• Archives of Hand and Microsurgery
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• v.23 no.4
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• pp.223-229
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• 2018

Purpose: A number of procedures were introduced to stabilize the 1st metacarpal bone after resection of the trapezium in the thumb carpometacarpal joint (CMCJ) arthroplasty. However, some surgical procedures may inevitably damage normal structures, such as harvesting tendons or drilling of a bone for tendon passage. Suture suspension arthroplasty is relatively less invasive and easier to perform than the previously described surgical methods. The purpose of this study was to report the therapeutic efficiency of the suture suspension arthroplasty. Methods: We retrospectively reviewed 12 patients who underwent suture suspension arthroplasty for the treatment of thumb CMCJ arthritis. Pain visual analogue scale (VAS), satisfaction about surgical outcomes, and the disabilities of the arm, shoulder and hand (DASH) scores were measured to evaluate the functional outcomes and the Trapezial Space Ratios were measured. Satisfaction was measured in the range of "very dissatisfied" (0) to "very satisfied" (10). Results: The mean follow-up period was 23 months. Pain VAS score improved significantly from 7.0 to 2.9 (p<0.05). And mean satisfaction scale was 6.9. However, there was no significant difference in DASH scores between before and after surgery (p=0.06). The mean trapezial space ratio was calculated to be 0.45 before surgery, 0.33 immediately after surgery, 0.23 at the last follow-up. Conclusion: Suture suspension arthroplasty is a satisfactory surgical procedure. And compared with other procedures, there is no significant difference in the reduction of the trapezial space. It may be useful in advanced thumb CMCJ arthritis.

• Journal of Korean Society of Disaster and Security
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• v.15 no.3
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• pp.67-77
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• 2022

In South Korea, U-type girder development was attempted as a means to increase the length of I-type girder, but due to the large self-weight according to the post-tension method, the application of rail bridges of 30m or less is typical. There are not many examples of application of pre-tension type girder. This study does not limit the post-tension method, but applies the pre-tension method to induce a reduction in self-weight and materials used due to the reduction of the cross-section. In addition, we intend to apply the on-site pre-tensioning method using the internal reaction arm of the U-type girder. The prestressed concrete U-type girder bridge is composed of a concrete deck slab and a composite section. Compared to the PSC I-type, which is an open cross-section because the cross section is closed, structural performance such as resistance and rigidity is improved, the safety of construction is increased during the manufacturing and erection stage, and the height ratio is reduced due to the reduction of its own weight. Therefore, it is possible to secure the aesthetic scenery and economical of the bridge. As a result, it is expected that efficient construction will be possible with high-quality factory-manufactured members and cast-in-place members. In this paper, the introduction of the pre-tension method on-site and the analytical performance verification of the anchoring block for tension are included.

• Korean Journal of Radiology
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• v.25 no.1
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• pp.62-73
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• 2024

Objective: This study aimed to determine the prevalence of vertebral venous congestion (VVC) in patients with chemoport insertion, evaluate the imaging characteristics of nodular VVC, and identify the factors associated with VVC. Materials and Methods: This retrospective single-center study was based on follow-up contrast-enhanced chest computed tomography (CT) of 1412 adult patients who underwent chemoport insertion between January 2016 and December 2016. The prevalence of venous stenosis, reflux, and VVC were evaluated. The imaging features of nodular VVC, including specific locations within the vertebral body, were analyzed. To identify the factors associated with VVC, patients with VVC were compared with a subset of patients without VVC who had been followed up for > 3 years without developing VVC after chemoport insertion. Toward this, a multivariable logistic regression analysis was performed. Results: After excluding 333 patients, 1079 were analyzed (mean age ± standard deviation, 62.3 ± 11.6 years; 540 females). The prevalence of VVC was 5.8% (63/1079), with all patients (63/63) demonstrating vertebral venous reflux and 67% (42/63) with innominate vein stenosis. The median interval between chemoport insertion and VVC was 515 days (interquartile range, 204-881 days). The prevalence of nodular VVC was 1.5% (16/1079), with a mean size of 5.9 ± 3.1 mm and attenuation of 784 ± 162 HU. Nodular VVC tended to be located subcortically. Forty-four patients with VVC underwent CT examinations with contrast injections in both arms; the VVC disappeared in 70% (31/44) when the contrast was injected in the arm contralateral to the chemoport site. Bevacizumab use was independently associated with VVC (odds ratio, 3.45; P < 0.001). Conclusion: The prevalence of VVC and nodular VVC was low in patients who underwent chemoport insertion. Nodular VVC was always accompanied by vertebral venous reflux and tended to be located subcortically. To avoid VVC, contrast injection in the arm contralateral to the chemoport site is preferred.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.29 no.5
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• pp.689-700
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• 1996

Fisheries products have to be produced and maintained by work processes from the environment, sometimes helped by people. In Korean fisheries both environmental production and its economic use are included within the windows of system approach. EMERGY is the sum of all inputs expressed as one form of solar energy required directly and indirectly to make a product. Calculating EMERGY flows into Korean fisheries evaluates the real wealth contributed by environmental production and its economic use. Several indices calculated from EMERGY analysis table and a three-arm diagram give perspective on the type and efficiency of the environmental uses. Net EMERGY yield ratio is a measure of its net contribution to the economy beyond its own operation. For adjacent waters fisheries in Korea, the net contribution to the economy is 11.85 or higher, which is a stimulus to the economy that is able to purchase it. EMERGY investment ratio measures the intensity of the economic development and the loading of the environment. The ratio for Korean fisheries as a whole is 0.50, for the adjacent waters fisheries 0.09 and for the shallow-sea cultures 1.28, which is lower than the same index for the industry of the developed country (7.0). The component of environment drawn into production are large compared to purchased investment in Korean fisheries. Much more EMERGY is contained in fisheries products than in the paid services used to process the products. The EMERGY exchange ratio for Korean fisheries as a whole is 6.98, for the adjacent waters fisheries is 10.69 and for the shallow-sea cultures is 1.25. Using market values to evaluate wealth of environment resources is found to be many times too small. Money is paid only to people for their contribution, and never to the environment for its contribution. Macroeconomic value is the appropriate measure for discussing large-scale considerations of an economy, including environment and human goods & services.

• The korean journal of orthodontics
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• v.31 no.3 s.86
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• pp.325-333
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• 2001

Optimal orthodontic treatment could be possible when a orthodontist can predict and control tooth movement by applying a planned force system to the dentition. The moment to force(M/F) ratio at the bracket, has been shown to be a primary determinate of the pattern of tooth movement. As various n/F ratios are applied to the bracket on the tooth crown, strain distribution in periodontium can be changed, and the center of rotation in tooth movement can be determined. It is, therefore, so important in clinicalorthodontics to know the strain distribution in a force system of a M/F ratio. The purpose of this study was to analyze the strain distribution in orthodontic force system by strain gauge attached to tooth root, and to evaluate the usage of the method. For this study, an experimental upper anterior arch model was constructed, where upper central incisors, on the root surface of which, 8 strain gauges were attached, were implanted In the photoelastic resin, as in the case of 4mm midline diastema. Three types of closing of upper midline diastema closure were compared : 1. with elastomeric chain(100g force) in no arch wire, 2. elastomeric chain in .016“ round steel wire, 3. elastomeric chain in .016”x.022“ rectangular steel wire. The results were as follows. 1. Strain distributions on labial, lingual, mesial and distal root surface of tooth were able to be evaluated with the strain gauge method, and the patterns of tooth rotation were understood by presuming the location of moment arm. 2. Extrusion and tipping movement of tooth was seen in closing in no arch wire, and intrusion and bodily movement was seen with steel arch wire inserted.

• Journal of the Ergonomics Society of Korea
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• v.31 no.6
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• pp.765-772
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• 2012

Objective: The purpose of this research was to aid creating an effective sizing system for the vacation wear intended for Jeju's medical tourists, specifically females from the major countries including the USA, Japan, and Korea. Background: Medical tourism makes the gains of every year 40,000,000,000 dollar, every year 30% it is increasing. Thus the Jeju-do is propelling medical tourism. The body size each country is different. Consequently must set the body size standard for the women. Method: (1) It observed the body size of the Korean women of 2004 years and 2010 years. (2) It analyzed the body size of the women of the USA, China, Japan and Korea. (3) It set the sizing system of the women of the USA(ASTM), China (GB), Japan(JIS) and Korea(KS). Results: Korean adult females' height in 2010 has increased from 2004. The Waist Back Length, Waist Front Length, Arm Length etc has also increased along with the Height. The upper body has become slimmer at the same time; the Chest Circumference, Bust Circumference, and Underbust Circumference have decreased. The lower body on the other hand has become bigger: the Waist Circumference and Hip Circumference have increased. The BMI has decreased by 0.4 from 2004 - the Height has increased while Weight has decreased. The Chest Circumference and Under Bust Circumference of Korean women across all age groups have increased at a proportional rate to other parts of body; however, the rate of increase in Chest Circumference was far greater. American females(Caucasians) had the greatest ratio of waist to bust (Waist Circumference/Chest Circumference), smallest ratio of Neck Base Circumference to Bust Circumference (neck/bust). Korean females had smallest ratio of Waist Circumference to Underbust Circumference(waist/bust). As for the drop of Chest Circumference and Waist Circumference, American females had the highest and Koreans had the lowest. As for the drop of Hip Circumference and Chest Circumference, Japanese had the highest and Americans had the lowest, but Japanese women at the same time showed the A line body shapes. As for difference of Chest Circumference and Underbust Circumference, American females had the biggest(13.73) followed by Korean(11.1), Japanese(10.9) and Chinese(10.5). Conclusion: The women of the USA, China, Japan and Korea body size is different. Especially the value of the Bust Circumference - the Underbust Circumference is different. Thus, it set the sizing system(Table 8).

• Journal of Preventive Medicine and Public Health
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• v.6 no.1
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• pp.17-25
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• 1973

For purpose of understanding of women worker's nutritional status in Korea, the author had studied oil 668 workers who are working in textile industry, chemical industry, manufacture of electrical machinery and supplies, manufacture of rubber and transportation (bus-guider). Skin-fold caliper was applicated and measured five positions. As a results of this study the following conclusions were obtained; 1. The mean skin-fold thickness were; arm: $$9.08{\pm}3.40\;mm\;(7.23{\sim}10.50\;mm)$$ back: $$16.23{\pm}5.25\;mm\;(13.18{\sim}17.20\;mm)$$ waist : $$17.86{\pm}5.82\;mm\;(13.27{\sim}19.31\;mm)$$ abdomen : $$15.45{\pm}5.04\;mm\;(10.82{\sim}16.43\;mm)$$ knee: $$13.49{\pm}4.16\;mm\;(10.80{\sim}14.04\;mm)$$ The lowest mean skin-fold thickness by age was $12.26{\pm}3.50\;mm$ at 16 year-old and the highest mean skin-fold thickness was $14.57{\pm}5.55\;mm$ at 19 yesr-old respectively. 2. Fat amounts The lowest body fat weight was 10.77 kg at 16 year-old and the highest was 12.09kg at 19 year-old, respectively. The mean body fat weight was 11.76 kg. The lowest %Fat was 20.67% at 26 year-old, the highest was 23.89% at 18 year-old and the average was 22.76%, respectively. The mean FFW was 39.94 kg and the lowest was 37.91 kg at 17 year-old, the highest was 41.64 kg at 27 year-old. The ratio of fat weight and total body mass (FW/TBM) were 21.04% at 27 year-old 23.75% at 19 year-old and average was 22.75%, respectively. The ratio of fat free weight and total body mass (FFW/TBM) were 76.25% at 19 year-old and 78.96% at 27 year-old, respectively. The average was 77.25%. The ratio of fat weight and fat free weight (FW/FFW) were 27.31% at 27 year-old and 31.15% at 19 year-old. The average was 29.44%.

• Childhood Kidney Diseases
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• v.27 no.2
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• pp.97-104
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• 2023

Purpose: Angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers (ARBs) are frequently employed to counteract the detrimental effects of proteinuria on glomerular diseases. However, the effects of ARBs remain poorly examined in pediatric patients with immunoglobulin A (IgA) nephropathy. Herein, we evaluated the efficacy and safety of losartan, an ARB, in pediatric IgA nephropathy with proteinuria. Methods: This prospective, single-arm, multicenter study included children with IgA nephropathy exhibiting proteinuria. Changes in proteinuria, blood pressure, and kidney function were prospectively evaluated before and 4 and 24 weeks after losartan administration. The primary endpoint was the difference in proteinuria between baseline and 24 weeks. Results: In total, 29 patients were enrolled and received losartan treatment. The full analysis set included 28 patients who received losartan at least once and had pre- and post-urinary protein to creatinine ratio measurements (n=28). The per-protocol analysis group included 22 patients who completed all scheduled visits without any serious violations during the study period. In both groups, the mean log (urine protein to creatinine ratio) value decreased significantly at 6 months. After 24 weeks, the urinary protein to creatinine ratio decreased by more than 50% in approximately 40% of the patients. The glomerular filtration rate was not significantly altered during the observation period. Conclusions: Losartan decreased proteinuria without decreasing kidney function in patients with IgA nephropathy over 24 weeks. Losartan could be safely employed to reduce proteinuria in this patient population. ClinicalTrials.gov trial registration (NCT0223277)

• Clinical and Experimental Pediatrics
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• v.48 no.10
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• pp.1082-1089
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• 2005

Purpose : Abdominal obesity is encountered as a risk factor for cardiovascular diseases. However, the anthropometric cut-off value to estimate the cardiovascular risk, has not been suggested. This study was designed to find the relationship between the abdominal fat and various parameters of obesity to find the cardiovascular risk factors related to abdominal obesity and to establish practical methods to measure them. Methods : Twenty seven obese Korean adolescents of moderate to severe degree and 22 healthy adolescents were enrolled. The body mass index(BMI), arm circumference and skinfold thickness were measured. Furthermore, blood lipid, sugar, insulin and four different cytokines' levels were checked and the distribution of body composition was measured by bioelectrical impedance analysis. The subcutaneous and intra-abdominal fat thickness by abdominal ultrasonography(US) and the total and intra-abdominal fat area by abdominal computerized tomography(CT) were measured in the obese group. Results : The most accurate method to measure abdominal fat in children is abdominal CT and the fat mass measured by bioelectrical impedance was strongly correlated with it(r=0.954). It was also correlated with arm circumference, fat thickness measured by abdominal US, BMI, aspartate aminotransferase(AST), alanine aminotransferase(ALT) and triglyceride level. Conclusion : Abdominal CT is the most accurate method to measure intra-abdominal fat, and it can be replaced by abdominal US for cost effectiveness. The screening methods that can be used at school or in outpatient basis include bioelectrical impedance, waist/hip ratio, and arm circumference. The cardiovascular risk factors include leptin, triglyceride and insulin level.

• Journal of the Korean Dietetic Association
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• v.8 no.3
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• pp.217-226
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• 2002

The purpose of this study is to investigate initial nutritional status of stomach cancer patients. The study subjects were 88 patients with stomach cancer admitted at Kosin University Gospel Hospital in Busan. We assessed the initial nutritional status by anthropometric, biochemical and dietary intake data along with subjective global assessment(SGA). The results are as follows. 1. The mean age, weight, height, triceps skinfold thickness, mid arm circumference, and mid arm muscle circumference of the subjects were 55.9$\pm$11.0years, 60.0$\pm$9.8kg, 162.4$\pm$8.5cm, 10.9$\pm$5.7mm, 26.8$\pm$3.8cm, and 23.4$\pm$3.5cm respectively. The mean body mass index was within the normal range, with 22.7$\pm$2.8kg/m2, while 15.4% of the patients was underweight. The result shows that body fat mass and body protein mass of the patients with stomach cancer were decreased. 2. The mean biochemical data of the subjects were 4.0$\pm$0.5g/dl for albumin, 174.7$\pm$41.9mg/dl for cholesterol, 107.6$\pm$57.2mg/dl for triglyceride, 92.1μg/dl for Zn, 　297.0$\pm$103.1mg/dl for transferrin, 1980.0$\pm$0.8$mm^3$ for total lymphocyte count. 3. Daily energy intake was 1997.8$\pm$579.3kcal. And the ratio of carbohydrate, protein, and lipid to energy intake was 72:14:14. 4. The patients were divided into three groups according to SGA performed by an observer. Group A(well nourished) was 55.7% with 49 patients, Group B(moderately malnourished) was 22.7 % with 20 patients, and Group C(severely malnourished) was 21.6 % with 19 patients. The three groups showed a significant difference in body weight(p<0.01), 1 month weight loss %(p<0.001), 6 months weight loss %(p<0.001), body mass index(p<0.01), and mid arm circumference(p<0.05), albumin(p<0.01), energy intake(p<0.05) as well as carbohydrate intake(p<0.05). From these results, it may be concluded that SGA can be used as a nutrition screening tool, and comprehensive nutrition assessment is desirable for those malnourished.