Purpose: Many causes for triggering or locking of the fingers have been discussed in other literatures. The most common one is known stenosing tenosynovitis, which causes, a mismatch between the volume of the flexor tendon sheath and its contents. However, repeated trauma to the hand is uncommon cause of trigger finger. Therefore, we present a case of a rare condition of stenosing tenosynovitis which developed from a repeated relatively weak superficial flexor tendon injury. Methods: The patient was a 62-year-old woman who showed a painless, fixed and round mass on her right hand with no particular cause. Active and passive range of motion of the metacarpophalangeal joint of long finger was limited in flexion and extension. Ultrasonographic finding showed injured flexor digitorum superficialis tendon had fibrillar architecture with swelling between hyperechoic synovial membrane and hypoechoic surrounding area. Surgical exploration revealed that a bunched portion of the flexor digitorum superficialis and A1 pulley cause triggering during operation after adhesiolysis of scar tissue. Results: After releasing the A1 pulley, the range of motion of the metacarpophalangeal joint of long finger showed no limitation and histological examination of the subcutaneous tissue revealed fibrous fatty degeneration. In this case, releasing the A1 pulley with adhesiolysis of the subcutaneous scar tissue was successful and we obtained good functional outcome. Conclusion: We examined a patient in whom a repetitive impact forces to the palm caused longitudinal tear of the flexor tendon, leading to trigger finger. We experienced a rare case of stenosing tenosynovitis and trigger finger caused after close injury to flexor digitorum superficialis and its degenerative changes that caused mass like effect. To the best of authors' knowledge, our case of close injury to the flexor digitorum superficialis and unique morphologic change before rupture of tendon is rarely to be reported.
Kim, Cheol-Hong;Gwon, Yeong-Jun;Baek, Seung-Ryeol;Son, Gyeong-Il
Journal of the Ergonomics Society of Korea
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v.23
no.3
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pp.121-134
/
2004
A research project was conducted to study work-related musculoskeletal disorders (MSDs) at subway train repair plant in Korea. The project was consisted of 4 main parts; education on the topics of MSDs for all workers, symptom survey, medical check-up, investigation of MSD risk factors. The result of symptom survey showed that 95.2% of the respondents complained pains on at least one part of the body. After cross-sectional analysis of various information and risk factors, 86.8% of respondents were considered as active health surveillance level 1 that require continuous monitoring on their symptoms and working conditions. And 57.1% of the respondents were considered as active health surveillance level 2 that needed medical check-ups for proper medical treatment. The analysis of occupational risk factors revealed that handling of heavy object (46.15%) and repeated awkward postures (46.15%) were two most contributing risk factors for the on-set of MSD at this work site followed by static strain (7.7%), and vibration and impact (3.8%). Medical examination was performed by an industrial medicine MD on 156 workers those considered as active health surveillance level 2. The result showed that 35 workers (20.7%) were considered as MSD patient group at severe level, and 68.6 workers (68.6%) were considered as moderate group and 18 workers (10.6%) were considered minor or normal group those have no symptom.
Wood cutting utilizing CNC art in the field of furniture design industry, art, education are diverse. However, there is lack of data in the case for wood cutting, such as cutting conditions and wood cutting. So this article is to establish furniture design processing using CNC. The researchers investigated the processed products using CNC, the data of the web site and CNC relevant articles, then organized its impact on the furniture industry today. History and definition of CNC have studied for a discussion of the advantages and disadvantages. Then, the researchers analyzed the cases to investigate the wood cutting conditions, was applied to the fabrication of furniture domestic and foreign. CNC organized systematically design information through the computer So, it allowed to reduce the repetitive behavior that has to work hand in the furniture manufacture existing. CNC has made it possible to design a fine complex in furniture design industry. So it became possible to make a new representation and production of various forms. Material about CNC are mostly for milling machine and shelves for metal processing. So, the researchers investigated and precautions general content of wood cutting. The enhanced understanding to investigate an example that is applied outside the country, is used to analyze the expression various techniques CNC. It is difficult to obtain accurate data processing, it has various characteristics in the same timber, Future research is about analyzing type applications and CNC machining range at the time of processing the various wood.
Background: Alu elements are one of the most common repetitive sequences that now constitute more than 10% of the human genome and potential targets for epigenetic alterations. Correspondingly, methylation of these elements can result in a genome-wide event that may have an impact in cancer. However, studies investigating the genome-wide status of Alu methylation in cancer remain limited. Objectives: Oral squamous cell carcinoma (OSCC) presents with high incidence in South-East Asia and thus the aim of this study was to evaluate the Alu methylation status in OSCCs and explore with the possibility of using this information for diagnostic screening. We evaluated Alu methylation status in a) normal oral mucosa compared to OSCC; b) peripheral blood mononuclear cells (PBMCs) of normal controls comparing to oral cancer patients; c) among oral epithelium of normal controls, smokers and oral cancer patients. Materials and Methods: Alu methylation was detected by combined bisulfite restriction analysis (COBRA) at 2 CpG sites. The amplified products were classified into three patterns; hypermethylation ($^mC^mC$), partial methylation ($^uC^mC+^mC^uC$), and hypomethylation ($^uC^uC$). Results: The results demonstrate that the $%^mC^mC$ value is suitable for differentiating normal and cancer in oral tissues (p=0.0002), but is not significantly observe in PBMCs. In addition, a stepwise decrease in this value was observed in the oral epithelium from normal, light smoker, heavy smoker, low stage and high stage OSCC (p=0.0003). Furthermore, receiver operating characteristic (ROC) curve analyses demonstrated the potential of combined $%^mC$ or $%^mC^mC$ values as markers for oral cancer detection with sensitivity and specificity of 86.7% and 56.7%, respectively. Conclusions: Alu hypomethylation is likely to be associated with multistep oral carcinogenesis, and might be developed as a screening tool for oral cancer detection.
This paper presents an analysis of door design for the Ui LRT based on experiments to predict doorway flow-time and their analyses results. A similar railway vehicle (from Gimhae LRT) and operational conditions are utilized to assess the doorway flow-time through repetitive experiments. Design of the experiments consists of four scenarios, and the experiments are repeated 39 times in total. We use the results of the experiments to verify the design of doors of Ui LRT (e.g. the required number of doors and their width). Various statistical analyses are carried out for the flow-time with respect to the number of boarding/alighting passengers. We make three category levels of boarding/alighting passengers, and analyze the mean and variance for each category, and then carry out One-Way ANOVA to analyze how the number of boarding/alighting and onboard passengers impact flow-time. The results of this paper can be used for making decisions about doors of the LRT vehicle.
In order to analyze big data, documents should be converted to a open standard format to increase machine readability. It also need natural language processing tools. This study focused on the background of intelligent document processing and the status of research in the public sector, and predicted the changes in work that intelligent document processing would bring. This study noted the changes that intelligent document processing would bring to the archival work, and also considered changes in the role of archivist and their required competencies. Changes in archival work could be anticipated across a wide range of Records Management work and Archives Management work. In particular, it was expected to have a significant impact on the automation of repetitive archival tasks or the description and utilization of records. This study proposed the need to prepare new archival work procedures, methods, and necessary competencies in response to these change in archival work.
The Half-depth precast deck is a structural system that utilizes pre-cast panels pre-built at the factory as formwork at the construction stage and as a major structural member at the same time after completion. These systems have joints between segments, and the detail and performance of the joints are factors that have a very large impact on the quality, such as the constructability and durability of the bridge decks. In this study, strength performance evaluation was performed for improved joints using connecting rebar by experimental method. Static loading tests were conducted on the test specimen with improved joint, those with existing joint and those without joint. The test results of the specimens were compared to each other, and the flexural strength required by the design was compared. The flexural strength required in the design was presented by finite element analysis. It has been shown that the flexural strength of the specimens with joints were more than twice that required by the design. But the flexural strength of the specimen with existing joint was about 84% of that without joint. The flexural strength of the specimen with improved joints was a nearly similar degree of that compared to the specimen without joint. And a comparison of the moment-deflection relationship curves of the two specimens also shows a very similar flexural behavior. It is confirmed that improved joint has sufficient flexural strength. In addition to strength, the bridge decks require serviceability, such as deflection and cracking, and in particular, fatigue resistance due to repetitive live loads is an important performance factor. Therefore, further verification studies are required.
Park, Sunyoung;Kang, Hyungyu;Byun, Doyoung;Cho, Dae-Hyun
Tribology and Lubricants
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v.37
no.2
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pp.71-76
/
2021
As opposed to using fossil fuels, we need to use eco-friendly resources such as sunlight, raindrops and wind to produce electricity and combat environmental pollution. A triboelectric nanogenerator (TENG) is a device that converts mechanical energy into electricity by inducing repetitive contact and separation of two dissimilar materials. During the contact and separation processes, electron flow occurs owing to a change in electric potential of the contacting surface caused by contact electrification and electrostatic induction mechanisms. A solid-solid contact TENG is widely known, but it is possible to generate electricity via liquid-solid contact. Therefore, by designing a hydrophobic TENG, we can gather electricity from raindrop energy in a feasible manner. To fabricate the superhydrophobic surface of TENGs, we employ a dip coating technique to synthesize an octadecylamine (ODA)- and polydimethylsiloxane (PDMS)-based coating on polyethylene terephthalate (PET). The synthesized coating exhibits superhydrophobicity with a contact angle greater than 150° and generates a current of 2.2 ㎂/L while water droplets fall onto it continuously. Hence, we prepare a box-type TENG, with the ODA/PDMS coating deposited on the inside, and place a 1.5 mL water droplet into it. Resultantly, we confirm that the induced vibration causes continuous impacts between the ODA/PDMS coating and the water, generating approximately 100 pA for each impact.
An, Jun-Beom;Kang, Seok-Jun;Kim, Jin;Cho, Gye-Chun
Geomechanics and Engineering
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v.29
no.3
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pp.291-300
/
2022
Tunnel boring machines combined with the earth pressure balanced shield method (EPB shield TBMs) have been adopted in urban areas as they allow excavation of tunnels with limited ground deformation through continuous and repetitive excavation and support. Nevertheless, the expansion of TBM construction requires much more minor and exquisitely controlled surface settlement to prevent economic loss. Several parametric studies controlling the tunnel's geometry, ground properties, and TBM operational factors assuming ordinary conditions for EPB shield TBM excavation have been conducted, but the impact of excessive excavation on the induced settlement has not been adequately studied. This study conducted a numerical evaluation of surface settlement induced by the ground loss from face imbalance, excessive excavation, and tail void grouting. The numerical model was constructed using FLAC3D and validated by comparing its result with the field data from literature. Then, parametric studies were conducted by controlling the ground stiffness, face pressure, tail void grouting pressure, and additional volume of muck discharge. As a result, the contribution of these operational factors to the surface settlement appeared differently depending on the ground stiffness. Except for the ground stiffness as the dominant factor, the order of variation of surface settlement was investigated, and the volume of additional muck discharge was found to be the largest, followed by the face pressure and tail void grouting pressure. The results from this study are expected to contribute to the development of settlement prediction models and understanding the surface settlement behavior induced by TBM excavation.
Background: Several factors contribute to shoulder pain, including abnormal neck posture, repeated use of the upper limbs, work involving raising the upper limbs above the head, and the effects of vibration. However, previous study has reported that constant vibration exposure could impact improvement of the stability on joints related with muscle recruitment and activation. For this difference reason, we need to verify for the complex study of relationship with repetitive upper limb movements, poor head posture, and constant vibration exposure. Objects: Our study was made to investigate the influence of vibration exposure on the shoulder muscle activity during forward-head and over-head tasks with isometric shoulder flexion. Methods: In a total of 22 healthy subjects, surface electromyography (EMG) data were collected from shoulder muscles (upper/lower trapezius, serratus anterior, and lumbar erector spinae) on tasks (neutral-head task [NHT], forward-head task [FHT], and over-head task [OHT]) with and without vibration exposure. Results: In all tasks, the EMG data of the upper trapezius and serratus anterior significantly increased with vibration exposure (p < 0.05). Furthermore, the EMG data of the lumbar erector spinae significantly increased with vibration exposure in the NHT and FHT (p < 0.05). Conclusion: We suggest that continuous vibration exposure during the use of hand-held tools in the tasks could be associated with harmful effects in the workplace. Lastly, we clinically need to examine the guidelines regarding the optimal posture and vibration exposure.
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