• Title/Summary/Keyword: AVN

Search Result 34, Processing Time 0.022 seconds

Avascular Necrosis of Femoral Head on Bone Scan (대퇴골두 무혈성 괴사의 뼈스캔상의 병기)

  • Yang, Hyung-In;Kim, Eui-Jong;Kim, Deog-Yoon;Ryu, Kyung-Nam;Cho, Kyung-Sam
    • The Korean Journal of Nuclear Medicine
    • /
    • v.28 no.2
    • /
    • pp.206-213
    • /
    • 1994
  • We studied 90 patients(179 femoral heads) with avascular necrosis of femoral head, who had been performed X-ray, bone scan and MRI to compare of the findings of AVN on bone scan between each other, retrospectively. The patients were 82 males and 9 females, their mean age was 45 years. Radiographic stages were classified by Steinberg modification, radionuclide stages were classified as followed; stage o(or type 0) : normal, stage 1 : faint ring like uptake around the femoral head, stage 2: intense ring like uptake, stage 3: irregular increased uptake with central photon defect, stage 4 : Intense diffuse increased uptake at femoral head and stage 5 : hip joint deformity with relatively mild increased uptake. The findings of MRI were classified according to extent, location, early or advanced lesion, signal intensity of the lesion and joint effusion. 156(87%) of 179 femoral heads had avascular necrosis, 68(75.5%) of 90 patients had bilateral AVN, 35 femoral heads had early stage and 120 had advanced stage. The detection rate of AVN by X-ray and bone scan were 85% (134), 91.6% (143), respectively. Early AVN with atypical types of bone scan showed larger extent, moderate to large amount of joint effusion, soft tissue hypertrophy within joint, and secondary degenerative changes. Bone scan had relatively high detection rate in the diagnosis of AVN of femoral head, and demonstrated various types depending on the disease stage.

  • PDF

Implementation of Automotive Multimedia Interface Supporting Multi-Channel Display in Multi-Screen Display (다채널 다중 화면 디스플레이를 지원하는 차량용 멀티미디어 인터페이스 구현)

  • Jeon, Young-Joon;Song, Bong-Gi;Kim, Jang-Ju;Park, Jang-Sik;Yu, Yun-Sik
    • The Journal of the Korea institute of electronic communication sciences
    • /
    • v.8 no.1
    • /
    • pp.199-206
    • /
    • 2013
  • Recently, the diverse needs of the drivers for in-vehicle infotainment systems are increasing rapidly. As a result, the infotainment systems are equipped with more convenient and human-friendly high-tech features. In this paper, we designed and implemented in-vehicle multimedia infotainment system based on embedded system that was applied various multimedia to in-vehicles. The proposed system can support independent display on each screen for the multi-channel multimedia source based on one processor(1 CPU). Therefore, our system can be reduced costs compared to other systems. This system not only displays the video and audio data in storage devices but also displays CAM, T-DMB, and DVB-T multimedia contents which are supplied in real-time services. Also, our system could multi-screen displays multimedia data in smart phone using Wi-Fi. We expect that in-vehicle infotainment systems like AVN(Audio video navigation) and RSE(Rear Seat Entertainment) could be used in various applications and reduced costs.

Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study

  • Kim, So-Yeong;Kim, Byeong-Geun;Cho, Woon-Su;Park, Chi-Bok
    • The Journal of Korean Physical Therapy
    • /
    • v.33 no.5
    • /
    • pp.231-237
    • /
    • 2021
  • Purpose: This study sought to investigate the effects of robot-assisted gait training on balance in total hip arthroplasty (THA) patients after bilateral avascular necrosis (AVN). Methods: This case study in two patients utilized an 'A-B-A' single-subject experimental design that included five days of pre-intervention, followed by five days of intervention, and five days of post-intervention. The intervention involved the use of a standing inclined robot (R-bot) for 15 minutes. The outcome measures were evaluated using the Functional Reaching Test (FRT), Time Up to Go (TUG), and the Modified One Leg Standing Test (OLST). Results: Patient 1 showed improvement based on data gathered from baseline A to intervention period B, with results as follows: FRT improved from 27.7 cm to 41.28 cm, OLST LT from 14.03 seconds to 67.37 seconds, OLST RT from 2.94 seconds to 35.97 seconds, and TUG from 12.96 seconds to 7.82 seconds. Patient 2 also showed improvement from baseline A to intervention period B, with results as follows: FRT improved from 17.18 cm to 24.3 cm, OLST LT from 11.53 seconds to 52.01 seconds, OLST RT from 12.99 seconds to 62.19 seconds, and TUG from 27.31 seconds to 12.99 seconds. Conclusion: Based on the results of this study, robotic rehabilitation during the early stages after surgery is effective for promoting balance in patients who have undergone THA due to bilateral AVN.

Minimally Invasive Percutaneous Plate Osteosynthesis via a Deltoid-splitting Approach with Strut Allograft for the Treatment of Displaced 3- or 4-part Proximal Humeral Fractures

  • Noh, Young-Min;Kim, Dong Ryul;Kim, Chul-Hong;Lee, Seung Yup
    • Clinics in Shoulder and Elbow
    • /
    • v.21 no.4
    • /
    • pp.220-226
    • /
    • 2018
  • Background: This study introduces a surgical technique with good clinical outcome useful in the treatment of osteoporotic displaced 3- or 4-part proximal humeral fractures. Methods: From May 2014 to February 2016, 16 patients with displaced 3- or 4-part proximal humeral fractures were treated by application of a locking plate with an endosteal strut allograft via a deltoid splitting approach with a minimum follow-up of 12 months. The allograft was inserted through a fractured gap of the greater tuberosity to support the humeral head and then fixed by a locking plate with meticulous soft tissue dissection to protect the axillary nerve. Surgical outcomes were evaluated by the American Shoulder and Elbow Surgeons (ASES) and visual analogue scale (VAS) scores, radiological imaging, and clinical examination. Fixation failure on radiographs was defined as a >$5^{\circ}$ loss of neck shaft angle (NSA) compared to that on an immediate postoperative radiograph. Avascular necrosis (AVN) of the humeral head was also evaluated. Results: In all cases, complete union was achieved. The ASES and VAS scores were improved to $85.4{\pm}2.1$ and $3.2{\pm}1.3$, respectively. Twelve patients (75.0%) had greater than a $5^{\circ}$ change in NSA; the average NSA change was $3.8^{\circ}$. Five patients (31.3%) had unsatisfactory ranges of motion exhibiting a <$100^{\circ}$ active forward flexion. No axillary nerve injuries or AVN were observed at the last follow-up. One patient was converted to reverse total arthroplasty due to severe pain and functional deficit. Conclusions: Minimally invasive fixation via a locking compression plate and an endosteal fibula strut allograft in Neer classification 3-or 4-part fractures with severe osteoporosis in elderly patients can achieve good clinical results.

Total Hip Arthroplasty in Patients with Avascular Necrosis of the Entire Femur (전체 대퇴골에 발생한 골괴사 환자에서 인공 고관절 전치환술)

  • Yi, Seung Rim;Im, Se Hyuk;Park, Sang Hoon
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.3
    • /
    • pp.281-286
    • /
    • 2019
  • Avascular necrosis (AVN) is defined as the cellular death of bone and bone marrow components due to the loss of blood supply, and associated with post-traumatic or non-traumatic events. AVN usually involves the epiphysis of a long bone, such as the femoral and humeral heads, which are susceptible to osteonecrosis. Many studies have been conducted but they were restricted to investigations of femoral head avascular necrosis. The presence of osteonecrosis in the proximal femur may impair biological fixation after total hip arthroplasty. We report a 56-year-old male patient with avascular necrosis located not only at the femoral head, but also in the entire femur, including the medullary cavity, who underwent total hip arthroplasty 2 years earlier along with a review of the relevant literature.

The Usefulness of Postoperative Pinhole Bone Scintigraphy in the Assessment of Prognosis after Multiple Drilling or Vascularized Bone Graft in Patients with Avascular Necrosis of Femoral Head (다발성 천공술 및 혈관 부착 골이식술을 시행한 대퇴골두 무혈관성 괴사의 예후: 수술 후 바늘구멍 골신티그라피의 유용성)

  • Chung, Yong-An;Kim, Sung-Hoon;Chun, Kyung-Ah;Park, Young-Ha;Sohn, Hyung-Seon;Chung, Soo-Kyo;Song, Mun-Kab
    • The Korean Journal of Nuclear Medicine
    • /
    • v.33 no.4
    • /
    • pp.405-412
    • /
    • 1999
  • Purpose: It is important to evaluate the healing process of avascular necrosis (AVN) involving femoral head after treatment. The purpose of this study was to assess the usefulness of pinhole bone scintigraphy in the AVN of femoral head after surgery. Materials and Methods: We analyzed the changing pattern of pinhole bone scintigram in 21 femoral heads of 16 patients (14 lesions/11 male, 7 lesions/5 female, mean age: 39.4 yrs) before and after multiple drilling or vascularized bone grafting for AVN of the femoral head. In all patients, pre-operative scintigrams were obtained at 1 to 3 months before treatment and the first post-operative scintigrams were obtained at 1 to 3 months after treatment. All patients were followed for 2 to 4 years after operation. Results: The findings of the pinhole scintigrams were divided into three patterns: 1) curvilinear, 2) scattered spotty and 3) undetermined. The 10 of 11 lesions with curvilinear pattern had good postoperative clinical and radiological follow-up findings. However, all 6 lesions with scattered spotty pattern showed poor postoperative findings, which necessitated total hip joint replacement. Of the 4 lesions with undetermined pattern, 2 required total hip joint replacement. There was significant difference in postoperative prognosis between the curvilinear and scattered spotty patterns (p<0.05). Conclusion: We conclude that the pattern of pinhole bone scintigram obtained within 1 to 3 months after multiple drilling or vascularized bone graft operation is a useful prognostic indicator in the AVN of femoral head.

  • PDF

Web Storage Application for In-Vehicle Infortainment System (차량용 인포테인먼트 시스템을 위한 웹 저장소 연동 응용 개발)

  • Jeon, Boo-Sun;Han, Tae-Man
    • Proceedings of the Korean Information Science Society Conference
    • /
    • 2012.06d
    • /
    • pp.118-120
    • /
    • 2012
  • 차안에 탑재되는 차량용 헤드유닛은 AVN(Audio, Vedio, Navigation)에서 외부 기기 및 인터넷과의 연동을 통한 IT 융복합 서비스가 제공되는 차량용 인포테인먼트 시스템(In-Vehicle Infortainment, IVI)으로 진화하는 추세이다. IVI 시스템에서는 3G, WiFi, Bluetooth 등을 통하여 인터넷 접속이 가능하고, 이러한 인터넷 연결을 기반으로 다양한 인터넷 서비스를 제공할 수 있다. 이러한 인터넷 서비스 중 웹 저장소 연동 응용 서비스는 사용자의 다양한 단말들간에 콘텐츠를 공유할 수 있도록 하는 서비스이다. 웹 저장소 연동 응용에서는 사진/음악/동영상/문서들에 대하여 서버와의 접속을 통해 공유할 수 있는 기능을 제공하며, 이러한 응용이 사용되는 장소가 차량 안이다 보니, 운전에 방해가 되지 않는 사용자 친화적이고 직관적인 인터페이스를 제공해야 한다. 이러한 요구사항들을 충족하는 차량용 웹 저장소 연동 응용프로그램에 대하여 제안하고자 한다.

Development and Usability Evaluation of Fixed-base AHS Simulator

  • Cha, Doo-Won;Park, Peom
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
    • /
    • 2002.05a
    • /
    • pp.57-62
    • /
    • 2002
  • This study described the specification and configuration of developed fixed-base AHS (Automated Highway System) simulator fur the human factors researches, and its usability evaluation results after riding 120, 140, and 160kph automated driving speed. As the results, this study suggested the subjects' preferences and opinions about simulator and AHS configurations that would help to establish the AHS R&D plan and driver-vehicle/road interface design guidelines as the basic researches of the AHS human factors.

  • PDF

Analysis of Genomic Structure of an Aflatoxin Biosynthesis Homologous Gene Cluster in Aspergillus oryzae RIB Strains

  • Lee, Yun-Hae;Tominaga, Mihoko;Hayashi, Risa;Sakamoto, Kazutoshi;Yamada, Osamu;Akita, Osamu
    • 한국균학회소식:학술대회논문집
    • /
    • 2006.10a
    • /
    • pp.32-44
    • /
    • 2006
  • To investigate non-aflatoxin-production of A. oryzae at the molecular level, an aflatoxin biosynthesis gene homolog cluster of RIB 40 was analyzed. Although most genes in the corresponding cluster exhibited from 97 to 99 % similarity to those of Aspergillus flavus, three genes shared 93 % similarity or less. In addition, although slight expression of aflR, positive transcriptional regulator gene, was detected in some A. oryzae strains having seven aflatoxin biosynthesis homologous genes, other genes related to aflatoxin production were not detected. RIB strains were mainly divided into group 1, having seven aflatoxin biosynthesis homologous genes (aflT, nor-i, aflR, norA, avnA, verB, and vbs), and group 2, having three homologous (avnA, verB, and vbs). Partial aflatoxin homologous gene cluster of RIB62 from group 2 was sequenced and compared with that of RIB40 from group 1. RIB62 showed a large deletion upstream of ver-1 with more than half of the aflatoxin homologous gene cluster missing including aflR, a positive transcriptional regulatory gene. Adjacent to the deletion of the aflatoxin homologous gene cluster, RIB62 has a unique sequence of about 8kb and a telomere. Southern analysis of A. oryzae RIB strains with four kinds of probe derived from the unique sequence of RIB62 showed that all group 2 strains have identical hybridizing signals. Polymerase chain reaction with specific primer set designed to amplify the junction between ver-1 and the unique sequence of RIB62 resulted in the same size of DNA fragment only from group 2 strains. Based on these results, we developed a useful genetic tool that distinguishes A. oryzae group 2 strains from the other groups' strains and propose that it might have differentiated from the ancestral strains due to chromosomal breakage.

  • PDF