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Surgical Methods of Zygomaticomaxillary Complex Fracture

  • Ji, So Young;Kim, Seung Soo;Kim, Moo Hyun;Yang, Wan Suk
    • Archives of Craniofacial Surgery
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    • v.17 no.4
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    • pp.206-210
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    • 2016
  • Background: Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconjunctival, subciliary, subtarsal, intraoral, direct percutaneous approach) are useful. We reviewed various approaches for the treatment of ZMC fractures and discussed about incisions and fixation methods. Methods: A retrospective review was conducted of patients with ZMC fracture at a single institution from January 2005 to December 2014. Patients with single zygomatic arch fracture were excluded. Results: The identified 694 patients who were admitted for zygomatic fractures from which 192 patients with simple arch fractures were excluded. The remaining 502 patients consisted of 439 males and 63 females, and total 532 zygomatic bone was operated. Orbital fracture was the most common associated fracture. According to the Knight and North classification the most frequent fracture was Group IV. Most fractures were fixated at two points (73%). Conclusion: We reviewed our cases over 10 years according to fracture type and fixation methods. In conclusion, minimal incision, familiar approach and fixation methods of the surgeon are recommended.

Analysis of Short Tandem Repeat(STR) Locus F13B by Polymerase Chain Reaction in Korean (한국인에서 중합효소반응을 이용한 Short Tandem Repeat(STR)유전좌위 F13B분석)

  • Yong-Sik Kim;Woong Hur;Chang-Lyuk Yoon
    • Journal of Oral Medicine and Pain
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    • v.21 no.2
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    • pp.243-253
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    • 1996
  • In order to be utilized as a database in forensic identification and parentage test, allelic frequency and genotype distribution of short tandem repeat(STR) F13B locus was analysed by polymerase chain reaction in 210 Korean adults who are not related. The results were as follows. 1. 3 alleles and 56 genotypes of F13B locus were detected and heterozygosity value was 48.6% and allelic diversity value was 0.639 and the power of discrimination was 0.804. 2. The observed each alleles and allelic frequency was 8(0.069), 9(0.193), 10(0.738). In conclusion, the allelic frequency of STR F13B locus in the Korean is considered as an useful DNA allelic profile for forensic identification, but it should be used with several other STR locus to get definitive conclusion of analysis for individual identification and parentage testing.

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Variations in Ginsenosides of Raw Ginseng According to Heating Temperature and Time

  • Kim, Chan Joong;Kim, Bo Mi;Kim, Cheon Suk;Baek, Jung Yeon;Jung, In Chan
    • Journal of Pharmacopuncture
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    • v.23 no.2
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    • pp.79-87
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    • 2020
  • Objectives: Ginsenosides found in ginseng, and the hydrolysates derived from their conversion, exhibit diverse pharmacological characteristics [1]. These have been shown to include anti-cancer, anti-angiogenic, and anti-metastatic effects, as well as being able to provide hepatic and neuroprotective effects, immunomodulation, vasodilation, promotion of insulin secretion, and antioxidant activity. Therefore, the purpose of this study was to examine how quickly the ginsenosides decompose and what kinds of degradation products are created under physicochemical processing conditions that don't involve toxic chemicals or other treatments that may be harmful. Methods: The formation of ginsenoside-Rg2 and ginsenoside-Rg3 was examined. These demonstrated diverse pharmacological effects. Results: We also investigated physicochemical factors affecting their conversion. The heating temperatures and times yielding the highest concentration of ginsenosides (-Rb1, -Rb2, -Rc, -Rd, -Rf, -Rg1, and -Re) were examined. Additionally, the heating temperatures and rates of conversion of these ginsenosides into new 'ginseng saponins', were examined. Conclusion: In conclusion, obtained provide us with effective technology to control the concentration of both ginsenosides and the downstream converted saponins (ginsenoside-Rg2, Rg3, Rg5, and Rk1 etc.), as well as identifying the processing conditions which enable an enrichment in concentration of these compounds.

An integrative review on cadaver practice among undergraduate nursing students (간호대학생의 카데바 실습에 관한 통합적 고찰)

  • Gyeong-Ju, An
    • Journal of Korean Biological Nursing Science
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    • v.25 no.1
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    • pp.8-19
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    • 2023
  • Purpose: The purpose of this study was to analyze the experiences and perceptions of nursing students related to their cadaver practice through an integrative review. Methods: An integrative review was conducted using Whittemore and Knafl's framework published in 2005. The key words, "nursing students & cadaver" and "nursing students & anatomy" were used to search peer-reviewed publications in six databases. Among 373 searched articles, 15 articles were selected after excluding articles that did not meet the inclusion criteria. The literature quality was moderate (levels C and B). Results: The results from the 15 selected studies were integrated and classified into seven themes: "anxiety and discomfort," "gratitude and respect for donors," "dignity of the human body and life," "acceptance of death," "getting closer to the nursing profession," "enhanced understanding and memory of the human body" and "enhancement of learning motivation." Conclusion: In conclusion, cadaver practice provided an opportunity to form values about the dignity of life and death, helped nursing students understand the human body, and motivated them to approach the profession of nursing. It is suggested to develop integrated cadaver practice programs that incorporate bioethics, spiritual nursing, and the vocation of the nursing profession.

The Relationship of Self-leadership, Job Satisfaction, and Perceived Outcome in Nurses (간호사의 셀프리더십과 직무만족, 개인성과간의 관계)

  • Seomun, Gyeong-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.1
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    • pp.45-58
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    • 2005
  • Purpose: The purpose of this study was to identify the relationship among self-leadership, job satisfaction, and perceived outcome in nurses. Method: The subjects of study were nurses as a population who were working for the 2 of university hospitals which have over 500 beds in Kyong Ki Province as well as who have been working for over 6 months. The data was collected by questionnaires from 217 nurses and analyzed using descriptive statistics, pearson correlation coefficient, and multiple regression on SPSS 10. 0 version. Results: The degree of Self-leadership was 3.38 out of 5 as a mean point. There was a significant difference in self-leadership according to age, level of education, working department, and position. There was a significant positive correlation between self-relationship and job satisfaction, self-relationship and perceived outcome, and job satisfaction and perceived outcome. The stepwise multiple regression analysis revealed that the most powerful predictor of job satisfaction and perceived outcome was constructive thinking. Conclusion: In conclusion, the result was obtained that self-leadership is much correlated with job-satisfaction of nurse and outcome of nursing practice. Therefore, as a way to promote efficiency of nursing organization, the constant study about self-leadership with the various aspects is needed focusing on self-management and inner motivation as a new leadership paradigm.

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Efficacy and Safety of Cinacalcet for Secondary Hyperparathyroidism in Dialysis Patients and Drug Use Evaluation (투석환자의 이차성 부갑상선 기능 항진증 치료에서 cinacalcet의 유효성과 안전성 및 사용 적정성 평가)

  • Seo, Hee Nam
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.2
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    • pp.142-150
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    • 2013
  • Background: Secondary hyperparathyroidism (SHPT) is common in patients with chronic kidney disease, affecting most of those who are receiving dialysis. Cinacalcet, a novel calcimimetic, targets the calcium-sensing receptor to lower PTH levels in dialysis patients. Objective: This study aimed to assess efficacy, safety and appropriateness of use of cinacalcet in dialysis patients. Method: This retrospective study was performed on total 24 cases with identified intact parathyroid hormone (iPTH), serum calcium and phosphorus levels before and 4 weeks after cinacalcet initiation at a teaching hospital from July 1st, 2011 to October 31st, 2012. Results: Cinacalcet decreased iPTH by 19% from baseline after 4weeks treatment and it was statistically significant (p<0.001). Cinacalcet also significantly decreased iPTH levels regardless of dialysis modality (hemodialysis group versus peritoneal dialysis group) and severity of SHPT (iPTH 300-800 pg/ml group versus iPTH >800 pg/ml group). Serum calcium, phosphorus and Ca x P levels were decreased without statistical significance. Gastrointestinal events, headache and hypocalcemia were the most common side effects. Monitoring for iPTH and serum calcium was not performed appropriately. 43.7% patients initiated cinacalcet therapy at serum calcium level< 9.0 mg/dl. Conclusion: In conclusion, cinacalcet lowers parathyroid hormone levels with no serious side effects. However, it is required to avoid cinacalcet treatment in patients with low serum calcium levels and monitor iPTH and serum calcium levels during cinacalcet administration.

Duty Ratio Predictive Control Scheme for Digital Control of DC-DC Switching Converters

  • Sun, Pengju;Zhou, Luowei
    • Journal of Power Electronics
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    • v.11 no.2
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    • pp.156-162
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    • 2011
  • The control loop time delay caused by sampling, the zero-order-holder effect and calculations is inevitable in the digital control of dc-dc switching converters. The time delay will limit the bandwidth of the control loop and therefore degrade the transient performance of digital systems. In this paper, the quantization time delay effects with different time delay values based on a generic second-order system are analyzed. The conclusion that the bandwidth of digital control is reduced by about 20% with a one cycle delay and by 50% with two cycles of delay in comparison with no time delay is obtained. To compensate the time delay and to increase the control loop bandwidth, a duty ratio predictive control scheme based on linear extrapolation is proposed. The compensation effect and a comparison of the load variation transient response characteristics with analogy control, conventional digital control and duty ratio predictive control with different time delay values are performed on a point-of-load Buck converter by simulations and experiments. It is shown that, using the proposed technique, the control loop bandwidth can be increased by 50% for a one cycle delay and 48.2% for two cycles of delay when compared to conventional digital control. Simulations and experimental results prove the validity of the conclusion of the quantization effects of the time delay and the proposed control scheme.

Relations among Health Behaviors, Health Symptoms and Physical Fitness of People in the Same Community (일지역주민의 체력에 영향을 미치는 요인 - 신체증상과 건강행위를 중심으로 -)

  • Bae, Sun-Hyoung
    • Research in Community and Public Health Nursing
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    • v.18 no.2
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    • pp.211-222
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    • 2007
  • Purpose: This study was conducted to identify relations among health behaviors, health symptoms and physical fitness of people in the same community. Method: The study was designed as a descriptive survey and the participants were 1,621 healthy people. Data were collected from March to December, 2003 using a structured questionnaire on health behaviors, health symptoms and physical fitness. Data were analyzed by descriptive statistics, $\chi^2$-test, t-test, two-way ANOVA, Pearson correlation coefficients and multiple regression using SPSS/PC. Results: The result of multiple regression showed that sex, age, and BMI were related to physical fitness. In health-related physical fitness, regular exercise was related to cardiorespiratory endurance and flexibility, and daily caffeine intake was related to muscular endurance. In performance-related physical fitness, having breakfast regularly was related to power, daily caffeine intake was related to agility, and regular lifestyle and health symptoms were related to balance. Conclusion: In conclusion, this study suggests that for better physical fitness, nursing strategies and intervention programs should include physical fitness-related factors, and education programs should be developed based on the above parameters to promote positive perception of physical fitness.

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A Study on the Design Expression of the boundary Surfaces in Multi-family Housing of Digital Age (디지털시대의 집합주택 내외부 경계 표현에 관한 연구)

  • 문은미
    • Korean Institute of Interior Design Journal
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    • v.13 no.2
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    • pp.64-71
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    • 2004
  • This study attempts to clarify inter-relationship between design expression in the surface of contemporary multi-family housing and physical trends in this digital age. The study examines characteristics of housing design influenced from new digital technology in the forms of metaphor such as dematerialization, fluidity and mobility. Currently constructed multi-family housing in Europe after 1990 has been analyzed to find digital reflections in the surfaces. As a conclusion, findings are as follows; In this digital age, a house is considered as a base in the forms of boxes and containers to network to outer worlds. In a complex of multi-family housing, public spaces move to the inside and become parts of private domain. Therefore, a house directly faces a street/outer world without transitional areas and devices. The facades of housing become delicate skins to control private domain in the inside and the world in the outside. In this digital age, the surfaces of housing are designed by ways of wrapping and screening. Printing and mapping methods are used to surface design because they are manipulative and flexible methods in design like graphic design. Screening devices using louvers and shutters are powerful tools to make random and unpredictable images. If units of a louver and a shutter were pixels, a whole surface would be a digital screen. In such assumption, the facade of buildings reflects digital screen to interface while the louvers in operation reflect clicking to network. As a conclusion, design expression in surfaces in-between of multi-family housing is a metaphor of digital mechanism.

Animal Skin Pigmentation Model Using Full Thickness Skin Graft in C57BL/6 Mouse (C57BL/6 마우스의 등에 시행한 자가 전층피부이식편을 이용한 색소침착 동물모델)

  • Lee, Hong-Ki;Park, Jong-Lim;Heo, Eun-Ju;Kim, Suk-Wha
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.725-732
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    • 2011
  • Purpose: Skin grafting is one of the most commonly used methods in reconstructive plastic surgery field, but complications such as color change, contracture or hypertrophy are common problems. However, pathophysiology of the color change after skin graft is not yet determined and no animal model is established. Methods: Full thickness skin grafts were performed on the dorsum of C57BL/6 mice. Serial chronological gross inspection for color change and pigmentation were examined. Melanin pigments were traced by Fontana-Masson staining and semi-quantitative analysis was performed. In addition, immunohistochemical staining of S-100, Micropthalmia related Transcription Factor (MITF) and Melan-A antibodies were also performed to observe melanocytes and their changes. Results: After skin graft, color change and pigment spots were observed in the graft. Fontana-Masson staining showed melanin pigments in the epidermal and dermal layers in all mice. Immunohistochemistry staining to S-100, MITF, Melan-A antibodies showed melanocytes at the basal layer of epidermis and dermis. Conclusion: In conclusion, we have established an animal model for skin pigmentation after skin graft. We believe this study may be useful in understanding of the behavior of melanocytes after skin graft.