• 제목/요약/키워드: Rotation recovery

검색결과 95건 처리시간 0.026초

회전근 개 파열의 일열 봉합술과 이열 봉합술 (Single and Double-row Repair in Rotator Cuff Tears)

  • 박진영;최진형;박홍근;유제욱;서중배
    • Clinics in Shoulder and Elbow
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    • 제9권1호
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    • pp.89-95
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    • 2006
  • Purpose: Arthroscopic repair of rotator cuff tears are many techniques that have been developed to improve the initial postoperative strength of the repair. There was a doubt that current arthroscopic cuff repairs using a single row of suture anchors reproduce insufficient area of the anatomic cuff insertion, and concerns about failure of fixation often lead surgeons to limit early motion. Newer technique of double-row repair in arthroscopic treatment may provide initial stronger fixation and more contact with bone at the repair site than single-row repair did. We studied the comparison between clinical outcomes of arthroscopic single- and double-row repair in cuff tears at 1year postoperatively. Materials and methods: We retrospectively analyzed 40 shoulders with single-row repair and 38 shoulders with double-row repair of full-thickness rotator cuff tears between May 2002 and October 2004. Out of total 78 shoulders, 42 (54%) were male patients and 36 (46%) were female patients and the mean age at surgery was 56 years. All patients were diagnosed by physical examination and MRI. At 1year' follow-up after operation, we evaluated with the ASES and the Constant scoring system, and measured muscle power of abduction, internal and external rotation of the affected shoulder then compared with each other. Results: Mean ASES scores and Constant scores in double-row repair group improved more than single-row repair group significantly at 1year postoperatively. Muscle power of abduction and internal rotation, especially abduction power, improved more significantly in double-row repair group than in single-row repair. Conclusion: Arthroscopic double-row repair for the full thickness rotator cuff tear may be a superior technique, which showed better clinical outcomes and restoration of muscle power compared with single-row repair at relatively short period of postoperative follow-up. Restoration of footprint close to normal anatomy by double-row repair seems to play an important role in the recovery of muscle strength.

수중 및 균형 운동이 파킨슨 유발 백서모델에서 중뇌 흑질의 Tyrosine Hydroxylase 발현과 기능 회복에 미치는 영향 (Influence of Aqua and Balance Exercise on Tyrosine Hydroxylase Expression in the Substantia Nigra and Functional Recovery in Hemiparkinsonian Rat Model)

  • 이현민;김범수
    • 한국발생생물학회지:발생과생식
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    • 제15권2호
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    • pp.143-150
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    • 2011
  • 이 연구는 수중 운동, 균형 훈련과 복합 운동이 파킨슨 유발 흰쥐 모델에 미치는 영향을 관찰하기 위해 수산화도파민(6-hydroxydopamine)을 흰쥐의 좌측 내측전뇌다발에 주사하여 파킨슨 모델을 제작하였다. 실험동물은 수중 운동을 적용한 실험군 I, 균형 훈련을 적용한 실험군 II, 복합 운동(수중 운동+균형 훈련)을 적용한 실험군 III, 수술 후 표준사육장에서 운동을 적용하지 않은 대조군으로 배치하였다. 수술 후 7일, 14일, 21일에 실험동물의 중뇌 흑질의 도파민 세포감소를 관찰하기 위하여 TH(tyrosine hydroxylase)의 발현 양상을 관찰하였고, 행동학적 검사로 수술 후 1일, 7일, 14일,21일에 아포몰핀유도 회전 검사를 실시하였다. 실험 결과, 실험군들에서 대조군에 비하여 유의하게 높은 TH 발현과 아포몰핀유도 회전수를 보였다. 하지만 실험군들 사이에는 유의한 차이가 나타나지 않았다. 이상의 결과에서 파킨슨유발 흰쥐모델이 기능 회복에 수중 운동과 균형 훈련이 효과적임을 알 수 있었으며, 흑질 치밀부의 도파민성 신경섬유의 증감을 나타내는 TH의 발현에도 수중 운동과 균형 훈련이 효과적임을 알 수 있었다.

일리노이주의 옥수수 포장에서 질소질 비료의 적정시용에 대한 전문가체계의 검증 (Model Verification of Decision Assisting Nitrogen Expert System NES to Illinois Cornfields)

  • 김원일;정구복;;김길용;박노동
    • 한국토양비료학회지
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    • 제34권1호
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    • pp.64-70
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    • 2001
  • 전보에서 개발한 질소질 비료의 적정시비량 산정을 위한 전문가체계 모델인 NES 를 일리노이주 옥수수 포장에 적용하여 검증하였다. 본 검증에는 Howard 박사와 5개의 일리노이주 농업 시험장에서 수행한 옥수수에 대한 질소질 비료의 시용 결과를 각각 이용하였고, 현행 일리노이주 옥수수 포장의 질소시비 추천량, Hoeft 추천량, 이론적 최대이익산출 추천량 및 NES 추천량 등 각각의 추천기준에 대한 예상수량, 질소회수율 및 질소유실량을 산정 비교하였다. 생산성 지표(PI), 토양 유기물함량(SOM) 및 시비전 질산태질소 함량(PSNT) 등 3개의 토양특성을 고려한 NES의 추천량이 타 추천량에 비해 가장 적었으며, 이에 따른 질소의 회수율도 가장 높았다. 그러나, 수익면에 있어서는 NES 추천량이 이론적 최대이익산출 추천량에 미치지 못했는데, 이는 환경 비용을 고려하지 않은 결과로 생각된다. 따라서 경작 형태나 경운, 환경 비용 등에 따른 질소의 효율성을 고려한 보다 발전된 시비량 모델의 개발이 요구된다.

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선천성 유아 사경의 물리치료에 대한 임상적 고찰 (A Clinical Study on the Physiotherapy of Congenital Muscular Torticollis)

  • 김호봉;황재철;배윤한
    • 대한물리치료과학회지
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    • 제3권3호
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    • pp.65-70
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    • 1996
  • Torticollis is a deformity of the neck that shows tilting of the head toward the affected side and rotation of the chin toward the opposite side. In many cases with this condition, unilateral tightness of the sternocleidomastoid muscle is found frequently with fibrous tumor. The analysis of 43 cases of congenital muscular torticollis and result of their physical therapy are reported. The research was from Jan. 1, 1990 to Dec. 31, 1995 at Ulsan Dong Kang Hospital. The results obtained were as follows. 1. There were 30 males(69.8%) and 13 females(30.2%). Age distribution of patients showed below 2 month 20 cases(46.5%), above 1 year 7 cases(16.3%), $5{\sim}6/11{\sim}12$ months 4 cases(9.3%), and $7{\sim}8$ month 2 cases(4.6%). 2. 25 cases(58.1 %) were on the right and 18 cases(41.9%) on the left side. Torticollis was mild to moderately severe in mild 22 cases(51.1 %), moderate 18 cases (41.9 %) and severe 3 cases(7%). 3. There were normal spontaneous delivery in 36 cases(83.7%), Cesaean section in 4 cases (9.3%) and breech presentation in 3 cases(7%). Sequence of birth, the 1st born babys were 30 cases(69.8%) and the 2nd born babys were 13 cases(30.2%). 4. Above fair result of physiotherapy were 36 cases(83.7%). 5. Of the 43 cases with fellow up, above fair 32 cases(74.4%) and poor 11 cases(25.6%) showed. As conclusion, passive stretch exercise of sternocleidomastoid muscle with early torticollis diagnosis seems more successful in recovery than no exercise.

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Steep plasma density gradient at middle latitudes observed by DMSP and TOPEX during the magnetic storm of 11-12 April 2001

  • Park, Sa-Rah;Kim, Khan-Hyuk;Kil, Hyo-Sub;Jee, Geon-Hwa;Lee, Dong-Hun;Goldstein, J.
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
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    • 한국우주과학회 2011년도 한국우주과학회보 제20권1호
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    • pp.26.3-27
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    • 2011
  • Formation of a steep plasma density gradient in the middle-latitude ionosphere during geomagnetic storms and the latitudinal migration of its location depending on the storm phase are suggested to be associated with the ionospheric signature of the plasmapause. We test this idea by using the satellite and ground observation data during the 11 April 2001 storm. The locations of the steep plasma density gradient identified by TOPEX/Poseidon (2001 LT) and DMSP (1800 and 2130 LT) satellites coincide with the ionospheric footprints of the plasmapause identified by the IMAGE satellite. This observation may support the dependence of the middle-latitude plasma density gradient location on the plasmapause motion, but does not explain why the steep density gradient whose morphology is largely different from the morphology of the middle-latitude ionization trough during quiet period is formed in association with the plasmapause. The ionospheric disturbances in the total electron content (TEC) maps shows that the steep TEC gradient is formed at the boundary of the positive ionospheric storm in low-middle latitudes and the negative ionospheric storm in middle-high latitudes. We interpret that the thermospheric neutral composition disturbance in the dayside is confined within the middle-high latitude ionospheric convection zone. The neutral composition latitudes and, therefore, the locations of the steep plasma density gradient coincide with the footprints of the plasmapause. The TEC maps show that the appearance of the steep plasma density gradient in the pre-midnight sector during the recovery phase is related to the co-rotation of the gradient that is created during the main phase.

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Applicability of Cu-Al-Mn shape memory alloy bars to retrofitting of historical masonry constructions

  • Shrestha, Kshitij C.;Araki, Yoshikazu;Nagae, Takuya;Omori, Toshihiro;Sutou, Yuji;Kainuma, Ryosuke;Ishida, Kiyohito
    • Earthquakes and Structures
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    • 제2권3호
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    • pp.233-256
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    • 2011
  • This paper investigates the applicability of newly developed Cu-Al-Mn shape memory alloy (SMA) bars to retrofitting of historical masonry constructions by performing quasi-static tests of half-scale brick walls subjected to cyclic out-of-plane flexure. Problems associated with conventional steel reinforcing bars lie in pinching, or degradation of stiffness and strength under cyclic loading, and in their inability to restrain residual deformations in structures during and after intense earthquakes. This paper attempts to resolve the problems by applying newly developed Cu-Al-Mn SMA bars, characterized by large recovery strain, low material cost, and high machinability, as partial replacements for steel bars. Three types of brick wall specimens, unreinforced, steel reinforced, and SMA reinforced specimens are prepared. The specimens are subjected to quasi-static cyclic loading up to rotation angle enough to cause yielding of reinforcing bars. Corresponding nonlinear finite element models are developed to simulate the experimental observations. It was found from the experimental and numerical results that both the steel reinforced and SMA reinforced specimens showed substantial increment in strength and ductility as compared to the unreinforced specimen. The steel reinforced specimen showed pinching and significant residual elongation in reinforcing bars while the SMA reinforced specimen did not. Both the experimental and numerical observations demonstrate the superiority of Cu-Al-Mn SMA bars to conventional steel reinforcing bars in retrofitting historical masonry constructions.

Current Status of KMTNet/DEEP-South Collaboration Research for Comets and Asteroids Research between SNU and KASI

  • BACH, Yoonsoo P.;YANG, Hongu;KWON, Yuna G.;LEE, Subin;KIM, Myung-Jin;CHOI, Young-Jun;Park, Jintae;ISHIGURO, Masateru;Moon, Hong-Kyu
    • 천문학회보
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    • 제42권2호
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    • pp.82.2-82.2
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    • 2017
  • Korea Microlensing Telescope Network (KMTNet) is one of powerful tools for investigating primordial objects in the inner solar system in that it covers a large area of the sky ($2{\times}2$ degree2) with a high observational cadence. The Deep Ecliptic Patrol of the Southern sky (DEEP-South) survey has been scanning the southern sky using KMTNet for non-bulge time (45 full nights per year) [1] since 2015 for examining color, albedo, rotation, and shape of the solar system bodies. Since 2017 January, we have launched a new collaborative group between Korea Astronomy and Space Science Institute (KASI) and Seoul National University (SNU) with support from KASI to reinforce mutual collaboration among these institutes and further to enhance human resources development by utilizing the KMTNet/DEEP-South data. In particular, we focus on the detection of comets and asteroids spontaneously scanned in the DEEP-South for (1) investigating the secular changes in comet's activities and (2) analyzing precovery and recovery images of objects in the NASA's NEOWISE survey region. In this presentation, we will describe our scientific objectives and current status on using KMTNet data, which includes updating the accuracy of the world coordinate system (WCS) information, finding algorithm of solar system bodies in the image, and doing non-sidereal photometry.

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물리치료를 받은 선천성 근성 사경 환아의 최종 종괴 지름 예측 모형 개발 (Development of the Last Mass Diameter Prediction Model for Congenital Muscular Torticollis Infants Provided Physical Therapy)

  • 이인희;신아미;이경호;박희준;김윤년
    • The Journal of Korean Physical Therapy
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    • 제21권2호
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    • pp.65-70
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    • 2009
  • Purpose: The pathophysiology of congenital muscular torticollis (CMT) is that the sternoclavicularmastoid (SCM) is shortened on the involved side by fibrosis, leading to an ipsilateral tilt and contralateral rotation of the face and chin. The aim of this study was to examine the effect of physical therapy and develop a mass diameter prediction model for infants with CMT. Methods: Fifty six patients were diagnosed with CMT between April 2003 and December 2008. Infants with neurological complications, and spasmodic and ocular torticollis were excluded. Physical therapy was applied to those masses in the SCM muscles of those infants after checking their physical findings and the diameter of the mass with ultrasonography. Their physical findings and mass diameter was reevaluated when their neck tilt was under $5^{\circ}$. Results: The mean age when physical therapy was started was 35 days. After a mean 90 days of treatment, the subjects showed improvement in the neck tilt. Subjects whose neck tilted above $15^{\circ}$ showed significant improvement in neck tilt decreased their mass diameter (p<0.01). Facial symmetric infants showed a shorter recovery duration than the facial asymmetric infants (p<0.05). A mass decreasing model based on the diameter of the mass, facial symmetry or not and the physical therapy start day after birth was developed by linear regression. Conclusion: Physical therapy is an effective treatment for CMT. The change in the diameter of the mass on the SCM muscles after treatment can be predicted.

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Effectiveness of the Anti-adhesive Agent Protescal after Arthroscopic Rotator Cuff Repair: A Retrospective Study

  • Chung, Pill Ku;Yoo, Jae Chul;Jeong, Jeung Yeol
    • Clinics in Shoulder and Elbow
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    • 제20권1호
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    • pp.3-9
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    • 2017
  • Background: Many hyaluronic acid (HA)-based anti-adhesive agents have been commercialized for clinical use in the pharmaceutical market. But their efficacy in arthroscopic rotator cuff repairs remains elusive. To determine their efficacy, we performed a comparative analysis of the effects of two hyaluronate/carboxymethylcellulose (CMC)-based anti-adhesive agents, Protescal and Guardix. Methods: We recruited a total of 256 patients who had received an arthroscopic rotator cuff repair at our hospital between January 2014 and March 2015. Among them, 96 patients fulfilled the study's selection criteria and were enrolled as the final population sample. Thirty patients who had received a postoperative injection of Protescal were allocated into Group A. Another 30 patients who had received a postoperative injection of Guardix were allocated into Group B. As controls, 36 patients who did not receive any injection were allocated into Group C. The patients included in this study were aged between 19 and 75 years. For the clinical assessment, we measured the following clinical parameters-the visual analogue scale for pain (PVAS), the American Shoulder and Elbow Surgeons (ASES) score, and the constant score, as well as passive range of motions (ROMs)-at three time-points (preoperatively, 2-month postoperatively, and 6-month postoperatively). Results: We found that Group A compared to Group B tended to show a swifter recovery in passive anterior elevation and in internal rotation by the 2-month postoperative follow-up, but the differences were not statistically significant. Conclusions: We found that the effects of HA/CMC-based injections were minimal after arthroscopic rotator cuff repairs.

실패 증례 분석을 통한 국소의치 제작 시 주의사항 (The Fabrication of Accurate Removable Partial Denture by Analyzing the Failed Cases)

  • 이지영;이경록;허유리;손미경
    • 구강회복응용과학지
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    • 제29권3호
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    • pp.280-289
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    • 2013
  • 부분 무치악 환자의 구강기능 회복을 위한 가철성 국소의치는 경조직인 잔존치아와 연조직인 구강 점막 모두를 고려해야 하는 복합치료이다. 가철성 국소의치의 제작 시 각 구성요소의 정확한 설계와 의치의 회전에 대한 고려가 이루어 지지 않은 경우 국소의치의 파절, 변형, 지대치의 소실 등의 실패가 발생될 수 있다. 임상에서 국소의치의 실패가 발생되었을 때 단지 재제작을 결정하기 보다는, 다양한 실패의 원인을 분석하고 그 결과를 향후 국소의치 제작에 적용해야 할 것이다. 실패증례 분석을 통한 문제의 해결은 환자가 오랫동안 편안하게 사용할 수 있고 잔존치아와 조직의 건강을 유지할 수 있는 국소의치를 제작하는데 도움이 될 것이다.