• Title/Summary/Keyword: foot classification

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Pathology and Classification of Focal Segmental Glomerulosclerosis (초점성 분절성 사구체 경화증의 병리와 분류)

  • Kim, Yong-Jin
    • Childhood Kidney Diseases
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    • v.16 no.1
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    • pp.21-31
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    • 2012
  • Focal segmental glomerulosclerosis (FSGS) is the name of the primary glomerular disease as well as the terminology to describe the secondary phenomena of any other glomerular diseases. It is characterized by sclerosis, hyalinosis, foam cell infiltration, vacuolar change of podocytes, and halo formation in the glomerulus. Throughout the interstitium, lymphocytes infiltration, tubular atrophy and vascular changes are accompanied. Occasionally, IgM and/or C3 depositions are noted in the sclerotic areas. Electron microscopically, diffuse effacement of foot processes are seen in non-sclerotic area like minimal change disease. Podocyte injury patterns including vacuolar changes are frequently examined. Recently, Columbia group has suggested morphologic classification of FSGS and they demonstrated very good prognosis of tip lesion and poor prognosis of both collapsing and cellular types. However, the pathogenetic classification has been suggested by others; hyperfilteration, podocyte injury, genetic lesions etc. Further studies are necessary to understand and treat this disease.

Treatment of Distal Tibia Fracture using MIPPO Technique with Locking Compression Plate: Comparative Study of the Intraarticular Fracture and Extraarticular Fracture (잠김-압박 금속판을 사용하여 MIPPO 수기를 적용한 원위부 경골 골절의 치료: 관절내 골절과 관절외 골절의 비교)

  • Chung, Soo-Tae;Kim, Hyung-Soo;Cha, Seung-Do;Yoo, Jeong-Hyun;Park, Jai-Hyung;Kim, Joo-Hak;Jung, Jin-Ha
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.162-168
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    • 2009
  • Purpose: To evaluate the efficiency of the minimally invasive percutaneous plate osteosynthesis (MIPPO) with locking compression plate (LCP) for distal tibial metaphyseal intra-articular fracture compared with extra-articular fracture. Materials and Methods: From February 2006 to June 2008, 21 patients with distal tibia metaphyseal intra-articular fracture and 20 patients with extra-articular fracture were treated operatively by MIPPO technique with LCP and followed for at least one year. In the group with intra-articular fracture, mean age was 48.85 years old and a mean follow-up was 15 months. In the other group with extra-articular fracture, mean age was 52.35 years old and a mean follow-up was 14.5 months. The type of fracture was evaluated using the AO/OTA classification and open-fractures were according to the Gustilo-And gron classification. Radiologic evaluation with fracture healing and tibial alignment, clinical evaluation with Olerud and Molander ankle score and restriction of motion were done for treatment. Results: According to AO/OTA classification, There were 21 type A, 15 type B, 5 type C. Average union time of the intra-articular fracture (type B, C) was 18.7 weeks. Average union time of the extra-articular fracture (type A) was 17.1 weeks. All fractures were healed without malunion. There were no difference of mean restriction angle between intra-articular fracture (ankle dorsiflexion was 3.57 degree, plantar-flexion was 5.95 degree) and extra-articular fracture (ankle dorsiflexion was 3 degree, plantar-flexion was 3.75 degree). There were no difference of Olerud and Molander ankle score between them as a mean score of intra-articular and extra-articular was 89.25, 91.25 each other. As a complication, there were 3 case of skin necrosis, 8 case of discomfortable skin tenting by plate and 1 superficial infection, but could be healed by conservative care. Conclusion: MIPPO technique, combined articular reduction, with LCP of distal tibial metaphyseal fracture was a good method with high functional recovery.

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Result of the Early Exercise and Rehabilitation after Limited Posterior Operative Treatment of the Calcaneal Fractures (종골 골절의 제한적 후방 접근법 수술적 치료 후 조기 운동 및 재활 치료의 결과)

  • Song, Kyung-Won;Kim, Gab-Lae;Lee, Jin-Young;Lee, Kwang-Nam;Seo, Eun-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.93-99
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    • 2008
  • Purpose: To evaluate the result of the early exercise and rehabilitation after limited posterior operative treatment of the calcaneal fractures. Materials and Methods: Between May 2005 and December 2007, 43 cases with intraarticular calcaneal fractures were treated by open reduction with K-wires and Steinmann pins. Mean age and mean follow-up period were 42.5 years old and 15 months. All patients were treated with the same postoperative protocol, the early exercise of subtalar joint without short leg splint and cast was began after postoperative 1 day, non-weight bearing crutch ambulation did after 2 weeks, partial-weight bearing crutch ambulation did after 6 weeks, without crutch ambulation did after 10 weeks. The fractures was classified by Essex-Lopresti and Sanders classification using radiographs and the functional outcomes were evaluated by circle draw exercise, AOFAS score. Results: By Essex-Lopresti classification, the tongue type was 6 cases (14%), the joint depression type was 15 cases (35%), the combined type was 22 cases (51%). By Sanders classification, type II were 10 cases (23%), type III were 15 cases (58%), and type IV were 8 cases (19%). By AOFAS functional evaluation, the mean preoperative scores were 70.3 and 70.5 respectively, mean postoperative scores were 83.7 and 86.9 respectively. There were satisfactory results in 40 cases but 3 cases were unsatisfactory including on case of lateral impingement and 2 cases of traumatic arthritis of subtalar joint. Conclusion: We obtained satisfactory result of the early exercise of subtalar joint without short leg splint and cast and rehabilitation after limited posterior operative treatment of the calcaneal fractures.

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Structural Analysis of the Governing Variables Affecting the Structural Strength Evaluation of the Lashing Bridges in Container Vessels (컨테이너선 라싱 브릿지 구조 강도 평가에 영향을 미치는 주요 변수의 구조해석)

  • Myung-Su Yi;Joo-Shin Park
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.2
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    • pp.230-237
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    • 2023
  • Due to the COVID-19 pandemic and climate change, shortages of essential commodities and resources continue to occur globally. To address this problem, trade volume demand suddenly increased, driving up the freight rate of container ships sharply. The size of container vessels progressively increased from 1,500 TEU (twenty-foot equivalent unit) in the 1960s to 24,400 TEU in 2021. As the improvement of container loading capacity is closely related to the enlargement of the lashing bridge structure, it is necessary to design a structure effective for good container securing and safe under the various external loads that occur during voyage. Major classification societies have recently issued structural-analysis-based guidelines to evaluate the structural safety of lashing bridges, but their acceptance criteria and evaluation methods are different, causing confusion among engineers during design. In this study, the strength change characteristics are summarized by variations in the main variables (modeling range, opening consideration, mesh size) likely to affect the results. Based on this result, the authors propose a reasonable structural-analysis-based evaluation that is expected to serve as a reference in the next revision of classification standards.

A Study on Shoe Design Affected by Glam Rock (글램 록 스타일 구두 디자인에 관한 연구)

  • Song, Ji-Hyun;Choi, Jeong-Wook
    • The Research Journal of the Costume Culture
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    • v.16 no.6
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    • pp.1156-1168
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    • 2008
  • This study investigated the preceding studies and concept of Glam Rock style, modernistically reinterpreted its aesthetic function and symbolism and connected them to design. It analyzed according to the standards for classification the Glam Rock style appearing mainly in the collections from 2002 S/S to 2007 S/S and presented four pieces of design through the analysis. Its findings are synthesized as follows. First, unstructured design constitutes mule stressing gold cubic overall. It takes an unstable form by the placement of unshapely front ball of foot from transforming Chopin and a relatively poor heel. Second, over trimming constitutes separated pumps in the form of over trimming irregularly a piece of broken glass, metal and thumb tack. Third, Mix & Match combines Boot body of flexible knit material with an acrylic wedge sandal. Fourth, a platform sandal has the structure of color contrast between yellow and bronze in calf fur of tiger-skin pattern. I hope that this study will be developed by reflecting Glam Rock spirit and style as cultural phenomena through analyzing Glam Rock style and presenting design according to selected standards for classification, inferring plastic beauty of fashion shoes from them, investigating the change and feature of age-specific shoe design and making a new attempt possible.

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APPLICATION OF MULTIVARIATE DISCRIMINANT ANALYSIS FOR CLASSIFYING PROFICIENCY OF EQUIPMENT OPERATORS

  • Ruel R. Cabahug;Ruth Guinita-Cabahug;David J. Edwards
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.662-666
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    • 2005
  • Using data gathered from expert opinion of plant and equipment professionals; this paper presents the key variables that may constitute a maintenance proficient plant operator. The Multivariate Discriminant Analysis (MDA) was applied to generate data and was tested for sensitivity analysis. Results showed that the MDA model was able to classify plant operators' proficiency at 94.10 percent accuracy and determined nine (9) key variables of a maintenance proficient plant operator. The key variables included: i) number of years of experience as equipment operator (PQ1); ii) eye-hand coordination (PQ9); iii) eye-hand-foot coordination (PQ10); iv) planning skills (TE16); v) pay/wage (MQ1); vi) work satisfaction (MQ4); vii) operator responsibilities as defined by management (MF1); viii) clear management policies (MF4); and ix) management pay scheme (MF5). The classification procedure of nine variables formed the general model with the equation viz: OMP (general) = 0.516PQ1 + 0.309PQ9 + 0.557PQ10 + 0.831TE16 + 0.8MQ1 + 0.0216MQ4 + 0.136MF1 + 0.28MF4 + 0.332MF5 - 4.387

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Treatment of Bunionette Deformity with S.E.R.I. (simple, effective, rapid, inexpensive) Operation (S.E.R.I. 수술법을 이용한 소건막류의 치료)

  • Kim, Sun-Yong;Park, Kwang-Hwan;Lee, Jin-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.25-30
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    • 2010
  • Purpose: The purpose of this study was to evaluate the clinical and radiological outcomes of the S.E.R.I. (simple, effective, rapid, inexpensive) operation for the bunionette deformity. Materials and Methods: Between March 2005 and February 2009, 22 patients (26 feet) who had been treated for the bunionette deformity with minimally invasive osteotomy were reviewed retrospectively. Clinically, Visual Analogue Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score, shoes selectivity, disappearance of callus and patient's satisfaction level by Coughlin scoring system were evaluated. Radiologically, the bunionette was classified as four types according to the Fallat classification. The 4-5$^{th}$ intermetatarsal angle (4-5$^{th}$ IMA), the 5$^{th}$ metatarsophalangeal angle (5$^{th}$ MPA) and the length of 5th metatarsal bone (5$^{th}$ MTL) were analyzed at preoperatively and at final follow up visit. Results: VAS improved from $6.8{\pm}1.8$ points to $2.2{\pm}1.8$ points (p<0.05). AOFAS score improved from $54.0{\pm}14.2$ points to $90.0{\pm}4.8$ points (p<0.05). There was no change in shoes selectivity. 9 feet (34.6%) were satisfied with excellent results, 16 feet (61.5%) with good results and 1 foot (3.9%) with fair results. The average 4-5$^{th}$ IMA was corrected from $10.1{\pm}2.3^{\circ}$ to $4.4{\pm}1.7^{\circ}$ (p<0.05). The average 5$^{th}$ MPA was corrected from $11.5{\pm}8.6^{\circ}$ to $-0.1{\pm}4.1^{\circ}$ (p<0.05). The average 5$^{th}$ MTL was changed from $66.1{\pm}4.3$ millimeters to $64.1{\pm}4.4$ millimeters (p=0.069). There was no malunion, nonunion or delayed union and other perioperative complications. Conclusion: S.E.R.I. operation is less invasive and easy technique. This procedure is recommendable for the treatment of the bunionette deformity.

A research on the Korean medicine industry of define and classification (한방산업의 정의와 분류에 대한 연구)

  • Shin, Hyeun-Kyoo
    • Korean Journal of Oriental Medicine
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    • v.10 no.1
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    • pp.97-105
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    • 2004
  • 1. To define 'Korean medicine industry' through study on existing medicine related industries, Korean medicine industry means all industrial activities related to Korean medicine. It covers material resources such as herbs and products made with herbs, medical instruments, Korean medical service and related information service based on Korean medicine theories. 2. According to Korea National Statistical Office standard industrial branch, Korean medicine industry was classified as a large branch. There were industries such as agriculture, food and beverage manufacture, publishing, copy of prints and record media, manufacture of compound and chemical products, medical service, manufacture of precise optical instruments, wholesale trade and product mediation, retail trade, restaurant, research and development, education service, health preservation service, entertainment, culture and sports industry related to the Korean medicine industry. 3. If we classify this according to the industry branch of English economists Clark, Colin Grant, herb cultivating industry will be classified as primary industry, manufacture of foot and beverage related to Korean medicine, secondary industry and wholesale and retail sales of herb, research and development, education, health preservation, social welfare, tertiary industries.

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Gait State Classification by HMMS for Pedestrian Inertial Navigation System (보행용 관성 항법 시스템을 위한 HMMS를 통한 걸음 단계 구분)

  • Park, Sang-Kyeong;Suh, Young-Soo
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.58 no.5
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    • pp.1010-1018
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    • 2009
  • An inertial navigation system for pedestrian position tracking is proposed, where the position is computed using inertial sensors mounted on shoes. Inertial navigation system(INS) errors increase with time due to inertial sensor errors, and therefore it needs to reset errors frequently. During normal walking, there is an almost periodic zero velocity instance when a foot touches the floor. Using this fact, estimation errors are reduced and this method is called the zero velocity updating algorithm. When implementing this zero velocity updating algorithm, it is important to know when is the zero velocity interval. The gait states are modeled as a Markov process and each state is estimated using the hidden Markov model smoother. With this gait estimation, the zero or nearly zero velocity interval is more accurately estimated, which helps to reduce the position estimation error.

Classification of Obstacle Shape for Generating Walking Path of Humanoid Robot (인간형 로봇의 이동경로 생성을 위한 장애물 모양의 구분 방법)

  • Park, Chan-Soo;Kim, Doik
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.37 no.2
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    • pp.169-176
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    • 2013
  • To generate the walking path of a humanoid robot in an unknown environment, the shapes of obstacles around the robot should be detected accurately. However, doing so incurs a very large computational cost. Therefore this study proposes a method to classify the obstacle shape into three types: a shape small enough for the robot to go over, a shape planar enough for the robot foot to make contact with, and an uncertain shape that must be avoided by the robot. To classify the obstacle shape, first, the range and the number of the obstacles is detected. If an obstacle can make contact with the robot foot, the shape of an obstacle is accurately derived. If an obstacle has uncertain shape or small size, the shape of an obstacle is not detected to minimize the computational load. Experimental results show that the proposed algorithm efficiently classifies the shapes of obstacles around the robot in real time with low computational load.