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Tumors of the Foot (족부의 종양)

  • Shin, Duk-Seop;Park, Sung-Hyuk;Ahn, Jong-Chul
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.1
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    • pp.69-76
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    • 2003
  • Purpose: This study was designed to provide the data base for the diagnosis and treatment of the foot tumor by investigation of the clinical and pathological characteristics and distribution of the foot tumor. Materials and Methods: 142 foot tumors of 141 patients were studied. All patients were diagnosed with surgical biopsy. We investigated clinical and pathological characteristics and epidemiologic distribution of the foot tumor by reviewing the medical records and imaging materials. The location of the tumors were classified with zone of Kirby et al. Results: 75 patients were female and 66 were male. The average age of the patients was 33.2 years old. Benign soft tissue tumors were the most as 68 cases, and followed by 57 benign bone tumors, 12 malignant soft tissue tumors and 5 malignant bone tumors. Ganglia were the most in benign soft tissue tumors as 36 cases, subungual exostoses in benign bone tumors as 18, squamous cell carcinomas in malignant soft tissue tumors as 7, and metastatic lung cancers in malignant bone tumors as 2. The rate of pain complaints was the highest in malignant bone tumors, the duration of symptom was longest in benign soft tissue tumors, and the size of the tumor was the biggest in malignant bone tumors. Neurological symptoms were found in only 3 benign soft tissue tumors. For the zonal distribution, zone 5 was the most in 59 cases and zone 4 was the least as 10. The most numbers of the benign bone tumors located in zone 5, of benign soft tissue tumors in zone 1, of malignant bone tumors in zone 1 and 2, and of malignant soft tissue tumors in zone 5. The methods of surgical treatment included intralesional or marginal resection, curettage with or without bone graft, toe amputation, below knee amputation and limb salvage. Conclusion: The tumors of the foot were rare and various, and mostly benign (88%), but we can do proper treatment of those tumors without excluding malignant tumors by considering the age of patients, pain, duration of symptom, size of the tumors, and zonal distribution.

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Possible Relationship between NAO and Western North Pacific Typhoon Genesis Frequency (북대서양 진동과 북서태평양 태풍발생빈도와의 관계)

  • Choi, Ki-Seon;Park, Sangwook;Chang, Ki-Ho;Lee, Jong-Ho
    • Journal of the Korean earth science society
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    • v.34 no.3
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    • pp.224-234
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    • 2013
  • This study examined a strong positive correlation between the North Atlantic Oscillation (NAO) index during June and the total tropical cyclone (TC) genesis frequency in the western North Pacific during July and August. To investigate a possible cause for this relationship, the mean difference between the highest positive NAO years and the lowest negative NAO years was analyzed by dividing into when the El Ni$\tilde{n}$o and La Ni$\tilde{n}$a years were included and when the El Ni$\tilde{n}$o and La Ni$\tilde{n}$a years were not included. When the El Ni$\tilde{n}$o and La Ni$\tilde{n}$a years were included, for the positive NAO years, the TCs mostly occurred in the northwestern region of tropical and subtropical western Pacific, and showed a pattern that migrate from the sea northeast of the Philippines, pass the East China Sea, and move toward the mid-latitudes of East Asia. In contrast, for the negative NAO years, the TCs mostly occurred in the southeastern region of tropical and subtropical western Pacific, and showed a pattern that migrate westward from the sea southeast of the Philippines, pass the South China Sea, and move toward the southern coast of China and Indochinese peninsula. These two different TC migration patterns affect the recurving location of TC, and for the positive NAO years, the recurving of TC was averagely found to take place in the further northeast. In addition, the migration patterns also affect the TC intensity, and the TCs of positive NAO years had stronger intensity than the TCs of negative NAO years as sufficient energy can be absorbed from the ocean while moving north in the mid-latitudes of East Asia. The TCs of negative NAO years showed weak intensity as they get weaken or disappear shortly while landing on the southern coast of China and the Indochinese peninsula. On the other hand, the above result of analysis is also similarly observed when the El Ni$\tilde{n}$o and La Ni$\tilde{n}$a years were not included.

Mushroom growth and cultivation environment at cultivation house of vinyl bag cultivation Shiitake mushroom on high-temperature period (고온기 표고 톱밥재배용 재배사 내의 환경 제어시스템과 버섯생육 온도)

  • Jhune, Chang-Sung;Kong, Won Sik;Park, Hye-Sung;Cho, Jae-Han;Lee, Kang-Hyo
    • Journal of Mushroom
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    • v.12 no.4
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    • pp.263-269
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    • 2014
  • Although sawdust cultivation of shiitake (Lentinula edodes) is becoming more common, it is insufficiently competitive in spring and autumn, the best time to breed shiitake. Thus, it is urgently needed to develop a technique for all year round cultivation of shiitake using mushroom growing beds. In the present study, the temperature changes according to the location of shiitake cultivation facilities were investigated. We confirmed that a refrigerator, an air conditioner, triple membranes, shiitake cultivation beds, fog nozzles which were installed in the shiitake cultivation facilities play an important role in keeping the low temperature. Bag cultivation of shiitake was tested in temperature variation from $14^{\circ}C$ to $29^{\circ}C$ with a $3^{\circ}C$ interval to know its cultivating temperature range in hot summer season. In summary, the sawdust cultivation of shiitake is possible when the temperature difference between top and bottom is maintained below $1^{\circ}C$. And the temperature of the shiitake cultivation facilities should be maintained below $23^{\circ}C$ in the induction period for fruitbody formation.

Small Bowel Intussusception in Children: Spontaneous Resolution vs. Surgical Intervention (소아에서 소장형 장중첩증; 자연 정복과 수술적 치료의 비교)

  • Park, Mi-Ran;Lim, Mi-Sun;Seo, Jeong-Kee;Ko, Jae-Sung;Chang, Ju-Young;Yang, Hye-Ran;Lim, Yoon-Joung;Kim, Woo-Sun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.2
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    • pp.128-133
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    • 2010
  • Purpose: Intussusception is one of the most common causes of an acute abdomen in infancy. The majority of pediatric cases of intussusception are of the ileocolic type and usually idiopathic. Small bowel intussusception is rarely diagnosed in children, and few cases have been reported. The purpose of this study was to determine the clinical features and causes of small bowel intussusception in children. Methods: We retrospectively reviewed the clinical and radiologic findings of 21 children with small bowel intussusception who were admitted to Seoul National University Children's Hospital between March 2005 and January 2010. Results: The clinical presentation of small bowel intussusception included abdominal pain or irritability (85%), vomiting (23%), fever (14%), bloody stools (14%), and abdominal masses (4%). Six patients required surgical management. Ultrasonography showed that the mean diameter of the lesions and mean thickness of the outer rims were 1.6${\pm}$0.7 and 1.7${\pm}$1.8 mm, respectively. Eleven lesions were located in the left abdominal or paraumbilical regions. Children who underwent surgical management were older than children with transient small bowel intussusception (mean age, 51 vs. 109 months). The mean diameter of the lesions and mean thickness of the outer rims were greater in the surgically-managed group. The location of intussusception was not significantly different between the two groups. Conclusion: Small bowel intussusception was spontaneously reduced in a large number of pediatric patients. However, sonographic demonstration of larger size, older age, and pathologic lead point warrant surgical intervention.

Current Analysis of Acintobacter baumannii Infection among Pediatric Patients in a Single-centered Study (단일기관 내 소아에서 Acinetobacter baumannii 의 감염현황의 분석)

  • Park, Hye Jin;Kim, Jung Min;Kim, Ki Hwan;Kim, Dong Soo
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.23-30
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    • 2011
  • Purpose : Acinetobacter baumannii is an aerobic, gram negative coccobacillus. Due to its pathogenicity and ability to accumulate diverse mechanisms of resistance, the importance of this organism is increasing. Many reports have targeted adults, and studies of pediatric patients are limited. This study aims to investigate the current status of A. baumannii infection in children. Methods : From January 2001 to December 2008, 505 patients hospitalized with A. baumannii infection were enrolled. Admission records for underlying disease, duration of hospitalization, previous antibiotic use, location of admission, presence of ventilator care, and resistance to antibiotics were retrospectively reviewed and analyzed. Results : Hemato-oncological disease and neurological disease were 30.6% and 24.3% of all cases; therefore, these were the most common underlying diseases of patients with A. baumannii infection. Prevalence of A. baumannii infection was 78.1% in patients with previous antibiotic use, which was higher than that of the group not using previous antibiotic. And prevalence of multi-drug resistant and pan-drug resistant A. baumannii infection was 76.4% and 38.3% in patients with ICU care, 76.8% and 38.9% with ventilator care, and these were higher than the others. Rate of resistance to all groups of antibiotics showed a gradual increase to over 50% in 2008. Multi-drug resistant A. baumannii was 63.5% and pan-drug resistant A. baumannii was 48.2% of all cases. Conclusion : Prevalence of A. baumannii infection and resistance to antibacterial agents of A. baumannii is increasing. Adequate use of antibiotics and infection control should be emphasized in pediatric patients.

Suprapubic Bladder Aspiration Assisted by Ultrasound (초음파 보조하에 시행한 치골상부 방광천자의 유용성)

  • Lee Jung Won;Park Soeun;Cho Su Jin;Yoo Eun Sun;Kim Hae Soon;Lee Seoung Joo
    • Childhood Kidney Diseases
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    • v.6 no.1
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    • pp.68-74
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    • 2002
  • Purpose: Suprapubic bladder aspiration(SBA) of urine is the most reliable method to obtain urine avoiding contamination in non-toilet trained infants. Ultrasonography is a useful tool for guiding the anatomic location as well as for direct visualization during procedure. We evaluated the success rate and complication of ultrasound(US) assisted SBA Methods. Sixty infants who visited Ewha Womans University Mokdong Hospital, with suspected urinary tract infection were randomly divided into the US assisted (n=32) and blind SBA(control, n=28) group. In US assisted SBA group, the anteroposterior(AP), transverse, and sagittal diameters and the volume of the bladder were measured. In the blind SBA group, urine was blindly aspirated when the urinary bladder was palpated at the suprapubic area. The rate of successful urine aspiration, the number of attempts until successful aspiration, aspirated urine volume were compared between the two groups. Results: The success rate was $100\%$(32/32) in the US assisted group, which was significantly higher than $85.7\%$(24/28) of the control group (P<0.05). The aspirated urine volume in the US assisted group was $7.4{\pm}3.7\;mL$, which was significantly higher than $4.5{\pm}3.4\;mL$ of the control group (P<0.05), The diameters and volume of bladder in successful aspiration were $2.1{\pm}0.7\;cm$ in AP diameter, $3.1{\pm}0.6\;cm$ in transverse diameter, $4.2{\pm}1.0\;cm$ in sagittal diameter and $15.2{\pm}10.4\;mL$ in volume, which were significantly higher than those ($1.7{\pm}0.3\;cm,\;1.7{\pm}0.3\;cm,\;1.8{\pm}0.7\;cm,\;2.4{\pm]0.6\;cm,\;3.9{\pm}2.5$) of the control group (P<0.05) The correlations between the AP(r=0.78), transverse (r=0.72), sagittal(r=0.91) diameter and bladder volume were significant (P<0.05). SBA was $100\%$ successful in the AP diameter >3 cm, transverse diameter >4 cm, depth >4 cm and bladder volume >5 mL. Conclusion: US assistance can significantly improve the success rate of SBA in infant with suspected urinary tract infection. (J Korean Soc Pediatr Nephrol 2002 ; 6 : 68-74)

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Estimating the Dimension of a Crosswalk in Urban Area - Focusing on Width and Stop Line - (도시부 횡단보도 제원 산정에 관한 연구 - 폭과 정지선을 중심으로 -)

  • Kim, Yoomi;Park, Jejin;Kwon, Sungdae;Ha, Taejun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.5
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    • pp.847-856
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    • 2016
  • Recently, with a high level of economic growth, rapid urbanization, population, environment and housing problems were accompanied in Korea. In particular, the traffic problem has become a serious social problem. As the current transportation policy has been carried out, concentrating on traffic flow, in 2015, death rate for pedestrians while walking (1,795 persons) is 38.8% compared to entire death rate in car accident (4,621 persons), so there is need to solve it. Although, crosswalk should make pedestrian cross it safely, it has been made on the basis of the width of road without exact standard for current width of the crosswalk and the location of stop line. Moreover, in the area around many campuses or commercial facilities, crosswalks are set with not considering pedestrian passage, but designed uniformly. Therefore, the purpose of this study is to estimate reasonable dimension of crosswalk considering pedestrian traffic and walking speed and it makes the accident rate lower in the crosswalk, which has a lot of problems including decisions of vehicle traffic signal time, lack of pedestrian's signal timing, pedestrian's crossing of long-distance. The following are the methodology of the study. Firstly, for crosswalk calculation of specifications, examination relating existing regulations and researches dealing with crosswalk, pedestrians and stop line is needed. After analyzing problems of current width of crosswalk and stop line, present the methodology to calculation of specifications and basing on these things, calculation of specifications for crosswalk will be decided. In conclusion, the calculation of specification and improvement of stop line for crosswalk laid out in this study are expected to be utilized as base data in case of establishing relevant safety facilities and standards.

A Study on Detailed Bathymetry and Geophysical Characteristics of the Summit of the Dokdo Volcano (독도 화산체 정상부해역의 정밀해저지형 및 지구물리학적 특성 연구)

  • Kim, Chang Hwan;Park, Chan Hong;Lee, Myoung Hoon;Choi, Soon Young;Jou, Hyeong Tae
    • Economic and Environmental Geology
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    • v.45 no.6
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    • pp.685-695
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    • 2012
  • We studied the detailed bathymetry and the geophysical characteristics of the summit of the Dokdo volcano using mutibeam echosounding and geophysical survey data. The bathymetry around the main east and west islets of the Dokdo volcano shows very shallow within about 10 m water depth. From near islets to about 30 m b.s.l., the shallow water area has very steep slope and many irregular sunken rocks. The area from about 30 m to about 80 m b.s.l. shows gentle rises and falls, and less steep slope. The area from 80 m b.s.l. has gradually flat undulation and smooth slope seabaed and is extended to offshore. The main islets of the Dokdo volcano and the rocky sea bottom elongated from the islets might be the residual part of the eroded and collapsed main crater of the Dokdo volcano. The bathymetry and the seafloor image(from backscattering) data show small craters, assumed to be formed by the eruption of later volcanism. The seafloor images propose that, except some areas with shallow sand sedimentary deposits, there are typical rocky bottom such as rocky protrusions and lack of sediments in the main morphology of the survey area. The stepped slopes of the seabed are deduced to be submarine terraces. The several prominent submarine terraces are found at the summit of the Dokdo volcano, suggesting repetition of sea level changes(transgressions and regressions) in the Quaternary. The results of the magnetic anomaly and the analytic signal have a good coherence with other geophysical consequences regarding to the location of the residual crater.

Zooplankton and Neustonic Microplastics in the Surface Layer of Yeosu Coastal Areas (여수 연안 표층에 출현하는 동물플랑크톤과 미세플라스틱)

  • Kang, Hui Seung;Seo, Min Ho;Yang, Yun Seok;Park, Eun-Ok;Yoon, Yang Ho;Kim, Daejin;Jeong, Hyeon Gyeong;Soh, Ho Young
    • Korean Journal of Environmental Biology
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    • v.36 no.1
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    • pp.11-20
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    • 2018
  • In planktonic ecosystems, the microplastics are considered as a potential food source for the zooplankton. To study a relationship between the zooplankton and the neustonic microplastics, a research experiment was carried out during May in the surface layers of the Yeosu coastal areas including Yeoja Bay, Gamak Bay, Yeosuhae Bay, and Botdol Sea. A neustonic zooplankton net (mesh size $300{\mu}m$; mouth area $30cm{\times}18cm$) was towed from the side of the ship in the event that it would not be affected by waves crashing by the ship at a speed of ca. 2.5 knots. All of the microplastic particles were separated from the zooplankton. The zooplankton and microplastics were appearing in a range of 61 to $763indiv.m^{-3}$ and 0.0047 to $0.3471particle\;m^{-2}$, respectively. It was noted that the Acartia omorii, Paracalanus parvus s. l., Labidocera euchaeta, A. hongi, decapod larvae, and cirriped larvae were predominantly seen in the experiment. For verifying relationships between zooplankton and environmental factors in addition to microplastics, a model redundancy analysis (RDA) was performed. The zooplankton were divided into two groups on the basis of feeding types (i.e. particle feeders, and carnivores), and the associated zooplankton larvae were also separately considered. A review of the additional environmental factors such as water temperature, salinity, turbidity, chlorophyll-${\alpha}$ concentration, diatom density, and dinoflagellate density were also contained in the analysis. The results showed that a noted zooplankton abundance had no close relation with the occurring number of microplastic particles, but rather was significantly related with other noted environmental factors such as temperature, salinity, turbidity, and chlorophyll-${\alpha}$ concentration. This fact implies that most zooplankton can feed themselves as a unit, by selecting the most likely available nutritious foods, rather than microplastics under the circumstance of food-richness areas, such what food resources are available as in the location of coastal waters.

Relationship of Radon-222 and Chemical Composition of Groundwater as a Precursor of Earthquake (지진 전조인자로서 지하수내 라돈 및 화학성분의 상관성 연구)

  • Jeong, Chan Ho;Park, Jun Sik;Lee, Yong Cheon;Lee, Yu Jin;Yang, Jae Ha;Kim, Young Suk;Ou, Song Min
    • The Journal of Engineering Geology
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    • v.28 no.2
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    • pp.313-324
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    • 2018
  • In order to study the earthquake precursor in the Korean peninsula, long-term variations of chemical composition, radon-222, and water level were measured at depths (-60 m, -100 m) in the groundwater monitoring wells of the Daejeon and the Cheongwon area. The pH and electrical conductivity of groundwater in the monitoring wells showed some relationship with the Pohang earthquake. The ${HCO_3}^-$ and $Cl^-$ concentration of groundwater in the Daejeon and $Mg^{2+}$, $Cl^-$ and ${NO_3}^-$ in the Cheongwon showed some relation with the Pohang earthquake. However, it is not distinct to find the relationship between their variation and earthquake. The radon-222 concentration in Daejeon was observed a significant increase from a minimum of 162 Bq/L prior to the earthquake to 573 Bq/L right after the earthquake, that indicating a strong correlation with earthquakes. In the case of groundwater levels, it can not find some correlation between earthquakes and continuous decreasing trend in the monitoring wells of Daejeon and Cheongwon area. However, water level of a national groundwater observation well within 10 kilometers of Pohang epicenter was recorded as an abrupt drop right before the earthquake. Conclusively, although the location of monitoring wells is more than 180 kilometers apart from the epicenter of the Pohang earthquake, the radon gas in groundwater can be considered as a reliable candidate among earthquake precursors. The pH, electrical conductivity, ${HCO_3}^-$ and $Cl^-$ among hydrochemicals showed some correlation with earthquake should be monitored during a longer term to recognize distinctly as a precursor of earthquake.