent two cracks. To estimate fatigue crack propagation life for three types of the representative welded joints, i.e. non-load carrying cruciform, cover plate and longitudinal stiffener joint, the stress intensity factors at the front of the surface cracks have to be calculated, which are influenced strongly by the geometry of attachments, weld toes and the crack shapes. For the effective calculation of the stress intensity factors the Mk-factor was introduced which can be derived by a parametric study performed by FEM considering influence of the geometrical effects. The fatigue life of the cruciform joint was estimated by using the Mk-factors and the method considering the propagation mechanisms of the multiple surface cracks. Analysis results for the fatigue life had a good agreement with that of experiment.

• Journal of Species Research
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• v.11 no.3
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• pp.174-179
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• 2022

In this study, we identified two marine synchaetid rotifers, Synchaeta grimpei Remane, 1929 and S. vorax Rousselet, 1902, in Korea, which are the first synchaetid rotifers collected from a marine environment in the country. Prior to this study, all six synchaetids recorded in Korea were collected from freshwater environments. The morphological characteristics of both species are consistent with those recorded in previous studies of each species. Synchaeta grimpei is distinguished from other synchaetid rotifers by its cone-shaped body, wide and flat apical field, indistinct auricles, and long foot with two separated small toes. The morphological characteristics of Korean S. vorax specimens were most similar to the original description of Rousselet (1902), with its slender and cylindrical trunk shape, strongly convex apical field, and short foot with two small, separated toes. The rami of the Korean S. vorax specimen contained one frontal hook and several distinct and large teeth. Here, we provide the morphological diagnoses of the two synchaetid rotifers and the sequences of the partial mitochondrial cytochrome c oxidase subunit I (COI) of the two species.

• Journal of the Korea institute for structural maintenance and inspection
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• v.17 no.3
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• pp.48-55
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• 2013

In this study, fatigue tests were performed on longitudinal out-of-plane gusset fillet welded joints and transverse non-load-carrying cruciform rib fillet welded joints, and then applicability of hammer-peening treatment on improvement of fatigue life for fatigue damaged weld joints were investigated. Fatigue tests were carried out on three types of gusset and rib welded specimens: as-welded specimens, post-weld hammer peened specimens and hammer peened specimens at 50% of as-welded specimen's fatigue life. Before and after hammer peening treatment, the geometry of weld toes and surface stresses near weld toes were measured. As a result of hammer peening treatment, compressive residual stresses of 30-83MPa were introduced near weld toes of the gusset and rib welded joints, and 130% increase in fatigue life and fatigue limit of the welded joints could be realized by hammer peening treatment at 50% fatigue life of as-welded conditions.

• 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 Plastic Surgery
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• v.38 no.4
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• pp.508-511
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• 2011

Purpose: Blue toe syndrome consists of blue or purplish toes in the absence of a history of obvious trauma, serious cold exposure, or disorders producing generalized cyanosis. It is a life-threatening and still underrecognized disease. It can be commonly occurred by vascular surgery, invasive cutaneous procedures or anticoagulant therapy. Our case is presented of blue toe syndrome related to atheromatous embolization that was presumably triggered by angio CT. Methods: A 69-year-old man presented with the suddenly developed pain, cyanosis and livedo reticularis of the toes in right foot. Dorsalis pedis pulses were palpable. He had been performed a diagnostic angio CT 1 month earlier. Angio CT revealed diffuse aortic atheromatous plaque in lower abdominal aorta and both common iliac artery. One month after angio CT, he visited our clinic. There was no visible distal first dorsal metatarsal artery and digital artery of right first toe in lower extremity arteriography. A diagnosis was established of blue toe syndrome. Because his symptom was aggravated, we performed the exploration of the right foot. After exposure of first dorsal metatarsal artery, microsurgical atheroembolectomy was done. Results: There were no postoperative complications. After three months the patient had no clinically demonstrable problems. Conclusion: Patient with blue toe syndrome is at high risk of limb loss and mortality despite treatment. Blue toe syndrome produces painful, cyanosed toes with preserved pedal pulses. It needs to be aware of blue toe syndrome. Careful history should reveal the diagnosis. Treatment is controversial, however, most believe that anticoagulation therapy should be avoided.

• Journal of Korean Foot and Ankle Society
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• v.17 no.3
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• pp.225-233
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• 2013

Purpose: This study was performed to evaluate the impact of the lesser toe operation on the overall clinical outcomes, and to analyze the clinical results of concomitant surgery for hallux valgus and lesser toe deformities. Materials and Methods: Forty-six cases underwent surgery for hallux valgus with concomitant lesser toe deformities were followed up for at least 1 year. Lesser toe deformities consisted of 9 crossover toes, 10 claw toes, 12 hammer toes and 15 bunionettes. Clinical evaluation was performed according to AOFAS (American Orthopaedic Foot and Ankle Society) score, patient's satisfaction score, and pain VAS (visual analogue scale) score. Hallux valgus angle (HVA), intermetatarsal angle (IMA), and period to union were measured. Preoperative expectation about lesser toe deformities, postoperative satisfaction, complication rate, hospitalization period, medical expenses, and frequency of outpatient follow-up were analyzed. Results: AOFAS score, VAS score, HAV and IMA had improved significantly. On preoperative expectation of patients, correction of lesser toe deformities was ranked third, following the improvement of big toe(bunion) pain and the correction of hallux valgus. Patient's satisfaction score was average 92.8 points, and the importance of lesser toe operation was 30.2%. When compared to hallux valgus operation only, there were average 2.5 days of additional hospitalization, 2.4 times of additional outpatient follow-up, 386000 won of additional medical expenses. Conclusion: Combined operation for hallux valgus and concomitant lesser toe deformities showed good clinical results. When compared to hallux valgus operation only, there were longer hospitalization, more frequent follow-up, more medical expenses, more complications. However, lesser toe deformity correction in patients underwent hallux valgus operation is considerable, because of high preoperative expectation and postoperative satisfaction.

• Journal of Korean Foot and Ankle Society
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• v.16 no.1
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• pp.47-52
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• 2012

Purpose: The purpose of this study is to evaluate the effect of axial shortening metatarsal osteotomy on the treatment of advanced rheumatoid arthritis patients with severe hallux valgus and claw toe deformity of lesser toes which is used for preserving the metatarsophalangeal joint. Materials and Methods: From January 2005 to June 2009, 18 cases of axial shortening metatarsal osteotomy in advanced rheumatoid arthritis were reviewed ; all of them followed up for more than 2 years after surgical procedures and the mean follow up period was 3.4 years. We performed axial shortening Scarf osteotomy and Akin osteotomy for hallux valgus and Weil osteotomy with soft tissue release for claw toe of lesser toes, respectively. We measured preoperative and postoperative hallux valgus angle, each metatarsal shortening length and the range of motion of the metatarsophalangeal joints through radiographic and clinical examination and compared them each other. Clinical results were evaluated by American Orthopedic Foot and Ankle Society (AOFAS) score and subjective satisfaction of the patients. Results: The hallux valgus angle was reduced from the preoperative mean value of 44.8 degree to 9.0 degree postoperatively and the range of motion of the metatarsophalangeal joint of great toe and lesser toes was increased from the mean of 21.7 degree and 11.0 degree preoperatively to 38.0 degree and 32.5 degree, respectively at postoperation. Also, the mean AOFAS score was improved from 26.5 points to 67.4 points. Conclusion: Axial shortening osteotomy is a useful method to correct the deformity and preserve the metatarsophalangeal joint for severe hallux valgus and claw toe deformity in advanced rheumatoid arthritis.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.11a
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• pp.159-160
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• 2008