• Title/Summary/Keyword: Joint stability

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The Outcome of Anterior Cruciate Ligament Reconstruction in Patients with Meniscal Injury (반월판 연골 손상이 동반된 환자에서 전방 십자 인대 재건술의 임상적 결과)

  • Lee Kwang Won;Park Jae Guk;Jung Yu Hun;Kim Byung Sung;Kim Ha Yong;Choy Won Sik
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.160-168
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    • 2003
  • Purpose : To analyze the anterior stability and functional results after the arthroscopic ACL reconstruction and meniscectomy based on meniscus status at the time of surgery. Materials and Methods : From October 1997 to October 2002, 78 patients (male 64 female 14) were treated by arthroscopic ACL reconstruction and meniscectomy and followed more than 12 months (range, $12\~72$ months, average: 32 months). Average age was 32 years old (range, $18\~57$ years old). We divided the patients into 4 groups; Both menisci was intact (BMI, control group), lateral meniscus removed (LMR), medial meniscus removed (MMR) and both menisci removed (BMR). Anterior passive displacement (objective stability) was estimated using KT-2000 arthrometer under the loading of 15lb,20lb and 30lb and evaluated anterior drawer test, Lachman test, range of motion, thigh circumference. Functional evaluation system of IKDC, OAK and Lysholm knee score was used. Results : Average anterior displacement under the loading of 30lb were 2.47 mm, 2.96 mm, 2.96 mm and 3.57 mm in each group(BMI, LMR, MMR, BMR) and it was statistically significant difference (p<0.05). There is no statistically significant difference in average anterior displacement under the loading of 15lb and 20lb in each group but it has showed decreasing tendency in meniscal removed groups. The mean anterior displacement was within 3 mm in 21 cases, 15 cases, 24 cases and 12 cases (total 72 cases, $94\%$) under the loading of 15lb and 20 cases, 15 cases, 24 cases and 11 cases (total 70 cases, $91\%$) under the loading 20lb of in each group and postoperative knee joint stability has showed increasing tendency (p>0.05). The mean score was 94.5, 93.2, 92.2 and 90.4 points in each group and 71 cases $(91\%)$ were more than excellent or good with a OAK score and fair results were noted 4 cases in both meniscal removed group. There were 65 cases $(83\%)$ with a Lysholm knee score more than excellent or good, and IKDC grading were more than normal or nearly normal in 74 cases $(95\%)$ except 4 cases (2 cases in MMR group and 2 cases in BMR group). Conclusion : Long-term anterior stability and functional results of a successful ACL reconstruction affected by tile status of the menisci at the time of surgery and KT-2000 arthrometer was good for estimation of objective follow up.

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Rock Mechanics Modeling of the Site for the 2nd Step Construction of the KAERI Underground Research Tunnel (KURT) (KURT 2단계 건설부지에 대한 암석역학모델 설정)

  • Jang, Hyun-Sic;Ko, Chi-Hye;Bae, Dae-Seok;Kim, Geon-Young;Jang, Bo-An
    • The Journal of Engineering Geology
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    • v.24 no.2
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    • pp.247-260
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    • 2014
  • Rock masses at the site for the $2^{nd}$ step construction of the KAERI Underground Research Tunnel (KURT) are divided into six units to establish a rock mechanics model that is dependent on the geological characteristics and degree of joint development. The site primarily consists of three granitic units (G1, G2, and G3), two dykes (D1 and D3), and a fault zone of poor rock mass quality (F3). The F3 unit crosses the tunnel at the beginning of the site of $2^{nd}$ step construction. The rock masses of each unit are classified by RMR (Rock Mass Rating), Q-system, and RMi (Rock Mass Index), all based on borehole logging data. The deformation modulus, rock mass strength, cohesion, and friction angle for each unit are calculated using established empirical relationships. The representative rock mass classification and geotechnical parameters for the rock mass units are established, and a rock mechanics model for the site is proposed, which will be useful in the design and stability analysis of the $2^{nd}$ step construction of KURT.

A Study on the Effect and Mechanism of Gamikyejakjimogawusul-tang Herbal Acupuncture on Induced Rheumatoid Arthritis model of DBA/1 mice (계작지모가우슬탕(桂芍知母加牛膝湯) 약침이 류마티스 관절염 생쥐에 미치는 영향)

  • Jung, Soon Hyun;Cho, Chong kwan;Kim, So Yun;Kim, Young Il
    • Journal of Haehwa Medicine
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    • v.24 no.2
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    • pp.35-57
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    • 2016
  • Objectives : The purpose of this study is to prove the effect and mechanism of Gamikyejakjimogawusul-tang(GKHA) herbal acupuncture on induced rheumatoid arthritis model of DBA/1 mice. Methods : We check effect of GKHA extract on the AST, ALT, Creatinine, BUN of serum and cell viability of GK extract in RAW 264.7 cells to test the stability of this study. In vitro, we measure total phenol contents, total flavonoid contents, DPPH free radical scavenging activity, ABTS cation radical scavenging activity of Gamikyejakjimogawusul-tang, effect of GK extract on ROS(Reactive Ooxygen Species) production to estimate a anti-oxidant capacity, and we also measure effect of GK extract on NO (Nitric Oxid), IL-$1{\beta}$, IL-6, IL-17, IL-21, TNF-${\alpha}$, MCP-1, GM-CSF production in RAW 264.7 cells to estimate a anti-inflammatory efficacy. In vivo, we compare a rheumatoid arthritis manifestation between control and experimental group and estimate a AI. Then we check effect of GKHA on the level of WBC, neutrophil, lympocyte, monocyte in the blood to see the effect of immune cells in blood. In addition we measure effect of GKHA on the level of hs-CRP, IgM, IgG, IL-$1{\beta}$, IL-6, IL-17, IL-21, TNF-${\alpha}$, MCP-1, GM-CSF in serum. We observe effects of GKHA on imaging of cartilage degeneration using micro CT-arthrography in paw hind. And we calculate effects of GKHA that reduced BV ratio, BS/BV ratio using 3D Micro-CT. Lastly we observe effects of GKHA histopathologic examination analysis. Results : 1. The toxicity on liver and kidney was disregardable and the cytotoxicity against RAW 264.7 cells was also disregardable. 1. Total phenol contents and total flavonoid contents in GK extract were in high level. 2. DPPH free radical scavenging activity and ABTS cation radical scavenging activity were increased according to concentration of GK extract 3. ROS production was significantly decreased in GK extract (at 10, $100{\mu}g/ml$). 4. NO, IL-6, TNF-${\alpha}$, MCP-1 production were significantly decreased in GK extract(at 10, $100{\mu}g/ml$). IL-17, GM-CSF production were significantly decreased in GK extract(at 1, 10, $100{\mu}g/ml$). IL-$1{\beta}$, IL-21 production were also decreased but there was no statistical significance. 5. 25x observation after H&E and M-T staining, infiltration of immune cells and subsidence of the cartilage and damage to the synovial cells were decreased. Conclusions : This study showed that GKHA extract had anti-oxidant capacity, anti-inflammatory efficacy. GKHA extract also had inhibiting effect on the process of rheumatoid arthritis and can protect joint and cartilage. So we expect that GKHA extract can be a meaningful treatment to rheumatoid arthritis patients.

Efficient Intermediate Joint Estimation using the UKF based on the Numerical Inverse Kinematics (수치적인 역운동학 기반 UKF를 이용한 효율적인 중간 관절 추정)

  • Seo, Yung-Ho;Lee, Jun-Sung;Lee, Chil-Woo
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.47 no.6
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    • pp.39-47
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    • 2010
  • A research of image-based articulated pose estimation has some problems such as detection of human feature, precise pose estimation, and real-time performance. In particular, various methods are currently presented for recovering many joints of human body. We propose the novel numerical inverse kinematics improved with the UKF(unscented Kalman filter) in order to estimate the human pose in real-time. An existing numerical inverse kinematics is required many iterations for solving the optimal estimation and has some problems such as the singularity of jacobian matrix and a local minima. To solve these problems, we combine the UKF as a tool for optimal state estimation with the numerical inverse kinematics. Combining the solution of the numerical inverse kinematics with the sampling based UKF provides the stability and rapid convergence to optimal estimate. In order to estimate the human pose, we extract the interesting human body using both background subtraction and skin color detection algorithm. We localize its 3D position with the camera geometry. Next, through we use the UKF based numerical inverse kinematics, we generate the intermediate joints that are not detect from the images. Proposed method complements the defect of numerical inverse kinematics such as a computational complexity and an accuracy of estimation.

A Study on the Characteristics of Behavior of Block-type Reinforced Earth Retaining Wall Considering Failure Surface (파괴면을 고려한 블록식 보강토 옹벽의 거동 특성 연구)

  • Yoon, Won-Sub;Park, Jun-Kyu;Chae, Young-Su
    • Journal of the Korean Geosynthetics Society
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    • v.15 no.3
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    • pp.13-26
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    • 2016
  • In this study, more economical than conventional reinforced soil retaining walls, we compared the behavior characteristic about the safety block type numerically for reinforced retaining wall. In this study, reinforced soil retaining wall, first, was integrated a wall putting shear key on the blocks. Second, construction reinforcement focused on the theoretical failure surface was satisfied with the stability of a retaining wall reinforced by a shear plane. when analyzing, element of using reinforcement was carried out a numerical analysis for the cable element and the strip element, and they were analyzed under the conditions according to the stiffener length, distance, with or without shear key. Analysis for the integration of the front wall was reinforced soil retaining walls by installing a larger displacement shear key confinement effect, if reinforced construction and reinforcement with 1 interval and 2 interval, the failure surface was bigger displacement constraints. Generating a deformation amount was smaller than the generation amount of deformation accrued during construction of AASHTO so that it was stable.

Inhibition of Inducible Nitric Oxide Synthase Expression by YS 49, a Synthetic Isoquinoline Alkaloid, in ROS 17/2.8 Cells Activated with $TNF-{\alpha},\;IFN-{\gamma}$ and LPS

  • Kang, Young-Jin;Kang, Sun-Young;Lee, Young-Soo;Park, Min-Kyu;Kim, Hye-Jung;Seo, Han-Geuk;Lee, Jae-Heun;YunChoi, Hye-Sook;Chang, Ki-Churl
    • The Korean Journal of Physiology and Pharmacology
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    • v.8 no.5
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    • pp.273-280
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    • 2004
  • Nitric oxide (NO) has been suggested to act as a mediator of cytokine-induced effects of turn over of bone. Activation of the inducible nitric oxide synthase (iNOS) by inflammation has been related with apoptotic cell death in osteoblast. YS 49, a synthetic isoquinoline alkaloid, inhibits NO production in macrophages activated with cytokines. In the present study, we investigated the molecular mechanism of YS 49 to inhibit iNOS expression in ROS 17/2.8 cells, which were activated with combined treatment of inflammatory cytokines $(TNF-{\alpha},\;IFN-{\gamma})$ and lipopolysaccharide (LPS). Results indicated that YS 49 concentration-dependently reduced iNOS mRNA and protein expression, as evidenced by Northern and Western blot analysis, respectively. The underlying mechanism by which YS 49 suppressed iNOS expression was not to affect iNOS mRNA stability but to inhibit activation and translocation of $NF-_kB$ by preventing the degradation of its inhibitory protein $I_kB_{\alpha}$. As expected, YS 49 prevented NO-induced apoptotic cell death by sodium nitroprusside. Taken together, it is concluded that YS 49 inhibits iNOS expression by interfering with degradation of phosphorylated inhibitory $_kB_{\alpha}\;(p-I_kB_{\alpha})$. These actions may be beneficial for the treatment of inflammation of the joint, such as rheumatoid arthritis.

A Clinical Study on the cases of The Pain Shock Patients after Korean Bee-Venom Therapy (봉약침 시술 후에 발생한 Pain Shock 환자에 대한 임상보고)

  • An, Chang-Suk;Kwon, Gi-Rok;Lee, Jin-Seon
    • Journal of Pharmacopuncture
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    • v.4 no.3
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    • pp.109-117
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    • 2001
  • Objective : There has been no known report on the pain shock after administering Korean bee-venom therapy. Three accounts of pain shock were observed at the Sangji university affiliated Oriental medicine clinic from July 2001 through September 2001. This thesis will inform clinical progression and cautions on administering Korean bee-venom therapy. Methods: We were able to witness different patterns of pain shock during the treatment of degenerative knee joint, progressive oral paralysis, and A.L.S. In order to reduce heat toxicity of the bee venom, needling points were first massaged with the ice for 10 minutes before injecting $0.1{\sim}0.2cc$ of the bee venom. Points of injection were ST36, LI11, LI4 and others. Pain shock occurred after injecting on inner xi-an, outer xi-an and LI4. The phenomena associated with pain shock was recorded in chronological order and local changes were examined. Results: Through examining 3 patients with the pain shock, we managed to observe clinical progression, duration, and time linked changes on specific regions. We also managed to determine sensitive needling points for the pain shock. Conclution: Following results were obtained from 3 patients with the pain shock caused by Korean bee-venom therapy from July 2001 to September 2001. 1. Either positive or negative responses were shown after the pain shock. For case 1, extreme pain was accompanied with muscular convulsion and tremble, ocular hyperemia, delirium, stiffening of extremities, and hyper ventilation which all suggest positive responses. For case 2 and 3, extreme pain was accompanied with facial sweating, asthenia of extremities, pallor face, dizziness, weak voice, and sleepiness which are the signs of negative responses. 2. The time required to recover to stable state took nearly an hour (including sleeping time) and there was no side effect. 3. Precautions required to prevent the pain shock includes full concentration from the practitioner, accurate point location, precise amount of injection, physiological condition and psychological stability of the patient 4. Coping with the pain shock should be similar with a needle shock, and since extreme pain is accompanied, sufficient psychological rest must be provided. 5. Pain shock occurs because the patient cannot tolerate stimulation on the needling point. Thus, symptoms were similar to the needle shock in addition to excruciating pain. Further investigation and research must be done to have better understanding of an immune response and the pain shock associated with Korean bee-venom therapy.

Joint stability of internal conical connection abutments with or without hexagon indexes: an in vitro study (내부연결 원추형 임플란트의 육각구조의 유무에 따른 연결부 안정성: 실험적 연구)

  • Lee, Sang-Woon;Cha, Min-Sang;Lee, Ji-Hye;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.95-103
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    • 2020
  • Purpose: The purpose of this study was to compare the axial displacement of the hexagonal and conical abutment in internal conical connection implant after screw tightening and cyclic loading. Materials and Methods: Internal conical connection implants were divided into two groups (n = 10): group HEX, hexagonal abutment; and group CON, conical 2-piece abutments. The axial displacement and removal torque values were measured after 30 Ncm torque tightening and 250N loading test of 100,000 cycles. The Student t test with 5% significance level was used to evaluate the data. Results: HEX group demonstrated significantly higher axial displacement values after 30 Ncm tightening in comparison to the CON group (P < 0.05). No significant difference was found in axial displacement after cyclic loading (P = 0.052). Removal torque loss before and after the cyclic loading both revealed no significant difference between groups (P = 0.057 and P = 0.138). Removal torque value decreased after cyclic loading in both groups (P < 0.05). Conclusion: Overall, both abutment with or without hexagon index presented similar biomechanical performance except HEX group demonstrated significantly more axial displacement after applying tightening torque.

Determination of Granitic Core Orientation Using Healed Microcracks (아문 미세균열을 이용한 화강암 시추코아의 방향 결정에 관한 연구)

  • 장보안;김영화
    • The Journal of Engineering Geology
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    • v.7 no.2
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    • pp.151-159
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    • 1997
  • Since healed microcracks in quartz grain of grantic rocks within the same mass have identical preferred orientations, the oreintations of granitic cores may be determined if the distinctive feature of healed microcracks can be used.In this study, the possibility of determining orientations of granitic cores using healed microcrack orientations were examined using samples from the borehole drilled to 200 m in depth at the Hongcheon. Eight sections whose core recoveries are 100% were selected. Two to six samples were collected in each section and orientations of healed microcracks in each sample were measured. Healed microcracks in samples from each section show almost identical orientations. The error range for sections with only one preferred orientations is within $\pm$5$^{\circ}$, indicating that correct orientations of core can be determined. However, orientations of cores in sections which have 2 or more healed microcrack orientations should be determined using orientations as well as distribution of peaks of orientations. The error range for this case is lager than former one and is within $\pm$15$^{\circ}$. The orientations of joint which is very impontant factor for designing tunnel and slope stability can be determined using healed microcrack orientation in cores.

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Experimental Study on the Slip Coefficient with Member Type and Dimensions of High Tension Bolt Hole (부재 및 고장력볼트 구멍치수에 따른 미끄러짐계수의 실험적 연구)

  • Yang, Seung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.4277-4283
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    • 2012
  • Slip coefficient, whose value is dependent on the condition of contact surface at the friction joint of high tension bolt, is determined by slip load. Because contact area affects slip load, contact area that varies with bolt hole size is also related to the slip coefficient. In this study, we manufactured 32 specimens and performed bending and tension tests in order to examine changes in slip coefficient and load with material type, bolt diameter, and size of bolt hole. Slip load of specimens with oversize bolt hole had strength that was more than 80% higher than the slip load of specimens with standard bolt hole, and it also exceeded the design slip strength. In addition, we observed significant correlation between net-section ratio and slip ratio of specimens with oversize and standard bolt hole. However, some differences between the specimens are thought to have been caused by reduction in initial axial force of high tension bolt, which is an important parameter of slip coefficient. It is self-evident that increased bolt hole size would lead to decrease in design strength as it reduces both slip coefficient and bolt axial force. Nevertheless, we suggest that some flexibility in regulation of bolt hole, as long as it does not threaten the structural stability, may be a positive factor in terms of workability and efficiency.