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Replantation of Multi-level Amputated Digit (다중절단수지의 재접합술)

  • Kwon, Soon-Beom;Park, Ji-Ung;Cho, Sang-Hun;Seo, Hyung-Kyo;Whang, Jong-Ick
    • Archives of Plastic Surgery
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    • v.38 no.5
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    • pp.642-648
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    • 2011
  • Purpose: The recent advances in microsurgical techniques and their refinement over the past decade have greatly expanded the indications for digital replantations and have enabled us to salvage severed fingers more often. Many studies have reported greater than 80% viability rates in replantation surgery with functional results. However, replantation of multi-level amputations still remain a challenging problem and the decision of whether or not to replant an amputated part is difficult even for an experienced reconstructive surgeon because the ultimate functional result is unpredictable. Methods: Between January of 2002 and May of 2008, we treated 10 multi-level amputated digits of 7 patients. After brachial plexus block, meticulous replantation procedure was performed under microscopic magnification. Postoperatively, hand elevation, heat lamp, drug therapy and hyperbaric oxygen therapy were applied with careful observation of digital circulation. Early rehabilitation protocol was performed for functional improvement. Results: Among the 19 amputated segments of 10 digits, 16 segments survived completely without any complications. Overall survival rate was 84%. Complete necrosis of one finger tip segment and partial necrosis of two distal amputated segments developed and subsequent surgical interventions such as groin flap, local advancement flap and skin graft were performed. The overall result was functionally and aesthetically satisfactory. Conclusion: We experienced successful replantations of multi-level amputated digits. When we encounter a multi-level amputation, the key question is whether or not it is a contraindication to replantation. Despite the demand for skillful microsurgical technique and longer operative time, the authors' results prove it is worth attempting replantations in multi-level amputation because of the superiority in aesthetic and functional results.

Friction and Wear Properties of Boron Carbide Coating under Various Relative Humidity

  • Pham Duc-Cuong;Ahn Hyo-Sok;Yoon Eui-Sung
    • KSTLE International Journal
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    • v.6 no.2
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    • pp.39-44
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    • 2005
  • Friction and wear properties of the Boron carbide ($B_{4}C$) coating 100 nm thickness were studied under various relative humidity (RH). The boron carbide film was deposited on silicon substrate by DC magnetron sputtering method using $B_{4}C$ target with a mixture of Ar and methane ($CH_4$) as precursor gas. Friction tests were performed using a reciprocation type friction tester at ambient environment. Steel balls of 3 mm in diameter were used as counter-specimen. The results indicated that relative humidity strongly affected the tribological properties of boron carbide coating. Friction coefficient decreased from 0.42 to 0.09 as the relative humidity increased from $5\%$ to $85\%$. Confocal microscopy was used to observe worn surfaces of the coating and wear scars on steel balls after the tests. It showed that both the coating surface and the ball were significantly worn-out even though boron carbide is much harder than the steel. Moreover, at low humidity ($5\%$) the boron carbide showed poor wear resistance which resulted in the complete removal of coating layer, whereas at the medium and high humidity conditions, it was not. X-ray photoelectron spectroscopy (XPS) and Auger electron spectroscopy (AES) analyses were performed to characterize the chemical composition of the worn surfaces. We suggest that tribochemical reactions occurred during sliding in moisture air to form boric acid on the worn surface of the coating. The boric acid and the tribochemcal layer that formed on steel ball resulted in low friction and wear of boron carbide coating.

Bacterial Diversity of the Han River as Determined by 16S rRNA Gene Analysis (16S rRNA 유전자 계통분석에 의한 한강수계의 세균 다양성)

  • Han, Suk-Kyun;Lee, Il-Gyu;Ahn, Tae-Young
    • Korean Journal of Microbiology
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    • v.34 no.4
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    • pp.194-199
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    • 1998
  • Bacterial diversity was determined by amplification and sequencing of 16S rDNA at Tancheon and Jungrang in Han river. Twenty-seven clones constructed were divided 7 groups using RFLP. Fifteen clones were classified 4 groups in Tancheon and the group (HT-1 clone) including many clones was affiliated a high similarity with Aerobacter cryaerophilus (the class Proteobacteria including members of the delta subdivisions). The other two groups (HT-6 and HT-9 clone) including several clones were classified with the class Cytophagales in Tancheon. Twelve clones were classified 3 groups in Jungrang and the group (HJ-1 clone) including many clones was affiliated a high similarity with Sphingomonas sp. (the class Proteobacteria including members of the alpha subdivisions). As a whole results, the class Proteobacteria (alpha, beta and delta subdivision), the order Cytophagales, and the order Actinomycetales were detected.

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Study of Corrosion of Brass Coated Steel Cords in the Acetonitrile Solution of Sulfenamide Derivatives by Tafel Plot and AC Impedance Measurements

  • Young Chun Ko;Byung Ho Park;Hae Jin Kim;Q Won Choi;Jongbaik Ree;Keun Ho Chung
    • Bulletin of the Korean Chemical Society
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    • v.15 no.2
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    • pp.122-126
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    • 1994
  • Corrosion of brass coated steel cords in the acetonitrile solution of sulfenamide derivatives, N-Cyclohexylbenzothiazole-2-sulfenamide (CBTS), N,N'-Dicyclohexylbenzothiazole-2-sulfenamide (DCBS), N-tert-Butylbenzothiazole-2-sulfenamide (TBBS), N-tert-Amylbenzothiazole-2-sulfenamide (TABS), and N-Oxydiethylbenzothiazole-2-sulfenamide (OBTS) was investigated by potentiostatic anodic and cathodic polarization (Tafel plot), DC polarization resistance, and AC impedance measurements. The corrosion current densities and rates are 1.236 ${\mu}A /cm^2$ and 0.655 MPY for CBTS; 1.881 ${\mu}A/cm^2$ and 0.988 MPY for DCBS; 2.367 ${\mu}A/cm^2$ and 1.257 MPY for TBBS; 3.398 ${\mu}A /cm^2$ and 1.809 MPY for TABS, respectively. OBTS among derivatives under study shows the lowest corrosion density (0.546 ${\mu}A /cm^2$) and the slowest corrosion rate (0.288 MPY). Also, the charge transfer resistances and the double layer capacitances are 275.21 $k{\Omega}{\cdot}cm^2$ and 7.0 ${\mu}F{cdot}cm^{-2}$ for CBTS; 14.24 ${\mu}F{\cdot}cm^2$ and 26 ${\mu}F{\cdot}cm^{-2}$ for DCBS; 54.15 $k{\Omega}{\cdot}cm^2$ and 26 ${\mu}F{\cdot}cm^{-2}$ for TBBS; 0.96$k{\Omega}{\cdot}cm^2$ and 83 ${\mu}F{\cdot}cm^{-2}$ for TABS, respectively. The weaker the electron donating inductive effect of derivatives is and the smaller the effect of steric hindrance is, the more the corrosion of brass coated steel cords in the acetonitrile solution of sulfenamide derivatives is prevented. The above results agree with that observed in the field of tire industry.

Dose-response Relationship between Serum Metabolomics and the Risk of Stroke (혈청 대사체와 뇌졸중 발생위험의 용량반응 분석)

  • Jee, Yon Ho;Jung, Keum Ji;Lim, Youn-Hee;Lee, Yeseung;Park, Youngja;Jee, Sun Ha
    • Journal of health informatics and statistics
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    • v.41 no.3
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    • pp.318-323
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    • 2016
  • Objectives: Except the known risk factors for stroke, few studies have identified novel metabolic markers that could effectively detect stroke at an early stage. In this study, we explored the dose-response relationship between serum metabolites and the incidence of stroke. Methods: We studied 213 adults in the Korean Cancer Prevention Study-II (KCPS-II) biobank and estimated dose-response relationship between serum metabolites and stroke (42 cases and 171 controls). Three serum metabolites (Acetylcholine, HexadecylAcetylGlycerol, and 1-acetyl-2-formyl-sn-glycero-3-phosphocholine) were used in this study. The analysis included (1) exploratory nonlinear analysis, (2) estimation of flexion points and slopes at below and above the points. In the model to estimate risk of incidence of stroke, we controlled for conventional risk factors such as age, sex, systolic blood pressure, type 2 diabetes, triglyceride, and smoking status. Results: The relationship between incidence of stroke and log-transformed 1-acetyl-2-formyl-sn-glycero-3-phosphocholine was non-linear with flexion point around intensity score of 8.8, whereas other metabolites, log-transformed Acetylcholine and HexadecylAcetylGlycerol, showed negative linear patterns. Conclusions: The study suggests that metabolic markers are associated with incidence of stroke, particularly, at or above the flexion point. The study result may contribute to developing a novel system for precise stroke prediction.

Determination and risk characterization of polycyclic aromatic hydrocarbons of tea by using the Margin of Exposure (MOE) approach

  • Lee, Joon-Goo;Lim, Taesuk;Kim, Sheen-Hee;Kang, Dong-Hyun;Yoon, Hae-Jung
    • Food Science and Biotechnology
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    • v.27 no.6
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    • pp.1843-1856
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    • 2018
  • Tea is one of the most frequently consumed drinks due to its favourite taste and the health benefit. Tea is produced by several processes and drying is very important step to develop the flavour and destroys the enzymes in tea. However, during drying tea, polycyclic aromatic hydrocarbons some of which are carcinogen and genotoxin are naturally produced. The risk of PAHs by drinking tea was characterized by determining contents of 4 PAHs in tea. 4 PAHs including Benz(a)anthracene (BaA), Chrysene (CHR), Benzo(b)fluoranthene (BbF) and Benzo(a)pyrene (BaP) were investigated by GC-MS in total 468 tea products, which were contaminated up to $4.63ng\;g^{-1}$. Mate tea was the most highly contaminated by BaA, CHR, BbF and BaP and followed by Solomon's seal and Chrysanthemum. The Margin of Exposures calculated by the concentration of BaA, CHR, BbF and BaP and consumption amount of tea were higher than 10,000, and the risk of PAHs in tea were low concern to public health.

A Study of the participation experiences of the Self-Sufficiency Program : Focusing on participants in Self-Sufficiency Program (자활사업 참여경험에 관한 연구 : 자활사업 참여자를 중심으로)

  • Kim, Jaok;Yoo, Taekyun
    • Korean Journal of Social Welfare Studies
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    • v.49 no.2
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    • pp.39-64
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    • 2018
  • The purpose of this study was to understand how participants' experiences of participating in self-sufficiency projects were. To do this, we analyzed phenomenological methods using in-depth interview data of 48 participants from the Central Self-Sufficiency Foundation, which is qualitative data of the "Project for Strengthening Self-Support for the Working Poor". The study revealed 214 meaningful statements and general re-statements, 24 themes, 9 themes cluster, and 5 categories. Participants' experience was found to be forced work, felt alienated from the self-sufficiency business, and could not receive a clear vision for the future. At the same time, the experience of participating is an opportunity for motivation for change in one's own life, and the essence of becoming a stepping stone to move forward for self-reliance has been derived. Based on the results of this study, we proposed a practical policy task to create a positive expectation effect.

The Mediating Effect of Internal Locus of Control in the Relationship between Family and Friend Support and Acculturative Stress of North Korean Adolescent Refugees (북한이탈청소년이 경험하는 가족 및 친구지지와 문화적응 스트레스의 관계에서 내적 통제성의 매개효과)

  • Jeong, Jae Kyeong;Kang, Min Ju
    • Human Ecology Research
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    • v.57 no.4
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    • pp.485-498
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    • 2019
  • This study examined the mediating effect of internal locus of control in the relationship between family and friend support and acculturative stress of North Korean adolescent refugees. Participants consisted of 101 North Korean adolescent refugees (40 males and 61 females) aged 13 to 24, who live in Seoul, Gyeonggi Province, and Busan. SPSS 25.0 and Mplus 5.12 were used to analyze data. Descriptive statistics and Pearson's correlation coefficients were calculated and structural equation modeling (SEM) examined the mediating effect. The results of this study are as follows. First, a higher level of family support and friend support were associated with a higher level of internal locus of control. A higher level of internal locus of control was associated with a lower level of acculturative stress among North Korean adolescent refugees. Second, the level of internal locus of control mediated the relationship between friend support and acculturative stress. This study is meaningful in that it examines the specific paths affecting acculturative stress of North Korean adolescent by examining family and friend support, which are environmental factors, and internal locus of control, which is internal factor of individuals. The study results suggest that improving friend support as well as increasing the level of internal locus of control for North Korean adolescent refugees can be an effective way to prevent or intervene acculturative stress.

Influence of mobile phone texting on gait parameters during ramp ascent and descent

  • Kim, Hyunjin;Park, Jaemyoung;Cha, Jaeyun;Song, Chang-Ho
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.43-48
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    • 2014
  • Objective: The purpose of this study was to examine the influences on gait features during mobile phone use while ramp walking. Design: Cross-sectional study. Methods: Thirty-three healthy adult subjects performed four walking conditions on an outside ramp with a 5 m length, 1.5 m width, and a $5^{\circ}$ angle. All participants were touch screen mobile phone users. Four walking conditions were used: 1) ramp ascent, 2) ramp descent, 3) texting during ramp ascent, and 4) texting during ramp descent. In conditions 3) and 4), subjects texted the words of "Aegukga"-the song of patriotism-while walking. Upon the signal of start, the subjects walked the ramp during texting. Gait parameters were measured at the length of 3 m excluding 1 m of the start and end of the total length. Each situation was repeated three times for each subject, and mean values were calculated. For gait examination, a gait analyzer was used (OptoGait). Results: Subjects ranged in age from 23 to 38 years (mean age, 27.73). Eighty-three percent of subjects in our study had experienced an accident during mobile phone use. Texting on a mobile phone while walking significantly decreased ramp gait, speed, cadence, stride length, step length, and single support (p<0.05) and significantly increased stride time, step time, gait cycle, and double support (p<0.05). There was a significant difference in cadence, step length, stride time, step time, and single support during ramp ascent and descent (p<0.05). Conclusions: Texting on a mobile phone while walking significantly decreased gait quality.

Development and Evaluation of a Self-Management Program for Tracheostomy Tube Management for Homecare Client: Focus on Caregivers (기관절개관을 보유하고 있는 가정간호대상자를 위한 기관절개관 자가관리 프로그램 개발 및 평가: Caregiver를 중심으로)

  • Ma, Cho Won;Lee, Joo Youn
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.329-339
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    • 2011
  • Purpose: The purpose of this research was to develop and train caregivers in tracheostomy tube care using a self-management program to assist patients with an 'at home' tracheostomy procedure. Caregivers' self-efficacy and knowledge of tracheostomy management before and after the training was also identified. Methods: Research participants were the main caregivers for patients with tracheostomies who were affiliated with a 'Home Healthcare Center'. Training and observation were done at 'A Hospital' and 'G Hospital' both affiliated with 'K University' in Seoul. Data were collected from May 3, 2010 to January 25, 2011 and analyzed using Wilcoxon signed rank test with SPSS program version 12.0. Results: Significant differences were found for the pre and post evaluation of the 'self-management program' for the implementation of tracheostomy care. The development and implementation of the 'self-management program' improved the main caregivers' knowledge of tracheostomy tube management (Z=-3.599, p<.001). Conclusion: Results show that this program has identified an effective nursing intervention for promoting the caregivers' knowledge of tracheostomy care and self-efficacy. We recommend that further research should be done to test primary caregivers' maintenance of knowledge and self-efficacy in tracheostomy tube management and identify factors affecting knowledge and self-efficacy in the care of these patients.