• Title/Summary/Keyword: Neck strength

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APPLICATION OF ARTIFICIAL DERMIS($Terudermis^{(R)}$) AND SPLIT THICKNESS SKIN GRAFT ON THE DONOR SITE OF RADIAL FOREARM FLAP (인공진피($Terudermis^{(R)}$)와 부분층 피부이식을 이용한 전완피판 공여부 수복)

  • Oh, Jung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.227-232
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    • 2007
  • The radial forearm fasciocutaneous flap(RFFF) is a well-known flap for the reconstruction of oral and maxillofacial defects. It was first described by Yang et al. in 1981 and Soutar et al. developed it for the reconstruction of intraoral defect. RFFF provides a reliable, thin, and pliable soft tissue/skin paddle that is amenable to sensate reconstruction. It also has a long vascular pedicle that can be anastomosed to any vessel in either the ipsilateral or contralateral neck. However, split thickness skin graft(STSG) is most commonly used to cover the donor site, and a variety of donor site complications have been reported, including delayed healing, swelling of the hand, persistent wrist stiffness, reduced hand strength, and partial loss of the graft with exposure of the forearm flexor tendon. Various methods for donor site repair in addition to STSG have been developed and practiced to minimize both functional and esthetic morbidity, such as direct closure, V-Y closure, full thickness skin graft, tissue expansion, acellular dermal graft. We got a good result of using artificial dermis($Terudermis^{(R)}$) and secondary STSG for the repair of RFFF donor site defect esthetically and report with a review of literature.

Fall-Related Injury and Balance of the Elderly (노인의 낙상과 균형)

  • Kim On-Ju;Kim Tae-Sook;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.161-171
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    • 1998
  • Balance can be defined as the ability to maintain the body's center of gravity within the base of support with minimal sway. Falls occur frequently in the elderly persons by the physiological change and dysfunction with age. Injuries resulting from falls include soft tissue damage and fractures of the radius, humerus, and femoral neck other consequences of falls include decreased mobility, reduced confidence, long lies (which can give rise to hypothermia, dehydration and pneumonia), and death Risk factors for falls have beau classified as intrinsic (those related to the individual) and extrinsic(those associated with environmental features), Intrinsic factors include decreased strength, visual deficits, vestibular dysfunction, and decreased vibratory sensation in the feet. Improvement of the balance related to the increased probability for fells in the elderly persons and is important for fall preventions and improvement of the living quality ef the elderly persons

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Localized Necking in a Round Tensile Bar for a HCP Material Considering Tension-compression Asymmetry in Plastic Flow (소성 비대칭성을 갖는 HCP 소재의 국부변형 및 네킹해석)

  • Yoon, J.H.;Lee, J.H.
    • Transactions of Materials Processing
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    • v.21 no.5
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    • pp.285-290
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    • 2012
  • In spite of progress in predicting ductile failure, the development of a macroscopic yield criterion to describe damage evolution in HCP (hexagonal close-packed) materials remains a challenge. HCP materials display strength differential effects (i.e., different behavior in tension versus compression) in their plastic response due to twinning. Cazacu and Stewart(2009) developed an analytical yield criterion for porous material containing randomly distributed spherical voids in an isotropic, incompressible matrix that shows tension-compression asymmetry. The goal of the calculations in this paper is to investigate the effect of the tension-compression asymmetry on necking induced by void nucleation, evolution and consolidation. In order to investigate the effect of the tension-compression asymmetry of the matrix on necking and fracture initiation, three isotropic materials A, B, and C were examined with different ratios of tension-compression asymmetry. The various types of material had BCC, FCC, and HCP crystal structures, respectively. The ratio between tension and compression in plastic flow significantly influences the fracture shape produced by damage propagation as well as affecting the localized neck.

Evaluation of press formability for Ti-6Al-4V sheet at elevated temperature (티타늄 합금판재(Ti-6Al-4V)의 고온 성형성 평가)

  • Bae, M.K.;Park, J.G.;Kim, J.H.;Park, N.K.;Kim, Y.S.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2009.05a
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    • pp.152-157
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    • 2009
  • Titanium alloy sheets have excellent specific strength and corrosion resistance as well as good performance at high temperature. Recently, titanium alloys are widely employed not only aerospace parts but also bio prothesis and motorcycle. But the database is insufficient of the titanium alloy for press forming process. In this study, the effect of temperature on the forming limit diagram was investigated for Ti-6Al-4V titanium alloy sheet through the Hocker's punch stretching test at elevated temperature. Experimental results obtained in this study can provide a database for development of press forming process at elevated temperature of Ti-6Al-4V titanium alloy sheet. From the experimental studies it can be concluded that the formability of Ti-6Al-4V titanium alloy sheet is governed by the ductile failure for the testing temperature below and vice versa neck-induced failure above the recrystalization temperature $0.5T_m$. The formability of Ti-6Al-4V titanium alloy sheet at $750^{\circ}C$ increases about 7 times compared with that at room temperature.

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Preventing of Bone Loss in Ovariectomized Rats by Salvia miltiorrhiza Radix Root Extract

  • Park, Sung-Hye
    • Preventive Nutrition and Food Science
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    • v.10 no.2
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    • pp.156-160
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    • 2005
  • Salvia miltiorrhiza Radix root extracts (SMR) was evaluated for inhibition of the progress of bone loss induced by ovariectomy (OVX) in rats. We measured body weight and bone histomorphometry in sham, OVX and SMR-administered OVX rats. From light microscopic analyses, porous or erosive appearances were observed on the surface of trabecular bone of tibia in OVX rats, whereas those of the same bone in sham rats and in SMR-administered rats were composed of fine particles. The trabecular bone area and trabecular thickness in OVX rats were decreased by $50\%$ from those in sham rats, and these decreases were completely inhibited by administration of SMR for 7 weeks. In this study, the mechanical strength in femur neck was significantly enhanced by the treatment of SMR for 7 weeks. In OVX rats, free $T_3$ was normal in all cases, whereas free $T_4$ was significantly increased. Although there was no difference between OVX and SMR-administered rat in $T_3$ levels, we have found significant difference between them in $T_4$ level. These results strongly suggest that SMR may be beneficial for preventing bone loss in OVX rats.

The Study of the Prevalence and Causes of Occurrence on Work-Related Musculoskeletal Disorders(WMSDs) in Physical Therapist (물리치료사의 직무관련 근골격계 통증의 유병률과 발생요인에 관한 연구)

  • Kwon, Won-An;Lee, Jae-Hong;Kim, So-Yeon;Lee, Young-Hwa
    • PNF and Movement
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    • v.10 no.3
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    • pp.19-23
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    • 2012
  • Purpose : The purpose of the present study was to describe the prevalence and causes of occurrence on work-related musculoskeletal disorders(WMSDs) in physical therapist. Methods : Self-administered questionnaires were distributed by mail to 100 physical therapists in Daegu city. 85 of the questionnaires were returned and 80 of them except 5 unclearly answered ones were analyzed. Results : They felt the pain at shoulders(80%), lower back(74%), wrists(71%), neck(70%), elbow(48%), finger(40%). The major causes of the pain were "repeating the same job constantly(93%)," and "bending wrists too much and doing things that require excessive strength(90%)." It was significant different more Exercise therapist than modality therapist. Conclusion : We suggest that physical therapist for exercise therapy need the development and applies of various program for prevention of work-related musculoskeletal disorders.

A case of chronic licorice intoxication-induced apparent mineralocorticoid excess syndrome (만성 감초 중독으로 유발된 미네랄코르티코이드 과잉증후군 1예)

  • Young Jae Lim;Ji Eun Kim
    • Journal of The Korean Society of Clinical Toxicology
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    • v.21 no.2
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    • pp.151-155
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    • 2023
  • Licorice is a perennial herb belonging to the legume family that mainly grows in northeastern China, Mongolia, Siberia, and other regions. It is used in traditional medicine in the form of dried roots in the East and the West. The main active component of licorice, glycyrrhizin, is known to produce mineralocorticoid effects when consumed chronically, which can lead to apparent mineralocorticoid excess syndrome. Herein, we present the case of a 72-year-old woman who was admitted to the emergency room with severe generalized weakness and difficulty keeping her neck upright, which had developed after daily consumption of licorice-infused water for the past 2 months. Blood tests revealed metabolic alkalosis and severe hypokalemia, and an electrocardiogram showed ventricular bigeminy. The patient was treated with daily potassium and spironolactone supplements, leading to a significant improvement in muscle strength after a week. One week later, the patient was discharged, showing rare ventricular premature contractions on electrocardiography, but with no specific complaints. Chronic licorice ingestion leading to hypokalemia and muscle weakness can be life-threatening, necessitating the discontinuation of the causative agent, close monitoring, and cautious supplementation of potassium and spironolactone as treatment.

A Study on Health Status of Joints in Elderly People (일지역 노인의 관절 건강 상태)

  • Eun Young;Kim Eun-Shim;Kang Young-Sil;Kwon In-Soo;Oh Hyun-Sook;Gu Mee-Ock
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.2
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    • pp.186-194
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    • 2004
  • Purpose: The purpose of this study was to describe the subjective health status of joints, flexibility of joints, muscle strength and state of Joint exercise in elderly people living in the community. Method: The participants were 74 elderly people in a health program of the Gerontological Health Research Center at G University. The data were collected from March to July, 2003. The instrument for the study included items on general characteristics (5 items), subjective health status of joints (10 items), flexibility of Joints and strength of muscle (8 items), and state of joint exercise (7 items). Results: The score for subjective health status of joints was 3.70 (range 1-5). Knee and waist joints were in the worst state. Neck extension and flexion were $17.38{\pm}1.80$ and $.60{\pm}1.08(cm)$ respectively. Trunk extension and flexion were $68.24{\pm}4.47$ and $58.00{\pm}4.91(cm)$ respectively. Flexibility of the Rt./Lt. shoulder joints was $14.63{\pm}12.51/18.82{\pm}13.80(cm)$. Muscle strength of the Rt./Lt. leg was $30.47{\pm}19.68/29.67{\pm}21.22$ (sec.). Shoulder joints were more flexible for men and people in their sixties compared to women and people in their seventies. Hand grip was stronger for men compared to women. The score for state of joint exercise was 2.83(range 1-4). The state of handgrip correlated with the state of joint exercise [r=.423 (Rt.)/r=.273(Lt.)]. Conclusion: To prevent falls and disorders in neuromuscular function, it is important to develop systemic joint exercise programs for elderly people.

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Analysis on Physical Traits of Sasang Types Using Bioelectrical Impedance Analysis (임피던스 분석을 활용한 사상인의 신체계측 연구)

  • Lee, Soo-Jin;Park, Soo-Hyun;Ko, You-Sun;Park, Soo-Jin;Eom, Il-Kyu;Kim, Byoung-Chul;Kim, Young-In;Baek, Jin-Ung;Kim, Myoung-Geun;Kwon, Young-Kyu;Chae, Han
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.2
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    • pp.433-437
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    • 2009
  • The purpose of this study was to measure circumference of four body parts of each Sasang groups with Bioelectrical Impedance Analysis (BIA), and evaluate its usefulness for Sasang type diagnostic test. We obtained the circumference measures of neck (CN), chest (CC), waist (CW), and hip (CH) of 91 college students using BIA and standardized by sex and age. The validity of Sasang group prediction with CC was evaluated. The Tae-Eum group (104.87${\pm}$5.19, 108.47${\pm}$4.96, 116.00${\pm}$9.39, 110.4${\pm}$5.29. neck, chest, waist and hip, respectively) has significantly (p<0.001) bigger circumferences than So-Yang (97.79${\pm}$3.82, 100.02${\pm}$4.21, 101.02${\pm}$7.88, 101.95${\pm}$4.06) and So-Eum (95.63${\pm}$4.67, 96.93${\pm}$4.80, 97.63${\pm}$7.72, 99.86${\pm}$4.40) groups at very four measures. Discriminant functions with CC can be used for Tae-Eum Sasang type diagnostic test with 91.2% of overall Percentage Correctly Predicted (PCP). Tae-Eum type-specific sensitivity was 73.3% and Tae-Eum type-specific specificity was 94.7%. The strength and weakness of measurement and standardization methods for Sasang type diagnostic test, and the methods for the standardization of physical traits with sex and age were discussed. Our study showed distinctive physical features of Tae-Eum type and the usefulness of BIA for the Sasang type diagnosis.

The Bone Density Level of Korean Men Aged 60 Years and Over, and Its Relevant Factors (60세 이상 노년 한국 남성들의 골밀도 수준 및 관련요인)

  • Kim, Young-Ran;Nam, Hae-Sung;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1180-1190
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    • 2013
  • This study is to analyze femoral necks and lumbar spine bone mineral density in Korean men aged 60 or older 2,736 people, as well as to research in its relation to anthropometry, life style, diet, fracture history, family history of osteoporosis and medical history using data from Korea National Health and Nutrition Examination Survey (KNHANES)(the 2nd(2008) and 3rd(2009) year at the 1st survey, and the 1st(2010) year at the 5th survey). To express the strength of the associations, percent differences were calculated from multiple linear regression models using the formula ${\beta}{\times}$(unit/mesnBMD). Unit for continuous variables were chosen to approximate 1 standard deviation(SD). Prevalence of osteoporosis for 60-69, 70-79 and >80 old men were 6.7%, 15.8% and 31.4% respectively. The proportion of osteoporosis calculated for each age group in the femoral neck group was: 60-69 years old, 2.6%, 70-79years old, 8.2%, >80years old, 24.8%. For the lumbar spine group, the values were: 60-69 years old, 5.5%, 70-79years old, 11.3%, >80years old, 15.4%. In men aged 60 or older, lean mass greatly influenced bone density in the femoral neck and lumbar spine. Thus, to increase the lean mass would be an effective way to prevent osteoporosis in elderly men.