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Effects of Prosthetic Mass Distribution on Musculoskeletal System during Amputee Gait (의지 보행시 의지 무게 분포가 근골격계에 미치는 영향)

  • Bae, Tae-Soo;Choi, Hwan;Kim, Shin-Ki;Mun, Mu-Seong
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.8 s.197
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    • pp.130-137
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    • 2007
  • The optimized prosthetic mass distribution was a controversial problem in the previous studies because they are not supported by empirical evidence. The purpose of the present study was to evaluate the effect of prosthetic mass properties by modeling musculoskeletal system, based on the gait analysis data from two above-knee amputees. The joint torque at hip joint was calculated using inverse dynamic analysis as the mass was changed in knee and foot prosthetic components with the same joint kinematics. The results showed that the peak flexion and abduction torque at the hip joint were 5 Nm and 15 Nm when the mass of the knee component was increased, greater than the peak flexion and abduction torque of the control group at the hip joint, respectively. On the other hand, when the mass of the foot component was increased, the peak flexion and abduction torque at the hip joint were 20 Nm and 15 Nm, greater than the peak flexion and abduction torque of the control, respectively. The hip flexion torque was 4.71-fold greater and 7.92-fold greater than the hip abduction torque for the knee mass increase and the foot mass increase on the average, respectively. Therefore, we could conclude that the effect of foot mass increase was more sensitive than that of knee mass increase for the hip flexion torque. On the contrary, the mass properties of the knee and foot components were not sensitive for the hip abduction torque. In addition, optimized prosthetic mass and appropriate mass distributions were needed to promote efficiency of rehabilitation therapy with consideration of musculoskeletal systems of amputees.

Correlations between HER2 Expression and Other Prognostic Factors in Breast Cancer: Inverse Relations with the Ki-67 Index and P53 Status

  • Payandeh, Mehrdad;Shahriari-Ahmadi, Ali;Sadeghi, Masoud;Sadeghi, Edris
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1015-1018
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    • 2016
  • Background: Overexpression or amplification of human epidermal growth factor receptor-2 (HER2) is associated with grade of malignancy and a poor prognosis in breast cancer (BC). The aim of this study was to evaluate of value of HER2 as a prognostic marker, and to analyze associations with common histopathological parameters in BC cases. Materials and Methods: Between of 2007 to 2014, 260 patients with BC referred to Oncology Clinic provided cancer tissue samples which underwent immunohistochemistry (IHC) for markers. ER and PR positivity was defined as ${\geq}10%$ positive tumor cells with nuclear staining. HER2-positive was defined as either HER2 gene amplification by fluorescent in situ hybridization (FISH) or scored as 3+ by IHC. For HER2 (2+), FISH was performed to determine HER2 positivity. Results: The mean age at diagnosis for the patients with HER2-negative was significantly higher than in HER2-positive cases. Also, there were significant correlations between histological grade, nuclear grade, lymph node metastasis, tumor size, ER status, PR status, p53 overexpression and Ki-67 index with HER2 expression. HER2-negative lesions were of higher grade and more likely to be ER-negative, PR-negative, p53-positive, lymph node metastasis, with a tumor size<2cm and also $Ki-67{\geq}20%$ as compared to the HER2-positive group. Conclusions: Contrary to the results of other studies, HER2-positive tumors in our study had a lower Ki-67 index and were p53-positive. Also, Ki-67 proliferation index ${\geq}20%$ in more studies was associated with p53-positive.Therefore, tumors which are HER2-positive and have a Ki-$67{\geq}20%$ had a more aggressive behavior compared to HER2-positive and Ki-67<20% lesions.

Dietary Factors and Risk of Pancreatic Cancer: a Multi-Centre Case-Control Study in China

  • Liu, Shu-Zheng;Chen, Wan-Qing;Wang, Ning;Yin, Meng-Meng;Sun, Xi-Bin;He, Yu-Tong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7947-7950
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    • 2014
  • Background: Pancreatic cancer is the sixth leading cause of cancer death with an increasing trend in China. Dietary intake is believed to play an important role in pancreatic cancer carcinogenesis. The aim of this paper was to evaluate associations between some dietary factors and risk of pancreatic cancer in a multi-centre case-control study conducted in China. Materials and Methods: Cases (n=323) were ascertained from four provincial cancer hospitals. Controls (n=323) were randomly selected from the family members of patients without pancreatic cancer in the same hospitals, 1:1 matched to cases by gender, age and study center. Data were collected with a questionnaire by personal interview. Odds ratios (OR) and 95% confidence intervals (95%CI) were estimated using conditional logistic regression. Results: Tea intake (OR =0.49; 95%CI: 0.30-0.80) was associated with a half reduction in risk of pancreatic cancer. Reduced vegetable consumption (P trend: 0.04) was significant related to pancreatic cancer. Although no significant association was found for meat and fruit, ORs were all above or below the reference group. A protective effect was found for fruit (OR=1.73 for consumption of 1-2 times/week vs more than 3 times/week; 95%CI: 1.05-2.86). A high intake of meat was associated to a higher risk of pancreatic cancer (OR=0.59 for consumption of 1-2 times/week vs. more than 3 times/week; 95%CI: 0.35-0.97). Conclusions: The present study supports fruit consumption to reduce pancreatic cancer risk and indicates that high consumption of meat is related to an elevated risk. Direct inverse relations with tea and vegetable intake were also confirmed.

Joint moments and muscle forces during walking with sided load as one of activities of daily living (편향하중 조건 보행시 인체의 적응 작용에 대한 분석)

  • Kim, Hyun-Dong;Son, Jong-Sang;Kim, Han-Sung;Kim, Young-Ho;Lim, Do-Hyung
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1709-1712
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    • 2008
  • The trunk is inclined to the loaded side when carrying an object as one of activities of daily living. As the reaction to this behavior the human body may be inclined to his/her trunk to unloaded side. The present study investigated the biomechanical effects of weight variation for sided load carriage during walking upon joint moments and muscle torques, through the tracker agent and joint driving dynamic analysis. To perform the experiment one male was selected as subject for the study. Gait analysis was performed by using a 3D motion analysis system. Thirty nine 14mm reflective markers, according to the plug-in marker set, were attached to the subject. We used BRG.LifeMOD(Biomechanics Research Group, Inc., USA), for skeletal modeling and inverse and joint driving dynamic simulation during one gait cycle. In walking with a sided load carriage, the subject modeled held the carriage with the right hand, which weighed 0, 5, 10, 15kg, 20kg respectively. The result of this simulation showed that knee and hip in the coronal plane were inclined to the loaded side and loaded side had larger moments as the sided load carriage was increased. On the other hand thoracic and lumbar in the coronal plane had larger negative values as the sided loaded carriage was increased. The thoracic and lumbar in the transverse plane also had larger values as the sided load was increased. And the several muscles of loaded side were increased as increasing sided load. It could be concluded that human body is adopted to side loaded circumstances by showing more biologic force. These results could be very useful in analysis for delivery motion of daily life.

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Relation between Mammographic Parenchymal Patterns and Breast Cancer Risk: Considering BMI, Compressed Breast Thickness and Age of Women in Tabriz, Iran

  • Mehnati, Parinaz;Alizadeh, Hamed;Hoda, Haleh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2259-2263
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    • 2016
  • Background: Mammographic density determined according paranchymal patterns is a risk factor for breast cancer and its relationships with body and other breast characteristics of women is important. The purpose of the present study was to correlate breast parenchymal patterns and mammography abnormality findings with women's BMI, compressed breast thickness (CBT) and age in Tabriz city, Iran. Materials and Methods: From 1,100 mammograms interpreted by radiologists, breast parenchymal was classified into four categories from Types 1 (mostly fatty) through 4 (mostly fibroglandular tissue). Age, BMI, and CBT were recorded and their relation with risk for the development of breast abnormalities in mammograms was analyzed. Results: In women with a mean age of $45.8{\pm}8.63years$ 17.7% were in the high density group (Type 3 and 4). A comparison of four types of breast paranchymal with BMI, CBT and age showed inverse relations to breast density. Abnormal mammographic findings were 25.8% of all reported mammograms with a circular mass (12.7%) as the most common abnormality. About 21% abnormal cases were in less than 40 years. Increasing of BMI had significant relation with breast abnormality but in CBT was not observed. Conclusions: Measurement of women's body characteristics is useful for assistance in mammography diagnosis as well as selection of imaging instrument by high sensitivity for following patient in future. The effects of age, CBT and BMI groups on the breast paranchymal were significant.

Regular Exercise Training Increases the Number of Endothelial Progenitor Cells and Decreases Homocysteine Levels in Healthy Peripheral Blood

  • Choi, Jeong Kyu;Moon, Ki Myung;Jung, Seok Yun;Kim, Ji Yong;Choi, Sung Hyun;Kim, Da Yeon;Kang, Songhwa;Chu, Chong Woo;Kwon, Sang Mo
    • The Korean Journal of Physiology and Pharmacology
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    • v.18 no.2
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    • pp.163-168
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    • 2014
  • Endothelial progenitor cells (EPCs) are known to play an important role in the repair of damaged blood vessels. We used an endothelial progenitor cell colony-forming assay (EPC-CFA) to determine whether EPC numbers could be increased in healthy individuals through regular exercise training. The number of functional EPCs obtained from human peripheral blood-derived AC133 stem cells was measured after a 28-day regular exercise training program. The number of total endothelial progenitor cell colony-forming units (EPC-CFU) was significantly increased compared to that in the control group (p=0.02, n=5). In addition, we observed a significant decrease in homocysteine levels followed by an increase in the number of EPC-CFUs (p=0.04, n=5), indicating that the 28-day regular exercise training could increase the number of EPC colonies and decrease homocysteine levels. Moreover, an inverse correlation was observed between small-endothelial progenitor cell colony-forming units (small-EPC-CFUs) and plasma homocysteine levels in healthy men (r=-0.8125, p=0.047). We found that regular exercise training could increase the number of EPC-CFUs and decrease homocysteine levels, thus decreasing the cardiovascular disease risk in men.

Synthesis of modified polyacrylamides and their applications for the retention system of papermaking (변성 폴리아크릴 아미드의 합성 및 제지공정의 보류시스템에 응용)

  • Son, Dong-Jin;Yoon, Ji-Hyun;Choi, Eun-Jeong;Kim, Bong-Yong
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2009.04a
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    • pp.23-28
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    • 2009
  • The purpose of this study was to improve not only wet-end performances but also paper characteristics by the modification of various factors like molecular design and ionic characteristics of polyacrylamides First of all physical characteristics were observed after modify molecular design of the cationic polyacrylamides to linear, branched and cross-linked. In addition it was found analysis method to confirm branch degree of cationic polyacrylamides to combine ionic titration characteristics and spectroscopic behavior, After application of these structure modified polyacrylamides to the multiple retention systems with inorganic microparticles, it was found adjusting of branch degree of polyacrylamides was very important to optimize wet-end improvement. Second, After polymerization of amphoteric polyacrylamide to have both of cationic and anionic functional group in the polymer, we observed not only physical characteristics but also wet-end improvement to apply recycled pulp and found that the improvement of solution stability to prevent hydrolysis and increase of ash retention dramatically to compare traditional cationic polyacrylamide retention aid, Finally, After polymerization of anionic polyacrylamide, we observed not only wet-end improvement but also paper characteristics to apply preflocculation of PCC and it was found the improvements of flocculation efficiency, retention, ash retention, optical properties of the paper and bursting strength to compare traditional preflocculant of cationic polyacrylamide.

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Implementation of Impedance Method to Estimate Blood Flow Variation with Cuff Pressure Change (커프 압력 조절에 따른 혈류량 변화 평가를 위한 임피던스법의 구현)

  • Jeong, Do-Un;Bae, Jin-Woo;Shon, Jung-Man;Yae, Su-Yung;Choi, Byeong-Cheol;Nam, Ki-Gon;Kim, Cheol-Han;Jeon, Gye-Rok
    • Journal of Sensor Science and Technology
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    • v.13 no.6
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    • pp.462-472
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    • 2004
  • In this study, we measured the blood flow on arm by non-invasive method and implemented a system to measure variation of the blood flow by estimating bio-electrical impedance and arterial pressure according to cuff pressure. The implemented system measured impedance variation according to pressure variation applied by artificial cuff pressure on the measuring position. The system consisted of pressure measuring part and impedance measuring part using 4-electrode method. Pressure measuring part was composed of semiconductor pressure sensor and electronic circuit for signal processing of sensor output signal. In addition, impedance measuring part was composed of constant current source circuit and lock-in amplifier for detecting impedance signal. We conducted experiments of impedance measuring part using standard resistance for performance evaluation of the implemented system. In addition we experimented to estimate variation of the blood flow by measuring impedances of the experimental group. We estimated ratio of the blood flow resistance using mean arterial pressure and variation of the blood flow. As a result the ratio of the blood flow resistance and variation of blood flow were in an inverse relationship with each other and the correlation coefficient was -0.96776.

Dietary Intake Differences among Korean Male Smokers, Ex-smokers and Non-smokers

  • Kim, Jean-Chinock -Rim;Kim, Seonwoo;Lee, Soon-Young
    • Journal of Community Nutrition
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    • v.1 no.2
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    • pp.125-132
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    • 1999
  • This study investigated the differences in dietary intake, age, body mass index(BMI), marital status and education of 1,585 Korean healthy males among current smokers, ex-smokers and non-smokers. Dietary intake was determined by a food frequency questionnaire at the Samsung Medical Center in Seoul, Korea. A bioelectric impedance analyzer measured height, body weight and BMI. This study identified 50% of the study group as current smokers and 30% as ex-smokers and 20% as non-smokers. The mean body mass index was 23.7kg/㎡ and did not differ significantly among the three groups. THe current smokers were younger(44.9 years old) and contained a lower percentage(58.5%) of college graduate than that of ex-smokers or non-smokers. The percentage of non-consumers of meat, eggs, beans and bean products was higher in non-smokers than that of ex-smokers or current smokers. Smoking was to a significant degree positively related to the amount of coffee and alcoholic beverages consumed and negatively related to the amount of milk and milk products and fruits consumed. The intake of eggs, milk and milk products, fruit, coffee, sweets, fats and oils were significantly different among the three groups. after adjusting for age, education level, marital status, and alcohol consumption. There was a strong positive relationship between smoking intensity and the intake of coffee and alcoholic beverages(p<0.0005), and an inverse relationship between smoking intensity and fruit, milk and milk product intake(p<0.005). The current smokers were characterized by a higher intake of total energy and cholesterol, and a lower intake of dietary fibers, ${\beta}$-carotine and folate than those of non-smokers or ex-smokers. The nutrient intake of ex-smokers was moderate and highest in ${\beta}$-carotine and folate, which suggested that ex-smokers were trying to change their life style.

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Design of Embedded Electrical Power Control Unit for Personal Electrical Vehicle (1인승 전기차량의 임베디드 전동제어장치 설계)

  • Shin, Kyoo-Jae;Cha, Hyun-Rok
    • Journal of IKEEE
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    • v.18 no.2
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    • pp.282-290
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    • 2014
  • This paper presents the design of embedded electrical power control unit for Personal Electrical Vehicle(PEV). The embedded unit is designed using PIC18F8720 processor, 16Mb flash ROM, 32Mb SDRAM and signal condition circuits. The proposed PEV consists of 4KW in-wheel Brushless DC Motor(BLDCM), 3 phase voltage source inverter with the $180^{\circ}$ conduction space vector PWM method, PID speed controller and the embedded control unit. The PEV has mechanical manufacture of inverse 3 wheel system, which is applied by the in-wheel BLDCM and steering mechanism with tilting function. Also, the performances of the proposed embedded electrical power control unit are verified through the lab experiment and road driving test of PEV.