• 복식
• /
• 제62권1호
• /
• pp.76-89
• /
• 2012

This study was performed to offer the basic data for the design of farm shoes. 265 Korean female farmers aging between the 40s to the 80s volunteered for this study and we measured 40 items on each foot with the 3D foot scanner. First, the differences between farmers' feet and non-farmers' feet were analyzed. Farmers' feet were thicker in the instep areas, but had lower arch height than non-farmers' feet. In addition, farmer's feet were tilted to the inside. Next, eight factors were extracted among the 40 measuring items, and the classification criteria of the foot shape was analyzed. The important factors were: size of foot length and volume of ankle, malleolus height and size, volume of the front part of ankle, medial & lateral ball width, and vertical size of foot. Third, three clusters according to the foot shapes were categorized by cluster analysis of eight factor scores. Foot type 1 was medium in foot length, big in thickness, large in lateral ball width, small in toe 1 angle, and tilted to the inside. Foot type 2 was long and slim, and big in toe 5 angle. Foot type 3 was short in foot length, medium in volume of the front part of ankle, large in medial ball width, and big in toe 1 angle. Despite its shortness, foot type 3 was thick and showed severe deformation in toe 1. Lastly, the frequency distributions of the foot types in each age group were analyzed. Female farmers of the forties showed high frequency in type 1 and other age groups showed high frequency in type 2. The older female farmers showed higher frequency of type 3.

• 한국수산과학회지
• /
• 제36권5호
• /
• pp.528-534
• /
• 2003

The 2-D hydraulic experimental results for the submerged rubble-mound structure, we have been concerned with the slability/function characteristics of the structures by the effects of wave force, scour/deposition at the toe and the wave transmission ratio at the lee-side sea. So, to investigate the variation characteristics of the wave transmission ratio which depended on a geometrical structure of the submerged breakwater profiles, the critical conditions for the depth of submergence and crest width were obviously presented. In summary, the results lead us to the conclusion that the wave control capabilities of submerged breakwaters by the variation of the submergence depth is higher than about 4 times the degree at the efficiency than the that of crest width. The destruction of the covering block at the crest generated at the region which was located between the maximum and minimum damage curve, and it's maximum damage/failure station from the toe of the structure was $0.2\;L_s.$ As the wave transmission coefficient and the slope of the structure increase, the damage/failure ratio and the maximum scour depth at the toe was extended, respectively. When the maximum scour depth happened, the destruction of the covering block which was located at the toe generated at the front of the submerged rubble-mound breakwater. Finally, it was found from the results that the optimization of the structure may be obtained by the efficient decision of the submergence depth and crest width in the permissible range of the wave transmission ratio.

• Archives of Plastic Surgery
• /
• 제40권3호
• /
• pp.226-231
• /
• 2013

Background The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps. Methods A single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years) with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases) followed by amputations (3 cases) and a single case of burn injury. Half of the indications (6 cases) were for soft-tissue defects with the other half for scar contracture. Results All of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series. Conclusions Flexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location.

• Archives of Reconstructive Microsurgery
• /
• 제17권1호
• /
• pp.28-35
• /
• 2008

The purpose of this study was to present the clinical analysis of the results of lateral arm free flap for small sized and infected diabetic foot ulcer around toes. From May 2006 to December 2007, Seven patients were included in our study. Average age was 52.8 years, six were males and one was female. All had infected diabetic foot ulcer and had exposures of bone or tendon structures. Ulcers were located around great toe in four patients, 4th toe in one and 5th toe in two. Three patients had osteomyelitis of metatarsal or phalanx. After appropriate control of infection by serial wound debridement and intravenous antibiotics, lateral arm flap was applied to cover remained soft tissue defects. Posterior radial collateral artery of lateral arm flap was reanastomosed to dorsalis pedis artery of recipient foot by end to side technique in all cases in order to preserve already compromised artery of diabetic foot. All flaps were designed over lateral epicondyle to get longer pedicle and averaged pedicle length was 8 cm. Two cases were used as a sensate flap to achieve protective sensation of foot. All flaps survived and provided satisfactory coverage of soft tissue defects on diabetc foot ulcers. All patients could achieve full weight-bearing ambulation. No patients has had recurrence of infection, ulceration and further toe amputations. There were three complications, a delayed wound healing of flap with surrounding tissue, a partial peripheral loss of flap and a numbness of forearm below donor site. All patients were satisfied with their clinical results, especially preserving their toes and could return to the previous activity levels. Lateral arm free flap could be recommend for infected diabetic foot ulcers around toes, to preserve toes, coverage of soft tissue defect and control of infection with low donor site morbidity.

• The Journal of Korean Physical Therapy
• /
• 제27권2호
• /
• pp.85-88
• /
• 2015

Purpose: The purpose of this study was to investigate the effects of active abduction exercise of the great toe on the medial and lateral sesamoid bones in hallux valgus (HV) patients by measuring radiography. Methods: In this study 27 young subjects were separated into two groups (normal group and HV group). Two pictures were taken by radiography while maintaining resting and while holding maximal active abduction of the great toe in sitting position on an x-ray table. All radiographs were used to measure the distance of the medial and lateral sesamoid bone from the longitudinal axis of the first metatarsal bone, respectively. Paired t-test was used for analysis of the resting and active abduction exercise in groups. Independent t-test was used to evaluate statistical significance between normal group and HV group. The statistical significance level was p<0.05. Results: In active abduction exercise of the normal group, distance of the medial and lateral sesamoid bones was not significantly different compared to resting condition. In active abduction exercise of the HV group, change of distance of the medial and lateral sesamoid bones showed statistically significant difference compared to resting condition. The distance between the medial sesamoid bone showed a more significant decrease in the HV vs. normal group, while the distance between the lateral sesamoid bone was significantly greater in the HV vs. normal group. Conclusion: These findings suggest that active abduction exercises, to reduce or prevent deterioration of the HV angle, should be considered for sesamoid bone displacement to improve muscle balance in the great toe.

• The Journal of Korean Physical Therapy
• /
• 제26권4호
• /
• pp.220-225
• /
• 2014

Purpose: This study aims to investigate the impact of a short walk putting on Coolfin shoes on the foot temperature rise and blood circulation. Methods: Twenty healthy adults participated in experiments in this study. All subjects walked respectively barefoot and putting on Coolfin shoes. Infrared imaging cameras were used to collect and analyze the data on the foot temperature. Results: As a result of this study, there were significant differences between the temperatures of the great toe and top of the foot after 20-minute walks with bare feet and in Coolfin shoes. Both the temperatures of the great toe and top of the foot decreased after a 20-minute walk in the barefoot condition, and there was a significant difference between them (p<0.05). Both the temperatures of the great toe and top of the foot increased after a 20-minute walk in the condition of putting on Coolfin shoes, and there was a significant difference between them(p<0.05). Conclusion: A short walk putting on Coolfin products induces the movement of the toes to increase the blood flow and accordingly, has a direct impact on the increase of the surface temperature of the feet, so they are effective products for helping blood circulation in the feet.

• Archives of Reconstructive Microsurgery
• /
• 제17권2호
• /
• pp.101-107
• /
• 2008

Purpose: Free flaps from the great toe are an established method for reconstruction of absent or partially amputated thumbs. However, options differ as to which technique represents the ideal solution for each level of amputation. Various methods of distal thumb reconstruction have been proposed. We prefer to transplant the entire great toe nail complex with the almost all of the pulp rather than a portion of the nail. This paper reflects our experience in using the great toe mini wrap-around flap for distal thumb reconstruction. Materials and Methods: In the period from October of 2005 to July of 2007, 9 patients were treated for traumatic thumb defects localized at the distal phalanx of the thumb. The patients included seven men and two women. The mean age was 44 years (range, 21~60) and the dominant right hand was involved in seven of nine patients. Results: The transferred flaps have survived completely in all cases. The mean range of motion in the interphalangeal joints was 51o, with 73% of the normal uninjured opposite hands. The two-point discrimination was 10.5 mm (range, 5~13 mm). In Semmes-Weinstein monofilament test, the sensibility was 4.31 in 4 cases, 3.61 in 3 cases and 2.83 in 2 cases. The pinch power was 64% (range, 55~95%) of the opposite hand. All patients were satisfied with the appearance of the reconstructed thumb and felt comfortable at final follow-up. Conclusion: We have successfully reconstructed 9 cases of traumatic distal thumb defects using the mini wrap-around free flap. The mini wrap-around free flap in great toe is an excellent alternative method for distal thumb reconstruction in selected patients.

• 한국컴퓨터정보학회논문지
• /
• 제25권5호
• /
• pp.217-227
• /
• 2020

본 연구는 물류 기업이 블록체인기술을 채택하는 데 어떠한 요인들이 영향을 미치는가를 파악하고 블록체인기술이 물류성과에 미치는 영향을 분석하는 것을 연구목적으로 하고 있다. 블록체인기술의 채택에 영향을 미치는 변수들은 TOE 프레임을 바탕으로 제시하였다. 블록체인기술 채택 요인으로 기대이익, 조직준비성, 기술호환성, 경쟁압력을 제시하였다. 그리고 블록체인기술로는 스마트 계약과 정보 투명성을 제시하였다. 물류성과는 신속성과 조정성을 제시하였다. 한국의 물류 기업을 대상으로 설문조사를 실시하였다. 수집된 자료를 분석한 결과를 보면 기대이익, 기술호환성은 블록체인기술(스마트 계약, 정보 투명성)에 정의 영향을 미치는 것으로 나타났다. 조직준비성은 정보투명성에 정의 영향을 미치는 것으로 나타났다. 블록체인기술은 물류성과에 정의 영향을 미치는 것으로 나타났다.

• 한국게임학회 논문지
• /
• 제16권4호
• /
• pp.79-86
• /
• 2016

몬테카를로 트리탐색은 최대우선탐색 알고리즘이며, 많은 게임 특히 바둑 게임에 성공적으로 적용되어 왔다. 삼목 게임에서 MCTS 간의 대국을 통해 성능을 평가하고자 했다. 첫 번째 대국자는 항상 두 번째 대국자에 비해 압도적인 우위를 보였으며, 최선의 게임 결과가 무승부가 됨에도 불구하고 첫 번째 대국자가 두 번째 대국자에 비해 우월한 이유를 찾고자 했다. MCTS는 반복적인 무작위 샘플링을 기반으로 하는 통계적 알고리즘이기 때문에, 특히 두 번째 대국자를 위해 전략을 요하는 시급한 문제를 적절히 대처하지 못한다. 이를 위해 전략적 MCTS(S-MCTS)를 제안하며, S-MCTS는 결코 삼목 게임에서 지지 않는다는 것을 보였다.

• 대한인간공학회지
• /
• 제26권2호
• /
• pp.131-136
• /
• 2007

In this study, we developed an active ankle-foot orthosis(AAFO) which can control dorsi/ plantar flexion of the ankle joint to prevent foot drop and toe drag during walking. 3D gait analyses were performed on five healthy subjects under three different gait conditions: the normal gait without AFO, the SAFO gait with the conventional plastic AFO, and the AAFO gait with the developed AFO. As a result, the developed AAFO preeminently induced the normal gait compared to the SAFO. Additionally, AAFO prevented foot drop by proper plantarflexion during loading response and provided enough plantarflexion moment as a driving force to walk forward by sufficient push-off during pre-swing. AAFO also could prevent toe drag by proper dorsiflexion during swing phase. These results indicate that the developed AAFO may have more clinical benefits to treat foot drop and toe drag, compared to conventional AFOs, and also may be useful in patients with other orthotic devices.