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Foot Syndactyly: A Clinical and Demographic Analysis

  • Kim, Jong Ho;Kim, Byung Jun;Kwon, Sung Tack
    • Archives of Plastic Surgery
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    • v.43 no.6
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    • pp.559-563
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    • 2016
  • Background Syndactyly of the foot is the second most common congenital foot anomaly. In East Asia, however, no large case study has been reported regarding the clinical features of isolated foot syndactyly. In this study, we report a review of 118 patients during the last 25 years. Methods We conducted a chart review of patients who underwent surgical correction for foot syndactyly between January 1990 and December 2014. Operations were performed with a dorsal triangular flap and a full-thickness skin graft. The demographics of included patients and their clinical features were evaluated. Surgical outcomes and complications were analyzed. Results Among 118 patients with 194 webs (155 feet), 111 patients showed nonsyndromic cases and 7 patients showed syndromic cases. In 80 unilateral cases (72.1%), the second web was the most frequently involved (37.5%), followed by the fourth (30%), the first (15%), the third (15%), the first and second in combination (1.3%), and the second and third in combination (1.3%). Among 31 bilateral cases, 2 cases were asymmetric. Among the remaining 29 symmetric bilateral cases, the second web was the most frequently involved (45.2%), followed by the first (22.6%), and the fourth (6.5%). No specific postoperative complications were observed, except in the case of 1 patient (0.51%) who required a secondary operation to correct web creep. Conclusions This retrospective clinical study of 118 patients with both unilateral and bilateral foot syndactyly revealed that the second web was the most frequently involved. In addition, complete division and tension-free wound closure with a full-thickness skin graft of sufficient size showed good postoperative results.

Closure of Myelomeningocele Defects Using a Limberg Flap or Direct Repair

  • Shim, Jung-Hwan;Hwang, Na-Hyun;Yoon, Eul-Sik;Dhong, Eun-Sang;Kim, Deok-Woo;Kim, Sang-Dae
    • Archives of Plastic Surgery
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    • v.43 no.1
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    • pp.26-31
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    • 2016
  • Background The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. Methods Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. Results A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. Conclusions Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.

A Study on Legibility of the Hangul(Korean) Letters (한글의 가독도에 관한 연구)

  • Yoon, Seok-Hyon
    • Journal of Korean Ophthalmic Optics Society
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    • v.3 no.1
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    • pp.181-188
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    • 1998
  • In order to examine the legibility of the Hangul letters which is a syllabic, the three kind of visual charts were made of the ninety eight($14{\times}7$) Hangul Gothic type letters by the laser printer. These Hangul letters were constructed with the 13 consonant letters which are 'ㄱ, ㄴ, ㄷ, ㄹ, ㅁ, ㅂ, ㅅ, ㅇ, ㅈ, ㅋ, ㅌ, ㅍ, ㅎ', and the 6 vowel letters which are 'ㅏ, ㅓ, ㅗ, ㅜ, ㅡ, ㅣ'. The two examination methods were used, One is the discriminating the letters on the visual chart by men having 1.5 visual acuity. The other is the using the laser printer's resolution. Obtained data by these examination methods are the minimum readable size values of the letters and the maximum readable distance values from the reader to the objects. From these data the relative legibility of the Hangul letters were calculated, where the letter ㄱ was chosen for the standard. This resultant data were analyzed. In this result, the mean legibility of these Hangul letters descended in the order of 'ㄱ, ㄴ, ㅅ, ㄷ, ㅈ, ㅇ, ㅁ, ㅋ, ㅌ, ㅍ, ㅎ' Which are the consonant letters being in these letters. And the mean legibility descended in 'ㅣ, ㅡ, ㅏ, ㅗ, ㅓ, ㅜ' order. The mean legibility is dependent on used consonant letter more then on used vowel.

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Image Emphasis by Histogram Reverse Tracking Alteration (히스토그램 분포도 역추적 변경에 의한 영상 강조)

  • 허진경;김향태
    • Journal of Intelligence and Information Systems
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    • v.10 no.1
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    • pp.1-11
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    • 2004
  • It is very important part of pre-processing for get better results by image processing that get emphasized image by processing of source image. Emphasized image is not only good looking image but clear and sharp image. Emphasized images are used very useful data at contour extraction and image recognition in image processing. It have different image recognition by how much represent a origin scene in row quality image. Present algorithms that get emphasized premier image do not get clear picture of degree that want in various kind of images and there is shortcoming that need much process times being proportional size of picture quality or accumulation degree of histogram. In this paper, we propose method to change distribution chart that pixels occupy in histogram as subsequentness in reflex of various kinds as well as that picture quality reflex method to emphasize so that is suitable in practical use purpose originally of premier. Proposed algorithm re-allot histogram distribution by reverse tracking histogram. Experimental images are same result and take less processing time than histogram equalization.

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The Effect of Stream Anion and River-Bed Materialson Aquatic Insects (계류수의 음이온과 하상재료가 수서곤충에 미치는 영향)

  • Seo, Mun Won;Chun, Kun-Woo
    • Journal of Forest and Environmental Science
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    • v.15 no.1
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    • pp.89-97
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    • 1999
  • This study was carried out to obtain basic data on the kinds of aquatic insects and their living conditions in the mountain stream. The investigation was done in Bongmyung stream. Experimental Forest, Kangwon National University on aquatic insects, anions and river-bed materials. The results are as follows. 1. At every plot surveyed, diversity index, richness index and evenness index of aquatic insects appeared higher at upper stream than at lower stream in erosion control dam. 2. Anion concentrations were almost the same in plots A, B, C, D and E, but plot F at the lower stream showed 1.5 to 89 times higher concentration than the others. 3. In river-bed materials analysed, particle diameter was bigger at the upper stream than at the lower stream. At the down stream of erosion control dam showed high pebble composition ratio. 4. The number of aquatic insects showed the negative relation with the anion concentration and the positive one with the size of river-bed materials. Especially, they were affected much by the distribution chart of boulder.

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Real-Time Spacer Etch-End Point Detection (SE-EPD) for Self-aligned Double Patterning (SADP) Process

  • Han, Ah-Reum;Lee, Ho-Jae;Lee, Jun-Yong;Hong, Sang-Jeen
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.02a
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    • pp.436-437
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    • 2012
  • Double patterning technology (DPT) has been suggested as a promising candidates of the next generation lithography technology in FLASH and DRAM manufacturing in sub-40nm technology node. DPT enables to overcome the physical limitation of optical lithography, and it is expected to be continued as long as e-beam lithography takes place in manufacturing. Several different processes for DPT are currently available in practice, and they are litho-litho-etch (LLE), litho-etch-litho-etch (LELE), litho-freeze-litho-etch (LFLE), and self-aligned double patterning (SADP) [1]. The self-aligned approach is regarded as more suitable for mass production, but it requires precise control of sidewall space etch profile for the exact definition of hard mask layer. In this paper, we propose etch end point detection (EPD) in spacer etching to precisely control sidewall profile in SADP. Conventional etch EPD notify the end point after or on-set of a layer being etched is removed, but the EPD in spacer etch should land-off exactly after surface removal while the spacer is still remained. Precise control of real-time in-situ EPD may help to control the size of spacer to realize desired pattern geometry. To demonstrate the capability of spacer-etch EPD, we fabricated metal line structure on silicon dioxide layer and spacer deposition layer with silicon nitride. While blanket etch of the spacer layer takes place in inductively coupled plasma-reactive ion etching (ICP-RIE), in-situ monitoring of plasma chemistry is performed using optical emission spectroscopy (OES), and the acquired data is stored in a local computer. Through offline analysis of the acquired OES data with respect to etch gas and by-product chemistry, a representative EPD time traces signal is derived. We found that the SE-EPD is useful for precise control of spacer etching in DPT, and we are continuously developing real-time SE-EPD methodology employing cumulative sum (CUSUM) control chart [2].

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FLUID-STRUCTURE INTERACTION IN A U-TUBE WITH SURFACE ROUGHNESS AND PRESSURE DROP

  • Gim, Gyun-Ho;Chang, Se-Myoung;Lee, Sinyoung;Jang, Gangwon
    • Nuclear Engineering and Technology
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    • v.46 no.5
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    • pp.633-640
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    • 2014
  • In this research, the surface roughness affecting the pressure drop in a pipe used as the steam generator of a PWR was studied. Based on the CFD (Computational Fluid Dynamics) technique using a commercial code named ANSYS-FLUENT, a straight pipe was modeled to obtain the Darcy frictional coefficient, changed with a range of various surface roughness ratios as well as Reynolds numbers. The result is validated by the comparison with a Moody chart to set the appropriate size of grids at the wall for the correct consideration of surface roughness. The pressure drop in a full-scale U-shaped pipe is measured with the same code, correlated with the surface roughness ratio. In the next stage, we studied a reduced scale model of a U-shaped heat pipe with experiment and analysis of the investigation into fluid-structure interaction (FSI). The material of the pipe was cut from the real heat pipe of a material named Inconel 690 alloy, now used in steam generators. The accelerations at the fixed stations on the outer surface of the pipe model are measured in the series of time history, and Fourier transformed to the frequency domain. The natural frequency of three leading modes were traced from the FFT data, and compared with the result of a numerical analysis for unsteady, incompressible flow. The corresponding mode shapes and maximum displacement are obtained numerically from the FSI simulation with the coupling of the commercial codes, ANSYS-FLUENT and TRANSIENT_STRUCTURAL. The primary frequencies for the model system consist of three parts: structural vibration, BPF(blade pass frequency) of pump, and fluid-structure interaction.

Successful and safe treatment of hemangioma with oral propranolol in a single institution

  • Chung, Sun-Hee;Park, Dong-Hyuk;Jung, Hye-Lim;Shim, Jae-Won;Kim, Deok-Soo;Shim, Jung-Yeon;Park, Moon-Soo;Koo, Hong-Hoe
    • Clinical and Experimental Pediatrics
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    • v.55 no.5
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    • pp.164-170
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    • 2012
  • Purpose: Dramatic improvement of hemangioma to propranolol has been recently reported; however, details on dose and duration of treatment, potential risks, and monitoring have not been determined. The objective of this study is to describe and analyze the use of propranolol as a first-line treatment or as a single therapy in management of complicated hemangioma. Methods: A retrospective chart review of eight patients diagnosed with hemangioma and treated with propranolol in Kangbuk Samsung Hospital from February 2010 to April 2011 was performed. Results: Eight patients with hemangioma with functional impairment, cosmetic disfigurement, or rapid growth were treated with propranolol. Five patients had solitary facial hemangioma. The mean age of symptoms at onset was 5 weeks. The median age for starting propranolol treatment was 5.5 months. Propranolol at 2 mg/kg/day was finally administered in divided doses with a gradual increase. Significant regression was observed in seven patients, and shrinkage in size, softening in consistency, and decrease in redness were evident within 4 weeks. Among them, six patients were still taking propranolol, and one patient had stopped after 12 months. Other one patient did not show significant improvement with satisfactory result after 3 months of propranolol use. Treatment with propranolol was well tolerated and had few side effects. No rebound growth was observed in any of the patients. Conclusion: We observed that use of propranolol was very effective in treatment of hemangioma without obvious adverse effects or relapse.

A Study on the Development of a Computerized Nutritional and Health Guide Program Based on Periodic Health Examination at Work Sites (근로자 정기건강검진을 기초로 한 영양 및 건강관리 전산화 프로그램 개발에 관한 연구)

  • 조여원;노성윤
    • Korean Journal of Community Nutrition
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    • v.7 no.2
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    • pp.266-276
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    • 2002
  • In this study, a computerized nutritional and health guide program for workers was developed. The dietitian at the work site could utilize periodically conducted medical examination data to develop an effective health care counseling model based on the developed Nutritional and Health Guide Program. A personal computer (Pentium II PC MMX-150, 32MB RAM, 2.95 GB HDD) with Microsoft Visual Basic 6.0 Enterprise Edition and Microsoft Access 97 installed, was used. The Nutritional and Health Guide Program consisted of seven main menus and 43 sub-menus. Included in the main menu were Basic Information, Periodic Health Check-ups, Visitors' Consultations, Nutritional/Health Tips, Nutritional Education according to Diseases, Help and Exit. In the Periodic Health Check-up menu, dieticians could input the health examination data of employees and touch for the recommended treatments for diseases such as obesity, diabetes, high cholesterol, hypertension and hepatitis. The Visitors'Consultation menu has been designed to compile health information about the employees who sought consultations. The Nutritional/Health Tips menu was designed to provide 14 kinds of programmed nutritional educational media and information. In the Nutritional Education According to Diseases menu, the dietitian could judge the subject's willingness to obtain treatment based on the Stage of Change Model. According, the content of the administered respective nutritional education was classified by stages. The Help menu, provide a chart of the method and procedure used as nutritional guidelines, by which the results of the health examination were classified as people in good health and those requiring special medical attention. The results of the evaluation of this program showed highly positive rates for usefulness (4.09), convenience (4.04), lettering size (4.02), interest (3.93), design (3.49). It also showed that 97.5% of the subjects thought that this program would be helpful for implementation of their company's nutritional educational program. Therefore, this menu could help dietitians plan, conduct, and evaluate their nutritional guidelines for employees. It is expected that The Nutritional and Health Guide Program developed in this study will play a role as a scientific and effective guide in conjunction with health examination results.

Analysis of Resonant Slots in the Narrow Wall of a Rectangular Waveguide (구형 도파관 측벽 공진 슬랏의 특성 해석)

  • 박정호;김민준
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.3 no.1
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    • pp.23-28
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    • 1999
  • Rectangular waveguide slot antenna which has simple structure, high efficiency, high trust and small size, is extending in a field of application such as many Radar and Microwave communication. A slot cut into a wall of waveguide is propagated electromagnetic wave to free space it interrtupts the flow of current inner conductor of waveguide. Therefore incident of slot, cutdepth, width, length, i.e. are important parameter of characteristic change of the slot antenna. Result from difficulty of theoretical analysis about slot frequently experimental measured data useful design and manufacture have been accomplished. In this paper, we find the suitable method of analysis that compare two analysis results with measured result of established literature - admittance of slot be solved by propagated power from electric field distribution of slot and mode current computation and accomplishment of computable chart which hasresonant length and cutdepth, incident of slot, i.e. and use the HFSS which applyed finite-element method obtain equal slot analyed method.

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