• 제목/요약/키워드: Attachment position

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내측 반월상 연골 후각의 후방 경골 부착부위의 절단 파열 - 임상 양상 및 새로운 봉합 수기(pullout suture) - (Transection of the posterior horn of the medial meniscus at the posterior tibial attachment - Clinical features and A new repair technique (Pullout suture) -)

  • 안진환;하철원;김호;김성민
    • 대한관절경학회지
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    • 제3권2호
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    • pp.109-114
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    • 1999
  • 목 적 : 내측 반월상 연골후각의 후방 경골 부착부위의 절단 파열은 흔하지 않고 기존의 수기로는 봉합이 어렵다. 이에 저자들은 내측 반월상 연골의 후방 경골 부착부위의 절단 파열의 임상 양상 및 pullout suture를 통한 새로운 봉합술을 소개하고자 한다. 대상 및 방법 : 년 9월부터 1999년 7월까지 9명의 환자에서 후방 경골 부착부위의 절단 파열을 경험 하였다. 평균 나이는 59.3세로 38세에서 70세까지의 분포였다. 전예에서 자기공명영상과 임상양상으로 진단하였고, 슬관절경을 통해서 확진과 치료를 하였다. 1예에서 2차적 관절경을 시행하여 봉합 된 반월상 연골의 치유여부를 확인하였다. 임상 양상 : 대개 중년이후의 나이에서 호발하며, 특별한 외상의 과거력이 없다. 슬관절 후면의 통증을 호소하였으나, 그 위치가 불명확한 특징이 있었다. 경도내지 중등도의 슬관절의 종창을 호소하였으며, 특징적으로 슬관절을 굴곡 시킬수록 심해지는 술관절 후면의 통증으로 완전한 굴곡의 장애가 있었다. 단순 방사선 사진에서 퇴행성 변화는 없거나, 나이에 비해서 미미한 양상이었다. 술 전 자기 공명영상이 진단에 있어서 매우 중요한 역할을 하며, 특히 관상면에서 반월상 연골의 후각이 후방 경골 부착부위에서 분리되어 있는 형태를 보인다. 수술 수기 : 4개의 표준 portal 로 도달하여 후각부의 절단파열을 확인하고, 변연절제술로 시야를 확보하고 후각의 후방 부착부위의 연골하골을 노출 시킨다. 전내측 또는 후내측 도달법으로 절단단율 PDS 로 봉합한다. PDS 봉합사를 전내측 도달법으로 밖으로 꺼내 놓는다. 경골 내측 근위부에 종절개를 가한 후에 ACL tibla guide를 이용하여 경골 내측 근위부에서 후각의 후방 경골부착부위까지 골 터널을 만든다. 강선 루프를 경골 터널을 통하여 삽입하여서 전내측 도달법으로 빼내고, PDS 봉합사를 사이에 끼워서 다시 경골 터널을 통해 아래쪽으로 당겨서 끌어낸다. PDS 봉합사를 경골 내측 근위부에 post-tie 방법으로 고정한다. 결 론 : 내측 반월상연골 후각의 후방 경골부착부위의 절단피열은 임상적으로 흔하지 않고 보고도 드물다. 임상 양상과 자기공명영상이 진단에 있어서 중요한 역할을 한다. 관절경적 pullout 봉합이 이런 형태의 파열에 대한 치료로서 유용할 수 있을 것으로 사료된다.

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Thermal Performance Evaluation of Junction Thermal Bridge according to Installation Position of Window

  • Lee, Soo-Man;Kim, Dong-Yun;Ahn, Jung-Hyuk;Eom, Jae-Yong;Shin, U-Cheul
    • KIEAE Journal
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    • 제17권3호
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    • pp.15-21
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    • 2017
  • Purpose: "Building energy design standard" is used to limit the thermal transmittance of building in Korea. However, it only covers the insulation standard for each appropriate elements of a building, not the thermal performance of Junction thermal bridge of windows and doors installed in wall. Therefore in this study, we have evaluated the thermal performance of Junction thermal bridge depending on installation method and position of windows and provide it as design data. Method: We analyzed heat transfer of 4-Track sliding window and tilt & turn triple glazed window that are placed in the first class category on window energy efficiency rating using Window 7.4 and Therm 7.4. Result : First, linear thermal transmittance of 4-Track sliding window differs by 2.2 times or more depending of installation method and location. It is higher than the linear thermal transmittance, 0.01W/mK, proposed by Passivhaus. Second, linear thermal transmittance of Tilt & turn triple glazed window differs by 7.7 times or more depending of installation method and location. The average linear thermal transmittance was less than 0.01W /mK when windows were installed on the internal wall insulation by the fixed hardware attachment method. Third, the thermal losses of a window caused by a junction thermal bridge are inversely proportional to the window area and converge gradually as the area increased.

A modified device for intraoral radiography to assess the distal osseous defects of mandibular second molar after impacted third molar surgery

  • Ana, Faria-Inocencio;Mercedes, Gallas-Torreira
    • Imaging Science in Dentistry
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    • 제41권3호
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    • pp.115-121
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    • 2011
  • Purpose : This article is to describe a modified device for intraoral radiography which was developed to obtain reproducible radiographic images for assessment of distal osseous defects of the mandibular second molar (2 Mm) after impacted third molar (3 Mm) surgery. Materials and Methods : A commercial available alignment system for posterior region was modified by adding a reference gauge pin (millimetric) and threading a hollow acrylic cylinder at the ring of the radiographic positioner to attach the X-ray collimator. The design included customized resin acrylic stent for the occlusal surface of the 2Mm in maximum intercuspal position, individualizing the biteblock positioner. Periapical radiographs were taken before and after surgical extraction of 3 Mm, employing the radiographic technique of parallelism described by Kugelberg (1986) with this modified film holder and inserting the gauge pin on the deepest bone probing depth point. Results : This technique permitted to obtain standardized periapical radiographs with a moderate to high resolution, repeatability, and accuracy. There was no difference between the measurements on the pre- and post-operative radiographs. This technique allowed better maintenance of the same geometric position compared with conventional one. The insertion of the gauge pin provided the same reference point and localized the deepest osseous defect on the two-dimensional radiographs. Conclusion : This technique allowed better reproducibility in posterior radiographic records (distal surface of 2 Mm) and more accurate measurements of radiographic bone level by the use of a millimetric pin.

Detection of QTL on Bovine X Chromosome by Exploiting Linkage Disequilibrium

  • Kim, Jong-Joo
    • Asian-Australasian Journal of Animal Sciences
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    • 제21권5호
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    • pp.617-623
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    • 2008
  • A fine-mapping method exploiting linkage disequilibrium was used to detect quantitative trait loci (QTL) on the X chromosome affecting milk production, body conformation and productivity traits. The pedigree comprised 22 paternal half-sib families of Black-and-White Holstein bulls in the Netherlands in a grand-daughter design for a total of 955 sons. Twenty-five microsatellite markers were genotyped to construct a linkage map on the chromosome X spanning 170 Haldane cM with an average inter-marker distance of 7.1 cM. A covariance matrix including elements about identical-by-descent probabilities between haplotypes regarding QTL allele effects was incorporated into the animal model, and a restricted maximum-likelihood method was applied for the presence of QTL using the LDVCM program. Significance thresholds were obtained by permuting haplotypes to phenotypes and by using a false discovery rate procedure. Seven QTL responsible for conformation types (teat length, rump width, rear leg set, angularity and fore udder attachment), behavior (temperament) and a mixture of production and health (durable prestation) were detected at the suggestive level. Some QTL affecting teat length, rump width, durable prestation and rear leg set had small numbers of haplotype clusters, which may indicate good classification of alleles for causal genes or markers that are tightly associated with the causal mutation. However, higher maker density is required to better refine the QTL position and to better characterize functionally distinct haplotypes which will provide information to find causal genes for the traits.

Analytical study of the failure mode and pullout capacity of suction anchors in sand

  • Liu, Haixiao;Peng, Jinsong;Zhao, Yanbing
    • Ocean Systems Engineering
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    • 제5권4호
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    • pp.279-299
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    • 2015
  • Suction anchors are widely adopted and play an important role in mooring systems. However, how to reliably predict the failure mode and ultimate pullout capacity of the anchor in sand, especially by an easy-to-use theoretical method, is still a great challenge. Existing methods for predicting the inclined pullout capacity of suction anchors in sand are mainly based on experiments or finite element analysis. In the present work, based on a rational mechanical model for suction anchors and the failure mechanism of the anchor in the seabed, an analytical model is developed which can predict the failure mode and ultimate pullout capacity of suction anchors in sand under inclined loading. Detailed parametric analysis is performed to explore the effects of different parameters on the failure mode and ultimate pullout capacity of the anchor. To examine the present model, the results from experiments and finite element analysis are employed to compare with the theoretical predictions, and a general agreement is obtained. An analytical method that can evaluate the optimal position of the attachment point is also proposed in the present study. The present work demonstrates that the failure mode and pullout capacity of suction anchors in sand can be easily and reasonably predicted by the theoretical model, which might be a useful supplement to the experimental and numerical methods in analyzing the behavior of suction anchors.

구조물-가진기 상호작용에 의한 공진주파수 변동에 대한 해석 (Analysis on the Measured Natural Frequencies Due to the Structure-Exciter Interaction)

  • 한상보
    • 대한기계학회논문집A
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    • 제20권7호
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    • pp.2108-2117
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    • 1996
  • The purpose of this paper is to investigate the influence of the exciter attached for the measurement of natural frequencies when extracting the frequency response functions of the test structure in experimental modal analysis. The procedure is first to model the attached exciter as an additional degree of freedom system and next to verify the suggested model by experimentally extracting the natural frequencies of the test structure with various values of exciter mass, stinger stiffness and attachment position of the exciter on the test structure. It is concluded that as additional degree of freedom system which includes the natural frequency of the exciter itself and axial stiffness of stinger should be considered to quantatively define the coupling effects of structure-exciter interaction on the measured natural frequencies. It is not the mass of the exciter itself but the coupling effect of the additional degree of freedom mass-spring system consisting of exciter body and armature coil that characterizes the natural frequency deviation. Therefore, when the natural frequency of this additional mass-spring system is outside of the test frequency range, the coupling effect of structure-exciter interaction can be minimized.

굴삭기의 정적/동적 강도 해석법에 대한 연구 (Study on the Static and Dynamic Structural Analysis Procedure of Excavators)

  • 정준모;김규성;장영식;최익흥;허민수
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 춘계학술대회
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    • pp.537-543
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    • 2003
  • This paper presents the improved procedure to assess static and dynamic strength of crawler type excavators. A fully integrated model including front attachment and chassis was prepared for structural analysis. In this paper, two types of loading input methods were investigated and the method imposing digging force directly on bucket tooth was more convenient than imposing cylinder reaction force on cylinder pin even if the two methods showed no discrepancy in analysis results. Static strength analysis was carried out for eight analysis scenarios based on two extreme digging positions, maximum digging reach position and maximum digging force positions. The results from static strength analysis were compared with measured stresses, cylinder pressures and digging forces and showed a good quantitative agreement with measured data. Dynamic strength analysis was carried out for simple reciprocation of boom cylinders. It was recognized that the effect of compressive stiffness of hydraulic oil was very important for dynamic structural behavior. The results from dynamic strength analysis including hydraulic oil stiffness were also compared with measured acceleration data and showed a qualitative agreement with measured data.

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Analytical study of the failure mode and pullout capacity of suction anchors in clay

  • Liu, Haixiao;Wang, Chen;Zhao, Yanbing
    • Ocean Systems Engineering
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    • 제3권2호
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    • pp.79-95
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    • 2013
  • Suction anchors are widely adopted in mooring systems. However there are still challenges in predicting the failure mode and ultimate pullout capacity of the anchor. Previously published methods for predicting the inclined pullout capacity of suction anchors are mainly based on experimental data or the FEM analysis. In the present work, an analytical method that is capable of predicting the failure mode and ultimate pullout capacity of the suction anchor in clay under inclined loading is developed. This method is based on a rational mechanical model for suction anchors and the knowledge of the mechanism that the anchor fails in seabed soils. In order to examine the analytical model, the failure angle and pullout capacity of suction anchors from FEM simulation, numerical solution and laboratory tests in uniform and linear cohesive soils are employed to compare with the theoretical predictions and the agreement is satisfactory. An analytical method that can evaluate the optimal position of the attachment point is also proposed in the present study. The present work proves that the failure mode and pullout capacity of suction anchors can be reasonably determined by the developed analytical method.

유동제어평판을 가진 선박의 속도성능 향상에 관한 수치적 연구 (A Numerical Study for Improvement of the Speed-performance of a Ship with Flow Control Flat Plate)

  • 박동우;최희종;윤현식;전호환
    • 대한조선학회논문집
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    • 제46권3호
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    • pp.268-278
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    • 2009
  • The present study focused on evaluation for the performance of the Flow Control Flat Plate (FCFP) attached in the stern side of the ship. The important function of this FCFP is to enhance the resistance performance through the decrease of stern sinkage and the propulsive performance by the adjustment of inflow velocities in the propeller plane. Two different hull forms were considered to identify the effects of the FCFP. The attachment position, the angle and the size of the FCFP were studied in this numerical simulation. In this paper, the roles of the FCFP were intended to analyze fully through the numerical interpretation.

Effect of Paretic and Non-paretic Side Spine Taping on Balance Ability in Patients with Stroke

  • Cho, Yonghun;Park, Shinjun;Kim, Soonhee
    • 국제물리치료학회지
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    • 제10권2호
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    • pp.1779-1784
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    • 2019
  • Background: A number of researchers have attempted to improve the balance of stroke patients, however there is still a question as to whether taping is effective in increasing balance. Objective: To determine the effect of paretic and non-paretic side taping on the balance ability in patients with stroke. Design: A single-blind randomized controlled trial Methods: This randomized single-blind controlled clinical trial with a repeated measures study included 45 subjects who were randomly assigned to paretic side taping groups (n=15), non-paretic side taping groups (n=15), and trunk exercise groups (n=15). Trunk exercise and paretic side taping groups had taping on the paralyzed erector spinae, while the non-paretic side taping group had taping on the non-paralyzed erector spinae. Trunk exercises were performed for 30 minutes to promote core muscles. The balance ability measured the center of pressure movement (paretic side, non-paretic side,forward, backward, limit of stability) in the sitting position. All measurements were evaluated using BioRescue. Results: All three groups showed significant increase in all variables after 4 weeks. The paretic and non-paretic side taping groups had a significant increase in all variables after 30 min of attachment. However, there was no significant difference among the three groups. Conclusions: Paralysis and non-paralysis taping improved the balance ability of patients with stroke in an immediate effect of 30 min. However, after 4 weeks of intervention, taping with trunk exercise did not differ from single trunk exercise. In future studies, various analyses need to be conducted through more diverse evaluations.