• Title/Summary/Keyword: 전방 시야

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Simultaneous Bucket-handle Tears of both Medial and Lateral Meniscus - A Case Report - (내측 및 외측 반월상 연골에 동시 발생한 양동이 손잡이형 파열 - 증례 보고 -)

  • Yoon, Jung-Ro;Kim, Taik-Sun;Yang, Jai-Hyuk;Kang, Kyu-Bok;Kim, Young-Chan
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.1
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    • pp.25-28
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    • 2010
  • Most of bucket handle meniscal tears are associated with anterior cruciate ligament (ACL) deficiency. Lateral meniscus lesions are more common with acute ACL deficiency, where medial meniscus lesions are more associated with chronic ACL deficiency. We reported an ACL deficient knee with bucket handle tears of medial and lateral meniscus of the same knee. The report suggests the need for increased awareness of the possible presence of this. Additionally, we discuss injury mechanism, clinical symptoms, specific signs on Magnetic Resonance Imaging (MRI), and treatment options.

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A Safety Assessment on Light Weight Wheelchair Occupant in Frontal Crash (경량 휠체어 탑승자의 차량 전방충돌시 안전성 평가)

  • 김성민;김성재;강태건
    • Journal of Biomedical Engineering Research
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    • v.24 no.1
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    • pp.15-21
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    • 2003
  • In this study, for a safetv assessment of light weight wheelchair occupant in frontal crash, we tested a dynamic sled impact test. we carried out total 6 times test and impact speed was 20g/48 km/h. By using Hybrid III 50%ile male dummy, head injury criteria(HIC), neck flexion moment, neck axial tension force, neck shear force. chest acceleration, head, wheelchair and knee excursion were measured, we evaluated light weight wheelchair occupant safety by motion criteria(MC) which proposed in SAE J2249 and combined injury criteria(CIC) which is a voluntary standard(GM-IARV) of General Motors Co.. when we assumed that the maximum injury value in frontal crash was 100%, the result of motion criteria(MC) of wheelchair occupant was 52%, occupant upper body injury index(CIC) was 60.1%.

Effect of Lateral and Posterior Placement of Single-Bundle and Double-Bundle ACL Reconstructions on Tibial Internal Rotation During Single-Leg Landing (전방십자인대 한다발재건술의 후외측다발 재건 및 두다발재건술이 외발착지 동작 시에 경골내회전에 미치는 영향)

  • Shin, Choong-Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.5
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    • pp.517-523
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    • 2011
  • Anterior cruciate ligament (ACL) injuries are treatedwith surgical reconstruction. Although ACL consists of two functional bundles, only the anteromedial bundle is surgically reconstructed, and the effect of the reconstruction of the posterolateral bundle is unknown. The purpose of this study is to investigate the role of the posterolateral bundle and the effect of double-bundle reconstruction during single-leg landing. A 3D dynamic knee with various ACL reconstructed models was created using MRI, and single-leg landing motion was simulated using in-vivo human experimental data. The results showed that the lateral shift of the tibial insertion of the anteromedial bundle and the posterolateral bundle of the ACL constrain the tibial internal rotation more efficiently than a single anteromedial bundle can. In addition, double-bundle ACL reconstruction is less sensitive to inaccuracies in the tibial tunnel placement.

Comparison of the Patella Baja in Patients With and Without Anterior Cruciate Ligament Injury (전방 십자 인대 손상군과 정상군에서 슬개골 저위증의 비교)

  • Lee, Woo-Suk;Kim, Sung-Hun;Cho, Sung-Jin;Lim, Ji-Hyuk;Chung, Whan-Young;Hwang, Cheol-Mog
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.39-44
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    • 2006
  • Purpose: The object of this study is to compare the Insall-Salvati ratio and Carton index between the patients who have an anterior cruciate ligament (ACL) tear and the patients who have no ACL tear. Materials and Methods: The study group included 114 patients who had an ACL tear and received arthroscopic reconstruction. The group I was acute ACL tear group, within 3 weeks after injury. The group II was chronic ACL tear group who had MRI was done after 3 weeks from injury. The group III was normal control group. We measured the Insall-Salvati ratio and Carton index on Magnetic Resonance Images (MRI) for all patients. Results: The Insall-Salvati ratio of control group was $1.02{\pm}0.12$ and Carton index of control group was $1.14{\pm}0.16$. The ACL-tear study group was $0.91{\pm}0.12\;and\;0.89{\pm}0.20$ respectively. The Insall-Salvati ratio and Caton index in ACL tear group was significantly less than those of control group. There were no significant differences in comparing with acute and chronic ACL tear group. Conclusion: Our study show that patella baja has an association with ACL tears, therefore in patients with an ACL tear who had patella baja, ideal graft for reconstruction was seriously considered.

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Omni-directional Image Generation Algorithm with Parametric Image Compensation (변수화된 영상 보정을 통한 전방향 영상 생성 방법)

  • Kim, Yu-Na;Sim, Dong-Gyu
    • Journal of Broadcast Engineering
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    • v.11 no.4 s.33
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    • pp.396-406
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    • 2006
  • This paper proposes an omni-directional image generation algorithm with parametric image compensation. The algorithm generates an omni-directional image by transforming each planar image to the spherical image on spherical coordinate. Parametric image compensation method is presented in order to compensate vignetting and illumination distortions caused by properties of a camera system and lighting condition. The proposed algorithm can generates realistic and seamless omni-directional video and synthesize any point of view from the stitched omni-directional image on the spherical image. Experimental results show that the proposed omni-directional system with vignetting and illumination compensation is approximately $1{\sim}4dB$ better than that which does not consider the said effects.

Effects of Knee Position during the Graft Fixation of the Arthroscopic Anterior Cruciate Ligament Reconstruction with Autogenous Hamstring Graft (이식 건 고정 시 슬관절 위치가 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술 후 결과에 미치는 영향)

  • Lee, Churl-Woo;Yoo, Jae-Doo;Roh, Kwon-Jae;Park, Seong-Pil
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.143-147
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    • 2005
  • Purpose: In case of anterior cruciate ligament (ACL) reconstruction, graft tendon is generally fixed in tibial tunnel with knee extended. When reconstructing ACL using hamstring tendon, the authors aim to find out the effect of knee joint position during graft fixation on postoperative knee joint stability and range of motion. Materials and Methods: Prospective study was done on patients who have undergone ACL reconstruction using hamstring tendon from May 2002 to January 2003 We used Rigifix system (Mitek Product, Johnson and Johnson, USA) and Intrafix system for fixation. Thirty nine patients received ACL reconstruction during this period. Excluding 2 patients lost in the follow-up, 37 patients were analyzed. The mean follow-up period was 14 months $(13{\sim}25months)$. Knee position was decided alternatively without any bias. Clinical evaluation was based on Lachman test, pivot shift test, Lysholm score, IKDC(international knee documentation committee) assessment and side to side KT-1000 maximal manual arthrometer difference. Results: After the last follow-up, average postoperative Lysholm score was 93.1 poins(65-98points). According to IKDC score, 26 cases were normal, 10 cases were nearly normal, 1 case was abnormal and we had no case of severe abnormality. The mean difference from the normal side was 2.5 mm under maximal manual loading KT-1000 arthrometer. According to postoperative Lachman test, 32 cases were normal,2 cases were grade I and 1 case was grade II. There were 34 cases of normal, 2 cases of grade I and 1 case of grade II. When using maximal manual KT-1000 arthrometer side to side difference, the difference from the normal side while fixing the tibia at 20'knee flexion was 2.3 mm and at full extention the difference was 2.7 mm. The range of motion at postoperative 1 year showed 5 degree flexion contracture in 1 case at 20 degrees knee flexion and 10 degrees of flexion limitation was observed in 2 cases at full extension. Conclusion: When ACL reconstruction using autogenous hamstring tendon, anterior laxity showed no difference in its stability between two groups. Tibial side fixation at full extension may be helpful in preventing flexion contracture due to overconstrained graft tendon.

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The Effect of Mandibular Protrusion on Dynamic Changes in Oropharyngeal Caliber (하악의 전방이동이 구인두 내경의 동적 변화에 미치는 영향)

  • Jung, Jae-Kwang;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.35 no.3
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    • pp.193-202
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    • 2010
  • The purpose of this study was to determine the sites of narrowing/obstruction and to measure the regional severity of narrowing through the evaluation of dynamic changes in upper-airway of healthy subjects. The selected 9 subjects were proved not to have any sleep-related disorder such as snoring or obstructive sleep apnea through clinical examination, radiological examination, sleep study with a portable recording system. Afterward, the Electron Beam Tomography was performed during the waking and sleeping state of subjects, with their mandible in resting and protruded position. Intravenous injection of Dormicum$^{(R)}$ was used for the induction of sleep. The maximum and minimum cross-sectional areas at each airway level during tidal ventilation were measured and the Collapsibility Index for each level of cross-section was also computed. In a comparison with results under variable conditions, the result was showed that the significant difference between each airway level divided with upper, middle, lower region of upper airway is not observed in the average minimum cross-sectional areas and Collapsibility Index. The significant difference only between in wake and sleep state was observed in the average minimum cross-sectional area at the lower region. Also, in wake state, the significant difference between resting and protrusive position of mandible for the average minimum was also observed in cross-sectional area at middle region. In sleep state, no significant difference between resting and protrusive position of mandible was observed in cross-sectional area and the Collapsibility Index.

A probabilistic assessment of ground condition prediction ahead of TBM tunnels combining each geophysical prediction method (TBM 현장에서 막장전방 예측기법 결과의 확률론적 분석을 통한 지반상태 평가)

  • Lee, Kang-Hyun;Seo, Hyung-Joon;Park, Jeongjun;Park, Jinho;Lee, In-Mo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.18 no.3
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    • pp.257-272
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    • 2016
  • It is usually not an easy task to counter-measure on time and appropriately when confronting with troubles in mechanized tunnelling job-sites because of the limitation of available spaces to perform those actions with the existence of disk cutter, cutter head, chamber and other various apparatus in Tunnel Boring Machine (TBM). So, it is important to predict the ground condition ahead of a tunnel face during tunnel excavation. Efforts have been made to utilize geophysical methods such as elastic wave survey, electromagnetic wave survey, electrical resistivity survey, etc for predicting the ground condition ahead of the TBM tunnel face. Each prediction method among these geophysical methods has its own advantage and disadvantage. Therefore, it might be needed to apply several geophysical methods rather than just one to predict the ground condition ahead of the tunnel face in the complex and/or mixed grounds since those methods will compensate among others. The problem is that each prediction method will give us different answer on the predicted ground condition; how to combine different solutions into a most reasonable and representative predicted value might be important. Therefore, in this study, we proposed a methodology how to systematically combine each prediction method utilizing probabilistic analysis as well as analytic hierarchy process. The proposed methods is applied to a virtual job site to confirm the applicability of the model to predict the ground condition ahead of the tunnel face in the mechanized tunnelling.

승용차의 시계 요소 조사 및 개선 방향

  • 정일석;이정근;정의승;윤명환;최재호;강동석
    • Proceedings of the ESK Conference
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    • 1997.10a
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    • pp.114-119
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    • 1997
  • 자동차 내장 설계의 주요 검토 사항으로 거주성, 조작성, 시인/시계성, 승강성, 적재성, 안전성 등 을 들 수 있다. 특히, 승용차의 주행 시 운전자는 주위 환경에서 일어나는 상황의 대부분을 눈을 통해 인식하게 되므로, 주행 중 운전자에게 충분한 시계를 확보해 주는 것이 자동차의 설계에서 중요한 요인 이 된다. 본 연구에서는 시계성을 중심으로 미국의 FMVSS(Federal Motor Vehicle Sfety Standard), 유럽의 EEC(European Economy Community), 한국공업규격 등에서 규정하고있는 시계 요소들을 조사 비교하고, 시계 성 평가의 기준으로 활용한다. 시계성을 평가하기 위해 전방가시거리, 전방수평시계, Inside Rear View Mirror와 Outside Rear View Mirror를 통해 볼 수 있는 Viewing angle, Inside Rear View Mirror와 95%ile Eyellipse와 높이 등의 요소를 측정하였다. 측정 결과는 승용차의 운전 공간 내의 0ptimal Eye Point를 결 정하는 데 이용되며, 시인/시계성을 개선하는 Seating Packaging Procedure 개발의 기초 자료로 활용될 수 있을 것이다.

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The effectiveness of MRI evaluation after anterior cruciate ligament reconstruction using hamstring tendon autograft (자가 슬괵건을 이용한 전방십자인대 재건술 후 결과 판정에 있어 MRI 검사의 유용성)

  • Kim, Jin-Goo;Kim, Young-Woo;Lee, Soo-Won;Shim, Jae-Chan;Oh, Soo-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.32-39
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    • 2008
  • Purpose: To evaluate the effectiveness of MRI after ACL reconstruction with femoral tunnel at 10 o'clock position. Materials and Methods: MRI findings of 29 patients after ACL reconstruction using hamstring tendon autograft were evaluated. The mean period from operation to MRI was 18.9 months($7{\sim}40$ months). Signal intensity, morphology and continuity of graft, femoral insertion, graft angle, roof impingement, cross pin breakage and position were evaluated. Those findings were compared with KT-2000, Lysholm knee score and pivot shift test. Results: There was no significant correlation between signal intensity of graft and the duration to MRI. Most common pattern of the morphology was straight, and the continuity was well-preserved. 13 cases of femoral tunnel insertion were zone 4 and 16 were zone 3. There were no roof impingement. 10 cases showed cross pin breakages, of which 5 were found at the outside of distal femoral posterior cortex. 9 showed cross pin directed posteriorly in axial view. There was no significant correlation between clinical results and cross pin breakage. Conclusion: MRI examinations after ACL reconstructions are useful to evaluate the graft status, position of the graft and cross pins. Since the direction of the cross pin is important especially in 10 o'clock femoral position, care should be taken to avoid cross pin breakage.

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