1.Prevention of Complication and Management of Unfavorable Results in Reduction Malarplasty.
Jung Hak YANG ; Ji Hyuck LEE ; Doo Byung YANG ; Jae Young CHUNG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(4):465-470
PURPOSE: Reduction malarplasty is a popular aesthetic surgery for contouring wide and prominent zygoma. However a few patients complain postoperative results and want to revise the midfacial contour. We analyzed the etiology of unfavorable results and treated unsatisfied midfacial contours after reduction malarplasty. METHODS: Total 53 patients were performed secondary operation for correction of unfavorable results after primary reduction malarplasty from elsewhere. Midfacial contour was evaluated with plain films and three- dimensional computed tomography. Unfavorable midfacial contours were corrected by secondary malarplasty. Flaring of zygomatic arch was reduced with infracturing technique and prominent zygomatic body was reduced with shaving. Drooped or displaced zygoma complex has been suspended to higher position and fixed with interosseous wiring. As adjuvant procedure, autologous fat injection has been performed in the region of depressed zygomatic body region. RESULTS: The etiology of unfavorable midfacial contour after reduction malarplasty was classified into 7 categories: undercorrection of zygomatic arch(n=8), undercorrection of zygomatic arch and undercorrection of zygomatic body(n=6), undercorrection of zygomatic arch and overcorrection of zygomatic body(n=28), overcorrection of zygomatic body(n=3), simple asymmetry(n=4), malunion(n=2) or nonunion(n=2). Slim and balanced malar contour was achieved with treatment. And most of the patients were satisfied with the results of the surgery. CONCLUSION: To prevent the unfavorable results after reduction malarplasty, complete analysis of facial contour, choice of appropriate operation technique, precise osteotomy under direct vision, and security of zygoma position are important.
Body Regions
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Humans
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Osteotomy
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Vision, Ocular
;
Zygoma
2.Characteristics of Fat Tissue According to the Anatomical Regions of the Body: Computed Tomographic and Histological Findings.
Dongwoo SHIN ; Daegu SON ; Mushik PARK ; Junhyung KIM ; Kihwan HAN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(5):535-546
PURPOSE: The subcutaneous fat tissue is separated into 2 layers by the subcutaneous fascia: the superficial and deep fat layers. The two fat layers have different structures according to the body regions. The purpose of this study is to evaluate the distribution and pattern of the two fat layers in the human body by computed tomography (CT) and histological analysis according to age, sex, anatomical region, and body mass index (BMI). METHODS: This study included 200 males and 200 females who underwent 64-channel dynamic CT in our hospital. The patients were divided into 5 groups according to 10 years of their ages separately in either male or female gender. The thickness of the superficial and deep fat layers was measured in the abdominal, pelvic, and femoral regions, and we analyzed the values. Statistical analyses were performed using SPSS software. The 3 x 3-cm whole fat layers were harvested from the same sites of 3 cadavers for histological examination, and one cadaver was dissected for gross evaluation. RESULTS: The total thickness of subcutaneous fat tissue was greater in females than in males, and the ratio of the superficial fat layer to the whole fat layer was higher in females. The superficial fat layer became thinner with increasing age in males. As BMI increased, the total fat layer became thicker, and the superficial fat layer became thicker than the deep fat layer. On histological examination, the superficial fat layer had small adipose lobules and showed a densely distributed pattern in the abdominal region, whereas in the femoral region, it had large adipose lobules and showed a sparsely distributed pattern. There were no significant differences in the histological findings of the deep fat layer between the 3 body regions. CONCLUSION: Significant differences in histological findings of the two fat layers were found in relation to age, sex, anatomical region, and BMI. The superficial fat layer became thinner with increasing age in males, but it was constant in females. As BMI increased, the total thickness of subcutaneous fat tissue became greater, and the superficial fat layer became thicker than the deep fat layer. Our measurements can be used to understand the characteristics of the fat layers in relation to age, sex, anatomical region, and BMI.
Body Mass Index
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Body Regions
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Cadaver
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Female
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Human Body
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Humans
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Lipectomy
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Male
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Obesity
;
Subcutaneous Fat
3.Development of Search Engine related to Korean Physical Anthropology Data by Internet.
Wu Chol SONG ; Ki Seok KOH ; Seung Jin KONG ; Jung A LEE ; Hyun Jun SOHN
Korean Journal of Physical Anthropology 2000;13(2):149-159
By finding the documents of Korean physical anthropology in one place easily, everyone can use them fruitfully. We developed internet site to search them, which published from early 20th century to present days. We also analyzed documents of physical anthropology and databased the tables which is considered to be kernel of results. The advantage of this internet site is followings. We classified the documents of physical anthropology by body regions and we also classified them in detail to reach them easily. The documents are also divided into materials and its methods to search conveniently. Everyone can search a data by classification and also by using a keyword they can find document or data. There are 3 steps to search. First step is searching the title of document and author, second step is searching the name of table including the first step and the last step is searching items in table. If they don't know the contents they can search data by index. We added some pictures and explanations to restore the document or table, which are difficult and hard to understand the point. By these additions, we could understand them briefly. We could quote from past data and also we could easily compare previous data with ours by using this search engine.
Anthropology
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Anthropology, Physical*
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Body Regions
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Classification
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Internet*
;
Search Engine*
5.RADIOGRAPHIC AND HISTOLOGIC STUDY OF THE MANDIBULAR INVASION BY GINGIVAL SQUAMOUS CELL CARCINOMA
Won Gyu MOON ; In Ho CHA ; Soon Xae HONG ; Suk Kee BAIK ; Sung Won CHOI ; Eui Wung LEE ; Eun Ha LEE ; Jin KIM
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1999;21(1):41-47
body region were operated by composite resection. The radiographic and histopathologic features of the mandibular invasion and spread were analysed and compared. Our results showed that histopathologic extent of tumor invasion were greater than the radiographic prediction, especially in width of the tumor. And the pattern of bony invasion in the body area was mostly found in transmedullary spread rather than perineural spread. The vortical involvement in the mandibular body with tumor was evaluated. It indicated that if a oncologic surgeon was to ensure an adequate safety margin for extirpation of tumor, in most cases, the maintenance of the mandibular continuity is difficult. If the mandibular involvement by gingival cancer was identified radiographically and clinically, segmental mandibulectomy was required for the adequate safety margin, in consideration of the spread pattern in the body area.]]>
Body Regions
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Carcinoma, Squamous Cell
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Humans
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Mandible
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Mandibular Osteotomy
6.The Relationship between Psychosocial Factors and Subjective Symptoms of Musculoskeletal Diseases.
Hye Sun JUNG ; Yunjeong YI ; Sook In KIM ; Jong Eun LEE ; So Young LEE ; Kyung Mi YANG ; Soon Lae KIM
Journal of Korean Academy of Community Health Nursing 2008;19(3):388-397
PURPOSE: This study aimed to analyze the relationship between psychosocial factors and subjective symptoms of musculoskeletal diseases. METHODS: This study analyzed the data of '2001 National Health and Nutrition Survey' conducted by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. RESULTS: When examining the complaining rate of subjective symptoms of musculoskeletal diseases according to body region, the rate was highest (6.0%) in the knee region, which was followed by the finger region (3.4%), the wrist regions (2.3%) and the elbow region (2.1%). All the regions of elbow, wrist, finger and knee had a high complaining rate of subjective symptoms such as stress, sad or depressed mood, and attempted suicide. CONCLUSION: From the results of this study, it is identified that psychosocial factors such as stress, depression, and attempted suicide have significant influence on the complaining rate of subjective symptoms of musculoskeletal diseases. Consequently, in order to prevent and treat musculoskeletal diseases, we need to manage stress and to prevent feeling depression.
Body Regions
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Depression
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Elbow
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Fingers
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Knee
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Korea
;
Musculoskeletal Diseases*
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Psychology*
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Suicide, Attempted
;
Wrist
7.Risk factors for musculoskeletal symptoms in aviation maintenance technicians.
Duck Hee CHAE ; Jeong Hyun KIM
Korean Journal of Occupational and Environmental Medicine 2005;17(3):173-185
OBJECTIVES: To identify risk factors for musculoskeletal symptoms in aviation maintenance technicians in order to provide basic information for intervention programs to prevent and manage musculoskeletal symptoms for these technicians. METHODS: Between October 18 and 25, 2004, 286 aviation maintenance technicians answered a self-administered questionnaire, which included general characteristics, Karasek's Job Content Questionnaire for psychosocial characteristics, and work-related characteristics. The musculoskeletal symptoms were evaluated using the National Institute of Occupational Safety and Health (NIOSH) surveillance criteria. Statistical analysis included means and standard deviation, x2-test, t-test, and logistic regression. RESULTS: A quarter (25.8%) of the workers reported musculoskeletal symptoms in more than one body region. The prevalence of symptoms was 12.9% in the lower back, 10.2% in the shoulders, 9.4% in the legs/foots, 9% in the neck, 5.9% in the hands/wrists/fingers, and 2.7% in the arms/elbows. General characteristics were not found to influence musculoskeletal symptoms, except that workers practicing regular exercise reported fewer lower back symptoms (p=.038). Low social support (p=.001), and low supervisory support (p=.000) were significant factors for increased musculoskeletal symptoms whereas decisions latitude, psychological job demands, and co-worker support were not found to have significant associations, with the exception of low decision latitude which was significantly associated with increased legs/foots symptoms (p=.034). More than two thirds (69.6%) of the workers whose perceived physical load was very high complained of symptoms. This rate was eight times higher than for workers whose perceived load was very low (p=.000). The workers highly exposed to both physical and psychosocial risk factors were more likely to report musculoskeletal symptoms than workers highly exposed to only one of these factors (p=.000). The odds ratios for very high-perceived physical load (OR 13.9) and low supervisory support (OR 2.9) were clearly increased. CONCLUSIONS: The results of this study suggest that consideration for perceived physical load and psychosocial characteristics as important determinants is necessary to prevent musculoskeletal symptoms in aviation maintenance technicians. To develop effective intervention programs to prevent musculoskeletal symptoms, a comprehensive and systematic approach should be the basic premise. Such an intervention program should consist of ergonomic, managerial and behavioral interventions to reduce physical load and psychosocial factors.
Aviation*
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Body Regions
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Logistic Models
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Neck
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Occupational Health
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Odds Ratio
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Prevalence
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Psychology
;
Questionnaires
;
Risk Factors*
;
Shoulder
8.The Comparison of Injury Pattern and Risk in First Time Skiers and Snowboarders.
Dae Moo SHIM ; Tae Kyun KIM ; Young LEE ; Chul Min LIM
The Korean Journal of Sports Medicine 2010;28(1):10-16
The purpose of this study was to explore the risk and pattern of injury which can happen to first time skier and snowboarder. From December 2006 to March 2008, questionnaires were provided to 7,786 patients injured from skiing or snowboarding and hospitalized. First time and experienced groups were distinguished through questionnaire and accidental reports. The differences in incidence, cause of injury, affected body region, type of injury, and severity of injury were compared between the two groups. Falling or slip down was the most common cause of injury in first timers, while collision with person was most common in experienced. Injured sites were similar in both ski and snowboard with arm and wrist as the most frequent injured body region. Sprain and contusion were the most common injury type for both groups. However, the incidence of ligament injury was higher in the first time skiers and concussion and dislocation in the first time snowboarders compared to the experienced. In conclusion, beginners in skiing and snowboarding happened to show different cause and features of injury compared to the experienced. Therefore beginners need effective programs differed from the ones of experienced, such as mentioning risks of skiing and snowboarding and reserving a porting of slopes to the beginners. Moreover, It is necessary to develop and effectively use protective gear in order to secure elbow joint and wrist eminence.
Arm
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Body Regions
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Contusions
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Dislocations
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Elbow Joint
;
Humans
;
Incidence
;
Ligaments
;
Surveys and Questionnaires
;
Skiing
;
Sprains and Strains
;
Wrist
9.Primary Cutaneous Cryptococcosis Mimicking Herpes Zoster.
Young Gyun KIM ; Hyun Woo KIM ; Hyun Chul PARK ; Jeong Eun KIM ; Joo Yeon KO ; Young Suck RO
Korean Journal of Dermatology 2013;51(5):343-347
Primary cutaneous cryptococcosis (PCC) is a localized skin infection confined to one body region, without evidence of dissemination. The clinical presentation of PCC is so variable that its diagnosis requires a high index of suspicion. A 52-year-old woman presented with localized grouped erythematous papulovesicles on the left ear lobe for 6 months with wax and wane pattern. However, there were no signs of systemic cryptococcal infection. Histopathological examination showed numerous encapsulated round spores and budding yeasts in the dermis. Culture of aspirate from the wound and tissue samples revealed Cryptococcus neoformans. Herein, we report an interesting case of PCC on the left ear that clinically mimics herpes zoster.
Body Regions
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Cryptococcosis
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Cryptococcus neoformans
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Dermis
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Ear
;
Female
;
Herpes Zoster
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Humans
;
Saccharomycetales
;
Skin
;
Spores
10.An Analysis of Work-Related Musculoskeletal Disorders Among Butchers in Kano Metropolis, Nigeria.
Bashir KAKA ; Opeyemi A. IDOWU ; Henrietta O. FAWOLE ; Ade F. ADENIYI ; Omoyemi O. OGWUMIKE ; Mark T. TORYILA
Safety and Health at Work 2016;7(3):218-224
BACKGROUND: Butchering is often associated with high rates of work-related musculoskeletal disorders (WRMSDs). However, published work on the prevalence of WRMSDs among butchers in Nigeria is scarce. This is important because meat processing practices differ across geographical and cultural locations. This study was therefore aimed at analyzing WRMSDs among butchers in Kano metropolis. METHODS: Sociodemographic and work-settings information was obtained from 102 male cattle butchers (age, 37.49±11.68 years) through survey. Information on the prevalence and pattern of musculoskeletal disorders was obtained from the respondents using the Standardized Nordic Questionnaire. Additional information on health seeking practices was also obtained using a pro forma. Associations between the prevalence of WRMSDs and each of the sociodemographic data and work settings were explored using Chi-square analysis. The level of significance was set at p<0.05. RESULTS: The 12-month and point prevalence rates of WRMSDs among butchers in this study were 88.2% and 74.5%, respectively. Whereas lower back complaints (66.7%) were the overall and lower body quadrant's most commonly reported WRMSDs among the butchers surveyed, wrist/hand complaints were the leading upper quadrant's (45.1%) most commonly reported WRMSDs among the respondents. There were significant associations between age and majority of WRMSDs in the body regions. Only 23.3% of the 90 individuals who had WRMSD visited the hospital to seek redress for their WRMSD. CONCLUSION: The prevalence of WRMSDs is high among butchers in Kano Metropolis. Few individuals with WRMSD utilize healthcare facilities. Age is a major risk factor in this setting.
Animals
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Body Regions
;
Cattle
;
Delivery of Health Care
;
Humans
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Male
;
Meat
;
Nigeria*
;
Prevalence
;
Risk Factors
;
Surveys and Questionnaires