• Title/Summary/Keyword: Custom-fit

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Skull Reconstruction with Custom Made Three-Dimensional Titanium Implant

  • Cho, Hyung Rok;Roh, Tae Suk;Shim, Kyu Won;Kim, Yong Oock;Lew, Dae Hyun;Yun, In Sik
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.11-16
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    • 2015
  • Background: Source material used to fill calvarial defects includes autologous bones and synthetic alternatives. While autologous bone is preferable to synthetic material, autologous reconstruction is not always feasible due to defect size, unacceptable donor-site morbidity, and other issues. Today, advanced three-dimensional (3D) printing techniques allow for fabrication of titanium implants customized to the exact need of individual patients with calvarial defects. In this report, we present three cases of calvarial reconstructions using 3D-printed porous titanium implants. Methods: From 2013 through 2014, three calvarial defects were repaired using custom-made 3D porous titanium implants. The defects were due either to traumatic subdural hematoma or to meningioma and were located in parieto-occipital, fronto-temporo-parietal, and parieto-temporal areas. The implants were prepared using individual 3D computed tomography (CT) data, Mimics software, and an electron beam melting machine. For each patient, several designs of the implant were evaluated against 3D-printed skull models. All three cases had a custom-made 3D porous titanium implant laid on the defect and rigid fixation was done with 8 mm screws. Results: The custom-made 3D implants fit each patient's skull defect precisely without any dead space. The operative site healed without any specific complications. Postoperative CTs revealed the implants to be in correct position. Conclusion: An autologous graft is not a feasible option in the reconstruction of large calvarial defects. Ideally, synthetic materials for calvarial reconstruction should be easily applicable, durable, and strong. In these aspects, a 3D titanium implant can be an optimal source material in calvarial reconstruction.

A Study on Developing Free Size Patient Clothing (Free size 환자복 개발을 위한 실험적 연구)

  • Hwang, Hyo Young;Song, Jung A;Song, Jung Hup
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.92-104
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    • 1998
  • Background : Hospitals in Korea are in trouble at ecomomic matters because of low cost of medical insurance, and consumers' demand for high quality. The management of inpatient clothing is very difficult. Especially the management of patient's clothing size is very difficult because the case mix of patients in wards is very different from the stocked clothing size. Because of the economic matters, the ward does not prepare enough size of clothing. The nurses in ward are in trouble with managing the clothing. So the nurses want free size patient clothing for ease management of clothing size. Method : The experimental inpatinets clothing is designed for in 170cm height refer to Korean standard. The fit of 8 subjects from 150 cm to 185 cm wearing experimental were evaluated by clothing specialists, nurses and patients. Result : 75.8% of evaluators like free size clothing. This results show that the fit of subjects from 160cm to 180cm was good in general but subjects with 150cm, 155cm, 185cm height showed poor fit.

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A COMPARATIVE ANALYSIS OF THE ACCURACY OF IMPLANT IMPRESSION TECHNIQUES BY USING STRAIN GAUGE (Strain gauge를 사용한 임플랜트 인상법의 정확도 비교)

  • Han, Eu-Taek;Kim, Yung-Soo;Kim, Chang-Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.3
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    • pp.539-549
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    • 1995
  • The purpose of this study was to determine the accuracy of 3 implant impression methods by using strain gauge. The models used for this study were partially edentulous mandibular acrylic resin casts Model A, with two abutment analogs in #46,47 extraction site, represented two implant parallel to to the adjacent natural tooth. Model B represent an anterior implant parallel to the adjacene natural tooth and a posterior implant exhibiting a 15-degree lingual inclination. Master framework were fabricated on the master model, and 3 strain gauges were attached to a master framwork to determine the passivity of fit of the framework to sample casts made by the three impression techniques. The master framework was attached to each sample cast with gold screws, which were tightened with the torque driver to ensure a consistent toque application of 10 Ncm. Universal Digital Measuring System UCAM-5BT was used for strain measuring. Impression techniques studid were : 1. unsplinted tapered impression coping, polyvinyl siloxane, stock tray 2. unsplinted squared impression coping, polyether, custom tray 3. squared impression coping splinted with Duralay resin, polyether, custom tray Through analysis on data from this study, the following conclusions were obtained. 1. There were no statistically significant differences between the mean strain recorded from the sample casts made with the tree impression. But only strain values of model A(parallel group) Y-axis was signifcantly differed between Technique 1 and 3(P<0.05). 2. There was no statistically significant difference between model A(parallel group) and model B(15-degree divergent group).

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A Study of Applications of 3D Body Scanning Technology - Focused on Apparel Industry - (3차원 바디 스캐너를 활용한 가상착의에 관한 인식 조사 - 업체 실무자 및 소비자를 대상으로 -)

  • Paek, Kyung-Ja;Lee, Jeong-Ran;Kim, Mi-Sung
    • Korean Journal of Human Ecology
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    • v.18 no.3
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    • pp.719-727
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    • 2009
  • The ultimate success of commercial applications of body scan data in the apparel industry will be consumers' substantial applications such as automated custom fit, size prediction, virtual try-on, personal shopper services (Loker, S. et al., 2004). In this study, we surveyed fifty consumers and forty-seven apparel industry workers about their recognition and interest in 3D body scanning and virtual try-on. The results are as follows: 55% of the apparel industry workers has recognized 3D body scanning as a convenient technology, but do not know how to use it. To the questions regarding virtual try-on, 53% of the workers give positive answers. The consumers have a more positive view on virtual try-on than the workers do. The workers predict that the application of 3D body scan technology to the apparel industry could offer customers helpful information in their clothing selection by using virtual images of various size and style, and increase mass production of MTM(Made-To-Measure). The answers from the male consumers in their twenties indicate that virtual try-on is useful by 88% on offline shopping and by 100% on online shopping. 53% of the workers and 68% of the consumers gave answers that just by virtual try-on they could judge the quality of the apparel products and purchase them. Absolutely 3D virtual try-on is an effective tool for online shoppers. 85% of the workers anticipate applications of the 3D body scanning also in 'body measurement', 'custom pattern development' as well as 'virtual try-on' in the near future. With the positive reactions and the stimulating interests in virtual try-on, the conditions of contemporary world encourage more active researches and wide usages of the technology in apparel industry.

The Evaluation of Custom Foot Orthotics for Injury Prevention of Joggers (달리기 동호인들의 상해예방을 위한 맞춤형 발 보장구의 평가연구)

  • Kim, Ro-Bin
    • Korean Journal of Applied Biomechanics
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    • v.16 no.1
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    • pp.19-30
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    • 2006
  • The purpose of this study was to examine the effect of foot orthotics on the overall comfort and muscle activity during running. The subjects were 10 members from the joggers' club which consisted of 2 women and 8 men. These individuals ran on the treadmill by 4.0m/s speed with and without the custom foot orthotics. The data concerning the overall comfort was collected by a questionairre that examined the overall comfort, heel cushioning, forefoot cushioning, medio-lateral control, arch height, heel cup fit, shoe heel width, forefoot width, and shoe length The MegaWin ver. 2.1(Mega Electronics lid, Ma. Finland) was used to gain electromyography signals of the muscle activity; Tibialis anterior, medial gastronemius, lateral gastronemius, vastus lateralis, vastus medialis, biceps femoris, and rectus femoris were measured. The results of the study were as follows. 1. During running the overall comfort was higher for the foot arthotic condition than the nonorthotic condition. Among the inquiries the overall comfort showed the biggest difference comparing the two conditions. and the shoe heel width showed the highest score for contort. 2 The muscle activity of the biceps femoris, and vastus lateralis in the stance period decreased. due to the foot orthotics. The muscle activity of the vastus medialis in the swing period also decreased and the muscle activity tibialis anterior in the stance and swing stance decreased as well During running, orthotics showed positive result in foot comfort. The foot comfort related to decreased stress, muscle activity, and foot arch strain. Overall comfort and the adequate decrease of muscle activity were associated with injury prevention and the best method to prevent injury semms to be the maintenance of foot comfort.

A Study on Intention of Selecting Tree Burials by Using the Theory of Planned Behavior (계획행동이론을 적용한 수목장 선택의도에 관한 연구)

  • Kim, Sang-Mi;Kim, Sang-Oh
    • Korean Journal of Environment and Ecology
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    • v.26 no.5
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    • pp.812-826
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    • 2012
  • The selection rate of tree burials (TB) is still low in spite of increasing concerns about TB and government's efforts to increase TB participation. It is necessary to understand the factors affecting TB selection. This study investigated the relationship between major variables (attitude: ATT; subjective norm: SN; perceived behavioral control: PBC) of Ajzen's theory of planned behavior (TPB), additional variable (custom: CUST), and intention to select TB by using structural equation modelling (SEM). Samples were selected from Gwang-ju citizens using proportionate stratified sampling (PST) by region during September of 2011. Four hundred and twelve responses were used for data analysis. The model showed fair goodness of fit. All four variables (ATT, SN, PBC, CUST) influenced intention to select TB. The four variables explained 53.0% of intention to select TB. SN(${\beta}$=0.459) was the most predictive variable on the intention, followed by ATT(${\beta}$=0.247), PBC(${\beta}$=0.152), and CUST(${\beta}$=0.102) in decreasing order. The results were discussed and some suggestions to increase the intention of tree burial selection were made.

The Accuracy of Master Cast for Implant Prosthesis According to the Types of Impression Tray and Splinting Methods of Impression Copings (인상용 트레이의 종류와 인상용 코핑의 연결고정이 임플랜트 주모형의 정확성에 미치는 영향)

  • Lee, Jee-Hyuk;Choi, Yu-Sung;Cho, In-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.433-445
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    • 2010
  • The aim of this study was to evaluate the fixation effect by connecting impression copings and to compare the three types of impression trays which were used in open tray impression technique. Experimental groups used 3 types of impression trays which are custom tray, plastic metal combination tray and polycarbonate stock tray. These three groups were subdivided into splinted and non-splinted impression copings group. The total number of experimental groups was six. 10 specimens were made for each group. We used 1-screw test, observing the specimen on which only one side abutment of reference framework was fixated with 20 Ncm. The gap between implant analogue and abutment of the other side was observed by stereo microscope. It was measured at 6 points in each specimen. Measuring value was selected when same result was revealed 3 times. Recorded data were statistically analyzed. Whether impression copings were splinted or not, there was no significant difference among custom tray group, plastic metal combination tray group, and polycarbonate stock tray group. Significant statistical difference in vertical fit discrepancy was found between splinted and non-splinted impression copings group with custom tray, plastic metal combination tray and polycarbonate stock tray (p<0.05).

Use of custom glenoid components for reverse total shoulder arthroplasty

  • Punyawat Apiwatanakul;Prashant Meshram;Andrew B. Harris;Joel Bervell;Piotr Lukasiewicz;Ridge Maxson;Matthew J. Best;Edward G. McFarland
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.343-350
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    • 2023
  • Background: Our purpose was to evaluate a custom reverse total shoulder arthroplasty glenoid baseplate for severe glenoid deficiency, emphasizing the challenges with this approach, including short-term clinical and radiographic outcomes and complications. Methods: This was a single-institution, retrospective series of 29 patients between January 2017 and December 2022 for whom a custom glenoid component was created for extensive glenoid bone loss. Patients were evaluated preoperatively and at intervals for up to 5 years. All received preoperative physical examinations, plain radiographs, and computed tomography (CT). Intra- and postoperative complications are reported. Results: Of 29 patients, delays resulted in only undergoing surgery, and in three of those, the implant did not match the glenoid. For those three, the time from CT scan to implantation averaged 7.6 months (range, 6.1-10.7 months), compared with 5.5 months (range, 2-8.6 months) for those whose implants fit. In patients with at least 2-year follow-up (n=9), no failures occurred. Significant improvements were observed in all patient-reported outcome measures in those nine patients (American Shoulder and Elbow Score, P<0.01; Simple Shoulder Test, P=0.02; Single Assessment Numeric Evaluation, P<0.01; Western Ontario Osteoarthritis of the Shoulder Index, P<0.01). Range of motion improved for forward flexion and abduction (P=0.03 for both) and internal rotation up the back (P=0.02). Pain and satisfaction also improved (P<0.01 for both). Conclusions: Prolonged time (>6 months) from CT scan to device implantation resulted in bone loss that rendered the implants unusable. Satisfactory short-term radiographic and clinical follow-up can be achieved with a well-fitting device. Level of evidence: III.

A Research on the Actual Condition of Silver Apparel Brands (실버의류 기성복업체의 실태조사 연구)

  • Chung Sham-Ho;Kim Soo-A
    • Journal of the Korean Society of Costume
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    • v.56 no.4 s.103
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    • pp.15-32
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    • 2006
  • The purpose of this study is to research on the actual condition of production and selling in silver apparel market. For the questionnaire, 19 women's wear brands which were in higher ranking of sales in boutiques and madame-zone of department stores were selected. Pattern makers of each brand were questioned about 40 items for this research. The results of the questionnaire were as follows: 1) According to the result of the survey on the made-to-wear production of 19 ready-to-wear manufacturers, there was the gap was in ages between the target and the real consumer. Consumers of these brands were older and aged more broadly than their target ages. 2) Most of the consumers of silver-zone has thick waists, common heights, fat shapes. Custom-made clothes are ordered in many cases because of the big abdomen(50.0%) and H-shape(58.3%) of a somatotype. The body size variation of user population is needed for a good fit. 3) All brands(100%) of this research are using KS standards in the label of clothing, but they don't use these data in their production by reason of unawareness and distrust about these data. These inconsistency between the label and the real size of products may cause a confusion when consumers buy ready-to-wear. 4) Silver apparel manufacturers have need of anthropometry information and dummy(78.6%) suitable for their target consumers to increase their satisfaction about their apparel fit.

A Simulation System of Total Knee Replacement Surgery for Extracting 3D Surgical Parameters (슬관절 전치환술용 3차원 시술변수 추출 시스템)

  • Jun, Yong-Tae
    • Korean Journal of Computational Design and Engineering
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    • v.16 no.5
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    • pp.315-322
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    • 2011
  • The goal of total knee replacement (TKR) surgery is to replace patient's knee joint with artificial implants in order to restore normal knee joint functions. Since mismatched knee implants often cause a critical balancing problem and short durability, designing a well-fitted implant to a patient's knee joint is essential to improve surgical outcomes. We developed a software system that three-dimensionally (3D) simulates TKR surgery based upon 3D knee models reconstructed from computed tomography (CT) imaging. The main task of the system was to extract precise 3D anatomical parameters of a patient's knee that were directly used to determine a custom fit implant and to virtually perform TKR surgery. The virtual surgery was simulated by amputating a 3D knee model and positioning the determined implant components on the amputated knee. The test result shows that it is applicable to derive surgical parameters, determine individualized implant components, rehearse the whole surgical procedure, and train medical staff or students for actual TKR surgery. The feasibility and verification of the proposed system is described with examples.