• Title/Summary/Keyword: Hand-operated

Search Result 334, Processing Time 0.021 seconds

Simple Postoperative Exercise of Acute Achilles Tendon Rupture without Active Range of Motion Exercise (아킬레스건 파열 이후의 능동적인 관절 범위 운동이 없는 간단한 재활 운동 방법)

  • Jae-Kwang Hwang;Youngjoo Jung;Dong-Kyo Seo
    • Journal of Korean Foot and Ankle Society
    • /
    • v.27 no.1
    • /
    • pp.12-16
    • /
    • 2023
  • Purpose: Postoperative exercise for acute Achilles tendon rupture is important for a patient's return to daily life and sports. On the other hand, the protocol requires considerable effort to educate patients and continuous checking. This study evaluated the outcome of a new simple and delayed rehabilitation protocol after Achilles tendon rupture repair. Materials and Methods: From July 2014 to November 2020, one hundred eighty-three patients were operated on by one surgeon. The exercise protocol was classified into two methods. One group (immediate protocol, control group) started immediate full weight bearing with a 20° plantar flexion range of motion from two days postoperatively. Ankle dorsiflexion was restricted to 0°. The other group (delayed protocol, case group) started full weight bearing with a controlled ankle motion boot from two weeks postoperatively. No range of motion exercise was allowed until six weeks postoperatively. Age, sex, body mass index, ankle range of motion, muscle power, time to return to previous physical activity, functional score, and complication rate were evaluated. The results of the two groups were compared using a Mann-Whitney test. Statistical significance was set as p<0.05. Results: The range of motion, double heel rising, and one-leg standing were achieved faster in the control group (p<0.05). However, single-heel rising, repeated single-heel rising, return to previous activity (work, run, and sport), and functional scores showed no statistical difference (p>0.05). Conclusion: Simple and delayed postoperative rehabilitation of acute Achilles tendon rupture without active range of motion exercises showed satisfactory functional results and a low complication rate.

Estimating Benefits of Gwangyang Port Container Terminals' Berth Relocation (광양항 컨테이너 터미널 선석 재배치에 따른 기대효과 분석)

  • Yong-Ki Koh;Sang-Hun Han
    • Korea Trade Review
    • /
    • v.45 no.5
    • /
    • pp.141-159
    • /
    • 2020
  • Container terminals at Gwangyang Port are operated by three container operators: A, B and C. Ultimately, there is consensus that a single operator should operate all terminals so that economies of scale can be achieved even in the operation of the container terminal. Integration between operators has a positive effect on both operators and shipping companies. From the operator's point of view, overlapping fixed costs between operators can be unified, reducing overall costs and utilizing spare facilities. On the other hand, from the viewpoint of the shipping company, it is possible to ensure stable use of the port facilities and always allow berthing, reduce days on demurrage and ship waiting, and provide one-stop service for work. However, existing cases of operators' integration or relocation of terminals remained to estimate the expected effects of alternatives, emphasizing only the financial point of view. The port terminal is a large system, and it is important to consider that it is an aggregate of major logistics facilities and equipment. Moreover, if the estimation can be made by quantifying the expected effect, the justification of the terminals' relocation can be further emphasized. Therefore, it is very important to estimate the expected effect from the viewpoint of systemic operation. Moreover, the need for operators' integration can be further emphasized if it can be estimated through quantification of expected effects. Currently, three alternatives are considered as alternatives to the terminals' relocation, and in this study, the optimal plan was derived for the 3 alternatives by the linear planning model of the minimum shuttle transportation cost in the terminal. The optimal plan is alternative 2, which shows the most advantageous integration effect in terms of expected effects. Alternative 2 integrates the B terminal into the C terminal, and the A terminal operates independently as it is.

Development of the Path Generation and Control System for Unmanned Weeding Robot in Apple Orchards (사과 과원 무인 제초를 위한 작업 경로 생성 및 경로 제어 시스템 개발)

  • Jintack Jeon;Hoseung Jang;Changju Yang;Kyoung-do Kwon;Youngki Hong;Gookhwan Kim
    • Journal of Drive and Control
    • /
    • v.20 no.4
    • /
    • pp.27-34
    • /
    • 2023
  • Weeding in orchards is closely associated with productivity and quality. The customary weeding process is both labor-intensive and time-consuming. To solve the problems, there is need for automation of agricultural robots and machines in the agricultural field. On the other hand, orchards have complicated working areas due to narrow spaces between trees and amorphous terrain. Therefore, it is necessary to develop customized robot technology for unmanned weeding work within the department. This study developed a path generation and path control method for unmanned weeding according to the orchard environment. For this, the width of the weeding span, the number of operations, and the width of the weeding robot were used as input parameters for the orchard environment parameters. To generate a weeding path, a weeding robot was operated remotely to obtain GNSS-based location data along the superheated center line, and a driving performance test was performed based on the generated path. From the results of orchard field tests, the RMSE in weeding period sections was measured at 0.029 m, with a maximum error of 0.15 m. In the steering period within row and steering to the next row sections, the RMSE was 0.124 m, and 0.047 m, respectively.

Correlation between CRM Competency and Safety Behavior According to Pilot Position (조종사 직급에 따른 CRM 역량과 안전행동의 상관관계)

  • Kangmin Ko;Ji ouk Yoon;Jang Ryong Lee
    • Journal of Advanced Navigation Technology
    • /
    • v.27 no.6
    • /
    • pp.724-732
    • /
    • 2023
  • Civil aircraft must have captain and first officer. In general, the captain fulfills his role and responsibility for preventing danger during aircraft operation, and the first officer is in charge of assisting the captain. Historicclay, as 70% to 80% of aircraft accidents have been caused by pilot human factors, crew resource management (CRM)has been introduced and operated worldwide. On the other hand, safety behavior is a human behavior to protect from danger using knowledge and skills, and the captain and the first officer who perform operations in the aircraft's cockpit are expected to have different levels of safety behavior according to differences in competence, responsibility, and experience. Preceding studies have shown that pilots' safety behavior is influenced by non-technical factors such as CRM Skills rather than technical ability, and this study was conducted to identify differences in CRM competencies between captain and first officer and to verify whether the differences are correlated with safety behavior.

Differential Subsampling with Cartesian Ordering Contrast-Enhanced Magnetic Resonance Angiography for the Preoperative Assessment of Anterolateral Thigh Flap

  • Yunfeng Shen;Xiucun Li;Chao Zhang;Hai Zhong;Weiqiang Dou
    • Korean Journal of Radiology
    • /
    • v.23 no.8
    • /
    • pp.803-810
    • /
    • 2022
  • Objective: To investigate the clinical application of differential subsampling with Cartesian ordering (DISCO) contrast-enhanced (CE) magnetic resonance angiography for anterolateral thigh (ALT) flap transplantation, using operative findings as a reference. Materials and Methods: Thirty patients (21 males and nine females; mean age ± standard deviation, 45.5 ± 15.6 years) who were scheduled to undergo reconstruction with ALT flaps between June 2020 and June 2021 were included in the prospective study. Before ALT flap transplantation, patients were scanned using CE-DISCO imaging. All acquired DISCO images of the 60 lower limbs (both sides from each patient) were analyzed using maximum intensity projection and volume rendering methods. Two experienced radiologists were employed to examine the patterns of the lateral circumflex femoral artery (LCFA), its branches, and perforators and their skin termini, which were compared with the operative findings. Results: Using CE-DISCO, the patterns of the LCFA and its branches were clearly identified in all patients. Four different origins of the LCFA were found among the 60 blood vessels: type I (44/60, 73.3%), type II (6/60, 10.0%), type III (8/60, 13.3%), and type IV (2/60, 3.3%). Owing to a lack of perforators entering the skin, two patients did not undergo ALT flap transplantation. For the remaining 28 patients, the ALT flaps in 26 patients were successfully operated without flap reselection during the operation, while the remaining two patients underwent other surgical procedures due to the thin diameter of the perforator or injury of the perforator during the operation. The success rate of flap transplantation was 92.8% (26/28). All transplanted flaps exhibited good blood supply and achieved primary healing without infection or delayed healing. Conclusion: CE-DISCO imaging can be an effective method for preoperative perforator imaging before ALT flap transplantation.

A Numerical Technique for Predicting Deformation due to Neutron Irradiation for Integrity Assessment of Research Reactors (연구용 원자로의 건전성 평가를 위한 수치해석적 중성자 조사 재료변형 예측기법 개발)

  • Jun-Geun Park;Tae-Hyeon Seok;Nam-Su Huh
    • Transactions of the Korean Society of Pressure Vessels and Piping
    • /
    • v.20 no.1
    • /
    • pp.39-48
    • /
    • 2024
  • Research reactors are operated under ambient temperature and atmospheric pressure, which is much less severe conditions compared to those in typical nuclear power plants. Due to the high temperature, heat resistant materials such as austenite stainless steel should be used for the reactors in typical nuclear power plants. Whereas, as the effect of temperature is low for research reactors, materials with high resistance to neutron irradiation, such as zircaloy and beryllium, are used. Therefore, these conditions should be considered when performing integrity assessment for research reactors. In this study, a computational technique through finite element (FE) analysis was developed considering the operating conditions and materials of research reactor when conducting integrity assessment. Neutron irradiation analysis techniques using thermal expansion analysis were proposed to consider neutron irradiation growth and swelling in zirconium alloys and beryllium. A user subroutine program that can calculate the strain rate induced by neutron irradiation creep was developed for use in the commercial analysis program Abaqus. To validate the proposed technique and the user subroutine, FE analysis results were compared with hand-calculation results, and showed good agreement. Consequently, developed technique and user subroutine are suitable for evaluating structural integrity of research reactors.

Giant Cell Tumor of Tendon Sheath in Hand (수부에서 발생한 건초의 거대 세포종)

  • Kang, Ho-Jung;Kim, Kee-Hak;Shin, Kyoo-Ho;Hahn, Soo-Bong;Kang, Eung-Shick
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.7 no.1
    • /
    • pp.20-27
    • /
    • 2001
  • Purpose : The giant cell tumor of tendon sheath is the second most common tumor of the hand, but recurred frequently although excision was performed. Authors analyzed and would report clinical findings and postoperative results of it. Materials and Methods : Between January 1991 and December 1998, 38 patients, 41 cases which the authors had performed excisional biopsy to the mass in the hand and diagnosed with the giant cell tumor of tendon sheath, was analyzed with age, sex, chief complaint, symptom duration, involved finger, involved tendon, frequently developed site in fingers, size, multiplicity, radiologic findings and recurrence. The mean duration of follow-up was 13.1 months (5~40 months). Results : Of 38 patients, twenty-nine were female. It is frequent in the fourth decade and mean age was 40.1 years old. The neurological compression symptom was found in 5 cases. The mean duration of symptom was 23.4 months. Flexor tendon was involved in 24 cases. The distal interphalangeal joint area in digit was involved most frequently in 20 cases. Index finger was the most common involved finger (14 cases), and long finger was the second most common (9 cases). All tumors were unilateral. The majority of patients had solitary lesion but one case had multiple lesion. In the radiologic findings, erosion or pressure indentation of bone was seen in 3 cases. All patients were operated by marginal excision. Recurrence rate was 5.1%. Conclusion : The risk factors in giant cell tumor of tendon sheath were female, forth decade, index finger, flexor tendon, and distal interphalangeal joint area. The recurrence was increased in marginal excision of recurred cases, in cases with multiple developed lesions or in multilobular lesion, so wide surgical excision is necessary to prevent recurrence.

  • PDF

A Study on the Effect of Cold Water Mass on Observed Air Temperature in Busan (부산지역 기온에 미치는 냉수대의 영향에 대한 연구)

  • Park, Myung-Hee;Lee, Joon-Soo;Ahn, Ji-Suk;Suh, Young-Sang;Han, In-Seong;Kim, Hae-Dong;Bae, Hun-Kyun
    • Journal of the Korean Association of Geographic Information Studies
    • /
    • v.17 no.3
    • /
    • pp.132-146
    • /
    • 2014
  • The effects of the cold air generated from large cold water mass at the coastal area on observed air temperature in Busan were investigated using AWS(Automatic Weather Station) data at the Busan area operated by Korea Meterological Administration and SST(Sea Surface Temperature) data at the Gijang and Busan area operated by Korean National Fisheries Research Development Institute. First, the temperature difference between the coastal area and the city area was about $1^{\circ}C$ during cold water mass day while it was about $0.5^{\circ}C$ if cold water mass was not appeared. Second, for day time, the temperature at the coastal area was about $1^{\circ}C$ lower than that at the city area during cold water mass day, but the difference was only about $0.4^{\circ}C$ without cold water mass. On the other hand, for night time, the temperature at the coastal area was about $1.2^{\circ}C$ lower than that at the city area during cold water mass day and the difference was about $0.9^{\circ}C$ without cold water mass. As a result, temperature differences at night time were higher than those at day time whether or not cold water mass appeared. The reason for higher temperature at night time might be the urban heat island phenomenon.

Analysis of Treatment and Prognosis in Malignant Melanoma (악성 흑색종의 치료와 예후에 대한 분석)

  • Kwon, Young-Ho;Kim, Jeong-Ryoul;Lee, Young-Gu;Kim, Jae-Do
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.11 no.2
    • /
    • pp.141-147
    • /
    • 2005
  • Purpose: The most important thing in curing Malignant melanoma is surgical excision, operating method is wide excision. The author et al. studied 5-year survival rate of each stage and appropriate surgical margin after operating wide excision and immuno-chemotherapy. Materials and methods: From March 1995 to August 2003, wide excision and immunochemotherapy were operated to 35 patients (17 males and 18 females) who were diagnosed as malignant melanoma and followed up. Excision was done around 2 cm from edge of tumor regardless of the size or effected degree of the skin, and flap or full thickness skin graft was used for skin deficit that was not covered after excision. As for immuno-chemotherapy, method that prescribes 400 mg of dacarbazine (DTIC) and 3 million IU of interferone-${\alpha}$ in combination was used. Immuno-chemotherapy was operated to patients in over stage III. We used AJCC stage that was revised in 2002. Local recurrence, local metastasis and distant metastasis were investigated for these patients as well as the 5-year survival rate of each stage. Results: Most frequently 15 cases(42.8%) occurred in foot, 5 cases(14.2%) occured in ankle, 2 cases(5.7%) in leg, 2 cases(5.7%) in thigh and 5 cases(14.2%) in hand. The incidence of each stage were 8 cases(22.8%) in IA, 9 cases(25.7 %) in IB, 4 cases(11.4%) in IIA, 2 cases(5.7%) in IIB, 1 cases(2.8%) in IIIA, 2 cases(5.7%) in IIIB, 2 cases(5.7%) in IIIC and 7 cases(20.0%) in stage IV. 5-year survival rate of each stage were 94.1% in stage I, 66.8% in stage II, 40% in stage III and 14.3% in stage IV. Conclusion: 5-year survival rate of stage IV was low in malignant melanoma. In treatment of malignant melanoma, staging before operation is important as operation methods are different from each stage. We recommend wide excision which remove around 1~3 cm from margin of tumor up to each thickness.

  • PDF

The Welfare Investment of the National Pension Funds: Its Necessity and Policy Development (국민연금기금의 복지사업 당위성과 정책방향 연구)

  • Kim, Jin-Soo
    • Korean Journal of Social Welfare
    • /
    • v.58 no.3
    • /
    • pp.295-312
    • /
    • 2006
  • The use of the national pension funds to welfare has been criticized due to its low profitability, with concern about financial instability and the lack of funds. Despite the small amount of the funds employed to the welfare, therefore, it has been decreasing so far. It is resulted from the fact that the use of funds to the welfare sector failed to provide its valid reasons, and take the policy direction firmly. There are three main logical reasons for the welfare investment of national pension funds: Firstly, no state is capable to take the full responsibility for the entire social welfare, and therefore, the funds can be used for social welfare. Secondly, the funded system, contrasted with the case of pay-as-you-go system, has inevitably caused discriminations to the present elderly through excluding them institutionally from pension participation. At last, so as to its selective system, the minimum contribution period of 10 years brings about the equity problem between the people who can afford it and the people who hardly can. Therefore, investing a proportion of funds to the welfare is entirely reasonable in that it can alleviate the discriminations to the present elderly generation and the marginal participants, rather than to meet their social welfare needs. With regard to the policy decision, the profitability of the investment, and the choice of the welfare work, on the other hand, the policy direction should be given a sufficient consideration of a various policy factors such as the necessity of social consensus, independence of the welfare work in relations with other national welfare work, policy identity to judge whether the work is worth long-run or short-run, and the reliance of direct-operated work and indirect-operated work. As a result of all these efforts above mentioned, an investment to the welfare of the national pension funds could be vitalized, and gain public confidence.

  • PDF