• 제목/요약/키워드: Tilt-Up Method

검색결과 43건 처리시간 0.03초

Comparison of the Effects of Magnetically Controlled Growing Rod and Tradiotinal Growing Rod Techniques on the Sagittal Plane in the Treatment of Early-Onset Scoliosis

  • Erdogan, Sinan;Polat, Baris;Atici, Yunus;Ozyalvac, Osman Nuri;Ozturk, Cagatay
    • Journal of Korean Neurosurgical Society
    • /
    • 제62권5호
    • /
    • pp.577-585
    • /
    • 2019
  • Objective : Comparing the effects of magnetically controlled growing rod (MCGR) and traditional growing rod (TGR) techniques on the sagittal plane in the treatment of early-onset scoliosis (EOS). Methods : Twelve patients were operated using dual MCGR technique in one center, while 15 patients were operated using dual TGR technique for EOS in another center. Patients' demographic characteristics, complications and radiological measurements such as cobb angle, thoracic kyphosis, lumbar lordosis, T1-S1 range (mm), proximal junctional angle, distal junctional angle, sagittal balance, coronal balance, pelvic incidence, sacral slope and pelvic tilt were assessed and compared in preoperative, postoperative and last follow-up period. Results : Age and sex distributions were similar in both groups. The mean number of lengthening in the MCGR group was 12 (8-15) and 4.8 (3-7) in the TGR group. Two techniques were shown to be effective in controlling the curvature and in the increase of T1-S1 distance. In TGR group, four patients had rod fractures, six patients had screw pull-out and four patients had an infection, whereas three patients had screw pull-out and one patient had infection complications in the MCGR group. Conclusion : There was no significant difference between the two groups in terms of cobb angle, coronal and sagittal balance and sagittal pelvic parameters. MCGR can cause hypokyphosis and proximal junctional kyphosis in a minimum 2-year follow-up period. The implant-related complications were less in the MCGR group. However, larger case groups and longer follow-up periods are required for the better understanding of the superiority of one method on other in terms of complications.

차세대 DVD 시스템용 Actuator 연구 (Study on Dual-Lenses Actuator for HD-DVD System)

  • 김석중;이용훈;안영만;정종삼
    • 한국소음진동공학회:학술대회논문집
    • /
    • 한국소음진동공학회 2002년도 추계학술대회논문집
    • /
    • pp.777-781
    • /
    • 2002
  • Recently, an optical disc system has been proposed using blue laser diode, high NA objective lens and groove only disc structure. A new method is needed to readout CD and DVD in this blue system. In order to readout CD and DVD in HD-DVD system, we adopted dual-lenses actuator in consideration of optical utilization efficiency, optical performance and insurance of sufficient W.D (working distance). This dual-lenses actuator has two objectives in radial direction, one is for CD/DVD and the other is for HD-DVD. We had to solve the induced problems of DC tilt increase, $2^{nd}$ resonance deterioration and AC sensitivity drop caused by disposing two lenses in an actuator. Especially, to solve AC sensitivity drop, we introduced two 2-pole magnets and separated focus and track magnetic circuits. Consequently we presented that dual-lenses actuator has been possessed good performance. And we measured eye patterns of CD, DVD and HD-DVD by using HD-DVD optical pick-up with dual-lenses actuator.

  • PDF

평판형 태양열 집열기의 각도에 따른 집열성능 연구 (Study on the Heat Collecting Performance of Flat-Plate Solar Collector by the angle)

  • 지명국;공태우;배철환;정효민;정한식
    • 대한기계학회:학술대회논문집
    • /
    • 대한기계학회 2000년도 춘계학술대회논문집B
    • /
    • pp.316-321
    • /
    • 2000
  • In this study, heat collecting performance was study of flat plate solar collector by the angle. A method of study on were made turn out artificial sun by the angle of 0, 15, 30 degrees. The heat performances were measured the tube array surface temperature by thermo-couple. The winter season natural condition for 4 times on the angles of various general and emboss glass at optimum distance(0.68m) calculated of between sun and solar collector. To sum up temperature rise is appear more or less that emboss glass is all the better for general glass. The temperature variable at below of 30 degree was appear very less. The maximum performance of this system at that it is tilt angle of 30 with general glass is appear Q:11.54(kcal/min) and ${\Delta}T=18.9^{\circ}C$.

  • PDF

Effects of Three Week 3D Pilates Breathing Exercise on Spinal Curvature, Trunk Imbalance and Alignment of Healthy Adults

  • Kim, Seongyeol
    • 국제물리치료학회지
    • /
    • 제10권2호
    • /
    • pp.1797-1802
    • /
    • 2019
  • Background: Breathing is the essential step of Pilates exercise and can be used to activate core muscles. Although the effects of breathing exercise on pain, breathing muscles, and cervical posture have been extensively studied, little is known about the impact of Pilates breathing on spinal posture and alignment. Purpose: To determine the effect of 3D-Pilates breathing exercise on spinal curvature and alignment of healthy adults during corrected to normal alignment. Design: One group pre-post test design Methods: Eighteen participants were given a 3D-pilates breathing exercise twice a week (20 minutes per session) for three weeks and warmed up for 10 minutes before each exercise session. To examine spinal curvature and alignment of each subject, this study used radiation free rasterstereography (Formetric III, Germany). Paired t-test and Wilcoxon signed rank test were performed to determine the difference between pre and post exercise. Results: There were statistically significant differences in height (p<.001), kyphosis angle (p<.05), trunk imbalance (p<.05), kyphotic apex (p<.01), cervical fleche (p<.05), pelvic tilt (p<.01), and lateral deviation (p<.05) between before and after 3D Pilates breathing exercise. However, there was no significant difference in lordosis angle. Conclusions: The study results indicated that three week 3D-pilates breathing exercise program could be presented as an effective rehabilitation method for improving spinal curvature and alignment.

볼바를 사용한 회전 테이블의 기하학적 오차 추정 (Geometric Errors Estimation of a Rotary Table using Double Ball-bar)

  • 이광일;이동목;권성환;양승한
    • 한국정밀공학회지
    • /
    • 제27권11호
    • /
    • pp.98-105
    • /
    • 2010
  • In this paper, double ball-bar is used to estimate the geometric errors of a rotary table, which includes one-axial motion, two-radial motions and two-tilt motions, except the angular positioning error. To simplify the measurement procedures, three measurement steps have been designed and developed. At each measurement step, one end of the double ball-bar is fixed at the nose of spindle and the other end is located on the rotary table. And specific circular test path is planned to keep the distance between two balls as constant at ideal case. The relationship including the geometric errors of a rotary table and the measured distance between two balls which is distorted by the geometric errors is defined by using ball-bar equation. Each geometric error is modeled as $4^{th}$ order polynomial considering $C^1$-continuity. Finally the coefficients of polynomial are calculated by least-square method. Simulation is done to check the validation of the suggested method considering set-up errors and measurement noise. Suggested method is applied to estimate geometric errors of a rotary table of a 5-axis machine tool.

의료영상 진단을 위한 팔꿉관절 X-선 검사 보조기구 개발 (Development of Elbow Joint X-ray Examination Aid for Medical Imaging Diagnosis)

  • 김형균
    • 한국방사선학회논문지
    • /
    • 제18권2호
    • /
    • pp.127-133
    • /
    • 2024
  • 팔꿉관절은 3개의 뼈대가 조합하여 관절을 이루고 있으며 신체적 활동 및 외력에 의한 이상 시 X-선 등, 방사선 검사로 영상진단을 한다. 팔꿉 관절 선행연구에 의하면 전완부(forearm)의 Z축 거상에 의한 기울기 자세에서 영상평가 기준에 부합하는 새로운 검사법이 발표되어 이에 최적화된 기구를 설계하고 다른 상지 검사에서도 활용 가능한 보조기구를 개발하고자 하였다. 2D 도면 및 3D 모델링 설계로 디자인 후 4부분의 파트로 구분 된 디자인을 ABS 소재의 3D 프린팅 방법으로 출력 후 조립 단계를 거쳐 제품을 완성하였다. 개발된 보조기구는 Z축 거상 기울기 4단계 각도(0, 5, 10, 15도) 기능과 1도 단위로 360도 회전되어 고정하는 기능으로 구성하였다. 개발된 보조기구는 사용 빈도의 누적 및 신체적 활용에 의한 하중 문제에 대해 구조해석을 통하여 최대 등가응력(equivalent stress) 56.107 Pa, 변위(displacement) 1.6548e-5 mm 의 안전한 물성치 범위로 개발되었다. 또한 개발된 보조기구는 팔꿉관절의 X-선 검사뿐만 아니라 위팔뼈 회전에 의한 어깨 기능검사에서도 활용할 수 있으며 비금속 소재로 MRI, CT 검사에서도 적용이 가능하도록 개발되었다. 개발된 보조기구는 향후 다양한 장치 및 의료영상 검사의 임상 적용을 통하여 검사의 정확성 및 효율화에 기여하리라 판단한다.

The Frequency and Length Dependence of the Target Strength of the Largehead Hairtail (Trichiurus lepturus) in Korean Waters

  • HwangBo, Young;Lee, Dae-Jae;Lee, Yoo-Won;Lee, Kyoung-Hoon
    • Fisheries and Aquatic Sciences
    • /
    • 제12권2호
    • /
    • pp.152-161
    • /
    • 2009
  • The largehead hairtail (Trichiurus lepturus) is one of the most common fisheries stocks in the East China Sea and the Yellow Sea. The species is caught using a variety of fishing tools, such as a stow net or a long line, as well as jigging and trawling. Scientific investigations have been conducted throughout the world to enable evidence-based estimations for the management and protection of the main fisheries biomass. For example, inshore and offshore hydro acoustic surveys are performed annually using bottom- and mid-water trawls around the Korean Peninsula. However, to date, no acoustic survey has been conducted to estimate fish size distribution, which is necessary to construct a data bank of target strength (TS) relative to fish species, length (L), and frequency. This study describes the frequency and length dependence of TS among fishes in Korean waters for the purpose of constructing such a TS data bank. TS measurements of the largehead hairtail were carried out in a water tank (L 5 m$\times$width 6 m$\times$ height 5 m) at frequencies of 50, 75, 120, and 200 kHz, using a tethering method. The average TS patterns were measured as a function of tilt angle, ranging from $-45^{\circ}$ (head down) to $+45^{\circ}$ (head up) every $0.2^{\circ}$. The length conversion constant ($b_{20}$) was estimated under the assumption that TS is proportional to the square of the length. In addition, in situ TS measurements on live largehead hairtails were performed using a split beam echo sounder.

도립$(-6^{\circ})$이 혈장 Catecholamine 및 심장혈관계에 미치는 영향 (Effects of Head-Down Tilt$(-6^{\circ})$ on Hemodynamics and Plasma Catecholamine Levels)

  • 송대규;배재훈;박원균;채의업
    • The Korean Journal of Physiology
    • /
    • 제21권2호
    • /
    • pp.211-223
    • /
    • 1987
  • Head-down tilt (HDT) at $-6^{\circ}$ has been commonly used as the experimental model in both man and animals to induce the blood shift toward the head or central protion of the body, demonstrating similar physiological effect encountered in the weightlessness in the orbital flight. There are few reports about the physiological response upon the cardiovascular regulatory system or the tolerance to the $(-6^{\circ})$ HDT within a relatively short period less than 1 hour. Therefore, the purpose of this study way to observe the effects of $-6^{\circ}$ HDT on cardiovascular system within 30 minutes and to evaluate early regulatory mechanism for simulated hypogravity. Ten mongrel dogs weighing 8-12 kg were anesthetized with the infusion of 1% ${\alpha}-chloralose$ (100 mg/kg) intravenously, and the postural changes were performed from the supine to the $-6^{\circ}$ head-down Position, then from the head-down to the supine (SUP), and each posture was maintained for 30 minutes. Blood flow $({\dot{Q}})$ through common carotid and femoral arteries were determined by the electromagnetic flowmeter. Mean arterial pressure (MAP), heart rate (HR), respiratory rate , and pH, $P_{O_2}$, $P_{CO_2}$ and hematocrit (Hct) of arterial and venous blood were also measured. The peripheral vascular resistance was calculated by dividing respective MAP values by ${\dot{Q}}$ through both sides of common carotid or femoral arteries. The concentration of plasma epinephrine and norepinephrine was determined by Peuler & Johnson's radioenzymatic method. The results are summarized as follows: In the initial 5 minutes in $-6^{\circ}$ HDT, HR was significantly (p<0.05) increased and MAP slightly decreased. Although ${\dot{Q}}$ and carotid peripheral artery resistance were not significantly changed, ${\dot{Q}}$ through femoral artery was diminished and femoral peripheral artery resistance was elevated. In the SUP, the initial changes of MAP and HR were increased (p<0.05), but those of ${\dot{Q}}$ and peripheral vascular resistance through both common carotid and femoral arteries were not significant. After 10 minutes of each postural change in both HDT and SUP, MAP was maintained almost equal to that of the level of pretilting control. During 60 minutes of both postural changes of HDT and SUP, $P_{O_2}$ and Hct were not changed significantly. However pH tended to increase slowly and $P_{CO_2}$ was gradually decreased. The pH and $P_{CO_2}$ seemed to be related to the increased respiratory rate. Plasma epinephrine concentration was not changed significantly and plasma norepinephrine concentration was slightly decreased in the course of HDT and also at 10 minutes of SUP. However these concentration changes were statistically insignificant. From these results, it may be concluded that the effect of $-6^{\circ}$ HDT for 30 minutes on the cardiovascular system and plasma catecholamine levels of the dog is minimum and it is suggestive that the cardiovascular regulatory mechanism, possibly mediated by so called gravity receptors including baroreceptor and volume receptor, has been properly and adequately operated.

  • PDF

선택적 외측 슬개 지지대 이완술의 장점 (Advantage of Selective Release of Lateral Patellar Retinaculum)

  • 손정환;사공은성;권영호;장재호;김재도
    • 대한관절경학회지
    • /
    • 제10권1호
    • /
    • pp.61-69
    • /
    • 2006
  • 목적: 슬개-대퇴간 부정 정렬 환자에서 외측 지지대를 이완시키는 수술에는 지금까지 관혈적 이완술(Open release), 고식적 관절경적 이완술(arthroscopic complete release)등의 방법을 이용하여 왔으나 저자는 관절경적 선택적인 이완술(arthroscopic selective release)로 이환된 지지대만을 최소 절제하여 수술함으로써 수술 후 환자의 합병증 및 만족도 등의 결과를 비교 분석하여 환자에게 가장 유용한 방식을 알아보고자 한다. 대상 및 방법: 1993년 1월부터 1998년 6월까지 외측 지지대 이완술을 시행하고 추시 가능하였던 94명, 129예 중 관절경적 이완술의 경우 68명, 90예, 관혈적 이완술의 경우 26명, 39예였으며 관절경적 이완술의 경우 고식적인 방식에 의한 경우가 42명, 57예였으며 이환된 외측지지대만을 선택적으로 이완시킨 경우가 26명, 33예였다. 위 예를 대상으로 수술 전 계측과 수술 후 1년, 수술 후 5년 이상의 최종 추시를 시행하여 슬개골 경사, 전위, 수렴 각, O-angle을 방사선학적 및 임상적으로 측정하여 분석하였으며, 임상적 평가는 슬관절 평가 지수 및 변형 슬개골 지수를 이용하였다. 결과: 방사선학적 평가에서 슬개골 경사와 전이는 고식적인 방법에 의한 관절경적 이완시$13.4^{\circ}$, 12.1 mm에서 $3.6^{\circ}$, 3.8 mm로, 관절경하 선택적 이완시 $12.3^{\circ}$, 11.2 mm에서 $4.8^{\circ}$, 5.2 mm로, 관혈적 이완시 $13.6^{\circ}$, 12.3mm에서 $3.3^{\circ}$, 3.4 mm로 향상된 결과를 보였으나, 통계적으로는 유의한 상관관계를 보이지 않았다. 슬관절 평가 지수는 각각 84.2%(48/57), 81.8%(27/33), 82.1%(32/39)에서, 변형 슬개골 지수는 82.5%(47/57), 81.8%(27/33), 82.1%(32/39)에서 만족스러운 결과를 보였고 서로 간에 유의한 차이는 보이지 않았다. 결론: 슬개-대퇴 부정 정렬을 가진 환자의 수술방법 중 하나인 관절경적 선택적 이완술은 적은 수술범위에서 이환된 지지대를 이완시킴으로써 유착등의 합병증 없이 환자의 재활 및 만족도를 높이는 하나의 치료 방법으로서 관혈적 방법과 고식적 관절경적 수술보다 좋은 치료라고 판단된다.

  • PDF

Evaluation of the Degenerative Changes of the Distal Intervertebral Discs after Internal Fixation Surgery in Adolescent Idiopathic Scoliosis

  • Dehnokhalaji, Morteza;Golbakhsh, Mohammad Reza;Siavashi, Babak;Talebian, Parham;Javidmehr, Sina;Bozorgmanesh, Mohammadreza
    • Asian Spine Journal
    • /
    • 제12권6호
    • /
    • pp.1060-1068
    • /
    • 2018
  • Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column. magnetic resonance imaging (MRI) is the method most often used to specifically evaluate intervertebral disc degeneration. The Pfirrmann classification is a well-known method used to evaluate degenerative lumbar disease. After spinal fusion, an increase in stress, excess mobility, increased intra-disc pressure, and posterior displacement of the axis of motion have been observed in the adjacent segments. Methods: we retrospectively secured and analyzed the data of 15 patients (four boys and 11 girls) with AIS who underwent a spinal fusion surgery. We studied the full-length view of the spine (anterior-posterior and lateral) from the X-ray and MRI obtained from all patients before surgery. Postoperatively, another full-length spine X-ray and lumbosacral MRI were obtained from all participants. Then, pelvic tilt, sacral slope, curve correction, and fused and free segments before and after surgery were calculated based on X-ray studies. MRI images were used to estimate the degree to which intervertebral discs were degenerated using Pfirrmann grading system. Pfirrmann grade before and after surgery were compared with Wilcoxon signed rank test. While analyzing the contribution of potential risk factors for the post-spinal fusion Pfirrmann grade of disc degeneration, we used generalized linear models with robust standard error estimates to account for intraclass correlation that may have been present between discs of the same patient. Results: The mean age of the participant was 14 years, and the mean curvature before and after surgery were 67.8 and 23.8, respectively (p<0.05). During the median follow-up of 5 years, the mean degree of the disc degeneration significantly increased in all patients after surgery (p<0.05) with a Pfirrmann grade of 1 and 2.8 in the L2-L3 before and after surgery, respectively. The corresponding figures at L3-L4, L4-L5, and L5-S1 levels were 1.28 and 2.43, 1.07 and 2.35, and 1 and 2.33, respectively. The lower was the number of free discs below the fusion level, the higher was the Pfirrmann grade of degeneration (p<0.001). Conversely, the higher was the number of the discs fused together, the higher was the Pfirrmann grade. Conclusions: we observed that the disc degeneration aggravated after spinal fusion for scoliosis. While the degree of degeneration as measured by Pfirrmann grade was directly correlated by the number of fused segments, it was negatively correlated with the number of discs that remained free below the lowermost level of the fusion.