• Title/Summary/Keyword: tear strength

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Isolated Ruptures of the Infraspinatus: Clinical Characteristics and Outcomes

  • Lee, Kwang Yeol;Kim, Sae Hoon;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.20 no.1
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    • pp.30-36
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    • 2017
  • Background: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. Methods: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. Results: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5-9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0-5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45-77] to 89.3 [range, 81-100], p=0.029), and ASES score (52.3 [range, 30-77] to 90.0 [range, 80-100], p=0.002). There was no healing failure on imaging. Conclusions: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder.

The Domestic Trends of Treatments on Postoperative Rotator Cuff Tear (회전근 개 파열로 인한 수술 후 처치에 관한 국내 연구 동향)

  • Lee, Chung-Hee;Kim, Yeon-Hee;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.27 no.2
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    • pp.1-10
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    • 2018
  • Objectives : The purpose of this study is to investigate the latest trend of studies on treatments of postoperative rotator cuff tear patients which are published in Korea. Methods : We investigated the studies on the treatments of postoperative rotator cuff tear patients via searching 6(six) Korean web databases(NSDL, RISS, Korean traditional knowledge portal, OASIS, KISTI, KCI). As a result, 16(sixteen) studies were found. We classified the papers by publication date, published journal, method of study, type of treatment, evaluation scale and referencing research ethics. Results : 16(sixteen) papers were published from 2006 to 2017. The papers were published in The journal of Korean shoulder & elbow society, The journal of korean acupuncture & moxibustion medicine, etc. 5(five) randomized controlled trials, 5(five) non-randomized controlled trials, 4(four) case reports and 2(two) Retrospective report have been found. For types of treatment, 6(six) exercise therapies, 3(three) Korean medicine treatments and 7(seven) other treatments have been found. Main evaluation tools were VAS, ROM, NRS and Muscle strength. Conclusions : In this study, we analyzed the latest trend of studies on treatments of postoperative rotator cuff tear patients. Reviewing the international trends of studies on treatments for postoperative rotator cuff tear are essential for the future studies.

Strength Property Improvement of OCC-based Paper by Chemical and Mechanical Treatments (III) - Handsheet physical properties - (골판지 고지의 물리화학적 처리에 의한 강도향상(제3보) - 수초지의 물리적 특성변화 -)

  • Lee, Jong-Hoon;Seo, Yung B.;Jeon, Yang;Lee, Hak-Lae;Shin, Jong-Ho
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.32 no.2
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    • pp.8-15
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    • 2000
  • This study is a continuation of the previous experimental analysis and is mostly focused on handsheet strength properties. Four completely different fibers, which were Hw-BKP, SW-BKP, White ledger, and OCC, were selected to investigate the effect of mechanical pre-treatment by Hobart mixer on handsheet strehgth properties. After equal time mechanical pre-treatment, the fibers were refined with laboratory valley beater for 10, 20 and 30 minutes, and handsheets were prepared from the fibers for physical strength comparison. Handsheets from SW-BKP and OCC showed 5-30% increase of breaking length, burst index, tear index, and compression index while handsheets from HW-BKP and White ledger no increase except tear index. In Hobart mixer pre-treatment, HW-BKP and White ledger fibers were easily attached to the wall of the mixer bowl and mechanical action was not effectively applied. The fiber length of Hw-BKP and White ledger were 0.837 mm and 1.591 mm, respectively, while SW-BKP and OCC were 2.744 mm and 2.033 mm, respectively, in weight weighted length. The effective mechanical pre-treatment seems to be related to the fiber length. Tear indexes of the pre-treated furnish were much higher than no pre-treatment at the same breaking length level.

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Arthroscopic Versus Mini-Open Salvage Repair of the Rotator Cuff Tear : Outcome Analysis at Two to Six Years Follow-up (회전개근 순수 관절경적 봉합술과 국소절개 구제봉합술 비교분석 : 2~6년 추시결과 분석)

  • Kim, Seung-Ho;Ha, Kwon-lck;Park, Jong-Hyuk;Kang, Jin-Seok;Oh, Sung-Kyun;Oh, Ir-Vin;Yoo, Jae-Chul
    • Clinics in Shoulder and Elbow
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    • v.5 no.2
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    • pp.88-97
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    • 2002
  • The purpose of this study was to compare the outcomes between arthroscopir repair and mini-open repair of medium and large rotator cuff tears in which arthroscopic repair was technically unsuccessful. We evaluated 76 patients of full-thickness rotator cuff tears, among them 42 patients had all-arthroscopic and 34 patients had mini-open salvage repairs. Patients who had acromioclavicular arthritis, subscapularis tear, or instability were excluded. There were 39 males and 37 females with mean age of 56 years (range,42 to 75 years). At a mean follow-up of 39 months (range, 24 to 64 months), the results of both groups were compared with regard to the UCLA and ASES shoulder rating scale s. Shoulder scores improved in all ratings in both groups (p > 0.05). Overall, sixty-six patients showed excellent or gr)of and ten patients showed fair or poor scores by the UCLA scale. Seventy-two patients satisfactorily returned to prior activity. Four showed unsatisfactory return. The range of motion, strength, and patient's satisfaction were improved postoperatively. There were no difference in shoulder scores, pain, and activity return between the arthroscopic and mini-open salvage groups (p > 0.05). However, Patients with larger size tear showed lower shoulder scores and less predictive recovery of the strength and function (p < 0.05). Postoperative pain was not different with respect to the size of the tear (p : 0.251). Arthroscopic repair of medium and large full-thickness rotator cuff tears had iln equal outcome to technically unsuccessful arthroscopic repairs, which were salvaged by conversion to a mini- open repair technique. Surgical outcome depended on the size of the tear, rather than the method of repair.

The Flame Retardent and Electric Properties of Silicone Rubber (실리콘 고무의 내화 및 전기특성)

  • Hong, Sung-Ryool;Lee, Sung-Ill;Kim, Gui-Yeul;Jang, Kyung-Uk;Lee, Won-Jae
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2003.05d
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    • pp.69-71
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    • 2003
  • Mechanical Properties, such as tensile strength, elongation, and tear strength, decreased according to increasing the load of ATH, volume resistivity, AC break down strength, and tracking resistance for HVI SC contained ATH treated by vinyl Silane were better than those for HVI SC were contained ATH treated by other surface treatment agent, such as stearic acid and acryl silane.

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A study on the application and manufacture of paper sheet containing lyocell fiber( I ) (Lyocell 섬유를 함유한 종이의 제조 및 적용에 관한 연구( I ))

  • 김종열;류운형;유성종;김정열;신창호;김영호
    • Journal of the Korean Society of Tobacco Science
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    • v.22 no.1
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    • pp.99-106
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    • 2000
  • In order to investigate the applicability of lyocell fiber to filter paper, papper sheets were manufactured with the addition of lyocell fibers in various length(1.5 denier: 2, 3, 4mm) and content(10, 30, 50%) and their physical characters, such as fibrilation rate, adsorption efficiency of methylene blue(MB), paper formation, and crimping ability, etc, were tested. The level of main fibrilation from lyocell fiber was higher in wet beating process than that in free beating because of the higher strength of lyocell fiber compared with wood fiber. Fibrilation could be observed at the degree of beating over 30$^{\circ}$ SR in wet beating with Valley beater. The air permeability and tear factor of the paper increased and the paper formation index decreased according to the increase of fiber length. The weak binding force of lyocell fiber in spite of its higher fiber strength, might be a limitng factor in addition of lyocell fiber to the natural wood pulp in manufacturing the paper having the needed physical properties. High contents of wood pulp decreased air permeability, the breaking length, tear factor, the bursting strength, and paper formation index in paper sheets. As the contents of lyocell increased from 10% to 100%, the adsorption efficiency of MB was elevated to 1.7-7.9 times compared with that in 100% wood pulp. But the length of lyocell fiber did not affect the MB adsorption.

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The Quantitative Determination of Hemicelluloses Adsorbed on Hw-BKP Using HPLC (HPLC를 이용한 Hw-BKP 섬유에 흡착된 헤미셀룰로오스의 정량 평가)

  • Lee, Sang-Hoon;Lee, Hak-Lae;Youn, Hye-Jung
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.40 no.4
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    • pp.43-50
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    • 2008
  • Adsorption of xylans extracted from birchwood and oat spelt on Hw-BKP were analyzed using HPLC. The effect of xylan adsorption on paper properties such as tensile, tear index and brightness was also investigated. The constituents of xylan was analyzed with HPLC after hydrolysis with dilute sulfuric acid. It was shown that xylose was the major constituent and small amounts of glucose and galactose were contained in the xylan samples. Adsorption of xylan on hardwood fibers was evaluated using acid hydrolysis and HPLC techniques. Results showed that the adsorption of negatively charged xylan on the fiber surface was negligible probably because electrostatic repulsion between these two materials. Pretreatment of the fiber with alum increased xylan adsorption. The amount of adsorption increased up to 30 mg/g. With the increase of xylan adsorption both tensile and tear strength of the handsheet increased suggesting xylan can be a very effective strength agents for papermaking. Brightness of the handsheets decreased, however, with the use of xylan.

Application of WCT(Wet Compaction Test) for Fiber Evaluation

  • Seo, Yung-B.;Ha, In-Ho;Lee, Chun-Han
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.38 no.5 s.118
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    • pp.9-15
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    • 2006
  • Wet compaction test (WCT) is a fiber evaluation method where wet fibers are compressed at one side of a cylinder and water drains out from the other side. The consistency of the fiber furnishes and their pressures are recorded during the test. In the previous study we found that WCT results always gave better coefficients of determination in fiber furnish drainage, and paper properties (density, tensile, tear, and burst strength) than those of WRV (water retention value). Fiber freeness and fiber length correlated well with drainage and tear strength of the furnishes, respectively; however, their correlations were very much improved by combining the WCT results. In this study, we used the WCT test for fractionated fiber furnishes to see whether improvement of the WCT is possible. We found that strength properties such as breaking length and burst index were correlated better with the fractionated long fiber furnishes. Drainage was greatly affected by the presence of short fiber furnishes. We used bleached chemical pulps (SwBKP, HwBKP), recycled pulp (OCC), and mechanical pulp (BCTMP) as fiber furnishes in this study. Fiber fractionation can be performed on-line in these days by using multifractor and WCT can be used as an on-line test in papermachine in the future.

Massive Rotator Cuff Tear Repair (광범위 회전근 개 파열의 봉합술)

  • Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.167-174
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    • 2010
  • Purpose: Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. Materials and Methods: Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan. Results: Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up. Conclusion: Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.

Strength Property Improvement of OCC-based Paper by Various Mechanical and Chemical Treatments of its Fiber (골판지 고지의 물리화학적 처리에 의한 강도향상)

  • Seo, Yung B.;Lee, Jong Hoon
    • Korean Journal of Agricultural Science
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    • v.26 no.1
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    • pp.21-30
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    • 1999
  • To increase the strength properties of recycled fiber, especially OCC (Old Corrugated Container) in this study, we used the mechanical pretreatment on the fibers before refining. The mechanical action in the Hobart mixer induced high shear and compression on the fibers, which resulted in the breakdowns of fiber internal structure, and microcompressions on the surface of the fibers. We evaluated the degree of mechanical treatment by fiber curl index. Four different refining techniques were applied to the pretreated fibers (Valley beater, Kady mill, PFI mill, and Impact refining) to find the best combination of the pretreatment and the refining methods. Conclusions were summarized as followed. 1. In keeping the fiber length from shortening, Kady mill and PFI mill refining were effective. Kady mill and Valley beater application tended to straighten out the fiber shapes. 2. Valley beating increased the breaking length of the handsheets better than other methods, while lowering the tear strength most. The mechanical pretreatment increased breaking length about 10% in average irrespective of four different refining methods. 3. Tear strength was increased by the mechanical pretreatment and by the PFI mill refining. 4. Burst strength was increased by the mechanical pretreatment and by valley beating method. 5. In increasing the breaking length and burst strength while keeping tear strength, combination of mechanical pretreatment and Valley beating were most effective.

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