• Title/Summary/Keyword: The foot and hand

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Comparative Assessment of Skin and Subcutaneous Toxicity in Patients of Advanced Colorectal Carcinoma Treated with Different Schedules of FOLFOX

  • Bano, Nusrat;Najam, Rahila;Mateen, Ahmed
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1781-1786
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    • 2013
  • Objective: The study was designed to assess the skin and subcutaneous toxicity in patients with advanced colorectal carcinoma treated with four different schedules of FOLFOX. Methods: The patients with histologically confirmed advanced colorectal carcinoma (CRC) were included in the study as per specified inclusion criteria. Toxicity was graded according to CTC v2.0. The frequency of grade 3 and 4 adverse effects were comparatively assessed in each treatment arm. Results: Very severe toxicity was attributed to the FOLFOX7 schedule. The difference between the incidence rate of grade 4 toxicity with all other grades for all parameters of skin and subcutaneous toxicity was highly significant (p=0.00<0.001). Grade 4 hand and foot syndrome was reported only in the FOLFOX7 treatment arm. The most frequent adverse symptom of skin and subcutaneous toxicity reported in the patients treated with modified schedule of FOLFOX was pruritus (grade 1). Frequency and onset of skin and subcutaneous toxic symptoms like alopecia (p=0.000), nail discoloration (p=0.021) and pruritis (p=0.000) was significantly different in each FOLFOX treatment arm. A few cases of oncholysis were also reported in the FOLFOX7 treatment arm. Hand and foot syndrome was fast progressing in patients with grade 1 toxicity. Conclusion: Higher frequency and severity of hand and foot syndrome and pruritus wasa found in the FOLFOX7 treatment arm. Skin and subcutaneous toxicity was comparatively low in the FOLFOX6 treatment arm.

The literatural study on the oriental cognizance and acupuncture-moxibustion therapy of osteoporosis (골다공증(骨多孔症)의 한의학적(韓醫學的) 인식(認識)과 침구치료(鍼灸治療)의 문헌연구(文獻硏究))

  • Kim, Dong-Soo;Kim, Young-Il
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.9-18
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    • 2009
  • Objectives and Methods: The treatments of osteoporosis in occidental medicine are need complementations for reason of low-continuation and adverse-drug-reaction. So we would have literature centered consideration both oriental medical cognition and acupuncture-moxibustion therapy in osteoporosis. Results: 1. Deficiency of bone marrow caused by heat in the kidney and deficiency of kidney Gi, is causative of osteoporosis in pathology in oriental medicine. 2. Bone flaccidity and bone impediment are similar with osteoporosis. Withered bone comes under pathogenesis of bone flaccidity. And heavy debilitating disease of the bone is exacerbation of bone impediment. 3. In acupuncture-moxibustion therapy of osteoporosis, Bladder Meridian of Foot Taeyang, Kidney Meridian of Foot Soeum, Gallbladder Meridian of Foot Soyang, Lung Meridian of Hand Taeeum, Large Intestine Meridian of Hand Yangmyeong, Spleen Meridian of Foot Taeeum, Conception Channel, Stomach Meridian of Foot Yangmyeong, and Heart Meridian of Hand Soeum are used much in the order named. 4. In acupuncture-moxibustion therapy of osteoporosis, Hyeonjong(GB39, 7times), Daejeo(BL11, 3times), Sanggwan(GB3, 2times), Sinsu(BL23, 2times), Gyeoksu(BL17, 2times), Honmun(BL47, 2times), Buryu(KI7, 2times), Taebaek(SP3, 2times), Sanggu(SP5, 2times), Sangnyeom(LI9, 2times) are used much in the order named. Conclusions: In treatment of osteoporosis, we could make full use of acupuncture-moxibustion therapy. And we need active and persistent study about osteoporosis.

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Split hand/foot malformation with long-bone deficiency and BHLHA9 duplication: A prenatal diagnosis report

  • Cho, In Ae;Park, Ji Kwon;Baek, Jong Chul;Ha, A Na;Kang, Min Young;Lee, Jae Ik;Park, Ji Eun;Shin, Jeong Kyu;Choi, Won Jun;Lee, Soon Ae;Lee, Jong Hak;Paik, Won Young
    • Journal of Genetic Medicine
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    • v.12 no.2
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    • pp.123-127
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    • 2015
  • Distal limb deformities are congenital malformations with phenotypic variability and high genetic heterogeneity. Split hand/foot malformation, also known as ectrodactyly, is a congenital limb malformation characterized by a defect of the central rays of the hands and/or feet. Split hand/foot malformation with long-bone deficiency (SHFLD) is a rare condition related to a 17p13.3 duplication. Recently, genomic duplications encompassing BHLHA9 have been associated with SHFLD. We report a case of SHFLD presenting with campomelia of the right femur, bilateral agenesis of fibulae, bilateral club feet, and oligosyndactyly of the hands and feet, that was associated with a 17p13.3 duplication, as determined prenatally using array comparative genomic hybridization.

Hand & Foot Dorsum Reconstruction in Children using Parascapular Free Flap (부견갑부 유리 피판을 이용한 소아의 손, 발등 재건)

  • Kim, Sukhan;Hyon, Wonsok;Lee, Jihyuck;Mun, Goohyun;Bang, Saik;Oh, Kapsung
    • Archives of Reconstructive Microsurgery
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    • v.13 no.1
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    • pp.63-67
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    • 2004
  • Because traumatic tissue damage on hands and feet often lead to loss of function, permanent deformity, prompt and adequate reconstruction is essential. For children, future growth, as well as function and esthetics, must be taken into account. Several techniques have been employed to reconstruct hand and foot dorsum defects of children. However, skin graft and muscle free flap with skin graft cannot prevent contracture and will interfere with normal growth. Fasciocutaneous free flap reduces contracture and enables early physical therapy, decreasing the need for additional surgical intervention. Parascapular flap is particularly suitable because it has reliable pedicle and is relatively thin. There is little functional loss in the donor site, and also simultaneous extensor tendon reconstruction of hand and foot is possible. The disadvantage of this technique is that postoperative defatting is needed to adjust volume. Our department has achieved satisfactory results using this approach, and would like to report 13 cases of hand and foot reconstruction using parascapular flap in patients under the age of 15 (from March, 1998 to May, 2003).

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Hyaluronic Acid and Platelet-Rich Plasma Injections in Foot and Ankle Disorders (족부족관절 질환에서 히알루론산과 혈소판 풍부 혈장 주사치료)

  • Gun-Woo Lee;Joonkyoo Kang
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.3
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    • pp.79-86
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    • 2023
  • Numerous nonoperative treatments have been used to reduce pain and improve the clinical outcomes of patients with foot and ankle disorders. Among these treatments, hyaluronic acid and platelet-rich plasma (PRP) injections have been used increasingly. This review analyzes the recent literature reporting the efficacy and indications for hyaluronic acid and PRP injections. Hyaluronic acid and PRP can be used safely as adjuncts. Hyaluronic acid injections have shown efficacy and have a promising role as an adjuvant treatment method. In addition, its indication has expanded to various foot and ankle diseases over osteoarthritis. On the other hand, the efficacy of PRP injection has not yet been clarified, and the lack of standardization of procedures for the preparation and administration of PRP makes it difficult to establish definitive treatment indications.

Treatment of Macrodactyly in the Adult Foot - A case report - (성인 족부의 거대지 치료 (1예 보고))

  • Ahn, Jae-Hoon;Kim, Byung-Sung;Kang, Jong-Won;Kim, Dong-Hoon;Choy, Won-Sik
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.126-130
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    • 2003
  • Macrodactyly is a rare congenital anomaly characterized by the overgrowth of some or all tissue elements of a digit or digits in the hand or foot. We report of a case of macrodactyly in a foot of an adult female, which was treated successfully with the staged foot narrowing operations.

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Effect of Covering the Extremities with Garment on Thermal Consort and Thermoregulation (사지말초부의 피복면적이 쾌적성과 체온조절반응에 미치는 영향)

  • 정운선
    • Journal of the Korean Society of Clothing and Textiles
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    • v.18 no.2
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    • pp.163-169
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    • 1994
  • This study was carried on to investigate the effect of physiological significance of hand and foot on thermoregulation and thermal pleasantness in clothed $\mu$ Oral and skin temperatures after immersing hands and feet in the cold or the warm water at Ta of 25 and $20^{\circ}C$, respectively, were compared with four types of garment worn by two healthy male subjects. Four types of gannent expressed as A, B, C, D, were determined by the exposed areas of extremities : hands only are exposed in A, feet only are exposed in B, both hands and forearms are exposed in C, and both feet and legs are exposed in D. Major findings observed reveals that oral temperatures in D were generally maintained higher than those in A, B, and C. This is probably because the size of exposed areas rather than skin temperatures seem to determine the level of core temperature. Also, obtained result that thermal sensations felt by the subjects in foot are more closely related to local skin temperatures when they are compared to those in hand. From these findings it would be suggested that the significance of hand and foot in temperature regulation appears to be connected more with behavioral than with physiological.

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Development of 6-axis force/moment sensor for a humonoid robot (인간형 로봇을 위한 6축 힘/모멘트센서 개발)

  • Kim, Gab-Soon;Shin, Hyi-Jun
    • Journal of Sensor Science and Technology
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    • v.16 no.3
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    • pp.211-219
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    • 2007
  • This paper describes the development of 6-axis force/moment sensor for a humanoid robot. In order to walk on uneven terrain safely, the robot's foot should perceive the applied forces Fx, Fy, Fz and moments Mx, My, Mz to itself, and be controlled by the foot using the forces and moments. Also, in order to grasp unknown object safely, the robot's hand should perceive the weight of the object using the mounted 6-axis force/moment sensor to its wrist, and be controlled by the hand using the forces and moments. Therefore, 6-axis force/moment sensor should be necessary for a humanoid robot's hand and foot. In this paper, 6-axis force/moment sensor for a humanoid robot was developed using many PPBs (parallel plate-beams). The structure of the sensor was newly modeled, and the sensing element of the sensor was designed using theoretical analysis. Then, 6-axis force/moment sensor was fabricated by attaching strain-gages on the sensing elements, and the characteristic test of the developed sensor was carried out. The rated outputs from theoretical analysis agree well with the results from the experiments.

Local Cooling of the Limbs in $37^{\circ}C$ Ambient Temperature (사지부의 냉각효율성에 관한 연구)

  • Hwang, Kyoung-Sook;Choi, Jeong-Wha;Lee, Kyung-Suk
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.87-95
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    • 2007
  • This study was to determine the effect of cooling parts of the limbs without harm to health. The results provide basic data for the development of clothing which could increase work efficiency and reduce body strain in hot environments. Five male adults took part in the study, conducted in a climate chamber with an ambient temperature of $37^{\circ}C$ and a relative humidity of 50%. The limbs were divided into six areas to be cooled: upper arm, forearm, thigh, calf, hand, and foot. According to preceding studies, permissible cooling safety limits of skin temperature for each part of the body for one-hour were $20^{\circ}C$ on the upper arm, forearm, thigh, and calf, and $23^{\circ}C$ on the hand and foot. For this reason, cooling the skin of each region was carried out at the above mentioned temperatures. In conclusion, cooling the hand and foot reduced perspiration, rectal temperature and heart rate. Therefore, the heat stress of workers exposed to hot environments would be reduced by decreased subjective sensations of heat and increased comfort. The effectiveness of cooling was better on the arm than on the leg.

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Weight Transfer Patterns Under the Different Golf Swing Types: a Case Study Involving a Low Handicap Player and a High Handicap Player (I) (골프스윙 방법에 따른 체중이동 패턴에 관한 연구:숙련자와 비숙련자의 케이스 스터디(I))

  • Park, Jin
    • Korean Journal of Applied Biomechanics
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    • v.15 no.3
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    • pp.31-49
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    • 2005
  • The purpose of this study was to analyze the weight transfer patterns under the different golf swing types which are full swing control swing and putting stroke. Two women golfers participated in this study, one(165cm, 94.3kg)being classified as a low-handicap(LH)player, the other(165cm, 54.5kg) being classified as a high-handicap(HH) player. Both players are right-handed. Two force plates(Kistler, 9286AA) were synchronized with a motion capture system(Qualisys ProReflex MCU240). Anteriorposterior, mediolateral, and vertical forces were used as an indicator of the pattern of swing. Four discrete positions which are address, top of backswing impact, and finish were identified as an event and three phases which are backswing downswing, and follow-through between he events were also identified. The results showed that, at impact, the total force was 1.24BW ring the full swing 1.17BW during the control stroke, 1.00BW during the putting stroke. Depending on the golf swing types, the differences are existed. At impact, the distribution of forces is different with a low-handicap(LH) player and a high-handicap(HH) player. A LH player has 26% in right foot and 74% in left foot during the full swing 49% in right foot and 51% in left foot during the control swing 49% in right foot and 51% in left foot during the putting stroke. A HH, on the other hand, has 74% in right foot and 26% in left foot during the full swing 62% in right foot and 38% in left foot during the control swing 54% in right foot and 46% in left foot during the putting stroke. From address to top of backswing the amount of vertical forces are changed 43:57(right foot: left foot) to 76:24 during the full swing 47:53(right foot: left foot) to 75:25 during the control swing 50:50(right foot: left foot) to 54:46 during the putting stroke. The biggest weight transfer pattern took place in full swing and the control swing is next, and the putting stroke is the final.