• Title/Summary/Keyword: Joint Replacement

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Exploration of Optimal Product Innovation Strategy Using Decision Tree Analysis: A Data-mining Approach

  • Cho, Insu
    • STI Policy Review
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    • v.8 no.2
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    • pp.75-93
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    • 2017
  • Recently, global competition in the manufacturing sector is driving firms in the manufacturing sector to conduct product innovation projects to maintain their competitive edge. The key points of product innovation projects are 1) what the purpose of the project is and 2) what expected results in the target market can be achieved by implementing the innovation. Therefore, this study focuses on the performance of innovation projects with a business viewpoint. In this respect, this study proposes the "achievement rate" of product innovation projects as a measurement of project performance. Then, this study finds the best strategies from various innovation activities to optimize the achievement rate of product innovation projects. There are three major innovation activities for the projects, including three types of R&D activities: Internal, joint and external R&D, and five types of non-R&D activities - acquisition of machines, equipment and software, purchasing external knowledge, job education and training, market research and design. This study applies decision tree modeling, a kind of data-mining methodology, to explore effective innovation activities. This study employs the data from the 'Korean Innovation Survey (KIS) 2014: Manufacturing Sector.' The KIS 2014 gathered information about innovation activities in the manufacturing sector over three years (2011-2013). This study gives some practical implication for managing the activities. First, innovation activities that increased the achievement rate of product diversification projects included a combination of market research, new product design, and job training. Second, our results show that a combination of internal R&D, job training and training, and market research increases the project achievement most for the replacement of outdated products. Third, new market creation or extension of market share indicates that launching replacement products and continuously upgrading products are most important.

Clinical and radiologic study of total knee replacement arthroplasty using Doujet GF bone cement (liquid-powder bone cement containing gentamicin) (Doujet GF 골 시멘트를 사용한 인공 슬관절치환술의 임상적, 방사선적 고찰)

  • Sungwook Choi;Seong-meen Yoon;Joseph Y. Rho;In-seok Son
    • Journal of Medicine and Life Science
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    • v.20 no.2
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    • pp.60-66
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    • 2023
  • Gentamicin-loaded bone cement used in total joint arthroplasty is indispensable, as it provides stability by directly binding the surfaces of implants and bones. Depending on multiple factors, including the material of the bone cement used, common complications, such as aseptic loosening, osteolysis, and infection can occur postoperatively. In clinical practice, Doujet bone cement is easy to handle (pre-packed all-in-one system), and has shown low failure rates and non-inferior results compared with similar available products. We conducted a retrospective comparative study to analyze the clinical and radiological results of each bone cement group to establish the safety and usefulness of Doujet bone cement. From July 2020 to July 2022, we enrolled 198 patients in this study after an average follow-up period of 37 months (range, 6-48 months). In 99 patents, Doujet® bone cement (Injecta, Gunpo, Korea) was used for total knee arthroplasty (TKA), while Refobacin® bone cement (Biomet, Warsaw, IN, USA) was used in 99 patients. The average range of motion (ROM) of the knee increased by 2.4° (from 127.0° preoperatively to 129.4° postoperatively) in the Doujet group, and by 0.1° (from 128.7° to 128.8°) in the Refobacin group (P=0.701). The Western Ontario and McMaster Universities (WOMAC) osteoarthritis index scores decreased from 44.1 to 7.8 in the Doujet group, and from 44.2 to 6.3 in the Refobacin group (P=0.162). Complications, such as osteolysis or post-operative wound infection, did not occur in more than two cases in both groups. The WOMAC and ROM of the knee in both groups had no clinical differences. Both Doujet and Refobacin similarly showed low complication rates after TKA.

The Effect of Total Patellectomy in the Prosthetic Replacement of Proximal Tibia (경골 근위부 종양에서 인공 삽입물 사용시 슬개골 전적출술이 관절기능 회복에 미치는 영향)

  • Park, Il-Hyung;Kim, Jae-Do;Ihn, Joo-Chul;Chun, In-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.2 no.1
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    • pp.8-17
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    • 1996
  • The purpose of this study is a comparative evaluation of range motion, especially extension deficit between the group of total patellectomy and that of intact patella, after reconstruction of the patellar tendon in the prosthetic replacement of a proximal tibia. Between 1990 and 1994, 15 patients who had a primary malignancy on proximal tibia were operated on. All patients were evaluated clinically and radiographically. Two patients were excluded because one had a deep infection treated with arthrodesis of the knee and the other was a composite allograft. The mean follow-up of the 13 patients was 27 months(15-47), including 10 osteosarcomas, 1 chondrosarcoma, 1 malignant fibrous histiocytoma and 1 malignant giant cell tumor. Eleven patients had a resection of the proximal tibia and 2 had an extracapsular total knee resection with distal femur. Reconstruction of the defect was done in 8 cases with a custom-made Link Endo-Model Total Rotation Knee Joint Prosthesis, and in 5 with How Medica Modular Resection System (HMRS). We used two methods to reconstruct the ligamentum patellae. Fixation of the patellar tendon to the prosthesis only with suturing and/or stapling(group SS) was done in 7. Transposition of gastrocnemius muscle to enhance fixation and to cover the prosthesis(group TG) was done in 6. Regardless of fixation methods, total patellectomy was done in 5 either to lengthen the patellar tendon or to make primary skin closure easier or for both. In 8 cases, patella was left intact or resurfaced with polyethylene prosthesis. Active extension was measured while the patient was in a sitting position. There is no statistically meaningful difference in terms of extension deficit (Wilcoxon rank test, p=0.8800) between patellectomy group and intact patella group, and between group of fixation only with suturing and that of gastrocnemius transposition. Two cases of extension deficit over 30 degree were seen in group SS and in the group of intact patella. Conclusively, total patellectomy could be an option without increasing the risk of extension deficit when primary skin closure is difficult or patellar tendon is a little bit short to be fixed. There is no rating in the Enneking system of functional evaluation that this finding into consideration.

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Sn-Ag-Cu Solder Joint Properties on Plasma Coated Organic Surface Finishes and OSP (플라즈마 유기막과 OSP PCB 표면처리의 Sn-Ag-Cu 솔더 접합 특성 비교)

  • Lee, Tae-Young;Kim, Kyoung-Ho;Bang, Jung-Hwan;Park, Nam-Sun;Kim, Mok-Soon;Yoo, Sehoon
    • Journal of the Microelectronics and Packaging Society
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    • v.21 no.3
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    • pp.25-29
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    • 2014
  • Plasma organic thin film for PCB surface finish is a potential replacement of the conventional PCB finishes because of environment-friendly process, high corrosion-resistance and long shelf life over 1 year. In this study, solder joint properties of the plasma organic surface finish were estimated and compared with OSP surface finish. The plasma surface finish was deposited by chemical vapor deposition from fluorine-based precursors. The thickness of the plasma organic coating was 20 nm. Sn-3.0Ag-0.5Cu (SAC305) solder was used as solder joint materials. From a salt spray test, the plasma organic coating had higher corrosion resistance than the OSP surface finish. The spreadability of SAC305 on plasma organic coating was higher than that on OSP surface finish. SEM and TEM micrographs showed that the interfacial microstructure of the plasma surface finish sample were similar to that of the OSP sample. Solder joint strength of the plasma finish sample was also similar to that of the OSP finished sample.

Evaluation of image quality for metal artifact using protocol parameters in the MRI (자기공명영상에서 프로토콜 변화를 이용한 금속인공물의 영상평가)

  • Lee, Su-Hyun;Kim, Do-Gyoung;Kim, Yo-Han;Yeum, Hyei-Jeong;Lee, Heon-Jun;Lim, Ju-Yeon;Choi, Woo-Jeon;Kim, Dong-hyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.582-585
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    • 2015
  • In the aging society, TKRA is steadily increased because of joint diseases. Artificial joint used in TKRA generates metal artifacts in the MRI. Metal artifact may affect diagnosis. In study, We are going to minimize the effect of metal artifact to improve the value of diagnosis by changing the sequence and the type of artificial joint(Co-Cr, Ni-Ti). 1.5T AVANTO, plastic containers and each of the artificial joint (Normal, Co-Cr, NiTi) were used. After the artificial joints fixed in a paper cup was inserted in a plastic container of cylindrical, Signal intensity was measured. To obtain strong and uniform signal intensity, the plastic container was filled with water. We changed Sequences(T1 TSE, T2 TSE, PD TSE) and obtained an Axial image. After excepting the maximum and minimum values, We calculated the average of SNR, CNR and PSNR. Consequently, The SNR, CNR value of PD TSE are measured higher than these of T1 TSE, T2 TSE and The PSNR of Co-Cr is higher than this of Ni-Ti. The SNR of Co-Cr is similar to the SNR of normal comparing this of Ni-Ti. As a result, Using sequence of PD Tse and Co-Cr alloy is considered to be useful.

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A design approach of integral-abutment steel girder bridges for maintenance

  • Kim, WooSeok;Jeong, Yoseok;Lee, Jaeha
    • Steel and Composite Structures
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    • v.26 no.2
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    • pp.227-239
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    • 2018
  • Integral abutment bridges (IABs) have no joint across the length of bridge and are therefore also known as jointless bridges. IABs have many advantages, such as structural integrity, efficiency, and stability. More importantly, IABs have proven to be have both low maintenance and construction costs. However, due to the restraints at both ends of the girder due to the absence of a gap (joint), special design considerations are required. For example, while replacing the deck slabs to extend the service life of the IAB, the buckling strength of the steel girder without a deck slab could be much smaller than the case with deck slab in place. With no deck slab, the addition of thermal expansion in the steel girders generates passive earth pressure from the abutment and if the applied axial force is greater than the buckling strength of the steel girders, buckling failure can occur. In this study, numerical simulations were performed to estimate the buckling strength of typical steel girders in IABs. The effects of girder length, the width of flange and thickness of flange, imperfection due to fabrication and construction errors on the buckling strengths of multiple and single girders in IABs are studied. The effect of girder spacing, span length ratio (for a three span girder) and self-weight effects on the buckling strength are also studied. For estimation of the reaction force of the abutment generated by the passive earth pressure of the soil, BA 42/96 (2003), PennDOT DM4 (2015) and the LTI proposed equations (2009) were used and the results obtained are compared with the buckling strength of the steel girders. Using the selected design equations and the results obtained from the numerical analysis, equations for preventing the buckling failure of steel girders during deck replacement for maintenance are presented.

Study on the Field Construction of Semi-Integral Bridge with PSC Girder Integrating End-Diaphragm (단부격벽 일체형 PSC거더를 갖는 반일체식 교량의 시공성 연구)

  • Park, Jong-Myen;Kim, Jin-Bae;Jun, Sung-Yong;Kim, Chung-Sik;You, Sung-Kun;Park, Joong-Bai;Lim, Jung-Hoon
    • Journal of the Korean Society for Advanced Composite Structures
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    • v.5 no.2
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    • pp.21-26
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    • 2014
  • This paper introduces general concepts of jointless bridges and field construction case of semi-integral bridge with psc girder integrating end-diaphragm. The expansion joints need to satisfy thermal and safety conditions of bridges. General bridges with joints have some problems, which are frequently replacement cycle time from mechanical damage or unstable movement, maintenance cost and more. To solve these problems, Integral Abutment Bridges(IAB) have been applied overseas in the 1930s. In Korea, first IAB was constructed in the early 2000s and precast IAB systems was invented and applied lately. Kyungshin overpass bridge in Incheon is the Semi-IAB constructed, the span length is 2@35=70m and the width is 13.9m. The original plan was to use general joint bridge but design field changed with expectations for advanced economic estimation and maintenance. This changed method of B.I.B bridge construction provided not only workability, construction cost but also safety improvement at the same time.

Effect of horizontal joints on structural behavior of sustainable self-compacting reinforced concrete beams

  • Ibrahim, Omar Mohamed Omar;Heniegal, Ashraf Mohamed;Ibrahim, Khamis Gamal;Agwa, Ibrahim Saad
    • Advances in concrete construction
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    • v.10 no.5
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    • pp.455-462
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    • 2020
  • This study investigated the effect of horizontal casting joints on the mechanical properties and structural behavior of sustainable self-compacting reinforced concrete beams (SCRCB). The experimental research consisted of two stages. The first stage used four types of concrete mixtures which were produced to indicate the effects of cement replaced with cement waste at 0%, 5%, 10%, and 15% by weight of cement content on fresh concrete properties of self-compacting concrete (SCC) such as, passing ability, filling ability, and segregation resistance. In addition, mechanical properties such as compressive, tensile, and flexural strength were also studied. The second stage selected the best mixture from the first stage and studied the effect of horizontal casting joints on the structural behavior of sustainable SCRCBs. The effect of horizontal casting joints on the mechanical properties and structural behavior were at the 25%, 50%, 75%, and 100% of sample height. Load deflection, failure mode, and theoretical analysis were studied. Results indicated that the incorporation of replacement with cement waste by 5% to 10% led to economic and environmental advantages, and the results were acceptable for fresh and mechanical properties. The results indicated that delaying the time for casting the second layer and increasing the cement waste in concrete mixtures had a great effect on the mechanical properties of SCC. The ultimate load capacity of horizontal casting joints reinforced concrete beams slightly decreased compared with the control beam. The maximum deflection of casting joint beams with 75% of samples height is similar with the control beam. The experimental results of reinforced concrete beams were substantially acceptable with the theoretical results. The failure modes obtained the best forced casting joint on the structural behavior at 50% height of casting in the beam.

The Effects of Breathing Control on Kinetic Parameters of Lower Limbs during Walking Motion in Korean Dance (한국무용 걸음체 동작 시 호흡의 사용유무가 하지의 운동역학적 변인에 미치는 영향)

  • Park, Yang-Sun;Jang, Ji-Young
    • Korean Journal of Applied Biomechanics
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    • v.19 no.4
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    • pp.627-636
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    • 2009
  • This study aims to provide a scientific basis for the abstract beauty of dance by analyzing the effects of controlling the breath during the walking motion of Korean dance. The objective of the study is to determine the significance of breathing during Korean dance, as it is externally expressed and technologically segmented, let alone the internal beauty of Korean dance. The results of this study show that the position of the body center and ASIS during the walking motion that uses breath was lower than that of the walking motion that does not use the breath. In addition, in each replacement of the knee joint and ankle joint, a narrow angle, in which bending is used a lot, appeared during the walking motion that uses the breath, but not during the walking gesture that does not use the breath. This occurred during the bending motion. In the first peak point, the vertical ground reaction force during the walking motion that uses the breath was higher than that during the walking motion that does not use the breath.

The Analysis of Research in Arthritis (관절염에 관한 국내 간호학 연구 논문 분석)

  • Park, Sang-Youn;Back, Myung-Wha
    • Journal of muscle and joint health
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    • v.7 no.2
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    • pp.227-240
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    • 2000
  • The purpose of this article was to identify trend in Arthritis research and to provide ba an approach of Arthritis research. The results of analysis of 69 Arthritis articles public year of between 1970-1999 found that most articles(27.6%, n=19) were published since few(10.1%, n=7) were before 1994. Vast majority of articles(79.8%, n=55) were printed in The Journal of Rheumatology Health, and 79.8%(n=55) of those were quantitative research, 8.7%(n=6) were qualitative research, and 14%(n=1) was methodological research. 29.0%(n=20) of quantitative research were carried in experimental design and over half(50.8%, n=35) in nonexperimental design. Having concerned the types of treatment(or intervention) used in experimental study, the most common treatment was 'exercise' (45.0%, n=9), and other less common were 'self-help education(15.0%, n=3), home care(10.0%, n=2) supportive care(10.0%, n=2), flexibility exercise combined with local heat therapy(5.0%, n=1), relaxation training(5.0%, n=1). Of the types of exercise, aquatic exercise was 30.0%(n=6). The effect of exercise on outcome variable was found to be most strong among the other types of treatment. 18 articles of nonexperimental research were correlational research. From the analysis of correlational research, 29 concepts were identified, and the relationship between depression and other variable were strongly reported. In descriptive studies, most commonly physiological variables were examined in 5 articles(29.5%). Only one study(5.9%) explored patient's perception of the causal factors and those causality. In qualitative researches, two study were carried out by the means of grounded theory. Majority of those subjects were RA patients, and the largest number of sample were 23 and the smallest was 1 In two studies, patient's perceived causality of RA was identified as a research problems, and an experience of ADL, fatigue Phenomenon, an experience of having a total knee replacement with osteoarthritis were each found in one study. Methodological research was carried out to test validity and reliability of the RA Fatigue Scale.

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