• Title/Summary/Keyword: Soft Arm

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Multiple Microvenular Hemangioma Clinicopathologically Mimicking Early Stage Kaposi Sarcoma: A Case Report (초기 단계의 카포시육종과 임상조직학적으로 유사한 다발성미세소정맥혈관종 1예)

  • Eun, Dong Hyuk;Kim, Seok Min;Kim, Jun Young;Han, Man-Hoon;Lee, Seok-Jong
    • Korean journal of dermatology
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    • v.56 no.10
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    • pp.631-635
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    • 2018
  • Microvenular hemangioma (MVH) is a rare acquired benign vascular neoplasm, which presents commonly as a solitary purple-to-red nodule or plaque measuring approximately 10 mm in diameter. MVH occurs primarily on the extremities or the trunk. Most lesions are solitary, and multiple lesions are rare. Histopathological features of MVH include numerous, scattered, thin and irregularly branching small vessels in the dermis and endothelial cells without atypia. Owing to similarities in clinical morphology and histopathological features, MVH may often be indistinguishable from the early patch stage of Kaposi sarcoma. Immunohistochemical (IHC) analysis helps differentiate between the 2 diseases. The results of IHC tests in patients with MVH show positive staining for CD31 and smooth muscle actin and typically, negative staining for the human herpes virus 8 antigen. We report a rare case of multiple MVH clinically mimicking the early patch stage of Kaposi sarcoma in a 63-year-old woman who presented with a 3-year history of slowly growing, compressible, soft, bluish-purple macules and plaques on the trunk and right arm.

Retreatment of implant overdenture using Milled Bar and Attachment in a patient using a unilateral prosthetic arm: A case report (편측 의수 사용 환자에서 Milled Bar와 Attachment를 이용한 임플란트 피개의치 재수복 증례)

  • Park, So-Hyung;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.187-194
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    • 2022
  • The use of implants could improve the support, retention, and stability of removable prosthetic restoration for fully edentulous patients with severe alveolar bone resorption. When the prosthesis is manufactured without accurate diagnosis and evaluation, this may lead to unfavorable treatment result. The patient in this case had the treatment of implant overdentures at a private dental clinic, but visited the hospital for retreatment due to soft tissue pain and decreasing retention of existing dentures. The vertical dimension was raised compared to the existing dentures, and overdentures were manufactured using milled bars and additional attachments. The clinical results were satisfactory in the aspect of improved oral hygiene maintenance, function and esthetics.

Treatment of Open Proximal Humerus Fracture by Gunshot (총격에 의한 개방성 근위 상완골 골절의 치료 - 증례 보고 -)

  • Kim, Sung-Jae;Lee, Jae-Hoo;Chun, Yong-Min
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.37-42
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    • 2012
  • Purpose: To consider the proper management of proximal humerus fracture on gunshot wounds. Materials and Methods: A 28-year-old male patient, who sustained a gunshot injury on the left arm 5 days ago, was admitted through the emergency department. Although he underwent an emergency surgery (bullet fragment removal and debridement), there remained bullet fragments around the proximal humerus fracture site. The wound seemed to be infected and a partial dehiscence occurred. No neurologic deficit was noted. Immediate exploration and debridement were performed, and an external fixator was applied to restore the anatomical alignment and manage the wounds. Intravenous antibiotics were administered. On the 9th postoperative day, wound debridement was done again, and cement beads mixed with antibiotics were inserted. After two weeks, the external fixator was removed, and the pin sites were closed after debridement. One week later, the open reduction and internal fixation with locking compression plate and screws were done. Result: At 3 months after the internal fixation, the bone union was obtained with satisfactory alignment of the humerus. Conclusion: The severity of the soft tissue injury influences the fracture management plan. Further, the risk on lead toxicity should be considered.

Elbow Reconstruction Using Island Flap for Burn Patients

  • Hur, Gi Yeun;Song, Woo Jin;Lee, Jong Wook;Lee, Hoon Bum;Jung, Sung Won;Koh, Jang Hyu;Seo, Dong Kook;Choi, Jai Ku;Jang, Young Chul
    • Archives of Plastic Surgery
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    • v.39 no.6
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    • pp.649-654
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    • 2012
  • Background Deep burns of the elbow lead to soft tissue necrosis and infection, with exposure of deep structures. Adequate wound coverage of this area requires thin, pliable, and durable tissue, while optimal functional recovery requires early coverage and functional rehabilitation. We have found 3 types of island flaps that provide reliable coverage for the elbow. Methods A retrospective study was performed on all patients who underwent flap coverage of an elbow defect at our hospital. The patients' data including age, sex, cause of injury, wound dimensions, timing of flap coverage, postoperative elbow motion, and complications were investigated. Results Between 2001 and 2012, 16 patients were treated at our hospital. The mean age was 53.3 years. Three kinds of flaps were performed: 9 latissimus dorsi flaps, 4 lateral arm flaps, and 4 radial forearm flaps. The average defect size was 183.5 $cm^2$ (range, 28 to 670 cm2). Wound coverage was performed at mean duration of 45.9 days (range, 14 to 91 days). The mean postoperative active elbow flexion was $98^{\circ}$ (range, $85^{\circ}$ to $115^{\circ}$). Partial flap failure occurred in 1 latissimus dorsi flap. Minor complications included partial flap loss (11.8%), hematoma (23.5%), seroma (35.3%), and wound infection (5.9%). Conclusions Flap selection for elbow reconstruction is determined by the defect size and the extent of the adjacent tissue injury. Elbow reconstruction using an island flap is a single-staged, reliable, and relatively simple procedure that permits initiation of early rehabilitation, thereby improving a patient's functional outcome.

A Study on Behaviour of Giant Pacific Octopus, Parotopus dofleini to Single Line Hook for Hook Design (외줄낚시에 대한 대문어의 행동과 낚시형상 설계)

  • Park, Seong-Wook;Lee, Jeong-Woo;Yang, Yong-Su;Seo, Du-Ok
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.40 no.1
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    • pp.1-8
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    • 2004
  • The single line hook fishery for giant pacific octopus, Parotopus dofleini is one of the important in coastal Kangwon-do of Korea, where was caught an average of 4,000 ton during the period of 1996~2000. The fishing gear is consisted of a single buoy line, a buoy and a hook. In this study, the responses of giant pacific octopus to single line hook gear were examined in an experimental tank using a video camera in order to know hooking mechanism and improve hook. Giant pacific octopus tend to envelop the bait with their arms by rush or slowly swimming towards it. When they rush to the bait, they show much feeding behaviour as withdrawing after enveloping the bait using two arms. But when they approach with slowly swimming to bait, they show feeding behaviour as stopping after enveloping the bait using one arm. and then, the highly hooking rate appeared more often in the case of latter then former. The average feeding time on a sardine, giant pacific octopus and pork fat showed the range of 1 to 30 min, 10 to 50 min, and 50 min to over 1 hour, respectively. This indicates that it takes longer time for giant pacific octopus to eat the tough meat than the soft meat. The performance concerned with hooking showed that the 'B' type hook with a short shank was more favorable than the 'A' type hook with a long shank. However, the 'A' type hook has the advantage of easy dropping out caught octopus, compared to the 'B' type.

Malignant Transformation of Giant Cell Tumor Not Associated with Radiotherapy (방사선 조사 없이 속발한 거대 세포종의 악성 전환)

  • Lee, Sang-Hoon;Oh, Joo-Han;Yoo, Kwang-Hyun;Suh, Sung-Wook;Ahn, Jun-Hwan;Kim, Han-Soo;Lim, Soo-Taek
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.1
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    • pp.12-19
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    • 2002
  • Purpose : Giant cell tumors(GCT) sometimes undergo malignant transformation after the radiotherapy, but very rarely do without radiotherapy. We reviewed the clinical experiences of the malignant transformation of GCT to suggest the guidelines for diagnosis and treatment of them. Materials and Methods : We examined four patients of pathologically proven malignant transformation of GCT, which occurred after the operative treatment alone without radiation, from September 1985 to January 2001. The mean follow-up period after the malignant transformation was 2.4 years(range, 1.3~4 years). Results : The mean time-interval from the initial diagnosis to the malignant transformation was 6.9 years(range, 2.2~13.5 years). The locations of tumors were soft tissues of proximal upper arm, proximal femur, distal femur and proximal tibia. The histology of malignant GCT was osteosarcoma in 3 cases and malignant fibrous histiocytoma in 1 case. Local recurrence developed in 1 patient and the pulmonary metastasis developed in 3 patients which transformed to osteosarcoma. Conclusion : Thorough sampling of the surgical specimen appears to be a very important factor for diagnosing the malignant transformation of GCT. In case of suspicion of malignancy in radiographs, the incisional biopsy should be followed by definite treatment rather than the improper resection.

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Driving Torque Analysis of Role Driving & Wrapping Arm Rotation Type Round Bale Wrapper (롤 구동 래핑암 회전식 원형베일래퍼의 구동 토크 분석)

  • Yu B. K;Kim H. J.;Oh K. Y.;Choe K. J.;Lee S. H.;Park H. J.;Kim B. K.
    • Journal of Animal Environmental Science
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    • v.11 no.1
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    • pp.11-16
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    • 2005
  • The round bale wrappers are generally used for rice straw after the harvesting of low land rice by combine harvester. In this situation, the bale wrappers should be well adapted under the travelling over raised borders and temporary ditches in soft soil of narrow rice fields. The study was conducted to improve the performance of bale wrapper through the new design for compact size, lowered gravity center and lowered power consumption. The prototype of round bale wrapper had been designed and assembled to tractor with three point hitch mounted. The machine type is one roll driving system with one roll for rotating and one roll for wrapping. The driving torque and work performance of the machines were measured and analysed. The torque requirement of the prototype and conventional type was 6kgf-m and 12kgf-m, respectively. The prototype shaved less friction resistance between bale driving roll and round bale. and the power requirement can also be reduced from 12kgf-m in the conventional to 6kgf-m in the prototype. The work efficiency of the new bale wrapper was $45\%$ higher than the conventional wrapper, and the working cost of the prototype can be reduced $17\%$ than that of the conventional.

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Development of Eco-friendly Electric Transmission Towers in KEPCO (환경조화형 철탑 개발)

  • Lee, Won-kyo;Mun, Sung-Duk;Shin, Kooyong
    • KEPCO Journal on Electric Power and Energy
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    • v.5 no.3
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    • pp.135-140
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    • 2019
  • Lattice towers and tubular steel poles have been commonly used for electrical power transmission in Korea. They are durable, structurally stable, simple and can easily be constructed in limited spaces. However, residents are opposed to construct transmission lattice towers in their areas because they are not visually attractive, and electrical field occur at the transmission lines. Underground transmissions have been used instead of the traditional towers to resolve these problems, however they are not cost effective to construct and run. Therefore, we have developed eco-friendly towers that are more attractive, well blending into the surrounding environment, and much more economical than underground transmissions. There are four categories of the eco-friendly electric transmission towers about design aspects. Firstly, there is decoration type such as tree tower and ensemble tower. Tree tower looks like actual trees with leaves and branches so it blends into surroundings. Ensemble towers were designed after pair of crane birds. Those towers have decoration features and art works. Structural examination and manufacturing this type would be very similar to the conventional transmission towers. Secondly, there is arm design type such as traditional tower. Design features are added to the existing towers. As partial design can be adoptable on these types, it can easily meet height regulations and attach to conventional lattice towers and tubular steel poles. Also, these towers are more economical than others. Third category is multipurpose type such as Sail Tower. These towers have simple pole or tubular structure with features which can be used as information message board, public relations and much more. This type will face greater wind pressure because of the area of the board, also visibility must take into consideration. Lastly, there is moulding type such as arc pylon. It is different shape to the conventional towers - lattice towers and tubular steel poles. Dramatic design changes have been adapted - from a hard and static tower to a soft and curved tower. These towers will well stand out in the field. However, structural examination and manufacturing this type would be difficult and costly. Also certain towers of this type would require scaffolding or false work to construct, which will result in limitations of the construction area. This paper shows KEPCO 154 kV Sail tower in detail. KEPCO 154 kV Sail tower that is included in fabrication of sample tower and tower testing has developed and the results are presented in this paper. We hope that sail tower is also considered as a solution to have public acceptance or to create a familiar atmosphere among towers and people in coastal area.