• Archives of Plastic Surgery
• /
• 제34권3호
• /
• pp.352-357
• /
• 2007

Purpose: The coverage of distal soft tissue defects and bony exposure of the lower extremity has long been recognized to be difficult clinical problem. Covering with a local skin flap is usually impractical because of the extensive and deep crush, hence free flap has been used commonly for the coverage of the wound. Although it can provide good results, it has many disadvantages. Designing an adipofascial flap raised on perforating vessels of the posterior tibia artery is a reliable and simple method to perform, and it can solve these problems. Methods: From May 2005 to May 2006, 8 patients underwent reconstruction of lower leg defects utilizing various type of the posterior tibial artery perforator adipofascial flaps. The flap provided a durable and thin coverage for the defect, as well as a well vascularized bed for skin grafting. Results: The flap size ranged $15-80cm^2$, and skin graft was done for the recipient site. The flap were successfully used for the lower extremity reconstruction in most cases. Minor complications occurred in 4 cases. There was no functional disability of the donor site with esthetically pleasing results. Furthermore, these flaps were both easy to raise and insured sufficient arterial blood supply. Conclusion: We believe there are many advantages to this posterior tibial artery perforator adipofascial flap and that it can be highly competitive to the free flaps in the lower extremity reconstruction.

• Archives of Reconstructive Microsurgery
• /
• 제22권2호
• /
• pp.52-56
• /
• 2013

Purpose: We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and 9 months to evaluate the survival rate, neurosensory function and cosmesis in final results. Materials and Methods: From January 1999 through October 2012, we have performed iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defect (average around $3.6{\times}2.4cm$) in 7 cases and average age was 41.6 years (21.5 to 59.0 years). Lesion site was posterior heel in 4 cases, distal anterior leg in 3 cases. Donor structure was the dorsalis pedis artery and the first dorsal metatarsal vessel and deep peroneal nerve in 3 cases and the dorsalis pedis artery and the first dorsal metatarsal vessel in 4 cases. Results: Seven cases (100%) were survived and defect area was healed with continuous dressing without skin graft. The sensory function in the neurovascular flap was restored to normal in 3 cases. Cosmesis was good and fair in 7 cases (85.7%). Conclusion: Ipsilateral dorsalis pedis vascularized pedicle flap in the distal leg and foot is one of the choice to cover the exposed bone and soft tissues without microsurgical procedure.

• 한국의류학회지
• /
• 제23권5호
• /
• pp.667-671
• /
• 1999

The purpose of this study was to determine the number of skin cold receptor in Korean adult as a part of the study to investigate thermal physiological characteristics of Korean. For this 10 healthy subjects were placed in a climatic chamber and received cold stimulation of 1$0^{\circ}C$ on skin surface of each measuring site with a thermo-stimulator. As a result of cold spot measurement we found 23 points/cm2 at face 13. points/cm2 at chest 16 points/cm2 at abdomen 11 points/cm2 at back 14 points/cm2 at upper arm 16 points/cm2 at forearm 18 points/cm2 at back of the hand 15 points/cm2 at thigh 8 points/cm2 at leg 12 points/cm2 at dorsum of foot 8 points/cm2 at sole of foot in male subjects and in female subjects we fund 18 points/cm2 at face 13 points/cm2 at forearm 11 points/cm2 at at back of the hand 8 points/cm2 at palm 9 points/cm2 at thigh 6 points/cm2 at leg 8 points/cm2 at dorsum of foot 2 points/cm2 at sole of foot. The distributions of cold spots varied in different regions of the body surface and was exceptionally dense in the facial skin. There were some differences among other researchers' results but the cause of those differences are not yet known those are due to individual or methodological difference.

• 한국가금학회지
• /
• 제20권2호
• /
• pp.93-105
• /
• 1993

본 연구는 31 일령 broiler 병아리에 297 nm의 자외선을 조사하여 경과시간에 따라 다리의 피부를 채취하고 previtamin D$_3$(PreD$_3$), lumistero1$_3$(고), tachysterol$_3$(T$_3$), Vitamin D$_3$(VD$_3$) 및 provitaminD$_3$ (PreD$_3$) 함양을 측정코저 실시되었다. Broiler Hubbard계통 1일령 병아리 82수(2조사시간$\times$9 경과시간$\times$4회복＋10대조구)를 무창약등 육계사에 넣고 VD-결핍사료로 315간 사육한 후 조사선양 0.204mJ/$ extrm{cm}^2$ (30분 조사) 또는 0.409mJ/$\textrm{cm}^2$(60분 조사)로 UVB 등을 조사하였으며 0, 6, 12, 18, 30, 42, 66, 90또는 138시간 후에 다리의 피부를 채취하였다. 9% ethyl acetate/n-hexane으로 처리하여 지질을 추출하였으며 Sep-Pak silica cartridge로 정제한 후 순상 HPLC로 PreD$_3$, L$_3$, T$_3$, VD$_3$ 및 ProD$_3$의 함양을 분석하였다. UVB를 조사하지 않은 대조구 병아리의 다리 피부중에는 PreD$_3$, L$_3$, T$_3$, VD$_3$가 검출되지 않았으며 PreD$_3$ 함양은 966$\pm$89ng/$\textrm{cm}^2$이었다. 0.204 또는 0.409mJ/$\textrm{cm}^2$(30분 또는 60분) .조사시 다리 피부중 PreD$_3$의 mole %(절대함량 ng/$\textrm{cm}^2$)는 열사직후 각각 4.67%(44ng/$\textrm{cm}^2$) 또는 3.97%(37ng/$\textrm{cm}^2$)이었으며 시간이 경과됨에 따라 점차 감소되었다. 병아리의 다리 피부 면적은 25.81$\pm$0.50$\textrm{cm}^2$이었으며 다리 피부전체에서 합성된 PreD$_3$는 각각 0시간대에 961ng/$\textrm{cm}^2$, 738ng/$\textrm{cm}^2$이었다. 다리 피부중의 은 0시간 경과 시 각각 1.24%(12ng/$\textrm{cm}^2$) 또는 0.92%(9ng/$\textrm{cm}^2$)이었으며 시간이 지남에 따라 점차 감소되었다 함량은 각각 0.58%(5ng/$\textrm{cm}^2$) 또는 0.57%(6ng/$\textrm{cm}^2$)이었으며 역시 시간의 경과와 더불어 감소되었다. VD$_3$함량은 0시간대에 각각 2.13(21ng/$\textrm{cm}^2$) 또는 0.97%(16 ng/$\textrm{cm}^2$), 12시간대에 4.30%(33ng/$\textrm{cm}^2$) 또는 6.40%(76ng/$\textrm{cm}^2$)을 나타내었고 0.204mJ/$\textrm{cm}^2$ 조사시에는 18시간대에, 0.409mJ/$\textrm{cm}^2$ 처리시에는 30시간 후에 최고치를 보였다 PreD$_3$가 VD$_3$로 열전환되는데 각각 18 또는 30시간이 소요된다는 것을 시사한다. 다리 피부중의 PreD$_3$함량은 0시간대에 각각 948또는 815ng/$\textrm{cm}^2$이었으며 대조구의 ProD$_3$ 함량 966ng/$\textrm{cm}^2$에 비하면 18 또는 151ng/$\textrm{cm}^2$의 PreD$_3$가 PreD$_3$, L$_3$, T$_3$ 및 VD$_3$이성화된 것이다. mole %로 보았을 때는 각각 8.63%, 6.43%가 광합성물로 전변 된 것이다 결논적으로 자외선을 2배 .무사하였을 때 VD$_3$등 광생성물이 2배는 아니지만 더 많이 생성된다는 것이 증명되었다.

• 대한족부족관절학회지
• /
• 제9권2호
• /
• pp.216-219
• /
• 2005

We report a patient who presented with three months of foot pain, lytic navicular bone lesions in the foot, and a painless ipsilateral leg skin ulcer. Bone and skin biopsies revealed organisms compatible with Blastomyces. Systemic blastomycosis is very rare, especially with bone involvement in the foot.

• 대한기계학회논문집A
• /
• 제22권4호
• /
• pp.768-778
• /
• 1998

Human beings usually absorb a shock from terrain during walking through the damping effects of joints, muscles and skin. With this analogy, a robot-leg with a shock absorber is built to absorb the impact forces at its foot during high-speed walking on irregular terrain. To control the hip position while walking, the dynamic controller suitable for high speed walking is designed and implemented based on a dynamic model by Kane's equation. The hip position tracking performances of various controllers (PID controller, computed torque controller and feedforward torque controller) are compared through the experiments of the real robot-leg.

• 한국의류학회지
• /
• 제21권2호
• /
• pp.314-324
• /
• 1997

The purpose of this study was to evaluate the thermoregulatory response level on the heat and cold tolerance with investigating monthly changes of skin temperature in Koreans and to obtain the basal information for standard amount of clothing weight, indoor climate and working condition. Forty eight subjects in 5 age groups (6~11, 12~19, 20~44, 45~64, 65~76 years old) with both sexs were taken from Seoul and Kyunggi probince. All subjects were measured skin temperature, mean skin temperature, Total clothing weight in neutral condition in each month from June 1994 to May 1995. The results obtained are summarized as follows: 1. Skin temperature of all subjects was low on February, March and April, and was high on June, July and August. Temperatures of the torso (forehead and abdomen) and the lower limbs (leg and foot) were remarkably different. In general, most of skin temperatures except of hand, thigh and foot were higher in males. 2. Mean skin temperature was 0.5'c higher in males than female with ranging 32.5~34.5$^{\circ}C$ in males and 32.1~34.1$^{\circ}C$ in females. Also, mean skin temperature of 6~11 age group were higher than that of 45~ 64 age group in both sexs.

• 한국생활환경학회지
• /
• 제16권2호
• /
• pp.89-100
• /
• 2009

본 연구는 최대하 부하 트래드밀 운동과 간헐적 부위별 인체 냉각 시 심부와 말초 부위의 동적 체온조절을 관찰하기 위해 고안되었다. 이를 위해 총 다섯명의 남자 피험자가 세 가지 실험 조건, 머리와 손 냉각 조건(HH cooling), 다리 냉각 조건(Leg Cooling), 냉각하지 않는 대조군(Control)에 참여하였고, 모든 실험은 기온 24±1℃와 습도 50±5%RH로 유지되는 인공기후실에서 수행되었다. 피험자들은80%HR_max의 트래드밀 운동과 이어지는 회복 스케쥴을 두 번 반복하였고, 인체 부위별 냉각은 15℃의 물이 순환하는 액체 냉각모자, 장갑, 다리를 덮는 형태의 담요를 이용하여 회복 시에만 적용되었다. 본 연구 결과, (1) 직장온도(T_re)는 세 조건 간에 유의한 차이를 보이지 않았다; (2) 피부온도는 부위별로 특징되어지는 다양한 체온조절 현상을 보였다. 특히, 운동의 시작 시점에서 보이는 피부온도의 초기 하강은 주로 가슴, 넓적다리, 종아리, 손가락 피부 온도에서 관찰되었으며, 이 중 손가락 온도(T_fing)에서의 초기 하강 현상은 매우 현저했다. (3) 피부 온도가 초기 하강을 보이는 동안 T_re는 점점 증가했다. (4) 두 번째 운동 시작 시 T_fing에서의 초기 하강 규모는 Control 조건에서 평균 4.8℃, HH cooling 조건에서는 5.1℃, Leg cooling 조건에서는 3.4℃로, 통계적으로 유의한 차이를 보였다(p<0.05). 초기 하강 현상을 보인 시간은 Control 조건에서 평균 8.1분으로 HH cooling 조건에서는 7.9분, Leg cooling 조건에서는 6.3분보다 길었으나 통계적 차이는 발견되지 않았다. 결론적으로, 트래드밀 운동의 개시기에 관찰된 피부온도 하강 현상은 인체 심부의 온열 상태의 진행과는 반대되므로, 비 온열적 요인을 반영한다. 특히, T_fing에서 초기 하강의 규모는 인체 부위별 냉각에 의해 영향을 받았다. 따라서, 말초 부위의 피부온도 하강 현상은 운동 중 피부면의 온열 상태 예측 시 주의깊게 고려되어져야 한다.

• 한국수의병리학회지
• /
• 제1권2호
• /
• pp.153-156
• /
• 1997

This is the first recorded case of Sarcoptes scabiei in a Korean female raccoon confirmed by light and scanning electron microscopies. Grossly the skin on the abdomen head and legs was markedly thickened with alopecia and encrustation. histopathologically skin showed epidermal hyperplasia with spongiotic degeneration and parakeratosis. Ectoparasites were present in superficial and deep epidermal layers. Small numbers of leukocytes predominantly neutrophils were associated with the parasitic infestation. Scanning electron microscopy examination of affected skin scraping demonstrated round to oval parasitic mites measuring approximately 180 -250 x 220 - 350 um in size. The mites possessed four pairs of legs of which the two anterior pairs appeared relatively long with unjointed stalks while the two posterior leg pairs were rudimentary. these morphological features were consistent with Sarcoptes scabiei.

• 한국의류학회지
• /
• 제1권2호
• /
• pp.59-64
• /
• 1977

The effects of skirt length on warmth retentivity were examined by measuring skin temperature on several parts of the leg warm differency length of skirts in the chamber which controlled at $-7\pm1^{\circ}C$ and $85\%$ R.H. The results were obtained as follows: 1. The high correlative efficients were found between the length of skirt and the warmth retentivity. Little warmth retentivity was found in a mini-skirt. 2. The skin temperature was dropped gradually lower nearing the ankle. 3. The skin temperature was also dropped immediately when the skin was exposed to the cold air, and showed a gradual fall.