• 제목/요약/키워드: Safe Joint

검색결과 230건 처리시간 0.031초

Initial experience with intra-articular 188Re-tin colloid as a "radiation synovectomy" agent in various joints

  • Shinto, Ajit S;Indira, VU;Kamaleshwaran, KK;Banka, Vinay Kumar;Aswathy, KK;Thirumalaisamy, SG;Rajamani, V;Mallia, Madhav;Banerjee, Sharmila
    • 대한방사성의약품학회지
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    • 제1권2호
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    • pp.109-117
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    • 2015
  • Radiation synovectomy has been proposed as a promising palliative therapy for recurrent joint effusions for the last two or three decades. Ionizing radiations emitted by intrarticularly administered radiolabelled colloids. The aim of this study was to assess the effectiveness of radiation synovectomy (RSV) using $^{188}Re$-tin colloid in the treatment of recurrent joint effusions and chronic synovitis of knee joints. Three phase bone scan was acquired for the concerned joint prior to radiosynovectomy. $^{188}Re$-tin colloid was prepared as per the reported protocol. 9 patients, diagnosed with rheumatoid arthritis and suffering from chronic resistant synovitis of the knee, ankle or elbow joints were administered the radiopharmaceuticals, checked for radiochemical purity >95% by intraarticular route. A whole body scan was acquired 2 h post-radiosynovectomy. In all the 9 treatments, no leakage to non-target organs was visible in the whole body scan. Static scans of the joint revealed complete retention of $^{188}Re$-tin colloid in the joints post administration of the agent. Clinically all patients exhibited a complete or partial response. RSV with $^{188}Re$-tin colloid was safe and effective in patients with chronic synovitis of rheumatoid origin.

철도하부 가도교 설치에 대한 JES공법 (Joint Element Structure Method on the Subway Box Structure unere Railroad)

  • 피태희;조국환;사공명
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2008년도 추계학술대회 논문집
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    • pp.973-981
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    • 2008
  • This document presents the JES(Joint Element Structure) method that has been adopted for the firs time in our country for the construction of the structure crossing under the railroad without open excavation. Front Jacking Method, Tubular Roof Construction Method, New Tubular Roof Method and Joint Element Structure Method are commonly used for the construction of structures crossing under the railroad. JES Method, frequently used in Japan recently, is a new method to construct the structures crossing under the railroad in a safe manner and in a relatively short period of time by utilizing the steel elements with the joints through which the load in the vertical angle to the axial direction is transferred to the next element. The elements are tied to each other through the joints to form the permanent walls of a Rahmen structure under the road without open excavation and without limitation to the length in a convenient way. Through the case study in the project of a Subway Box Culvert Improvement for the Gyeonguiseon Railroad in front of Yonsei University using the JES Method, the cost and period of construction in various types of soil is investigated compared to the Front Jacking Method. Furthermore, by analyzing the results of instrumentation measurements carried out throughout the construction, comparison between the actual displacement in the ground and the predicted displacement in the design is made to provide the considerations to be counted for the design. In conclusion, comparison in the field of economic feasibility, constructability and safety between the JES Method and Front Jacking Method, which is most frequently adopted in our country at present, is made to present the JES Method as a new alternative for the non-open excavation construction method for the structures crossing under the railway.

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국내 임상연구 문헌고찰을 통한 단일 관절 질환의 봉약침요법 응용례 분석 (A Rev iew of Bee Venom Acupuncture for Articular Diseases of Single Type Joint in the Journal of Korean Medicine)

  • 김효준;김국범;박주언;권용수;유재은;이희원;배준효;최규철;배지은;한수빈;김양선
    • 한방재활의학과학회지
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    • 제31권1호
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    • pp.119-135
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    • 2021
  • Objectives This review aims to analyze the current research trend in the usage of bee venom (BV) acupuncture for articular diseases of single type joint. Methods We collected 74 articles on BV acupuncture clinical study for articular diseases of single joint by searching Korean web databases 'Journal of Korean Medicine Rehabilitation', 'Oriental Medicine Advanced Searching Integrated System', 'Korean Traditional Knowledge Portal' from 1999 to 2020 August. Results We summarized the most frequent clinical treatment methods of BV acupuncture for articular diseases of single type joint. Research focused on specific diseases in application of BV acupuncture about some articular type diseases of single joint. It is assumed that the details of treatment for each joint are not related to the type of joint. In clinical study of BV acupuncture, reproducibility was mostly insufficient. Conclusions BV acupuncture clinical study for articular diseases of single joint should be proceed for a number of subjects, to treat various types of disease, by using more safe and detailed treatments.

임플란트 고정체-지대주 연결부 및 지대주 디자인이 기계적 강도에 미치는 영향 (Influence of Implant Fixture-Abutment Connection and Abutment Design on Mechanical Strength)

  • 전미현;정창모;전영찬;엄태관;윤지훈
    • 구강회복응용과학지
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    • 제24권3호
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    • pp.269-281
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    • 2008
  • 골유착성 임플란트 보철물에서 피로나 과하중에 의해 보철유지 나사나 지대주 나사의 파절, 보철물의 파절, 또는 고정체의 파절 등과 같은 기계적 강도와 연관된 문제점이 발생할 가능성이 높다. 임플란트 시스템의 기계적인 강도에 영향을 주는 요소에는 고정체와 나사의 직경, 재료적 특성, 연결부 디자인, 지대주 디자인 등이 있으며, 이 중 임플란트 고정체와 지대주간의 연결부 디자인은 임플란트 시스템의 기계적인 연결상태와 연결부 안정성을 결정하는 주요소이다. 대부분의 기계적 강도에 관한 연구에서처럼 단일하중에 의한 압축굽힘강도나, 단기적인 반복하중 후의 결과만을 평가하여 임플란트 시스템의 장기적인 안정성을 예측하기에는 한계가 있다. 연구 목적: 이에 본 연구에서는 external butt joint와 internal conical joint를 갖는 임플란트 시스템(오스템사)의 연결부 디자인에서 각각 다른 두 가지 지대주를 사용하여, 연결부 및 지대주 디자인이 기계적 강도에 미치는 영향을 압축굽힘강도는 물론 내구성한계를 측정하여 알아보고자 하였다. 연구 재료 및 방법: External butt joint인 US II에서는 통상적인 UCLA 지대주 형태의 Cemented abutment(BJT)와 굽힘 저항성을 증가시키기 위해 나사 두부가 지대주 상단에 위치하도록 설계된 Safe abutment(BJS)를, internal conical joint인 SS II에서는 one-piece형의 Solid abutment(CJO)와 two-piece형의 ComOcta abutment(CJT)를 지대주로 사용하였다. ISO 규정을 참고하여 단일 임플란트, 변연골 흡수, 그리고 $30^{\circ}$ 경사하중 조건에서 압축굽힘강도와 내구성한계를 측정하였고 실패 양상을 관찰한 결과 다음과 같은 결론을 얻었다. 결과 및 결론: 1. 압축굽힘강도는 BJS군(1392.0N), CJO군(1261.8N), BJT군(1153.2N), 그리고 CJT군(1110.2N) 순으로 낮아졌으며(P<.05), CJT군과 BJT군 사이에는 차이가 없었다(P>.05) 2. 내구성한계는 CJO군(600N), CJT군(453N), BJS군(360N) 그리고 BJT군(300N) 순으로 낮아졌다. 3. 압축굽힘강도는 연결부 디자인 또는 지대주 디자인에 따라 차이를 보였으며, 내구성한계에 있어서는 연결부 디자인이 더 주된 요소로 작용하였다.

유소년 스포츠 선수들의 점프착지 후 수직점프 동작 시 착지 유형에 따른 하지관절의 운동역학적 분석 (Biomechanical Analysis of Lower Extremity Joints According to Landing Types during Maximum Vertical Jump after Jump Landing in Youth Sports Athletes)

  • Jiho Park;Joo Nyeon Kim;Sukhoon Yoon
    • 한국운동역학회지
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    • 제33권3호
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    • pp.110-117
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    • 2023
  • Objective: The purpose of this study was to find out kinematic and kinetic differences the lower extremity joint according to the landing type during vertical jump movement after jump landing, and to present an efficient landing method to reduce the incidence of injury in youth players. Method: Total of 24 Youth players under Korean Sport and Olympic Committee, who used either heel contact landing (HCG) or toe contact landing (TCG) participated in this study (HCG (12): CG height: 168.7 ± 9.7 cm, weight: 60.9 ± 11.6 kg, age: 14.1 ± 0.9 yrs., career: 4.3 ± 2.9 yrs., TCG height: 174.8 ± 4.9 cm, weight: 66.9 ± 9.9 kg, age 13.9 ± 0.8 yrs., career: 4.7 ± 2.0 yrs.). Participants were asked to perform jump landing consecutively followed by vertical jump. A 3-dimensional motion analysis with 19 infrared cameras and 2 force plates was performed in this study. To find out the significance between two landing styles independent t-test was performed and significance level was set at .05. Results: HCG showed a significantly higher dorsi flexion, extension and flexion angle at ankle, knee and hip joints, respectively compared with those of TCG (p<.05). Also, HCG revealed reduced RoM at ankle joint while it showed increased RoM at knee joint compared to TCG (p<.05). In addition, HGC showed greater peak force, a loading rate, and impulse than those of TCG (p<.05). Finally, greater planta flexion moment was revealed in TCG compared to HCG at ankle joint. For the knee joint HCG showed extension and flexion moment in E1 and E2, respectively, while TCG showed opposite results. Conclusion: Compared to toe contact landing, the heel contact landing is not expected to have an advantage in terms of absorbing and dispersing the impact of contact with the ground to the joint. If these movements continuously used, performance may deteriorate, including injuries, so it is believed that education on safe landing methods is needed for young athletes whose musculoskeletal growth is not fully mature.

동측에 발생한 쇄골 골절과 견갑골 골절의 수술적 치료 (Operative Treatment of Ipsilateral Fractures of Clavicle and Scapula)

  • 박정호;서승우;박상원;이광석
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.46-50
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    • 1998
  • The superior shoulder suspensory complex is composed of glenoid fossa, coracoid process, coracoclavicular ligament, distal clavicle, acromioclavicular ligament, acromion. Traumatic double disruptions of this complex lose its suspensory action on the shoulder joint and result in functional loss and deformity. Careful radiologic evaluation and appropriate management are required for injuries to this complex. Ipsilateral fractures of clavicle and scapula create unstable anatomic situation on shoulder joint. Conservative treatment usually fails to achieve good functional recovery due to rotator cuff weakness, nonunion, delayed union, malunion and neurovascular injury. Authors studied the result of operative treatment of ipsilateral clavicle and scapular fractures to prevent such complications. Seven cases were treated with open reduction and internal fixations of clavicle alone or clavicle and scapula simultaneously and followed up for nineteen months(twelve months - thirty-eight months). All but one patient showed good or excellent functional result according to the scoring system of Rowe. Poor result was developed in the case which had brain injury. Rigid fixations of clavicle alone or clavicle and scapular fractures both can achieve stable reduction of the fractures and prevent sequelae. We concluded that operative treatment of ipsilateral fractures of clavicle and scapula is safe and yields predictable good results.

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8주간의 타이치 운동 프로그램이 골관절염 노인환자의 낙상 위험요인에 미치는 효과 (Effects of a 8-week Tai Chi Exercise Program on the Risk Factors for Falls in the Elderly with Osteoarthritis)

  • 이은남;유영원
    • 근관절건강학회지
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    • 제11권1호
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    • pp.61-73
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    • 2004
  • Purpose: The purpose of this study was to determine the effects of a 8- week Tai Chi exercise program on improving the risk factors for falls in the older adults with chronic arthritis pain. Method: Fifteen subjects were assigned for experimental group and thirteen were assigned for control group. The subjects of the experimental group participated in a 8 -week program of Tai Chi exercise. In order to evaluate the effects of Tai Chi program, pain intensity, postural stability, balance, gait, and flexibility of knees and ankles were measured before the first and after the 8th session Result: After a 8-week Tai Chi program, there were significant improvement in single-leg stance time with eyes open(left: p=.000, right: p=.003), total scores of balance(p=.004), total scores of gait(p=.005), and the angle of ankle dorsiflexion(p=.008) in the experimental group when compared to the control group. However, there was no significant difference in pain intensity between Tai Chi group and control group(p=.054). Conclusion: These results suggest that a 8-week Tai Chi exercise program can be utilized as a safe and effective nursing program to improve on improving the risk factors for falls in the older adults with osteoarthritis.

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원위 요골 악성 종양의 광범위 절제술 후 혈행성 유리 비골 두 이식을 이용한 수근관절 재건술 (Reconstruction of Wrist Joint Using Vascularized Free Fibular Head Graft After the Wide Tumor Excision of Distal Radius)

  • 송석환;이윤민
    • Archives of Reconstructive Microsurgery
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    • 제20권1호
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    • pp.82-88
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    • 2011
  • Vascularized free fibula head transfer is an established method for reconstruction of long bone defects of the upper limb involving the distal radius or the proximal humerus. For the wrist following tumor resection, in cases of resection of the radial articular surface, three reconstructive options are possible: 1. fibular head transfer to replace the radial joint surface, 2. fixation of the fibula to the scaphoid and lunate, 3. complete wrist fusion. The decision on the type of the operation depends on the amount of the resection and the remained normal anatomical structures, and also the necessity of function of the wrist in the future. The authors believe that the vascularized free fibula head graft is a safe and reliable method for reconstructing the upper limb, especially for patients with a defect of the distal radius, and report the operative methods, donor vascular consideration, complications, and functional result after this operation.

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타이치 프로그램이 류마티스 관절염 환자의 통증, 수면장애, 기분 및 피로정도에 미치는 영향 (Effects of a Tai-Chi Program on Pain, Sleep Disturbance, Mood and Fatigue in Rheumatoid Arthritis Patients)

  • 이은남
    • 근관절건강학회지
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    • 제12권1호
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    • pp.57-68
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    • 2005
  • Purpose: The purpose of this study was to determine the effects of a 6- week Tai-Chi program on improving pain, sleep disturbance, mood, and fatigue in rheumatoid arthritis patients. Method: Sixteen subjects were assigned for experimental group and fifteen were assigned for control group. The subjects of the experimental group participated in a 6-week program of Tai-Chi. Each Tai-Chi class was conducted by a certified Tai-Chi instructor. In order to evaluate the effects of Tai-Chi program, pain, sleep disturbance, mood and fatigue were measured before and after the 6th session Result: After 6-week Tai-Chi program, there were significant improvement in mood & sleep disturbance in the experimental group when compared to the control group However, there were no significant differences in pain intensity and fatigue between Tai-Chi group and control group. Conclusion: These results suggest that a 6-week Tai-Chi program can be utilized as an safe and effective nursing program to improve mood and sleep disturbance in rheumatoid arthritis patients. Long term studies of the effects of Tai-Chi on the pain intensity and fatigue may be import.

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국내 화학물질 관리에 대한 현행 법률 분석과 발전방향 (Analysis and Suggestions on Current Chemical Management in Korea)

  • 박근성;김현섭;전병한
    • 대한환경공학회지
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    • 제39권11호
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    • pp.650-654
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    • 2017
  • 화학물질의 취급량 증가에 따라 화학물질 관리 제도를 전면적으로 개편하는 움직임이 국제적으로 일어나고 있다. 한국 역시 화학물질 관리 제도를 전면 개편하여 화학물질관리법과 화학물질 등록 및 평가에 관한 법률이 제정되었다. 하지만 화학물질관리법의 경우, 법 시행 4년째를 앞두고 여러 개선사항이 드러나고 있다. 따라서 본고에서는 화학물질관리법의 제언한 개선사항에 대한 보완점을 연구하고 그에 맞는 발전방향을 제시하여 화학물질관리법이 오랫동안 안전한 화학물질 관리제도로서 대내외에 널리 도입되고 연구되었으면 하는 바람이다.