• PNF and Movement
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• v.18 no.1
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• pp.65-75
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• 2020

Purpose: The purpose of this study was to investigate the differences in muscle thickness and ground reaction force of the vastus medialis oblique and vastus lateral oblique muscles during squats at ankle angles of toe 0°, toe in 10°, and toe out 10°. Methods: In this study, 9 male and 17 female students in their 20s participated in a randomized controlled trial and were compared according to the ankle angles of toe 0°, toe in 10°, and toe out 10°. To determine the reliability and measurement of muscle thickness according to ankle angle using ultrasound equipment and muscle thickness, the participants' ankle angles-toe 0°, toe in 10°, and toe out 10°-were measured three times at the vastus medialis oblique and vastus lateralis oblique muscles during squats. At the same time, the maximum vertical ground reaction force was measured with a force plate. A total of three measurements were taken and averaged, and two minutes of squat movements were assessed between ankle angles to prevent target action. Results: The results of this study illustrated that the reliability of the vastus medialis oblique muscles and vastus lateralis oblique muscles in ankle angle was high. The difference in muscle thickness was significantly greater in comparing the toe out 10° angle with the toe 0° angle than between toe in 10° and toe out 10° in vastus medialis oblique and vastus lateralis oblique (p < 0.05). There was no statistically significant difference between the ankle angle of toe 0° and toe in 10° (p > 0.05). The maximum vertical ground reaction force was significantly greater at toe out 10° than at the ankle angle of toe 0° and toe out 10° and between toe in 10° and toe out 10° (p < 0.05). There was no statistically significant difference in the comparison between toe 0° and toe in 10° (p > 0.05). Conclusion: Squatting at an ankle angle of toe out 10° increases the dorsi flexion; thus, the stability of the ankle and the thickness of both oblique muscles increased to perform more effective squats. In addition, as the base of support widens, it is thought that the stability of the posture increases so that squat training can be performed safely.

• Journal of Korean Foot and Ankle Society
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• v.17 no.1
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• pp.17-22
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• 2013

Lesser toe deformities such as mallet toe, hammer toe and claw toe are annoying problems not only to patients but also to orthopaedic surgeons because they are not easy to manage or treat. Though they occupy very small portion in whole body, they are notorious for unpredictable surgical results. It can make clinical results better to understand these deformities more comprehensively and to make strategic surgical plan for each target deformity.

• Archives of Reconstructive Microsurgery
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• v.11 no.1
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• pp.19-28
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• 2002

From 1994-2001, 25 mutilated digits were reconstructed with immediate toe-to-hand transfer in acute hand injury in 21 patients. There were 15 cases of great toe-to-hand transfer(partial great toe transfer 8 cases, modified wrap-around procedure 2 cases, and trimmed great toe transfer 2 cases) for thumb reconstruction, 2 cases of second toe transfer for index reconstruction, and 4 cases of simultaneous two toe-to-hand transfer(great toe & second toe transfer 1 case, bilateral second-toe transfer 2 cases, combined second & third toe transfer 1 case) for reconstruction of multiple digit amputations. Two cases of emergency exploration(2/25, 8%) were successfully salvaged. The incidence of emergency exploration and postoperative infection was not significantly different from that of the elective toe-to-hand transfer cases. Duration of industrial insurance coverage was 225 days, which is much shorter than that of elective cases. Among 43% of patients maintained their original job even after injury and immediate toe-to-hand transfer. The subjective satisfaction self- assessment scores of aesthetic appearance and function on the new reconstructed thumb were 80 and 88 in average, respectively, over a total score of 100. These were higher than those of reconstruction of other digits, but lower than those of elective reconstruction. The donor site after harvest of the great toe was mostly unsatisfied in a view of appearance. Immediate toe-to-hand transfer provides many advantages over elective procedure in acute hand injuries such as single stage reconstruction, shortened convalescent period, early return to work and efficient socio-economic factor. Furthermore because there were no significant differences in success rate, frequency of complications or ultimate functional result, immediate toe-to-hand transfer is a safe and reliable procedure in case of limited indications for acute digits loss.

• Journal of Korea Multimedia Society
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• v.8 no.11
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• pp.1483-1495
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• 2005

TCP/IP is the most commonly used protocol to communicate among servers, and is used in a wide range of applications. Unfortunately, Data transmission through TCP/IP places a very heavy burden on host CPUs. And it hardly makes another job to be processed. So, TOE(TCP/IP Offload Engine) is considered in many servers. But, most of TOE modules tends to not support binary compatibility for standard socket interfaces. So, it has problems that existing applications should be modified and recompiled to get advantage of TOE device. In this paper, to resolve upper problems, we suppose design and implementation of TOE module supporting binary compatibility for standard socket interfaces. Also, it can make a usage of multiple TOEs and NICs simultaneously.

• Archives of Plastic Surgery
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• v.48 no.1
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• pp.91-97
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• 2021

Background In postaxial polysyndactyly of the foot, the choice of which toe to excise is controversial. It is often treated by resection of the fifth toe to save the lateral neurovascular bundles of the sixth toe. However, the sixth toe is often short and laterally deviated, which may require wedge osteotomy, potentially shortening the phalanx and compromising circulation. This study outlines an individualized method to spare the length and axis of the fifth toe in polysyndactyly with a short and deviated sixth toe. Methods We retrospectively analyzed 38 patients who underwent surgery between 2006 and 2019. The fifth toe was spared in 18 cases, and the sixth toe in 20 cases. The ratios of the forefoot width, angle difference, and toe length were compared between the affected and unaffected sides postoperatively. Complications and subjective judgments on cosmetic results were recorded and compared. Results No significant between-group differences were observed for sex, age at surgery, or the follow-up period. The forefoot width ratio did not significantly differ between the groups. However, the angle difference and toe length ratios showed significantly better results in the fifth toe-spared group than in the sixth toe-spared group (P<0.05 and P<0.01, respectively). There were no cases of impaired circulation, and subjective evaluations revealed satisfactory results in the fifth toe-spared group. Conclusions In cases with short and deviated sixth toes, sparing the fifth toe is an effective method of cosmetic treatment. The surgical results were satisfactory, with an improved appearance and no residual deformities.

• Journal of KIISE:Computer Systems and Theory
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• v.34 no.9
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• pp.459-466
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• 2007

TCP/IP processing imposes a heavy load on the host CPU when it is processed by the host CPU on a very high-speed network. Recently the TCP/IP Offload Engine (TOE), which processes TCP/IP on a network adapter instead of the host CPU, has become an attractive solution to reduce the load in the host CPU. There have been two approaches to implement TOE. One is the software TOE in which TCP/IP is processed by an embedded processor and the other is the hardware TOE in which TCP/IP is processed by a dedicated ASIC. The software TOE has poor performance and the hardware TOE is neither flexible nor expandable enough to add new features. In this paper we designed and implemented a hybrid TOE architecture, in which TCP/IP is processed by cooperation of hardware and software, based on an FPGA that has two embedded processor cores. The hybrid TOE can have high performance by processing time-critical operations such as making and processing data packets in hardware. The software based on the embedded Linux performs operations that are not time-critical such as connection establishment, flow control and congestions, thus the hybrid TOE can have enough flexibility and expandability. To improve the performance of the hybrid TOE, we developed a hardware-based transmission/reception accelerator that processes important operations such as creating data packets. In the experiments the hybrid TOE shows the minimum latency of about $19{\mu}s$. The CPU utilization of the hybrid TOE is below 6 % and the maximum bandwidth of the hybrid TOE is about 675 Mbps.

• Journal of KIISE:Computer Systems and Theory
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• v.33 no.5
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• pp.257-266
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• 2006

Recently TCP/IP Offload Engine (TOE) technology, which processes TCP/IP on a network adapter instead of the host CPU, has become an important approach to reduce TCP/IP processing overhead in the host CPU. There have been two approaches to implementing TOE: software TOE, in which TCP/IP is processed by an embedded processor on a network adapter; and hardware TOE, in which all TCP/IP functions are implemented by hardware. This paper proposes a hybrid TOE that combines software and hardware functions in the TOE. In the hybrid TOE, functions that cannot have guaranteed performance on an embedded processor because of heavy load are implemented by hardware. Other functions that do not impose as much load are implemented by software on embedded processors. The hybrid TOE guarantees network performance near that of hardware TOE and it has the advantage of flexibility, because it is easy to add new functions or offload upper-level protocols of TCP/IP. In this paper, we developed a prototype board with an FPGA and an ARM processor to implement a hybrid TOE prototype. We implemented the hardware modules on the FPGA and the software modules on the ARM processor. We also developed a coprocessing mechanism between the hardware and software modules. Experimental results proved that the hybrid TOE prototype can greatly reduce the load on a host CPU and we analyzed the effects of the coprocessing mechanism. Finally, we analyzed important features that are required to implement a complete hybrid TOE and we predict its performance.

• Journal of Korean Foot and Ankle Society
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• v.27 no.1
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• pp.17-23
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• 2023

Purpose: Toe-in gait is defined as a style of walking in which the foot turns inward. It may be caused by an increase in femoral bone anteversion, tibia torsion, and metatarsus adductus. There are some conservative treatment approaches used to correct this condition. This review aimed to determine the effects of the toe-in gait on joint loading, kinematics, and kinetic parameters while walking. Moreover, it sought to determine the efficiency of various conservative treatments used to correct the condition. Materials and Methods: A literature search was conducted in the following databases: PubMed, Institute for Scientific Information (ISI), Web of Science database, EBSCO, and Embase, using the following keywords in toe, toe-in, toeing, in-toe, pigeon toe, and conservative treatment published between 1950 and 2021. The quality of the studies was evaluated using the Down and Black tool. Results: A total of 13 papers on the impact of toe-in gait on joint contact force, kinematics, kinetic parameters, and conservative approaches to management were found. The quality of the studies varied between a score of 11 and 22. The toe-in gait influences the joint contact forces and kinematics of the joints, especially the hip and pelvis. The effects of conservative treatment on the toe-in gait appear to be controversial. Conclusion: As the toe-in gait influences the joint contact force, it may increase the incidence of degenerative joint diseases. Therefore, treatment is recommended. However, there is no strong evidence on the efficacy of conservative treatments, and there are no recommendations for the use of these treatments in subjects with toe-in gait.

• The Journal of Korean Physical Therapy
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• v.32 no.4
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• pp.233-237
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• 2020

Purpose: This study compared the electromyographic activity of the tibialis anterior (TA) and isometric dorsiflexor strength during dorsiflexion according to the toe postures in individuals with ankle dorsiflexor weakness. Methods: Twenty subjects with ankle dorsiflexor weakness participated in this study. The electromyographic activity of the TA and isometric dorsiflexor strength during dorsiflexion between with toe flexion, extension, and neutral postures were measured using an electromyography device and a hand-held dynamometer in individuals with ankle dorsiflexor weakness. One-way repeated measured analysis of variance, and a Bonferroni post hoc test was used. The level of statistical significance was set to α=0.01. Results: The electromyographic activity of the TA was greater with toe flexion during dorsiflexion than with toe extension and neutral postures (p<0.01). The isometric dorsiflexor strength was smaller with toe flexion during dorsiflexion than with toe extension and neutral postures (p<0.01). Conclusions: In individuals with ankle dorsiflexor weakness, the dorsiflexion with toe flexion can help improve the TA electromyographic activity. The toe posture during dorsiflexion for selective TA activation should be considered, especially in individuals with ankle dorsiflexor weakness.

• Journal of KIISE:Computer Systems and Theory
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• v.33 no.7
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• pp.413-420
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• 2006

The speed of present-day network technology exceeds a gigabit and is developing rapidly. When using TCP/IP in these high-speed networks, a high load is incurred in processing TCP/IP protocol in a host CPU. To solve this problem, research has been carried out into TCP/IP Offload Engine (TOE). The TOE processes TCP/IP on a network adapter instead of using a host CPU; this reduces the processing burden on the host CPU. In this paper, we developed two software-based TOEs. One is the TOE implementation using an embedded Linux. The other is the TOE implementation using Lightweight TCP/IP (lwIP). The TOE using an embedded Linux did not have the bandwidth more than 62Mbps. To overcome the poor performance of the TOE using an embedded Linux, we ported the lwIP to the embedded system and enhanced the lwIP for the high performance. We eliminated the memory copy overhead of the lwIP. We added a delayed ACK and a TCP Segmentation Offload (TSO) features to the lwIP and modified the default parameters of the lwIP for large data transfer. With the aid of these modifications, the TOE using the modified lwIP shows a bandwidth of 194 Mbps.