• Journal of Korean Foot and Ankle Society
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• v.12 no.2
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• pp.163-167
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• 2008

Purpose: To evaluate the incidence of avascular necrosis (AVN), prognostic reliability of the Hawkins sign, and clinical outcomes after operative treatment of fracture and dislocations of the talar neck. Materials and Methods: We analysed 16 patients with fracture and dislocations of the talar neck which were treated by open reduction and internal fixation and followed up for more than 2 years. The postoperative radiographs were examined for Hawkins sign and avascular necrosis was confirmed by bone scan. The assessment of clinical results was based on the Hawkins scoring system. Results: AVN was occurred in 2 of 16 cases (12.5%) only in type III. Hawkins sign was found 11 of 16 cases (68.8%), which included 8 cases in type II, 2 cases in type III and 1 case in type IV. The Hawkins sign was not observed in two cases with AVN. In contrast, only 2 of the 5 cases with a negative Hawkins sign developed AVN. According to Hawkins scoring system, 4 patients (25.0%) was in excellent, 7 patients (43.8%) in good, 4 patients (25.0%) in fair and 1 patient (6.3%) in poor. Conclusion: Incidence of AVN after operative treatment of fracture and dislocations of the talar neck was lower than that of previous reports. Hawkins sign had a high prognostic reliability, but absence of Hawkins' sign should not be considered a totally reliable indicator of development of avascular necrosis.

• Journal of Korean Foot and Ankle Society
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• v.12 no.2
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• pp.174-179
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• 2008

Purpose: We evaluated the clinical results of the intraarticular calcaneal fractures treated using Ollier approach by inexperienced orthopaedic surgeon. Materials and Methods: Between August 2003 and May 2007, Of the total 46 cases, 12 cases (9 patients) of displaced intraarticular calcaneal fracture who underwent open reduction and internal fixation using Ollier approach were evaluated. The means of age was 50.5 years. According to the Sanders classification, there was no type I case and 8 cases of type II, 1 case of type III, and 3 cases of type IV. We evaluated the treatment result by assessing radiologic parameters ($B{\ddot{o}}hler$ angle, Gissane angle, and calcaneal height/width) and clinical outcomes (VAS and AOFAS score). Results: The means of follow-up period was 25.3 months. The means of B.hler angle was improved from $2.4^{\circ}$ to $26.1^{\circ}$. Radiologic and clinical union was achieved in all cases without additional procedures. Excellent result were noted in 2 cases, good in 5 cases, fair in 4 cases, and poor in 1 case. We experienced 2 cases of minor complications; 1 case of mild wound infection and 1 case of hypoesthesia on foot dorsum. Radiologic findings of subtalar arthritis were present in 2 cases. Conclusion: Ollier approach seems to be helpful to inexperienced orthopaedic surgeons for the treatment of intraarticular calcaneal fractures in that it enables them to achieve considerable clinical outcomes without serious complications.

• Journal of Korean Foot and Ankle Society
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• v.17 no.2
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• pp.143-149
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• 2013

Purpose: Open reduction and internal fixation of calcaneal fracture using plate has been used. While numerous plates have been manufactured, most of the conventional plates are designed for westerners, realistically the size is larger for Korean. The domestic products, on the other hand, often have the undesirable screw holes and path. Therefore, we measured the radiologic parameter of Korean calcaneus for providing the plate and screw hole placements. Materials and Methods: We measured the outer lines and angles with over the 20 years old 291 females and 322 males. A: Length of inferior plane of calcaneus, B: Length of anterior plane of calcaneus, C: Length from line A to sinus tarsi, D: Length from line A to posterior point of posterior facet, E: Length from line A to calcaneal tuberosity, F: Length of posterior facet, G: Length from anterior point of line A to C, H: Length from line C to line D, a: Angle between A and B, b: Gissane angle, c: Bohler angle, d: Calcaneal pitch angle using Marosis m-view$^{(R)}$. Results: Mean A, B, C, D, E, F, G, H were 63.6, 26.4, 23.2, 43.7, 40.5, 26.9, 12.8, 18.1 mm. Mean a, b, c, d angle were 105.8, 122.4, 32.4, $20.5^{\circ}$. Male's calcaneus is significantly bigger than female's (p<0.001). Conclusion: AP calcaneus length 63.6 mm, maximal height 43.7 mm is considered to be helpful in making the Korean calcaneal plate.

• Journal of Korean Foot and Ankle Society
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• v.21 no.4
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• pp.151-155
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• 2017

Purpose: Reducing tenderness or pain on the ankle joint and improving the range of motion are thought to be possible using hyaluronate-based anti-adhesive agents. On the other hand, there are more aspects to be studied regarding the incidence of complications, such as resting pain, tenderness, and stiffness, after surgery. Therefore, the aim of this study was to prove the effectiveness of the agents after ankle fracture surgery. Materials and Methods: Patients, who underwent open reduction and internal fixation surgery due to ankle joint fractures from June 2015 to May 2016, were studied prospectively. Thirty patients of them received a $Guardix^{(R)}$ injection during their surgeries and were included in the injection group. The other 30 patients were included in the control group. Postoperatively, tenderness on the scar, a delay in wound healing, and the active range of motion were evaluated at 2, 6, and 12 weeks after surgery. Results: A significant difference in tenderness on the scar was observed 2 weeks after surgery. On the other hand, there was no significant difference at 6 and 12 weeks after the surgery. The agent-using group showed a 6.7% delay in wound healing and a 93.3% nondelaying. In the non-using group, the delay was 63.3%, while non-delay was 36.7% (p<0.001). The group that underwent $Guardix^{(R)}$ usage showed an effective result in the visual analogue scale, which was statistically significant (p<0.001). The result at 6 and 12 weeks after surgery showed a significant difference. Conclusion: Improvement was observed in the patients who underwent a $Guardix^{(R)}$ injection, regarding the range of motion, visual analog scale, and healing of the wound postoperatively.

• The KSFM Journal of Fluid Machinery
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• v.5 no.1 s.14
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• pp.49-54
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• 2002

HANARO, 30 MW of research reactor, was installed at the depth of 13m in an open pool. The $90\%$ of primary coolant was designed to pass through the core and to remove the reaction heat of the cote. The rest, $10\%$, of the primary coolant was designed to bypass the core. And the reactor coolant through and bypass the core was inhaled at the top of chimney by the coolant pump to prevent the radiated gas from being lifted to the top of reactor pool. But, the part of core bypass coolant was not inhaled by the reactor coolant pump and reached at the top of reactor pool by natural convection, and increased the radiation lovel on the top of reactor pool. To reduce the radiation level by protecting the natural convection of the core bypass flow, the hot water layer (HWL, hereinafter) was installed with the depth of 1.2 m from the top of reactor pool. As the HWL was normally operated, the radiation level was reduced to five percent ($5\%$) in comparing with that before the installation of the HWL. When HANARO was operated at a higher temperature than the normal temperature of the HWL by operating the standby heater, it was found that the radiation level was more reduced than that before operation. To verify the reason, the heat loss of the HWL was calculated by Visual Basic Program. It was confirmed through the results that the larger the temperature difference between the HWL and reactor hall was, the more the evaporation loss increased. And it was verified that the radiation level above was reduced mote safely by increasing the capacity of heater.

• 유체기계공업학회:학술대회논문집
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• 2001.11a
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• pp.221-226
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• 2001

HANARO, 30MW of research reactor, was installed at the depth of 13m of open pool, The $90\%$ of primary coolant was designed to pass through the core and to remove the reaction heat of the core. The rest $10\%$, of the primary coolant was designed to bypass the core. And the reactor coolant through and bypass the core was inhaled at the top of chimney by the coolant pump to protect that the radiated gas was lifted to the top of reactor pool. But, the part of core bypass coolant was not inhaled by the reactor coolant pump and reached at the top of reactor pool by natural convection and increased the radiation level on the top of reactor pool. To reduce the radiation level by protecting the natural convection of the core bypass flow, the hot water layer (HWL, hereinafter) was installed with the depth of 1.2m from the top of reactor pool. As the HWL was normally operated, the radiation level was reduced to five percent ($5\%$) in comparing with that before the installation of the HWL. When HANARO was operated with higher temperature than the normal temperature of the HWL by operating the standby heater, it was found that the radiation level was more reduced than that before operation. To verify the reason, the heat loss of the HWL was calculated. It was confirmed through the results that the larger the temperature difference between the HWL and reactor hall was, the more the evaporation loss was increased. And it was verified that the radiation level above was reduced more safely by increasing the capacity of heater.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.33 no.6
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• pp.631-635
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• 2007

Purpose: The classic technique for open reduction of subcondylar fractures is the submandibular approach. The aim of this study was to evaluate clinical result of retromandibular approach to displaced subcondylar fractures. Material and methods: During a period of 24months we perfomed a prospective study with a retromandibular approach in 23 patients with displaced subcondylar fractures. In this article we describe clinical result in 23 patients with follow ups for 3 months after surgery. Preoperatively all patients had malocclusion and radiology demonstrated displacement. Result: The retromandibularl approach for ORIF was good in all case. Mouth opening(M/O) was 49mm. Occlusion was good too. Permanent facial nerve palsy was not detected. Conclusion: Our findings indicate that the retromandibular approach is a safe technique for subcondylar fractures.

• Human Ecology Research
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• v.58 no.3
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• pp.447-461
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• 2020

This study explores how the COVID-19 pandemic has changed family life and relationships as well as how these changes affect perceived stress among married men and women. This study investigated changes in family time use, household work, child care, leisure activities, income and expenditures along with relationships between spouses and children using a sample of 627 married persons surveyed online from May 19 to 25, 2020. The results showed that the amount of time spent on household work, child care, and family leisure have increased and that the perceived burden of household work and child care has also increased. Gender differences were found in time use, household work, and child care. Leisure activities have changed toward more time watching TV or online media and playing online games and less time on outdoor activities, shopping, and meeting friends. About 38% of respondents reported a reduction in household income and 22% reported an increase in household debt. The majority experienced no change in the quality of relationships with spouses and children, approximately 20% of the sample reported a positive change in relationships with spouses and children. The findings of multivariate regression indicated that change in work time, negative change in household economy, negative change in household work and negative change in relationships with spouses were associated with marital stress. However, this study found that negative changes in child care and in relationships with children did not affect stress among married parents with children in elementary or secondary school.

• Journal of Plant Biotechnology
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• v.30 no.2
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• pp.135-141
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• 2003

Peroxiredoxin(Pix) are large family of peroxidases that reduce alkyl hydroperoxides and hydrogen peroxide. A cDNA clone (referred to as swPrxl) encoding Pix was from a sweetpotato cDNA library constructed from suspension-sultured cells, and its expression was investigated in terms of stress. The swPrxl contained an open reading frame (ORF) encoding mature protein of 193 amino acids with calculated molecular mass of 20.8kDa. The predicted amino acid sequence of swPrxl has two conserved cysteines that are essential resicues for the reduction of peroxides. It showed high amino acid sequence homology ot PixIIF of Arabidopsis (77%) and putative Prx of rice(72%). RNA gel-blot analysis showed that swPrxl gene was expressed dominantly in leave among intact tissues, and also highly detect in suspension-cultured cells. Interestingly, the level of swPrxl transcripts was almost the same regardless of the growth stage in suspension culture. Furthermore, the transcription level of swPrxl gene was not significantly changed in response to various stress treatments such as wounding, extreme temperature and stress-related chemicals RT-PCR analyses.

• Journal of Preventive Medicine and Public Health
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• v.41 no.4
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• pp.255-264
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• 2008

Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.