• Title/Summary/Keyword: Hip function

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Usability Evaluation through Gonad Shielding Production of Pediatric Patients by Gender and Age Rating (소아 환자의 성별과 연령별 생식선 차폐체 제작을 통한 유용성 평가)

  • CHOI, Sung-Hyun;PARK, Jung-Eun;Dong, Kyung-Rae;Chung, Woon-Kwan;Ju, Yong-Jin;Yang, Nam-Hee
    • Journal of Radiation Industry
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    • v.9 no.2
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    • pp.69-75
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    • 2015
  • Purpose: The gonad shielding is used to minimize the impact of the exposure to gonads when Abdomen, Pevis and Hip X-ray inspections are conducted on radiation impressionable pediatric patients. By the way, the gonad is palpable difficult and impossible to check visually because it's a sensitive area, so tests are conducted with the approximate location of shielding, thereby appearing problems of not shielding gonads accurately. Accordingly, this study produced shields by age and gender of pediatric patients and studied the method of positioning shields with ASIS as a reference point without palpable sensitive areas, and tried to evaluate its usability. Materials and methods: The study surveyed 30 pediatric patients by gender and age, who came and got inspected in Department of Radiology, our hospital from February 2012 to January 2014 and obtained the value of tolerance by measuring the average size of the pelvis using the distance measurement function of Infinitt Piview with the images stored in the PACS and producing shields by age and gender of pediatric patients and specifying the areas at random for the comparative analysis of pre- and post-using. It calculated the technology statistics($mean{\pm}SD$) with the value of tolerance measured the length using SPSS 12.0 statistical program. Results: As for boys, differences in the tolerance range of pre- and post-using shields were 2.69 mm in case of 1 year old, 2.58 mm in 2 years, 2.37 mm in 3 years, 2.815 mm in 4~5 years, 2.043 mm in 7~10 years, and as for girls, 1.92 mm in 1~2 years, 1.75 mm in 3~4 years, 2.52 mm in 5~6 years and 1.93 mm in 7~10. After analyzing the pre- and post-using shields for all of boys and girls, there were statistically significant differences(P<0.050). Conclusions: It is considered that we can minimize the exposure to gonads and get a better video for diagnosis in testing high biological impressionable pediatric, if we use shields correctly with ASIS as a reference point considering its shape and size by age and gender in Abdomen, Pevis and Hip X-ray inspections.

Analysis of the risk factors of acute kidney injury after total hip or knee replacement surgery

  • Lee, Yoo Jin;Park, Bong Soo;Park, Sihyung;Park, Jin Han;Kim, Il Hwan;Ko, Junghae;Kim, Yang Wook
    • Journal of Yeungnam Medical Science
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    • v.38 no.2
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    • pp.136-141
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    • 2021
  • Background: Postoperative acute kidney injury (AKI), which increases the risk of postoperative morbidity and mortality, poses a major concern to surgeons. We conducted this study to analyze the risk factors associated with the occurrence of AKI after orthopedic surgery. Methods: This was a retrospective study that included 351 patients who underwent total hip or knee replacement surgery at Inje University Haeundae Paik Hospital between January 2012 and December 2016. Results: AKI occurred in 13 (3.7%) of the 351 patients. The patients' preoperative estimated glomerular filtration rate (eGFR) was 66.66 ±34.02 mL/min/1.73 m2 in the AKI group and 78.07±21.23 mL/min/1.73 m2 in the non-AKI group. The hemoglobin levels were 11.21±1.65 g/dL in the AKI group and 12.39±1.52 g/dL in the non-AKI group. Hemoglobin level was related to increased risk of AKI (odds ratio [OR], 0.13; 95% confidence interval [CI], 0.02-0.68; p=0.016). Administration of crystalloid or colloid fluid alone and the perioperative amount of fluid did not show any significant relationship with AKI. Further analysis of the changes in eGFR was performed using a cutoff value of 7.54. The changes in eGFR were significantly related to decreased risk of AKI (OR, 0.74; 95% CI, 0.61-0.89; p=0.002). Conclusion: Renal function should be monitored closely after orthopedic surgery if patients have chronic kidney disease and low hemoglobin level. Predicting the likelihood of AKI occurrence, early treatment of high-risk patients, and monitoring perioperative laboratory test results, including eGFR, will help improve patient prognosis.

A Study on the Analysis of Physical Function in Adults with Sarcopenia (근감소증 성인의 신체 기능 분석)

  • Kim, Myungchul;Kim, Haein;Park, Sangwoong;Cho, Ilhoon;Yu, Wonjong
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.199-209
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    • 2020
  • Purpose : This study used a sarcopenia diagnostic algorithm proposed by the Asia working group in adults over 50 to diagnose sarcopenia and analyze body function. The purpose of this study is to prepare basic data for the management and prevention of sarcopenia. Methods : We performed a diagnostic evaluation of sarcopenia in 97 adults over the age of 50 years with the cooperation of the Seongnam senior experience complex in Seongnam-si, Gyeonggi-do. As a result of the diagnostic process, 24 subjects were placed into the sarcopenia group, while 73 subjects were placed into the normal group. We measured each subject's body, performed the timed up and go test to evaluate functional mobility, and conducted a questionnaire on the pre-symptom of locomotive syndrome and locomotive syndrome. Results : There were statistically significant differences in height, weight, and skeletal muscle mass between the two groups. There was also a statistically significant difference in the timed up and go test, which confirmed the difference in functional mobility between the two groups. In addition, there was a statistically significant difference between the two groups in the proportion and the mean score of subjects with pre-symptom of locomotive syndrome and locomotive syndrome. In the correlation analysis, grip strength was statistically significantly correlated with height, weight, skeletal muscle mass, waist circumference, timed up and go test, pre-symptom of locomotive syndrome and locomotive syndrome. Gait speed was significantly correlated with the timed up and go test and locomotive syndrome. Appendicular skeletal muscle index was significantly correlated with height, weight, waist circumference, hip circumference, and the pre-symptom of locomotive syndrome. Conclusion : In conclusion, sarcopenia is closely related to height, weight, skeletal muscle mass and functional mobility, as well as the pre-symptom of locomotive syndrome and, locomotive syndrome. In consideration of this, the prevention and management of sarcopenia should be made accordingly.

Relations among Nutrient Intake, Body Image Satisfaction, and Physical Fitness of College Students in Taegu (대구지역 대학생의 영양섭취상태, 체형만족도, 체력상태 및 그 관련성)

  • 최미자;류숙희;김기진
    • Journal of the East Asian Society of Dietary Life
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    • v.9 no.3
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    • pp.325-335
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    • 1999
  • The aim of the present study was to evaluate the relations among nutrient intake. self body image and satisfaction, and physical fitness of college students in Taegu. A total of 213 apparently healthy college students living in Taegu were selected for the study. The following anthropometric measurements were made on all participants : weight, height: waist and hip circumferences, and bioimpedence. Using weight and height, the body mass index (kg/$m^2$) was calculated. The 24-hour recall were obtained from subjects. Dietary habits and energy expenditure were examined through questionnaires. Nutrients intake were analyzed by computer aided nutritional analysis program. Variables of Physical fitness were consisted of body fat, muscular strength and endurance, agility. power, flexibility, cardiorespiratory function, physical efficiency index(PEI). Data were analyzed by computer using the SAS 6.12(Statistical Analysis System). The mean heights and weights of these students were similar to those reported for the 50th percentile in a national survey. Nutrient intake of the college students in Taegu was considerably lower than RDA. The male subjects' mean intake of two nutrients, vitamin B$_2$ and calcium, were less than 55% of the RDAs. the female subjects' mean intake of two nutrients, iron and calcium, were less than 55% of the RDAs. A most variables of physical fitness except sit and reach in male students showed a significant higher values than those of female students. There was a significant positive relationship between PEI and the intake of animal protein, fat, Ca. and B$_2$ in male students. Also there was a significant positive relationship between exercise duration of PWC 170 and protein, fat, iron, vitamin A, B$_2$, niacin, and energy intake in female students. The muscular strength showed the significant correlation with weight, height, and waist circumference in male and female students. The cardiorespiratory function and Physical efficiency index showed significantly negative correlation with tricep and subscapular skin thickness in the female students. There were significantly positive correlations between WHR and body efficiency index in male students, and significantly positive correlations between WHR and the cardiorespiratory function in female students. There was no significant level of correlation between the degree of satisfaction of body image and physical efficiency index. However. there was a significant positive correlation between waist circumference (and weight) and physical efficiency index in male and female students and almost all of the surveyed male and female college students wanted less waist circumference or weight even though they were in the criteria of standard waist circumference or weight. In conclusion, a beneficial effect of adequate nutrient intake on physical fitness was found, college students must increase their energy and nutrient intake if it is below than the RDA for improving their physical fitness.

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Slipped Capital Femoral Epiphysis(SCFE) (대퇴골두 골단분리증의 치험례)

  • Dan, Jin-Myoung;Kim, Se-Dong
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.245-261
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    • 1997
  • Slipped capital femoral epiphysis(SCFE) is a disorder in which there is a gradual or acute disruption through the capital physeal plate. The physiolysis is through a widened zone of hypertrophy, which is weakened due to altered chondrocytic maturation and endochondral ossification. The cause or causes of SCFE remain uncertain. The association of obesity and adolescent age with growth rate are predisposing factors. The possibility that most patients with subclinical hormonal abnormality were proved. The goal of treatment of slipped capital femoral epiphysis is to restore the function of the hip and delay the development of degenerative osteoarthrosis by prevention of additional displacement of the epiphysis. We report 10 patients(12hips) with SCFE who were treated by surgical means and followed along for more than one year, at Yeungnam University Hospital, from 1989 to 1996. There were six boys and four girls. The average age at operation was 11.8 years. Seven cases occurred in the left hip, one case in the right and 2 cases had bilateral involvement, five cases had a history of minor trauma on affected hip. Among hormonally studied six patients, panhypopituitarism patient was one case; decreased testosterone, two; decreased growth hormone, two; and decreased thyroid hormone, one. According to clinical stage, two cases were the acute type; five cases, acute on chronic type; and three cases, chronic type. On the radiological grades of slipping, mild slippage were nine hips; moderate, one; and severe, two. The eleven hips were treated by pin fixation in situ, and one, by cuneiform osteotomy. On the average follow-up of 2.6 years, ten hips were excellent or good functional results, two hips were failure.

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The Effects of Global Synkinesis Level on Gait Ability in Post-Stroke Hemiplegic Patients (뇌졸중 후 편마비 환자의 Global Synkinesis 수준이 보행능력에 미치는 영향)

  • Lim, Jae-Heon;Lim, Young-Eun;Kim, Su-Hyon;Park, Kyeong-Soon;Kim, Tae-Youl
    • The Journal of Korean Physical Therapy
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    • v.20 no.3
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    • pp.9-18
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    • 2008
  • Purpose: We determined the effect of global synkinesis(GS) on gait ability, muscle contraction, and central neuron action potentials in post-stroke hemiplegic subjects. Methods: Thirty hemiplegia patients were evaluated for walking ability, muscle contraction, central neuron action potential, and comparing differences between the H-GS(high-global synkinesis) group and L-GS(low-global synkinesis) group. To obtain the GS level, surface electromyography(EMG) data were digitized and processed to root mean square(RMS). Walking ability was tested with a modified motor assessment scale(MMAS), a 10 m walking test, timed up and go(TUG) test, and a Fugl-Meyer assessment(FMA). Muscle contraction ability was measured as maximal isometric contraction(MIC) peak, MIC slope, and MIC ramp up using mechanomyography(MMG). Central neuron action potential was measured as the H/Mmax ratio or V/Mmax ratio using EMG. The data were analyzed with t-tests to determine the statistical significance. Results: MMAS(p<0.01), 10 m walking velocity(p<0.01), TUG(p<0.01), FMA-HKA(Hip, Knee, Ankle)(p<0.05), FMA-coordination(p<0.05), MIC peak (p<0.05), MIC slope(p<0.01), and MIC ramp up(p<0.05) were significantly different between H-GS and L-GS, as was the V/Mmax ratio(p<0.05), but H/Mmax was not. Conclusion: Lower GS levels indicated better walking ability and motor function. Therefore, intervention programs should consider GS levels in gait training of chronic hemiplegia.

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Methods of Merging a 3D Replica and Ease Distribution for Woman's Pant Patterns (여성용 바지 패턴 설계를 위한 3차원 밀착 패턴 여유량 부가와 레플리카 조합 방법)

  • Wu, Yanjun;Hong, Kyung-Hi
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.4
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    • pp.443-455
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    • 2012
  • In this research, a woman matched to the average Korean standard size specification of 21-24 years of age was scanned using Cyberware. Rapidform 2004 was used to separate the body zone into fit zone, action zone and design zone, depending on the function of the lower body. Each divided body zone expanded radially using 'offset' by 1.60mm at the cross section of the waist, and 6.36mm at the hip level. Resultant ease values were 1cm and 4cm along the waistline and hipline (respectively), as recommended in previous research. 2C-AN program and Yuka CAD was used to develop a pant pattern from the enlarged 3D body surface blocks. A total of five pants were constructed using conventional fabrics for light weight formal pants. The appearance of the experimental pants were evaluated by five clothing-major evaluators using a questionnaire that consisted of 21 questions. In addition, functional aspects of the experimental pants were also evaluated by wearer while performing five postures for the measurement of ease of movement. It was found that, the method of regional offset and suggested 3D to 2D pattern development generate reasonably good pant patterns. Among the pattern block arrangements, the method B was evaluated as the best way to generate formal pants from the tight-fit pattern, which fit smoothly over the lower body for maintaining ease of movement.

The Effects of Tai Chi for Arthritis on Chronic Arthritic Pain of Senior Female : A Pilot Study (만성 관절 통증 여성 노인환자에 있어 관절염 태극권의 효과에 대한 pilot study)

  • Hwang, Eui-Hyoung;Kim, Jung-Hwan;Jang, In-Soo;Yang, Chang-Sop;Kang, Jun-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.1
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    • pp.79-90
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    • 2010
  • Objectives : Tai Chi for arthritis was developed in 1997 by Paul Lam, M.D. of family medicine in Australia. It is an exercise treatment program and a good approaching method for arthritis. However its application is limited to arthritis of knee joint only. Even there have been no clinical study in korean traditional medical society. The aim of this study is to investigate effect of the Tai Chi for arthritis on chronic pain of body. Methods : We designed this trial as objectives were (1) senior female over 60 years, (2) suffering for osteoarthritis and chronic body pain, (3) have no physical or mental dysfunctions (4) able to walk and exercise alone. Objectives mactched these criteria had been trained the Tai Chi for arthritis 2 hours a day for 21 weeks. Before and after training, pain of 8 joints (neck, shoulder, elbow, wrist, waist, hip, knee, ankle) were estimated with the VAS(Visual Analog Scale). Results : Training the Tai Chi for arthritis relieved multiple joint pain(especially neck, lower back, shoulder, wrist and knee) and these were statistically significant. Conclusions : This study is a pilot study to investigate effect of the Tai Chi for arthritis on chronic pain of whole body. Absence of control group, and other scale to test joint function except VAS were limitations of this study. It is the first clinical approach about Tai Chi in korean medicine field, also the first study of Tai Chi for pain of the whole body.

An Intraosseous Schwannoma Combined with a Subchondral Fracture of the Femoral Head: a Case Report and Literature Review

  • Kim, Hyun Young;Ryu, Kyung Nam;Park, Yong Koo;Han, Jung Soo;Park, Ji Seon
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.3
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    • pp.177-182
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    • 2017
  • Schwannomas are benign nerve sheath tumors that are typically located in soft tissue. Occasionally, schwannomas involve osseous structures. These intraosseous schwannomas are generally benign neoplasms that account for less than 0.2% of primary bone tumors. Schwannomas are very rarely observed in long bones. We present a case of a schwannoma affecting the proximal femur with a coincident subchondral fracture of the femoral head. A 38-year-old-male presented with left hip pain without deteriorating locomotor function. Plain film radiographs displayed a lobulating contoured lesion within the intertrochanteric portion of the femur. The magnetic resonance imaging (MRI) scans showed a tumor occupying the intertrochanteric region. Diffuse bone marrow edema, especially in the subchondral and head portions of the femur that was possibly due to the subchondral insufficiency fracture was also noted. The lesion was surgically excised and bone grafting was performed. Histologically, there was diffuse infiltrative growth of the elongated, wavy, and tapered cells with collagen fibers, which are findings that are characteristic of intraosseous schwannoma. Although very rare, intraosseous schwannoma should be included in the differential diagnosis of radiographically benign-appearing, non-aggressive lesions arising in the femur. The concomitant subchondral fracture of the femoral head confounded the correct diagnosis of intraosseous schwannoma in this case.

A study on the processing for producing remedy sheets taking advantage of natural mineral resources (천연원료를 이용한 치료시트 제조에 관한 연구)

  • Kim eon-won;Choi Jung Sang
    • Proceedings of the Society of Korea Industrial and System Engineering Conference
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    • 2002.05a
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    • pp.243-257
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    • 2002
  • A study on processing for producing cure seat radiated by Original Infrared Rays and Magnatic force. We are well aware that Original Infrared Rays and Magnatic force influence on our human body benificially. In the technical background of this research product, we treated that the product has some operations of ceramic hardwood charcoal, far infrared rays and magnetic, so it can serve large part curative values made of far infrared rays and magnetic force of ceramics. Also, in the special quality of the product deal with ceramic, hard charcoal, ferrite, gelatin what is needed in production. And among them, ferrite, ceramic and hard charcoal are introduced by the manufacturing process of the moleculeization. In concluding, this study described the manufacturing process on the basis of the worksheets and arranged the useful effect which effect on human body. There are so many symptoms in the pain of muscle. It's very various. for example, it is the cause of the liver, the spleen and a kidney function's weakening. the cause of the backbone subluxation, the cause of the shoulder joint and scapula, the cause of the sacrum and iliacjoint, the cause of hip joint and the cause of a sprain. In this thesis, we mainly deal with the method which the muscle and nervous system disease by fatigue and a sprain cure seat radiated by Original Infrared Rays and Magnatic force. then, Original Infrared Rays and Magnatic force pack up frapezius muscle, gluteus minimum muscle, gluteus medius muscle, gluteus maximus muscle, pririformis muscle around the spine. through this course the moral pressure by the nervous system disease can be treat.

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