• Archives of Plastic Surgery
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• 제36권4호
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• pp.450-457
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• 2009

Purpose: The second toe PIP joint free flap is a method of reconstruction used for abnormalities of the PIP joint of the finger. We report the results of the additional tenolysis in patients with a difference between passive ROM and active ROM after second toe PIP joint free flap. Methods: From March 2001 to July 2008, tenolysis was performed in patients with a difference in their active and passive ROM after second toe PIP joint free transfer, performed on 14 fingers. We performed a retrospective analysis of the medical records, noting the clinical and radiological findings. In addition, we measured the preoperative and postoperative range of motion of the PIP joint. Results: The average active ROM was $22.5^{\circ}$ at the three months after the joint transfer surgery, and was $38^{\circ}$ after additional tenolysis between five months and twelve months after the joint transfer. Conclusions: Additional tenolysis, after the second toe PIP joint free flap, might be a good option for improved results in patients with difference in active and passive ROM of a transferred PIP joint.

• Archives of Plastic Surgery
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• 제41권5호
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• pp.550-555
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• 2014

Background Nipple reconstruction following breast mound reconstruction is the final step in breast reconstruction. Although nipple reconstruction is a simple surgery, the psychological aspects of nipple reconstruction are thought to be important. Nipple projection is a key factor in determining patient satisfaction with the surgery. In the present study, the Hammond flap technique was introduced for nipple reconstruction. Methods Twenty-six patients who had undergone breast reconstruction from February 2008 to March 2012 were enrolled in this prospective study. All patients were evaluated based on preoperative photos, and their nipple diameters and heights were measured. Postoperative evaluation was conducted 3, 6, 9, and 12 months following nipple reconstruction. A questionnaire on patient satisfaction with the nipple reconstruction was administered 12 months after nipple reconstruction. Moreover, the same plastic surgeon scored nipple projection and overall cosmetic result of the new nipple. Results The mean projection was 4.4 mm (range, 3-6 mm), and it well matched the contralateral nipple. Twelve months following nipple reconstruction, the mean reduction rate in the nipple projection was 43.6%. Patients were satisfied or very satisfied with the nipple projection and the overall cosmetic result in 80.7% cases. Conclusions In the present study, compared with other techniques, the use of the Hammond flap technique in nipple reconstruction showed competitive results with regard to nipple projection and patient satisfaction.

• 대한임상검사과학회지
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• 제38권2호
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• pp.141-146
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• 2006

Vagal nerve stimulation (VNS) has been proposed as a possible way to improve the control of refractory epilepsy. We report the effects following VNS treatment in patients with refractory epilepsy. Seventeen patients with a mean age of 12.8 years, ranging from 5 to 29 years, underwent the implantation of vagal nerve stimulation (Cyberonics, Houston, TX). We reviewed the clinical findings before and after VNS in seizure frequency, number of antiepileptic drugs (AED), and quality of life (QOL). All of the patients had intractable seizures, eleven of the patients had additional medical complications, three had hippocampus atrophy, one had encephalomalacia, five had encephalitis, one had pachygyria, and one had schizencephaly. Thirteen patients had symptomatic partial epilepsies, three patients had Lennox-Gastaut syndrome and one had cryptogenic partial epilepsy. The mean follow up duration was 35 months. The mean reduction of seizure frequency compared with baseline before VNS was 26.1% after 3 months (p<0.005), 41.9% after 6 months (p<0.001), 46.9% after 1 year (p<0.001), and 53% at the latest follow-up (p<0.001). Twelve patients showed an improvement of QOL such as mood, language, alertness, expression, and motor function. The most common side effects were transient hoarseness or voice change or cough, which was detected in six patients (35%) and wound infection in one patient (5%). This study has shown a good anti-seizure effect of VNS, decrease in seizure frequency and improvements in QOL. We concluded that VNS is a beneficial therapy in refractory epilepsy with a non-resectable epileptic focus. Further studies should be focused on the prediction of unresponsiveness and the adjustment of VNS parameters for maximum efficacy in patients with various medical histories.

• 대한가정학회지
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• 제44권9호
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• pp.77-87
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• 2006

This study focused on a premarital counseling program and examined its effectiveness. The program consisted of eight sessions and was conducted with twelve premarital couples: six in the experimental group and six in the control group. The results were as followings. First, the premarital counselling program influenced the relationships of the premarital couples such as communication, sexual attitude, conflict solution, financial management, openness, interpersonal trust, and intimacy. Second, the male group significantly improved more than the female group in the areas of communication, conflict solution, and sexual attitude. The effects of the program continued to be effective after three months.

• Asian-Australasian Journal of Animal Sciences
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• 제10권2호
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• pp.206-209
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• 1997

The effect of supplementation of Jackfruit (Artocarpus heterrophyllus) tree leaves and mashkalai (Vigna mungo) barn on the intake and digestibility of freshly cut common grass by Black Bengal goats was evaluated. Twelve castrated goats of approximately 5-6 months age were randomly allocated to three dietary treatments: freshly cut common grass ad libitum, common grass+100g Jackfruit tree leaves and common grass+100g mashkalai bran. Although digestibilities of dry matter, organic matter, nitrogen and neutral detergent fibre were very similar in the grass alone and mashkalai bran supplemented goats but the values were significantly (P < 0.01) higher than those observed in the Jackfruit leaves supplemented goats. Supplementation of mashkalai bran promoted higher (p < 0.05) digestible nutrients intake with the consequent higher daily live weight gain (75 g) than those fed grass alone (31 g). It could be concluded that mashkalai bran could be a suitable supplement for goats consuming common grass in the tropics and subtropics.

• 한국산림과학회지
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• 제89권4호
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• pp.497-501
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• 2000

12년생 양버즘나무와 sweetgum을 대상으로 l년 동안 월별 벌목하고 3년과 5년 후에 맹아지의 성장을 조사하였다. 5, 6, 7월에 벌목 발생한 맹아지의 평균 건중량은 다른 달에 벌목 발생한 맹아지의 평균 건중량에 비하여 벌목 3년 후 양버즘나무는 36%, sweetgum은 24% 정도 적었다. 벌목 5년 후에는 그 차이가 각각 23%와 14%로 감소하였다.

• Journal of Chest Surgery
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• 제24권2호
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• pp.135-142
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• 1991

From January 1980 to December 1989, thirteen patients underwent operation for ventricular septal defect associated with aortic insufficiency in Kyungpook national university hospital. Ten male and three female patients ranged in age from 3 years to 25 years, with an average age of 11.5 years. Aortic cusp prolapse was found in eight cases[61.5%]. The aortic regurgitation was classified by Sellers` method with grade I in 2 cases, grade II in 9 cases, and grade III in 2 cases. Direct suture or patch repair of ventricular septal defect was performed through the right ventricle. Eight cases were treated only by closure of VSD, 3 cases by plication, but two of the letter were reoperated due to the persistent of aortic regurgitation and fungal endocarditis respectively. Aortic valve replacement were performed in 2 cases at the first operation. There was only one late death[7.7%], which was caused by postoperative fungal endocarditis. Follow-up for twelve patients except one death were followed up for 3 months to six years after operation. Residual aortic regurgitation was noted in six cases[46.2%], but the postoperative course of them were uneventful.

• Journal of Acupuncture Research
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• 제34권1호
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• pp.81-87
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• 2017

Objectives : Chronic post-thoracotomy pain is a refractory condition that responds poorly to existing pain treatments. The aim of this report is to describe favorable symptom changes in a patient with chronic post-thoracotomy pain after major chest trauma who received a series of manual acupuncture treatments over 3 months. Methods : Twelve sessions of manual acupuncture were provided to the patient, once or twice a week. Results : The manual acupuncture sessions were well tolerated. Minor adverse events, including temporary minor bleeding at the needled sites, were intermittently observed. The patient's symptoms, including pain, sleep disturbance, and anxiety gradually resolved and had almost completely disappeared after 12 sessions of acupuncture treatment. Conclusion : This single case report cannot confirm whether the observed positive changes in the patient's symptoms and dysfunctions are associated with the acupuncture treatments. Randomized controlled trials are necessary to explore the role of acupuncture in chronic post-thoracotomy pain in patients with major chest trauma.

• Journal of Chest Surgery
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• 제16권4호
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• pp.485-491
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• 1983

From July 1966 to July 1983, sixteen atrial myxomas in fifteen patients were seen at Severance Hospital. Fifteen of the sixteen myxomas were located in the left atrium and one in the right atrium. All the cases except three were correctly diagnosed preoperatively. Presently, M-mode and two-dimensional echocardiography are utilized as safe, reliable, and noninvasive imaging modalities. Echocardiography provided an accurate diagnosis in twelve cases since November 1977. In all cases, myxoma were excised successfully. On patient had reoperation and mitral valve replacement on postoperative first day due to persist mitral regurgitation after excision of left atrial myxoma. One patient had recurrence requiring reoperation 37 months after primary operation. Follow up results of each patient were excellent.

• Journal of Applied Biological Chemistry
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• 제42권2호
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• pp.97-99
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• 1999

Endophytic fungi from Ginkgo biloba and Taxus cuspidata in Korea were screened for production of taxol. Eighteen and twelve fungal isolates from G. biloba and T. cuspidata, respectively, were shown to produce immunologically detectable amount of taxol. The highest production of taxol at 260 ng/l was achieved by stationary culture of an Alternaria isolate from G. biloba. The strain also produced unidentified antifungal agent(s) against Pythium ultimum. However, the activity gradually decreased when the strain was stored at $4^{\circ}C$ for 6 months.