• Title/Summary/Keyword: Wall following

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Sonographic Findings of Second Branchial Cleft Cysts; Variable Appearances and Helpful Diagnostic Findings (제2새열 낭종의 초음파 소견;다양한 소견들과 진단에 도움이 될 만한 소견들)

  • Kim, Heung-Cheol;Lee, Jun-Ho;NamKung, Sook;Hong, Myung-Sun;Hwang, Im-Kyung
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.1
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    • pp.53-56
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    • 2008
  • Objectives:The purpose of this study was to evaluate the variable sonographic features in addition to classic findings and to find the helpful characteristic findings for diagnosis of branchial cleft cysts. Subjects and Methods:We retrospectively analyzed the sonographic finding of 16 histopathologically proven branchial cleft cysts. Assessment involved the following variables : location related to carotid artery, size, cyst wall, border, margin, shape, internal echotexture, post echoic enhancement, orientation of longitudinal axis relative to the long axis of the neck, and tapering edge. Results:Most branchial cleft cysts were seen as well defined(15/16), oval shape(13/16), smooth inner (12/16) and outer margin(13/16), and post echoic enhancement(16/16). Their diameter varied from 1 to 6cm (mean 3.3cm). The branchial cleft cysts showed variable internal echopatterns;hyperechogenicity or pseudosolid appearance(1/16), heterogeneous echogenicity(4/16) in addition to classic form of anechoic(5/16) or hypoechoic internal echogenicity(6/16). Longitudinal axis of most branchial cleft cysts were arranged in the direction of the long axis of the neck(13/16) and some branchial cleft cysts had tapering edge(6/16). Conclusion:If both atypical sonographic findings and location are showed, longitudinal arrangement of long axis and tapering edge of branchial cleft cysts are helpful findings for differential diagnosis.

Delayed Orbital Hemorrhage around Alloplastic Implants after Blowout Fracture Reduction

  • Ryu, Yong Ah;Park, Jae Beom;Kyung, Hyun Woo;Song, Seung Han;Kang, Nak Heon
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.35-38
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    • 2015
  • Alloplastic implants have been used to repair orbital wall fractures in most cases. Orbital hemorrhage is a rare complication of these implants and has been reported rarely in Korea. The purpose of this article is to report a late complication case focusing on their etiology and management. A 20-year-old male patient underwent open reduction with Medpor (porous polyethylene) insertion for bilateral orbital floor fractures. The initial symptom occurred with proptosis in the right side as well as vertical dystopia, which had started 4 days earlier, 8 months after surgery. Any trauma history after the surgery was not present. We performed an exploration and removal of hematoma with Medpor titanium meshed alloplastic implant. A case of delayed orbital hematoma following alloplastic implant insertion was identified. It occurred within the pseudocapsule of the implant. One week after surgery, overall symptoms improved successfully, and no complications were reported during the 11-month follow-up period. Although rare, orbital hemorrhage is a potential complication of alloplastic orbital floor implants, which may present many years after surgery. As in the case presented, delayed hematoma should be included in the differential diagnosis of late proptosis or orbital dystopia.

Tracheal pleomorphic adenoma with coexisting pulmonary tuberculoma

  • Kim, Jehun;Oak, Chul-Ho;Jang, Tae-Won;Jung, Mann-Hong
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.114-120
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    • 2018
  • Tracheal tumors are rare and difficult to diagnose. Moreover, delays in diagnosis are very common because the symptoms are nonspecific. As a result, tracheal tumors are commonly mistreated as chronic obstructive pulmonary disease or bronchial asthma. We report a case of a 49-year-old male who presented with a 3-month history of dyspnea and cough. Chest computed tomography scan showed a $1.5{\times}1.3cm$ homogenous tumor originating from the right lateral wall of the tracheobronchial angle into the tracheal lumen as well as a $0.5{\times}0.4cm$ round nodular lesion at the right upper lobe with multiple mediastinal lymph nodes enlargement. Bronchoscopic findings revealed a broad-based, polypoid lesion nearly obstructing the airway of the right main bronchus. The patient was diagnosed with pleomorphic adenoma which is the most common benign tumor of the salivary glands, but rarely appears in the trachea. Upon surgery, tracheal pleomorphic adenoma and co-existing active pulmonary tuberculoma that had been mistreated as bronchial asthma over 3 months was revealed. Following surgery, the patient underwent anti-tuberculosis treatment. No recurrence has been detected in the 3 years since treatment and the patient is now asymptomatic.

Selection of Culture Media Applied to Grafted Cactus 'Hwangwall' for Export (수출용 접목 선인장 '황월'에 적합한 배지선발)

  • Kim, Yang Hee;Ryu, Byung Yeal
    • FLOWER RESEARCH JOURNAL
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    • v.18 no.3
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    • pp.171-178
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    • 2010
  • This work is for selecting superior media which is similar to Peat Moss that is in general use as media of Gymnocalycium mihanovichii for Export such as 'Hwang wall' but lower price. The result on growth of 7 kinds of media (Peat Moss, BM6 Culture Medium, Coco Peat, Hydro Cray, Hydro Ball, Hugato, Vermiculite) which are applied watering (overhead irrigation, sub irrigation) based on bichemical analysis including chemical, physical analysis are following. The result of bi-chemical analysis shows that Coco Peat was stabilized planting after 90 days and Hydro Ball has high water holding capacity. The experimental result of growth in grafted cactus 'Hwangwall' shows Coco Peat is similar to Peat Moss on organic matter and in case of inorganic media, Hugato, Vermiculite, Hydro Cray made satisfactory results. But, the weight of inorganic media is too light to be tied. Consequently, Coco Peat and sphagnum moss as organic media has lower price and the condition of growth is analogous to Peat Moss. On the other hands, Hydro Ball was chosen as a substitute of Peat Moss in inorganic media.

The effect of ankle Kinesio taping on range of motion and agility during exercise in university students

  • Eom, Se Young;Lee, Won Jun;Lee, Jae Il;Lee, Eun Hee;Lee, Hye Young;Chung, Eun Jung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.63-68
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    • 2014
  • Objective: The purpose of this study was to examine the effects of ankle Kinesio taping on range of motion and agility during exercise in university students. Design: Cross-sectional study. Methods: Thirty subjects were randomly allocated to two groups: taping group (n=15) and non-taping group (n=15). All groups underwent the same exercise program including stretching for 30 minutes. The exercise program proceeded in the following order: five minutes of stretching, a 20-minutes exercise program, and additional five minutes of stretching. Of the eight exercise methods suggested by Purcell et al, seven were chosen (lateral shuffle, forward and backward running, agility ladder, figure-of-8, forward jogging while jumping over cones, wall jumps and zigzags); $90^{\circ}$ cuts with lateral shuffle were omitted. The range of motion of ankle dorsiflexion and plantarflexion was measured using the goniometer. Agility was measured using the side hop test. Results: For ankle range of motion, the taping group showed significant differences in dorsiflexion and plantarflexion on both sides (p<0.05). The non-taping group showed significant differences only in left plantarflexion (p<0.05). There was a significant difference in dorsiflexion on both sides between the taping group and the non-taping group (p<0.05). All groups showed significant differences in agility on the left and right ankle (p<0.05). There was a significant difference in left ankles between the taping group and the non-taping group (p<0.05). Conclusions: Kinesio taping increased range of motion and agility during exercise in university students. Additional research on Kinesio taping for improving range of motion and agility is needed.

Predicting lipoabdominoplasty complications with infrared thermography: a delta-R analysis

  • Resende, Patricia Rodrigues;Brioschi, Marcos Leal;Meneck, Franciele De;Neves, Eduardo Borba;Teixeira, Manoel Jacobsen
    • Archives of Plastic Surgery
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    • v.48 no.5
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    • pp.553-558
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    • 2021
  • The diagnosis of the main complications resulting from lipoabdominoplasty has not yet been standardized. Infrared thermal imaging has been used to assess possible complications, such as necrosis and changes in micro- and macro-circulation, based on perforator mapping techniques, among others. The objective of this study was to present two clinical cases involving thermal imaging monitoring of the healing process of lipoabdominoplasty in the immediate postoperative evaluation and its preliminary results. Infrared thermography was performed 24 hours after the operation and on postoperative days 5, 25, and 27. In clinical case 1, it was found that the delta-R (∆TR)-defined as the difference in minimum temperature between the highest and lowest points in the SA3 region (caution suction area) following the classification established by Matarasso-was 0.4℃ at 24 hours after surgery and decreased to 0.1℃ on a postoperative day 5. There were no complications in this case. In contrast, in clinical case 2, the ∆TR was 1.7℃ at 24 hours after surgery (upon hospital discharge) and remained high, at 2.2℃, on postoperative day 5. A higher ∆TR was found in the second patient, who developed necrosis of the surgical wound. The ∆TR thermal index may be a new tool for predicting possible complications, complementing the clinical evaluation and therapeutic decision-making.

Regenerative potential of biphasic calcium phosphate and enamel matrix derivatives in the treatment of isolated interproximal intrabony defects: a randomized controlled trial

  • Pal, Pritish Chandra;Bali, Ashish;Boyapati, Ramanarayana;Show, Sangita;Tejaswi, Kanikanti Siva;Khandelwal, Sourabh
    • Journal of Yeungnam Medical Science
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    • v.39 no.4
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    • pp.322-331
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    • 2022
  • Background: The combined use of biomaterials for regeneration may have great biological relevance. This study aimed to compare the regenerative potential of biphasic calcium phosphate (BCP) alone and with growth factor enamel matrix derivatives (EMDs) for the regeneration of intrabony defects at 1 year. Methods: This randomized controlled trial included 40 sites in 29 patients with stage II/III periodontitis and 2/3 wall intrabony defects that were treated with BCP alone (control group) or a combination of BCP and EMD (test group). BCP alloplastic bone grafts provide better bio-absorbability and accelerate bone formation. EMDs are commercially available amelogenins. Mean values and standard deviations were calculated for the following parameters: plaque index (PI), papillary bleeding index (PBI), vertical probing pocket depth (V-PPD), vertical clinical attachment level (V-CAL), and radiographic defect depth (RDD). Student paired and unpaired t-tests were used to compare the data from baseline to 12 months for each group and between the groups, respectively. The results were considered statistically significant at p<0.05. Results: At 12 months, the PI and PBI scores of the control and test groups were not significantly different (p>0.05). The mean V-PPD difference, V-CAL gain, and RDD difference were statistically significant in both groups at 12 months (p<0.001 for all parameters). Intergroup comparisons showed that the mean V-PPD reduction (2.13±1.35 mm), V-CAL gain (2.53±1.2 mm), and RDD fill (1.33±1.0 mm) were statistically significant between the groups at 12 months (p<0.001 for all parameters). Conclusion: BCP and EMDs combination is a promising modality for the regeneration of intrabony defects.

The July 2, 2017, Lantian landslide in Leibo, China: mechanisms and mitigation measures

  • He, Kun;Ma, Guotao;Hu, Xiewen;Liu, Bo;Han, Mei
    • Geomechanics and Engineering
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    • v.28 no.3
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    • pp.283-298
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    • 2022
  • Landslides triggered by the combination of heavy precipitation and anthropological disturbance in hilly areas cause severe damage to human lives, properties, and infrastructure constructions. A comprehensive investigation of the influencing factors and failure mechanisms of landslides are significant for disaster mitigation and prevention. This paper utilized the combination of detailed geological investigation, physical experimental testing as well as numerical modelling to determine the failure mechanism, and proposed a countermeasures of the Lantian landslide occurred on 2, July 2017. The results reveal that the Lantian landslide is a catastrophic reactivated slide which occurred in an active tectonic region in Southwest China. Because of the unique geological settings, the fully to highly weathered basalts in the study area with well-developed fractures favored the rainwater infiltration, which is the beneficial to slide reactivation. Engineering excavation and heavy precipitation are the main triggering factors to activate the slide motion. Two failure stages have been identified in the landslide. The first phase involves a shallow mass collapse originated at the upper slopes, which extends from the road to platform at rear part, which is triggered by excavation in the landslide region. Subjected to the following prolonged rainfall from 19 June to 2 July, 2017, the pore water pressure of the slope continually increased, and the groundwater table successively rise, resulting in a significant decrease of soil strength which leads to successive large-scale deep slide. Thereinto, the shallow collapse played a significant role in the formation of the deep slide. Based on the formation mechanisms of the landslide, detailed engineering mitigation measures, involving slope cutting, anchor cable frame, shotcrete and anchorage, retaining wall and intercepting ditch were suggested to reduce the future failure risk of the landslide.

Genetic algorithm-based geometric and reinforcement limits for cost effective design of RC cantilever retaining walls

  • Mansoor Shakeel;Rizwan Azam;Muhammad R. Riaz
    • Structural Engineering and Mechanics
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    • v.86 no.3
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    • pp.337-348
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    • 2023
  • The optimization of reinforced concrete (RC) cantilever retaining walls is a complex problem and requires the use of advanced techniques like metaheuristic algorithms. For this purpose, an optimization model must first be developed, which involves mathematical complications, multidisciplinary knowledge, and programming skills. This task has proven to be too arduous and has halted the mainstream acceptance of optimization. Therefore, it is necessary to unravel the complications of optimization into an easily applicable form. Currently, the most commonly used method for designing retaining walls is by following the proportioning limits provided by the ACI handbook. However, these limits, derived manually, are not verified by any optimization technique. There is a need to validate or modify these limits, using optimization algorithms to consider them as optimal limits. Therefore, this study aims to propose updated proportioning limits for the economical design of a RC cantilever retaining wall through a comprehensive parametric investigation using the genetic algorithm (GA). Multiple simulations are run to examine various design parameters, and trends are drawn to determine effective ranges. The optimal limits are derived for 5 geometric and 3 reinforcement variables and validated by comparison with their predecessor, ACI's preliminary proportioning limits. The results indicate close proximity between the optimized and code-provided ranges; however, the use of optimal limits can lead to additional cost optimization. Modifications to achieve further optimization are also discussed. Besides the geometric variables, other design parameters not covered by the ACI building code, like reinforcement ratios, bar diameters, and material strengths, and their effects on cost optimization, are also discussed. The findings of this investigation can be used by experienced engineers to refine their designs, without delving into the complexities of optimization.

Functional characterization and expression analysis of c-type and g-like-type lysozymes in yellowtail clownfish (Amphiprion clarkii)

  • Gaeun Kim;Hanchang Sohn;WKM Omeka;Chaehyeon Lim;Don Anushka Sandaruwan Elvitigala;Jehee Lee
    • Fisheries and Aquatic Sciences
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    • v.26 no.3
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    • pp.188-203
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    • 2023
  • Lysozymes are well-known antibacterial enzymes that mainly target the peptidoglycan layer of the bacterial cell wall. Animal lysozymes are mainly categorized as g-type, c-type, and i-type based on protein sequence and structural differences. In this study, c-type (AcLysC) and g-like-type (AcLysG-like) lysozymes from Amphiprion clarkii were characterized in silico via expressional and functional approaches. According to in silico analysis, open reading frames of AcLysC and AcLysG-like were 429 bp and 570 bp, respectively, encoding the corresponding polypeptide chains with 142 and 189 amino acids. Elevated expression levels of AcLysC and AcLysG-like were observed in the liver and the heart tissues, respectively, as evidenced by quantitative real-time polymerase chain reaction assays. AcLysC and AcLysG-like transcript levels were upregulated in gills, head kidney, and blood cells following experimental immune stimulation. Recombinant AcLysC exhibited potent lytic activity against Vibrio anguillarum, whereas recombinant AcLysG-like showed remarkable antibacterial activity against Vibrio harveyi and Streptococcus parauberis, which was further evidenced by scanning electron microscopic imaging of destructed bacterial cell walls. The findings of this study collectively suggest the potential roles of AcLysC and AcLysG-like in host immune defense.