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Surgical Correction of Hexadactyly: Innovation of new technique and its application (여섯 손가락증의 수술적 교정: 새로운 수술 방법의 고안과 적용)

  • Tark, Kwan Chul;Lee, Myung Chul
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.642-648
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    • 2009
  • Purpose: Hexadactyly without thumb is a rare congenital anomaly of the hand where six triphalangeal digits are symmetrically distributed without thumb. Contrary to mirror hands, triphalangeal six digits are symmetrically distributed on each side at the midline with well - differentiated carpal bones, extensor tendons, one ulnar and one radius. The authors developed a new surgical technique based on a three - dimensional concept to correct the hexadactyly and applied to 2 cases of hexadactyly with good functional and aesthetic results. Here we document the surgical technique and its result. Methods: A 16 month old male patient visited our clinic with chief complaints of bilateral hexadactyly deformity. On physical examination most radial first and second digits showed no opposition and adduction motion on both side hands. Radiography showed 6 triphalangeal digits with normal development of carpal, radial and ulnar bone. Right side abnormality was corrected by removal of most radial side extra - digit, rotation and migration of 2nd ray to thumb position and creation of 1st web by transposing a mid - palm based rectangular palmar flap as in Snow & Littler procedure which has been being applied for correction of 1st web syndactyly in cleft hand deformity. Seven months later, left side abnormality was also corrected with the same procedure. Results: Postoperative appearances of the both hands were satisfactory. Flexion, extension, opposition and grasping were possible with the pollicized 2nd ray. Pinching power was 3.0 kg 15 months after surgery and 2.5 kg 22 months after in right hand respectively. Conclusion: In correction of hexadactyly deformity, satisfactory aesthetic and relevant functional results can be expected with authors' newly developed technique: removal of most radial digit, rotation and migration of 2nd digit to thumb position as well as creation of the 1st web space by transposition of mid - palm based rectangular flap.

Structural and Electrical Properties of (La,Nd,Sr)MnO3 Ceramics for NTC Thermistor Devices

  • Shin, Kyeong-Ha;Park, Byeong-Jun;Lim, Jeong-Eun;Lee, Sam-Haeng;Lee, Myung-Gyu;Park, Joo-Seok;Lee, Sung-Gap
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.35 no.3
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    • pp.292-296
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    • 2022
  • (La0.5Nd0.2Sr0.3)MnO3 specimens were prepared by a solid-state reaction. In all specimens, X-ray diffraction patterns of an orthorhombic structure were shown. The fracture surfaces of (La0.5Nd0.2Sr0.3)MnO3 specimens showed a transgranular fracture pattern be possibly due to La ions (0.122 nm) as a perovskite A-site dopant substituting for Nd ions (0.115 nm) having a small ionic radius. The full-width at half maximum (FWHM) of the Mn 2p XPS spectra showed a value greater than that [8] of the single valence state, which is believed to be due to the overlapping of Mn2+, Mn3+, and Mn4+ ions. The dependence of Mn 2p spectra on the Mn3+/Mn4+ ratio according to sintering time was not observed. Electrical resistivity resulted in the minimum value of 100.7 Ω-cm for the specimen sintered for 9 hours. All specimens show a typical negative temperature coefficient of resistance (NTCR) characteristics. In the 9-hour sintered specimen, TCR, activation energy, and B25/65-value were -1.24%/℃, 0.19 eV, and 2,445 K, respectively.

Protective Effects of Chaenomeles sinensis Koehne Extract on Ethanol-induced Liver Damage in Rat (에탄올에 의해 유발된 간독성에 대한 모과 추출물의 보호효과)

  • Lee, Yu-Mi;Lee, Jae-Joon;Shin, Hyoung-Duck;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.10
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    • pp.1336-1342
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    • 2006
  • This study was performed to investigate the effect of ethanol extract of Chaenomeles sinensis Koehne (CS) on alcohol-induced liver damage in rats. Male Sprague-Dawley rats weighing $135{\pm}10g$ were divided into 6 groups for 4 weeks; normal group (ND), alcohol (35%, 10 mL/kg/day) treated group (ET), CS ethanol extract 200 mg/kg/day treated group (ND-CSL), CS ethanol extract 400 mg/kg/day treated group (ND-CSH), CS ethanol extract 200 mg/kg/day and alcohol treated group (ET-CSL), and CS ethanol extract 400 mg/kg/day and alcohol treated group (ET-CSH). The body weight gain and food efficiency ratio were no differences between ND and ET. There were increases in the activities of serum alanine aminotransferase (ALT), asparate aminotransferase (AST), and alkaline phosphatase (ALP) in ET. On the other hand, the administration of CS decreased ALT, AST and ALP activities in serum. It was also observed that the hepatic activities of superoxide dismutase (SOD), catalase, glutathione peroxidase (GSH-Px) and xanthine oxidase (XO) increased by alcohol treatment were also markedly decreased in the CS administered groups as compared with ET. The activities of hepatic SOD, catalase, GSH-Px and XO were riot significantly different among the normal diet groups. Contents of thiobarbituric acid reactive substances (TBARS) were increased by the administration of alcohol, on the other hand, the administration of CS reduced TBARS value in the liver. In addition, the content of glutathione (GSH) in the liver was decreased by alcohol administration, however, GSH increased after administering CS. In conclusion, the administration of alcohol develops the hyperoxidation of liver lipids through tile increase in enzymes activity related to the lipid peroxiation, however, it was decreased after administring CS. Thus, CS may have a possible protective effect on ethanol-induced hepatotoxicity in rat liver.

A Study on Low Concentration Substrate Removal by Using the Aerated Submerged Biofilter (호기 생물막법에 의한 저농도 기질제거법에 관한 고찰)

  • 홍성철;정문식
    • Journal of Environmental Health Sciences
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    • v.15 no.2
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    • pp.59-68
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    • 1989
  • This study was performed employing the two stage aerated submerged biofilter of media pore size 1.5cm and 2cm, and infiuent substrate concentrations were 30.25mg COD/l, 50.1mg COD/l respectively. The purpose was to determine the treatment efficiency at the low concentration infiuent, reaction order and substrate flux with application of variable-order model that was presented by Rittmann and McCarty. . The results are as follows. 1. Treatment efficiency of 1st reactor was about BOD 82% and COD 76%, when effluent concentration was BOD 3.9 ~ 6.8, COD 7.1 ~ 12.5 mg/l, and this effluent concentration didn't satisfy the water quality grade I, II of river and lake. But as treated effluent of 1st reactor with 2nd reactor, we could achieve appropriate water quality, since instillation of 2nd reactor was needed. 2. Difference of media pore size between 1.5cm and 2cm didn't effect significantly to treatment efficiency and since this of 2nd reactor was about BOD 60%, COD 50%, an consideration of economic point of view should be carried out in field application. 3. Reaction order and substrate flux was varied 0.9851~0.9956 and 0.0028~0.0405 mg/$cm^{2} \cdot day$, and the substrate flux was increased as infiuent substrate concentration increased.

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A STUDY ON dmf & PREDILECTION SITES OF PRESCHOOL CHILDREN IN SEOUL. (서울시(市) 미취학아동(未就學兒童)의 dmf 및 치아우식(齒牙齲蝕) 호발부위(好發部位)에 대(對)한 연구(硏究))

  • Ko, Sung-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.8 no.1
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    • pp.103-117
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    • 1981
  • The data about dental caries obtained from 1438 preschool children (male 797, female 641) in Seoul aged from 3 to 6 were analyzed by their sexes, ages, jaws and teeth surfaces. The results were as follows. 1. dmf rate : 92.63% 2. dmft index : 6.06 dmft rate 30.81 % dmfs index : 11.82 dmfs rate 12.02 % 3. d,m & f rate d rate: 79.45% m rate: 8.15% f rate : 12.40 % 4. dft index : 5.94 5. The order of caries susceptible tooth 1. Lower deciduous 2nd molar 2. Lower deciduous 1st molar 3. Upper deciduous 2nd molar 4. Upper deciduous lateral incisor 5. Upper deciduous cental incisor 6. Upper deciduous lateral incisor 7. Lower deciduous canine 8. Upper deciduous canine 9. Lower deciduous central incisor 10. Lower deciduous lateral incisor 6. Predilection sites of each tooth A) Deciduous central incisor ; Max. : Mesial cavity Mand. : Mesio-distal cavity B) Decidous lateral incisor ; Max. : Mesial cavity Mand. : Distal cavity=Mesial cavity C) Deciduous canine; Max. : Labial cavity Mand. : Distal cavity D) Decidous 1st molar ; Max. : Disto-occlusal cavity Mand.: Disto-occlusal cavity E) Deciduous 2nd molar ; Max. : Linguo-occlusal cavity Mand.: Occlusal cavity 7. All the values in caries criteria in 1981 were somewhat lower than in 1968, but m & f rate were increased.

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The Analysis of Herbal Medicine Preparations Equipped in Traditional Korean Medical Clinics (한방의료기관 한약제제 구비 현황 조사 연구)

  • Bak, Yo-Han;Huang, Dae-Sun;Shin, Hyeun-Kyoo
    • Herbal Formula Science
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    • v.18 no.1
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    • pp.43-56
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    • 2010
  • Objective : There is a growing need to expand or adjust insurance coverage of herbal prescriptions in National Health Insurance. The purpose of this study was to provide basic data for expansions or adjustments of 56 herbal prescriptions in the National Health Insurance. Method : We surveyed lists of 56 insurance-covered herbal prescriptions, non-covered company-produced herbal medicines and self-prepared herbal medicines in 531 traditional korean medical clinics by mail from 6/1/2008 to 12/9/2008. Result : Among the 56 Prescriptions, Ojeok-san was stocked in 66.7% of clinics (1st), Samso-eum ranked 2nd, Socheongnyong-tang ranked 3rd, Gumiganghwal-tang was 4th, Hyangsapyeongwi-san ranked 5th. Among the non-covered company-produced herbal medicines, Danggwisu-san ranked 1st, Gwakyangjeonggi-san ranked 2nd, Oryeong-san was 3rd, Bangpungtongseong-san was 4th, Maengmundong-tang ranked 5th. Among the self-prepared herbal medicines, Gongjin-dan ranked 1st, Soche-hwan was 2nd, Gyejibongnyeong-hwan was 3rd, Yeongsin-hwan was 4th, Palmi-hwan ranked 5th. Conclusions : It is reasonable to select frequently used company-produced or self-prepared herbal prescriptions in this stock rate survey for improvement of National Health Insurance coverage.

The Analysis of Dynamic Foot Pressure on Difference of Functional Leg Length Inequality (기능적 하지길이 차이에 따른 동적 족저압의 분석)

  • Gong, Won-Tae;Kim, Joong-Hwi;Kim, Tae-Ho
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.43-49
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    • 2009
  • Purpose: This study examined the dynamic peak plantar pressure under the foot areas in those with a functional leg length inequality. Methods: The dynamic peak plantar pressure under the foot areas in an experimental group with a functional leg length inequality (n=20) and a control group (n=20) was assessed a using the Mat-Scan system (Tekscan, USA). The peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th metatarsal head (MTH), mid foot, and heel was measured while the subject was walking on the Mat-Scan system. Results: The experimental group had significantly higher peak plantar pressure under all foot areas when the dynamic peak plantar pressure in the short leg and long leg sides was compared. The control group had a significantly higher peak plantar pressure under the 1st, 2nd, 3-4th, and 5th MTH when the dynamic peak plantar pressure in the short leg and long leg sides were compared. The experimental group showed a significantly larger difference in the dynamic peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th MTH, mid foot and heel than the control group. Conclusion: A functional leg length inequality leads to an increase in the weight distribution and dynamic peak plantar pressure in the side of the short leg.

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THE ROENTGENOGRAPHIC STUDY OF THE RELATIONSHIP BETWEEN ERUPTION AND CALCIFICATION OF THE MANDIBULAR PERMANENT TEETH IN KOREAN. (한국인 하악 영구치 석회화와 맹출의 상호 관계에 관한 방사선학적 연구)

  • Kim, Soon-Joo;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.6 no.1
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    • pp.43-52
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    • 1979
  • The purpose of this study was to finding out the relationship between the tooth calcification and eruption of the mandibular permanent teeth in Korean. This study was undertaken in 592 children at ages from 3 to 13 years who had good oral condition by means of panoramic roentgenographic analysis. The following results were obtained. 1. The mean ages of crown completion were as follows; Canine 1st. Premolar 2nd. Premolar 1st. Molar Male 6yrs. 4mos. 6yrs. 8mos. 7yrs. 6mos. 7yrs. 6mos. Female 5yrs. 11mos. 6yrs. 5mos. 7yrs. 2mos. 3yrs. 3mos. 2. Each tooth started to move toward occlusion at approximately stage 6 or after crown completion. 3. The highest increment in eruption rate was at about 1/3~1/2 completion of root and ages at 10-11 years in male, 9-10 years in female. 4. Eruption period of both sexes were as follows; Canine: 6-12years 1st. Premolar: 7-12 years 2nd. Premolar: 7-13 years 1st. Molar: 3-7 years 5. The eruption was completed before the root completion. 6. The sequence of eruption and calcification was 1st. Molar-Canine-1st. Premolar-2nd. Premolar in both sexes.

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Comparison of Antioxidant Activities and Quality Characteristics between Domestic Diploid Variety and Tetraploid 'Etteum' Variety in Platycodon grandiflorum (재래종과 '으뜸' 도라지의 품질 특성 및 항산화성 비교)

  • Kang, Da Kyung;Kim, Eun Ji;Park, Ye Ji;Kim, Tae Jung;Kim, Mee Ree
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.46 no.2
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    • pp.196-201
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    • 2017
  • In this study, antioxidant activities, proximate composition, and physicochemical characteristics of tetraploid 'Etteum' variety in Platycodon grandiflorum (SD) were evaluated and compared with those of a domestic diploid variety in P. grandiflorum (ND). Moisture content, crude fat, crude fiber, and crude ash contents were higher in ND, whereas crude protein and carbohydrate content were higher in SD. The amount of crude saponin in SD (2.01%) was higher than that in ND (0.88%). The reducing sugar contents of ND and SD were 3.09% and 2.82%, respectively (P<0.05). The pH level was lower in the ND (ND, 4.98; SD, 5.68). Acidity was 2.74% in ND and 2.34% in SD. Under the Hunter color system, redness was lower and lightness/yellowness higher in SD compared to those in ND. Total phenol contents of ND and SD were 0.100 mg/mL and 0.227 mg/mL, respectively. Antioxidant activities based on 1,1-diphenyl-2-picrylhydrazyl scavenging activity and SOD-like activity of SD were higher than those in ND. Based on these results, SD is a good candidate for food processing in terms of its physicochemical and antioxidative activities.

Physicochemical Properties of Insoluble Mineral Substances in Food Additives (식품첨가물중 불용성광물성물질의 물리화학적 특성)

  • Kim, Hee-Yun;Lee, Young-Ja;Hong, Ki-Hyoung;Kwon, Yong-Kwan;Kim, So-Hee;Kim, Hyun-Jong;Lee, Chul-Won;Kim, Kil-Saeng;Lee, Sang-Hoon
    • Korean Journal of Food Science and Technology
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    • v.31 no.5
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    • pp.1188-1195
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    • 1999
  • This study was conducted to determin basic mineral compositions, chemical components, description of particle size distribution and whiteness for 32 items of insoluble mineral substances, i.e., 3 items of diatomaceus earth, 1 item of kaolin, 10 items of bentonite, 13 items of acid clay, 3 items of talc and 2 items of perlite. The chemical components and XRD (X-Ray diffractometer) for insoluble mineral substances, were similar with those of the reported references except kaolin. However, whiteness was determined in 90% level for talc, diatomaceus earth and kaolin. The contents of heavy metals in insoluble mineral substances were determined as follows : Pb, $nd{\sim}23.10$ ppm ; Cd, $nd{\sim}0.67$ ppm ; Hg, $nd{\sim}0.58$ ppm ; As, $nd{\sim}1.42$ ppm ; Cu, $nd{\sim}39.35$ ppm. These data were significanty lower than the references.

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