• 제목/요약/키워드: lower extremities

검색결과 789건 처리시간 0.029초

이중상 활막육종의 세침흡인 세포학적 소견 -1예 보고- (Fine Needle Aspiration Cytology of Biphasic Synovial Sarcoma - A Case Report -)

  • 김희경;진소영;이동화
    • 대한세포병리학회지
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    • 제14권2호
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    • pp.96-101
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    • 2003
  • Synovial sarcoma is a rare soft tissue tumor accounting for 5-10% of soft tissue sarcomas. Most arise in the extremities and trunk, and a small proportion occur in the abdominal wall, head and neck legion, and mediastinum. It manifests different phenotypic subtypes that render their cytologic evaluation challenging. Moreover, cytomorphologic description of the epithelial component of synovial sarcoma is rare in Korea. We report a case of biphasic synovial sarcoma on the right lower extremity in a 49-year-old woman diagnosed by fine needle aspiration cytology. The aspirate was moderately cellular and composed of a mixture of tissue fragments and dissociated cells with bland chromatin, inconspicuous nucleoli, and oval to spindle-shaped cytoplasm. Mitosis was rare. A monolayer sheet of epithelial component was seen. The cells in this monolayer sheet had more abundant distinct cytoplasm, round nuclei, and prominent micronucleoli. Histologic examination showed a biphasic pattern consisting of mostly sarcomatous stroma and a few small glandular areas at the periphery of the tumor.

New Fluid Flow System for Simulation of Mechanical Loading to Bone Cells During Human Gait Cycle

  • Ahn, Jae-Mok
    • 대한의용생체공학회:의공학회지
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    • 제28권3호
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    • pp.377-386
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    • 2007
  • Mechanical loading to bone cells using simple sine wave or constant wave fluid flow has been widely used for in vitro experiments. Human gait is characterized by a complex loading to bones of lower extremities which results from a series of events consisting of heel strike, foot flat and push-off during the stance phase of the gait cycle. Telemetric force analyses have shown that human femora are subject to multiphasic loading. Therefore, it would be ideal if the physiologic loading conditions during human walking can be used for in vitro mechanotransduction studies. Here, for a mechanotransduction study, we develop it fluid flow system (FFS) in order to simulate human physiologic mechanicalloading on bone cells. The development methods of the FFS including the COR (Center for Orthopedic Research), monitor program are presented. The FFS could generate various multiphasic loading conditions of human gaits with output flow. Wall shear distribution was very uniform, with 81 % of the effective loading area of the culture on a glass slide. Our results demonstrated that the FFS, provide a new translational approach for unveiling molecular mechanotransduction pathways in bone cells.

An approach to improve thickness distribution and corner filling of copper tubes during hydro-forming processes

  • GhorbaniMenghari, Hossein;Poor, Hamed Ziaei;Farzin, Mahmoud;Alves De Sousa, Ricardo J.
    • Structural Engineering and Mechanics
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    • 제50권4호
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    • pp.563-573
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    • 2014
  • In hydroforming, the general technique employed to overcome the problem of die corner filling consist in increasing the maximum fluid pressure during the forming process. This technique, in other hand, leads to other difficulties such as thinning and rupturing of the final work piece. In this paper, a new technique has been suggested in order to produce a part with complete filled corners. In this approach, two moveable bushes have been used. So, the workpiece moves driven by both bushes simultaneously. In the first stage, system pressure increases until a maximum of 15 MPa, providing aninitial tube bulge. The results showed that the pressure in this stage have to be limited to 17 MPa to avoid fracture. In a second stage, bushes are moved keeping the constant initial pressure. The punches act simultaneously at the die extremities. Results show that the friction between part and die decreases during the forming process significantly. Also, by using this technique it is possible to produce a part with reasonable uniform thickness distribution. Other outcomes of applying this method are the lower pressures required to manufacture a workpiece with complete filled corners with no wrinkling.

통증 치료실 10년간의 환자 현황 (10 Years Survey of Pain Clinic)

  • 이윤지;이상곤;김종일;반종석;민병우
    • The Korean Journal of Pain
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    • 제11권2호
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    • pp.283-287
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    • 1998
  • Background: Recently, pain clinic is attracting attention and interest of both physicians and laymen. It is the purpose of this article to analyze our 10 years' experience to seek and improve better protocol of treating pain. Methods & Materials: We analyzed retrospectively 11,235 patients who visited the clinic during 10 years from 1986 to 1996. Total number of hospital visits was 51,908. Male to female ratio was 35:65(3910:7325). Treatment modalities employed were SGB(stellate ganglion block), TPI(trigger point injection), etc. Results: Yearly distribution showed a gradual upward curve until 1992 and remains in a horizontal pattern thereafter. Of age distribution, 6th decades occupied the largest proportion(27.29%). As of disease entities, Low back pain & lower extremities pain comprised of the majority(34.01%) and the epidural block was most frequently given as a treatment. Conclusion: Pain clinic is improving rapidly as an important part of medical science in Korea and outpatients of clinic are on an increasing trend. So, anesthesiologists should be make every efforts to research for treatment of good quality.

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한국여성의 신체화 경향에 관한 조사 (A Study on Somatization in Korean Women)

  • 김진성
    • Journal of Yeungnam Medical Science
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    • 제11권2호
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    • pp.332-337
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    • 1994
  • 한국여성의 신체화 장애 정도를 평가하기 위하여 1993년 8월 1일 부터 1994년 1월 31일 까지 일반 여성 127명, 일반 남성 99명에게 DSM-III-R의 7-symptoms screening test를 적용한 결과 다음과 같은 결론을 얻었다. 신체화 장애군으로 분류된 여성은 13명(5.8%)으로 남성 3명(3.1%)보다 약 2.8배 많았다. 신체화 장애군으로 분류된 여성들이 많이 보인 증상은 사지의 통증(9명), 월경통(8명), 숨가쁨(7명), 기억상실(7명)등의 순서였다. 사회정신의학적 요인들과 신체화 증상의 빈도 사이의 관계를 살펴본 결과저학력인 경우, 배우자와 이별한 경우, 가족 분위기에 불만인 경우, 과거 현재 미래의 자아상에 대하여 불만인 경우, 현 재의 생활상태에 대하여 불만인 경우등에서 유의 하게 높은 수의 신체화 증상을 보였다.

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Congenital Cleft of Anterior Arch and Partial Aplasia of the Posterior Arch of the C1

  • Choi, Ji-Won;Jeong, Je-Hoon;Moon, Seung-Myung;Hwang, Hyung-Sik
    • Journal of Korean Neurosurgical Society
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    • 제49권3호
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    • pp.178-181
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    • 2011
  • Congenital anomalies in arches of the atlas are rare, and are usually discovered incidentally. However, a very rare subgroup of patients with unique radiographic features is predisposed to transient quadriparesis after minor cervical or head trauma, A 46-year-old male presented with a 2-month history of tremor and hyperesthesia of the lower extremities after experiencing a minor head trauma. He said that he had been quadriplegic for about 2 weeks after that trauma. Radiographs of his cervical spine revealed bilateral bony defects of the lateral aspects of the posterior arch of C1 and a midline cleft within the anterior arch of the atlas. A magnetic resonance imaging revealed an increased cord signal at the C2 level on the T2-weighted sagittal image. A posterior, suboccipital midline approach for excision of the remnant posterior tubercle was performed. The patient showed significant improvement of his motor and sensory functions. Since major neurologic deficits can be produced by a minor trauma, it is crucial to recognize this anomaly.

혈관질환의 수술요법 (Surgical management of vascular disease : Clinical experience of 127 vascular surgery)

  • 안혁;김용진
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.261-269
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    • 1987
  • From 1976 through 1986, authors have experienced 127 cases of peripheral vascular surgery which had been done in this department. There were 29 cases of atherosclerosis obliterances including 7 Leriche syndrome, 32 Buerger`s diseases, 25 arterial thromboembolisms, 21 vascular injuries, 2 peripheral arterial aneurysms, 2 renovascular hypertensions, 1 congenital A-V malformation, 13 varicose vein of lower extremities, and 2 Jugular venous ectasia. Cases with vena caval disease and aortic disease were excluded. The mean age of ASO and Buerger`s disease was 56.1 yrs, 33.8 yrs respectively. The male to female ratio showed marked male preponderance [27:2, and 30:2], and almost every male patient was smoker. The indication of operation was similar in both disease entities. The method of operation for ASO were bypass procedure [17], thromboendarterectomy [6], and lumbar sympathectomy [5], and for Buerger`s disease were mainly sympathectomy and few bypass procedures and amputations. Seventeen patients with ASO were followed from 3 to 75 month and overall patency rate for bypass or endarterectomy in one and two months and 2 1/2 yr were 93%, 87%, and 31% respectively. Post operatively patient`s symptoms was relieved or alleviated in almost ASO patients, and about 60% of Buerger`s disease. We concluded that in patient with ischemic limb, we must revascularized aggressively for symptomatic relief. And choice of graft for bypass procedure was to be evaluated further.

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하악 구치부 설측면에 발생한 혈관평활근종의 치험 1례 (ANGIOMYOMA OF THE LINGUAL ASPECT OF THE MANDIBULAR SECOND MOLAR: A CASE REPORT)

  • 최문경;윤규호;박관수;정정권;신재명;백지선;박지현
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권5호
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    • pp.500-504
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    • 2008
  • Angiomyoma is the vascular type of leiomyoma that the tumor cells are originated from vascular smooth muscle cells. It's frequently found in the subcutaneous tissues of the lower extremities. Such case of an angiomyoma within the oral cavity is rarely found. From a series of 7748 smooth muscle tumors of all types, only 0.06% were found in the oral cavity. This is a rare case of a young woman appeared with oral angiomyoma located in the left mandibular posterior region with plain radiograph, CT and histologic review.

노인여성의 계단 내려오기 시 무릎 관절 테이핑이 슬개대퇴 압박력에 미치는 영향에 관한 연구 (Study of Effects on Taping of Knee Joint for Patellofemoral Compressive Force During Stair Descent in Elderly Women)

  • 문곤성;김택훈
    • 한국전문물리치료학회지
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    • 제22권3호
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    • pp.12-22
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    • 2015
  • The purpose of this study was to investigate the effect of taping on knee joint for patellofemoral compressive force (PCF) during stair descent for elderly women. Ten healthy elderly women voluntarily participated in this study. A three-dimensional motion analysis system and force plates were used to analyze the movements of the joints for the lower extremities. The results were as follows: There were no significant differences for the maximum PCF, maximum quadriceps contraction force and maximum knee extension moment (p>.05) but, there was a pattern decreasing all values with the taping during stair descent. There were significant differences for the knee and ankle angle on the event of maximum PCF (p<.05) and there was a pattern decreasing all values with the taping during stair descent. Therefore, taping on the knee would be effective to relieve the pain like patellofemoral pain syndrome in the knee joint.

건설작업의 비정형적인 작업분석을 위한 체크리스트의 개발과 적용 (Development and Application of a Checklist for Analysis of Non-repetitive Work in Construction Industry)

  • 박희석;이윤근;옥동민
    • 대한인간공학회지
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    • 제29권3호
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    • pp.321-329
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    • 2010
  • Unlike production line works, construction work is non-repetitive in nature. In this study, a checklist was developed to characterize the ergonomic hazards of construction work. Eight existing checklists including OWAS, RULA, and REBA were integrated, and a new version was designed to include more postures of lower extremities. The analysis results obtained using the new checklist showed that manual materials handling (MMH) is the most common risk factor. About 62% of the MMH was done below the knee level or above the elbow level, and 22% was carried out with the trunk twisted more than $60^{\circ}$. The next risk factors were the works done with the knee bent or squatted, or with the shoulders abducted. It can be concluded that the new checklist is successful as a quick and easy tool for screening risk factors of construction works, although it is not capable of determining action levels. Further studies on validation of the checklist are expected.