Purpose: To report our experience with nine cases of pathologic synovial plica on radiohumeral joint which symptom of painful snapping elbow was improved by arthroscopic resection. Materials and Methods: Between 1999 and 2004, 43 cases of elbow arthroscopy were performed by one surgeon. Eight patients with nine cases showed pathologic synovial plica in conjunction with snapping or posterolateral elbow pain. The mean age of eight patients (man: 7, woman: 1) was 29 years (range $16{\sim}56$ years). All patients had a trial of conservative treatment at least six months (range $6{\sim}16$ months). The diagnosis was confirmed before surgery in six cases and at the time of surgery in three cases. Pain, snapping, and subjective results were evaluated at least 12 months in the average(range $12{\sim}24$). Results: All patients showed a hypertropic lateral synovial plica with local synovitis. Seven of them had an associated lesion of chondromalacia on radial head. One of them was associated with radiocapitellar arthritis and had a wrapping over the radial head. Six patients experienced improved posterolateral pain at the end of study (VAS<1). However, the other two patients had occasional pain with activity. One of them persisted with mechanical symptoms, which was treated with additional arthroscopic procedure. Conclusion: Synovial plica in elbow should be considered as an important entity of common elbow disease, especially when pain in the lateral aspect of the elbow with a snapping sensation during motion is featured in patients. The arthroscopic resection seems to be safe and efficient in the short and long term treatment of plica in the elbow joint.
Purpose: To investigate the arthroscopic findings, and to evaluate the clinical outcomes of the treatment of posterior internal impingement of the shoulder in baseball players. Materials and Methods: We followed up 5 cases who were diagnosed as posterior internal impingement for the mean 15 months. All of the cases complained of the pain in the posterior shoulder at late cocking, and were positive in the relocation test added by hyper-horizontal abduction at $120^{\circ}$ abduction of the arm. We sutured posterior labral tear and SLAP lesion arthroscopically, and conducted debridement for rotator cuff. Three cases were performed of anterior capsular plication and the other two were performed of thermal capsular shrinkage. Pain, range of motion, and level of return to sports activity were assessed for the results. Results: As to the arthroscopic findings, all the five cases showed the fraying in posterosuperior labrum, and two of them was accompanied with the flap tear in posterosuperior labrum and the other one was accompanied with type 2 SLAP lesion. All the cases showed the fraying in supraspinatus, and one case showed partial tear. Meanwhile, in all the cases, the rotator cuff was impinged to the labrum at $90^{\circ}{\sim}120^{\circ}$ of abduction and external rotation. As to the postoperative results, all the cases did not complain of pain or instability while pitching, and the competition was recovered to be the mean 88%($80{\sim}100%$) of that before the injury. Conclusion: Definite diagnosis for the posterior internal impingement would be possible through arthroscopic examination. Favorable outcomes could be obtained with capsular plication or shrinkage for anterior microinstability and stretching exercise for posterior capsule tightness inducing the internal impingement.
Objective: This study aims to develop and scientifically investigate the efficacy of the Spine S-curve Reactive Backrest that responds to the spine curvature of the user when seated, and maintains and enhances the natural S-curve of the lower back, thereby helping to relieve fatigue, correct posture and prevent spine deformities. Background: The focus of current development, design guidelines and/or standards for office chairs is mainly placed on the chair's dimensions, incline angle, adjusting features and lumbar support. Research and development was called for developing a chair backrest that maintains and improves the S-curve of the full spine. Method: The Spine S-curve Reactive Backrest was ergonomically designed to maintain correct posture and enhance user comfort. When leaned on, the backrest responds to the user's spine line and the whole lower back sits closely against the backrest, thereby aligning the user's lower back and backrest as one to maintain and improve the natural S-curve formation of the spine. In order to evaluate the efficacy of the newly designed chair (new design) and the comparison target (chair), five male college students of standard body type with normal spine curvature were selected as test subjects, and a motion analyzer and electromyography were utilized to measure S-curve and erector spinae muscle activity when seated. Results: The spine S-curve was better maintained and improved when sitting in the new design than in the comparison chair. Particularly notable was the greater displacement gap of the thoracic spine than the cervical spine, and also that of the lumbar more than the thoracic spine, with the increase of the backrest tilting angle. Furthermore, the electromyogram results showed the new design caused a lower fatigue level of the erector spinae muscles compared to the comparison chair, and also earned a higher preference in the subjective opinion results. Conclusion: The newly designed chair in this study responds to the user's spine curvature and maintains and enhances the lower back's natural S-curve, and thereby relieves fatigue, promotes better posture, and helps to prevent spine deformities better than existing office chairs. There is a need to widely introduce and supply this new design. Application: The new design is applicable to office and student chairs, and is expected to improve concentration and work efficiency.
Kim Hyun Li;Lee Myung Sook;Kim Myung Soon;Jung Moon-Hee
Journal of Korean Public Health Nursing
/
v.12
no.2
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pp.1-11
/
1998
This study was performed to analyze the occupational health nursing of support-project of health management skill for small-scale industries. The 2 subject centers were under the umbrella of Korean Industrial Health Association and data collection period was 2weeks from September 1 to 13. 1997 and time and motion study method was used. Data was handled by SPSS win 7.5 program. results were worked out number. percentage. F-value. (1) The weekly time spending of occupational health nurses was distributed into indoor service 46.9%, outdoor service 26.6%, movement 26.5%. The mean visiting times were 2-3 times per week. and spending time was about 1 hour per industry. (2) There are statistically significant difference among the distribution of time spending according to industrial works(F=23.08. p=.000). and the special education for occupational disease prevention takes the most mean time. (3) There were statistically significant difference among the spending time for the health coach of occupational health nurses(F=188.79. p=.000). and the activity time for workers (58.4%) was more than that of for monitors(41.6%). The frequency of health coachs were 155 times for monitors during two weeks. but health coach for worker was 87 times. As a results. the contents of health coach for workers was proved to take more time than that for monitors. Perhaps we think that monitors has limitation for health management. therefore we should be consider flexible management of visiting time and health coach guidelines for occupational health nurses. (4) There were statistically significant differences among the distribution of time spending according to health coach methods for industrial health nurses(F=66.31. p=.000). The most frequent method of all was guide transmission. 159 times(65.7%), and the mean spending time for instruction was 19.78 min. the longest time. Our suggestion for occupational health nursing of support-project of health management skill for small-scale industry is that the need of each industry is very complex because of various conditions. therefore need assessment for industries should be conducted professionally. And occupational health nurses should apply occupational health nursing process autonomously. and their activities be guaranted by the guideline
Kim, Sung-Min;Kim, Hye-Ree;Ozkaya, Gizem;Shin, Sung-Hoon;Kong, Se-Jin;Kim, Eon-Ho;Lee, Ki-Kwang
Korean Journal of Applied Biomechanics
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v.25
no.3
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pp.323-333
/
2015
Objective : The purpose of this study was to investigate the changes of gait patterns and muscle activations with increased loads during stair walking. Also, it can be used as descriptive data about continuous stair walking in a real life setting. Method : Twelve sedentary young male adults(Age: $27.0{\pm}1.8yrs$, Weight: $65.8{\pm}9.9kg$) without any lower extremity injuries participated in this study. Participants performed stair walking up 7 floors and their ascending and descending motion on each floor was analyzed. A wireless electromyography(EMG) were attached on the Rectus Femoris(RF), Biceps Femoris(BF), Gastrocnemius(GN), Tibialis Anterior(TA) muscle to calculate integrated EMG(iEMG), median frequency(MDF) and co-contraction index(CI). Chest and left heel accelerometer signal were recorded by wireless accelerometer and those were used to calculate approximate entropy(ApEn) for analyzing gait pattern. All analyses were performed with SPSS 21.0 and for repeated measured ANOVA and Post-hoc was LSD. Results : During ascending stairs, there were a statistically significant difference in Walking time between 1-2nd and other floors(p=.000), GN iEMG between 2-3th and 6-7th(p=.043) floor, TA MDF between 1-2nd and 5-6th(p=.030), 6-7th(p=.015) floor and TA/GN CI between 2-3th and 6-7th(p=.038) floor and ApEn between 1-2nd and 6-7th(x: p=.003, y: p=.005, z: p=.006) floor. During descending stairs, there were a statistically significant difference in TA iEMG between the 6-5th and 3-2nd(p=.026) floor, and for the ApEn between the 1-2nd and 6-7th(x: p=.037, y: p=.000, z: p=.000) floor. Conclusion : Subjects showed more regular pattern and muscle activation response caused by regularity during ascending stairs. Regularity during the first part of stair-descending could be a sign of adaptation; however, complexity during the second part could be a strategy to decrease the impact.
Goswami, Kalyan;Kim, Byung-Gyu;Jun, DongSan;Jung, SoonHeung;Seok, JinWook;Kim, YounHee;Choi, Jin Soo
Journal of Broadcast Engineering
/
v.18
no.2
/
pp.271-282
/
2013
Recently, ITU-T/VCEG and ISO/IEC MPEG have started a new joint standardization activity on video coding, called High Efficiency Video Coding (HEVC). This new standard gives significant improvement in terms of picture quality for high resolution video. The main challenge in this upcoming standard is the time complexity. In this paper we have focused on CU splitting algorithm. We have proposed a novel algorithm which can terminate the CU splitting process early based on the RD cost of the parent and current level and the motion vector value of the current CU. Experimental result shows that our proposed algorithm gives on average more than about 10% decrement in time over ECU [8] with on average 1.78% of BD loss on the original.
This study investigates a simple mathematical model for the quantitative estimation of regional myocardial blood flow in experimental canine coronary artery thrombosis using Rb-82 dynamic myocardial positron emission tomography. The coronary thrombosis was induced using the new catheter technique by narrowing the lumen of coronary vessel gradually, which finally led to partial obstruction of coronary artery. Ten Rb-82 dynamic myocardial PET scans were performed sequentially for each experiment using our 5, 10 and 20 second acquisition protocol, respectively, and three regions of interest were drawn on the transaxial slices, one on left ventricular chamber for input function and the other two on normal and decreased perfusion segments for the flow estimation in those regions. Single compartment model has been applied to the measured sets of regional PET data, and the rate constants of influx to myocardial tissue were calculated for regional myocardial flow estimates with the three parameter fits of raw data by the Levenberg-Marquardt method. The results showed that, (1) single compartment model suggested by Kety-Schmidt could be used for the simple estimation of regional myocardial blood flow, (2) the calculated regional myocardial blood flow estimates were dependent on the selection of input function, which reflected partial volume effect and left ventricular wall motion, and (3) mathematically fitted input and tissue time activity curves were more suitable than the direct application of the measured data in terms of convergence.
Fault breccia, produced by fracturing and comminution of host rock during fault activity, is a common component within fault cores. Fault breccia may display a preferred orientationin accordance with the sense of motion on the fault. Here we use a numerical analysis technique to study the effects of the distribution and content of breccia in fault core on the elastic moduli. The analytical models are grouped into those in which breccias display a preferred orientation within fault core and those in which breccias are randomly oriented. The breccia compositions considered here are granite and shale, and the breccia contents are 10 wt%, 20 wt%, and 30 wt%. Our results show that for all the cases considered, differences in the deformation moduli fall within the range 0.1%~1.1% and differences in the elastic moduli fall within the range 0.02~0.4 MPa. Thus, the distribution and content of fault breccia have almost no effect on the elastic moduli.
The dynamic evolution of the Chugaryeong fault valley is studied by paleomagnetic works on 163 samples at 16 sites from Late Cretaceous and Quaternary volcanic rocks in the valley. Conglomerate test and stepwised thermal/alternating field demagnetization indicate that all the characteristic directions are of primary origin. Paleomagnetic pole ponsition(216.8$^{\circ}$E/7l .6$^{\circ}$N; dp=7.1$^{\circ}$, dm=10.0$^{\circ}$) for the upper par of the Jijangbong Volcanic Complex Is indistinguishable from the coeval retference pole position from the Gyeongsang Basin, which further substanciates the reliability of the Paleomagnetic data. This indicates the study area has not undergone any tectonic rotation since Late Cretaceous by uy significant reactivation of the Chugaryeong fault valley. The Quaternary pole position (134.2$^{\circ}$E/86.5$^{\circ}$N; $A_{95}$=7.1 $^{\circ}$) from the Jeongog Basalt reflects the present geocentric axial dipole field for the area, supporting the above conclusion. Unlike the upper part, paleomasnelic directions of the lower part of the Jijangbong Volcanic Complex show random distrinution between sites. We interpret that the early stage of the volcanic activity was created by sinistral strike slip motion of the Chugaryeong fault during early Late Cretaceous. The creation and evolution of the Chugaryeong fault valley emphasize the significance of the kinematic FR (folding ruler) model in east Asia.
The purpose of this study was to investigate the variations in gait parameters in terms of the type of arm sling used in hemiplegic patients. Ten patients with hemiplegia and ten healthy adults participated in this study and walked at self-selected speeds on a GAITRite-instrumented carpet. The activities of the opposite shoulder girdle muscle including the latissimus dorsi, anterior deltoid, and posterior deltoid were simultaneously recorded using surface EMG during gait. They were randomly assigned a condition: without an arm sling, a single strap arm sling, a Harris hemi arm sling, a Rolyan humeral cuff arm sling, and a Bobath roll arm sling. The following gait variables were analyzed: the temporo-spatial parameters of velocity, step length, stride length, swing phase, stance phase, single support, step time and toe in/toe out. The statistical analysis was one-way ANOVA with repeated measures to compare the variation of each variable. In comparison of parameters in each trial in the hemiplegia group, the non-affected side stride length, single support, and toe in/toe out resulted in statistically significantly changes (p<.05). But without an arm sling group did not show any gait parameter differences with arm slings. This study found that several arm slings varied gait patterns in patients with hemiplegia and in healthy adults. In the EMG analysis, the Rolyan humeral cuff arm sling and the Bobath roll arm sling were higher muscle activity for the latissimus dorsi muscle than did the single strap ann sling. Further study should examine the problems that appeared in patients who worn arm slings by focusing on a larger number of subjects and by studying the variety of responses in more detail using an assessment tool that measures variation.
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