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Clinical Results of Supracondylar Dome Osteotomy for Cubitus Varus and Valgus Deformities in Adults

  • Gwark, Ji-Yong;Im, Jin-Hyung;Park, Hyung Bin
    • Clinics in Shoulder and Elbow
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    • v.19 no.4
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    • pp.229-236
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    • 2016
  • Background: Cubitus varus and cubitus valgus deformities are common complications of distal humeral fractures in children. We evaluated the usefulness of supracondylar dome osteotomy as a treatment option for adults with cubitus varus or valgus deformity developed during childhood. Methods: Ten patients who had received supracondylar dome osteotomy and stabilization with plates to treat cubitus varus or valgus deformity between July 2006 and August 2013 were included in this study. Their mean age at the time of surgery was $36.50{\pm}10.22years$. The mean follow-up duration was $54.80{\pm}32.50months$. We evaluated humerus-elbow-wrist angles (HEWA), improvements in the lateral prominence index (LPI) or medial prominence index (MPI), Mayo elbow performance scores (MEPS), and overall results in accordance with the Banerjee criteria. Results: For the six patients with cubitus varus, the mean postoperative HEWA, mean correction angle, and mean improvement in LPI were $9.72^{\circ}{\pm}3.95^{\circ}$, $27.67^{\circ}{\pm}10.75^{\circ}$, and $6.92%{\pm}3.40%$, respectively. For the four patients with cubitus valgus, the mean postoperative HEWA, mean correction angle, and mean improvement in MPI were $14.73^{\circ}{\pm}2.97^{\circ}$, $11.55^{\circ}{\pm}3.26^{\circ}$, and $11.33%{\pm}6.39%$, respectively. There was no significant difference between postoperative and preoperative mean MEPS. The subjective ulnar nerve symptoms were alleviated in all patients. The overall results were excellent in six and good in four patients. Conclusions: This study suggests that supracondylar dome osteotomy with secure fixation using double plates may be useful in correcting cubitus varus or cubitus valgus deformity, yielding good functional outcomes in adults.

Setting of Adiponectin Reference Range and Clinical Significance of investigation (Adiponectin Reference Range설정과 임상적 의의 고찰)

  • Kim, Yong-Ha;Oh, Choon-Soon;Lee, Ann-Na
    • The Korean Journal of Nuclear Medicine Technology
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    • v.12 no.1
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    • pp.82-87
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    • 2008
  • Purpose: The Bio-energy metabolism control hormone by Adipocytokine is composed with Leptin, Adiponectin, resistin, TNF-a, IL-6. Adiponectin become known to participating in Insulin sensitivity exasperation, Fat metabolism accomodation and inducing metabolic disease such as diabetes mellitus, arteriosclerosis, hyperlipemia. When we accomplished the test with purpose of Research, we observed significance with a result of test related to diabetes mellitus with reference setting by way of suggestion. Methods: Result of normal group (n=100) which is committed in the SCL from September 2006 to December 2006 and result of control group (n=50) relationship examination item that is decided diabetes measures themselves against each other. Also, we measured the normal group against the control group for the reference range of adiponectin. Results: Result in normal group (n=100) appeared by Glucose (reference 70~120 mg/dl) Mean and the SD 96.99 (${\pm}24.35$), HbA1c (reference 4.0~6.0%) Mean and the SD 5.64 (${\pm}0.90$), Insulin (reference 2.0~25.0 uIU/ml) Mean and the SD 7.80 (${\pm}4.42$), the Adiponectin the Mean and the SD 9,861.23 (${\pm}4,977.0$). Result in control group(n=50) appeared by Glucose (reference 70-120 mg/dl) Mean and the SD 224.95 (5.30), the HbA1c (reference 4.0~6.0%) Mean and the SD 8.22 (1.63), Insulin (reference 2.0~25.0 uIU/ml) Mean and the SD 17.02 (3.01), C-peptide (reference 0.48~3.30 ng/ml) Mean and the SD 7.92 (${\pm}7.40$), the Adiponectin Mean and the SD 18,110.03 (${\pm}12,843.29$). Conclusions: Therefore, it seems that test results are significant and we consider that it can be apply to useful diagnosis of diabetes mellitus, arteriosclerosis, hyperlipemia patients throughout the reference range setting of Adiponectin, Leptin is one of the Bio-energy metabolism control hormone.

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The Effects of the Combined Patterns of Proprioceptive Neuromuscular Facilitation on Static Balance (고유수용성 신경근 촉진법의 통합 패턴이 정적 균형에 미치는 영향)

  • Choi, Won-Jye;Kim, Yoon-Hwan;Lee, Seung-Yub
    • PNF and Movement
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    • v.6 no.1
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    • pp.1-12
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    • 2008
  • Purpose : The purpose of this study was to investigate the effects of the combined patterns of PNF(proprioceptive neuromuscular facilitation) on the static balance ability. Methods : The measurements of the static balance ability were completed by 10 subjects for 6 weeks, from October to November 2007. The combined patterns of PNF were carried out by means of self-exercising suggested by Dietz, which were designed as four cases: two positions (standing and quadruped) for both patterns(sprinter and skater), respectively. The exercises were practiced once a day, 3 times a week in same condition. By using the GOOD BALANCE system, assessment of the static balance ability was taken at before and after exercise from 6 positions: normal standing, one leg left and one leg right standing when eye open and close, respectively. For each case, the experimental data was obtained in 3 items: mean X speed, mean Y speed and velocity moment. Results : The results of this study were as follows : 1. There were statistically significant differences of Mean X speed, Mean Y speed and Velocity moment between the before and the after exercise in the case of normal standing when eye open and close(NSEO and NSEC), respectively. 2. There was statistically significant difference of Mean X speed between the before and the after exercise in the case of one leg left standing when eye open(OLLEO). In this case, however, the statistically significant differences were not found in both terms of Mean Y speed and Velocity moment. 3. There were statistically significant differences of Mean X speed and Mean Y speed between the before and the after exercise in the case of one leg left standing when eye close(OLLEC). In this case, however, the statistically significant difference was not found in term of Velocity moment. 4. There were statistically significant differences of Mean X speed, Mean Y speed and Velocity moment between the before and the after exercise in the case of one leg right standing when eye close(OLREC). 5. There was statistically significant difference of Mean X speed between the before and the after exercise in the case of one leg right standing when eye open(OLREO). In this case, however, the statistically significant differences were not found in both terms of Mean Y speed and Velocity moment. 6. There were statistically significant differences of total Mean X speed, total Mean Y speed and total Velocity moment between the before and the after exercise. Conclusions : The above results from this study indicated that the combined patterns of PNF have improved the static balance ability. However the used self-exercise can be applied to normal people, i.e., the exercise is difficult to apply into clinical patients. The further study should be focused at development of various modified forms of the combined patterns of PNF in keeping up the improvement effect of this exercise.

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Experience with Enterostomy Closure in Very Low Birth Weight Infants (극소 저출생 체중아에서 조성한 장루의 복원 경험)

  • Shin, Hee-Chul;Moon, Suk-Bae;Lee, Seong-Cheol;Jung, Sung-Eun;Park, Kwi-Won
    • Advances in pediatric surgery
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    • v.15 no.1
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    • pp.18-26
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    • 2009
  • The survival of Very Low Birth Weight (VLBW) infants has been improved with the advancement of neonatal intensive care. However, the incidence of accompanying gastrointestinal complications such as necrotizing enterocolitis has also been increasing. In intestinal perforation of the newborn, enterostomy with or without intestinal resection is a common practice, but there is no clear indication when to close the enterostomy. To determine the proper timing of enterostomy closure, the medical records of 12 VLBW infants who underwent enterostomy due to intestinal perforation between Jan. 2004 and Jul. 2007 were reviewed retrospectively. Enterostomy was closed when patients were weaned from ventilator, incubator-out and gaining adequate body weight. Pre-operative distal loop contrast radiographs were obtained to confirm the distal passage and complete removal of the contrast media within 24-hours. Until patients reached oral intake, all patients received central-alimentation. The mean gestational age of patients was $26^{+2}$ wks ($24^{+1}{\sim}33^{+0}$ wks) and the mean birth weight was 827 g (490~1450 g). The mean age and the mean body weight at the time of enterostomy formation were 15days (6~38 days) and 888 g (590~1870 g). The mean body weight gain was 18 g/day (14~25 g/day) with enterostomy. Enterostomy closure was performed on the average of 90days (30~123 days) after enterostomy formation. The mean age and the mean body weight were 105 days (43~136 days) and 2487 g (2290~2970 g) at the time of enterostomy closure. The mean body weight gain was 22 g/day after enterostomy closure. Major complications were not observed. In conclusion, the growth in VLBW infants having enterostomy was possible while supporting nutrition with central-alimentation and the enterostomy can be closed safely when the patient's body weights is more than 2.3 kg.

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A study on characteristics of water quality and degradation rates of organic phosphates in Young-San river (영산강하류의 계절 변화에 따른 수질특성과 유기인산염의 분해율에 관한 연구 I - 부영양화를 중심으로 -)

  • Cho Ki-An;Ahn Pyong-Kwon;Hong Soon-Gang;Chung Dong-Ok
    • Journal of Environmental Science International
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    • v.8 no.6
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    • pp.691-697
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    • 1999
  • The work on the eutropication of Youngsan river was conducted from Jul. 1997 to Jun. 1998. The value of water temperature in the study area varied from $4^{\circ}C\;to\;32^{\circ}C$ with an annual mean of $17.5^{\circ}C$. DO varied from 4.0 $mg/{\ell}$ to 13.5 $mg/{\ell}$, with an annual mean 10.2 $mg/{\ell}$,. BOD varied from 0.8 $mg/{\ell}$, to 6.4 $mg/{\ell}$ with an annual mean 3.1 $mg/{\ell}$. COD varied from 4.6 $mg/{\ell}$, to 9.0 $mg/{\ell}$ with an annual mean 6.38 $mg/{\ell}$. Nitrate varied from 1.58 $mg/{\ell}$, to 6.77 $mg/{\ell}$, with an annual mean of 3.475 $mg/{\ell}$, Total-nitrogen varied from 2.14 $mg/{\ell}$ to 8.38 $mg/{\ell}$ with an annual mean of 5.083 $mg/{\ell}$. Total-phosphate varied from 0.035 $mg/{\ell}$ to 0.588 $mg/{\ell}$ with an annual mean of 0.128 $mg/{\ell}$. Chl.a varied from 1.8 ${\mu}g/{\ell}$ to 75.0 ${\mu}g/{\ell}$ with an annual mean of 19.55 ${\mu}g/{\ell}$. The euthrophic state index of $Carlson^{16)}$ were showed 61.8(TP) and 71(SD) value

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Effects of loading conditions on the fatigue failure characteristics in a polycarbonate

  • Okayasu, Mitsuhiro;Yano, Kei;Shiraishi, Tetsuro
    • Advances in materials Research
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    • v.3 no.3
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    • pp.163-174
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    • 2014
  • In this study, fatigue properties and crack growth characteristics of a polycarbonate (PC) were examined during cyclic loading at various mean stress (${\sigma}_{amp}$) and stress amplitude (${\sigma}_{mean}$) conditions. Different S vs. N and da/dN vs. ${\Delta}K$ relations were obtained depending on the loading condition. The higher fatigue strength and the higher resistance of crack growth are seen for the PC samples cyclically loaded at the higher mean stress and lower stress amplitude due to the low crack driving force. Non-linear S - N relationship was detected in the examination of the fatigue properties with changing the mean stress. This is attributed to the different crack growth rate (longer fatigue life): the sample loaded at the high mean stress with lower stress amplitude. Even if the higher stress amplitude, the low fatigue properties are obtained for the sample loaded at the higher mean stress. This was due to the accumulated strain energy to the sample, where severe plastic deformation occurs instead of crack growth (plasticity-induced crack closure). Shear bands and discontinuous crack growth band (DGB) are observed clearly on the fracture surfaces of the sample cyclically loaded at the high stress amplitude, where the lower the ${\sigma}_{mean}$, the narrower the shear band and DGB. On the other hand, final fracture occurred instantly immediately after the short crack growth occurs in the PC sample loaded at the high mean with the low ${\sigma}_{amp}$, i.e., tear fracture, in which the shear bands and DGB are not seen clearly.

Single-Stage Posterior Subtotal Corpectomy and Circumferential Reconstruction for the Treatment of Unstable Thoracolumbar Burst Fractures

  • Jo, Dae-Jean;Kim, Ki-Tack;Kim, Sung-Min;Lee, Sang-Hun;Cho, Myung-Guk;Seo, Eun-Min
    • Journal of Korean Neurosurgical Society
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    • v.59 no.2
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    • pp.122-128
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    • 2016
  • Objective : To illustrate the technique of single-stage posterior subtotal corpectomy and circumferential reconstruction for the treatment of unstable thoracolumbar burst fractures and to evaluate the radiographical and clinical outcomes of patients treated using this technique. Methods : 16 consecutive patients with unstable thoracolumbar burst fractures were treated with single-stage posterior subtotal corpectomy and circumferential reconstruction. The mean patient age was 54.8 years. The mean follower up period was 25 months. Five patients suffered from T12 fractures, 10 from L1, 1 from L2. The segmental kyphosis, neurologic status, visual analogue scale for back pain was evaluated before surgery and at follow up. Results : The segmental kyphotic angle improved from 18.5 degrees before surgery to -9.2 degrees at the last follow up. The mean correction angle was 28.9 degrees. The mean surgical time was 255 minutes, and a mean intraoperative blood loss was 1073 mL. Intraoperative complications included two dural tears, and a superficial wound infection. There were no other severe complications. The mean visual analog scale of back pain decreased from a mean value of 6.6 to 2 at the last follow up. Conclusion : The single-stage posterior subtotal corpectomy and circumferential reconstruction achieved satisfactory kyphosis correction with direct visualization of the circumferentially decompressed spinal cord, as well as good fusion with less blood loss and complications. It is a safe and reliable surgical treatment option for unstable thoracolumbar burst fractures.

Effect of Mean Stress on the Fatigue Life of Engine Mount and Life Prediction (방진고무부품 피로수명에 끼치는 평균하중의 영향 및 피로수명 예측)

  • Lee, H.J.;Kim, W.D.;Choi, B.I.;Woo, C.S.;Kim, J.Y.;Koh, S.K.
    • Proceedings of the KSME Conference
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    • 2001.11a
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    • pp.99-104
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    • 2001
  • Effect of mean stress on the fatigue life of natural rubber for engine mount was investigated. Fatigue damage parameter based on the maximum Green-Lagrange strain was employed to account for the effect of mean stress. A procedure to predict the fatigue life of rubber components based on the maximum Green-Lagrange strain method was proposed. Nonlinear finite element analysis and fatigue test of jang-gu shape specimen were conducted to predict the fatigue life of engine mount. Predicted fatigue lives have a good agreement with tested lives within a factor of 3.

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Estimators Shrinking towards Projection Vector for Multivariate Normal Mean Vector under the Norm with a Known Interval

  • Baek, Hoh Yoo
    • Journal of Integrative Natural Science
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    • v.11 no.3
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    • pp.154-160
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    • 2018
  • Consider the problem of estimating a $p{\times}1$ mean vector ${\theta}(p-r{\geq}3)$, r = rank(K) with a projection matrix K under the quadratic loss, based on a sample $Y_1$, $Y_2$, ${\cdots}$, $Y_n$. In this paper a James-Stein type estimator with shrinkage form is given when it's variance distribution is specified and when the norm ${\parallel}{\theta}-K{\theta}{\parallel}$ is constrain, where K is an idempotent and symmetric matrix and rank(K) = r. It is characterized a minimal complete class of James-Stein type estimators in this case. And the subclass of James-Stein type estimators that dominate the sample mean is derived.