• 제목/요약/키워드: Flat Foot

검색결과 131건 처리시간 0.029초

기관지 유암종의 아형에 따른 CT 소견과 수술전 병리학적 진단의 정확성 (CT Findings and Accuracy of Preoperative Pathologic Diagnosis in Bronchial Carcinoid According to Subtype)

  • 임준석;홍용국;정경영;최규옥
    • Journal of Chest Surgery
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    • 제31권4호
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    • pp.380-387
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    • 1998
  • 기관지 유암종의 두 아형(전형적 & 이형성)은 치료방침에 차이가 있으므로, 아형에 따른 CT 소견의 차이와, 수술전 병리학적 진단의 정확도를 알아보고자 하였다. 수술후 기관지 유암종으로 확진되고, 수술전 CT를 시행한 10예(전형적:5예, 이형성:5예)를 대상으로 하였다. 수술전 진단으로 객담세포 검사(n=10), 기관지내시경 생검(n=8), 그리고 경피적 세침검사(n=1)가 시행되었다. CT소견을 두 아형에 따라 비교하였다. 전형적 유암종 5예 모두 중심성 기관지강내 종괴로, 조영 증강되었고, 변연은 매끈하였다. 2예에서는 종괴로 폐쇄된 기관지 내강의 끝이 넓어지는 코끼리 다리(elephant foot) 모양을 보였다. 이형성 유암종은 5예 중 2예는 말초성 병변이었고, 중심성인 3예는 기관지내강 종괴로, 기관지내강의 끝이 넓어지지 않는 평평한 반월(flat meniscus)모양이거나(n=2), 미만성 기관지벽 비후로 보였다(n=1). 전 예에서 조영 증강되었으나, 1예에서는 괴사에 의한 종괴내 저밀도 부위가 동반되었다. 변연 확인이 가능한 2예에서는 각각 침상상과 분엽상을 보였다. 수술전 진단으로, 객담세포 검사, 경피적 세침검사 등은 전 예에서 정확한 진단을 하지 못했고, 기관지내시경 생검은 시행된 8예 중 전형적 유암종 3예만을 정확히 진단하였다. 다른 예는 비소세포성 폐암으로 해석되었다. CT상 전형적 유암종은 조영 증강되는 기관지강내 종괴로 보이는 반면, 이형적 유암종의 형태는 다양하였다. 수술전 진단에 있어서, 일부 전형적 유암종과 이형성 유암종 전부는 진단이 정확하지 못했다. 이형성 유암종은 전부 원발성 폐암으로 수술전 진단되었으나, 절제술 선택에 영향을 끼치지는 않는다. 그러나 전형적 유암종의 경우, 보존적 절제술이 가능하므로, CT소견을 숙지하는 것이, 수술전 병리진단 결과와 일치하지 않을 경우, 아형에 따른 적절한 절제술식을 선택하는데 도움이 될 것이다.

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보행시점 검출을 위한 단일 각속도 센서모듈 시스템 (Single Gyroscope Sensor Module System for Gait Event Detection)

  • 강동원;최진승;김한수;오호상;서정우;탁계래
    • 한국운동역학회지
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    • 제21권4호
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    • pp.495-501
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    • 2011
  • The purpose of this study was to develop the inertial sensor module system to detect gait event using single angular rate sensor(gyroscope), and evaluate the accuracy of this system. This sensor module is attached at the heel and gait events such as heel strike, foot flat, heel off, toe off are detected by using proposed automatic event detection algorithm. The developed algorithm detect characteristics of pitch data of the gyroscope to find gait event. To evaluate the accuracy of system, 3D motion capture system was used and synchronized with sensor module system for comparison of gait event timings. In experiment, 6 subjects performed 5 trials level walking with 3 different conditions such as slow, preferred and fast. Results showed that gait event timings by sensor module system are similar to that by kinematic data, because maximum absolute errors were under 37.4msec regardless of gait velocity. Therefore, this system can be used to detect gait events. Although this system has advantages of small, light weight, long-term monitoring and high accuracy, it is necessary to improve the system to get other gait information such as gait velocity, stride length, step width and joint angles.

Freeman-Sheldon Syndrome의 치료에 대한 고찰 (MULTIDISCIPLINARY CARE OF FREEMAN SHELDON SYNDROME)

  • 김지훈;이정섭;장채리
    • 대한소아치과학회지
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    • 제37권4호
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    • pp.545-550
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    • 2010
  • Freeman-Sheldon Syndrome(FSS)은 드물게 발생하는 선천성 유전 질환으로 휘파람을 부는 듯한 특징적인 안모로 인해 'Whistling face syndrome'으로 불리워진다. 또한 편평한 안모, 긴 인중(philtrum), 낮은 비연골이 나타나 두드러진 안면이상을 보이고, 내반족(club foot, 內反足), 손가락의 관절구축(joint contracture)으로 인한 풍차 모양의 손을 가지며, 지능은 보통 정상이다. 본원에 내원한 환아는 이 질환의 특징적 양상인 구강 주위 근육의 수축으로 소구증 및 개구제한, 높은 구개 및 부정교합, 치열의 심한 총생을 보여 구강위생이 매우 불량하였고 치과치료에 비협조적이었다. 소아치과적 행동조절 및 구강위생관리, 섭식장애의 상담으로 치과적 문제는 다소 개선되었으나, 안과 및 정형외과, 신경정신과, 교정과, 마취과적 문제로 인해 다양한 협진이 필요하며 계속적인 관찰 및 치료가 요구되기에 이를 보고하는 바이다.

충격 감소 및 중력 보상을 위한 이족보행로봇의 무릎-골반 관절 설계 (Design of Knee-Pelvis Joint in the Biped Robot for Shock Reduction and Gravity Compensation)

  • 김영민;김용태
    • 전기학회논문지
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    • 제64권1호
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    • pp.136-142
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    • 2015
  • In the paper, a design method of knee and pelvis joint in the biped robot is proposed for shock absorption and gravity compensation. Similarly to the human's body, the knee joints of the biped robot support most body weight and get a shock from the landing motion of the foot on the floor. The torque of joint motor is also increased sharply to keep the balance of the robot. Knee and pelvis joints with the spring are designed to compensate the gravity force and reduce the contact shock of the robot. To verify the efficiency of the proposed design method, we develope a biped robot with the joint mechanism using springs. At first, we experiment with the developed robot on the static motions such as the bent-knee posture both without load and with load on the flat ground, and the balance posture on the incline plane. The current of knee joint is measured to analyze the impact force and energy consumption of the joint motors. Also, we observe the motor current of knee and pelvis joints for the walking motion of the biped robot. The current responses of joint motors show that the proposed method has an effect on shock reduction and gravity compensation, and improve the energy efficiency of walking motions for the biped robot.

다운증후군 아동들의 보행 비대칭성 연구 (Gait Asymmetry in Children with Down Syndrome)

  • 임비오;한동기;서정석;은선덕;권영후
    • 한국운동역학회지
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    • 제16권2호
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    • pp.145-151
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    • 2006
  • A large interindividual variability and some abnormally kinematic patterns at the lower extremity were the main features of the gait in children with Down syndrome. The purposes of this study were to investigate the gait asymmetry and biomechanical difference between dominant leg and non dominant leg in children with Down syndrome. Seven boys with Down Syndrome(age: $120{\pm}0.9yrs$, weight $34.4{\pm}8.4kg$, leg length: $68.7{\pm}5.0cm$) participated in this study. A 10.0 m ${\times}$ 1.3 m walkway with a firm dark surface was built and used for data collection. Three-dimensional motion analyses were performed to obtain the joint angles and range of motions. The vertical ground reaction forces(%BW) and impulses($%BW{\cdot}s$) were measured by two force plates embedded in the walkway. Asymmetry indices between the legs were computed for all variables. After decision the dominant leg and the non dominant leg with max hip abduction angle, paired samples t-test was employed for selected kinematic and ground reaction force variables to analyze the differences between the dominant leg and the non dominant leg. The max hip abduction angle during the swing phase showed most asymmetry, while the knee flexion angle at initial contact showed most symmetry in walking and running. The dominant leg showed more excessive abduction of hip in the swing phase and more flat-footed contact than the non dominant leg. Vertical peak force in running showed more larger than those of in walking, however, vertical impulse showed more small than walking due to decrease of support time. In conclusion, the foot of dominant leg contact more carefully than those of non dominant leg. And also, there are no significant difference between the dominant leg and the non dominant leg in kinematic variables and ground reaction force due to large interindividual variability.

한국 서해산 가무락조개, Cyclina sinensis의 번식생태 및 기생충에 관한 연구 2. 가무락조개에서 검출된 흡충류, Himasthla kusasigi Yamaguti, 1939에 대하여 (Studies on Reproductive Ecology and Parasite of the Venus Clam, Cyclina sinensis, on the West Coast of Korea. 2. On the Metacercaria of Himasthla kusasigi Yamaguti, 1939 (Trematoda) found in the Venus Clam, Cyclina sinensis)

  • 김영길;정의영;김용호
    • 한국패류학회지
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    • 제16권1_2호
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    • pp.43-48
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    • 2000
  • 기생충 감염에 의한 폐사와 생식세포형성 영향여부를 확인하고자 1999년 6월부터 2000년 5월까지 매월1회씩 전북 부안군 계화도와 고창군 부안면 상포 지선의 간석지에서 양식하고 있는 가무락조개를 채집하여 조사한 결과를 요약하면 다음과 같다. 검출된 기생충은 극구흡충과(棘口吸蟲科, Echinostomatidae)에 속하는Himasthla kusasigi Yamaguti ,1939의 피낭유충(metacercaria)뿐이었다. 양 조사지역에서의 년 평균 기생율은 계화도 93%, 고창 상포 81%이었으며, 월간 가장 기생율이 높았던 시기를 보면 먼저 계화도는 1999년 9월 및 2000년 3, 4월에 100% 기생된 반면에 7월이 80%로 가장 낮은 기생율을 나타냈다. 고창 상포구역은 가장 높았던 달이 2000년 1월 99%, 가장 낮았던 달은 1999년 11월의 47%이었다. 조개내의 Himasthla kusasigi의 기생부위는 다리를 포함한 내장낭, 아가미, 외투막으로써 기생율은 계화도와 고창지역 각각 내장낭 76.7%, 81.3%, 아가미 19.1%. 14.5%, 외투막 5.1%, 4.2%이었다. 조개의 크기가 클수록 기생율이 높았다. Himasthla kusasigi의 피낭유충이 감염된 가무락조개 일지라도 조직학적 조사에서 아무런 이상을 발견하지 못하였다.

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하지 석고붕대제거후 정상측과 석고붕대 적용측의 상하지의 둘레, 피부두겹두께 및 하지근력의 비교 (Comparison of the circumference, skinfold thickness and leg strength of normal limb with those of casted limb following removal of leg cast)

  • 최명애;박미정
    • 대한간호학회지
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    • 제23권1호
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    • pp.56-67
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    • 1993
  • The purpose of this study was to compare the circumference and skinfold thickness of upper and lower limb and the leg strength of the casted limb with those of the normal limb after removal of a leg cast. The subjects for the study were orthopedic patients who had had long and short leg casts or splints due to tibial, fibulal, metatarsal, calcaneus fracture or ankle sprains. The subjects were divided into two groups, those who had the cast on for less than 40 days and those for over 41 days. Circumference and skinfold thickness of the upper and lower limb on the side on which the cast was ap-plied were compared with those of the contralateral side after removal of the cast. Circumference and skinfold thickness of the upper and lower limb, and leg strength for those in a cast for under 40 days were compared with those of over 41 days for both the side to which cast was applied and the contralateral side. Measurements were made after removal of the cast. Skinfold thickness was measured by fat caliper, circumference was measured by tape and lower extremity strength was determined with flat foot pressing on an electronic digital health meter in the sitting position. The results can be summarized as follows : 1. The circumference of the upper and lower leg on the side on which the cast was applied, when measured after the cast was removed, were significantly less than those of the normal side, 93.88%, 93.11% each. 2. Skinfold thickness of the quadriceps and gastrocnemius on the side on which the cast was applied were significantly less than those of the normal side when measured after removal of the cast, 85.98%, 82.85% respectively. 3. Leg strength on the side where the cast was applied was significantly 1ss than that on the normal side, 60.20%. 4. There was no difference in the circumference of upper and lower limbs, skinfold thickness or leg strength on the side where the cast was applied between the group which had the cast applied for under 40 days and the group that had it applied for over 41 days. 5. The circumference of the upper arm and lower leg on the normal side for the group that had the cast applied for over 41 days was significantly greater than the group that had the cast application for under 40 days. T ere was no difference between the two groups in the circumference of the forearm and upper leg, skinfold thickness and leg strength in the normal side. From these results, it may be concluded that muscle atrophy was apparent in the casted limb compared to the normal limb, and the circumference of the upper arm and lower leg, and leg strength on the normal side increased after removal of the cast in the group which had the cast on for more than 41 days.

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인솔의 아치높이 및 경도 선호도가 정적 아치 높이 및 발목 안정성에 미치는 영향 (Effects of Preferred Arch Height and Hardness of the Insole on Static Arch Height and Ankle Stability)

  • Sihyun Ryu;Young-Seong Lee;Soo-Ji Han;Sang-Kyoon Park
    • 한국운동역학회지
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    • 제33권1호
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    • pp.25-33
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    • 2023
  • Objective: The purpose of this study was to investigate the differences in static arch height and ankle stability according to the preference for insole height and hardness in the arch area. Method: The study participants were 20 adult males (age: 22.7 ± 1.8 yrs., height: 175.3 ± 4.3 cm, body weight: 72.5 ± 7.7 kg). First, the arch heights of all subjects were measured in static postures (sitting and standing). The inversion and eversion movements of the ankle joint were analyzed during walking (1.3 m/s & 1.7 m/s) and running (2.7 m/s & 3.3 m/s). The variables (static arch height, and inversion and eversion angle of ankle joint) were compared by classifying groups according to the preference for the height and hardness of the arch of the insole. First, it was divided into a high arch insole preference group (HAG, n=8) and a low arch insole preference group (LAG, n=12) according to the preference for the arch height of the insole. Second, it was divided into a high hardness insole preference group (HHG, n=7), medium hardness insole preference group (MHG, n=7), and low hardness insole preference group (LHG, n=6), according to the preference for the arch hardness of the insole. Results: First, the range of motion (ROM) of inversion-eversion at the ankle joint during walking was statistically smaller in HAG than in LAG (p<.05). Second, the arch height change of HHG was statistically greater than that of MHG and LHG (p<.05). Conclusion: In the case of flexible flat feet with a large change in arch height, providing a high hardness arch insole that can disperse foot pressure can improve comfort. It was found that people with high medial and lateral sway of the ankle joint preferred a low arch insole, but it is necessary to differentiate and compare the insole heights of the arch part in detail. In addition, in the case of fast motion such as running, the preference for the arch height and hardness of the insole was not related to the static arch height and ankle stability.

강원도 고성 일대의 지형 경관에 대한 연구 (A study on landforms in Gosung, Gangwon province)

  • 김종연
    • 한국지형학회지
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    • 제18권3호
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    • pp.65-81
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    • 2011
  • 강원도 고성 일대의 제3기 현무암 분포 지역을 중심으로 이 지역의 지형경관의 특성에 대하여 분석하였다. 이 지역은 화강암 풍화대가 형성되는 과정 또는 형성된 후 화산 활동으로 현무암이 분출된 지역으로 두 암석의 특성과 지형 발달 과정에서의 특징에 따라 서로 다른 지형 경관을 형성하였다. 본 연구에서는 강원도 고성 일대의 지형적인 특성을 분석하고, 특히 화산활동의 결과로 나타난 현무암 지형과 화강암 풍화 이후의 풍화 산물 탈거로 인한 지형 발달 과정의 관계에 대하여 분석하였다. 연구 결과, 송지호 인근의 지역인 오음산 지역의 경우 산정부가 현무암에 의해서 피복되면서 상대적으로 평탄한 면을 형성하고 있으며 산록은 주로 화강암으로 풍화대와 풍화 잔류물로 구성되어 있다. 두 기반암 사이의 경계는 현무암의 단애 또는 풍화산물이 얇게 피복된 급경사면으로 구성되어 있으며, 조사 결과에 의하면 화강암의 풍화가 어느 정도 진행된 상태에서 현무암이 피복한 것으로 나타나고 있다. 또한 오음산과 뒷배재의 경우 현무암의 분출지점이 단일 화구인지 다수의 화구인지 명확하지 않았다. 두지역 모두 현무암의 단애로부터 주상절리의 해체에 의하여 분리된 암괴들은 화강암 풍화산물중심의 산록을 피복하면서 암괴류와 애추사면과 같은 암설사면을 형성하였다. 운봉산에서의 조사 결과에 의하면 암괴들의 장축은 사면의 전반적인 방향과 일치 하는 것으로 나타났으며, 암괴류들의 경우 암괴 자체의 이동보다는 하부의 세립 물질 세탈로 지형변화가 일어나는 것으로 사료된다.

Review of Production, Husbandry and Sustainability of Free-range Pig Production Systems

  • Miao, Z.H.;Glatz, P.C.;Ru, Y.J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권11호
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    • pp.1615-1634
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    • 2004
  • A review was undertaken to obtain information on the sustainability of pig free-range production systems including the management, performance and health of pigs in the system. Modern outdoor rearing systems requires simple portable and flexible housing with low cost fencing. Local pig breeds and outdoor-adapted breeds for certain environment are generally more suitable for free-range systems. Free-range farms should be located in a low rainfall area and paddocks should be relatively flat, with light topsoil overlying free-draining subsoil with the absence of sharp stones that can cause foot damage. Huts or shelters are crucial for protecting pigs from direct sun burn and heat stress, especially when shade from trees and other facilities is not available. Pigs commonly graze on strip pastures and are rotated between paddocks. The zones of thermal comfort for the sow and piglet differ markedly; between 12-22$^{\circ}C$ for the sow and 30-37$^{\circ}C$ for piglets. Offering wallows for free-range pigs meets their behavioural requirements, and also overcomes the effects of high ambient temperatures on feed intake. Pigs can increase their evaporative heat loss via an increase in the proportion of wet skin by using a wallow, or through water drips and spray. Mud from wallows can also coat the skin of pigs, preventing sunburn. Under grazing conditions, it is difficult to control the fibre intake of pigs although a high energy, low fibre diet can be used. In some countries outdoor sows are fitted with nose rings to prevent them from uprooting the grass. This reduces nutrient leaching of the land due to less rooting. In general, free-range pigs have a higher mortality compared to intensively housed pigs. Many factors can contribute to the death of the piglet including crushing, disease, heat stress and poor nutrition. With successful management, free-range pigs can have similar production to door pigs, although the growth rate of the litters is affected by season. Piglets grow quicker indoors during the cold season compared to outdoor systems. Pigs reared outdoors show calmer behaviour. Aggressive interactions during feeding are lower compared to indoor pigs while outdoor sows are more active than indoor sows. Outdoor pigs have a higher parasite burden, which increases the nutrient requirement for maintenance and reduces their feed utilization efficiency. Parasite infections in free-range pigs also risks the image of free-range pork as a clean and safe product. Diseases can be controlled to a certain degree by grazing management. Frequent rotation is required although most farmers are keeping their pigs for a longer period before rotating. The concept of using pasture species to minimise nematode infections in grazing pigs looks promising. Plants that can be grown locally and used as part of the normal feeding regime are most likely to be acceptable to farmers, particularly organic farmers. However, one of the key concerns from the public for free-range pig production system is the impact on the environment. In the past, the pigs were held in the same paddock at a high stocking rate, which resulted in damage to the vegetation, nutrient loading in the soil, nitrate leaching and gas emission. To avoid this, outdoor pigs should be integrated in the cropping pasture system, the stock should be mobile and stocking rate related to the amount of feed given to the animals.