• Title/Summary/Keyword: lag period

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Volar plate avulsion fracture alone or concomitant with collateral ligament rupture of the proximal interphalangeal joint: A comparison of surgical outcomes

  • Kim, Yong Woo;Roh, Si Young;Kim, Jin Soo;Lee, Dong Chul;Lee, Kyung Jin
    • Archives of Plastic Surgery
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    • v.45 no.5
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    • pp.458-465
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    • 2018
  • Background Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. In this study, we divided patients into two groups: patients with pure volar plate avulsion fracture, and patients with volar plate avulsion fracture concomitant with collateral ligament rupture. The purpose of this study was to compare long-term surgical outcomes between the two groups. As a secondary measure, the Mitek bone anchoring and polydioxanone (PDS) bone suturing techniques were compared. Methods A single-institutional retrospective review of the surgical treatment of volar plate avulsion fracture was performed. The cases were divided into those with pure volar plate avulsion fracture (group A, n=15) and those with volar plate avulsion fracture concomitant with collateral ligament rupture (group B, n=15). Both groups underwent volar plate reattachment using Mitek bone anchoring or PDS bone suturing followed by 2 weeks of immobilization in a dorsal protective splint. Results The average range of motion of the PIP joint and extension lag were significantly more favorable in group A (P<0.05). Differences in age; follow-up period; flexion function; visual analog scale scores; disabilities of the arm, shoulder, and hand scores; and the grip strength ratio between the two groups were non-significant. No significant differences were found in the surgical outcomes of Mitek bone anchoring and PDS bone suturing in group A. Conclusions Overall, the surgical outcomes of volar plate reattachment were successful irrespective of whether the collateral ligaments were torn. However, greater extension lag was observed in cases of collateral ligament injury.

Arterial or venous free flaps for volar tissue defects of the proximal interphalangeal joint: A comparison of surgical outcomes

  • Choi, Min Suk;Roh, Si Young;Koh, Sung Hoon;Kim, Jin Soo;Lee, Dong Chul;Lee, Kyung Jin;Hong, Min Ki
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.451-459
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    • 2020
  • Background For volar soft tissue defects of the proximal interphalangeal (PIP) joint, free flaps are technically challenging, but have more esthetic and functional advantages than local or distant flaps. In this study, we compared the long-term surgical outcomes of arterial (hypothenar, thenar, or second toe plantar) and venous free flaps for volar defects of the PIP joint. Methods This was a single-center retrospective review of free flap coverage of volar defects between the distal interphalangeal and metacarpophalangeal joint from July 2010 to August 2019. Patients with severe crush injuries (degloving, tendon or bone defects, or comminuted/intra-articular fractures), thumb injuries, multiple-joint and finger injuries, dorsal soft tissue defects, and defects >6 cm in length were excluded from the study, as were those lost to follow-up within 6 months. Thirteen patients received arterial (hypothenar, thenar, or second toe plantar) free flaps and 12 received venous free flaps. Patients' age, follow-up period, PIP joint active range of motion (ROM), extension lag, grip-strength ratio of the injured to the uninjured hand, and Quick Disabilities of Arm, Shoulder & Hand (QuickDASH) score were compared between the groups. Results Arterial free flaps showed significantly higher PIP joint active ROM (P=0.043) and lower extension lag (P =0.035) than venous free flaps. The differences in flexion, grip strength, and QuickDASH scores were not statistically significant. Conclusions The surgical outcomes of arterial free flaps were superior to those of venous free flaps for volar defects of the PIP joint.

Influence of Starvation and Humic Acid on Soil Microbial 2- Hydroxypyridine Metabolism (토양 미생물의 2-hydroxypyridine 대사에 미치는 기아상태와 부식산의 영향)

  • 황선형
    • Journal of Korea Soil Environment Society
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    • v.4 no.1
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    • pp.13-23
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    • 1999
  • In this research, 3-hydroxypyridine(2-HP) metabolic ability of starving Arthrobacter crystallopoietes cell and the effect of humic acid on the metabolism of this starving cell were evaluated. 2-HP metabolic ability of exponential phase cell (acclimated cell) was much higher than that of lag phase cell (unacclimated cell) during starvation period. After 3 days of starvation, 2-HP half-life of the acclimated cell was 14 hours and that of the unacclimated cell was 46.5 hours. Humic acid enhanced the stability of 2-HP monooxygenase of starving co]1 and, after 2 days of starvation, the residual activity rate of this enzyme of the microbial cell starved in humic acid solution was 12% while the rate for control condition was 1.5%. After 14 days of starvation, 2-HP half-life for control condition was 43 hours and that for humic acid condition was 1.25 hour.

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Subservient Bone Reduction with Histoacryl$^{(R)}$ (N-butyl-2-cyanoacrylate) in Hand Fractures: Two Cases of Report (수부 골절 시 Histoacryl$^{(R)}$ (N-butyl-2-cyanoacrylate)을 이용한 보조적 골 정복 2례)

  • Lee, Won;Lee, Sung-Hwan;Oh, Sang-A;Kang, Dong-Hee
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.102-104
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    • 2011
  • Purpose: The standard treatments of hand fractures today are fixations by K -wires, metal plates, wires and lag screws. But it is very difficult to reconstruct fractures by placing implants into small bony fragments especially in the comminuted fractures and intra-articular fractures. This paper describes a simple method of reconstruction with Histoacryl$^{(R)}$ for comminuted and intra-articular fractures in hands. Methods: 2 cases with comminuted and intra-articular fractures by crushing injury were reconstructed with Histoacryl$^{(R)}$. We performed applying Histoacryl$^{(R)}$ with swab on the bone cortex carefully to avoid Histoacryl$^{(R)}$ infiltrating into the medulla. We could rearrange and fixate bony fragments using only Histoacryl$^{(R)}$, in addition, metal plates, K-wires, wires, and lag screws could be used for secondary fixation if needed. Results: Post-operative X-ray finding of 2 patients assured that the bony fragments of the hand fractures maintained their original positions. Significant displacement and deviation, infection, nonunion, and malunion during the follow-up period were not observed. Conclusion: This study showed the possibility of using Histoacryl$^{(R)}$ in addition as a simple method of fixation in the comminuted and intra-articular hand fractures.

An Empirical Analysis on the Determinants for Industrial Markup in the Korean Service Industries Using the ADL Scheme (자기회귀모형을 이용한 서비스산업의 마크업 결정요인에 관한 실증분석)

  • Hua, Zhu Yan;Park, Sehoon;Jung, Yong Sik
    • Journal of Korea Society of Industrial Information Systems
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    • v.19 no.6
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    • pp.87-96
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    • 2014
  • Since markup is defined as price over marginal cost by Hall(1988), the New Keynesians have intensively applied its definition in elucidating the relationship between market structure and business cycle. In lots of literatures markups proved to be counter cyclical empirically and theoretically. At the same time many studies analysed the determinants for markup in relation with business cycles. This paper establishes the markup equation based on the constant returns to scale production function including intermediate goods with technology being assumed to be AR(1) process and estimates the industrial markups in the Korean 5 service industries over the period 1975:1-2010:4. The paper also analyzed the markup determinants using the autoregressive distributed lag scheme ADL(1,1) in which the dependent variable and the single explanatory variable are each lagged once.

Effects of Meteorological Factors on Water Temperature, Salinity in the West Sea of Korea (한국 서해에서 수온 및 염분에 미치는 기상 인자의 영향)

  • Lee, Chung-Il;Lee, Jong-Hee;Kim, Dons-Sun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.13 no.1 s.28
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    • pp.29-37
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    • 2007
  • The effect of meteorological factors such as air temperature (AT), wind speed (WS), precipitation (Pre) on the variation of water temperature (WT) and salinity (Sal) in the West Sea of Korea for the period 1971 to 2001 was illustrated. As a result of this study, WT-AT, WT-Pre, and Sal-WS had positive correlation, reversely WT-WS, Sal-AT and Sal- Pre had negative correlation. In the surface layer, time lag between atmospheric factors and oceanographic factors was 0 to 4 months, on the other hand in the bottom layer, it was delayed 0 to 4 months compared to the surface. WT was affected by AT in the same year, but Sal was affected by precipitation in the previous year. The variation of WT and Sal was in harmony with change of wind speed.

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REVERBERATION MAPPING OF PG 0934+013 WITH THE SOUTH AFRICAN LARGE TELESCOPE

  • Park, Songyoun;Woo, Jong-Hak;Jeon, Yiseul;Park, Dawoo;Romero-Colmenero, Encarni;Crawford, Steven M.;Barth, Aaron;Pei, Luiyi;Choi, Changsu;Hickox, Ryan;Sung, Hyun-Il;Im, Myungshin
    • The Bulletin of The Korean Astronomical Society
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    • v.41 no.1
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    • pp.68.2-68.2
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    • 2016
  • We present the variability and time lag measurements of PG 0934+013 based on the photometric and spectroscopic monitoring campaign over two years. We obtained 46 epochs of data from the spectroscopic campaign, which was carried out using the South African Large Telescope with 1 week cadence over two sets of 4 month-long observing period, while we obtained 80 epochs of B band data from the campaign. Due to the six month gap between two campaigns, we separately measured the time lag of the $H{\beta}$ emission line by comparing the emission line light curve with the B band continuum light curve using the cross-correlation function techniques. We determined the time lags and black hole mass.

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Concentration of Air Pollutants and Asthma in Taejon City (대전지역 대기오염물질농도와 천식 환자수의 관련성)

  • 서원호;장성실;권호자
    • Journal of Environmental Health Sciences
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    • v.26 no.2
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    • pp.80-90
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    • 2000
  • To determine the effect of air pollutants in Taejon City, we used medical insurance claim data for asthma and the data monitored from telemetry system of Ministry of Environment for air pollutants and meteorological factors. From November 1st, 1997 to October 31th, 1998, 95,629 asthma patients were covered by medical insurance at Taejon City. Subjects were composed of 49,563 males (51.8%) and 46.336 females(48.2%), and among the subjects, the proportion under 15 years old was 62.8% of the total. During the study period, daily mean concentrations of each air pollutants-So2, No2, CO, O3 and TSP-were 9.8 ppb, 17.6 ppm, 1.414 pp, 17.3 ppb and 60.6 $\mu\textrm{g}$/㎥, respectively, which were lower than each of the environmental recommended exposure levels, Through the simple correlation analysis between each air pollutants and meteorological factors, O3 was positively correlated with temperature, but negatively with relative humidity. TSP, SO2, NO2, CO were negatively correlated with meteorological factors, and these air pollutants except O3 were positively correlated with each other, O3 was correlated with TSP positively but the others negatively. Estimating relative risks of each air pollutant with the baseline general additive model, daily mean concentrations of TSP(Lag 0, 1, 4, 5day) were significantly associated with the increase of the asthma admission. Two age subgroups, under 15 and 15~54 have shown various association of all air pollutants concentration with the asthma admission. However, in case of over 54 age subgroup, only TSP(Lag 0 day) among all air pollutants was associated with the asthma admission. Each of ambient outdoor pollutant concentrations in Taejon City are significantly associated with the admission of asthma patients even though all concentrations in Taejon City are significantly associated with the admission of asthma patients even though all concentrations were much lower than the environmental recommended exposure levels. Therefore, continuous effort lowering air pollutant concentration and introducing an active environmental conservation policy should be implanted for preventing hazardous health effects. Considering major proportion of asthma admissions, high susceptibility and less confounding factors among the age subgroup under 15 will be a useful target population for assessing such health effect monitoring.

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Runoff Characteristics of a Small Catchment in Eoseungsaeng-oreum, Jeju Island (제주도 스코리아콘의 유출 특성 - 어승생오름 소유역을 사례로 -)

  • KIM, Taeho;AN, Junggi
    • Journal of The Geomorphological Association of Korea
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    • v.15 no.2
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    • pp.55-65
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    • 2008
  • In order to examine the runoff characteristics of scoria cones in Jeju Island, hydrological observations were conducted in the experimental basin (5.1 ha) of Eoseungsaeng-oreum which has been predominantly covered with Carpinus laxiflora and Quercus serrata. Although runoff has continuously occurred during the observed period, the baseflow gradually increased from April and decreased from October. The peak flow approximately corresponded to every rainfall events except for the rainfall events which has slight total precipitation and no previous precipitation. The experimental basin shows flash runoff response and short lag time; the mean lag time is 35.8 minutes. Although the runoff ratio of quick flow is proportional to total precipitation, the increasing rate is low and the maximum runoff ratio is 24.7%. In addition, the runoff ratio is less than 1% in 68.3% of the rainfall events, suggesting that the portion of quick flow to total precipitation is low. The rainfall events with relatively long event time demonstrated a secondary peak generated by translatory flow. The runoff characteristics seem to be related to local impermeable beds in the experimental basin.

Google Search Trends Predicting Disease Outbreaks: An Analysis from India

  • Verma, Madhur;Kishore, Kamal;Kumar, Mukesh;Sondh, Aparajita Ravi;Aggarwal, Gaurav;Kathirvel, Soundappan
    • Healthcare Informatics Research
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    • v.24 no.4
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    • pp.300-308
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    • 2018
  • Objectives: Prompt detection is a cornerstone in the control and prevention of infectious diseases. The Integrated Disease Surveillance Project of India identifies outbreaks, but it does not exactly predict outbreaks. This study was conducted to assess temporal correlation between Google Trends and Integrated Disease Surveillance Programme (IDSP) data and to determine the feasibility of using Google Trends for the prediction of outbreaks or epidemics. Methods: The Google search queries related to malaria, dengue fever, chikungunya, and enteric fever for Chandigarh union territory and Haryana state of India in 2016 were extracted and compared with presumptive form data of the IDSP. Spearman correlation and scatter plots were used to depict the statistical relationship between the two datasets. Time trend plots were constructed to assess the correlation between Google search trends and disease notification under the IDSP. Results: Temporal correlation was observed between the IDSP reporting and Google search trends. Time series analysis of the Google Trends showed strong correlation with the IDSP data with a lag of -2 to -3 weeks for chikungunya and dengue fever in Chandigarh (r > 0.80) and Haryana (r > 0.70). Malaria and enteric fever showed a lag period of -2 to -3 weeks with moderate correlation. Conclusions: Similar results were obtained when applying the results of previous studies to specific diseases, and it is considered that many other diseases should be studied at the national and sub-national levels.