• Archives of Plastic Surgery
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• v.49 no.1
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• pp.70-75
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• 2022

Background Fingertip injuries are very common; however, the reconstruction of volar pulp defects with nail bed defects is challenging in the absence of the amputated segment. We reconstructed fingertip amputations with nail bed defects using a new surgical approach: a subcutaneous flap and composite graft. Methods We treated 10 fingertip amputation patients without an amputated segment, with exposed distal phalangeal bone and full-thickness nail bed defects between February 2018 and December 2020. All patients underwent two-stage surgery: in the first stage, a subcutaneous flap was performed to cover the exposed distal phalanx, and in the second stage, a composite graft, consisting of nail bed, hyponychium, and volar pulp skin, was applied over the subcutaneous flap. Results All flaps survived and all composite grafts were successful. The wounds healed without any significant complications, including the donor site. The average follow-up duration was 11.2 months (range, 3-27 months). The new nail and the shape of the volar pulp were evaluated during follow-up. All patients were satisfied with their natural fingertip shapes and the new nails did not have any serious deformities. Conclusions A subcutaneous flap in combination with a composite graft fitting the shape of the defect could be another option for fingertip injuries without amputated segments.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.6C
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• pp.295-301
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• 2009

In general the stability of soil nail-slope system, the shear resistance is neglected because the tensile resistance of nail acts mainly for slope stabilization. This is because that deformed steel is generally used for nail and it does ductile behavior. In other side when the steel pipe with high rigidity is used for nail, the shear resistance at failure surface work more than deformed steel. In order to analyze effects of shear resistance at the soil nail-slope system with high steel piped nail, a series of numerical analyses were performed. Also numerical analyses at 3 conditions - 5 nailed, 7 nailed, 9 nailed at the same slope were perfomed for investigating the trend of shear resistance effect. From these 3D numerical analyses, it was found that the maximum shear resistances at each nails were larger in case of steel piped nail and because of this, the factor of safety at the condition of the steel piped nail appears larger than that of deformed steel nail.

• Archives of Plastic Surgery
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• v.50 no.6
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• pp.573-577
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• 2023

Pachyonychia congenita is a rare genetic disorder characterized by hypertrophic nail plates, hyperkeratotic nail beds, and thickened hyponychium of the fingers and toes, impairing manual dexterity and resulting in poor aesthetics. The current body of literature describes various treatment modalities, but no singular approach has been defined as the gold standard. In this case, the authors employed different surgical techniques for treating pachyonychia congenita to evaluate the most effective approach. A 3-year-old boy presented with hypertrophic nail growth involving all digits of both hands and feet. Three surgical procedures were performed on the patient's fingers and toes using germinal matrix excision (GME) alone, GME plus partial sterile matrix excision (pSME), or GME plus complete sterile matrix excision (cSME). The digits treated with GME + cSME exhibited no recurrence of nail growth. Those treated with GME alone exhibited recurrence of hypertrophic nail growth, although their growth slowed. Excision of GME + cSME prevented recurrence of hypertrophic nails, while GME alone or with pSME led to slower-growing hypertrophic nails. Complete excision of the germinal and sterile matrices with skin graft closure may be a definitive treatment for pachyonychia congenita, but further studies are needed to validate these findings.

• Mycobiology
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• v.31 no.2
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• pp.99-104
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• 2003

Bee propolis ethanolic extract with some plant essential oils was investigated for its antidermatophytic properties. The tested plant essential oils included jasmine, clove, lemon, Arabian jasmine, mint, rosa, olive and basil. The antidermatophytic activity has been compared to Naftifine-HCl and Clotrimazole used for dermatophyte treatment. Experimental model has been tested using sheep hoof plate for the in vitro tests to stimulate human nails. Mint, clove and basil with 4 mg/ml of bee propolis have a comparable efficacy to those of Naftifine-HCl and Clotrimazole. There is a great necessity for new effective low price and safe antidermatophyte agents to avoid recurrent infection. Propolis synergistic could be of great importance with essential oils of plants in dermatophyte therapy.

• Proceedings of the Korean Geotechical Society Conference
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• 1993.10a
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• pp.63-68
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• 1993

Soil nailing is a method of reinforcing natural deposits of soil with passive inclusions, called nails, of steel or other materials. Its purpose is mainly to increase the tensile and shear strength of the soil mass. This method has been widely used during the last two decades to stabilize steep slopes in several countries (France, Germany, USA, Japan, etc.). The design methods that have been mostly used are Davis method, German method, and French method which are based on limit equilibrium approaches, and Juran method which utilizes the kinematical limit equilibrium design concept. This paper is focussed on the evaluation of the available design methods(especially, the France, Davis and German design methods) through comparison with each different assumption for the failure surface, the concept of failure mechanism and the definition of safety factor. The parametric study to identify the effects of design parameters on the overall factor of safety has also been conducted. By considering the results along with the associated assumptions which have been postulated in the several methods, the applicability of the method for a given soil and nail conditions has been evaluated.

• Proceedings of the Korean Geotechical Society Conference
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• 1999.10a
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• pp.481-488
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• 1999

Recently a removable soil nail is demanded due to problems beyond of economical and engineering purpose. In this study controlled displacement and controlled force field pull-out tests are carried out 7 times in order to evaluate short-term and long-term pull-out characteristics of the removable soil nail. For evaluating application of removable soil nailing system, bending tests of removable soil nails and tensile tests of fixed sockets are carried out. In the removable soil nailing system, the predicted horizontal displacements from FLAC-2D are also compared with the field measurements occurred in stepwise excavation. And approach for the stability analysis of removable soil nailing system after removed is proposed.

• Journal of Nutrition and Health
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• v.12 no.4
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• pp.25-27
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• 1979

The analysis of nail nitrogen content reflected recent nutritional status. Therefore, estimation of nail nitrogen content has been previously reported in a small group of neonates ana school children. Nail samples were obtained from 52 economically middle and 21 low classes. The contents of nitrogen in their fingernails were determinded by micro-Kjeldahl method. Mean nail nitrogen content was $133.1{\pm}8mg/g$ in the middle class which is significantly higher than that of the low class $122.1{\pm}8mg/g$. The nitrogen contents of nails obtained in summer were found by analysis of variance and student's t-test to he lower than those obtained in winter.

• Proceedings of the Korean Geotechical Society Conference
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• 2005.10a
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• pp.689-697
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• 2005

The soil nailing system at permanent slope reinforcement is used with various facing methods in Korea. Also, pressure-injected grout technique is variously applied to many structures. However, most design of the pressure-injected grout technique have been carried out empirically because of complicated mechanisms associated with the behavior of surrounding soils and the hardening process of cement grout. Therefore this study, a newly modified soil nailing technology named as the PGSN (Pressure Grouting Soil Nailing) system with fabric form is developed to increase the global stability. Up to now, the PGSN system has been estimated mainly focusing on an establishment of the design procedure. In the present study, numerical study are carried out to evaluate potential failure surface and minimum factor of safety including facing stiffness and expanded radius of cemented grout by SSR (Shear Strength Reduction) technique. Also, results of numerical analysis are carried out for the typical section of soil nails slope using $FLAC^{2D}$ program for expanded effective radius by pressure grouting.

• Korean Journal of Oriental Medicine
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• v.13 no.1 s.19
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• pp.37-42
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• 2007

As the cholera was spread over the Joseon dynasty at 1821, Hwang Doyeon investigated the symptoms like diarrhea, vomiting, muscle cramp and so on, and he presented the cause of cholera as the damage of Primordial-gi caused by abnormal climate and Damp-heat made by taking inadequate foods. He regarded as of great importance the ordinary health condition by guessing the prognosis of the disease, and proposed how to make a diagnosis of dehydration by observing nails and toenails. To treat cholera, he presented the methods of Sipseon-bloodletting and Singwol-moxacautery, and mentioned compound herb remedies and single herbs like garlic etc. He wrote down Mulberry leaves and Argyi wormwood leaves as the preventor of cholera to emphasize the importance of prevention, and mentioned food contraindication in addition to keep from getting worse.

• Proceedings of the Korean Geotechical Society Conference
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• 2000.11a
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• pp.127-134
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• 2000

Soil nailing is in-situ ground improvement technique of reinforcing soils using passive inclusions for the purpose of slope stability. Also soil nailing, in general, was used and studied as a reinforcement technique at cut slope, but this paper presents the results of study for soil nailing application as a reinforcement technique at the banking over slided slope. In-situ pull-out tests of nails, instrumented with strain gauges, were performed to investigate the maximum pull-out load and to calculate the unit side resistance in each different layer. And the apparent average unit side resistance of this study was compared with that of other sites installed at cut slope.