• Clinics in Shoulder and Elbow
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• v.20 no.4
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• pp.230-235
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• 2017

Background: Neer type II distal clavicle fractures have the drawback of coracoclavicular instability and insufficient distal bony fragment, thereby making it difficult to achieve adequate fixation. Although various surgical treatments have been described for Neer type II fracture, the optimal treatment remains controversial. This study reports the clinical results and usefulness of anatomical locking plate with additional K-wire fixation. Methods: A totally of 21 patients with type II distal clavicle fracture were included in the study. The surgical procedure reduced the fracture temporarily; it included insertion of one or two K-wire from the lateral margin of the distal fragment to the proximal fragment through the fracture site, followed by application and fixation of the locking plate. The bony union and migration of K-wire was evaluated in the follow-up radiography. The coracoclavicular distance and acromioclavicular joint arthrosis were assessed at the final follow-up. The Constant Score (CS) and Korean Shoulder Score (KSS) were evaluated for clinical scoring. Results: Bone union was achieved in all cases. At the final follow-up, coracoclavicular distance of the injured shoulder was increased, as compared to the intact shoulder (p=0.002), with no accompanying clinical symptoms. No K-wire migration was observed. At the final follow-up, K-wire irritation was observed in two cases and acromioclavicular arthrosis in one case, with no other adverse effects. Pain visual analogue scale, CS, and KSS were improved in all cases. Conclusions: The method of anatomical locking plate with additional K-wire fixation could be useful in achieving beneficial clinical results.

• Journal of Korean Neurosurgical Society
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• v.52 no.4
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• pp.391-395
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• 2012

Objective : Removal of the anterior clinoid process (ACP) is an essential process in the surgery of giant or complex aneurysms located near the proximal internal carotid artery or the distal basilar artery. An extradural clinoidectomy must be performed within the limits of the meningeal layers surrounding the ACP to prevent morbid complications. To identify the safest method of extradural exposure of the ACP, anatomical studies were done on cadaver heads. Methods : Anatomical dissections for extradural exposure of the ACP were performed on both sides of seven cadavers. Before dividing the frontotemporal dural fold (FTDF), we measured its length from the superomedial apex attached to the periorbita to the posterolateral apex which connects to the anterosuperior end of the cavernous sinus. Results : The average length of the FTDF on cadaver dissections was 7 mm on the right side and 7.14 mm on the left side. Cranial nerves were usually exposed when cutting FTDF more than 7 mm of the FTDF. Conclusion : The most delicate area in an extradural anterior clinoidectomy is the junction of the FTDF and the anterior triangular apex of the cavernous sinus. The FTDF must be cut from the anterior side of the triangle at the periorbital side rather than from the dural side. The length of the FTDF incision must not exceed 7 mm to avoid cranial nerve injury.

• Journal of the Korean Wood Science and Technology
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• v.46 no.6
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• pp.656-669
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• 2018

Tropical bamboo species, which have a very rapid growth rate, are considered as a promising non-timber forest product capable of exhibiting new functionality by carbonization technology. This study was conducted to compare the characteristics of carbonized bamboos from Andong (G. pseuudoarundinacea (Steudel) Widjaja), Hitam (G. atrovialacea), Tali (G. apus), Kuning (B. vulgaris Var. striata (Lodd. Ex Lindl)), and Ampel (B. vulgaris Scharad. ex Wendland), and Betung (D. asper). Each bamboo was carbonized at 200, 400, 600, 800, and $1,000^{\circ}C$, respectively, and their physical and anatomical characteristics were investigated. The result showed that the volume and weight of carbonized bamboo decreased with increasing carbonization temperature and showed the substantial changes of volume and weight between 200 and $400^{\circ}C$. The highest and the lowest density of carbonized samples were found in Ampel bamboo and Betung bamboo, respectively. The density of all carbonized bamboos tended to decrease after carbonization at 200 and $400^{\circ}C$ and relatively become constant afterwards. The carbonized bamboo prepared at 800 and $1,000^{\circ}C$ showed better refining degree. The results of the anatomical observation showed that the vascular diameter of carbonized bamboo decreased with increasing carbonization temperature, and the shrinkage in radial and tangential direction showed similar tendency. Statistical analysis showed that there was significant correlation between physical contraction and anatomical contraction. Based on the results of this study, comprehensive data about Indonesian bamboo charcoals could be obtained and it will be useful for future application studies.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7737-7741
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• 2013

Background: Human papilloma virus infection is associated with genesis and malignant potential of cervical cancer. E6 and E7 oncogens are known to bind to p53 and retinoblastoma gene products, abrogating their functions as tumor suppressors, leading to an abnormal cell cycle machinery. Roles of the p53 homolog p63 have also been postulated, E6 expression leading to TAp63b degradation allowing anchorage independent growth. Molecular studies correlated with clinicopathological factors are important to determine prognosis and treatment strategies, but results have been controversial and need to be clarified. Aim: To investigate expression of p53 and p63 in cervical squamous cell carcinomas in correlation with age, FIGO staging, morphology, and cancer cell proliferation. Materials and Methods: Expression of p53 and p63 immunohistochemical staining in a total of 56 paraffin-embedded tissues of cervical squamous cell carcinomas from Dr. Sardjito General Hospital Indonesia, was evaluated for correlation with clinicopathological parameters. The Mann-Whitney test was used to compare the percentage of p53 and p63 expression with patient age, FIGO staging and morphology and to compare mean p53 and p63 expression. The Spearman correlation test was applied to correlate p53 and p63 expression with that of Ki-67. A p-value of <0.05 was considered statistically significant. Results: There were significant associations between p53 expression with age (p=0.019) and FIGO staging (p=0.026), but not with with morphology or Ki-67 expression. There were no links between p63 expression and age, morphology, FIGO staging or Ki-67. Conclusions: This study indicated that p53 has a prognostic value in cervical squamous cell carcinomas given the relation with FIGO staging.

• Journal of the Korean Wood Science and Technology
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• v.38 no.4
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• pp.292-297
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• 2010

Sound absorption capability and anatomical features of kagikazura (Uncaria rhynchophylla) and larch (lalix kaemferi) wood were estimated. Sound absorption coefficients had been measured by the two microphone transfer function method and anatomical features of kagikazura wood examined by SEM observation. The sound absorption coefficients of Uncaria rhynchophylla was higher than lalix kaemferi. Especially, in the frequency range of 1 to 4KHz, sound absorption coefficients of kagikazura was about 2~3 times higher than those of lalix kaemferi. Abundant and big vessel observed on the cross sectional surface of kagikazura wood and simple perforation plate observed on the longitudinal surface. It was surmised that the abundant big vessel element and simple perforation plate behaved as a sound absorbing pore.

• Clinical and Experimental Reproductive Medicine
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• v.18 no.2
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• pp.233-235
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• 1991

A total of 167 patients underwent mascroscopic vasovasostomy by a modified double layer reanastomosis to correct postvasectomy sterility during a 5-year period between 1986 and 1991. We obtained the anatomical patency and pregnancy rates from 61 patients whose follow-ups were completed. There by, we report the following results. 1. Of the 167 patients, the mean age and the average duration of vasobstruction were 34.0 and 4. 4 years respectively. The reasons for ecanalization were desire for more baby in 71.9%. death of children, 24.5% and remarriage in 3.6%. 2. Of the 61 patients with complete follow-up. the anatomical patency and pregnancy rates were 83.6%(51 patients) and 50.8%(31 patients) respectively. 3. For the 36 out of 61 patients whose duration of vasobstruction was less than 5 years, the anatomical patency and pregnancy rates were 88.9%(32 patients) and 58.3%(21 patients) respectively. The rates for the remaining 25 patients whose duration was greater than 5 years were 80.0%(20 patients) and 40.0%(10 patients). 4. Of the 61 patients, 51 exhibited sperms from the proximal vas on microscope during the operation. Their anatomical patency and pregnancy rates were 88.2%(45) and 54.9%(28) respectively. The rates for the remaining 10 patients without any sperms were 60.0%(6) and 30.0%(3). From the above results, we can conclude that macroscopic reanastomoses by modified double layer technique has appreciable success rates that could possibly be compared to the microscopic results.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.32 no.3
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• pp.282-288
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• 2010

Surgery with the computer navigation system can make it possible to identify important anatomical structures which are difficult to be confirmed with the naked eye in the operation, and has extended their applications in various surgical fields. The head and neck surgery especially requires detailed anatomical knowledges and these knowledges have influences on postoperative functions and esthetics of a patient. In the orthognathic surgery, we should take osteotomies in the precise locations of the jawbones and move segments to the intended positions. There are so many important anatomical structures around the osteotomy-sites in the orthognathic surgery that the prevention of damage to these structures to obtain satisfactory results without any complication. There are vessels of the pterygoid plexus posterior to the pterygoid plate in the maxilla and the mandibular nerve enters the mandibluar foramen in the mandibular ramus. These locations should be confirmed perioperatively to avoid any injury to these structures. The navigation-assisted surgery may be helpful for this purpose. We performed navigational orthognathic surgeries with preoperative CT images and obtained satisfactory results. The osteotomy was performed in the proper location and damaging the surrounding important anatomical structures was avoided by keeping the saw away from them with the real-time navigation. It may be required to develop proper devices and protocols for the navigation-assisted orthognathic surgery.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.42 no.5
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• pp.265-270
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• 2016

Objectives: To gain information on anatomical variation in anterolateral thigh (ALT) flaps in a series of clinical cases, with special focus on perforators and pedicles, for potential use in reconstruction of oral and maxillofacial soft tissue defects. Materials and Methods: Eight patients who underwent microvascular reconstructive surgery with ALT free flaps after ablative surgery for oral cancer were included. The number of perforators included in cutaneous flaps, location of perforators (septocutaneous or musculocutaneous), and the course of vascular pedicles were intraoperatively investigated. Results: Four cases with a single perforator and four cases with multiple perforators were included in the ALT flap designed along the line from anterior superior iliac spine to patella. Three cases had perforators running the septum between the vastus lateralis and rectus femoris muscle (septocutaneous type), and five cases had perforators running in the vastus lateralis muscle (musculocutaneous type). Regarding the course of vascular pedicles, five cases were derived from the descending branch of the lateral circumflex femoral artery (type I), and three cases were from the transverse branch (type II). Conclusion: Anatomical variation affecting the distribution of perforators and the course of pedicles might prevent use of an ALT free flap in various reconstruction cases. However, these issues can be overcome with an understanding of anatomical variation and meticulous surgical dissection. ALT free flaps are considered reliable options for reconstruction of soft tissue defects of the oral and maxillofacial area.

• Journal of the Korean Wood Science and Technology
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• v.39 no.5
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• pp.406-419
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• 2011

This study was carried out to offer basic information on the wood anatomy of domestic yellow-poplar (Liriodendron tulipifera L.), a new plantation species selected by Korea Forest Service as one of the promising hardwood and bioenergy sources of the future, through comparison of stem wood with root wood in the qualitative and quantitative features. In the qualitative anatomical features, growth rings were distinct in stem wood but relatively less distinct in root wood. And stem wood appeared to have pores in radial multiples of 2 to 5, sometimes clusters but root wood to have pores in radial multiples of 2 to 3, rarely clusters. And numbers of bars in scalariform perforation plates were somewhat numerous in vessel elements of root wood than in those of stem wood. Interestingly, on the other hand, more extraneous materials in the wood rays of tap root than in those of lateral root and stem were confirmed in the chemical composition analyses. In the quantitative anatomical features, pore densities were significantly greater but vessel elements were considerably narrower in stem wood than in root wood. Vessel elements and wood fibers of root wood were considerably longer than those of stem wood. Rays were somewhat more numerous in stem wood than in root wood, and only ray heights of stem wood were more or less greater in cell numbers but both ray heights and widths of stem wood were lower in dimension than those of root wood. The anatomical differences between stem wood and root wood were thought to be associated with different growth environments between the stem above ground and the root below ground.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.2
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• pp.951-955
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• 2014

Background: Colorectal cancer (CRC) was the fourth most commonly diagnosed cancer in Iran between 2000 and 2009, with adenocarcinoma (AC) as the most common histological type. Demographic, topographic and histological variables are important in the epidemiology and biology of cancer. The aim of this study was to investigate clinicopathological features of colon adenocarcinomas in Qazvin, Iran. Materials and Methods: With a retrospective design, patient records of two pathology wards from March 1997 to March 2013 were studied with regard to anatomical location and histological classification. A broader anatomical grouping was also used including distal vs proximal regions and right sided vs left sided tumors. Data were analyzed using T-test and chi-square test. Results: 118 (50.9%) male and 114 (49.1%) female patients were included in the study. Mean age was $57.3{\pm}14.7$ years, with 29.2% under 50 years. There was no significant gender difference for age at diagnosis. The rectum (56%) and sigmoid colon (25%) were the most frequent anatomical locations. Proximal cases accounted for 18.6% in males and 8.8% in females (p=0.02). AC was more prevalent than other usual types in younger patients. The proportion of proximal cancer was 1.7% in first eight years of the study period vs 12.1% in the second one (p=0.005). A similar trend was also seen in right sided colon cancers (p=0.018). Conclusions: Young people are also at risk for the cancer with poor prognosis. Screening programs and weight loss in obese individuals can reduce incidence and complications of CRC.