• Clinical and Experimental Pediatrics
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• 제57권6호
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• pp.292-296
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• 2014

The deletion of the distal long arm of chromosome 1 is associated with a characteristic facial appearance and a pattern of associated malformations. Characteristic manifestations include a round face with prominent 'cupid's bow' and downturned corners of the mouth, thin vermilion borders of lips, a long upper lip with a smooth philtrum, a short and broad nose, epicanthal folds, apparently low-set ears, micrognathia, microcephaly, abnormal hands and feet, variable cardiac or genital anomalies, moderate to severe mental retardation, and growth retardation. Using fluorescent in situ hybridization (FISH) analysis to map precisely the deletion, we present a case of chromosome 1q44 deletion with craniofacial characteristics, multiple congenital anomalies, and growth and psychomotor retardation. In comparison with other reported cases of 1q43-44 deletion, the subject does not show hydrocephalus, seizure, syn- or polydactyly of hands, and a urogenital anomaly. However, an arachnoid cyst, pinpoint dimple on the midline of the forehead, a right-sided supernumerary nipple and auricular pit, polydactyly of the right foot, adducted thumb, and flexion restriction of the proximal interphalangeal joint with a simian line in both hands were observed additionally.

• Journal of Chest Surgery
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• 제13권3호
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• pp.312-318
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• 1980

The first case was a 20 year old female who has been suffered from epigastric pain, and anorexia for 2 years. A thumb tip sized pulsion diverticulum 4cm above the esophagocardial junction was elicited by esophagogram and on exploration. A diverticulectomy with long esophagocardiomyotomy was performed. The second case was a 30 year old house wife who has had postprandial epigastric pain for 2 months accompained with frequent vomiting. Fiberscopy and esophagogram showed epiphrenic diverticulum of the esophagus. Same operative procedures were carried out and obtained a good result as first case. The third case was a 55 year old house wife who was admitted to this Chest Surgery Department because of regurgitation and intermittent vomiting for approximately 3 months. Esophagogram showed a large epiphrenic diverticulum of the esophagus. On exploration, a tennis ball sized pulsion diverticulum was found on the anterolateral wall of the esophagus. A partial esophagectomy including the diverticulum and esophagoesophagostomy was performed. The specimenshowed some erosive changes of the mucosal surface of the diverticulum and also the esophagus suggestive of diverticulitis and esophagitis. She has been satisfactory result until 4 months postoperatively, when she developed regurgitation and epigastric pain. Esophagogram showed stenosis of the operative site. Readmission and esophageal dilatations were done and improved without any problem. Epiphrenic or supradiaphragmatic diverticulum of the esophagus is a rare condition. Pathophysiologically, the conditions accompanied the spasm of the esophagus, many authors prefered the procedures of a diverticulectomy plus long esophagocardiomyotomy rather than simple diverticulectomy or esophagectomy and esophagoesophagostomy. Here we report the cases and reviewed the literatures.

• Animal Systematics, Evolution and Diversity
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• 제36권2호
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• pp.123-127
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• 2020

This paper reports four species of Erebidae from the southern part of Korea: two Boletobiinae, Honeyania ragusana (Freyer, 1845), Enispa masuii Sugi, 1982, one Hermininae, Adrapsa ablualis Walker, 1859, and one Arctiinae, Stictane rectilinea (Snellen, 1879). Honeyania ragusana can be distinguished by the following: a blackish dot on the apex of the forewing with strongly curved medial lines, a long slender uncus and a strongly distally bifurcated valva with a large distally expanded costa and a thumb-shaped process of sacculus on the male genitalia as well as a sclerotized antrum, strongly tapered ductus bursae, and large corpus bursae on the female genitalia. Enispa masuii, a lichen feeder, can be distinguished by the whitish medial lines of the grayish fore- and hindwings, and a pair of rounded ball-shaped lamella antevaginalis, long, sclerotized ductus bursae, and pear-shaped corpus bursae without signum of the female genitalia. Adrapsa ablualis can be distinguished by the whitish medial lines of the fore- and hindwings and large medial process of the costa and dentate distal margin of the valva of the male genitalia. Stictane rectilinea can be distinguished by the broad dark grayish medial band of the forewing and the long knife-shaped valva with a strongly hooked process on the distal part of the sacculus of the male genitalia.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.198-202
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• 2020

Purpose: This study examined the effects of a paraffin treatment with exercise on the muscle strength and fatigue of the hand according to the use of smartphones. Methods: The measurement subjects were 30 healthy males in their 20s who were divided randomly into the control and paraffin treatment groups. A typing exercise using a smartphone was performed. The pinch grip force was measured to evaluate the muscle strength of the thumb, and muscle fatigue analysis using electromyography was performed to analyze muscle fatigue. Results: The functional changes to the arm and the fatigue of the hand through the use of a smartphone were examined to determine the effects of the paraffin treatment. The dominant hand-pinch grip force test did not show a significant difference, but the non-dominant hand-pinch grip force test showed a significant difference between the groups (p=0.030). In the dominant hand fatigue test, there was a significant difference between the groups (p=0.037). In the non-dominant hand, there was a significant difference between time (p=0.012) and the groups (p<0.001). Conclusion: The effects of paraffin intervention on the hand muscle strength and fatigue due to repeated use of the smartphone were confirmed. These results can be used as a basis for clinical use and can be a guide for the correct use of smartphones, which are essential in modern life.

• 한국소음진동공학회논문집
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• 제12권4호
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• pp.302-309
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• 2002

A FRF-based substructuring method attempts to predict the dynamic characteristics of a complex structure from predetermined FRFs of the comprising uncoupled substructures. Although this method has the advantage of being able to incorporate experimental component FRFs directly, it is prone to errors : measurement errors, coordinate incompleteness, modal incompleteness, etc. Among the various sources of errors, this paper deals with the problem of modal incompleteness (or residual problem) of which importance is underestimated compared to others. It is a well-known rule of thumb that such a problem can be overcome by including modes up to 2 or 3 times the upper frequency of interest. Using a simulated case study, it is demonstrated that even including modes up to 20 times the upper frequency of interest does not guarantee a satisfactory result. A method to compensate the residual errors is introduced. This method requires the whole FRF matrices of substructures which is practically impossible for a complex structure. An applicable alternative is suggested and applied successfully to the case study. Finally, the effects of measurement errors on the residual compensation are also discussed.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.117-120
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• 2011

Purpose: Carpal tunnel syndrome is the most common peripheral compressive neuropathy. Most cases are idiopathic, but rarely carpal tunnel syndrome can be associated with a ganglionic mass. We report our recently encountered experience of surgical treatment of carpal tunnel syndrome caused by a simple ganglionic mass. Methods: A 53-year-old man presented with chief complaints of numbness and hypoesthesia of his left palm, thumb, index finger, long finger, and ring finger of one and half month duration. Physical examination revealed positive Tinnel's sign without previous trauma, infection or any other events. Electromyography showed entrapment neuropathy of the median nerve. Magnetic resonance imaging (MRI) showed an approximately 2.0 cm-sized mass below the transverse carpal ligament. Upon surgical excision, a $1{\times}1.5cm^2$ mass attached to the perineurium of the median nerve and synovial sheath of the flexor digitorum superficialis and redness and hypertrophy of the median nerve were discovered. With surgical intervention, we completely removed the ganglionic mass and performed surgical release of the transverse carpal ligament. Results: The pathology report confirmed the mass to be a ganglion. The patient exhibited post-operative improvement of his symptoms and did not show any complications. Conclusion: We present a review of our experience with this rare case of carpal tunnel syndrome caused by a ganglionic mass and give a detailed follow-up on the patient treated by surgical exploration with carpal tunnel release.

• Archives of Plastic Surgery
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• 제49권6호
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• pp.764-768
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• 2022

The wrap-around flap (WAF) has become a popular approach to thumb reconstruction because the results are functionally and cosmetically excellent. By modifying to a partial toenail transfer, the WAF can also be used for finger reconstruction. However, performing cosmetically superior finger reconstruction is a significant challenge because it is difficult to reconstruct the natural nailfold by partial nail transplantation, although partial nail transplantation is required to reconstruct a narrow fingernail. One side of the reconstructed lateral nailfold tends to be a missing nail margin, and one side of the proximal nailfold angle tends to be retracted. Based on the rationale that loss of the lateral nailfold volume due to the postoperative tension of the volar flap would result in a missing nail margin, the volume of the lateral nailfold was maintained with a single thread that was passed from the nail to the volar flap. Additionally, half of the proximal nailfold from the nail plate was elevated to advance it forward. The results indicated that a cosmetically natural nailfold was achieved with the WAF approach to finger reconstruction. These easy and simple techniques enable reconstruction of a cosmetically natural nailfold using WAF for finger reconstruction.

• 대한전기학회논문지:전력기술부문A
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• 제48권12호
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• pp.1575-1579
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• 1999

Embedded processors often accommodate two instruction sets, a standard instruction set and a compressed instruction set. With the compressed instruction set, code size can be reduced while instruction count (and consequently execution time) can be increased. To achieve code size reduction without significant increase of execution time, this paper proposes a new compressed instruction set architecture, called TOE (Two Operations Execution). The proposed instruction set format includes the parallel bit that indicates an instruction can be executed simultaneously with the next instruction. To add the parallel bit, TOE instruction format reduces the destination register field. The reduction of the register field limits the number of registers that are accessible by an instruction. To overcome the limited accessibility of registers, TOE adapts non-homogeneous register partition in which registers are divided into multiple subsets, each of which are accessed by different groups of instructions. With non-homogeneous registers, each instruction can access only a limited number of registers, but an entire program can access all available registers. With efficient non-homogeneous register allocator, all registers can be used in a balanced manner. As a result, the increase of code size due to register spills is negligible. Experimental results show that more than 30% of TOE instructions can be executed in parallel without significant increase of code size when compared to existing Thumb instruction set.

• Journal of Chest Surgery
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• 제11권1호
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• pp.102-107
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• 1978

This is a report of a chylous cyst in the mediastinum found in a 61 year old Korean female patient who suffered from mild swallowing difficulty and right chest discomfort. These symptoms had developed 5 years previously when chest P-A view showed thumb-tip sized mass shadow in right mediastinum, just right to ascending aorta. Esophagogram revealed an indentation of midesophagus. Follow up checks showed growing mass shadow which suggested aneurysm of ascending aorta. On admission chest X-ray revealed a well circumscribed infant head sized mass density along the right heart border and middle mediastinal border, and extended near to the middle clavicular line in right chest cavity. Aortogram revealed no relationship between the mass and aorta. Right thoracotomy was performed under impression of mediastinal tumor. There was a large cyst containing 700 cc of milky fluid. There was no connection to the thoracic duct nor adjacent organs. The fluid was analyzed chemically and identified the fluid as chyle. The origin of the isolated chylous cyst was uncertain postoperative course was uneventful.

• Investigative Magnetic Resonance Imaging
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• 제18권4호
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• pp.362-365
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• 2014

중추 신경계 병터에 의해 손가락의 일부에만 위약감이 발생하는 것을 거짓 말초 마비라고 한다. 두 명의 환자가 뇌의 국소 병터에 의해 요측에 국한된 특정 손가락의 위약감을 가지고 내원하였다. 51세 여자 환자는 갑자기 발생한 왼쪽 검지와 중지의 위약감으로 내원하였으며, 뇌 자기공명영상검사에서 오른쪽 중심앞이랑에 뇌경색이 관찰되었다. 67세 남자환자는 갑자기 오른쪽 엄지와 검지로 위약감이 발생하였으며, 뇌 자기공명영상검사에서 왼쪽 중심앞이랑에 뇌경색이 관찰되었다.