• Title/Summary/Keyword: Motion Technique

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Operative Treatment of the Clavicular Midshaft Fractures in Adult - A Comparison between Intramedullary Multiple Steinmann Pins Fixation and Reconstruction Plate Fixation - (성인 쇄골 간부 골절의 수술적 치료-골수강내 다발성 Steinmann핀 고정술과 재구성 금속판 고정술과의 비교-)

  • Lee Young Kuk;Gu Hae Seo
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.14-20
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    • 1999
  • Purpose: Despite of the popular use of the reconstruction plate for the fixation of clavicular shaft fractures, some disadventages have been raised such as long period of immobilization, long skin incision, loosening of plate and screws, and increased chance of nonunion due to severe periosteal injury. Thus, the authors have performed intramedullary multiple Steinmann pins fixation that could reduce the disadvantages of plate fixation in order to compare the treatment results between the two groups. Materials & Methods: From 1994. Jan. to 1997. Dec. the department of orthopaedic surgery of the Kwak's hospital treated operatively for 56 cases of the clavicular shaft fractures in adult. 39 cases of them were treated with the plate fixation and 17 cases with the intramedullary multiple Steinmann pins fixation(SP group). Reconstruction plates(Plate group) were used for 26 out of 39 patients treated with plate fixation. Among the Plate group and SP group, each 15 cases were selected by age and sex and compared each other according to the bone union time, union rate, complication, and functional results. The follow-up period was 12 months at the shortest and 48 months at the longest and the average was 16 months. Results: The Plate group showed that the bone union time was 7 weeks and the bone union rate was 93%. The SP group showed 6.5 weeks and 100% respectively. In complication, the Plate group had 1 case of loosening of plate and screws and delayed union; SP group had 1 case of pin migration. The functional results according to Kang's criteria, 87% of the Plate group and 93% of the SP group showed good or excellent. Conclusion : The SP group showed very comparable results in terms of the bone union time, bone union rate, complication, and functional results comparing to the Plate group. The intramedullary multiple Steinmann pins fixation showed several advantages over the reconstruction plate fixation, which were simple operative technique, easy removal of pins, being able to perform immediate postoperative full range of motion exercise. Therefore, the intramedullary multiple Steinmann pins fixation is thought to be one of the useful operative techniques in treatment of the clavicular shaft fractures in adult.

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Optimizing Imaging Conditions in Digital Tomosynthesis for Image-Guided Radiation Therapy (영상유도 방사선 치료를 위한 디지털 단층영상합성법의 촬영조건 최적화에 관한 연구)

  • Youn, Han-Bean;Kim, Jin-Sung;Cho, Min-Kook;Jang, Sun-Young;Song, William Y.;Kim, Ho-Kyung
    • Progress in Medical Physics
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    • v.21 no.3
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    • pp.281-290
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    • 2010
  • Cone-beam digital tomosynthesis (CBDT) has greatly been paid attention in the image-guided radiation therapy because of its attractive advantages such as low patient dose and less motion artifact. Image quality of tomograms is, however, dependent on the imaging conditions such as the scan angle (${\beta}_{scan}$) and the number of projection views. In this paper, we describe the principle of CBDT based on filtered-backprojection technique and investigate the optimization of imaging conditions. As a system performance, we have defined the figure-of-merit with a combination of signal difference-to-noise ratio, artifact spread function and floating-point operations which determine the computational load of image reconstruction procedures. From the measurements of disc phantom, which mimics an impulse signal and thus their analyses, it is concluded that the image quality of tomograms obtained from CBDT is improved as the scan angle is wider than 60 degrees with a larger step scan angle (${\Delta}{\beta}$). As a rule of thumb, the system performance is dependent on $\sqrt{{\Delta}{\beta}}{\times}{\beta}^{2.5}_{scan}$. If the exact weighting factors could be assigned to each image-quality metric, we would find the better quantitative imaging conditions.

A poroelastic model for ultrasonic wave attenuation in partially frozen brines (부분 동결된 소금물에서의 초음파감쇠에 대한 다공성탄성 모델)

  • Matsushima, Jun;Nibe, Takao;Suzuki, Makoto;Kato, Yoshibumi;Rokugawa, Shuichi
    • Geophysics and Geophysical Exploration
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    • v.14 no.1
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    • pp.105-115
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    • 2011
  • Although there are many possible mechanisms for the intrinsic seismic attenuation in composite materials that include fluids, relative motion between solids and fluids during seismic wave propagation is one of the most important attenuation mechanisms. In our previous study, we conducted ultrasonic wave transmission measurements on an ice-brine coexisting system to examine the influence on ultrasonic waves of the unfrozen brine in the pore microstructure of ice. In order to elucidate the physical mechanism responsible for ultrasonic wave attenuation in the frequency range of 350.600 kHz, measured at different temperatures in partially frozen brines, we employed a poroelastic model based on the Biot theory to describe the propagation of ultrasonic waves through partially frozen brines. By assuming that the solid phase is ice and the liquid phase is the unfrozen brine, fluid properties measured by a pulsed nuclear magnetic resonance technique were used to calculate porosities at different temperatures. The computed intrinsic attenuation at 500 kHz cannot completely predict the measured attenuation results from the experimental study in an ice-brine coexisting system, which suggests that other attenuation mechanisms such as the squirt-flow mechanism and wave scattering effect should be taken into account.

Image Separation of Talker from a Background by Differential Image and Contours Information (차영상 및 윤곽선에 의한 배경에서 화자분리)

  • Park Jong-Il;Park Young-Bum;Yoo Hyun-Joong
    • The KIPS Transactions:PartB
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    • v.12B no.6 s.102
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    • pp.671-678
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    • 2005
  • In this paper, we suggest an algorithm that allows us to extract the important obbject from motion pictures and then replace the background with arbitrary images. The suggested technique can be used not only for protecting privacy and reducing the size of data to be transferred by removing the background of each frame, but also for replacing the background with user-selected image in video communication systems including mobile phones. Because of the relatively large size of image data, digital image processing usually takes much of the resources like memory and CPU. This can cause trouble especially for mobile video phones which typically have restricted resources. In our experiments, we could reduce the requirements of time and memory for processing the images by restricting the search area to the vicinity of major object's contour found in the previous frame based on the fact that the movement of major object is not wide or rapid in general. Specifically, we detected edges and used the edge image of the initial frame to locate candidate-object areas. Then, on the located areas, we computed the difference image between adjacent frames and used it to determine and trace the major object that might be moving. And then we computed the contour of the major object and used it to separate major object from the background. We could successfully separate major object from the background and replate the background with arbitrary images.

Three-Dimensional Video Analysis of the Gate Patterns in Normal Children and Hemiplegic Children with Cerebral Palsy (정상아와 편마비 뇌성마비아의 삼차원 보행분석)

  • Lee Jin-Hee;Bae Sung-Soo;Kim Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.9 no.1
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    • pp.127-145
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    • 1997
  • The purpose of this study wa9 to analyse the gait patterns of two female children with hemiplegic cerebral palsy by using the three-dimensional video motion analysis technique. Case 1 has mild spastic hemiplegia on the right side while Case 3 has moderate spastic hemiplegia on the left side. A group of 10, normal female children of the same age(7-8 years old) were selected as the control group for comparison. Time and distance variables as well as the Center of Mass displacement, and the pelvic and joint motions in three anatomical planes were analysed for this purpose. The following observations were made through the analysis : Case 1 revealed an asymmetrical gait pattern in which the step length of the unaffected side was shorter than that of the affected side, which wan a result of the effort to minimize loading on the affected leg by shortening the swing phase of the unaffected leg. Case 1 scored similar phase ratios, cadence and walking velocity to the normal group. A slight posterior tilt of the pelvis was observed throughout the gait cycle. Less hip and knee flexion than the normal group was observed, and demonstrated hyperextension of the knee in the terminal stance phase. The main problem in case 1 originated from the insufficient dorsiflexion of the affected foot during the swing phase. Therefore, Case 1 has difficulty with foot clearance in the swing phase. Usually, this is compensated for by using exessive hip abduction and medial rotation in conjuction with trunk elevation as well as increased vortical displacement of the center of mass. Case 1 revealed a foot-flat initial contact pattern. Case 2 was characterized by a consistent retraction ef the affected aide of the body througout the gait cycle, As a result, an asymmetrical gait pattern with increased stance phase ratios of the unaffected side was observed. In spite of this the step lengths of both sieds were similar. Case 2 scored lower cadence and walking speed than the normal group with lower gait stability. The main problem in Case 2 originated from an excessive plantaflexion of the affected foot which, in turn, rebutted in high hip and knee flexion. Hyperextension of the knee was observed at mid-stance, and execessive anterior tilt of the pelvis throughout the gait cycle was noticed. A gait pattern with high hip abduction and medial circumduction was maintained for the stability in the stance phase and foot clearance in the swing phase. Case 2 revealed a forefoot-contact initial contact pattern.

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Transform domain Wyner-Ziv Coding based on the frequency-adaptive channel noise modeling (주파수 적응 채널 잡음 모델링에 기반한 변환영역 Wyner-Ziv 부호화 방법)

  • Kim, Byung-Hee;Ko, Bong-Hyuck;Jeon, Byeung-Woo
    • Journal of Broadcast Engineering
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    • v.14 no.2
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    • pp.144-153
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    • 2009
  • Recently, as the necessity of a light-weighted video encoding technique has been rising for applications such as UCC(User Created Contents) or Multiview Video, Distributed Video Coding(DVC) where a decoder, not an encoder, performs the motion estimation/compensation taking most of computational complexity has been vigorously investigated. Wyner-Ziv coding reconstructs an image by eliminating the noise on side information which is decoder-side prediction of original image using channel code. Generally the side information of Wyner-Ziv coding is generated by using frame interpolation between key frames. The channel code such as Turbo code or LDPC code which shows a performance close to the Shannon's limit is employed. The noise model of Wyner-Ziv coding for channel decoding is called Virtual Channel Noise and is generally modeled by Laplacian or Gaussian distribution. In this paper, we propose a Wyner-Ziv coding method based on the frequency-adaptive channel noise modeling in transform domain. The experimental results with various sequences prove that the proposed method makes the channel noise model more accurate compared to the conventional scheme, resulting in improvement of the rate-distortion performance by up to 0.52dB.

Effects of Physical Characteristics Factors on Ankle Joint Injury during One Leg Drop Landing (외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 미치는 영향)

  • Lee, Seong-Yeol;Lee, Hyo-Keun;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.839-847
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    • 2020
  • The purpose of this study was to analyze the effects of ankle flexibility, gender, and Q-angle on the ankle joint injury factors during one leg drop landing. For this study, 16 males(age: 20.19±1.78 years, mass: 69.54±10.12 kg, height: 173.22±4.43 cm) and 16 females(age: 21.05±1.53 years, mass: 61.75±6.97 kg, height: 159.34±4.56 cm) in their 20's majoring in physical education using the right foot as their dominant feet were selected as subjects. First, an independent t-test of joint motion and joint moment according to the experience of ankle injury was conducted to determine the effect of physical characteristics on ankle joint injury during one leg drop landing(α = .05). Second, the variable that showed a significant difference through t-test was set as the dependent variable, and the ankle flexibility, gender difference, and Q-angle were designated as independent variables to use Multiple Linear Regression(α =. 05). As a result of this study, it was found that the group that experienced an ankle joint injury was found to use a landing strategy and technique through adduction of the ankle joint and internal rotation of the knee joint, unlike the group without an injury. It was also confirmed that this movement increases the extension moment of the ankle joint and decreases the extension moment of the hip joint. In particular, it was found that the dorsi flexion flexibility of the ankle affects the ankle and knee landing strategy, and the gender difference affects the ankle extension moment. Therefore, it was confirmed that physical characteristics factors affecting ankle joint injuries during one leg drop landing.

Objective Identification of Human Sperm Hyperactivation by Computerized Sperm Motion Analysis (Computerized Sperm Motility Analyzer를 이용한 Human Sperm의 Hyperactivated Motility의 객관적 관찰에 관한 연구)

  • Lee, Hee-Kyung;Lee, Chan;Kim, Hyun-Sook;Kim, Young-Tae;Kim, Sun-Haeng;Ku, Pyoung-Sahm
    • Clinical and Experimental Reproductive Medicine
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    • v.21 no.1
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    • pp.1-11
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    • 1994
  • The occurrence and time course of capacitation, acrosomal loss, and hyperactivated motility require quantitative definition in order to characterize fertile human sperm. Recently the method has been developed to estimate the quality of spermatozoa by using kinematic parameters such as curvilinear velocity(VCL), average path velocity(VAP), linearity(LIN), straightness(STR), amplitude of lateral head displacement(ALH), and beat cross frequence(BCF) from Computer Assisted Sperm Analysis (CASA). In this study, using the Hamilton Thorn motility analyzer HTM 2030(Hamilton Thorn Research, Beverly, MA), we attempted to identify the spermatozoa with hyperactivated motility (HA) objectively and to monitor hyperactivation of human spermatozoa during incubation in capacitating media and after treatment of calcium ionophore as compared with acrosome status. And we examined whether HA are related to the result of SPA. Semen samples obtained from 16 healthy men were prepared by swim up technique and preincubated in a capacitating media(modified BWW medium) for 5 hours and treated with calcium ionophore solution. The acrosome reaction was detected with PSA-FITC labelling of the acrosome and in vitro sperm ferilizing capacity was assessed by the zona free hamster ovum penetration assay (SPA). The incidence of hyperactivated sperm was 2.6% in fresh semen, 14.3% of the swim up population, 13.7% after 5h of incubation. Significant increase of percentage of hyperactivated sperm was observed after the incubation (p<0.05) but after treatment, no significant changes of percentage of hyperactivated sperm(l1.8%) in contrast to significant rise in the percentage of acrosome reacted cells. Correlation analysis failed to show any significant relationship between the percentage of sperm with HA and SPA score. In conclusion, although no direct correlations were found between the results of SPA and HA, hyperactivation of sperm is associated with capacitation and monitoring hyperactivated sperm will be expected as a method of evaluating the functional quality of sperm such as SPA.

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Treatment of Carpal Scaphoid Fracture (주상골 골절의 수술적 치험례)

  • Beck, Won-Jin;Seo, Jae-Sung;Ahn, Jong-Chul;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.361-366
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    • 1986
  • Fracture of the carpal scaphoid bone is the most common fracture of the carpus. Unfortunately. nonunion are common since the symptoms do not alert patients to seek early medical treatment and the diagnosis is easily missed. Fracture of the scaphoid is a common condition whose management remains controversial. The conservative treatment has many complications, these include inability to work while in plaster, stiffness of the wrist afterwards, muscle wasting, weakness and malunion. So various operative treatments of scaphoid fracture have been developed. Open reduction by use of screws suggested by Maclaughlin first in 1954. In 1984 a new and simple operative technique has been developed to provide rigid internal fixation for all types of fractures of the scaphoid by T.J. Herbert. This involves the use of a double-treaded bone screw which provides good fixation that, after operation, a plaster cast is rarely required and most patients are able to return to work within a few weeks. Authors have experienced 10 cases of scaphoid fracture and accomplished good result in all cases by internal fixation using Herbert screw. The results are as follows : Of these 10 fractures, 2 were fresh fractures and 8 were non unions of scaphoid fracture. In nonunion cases, the time interval between fracture and operation was from 5 months to 5 years. The postoperative immobilization period was average of 4 weeks. Short period of immobilization achieved early functional recovery of the wrist. The bony unions in roentgenogram were seen from 3 months to 9 months after operation. In 2 cases the fracture gap was seen after 9 months. But in these cases the symptoms such as pain and range of motion of wrist were improved.

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Outcome in Impingement Syndrome of the Shoulder According to Presence of Stiffness (견관절 충돌 증후군 환자에서 강직 여부에 따른 치료 결과)

  • Moon, Gi-Hyuk;Lee, Jae-Wook;Yoo, Moon-Jib;Park, Jin-Young
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.45-50
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    • 2004
  • Purpose: The purpose of this study is to compare the outcome of operative results in the impingement syndrome of the shoulder with and without the stiffness. Material and Method: Seventy-six patients who had the impingement syndrome without stiffness were evaluated, and treated with the subacromial decompression and 24 patients who had the impingement syndrome with stiffness, were treated with the subacromial decompression and the manipulation. The average follow-up period was 32 months. Result: The impingement syndrome of the shoulder with stiffness was more severe in the preoperative pain and worse in ASES score than without stiffness. The postoperative pain and ASES score improved in the both group. The satisfactory groups were 67% in the group with stiffness and 80% without stiffness. The satisfactory rate was 83% in the group with stiffness and 93% without stiffness. The satisfactory groups with diabetes were 47% in the group with stiffness and 81% without stiffness. Forward elevation, exeternal rotation at the side and internal rotation improved in both groups postoperatively and there were no statistically significant differences postoperatively External rotation was restricted statistically in the group with stiffness. Conclusion: Although patients may not regain the full range of motion, the technique of manipulation followed by arthroscopic subacromial decompression offers good pain relief and satisfactory functional recovery for the impingement syndrome with stiffness. However preoperative counseling is necessary for the impingement syndrome combined with diabetes and stiffness due to poor out come.

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