Park, Chan-Jin;Kim, Dae-Gon;Cho, Lee-Ra;Kashiwagi, Kosuke;Kawazoe, Takayoshi;Tanaka, Masahiro
Journal of Dental Rehabilitation and Applied Science
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제27권4호
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pp.405-413
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2011
It was proposed that technologies derived from CAD-CAM and computed tomography may be useful for flapless implant treatment procedures. The aims of this study were to validate the reliability of this concept in a prospective 12-month clinical study. Twelve patients with fully edentulous areas in their mandibles were included in this study. A total of 71 implants were inserted in interforaminal regions by use of a CAD/CAM drill template($NobelGuide^{TM}$), specially designed for flapless implant surgery. To assess the degree of pain and discomfort, the patients were examined at 2 days and 1 week after surgery. Patient satisfaction and implant functionality were further evaluated at follow-up intervals of 1, 3, 6, and 12 months postoperatively. One implant failed early in 1 patient. All of the other implants were in a good functional state throughout the study. The mean marginal bone loss after 1 year of follow-up was 0.3 mm (SD, 0.1) at center, 0.5 mm (SD, 0.1) at canine and 0.7 mm (SD, 0.2) at distal fixtures, respectively. Statistically, there was not significant differences among each sites(P>.05)The mean ISQ change after 1 year of follow-up was -1.05 (SD, 2.76) at center, -0.85 (SD, 2.59) at canine and -1.27 (SD, 2.18) at distal fixtures, respectively. This prospective pilot study showed that the use of CAD/CAM technology and flapless implant surgery may be considered reliable for fully edentulous mandible of patients.
Purpose : Recently, cancer has become a chronic disease that requires supervision because of early diagnosis and the development of therapeutic technology. As a result, cancer patients are interested in improving the quality of their lives besides the treatment of cancer itself. Therefore, it is necessary to conduct a qualitative research to understand the vivid experiences of cancer patients and structure their treatment experience. Among qualitative researches, grounded theory is developed based on the data collected in the field. The grounded theory research method is easy to analyze for the process and structure of the treatment experience. Therefore, the purpose of this study is to provide basic data on the integrated medical experience of cancer patients Methods : Participants were conveniently selected, and the criteria for selection were for those who had more than 1 month of hospitalization so that they could dictate their situation and experience in a meaningful manner. Data was collected through in-depth interviews and continued until the data were saturated through theoretical sensitivity and continuous comparison methods. The collected data were analyzed through the process of open-coding, axial coding, and selection coding, which are the research methods of grounded theory. Results : Cancer patients differ in their path, purpose, and attitudes depending on their respective situations and the internal and external resources of individuals. There is also a difference in the perception of their situation among the cancer patients and their families. Cancer patients were shown to recognize and cope with problems in the integrated medical treatment process, and have been classified into 6 different types after the results. Cancer patients showed positive changes in terms of physical, emotional, and lifestyle after their integrated medical treatment. Cancer patients perceived the integrated medical treatment process as a horizontal relationship structure and with diversity. Conclusions : The experience of integrated medical treatment of cancer patients is a process of rehabilitation that heals the body and restores life within the interaction of support system, contextual situation, and internal resources of the individual. Despite this, there is a need not only for the efforts of integrated medical service providers but also institutional support in the future with regards to the current weaknesses and points for improvement. In addition, there is a need for an objective criterion to measure the outcome of integrated medicine for the standardization of integrated medical services.
The study conducted a systematic analysis through systematic literature to explore trends in physical activities and trends in the elderly and smart health care sector. Based on the research data collected from 2006 to 2017, the research paper was selected as an analysis data base and collected data from the patented patent data registered to the Patent Office. Based on the combination of the aged, physical activities, IT, IoT, and healthcare, the research identified the research trends and subjects through the analysis and analysis of subjects based on a total of 102 academic journals and 79 patents. First of all, the academic research published a surge in 2010 research in 2006, and it has emerged as an area of continuous interest in academia until 2017. Meanwhile, patents for patents soared in 2012, according to the company's patent. Second, research shows that studies are being conducted in five areas of research. Service design, monitoring systems, systems, policies, and other studies. In the case of patents, three types of patents were classified as patents, devices and information related to information. Subsequent studies will be deemed necessary to verify the effectiveness of the smart health care technology to enhance the health of the elderly.
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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제25권3호
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pp.323-333
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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.
Recently, there have been various problems aroused on the domestic infrastructures as the domestic cities become old. Accordingly, the national concerns grow on the urban railway and the related structures, which brings the national interests are brought on the research on the maintenance and rehabilitation of the old infrastructures. The underground structure of urban railway are checked with the strain gages or fiber brag grating (FBG) sensors on the railway. However, these methods are known to have resolution limitations on the investigations of the specified abnormal section. Therefore, the applicability of the Brillouin Optical Correlation Domain Analysis (BOCDA) based distributed fiber optic sensor system on the railway was evaluated in this study. The constructed BOCDA fiber optic sensor system shows high resolution of 10, 20, 50, 100 cm and capability of continuous monitoring on overall or specified section within 2 km range. The applicability evaluation was performed on the 250 m distribution of fiber optic sensors abandoned railway for continuous monitoring. The applicability of the system on the specified area was evaluated with wheel load testing. As a result, data loss tends to increase with the reduction of spatial resolution from 1.0 m to 0.1 m. Even though the measuring speed is reduced with lower spatial resolution, data accuracy increases on the location and deformation. The system can be applicable to various structures if the proper distribution method is invented later.
The purpose of this study was to investigate the quality characteristics, antioxidant activities and sensory properties of sponge cake with cabbage powder (CP). Physicochemical and sensory properties of sponge cake with different amount (0%, 5%, 10%, and 15%) of CP were examined. As the increase in the amount of CP addition, the specific gravity and baking loss rate were increased, whereas the color of the cake crumb and crust, volume index and specific volume were decreased (p<0.05). The symmetry and uniformity index of the sponge cake were not affected by the addition of CP (5-15%) (p<0.05). The hardness was significantly increased while by CP addition cohesiveness was decreased (p<0.05). The springiness, gumminess and brittleness were not changed by CP addition (p<0.05). The total polyphenolic, DPPH radical scavenging activities and reducing power were significantly increased by addition of CP at high concentrations (p<0.05). In the sensory evaluation, addition of CP significantly degraded the panel preference related to the color, flavor and texture of the sponge cake. However, the highest point were given to sponge cakes containg 5-10% of CP in taste and overall acceptance (p<0.05). These data suggested that adding 5% of CP is the optimal concentration overall for making sponge cake. However, the sponge cake with 10% of CP is recommended in order to maximize antioxidant activity, the sponge cake was the best when contained 5% CP and the sponge cake prepared with the addition of 10% CP was recommended to use due to its advantages in functional property.
Seo, Min Seok;Shin, Myung Jun;Kwon, Ae Ran;Park, Tae Sung;Nam, Kyoung Hyup
Journal of Convergence for Information Technology
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제10권2호
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pp.184-192
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2020
This study presents a gait analysis method (including time series analysis) using a smart insole as an objective and quantitative evaluating method after lumbar scoliosis surgery. The participant is a degenerative lumbar scoliosis patient. She took 3-min-gait-test four times(before and 8, 16, and 204-days after surgery) and 6-min-gait-test once(204-days after surgery) with smart-insoles in her shoes. Each insole has 8-pressure sensors, an accelerometer, and a gyroscope. The measured values were used to compare the characteristics of gait before and after surgery. The analysis showed that all of the patient's gait parameters improved after surgery. And after 6 months, the gait was more stable. However, after long walk, the swing duration of one leg was slightly shorter than that of the other again. It was a preclinical problem that could not be found in the visual examination by the practitioner. With this analysis method we could evaluate the improvement of patient quantitatively and objectively. And we could find a preclinical problem. This analysis method will lead to the studies that define and distinguish gait patterns of certain diseases, helping to determine appropriate treatments.
It is obvious that chloride penetration through cracks can threaten the durability of concrete substantially, according to the previous studies of author. It was proposed that crack depth corrseponded with critical crack width from the surface is a crucial factor in view of durability design of concrete structures. It is now necessary to deal with chloride penetration through microcracks characterized with the mixing features of concrete. The purpose of this study is examining the effect of mix proportional features of concrete such as coarse aggregate, high strengtherize of concrete and reinforcement of steel fiber on chloride penetration through cracks. Although small size of coarse aggregate can lead to many microcracks in concrete, the cracks should not impact on chloride penetration directly. On the contrary, chloride should penetrate through cracks easily in concrete with a large size of coarse aggregate because mixrocracks are connected to each other. Second, high strength concrete has an excellent performance to resist with chloride penetration. However, for cracked high strength concrete, its performance is reduced upto the level of ordinary concrete. Finally, steel fiber reinforcement is effective to reduce chloride penetration through cracks because steel fiber reinforcement can lead to reduce crack depth significantly.
The main objective of this study is the assessment of the ability of limestone mortars to resist to different chemical attacks. The ability of polypropylene (PP) fibres waste used as reinforcement of these concrete materials to enhance their durability is also studied. Crushed sand 0/2 mm which is a fine limestone residue obtained by the crushing of natural rocks in aggregates industry is used for the fabrication of the mortar. The fibres used, which are obtained from the waste of domestic plastic sweeps' fabrication, have a length of 20 mm and a diameter ranging between 0.38 and 0.51 mm. Two weight fibres contents are used, 0.5 and 1%. The durability tests carried out in this investigation included the water absorption by capillarity, the mass variation, the flexural and the compressive strengths of the mortar specimens immersed for 366 days in 5% sodium chloride, 5% magnesium sulphate and 5% sulphuric acid solutions. A mineralogical analysis by X-ray diffraction (XRD) and a visual inspection are used for a better examination of the quality of tested mortars and for better interpretation of their behaviour in different solutions. The results indicate that the reinforcement of limestone mortar by PP fibres waste is an excellent solution to improve its chemical resistance and durability. Moreover, the presence of PP fibres waste does not affect significantly the water absorption by capillarity of mortar nether its mass variation, when exposed to chloride and sulphate solutions. While in sulphuric acid, the mass loss is higher with the presence of PP fibres waste, especially after an exposure of 180 days. The results reveal that these fibres have a considerable effect of the flexural and the compressive behaviour of mortar especially in acid solution, where a reduction of strength loss is observed. The mineralogical analysis confirms the good behaviour of mortar immersed in sulphate and chloride solutions; and shows that more gypsum is formed in mortar exposed to acid environment causing its rapid degradation. The visual observation reveals that only samples exposed to acid attack during 366 days have showed a surface damage extending over a depth of approximately 300 ㎛.
The purpose of this study is to evaluate the convergence effectiveness of treadmill training in patients with chronic stroke through a meta-analysis. After searching the literature based on the patients, intervention, comparison, outcome criteria, and study desigan, a total of 22 studies related to "stroke" and "treadmill" were eligible for inclusion. Effect size was calculated using the comprehensive meta-analysis program for the meta-analysis. Based on the forest plot results, the overall effect size of treadmill training was 0.661 (95% confidence interval: 0.456-0.865), which was statistically significant with a medium effect size (p < 0.05). The effects of treadmill training on patients with stroke were separated by dependent variables of interest-plantar pressure (1.147), lower limb muscle function (0.875), and balance (0.664). The effect sizes were evaluated for the subdomains of timed up and go test (0.553), Berg Balance Scale (0.760), and static balance index (0.654) for balance. Therefore, treadmill training can be expected to have a positive impact on improving the quality of life of patients with chronic stroke. This meta-analysis of treadmill training may the lead to an industry paradigm shift toward healthcare convergence of information, communication, and medical technology.
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