• Title/Summary/Keyword: SHOULDER

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Analysis of Changes in Plantar Pressure While Walking in 4 Positions to Carry a Bag using the F-scan System (F-scan System을 이용한 4가지 가방휴대방법에 따른 보행 시 족저압의 변화 분석)

  • Lee, Jun-cheol
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.439-448
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    • 2018
  • With the aim of examining changes in plantar pressure while walking depending on the position of carrying a bag, this study measured the plantar pressure of 33 normal male and female adults using the F-scan System in four different positions to carry a bag: walking without carrying a bag; walking with carrying a bag on both shoulders; walking with carrying a bag on one shoulder; and walking with carrying a bag in one hand. Changes in the plantar pressure of the subjects obtained in this study and the asymmetry of the left and right feet were analyzed. The plantar pressure of the different areas of the feet in the four different positions to carry a bag was compared. The left foot, except its toes and metatarsus, showed a statistically significant difference among the five conditions, and the right foot, except its 4th and 5th caput metatarsalis, also showed a statistically significant difference (P>.05). Given the results of this study, this experiment to examine changes in plantar pressure does not seem to be enough to identify which position to carry a bag, except carrying a bag on both shoulders, would have the lowest negative impact on the feet. It will be necessary to conduct a follow-up study on changes in plantar pressure depending on the position of carrying a bag and methods that can effectively treat abnormal positions such as scoliosis and kyphosis using asymmetric loads.

The Effect of Stellate Ganglion Block on Breast Cancer-Related Infectious Lymphedema (유방암 감염성 림프부종 환자에서 성상신경절 블록이 미치는 영향)

  • Lee, Youn Young;Park, Hahck Soo;Lee, Yeon Sil;Yoo, Seung Hee;Lee, Heeseung;Kim, Won Joong
    • Journal of Hospice and Palliative Care
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    • v.21 no.4
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    • pp.158-162
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    • 2018
  • Breast cancer related lymphedema (BCRL) is one of the most intractable complications after surgery. Patients suffer from physical impairment, as well as psychological depression. Moreover, a recent study revealed that cellulitis significantly increased the risk of BCRL, and cellulitis has been suggested as a risk factor of BCRL development. We describe a patient treated with stellate ganglion blocks (SGBs) without steroid for relief of symptoms and reduction of the arm circumference of breast cancer-related infectious lymphedema in a month. We measured the arm circumference at four locations; 10 cm and 5 cm above and below the elbow crease, numeric rating scale (NRS) score, lymphedema and breast cancer questionnaire (LBCQ) score on every visit to the pain clinic. A serial decrease of the arm circumference and pain score were observed after second injection. In the middle of the process, cellulitis recurred, we performed successive SGBs to treat infectious lymphedema. The patient was satisfied with the relieved pain and swelling, especially with improved shoulder range of motion as it contributes to better quality of life. This case describes the effects of SGB for infectious BCRL patients. SGB could be an alternative or ancillary treatment for infectious BCRL patients.

The effects of hard and soft tissue grafting and individualization of healing abutments at immediate implants: an experimental study in dogs

  • Thoma, Daniel S.;Jung, Ui-Won;Gil, Alfonso;Kim, Myong Ji;Paeng, Kyeong-Won;Jung, Ronald E.;Fickl, Stefan
    • Journal of Periodontal and Implant Science
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    • v.49 no.3
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    • pp.171-184
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    • 2019
  • Purpose: To evaluate the effects of intra-alveolar socket grafting, subepithelial connective tissue grafts, and individualized abutments on peri-implant hard and soft tissue outcomes following immediate implant placement. Methods: This randomized experimental study employed 5 mongrel dogs, with 4 sites per dog (total of 20 sites). The mesial roots of P3 and P4 were extracted in each hemimandible and immediate dental implants were placed. Each site was randomly assigned to 1 of 4 different treatment groups: standardized healing abutment (control group), alloplastic bone substitute material (BSS) + standardized healing abutment (SA group), BSS + individualized healing abutment (IA group), and BSS + individualized healing abutment + a subepithelial connective tissue graft (IAG group). Clinical, histological, and profilometric analyses were performed. The intergroup differences were calculated using the Bonferroni test, setting statistical significance at P<0.05. Results: Clinically, the control and SA groups demonstrated a coronal shift in the buccal height of the mucosa ($0.88{\pm}0.48mm$ and $0.37{\pm}1.1mm$, respectively). The IA and IAG groups exhibited an apical shift of the mucosa ($-0.7{\pm}1.15mm$ and $-1.1{\pm}0.96mm$, respectively). Histologically, the SA and control groups demonstrated marginal mucosa heights of $4.1{\pm}0.28mm$ and $4.0{\pm}0.53mm$ relative to the implant shoulder, respectively. The IA and IAG groups, in contrast, only showed a height of 2.6mm. In addition, the height of the mucosa in relation to the most coronal buccal bone crest or bone substitute particles was not significantly different among the groups. Volumetrically, the IA group ($-0.73{\pm}0.46mm$) lost less volume on the buccal side than the control ($-0.93{\pm}0.44mm$), SA ($-0.97{\pm}0.73mm$), and IAG ($-0.88{\pm}0.45mm$) groups. Conclusions: The control group demonstrated the most favorable change of height of the margo mucosae and the largest dimensions of the peri-implant soft tissues. However, the addition of a bone substitute material and an individualized healing abutment resulted in slightly better preservation of the peri-implant soft tissue contour.

A Study on the Evaluating Harmful Factors Associated with Works Burdening the Musculoskeletal System of the Librarian of Public Libraries: Focusing on Public Libraries in Northwestern Seoul (공공도서관 사서의 근골격계 부담 작업 관련 유해요인에 관한 연구 - 서울시 서북권역 공공도서관을 중심으로 -)

  • Kim, Boil
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.30 no.3
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    • pp.93-110
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    • 2019
  • This study surveyed 129 librarians of public libraries in the northwestern region of Seoul to identify harmful factors under the assumption that the work and environmental factors of them would burden their musculoskeletal system and influence their work satisfaction. The results of this study showed that the musculoskeletal symptoms in the shoulder, one of the general items, were more frequently observed in women than in men. Secondly, the musculoskeletal symptoms in the arms and elbows, one of the working environment characteristics, were most frequently reported when they worked more than one year and less than three years. The musculoskeletal symptoms in the waist were influenced by the operation method; the librarians of public libraries entrusted to the Office of Education or a local government showed symptoms more frequently. The musculoskeletal symptoms in the neck were affected by working hours; librarians working in the day shift showed neck symptoms more frequently than those working in the night shift. Thirdly, when the characteristics of the work environment were examined, the musculoskeletal symptoms in the hands, wrists, and fingers were highly frequent under all characteristics of the work environment, the musculoskeletal symptoms in the waist were highly frequent under all characteristics of the work environment except for work satisfaction, and the musculoskeletal symptoms in the legs and feet were highly frequent according to the proficiency, work intensity, and physical burden. Fourthly, this study evaluated the differences in musculoskeletal symptoms according to the work satisfaction of individuals. The results revealed that the occurrence frequency of musculoskeletal symptoms for all body parts decreased as work satisfaction increased. Therefore, it will be necessary for the main body of public library operation to improve the work and working environments and enhance the work satisfaction of individuals by reducing the physical burden of the librarian of public libraries through adjusting the work intensity in order for the health of the librarian of public libraries.

Classification of junior high school boys' body types (남자 중학생의 체형분류에 관한 연구)

  • Shin, Jang-Hee
    • Journal of the Korea Fashion and Costume Design Association
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    • v.21 no.3
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    • pp.13-24
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    • 2019
  • Adolescence is a transitional stage of physical development which occurs during the period from puberty to adulthood. Going through this period, various parts of an adolescent's body grow at different rates, leading to different body shapes and proportions when compared to adults. Therefore, this study aimed to investigate the body sizes and shapes of junior high school boys from ages 13-15 based on body measurement items that are used as the basis for school uniform designs including jackets, shirts, and pants. For this, the study sought the basic data needed to develop body shapes and school uniform patterns for junior high school boys using the data from the 6th Size Korea Survey (2010). Specifically, it provided basic data for the development of school uniform patterns that fit well through the classification of bodies into particular types. After extracting body shape componen a cluster analysis using ANOVA was performed. According to the factor analysis conducted to determine body shape components, 5 factors were obtained as follows: Factor 1: bulk and horizontal size, Factor 2: body height and length, Factor 3: shoulder shape and length, Factor 4: characteristics of horizontal size, Factor 5: shape of the upper body with a variance of 82.62%. To classify junior high school boys' body shape was determined using various characteristics, and a cluster analysis was performed with the variables obtained by the factor analysis. For this, body shapes were classified into 3 different types: Type 1 accounted for 33.4%, with a total of 463 subjects. This type was a tall, long body individual with the smallest bulk and size. Type 2 accounted for 22.7%, with a total of 315 subjects. This type was large in bulk and horizontal size, but the lowest in height and length. Type 3 accounted for 43.9%, with a total of 610 subjects. This type was close to average in terms of horizontal size, length, and height. To develop well-fitting school uniforms for junior high school students, there should be further studies on changes in body shape and their associated causes. The study results will be available as basic data for comparing branded school uniform patterns for junior high school boys and developing school uniform patterns based on body shape, using 3D virtual clothing simulations.

Effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke (가상현실 훈련이 아급성 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 효과)

  • Jeon, Min-Jae;Moon, Jong-Hoon
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.271-278
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    • 2019
  • The aim of this study was to investigate the effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke. The present study enrolled 18 patients with sub-acute stroke. All subjects were assigned into either the experimental group (n=9) or control group (n=9). Both groups received conventional occupational therapy for 30 minutes/day, 5 times a week, for 4 weeks. Additionally, the experimental group performed virtual reality training in each session for 30 minutes/day, and the control group conducted conventional occupational therapy in each session for 30 minutes/day. The outcome measures were performed through the Fugl-Meyer Assessment (FMA) and the Korean-modified Barthel Index (K-MBI) before and after intervention. In results, the experimental group showed significant improvements in the scores of FMA and K-MBI after intervention (p<.05). The control group showed significant improvements in the shoulder/elbow/forearm, wrist, and hand sub-domains of the FMA and K-MBI (p<.05). After intervention, the experimental group showed significantly greater improvements in the total score and in the wrist and hand sub-domains of the FMA than control group (p<.05). These findings suggest that virtual reality training may have positive effects on the improvements of upper extremity function in patients with sub-acute stroke.

The Biomechanical Study on the Timings of Tkatchev Motion in Horizontal Bar (중고등학교 우수 선수의 철봉 Tkatchev 기술의 순간 동작 시점에 관한 운동역학적 연구)

  • Lim, Kyu-Chan
    • Korean Journal of Applied Biomechanics
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    • v.29 no.2
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    • pp.121-128
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    • 2019
  • Objective: The aim of this study was to examine the relation between swing phase and airborne phase of Tkatchev motion which was successfully performed with following motion by excellent middle and high school athletes in horizontal bar. Method: The subjects for this study were 8 male middle and high school top athletes. After their Tkatchev motions were filmed by two digital highspeed camcorders setting in 90 frames/sec at the 44th National Gymnastics against Cities and Provinces, the % lapse time lapse time of each instant, inferred maximum force acting on horizontal bar, and other kinematical variables were calculated through DLT method. After the relations among the % lapse times of each instants of downswing-start, downswing-finish, whipswing-finish, release, peak-height, and lapse time of regrasp, the relation among maximum force acting on bar, % lapse time, peak height, and the relation between % lapse time and release height were examined, the biomechanical timing characteristics of Tkatchev motion were as follows. Results: Firstly, it was revealed that the whole lapse time was $1.62{\pm}.06s$ and the correlation between the % lapse time of downswing-start and % lapse time of release was .819. Secondly, it was revealed that the pattern of COG path was shifted forwardly and tilted 11 clockwise from origin. Thirdly, it was revealed that maximum force acting on bar was inferred in $2,283{\pm}425N$ ($4.7{\pm}.6BW$) and the correlation between maximum force and peak height was r = .893. Lastly, it was revealed that the horizontal and vertical component of body COG velocity was $-2.14{\pm}.29m/s$, $2.70{\pm}.43m/s$ respectively, release height was $.49{\pm}.12m$, and shoulder angle was $139{\pm}5deg$, and that the later the % lapse time of release, the higher the release height (r = .935). Conclusion: It is desired that the gymnastic athletes should delay the downswing-start near the horizontal plane on $2^{nd}$ quadrant because the later the % lapse time of downswing, the higher the release height. After all the higher release height could ensure the athletes to regrasp the bar safely, the athletes should exercise to make downswing-start delay.

Carcass characteristics and meat quality of purebred Pakchong 5 and crossbred pigs sired by Pakchong 5 or Duroc boar

  • Lertpatarakomol, Rachakris;Chaosap, Chanporn;Chaweewan, Kamon;Sitthigripong, Ronachai;Limsupavanich, Rutcharin
    • Asian-Australasian Journal of Animal Sciences
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    • v.32 no.4
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    • pp.585-591
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    • 2019
  • Objective: This study investigated carcass characteristics and meat quality of purebred Pakchong 5, crossbred pigs sired by Pakchong 5, and crossbred pigs sired by Duroc. Methods: Forty-eight pigs (average body weight of 22.25 kg) were composed of three groups as purebred Pakchong 5 (PP), Large $White{\times}Landrace$ pigs sired by Pakchong 5 (LWLRP), and Large $White{\times}Landrace$ pigs sired by Duroc (LWLRD). Each group consisted of eight gilts and eight barrows. At 109-day-raising period, pigs were slaughtered, and carcass characteristics were evaluated. Longissimus thoracis (LT) muscles from left side of carcasses were evaluated for meat quality and chemical composition. Data were analyzed using general linear model procedure, where group, sex, and their interaction were included in the model. Results: The PP had greater carcass, total lean, and ham percentages than crossbred pigs (p<0.05). LWLRP had thicker backfat and more carcass fat percentage than LWLRD (p<0.05). There were no differences (p>0.05) on cutting percentages from tender loin, loin, boston butt, and picnic shoulder among groups. The PP and LWLRP had larger loin eye area (LEA) than LWLRD (p<0.05). Gilts had more loin percentage and lower $L^*$ value than barrows (p<0.05). No meat color parameters ($L^*$, $a^*$, and $b^*$) were affected by groups (p>0.05). PP and LWLRP had larger muscle fiber diameters than LWLRD (p<0.05). However, water holding capacity, Warner-Bratzler shear force values, and chemical composition of LT were not affected by group or sex (p>0.05). Conclusion: Pakchong 5 purebred has good carcass and lean percentages. Compared to Duroc crossbred pigs, Pakchong 5 crossbreds have similar carcass and lean percentages, larger LEA, and slightly more carcass fat, with comparable meat quality and chemical composition. Pakchong 5 boars are more affordable for very small- to medium-scale pig producers.

A Study Practice of Infection Control for Dental Office and Dental Hygienist and Bacterial Contamination of Dental Office Surface (치과 의료기관 및 치과위생사의 감염관리 실천도와 진료실내의 표면 세균오염도에 대한 연구)

  • Yun, Kyoung-Ok;Bae, Sung-Suk;Choi, Young-Suk
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.511-519
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    • 2019
  • The purpose of this study was to investigate the status of infection control in dental office and the degree of infection control practice of dental hygienists. A self-reported questionnaire was answered by 193 dental hygienists working in dental hospitals or dental clinics in Gyeonggi and Incheon areas. The number of bacteria was measured sample of surface dental unit chair shoulder backrests and light handles from 19 dental hospitals and 28 dental clinics. It was responded that impression or occlusion bodies were routinely disinfected in 52.6% of the dental hospitals and dental prosthesis were routinely disinfected in 46.4% in dental clinics. The dental hospital and clinics disinfect the surface each 26.3%, 25% after the patient treatment. The dental hospital and clinic were detected bacteria $5.02^*10\^3CFU/mL$, $1^*10\^4CFU/mL$, from dental unit chair backrest, respectively and $8.32^*10\^3CFU/mL$, $4.26^*10\^4CFU/mL$ from light handles, respectively. At the conclusion of this investigation, it can be kept from infection source in dental office is to make the right selection and use of the personal protective equipments and to improve the practice level by regular and active education. The same infection control practice should be done by institutionalizing and mandating infection control practice.

Influence of wound closure on volume stability with the application of different GBR materials: an in vitro cone-beam computed tomographic study

  • Naenni, Nadja;Berner, Tanja;Waller, Tobias;Huesler, Juerg;Hammerle, Christoph Hans Franz;Thoma, Daniel Stefan
    • Journal of Periodontal and Implant Science
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    • v.49 no.1
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    • pp.14-24
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    • 2019
  • Purpose: To assess the influence of using different combinations of guided bone regeneration (GBR) materials on volume changes after wound closure at peri-implant dehiscence defects. Methods: In 5 pig mandibles, standardized bone defects were created and implants were centrally placed. The defects were augmented using different combinations of GBR materials: xenogeneic granulate and collagen membrane (group 1, n=10), xenogeneic granulate and alloplastic membrane (group 2, n=10), alloplastic granulates and alloplastic membrane (group 3, n=10). The horizontal thickness was assessed using cone-beam computed tomography before and after suturing. Measurements were performed at the implant shoulder (HT0) and at 1 mm (HT1) and 2mm (HT2) below. The data were statistically analysed using the Wilcoxon signed-rank test to evaluate within-group differences. Bonferroni correction was applied when calculating statistical significance between the groups. Results: The mean horizontal thickness before suturing was $2.55{\pm}0.53mm$ (group 1), $1.94{\pm}0.56mm$ (group 2), and $2.49{\pm}0.73mm$ (group 3). Post-suturing, the values were $1.47{\pm}0.31mm$ (group 1), $1.77{\pm}0.27mm$ (group 2), and $2.00{\pm}0.48mm$ (group 3). All groups demonstrated a loss of horizontal dimension. Intragroup changes exhibited significant differences in group 1 (P<0.001) and group 3 (P<0.01). Intergroup comparisons revealed statistically significant differences of the relative changes between groups 1 and 2 (P=0.033) and groups 1 and 3 (P=0.015). Conclusions: Volume change after wound closure was minimized by using an alloplastic membrane. The stability of the augmented horizontal thickness was most ensured by using this type of membrane irrespective of the bone substitute material used for membrane support.