• Archives of Plastic Surgery
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• v.48 no.1
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• pp.91-97
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• 2021

Background In postaxial polysyndactyly of the foot, the choice of which toe to excise is controversial. It is often treated by resection of the fifth toe to save the lateral neurovascular bundles of the sixth toe. However, the sixth toe is often short and laterally deviated, which may require wedge osteotomy, potentially shortening the phalanx and compromising circulation. This study outlines an individualized method to spare the length and axis of the fifth toe in polysyndactyly with a short and deviated sixth toe. Methods We retrospectively analyzed 38 patients who underwent surgery between 2006 and 2019. The fifth toe was spared in 18 cases, and the sixth toe in 20 cases. The ratios of the forefoot width, angle difference, and toe length were compared between the affected and unaffected sides postoperatively. Complications and subjective judgments on cosmetic results were recorded and compared. Results No significant between-group differences were observed for sex, age at surgery, or the follow-up period. The forefoot width ratio did not significantly differ between the groups. However, the angle difference and toe length ratios showed significantly better results in the fifth toe-spared group than in the sixth toe-spared group (P<0.05 and P<0.01, respectively). There were no cases of impaired circulation, and subjective evaluations revealed satisfactory results in the fifth toe-spared group. Conclusions In cases with short and deviated sixth toes, sparing the fifth toe is an effective method of cosmetic treatment. The surgical results were satisfactory, with an improved appearance and no residual deformities.

• Journal of the Korean Geotechnical Society
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• v.15 no.4
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• pp.207-220
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• 1999

Model tests were performed to investigate the failure modes in embankments on soft ground supported by piles with cap beams. In the model tests, Jumunjin standard sand was placed on simulated cap beams and soft ground. The cap beams are placed perpendicular to the longitudinal axis of the embankment. The colored sand and the Jmniin standard sand were placed one after the other above cap beams and soft ground to make lateral stripes with 3mm thickness in the embarkment. The colored sand was prepared by coating the Jumunjin sand with black lead powder. The photographs illustrate the two characteristic modes of failure in embarkments. One is the soil arching failure and the other is the punching shear failure. The failure mode depends on the height of embankment and the space between cap beams. That is, if the embankment is high enough compared with the space between cap beams, it will fail in arching failure. On the other hand if the embarkment is relatively low or the space between piles is too wide, it will fail in punching shear failure. The soil arching develops in embarkment as a semicylindrical arch with a thickness equal to the width of the cap beam. And the soil wedge developed above the cap beams remains intact during both arching and punching failures. The boundary of punching shear failure of the displaced soil mass can be defined on the basis of observation of the photographs.

• The Journal of Korean Society for Radiation Therapy
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• v.16 no.2
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• pp.43-61
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• 2004

Purpose : For qualify improvement in radiotherapy, it is important to set up and evaluate equipment (linac) accurately. In addition, technicians are needed to be fully aware of the equipment's detailed quality and its manual. Therefore, the result of ATP is evaluated and introduced, in order that the technicians are skilled by participating in quality assurance (QA) and understanding the quality of the equipment before clinical use. Method and Material : QA for LINAC 21EX (Varian, US) was done with suppliers its procedure was divided into radiation survey, mechanical test, radiation isocenter test, bean performance, dosimetry, and enhanced dynamic wedge and using X-omat film (Kodak), multidata, densitometer, and electrometer. QA of MLC (Millennium, 120 leaf) attached to LINAC and EPID (Portal vision) were done separately. Result : The leakage dose by survey meter was below the tolerance. In mechanical test, collimater, gantry, and couch rotation were less than 1mm, and the angles were ${\pm}0.1^{\circ}$ for digital and ${\pm}0.5^{\circ}$ for mechanical. The alignment test of the light field and crosshair were evaluated less than 1mm. The (a)symmetrical jaw field was less than ${\pm}0.5mm$. The radiation isocenter test using X-mat film was less than 1mm. The consistency of light field and radiation field was less than ${\pm}0.1mm$. PDD for photon energy was less than ${\pm}1\%$ and for electron energy of $90\%,\;80\%,\;50\%,\;and\;30\%$ were evaluated within the tolerance. Flatness for photon and electron energy was evaluated $2.3\%$ (tolerance $3\%$) and $3\%$ (tolerance $4.5\%$), respectively, and symmetry was $0.45\%$ (tolerance $2\%$) and $0.3\%$ (tolerance $2\%$), respectively. Dosimetry test for short term, MU setting, rep rate, and dose rate accuracy of photon and electron energy was within the tolerance depending on energy, MU, and gantry angle. Conclusion : Accuracy and safety for clinical use of Clinac 21EX was verified through customer acceptance procedure and the quality of the equipment was found out. These can reduce the difficulties in using the equipment. Furthermore, it is useful for clinically treatment of patients by technicians' active participations.

• Journal of the Korean Orthopaedic Association
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• v.56 no.3
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• pp.208-214
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• 2021

Purpose: Verifying a reliable predictor of the progression of vertebral deformity in patients with acute osteoporotic fractures of the lumbar spine may be useful. A qualitative analysis of the muscle near the spine was performed using magnetic resonance imaging (MRI), and its correlation with a spinal deformity was determined under the hypothesis that the causes of the kyphotic deformity are associated with muscle reduction in the multifidus and erector spinae. Materials and Methods: The study was performed in a retrospective manner using the electronic medical records of patients who presented to the author's institution between January 2007 and March 2018, and were diagnosed with an acute lumbar fracture. The fat infiltration rates of the multifidus and erector spinae were measured using MRI taken at the time of injury, and the mean value was defined as the total fat infiltration rate (TFI). Based on lateral radiographs of the lumbar spine at the one-year follow-up, the loss of height of the vertebral body, the kyphotic angle and the wedge angle were measured. The statistical significance was confirmed by calculating the Pearson correlation coefficient. Results: One hundred twenty-nine patients, of which 30 were male and 99 were female, were examined. The mean age was 71.28 years. The mean T-score was -3.53±0.79 g/cm², and the mean fat infiltration was 15.20%±11.99%. TFI was positively correlated with age (R=0.373, p<0.001), compression rate (R=0.369, p<0.001), and Cobb's angle (R=0.386, p<0.001) after a one year follow-up, but negatively correlated with the BMD score (R=-0.252, p=0.004). As the fracture progressed to the lower lumbar level, the compression rate (R=-0191, p=0.030) and wedge angle (R=-0.428, p<0.001) at the time of injury tended to decrease. Conclusion: In patients with osteoporotic vertebral fractures, the fat infiltration rate may be an important predictor of conservative treatment. The prognosis of patients with a high-fat infiltration rate should be explained during patient education, and the patients must be monitored closely through short-term outpatient follow-up.

• Economic and Environmental Geology
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• v.27 no.1
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• pp.65-80
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• 1994

The Tertiary $Ch{\check{o}}ngja$ basin is located in the southeastern coastal area of the Korean Peninsula. It is a lozenge shaped fault-bounded basin with circa $5{\times}5km$ areal extent, isolated from other Tertiary basins by the Cretaceous Ulsan Formation in-between. The northwestern boundary of the basin is a domino/listric type normal fault trending $N30^{\circ}E$, whereas its southwestern boundary is a dextral strike-slip fault (trending $N20^{\circ}W$) with a lateral offset of more than 1 km. The basin is bounded by the East Sea on the eastern margin. Basin-fills consist of extrusive volcanic rock (Tangsa Andesites) of Early Miocene (16~22 Ma in radiometric age), unconsolidated fluviatile conglomerate (Kangdong Formation) and shallow brackish-water sandstone ($Sinhy{\check{o}}n$ Formation). The latter yields abundant Vicarya-Anadara molluscan fossils of early Middle Miocene age. The Tertiary strata become younger toward the northwestern boundary-fault of the basin, showing a zonal distribution pattern parallel to the fault: the younger sedimentary formations occupy a narrow zone of 2 km width along the northwestern boundary-fault, whereas the older Tangsa Andesites underlie them unconformably in the eastern and southeastern portions of the basin. The strata in the basin, including the Tangsa Andesites, are tilted (about $20^{\circ}$) toward the northwestern boundary-fault Sedimentary strata thicken toward the boundary-fault, forming a wedge shaped half-graben structure. A number of small-scale syndepositional normal growth faults and graben structures are observed in the sedimentary strata. These extensional structures have the same trend as the normal northwestern boundary-fault which we interpret as a pull-apart detachment fault. These characteristics imply persistent extension during the basin evolution, caused by a NW-SE directed tensional force. The $Ch{\check{o}}ngja$ basin is, thus, a kind of syndepositional tectonic basin evolved in a strike-slip (pull-apart) regime. The latter was caused by a dextral simple shear associated with the NNW-SSE opening of the East Sea. In view of the fact that the normal growth faults do not cut through the uppermost portion of the youngest $Sinhy{\check{o}}n$ Formation, it is inferred that the tensional force came to be inactive in the early Middle Miocene. This is coincident in timing with the termination of the East Sea opening (15 Ma).

• Korean Journal of Ichthyology
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• v.1 no.1_2
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• pp.24-34
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• 1989

We reexamined the skulls of 14 gobionine genera of Korea to study taxonomic status of Gobioninae. The character transformation series found in the morphology of urohyal was very distinct among other skeletal characters. The gobioninae fishes of Korea were divided into 4 groups based on their morphology of urohyal as follows ; 1. Coreoleuciscus, Gnathopogon group ; The horizontal plate of urohyal has a ellipse shape with posterior edge wedged and the length is longer than that of vertical plate. 2. Hemibarbus, Squalidus group ; The horizontal plate has a elongated rhombeus shape with posterior edge pointed and the length is shorter than that of vertical plate. 3. Sarcocheilichthys, Pseudopungtungia, Pseudorasbora, Pungtungia group ; the horizontal plate has a expanded rhombeus shape, the length is longer than that of vertical plate, the hypohyal attatchment is not bifurcated, and the profile of the horizontal and vertical plate curved ventrally. 4. Ladislavia, Gobiobotia, Abbottina, Hicrophysogobio, Pseudogobio, Saurogobio group ; The horizontal plate has a pin or wedge shape expanded anteriorly, the length is shorter than that of vertical plate, and the hypohyal attatchment is thickened laterally. This results agreed with those by the adductor mandibulae complex, the geniohyoideus of cephalic muscles, and the cephalic-lateral line canals.

• Journal of Chest Surgery
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• v.29 no.4
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• pp.403-407
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• 1996

One hundred and twenty three patients underwent 137 thoracostomies for spontaneous pneumothorax in the department of Thoracic and Cardiovascular Surgery, Gyeongsang National University from January 1987 to December 1994. There were 118 men and 6 women and average age was )2.4 years. The two most common surgical Indications were recurrent pneumothorax and continuous air leakage. Other indications were visible bullae on simple X-ray, previous contralateral pneumothorax, incomplete expansion of the lung, and bilateral pneumothoraces. Methods of thoracotomy were subaxillary thoracotomy in 82 cases, lateral minithoracotomy in 12 cases and posterolateral thoracotomy in 43 cases. Operation time was 63.0 $\pm$ 30.8, 98.3 $\pm$ 37.9, 186.9 $\pm$ 87.9 minutes respectively, and postoperative chest tube keeping time was 5.2 $\pm$ 4.1 days in subaxillary thoracotomy, 6.2 $\pm$ 5.0 days in minithoracotomy and 10.0 $\pm$ 5.8 days in posterolateral thoracotomy Bullae were present mostly at the apex in spontaneous and tuberculous pneumothorax comparred to the cases of chronic obstructive or emphysematous lung disease, where there were no redilection of presence of bullae (p< 0.01). Operative procedures were wedge resection, bullae obliteration and lobectomy. Postoperative complications were continuous air leakage, bleeding, brachial plexus injury, empyema, and wound infection, but all the complications were cured by the time of discharge. There was no mortality.

• Radiation Oncology Journal
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• v.18 no.1
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• pp.1-10
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• 2000

Purpose : Although using the high energy Photon beam with conventional Parallel-opposed beams radiotherapy for nasopharyngeal carcinoma, radiation-induced xerostomia is a troublesome problem for patients. We conducted this study to explore a new parotid gland sparing technique in 3-D conformal radiotherapy (3-D CRT) in an effort to prevent the radiation-induced xerostomia. Materials and Methods : We peformed three different planning for four clinically node-negative nasopharyngeal cancer patients with different location of tumor(intracranial extension, nasal cavity extension, oropharyngeal extension, parapharyngeal extension), and intercompared the plans. Total prescription dose was 70.2 Gy to the isocenter. For plan-A, 2-D parallel opposing fields, a conventional radiotherapy technique, were employed. For plan-B, 2-D parallel opposing fields were used up until 54 Gy and afterwards 3-D non-coplanar beams were used. For plan-C, the new technique, 54 Gy was delivered by 3-D conformal 3-port beams (AP and both lateral ports with wedge compensator; shielding both superficial lobes of parotid glands at the AP beam using BEV) from the beginning of the treatment and early spinal cord block (at 36 Gy) was peformed. And bilateral posterior necks were treated with electron after 36 Gy. After 54 Gy, non-coplanar beams were used for cone-down plan. We intercompared dose statistics (Dmax, Dmin, Dmean, D95, DO5, V95, VOS, Volume receiving 46 Gy) and dose volume histograms (DVH) of tumor and normal tissues and NTCP values of parotid glands for the above three plans. Results : For all patients, the new technique (plan-C) was comparable or superior to the other plans in target volume isodose distribution and dose statistics and it has more homogenous target volume coverage. The new technique was most superior to the other plans in parotid glands sparing (volume receiving 46 Gy: 100, 98, 69$\%$ for each plan-A, B and C). And it showed the lowest NTCP value of parotid glands in all patients (range of NTCP; 96$\~$100$\%$, 79$\~$99$\%$, 51$\~$72$\%$ for each plan-A, B and C). Conclusion : We conclude that the new technique employing 3-D conformal radiotherapy at the beginning of radiotherapy and cone down using non-coplanar beams with early spinal cord block is highly recommended to spare parotid glands for node-negative nasopharygeal cancer patients.