• Archives of Plastic Surgery
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• v.50 no.6
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• pp.578-585
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• 2023

An artificial sphincter implanted in the bulbous urethra to treat severe postprostatectomy urinary incontinence is effective, but embedding-associated complications can occur. We assessed the feasibility, efficacy, and safety of urethral graciloplasty cross-innervated by the pudendal nerve. A simulation surgery on three male fresh cadavers was performed. Both ends of the gracilis muscle were isolated only on its vascular pedicle with proximal end of the obturator nerve severed and transferred to the perineum. We examined whether the gracilis muscle could be wrapped around the bulbous urethra and whether the obturator nerve was long enough to suture with the pudendal nerve. In addition, surgery was performed on a 71-year-old male patient with severe urinary incontinence. The postoperative 12-month outcomes were assessed using a 24-hour pad test and urodynamic study. In all cadaveric simulations, the gracilis muscles could be wrapped around the bulbous urethra in a γ-loop configuration. The length of the obturator nerve was sufficient for neurorrhaphy with the pudendal nerve. In the clinical case, the postoperative course was uneventful. The mean maximum urethral closure pressure and functional profile length increased from 40.7 to 70 cm H₂O and from 40.1 to 45.3 mm, respectively. Although urinary incontinence was not completely cured, the patient was able to maintain urinary continence at night. Urethral graciloplasty cross-innervated by the pudendal nerve is effective in raising the urethral pressure and reducing urinary incontinence.

• International Journal of CAD/CAM
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• v.12 no.1
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• pp.1-8
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• 2012

This study analyzes the characteristics of two different kinds of squat exercise through physical experiments and a computer simulation, i.e. one with a free weight and the other with a Smith machine are studied. This study also proposes a new design for the Smith machine, which has both the advantages of each type based on the results of the analysis. The muscle force and level of stimulation of the lower extremities during squatting were calculated by running an inverse dynamics analysis program on a musculoskeletal model together with the measured motion data. The calculated results were verified by comparing with the measured EMG data. The analysis showed that squatting using free weight is more effective than squatting using the Smith machine. Meanwhile, in order to design an improved Smith machine, which is the final goal of this study, the trajectory of the barbell of the subjects during free weight squatting was measured on the sagittal plane. The measurement showed that the average slope of the trajectory of the barbell is tilted backward by $10.7^{\circ}$. Based on this measurement, this study proposes a tilted design for an improved Smith machine.

• Transactions of the Korean Society of Automotive Engineers
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• v.13 no.5
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• pp.171-180
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• 2005

Bending performances of aluminum square tube beams reinforced by aluminum plates under three point bending loads have been evaluated using experimental tests combined with theoretical and finite element analyses. A finite element simulation for the three-point bending test was performed. Basic properties of aluminum materials used for initial input data of the finite element simulation were obtained from the true stress-true strain curves of specimens which had been extracted from the Al tube beams. True stresses were determined from applied loads and cross-sectional area records of a tensile specimen with a rectangular cross-section by real-time photographing, and true strains were obtained from in-situ local elongation measurements of the specimen gage portion by the multi-point scanning laser extensometer. Six kinds of aluminum tube beam specimens adhered by aluminum plates were employed fur the bending test. The bending deformation behaviors up to the maximum load described by the numerical simulation were in good agreement with experimental ones. After passing the maximum load, reinforcing plate was debonded from the aluminum tube beam. An aluminum tube beam strengthened by aluminum plate on the upper web showed an excellent bending capability.

• Journal of Korean Institute of Industrial Engineers
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• v.25 no.4
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• pp.459-465
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• 1999

A new-concept VDT workstation chair with adjustable keyboard/mouse support was proposed to minimize physical discomfort and the risk of cumulative trauma disorders (CTDs) at work sites in this study. First, a three-dimensional human modeling tool $(SAFEWORK^{(R)})$ was used to design the new chair satisfying the anthropometric specifications of Korean population. Second, based upon the result of 3-D graphical simulation, a mock-up chair was constructed with an adjustable keyboard/mouse support directly attached to the chair body. Third, muscle fatigue and subjective discomfort were measured to evaluate the newly developed chair. An experiment was conducted to compare the new workstation chair to the traditional computer chair without keyboard/mouse support. Six volunteer subjects participated in six one-hour word-processing sessions with two different chairs and three different postures. Statistical results indicate that the new-concept VDT chair generally improved subjective comfort level and reduced fatigue in finger flexor/extensor and low back muscle. In conclusion, this new VDT workstation chair is expected to reduce physical discomfort and prevent occupational CTD problems in the long run. Implications of the new design and suggestions for the further development are also addressed.

• Journal of Biomedical Engineering Research
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• v.10 no.2
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• pp.117-124
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• 1989

The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan`s method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements.

• Journal of Biomedical Engineering Research
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• v.20 no.2
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• pp.199-204
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• 1999

As the correct measuring of the light dosimetry in biological tissues give the important affection to the effect of PDT treatment we used Monte Carlo simulation to measure the light dosimetry on this study. The parameters using in experiments are the optical properties of the real biological tissue, and we used Henyey-Greenstein phase function among the phase functions. As we results, we displayed the result the change of Fluence rate and the difference against the previous theory was at least 0.35%. Biological tissues using in experiment were Human tissue, pig tissue, rat liver tissue and rabbit muscle tissue. The most of biological tissue have big scattering coefficient in visible wavelength which influences penetration depth. The penetration depth of human tissue in visible region is 1.5~2cm. We showed that it is possible to measure fluence rate and penetration depth within the biological tissues by Monte Carlo simulation very well.

• Science of Emotion and Sensibility
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• v.25 no.1
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• pp.115-128
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• 2022

This study investigates the effect of wrist guards equipped with electronic muscle stimulation on reducing wrist pain and improving wrist function of actual lure fishing participants. This study combined conductive fabrics by selecting two products of wrist guards that can be used in lure fishing, which requires holding fishing rods with hands for a long time. It was conducted on ten healthy men aged 35 to 45, and the selection conditions were selected for those who did not have a history of surgery on the wrist and are currently enjoying lure fishing as a hobby. The experimental movement was performed 100 times before each experiment to cause delayed muscle pain to cause wrist fatigue when lure fishing was performed with the operation of grip strength and range of motion. As a result of this study, it was found that pain reduction, range of motion, and grip strength were improved when electrical stimulation was applied after wearing a wrist band in the form of a wrist wrap and semi-gloves. The conclusion of this study was that when electrical stimulation was applied to the wrist guards, the effect of improving the fatigue and function of the wrist could be confirmed through experiments. Through this study, it is expected that wearing electronic muscle stimulation wrist guards will have a significant effect on preventing wrist injuries and improving functional recovery for lure fishing participants.

• Journal of Institute of Control, Robotics and Systems
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• v.14 no.7
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• pp.672-678
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• 2008

This paper proposes a new rehabilitation robot with upper and lower limb connections for gait training. As humans change a walking speed, their nervous systems adapt muscle activation patterns to modify arm swing for the appropriate frequency. By analyzing this property, we can find a relation between arm swinging and lower limb motions. Thus, the lower limb motion can be controlled by the arm swing for walking speed adaptation according to a patent's intension. This paper deals with the design aspects of the suggested gait rehabilitation robot, including a trajectory planning and a control strategy. The suggested robot is mainly composed of upper limb and lower limb devices, a body support system. The lower limb device consists of a slider device and two 2-dof footpads to allow walking training at uneven and various terrains. The upper limb device consists of an arm swing handle and switches to use as a user input device for walking. The body support system will partially support a patient's weight to allow the upper limb motions. Finally, we showed simulation results for the designed trajectory and controller using a dynamic simulation tool.

• Aerospace Engineering and Technology
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• v.12 no.2
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• pp.202-208
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• 2013

This paper describes establishment of a pilot training plan, training and an outcome for Human Powered Aircraft which can take off, landing and fly using the energy generated by only human muscle without using mechanical power. To achieve these, a special trainer made a plan by considering physical trait of each pilot and each pilot was performed an indoor training for principle physical improvement, an outdoor training for generating sustainable power, a simulation training to learn maneuver ability. The pilot mastered the basic maneuver ability needed to fly and each pilot was lose their weight and experienced their improved physical strength via the training.

• Journal of Ocean Engineering and Technology
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• v.20 no.4 s.71
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• pp.31-36
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• 2006

Numerical schemes for spacing and time are tested to accurately simulate the wave propagation. The tested numerical schemesinclude 2nd-order central differencing, l-order upwind scheme, 2nd-order Leith scheme, 3rd-order MUSCLE, QUICK and QUICKEST schemes in spacing and the Euler and 4th-order Runge-Kutta(R-K) schemes in time. It is seen that more accurate results are expected when the higher-order schemes, especially the schemes combined with a TVD control limiter, are used for solving the wave equation. The 3rd-order upwind scheme with limiter and the 4th-order R-K scheme in tim￡ are finally applied to the wave-making simulation in a digital wave tank.