• Journal of Korean Foot and Ankle Society
• /
• v.18 no.2
• /
• pp.62-67
• /
• 2014

Purpose: Reconstructive surgeries for equinocavovarus foot deformities are quite variable, including hind-midfoot osteotomy or arthrodesis, soft tissue procedure, tendon transfers, etc. Comprehensive evaluation of the deformity and its etiology is mandatory for achievement of successful deformity correction. Few studies in this field have been reported. We report on the clinical and radiographic outcome of reconstruction for cavovarus foot deformities. Materials and Methods: The study is based on 16 feet with cavovarus foot deformities that underwent bony and soft tissue reconstructive surgery from 2004 to 2008. We evaluated the etiologies, varieties of surgical procedures performed, pain score, functional scores, and patient satisfaction and measured the radiographic parameters. Results: The average age at the time of surgery was 39.4 years old, with a male/female ratio of 9/4 and an average follow-up period of 23.9 months (range, 12~49 months). The etiologies of the cavovarus deformity were idiopathic 7 feet, residual poliomyelitis 5 feet, Charcot-Marie-Tooth disease 2 feet, and Guillain-Barre syndrome and hemiplegia due to cerebrovascular accident sequela 1 foot each. Lateral sliding calcaneal osteotomies were performed in 12 feet (75%), followed by Achilles tendon lengthening and plantar fascia release in 11 feet (69%), and first metatarsal dorsiflexion osteotomy/arthrodesis and tendon transfer in 10 feet (63%). Visual analogue scale pain score showed improvement, from an average of 4.2 to 0.5 points. American Orthopaedic Foot and Ankle Society ankle-hindfoot score showed significant improvement, from 47.8 to 90.0 points (p<0.05). All patients were satisfied. Ankle range of motion improved from $27.5^{\circ}$ to $46.7^{\circ}$. In radiographic measurements, calcaneal pitch angle improved from $19.1^{\circ}$ to $15.8^{\circ}$, Meary angle from $13.0^{\circ}$ to $9.3^{\circ}$, Hibb's angle from $44.3^{\circ}$ to $37.0^{\circ}$, and tibio-calcaneal axis angle from varus $17.5^{\circ}$ to varus $1.5^{\circ}$ Conclusion: We achieved successful correction of cavovarus foot deformities by performing appropriate comprehensive reconstructive procedures with improved functional, radiographic measures and high patient satisfaction.

• Magazine of the Korea Concrete Institute
• /
• v.10 no.6
• /
• pp.241-252
• /
• 1998

The objective of the research stated herein is to observe the actual responses of a low-rise nonseismic moment-resisting reinforced concrete frame subjected to varied levels of earthquake ground motions. First, the reduction scale for the model was determined as 1 : 5 considering the capacity of the shaking table to be used and the model was manufactured according to the similitude law. This model was, then, subjected to the shaking table motions simulating Taft N21E component earthquake ground motions, whose peak ground accelations (PGAs) were modified to 0.12g, 0.2g, 0.3g, and 0.4g. The lateral accelerations and displacements at each story and local deformations at the critical reginos of the structure were measured. The base shear was measured by using self-made load cells. Before and after each earthquake simulation test, free vibration tests were performed to find the change in the natural period and damping ratio of the model. The test data on the global and local behaviors are interpreted. The model showed the linear elastic behavior under the Taft N21E motion with the PGA if 0.12g, which represents the design earthquake in Korea. The maximum base shear was 1.8tf, approximately 4.7 times the design base shear. The model revealed fairly good resistance to the higher level of earthquake simulation tests. The main components of its resistance to the high level of earthquakes appeared to be 1) the high overstrength, 2) the elongation of the fundamental period, and 3) the minor energy dissipation by inelastic deformations. The drifts of the model under these tests were approximately within the allowable limit.

• Journal of Biomedical Engineering Research
• /
• v.28 no.3
• /
• pp.397-409
• /
• 2007

Owing to needs of biomechanical comprehension and analysis to obtain various medical treatment designs which are related with the spine in order to cure and diagnose LBP patients, the FE modeling and nonlinear analysis of lumbosacrum including a partial ilium and iliolumbar ligaments, were carried out. First, we investigated whether the geometrical configuration of vertebrae displayed by DICOM slice files is regular and normal condition. After constructing spinal vertebrae including a partial ilium, a sacrum and five lumbars (from L1 to L5)with anatomical shape reconstructed using softwares such as image modeler and CAD modeler, we added iliolumbar ligaments, lumbar ligaments, discs and facet joints, etc.. And also, we assigned material property and discretized the model using proper finite element types, thus it was completely modeled through the above procedure. For the verification of each segment, average sagittal ROM, average coronal ROM and average transversal ROM under various loading conditions(${\pm}10Nm$), average vertical displacement under compression(400N), ALL(Anterior Longitudinal Ligament) and PLL(Posterior Longitudinal Ligament) force at L12 level, strains of seven ligaments on sagittal plane at L45 level and maximal strain of disc fibers according to various loading conditions at L45 level, etc., they were compared with experimental results. For the verification of multilevel-lumbosacrum spine including partial ilium and iliolumbar ligaments, the cases with and without iliolumbar ligaments were compared with ROM of experiment. The results were obtained from analysis of the verified FE model as follows: I) Iliolumbar ligaments played a stabilizing role as mainly posterior iliolumbar ligaments under flexion and as both posterior and anterior iliolumbar ligaments of one side under lateral bending. 2) The iliolumbar ligaments decreased total ROM of 1-8% in total model according to various motion conditions, which changed facet contact forces of L5S level by approximately 0.8-1.4 times and disc forces of L5S level by approximately 0.8-1.5 times more than casewithout ilioligaments, under various loading conditions. 3) The force of lower discs such as L45 and L5S was bigger than upper discs under flexion, left and right bending and left and right twisting, except extension. 4) It was predicted that strains of posterior ligaments among iliolumbar ligaments would produce the maximum 16% under flexion and the maximum 10% under twisting. 5) It's expected that this present model applies to the development and design of artificial disc, since it was comparatively in agreement with the experimental datum.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.11
• /
• pp.794-801
• /
• 2017

When a radial wheel is placed so as to partially overlap a conductive plate and rotated, a lift force is generated on the wheel, a thrust force along the edge, and a lateral force which tends to reduce the overlap region. When several of these wheels are combined, it is possible to realize a system in which the stability of the remaining axes is ensured, except in the traveling direction. To validate the overall characteristics of the multi-wheel system, we propose a transfer system levitated magnetically using radial electrodynamic wheels. The proposed system is floated and propelled by four wheels and arranged in a structure that allows the thrusts generated by the front and rear wheels to offset each other. The dynamic stability of the wheel and the effect of the pole number on the three-axial forces are analyzed by the finite element method. At this time, the thrust and levitation force are strongly coupled, and the only factor affecting them is the wheel rotation speed. Therefore, in order to control these two forces independently, we make use of the fact that the ratio of the thrust to the levitation force is proportional to the velocity and is independent of the size of the gap. The in-plane and out-of-plane motion control of the system is achieved by this control method and compared with the simulation results. The experimental results show that the coupled degrees of freedom can be effectively controlled by the wheel speed alone.

• Clinical and Experimental Reproductive Medicine
• /
• v.21 no.1
• /
• pp.1-11
• /
• 1994

The occurrence and time course of capacitation, acrosomal loss, and hyperactivated motility require quantitative definition in order to characterize fertile human sperm. Recently the method has been developed to estimate the quality of spermatozoa by using kinematic parameters such as curvilinear velocity(VCL), average path velocity(VAP), linearity(LIN), straightness(STR), amplitude of lateral head displacement(ALH), and beat cross frequence(BCF) from Computer Assisted Sperm Analysis (CASA). In this study, using the Hamilton Thorn motility analyzer HTM 2030(Hamilton Thorn Research, Beverly, MA), we attempted to identify the spermatozoa with hyperactivated motility (HA) objectively and to monitor hyperactivation of human spermatozoa during incubation in capacitating media and after treatment of calcium ionophore as compared with acrosome status. And we examined whether HA are related to the result of SPA. Semen samples obtained from 16 healthy men were prepared by swim up technique and preincubated in a capacitating media(modified BWW medium) for 5 hours and treated with calcium ionophore solution. The acrosome reaction was detected with PSA-FITC labelling of the acrosome and in vitro sperm ferilizing capacity was assessed by the zona free hamster ovum penetration assay (SPA). The incidence of hyperactivated sperm was 2.6% in fresh semen, 14.3% of the swim up population, 13.7% after 5h of incubation. Significant increase of percentage of hyperactivated sperm was observed after the incubation (p<0.05) but after treatment, no significant changes of percentage of hyperactivated sperm(l1.8%) in contrast to significant rise in the percentage of acrosome reacted cells. Correlation analysis failed to show any significant relationship between the percentage of sperm with HA and SPA score. In conclusion, although no direct correlations were found between the results of SPA and HA, hyperactivation of sperm is associated with capacitation and monitoring hyperactivated sperm will be expected as a method of evaluating the functional quality of sperm such as SPA.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.3
• /
• pp.2012-2019
• /
• 2015

This study examined the changes in the center of pressure (COP) and cadence according to three types of bags carried and three different bag weights. The experimental period was from June 3, 2013 to January 20, 2014, and thirty eight healthy adults (mean age: $26.10{\pm}5.32$ years, age range: 22-30 years) volunteered under three conditions. In the first condition, the subjects wore a bag over one shoulder and they walked. In the second condition, they carried a bag across the shoulder and walked. With the third condition, they carried a backpack using both shoulders and walked. 3-Dimentional motion analysis system and a force plate were used to measure the kinematic parameters of gait and COP displacement during gait. Each subject walked 6 meters carrying a 3kg, 5kg and 7kg bag under all three conditions. The COP of the antero-posterior and medio-lateral, and cadence variable were significantly different according to the bag weight of 3kg, 5kg and 7kg. These findings suggest that walking while carrying a backpack using both shoulders is more effective on the changes in COP and gait of adults than the other conditions.

• Journal of the Earthquake Engineering Society of Korea
• /
• v.6 no.5
• /
• pp.53-58
• /
• 2002

A recent development, a concrete-filled steel(CFS) pier is an alternative to a reinforced concrete bridge pier in an urban area, because of its fast construction and excellent ductility against earthquakes. The capacity of CFS piers has not been used to a practical design, because there is no guide of a seismic design for CFS piers. Therefore, the guide of a seismic design value is derived from tests of CFS piers in order to apply it to a practical seismic design. Steel piers and concrete-filled steel piers are tested with constant axial load using quasi-static cyclic lateral load to check ductile capacity and using the real Kobe ground motion of pseudo-dynamic test to verify seismic performance. The results prove that CFS piers have more satisfactory ductility and strength than steel piers and relatively large hysteretic damping in dynamic behaviors. The seismic performance of steel and CFS piers is quantified on the basis of the test results. These results are evaluated through comparison of both the response modification factor method by elastic response spectrum and the performance-based design method by capacity spectrum and demand spectrum using effective viscous damping. The response modification factor of CFS piers is presented to apply in seismic design on a basis of this evaluation for a seismic performance.

• Physical Therapy Korea
• /
• v.15 no.2
• /
• pp.54-63
• /
• 2008

The purpose of this study was to examine the effect of the hip internal rotation on knee extensor and hip abductor electromyographic (EMG) activity during stair up and stair down mobility. Eighteen healthy subjects were recruited. All subjects performed stair up and down movements on a step of 30cm height while maintaining the hip in neutral (condition 1) and hip in internal rotation (condition 2). Surface EMG activity was recorded from five muscles (gluteus maximus, vastus lateralis (VL), vastus medialis oblique (VMO), posterior gluteus medius (Gmed), and tensor fascia latae (TFU)) and hip internal rotation angle was measured using a three dimensional motion analysis system The time period for stair up and down was normalized using the MatLab 6.5 program, and EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). The EMG activities according to the hip rotation (neutral or internal rotation) during the entire time period of stair up and down in each phase were compared using a paired t-test. During the entire period of stair up, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). During the entire period of stair down, the EMG activities of VL and TFL in condition 2 were significantly greater than in condition 1 (p<.05). However, the EMG activities of the other muscles were not significantly different between the conditions (p>.05). These results suggest that the stair up and down maintaining hip internal rotation was could be a contributing factor on patellar lateral tracking.

• Journal of the Earthquake Engineering Society of Korea
• /
• v.12 no.4
• /
• pp.19-33
• /
• 2008

Dynamic response measurements from natural excitation were carried out for 25- and 42-story buildings to evaluate their inherent properties, such as natural frequencies, mode shapes and damping ratios. Both are reinforced concrete buildings adopting a core wall, or with shear walls as the major lateral force resisting system, but frames are added in the plan or elevation. In particular, shear walls in a 25-story building are converted to frames from the 4th floor level downwards while maintaining a core wall throughout, resulting in a fairly complex structure. Due to this, along with similar stiffness characteristics in the principal directions, significantly coupled and closely spaced modes of motion are expected in this building, making identification rather difficult. By using various state-of-the-art system identification methods, the modal parameters are extracted, and the results are then compared. Three frequency-domain and four time-domain based operational modal identification methods are considered. Overall, all natural frequencies and damping ratios estimated from the different identification methods showed a greater consistency for both buildings, while mode shapes exhibited some degree of discrepancy, varying from method to method. On the other hand, in comparison with analysis results obtained using the initial finite element(FE) models, test results exhibited a significant difference of about doubled frequencies, at least for the three lower modes in both buildings. To improve the correlation between test and analysis, a few manual schemes of FE model updating based on plausible reasons have been applied, and acceptable results are obtained. The advantages and disadvantages of each identification method used are addressed, and some difficulties that might arise from the updating of FE models, including automatic procedures, for such large structures are carefully discussed.

• Archives of Plastic Surgery
• /
• v.39 no.6
• /
• pp.649-654
• /
• 2012

Background Deep burns of the elbow lead to soft tissue necrosis and infection, with exposure of deep structures. Adequate wound coverage of this area requires thin, pliable, and durable tissue, while optimal functional recovery requires early coverage and functional rehabilitation. We have found 3 types of island flaps that provide reliable coverage for the elbow. Methods A retrospective study was performed on all patients who underwent flap coverage of an elbow defect at our hospital. The patients' data including age, sex, cause of injury, wound dimensions, timing of flap coverage, postoperative elbow motion, and complications were investigated. Results Between 2001 and 2012, 16 patients were treated at our hospital. The mean age was 53.3 years. Three kinds of flaps were performed: 9 latissimus dorsi flaps, 4 lateral arm flaps, and 4 radial forearm flaps. The average defect size was 183.5 $cm^2$ (range, 28 to 670 cm2). Wound coverage was performed at mean duration of 45.9 days (range, 14 to 91 days). The mean postoperative active elbow flexion was $98^{\circ}$ (range, $85^{\circ}$ to $115^{\circ}$). Partial flap failure occurred in 1 latissimus dorsi flap. Minor complications included partial flap loss (11.8%), hematoma (23.5%), seroma (35.3%), and wound infection (5.9%). Conclusions Flap selection for elbow reconstruction is determined by the defect size and the extent of the adjacent tissue injury. Elbow reconstruction using an island flap is a single-staged, reliable, and relatively simple procedure that permits initiation of early rehabilitation, thereby improving a patient's functional outcome.