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Effects of Joint Position on the Distraction Distance in Patients with Adhesive Capsulitis of Glenohumeral Joint

  • Park, Sam Sik;Kim, Ki Do;Hwang, Yong Pil;Moon, Ok Kon;Kim, Bo Kyung;Choi, Wan Suk
    • Journal of International Academy of Physical Therapy Research
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    • v.6 no.1
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    • pp.824-827
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    • 2015
  • The purpose of this study was to investigate the effects of joint position on the distraction distance in patients with adhesive capsulitis of glenohumeral joint. The study was conducted upon 20 adults in their 40's with the findings of adhesive capsulitis of glenohumeral joint. These subjects were subdivided into 3 groups, which were a group with neutral position(n=7), second group with resting position(n=7) and third group with end-range position(n=6). After having the subject wearing sleeveless shirts exposing armpit and lying straight on the plinth, a physical therapist with OMT qualification pulled glenohumeral joint at the Grade III of Kaltenborn-Evjenth traction; and the distance between glenoid fossa and humeral head was measured with ultrasound. Following the application of traction, the group with resting position($.67{\pm}0.29$) exhibited the longest distance between humeral head and glenoid fossa, and it was followed by neutral position($.50{\pm}0.25$) and end-range position($.35{\pm}.21$) in this order. From the comparison of these groups, there was no significant difference in distraction distance between resting position and neutral position; and there was again no significant difference in distraction distance between end-range position and neutral position. However, there was a significant difference in distraction distance between end-range position and resting position(p<.05). Upon application of the Grade III of Kaltenborn-Evjenth traction, it was evident that the distance between humeral head and glenoid fossa can be varied depending on the location of the joint.

An Authentication Protocol-based Multi-Layer Clustering for Mobile Ad Hoc Networks (이동 Ad Hoc 망을 위한 다중 계층 클러스터링 기반의 인증 프로토콜)

  • Lee Keun-Ho;Han Sang-Bum;Suh Heyi-Sook;Lee Sang-Keun;Hwang Chong-Sun
    • Journal of KIISE:Information Networking
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    • v.33 no.4
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    • pp.310-323
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    • 2006
  • In this paper, we describe a secure cluster-routing protocol based on a multi-layer scheme in ad hoc networks. We propose efficient protocols, Authentication based on Multi-layer Clustering for Ad hoc Networks (AMCAN), for detailed security threats against ad hoc routing protocols using the selection of the cluster head (CH) and control cluster head (CCH) using a modification of cluster-based routing ARCH and DMAC. This protocol provides scalability of Shadow Key using threshold authentication scheme in ad hoc networks. The proposed protocol comprises an end-to-end authentication protocol that relies on mutual trust between nodes in other clusters. This scheme takes advantage of Shadow Key using threshold authentication key configuration in large ad hoc networks. In experiments, we show security threats against multilayer routing scheme, thereby successfully including, establishment of secure channels, the detection of reply attacks, mutual end-to-end authentication, prevention of node identity fabrication, and the secure distribution of provisional session keys using threshold key configuration.

Tracheal Stenosis by Extraluminal Compression (외인성 기관협착)

  • Choi, Jong-Ouck;Kim, Yong-Whoan;Park, Jung-Soo;Jung, Kwang-Yoon;Min, Hun-Ki;Choi, Geon
    • Korean Journal of Bronchoesophagology
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    • v.2 no.1
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    • pp.57-62
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    • 1996
  • Tracheal stenosis can be classified into intrinsic stenosis secondary to tracheal inflammatory lesion or mass effect and extrinsic stenosis secondary tumors of thyroid, esophagus and mediastinum. Extrinsic stenosis which is frequently encountered in clinical setting could be often overlooked due to mild symptom. Recently, even with the increasing interest in extrinsic tracheal stenosis there are limitation in it's diagnosis and treatment. The purpose of this study is to provide guidance in the diagnosis and treaonent of extrinsic tracheal stenosis. Here, we report the etiology, symptoms, radiologic findings, pulmonary fuction finding, treatment and its results in 26 cases of extrinsic tracheal stenosis. Causes of extrinsic tracheal stenosis included compression of aiway by thyroid benign tumor in 13 cases to be the most common, next by thyroid malignancy in 9 cases, metastatic mediastinal turner in 2 cases, 1 case each for esophageal cancer and parathyroid cancer. In 3 cases simple tracheal resection and end to end anastomosis were done, 1 cases underwent total laryngectomy, and 8 cases were treated by conservative management, where all cases failed in treatment. The remaining 14 cases were successfully treated by removing the causes and maintaining tracheal tube insertion for amount of time. Extrinsic tracheal stenosis due to benign conditions were treated satisfactorily by removing mass, however with the malignant causes there was considerable amount of difficulty in treatment.

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Design and Performance Test of High-speed Swivel Tool Head (고속 회전형 공구헤드의 설계 및 성능시험)

  • Kim, In-Hwan;Koo, Ja-Ham;Hur, Nam-Soo
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.13 no.5
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    • pp.57-63
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    • 2014
  • At present, a high-speed swivel tool head of a small size is required to improve the productivity of CNC automatic lathes. Hence, there is growing interest in shorter machining times with higher cutting speeds. However, an increase in the rotation speed of a swivel tool head also has adverse effects, such as vibration and noise caused by the swivel tool head system. In this work, the fatigue life and contact pressure of a swivel tool head bearing system driven by gears were calculated. Based on the calculated results, a prototype swivel tool head was manufactured and its static and dynamic characteristics, i.e., the vibration, noise and precision, were measured using a reliability testing device which allows the application of cutting force to the end of the swivel tool head.

Correlation Analysis between Wheelchair Multi-layer Headrest Foam Properties and Injury Index (Wheelchair Multi-layer headrest foam 특성과 상해지수간 상관관계 분석)

  • Sungwook Cho;Seungmin Ji;Seong S. Cheon
    • Composites Research
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    • v.36 no.4
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    • pp.253-258
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    • 2023
  • Although the development of transportation means has realized the right to mobility for the disabled who have difficulty in moving, it can be said that the improvement of the safety of passengers with disabilities that can occur in a car accident is lower than that of ordinary passenger seats. In particular, in the case of a rear-end collision that can occur suddenly, it is a reality that disabled passengers are vulnerable to head and neck injuries. Therefore, in this study, a multi-layer headrest foam that divides the headrest into three parts in the coronal plane was proposed to improve the head and neck injury index of disabled passengers in the vehicle in the event of a rear-end collision of a wheelchair transport vehicle. A range of stress scale factors was selected to give various compressive characteristics of the foam through low-speed rear-end collision analysis through a simple model, and GA optimization was performed by specifying the range as a parameter. Through the optimization result, the phase relationship between HIC and NIC was analyzed according to the compression characteristics of the layers. HIC responded most sensitively to the compression characteristics of the front layer and NIC responded to the compression characteristics of the mid layer, and the compression characteristics of the rear layer showed the lowest. A normal headrest and an optimized multi-layer headrest were placed in the validation model to analyze the low-speed rear-end collision sled test, and HIC and NIC were derived lower in the multi-layer headrest than in the general headrest. The compression behavior of the multi-layer headrest was also clearly shown, and it was verified that the multi-layer headrest was effective in improving the injury index of the head and neck compared to the general headrest.

Evaluation of Quality of Life in Turkish Patients with Head and Neck Cancer

  • Akkas, Ebru Atasever;Yucel, Birsen;Kilickap, Saadettin;Altuntas, Emine Elif
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4805-4809
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    • 2013
  • Background: In this study, our aim was to investigate the effect of factors, such as radiotherapy, the dose of radiotherapy, the region of radiotherapy, the age of the patient, performance, co-morbidity, the stage of the disease and the therapy modalities on the quality of life of patients with head and neck cancer. Materials and Methods: Eighty-two patients who were treated by either chemoradiotherapy or radiotherapy, at the Cumhuriyet University Faculty of Medicine, Department of Radiation Oncology, between February 2007 and September 2010, for head and neck cancer were included. The quality of life European Organisation for Research and Treatment of Cancer, Questionnaire module to be used in Quality of Life assessments in Head and Neck Cancer (EORTC QLQ-H&N35) questionnaire was conducted in all patients before starting the radiotherapy, in the middle, at the end, at 1 month and at 6 months after the treatment. Results: According to the questionnaires at the end and at the $6^{th}$ month after the radiotherapy, it was found that the age of the patient, co-morbidity, ECOG performance state, localization, type of treatment, the stage of the disease, the dose and the region of radiotherapy affect some of the symptom scales for quality of life. Conclusions: Quality of life was affected negatively during and after the radiotherapy. However, in the $6^{th}$ month after the therapy, a significant improvement was observed in most symptoms.

A Case of Functional Recovery of the Postoperative Bilateral Vocal Cord Paralysis in Papillary Thyroid Carcinoma with Rt. Recurrent Laryngeal Nerve Invasion (우측 반회후두신경을 침범한 갑상선 유두상암 환자의 수술 후 발생한 양측 성대 마비의 회복 1예)

  • Mun, Mi Jin;Wang, Soo Geun;Lee, Yoon Se;Lim, Yun-Sung;Lee, Jin Chun;Kang, Yang Ho;Son, Seok Man;Kim, In Joo
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.53-56
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    • 2011
  • Vocal cord paralysis (VCP) is a common complication after thyroidectomy despite the continuity of the recurrent laryngeal nerve (RLN) is preserved. Much efforts have been made into preventing VCP, but few of them focuses on the treatment strategies and prognosis after VCP take place. In this case, patient visited the clinic for papillary thyroid cancer in Rt. thyroid gland without VCP. She underwent total thyroidectomy with central neck dissection. During dissection, Rt main mass was encircling Rt. RLN. To make matters worse, Lt. RLN was severed due to tight attachment with Berry's ligament. After that, intratumoural dissection of Rt. RLN and end to end anastomosis of Lt. RLN were performed with microscopy to preserve the functions of RLNs as much as possible, otherwise permanent bilateral VCPs were inevitable. We report this case, since both vocal cords recovered from VCPs with symmetric, synchronous movements at postoperative follow up.

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A Study on Influence of the Impact Direction on the Neck Injury during Low Speed Rear Impacts (저속 추돌시 충돌방향에 따른 목상해 해석)

  • Jo, Hui-Chang;Kim, Young-Eun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.15 no.2
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    • pp.135-142
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    • 2007
  • MADYMO human model with the detail neck was used to investigate the reaction force of neck and neck injury from rear impact directions. In the validation simulation, head acceleration, thorax acceleration and the global kinematics of the head and neck were correlated well with experimental data. Acceleration data from three 15 km/h low speed car rear impact pendulum tests(rear-end, offset, oblique) were used to simulate the model. In the simulation results, the reaction force on the facet joint and discs in the oblique rear impact were higher than rear-end, offset rear impacts. Further research is still needed in order to neck injury analysis about different crash parameters.