• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.13 no.1
• /
• pp.75-80
• /
• 2010

Intestinal duplication cysts are characterized by the attachment to some part of the gastrointestinal tract with which a blood supply is shared, and have an epithelial lining resembling some part of the alimentary tract. A 15-month-old female was admitted to our hospital with cyclic irritability, vomiting, and blood-tinged stool. The results of an ultrasound showed an ileocolic intussusception and a 1.3 cm cystic mass had double-wall sign and a Y-configuration with an adjacent ileal loop. She had a past history of two ileocolic intussusceptions. The cystic mass was considered to be a pathologic lead point, so resection and end-to-end anastomosis was performed. The gross and histologic evaluation of the specimen demonstrated a $2.4{\times}2.4$ cm cystic mass containing yellow mucoid fluid and the cyst wall was lined with intestinal and gastric mucosa and enclosed by a layer of muscle, which was shared with the adjacent ileum.

• Physical Therapy Rehabilitation Science
• /
• v.9 no.4
• /
• pp.275-280
• /
• 2020

Objective: Compression wear is an external aid which promotes performance and recovery, diminishes muscular microtrauma, reduces muscle fiber recruitment, improves neuromechanics, enhances coordinative activities, and reduces the perceived exertion. The purpose of this study was to investigate the relationship between athletic taping and compression wear on dynamic postural balance in healthy young men. The hypothesis was that the athletic taping and compression wear would affect dynamic postural balance, with athletic taping having a different effect on dynamic postural balance in healthy young adults. Design: Cross-sectional study. Methods: Thirty-seven healthy young men participated in this study. To examine the association between athletic taping and compression wear, 3 clinical measurement tools, including 5 times sit-to-stand (5xSTS), one-leg standing (OLS) test, and Y-balance test (YBT) in 5 different conditions, namely (1) non-supporting, and support with (2) athletic taping, (3) regular compression wear, (4) silicon compression wear, and (5) double-fiber compression wear were used. Results: The distance of the Y-balance test (YBT) on both the dominant and non-dominant sides showed a statistically difference among the 5 supporting conditions (p<0.05). The distance measured via the YBT in the non-support condition was significantly different than that in the other four supporting conditions (p<0.05). However, 5xSTS and OLS were not significantly different in these supporting conditions. Conclusions: The results of this study suggest that athletic taping, silicon compression wear, and double-fiber compression wear were more effective for dynamic balance than non-supporting and regular compression wear.

• The Journal of Korean Academy of Prosthodontics
• /
• v.60 no.2
• /
• pp.195-201
• /
• 2022

Hemimandibulectomy and free fibular flap (FFF) in patients with squamous cell carcinoma could disturb the functional movement of the mandible. The muscular function in the sectioned side was compromised because of the incompetency of the muscle attachment to the mandible, leading to the unstable occlusal contact in the centric and eccentric occlusion. In this report, we present a case of a 63-year-old male who underwent cancer surgery and reconstruction with fibular graft, and he needed a fixed dental prosthesis to restore tooth loss in the anterior region. Occlusal contact change and instability were found according to the bite force in the centric relation and eccentric movement. This case report aimed to present the prosthetic procedure for fabricating the functionally optimized fixed prosthesis wherein the functionally generated path (FGP) technique and digital imaging method were applied to replicate mandibular movement and vertical dimension of the patient.

• Physical Therapy Korea
• /
• v.29 no.2
• /
• pp.147-155
• /
• 2022

Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = -0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (n_p² = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

• Archives of Plastic Surgery
• /
• v.38 no.6
• /
• pp.894-898
• /
• 2011

Purpose: Coverage of full-thickness large flank defect is a challenging procedure for plastic surgeons. Some authors have reported external oblique turnover muscle flap with skin grafting, inferiorly based rectus abdominis musculocutaneous flap, and two independent pedicled perforator flaps for flank reconstruction. But these flaps can cover only certain portions of the flank and may not be helpful for larger or more lateral defects. We report a case of large flank defect after resection of extraskeletal Ewing's sarcoma which is successfully reconstructed with reverse latissimus dorsi myocutaneous flap. Methods: A 24-year-old male patient had $13.0{\times}7.0{\times}14.0$ cm sized Ewing's sarcoma on his right flank area. Department of chest surgery and general surgery operation team resected the mass with 5.0 cm safety margin. Tenth, eleventh and twelfth ribs, latissimus dorsi muscle, internal and external oblique muscles and peritoneum were partially resected. The peritoneal defect was repaired with double layer of Prolene mesh by general surgeons. $24{\times}25$ cm sized soft tissue defect was noted and the authors designed reverse latissimus dorsi myocutaneous flap with $21{\times}10$ cm sized skin island on right back area. To achieve sufficient arc of rotation, the cephalic border of the origin of latissimus dorsi muscle was divided, and during this procedure, ninth intercostal vessels were also divided. The thoracodorsal vessels were ligated for 15 minutes before divided to validate sufficient vascular supply of the flap by intercostal arteries. Results: Mild congestion was found on distal portion of the skin island on the next day of operation but improved in two days with conservative management. Stitches were removed in postoperative 3 weeks. The flap was totally viable. Conclusion: The authors reconstructed large soft tissue defect on right flank area successfully with reverse latissimus dorsi myocutaneous flap even though ninth intercostal vessel that partially nourishes the flap was divided. The reverse latissimus dorsi myocutaneous flap can be used for coverage of large soft tissue defects on flank area as well as lower back area.

• Asian-Australasian Journal of Animal Sciences
• /
• v.21 no.7
• /
• pp.928-935
• /
• 2008

The myostatin gene of seven important meat (Beltex (Australia), Beltex$\times$Huyang (F1), Meat and Multi-Prolific Chinese Merino Fine Wool, Meat Chinese Merino Fine Wool and Dorper (South Africa)) and non-meat (Huyang and Kazak) sheep breeds was analyzed to study the genetic basis of muscular hypertrophy (double muscling) phenotype in sheep. SNPs, four in regulatory regions and several in the introns in the myostatin gene, were identified, and the former four SNPs were used for further studies. Twelve haplotypes were predicted by PHASE program, of which four main haplotypes (1, 3, 7, 9) were present in 90% of the 364 sheep in the study. Haplotypes 1-4 were mainly present in meat breeds while haplotypes 7 and 9 dominated the non-meat breeds. The association between haplotypes and average daily gain (ADG) was analyzed among 116 sheep with production data, Haplo2 (CGAA) and Haplo8 (TGAA) were identified to have significant (p<0.05) effect on ADG by the model (JMP5.1 software) taking into account the effects of breed, family background, haplotype, birth weight and sex. ADG of these haplotype groups also correlated well (r = 0.82) with hypertrophic phenotype scores. In conclusion, the mutations -956 (T$\rightarrow$C), -41 (C$\rightarrow$A) and 6223 (G$\rightarrow$A) involved in Haplo2 and 8 may be associated with the double-muscling trait by influencing myostatin function and be suitable markers in selecting meat sheep.

• Journal of Yeungnam Medical Science
• /
• v.37 no.4
• /
• pp.337-340
• /
• 2020

Ureterosciatic hernia is extremely rare. In ureteral herniation, ureter prolapses occur through either the greater or lesser sciatic foramen. Atrophy of the piriformis muscle, hip joint diseases, and defects in the parietal pelvic fascia are predisposing factors for the development of ureterosciatic hernia. Most symptomatic patients have been treated surgically, with conservative treatment reserved only for asymptomatic patients. To the best of our knowledge, long-term follow-up outcomes after ureterosciatic hernia management are sparse. In this paper, we report the case of a 68-year-old woman who presented with colicky left abdominal pain. After computed tomography (CT) scan and anterograde pyelography, she was diagnosed ureterosciatic hernia with obstructive uropathy. We performed ureteral balloon dilatation and double-J ureteral stent placement. After this minimally invasive procedure, CT scan demonstrated that the left ureter had returned to its normal anatomical position without looping into the sciatic foramen. The patient remained asymptomatic with no adverse events 7 years after the minimally invasive procedures. This brief report describes ureterosciatic hernia successfully managed with minimally invasive procedures with long-term follow-up outcomes.

• Korean Journal of Applied Biomechanics
• /
• v.17 no.2
• /
• pp.75-82
• /
• 2007

The purpose of this study was to analyze and compare the effect of gait time on the gait patterns in elderly female OA and non-OA patients. The intensity of the subjects joint pain was surveyed by using WOMAC. Twelve subjects participated in this study. Measurements were taken for every the 10 minutes for 30 minutes after walking by a force plate. The following variables were recorded; double stance support time, Fx, Fy, Fx_time, Fz and so on. From the investigation of these variables the following was observed and concluded. The Fz values for the OA group was 1.01BW at the start and after 30 minutes was 1.04BW on the other hand the non-OA group's Fz1 was 1.08BW and 1.10BW. There was no significant difference calculated between the two groups and at the start and end of the experiment about all the variables. Therefore, it is concluded that there was no negative effect caused by walking for the 30 minutes and that it was an effective way of strengthen both respiratory and muscle function.

• Journal of Chest Surgery
• /
• v.29 no.1
• /
• pp.90-94
• /
• 1996

New chords formation of mitral valve using expended-polytetrafluoroethylene sutures was performed in six patients with mitral regurgitation (MR) from April, 1994 to March, 1995. There were 3 men and 3 women whose mean age was 65 years, ranged from 55 to 75. A double-armed pledget suture was passed through the lateral portion of papillary muscle head and tied. Each arm of the suture was brought up to the free margin of the leaflet and passed through the area where the native chorda was attached. At leaflet surface, one more weaving was made. fter the lengths of the two arms were adjusted, the ends were tied. There were no operative deaths. Patients have been followed up from 2 to 13 months, mean 8. Echocardiographic sutudies were performed at 10 days after operation and revealed normal mitral valve function in all patients.

• Journal of the Korea Computer Industry Society
• /
• v.8 no.4
• /
• pp.289-294
• /
• 2007

Lately, result that the myopathy occurrence rate such as muscle disease and brain apoplexy by the tribe of momentum by aging society and information-oriented society, imbecility, Parkinson's disease, motor nerve disease is increasing rapidly and investigates the occurrence rate, was expose that increased more than man case 2 double and man and woman of mortality increases by about 50% with Parkinson's disease and motor nerve disease. <중략> Is going to apply to myopathy patient of other disease if supplement system hereafter, and this research tried to study rain standardization special quality and approach producing poetic theme width directly.