• Title/Summary/Keyword: shoulder girdle

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Vertical Axillary Muscle Sparing Thoracotomy in Thoracic Surgery (흉부 수술에 있어 수직액와 근육보존 개흉술의 적용)

  • Won, Tae-Hui;Seong, Suk-Hwan
    • Journal of Chest Surgery
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    • v.28 no.1
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    • pp.42-46
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    • 1995
  • Vertical axillary muscle sparing thoracotomy is newly appeared and excellent alternative method of standard posterolateral thoracotomy.It has many advantages compared to standard posterolateral thoracotomy , less postoperative pain, well preserved thoracic muscle strength, full range of motion of the shoulder girdle and attractive cosmetic results. We performed vertical axillary muscle sparing thoracotomy in 36 patients from November 1993 to July 1994. The ages of the patients ranged from 6 months to 71 years[mean 45.1 years , and the patients consisted of 20 males and 16 females.The preoperative diagnosis were as follows : lung cancer in 17 patients, tbc destroyed lung in 7, bronchiectasis in 3, bullous emphysema in 3 and the others are mediastinal tumor, bronchogenic cyst, lung abscess, empyema, esophageal diverticulum, and CCAM [congenital cystic adenomatoid malformation . The operative procedures were as follows : lobectomy and bilobectomy in 16 patients, segmentectomy in 4, wedge resection in 3, penumonectomy in 7, and the others were open biopsy, lobectomy with diaphragm excision, sleeve right upper lobectomy, decortication, mediastinal mass excision, and esophageal diverticulectomy. We had 6 complications : postoperative bleeding in 2 cases, operative wound infection, arrrhythmia[atrial fibrillation , Horner`s syndrome, hoarseness. The subcutaneous seroma occurred in 4 cases but did not require drainage and relieved within 4 weeks spontaneously. We concluded that vertical axillary muscle sparing thoracotomy could be done in most of all thoracic surgery with safety. Comparing to standard posterolateral thoracotomy vertical axillary muscle sparing thoracotomy has many advantages such as less postoperative pain, well preserved muscle strengths and good cosmetic results.

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A Osteological Study of Rhodeus uyekii (각시붕어(Rhodeus uyekii)의 골격학적 연구(硏究))

  • Kim, In-Ja
    • Korean Journal of Ichthyology
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    • v.9 no.1
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    • pp.130-140
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    • 1997
  • The osteological features of Rhodeus uyekii were examined. In this study, the detailed descriptions of cranium, vertebra and fin skeleton of Rhodeus uyekii are presented. R. uyekii had the following characteristics ; there was no fontanell in the cranium ; there was no process of supraethmoid ; the free interneural spine was large and flat ; the dorsal process of the supraoccipital was high and triangular ; the fourth infraorbital was reduced ; in the urohyal, the hypohyal attachment is bifurcated, the horizontal and vertical plate has a elongated rhombus shape with posterior edge pointed ; there was no coracoid foramen in the shoulder girdle ; there was no uroneural in the first preural centrum.

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Identification of Compound Heterozygous Alleles in a Patient with Autosomal Recessive Limb-Girdle Muscular Dystrophy (상염색체 열성 지대형 근이영양증 환자로부터 TTN 유전자의 복합 이형접합성 대립유전자의 분리)

  • Choi, Hee Ji;Lee, Soo Bin;Kwon, Hye Mi;Choi, Byung-Ok;Chung, Ki Wha
    • Journal of Life Science
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    • v.31 no.10
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    • pp.913-921
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    • 2021
  • Limb-girdle muscular dystrophy (LGMD) which is characterized by progressive muscle weakening of the hip and shoulder shows both dominant and recessive inheritances with many pathogenic genes including TTN. This study performed to identify genetic causes of a male patient with late onset (45 years old) autosomal recessive LGMD and atrial flutter. By application of the whole exome sequencing, we identified bi-allelic variants of TTN gene in the patient. One allele had a single missense variant of [c.24124G>T (p.V8042F)], while the other allele consisted of three missense variants of [c.29222G>C (p.R9741P) + c.67490A>G (p.H22497R) + c.75376C>T (p.R25126C)]. The p.V8042F allele was transmitted from his mother, while the other haplotype allele was putatively transmitted from his father. His two unaffected sons had only the p.R9741P. These variants have been not reported or rarely reported in the public human genome databases (1,000 Genome, gnomAD, and KRGDB). Most variants were located in the highly conserved immunoglobulin or fibronectin domains and were predicted to be pathogenic by the in silico analyses. The TTN giant protein plays a key role in muscle assembly, force transmission at the Z-line, and maintenance of resting tension in the I-band. In conclusion, we think that these bi-allelic compound heterozygous mutations may play a role as the genetic causes of the LGMD phenotype.

A Study of the Wearing Sensation and Wearing Way of the Under Wear (Under-Wear의 착용감과 착용방법에 관한 연구)

  • Im, Soon
    • The Research Journal of the Costume Culture
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    • v.6 no.4
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    • pp.26-38
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    • 1998
  • This paper is based on a survey of consumers 'opinions on underwears. The questions in the survey dealt with what materials were used to manufacture underwears, which underwears were worn together in combinations, and how comfortable underwears were. In addition, the respondents were asked about how many pieces of different underwears they posses. Through such research, this paper aims to provide a guide to manufacturing domestic underwears that are competitive against foreign bands. 336 women in their twenties, thirties, forties and fifties from Seoul and it's suburbs were surveyed. Statistical analysis was performed by calculating the average, frequency and standard deviation, and through one-way analysis and the Duncan test. The following are the results of the study : 1. Consumers were moderately satisfied with Korean-made underwears. In order to complete with foreign brands, products with high consumer-satisfaction levels must be produced. 2. Upper garments usually consisted of brassieres with shoulder straps and sleeveless shirts. For lower underwears, most people tended to wear panties under girdle, with garlets on top. This is most likely the resut of more people wearing slacks than skirts. 3. Consumer in their twenties had anaverage of 1.71 slips, while those in their thirties had 3.07, those in their forties and 3.25, and people in their fifties had 3.88 slips. Thus the number of slips a consumer possesses increases as age increases. for socks, people in their twenties had 7.4 pairs on average, those in their thirties had 5.5, those in their forties had 6.7, and those in their fifties had 5.3. Thus, those in their twenties possessed the most number of socks. Consumers in their twenties also had the largest proportion of socks among all the types of hosiery combined, with 47.1% of their hosiery being socks. 4. Consumers did tend to prefer cotton underwears, but according to the type of underwears, producting using mixed fabrics of cotton and synthetic fibers were also frequently worn. 5. The shape and form of underwear that consumers prefer in a ceratin time frame varies according to the latest fashion in outer wear. Therefore, planning design of underwear products by predicting the future trend of outer wear fashion is necessary.

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Prenatal diagnosis by direct DNA analysis in facioscapulohumeral muscular dystrophy (FSHD) families

  • Choi, Soo-Kyung;Lee, Je-Hyeon;Kim, Bong-Yoon;Kim, Hyung-Goo;Cho, Eun-Hee;Ryu, Hyun-Mee;Kim, Young-Joe
    • Journal of Genetic Medicine
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    • v.2 no.1
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    • pp.23-26
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    • 1998
  • Facioscapulohumeral muscular dystrophy (FSHD) is an autosomal dominant neuromuscular disorder which has been clinically shown to cause progressive weakness and result in atrophy of the facial muscles, shoulder girdle and upper arm muscles. The responsible gene for the FSHD has been located on chromosome 4q35-qter. The probes p13E-11 and pFR-1 detect DNA rearrangements associated with FSHD as under 28 kb DNA fragment in genomic southern analysis digested with EcoRI and the fragment contains 3.3 kb Kpn I tandem repeats. In this study, 4 fetuses with a family history of FSHD were analysed by genomic southern hybridization analysis with probes to determine whether they carried the deleted region. Of the 4 fetuses, three of them had mothers who were FSHD patients and the other one had a father affected with FSHD. After 10-11 weeks of gestation, we performed chorionic villi sampling and extracted DNA from uncultured and cultured tissue cells for the direct DNA analysis. The result of the southern analysis showed two fetuses having received about 15-18 kb of deleted genes from the father and the mother respectively, and found to be FSHD patients. The other two fetuses were shown to have two normal alleles from the parents and found to be normal. Two pregnancies which were determined to be normal were carried to term delivering two healthy babies.

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Effect of Trunk Flexion on Muscle Activity, Motion of Scapular and Scapulohumeral Rhythm (몸통 굽힘이 어깨위팔리듬과 어깨뼈의 움직임 및 근육 활성도에 미치는 영향)

  • Park, Seung-Kyu;Han, Song-E;Kang, Jeong-Il;Lee, Joon-Hee;Yang, Dae-Jung
    • Korean Journal of Applied Biomechanics
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    • v.21 no.2
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    • pp.243-252
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    • 2011
  • The purpose of this study was to determine the effect of trunk posture on muscle activity and motion of scapular and scapulohumeral rhythm. Thirty-one healthy subjects performed right-arm abduction and adduction along the frontal plane while standing in both upright and flexed posture of trunk. Scapular upward rotation, anterior tilting and internal rotation ware recorded using a motion analysis system and muscle activity of upper trapezius, lower trapezius and serratus anterior ware recorded using surface electromyography during abduction and adduction in both trunk postures. then, scapulohumeral rhythm was calculated. Scapulohumeral rhythm and scapular posterior tilting in flexed posture was significantly decreased than in upright posture. Also, muscle activity of lower trapezius in flexed posture was significantly increased and serratus anterior was significantly decreased than in general posture. The result of this study revealed that flexed posture of trunk altered the muscle activity and kinematic of scapular. Measurement of trunk posture should be included the evaluation of dysfunction and disorder of shoulder girdle since rehabilitation of trunk posture is important to restore of upper limbs function.

Study on Osteological Characteristics of Acanthorhodeus gracilis (가시납지리 (Acanthorhodeus gracilis)의 골격학적 연구(硏究))

  • Kim, Ik-Soo;Kim, In-Ja
    • Korean Journal of Ichthyology
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    • v.10 no.2
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    • pp.231-240
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    • 1998
  • The characteristics of cranium, vertebral column and fin supports of Acanthorhodeus gracilis were examined. The fish did not have a fontanell in cranium nor process of supraethmoid. It had double orbitosphenoids and a basioccipital process developed from anterior portion of basioccipital. It had a high and triangular dorsal process on supraoccipital. In the urohyal, hypohyal attachment was bifurcated and horizontal and vertical plate were in an elongated rhombus shape with posterior edge pointed. It had teeth of 1-rowed, 5/5 and 4 free teeth. The fish did not have a coracoid foramen on shoulder girdle. It does not have a uroneural on ural centrum. It had a long and slender posterior process of pelvic bone. It had a large and flat supraneural. The fish had 14 or 15 interneural spines, of which the 1st, 2nd, 3rd and 4th had single basiosts and the rest had double basiosts. It had 11 or 12 interhemal spines, of which the 1st, 2nd, 3rd and 4th had single basiosts and the rest had double basiosts.

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Backpack Palsy (배낭으로 인한 상완 신경총 마비)

  • Yoon, Oong-Yong;Lee, Kyu-Yong;Lee, Young Ju;Kim, Hee-Tae;Kim, Juhan;Kim, Myung-Ho
    • Annals of Clinical Neurophysiology
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    • v.3 no.2
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    • pp.143-146
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    • 2001
  • Background : Backpack palsy was described in military personnel with shoulder girdle and proximal upper extremity symptoms, predominantly motor in nature related to the use of heavy backpack. Currently, backpack were used for sports, transporting school books and child carriers. We evaluated clinical and electrophysiological feature of backpack palsy. Methods : We included 11 patients with brachial plexopathy as a result of wearing a heavy backpack on long distance marches. All patients were done routine blood sampling, chest X-ray, C-spine X-ray and electrophysiological studies. Results : All patients were right handed person and were not as having a thoracic outlet syndrome. Sensory changes were main initial symptoms and major persistent symptoms were motor weakness. 9 patients(81.8%) were damaged the brachial plexus on non-dominant side, 1 patient was dominant and 1 patient was bilateral involvement. 10 patients(90.9%) were damaged to upper trunk of the brachial plexus by EMG findings. The prognosis was good, 10 patients(90.9%) were complete recovery during 8 weeks, 1 patient was developed reflex sympathetic dystrophy confirmed by 3-phase bone scan. Conclusions : Depression of the clavicle and costoclavicular space probably plays a certain role in pathogenic mechanism. The non-dominant side is more frequently affected, probably due to underdevelopment of the musculature in that side.

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Fracture of the Second Rib: An Indirect Sign of Serious Trauma Like Fracture of the First Rib?

  • Michail Tsimpinos;Dimosthenis Chrysikos;Theano Demesticha;Maria Piagkou;Theodoros Troupis
    • Journal of Chest Surgery
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    • v.56 no.6
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    • pp.431-434
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    • 2023
  • Background: The first 3 ribs are anatomically well-protected, shielded by the large thoracic muscles, the shoulder girdle, and the arm. A significant force is required to fracture these ribs; thus, such fractures suggest a high-energy trauma and are associated with injuries to vital organs of the thorax, such as the aorta, the heart, the lungs and the great vessels. Methods: A retrospective analysis was conducted over a 10-year period at a single hospital. The study assessed patients with fractures of the second rib, including their concurrent injuries and the overall severity of their trauma. Results: Among the 76 patients included in the study, the average age was 47.35 years, 81.5% were men, and 19.5% were women. Thirteen patients (17.1%) survived their injuries. The most common causes of injury were road traffic accidents (63%) and pedestrian injuries (22%). The patients who did not survive sustained injuries to an average of 5 additional organs, while survivors had injuries to an average of 2.07 additional organs. Left rib fractures were the most frequently observed (46%). The most serious concurrent injuries reported were to the aorta (5.26%), heart (10.52%), lung (52.36%), head (57.89%), liver (30.2%), spleen (26.31%), and kidney (17.1%). Conclusion: As indicators of serious injury to vital endothoracic organs, isolated fractures of the second rib should be considered equal to first rib fractures in clinical importance.

Ostelogical Development of Larvae and Juveniles of Hyporhampus sajori (Teleostei: Hemiramphidae) (학공치, Hyporhampus sajori (Temminck et Schlegel) 자치어(仔稚魚)의 골격 발달)

  • Lee, Seung-Ju;Kim, Yong-Uk;Han, Kyeong-Ho
    • Korean Journal of Ichthyology
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    • v.13 no.3
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    • pp.173-180
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    • 2001
  • The fertilized eggs of Hyporhampus sajori (Temminck et Schlegel) were collected on the shore of Youngil Bay, Phohang-shi, Korea, on May 27, 1991, and were hatched and reared in the laboratory to investigate osteological development of larvae and juveniles. The newly hatched larvae were 7.00~8.50 mm (mean 7.80 mm, n = 5) in total length (TL) and had an ossified cranium, visceral skeleton and shoulder girdle bones. At 8 days, the larvae had attained 10.07~14.75 mm (mean 13.07 mm, n = 5) in TL had elongated dentaries anteriorly, and their vertebral columns were posteriory ossified. At 14 days, the larvae had attained 17.62~19.35 mm (mean 19.20 mm, n = 5) in TL, had ossified pterygiophores, and 41 slender ribs on the vertbrae. At 16 days, the larvae were 18.90~24.72 mm (mean 23.00 mm, n = 5) in TL and had three ossified epurals. Ossification of the jaw bone and operculum of the newly hatched larvae, which was related to feeding and respiration was almost completed 37 days after hatching.

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