• Title/Summary/Keyword: Joint device

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Debridement Arthroplasty for Post-Traumatic Stiff Elbow (후외상성 주관절 강직에서의 변연 관절 성형술)

  • Rhee Yong-Girl;Kim Hee-Seon;Chun Young-Soo;Cho Young-Lin
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.242-249
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    • 1998
  • Stiffness of the elbow joint is relatively common after trauma, ectopic ossification, bum, postoperative scar, and etc. Mild flexion deformity can be reduced by use of active or passive motion exercise, dynamic sling, hinged distractor device, or turnbuckle orthosis. But these methods have disadvantages of difficulty in gaining acceptable range of motion only with stretching exercise, re-contracture after conservative managements and poor results that flexion contracture remained. The common described operative exposures for treatment of the stiff elbow are anterior, lateral, posterior, and medial approach. Through Anterior, lateral and medial approach each has not access to all compartments of the elbow. But, posterior approach has benefits that access to posterior, medial and lateral aspects of the elbow and as needed, fenestration to the olecranon fossa that produces a communication between the anterior and posterior compartments of the elbow are possible. From June 1991 through April 1997, 11 patients who had posttraumatic stiff elbow, were treated with debridement arthroplasty through the posterior approach. The purpose of this study are to introduce technique of the debridement arthroplasty and to evaluate final outcomes. With regarding to preoperative pain degree, mild degree matches to 3 cases, moderate to 3 cases, and severe to 2 cases. In preoperative motion, flexion was average 85° and extension was 30°. Postoperatively nine patients had got the complete relief of pain and two patients continued to have mild pain intermittentely. Postoperative flexion improved to 127° and extension to 2°, so that elbow flexion had improved by an average of 42° and elbow extension by 28°. On the objective scale all patients had good or excellent results and they all felt that they were improved by operation. Debridement arthroplasty is one of excellent procedures for the intractable stiff elbow if it is not unstable or it has not incongrous. But it need a meticulous operative technique and a well-programmed rehabilitation.

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The new fusion interpolation for high resolution depth image (고품질 및 고해상도 깊이 영상 구현을 위한 새로운 결합 보간법)

  • Kim, Jihyun;Choi, Jinwook;Ryu, Seungchul;Kim, Donghyun;Sohn, Kwanghoon
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2012.07a
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    • pp.40-43
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    • 2012
  • 3차원 영상 기술은 방송, 영화, 게임, 의료, 국방 등 다양한 기존 산업들과 융합하며 새로운 패러다임을 형성하고 있으며, 고품질 및 고해상도의 3차원 영상 획득에 대한 필요성이 강조되고 있다. 이에 따라, 최근에는 3차원 입체 영상을 제작 하는 방법 중 하나인 2D-plus-Depth 구조에 대한 연구가 활발히 진행되고 있다. 2D-plus-Depth 구조는 Charge-Coupled Device(CCD) 센서 등을 이용한 일반 카메라와 깊이 카메라를 결합한 형태로써 이 구조로부터 얻은 깊이 영상의 해상도를 상향 변환하기 위해서 Joint Bilateral Upsampling(JBU)[1], 컬러 영상의 정보를 활용한 보간법[2] 등의 방법들이 사용된다. 하지만 이 방법들은 깊이 영상을 높은 배율로 상향 변환할 경우 텍스처가 복사되거나 흐림 및 블록화 현상이 발생하는 문제점이 있다. 본 논문에서는 2D-plus-Depth 구조에서 얻은 고해상도 컬러 영상에서 보간 정보를 구하고 이 정보를 저해상도의 깊이 영상에 적용하여 상향 변환된 가이드 깊이 영상을 제작한다. 이 가이드 깊이 영상을 Bilateral Filtering[8]을 이용함으로써 고품질의 고해상도 깊이 영상을 획득한다. 실험 결과 제안하는 방법으로 해상도를 상향 변환을 할 경우에 기존의 보간법들에 비해 깊이 영상의 특성을 잘 보존함을 확인할 수 있고, 가이드 깊이 영상에 필터링을 처리한 결과가 JBU의 결과보다 향상됨을 확인할 수 있다.

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An Experimental Study on GHG Emissions Reduction and Fuel Economy Improvement of Heavy-Duty Trucks by Using Aerodynamics Device Package (공기저항 저감장치 패키지를 이용한 대형화물차량의 연비개선 및 온실가스 저감효과에 관한 실험적 연구)

  • Park, Seungwon;Dong, Lang;Her, Chulhaeng;Yun, Byoeunggyu;Kim, Daewook
    • Transactions of the Korean Society of Automotive Engineers
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    • v.25 no.2
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    • pp.207-218
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    • 2017
  • Improving fuel consumption, particularly that of commercial vehicles, has become a global concern. The reduction in logistics cost has been a key issue in efforts to improve fuel economy and efficiency of transportation equipment. Typical technologies for reducing reduce fuel usage include air resistance reduction technologies, tire rolling resistance technologies, and idle technologies among others. Air resistance technology is a highly effective method that can be easily applied in a short period. As with air resistance technology, several devices involving side skirt, boat tail and gap fairing have been developed based on an analytical 3-D modeling technique for reducing air resistance attributed to the vehicle configuration. The devices were on a 45 feet tractor-trailer and the emission test was done using PEMS equipment. Fuel economy was evaluated by introducing several devices to reduce outer air resistance. The test was conducted by changing the experimental method of SAE J1321 Joint TMC/SAE Fuel Consumption Test Procedure - Type II test. As a result, air resistance decreased by at least 15 % and fuel economy improved by at least 13 %. This study sought to reduce greenhouse gas and improve fuel economy by applying several devices to a test vehicle to lower air resistance.

COMPLEX DISTRACTION OSTEOGENESIS ON HEMIMANDIBULAR HYPOPLASIA : A CASE REPORT (하악과두 골절후 발생한 편측성 하악골 형성부전의 치료로서 복합적 악골 신장술의 임상증례)

  • Oh, Sung-Hwan;Min, Seung-Gi;Kwon, Kyong-Hwan;Koh, Se-Wook;Lee, Kyong-Seuk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.3
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    • pp.246-250
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    • 2004
  • Uni- or bilateral mandibular hypoplasia can be associated with various syndromes or is acquired after early traumatic or inflammatory disease in the temporomandibular joint(TMJ). Early treatment is necessary to avoid consequent impairment of midfacial growth. The standard treatment of these malformations consists of the application of bone grafts which can lead to unpredictable growth, but the new procedure of bone lengthening which was presented by McCarthy et al. represents a limited surgical intervention and therefore open up a new perspective of treatment, especially in younger children with severe deformities. Patients with hemifacial microsomia and facial asymmetry have a vertically short maxilla, a tilted occlusal plane, and a short mandible. A 14-years-old boy with facial asymmetry, who was fractured on both condyle and mandibular symphysis before 8 years ago, was treated by mandibular ramus lengthening, symphysial widening and surgically assisted rapid palatal expansion with corticotomy. After allowing 1 week for the healing of the periosteum, the distraction was performed at the rate of 0.5-1.0mm per day for 7 days on maxilla and 14 days on mandible. The device was maintained on maxilla and mandible for 12 weeks following distraction. The difference in ramus and mandibular transverse deficiency were corrected and facial asymmetry was improved with complex distraction osteogenesis.

Real Time Image Acquisition System using a Image Intensifier and Position Error Verification (영상증배관을 이용한 실시간 영상획득시스템과 위치오차검증)

  • Lee, Dong-Hoon;Kim, Nam-Hoon;Jeong, Jong-Beom
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.4
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    • pp.331-338
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    • 2017
  • In this study, a portable x-ray generator was manufactured and a real-time image acquisition system was constructed using the image intensifier from the generated generator. We have developed a real - time position error verification system that can verify whether the artificial joint position is different from the initial image from the acquired image. The template image of the region of interest is extracted from the reference image using the pattern matching technique and compared with the image to be compared. As a result, It is shown that real - time position error verification is achieved by displaying the difference angle. This system is portable type, has a self-shielding facility, and the output of the irradiation device can be manufactured in a small size of 1kw and can be used as a portable type. In case of emergency patients in the non-destructive field for industrial use, It has proved effective for use in small areas such as feet.

Stretchable Characteristics and Power Generation Properties of a Stretchable Thermoelectric Module Filled with PDMS (PDMS로 충진된 신축열전모듈의 신축특성과 발전특성)

  • Han, Kee Sun;Oh, Tae Sung
    • Journal of the Microelectronics and Packaging Society
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    • v.26 no.4
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    • pp.149-156
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    • 2019
  • A stretchable thermoelectric module consisting of 5 pairs of Bi2Te3-based hot-pressed p-n thermoelectric legs was processed by filling the module inside with polydimethylsiloxane (PDMS) and removing the top and bottom substrates. Its stretchable characteristics and power generation properties were measured. The integrity of the module was kept well even after 10 strain cycles ranging from 0 to 0.1. With increasing the tensile strain to 0.2, the module circuitry became open because of joint failure between Cu electrodes and thermoelectric legs. The stretchable thermoelectric module exhibited an open circuit voltage of 4.6 mV with a temperature difference of 2.2K across both ends of thermoelectric legs, and changes in its open circuit voltage were below 5% for tensile strains of 0~0.1. Being elongated for a strain of 0.1, it exhibited the maximum output power of 18.5 ㎼ with the temperature difference of 2.2K across its both ends.

Development of a Serious Game for Rehabilitation Training using 3D Depth Camera (3D depth 카메라를 이용한 재활훈련 기능성 게임 개발)

  • Kang, Sun-Kyung;Jung, Sung-Tae
    • Journal of Korea Game Society
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    • v.13 no.1
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    • pp.19-30
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    • 2013
  • This paper proposes a serious game for rehabilitation training targeting old persons and patients for rehabilitation. The serious game suggested for rehabilitation training provides the whole body movement recognition-based interface using the 3D depth camera. When the user stands before the camera, it distinguishes the user from the background and then recognizes the user's whole body with 15 joints. By analyzing the changes of location and direction of each joint, it recognizes gestures needed for the game. The game contents consist of the games for upper limb training, lower limb training, whole body training, and balance training, and it was realized in both 2D and 3D games. The system suggested in this article works robustly even with the environmental changes using the 3D depth camera. Even with no separate device, the game recognizes the gestures only using the whole body movement, and this enhances the effect of rehabilitation.

Efficacy Evaluation of Magnetic P. (자기장을 활용한 통증치료기의 효력평가)

  • Yoon, Yoo-Sik;Kim, Sun-Hyoung;Choi, Sun-Mi;Moon, Jin-Seok;Kang, Dong-Kun;Kim, Young;Ahn, Young-Bok;Lee, Jong-Cheol;Jung, Woo-Jin
    • Korean Journal of Oriental Medicine
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    • v.9 no.2
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    • pp.121-130
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    • 2003
  • The goal of this study is construction and efficacy evaluation of MPC-25 (Magnetic Pain Control-25), a medical device using magnetic stimulation. MPC-25 consists of a main body containing power supply and control module and a bed containing magnetic core and coil. In distinction from electric pain control medical devices, magnetic pain control system is non-contact, so the patients need not take off their clothes to be treated. High amplitude current pulses are applied to a magnetic coil and induce time varying magnetic field generating eddy current in a conductor like human body. Clinical efficacy test was performed in patients suffering from musculoskeletal pain of lumbar, shoulder and joint. Degree of pain before and after treatment for 30 minutes was compared using Visual Analogous Scale. As a result, 14 cases out of 20 showed decreased pain perception, so the rate of efficacy is 70%. Reduction of pain perception was statistically significant (P=0.001 by Wilcoxon Signed Rank Test).

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Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study

  • Cankurtaran, Damla;Karaahmet, Ozgur Zeliha;Yildiz, Sadik Yigit;Eksioglu, Emel;Dulgeroglu, Deniz;Unlu, Ece
    • The Korean Journal of Pain
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    • v.33 no.3
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    • pp.258-266
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    • 2020
  • Background: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-guided versus blind GNB in the treatment of knee OA. Methods: This prospective, randomized clinical trial included patients with knee OA based on American College of Rheumatology diagnostic criteria. The patients were evaluated for clinical and dynamometer parameters at the baseline, 4 weeks after treatment, and 12 weeks after treatment. The patients underwent blind injection or US-guided injection. Results: When compared with the baseline, both groups showed significant improvement in pain, physical function, and quality of life parameters. Significant differences were observed between the groups for clinical parameters (30-second chair stand test, 6-minute walk test) in favor of the US-guided group. On the other hand, blind injection was more significantly effective on some parameters of the Nottingham Health Profile. There wasn't any significant improvement in isokinetic muscle strength for either group. Conclusions: This study demonstrated that both US-guided and blind GNB, in the treatment of knee OA, were effective in reducing symptoms and improving physical function. GNB wasn't an effective treatment for isokinetic muscle function. US-guided injections may yield more effective clinical results than blind injections.

Radiofrequency Shrinkage Method for Minor Degree of Cruciate Ligament Injury of knee joint (경도의 슬관절 십자 인대 손상환자에 대하여 시행한 열 위축술)

  • Moon Young Lae;Ha Sang Ho;You Jae Won;Joo Jeong Yong;Ju Pyong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.37-42
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    • 2002
  • Purpose : To report a short-term clinical results and technical method of thermal shrinkage with radiofrequency device for anterior and posterior cruciate ligament laxity which is not suitable to indications of reconstructive surgery. Materials and Methods : Nine cases of anterior cruciate ligament injuries (ACL), 5 cases of posterior cruciate ligament (PCL) injuries and 3 cases of combined anterior and posterior cruciate ligament injuries, in which the condition is not indicated as reconstructive surgery, are investigated. The follow-up period averaged 6 months. Results : Instability in living activity, limping and pain were improved with excellent results. But, posterior cruciate ligament thermal shrinkage revealed as recurrent knee laxity progressively Conclusions : The result of thermal shrinkage for partial tear of cruciated ligament was excellent. We believe this procedure is applicable to partial tear of the ACL or PCL which reconstructive surgery is not indicated. Long-term follow-up results were needed.

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