• Title/Summary/Keyword: Loose body

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Treatment of Chronic Ankle Lateral Instability using Modified Br$\ddot{o}$strom Procedure with Anchor suture & Arthroscopy (봉합 나사를 이용한 변형 Br$\ddot{o}$strom 술식 및 관절경 검사를 이용한 족관절 외측 불안정성의 치료)

  • Lee, Jin-Young;Kim, Gab-Lae;Lee, Eun-Soo;Park, Hyun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.175-178
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    • 2009
  • Purpose: To evaluate the result of modified Br$\ddot{o}$strom procedure with anchor suture and explore associate lesion under arthroscopy for chronic lateral instability. Materials and Methods: From May 2005 to March 2009, Retrospective analysis of 126 patients with chronic lateral instability who underwent modified Br$\ddot{o}$strom procedure with anchor suture and arthroscopic procedure was done. Mean follow-up period was 13 months. Results: Chronic lateral instability of the ankle almost had local synovitis by arthroscopic examination. There were osteochondral lesion of talus on the anteromedial aspect in 63 cases, on the anterolateral aspect in 25 cases, osteochondral lesion of tibia side in 8 cases, fat hypertrophy of tibiofibular space in 120 cases, anterior fat impingement in 26 cases, intra-articular loose body in 13 cases. Mean Karlsson scoring scale was improve from 53 preoperatively to 91 postoperatively, There were 70 cases excellent, 27 cases good, 26 cases fair, 3 cases poor result according to the Sefton procedure. Conclusion: Modified Br$\ddot{o}$strom procedure with anchor suture and arthroscopic procedure are reliable treatment method for chronic ankle lateral instability which has intraarticular pathology.

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Damages of minarets during Erciş and Edremit Earthquakes, 2011 in Turkey

  • Bayraktar, Alemdar;Altunisik, Ahmet Can;Muvafik, Murat
    • Smart Structures and Systems
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    • v.14 no.3
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    • pp.479-499
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    • 2014
  • This paper illustrates the damages of reinforced concrete and masonry minarets during October 23 (Erciş) and November 9 (Edremit), 2011 Van earthquakes in Turkey. Erciş and Edremit are townships located 90km and 18km from Van city center in Turkey, respectively. Ground accelerations and response spectrums for these earthquakes are given in this paper. A total of 63 reinforced concrete and masonry minarets are heavily damaged or collapsed in the city center and villages nearby after both earthquakes. Because of the fact that there is no Turkish standard and specification directly related to design of minarets, nearly all of the constructions are carried out by workers using only their own technical knowledge. So, all of the non-engineering reinforced concrete and masonry minarets completely collapsed or damaged heavily. From the study, it is seen that the damages are due to several reasons such as site effect, location, and length of the fault, reduction in cross section and formation of the discontinuity, use of plain reinforcement steel, use of concrete with insufficient strength, existence of short lap splices and incorrect end hook angle, larger mass and stiffness concentrations on some region, longitudinal reinforcements discontinuity, cracks at the cylindrical body, and damage of spire and end ornament. In addition to these reasons, the two earthquakes hit the minarets within seventeen days, causing progressive damage. So, the existing design and construction practices should be improved to provide sufficient earthquake performance. Also, it is recommended that there should be a safe distance between the minaret and surrounding structures to reduce the loose of life after earthquake.

Ankle Lesions, Associated with Anterior Soft Tissue Impingement (전방 연부조직 충돌과 동반된 족관절 병변)

  • Sung, Il-Hoon;Kim, Suk-Hwan;Shim, Kyu-Dong;Lee, Jun-Hwan;Kang, Chang-Nam
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.115-118
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    • 2010
  • Purpose: To evaluate clinical features of ankle lesions, associated with anterior soft tissue impingement. Materials and Methods: We retrospectively reviewed 21 patients who had chronic anterior ankle pain as initial symptom and associated ankle lesions with anterior soft tissue impingement. Based on preoperative radiologic findings, physical examination intra-operative findings, appropriate procedures were done for lesions by either arthroscopic or minimal open procedure or combined. Clinical evaluation was done using American Orthopedic Foot and Ankle Society, ankle-hind foot score (AOFAS score) and visual analog scale (VAS) on last follow up. Results: Associated lesion(s) to anterior soft tissue impingement of the ankle were 16 cases of osteochondral lesion of talus, 14 cases of bony impingement, 6 cases of ankle lateral instability, 5 cases of loose body, 4 cases of os subfibulare. AOFAS score was $58.9\;{\pm}\;5.1$ preoperatively and $74\;{\pm}\;9.1$ on last follow up. Clinical satisfaction score using VAS showed excellent in 3 cases, good in 11, fair in 3, poor in 4. Conclusion: The patients who had anterior soft tissue impingement would have various associated lesions on their ankle. In such cases, preoperative counseling for variety of postoperative results would be needed.

A Study on the Purchasing and Wearing Conditions of Sports Climbing Wear (스포츠 클라이밍 의류 구매 및 착용실태)

  • Moon, Kyung-Bo;Lee, Jeong-Ran
    • Fashion & Textile Research Journal
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    • v.20 no.4
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    • pp.449-456
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    • 2018
  • This study conducted a survey of members at sports climbing centers on the purchasing and wearing conditions of sports climbing wear and design preferences. 140 participants were in their 20's and 30's, and many of them engaged in sports climbing activities over 20 times a month. They put emphasis on the motion adaptability, durability, price and functional material when purchasing a climbing wear. However, only 23% of them used sports climbing wear. The reasons for wearing sports climbing wears were suitability for physical activity, comfort, and design. On the other hand, the reasons for not purchasing them were expensive prices and lack of designs. They experienced inconveniences at sleeves and waist in shirts. In case of pants, participants experienced inconveniences with the knee and thigh when they climbing. Concerning the damage of shirts, the majority experienced the elbow part was worn out, and the knee part was either worn out or torn at pants. Design preference results showed participants preferred loose-fit short-sleeved shirts that could cover half of the hip. In case of pants, they preferred basic-fit long trousers and basic hems with no functional characteristic. 3 sports climbing instructors answered that climbing wears should put emphasis on deodorization and antimicrobial effects as well as durability and suitability for physical activity. They also pointed out limitations in price and design and presented opinions about creating various sizes for different body parts by taking into account the growth of muscles.

Cytologic Features of an Angiosarcoma in Pleural Fluid - A Case Report - (흉수의 혈관육종의 세포학적 소견 - 1예 보고 -)

  • Chu, Young-Chae;Park, In-Seo;Kim, Yoon-Ju;Han, Hye-Seung;Han, Jee-Young
    • The Korean Journal of Cytopathology
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    • v.10 no.1
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    • pp.61-66
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    • 1999
  • Angiosarcomas are rare tumors, seen most commonly in the skin and soft tissue of head and neck legion. But it has been described in numerous body sites including thyroid, breast, liver, spleen, bone, etc.. Their biological behaviors depend on the microscopic grade, site of origin, and multifocality. We report the unique cytological features of an angiosarcoma in pleural fluid. A 61-year-old woman presented with a 6 month history of dyspnea on exertion and chest pain. Chest computerized tomography(CT) revealed multiple subpleural small nodules in the right lung and widespread all space consolidation and pleural effusion in the left lung. CT of liver revealed multiple small low attenuated lesion. The smears obtained from pleural fluid showed hypocellularity with a hemorrhagic background. The tumor cells were highly pleomorphic oval or spindle in shape and presented singly, in loose groups, in knitted syncytial aggregates, and in acinar pattern. Their nuclei had vesicular chromatin with delineated, thick nuclear membranes and occasionally a large eosinophilic, prominent nucleolus. The cytoplasm was plump, thin or protected in spindly fashion. Almost ail tumor cells showed variable sized intracytoplasmic vacuoles and their nuclei were sometimes crescentic by a huge vacuole. Occasional binucleated tumor cells and mitotic figures were present. Cellular debris and streaky materials were identified. Needle biopsy specimen from the pleura revealed anastomosing slit-like spaces lined by pleomorphic tumor cells. The tumor cells showed a strong reactivity for CD31 and vimentin and focal weak reactivity for factor VIII-related antigen.

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MR Arthrography of the Labral-Capsular-Ligamentous Complex: Normal Variations and Pitfalls (관절와순낭인대(Labral-Capsular-Ligamentous) 복합체의 자기공명관절 조영술 : 정상변이 및 진단시 주의점)

  • Han Sung Ho;Yang Bo Kyu;Kim Chi Hong;Ahn Tae Won;Chu Wu Jun
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 1997.05a
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    • pp.164-166
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    • 1997
  • MR arthrography is a useful modality for evaluating the labrocapsular ligamentous complex(LOLC) of the shoulder. This study was performed to describe normal anatomic variations and pitfalis in image interpretation related to evaluation of the LOLC. MR Arthrogram of 56 shoulders in 41 asymptomatic young, active volunteers were prospectively reviewed to evaluate the labral shapes. capsular insertions and images which may mimic the lesions of glenohumoral instability. The anterior and posterior parts of the labra. respectively. varied in shape: triangular$(72\%,\; 36\%)$. round $(13\%,\; 35\%)$. cleaved$(8\%,\; 1\%)$. notched$(2\%,\; 0\%)$. flat$(5\%,\; 24\%)$ and absent$(0\%,\; 4\%)$. The anterior and posterior capsular insertions. respectively. varied in sites: Mosely and Oevergaard type I$(82\%,\;62\%)$, type II$(13\%,\; 3\%)$ and type III $(5\%,\; 2\%)$. A number of pitfalls in image interpretation were discovered. Articular cartilage undercutting the labrum$(29\%)$ and middle glenohumoral ligament in proximity to anterior labrum $(5\%)$ simulated a labral tear. Joint fluid interposed in the central. superior portion of the sublabral sulci$(25\%)$ simulated a SLAP lesion. Synovial fold$(38\%)$ in axillary pouch resembled a loose body. Knowledge of normal variations and pitfalls in MR arthrogram image interpretation of labral capsular - ligamentous complex will help the orthopedist to accurately detect debilitating derangements associated with the glenohumeral instability.

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Tight sportswear and physiological function - Effect on muscle strength and EMG activity -

  • Dai, Xiao-Qun;Li, Yu-Ping;Cai, Juan-Juan;Lu, A-Ming;Wang, Guo-Dong
    • The Research Journal of the Costume Culture
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    • v.21 no.4
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    • pp.606-611
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    • 2013
  • It has been reported that tight sportswear could have complicated influence on physiological function of human body. The purpose of this present study was to investigate the effect of wearing gradient compression tights (GCT) on muscle strength and EMG activity during repeated isokinetic muscle contractions. Four healthy male undergraduate students performed maximal voluntary isokinetic concentric muscle contractions on biomechanical test and training systems with GCT and loose pants as control (Cont) respectively. During each test, the peak torque of extensor and flexor contractions and the surface electromyography (sEMG) of the rectus femoris and medial gastrocnemius was recorded simultaneously, the peak torque was recorded as an indicator of muscle strength, and the average amplitude and mean power frequency of sEMG were calculated as indicators of EMG activity. The results showed that: the peak torque decreased gradually during continuous muscle contractions both when the Cont and GCT were worn, average sEMG and mean power frequency declined along with the repetitions of muscle contractions for both wearing conditions, and the change tendency was consistence with that of peak torque. There was no obvious difference between the peak torque recorded wearing the Cont or wearing GCT, but when GCT were worn, average sEMG was lower and mean power frequency was higher than the Cont condition. In 24 samples obtained from four subjects, 80% of results showed the same trend. So we could make a conclusion that wearing GCT had no obvious effect on the improvement of muscle strength, but it would affect the EMG activity positivly.

One-cyclic Volcanic Processes at Udo Crater, Korea (우도(牛島) 분화구(噴火口)에서의 일윤회(一輪廻) 화산과정(火山過程))

  • Hwang, Sang Koo
    • Economic and Environmental Geology
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    • v.26 no.1
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    • pp.55-65
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    • 1993
  • Udo Island, some 3 km off the coast of Sungsan Peninsula at the eastern promontory of Cheju Island, occurs in such a regular pattern on the sequences which reprent an excellent example of an eruptive cycle. The island comprises a horseshoe-shaped tuff cone, a nested cinder cone on the crater floor, and a lava delta which extends over northwest from the moat between two cones. The volcanic sequences suggest volcanic processes that start with emergent Surtseyan eruption, progress through Strombolian eruption and end with lava effusion followed by reworking of smooth tephra on the tuff cone. Eruptive environment and hydrology of vent area in the Udo tuff cone are poorly constrained because the stratigraphic units under the tuff cone are unknown. It is thoughl, however, that the tuff cone could be mainly emergent because the present cone deposits show no evidence of marine reworking, and standing body of sea water could play a great role. The emergent volcano is characterized by distinctive steam-explosivity that results primarily from a bulk interaction between rapidly ascending magma and a highly mobile slurry. The sea water gets into the vent by flooding accross or through the top or breach of tephra cone. Udo tuff cone was constructed from Surtseyan eruption which went into with tephra finger jetting activities in the early stage, late interspersed with continuous uprush activities and proceeded to only continuous uprush activities in the last. When the enclosure of the vent by a long-lived tephra barrier would prevent the flooding and thus allow the vent to dry out, the Surtseyan eruption ceased to transmit into Strombolian activities, which constructed a cinder cone on the crater floor of the tuff cone. The Strombolian eruption ceased when magma in the conduit gradually became depleted in gas. In the case of Udo, the last magmatic activity was Hawaiian-type (and/or fountain) which accumulated basalt lava delta. And then the loose tephra of the tuff cone reworked over the moat lava and the northeastern flank.

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Consumer's demands on functional design for sports climbing pants and product developments (스포츠 클라이밍 팬츠의 기능적 디자인에 대한 소비자 수요 특성과 상품 개발)

  • Park, Jeehye;Chun, Jongsuk
    • The Research Journal of the Costume Culture
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    • v.25 no.3
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    • pp.391-404
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    • 2017
  • The purpose of this study was to identify the consumers' demands on functional design of sports climbing pants. Data were collected through a field survey. 82 male and 70 female amateur sports climbers in Seoul participated. The questionnaires measured aspects of functional design in sports climbing pants, specifically motion adaptability, comfort and aesthetic value of the climbing pants. The results of this study show that comfort during climbing postures was the most important value of the climbing pants. The subjects sought motion adaptability at the hip, crotch, thigh and knee. The preferred style and degree of fit of climbing pants were differed according to gender. Men preferred loose or semi tight fit style climbing pants but women preferred the leggings style of the sport pants. The soft touch seam line and body shaping function were also important for women. The type of pants preferred for sports climbing also differed by the climbing experience period. Men began to wear the outdoor mountaineering style pants when they had experienced sports climbing for 6 months and to wear the climbing expert style pants when they had experienced sports climbing for a year. Most women wore leggings style sports pants from the beginner stage. This study also analyzed Korean market trend in 2016~2017 F/W for sports climbing pants design. The men's pants were more likely to be designed to improve mobility compared to the women's pants, even though the aesthetic value of the sports climbing pants was important for women.

A Study on Donning and Doffing Independence of the Person with Disabilities on Upper-limbs (상지 운동 기능 장애인의 착.탈의 자립성 연구)

  • Shin, Se-Mi;Chun, Jong-Suk
    • The Research Journal of the Costume Culture
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    • v.19 no.1
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    • pp.42-53
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    • 2011
  • The purpose of this study was to investigate donning and doffing independence of the disabled individuals. The subjects of this study were who had kinetic disabilities on upper-limbs. 31 women and 38 children were participated in the survey. They were classified with six groups according to their upper-limbs' kinetic ability levels. Three upper-limbs' kinetic abilities were adopted: Lifting arms up to the chest, twisting shoulder to throw arms toward the back, and buttoning clothes by oneself. The independency of donning and doffing of 14 upper-body garment styles were evaluated by subjects. The donning and doffing independency of 14 garment styles was significantly differentiated by the level of kinetic abilities and garment styles. The person who able to button clothes by oneself could don and doff clothes by oneself. The results also revealed that the independency of donning and doffing was significantly different between cerebral palsy and apoplexy groups. The persons having a stroke of apoplexy were more likely to be able to dress independently than the persons with cerebral palsy. The persons with a paralysed arm were more likely able to wear ready-to-wear clothes of various styles. The donning and doffing independency was also significantly differentiated by the styles of garments. The tight fit style garments were more difficult to be dressed independently than the loose fit style garments. The jacket and shirts, which were buttoned from neck to bottom, were more difficult to be dressed independently than T-shirts.