• Title/Summary/Keyword: Effects of joint-operation

Search Result 66, Processing Time 0.029 seconds

Postoperative Pain Control by Ultrasound-Guided Sciatic Nerve Catheterization - A Technical Note - (초음파 유도 좌골 신경 도관 삽입에 의한 수술 후 통증 조절 - 술기 보고 -)

  • Kang, Chan;Hwang, Deuk-Soo;Kim, Young-Mo;Hwang, Jung-Mo;Lee, Seung-Hyun
    • Journal of Korean Foot and Ankle Society
    • /
    • v.15 no.2
    • /
    • pp.97-101
    • /
    • 2011
  • Intravenous Patient Controlled Analgesia (IV PCA0 after general or spinal anesthesia may be a method of postoperative pain control, but side effects such as nausea, vomiting, and sedation occurs in most patients. The following research is based on the ultrasound guided femorosciatic nerve block held on parts below the knee joint operation. Because this anesthesia is held locally on the sciatic nerve with continuous anesthesia performed through perineural catheterization, the complications of nausea, vomiting, and sedation may be reduced while postoperative pain caused by the sciatic nerve is controlled. The following report is held on this experience.

Establishment of ICT Specialized Teaching-Learning System in the Era of Superintelligence, Super-Connectivity, and Super-Convergence

  • Seung-Woo LEE;Sangwon LEE
    • International journal of advanced smart convergence
    • /
    • v.12 no.3
    • /
    • pp.149-156
    • /
    • 2023
  • Joint research on software, electronic engineering, computer engineering, and financial engineering and the use of ICT knowledge through network formation play an important role in strengthening science and technology-based innovation capabilities and facilitating the development and production process of products using new technologies. For the purpose of this study, I would like to strategically propose ICT specialized education in the 4th industrial revolution. To this end, the ICT specialization model, ICT specialization strategy analysis, and ICT specialization operation and effect were explored to establish ICT specialization strategies centered on software, electronic engineering, computer engineering, and financial engineering in the era of super-intelligence, hyper-connected, and hyper-convergence. Secondly, a roadmap for detailed promotion tasks related to efficient ICT characterization based on core strategies, detailed promotion tasks, and programs was proposed, focusing on talent related to ICT characterization. Thirdly, we would like to propose a reorganization of the academic structure and organization related to ICT characterization. Finally, we would like to propose the establishment of a future-oriented education system related to ICT specialization based on the advanced education and research environment.

Bioabsorbable Screws Used in Hallux Valgus Treatment Using Proximal Chevron Osteotomy (무지외반증 환자의 근위 갈매기형 절골술에서 생체 흡수성 나사못을 이용한 고정)

  • Shin, Woo-Jin;Chung, Young-Woo;An, Ki-Yong;Seo, Jae-Woong
    • Journal of Korean Foot and Ankle Society
    • /
    • v.22 no.4
    • /
    • pp.181-183
    • /
    • 2018
  • Hallux valgus is a deformity that causes pain in the first metatarsophalangeal joint. Surgical methods are quite diverse and a range of osteotomies are used at the proximal and distal part of the metatarsal bone and proximal phalange. Fixation methods, such as plate, screw, K-wire, and others have been used in various ways. The fixation device is often removed with various side effects due to the fixation devices. In the case of instruments that are absorbed in vivo, these procedures are not necessary to remove and there is an advantage of not performing the second operation. Three patients were treated, in which a proximal chevron osteotomy was used with a bioabsorbable screw (K-$MET^{TM}$; U&I Corporation).

Effect of applying resistance in various directions on lower extremity muscle activity and balance during squat exercise

  • Song, Jung-Eun;Choi, Ho-Suk;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
    • /
    • v.8 no.2
    • /
    • pp.61-66
    • /
    • 2019
  • Objective: The purpose of this study was to investigate the effects of resistance applied in various directions on lower extremity muscle activity and balance during squat exercise performance. Design: Cross-sectional study. Methods: Forty-one adults (19 males and 22 females) agreed to the study purpose and procedures. All subjects randomly performed squat exercises with an intensity of overcoming 10% of body weight resistance pulled forward, backward and general squats with $60^{\circ}$ of knee joint flexion. Electromyography was used to measure muscle activity of the vastus medialis oblique (VMO), rectus femoris (RF), vastus lateralis oblique (VLO), biceps femoris (BF), and semitendinosus (ST) muscles. The Wii Balance Board was used to assess balance during the three-method squat operation. Each operation was measured three times for 10 seconds. Results: There were significant differences in muscle activities of the VMO, RF, VLO, ST and balance ability with the application of three directions of resistance (p<0.05). Post hoc comparisons revealed that squats performed with resistance pulled in the backward direction resulted in higher VMO, RF and VLO activity than with the resistance placed in a pulled forward direction (p<0.05). In the ST, resistance applied in the pulled forward direction showed greater muscle activity compared to the pulled backward direction (p<0.05). With balance, squats performed with resistance pulled in the forward direction showed greater muscle activity than with resistance applied in the pulled backward direction and during general squat performance (p<0.05). Conclusions: In this study, squat exercises performed with resistance applied in the direction of pulling backwards was found to be the most effective in improving quadriceps muscle strength and balance. It is effective to provide resistance that is placed in the forward when it is difficult to perform a general squat due to weakness of the quadriceps.

Evaluation of the Roadbed Behavior During Tilting-train Operation in Curved Track Using Numerical Analysis (틸팅차량의 곡선부 운행시 수치해석을 이용한 노반거동 평가)

  • Jeon, Sang-Soo;Eum, Gi-Young;Kim, Jae-Min
    • Journal of the Korean Geotechnical Society
    • /
    • v.23 no.6
    • /
    • pp.115-126
    • /
    • 2007
  • The tilting-train is very attractive to the railroad users in the world because it runs with high speed in curved track using pre-existing infrastructure. The tilting-train has a unique allowable speed and mechanism expecially in curved track. Therefore, it should be evaluated in terms of the stability of the train operation and roadbed. In this study, when the tilting-train is being operated with the allowable speed, the behavior of the roadbed is evaluated by examining the settlement and bearing capacity of the roadbed. Additionally, the stability of the roadbed is estimated in the condition of soft roadbed influenced by the weather effects and cyclic train loading. The numerical results show that the roadbed settlements satisfy the allowable settlement when Young's moduli of the upper roadbed and in-situ soil are more than $2,300t/m^2\;and\;3,300t/m^2$, respectively, in the continuous welded rail (CWR) and $3,800t/m^2\;and\;4,600t/m^2$, respectively, in the rail joint.

Revisit of the Extended Indications and Clinical Utilities of Arterialized Venous Flap for Hand Reconstruction (수부 재건을 위한 동맥화 정맥 피판의 확장된 적응증과 임상적 유용성의 재조명)

  • Woo, Sang-Hyun;Kim, Kyung-Chul;Lee, Gi-Jun;Ha, Seung-Han;You, Sun-O;Kim, Joo-Sung
    • Archives of Reconstructive Microsurgery
    • /
    • v.14 no.1
    • /
    • pp.1-13
    • /
    • 2005
  • Purpose: The purpose of this study is to present extended indications for the use of arterialized venous flaps in reconstructing soft tissue, tendon, nerve, blood vessel, and composite tissue defects of the hand of various sizes based on researches and clinical experiences of the authors. Moreover, procedures to achieve complete flap survival and postoperative results are presented. Materials & methods: This study is based on 154 cases of arterialized venous flaps performed to reconstruct the hand during the past 11 years. The most common cause of injury was industrial accidents with 125 cases. One hundred thirty patients or 84% of the cases had emergency operation within 2 weeks of the injury. The flaps were categorized depending on the size of the flap. Flaps smaller than $10\;cm^2$ were classified as small (n=48), those larger than $25\;cm^2$ classified large (n=42) and those in between medium (n=64). Classified according to composition, there were 88 cases (57.1 %) of venous skin flaps, 28 cases of innervated venous flaps, 15 cases of tendocutaneous venous flaps, which incorporated the palmaris longus tendon, for repair of extensor tendons of the fingers, and 17 cases of conduit venous flaps to repair arterial defect. There were 37 cases where multiple injuries to multiple digits were reconstructed. Moreover, there were 6 cases of composite tissue effects that involved soft tissue, blood vessels and tendons. The donor sites were ipsilateral forearm, wrist and thenar area, foot dorsum, and medial calf. The recipient sites were single digit, multiple digits, first web space, dorsum and palm of hand, and wrist. Results: There were seven cases (4.5%) of emergent re-exploration due to vascular crisis, and 3 cases of flap failure characterized by more than 50% necrosis of the flap. The survival rate was 98.1 % (151/154). In small flaps, an average of 1.01 afferent arteries and 1.05 efferent veins were microanastomosed, and in large flaps, an average of 1.88 afferent arteries and 2.19 efferent veins were anastomosed. In 8 cases where innervated flaps were used for reconstructing the palm of the hand, the average static two-point discrimination was $10\;(8{\sim}15)\;mm$. In 12 cases where tenocutaneous flaps were used, active range of motion at the proximal interphalangeal joint was 60 degrees, 20 degrees at the distal interphalangeal joint, and 75 degrees at the metacarpophalangeal joint. Conclusion: We conclude that the arterialized venous flap is a valuable and effective tool in the reconstruction of hand injuries, and could have a more comprehensive set of indications.

  • PDF

Effect of taping therapy on the pain and muscle activity of the back pain

  • Shin, Dong-min;Kim, Keun-Hee;Cho, Byung-Jun
    • Journal of the Korea Society of Computer and Information
    • /
    • v.23 no.6
    • /
    • pp.43-49
    • /
    • 2018
  • In this paper, we propose a taping therapy as effective intervention for patients with the back pain. The purpose of this study is to investigate the effects of taping intervention on the VAS evaluated score and he muscular activation degree among 119 paramedics with musculoskeletal injury. In order to achieve the purpose of the study, data was collected from 15 paramediecs in the paramedics department of 3 fire stations under J city's fire defense headquarters. The following results can be obtained by measuring the subjective, the back muscle strength and the buckling-anteflexion before and after the taping for 15 119 paramedics. Through the verification experiment of taping effect to paramedics during the stretcher lifting in this study the VAS evaluated score for the backache are $1.67{\pm}0.62$ before and $0.80{\pm}0.68$ after the application of taping which show statistically significant decrease(p<0.05). In the experimentof joint operation range the measured buckling anteflexion length are $14.62cm{\pm}4.89$ before and $16.41cm{\pm}4.11cm$ after the application of taping which show statistically meaningful difference(p<0.05). In the comparison of muscle activity about paramedics erector spinae(ES) shows the meaningful decrease and external obliques(EO) displays the significant increase. Erector spinae(ES) and internal obliques(IO) show the increasing trend in the muscle activity although they are not significant. the muscle activity for the erector spinae is lowered so that the contribution to the force required for the extensor during the stretcher lifting is resultingly reduced to have the effects of enhancing the activity of abdominal muscles.

Effects of Bee Venom and Cervi Cornu Parvum Pharmacoacupuncture in Monosodium Iodoacetate(MIA)-Induced Osteoarthritis Rat (봉독약침과 녹용약침이 MIA 유도 골관절염 흰쥐에 미치는 영향)

  • Kim, Whan-Young;Choi, Jin-Bong
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.20 no.1
    • /
    • pp.61-77
    • /
    • 2010
  • Objectives : The purpose of this study was to investigate the effects of Bee Venom (BV) and Cervi Cornu Parvum pharmacoacupuncture (CC) in monosodium iodide induced arthritis rats. Methods : The subjects were divided into 5 groups ; Normal, Control (no treatment after MIA), BV (Bee Venom pharmacoacupuncture $100{\mu}{\ell}$ daily at Dokbi (ST35) after inducing MIA), CC (Cervi Cornu Parvum pharmacoacupuncture $100{\mu}{\ell}$ dailyat Dokbi (ST35) after inducing MIA) and BV+CC (Bee Venom pharmacoacupuncture and Cervi Cornu Parvum pharmacoacupuncture $100{\mu}{\ell}$daily at Dokbi (ST35) after inducing MIA). After each operation, the present author observed the motor behavior recovery, hematological (Prostaglandin E2, AST, ALT), histological and immunological changes. Rats were tested at the 7th, 14th and 21st day. Results : Results are as follows. 1. All the experimental groups were improved compared with control group in plantar test. 2. All the experimental groups were improved compared with control group in touch test for sensory evaluator. 3. All the experimental groups were significantly decreased compared with control group in prostaglandin E2. 4. In histological observations, knee joint in all the experimental groups were improved compared with control group. 5. In immunological observations, all the experimental groups were significantly decreased compared with control group in COX-1, 2. Conclusions : It can be suggested that Bee venom and Cervi Cornu Parvum pharmacoacupuncture may improve motor behavior, hematological, histological and immunological findings in MIA-induced osetoarthritis rats. Especially, combination of these two treatments will be somewhat better in osteoarthritis recovery and motor function improvement.

Demand Surveys for Big Research Facilities and Equipments to Advance National S&T Research Infrastructure (과학기술 하부구조 선진화를 위한 대형 연구장비의 수요 조사)

  • 권용수;민철구
    • Proceedings of the Technology Innovation Conference
    • /
    • 1997.12a
    • /
    • pp.159-176
    • /
    • 1997
  • This paper deals with demand surveys for big science and technology research facilities and equipments to advance national S'||'&'||'T research infrastructure. We perform surveys thrice based on applied Delphi method on the future demand of big S'||'&'||'T research facilities and equipments among Korean scientists and engineers. We employ the concept of big S'||'&'||'T research facilities and equipments as follows: \circled1 The operating size of it is equivalent to that of an institute or research center, and/or \circled2 The users in various disciplines are many, and/or \circled3 The application areas or spill-over effects are large, and/or \circled4 The scale and scope of research objects is equivalent to that of mega science area such as earth.oceanography.space, and/or \circled5 The expenses for installing and operating it are to be supported by government, and/or \circled5 The facilities are expected as necessary for international joint research, and/or \circled7 It is necessary for promoting creative basic science and developing creative technology. We ask the respondents to answer the following questionnaire: - How to prioritize the equipments according to the degree of importance\ulcorner $\square$ Promotion of basic science and mega science, the development of the technologies to enhance the public welfare, the competitiveness of industrial technologies, the job creation for the S'||'&'||'T personnel, and international cooperation. - Who should be in charge of acquisition and operation of the equipments\ulcorner $\square$ Industry, Government Research Institutes, Academy, ERC and SRC. - When shall we acquire the equipment\ulcorner $\square$ Within 2000, 2002, 2007, 2012, and 2017. - How shall we acquire the equipments\ulcorner $\square$ International Joint Development, Domestic Development, Acquisition from Overseas, - How much will the equipment generate spill-over effects to national competitiveness\ulcorner $\square$ Promotion of basic science, contribution to the economy, supply of S'||'&'||'T personnel, and international cooperation. We suggest the following equipments as prioritized candidates after consulting the officers from MOST, MOE, MIC, MOEN and experts from KBSI and STEPI:(table omitted) where, #1, Korea Advanced Liquid Metal Reactor, #2. 800 MHz Superconduction Fourier-Transform Nuclear Magnetic Resonance Spectrometer, #3. Ion Accelerator, #4. Seismic Test Facility, #5. Transonic Wind Tunnel, #6. Radio Telescope for Very Long Baseline Interferometer, #7. 3000t Universal(or Large Structure) Testing Machine, #8. Compost Facility or Plasma Pyrolysis Facility.

  • PDF

Results of Arthroscopic inside to Out Repair of Meniscus Tear (반월상연골 파열에 대한 관절경적 inside to out 봉합술의 결과)

  • Kim, Bo-Hyun;Hwang, In-Sung;Yun, Tae-Bong;Byun, Jae-Yong
    • Journal of the Korean Arthroscopy Society
    • /
    • v.8 no.1
    • /
    • pp.1-8
    • /
    • 2004
  • Purpose: This study examined clinical cure and patients' satisfaction degrees by factors influencing surgical operation results, after arthroscopic inside to out repair as a nonabsorbable suture material, in case of meniscal rupture. Materials and Methods: Materials were 110 cases of 95 patients who could make paces for over 12 months from August 1999 to June 2002. Results were evaluated by clinical cure and subjective satisfaction degrees. This study, concerning those results, analyzed age, term from taking pictures to taking surgical operation, rupture section, rupture length, rupture types, lesion of articular-cartilage, and effects of anterior cruciate ligament operation accompanied. Results: 84 cases(76%) were clinically cured, 98 cases(89%) were subjectively satisfied. In case of accompanying anterior cruciate ligament rupture, and in case that rupture length was below 2 cm, rates of clinical cure and patients subjective satisfaction were significantly high. In case of complex or degenerative rupture, patients satisfaction rates were higher when comparing with clinical cure rates. Conclusion: Various sutures are possible as well as available in case of arthroscopic meniscal inside to out repair using nonabsorbable suture material. It can be concluded that patients age is not absolte consideration in determining the suture of meniscus. In cases of complex rupture, degenerative rupture, ruptures companied by joint-cartilage injuries, considerate consideratin need be paid to choose patients and operations.

  • PDF