• Title/Summary/Keyword: One-hand

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Role of the Gastrocnemius Musculocutaneous with a Propeller Style Skin Flap in Knee Region Reconstruction: Indications and Pitfalls

  • Gianluca Sapino;Rik Osinga;Michele Maruccia;Martino Guiotto;Martin Clauss;Olivier Borens;David Guillier;Pietro Giovanni di Summa
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.593-600
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    • 2023
  • Background Soft tissue reconstruction around the knee area is still an open question, particularly in persistent infections and multiple reoperations scenario. Flap coverage should guarantee jointmobility and protection, even when foreign materials are implanted. The chimeric harvesting of the musculocutaneous gastrocnemius flap, based on the sural artery perforators, can extend its applicability in soft tissue reconstruction of the upper leg, overcoming the drawbacks of the alternative pedicled flaps. Methods A multicenter retrospective study was conducted enrolling patients who underwent to a pedicled, chimeric gastrocnemius musculocutaneous-medial sural artery perforator (GM-MSAP) or lateral sural artery perforator (GM-LSAP) flap for knee coverage in total knee arthroplasty (TKA) recurrent infections and oncological or traumatic defects of the upper leg from 2018 to 2021. Outcomes evaluated were the successful soft tissue reconstruction and flap complications. Surgical timing, reconstruction planning, technique, and rehabilitation protocols were discussed. Results Twenty-one patients were included in the study. Nineteen GM-MSAPs and 2 GM-LSAPs were performed (soft tissue reconstruction in infected TKA [12], in infected hardware [4], and in oncological patients [5]). Donor site was closed primarily in 9 cases, whereas a skin graft was required in 12. Flap wound dehiscence (1), distal flap necrosis (1), distal necrosis of the skin paddle (1), and donor site infection (1) were the encountered complications. Flap reraise associated to implant exchange or extensive debridement was successful without requiring any further flap surgery. Conclusion The propeller-perforator GM-MSAP offers qualitative defect coverage and easiness of multiple flap reraise due to skin availability and its laxity.

OverIT: An Interactive Overlay for Touchscreen-based UI Customization by Demonstration

  • Lee, Kyungyeon;Chung, SeungA;Oh, Uran
    • International journal of advanced smart convergence
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    • v.10 no.3
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    • pp.143-148
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    • 2021
  • Smartphones have been widely used for various purposes and stay connected with people at all times. However, the use of such touchscreen devices can be physically restricted depending on users' context where only one hand is available to interact with the device. Even major smartphone manufacturers (e.g., Apple, Samsung) offer one handed mode, they still lack functions in the third-party applications, and the process is also complicated. We propose OverIT, a system that enables users to customize interfaces by adding new buttons on an interactive overlay which can be positioned anywhere on the touchscreen where each button serves the same functionality as an existing one. It is designed to support users to map a certain button event freely and easily to a newly created button by performing a demonstration of a button tap. We expect our system to improve the overall user experience of one-handed interaction with touchscreen devices.

Effects of Occupational Therapeutic Craft Activity on improvement cognitive function and hand function in acute patients with stroke (수공예 작업치료 프로그램 활동이 급성기 뇌졸중 환자의 손 기능에 미치는 효과)

  • Jang, Tae-Yong;Park, Bo-Ra;Yang, Yeong-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.355-365
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    • 2017
  • This study investigatedwhether occupational therapeutic craft activity improves cognitive function and hand function in patients with acute stroke, with the hope of providing clinically useful results for further studies. From March 2016 to November 2016, thirty acute patients with stroke at A general hospital and B rehabilitation hospital in Seoul and Gyeonggi-do, Korea were enrolled and randomly divided into two groups. One group was treated with occupational therapeutic craft activity,and the other general exercise. The subjects performed each activity for 30 minutestwice weekly, for four weeks. To test the effect of intervention, hand function was tested with the Box & Block Test and the Jebsen-Taylor Hand Function Test.Cognitive function measures were the NCSE and Trail-Making Test. Over the four weeks of treatment activities, in the occupational therapeutic craft activity group, hand function measures(p<.05) increased significantly,as did cognitive function measures(p<.05). This study shows that occupational therapeutic craft activity improves hand function and cognitive function effectively in patients with acute stroke. Occupational therapeutic craft activity programscan be based on this study to prepare intervention programs for further studies with acute stroke patients.

Exposure Factor Development of Children's Hand and Mouthing Activities Using Videotaping Methodology and Analysis of Influential Factors (어린이들의 비의도적 행위에 대한 노출계수 개발 및 영향요인 분석)

  • Jung, Dayoung;Yoon, Hyojung;Yang, Wonho;Kim, Taksoo;Seo, JungKwan;Heo, Jung;Ryu, Hyunsoo;Kim, Sunshin;Choi, Min-Ji
    • Journal of Environmental Health Sciences
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    • v.43 no.5
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    • pp.438-445
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    • 2017
  • Objectives: The purpose of this study was to develop exposure factor data for the Korean child population, with a specific focus on behavior characteristics such as hand-to-mouth and object-to-mouth and an analysis of influential factors. Methods: We divided environments into two places, which were house/indoor and nursery. A total of 400 children (house/indoor) and a total of 162 children (nursery) were recruited from the cities of Seoul, Incheon, Daegu, and Gwangju. The children were divided into two groups. We conducted direct measurement by using one hour of videotaping alongside questionnaire surveys. This was performed to calculate behavior rates, such as how many children perform hand-to-mouth and object-to-mouth behaviors. Results: The respective average frequencies of hand-to-mouth and object-to-mouth were $0.8{\pm}2.23$ and $0.82{\pm}2.64contacts/hr$ for house/indoor. The respective average frequencies of hand-to-mouth and object-to-mouth were $2.87{\pm}4.63$ and $1.47{\pm}3.84contacts/hr$ in the nursery group. For the mouthing participants, the average frequencies of hand-to-mouth and object-to-mouth were 3.31 and 3.20 contacts/hr in house, and 4.80 and 3.26 in nursery. Compared to other countries such as the USA, the frequencies of hand-to-mouth and object-to-mouth behaviors found in this study were relatively lower. Conclusions: Children have the potential for exposure to toxic substances through non-dietary ingestion pathways by mouthing objects or their fingers. In this study, the mouthing frequency was relatively lower than that found in Western countries. This can be explained that mouthing behaviour may be affected by culture and lifestyle characteristics.

Reduction of Authentication Cost Based on Key Caching for Inter-MME Handover Support (MME 도메인간 핸드오버 지원을 위한 키캐싱 기반 인증비용의 감소기법)

  • Hwang, Hakseon;Jeong, Jongpil
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.5
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    • pp.209-220
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    • 2013
  • Handover is the technology to minimize data lose of mobile devices and make continuous communication possible even if the device could be moved from one digital cell site to another one. That is, it is a function that enables the mobile user to avoid the disconnection of phone conversations when moving from a specific mobile communication area to another. Today, there are a lot of ongoing researches for fast and efficient hand-over, in order to address phone call's delay and disconnection which are believed to be the mobile network's biggest problems, and these should essentially be resolved in all mobile networks. Thanks to recent technology development in mobile network, the LTE network has been commercialized today and it has finally opened a new era that makes it possible for mobile phones to process data at high speed. In LTE network environment, however, a new authentication key must be generated for the hand-over. In this case, there can be a problem that the authentication process conducted by the hand-over incurs its authentication cost and delay time. This essay suggests an efficient key caching hand-over method which simplifies the authentication process: when UE makes hand-over from oMME to nMME, the oMME keeps the authentication key for a period of time, and if it returns to the previous MME within the key's lifetime, the saved key can be re-used.

Effects of Koryo Hand Therapy(KHT) on Woman Elders' Knee Pain (고려수지요법이 여성노인의 무릎통증에 미치는 효과)

  • Koh, Hyo-Jung;Jung, Mi-Kyung;Kwon, Yun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.4022-4029
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    • 2011
  • The study was done to identify the effects of Koryo Hand Therapy(KHT) of woman elders' knee pain. This is an quasi-experiment with nonequivalent control group pre- & post-test design. The subjects consisted of 105 woman elders were admitted to in elders' hospital in D city. They are randomized 35 for the experimental group A by using ceramic Seo Am pellet therapy, 35 for the experimental group B by using Seo Am moxa therapy and 35 for the control group. The Koryo Hand Therapy(KHT) was conducted 3 times per week for 6 weeks. Data analyzed using ${\chi}^2$-test, One-way ANOVA and repeated measure ANOVA with SPSS Win 17.0 version. The results of this study was knee pain of the experimental group A provided with ceramic Seo Am pellet therapy(p=.000), the experimental group B provided with Seo Am moxa therapy(p=.000) would be lower than that the control group. Knee pain of the experimental group B provided with Seo Am moxa therapy would be lower than that the experimental group A provided with ceramic Seo Am pellet therapy(p=.001). Koryo Hand Therapy(KHT) was to be effective in relieving knee pain woman elders' and it is suggested that the therapy should be used for managing.

Hand Motion Signal Extraction Based on Electric Field Sensors Using PLN Spectrum Analysis (PLN 성분 분석을 통한 전기장센서 기반 손동작신호 추출)

  • Jeong, Seonil;Kim, Youngchul
    • Smart Media Journal
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    • v.9 no.4
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    • pp.97-101
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    • 2020
  • Using passive electric field sensor which operates in non-contact mode, we can measure the electric potential induced from the change of electric charges on a sensor caused by the movement of human body or hands. In this study, we propose a new method, which utilizes PLN induced to the sensor around the moving object, to detect one's hand movement and extract gesture frames from the detected signals. Signals from the EPS sensors include a large amount of power line noise usually existing in the places such as rooms or buildings. Using the fact that the PLN is shielded in part by human access to the sensor, signals caused by motion or hand movement are detected. PLN consists mainly of signals with frequency of 60 Hz and its harmonics. In our proposed method, signals only 120 Hz component in frequency domain are chosen selectively and exclusively utilized for detection of hand movement. We use FFT to measure a spectral-separated frequency signal. The signals obtained from sensors in this way are continued to be compared with the threshold preset in advance. Once motion signals are detected passing throng the threshold, we determine the motion frame based on period between the first threshold passing time and the last one. The motion detection rate of our proposed method was about 90% while the correct frame extraction rate was about 85%. The method like our method, which use PLN signal in order to extract useful data about motion movement from non-contact mode EPS sensors, has been rarely reported or published in recent. This research results can be expected to be useful especially in circumstance of having surrounding PLN.

Incidence of apical crack formation and propagation during removal of root canal filling materials with different engine driven nickel-titanium instruments

  • Ozyurek, Taha;Tek, Vildan;Yilmaz, Koray;Uslu, Gulsah
    • Restorative Dentistry and Endodontics
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    • v.42 no.4
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    • pp.332-341
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    • 2017
  • Objectives: To determine the incidence of crack formation and propagation in apical root dentin after retreatment procedures performed using ProTaper Universal Retreatment (PTR), Mtwo-R, ProTaper Next (PTN), and Twisted File Adaptive (TFA) systems. Materials and Methods: The study consisted of 120 extracted mandibular premolars. One millimeter from the apex of each tooth was ground perpendicular to the long axis of the tooth, and the apical surface was polished. Twenty teeth served as the negative control group. One hundred teeth were prepared, obturated, and then divided into 5 retreatment groups. The retreatment procedures were performed using the following files: PTR, Mtwo-R, PTN, TFA, and hand files. After filling material removal, apical enlargement was done using apical size 0.50 mm ProTaper Universal (PTU), Mtwo, PTN, TFA, and hand files. Digital images of the apical root surfaces were recorded before preparation, after preparation, after obturation, after filling removal, and after apical enlargement using a stereomicroscope. The images were then inspected for the presence of new apical cracks and crack propagation. Data were analyzed with ${\chi}^2$ tests using SPSS 21.0 software. Results: New cracks and crack propagation occurred in all the experimental groups during the retreatment process. Nickel-titanium rotary file systems caused significantly more apical crack formation and propagation than the hand files. The PTU system caused significantly more apical cracks than the other groups after the apical enlargement stage. Conclusions: This study showed that retreatment procedures and apical enlargement after the use of retreatment files can cause crack formation and propagation in apical dentin.

Osteomyelitis following Domestic Animal Bites to the Hand: Two Case Reports and Practical Guidelines

  • Lim, Jung Soo;Byun, Jin Hwan;Min, Kyung Hee;Lee, Hye Kyung;Choi, Yun Sun
    • Archives of Plastic Surgery
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    • v.43 no.6
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    • pp.590-594
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    • 2016
  • Recently, the number of cases of animal bite wounds has increased significantly in concordance with an increase in the pet population around the world. The authors report two rare cases of osteomyelitis of the phalanx following cat and dog bites. On initial physical examination, signs of a severe infection were observed. Radiographs of both patients showed the presence of osteomyelitis, and in one of the patients, the diagnosis was confirmed with a bone biopsy. After use of empirical antibiotics, intravenous antibiotic therapy that matched the identified bacterium's sensitivity was initiated, and at the same time, secure dressing including debridement was performed to induce secondary healing. In addition, the patients were closely monitored with serial X-rays, and culture and blood test follow-up. One patient fully recovered without sequelae, but the other patient suffered a loss of distal interphalangeal joint motion. When dealing with bite wounds located on the hand, it is important to visit the hospital as soon as possible and receive the appropriate treatment early. Moreover, to prevent severe complications such as osteomyelitis, it is important to administer antibiotic therapy to which the cultured bacteria are sensitive, along with proper wound management and prophylactic antibiotic treatment.