• Title/Summary/Keyword: 보행성 평가

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Surgical Treatment of Metastatic Pathologic or Impending Pathologic Fractures (전이성 병적 골절 또는 병적 임박 골절의 수술적 치료)

  • Kim, Kap-Jung;Lee, Sang-Ki;Choy, Won-Sik;Seo, Dong-Wook
    • The Journal of the Korean bone and joint tumor society
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    • v.15 no.1
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    • pp.44-51
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    • 2009
  • Purpose: We evaluated the results of surgical treatment for metastatic pathologic or impending pathologic fractures. Materials and Methods: From January 2004 to December 2007, 18 patients 19 cases were included. Male were 6 and female were 12. The mean age was 65.1. Mean follow up period was 15.2 months. Pathologic fractures were 14 and impending pathologic fractures were 5. MSTS score, periodic radiologic follow up and postoperative complications were evaluated. Results: The primary malignancies were 6 cases of multiple myeloma, 4 cases of renal cell carcinoma, 2 cases of cholangiocarcinoma, 2 cases of colon cancer, 2 cases of breast cancer and 2 cases of leiomyosarcoma. Metastatic lesions were 10 cases of femur, 4 cases of clavicle, 2 cases of humerus, 2 cases of tibia and 1 case of radius. Surgical options were curettage, cementation, internal fixation and arthroplasty. Mean MSTS score was 15.9. Postoperative complications were 1 case of infection, 1 case of local recurrence and 1 case of implant loosening. Ten patients were alive with disease, 8 patients died of disease. Conclusion: Surgical treatment of metastatic skeletal lesions allowed early ambulation and improving dexterity. It improved pain and emotional acceptance. Surgery is necessary for improving qualities of remaining lives.

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Case Study on Physical Activity Guidance Experience to Maintain Balance in Adults with Cerebellar Ataxia (소뇌성 운동실조증 성인의 균형 유지를 위한 신체활동 지도 경험 사례 연구)

  • Jeonghyeon Kim
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.51-65
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    • 2024
  • This study aims to understand positive changes in balance and gait function and difficulties in the instructor's guidance process through repetitive basic motor skill-based physical activities targeting people with cerebellar ataxia. For this purpose, five adults with cerebellar ataxia were selected as research subjects, and their three instructors participated as research participants. To collect quantitative data, the average and standard deviation were examined through pre-and post-evaluation of the research participants' physical activity classes for 16 weeks. The mean and standard deviation of the collected data were calculated using the Shapiro-Wilk test in the SAS 9.1 statistical program (p<.05). As a qualitative data collection method, the cultural description method of developmental research(DSR) proposed by Spradley(1980) was adopted, and the collected data were analyzed inductively according to the analysis method of Mertens(1990). Through this, 31 concepts, 10 subcategories, and 4 categories were discovered. As a result, the difficulties experienced by the research participants included insufficient guidance environment, dissatisfaction of consumers, difficulty in guidance, and non-cooperation of colleagues. Based on these research results, it was found that institutional, legal, and policy support should be provided not only to public institutions but also to private physical activity institutions that can use vouchers in order to maintain the balance of adults with cerebellar ataxia as well as to guide their physical activities.

An Empirical Study on the Correlation between TOD Planning Elements and Subway Ridership in Busan Metropolitan City (부산시 역세권 TOD계획요소의 공간특성과 지하철 이용객 수의 상관성에 관한 실증연구)

  • Choi, Don-Jeong;Suh, Yong-Cheol
    • Journal of the Korean Association of Geographic Information Studies
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    • v.17 no.3
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    • pp.147-159
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    • 2014
  • Public transportation ridership and walkability of urban district can be enhanced through high quality of TOD(Transit Oriented Development) elements. Generally, TOD have been evaluated several physical components such as the diversity of land use pattern, accessibility of public transportation and aspects of urban design around the station area. Especially, Spatial characteristics of TOD planning elements have many potential dependent when considering the characteristics of Rail Station-Influenced Area Development which is performing around subway station. Therefore, researchers should be considering the variation of spatial properties for planning elements according the set of spatial area and their socioeconomic factors. However, existing many cases related TOD does not consider about this point. In this paper, the changes of TOD characteristics were analyzed by different spatial units surrounding subway station in Busan Metropolitan City. Multiple Regression Analysis was performed for an investigation of effective spatial unit of TOD planning elements in this area using subway ridership data. In addition, the application validity of socioeconomic variables was examined through a comparative analysis of regression results with the multiple regression that implied only physical TOD elements. As the result, the variation of spatial properties for TOD planning elements according to the set of spatial unit was found. Furthermore, the specific spatial unit to applicable TOD elements in this area was derived. And the multiple regression model which added socioeconomic variables was derived more improved estimate results than the multiple regression model that implied only physical TOD elements.

Evaluation of Applicability for 3D Scanning of Abandoned or Flooded Mine Sites Using Unmanned Mobility (무인 이동체를 이용한 폐광산 갱도 및 수몰 갱도의 3차원 형상화 위한 적용성 평가)

  • Soolo Kim;Gwan-in Bak;Sang-Wook Kim;Seung-han Baek
    • Tunnel and Underground Space
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    • v.34 no.1
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    • pp.1-14
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    • 2024
  • An image-reconstruction technology, involving the deployment of an unmanned mobility equipped with high-speed LiDAR (Light Detection And Ranging) has been proposed to reconstruct the shape of abandoned mine. Unmanned mobility operation is remarkably useful in abandoned mines fraught with operational difficulties including, but not limited to, obstacles, sludge, underwater and narrow tunnel with the diameter of 1.5 m or more. For cases of real abandoned mines, quadruped robots, quadcopter drones and underwater drones are respectively deployed on land, air, and water-filled sites. In addition to the advantage of scanning the abandoned mines with 2D solid-state lidar sensors, rotation of radiation at an inclination angle offers an increased efficiency for simultaneous reconstruction of mineshaft shapes and detecting obstacles. Sensor and robot posture were used for computing rotation matrices that helped compute geographical coordinates of the solid-state lidar data. Next, the quadruped robot scanned the actual site to reconstruct tunnel shape. Lastly, the optimal elements necessary to increase utility in actual fields were found and proposed.

Queue Length Based Real-Time Traffic Signal Control Methodology Using sectional Travel Time Information (구간통행시간 정보 기반의 대기행렬길이를 이용한 실시간 신호제어 모형 개발)

  • Lee, Minhyoung;Kim, Youngchan;Jeong, Youngje
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.13 no.1
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    • pp.1-14
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    • 2014
  • The expansion of the physical road in response to changes in social conditions and policy of the country has reached the limit. In order to alleviate congestion on the existing road to reconsider the effectiveness of this method should be asking. Currently, how to collect traffic information for management of the intersection is limited to point detection systems. Intelligent Transport Systems (ITS) was the traffic information collection system of point detection method such as through video and loop detector in the past. However, intelligent transportation systems of the next generation(C-ITS) has evolved rapidly in real time interval detection system of collecting various systems between the pedestrian, road, and car. Therefore, this study is designed to evaluate the development of an algorithm for queue length based real-time traffic signal control methodology. Four coordinates estimate on time-space diagram using the travel time each individual vehicle collected via the interval detector. Using the coordinate value estimated during the cycle for estimating the velocity of the shock wave the queue is created. Using the queue length is estimated, and determine the signal timing the total queue length is minimized at intersection. Therefore, in this study, it was confirmed that the calculation of the signal timing of the intersection queue is minimized.

Arthroscopic Shaving Cystectomy of Popliteal Cyst by using Posteromedial Portal (관절경적 후내측 도달법을 이용한 슬와 낭종의 절삭 절제술)

  • Kwak, Kyoung-Duck;Ahn, Sang-Min;Baek, Seung-Il;Jung, Chan-Jong;Roh, Jae-Su
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.153-158
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    • 2006
  • Purpose: We evaluated the effectiveness of arthroscopic shaving cystectomy by using posteromedial portal for popliteal cyst with the correction of valvular mechanism. Materials and Methods: We had treated 15 cases of popliteal cyst with arthroscopic shaving cystectomy by using posteromedial portal from April 2004 to June 2005. The mean duration of follow up was 15 months (range: $12{\sim}28$). Functional results were based on the Rauschning and Lindgren criteria. We estimated operative time, time for regaining pain-free full range of motion and checked sonography for recurrence of the cyst at 12 months after the surgery. Results: The functional results by Rauschning and Lindgren criteria were rated Grade 0 or Grade 1 in all cases at last follow up. The average operation time was 45 minutes (range: $35{\sim}70$). All cases regained pain-free full range of motion within five days after surgery and range of motion was also normal at last follow up. There were no recurrence and no walking disturbance in all cases. Conclusion: Arthroscopic shaving cystectomy by using posteromedial portal is one of the effective alternative method of the treatment for popliteal cyst and it is also useful to correct the valvular mechanism.

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A Single Subcutaneous Dose Toxicity Study of The Acaricide Amitraz in Beagle Dogs. (개에서 진드기 살충제 amitraz의 단회피하투여 독성시험)

  • 허정두;김영길;이현숙;김충용;박승춘;신진영;김성호;신동호;김종춘
    • Journal of Life Science
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    • v.14 no.4
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    • pp.547-552
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    • 2004
  • The present study was carried out to investigate the potential acute toxicity of amitraz by a single subcutaneous dose in beagle dogs. The test chemical was administered subcutaneously to male beagle dogs at dose levels of 0, 2, 10, or 50 mg/kg. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period following the administration. At the end of 14-day observation period, hematology, serum biochemistry, and gross postmortem examinations were examined. A single dog in the 50 mg/kg group was found dead on day 3 after treatment and the other two dogs in the group were sacrificed because of the severe clinical signs on day 7 after treatment. Treatment related clinical signs, including anorexia, edema, mass and abscess formation in the injection sites, depression, vomiting, lacrimation, decreased locomotor activity, ataxia, recumbency, paresis in the limbs, and/or moribundity were observed in all treatment groups in a dose-dependent manner. Decreased or suppressed body weight gain was also observed dose-dependently in all treated groups. In autopsy, dead animals in the 50 mg/kg group showed muscular hemorrhage and inflammation in the injection sites and congestion in the liver and kidney. The terminal sacrificed animals in the 10 mg/kg group also exhibited muscular hemorrhage and inflammation in the injection sites. Whereas, no treatment related effects on hematology and serum biochemistry were observed on day 14 after treatment at any dose tested. On the basis of the results, it was concluded that a single subcutaneous injection of amitraz to beagle dogs resulted in increased incidence of abnormal clinical signs and death, decreased body weight, and increased incidence of abnormal gross findings. In the experimental conditions, the $LD_{50}$value of amitraz was 22.3 mg/kg (95% confidence limit not specified) and the no-observed-adverse-effect level (NOAEL) was considered to be below 2 mg/kg for male dogs.

Development of a Lower Limb Magnet System Capable of Polarity Conversion (극성변환이 가능한 하지의지 자석락 시스템 개발)

  • Beom-ki Hong;Seung-Gi Kim;Se-Hoon Park
    • Journal of the Institute of Convergence Signal Processing
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    • v.25 no.2
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    • pp.77-85
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    • 2024
  • The suspension device that connects the prosthetic leg and the residual limb allows lower limb amputees to wear prosthetic limbs, and is the most sensitive part when using prosthetic limbs as it is always in contact with the residual limb not only while walking but also in everyday life. In this paper, using the principles of attraction and repulsion of permanent magnets, we developed a magnetic lock suspension device that can fix the amputees and prosthetic legs of lower limb amputees by changing the polarity of the magnet. The operation method of the magnetic lock is that when neodymium magnets are placed on the left and right as NNSS based on a non-magnetic brass core, the magnetic force flows outward beyond the brass core using the adsorption member as a medium to generate bonding force. When rotated 90 degrees, the magnet moves to NSNS. The principle is that as the position moves, the magnetic force flows inward and cancels out.Based on this, we conducted a bonding test using tensile strength and a short-term comparative evaluation of the prosthesis with the shuttle lock suspension system, which was a comparison group, to verify reliability and evaluate satisfaction with the prototype. As a result, the tensile strength exceeding the appropriate bonding strength was confirmed, and the magnetic lock showed higher satisfaction than the shuttle lock. In the future, we plan to conduct long-term ADL clinical trials for commercialization and develop a product that can be distributed to actual amputees.

A Study on Visitor Satisfaction for Bukhansan Dulegil (북한산 둘레길 이용객 만족도에 관한 연구)

  • Cho, Woo-Hyun;Yun, Hui-Jae;Im, Seung-Bin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.4
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    • pp.60-73
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    • 2011
  • Since Jeju Ollegil opened in September 2007 and attracted the sensation of popularity throughout the country, the interest in 'Walking Trails' has increased, and the central ministries and the local governments composite and assign various 'Walking Trails'. Walking trails are not tours on which people go to see one spot and move to another spot by vehicle, but a long linear journey that leads people to see, to feel and to experience a region's landscape and culture while walking on the trail. 'Walking Trails' are efficient routes to discover and to use a former way and to link the various ecological regions' histories and cultural resources, so it is most important to select a route. Although the routes were selected by considering the various planning factors and giving each route a specified theme, some problems like the inconvenience of visitors caused by lack of facilities have occurred. After designation and construction of the trails, they were not properly evaluated by visitors. Therefore, it is the purpose of this study to suggest a better way to construct the trails by surveying visitor satisfaction and by analyzing the impact of planning a route on visitor satisfaction at Bukhansan Dulegil which was completed. For this study, with a questionnaire based on the literature review to identify the important planning factors for selecting a route, a survey was conducted on visitor satisfaction for each section and their intention to revisit and to recommend that trail. Based on the characteristics of each section that was identified in the field research, the trails were classified into five types and satisfaction of each type and each type was analyzed. In addition, analyzing the impact of planning factors on satisfaction, the impact of satisfaction on revisiting and recommending and visitors' perception of the theme, further improvement for better construction of the trail was presented. Satisfaction of sectors with strong natural elements was higher; 'walking comfort' was the highest planning factor affecting satisfaction. In addition, satisfaction was surveyed to have high influence on revisiting and recommending.

The Effects of Arm Restriction on Stabilization Step With Respect to Barrier Height (장애물 높이에 따른 상지 팔운동 제한이 스텝안정화(stabilization step)에 미치는 영향)

  • Kwon, Oh-Yun;Jang, Kyung-Wook;Kim, Tack-Hoon
    • Physical Therapy Korea
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    • v.5 no.4
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    • pp.1-8
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    • 1998
  • 본 연구의 목적은 장애물 높이에 따른 상지 팔운동 제한이 스텝안정화(stabilization step)에 영향을 주는지 알아보기 위하여 실시하였다. 연구대상자는 대학생 남자 14명, 여자 16명으로 총 30명이였으며, 평균 연령은 21.5세이었다. 스텝 안정화는 FASTEX(functional activity System for testing and exercise, Cybex Division of Lumex, Inc., USA)를 이용하여 측정하였다. 장애물의 조건은 1) 장애물이 없는 조건 2) 15 cm 장애물 3) 25 cm 장애물이었고, 팔 운동의 제한 조건은 1) 팔운동을 제한하지 않은 조건 2) 우세 팔의 운동 제한 3) 양쪽 팔을 모두 제한하는 3개의 조건에서 스텝 안정화 시간을 측정하였다. 장애물 요인과 팔운동 제한 요인간에 안정화 시간(stabilization time)의 차이가 있는지 알아보기 위하여 반복이 있는 2요인 분산분석을 실시하였고, 남녀간에 안정화 시간에 차이가 있는지 알아보기 위하여 t-검정을 실시하였다. 장애물이 없는 조건에서 양팔의 운동을 제한하지 않고 측정한 안정화 시간의 평균은 0.89초이었고, 건측의 상지운동을 제한한 상태에서의 평균은 0.88초이었으며, 양쪽 팔의 운동을 모두 제한했을 때의 평균은 0.84초이었다. 15 cm의 장애물이 있는 조건에서 양팔의 운동을 제한하지 않고 측정한 안정화 시간은 평균 0.98초이었고, 건측의 상지운동을 제한한 상태에서의 펑균은 1.00초이었으며, 양쪽 팔의 운동을 모두 제한했을 때의 평균은 1.14초이었다. 25 cm의 장애물이 있는 조건에서 양팔의 운동을 제한하지 않고 측정한 안정화 시간은 평균 1.09초이었고, 건측의 상지운동을 제한한 상태에서의 평균은 1.28초이었으며, 양쪽 팔의 운동을 모두 제한했을 때의 평균은 1.57초이었다. 남녀간의 스텝 안정화 시간에 차이가 있는지 알아본 결과 각각의 조건에서 통계학적으로 유의한 차이가 없었다. 장애물과 팔운동 제한 조건에 따른 스텝 안정화 시간의 차이가 있는지 알아보기 위하여 반복이 있는 2요인 분산분석을 실시한 결과, 장애물의 높이에 따라 스텝 안정화 시간에는 유의한 차이가 있었고(p<0.05), 15 cm, 25 cm 장애물 조건에서는 팔운동 제한 조건에 따른 스텝 안정화 시간에도 유의한 차이가 있었지만(p<0.05), 장애물이 없는 조건에서는 팔운동 제한에 따른 안정화 시간에는 유의한 차이가 없었다. 이상의 결과는 보행중 장애물을 넘고, 한발로 기립하여 안정성을 유지할 때 팔의 운동이 스텝 안정성에 영향을 미친다는 것을 알았고, 이러한 결과는 한팔 또는 두 팔을 사용할 수 없는 편마비환자나 상지 절단환자의 균형 평가나 치료시 고려되어져야 할 것이다.

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