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A Painful Glomus Tumor on the Pulp of the Distal Phalanx

  • Shin, Dong-Keun;Kim, Min-Su;Kim, Sang-Woo;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • 제48권2호
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    • pp.185-187
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    • 2010
  • A 52-year-old female patient presented with an 8-year history of progressively intense pain, cold sensitivity, and severe tenderness to palpation of the ulnar side of the tip of her right little finger. Subsequent diagnostic evaluation with ultrasonographic imaging revealed the presence of a glomus tumor in the tender area. Glomus tumors are benign, occurring in the vascular hamartomatous tubercles of the glomus body, which is a myoarterial apparatus typically found in the reticular dermis of the skin. Distal glomus tumors are relatively uncommon, and account for approximately 1% of all hand tumors. Most of them are located in the subungual area because of its high concentration of glomus bodies. We report a case of a glomus tumor with a typical triad of symptoms, yet with a rare location : on the pulp of the ulnar aspect of the distal phalanx of the right little finger.

A Superior Optical Performance of advanced S-IPS LCDs with Fine Pitch Electrode and Robust Design

  • Kwon, Jang-Un;Lee, Su-Woong;Jung, Il-Ki;Han, Hwa-Dong;Park, In-Chul;Lee, Kyung-Ha;Moon, Hong-Man;Shin, Hyun-Ho
    • 한국정보디스플레이학회:학술대회논문집
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    • 한국정보디스플레이학회 2008년도 International Meeting on Information Display
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    • pp.333-336
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    • 2008
  • We have studied on optical properties of advanced S-IPS with a fine pitch electrode and a new finger design. Transmittance of panel increases with decreasing of width and angle of finger electrode. In order to improve transmittance, fine pitch electrode of ${\sim}2{\mu}m$ and rubbing angle of 10 degree have been adopted. Various optical performances are defined as the function of finger design and field intensify across the IPS pixel electrodes. We have developed the advanced electrode structures with a high performance. As a result, the optical properties of 42" full HD with 120Hz frequency shows high transmittance over 5%, contrast ratio of 1800:1, gray-to-gray response time of 4.4ms, respectively. And also we have studied that the moving picture quality of IPS LCD is related with design parameters of IPS cells and finger shape.

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자이로센서를 이용한 특발성 파킨슨병 환자와 정상인의 손가락 벌렸다 오므리기 동작의 측정과 비교 (Measurement and Comparison of Finger Tapping Movement in Patients with Idiopathic Parkinson's Disease and Normal Subjects using Gyrosensor)

  • 김지원;권유리;이재호;엄광문;권도영;고성범;박병규;홍정화
    • 대한의용생체공학회:의공학회지
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    • 제31권3호
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    • pp.240-244
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    • 2010
  • The purpose of this study is to compare finger tapping (FT) movement of patients with Parkinson's disease (PD) with normal subjects. A gyrosensor system was used for the measurement of FT movement, because it provides angular velocity free from the gravitational artifact and it can be used during clinical FT test listed in unified PD rating scale (UPDRS). Forty PD patients (age: 65.7 ${\pm}$ 11.1 yrs, H&Y stage:2.3 ${\pm}$ 0.5), 14 age-matched elderly subjects (65${\pm}$3.9 yrs) and 17 healthy young subjects (24${\pm}$2.1yrs) participated in this study. Angular velocity of finger tapping movement was measured in both right and left index finger. As quantitative measures, root-mean-squared (RMS) angular velocity, RMS angle, peak power and total power were used. ANOVA showed that all measures were significantly different among three groups (p<0.001) in all quantitative measures. Post-hoc test revealed that all quantitative measures except peak power in patients with PD were significantly smaller than in both healthy elderly and young subjects (p<0.01). This suggests that the measures developed in this study can distinguish patients with PD from normal subjects.

유리 동맥화 정맥 피판을 이용한 수지 연부조직 결손의 재건 (Reconstruction of Soft Tissue Defects in the Finger using Arterialized Venous Free Flaps)

  • 이영근;우상현;이준모;안희찬;천호준
    • Archives of Reconstructive Microsurgery
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    • 제19권1호
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    • pp.21-28
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    • 2010
  • Purpose: To report the clinical results of the use of arterialized venous free flaps in reconstruction in soft tissue defects of the finger and to extend indications for the use of such flaps based on the clinical experiences of the authors. Materials and Methods: Eighteen patients who underwent arterialized venous free flaps for finger reconstruction, between May 2007 and July 2009 were reviewed retrospectively. The mean flap size was 4.7${\times}3.2$ cm. The donor site was the ipsilateral volar aspect of the distal forearm in all cases. There were 8 cases of venous skin flaps, 5 cases of neurocutaneous flaps, 4 cases of tendocutaneous flaps, 1 case of innervated tendocutaneous flap. The vascuality of recipient beds was good except in 4 cases (partial devascuality in 2, more than 50% avascuality (bone cement) in 2). Results: All flaps were survived. The mean number of included veins was 2.27 per flap. Mean static two-point discrimination was 10.5 mm in neurocutaneous flaps. In 3 of 5 cases where tendocutaneous flaps were used, active ROM at the PIP joint was 60 degrees, 30 degrees at the DIP joint and 40 degrees at the IP joint of thumb. There were no specific complications except partial necrosis in 3 cases. Conclusions: An arterialized venous free flap is a useful procedure for single-stage reconstruction in soft tissue or combined defect of the finger; we consider that this technique could be applied to fingers despite avascular recipient beds if the periphery of recipient bed vascularity is good.

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Identification of a Pathogen-Induced Glycine max Transcription Factor GmWRKY1

  • Kang, Sang-Gu;Park, Eui-Ho;Do, Kum-Sook
    • The Plant Pathology Journal
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    • 제25권4호
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    • pp.381-388
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    • 2009
  • On screening pathogen-resistant soybean, we identified a WRKY type transcription factor named a Glycine max WRKY1 (GmWRKY1). Expression of GmWRKY1 gene was induced in the soybean sprout by Pseudomonas infection. The GmWRKY1 was expressed in all of the tissues with high levels in stems, leaves and developing seeds. The protein Gm WRKY1 contains highly conserved two WRKY DNA-binding domains having two $C_2-H_2$ zinc-finger motif ($C-X_{4-5}-C-X_{22-23}-H-X-H$) in its N-terminal and C-terminal amino acid sequences. In electrophoresis mobility shift assay, the GmWRKY1 protein bound specifically to W-box elements in the promoters of defense related genes. These results demonstrated that GmWRKY1 is one of the soybean WRKY family genes and the plant-specific transcription factors for defense processes.

Surgical Results of Selective Median Neurotomy for Wrist and Finger Spasticity

  • Kwak, Kyung-Woo;Kim, Min-Su;Chang, Chul-Hoon;Kim, Sang-Woo;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • 제50권2호
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    • pp.95-98
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    • 2011
  • Objective : This study aimed to evaluate the surgical outcomes of selective median neurotomy (SMN) for spastic wrist and fingers. Methods : We studied 22 patients with wrist and finger spasticity refractory to optimal oral medication and physical therapy. The authors evaluated spasticity of the wrist and finger muscles by comparing preoperative states with postoperative states using the modified Ashworth scale (MAS). We checked patients for changes in pain according to the visual analog scale (VAS) and degree of satisfaction based on the VAS. Results : The preoperative mean MAS score was $3.27{\pm}0.46$ ($mean{\pm}SD$), and mean MAS scores at 3, 6, and 12 months after surgery were $1.82{\pm}0.5$, $1.73{\pm}0.7$, and $1.77{\pm}0.81$ ($mean{\pm}SD$), respectively. On the last follow-up visit, the mean MAS score measured $1.64{\pm}0.9$ ($mean{\pm}SD$). Wrist and finger spasticity was significantly decreased at 3, 6, and 12 months after the operation (p<0.01). The preoperative mean pain VAS score was $5.85{\pm}1.07$ ($mean{\pm}SD$), and the mean pain VAS score on the last follow-up visit after surgery was $2.28{\pm}1.8$ ($mean{\pm}SD$). Compared with the preoperative mean pain VAS score, postoperative mean pain VAS score was decreased significantly (p<0.01). On the basis of a VAS ranging from 0 to 100, the mean degree of patient satisfaction was $64.09{\pm}15.93$ ($mean{\pm}SD$, range 30-90). Conclusion : The authors propose SMN as a possible effective procedure in achieving useful, long-lasting tone and in gaining voluntary movements in spastic wrists and fingers with low morbidity rates.

터치스크린 기반 웹브라우저 조작을 위한 손가락 제스처 개발 (Development of Finger Gestures for Touchscreen-based Web Browser Operation)

  • 남종용;최재호;정의승
    • 대한인간공학회지
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    • 제27권4호
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    • pp.109-117
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    • 2008
  • Compared to the existing PC which uses a mouse and a keyboard, the touchscreen-based portable PC allows the user to use fingers, requiring new operation methods. However, current touchscreen-based web browser operations in many cases involve merely having fingers move simply like a mouse and click, or not corresponding well to the user's sensitivity and the structure of one's index finger, making itself difficult to be used during walking. Therefore, the goal of this study is to develop finger gestures which facilitate the interaction between the interface and the user, and make the operation easier. First, based on the frequency of usage in the web browser and preference, top eight functions were extracted. Then, the users' structural knowledge was visualized through sketch maps, and the finger gestures which were applicable in touchscreens were derived through the Meaning in Mediated Action method. For the front/back page, and up/down scroll functions, directional gestures were derived, and for the window closure, refresh, home and print functions, letter-type and icon-type gestures were drawn. A validation experiment was performed to compare the performance between existing operation methods and the proposed one in terms of execution time, error rate, and preference, and as a result, directional gestures and letter-type gestures showed better performance than the existing methods. These results suggest that not only during the operation of touchscreen-based web browser in portable PC but also during the operation of telematics-related functions in automobile, PDA and so on, the new gestures can be used to make operation easier and faster.

Reconstruction of Distal Phalangeal Soft Tissue Defects with Reverse Homodigital Artery Island Flap

  • Kim, Byung-Gook;Han, Soo-Hong;Lee, Ho-Jae;Lee, Soo-Hyun
    • Archives of Reconstructive Microsurgery
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    • 제23권2호
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    • pp.65-69
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    • 2014
  • Purpose: Soft tissue reconstruction is essential for recovery of finger function and aesthetics in any traumatic defect. The authors applied a reverse homodigital artery island flap for soft tissue defect on distal part of digits. The aim of this study is to evaluate the efficacy of the procedure. Materials and Methods: Seven cases of soft tissue defects of finger tip were included in this study. There were six male and one female, mean age was 43 years and mean follow-up period was 38 months. The length of flaps ranged from 2.0 to 2.5 cm and width ranged from 1.0 to 2.0 cm. Flap survival, postoperative complications were evaluated. Results: All flaps survived without loss. Donor sites were repaired with primary closure in five cases and skin graft in two cases. None of the patients showed significant complications and their average finger motion was $255^{\circ}$ in total active motion at the last follow-up. Conclusion: The authors suggest that the reverse homodigital artery island flap could be a versatile treatment option for the soft tissue defect on distal part of digits.

고리 금속판을 이용한 망치 손가락의 수술적 치료법 (Surgical treatment of Mallet finger deformity with Hook plate)

  • 최석민;정성균;신호성;박은수;김용배
    • Archives of Plastic Surgery
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    • 제36권3호
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    • pp.318-321
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    • 2009
  • Purpose: The bony mallet finger injury is generally managed by conservative treatments, but operative treatments are needed especially when the fractures involve above 30% of articular surface or distal phalanx is accompanied by subluxation in the volar side. This is the reason they often result in chronic instability, articular subluxation and unsatisfactory cosmetic. In this report, We describe new method using the hook plate as an operative treatment of Mallet finger deformity. Methods: Among 13 patients with Mallet finger deformity who came from February 2006 to February 2008, six patient were included in surgical indication. Under local anesthesia, H or Y type incision was made at the DIP joint area. After the DIP joint extension, the hook plate was put on the fracture line, and one self tapping screw was used for fixation. 2 hole plate which was one of the holes in 1.5 mm diameter was cut in almost half and bended through approximately $100^{\circ}$. Results: In all six cases which applied the hook plate, complications such as loss of reduction or nail deformity were not seen. In only one patient, hook pate was removed due to inflammatory reaction after surgery. At 2 weeks after operation, active motion of DIP joint was performed. The result was satisfactory not only cosmetically but also functionally. At 6 weeks after operation, the range of motion of DIP joint was average $64^{\circ}$. Conclusion: The purpose of the operative treatment for mallet finger deformity using the hook plate is to provide anatomical reduction with rigid fixation and to prevent contracture at the DIP joint. While other operations take 6 weeks, the operation using the hook plate begins an active motion at 2 weeks after operation. Complication rate was low and the method is rather simple. Thus, the operation using the hook plate is recommended as a good alternative method of the mallet finger deformity treatment.

성장기 여아에서 첫째 및 셋째 수지 지절 변화와 초경시기 (The relationship between menarche and the ossification stages of the phalanx of the first and third finger)

  • 김경호;최광철;정길용
    • 대한치과교정학회지
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    • 제32권4호
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    • pp.265-274
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    • 2002
  • 성장기 환자의 발육 상태를 나타내는 여러 지표 중 수완부 골성숙도와 초경시기가 유용하게 사용될 수 있으며 수완부 골성숙도에서는 첫째와 셋째 수지의 변화가 비교적 중요한 의미를 가지고 있다. 이에 본 연구에서는 첫째 수지 및 셋째 수지의 지절 변화와 초경 및 부정교합과의 연관성을 조사하기 위해, 성장기 여아 중 I급 부정교합자 29명, II급 부정교합자 27명, III급 부정교합자 27명을 대상으로 약 6개월 간격으로 모지척측 종자골 출현 전부터 수지 지절의 융합이 거의 이루어지는 시기까지 누년적으로 촬영한 수완부골 방사선 사진과 초경시기를 평가하여 다음과 같은 결론을 얻었다. 1. 부정교합에 따른 골성숙도의 차이는 없었다. 2. 부정교합에 따른 초경연령의 차이는 없었으며, 초경의 평균 연령은 $12.30\pm0.98$세였다. 3. 모지척측 종자골 출현은 $10.35\pm1.01$세, 첫째 수지의 원심부 지절에서 Capping단계는 $11.26\pm1.04$세, 융합시기는 $13.12\pm1.06$세이고 셋째 수지의 중간 지절의 capping은 $11.57\pm1.02$세, 융합은 $13.72\pm1.04$세에 일어났다. 4.초경은 첫째 수지 원심부 지절의 융합이 진행되는 시기와(P<0.001, r=0.82),셋째 수지 중간 지절의 융합이 시작되는 시기와(p<0.001, r=0.78) 비슷한 시기에 나타났다. 이상의 결과로 첫째 또는 셋째 수지 지절 변화만으로 성장기 여아에서의 발육상태를 평가할 때 도움을 줄 수 있음을 알 수 있었다.