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Subungual Exostosis of the Foot (족부의 조갑하 외골종)

  • Ahn, Jong-Chul;Shin, Duk-Seop;Shon, Oog-Jin;Choi, Joon-Hyuk
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.56-62
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    • 1999
  • Purpose : This study was conducted to analyze the clinical materials and treatment results of 13 cases of subungual exostosis. Materials and Methods : Thirteen subungual exostoses of the foot treated from January 1991 to December 1997 were studied. We analyzed the clinical data and results of treatment to identify the clinical characteristics of this disease. We investigated the location, shape and relation of exostosis to phalanx with simple x-ray of the foot to identify the radiological characteristics. All the cases were sent to pathologic examination after resection to determine the pathological characteristics. Results : The results of physical examination on presentation were various. Most cases were located at the dorsomedial side of the distal phalanx and were involved in the toe nail. Eleven cases were located at great toes and one each at the 2nd and 3rd toe. Causes of exostosis were not clear, but 2 cases were related to trauma. For the type of exostosis, 7 cases were sessile and 6 were stalk type. On histologic examination, 9 cases showed a cartilaginous portion with overlying proliferating fibrous tissue and underlying bone formation. There was a gradual maturation of spindle cell proliferation from cartilage to cancellous bone. The cartilage was moderately cellular with some pleomorphism, but true anaplasia was not present. Conclusion : The clinical presentation and findings of simple x-rays were most helpful in diagnosing subungual exostosis. Complete excision of the mass achieved complete relief of symptoms and recovery without recurrence in all cases.

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Bizarre Parosteal Osteochondromatous Proliferation in the Proximal Phalanx of the Third Toe: A Case Report (제3족지 근위지골에 발생한 기괴성 방골성 골연골성 증식증: 1예 보고)

  • Noh, Haeng-Kee;Jeon, Ho-Seung;Jeon, Seung-Joo;Moon, Chan-Sam;Kang, Seo-Goo;Song, Gyung-Sub
    • The Journal of the Korean bone and joint tumor society
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    • v.17 no.2
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    • pp.91-94
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    • 2011
  • Bizarre parosteal osteochondromatous proliferation (BPOP) otherwise known as Nora's lesion, is a benign surface tumor of the small tubular bone of the hands and feet with high probability of local recurrence. The report of BPOP in the foot is very rare in our country. We report a case of BPOP of proximal phalanx of right $3^{rd}$ toe in 44-year-old female, successfully managed by en-bloc marginal excision with a review of the literatures.

The Effect of Derotational Closing Wedge Akin Osteotomy for the Treatment of Hallux Valgus with the Pronation of Great Toe (무지의 회내 변형을 동반한 무지 외반증에서 폐쇄적 회외감염 Akin 절골술의 효과)

  • Moon, Gi-Hyuk;Ahn, Gil-Yeong;Lee, Yeong-Hyun;Nam, Il-Hyun;Lee, Jung-Ick
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.14-19
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    • 2008
  • Purpose: We tried to understand the effects of the derotational closing wedge Akin osteotomy during the operation for the hallux valgus with pronation of great toe. Materials and Methods: Eighty five patients who had undergone Akin osteotomy among the eighty seven patients who had been treated with Scarf osteotomy with hallux valgus were included in this study. Derotational supination was added on the medial closing wedge Akin osteotomy at the base of proximal phalanx and it was secured with K-wire, headless screw or staple. We measured and analyzed pre- and post-operative hallux primus valgus angle and hallux pronational rotatory angle. Results: The hallux primus valgus angle improved an average of $14{\pm}2.98$ degrees to $-1{\pm}1.68$ degrees with the hallux pronational rotatory angle respectively from $24.8{\pm}7.64$ degrees to $4.7{\pm}4.22$ degrees. Conclusions: After the metatarsal osteotomy for the treatment of the hallux valgus with the pronation of great toe, derotational closing wedge Akin osteotomy can give us a belief that it can correct the hallux primus valgus angle and hallux pronational rotatory angle also and it can be a helpful method for minimizing the recurrence rate of the hallux valgus deformity.

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Numerical Studies of Flow Across End-to-Side Distal Vascular Bypass Graft Anastomoses

  • Kim, Y.H.;Kim, J.H.;Shin, J.W.
    • Journal of Biomedical Engineering Research
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    • v.13 no.4
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    • pp.339-352
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    • 1992
  • A numerical simulation of the steady and pulsatile flow across the end-to-side anastomosis was performed In order to understand the role of flow dynamics in the preferential bevel opment of distal anastomotic intimal hyperplasla. The finite element technique was employed to solve two-dimensional unsteady pulsatile flow in that region. The results of the steady flow revealed that low shear stresses occur at the proximally occluded host artery and at the recirculation region in the Inner wall just distal to the toe region of the anastomosis. The nor- mal;zed wall shear rate was increased, as was the recirculation zone size in the host artery of the by-pass graft anastomosis, with increased anastomotic junction angle. In order to min imize the size of the low wall shear region which might result in the intimal hyperplasia in the by-pass graft anastomosis, a smaller anastomotic junction angle is recommended. The pulsatile flow simulation revealed flow that regions of low and ascillating mali shear do exist near the anastomosis as In the steady simulation. The shift of stagnation point depends on the pulsation of the flow. As the flow was accelerated at systole, the stagnation point moved downstream, disappered at early diastole and reappeared during late diastole. Low shear stress was also found along both walls of the occluded proximal artery. However, the diastolic flow behavior is quite different from the steady results. The vortex near the occluded artery moved downstream and inwardly during late systole, and disappeared during diastole. Recirculations proximal to the toe and heel regions were significant during diastole. Shear stress oscillation was found along the opposite wall. The results of the present study revealed that tow shear occurs at the proximally occluded host artery aud the recirculation region in the inner wall Just dlstal to the toe region of the anastomosis. The present study suggested that the regions of fluctuated wall shear stress wit flow separation is correlated with the preferential developing regions of anastomosis neointial fibrous hyperplasia.

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Experimental Study on the Slope Failure of Embankment (성토사면의 붕괴에 관한 실험적 연구)

  • 강우묵;이달원;지인택;조재홍
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.35 no.3
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    • pp.47-62
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    • 1993
  • The laboratorv model test was carried out to investigate the behavior of pore water pressure, the critical amount of rainfall for slope failure, the pattern of failure, and the variation of seepage line at the slope with the uniform material of embankment by changing the slope angles and rainfall intensities. The results were was summarised as follows : 1.At the beginning stage of rainfall, the negative pore pressure appeared at the surface of slope and the positive pore pressure at the deep parts. But, the negative one turned into the positive one as the rainfall continued and this rapidly increased about 50 to 100 minutes before the slope failure. 2.The heavier the rainfall intensity, the shorter the time, and the milder the slope, the longer the time took to reach the failure of slope. 3.As the angle of the slope became milder, the critical amount of rainfall for slope failure became greater. 4.Maximum pore water pressure was 10 to 40g/cm$^2$ at the toe of slope and 50 to 90g/cm$^2$at the deep parts. 5.In the respect of the pattern of slope failure, surface failure of slope occurred locally at the toe of slope at the A-soil and failure of slope by surface flow occurred gradually at the top part of slope at the B-soil. 6.As the rainfall continued and the saturation zone in the embankment was formed, the seepage line went rapidly up and also the time to reach the total collapse of slope took longer at the B-soil. 7.As the position of the seepage line went up and the strength parameter accordingly down, the safety factor was 2.108 at the A-soil and 2.150 at the B-soil when the slope occured toe failure. Minimum safety factor was rapidly down to 0.831 at the A-soil and to 0.936 at the B-soil when the slope collapsed totally at the top part of slope.

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The Education Program Model for the Thinking Extension Ability of the Gifted in Information Based on Game Tree (게임 트리에 기반한 정보영재의 사고력 신장을 위한 교육 프로그램 모형)

  • Jung, Deok-Gil;Kim, Byung-Joe
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2007.06a
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    • pp.310-314
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    • 2007
  • In this paper, we develop the thinking extension education program for the gifted students of information, and prove the validity and effectiveness of the proposed model by presenting the Tic-tac-toe problem as the practical example of the information-gifted students. This model consists of four phases which has the game tree as data structure and the search of game tree as control structure. And the search of game tree becomes the basis of the thinking extension education program. This model gives the help for students to learn representing the problem as tree structure and solving the problem of tree structure using the search method of game tree. The internal ability of the information-gifted for thinking extension of this education program contains the fluency, perceptiveness, originality, power of concentration, imaginative power, analyzing skills, pattern recognition, space sense, synthesizing, problem-solving.

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Influence of Bias Weight of Vibratory Pile Driver on Load Transfer Characteristics of Piles (진동타입기의 사하중이 말뚝의 하중전이 특성에 미치는 영향)

  • Lee, Seung-Hyun;Kim, Byung-Il
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.5268-5273
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    • 2013
  • Technique for analyzing pile installed by vibratory pile driver was developed and results of analysis obtained from variation of bias weight were studied. It can be seen from load transfer curve for dynamic skin friction that load transfer curve shift to downward as bias weight increases. Shape of load transfer curve for dynamic skin friction becomes closer to shape of coil as the bias weight decreases. Magnitudes of toe resistances were not affected by the bias weight. Shape of load transfer curve for dynamic toe resistance shows the similar tendency as the load transfer curve for skin friction exhibits. Vertical displacement increases as the bias weight increases and the shape of vertical displacement with time shows more distinct shape of wave.

Sesamoids and Accessory Bones of the Forefoot in Normal Korean Adults (정상 한국 성인의 전족부에서 관찰되는 종자골과 부골의 종류 및 빈도)

  • Rowe, Sung-Man;Lee, Keun-Bae;Park, Yu-Bok;Bae, Bong-Hyun;Kang, Kyung-Do
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.20-25
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    • 2005
  • Purpose: To determine the locations and incidences of sesamoids and accessory bones of the forefoot in normal Korean adults. Materials and Methods: The plain radiographs of the forefoot of 400 volunteers, 200 males and 200 females, were taken. The three orthopedic surgeons participated in the radiographic evaluation independently. Persons who had history of foot problem or injury were excluded. Results: Sesamoids of first metatarsophalangeal joint were nearly always present; medial 99% and lateral 100%. The bipartite sesamoid was more common in medial (9.8%) and in female (17.0%) than in lateral (0.3%) and in male (2.5%). Sesamoids of the interphalangeal joint of the first toe were seen in 35.8%. Sesamoids of metatarsophalangeal joints in other four toes were rarely observed. Their incidences were 5% in second toe, 0.8% in third, 0% in fourth, and 2.8% (lateral) and 7.5% (medial) in fifth. Sesamoids of interphalangeal joint in four lesser toes were not observed except two cases (0.5%) in the fifth toe. Accessory bone was very rarely observed. Os vesalianum was observed in five feet (1.3%), Os intermetatarseum in 14 feet (3.5%), and Os cuneo-metatarsal I tibiale in none. Conclusion: We determined the location and incidences of sesamoids and accessory bones of the forefoot, and we expected this to help to diagnose the forefoot problem.

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Monte-Carlo Tree Search Applied to the Game of Tic-Tac-Toe (삼목 게임에 적용된 몬테카를로 트리탐색)

  • Lee, Byung-Doo
    • Journal of Korea Game Society
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    • v.14 no.3
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    • pp.47-54
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    • 2014
  • The game of Go is one of the oldest games and originated at least more than 2,500 years ago. In game programming the most successful approach is to use game tree searches using evaluation functions. However it is really difficult to construct feasible evaluation function in computer Go. Monte-Carlo Tree Search(MCTS) has created strong computer Go programs such as MoGo and CrazyStone which defeated human Go professionals played on the $9{\times}9$ board. MCTS is based on the winning rate estimated by Monte-Carlo simulation. Prior to implementing MCTS into computer Go, we tried to measure each winning rate of three positions, center, corner and side, in Tic-Tac-Toe playing as the best first move. The experimental result revealed that the center is the best, a corner the next and a side the last as the best first move.

Methods to Reduce Greenhouse Gas for University Buildings to Make a Low-Carbon Green Campus - With Case Study on the 'E' University -

  • Song, Su Min;Peom, Sung Woo;Park, Hyo Soon;Song, Kyoo Dong
    • KIEAE Journal
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    • v.14 no.2
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    • pp.37-46
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    • 2014
  • University buildings are energy-guzzling facility that consume more than 10,000TOE within a campus annually. Even the consumption is on an upswing trend. Behind such high consumption are there cheap power rates for education facility, lack of high-efficiency equipment and ever-increasing use of various information equipment. Being keenly aware that greenhouse gas emission increases due to such rise of energy consumption, the present study carried out a case study. In the case study, the study chose the buildings of E university from top 10 universities that consume energy most in Seoul and examined the current status of their energy consumption and greenhouse gas emission. And then it set the reduction target of greenhouse gas by year. Putting aside a middle and long-termed strategy for later endeavor, it first established the 1st year's implementation plan (2014) for energy saving and greenhouse gas reduction with limited budget and according to greenhouse gas reduction target. The plan is specified as follows. Targets for energy saving are mainly divided into two sectors: machine equipment and electric equipment. 7 ideas were proposed. Three ideas to improve machine equipment are to replace with high-efficiency boilers and chillers and to adjust the position of the cooling tower. By doing so, it was estimated that energy could be saved by 176.34TOE in total and greenhouse gas could be reduced by 370.771t$CO_2$-eq. Four ideas to improve electric equipment include the replacement with LED lights, LED emergency lights and high-efficiency motors and the installation of motion sensors. It was calculated that such replacement could conserve 1,076.08TOE (electric energy) and reduce 2,181.420t$CO_2$-eq (greenhouse gas).