• Journal of Korean Foot and Ankle Society
• /
• v.7 no.2
• /
• pp.218-222
• /
• 2003

Purpose: The objective of this study was to define the Os submalleolare as an any ossicles below medial malleolus of tibia and to determine the characteristics of clinical and radiological characteristics and to evaluate results of surgical treatment of Os submalleolare in sports player group. Materials and Methods: Twenty-two patients with Os submalleolare were identified between November, 1, 1998 and June, 30, 2002. Results: The mean age was 18.3 years. All patient were male and soccer players comprised 71%(20 cases). Associated disease were 8 cases(29%) of chronic ankle instabilities, one case(4%) of anterior impingement syndrome and one (4%) of plantar fascitis. The most common clinical symptom was pain during walking and sports activity and sign was tenderness around medial malleolus. Only simple radiograph could reveal presence of ossicle and differentiate with acute fracture. If symptom and sign obscured, Bone scan(7 cases) and MRI(3 cases) identify causes of pain and tenderness. As a surgical treatment, all bony fragment caused symptom and sign were eliminated and medial collateral ligament was reattached meticulously. Associated chronic ankle instability were present, modified Brostrom procedure was done simultaneously. On follow-up, The symptomatic pain were wholly disappeared at average 2.2 months (1-6months) after operation. On one year follow-up, all patients have been daily life without any complaints and have gone back to the game within three months. Conclusion: as submalleolare have relatively rare incidence in sports players and most common clinical symptom and sign is tenderness on medial malleolar area of ankle, can be diagnosed both physical examination and plain X-ray film. As a treatment, Removal of ossicle and reattachment of MCL could obtain excellent or good results.

• Journal of Gastric Cancer
• /
• v.4 no.2
• /
• pp.75-81
• /
• 2004

Recently detection of early gastric cancer (EGC) has been increasing and the treatment strategies for gastric cancer have been changing. The purpose of this study was to compare clinical outcomes between laparoscopically assisted (LADG) and hand-assisted laparoscopic gastrectomy (HALDG) and open distal gastrectomy for early gastric cancer. This review is directed toward providing gastric surgeons with recent advances in the treatment of EGC. We investigated the English language literature for the past 12 years through computer searches which focused on : 1) Patient demographics, 2) Operation time, 3) Intra-operative blood loss, 4) Depth of invasion, 5) CBC, 6)Weight loss, 7) Analgesic requirement, 8)Time NPO, 9) Length of hospital stay, 10) Tumor stage, 11) Lymph node (LN) dissection, 12) Position of LN resected, 13) Complications. Improved operative techniques and surgical instrumentation have facilitated the development of minimally invasive gastric cancer surgery. The short-term benefits of laparoscopic gastrectomy included less surgical trauma, less pain, rapid return of gastrointestinal function, and shorter hospital stay, with no change in operative outcome. Laparoscopic gastrectomy was better accepted by the patients as a good procedure and promptly brought the patients back to their previous lifestyle and activities of daily living. But the advantages of HALDG for gastric cancer, extended lymph node dissection and intracorporeal anastomosis are feasible and easier with the presence of the internal hand. The hand-assisted laparoscopic (HALDG) method reported the best results in lymph node dissection.This method is an alternative to total laparoscopic radical gastrectomy. LADG and HALDG, when compared with conventional open gastrectomy, have several advantages. When performed by a skilled surgeon, LADG and HALDG are safe and useful techniques for patients with early-stage gastric cancer. Their appropriateness for gastric cancer surgery require further study.

• Child Health Nursing Research
• /
• v.7 no.1
• /
• pp.108-117
• /
• 2001

This research objected to the diagnosed patients as acute lymphoblastic leukemia, acute myelogenous leukemia, neuroblastoma, non-Hodgkins lymphoma, Hodgkin's disease, kidney tumor, myelodysplastic syndrom and juvenile chronic leukemia after admission in the 'P' hospital in Pusan from Aug. 1. 1999 to Jan. 31. 2000. The results of this study are summarized as follows. 1. On the specific character between the experimental(exp.) group and the control (con.) group : there were 7 of 4-7 years old patients(the most) in the experimental group(53.8％), 5 of 12 years old or older patients in the control group (38.5％). Patients who experienced operation were 7 in the exp. group(53.8％) and 6 in con. group(46.2％). The largest number of the patients' diagnosis was acute lymphoblastic leukemia by 5 in the exp. group(38.5％) and 4 in the con. group (30.8％). The hardest nausea came on the second day by 5 in the exp. group(38.5％), 9 in the con. group(69.2％). 2. P-score of the nausea vomiting on the number of daily anticancer drug administration : first day, the exp. group got 9.6 and the con. group 17.6(P = 0.03). 2nd day, 10.9 and 19.4(P = 0.00), 3rd day, 10.6 and 18.3(P = 0.00), 4th day 10.0 and 18.0, 5th day 10.9 and 16.8(P = 0.05). The score showed statistically significant difference(P < .05). 3. Oral intake didn't show statistically significant difference between two groups. However the average of Oral intake of the exp. group was continually higher than the con. group except to the first day after administration. In conclusion, nursing intervention and nutrition care are much more needed on the 2-3th day after administration to reduce nausea vomiting, and for remission of nausea and enlarging oral intake it is utilizable to apply the easy, economic Oral Cryotherapy to the young patients who undergo chemotherapy.

• Journal of Wetlands Research
• /
• v.11 no.2
• /
• pp.55-66
• /
• 2009

The increase of pollutant loadings from nonpoint sources affect the water quality of the major rivers in Korea. Consequently, the need for managing the nonpoint source (NPS) pollution becomes the main concern of the Korean Ministry of Environment (MOE). Recently, the policy was changed from pollutant concentration-restricting approach to the total maximum daily load (TMDL) approach to improve the water quality and protect the aquatic ecosystem. Part of the program is the construction of Best Management Practice (BMP) pilot facilities basically to control NPS. Most of the BMPs adopted were foreign technologies which could not be properly employed in the country due to some limitations such as climate, watershed characteristics, etc. In other words, to be able to apply the BMPs, research on its applicability is necessary. In this study, a three-year monitoring has been conducted to assess the treatment performance of the BMP installed in highway toll plaza and parking lot. The data gathered aid in the characterization of NPS pollutants in runoff and estimation of the pollutant removal efficiency of the BMP. The results will be used for the future implementation of BMP in different land uses as well as for the determination of optimum operation and maintenance.

• The Journal of Korean Institute of Communications and Information Sciences
• /
• v.30 no.4B
• /
• pp.226-234
• /
• 2005

Context-Aware is the most important facts to reason a personalized and optimized service and to provide it to user. In the previous researches, user and surrounding environment were main facts of Context-Aware and middleware or center server has been proposed to support Context-Aware. In the daily space(for example, home, office, Car, etc), interactions between user and service can be a important facts of Context-Aware. In this paper, Context Autogenesis service model is introduced, simplified the Context-Aware process and designed the middleware which performs decentralize management for Context-Aware information of user's portable devices, so that problems occurred during the management and operation of existing Context-Aware system can be minimized and supporting user anonymity

• Proceedings of the Korean Institute of Navigation and Port Research Conference
• /
• v.2
• /
• pp.83-88
• /
• 2006

Many applications in the area of location-based services and personal navigation require nowadays the location determination of a user not only in outdoor environment but also indoor. To locate a person or object in a building, systems that use either infrared, ultrasonic or radio signals, and visible light for optical tracking have been developed. The use of WiFi for location determination has the advantage that no transmitters or receivers have to be installed in the building like in the case of infrared and ultrasonic based location systems. WiFi positioning technology adopts IEEE802.11x standard, by observing the radio signals from access points installed inside a building. These access points can be found nowadays in our daily environment, e.g. in many office buildings, public spaces and in urban areas. The principle of operation of location determination using WiFi signals is based on the measurement of the signal strengths to the surrounding available access points at a mobile terminal (e.g. PDA, notebook PC). An estimate of the location of the terminal is then obtained on the basis of these measurements and a signal propagation model inside the building. The signal propagation model can be obtained using simulations or with prior calibration measurements at known locations in an offline phase. The most common location determination approach is based on signal propagation patterns, namely WiFi fingerprinting. In this paper the underlying technology is briefly reviewed followed by an investigation of two WiFi positioning systems. Testing of the system is performed in two localization test beds, one at the Vienna University of Technology and the second at the Hong Kong Polytechnic University. First test showed that the trajectory of a moving user could be obtained with a standard deviation of about ${\pm}$ 3 m.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.15 no.1
• /
• pp.148-158
• /
• 2011

As critical infrastructure, bridges play an indispensable role in facilitating the distribution of goods. When bridges reach their end of useful life or get damaged by natural disasters such as earthquakes or storms, they have to be removed and reconstructed. When bridges in service need to be reconstructed, user costs occur from vehicle detours and traffic congestions, and social costs occur from noise and dust during construction periods. However, these user and social costs are not considered during reconstruction and the evaluation methods of those costs are vague. Thus, there is lack of appropriate bridge types that consider these costs. Therefore, this paper identifies the social overhead costs that occur during bridge reconstruction, which is also called, users' socioeconomic values. Next, it proposes a method to evaluate user costs during bridge reconstruction, and appraises the method. User costs are evaluated based on traffic information, social and material volumes including the bridge's daily traffic volume, peak hours, detour distance and time. In addition, time delay costs due to traffic operational costs and bridge reconstruction are also taken into consideration.

• The Korean Journal of Pain
• /
• v.33 no.1
• /
• pp.30-39
• /
• 2020

Background: This study examined the effects of gabexate mesilate on spinal nerve ligation (SNL)-induced neuropathic pain. To confirm the involvement of gabexate mesilate on neuroinflammation, we focused on the activation of nuclear factor-κB (NF-κB) and consequent the expression of proinflammatory cytokines and inducible nitric oxide synthase (iNOS). Methods: Male Sprague-Dawley rats were used for the study. After randomization into three groups: the sham-operation group, vehicle-treated group (administered normal saline as a control), and the gabexate group (administered gabexate mesilate 20 mg/kg), SNL was performed. At the 3rd day, mechanical allodynia was confirmed using von Frey filaments, and drugs were administered intraperitoneally daily according to the group. The paw withdrawal threshold (PWT) was examined on the 3rd, 7th, and 14th day. The expressions of p65 subunit of NF-κB, interleukin (IL)-1, IL-6, tumor necrosis factor-α, and iNOS were evaluated on the 7th and 14th day following SNL. Results: The PWT was significantly higher in the gabexate group compared with the vehicle-treated group (P < 0.05). The expressions of p65, proinflammatory cytokines, and iNOS significantly decreased in the gabexate group compared with the vehicle-treated group (P < 0.05) on the 7th day. On the 14th day, the expressions of p65 and iNOS showed lower levels, but those of the proinflammatory cytokines showed no significant differences. Conclusions: Gabexate mesilate increased PWT after SNL and attenuate the progress of mechanical allodynia. These results seem to be involved with the antiinflammatory effect of gabexate mesilate via inhibition of NF-κB, proinflammatory cytokines, and nitric oxide.

• Korean Journal of Community Nutrition
• /
• v.17 no.1
• /
• pp.101-108
• /
• 2012

The purpose of this survey is to investigate the nutritional status and dietary intake of gastrectomized cancer patients in Asan Medical Center. The subjects were 98 patients, who underwent a gastrectomy due to gastric cancer and were admitted to the General Surgery Department during March 2007 to December 2007. We examined general characteristics (sex, age, clinicopathological stage, type of operation), anthropometric data (height, weight change), biochemical data (red blood cell RBC, hemoglobin HGB, hematocrit HCT, mean corpuscular volume MCV, total lymphocyte count TLC, albumin, total cholesterol), dietary intake and dietary intake related symptoms. Weight loss of gastrectomized patients was $9.0{\pm}4.3$% from preillness weight to visiting out-patient department (OPD) weight. Biochemical data (RBC, HGB, HCT, MCV, TLC, albumin, total cholesterol) significantly deteriorated after gastrectomy. However, outpatient visits were all restored to the normal range. Postoperative energy intake was $785.0{\pm}164.2$ kcal, which corresponds to $41.6{\pm}9.6$% of daily energy requirement. The cause of poor oral intake is mostly fear, abdominal pain and abdominal discomfort. Therefore, to control pre-or post-operative weight change in the future requires, focusing on the body weight to maintain a normal or usual nutrition by interventions and increased caloric intake during hospitalization for the development of nutrient-dense meals. In addition, as the main reason of the lack of intake of meals after the gastrectomy was fear, the patients should be actively encouraged to consider the importance of eating proper meals.

• Journal of the Korean Society of Clothing and Textiles
• /
• v.32 no.6
• /
• pp.968-979
• /
• 2008

Since community growth and vitality frequently depend on local businesses and community inhabitants depend on local retailers for their daily necessities, studying small businesses in rural areas is important to community sustainability. The purpose of our research was to investigate what marketing, merchandising, customer service, or business operation strategies were being implemented by successful independent rural retailers(i.e., clothing, jewelry, floral, hardware etc.), in competition with large discount stores in the U.S.. In addition, social capital as indicated by community involvement was examined for its use as a business strategy that contributes to the success of small retailers. In-depth interviews were conducted with 27 rural retailers representing three communities within a Midwestern state. Data were content analyzed. Participants were following several of the recommended business strategies but opportunities existed to implement changes. Results are discussed in terms of key practices followed by these successful small business owners.