• 제목/요약/키워드: C2 end plate

검색결과 45건 처리시간 0.024초

변형된 Y형 해부학적 금속판을 이용한 상완골 원위부 골절의 치료 (Treatment for Distal Humeral Fractures by Modified Anatomical Y-Plate)

  • 문은선;박재형;이영근
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.51-57
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    • 1998
  • Comminuted fracture of the distal end of the humerus in adults is very rare and difficult to treat. In operative treatment, an implant which can achieve accurate anatoraical reduction and rigid fixation is needed. But the pre­existing Y -shaped plate had wide and thick limbs and some problems in fixation for most distal humeral fractures. So we devised a modified plate which is more narrow and th1n and has a different hole distance and wing length (long lateral wing). The aim of the study was to evaluate the clinical result of this modified anatomical Y -plate. From 1991 to 1997, we treated 23 cases of distal humeral fractures using modified anatomical plate and the results were as follows. 1. Fracture type in 18 patients(78%) was C-type(C1,C2,C3) which were intraarticular and mostly displaced or comminuted. 2. Bony union was obtained in 22 patients(96%) through rigid fixation and observed radiologically at 3.5 months(2-6months) on the average. 3. In 23 patients, 19 patients(82%) showed satisfactory results after 34 months(6-73months) follow-up. So if the modified anatomical Y-plate is used in the treatment of distal humeral fracture, a satisfactory result can be obtained through a more accurate, easy, and rigid fixation than preexisting plate.

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The Effect of Nutrition Education Using MyPlate on Lipid Profiles, Glycemic Indices, and Inflammatory Markers in Diabetic Patients

  • Mehrnoosh Zakerkish;Shima Shahmoradi;Fatemeh Haidari;Seyed Mahmoud Latifi;Majid Mohammadshahi
    • Clinical Nutrition Research
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    • 제11권3호
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    • pp.171-182
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    • 2022
  • As a result of a nutrition transition, chronic diseases, including diabetes, have increased in Iran. Nutrition education is a cost-effective method for modifying diet and controlling diabetes. This study aimed to examine the effect of nutrition education using MyPlate recommendations on glycemic and lipid profiles and inflammatory markers in Iranian adults diagnosed with type 2 diabetes. A 12-week randomized clinical trial was conducted on 44 adults aged 30-50 years from Ahvaz, Iran. The participants were divided into education and control groups. The education participants were taught the MyPlate recommendations. Serum levels of fasting blood sugar (FBS), hemoglobin A1c (HbA1c), lipid profiles, and inflammatory markers, including high sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α, and adiponectin, were measured at the baseline and the end of the study. The results showed that serum levels of FBS (p = 0.014) and HbA1c (p < 0.001) decreased significantly in the education group at the end of the study. The serum level of low-density lipoprotein in the education group declined significantly at the end of the study (p = 0.043). Furthermore, the serum level of hs-CRP (p = 0.005) declined significantly while the level of adiponectin (p = 0.035) increased in the education group at the end of the study. The evidence of this study showed that nutrition education using MyPlate recommendations is an effective method for controlling diabetes complications. A longitudinal analysis with a larger sample size is recommended to confirm the evidence of this study.

경사단부강판 보 이음을 갖는 강재 보-기둥 모멘트접합부의 내진실험 (Seismic Tests of Steel Beam-to-column Moment Connections with Inclined End-plate Beam Splice)

  • 임종진;김동관;이상현;박철수;이창남;엄태성
    • 한국강구조학회 논문집
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    • 제29권2호
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    • pp.181-192
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    • 2017
  • 최근 경사단부강판과 고장력 볼트를 이용한 보 이음(Inclined end-plate beam splice) 공법이 개발되었다. 단부강판은 브래킷 단부에 용접되고 연결보는 고장력 볼트를 통해 이음시킨다. 기둥면에는 브래킷이 용접되고, 브래킷과 연결보 단부에 각각 경사단부강판과 고장력 볼트를 이용하여 이음 시킨다. 이 연구에서는 총 6개의 외부 보-기둥 모멘트접합부의 반복가력실험을 수행하였다. 실험변수는 단부강판 상세와 볼트 배열 상세이다. 모든 실험체는 AISC Design Guide 4에 따라 단부강판 및 볼트에 의한 모멘트 저항성능이 보 이음부 요구모멘트보다 크도록 설계되었다. 실험결과, 확장된 단부강판(Extended end-plate)을 사용한 보이음부의 경우 이음부 단부강판의 지레작용 및 볼트의 취성 파단 없이 중앙 보 모멘트가 단부 브래킷으로 효과적으로 전달되었다. 하지만, 보-기둥 접합부의 변형능력은 기둥면 보 플랜지 용접부의 취성파단으로 제한적이었다. 실험결과를 바탕으로, 기울어진 단부강판 이음부를 갖는 보-기둥 모멘트접합부의 내진설계를 위한 개선사항을 제안하였다.

AO C-형 원위 대퇴골 골절의 치료로 삽입된 관외측 금속판의 절경 보조하 최소 침습적 제거의 결과 (Results of Arthroscopic-assisted Minimally Invasive Removal of a Lateral Periarticular Plate used for the Treatment of AO Type-C Distal Femoral Fractures)

  • 김영모;이준규;양재훈;김보건;이원구
    • 대한관절경학회지
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    • 제13권1호
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    • pp.46-52
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    • 2009
  • 목적: AO C-형 원위 대퇴골 골절의 치료로서 대퇴골 외측에 금속판을 삽입한 후, 관절경 보조하 최소 침습적 금속판 제거를 시행하였던 환자들을 대상으로 술식의 유용성을 조사하였다. 대상 및 방법: 2002년 10월부터 2005년 11월까지 AO C-형 원위 대퇴골 골절로 관혈적 정복 및 대퇴골 외측면에 금속판 내고정술을 시행하였던 환자들 중 대퇴골 외과 부위의 불편감으로 인해 관절경 보조하 최소 침습적 금속판 제거를 시행하였던 17예와 관절경 없이 고식적인 방법으로 금속판 제거슬 시행한 15예, 총 32예를 대상으로 하였다. 평균 연령은 42.6세(20~66세), 최초 골절 상태는 AO/ASIF 분류상 C1 16예, C2 11예, C3 5예였다. 술 중 확인된 관절내 병변, 술 후 합병증 및 술 후 일상 생활로의 복귀 시간, 수술에 대한 만족도, 술 전 및 술 후 6개월 추시상의 슬관절 통증을 조사하였다. 결과: 전 예에서 금속판의 최고 원위부는 슬관절 내에 위치하였고, 23예에서 이와 접촉하는 외측 관절낭의 손상이 확인되었다. 관절경 보조하 금속판 제거술을 시행한 군에서 금속판 제거술 후 지속적 창상 배액으로 세척술 및 창상 재 봉합술을 시행한 경우가 1예 있었다. 술 후 일상 생활로의 복귀는 관절경 보조하 금속판 제거술을 시행한 군에서 평균 7일이었고, 고식적 금속판 제거술을 시행한 군에서 평균 7.6일 이었다. 관절경 보조하 금속판 제거술을 시행한 군은 14예(82.4%)에서 '보통' 이상의 수술 만족도를 보였으며, VAS 통증 지수는 수술 전 4.9에서 수술 후 6개월에 1.9로 감소하였다. 고식적 금속판 제거술을 시행한 군은 13예(86.7%)에서 보통' 이상의 수술 만족도를 보였으며, VAS 통증 지수는 수술전 5.2에서 수술 후 6개월에 2.5로 감소하였다. 결론: 본 술식은 원위 대퇴골에 삽입된 금속판 제거와 함께 슬관절 내의 다양한 병변의 확인 및 치료가 가능한 장점이 있었다. C-형 원위 대퇴골 골절의 치료를 위해 삽입된 금속판에 의한 슬관절 외측 관절낭의 손상이 매우 빈번히 확인되었고, 금속판을 제거함으로서 슬관절 통증이 감소하는 것을 확인하였음으로, C-형 원위 대퇴골 골절과 같이 금속판의 최고 원위부가 관절내에 위치하는 경우에는 골절의 유합이 이루어지면 금속판을 제거되어야 할 것으로 사료된다.

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Impact response of a novel flat steel-concrete-corrugated steel panel

  • Lu, Jingyi;Wang, Yonghui;Zhai, Ximei;Zhou, Hongyuan
    • Steel and Composite Structures
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    • 제42권2호
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    • pp.277-288
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    • 2022
  • A novel flat steel plate-concrete-corrugated steel plate (FS-C-CS) sandwich panel was proposed for resisting impact load. The failure mode, impact force and displacement response of the FS-C-CS panel under impact loading were studied via drop-weight impact tests. The combined global flexure and local indentation deformation mode of the FS-C-CS panel was observed, and three stages of impact process were identified. Moreover, the effects of corrugated plate height and steel plate thickness on the impact responses of the FS-C-CS panels were quantitatively analysed, and the impact resistant performance of the FS-C-CS panel was found to be generally improved on increasing corrugated plate height and thickness in terms of smaller deformation as well as larger impact force and post-peak mean force. The Finite Element (FE) model of the FS-C-CS panel under impact loading was established to predict its dynamic response and further reveal its failure mode and impact energy dissipation mechanism. The numerical results indicated that the concrete core and corrugated steel plate dissipated the majority of impact energy. In addition, employing end plates and high strength bolts as shear connectors could prevent the slip between steel plates and concrete core and assure the full composite action of the FS-C-CS panel.

Lactobacillus acidophilus가 생산한 항균물질(抗菌物質)에 관한 연구(硏究) (Studies on antimicrobial agent produced by lactobacillus acidophilus)

  • 김동신
    • 대한수의학회지
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    • 제24권2호
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    • pp.149-162
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    • 1984
  • The research was conducted(1) to confirm the agent(s) responsible for the antimicrobial activity contained in the fermented tomato juice with L. acidophilus(2) to extract and purify the antimicrobial agent(s)(3) to find the biological, physical and chemical properties of the agent(s). The following results were obtained and summarized as followings; 1. The agent responsible for the inhibitory activity was confirmed by both well assay method using fermented tomato juice with L. acidophilus and turbidimetric technique using the cell-free filtrate or neutralized filtrate of tomato acidohilus culture and found exerted antimicrobial agent other than lactic acid. 2. The procedures of purification : The isolation and purification of antimicrobial agent from the lyophilized acidophilus tomato culture were carried out by (1) methanol extraction (2) acetone extraction, (3) Sephadex G-50 gel filtration (4) paper chromatography and (5) thin layer chromatography. 3. The biological, physical and chemical properties of antimicrobial agent: The biological, physical, chemical properties of the purified antimicrobial agent were: (1) The antimicrobial activity was strong against test organisms; Bacillus subtilis(ATCC 6633), Escheichia coli(ATCC 25922), Staphylococcus aureus(ATCC 167), Pseudomonas fluorescens(KFCC 32394), Proteus vulgaris and Shigella dysenteriae. (2) The pH value of the agent was 2.0 and the inhibitory activity was lost when it was neutralized at 7.0 of pH and the agent was heat stable at $121^{\circ}C$ for 60 minutes. (3) The ultraviolet light absorption spectra of methanol-acetone extract and TLC fraction exhibited a maximum absorption at 260nm and 224nm respectively. (4) The most purified agent from TLC plate increased about 130-fold in activity. (5) The agent isolated from TLC plate was free from $H_2O_2$ or lactic acid. 4. Bioautographic assy: By means of bioautography of the agent on silica gel of TLC plate a strong inhibitory activity against B. subtilis was demonstrated. 5. Mass spectrometry: The agent obtained from TLC plate was analyzed by mass spectrometry which show the parent peak at m/e 264 suggesting the molecular weight of the compound and molecular group such as [$C_2H{^+}_4$], [CO], [CH=NH], [$C_3{H^}4_7$], [$\begin{array}{rcl}O\\{\parallel}\\CH_3-C\\\end{array}$], [$C_6-H{^+}_{11}$], [$C_5H{^+}_{11}$], [$\begin{array}{rcl}O\\{\parallel}\\C_5H_7-C^+\\\end{array}$] were suggested.

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Behaviour of flush end-plate beam-to-column joints under bending and axial force

  • da Silva, Luis Simoes;de Lima, Luciano R.O.;da S. Vellasco, Pedro C.G.;de Andrade, Sebastiao A.L.
    • Steel and Composite Structures
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    • 제4권2호
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    • pp.77-94
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    • 2004
  • Steel beam-to-column joints are often subjected to a combination of bending and axial forces. The level of axial forces in the joint may be significant, typical of pitched-roof portal frames, sway frames or frames with incomplete floors. Current specifications for steel joints do not take into account the presence of axial forces (tension and/or compression) in the joints. A single empirical limitation of 10% of the beam's plastic axial capacity is the only enforced provision in Annex J of Eurocode 3. The objective of the present paper is to describe some experimental and numerical work carried out at the University of Coimbra to try to extend the philosophy of the component method to deal with the combined action bending moment and axial force.

ROS-based control for a robot manipulator with a demonstration of the ball-on-plate task

  • Khan, Khasim A.;Konda, Revanth R.;Ryu, Ji-Chul
    • Advances in robotics research
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    • 제2권2호
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    • pp.113-127
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    • 2018
  • Robotics and automation are rapidly growing in the industries replacing human labor. The idea of robots replacing humans is positively influencing the business thereby increasing its scope of research. This paper discusses the development of an experimental platform controlled by a robotic arm through Robot Operating System (ROS). ROS is an open source platform over an existing operating system providing various types of robots with advanced capabilities from an operating system to low-level control. We aim in this work to control a 7-DOF manipulator arm (Robai Cyton Gamma 300) equipped with an external vision camera system through ROS and demonstrate the task of balancing a ball on a plate-type end effector. In order to perform feedback control of the balancing task, the ball is designed to be tracked using a camera (Sony PlayStation Eye) through a tracking algorithm written in C++ using OpenCV libraries. The joint actuators of the robot are servo motors (Dynamixel) and these motors are directly controlled through a low-level control algorithm. To simplify the control, the system is modeled such that the plate has two-axis linearized motion. The developed system along with the proposed approaches could be used for more complicated tasks requiring more number of joint control as well as for a testbed for students to learn ROS with control theories in robotics.

Analysis of Measurement Accuracy for Craniovertebral Junction Pathology : Most Reliable Method for Cephalometric Analysis

  • Lee, Ho Jin;Hong, Jae Taek;Kim, Il Sup;Kwon, Jae Yeol;Lee, Sang Won
    • Journal of Korean Neurosurgical Society
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    • 제54권4호
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    • pp.275-279
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    • 2013
  • Objective : This study was designed to determine the most reliable cephalometric measurement technique in the normal population and patients with basilar invagination (BI). Methods : Twenty-two lateral radiographs of BI patients and 25 lateral cervical radiographs of the age, sex-matched normal population were selected and measured on two separate occasions by three spine surgeons using six different measurements. Statistical analysis including intraclass correlation coefficient (ICC) was carried out using the SPSS software (V. 12.0). Results : Redlund-Johnell and Modified (M)-Ranawat had a highest ICC score in both the normal and BI groups in the inter-observer study. The M-Ranawat method (0.83) had a highest ICC score in the normal group, and the Redlund-Johenll method (0.80) had a highest ICC score in the BI group in the intra-observer test. The McGregor line had a lowest ICC score and a poor ICC grade in both groups in the intra-observer study. Generally, the measurement method using the odontoid process did not produce consistent results due to inter and intra-observer differences in determining the position of the odontoid tip. Opisthion and caudal point of the occipital midline curve are somewhat ambiguous landmarks, which induce variable ICC scores. Conclusion : On the contrary to other studies, Ranawat method had a lower ICC score in the inter-observer study. C2 end-plate and C1 arch can be the most reliable anatomical landmarks.

Reducing hydroelastic response of very large floating structures by altering their plan shapes

  • Tay, Z.Y.;Wang, C.M.
    • Ocean Systems Engineering
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    • 제2권1호
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    • pp.69-81
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    • 2012
  • Presented herein is a study on reducing the hydroelastic response of very large floating structures (VLFS) by altering their plan shapes. Two different categories of VLFS geometries are considered. The first category comprises longish VLFSs with different fore/aft end shapes but keeping their aspect ratios constant. The second category comprises various polygonal VLFS plan shapes that are confined within a square boundary or a circle. For the hydroelastic analysis, the water is modeled as an ideal fluid and its motion is assumed to be irrotational so that a velocity potential exists. The VLFS is modeled as a plate by adopting the Mindlin plate theory. The VLFS is assumed to be placed in a channel or river so that only the head sea condition is considered. The results show that the hydroleastic response of the VLFS could be significantly reduced by altering its plan shape.