• Title/Summary/Keyword: 고정지면

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Surgical Treatment of Ruptured Achilles Tendon - End-to-end suture & Paratendinous wrapping (아킬레스건 파열의 수술적치료 -단단 봉합술 및 건외막피복술-)

  • Hwang Deuk-Soo;Lee Won-Seok;Kim Kyung-Cheon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.138-142
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    • 2002
  • Purpose: To evaluate the results and prognosis of operative repair to acute rupture of achilles tend on associated sports injury. Materials and Methods: 21 cases were surgically treated and average follow-up period was 1 year and eight months. The forth decade was most common with $55\%$ and soccer was most common in sports with 5 cases. End-to-end suture of ruptured achilles tendon was performed, and paratendinous structure was wrapped sufficiently. Postoperatively. ankle was plantarflexed for 6 weeks with longleg cast. And then 2 weeks interval, short leg cast with equinous position was conversed to functional position. About 10 weeks after operation, ankle was recovered to right angle. Hooker scale was used to evaluate the results. Results: Compared to normal side, heel-floor distance of ruptures side was decreased 0.7 cm in average, and 0.8 cm was deceased after 20 times weight loaded dorsiflexion. Mid-calf circumference was deceased 0.3 cm, and active dorsiflexion and plantar flexion of ankle was decreased each 3 and 5degree. 16 cases showed ‘excellent’result and 5 cases showed ‘satisfactory’. There was no complication, such as re-rupture or infection at operation site. Conclusion: After end-to-end operative repair to achilles tendon, sufficient wrapping of paratendinous structure is efficient for healing and prevention of postoperative adhesion. And serial dorsiflex-ion cast change is considered to be a successful treatment for preventing residual equinus deformity.

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Optimization of Tube Voltage according to Patient's Body Type during Limb examination in Digital X-ray Equipment (디지털 엑스선 장비의 사지 검사 시 환자 체형에 따른 관전압 최적화)

  • Kim, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.11 no.5
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    • pp.379-385
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    • 2017
  • This study identifies the optimal tube voltages depending on the changes in the patient's body type for limb tests using a digital radiography (DR) system. For the upper-limp test, the dose area product (DAP) was fixed at $5.06dGy{\ast} cm^2$, and for the lower-limb test, the DAP was fixed at $5.04dGy{\ast} cm^2$. Afterwards, the tube voltage was changed to four different stages and the images were taken three times at each stage. The thickness of the limbs was increased by 10 mm to 30 mm to change in the patient's body type. For a quantitative evaluation, Image J was used to calculate the contrast to noise ratio (CNR) and signal to noise ratio (SNR) among the four groups, according to the tube voltage. For statistical testing, the statistically significant differences were analyzed through the Kruskal-Wallis test at a 95% confidence level. For the qualitative analysis of the images, the pre-determined items were evaluated based on a 5-point Likert scale. In both upper-limb and lower-limb tests, the more the tube voltage increased, the more the CNR and SNR of the images decreased. The test on the changes depending on the patient's body shape showed that the more the thickness increased, the more the CNR and SNR decreased. In the qualitative evaluation on the upper limbs, the more the tube voltage increased, the more score increased to 4.6 at the maximum of 55kV and 3.6 at 40kV, respectively. The mean score for the lower limbs was 4.4, regardless of the tube voltage. The more either the upper or lower limbs got thicker, the more the score generally decreased. The score of the upper limps sharply dropped at 40kV, whereas that of the lower limps sharply dropped at 50kV. For patients with a standard thickness, the optimized images can be obtained when taken at 45kV for the upper limbs, and at 50kV for the lower limbs. However, when the thickness of the patient's limbs increases, it is best to set the tube voltage at 50 kV for the upper limbs and at 55 kV for the lower limbs.

Intercomparing the Aerosol Optical Depth Using the Geostationary Satellite Sensors (AHI, GOCI and MI) from Yonsei AErosol Retrieval (YAER) Algorithm (연세에어로졸 알고리즘을 이용하여 정지궤도위성 센서(AHI, GOCI, MI)로부터 산출된 에어로졸 광학두께 비교 연구)

  • Lim, Hyunkwang;Choi, Myungje;Kim, Mijin;Kim, Jhoon;Go, Sujung;Lee, Seoyoung
    • Journal of the Korean earth science society
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    • v.39 no.2
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    • pp.119-130
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    • 2018
  • Aerosol Optical Properties (AOPs) are retrieved using the geostationary satellite instruments such as Geostationary Ocean Color Imager (GOCI), Meteorological Imager (MI), and Advanced Himawari Imager (AHI) through Yonsei AErosol Retrieval algorithm (YAER). In this study, the retrieved aerosol optical depths (AOD)s from each instrument were intercompared and validated with the ground-based sunphotometer AErosol Robotic NETwork (AERONET) data. As a result, the four AOD products derived from different instruments showed consistent results over land and ocean. However, AODs from MI and GOCI tend to be overestimated due to cloud contamination. According to the comparison results with AERONET, the percentage within expected errors (EE) are 36.3, 48.4, 56.6, and 68.2% for MI, GOCI, AHI-minimum reflectivity method (MRM), and AHI-estimated surface reflectance from shortwave Infrared (ESR) product, respectively. Since MI AOD is retrieved from a single visible channel, and adopts only one aerosol type by season, EE is relatively lower than other products. On the other hand, the AHI ESR is more accurate than the minimum reflectance method as used by GOCI, MI, and AHI MRM method in May and June when the vegetation is relatively abundant. These results are explained by the RMSE and the EE for each AERONET site. The ESR method result show to be better than the other satellite product in terms of EE for 15 out of 22 sites used for validation, and they are better than the other product for 13 sites in terms of RMSE. In addition, the error in observation time in each product is found by using characteristics of geostationary satellites. The absolute median biases at 00 to 06 Universal Time Coordinated (UTC) are 0.05, 0.09, 0.18, 0.18, 0.14, 0.09, and 0.10. The absolute median bias by observation time has appeared in MI and the only 00 UTC appeared in GOCI.

A study on the smile of Korean Youth compared with twenty years ago (20년전과 비교한 한국청년의 미소 변화에 관한 연구)

  • Beom, Seung-Gyun;Jung, Ji-Hye;Kim, Tae-Young;Lee, Kyung-Eun;Dong, Jin-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.162-168
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    • 2012
  • Purpose: Teeth are generally exposed when people smiling. Moreover, the exposed teeth and soft tissue when smiling becomes an important guideline for esthetically prosthetic restoration. This research is to compare and find out differences of Korean young men's smile living in presence and twenty years ago. Materials and methods: Subjects, 100 young men (50 male and 50 female), were required about several aspects; normally developed physical condition, no psychological or genetic disorders, a fine face with no loss of teeth, no experience in orthodontic or prosthetic treatment, relatively normal occlusion, aged between 20-29. The photos of the subject at rest position and front face when fully smiled were taken three times. 100 photos (50 male and 50 female) were chosen at random from the 240 university students' smile photos taken by Yoon and his colleagues in 1991. By Hulsey's method of measuring smile, several factors; the change of upper lip curvature, the change of the relation between the upper lip and teeth, parallelism between Mx. incisor and lower lip, contact relation between Mx. incisor and lower lip and teeth displayed in a smile, were measured and analyzed. Meanwhile, ten dentists assessed aesthetic evaluation about men and women's smile for twice and recorded and compared smile score. The -test (P<.05) was used to compare the measured value. The difference of smile score was analyzed by t-test (P<.05). Results: The smile score calculated in 2011 (60.22) was higher than that of 1991 (52.80). Among five measurement categories, the noticeable difference was distinguished from two factors; the change of upper lip curvature and contact relation between Mx. incisor and lower lip. Conclusion: The Korean young men's smile has been considerably improved for twenty years. And it is found that the change of upper lip curvature plays an important role, that is, the smile formed with an ascended labial commissure has been increased significantly.