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Reliability Study of Measuring Range of Motion Glenohumeral Joint Internal Rotation With Pressure Biofeedback Stabilization

  • Hwang, Ui-jae;Ha, Sung-min;Jeon, In-chul;Jung, Sung-hoon;Choi, Kyu-hwan;Kim, Su-jung;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.62-70
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    • 2015
  • The aims of the current study were to assess reliability of range of motion (ROM) measurement of glenohumeral internal rotation (GIR) with a pressure biofeedback stabilization (PBS) method and to compare the reliability between manual stabilization (MS) and the PBS method. In measurement of pure glenohumeral joint motion, scapular stabilization is necessary. The MS method in GIR ROM measurement was used to restrict scapular motion by pressing the palm of the tester's hand over the subject's clavicle, coracoid process, and humeral head. The PBS method was devised to maintain consistent pressure for scapular stabilization during GIR ROM measurement by using a pressure biofeedback unit. GIR ROM was measured by 2 different stabilization methods in 32 subjects with GIR deficit using a smartphone clinometer application. Repeated measurements were performed in two test sessions by two testers to confirm inter- and intra-rater reliability. After tester A performed measurements in test session 1, tester B's measurements were conducted one hour later on the same day to assess the inter-rater reliability and then tester A performed again measurements in test session 2 for confirming the intra-rater reliability. Intra-class correlation coefficient (ICC) (2,1) was applied to assess the inter-rater reliability and ICC (3,1) was applied to determine the intra-rater reliability of the two methods. In the PBS method, the intra-rater reliability was excellent (ICC=.91) and the inter-rater reliability was good (ICC=.84). The inter-rater and intra-rater reliability of the PBS method was higher than in the MS method. The PBS method could regulate manual scapular stabilization pressure in inter- and intra-rater measuring GIR ROM. Results of the current study recommend that the PBS method can provide reliable measurement data on GIR ROM.

Fracture of the Second Rib: An Indirect Sign of Serious Trauma Like Fracture of the First Rib?

  • Michail Tsimpinos;Dimosthenis Chrysikos;Theano Demesticha;Maria Piagkou;Theodoros Troupis
    • Journal of Chest Surgery
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    • v.56 no.6
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    • pp.431-434
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    • 2023
  • Background: The first 3 ribs are anatomically well-protected, shielded by the large thoracic muscles, the shoulder girdle, and the arm. A significant force is required to fracture these ribs; thus, such fractures suggest a high-energy trauma and are associated with injuries to vital organs of the thorax, such as the aorta, the heart, the lungs and the great vessels. Methods: A retrospective analysis was conducted over a 10-year period at a single hospital. The study assessed patients with fractures of the second rib, including their concurrent injuries and the overall severity of their trauma. Results: Among the 76 patients included in the study, the average age was 47.35 years, 81.5% were men, and 19.5% were women. Thirteen patients (17.1%) survived their injuries. The most common causes of injury were road traffic accidents (63%) and pedestrian injuries (22%). The patients who did not survive sustained injuries to an average of 5 additional organs, while survivors had injuries to an average of 2.07 additional organs. Left rib fractures were the most frequently observed (46%). The most serious concurrent injuries reported were to the aorta (5.26%), heart (10.52%), lung (52.36%), head (57.89%), liver (30.2%), spleen (26.31%), and kidney (17.1%). Conclusion: As indicators of serious injury to vital endothoracic organs, isolated fractures of the second rib should be considered equal to first rib fractures in clinical importance.

Transcallosal Ipsilateral Motor Pathway from the Unaffected Hemisphere in a Patient with Traumatic Brain Injury

  • Jang, Woo-Hyuk;Lee, Mi-Young;Kwon, Yong-Hyun;Jang, Sung-Ho
    • The Journal of Korean Physical Therapy
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    • v.26 no.3
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    • pp.216-219
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    • 2014
  • Purpose: We presented with a patient with traumatic brain injury who showed a transcallosal ipsilateral motor pathway from unaffected motor cortex to affected extremities, as evaluated by diffusion tensor tractography (DTT). Methods: One patient and six age-matched normal subjects were enrolled. A 42-year-old left hemiparetic male who suffered from brain injury by motor vehicle accident 9 years ago showed a leukomalactic lesion in the right corona radiata and parieto-temporal lobe. His left extremities were completely paralyzed initially, but recovered slowly over 2 years. At the time of the evaluation, he was able to grasp and release an object, and to walk with spastic gait pattern. DTT was performed using 1.5 T with a Synergy-L Sensitivity Encoding head coil. DTT was obtained with termination criteria of FA <0.2 and an angle change > $45^{\circ}c$. Results: The motor tracts of the unaffected (left) hemisphere of the patient and control subjects originated from the motor cortex and descended along the known corticospinal tract without any transcallosal tract. By contrast, the tract of the affected (right) hemisphere originated from the left premotor cortex, descended through the left corona radiata, and then crossed the mid-portion of the corpus callosum. The tract then descended through the known corticospinal tract pathway to the right medulla. Conclusion: We conclude that the transcallosal ipsilateral motor pathway from the unaffected hemisphere appeared to contribute to the motor recovery in this patient.

Infection status of larval anisakids in Astroconger muyias.for collected from the Southern Sea near Pusan (부산 일대에서 시판되는 붕장어의 Anisakis 유충 감염상)

  • 송수복;황은경
    • Parasites, Hosts and Diseases
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    • v.30 no.4
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    • pp.263-268
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    • 1992
  • A study was presented on the anisakid larvae in Astroconger myriaster which were caught at the Southern Sea and waled at Pusan area. The nematodes were morphologically classified into Anisakis sp. and Centracgecum sp. after fixation in 70% ethanol and clearing in lactophenol. Total of 1, 768 larval anisakids were collected from 259(67.8% positive rate) out of 382 examined A. myriaster. Total 642 larvae of Anisakis sp. were obtained from 94 (24.6%) and 1, 126 Ccntracaecum sp. were recovered from 165 (43.1%) fish. The average number of worms per infected fish was 4.6. The infection rate increased according to the length of fish, and all of the fish over 71 cm were found infected. The numbers (proportions) of recovered worms by the organs were 1, 440 (80.5%) in the omentuin, 166(9.4%) in the intestine, 107(6.0%) in the stomach, 32(1.8%) in the skin, 18(1.0%) in the muscle, 13(0.7%) in the liver, and 2(0.1%) in the head. The larvae in the muscle may infect the humans who are enjoying raw sliced meat of the fish.

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쌍끌이 중층트롤어업의 연구 ( IV ) ( a Study on the Midwater Pair Trawling ( IV )

  • Jang, Chung-Sik;Lee, Byeong-Gee
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.32 no.1
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    • pp.7-15
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    • 1996
  • Full scale experiment was carried out in the southern sea of Korea to compare some important factors tested in the model experiment. The results obtained can be summarized as follows ; 1. The changing aspect of mouth performance of the full scale net was almost coincided with the results obtained by the model experiment. The vertical opening(H) and the opening area(S) can be expressed as a function of the towing velocity(V) as H=48.78. $e^0.38V$(unit: m, k't) S= 1,443 .$e^-0.25V$(unit: $m^2V$, k't) 2. The changing aspect of working depth of the full scale net was almost coincided with the results obtained by the model experiment. The depth(D) can be expressed as a function of the towing velocity(V) and the warp length(L) as D=92.49.$V^1.37$(unit: m, k't, L= 150m) D= 12.07+0.32. L (unit: m, V=2k't) [)= - 7.90+0.22 . L (unit: m, V=3k't) 3. Some problems were found to operate A - type full scale net by common bottom pair trawlers. The problems can be summarized as follows; (1) Entangling of wing and square head ropes while net casting.(2) Man power needed and time spent for net hauling by common bottom trawlers increased considerably.( 3) Tearing of nettings caused by over -load of tension and entangling of net pendant while net hauling. To solve these problems, the trawlers are favorable to be equipped with variable pitch propeller and llet drum. While the net is favorable to be constructed with trifurcated net pendant in stead of quadrifurcated net pendant used at present.

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The Factors Contributing to Financial Resources Interchange Type and Amounts of the Middle Aged and the Elderly Household (중.고령자가구의 경제적 자원 교류유형 및 교류액에 영향을 미치는 요인)

  • Kim, Soon-Mi;Park, Mee-Ryeo
    • Journal of Families and Better Life
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    • v.26 no.5
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    • pp.1-14
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    • 2008
  • The purpose of this study was to examine factors contributing to financial resources interchange type and amount of the middle aged and the elderly household. For this study, the 6th KLIPS data was used, and sample size was 1,679 households including those with head of household being over the age of 50. Statistical analysis was conducted to examine frequency, percentile, mean and standard deviation, Pearson's correlation, Anova, Duncan's multiple range test and Heckman analysis First, Interchange amount of Benefits type household was significantly different according to the householder's gender, existence or nonexistence of a spouse, age, educational background, home ownership, family type and place of residence. However, interchange amount of provide- type households were significantly different according tohouseholder's gender, existence or nonexistence of a spouse, educational background, whether retired or not, and home ownership. Second, The receptive type of households and net receptive expense of households in terms of the financial resources interchanges and the findings of Heckman analyses suggest that the variables to have a significant effect on the receptive types of financial interchanges were as gender, age, education level, retired or not, and current economics. Factors having an effects on net receptive expense were age, and family type and for the number of receptive of financial resources, whether there is the receptive of financial resources, total income, total asset. Third, The supplying type of households and net supplying expense of households in terms of the financial resources interchanges, whether or not the type of financially supplying households is significant were residential area, total income, house ownership. Factor having an effect net supplying expense were age, family type, whether there is the supplying of financial resources, family satisfaction, and house ownership.

A study on the fairness ring protocol for high-speed networks (고속 통신망을 위한 공정성 링 프로토콜에 관한 연구)

  • 김동윤;송명렬;장민석
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.22 no.1
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    • pp.139-150
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    • 1997
  • For high-speed networks, a new ring protocal is proposed in this paper. A ring network combined with destination removal can achieve much higher network throughput than the channel transmission rate. However, such a network exhibits fairness problems. Over a past few years, global fairness algorithms such as ATMR and Metaring have been proposed to solve such problems. But the ring access time delay and fairness in such networks are sensitive to the network parameters such as network size and traffic distribution. In addition to guaranteeing fair ring access to all nodes, there are several other important performance aspects in such networks. The one is that fairness is enforced while node throughputs are kept as high as possible. And another performance measure is access delay and more specifically Head-Of-Line(HOL) delay, i.e., the amount of time the first cell in the transmission buffer of a node has to wait before it accesses the ring. HOL delay is a mijor component in the transmission jitter of the synchronous traffic transmission. A key idea of the proposed ring protocol is to find the nodes that have much more chances to access the ring than any other nodes in the independently distributed node architecture. Since destined by many cells need to share a part of the bandwidths with the next node for the fairness in as much as performance degradation does not become critical. To investigate the performance behavior of the proposed ring protocol for various network condition,s several performance parameters wuch as ring access time delay, and throughput are compared with those of the ATMR and Metaring protocols using simulation package, SIMAN.

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Finite Element Analysis of Sound Transfer Characteristics for Middle Ear (유한요소 모델을 이용한 중이의 소리전달 특성 해석)

  • Gal, Young-Min;Baek, Moo-Jin;Lee, Doo-Ho
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.12
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    • pp.1563-1571
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    • 2011
  • In this study, we developed a finite element model of the human middle ear has been developed to calculate itsfor sound transfer characteristics calculation. We usedThe geometric data forof ossicles, obtained byfrom micro-CT scanning, was used in order to develop the middle- ear FE model. A right- side temporal bone of a Korean cadaver was used for the micro-CT scanning. The developed FE model includes three ossicles, the tympanic membrane, ligaments, and muscles. We calculated theA sound transfer function from the tympanic membrane to the stapes footplate was calculated. The sound transfer function calculated vias of the FE model shows good agreement with measured responses over the 10- kHz frequency band. To measureidentify the sensitivityies of the middle- ear function due to material property variation, we studied several parameters studies have been fulfilled using the middle ear FE model. TAs a result the stiffness property of the incudostapedial joint had the greatest influence onwas the most influential to the middle- ear sound transfer function among the parameters.

Development of a Visual Hydraulic Oil System for the Efficient Hydraulic Oil Experiment Education (효율적인 유압 실험실습교육을 위한 비주얼 유압 시스템 개발)

  • Roh Hyung-Woon;Kim Jae-Soo;Kim Wook;Lee Hee-Sang
    • Journal of Engineering Education Research
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    • v.4 no.2
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    • pp.11-19
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    • 2001
  • Current educational hydraulic oil systems consist of the composites for the hydraulic circuits. These systems not only could attract students' interests, but also increase the teaching efficiency during the lectures. Thus, the visual hydraulic oil system has been developed to enhance educational efficiency and to improve learning methods. With this new system, the students can easily examine the oil flow for hydraulic oil parts in mechanical engineering experiments. In order to develop the new system, the hydraulic constitute was made of acryl resin, and previous pipes were replaced by transparent and flexible tubes. Red colored oil was also used to visualize the oil flow. Furthermore, if OHP (Over Head Projector) was used for a theoretical lectures, the visual units can be used to classify the differences of the valve structure or the circuits. If lecturers use the developed visual hydraulic system, students can make an effective experiment on the basic theories and principles. Therefore, we can promote the students' interests and materialize the objectives of the subject. The results of this paper can be widely used to improve the efficiency of the mechanical engineering education.

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New Technologies for Enhancing Particles Separation Efficiency in Coagulation and Filtration (입자분리효율을 높이기 위한 새로운 기술)

  • Kunio, Ebie;Jang, Il-Hun
    • Journal of Korean Society of Water and Wastewater
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    • v.18 no.2
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    • pp.254-269
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    • 2004
  • Polysilicato-iron coagulant (PSI) is receiving attention in Japan as a substitute for aluminum-based coagulants. In the first part of this article, coagulation, sedimentation and filtration experiments were carried out using kaolin clay particles as the turbidizing material and four types of PSI with various molar ratios of polysilicic acid to ferric chloride (Si/Fe ratio). Results demonstrate that use of a PSI with a high Si/Fe ratio can cause a more dramatic decrease in treated water turbidity but a higher suction time ratio (STR) than when PACl is used. However, optimization by increasing the rapid agitation strength GR is found to greatly improve the STR. In addition, the series of filtration experiments verified that optimization of GR is greatly effective in controlling rapid increases in filter head loss, and also formation of a thin aging layer in the upper part of the filter bed by slow-start filtration is effective in improving filtered water turbidity over the entire filtration process. The second part of this article describes two innovative filtration techniques to increase the particle separation efficiency; (1) coagulant-coated filter medium by enhancing the electrical potential of the surface of the filter medium, and (2) coagulant dosing in influent by controlling the electrical potential of particles entering the filter layer. From the results of the various filtration experiments using a pilot plant, these two techniques were found to be very effective to reduce the effluent water turbidity from the start to the end of a filter run. Moreover, in the filtration experiments using these two methods simultaneously, higher removal efficiency of approximately 3-log (99.7%) was realized, resulting that the finished water turbidity was accordingly reduced to 0.004mg/L.