• Clinics in Shoulder and Elbow
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• v.16 no.2
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• pp.148-152
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• 2013

We report a case of simultaneous anterior and posterior interosseous nerve syndrome in association with shoulder arthroscopy. Shoulder arthroscopy was performed in a 45-year-old male patient with left shoulder instability. In the right lateral decubitus position, under general anesthesia, traction was applied with elbow extension for 2 hours. One week after surgery, the patient revisited the clinic for weakness of the flexor of the thumb, index finger, and extensor of the fingers. Recovery was not achieved after four months of observation. Therefore, nerve exploration was performed in the anterior and posterior interosseous nerve and hourglass-like fascicular constriction was detected in the posterior interosseous nerve. The area of constriction was removed and epineural neurorrhaphy was performed. Three months after exploration, the extension function of the fingers was recovered. Recovery was achieved gradually, and, five months after nerve exploration, the symptoms were completely recovered. Simultaneous anterior and posterior interosseous nerve syndrome following shoulder arthroscopy is rare. However, it could occur due to the traction and position of the patient. Thus, the operator should be careful of traction and position of the patient.

• Archives of Reconstructive Microsurgery
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• v.18 no.2
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• pp.62-66
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• 2009

Purpose: Despite the free tissue transfer using microsurgical technique being the current trend of soft tissue reconstruction of the hand, the pedicled groin flap has the advantage to provide coverage for the mangled hand without necessitating the use of a damaged arterial system and also providing the benefit of saving the arterial system for later free tissue transfer. This report presents the author's experience using pedicled groin flap in four cases of mangled hands with massive bone and soft tissue defects requiring later thumb reconstruction with the free wrap around flap. Materials and methods: The patients' age ranged from 30 to 51 years; three patients were male and one was female. The causes of mangled hand included two machinery crush injuries, one laboratory explosion and one motor vehicle accident. While evaluating the post-operative results, factors like flap survival, complications, stability in opposition, pinch power and 2 point discrimination were taken into account. Results: All massive soft tissue defects of the hands were completely covered with pedicled groin flap successfully. The reconstructed thumb using free wrap around flap did not have any limitation in opposition. There was no occurrence of post-operative infection and all the flaps survived completely. The average pinch power was 70% of the contralateral intact thumb and average 2 point discrimination was 10 mm. Conclusion: The pedicled groin flap for the reconstruction of the massive soft tissue defects of the hand with subsequent reconstruction of the thumb with a wrap around flap is a very useful procedure. The combined use of pedicled groin flap and wrap around flap allows adequate coverage of sizable soft tissue defects and functional thumb opposition in cases of reconstruction of the mangled hands.

• Korean Journal of Ecology and Environment
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• v.48 no.1
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• pp.38-50
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• 2015

Appearance patterns of freshwater fish were investigated in the western Demilitarized Zone (DMZ) adjacent areas near Imjin River in Gyeonggi-do, Korea, of 2014. A total of 61 species belonging to 14 families were found in the river during the survey. The dominant and subdominant species were Zacco platypus (Relative abundance, 20.3%) and Zacco koreanus (12.6%), respectively. Other abundant species include Rhinogobius brunneus (9.2%), Pungtungia herzi (4.4%), Acheilognathus yamatsutae (4.4%), and Pseudogobio esocinus (4.0%). Among the residing species, 24 species (39.3%) were endemic to Korea; and 1 species, Carassius cuvieri, was non-indigenous species. Hemibarbus mylodon is a natural monument, and Lethenteron reissneri, Acheilognathus signifer, Pseudopungtungia tenuicorpa, Gobiobotia brevibarba, G. macrocephala, and G. naktongensis are endangered species in Korea. In addition, Anguilla japonica and Plecoglossus altivelis are catadromous and amphidromous species, respectively. Among the investigated sites, the lower part of Sami Stream (St. 5, 6) and Gunnarm-dam region (St. 11, 14) are particularly valuable for the conservation of species diversity, because many fish species (33~42 species) including a natural monument and several endangered species inhabit in these regions.

• Journal of Korean Foot and Ankle Society
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• v.20 no.4
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• pp.152-157
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• 2016

Purpose: To evaluate the effect of shortening scarf osteotomy on pain relief and range of motion (ROM) of the first metatarsophalangeal joint in hallux rigidus patients. Materials and Methods: Twenty-three cases of 19 patients who had been treated with shortening scarf osteotomy for the hallux rigidus between January 2007 and December 2013 were reviewed. The mean follow-up period was 21.4 months, and the mean age was 59.2 years. The first metatarsal bone was shortened until the ROM of the first metatarsophalangeal joint was greater than $80^{\circ}$ or $40^{\circ}$ of dorsiflexion. The length shortened by scarf osteotomy was measured. The authors also measured and compared the joint interval difference of the standing foot using an anteroposterior radiography. Moreover, the difference of ROM of the first metatarsophalangeal joint between the preoperative and final follow-up periods was also compared. The clinical results were evaluated and compared using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and visual analogue scale (VAS) score. Results: The mean shortening length was about 6.5 mm (range, 4~9 mm). The joint space has been increased to 1.8 mm, and the ROM of the first metatarsophalangeal joint has also been increased to $18.4^{\circ}$ after the operation. In three cases, the postoperative ROM has been decreased to less $10^{\circ}$. The AOFAS score has been improved from 41.7 (range, 32~55) to 86.2 (range, 65~95), and the VAS score was also decreased from 3.7 (range, 3~5) to 1.3 (range, 0~3). Two cases have shown no decrease in pain even after the operation. Conclusion: Shortening scarf osteotomy was found to decrease joint pain by decompressing the pressure of the first metatarsophalangeal joint. This osteotomy also helped improve the ROM of the first metatarsophalangeal joint. Shortening scarf osteotomy can be considered one of the effective methods for joint preservation.

• Journal of Korean Foot and Ankle Society
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• v.23 no.4
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• pp.166-172
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• 2019

Purpose: This study evaluated the clinical and radiological results after reinforcement of the weakened medial joint capsule using Internal Brace (Arthrex) for treating severe hallux valgus. Materials and Methods: This study reviewed 56 cases of 50 patients that were followed-up postoperatively for at least 12 months, from September 2017 until August 2018. An extended distal chevron osteotomy combined with a distal soft-tissue release was performed by a single surgeon to treat severe hallux valgus. Internal Brace was applied in 12 cases (group A) who had weakened medial joint capsules, and capsulorrhaphy was performed in 44 cases (group B), and these two groups were compared postoperatively for the clinical and radiological results. The postoperative complications were also investigated. Results: No significant differences at 1-year follow-up on the Manchester-Oxford Foot Questionnaire and the patients' satisfaction scores were found between the two groups (p=0.905 and p=0.668, respectively). For the radiology, the changes of the values between before surgery and at 1-year follow-up according to the group showed no significant differences in the hallux valgus angle, intermetatarsal angle, and the hallux interphalangeal angle (p=0.986, p=0.516, p=0.754, respectively). Recurrence of hallux valgus was reported in two cases in group A, and in three cases in group B. Transfer metatarsalgia occurred in 4 cases in group B. Conclusion: Based on these results, we recommend the capsule reinforcing technique using Internal Brace as a successful operative option for treating a weakened medial capsule in patients with severe hallux valgus.

• Journal of Korean Foot and Ankle Society
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• v.23 no.4
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• pp.159-165
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• 2019

Purpose: This study investigated the recurrence rate after performing hallux valgus correction using scarf and Akin osteotomy, and also identified the correlation and cut-off values of both the preoperative and postoperative radiographic parameters as risk factors for the recurrence of hallux valgus. Materials and Methods: We reviewed 87 hallux valgus patients (122 feet) who received scarf and Akin osteotomy from January 2007 to August 2015. The clinical outcomes were evaluated using the visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores. The radiological outcome measures included the hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) as determined on the serial weight bearing radiographs. Recurrence was defined as more than 20 degrees of HVA noted on the final follow-up radiograph. Those radiological factors associated with recurrence were evaluated and analyzed. Results: The mean follow-up duration was 20.6 months (12.0~46.5 months) and the mean age was 44 years (13~80 years). The VAS and AOFAS scores were significantly improved at the time of the final follow-up (7.0 to 2.0, p<0.001; 78.0 to 92.0, p<0.001; respectively). Significant corrections in the HVA, IMA, and DMAA were obtained (p<0.001). Eleven (9.0%: 11/122) cases experienced recurrent hallux valgus deformity. The postoperative IMA, DMAA and HVA showed significant moderate to strong correlation with HVA at the final follow-up (Pearson correlation coefficient: 0.44, 0.70, and 0.88, respectively; p<0.001). Postoperative HVA>16.7 degrees, postoperative DMAA>13.9 degrees, and postoperative IMA>8.2 degrees showed statistically significant correlation with radiological recurrence at the last follow-up, and the odds ratio of each variable was high in order. Conclusion: Our radiographic results indicated that postoperative HVA>16.7 degrees, postoperative DMAA>13.9 degrees, and postoperative IMA>8.2 degrees can be risk factors for hallux valgus recurrence. These risk factors may be helpful for modifying surgical procedures and preventing the recurrence of hallux valgus.

• Korean Journal of Child Education & Care
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• v.18 no.1
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• pp.169-192
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• 2018

This study aims to investigate the changes of their recognition and childcare practices before and after the training for disability awareness targeting class teachers in inclusive childcare setting. Subjects of this study were 9 teachers and the data was collected from 3 focus group (3 persons per group) and personal interviews in case of study needs. The results of this study are as follows: childcare teachers appealed ignorance and fear of children with disabilities before learning to improve their disability awareness, and have learned from the non-prejudiced attitudes of non-disabled children. The need for understanding and knowledge of children with disabilities was high, and they voluntarily and actively participated in the education for the improvement of disability awareness. Since participating in education, teachers have shown changes in perceptions of children with disabilities and changes in the way they practice childcare for disabled children. As regards cognition, teachers have become more interested in and understanding of children with disabilities and have tried to treat them equally with non-disabled children. Regarding the practice of childcare, they practiced the integrated program together with the non-disabled child and the disabled child through cooperative partnership. They also provided the disability awareness education to the non-disabled children and provided the partial integrated childcare program flexibly in one class according to the situation. The results of this study were analyzed and discussed about the general childcare teachers' experience related to the education for improving disability recognition and caring at childcare setting.

• Korean Journal of Environment and Ecology
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• v.27 no.1
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• pp.22-29
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• 2013

This research was carried out for revealing the co-relationships between insect-pollinators and the plant species of Labiatae and Umbelliferae, insects visiting in flower and the flowers in Korea, were studied from April 2010 to August 2012. The sum of flower visiting degrees in Labiatae are shown 21 in Hymenoptera, 16 in Lepidoptera, and the lowest 1 in Diptera and Coleoptera, respectively. The sum of flower visiting degrees in Umbelliferae are shown 27 in Diptera, 24 in Hymenoptera, 21 in Coleoptera, and 13 in Lepidoptera, respectively. 17 pollinator species visited the flower of Angelica gigas, next 15 pollinator species did the flower of Agastache rugosa, 13 pollinator species did the flower of Prunella vulgaris var. lilacina. 13 pollinator species foraged on the flower of Peucedanum terebinthaceum. and then 11 pollinator species on the flower of Angelica dahurica. Only 1 pollinator species visited the flower of Clinopodium chinense var. grandiflora and Isodon excisus. Pollinators of Coleoptera and Diptera visit more frequently to the flowers of Umbelliferae than those of Labiatae. Pollinators of Lepidoptera and Diptera visit more frequently white flower than purple one. This study found out that mutualistic relations between plants and insect pollinators in Korea.

• Korean Journal of Food Science and Technology
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• v.8 no.2
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• pp.113-118
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• 1976

For this study, from July to December in 1975, the total of 160 samples of packaged ice creams(75 samples of carton, 50 samples of cone, and 35 samples of bar), manufactued by five different plants, were collected at markets in Seoul city area. And the chemical composition and microbial quality of those were analyzed and compared with each other samples. The results obtained are as follows: 1. The average milk fat contents of ice cream samples were 6.28% in carton, 6.42% in cone and 4.94% in bar. 2. The average total solid contents of ice cream samples were 33.45% in carton, 34.22% in cone and 29.46% in bar. 3. The average total protein contents of ice cream samples were 3.45% in carton, 3.16% in cone and 2.42% in bar. 4. The average milk solids-not-fat contents of ice cream samples were 10.46% in carton, 8.52% in cone and 7.72% in bar. 5. The average milk lactose contents of ice cream samples were 6.42% in carton, 5.57% in cone and 4.94% in bar. 6. The average crude ash contents of ice cream samples were 0.86% in carton, 0.78% in cone and 0.67% in bar. 7. The average Reichert-Meissl values of ice cream samples were 28.82 in carton, 27.85 in cone and 25.97 in bar. 8. In the both experiments of standard plate count and coliform count, the samples of ice cream in cone and carton showed lesser numbers than those in the form of bars. Of a total 160 samples examined, 6 samples gave standard plate counts of over 40,000/ml and 14 samples gave coliform counts of over 10/ml.

• Korean Journal of Food Science and Technology
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• v.8 no.3
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• pp.161-171
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• 1976

The meat samples of carp (Cyprinus carpio, Linne) and rainbow trout (Salmo gairdnerii) packaged in aluminum pouches with polyethylene adjuvant were exposed to gamma radiation of doses up to 1.5 Mrad for the purpose of determining optimum dose range required to bring about a significant storage-life extension at refrigerated temperatures. The maximum permissible dose for carp was determined to be 1.5 Mrad and that for rainbow trout 0.2 Mrad, while the optimum dose was 0.25 Mard and 0.05 Mrad, respectively. By irradiating them at each optimum dose, the practical storage-life of carp could be extended from one week to five at both $0^{\circ}\;and\;5^{\circ}C$ and that of rainbow trout from one week to 3-4 weeks at $0^{\circ}C$ and from 3 days to 14 days at $5^{\circ}C$. The carp meat suffered from extensive drip loss during the post-irradiation storage and it could be reduced effectively by dipping the samples into 10% polyphosphate solution prior to the radurization treatment. The rainbow trout was highly radiosensitive, while carp appeard to one of promising species to be radurization treated for the purpose of extending storage-life at refrigerated temperatures.