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The Mechanical Sensitivity at Interfaces between Bone and Interbody Cage of Lumbar Spine Segments (Lumbar spine 의 뼈와 Interbody cage의 접촉면에서 기계공학적 민감성 고찰)

  • Kim Y.
    • Journal of Biomedical Engineering Research
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    • v.21 no.3 s.61
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    • pp.295-301
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    • 2000
  • It is known that among many factors, relative micromotion at bone/implant interfaces can hinder bone ingrowth into surface pores of an implant. Loading conditions, mechanical properties of spinal materials, friction coefficients at the interfaces and geometry of spinal segments would affect the relative micromotion and spinal stability. A finite clement model of the human lumbar spine segments (L4-L5) was constructed to investigate the mechanical sensitivity at the interfaces between bone and cage. Relative micromotion. Posterior axial displacement. bone stress, cage stress and friction force were predicted in changes of friction coefficients, loading conditions. bone density and age-related material/geometric properties of the spinal segments. Relative micromotion (slip distance in a static loading means relative micromotion in routine activity) at the interfaces increased significantly as the mechanical properties of cancellous bone, annulus fibers or/and ligaments decrease or/and as the friction coefficient at the interfaces decreases. The contact normal force at the interfaces decreased as cancellous bone density decreases or/and as the friction coefficient increases A significant increase of slip distance at anterior annulus occurred with an addition of torsion to compressive preload. Relative micromotion decreased with an increase of disc area. In conclusion. relative micromotion, stress response. Posterior axial displacement and contact normal force are sensitive to the friction coefficient of the interfaces, bone density, loading conditions and age-related geometric/material changes.

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Differences in the mandibular premolar positions in Angle Class I subjects with different vertical facial types: A cone-beam computed tomography study

  • Duan, Jun;Deng, Feng;Li, Wan-Shan;Li, Xue-Lei;Zheng, Lei-Lei;Li, Gui-Yuan;Bai, Yan-Jie
    • The korean journal of orthodontics
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    • v.45 no.4
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    • pp.180-189
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    • 2015
  • Objective: To compare the positions of the mandibular premolars in Angle Class I subjects according to vertical facial type. The results will provide a theoretical basis for predicting effective tooth movement in orthodontic treatment. Methods: Cephalometric parameters were determined using cone-beam computed tomography in 120 Angle Class I subjects. Subjects were categorized as short, normal, and long face types according to the Frankfort mandibular angle. Parameters indicating the position of the mandibular right premolars and the mandible were also measured. Results: The angle between the mandibular first premolar axis and buccal cortex, the distance between the root apex and buccal cortex, angle of vestibularization, arc of vestibularization, and root apex maximum movable distance were significantly greater in the short face type than in the long and norm face types. The angle between the mandibular second premolar axis and buccal cortex, the distance from root apex to buccal cortex, and the arc of vestibularization were significantly greater in the short face type than in the normal face type. Conclusions: There are significant differences in the mandibular premolar positions in Class I subjects according to vertical facial type.

Determination of Working Area Based on Operator's Working Comfort (사용 편의성에 기초한 작업 영역의 결정)

  • Park, Sung-Joon;Jung, Eui-Seung
    • Journal of Korean Institute of Industrial Engineers
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    • v.26 no.2
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    • pp.88-94
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    • 2000
  • For efficient operation, vital hand controls must be easily controlled by the operator from his or her normal working position. The primary working area based on the operator-perceived working comfort was developed to serve as a design guideline to the control panel layout. Six male and four female subjects voluntarily participated in the experiment in which working comfort was measured for two types of controls - knob and lever. The operator-perceived working comfort was examined for the frontal and sagittal distances from the body center and the slope of a work surface. The response surface methodology using a central composite design was employed to develop a prediction model for operator's working comfort on each type of controls. The proposed working areas based on the actual working comfort of an operator avoided the dichotomy that considers only the reachability of control devices, and showed a distinct shape, when compared to the existing normal working areas following the Farley's concept. It was shown that the distance from the body to control devices and the slope of a work surface have a quadratic relationship to the working comfort, and that the most comfortable area for seated tasks is located at the distance of about 2∼4 cm in the sagittal direction and about 42∼43 cm in the frontal direction from the shoulder, respectively. It was also found that the working comfort varies within the working area even at the positions with an equal distance from the body. It is expected that the isocomfort working area generated in the study will be used as a useful guideline for control panel layout.

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Changes of Muscle Activity and Cephalometric Variables Related to Head Posture (두부자세에 따른 근활성과 측모두부방사선계측치의 변화에 관한 연구)

  • Kim, Byung-Wook;Han, Kyung-Soo
    • Journal of Oral Medicine and Pain
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    • v.24 no.2
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    • pp.189-206
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    • 1999
  • This study was performed to investigate the factors affecting muscle activity and cephalometric variables according to change of head postures. For this study, 150 patients with temporomandibular disorders and 80 dental students without any signs and symptoms of temporomandibular disorders were selected as the patients group and as the normal group, respectively. Head position to body-midline in frontal plane and upper quarter posture to body plumb line in sagittal plane were observed clinically and electromyographic(EMG) activity of anterior temporalis, masseter, sternocleidomastoideus, and trapezius on clenching were recorded with $BioEMG^{(R)}$ in four head postures, which were natural head posture(NHP), forward head posture(FHP), $20^{\circ}$ upward head posture(UHP), and $20^{\circ}$ downward head posture(DHP). Cephaloradiographs were also taken in the same head postures as in EMG taking, but that was taken only in NHP for the patient group. Cephalometric variables measured were SN angle, CVT angle, atlas inclination angle, occlusal plane angle, Me-C2 angle, pharyngeal width, occiput~axis distance, area of pharyngeal space, and cervical curvature. The data were analyzed by SAS statistical program. The results of this study were as follows : 1. Between the patient and the normal group, there were significant difference in distance from plumb line to acromion, eye-tragus angle, electromyographic activity of the four muscles, and cephalometric variables of linear measurement. 2. There was no consistent pattern of correlation between upper quarter posture, EMG activity and cephalometric variables in any case without relation to cervical curvature and head position in frontal plane. 3. Sternocleidomastoid muscle only showed variation of electromyographic activty with changes of head postures, but all the muscles did show correlation with head postures. 4. All the cephalometric variables measured in this study showed difference of mean value by head posture, and CVT angle, pharyngeal width, occiput-atlas distance, and area of pharyngeal space showed correlation between these variables with change from NHP to FHP, and from NHP to UHP.

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Effects on Sight, Quickness, Balance, Pain of Normal Human Body with Using Portable Mobile Phone (스마트폰 사용이 정상인의 시력, 순발력, 균형능력, 통증에 미치는 영향)

  • Kang, Su-Jeong;Kim, Kyeong-Ha;Kim, Chi-Hyok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.2
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    • pp.95-102
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    • 2012
  • Background: The purpose of this study was to find out influence of using portable mobile devices in human body. Method: The subjects were consisted of the normal persons (19 males and 20 females). These subjects were consisted of three groups according to test time. The A group (12 persons - 6 males, 6 females) tests 5 minutes, the B group (14 persons - 7 males, 7 females) tests 10 minutes, and the C group (13 persons - 6 males, 7 females) tests 15 minutes. Before test, sight, quickness and balance were measured, after test revision, quickness, balance were measured and checked pain scale. Results: The results were as follows. 1. Sight, quickness and balance were decreased and pains were increased after using portable mobile devices than before using these. 2. According to duration of using the portable mobile devices, sight, quickness and balance was not a statistically significant difference, the entire upper body pain was a statistically significant difference. When viewed as part of the pain, shoulder, lower back, and wrist pain were a statistically significant difference, but the neck and elbow were not a statistically significant difference. 3. The influence of vision according to distance of using Portable mobile devices was no statistically significant difference. In addition, less than 20cm distance using equipment group ("Ga") and the group ("Na") which exceeded 20cm in between the sight were not statistically significant difference, Influence of pain according to distance of using Portable mobile devices we-re no statistically significant differences. Conclusion: Using portable mobile devices affect human body on the elements of the biomechanics.

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Humeral, Glenoid Retroversion and Bicipital Groove Distance of the Normal Korean Adults (정상 한국 성인의 상완골과 관절와의 후경각 및 개방적 수술의 비교)

  • Kim Jin Sub;Yoo, Jung Han;Park Joo Hyuk
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.151-156
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    • 1999
  • Purpose : Average humeral head retroversion was showed significant wide range from literatures based on variable measuring technique, We performed computed tomography(CT) study in an effort to define the specific anatomy relationships and evaluate their use. Materials and Methods : Two hundreds shoulders and distal humeri CT scan with no known pathology were examined. The study population was divided to 10 groups by gender and age (from third to seventh decade). The number of each group was twenty. Retroversion of proximal humerus and glenoid were measured using the lines that were connected the central axis of humeral head, central points of the humeral epicondyles paralleling to the trochlea, paralled to the glenoid surface, midpoint between the transverse glenoid diameter and medial edge of the scapular. We also measured the bicipital groove distance from the humeral central axis and scapulothoracic angle. Results: Retroversion of proximal humerus was highly variable, ranging in this study from 13 to 58 degrees(mean 28.73) These values correlated with sex, not age, height or hand dominance. Glenoid retroversion at the inferior sections showed average 1.3 degree, did not signigicant differences. The central axis was an average of l0mm(5-15mm) posterior to the posterior margin of the bicipital groove. Scapulothoracic angle was average 43 degrees(25-53 degrees) Conclusion: Anatomical reconstruction of retroversion angle should be individualized and bicipital groove could be useful as landmark for the lateral fin of the prosthesis to be positioned an average of 10mm posteriorly.

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Faculty-supervised measurements of the face and of mandibular movements on young adults

  • Woelfel, Julian B.;Igarashi, Takayoshi;Dong, Jin-Keun
    • The Journal of Advanced Prosthodontics
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    • v.6 no.6
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    • pp.483-490
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    • 2014
  • PURPOSE. The purpose of this study was to determine the average facial proportions and mandibular movement capacity of 316 first-year dental students who carefully recorded them on each other. MATERIALS AND METHODS. This early exacting clinical experience was closely supervised by the authors in Columbus, Ohio during 1969-70. Five vertical and six horizontal distances were measured on each subject's face. An ala-tragus line and an occlusal line were drawn on the left side of the face to determine if these two lines were parallel. Measurements of mandibular movements involved maximum normal and hinge opening at the incisors and maximum amounts of right, left lateral and protrusive excursions of the mandible. RESULTS. The ala width and distance between the tips of upper right and left canine cusps averaged (35.2 mm and 34.8 mm) but with very large individual variations. The distance between ala to occlusal plane lines was 29.9 mm at the tragus and 31.3 mm near the ala. The angle between orbitale and ala-tragus averaged 13.6 degrees. CONCLUSION. The upper lip length was the most variable and the distance between the pupils was the most stable of the eleven facial measurements. The ala-tragus line and the occlusal plane lines were for all practical purposes parallel. Maximum jaw opening averaged 51.2 mm which was 3.0 times larger than maximal hinge opening of 17.2 mm. The maximum right plus left side jaw excursions (9.2 and 9.4 mm) totaled 18.6 mm, 2.3 times more than the 8.0 mm mean maximum forward protrusion.

The Morphometric Analysis of the Extraforamen in the Lumbosacral Spine: Magnetic Resonance Imaging and Computed Tomography Study

  • Jang, Jee-Soo;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.37 no.5
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    • pp.336-339
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    • 2005
  • Objective: The goal of this study is to establish the anatomical criteria of the normal and stenotic lumbosacral extraforaminal tunnel, and also to determine the effect of the pathologic intervertebral disc on the size of extraforaminal tunnel in the lumbosacral spine. Methods: MRI and CT scans were reviewed and classified into two groups: (1) 40 patients with normal discs at L5- S1 (Group 1) and (2) 43 patients that had undergone successful decompression surgery for extraforaminal entrapment at the lumbosacral region(Group 2). In these two groups, the following parameters were compared are compared: the distance between the disc margin and the ala (lumbosacral tunnel) on the axial MRI, and the posterior disc height at L5-S1 on the mid-sagittal MRI. Results: In the group 1, the mean distance of the lumbosacral tunnel on the axial MRI was $10.1{\pm}2.2mm$. The mean posterior disc height at L5-S1 was $7.4{\pm}1.7mm$ on the mid-sagittal MRI. In the group 2, the mean distance between the disc margin and the ala (costal process) was $1.6{\pm}1.3mm$ on the axial MRI. The average posterior disc height was $4.4{\pm}1.5mm$ on the mid-sagittal MRI. The posterior disc height and the size of the lumbosacral tunnel between the two groups were statistically different on the paired t-test (p<0.0001). However, the posterior disc height was not positively correlated with the size of the extraforaminal tunnel for group 2 (p=0.909). Conclusion: The extraforaminal stenosis was correlated to pathologic disc. However, the posterior disc height was not correlated to the size of the of the extraforaminal tunnel.

Effects of airway evaluation parameters on the laryngeal view grade in mandibular prognathism and retrognathism patients

  • Karm, Myong-Hwan;Chi, Seong In;Kim, Jimin;Kim, Hyun Jeong;Seo, Kwang-Suk;Bahk, Jae-Hyon;Park, Chang-Joo
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.3
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    • pp.185-191
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    • 2016
  • Background: Failure to maintain a patent airway can result in brain damage or death. In patients with mandibular prognathism or retrognathism, intubation is generally thought to be difficult. We determined the degree of difficulty of airway management in patients with mandibular deformity using anatomic criteria to define and grade difficulty of endotracheal intubation with direct laryngoscopy. Methods: Measurements were performed on 133 patients with prognathism and 33 with retrognathism scheduled for corrective esthetic surgery. A case study was performed on 89 patients with a normal mandible as the control group. In all patients, mouth opening distance (MOD), mandibular depth (MD), mandibular length (ML), mouth opening angle (MOA), neck extension angle (EXT), neck flexion angle (FLX), thyromental distance (TMD), inter-notch distance (IND), thyromental area (TMA), Mallampati grade, and Cormack and Lehane grade were measured. Results: Cormack and Lehane grade I was observed in 84.2%, grade II in 15.0%, and grade III in 0.8% of mandibular prognathism cases; among retrognathism cases, 45.4% were grade I, 27.3% grade II, and 27.3% grade III; among controls, 65.2% were grade I, 26.9% were grade II, and 7.9% were grade III. MOD, MOA, ML, TMD, and TMA were greater in the prognathism group than in the control and retrognathism groups (P < 0.05). The measurements of ML were shorter in retrognathism than in the control and prognathism groups (P < 0.05). Conclusions: Laryngoscopic intubation was easier in patients with prognathism than in those with normal mandibles. However, in retrognathism, the laryngeal view grade was poor and the ML was an important factor.

Discussion on the Value of Using Gait Analysis System Using Smart Shoes (스마트 신발을 활용한 보행분석 시스템 활용 가치에 대한 논의)

  • Park, Tae-Sung;Shin, Myung-Jun;Lee, Lee-Eun
    • Journal of Convergence for Information Technology
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    • v.9 no.3
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    • pp.128-133
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    • 2019
  • The purpose of this study is to verify whether the data measured by the researcher and the smart shoe sensor data are the same or similar by performing the 6 - minute walking test and time up and go test after putting smart shoes on a normal person. Ten normal adult males participated. After wearing smart shoes, they performed a 6-minute walk test and a time up and go test. The results of this experiment show that the accuracy of the current sensor is high. The difference in the distance of the 6-minute walking test is that the difference is because the turning point, which is not calculated in the actual 30-m track, measures the distance. From this point of view, it can be seen that smart shoes measure more accurate distance and it is expected that various tests will be possible through smart sensors.