• Title/Summary/Keyword: Superficial

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Difference of Microbiology according to Tissue Sampling in Bone Involved Diabetic Ulcers (골조직 병변이 있는 당뇨발 궤양에서 표재조직 및 골조직 세균배양 검사의 비교)

  • Rhee, Sung-Mi;Han, Seung-Kyu;Kim, Woo-Kyung
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.335-339
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    • 2010
  • Purpose: Diabetic foot ulcer with osteomyelitis is notorious with its complexity and healing difficulties. Bone biopsy is considered to be the gold standard method of guidance for antibiotic therapy. However, it is often replaced by cultures of ulcer swabs or by superficial samples because of the technical difficulties and possible adverse events. In this study, we compared microbiologic results of bone biopsy with those of superficial tissue biopsy or swab culture to investigate concordance and diagnostic value in bone involved diabetic foot ulcers. Methods: This study involved 106 patients with diabetic foot ulcers who showed positive results in bone probing test. Tissue samples for microbiologic tests were collected from all the patients by using superficial cotton swab, superficial tissue biopsy, and bone biopsy. The microbiologic results of bone biopsy were compared with swab culture and superficial tissue biopsy statistically. Results: The positive predictive value of bone probing test for underlying osteomyelitis was 82.1%. Microbiology of the bone biopsy showed same results with those of the swab culture and superficial tissue in 64% and 63%, respectively. Statistical analysis demonstrated that the microbiology of the swab culture or superficial tissue did not coincide with that of the bone biopsy. Conclusion: These results suggest that the microbiologic results of superficial tissue or swab culture do not coincide with those of bony tissue. To select appropriate antibiotic regimen for diabetic ulcer with bone involvement, the specimen for the microbiologic test should be obtained from involved bone.

A Case of Idiopathic Infratentorial Superficial Siderosis

  • Shin, Daeun;Yang, Seok-Yul;Kim, Youngwook;Ryu, Ho-Sung;Lee, Hoseok
    • Investigative Magnetic Resonance Imaging
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    • v.24 no.1
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    • pp.51-54
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    • 2020
  • Superficial siderosis is attributed to hemosiderin deposition in the subpial layers of the nervous system. The clinical features of infratentorial superficial siderosis (ISS) are hearing loss, cerebellar ataxia, and corticospinal tract signs and the most common cause of idiopathic ISS is a dural defect. As magnetic resonance imaging (MRI) has advanced, the diagnosis of infratentorial superficial siderosis can be confirmed by unique radiological findings in MRI. Here, we report on a female patient diagnosed with idiopathic ISS by means of clinical symptoms and radiological findings.

Treatment of Superficial Peroneal Nerve Entrapment Syndrome under Local Anesthesia using Ultrasonogram (초음파를 이용한 국소마취하 표재비골신경 포착증후군의 치료)

  • Lee, Kyung-Chan;Kwak, Ji-Hoon;Hwang, Chul-Ho;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.215-219
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    • 2013
  • Purpose: To review the outcomes of surgical treatment for superficial peroneal nerve entrapment. Materials and Methods: Ultrasonogram was used for diagnosis and surgical treatment. Seven superficial peroneal nerve entrapment were surgically treated with follow up of average 16 months (range, 6~29 months). Three patients were male and four patients were female with mean age 36.7 years (range, 19~51 years). Four cases developed after repetitive ankle sprain and three cases had no etiology. Results: Operation was performed mini-open and subcutaneous fasciotomy under local anesthesia. The results were excellent in two cases, good in four cases, fair in one case. Conclusion: Ultrasonogram was useful for diagnosis and surgical treatment of superficial peroneal nerve entrapment syndrome.

Spinal Intradural Extramedullary Cavernoma Presenting with Intracranial Superficial Hemosiderosis

  • Jin, Yong-Jun;Chung, Sang-Bong;Kim, Ki-Jeong;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.377-380
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    • 2011
  • A case of intradural extramedullary cavernous angioma is presented with headache, dizziness, and bilateral sensorineural hearing loss caused by an intracranial superficial hemosiderosis. It was incidentally found in a patient with a 3-month history of sustained headache, dizziness and a 3-year history of hearing difficulty. The neurological examination was unremarkable in the lower extremity. MR images showed an intracranial superficial hemosiderosis mostly in the cerebellar region. Myelography and MR images of the thoracolumbar spine revealed an intradural extramedullary mass, which was pathologically proven to be a cavernous angioma. T12 total laminoplastic laminotomy and total tumor removal were performed without any neurologic deficits. The patient's symptoms, including headache and dizziness, have been absent for three years. Intradural extramedullary cavernous angioma can present with an intracranial superficial hemosiderosis as a result of chronic subarachnoid hemorrhage.

포말 분리법에 의한 양어장의 단백질 제거

  • 서근학;이회근
    • Journal of Environmental Science International
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    • v.7 no.1
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    • pp.41-45
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    • 1998
  • The feasibility of foam separation to remove protein in aquacultural recirculating water was investigated. From the results of batch foam separation on protein removal, superficial air velocity and initial protein concentration in bulk solution were found to be important operational factors In determining removal rates of protein. The protein removal rate by batch foam separation was proportionally increased with the superficial air velocity. Performance characteristics of continous foam separator were highly dependent upon the operating parameters of superficial air velocity, hydraulic retention time(HRT) and foam height. Removal effeciency of protein increases with increasing superficial air velocity and HRT, and independent on foam height. As DO concentration was increased with superficial air velocity, foam separator is also used for oxygen addition. It could be confinned that foam separator might offer better perspective for protein removal in aquacuitural recirculating water.

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Study on Effect of gas superficial velocity on particle behavior in three phased Slurry Bubble Column Reactor (3상 Slurry Bubble Column Reactor에서 기체유속에 따른 고체입자의 거동에 대한 연구)

  • Yang, Jung-Hoon;Yang, Jung-Il;Lee, Ho-Tae;Kim, Hak-Joo;Chun, Dong-Hyun;Jung, Heon
    • 한국신재생에너지학회:학술대회논문집
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    • 2009.06a
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    • pp.876-879
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    • 2009
  • Fischer-Tropsch 합성 반응과 같은 slurry bubble column reactor에서는 반응 속도를 증진시키기 위해서는 서로 다른 상간의 접촉 면적을 최대화함으로써 물질 전달을 원활하게 유지하여야 한다. 특히 Fischer-Tropsch 합성 반응에서는 반응물인 기체가 촉매로서 기능하는 고체 표면으로의 external mass transfer가 효과적으로 이루어져야 하기 때문에 반응기 내의 기체의 거동뿐만 아니라 고체인 촉매의 분포에 대한 연구가 활발하게 이루어지고 있다. 따라서 본 연구에서는 반응기 내에 기체의 superficial velocity를 변화시키면서 기체의 hold up 뿐만 아니라 고체 입자의 분포특성에 대하여 관찰하였다. Superficial velocity가 증가함에따라 gas hold up의 경우, 일정하게 증가하다가 6 cm/sec 이상에서 그 증가폭이 감소하였다. 즉 6 cm/sec이상에서 turbulent flow regime을 형성하였다. 또한 고체입자의 분포 역시 기체의 superficial velocity가 증가함에따라 보다 균일하게 되는 것을 확인할 수 있었다.

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Distribution of Calretinin in the Superficial Layers of the Mouse Superior Colliculus: Effect of Monocular Enuclection

  • Yang, Hye-Won;Jeon-Jeon, Chang-Jin
    • Animal cells and systems
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    • v.2 no.3
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    • pp.389-393
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    • 1998
  • We localized a calcium-binding protein, calretinin, in the superior colliculus of the mouse and studied the distribution and effect of eye enucleation on the distribution of this protein. Calretinin was localized with immunocyto-chemistry. A dense plexus of anti-calretinin-labeled fibers was found within the superficial layers. The highest density was found in the deep superficial gray layer. Monocular enucleation produced an almost complete reduction of calretinin-immunoreactive fibers in the superficial layers of the superior colliculus contralateral to the enucleation. Furthermore, many calretinin-labeled cells appeared in the contralateral superior colliculus. These newly appeared neurons had small oval or round cell bodies. The results demonstrate that calretinin identify unique neuronal sublaminar organizations in the superior colliculus of the mouse. They also suggest that the retinal projection may control in part the content of calretinin in some neurons in the superficial layers of the mouse superior colliculus.

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The Research about Distribution of Abdominal Fat in Obese Premenopausal Korean Women (폐경전 한국인 비만여성에서 복부 지방의 분획별 특성에 대한 임상연구)

  • Lee, A-Ra;Chung, Won-Suk;Song, Mi-Yeon
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.2
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    • pp.25-35
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    • 2008
  • Objectives This study was performed to find out the characters about distribution of abdominal fat(especially superficial and deep subcutaneous fat) in obese premenopausal Korean women. Methods 39 obese premenopausal women were recruited in 2008. Anthropometry and body impedance analysis have been done and abdominal fat distribution had been assessed by computed tomography scan at the level of L4-5. Blood test and questionnaires about depression, eating attitude and physical activity were underwent. Result Abdominal total fat area, subcutaneous fat area including superficial and deep were significantly correlated with anthropometry and BIA result while visceral fat was correlated only with age and waist circumference. In blood profile, only visceral fat area was correlated with HDL cholesterol and triglyceride. And there were no correlation among questionnaires and abdominal fat. There were no difference between superficial and deep subcutaneous fat. Conclusion Abdominal subcutaneous fat including superficial and deep did not have any correlation with heart risk factor. superficial and deep subcutaneous fat had no differences with each other and they did not show any correlation with visceral fat in obese perimenopausal Korean women.

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Treatment of Superficial Peroneal and Sural Nerve Lesions Unrelated to Laceration (열상에 의하지 않은 표재 비골 신경과 비복 신경 병변의 치료)

  • Lee, Woo-Chun;Kim, Yu-Mi;Ko, Han-Suk
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.179-183
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    • 2006
  • Purpose: To review the results of surgical treatment for superficial peroneal and sural nerve lesion unrelated to laceration. Materials and Methods: Eleven superficial peroneal and sural nerve lesions in eleven patients were surgically treated at our hospital with follow up of average 20.7 months (range, 9-64 months). The anatomical locations of the lesion were on superficial peroneal nerve in seven patients including two patients having ganglion and sural nerve in four patients. Two patients were male and the average age at surgery was 41.5 years (range, 23-57 years). Six cases developed after repetitive sprain and five cases had no trauma history. Clinical results were assessed according to the criteria of Pfeiffer and Cracchiolo. Results: The methods of operation were proximal resection of the nerve lesion in nine cases and removal of ganglion only in two cases. The results were excellent in four cases, good in five cases, fair in one case and poor in one case. Ten cases (10 patients) were satisfied with the result of treatment. Conclusion: We can expect satisfactory results of surgical treatment for superficial peroneal and sural nerve lesion unrelated to laceration.

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Reconstruction of the Soft Tissue Defect of the Lower Leg by Distally Based Superficial Sural Artery Fasciocutaneous Island Flap Using Supercharged Vein (원위기저 도서형 천비복동맥 근막피판으로 하지 재건 시 과급정맥문합의 이용)

  • Ha, Young In;Choi, Hwan Jun;Choi, Chang Yong;Kim, Yong Bae
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.208-213
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    • 2008
  • Purpose: Distally based superficial sural artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. Venous congestion is an area of considerable concern in distally based superficial sural artery fasciocutaneous flap and is one of the main reasons for failure, particularly when a large flap is needed. However, we could decrease these disadvantages by means of venous superdrainage. Methods: From June of 2006 to June of 2007, a total of two patients with soft tissue defects of lower one third of the leg underwent venous supercharging distally based superficial sural artery island flap transfer. The distal pivot point of this flap was designed at septocutaneous perforator from the peroneal artery of the posterolateral septum, which was 5 cm above the tip of the lateral malleolus. Briefly, this technique is performed by anastomosing the proximal end of the lesser saphenous vein and collateral vein to any vein in the area of the recipient defect site. Results: No venous congestion was noted in any of the two cases. No other recipient or donor-site complications were observed, except for minor wound dehiscence in one case. In 3 to 6 months follow-up, patients had minor complaints about lack of sensation in the lateral dorsal foot. Conclusion: The peroneal artery perforator is predictable and reliable for the design of a distally based superficial sural artery island flap. Elevation of the venous supercharging flap is safe, easy, and less time consuming. In conclusion, the venous supercharging distally based superficial sural artery island flap offers an alterative to free tissue transfer for reconstruction of the lower extremity.