• Smart Structures and Systems
• /
• v.15 no.3
• /
• pp.543-553
• /
• 2015

The condition of the vehicular bridge network in New York City, as represented by ratings obtained during biennial inspections is reviewed over a period of three decades. Concurrently, the bridges comprising the network are considered as networks of structural elements whose condition defines the overall bridge condition according to New York State assumptions. A knowledge-based matrix of assessments is used in order to determine each element's vulnerability and impact within the network of an individual structure and the network of City bridges. In both networks expansion deck joints emerge as the weak link. Typical joint failures are illustrated. Bridge management options for maintenance, preservation, rehabilitation and replacement are examined in the context of joint performance.

• Journal of Digital Convergence
• /
• v.14 no.11
• /
• pp.369-377
• /
• 2016

This study examined artificial joint replacement surgery for early intervention and prevention of the occurrence of delirium surgery. Data of study were analysed using the sample through the EMR (Electronic Medical Record) and after surgery to provide basic data. The subjects were elderly aged 60 years or more and the number of the sample was 821. Data were analysed by using SPSS 20.0 with t-test, $x^2$-test and multiple logistic regression analysis. The study results showed patients with artificial joint replacement surgery incidence of delirium was 13.5%, findings of these variables insisted that the main influencing factors of delirium were caused by age, fall history, physical activity, emotional status, body mass index (BMI) before surgery. The study suggested that the above findings are required for early intervention, early detection and prevention of delirium.

• Clinics in Shoulder and Elbow
• /
• v.23 no.4
• /
• pp.183-189
• /
• 2020

Background: The purpose of the current study was to investigate short- to mid-term outcomes and complications following radial head replacement (RHR) for complex radial head fractures and to identify factors associated with clinical outcomes. Methods: Twenty-four patients with complex radial head fractures were treated by RHR. The mean age of the patients was 49.8 years (range, 19-73 years). Clinical and radiographic outcomes were evaluated for a mean follow-up period of 58.9 months (range, 27-163 months) using the visual analog scale (VAS) score for pain, the Mayo elbow performance score (MEPS), the quick disabilities of the arm, shoulder and hand (Quick-DASH) score, and serial plain radiographs. Complications were also evaluated. Results: At the final follow-up, the mean VAS score, MEPS, and Quick-DASH score were 0.6±1.1, 88.7±11.5, and 19.4±7.8, respectively. The mean range of motion was 132.7° of flexion, 4.7° of extension, 76.2° of pronation, and 77.5° of supination. Periprosthetic lucency was observed in six patients (25%). Heterotopic ossification was observed in four patients (16.7%). Arthritic change of the elbow joint developed in seven patients (29.2%). Capitellar wear was found in five patients (20.8%). Arthritic change of the elbow joint was significantly correlated with MEPS (P=0.047). Four cases of complications (16.6%) were observed, including two cases of major complications (one stiffness with heterotopic ossification and progressive ulnar neuropathy and one stiffness) and two cases of minor complications (two transient ulnar neuropathy). Conclusions: RHR for the treatment of complex radial head fractures yielded satisfactory short- to mid-term clinical outcomes, though radiographic complications were relatively high.

• Physical Therapy Rehabilitation Science
• /
• v.11 no.1
• /
• pp.16-23
• /
• 2022

Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trial Methods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p<0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p<0.001) and KOS-ADLS, F8W, and SCT scores (p<0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.

• Structural Engineering and Mechanics
• /
• v.30 no.6
• /
• pp.733-761
• /
• 2008

The failure of reinforced concrete structures in recent earthquakes caused concern about the performance of beam column joints. Confinement of joint is one of the ways to improve the performance of beam column joints during earthquakes. This paper describes an experimental study of exterior beam-column joints with two non-conventional reinforcement arrangements. One exterior beam-column joint of a six story building in seismic zone III of India was designed for earthquake loading. The transverse reinforcement of the joint assemblages were detailed as per IS 13920:1993 and IS 456:2000 respectively. The proposed nonconventional reinforcement was provided in the form of diagonal reinforcement on the faces of the joint, as a replacement of stirrups in the joint region for joints detailed as per IS 13920 and as additional reinforcement for joints detailed as per IS 456. These newly proposed detailing have the basic advantage of reducing the reinforcement congestion at the joint region. In order to study and compare the performance of joint with different detailing, four types of one-third scale specimens were cast (two numbers in each type). The main objective of the present study is to investigate the effectiveness of the proposed reinforcement detailing. All the specimens were tested under reverse cyclic loading, with appropriate axial load. From the test results, it was found that the beam-column joint having confining reinforcement as per IS: 456 with nonconventional detailing performed well. Test results indicate that the non-conventionally detailed specimens, Type 2 and Type 4 have an improvement in average ductility of 16% and 119% than their conventionally detailed counter parts (Type1 and Type 3). Further, the joint shear capacity of the Type 2 and Type 4 specimens are improved by 8.4% and 15.6% than the corresponding specimens of Type 1 and Type 3 respectively. The present study proposes a closed form expression to compute the yield and ultimate load of the system. This is accomplished using the theory of statics and the failure pattern observed during testing. Good correlation is found between the theoretical and experimental results.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.36 no.6
• /
• pp.520-527
• /
• 2010

Introduction: This study examined the treatment patterns of temporomandibular disorders (TMD) including conservative and surgical procedures. Materials and Methods: Patients with TMD who visited Gangnam Severance Hospital from June 2007 to May 2008 were enrolled in this study. All patients were examined from the orthopantomogram, temporomandibular joint (TMJ) tomography, and a clinical examination. The patients who required a further evaluation were examined by magnetic resonance imaging and/or computed tomography. The treatment patterns were divided into counseling, medication, splint therapy, botulinum toxin injection (BTI) and surgical treatment. Results: Among the 2,464 patients, the average age was 31.8 years (ranging from 6 to 93); 764 (31.0%) were male and 1,700 (69.0%) were female. 2,355 (95.6%) patients were treated with conservative therapy; 1,460 (62.0%) patients were treated with medication, 931 (39.5%) patients were treated with splint, and 46 (2.0%) were treated with BTI. There were 109 (4.4%) patients treated surgically. Eight (0.3%) patients were treated with total temporomandibular joint replacement surgery. Conclusion: Almost all patients with TMD were treated using conservative methods. Those patients who received surgical treatment because of an ineffective response to conservative treatment had definite problems with the internal derangement and/or osteoarthritis or had severe clinical symptoms.

• Journal of the Korean Society for Aeronautical & Space Sciences
• /
• v.38 no.4
• /
• pp.382-388
• /
• 2010

In this work the replacement material for magnesium alloy was investigated and an optimized design was suggested for the horizontal fin of a fighter's external fuel tank. For the replacement of magnesium alloy, Aluminum alloy, AL 2034-T351, was selected by considering material properties and its procurement. The strength and fracture toughness properties of AL 2034-T351 are stronger than those of magnesium alloy, but the specific weight of AL 2034-T351 is heavier than that of magnesium alloy by 65%. To meet the allowable limit of C.G. shift in the tank, the design of horizontal fin was optimized by reducing the original shape by 20% and resizing the maximum thickness to 7 mm. From the results of the static and dynamic stress analysis for improving the safety factor of the joint section and the joint hole, the radius of curvature in the aft joint section of the new fin was designed as 8.5mm.

• The Journal of Korean Physical Therapy
• /
• v.20 no.2
• /
• pp.11-17
• /
• 2008

Purpose: This study examined the application of electric stimulation to the auricle acupoint (frequency 2 Hz, stimulation level: noxious) with 30 elderly people over 65 years that received treatment in a rural hospital to determine the influence of pain, gait and balance in the aged with knee joint disease. Methods: The subjects were divided into three groups; the degenerative joint diseases (DJD) group (1 male, 9 females), the total knee replacement (TKR) group (1 male, 9 females) and the control group (1 male, 9 females). Auricualr electrical stimulation (AES) was applied with low frequency, high intensity transcutaneous electrical nerve stimulation for 10 seconds per each point. Results: 1. For the change of pain according to AES, there was interaction in the resting period (p<0.001) and gait (p<0.001) and pain of the DJD group and TKR group was decreased. 2. The range of motion (ROM) of the knee joint showed a significant difference in interaction for each group of elderly people (p<0.001) and the ROM for the DJD group and TKR group of elderly people was increased. 3. In the analysis of gait speed changes, there was a significant difference in interaction for each group of elderly people (p<0.001) and for gait speed in the DJD group and TKR group of elderly people. 4. It was found in the change of static balance that there was a significant difference in interaction for each group of elderly people (p<0.01) and balance capacity in the DJD group and TKR group of elderly people was increased. Conclusion: The aged with knee joint disease have pain, and a decreased function of gait and balance. AES was an excellent treatment for control of pain, and an excellent treatment to enhanced joint functions. AES was useful for improving gait and balance due to decreased pain.

• Proceedings of the Korea Concrete Institute Conference
• /
• 2004.05a
• /
• pp.14-17
• /
• 2004

A prefabricated composite hollow slab with perforated I-beams was suggested for the replacement of deteriorated concrete decks or the construction of new composite bridges with long-span slabs. Composite slabs with embedded I-beams have considerably higher stiffness and strength. For the application of prefabricated composite slabs to bridges, joints between slabs should satisfy the requirements of the ultimate limit state and the serviceability limit state. In this paper, three types of the detail for loop joints were selected and their structural performance in terms of strength and crack control was investigated through static tests on continuous composite slabs. A main parameter was the detail of the joint, such as an ordinary loop joint and loop joint with additional reinforcements. Even though there was no connection of the steel beams at the joints, the loop joints showed good performance in ultimate strength. In terms of crack control, the loop joint with additional reinforcements showed better performance. In ultimate limit state, the continuous composite slabs showed good moment redistribution and ductility.

• CELLMED
• /
• v.5 no.2
• /
• pp.10.1-10.3
• /
• 2015

Arthritis is a major cause of joint pain, stiffness, and subsequent disability which adversely affects quality of life. Seriously, it can lead to long term social and psychological effects including loss of independence, depression, and anxiety. Arthritis is usually treated with joint replacement surgery or medications. However, the artificial joint is temporary and pharmacological measures have side effects, such as addiction or hypersensitivity. Thus, orthotics has been developed to improve arthritis as a nonpharmacological measure. The increased regional load across compartments of articular cartilage is an important factor in the cause of the arthritis. Mubal$^{(R)}$, a clinical shoe insole, has a sliding function to help people to walk straight and realign the body balance. The slide of Mubal$^{(R)}$ reduces the knee joint loading in patients with arthritis. In addition, pumping function of Mubal$^{(R)}$ can mitigate arthritis by stretching the squashed nerves from lumbar to cervical vertebral and actively circulating blood of pelvic limb. In addition, Mubal$^{(R)}$ could help to stimulate the growth plate. Therefore, Mubal$^{(R)}$ can be used for the child with short stature as well as patients with arthritis.