• Korean Journal of Acupuncture
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• v.25 no.3
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• pp.117-135
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• 2008

Objectives: It is known that the vestibular imbalance leads to vestibular symptoms such as nausea, vomiting, vertigo and postural disturbance. Since the non-labyrinthine inputs from the limbs and viscera converge on the vestibular nucleus neurons receiving signal from peripheral vestibular endorgan, acupuncture to the periphery may influence the activities of vestibular nuclear neurons and produce a therapeutic effect on the vestibulacr symptoms. The present study was to examine a modification and characteristics of the static and dynamic activities of medial vestibular nucleus (MVN) neurons following electroacupuncture (EA) of GB43' acupoint. Methods: In 54 Sprague-Dawley adult male rats weighing 250${\sim}$300g, spontaneous firing discharges and dynamic responses induced by sinusoidal whole body rotation about vertical axis at 0.2 Hz were observed in MVN of rats during EA of GB43' acupoint, located between the left 4th and 5th toe, which is the territory of sural and peroneal nerves, with 0.2 ms, 40 Hz and 600${\pm}$200 ${\mu}A$. Results: EA of the left GB43' acupoint induced modifications of spontaneous firing rates in 45% of MVN neurons recorded, and the percentage of modified neurons was 44% in type I, 52% in type II and 46% in non-type neurons. The excitatory or inhibitory responses of spontaneous firing discharges were predominant in the ipsilateral MVN neurons during EA. The excitatory response was abolished after EA but the inhibitory response was prolonged after EA in the ipsilateral MVN. The neurons of MVN showing modified spontaneous firing discharges by EA showed lower frequency (${\geq}$10 spikes/sec) of mean spontaneous firing rates than non affected ones. Conclusion: These results suggest that the neuronal activities of MVN neurons were influenced by EA of GB43' acupoint and the effects of EA may be related to the convergence of the peripheral vestibular inputs and ascending somatosensory inputs on MVN.

• Knee surgery & related research
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• v.30 no.4
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• pp.293-302
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• 2018

Purpose: High tibial valgus osteotomy (HTO) is a well-established surgical procedure for patients with medial compartment osteoarthritis (OA) of the knee. The hybrid closed-wedge HTO (CWHTO) procedure permits extensive correction in patients with severe deformities or patellofemoral joint OA. The aim of this study was to report the short-term results in a consecutive series of patients treated with hybrid CWHTO. Materials and Methods: We retrospectively evaluated the clinical outcomes and radiographic parameters in 29 consecutive knees that underwent hybrid CWTHO to correct medial compartment OA at an average follow-up of 52.6 months. Clinical outcomes were assessed using the Lysholm score and knee scoring system of the Japanese Orthopedic Association (JOA). The Kellgren-Lawrence grading system and pre- and postoperative mechanical axis (MA), femorotibial angle (FTA), posterior tibial slope, and patella height were assessed. Results: The FTA and MA significantly changed from $180.7^{\circ}$ to $170.4^{\circ}$ and from $22.0^{\circ}$ to $60.2^{\circ}$, respectively. No significant differences were observed between the mean pre- and postoperative posterior tibial slope, Insall-Salvati ratio, or Caton-Deschamps index. The postoperative JOA and Lysholm scores significantly improved from 76.7 to 95.8 and from 58.8 to 90.2, respectively. Conclusions: Satisfactory outcomes can be achieved with hybrid CWHTO in patients with medial OA.

• Journal of the Korean Society of Radiology
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• v.12 no.1
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• pp.115-122
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• 2018

The success of the total hip arthroplasty is revealed as initial stability, range of motion, and long term pain, etc. Depending upon choice of implantation options such as femoral neck offset, diameter of the femoral head, the lateral opening tilt. Especially the impingement between femoral head component and acetabular cup limits the range of motion of the hip. In this sense, estimation or evaluation of the range of motion before and after the total hip arthroplasty is important. This study provides the details of a computer simulation technique for the hip range of motion of intact hip as well as arthroplasty. The suggested method defines the hip rotation center and rotation axes for flexion and abduction, respectively. The simulation uses CT-based reconstructed 3D models and an STL treating software. The abduction angle of the hip is defined as the superolateral rotation angle from sagittal plane. The flexion angle of the hip is defined as the superoanterior angle from the coronal plane. The maximum abduction angle is found as the maximum rotation angle by which the femoral head can rotate superolaterally about the anterior-posterior axis without impingement. The maximum flexion angle is found as the maximum rotation angle by which the femoral head can rotate superoanteriorly about the medial-lateral axis without impingement. Compared to the normal hip, the total hip replacement hip showed decreased abduction by 60 degrees and decreased flexion by 4 degrees. This measured value implies that the proposed measurement technique can make surgeons find a modification of increase in the femoral neck offset or femoral head, to secure larger range of motion.

• Fashion & Textile Research Journal
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• v.15 no.4
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• pp.613-619
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• 2013

This study compares the gait characteristics of elderly women during barefoot walking and walking with sneakers. We measured foot angles, max foot pressure, peak plantar pressure of each plantar region, velocity of Center of Pressure(COP), and axis shifting of COP with an RS-scan system. Elderly women's foot angles were narrower when walking with sneakers than when barefoot walking. We found that the subtalar joint angle (representing ankle joint flexibility) affected walking stability. Regarding the peak plantar pressure of each foot region, pressures were high in the medial regions and the pressures greatly varied depending on the region measured during barefoot walking. The COP moved significantly faster when walking with sneakers than barefoot walking and suggests that elderly women walked faster in sneakers. Axis shifting of the COP decreased during walking with sneakers and indicated that gait balance improved when walking with sneakers. The findings of the present study can be utilized as foundational data for elderly women's gait characteristics as well as data for the production of functional footwear. Future research that focuses on various types of shoes, age groups, and gender are recommended for the development of more functional footwear for stable gaits.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.4
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• pp.301-307
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• 2010

Purpose: The objectives of the current study are to assess the accuracy of X-Ray Micro Computed Tomography (microCT) in measuring enamel thickness and to evaluate enamel thickness in maxillary incisors of Koreans. Materials and methods: Five maxillary incisors were embedded in resin block. These teeth were longitudinally sectioned labiolingually through the medial axis. After polishing, the teeth were scanned using a microCT (X-EYE SYSTEM; DRGEM, Seoul, Korea). On a scanning electron microscope (S-4300; Hitachi, Tokyo, Japan) (${\times}20$) and a microCT, nearly identical planes were reconstructed. In each tooth, the thickness of labial enamel was measured 1, 3 and 5 mm above the cementoenamel junction (CEJ). Thus, the accuracy of the microCT was evaluated. In addition, using 26 maxillary central incisors and 11 maxillary lateral incisors, in the medial axis and 2 mm remote areas mesially and distally from the medial axis, the thickness of labial enamel was measured 1, 3 and 5 mm above the CEJ along the long axis of the teeth. Results: Measurements from nearly identical planes in physical and microCT sections differed by 3.81%. An independent t-test was performed and this showed that there were no significant differences in the measurements between the two methods. Mean values of labial enamel thickness in maxillary central incisors 1, 3 and 5 mm above the CEJ were $0.32{\pm}0.01$, $0.50{\pm}0.0.2$ and $0.70{\pm}0.02\;mm$, respectively. Mean values of labial enamel thickness in maxillary lateral incisors 1, 3 and 5 mm above the CEJ were $0.30{\pm}0.01$, $0.55{\pm}0.03$ and $0.80{\pm}0.02\;mm$, respectively. Conclusion: In measuring enamel thickness, microCT is one of useful way of measurement. So according to the results of this research, when restoring a porcelain laminate veneer on maxillary incisors in Koreans, careful consideration is needed in the amount of enamel reduction.

• Clinics in Shoulder and Elbow
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• v.2 no.2
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• pp.151-156
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• 1999

Purpose : Average humeral head retroversion was showed significant wide range from literatures based on variable measuring technique, We performed computed tomography(CT) study in an effort to define the specific anatomy relationships and evaluate their use. Materials and Methods : Two hundreds shoulders and distal humeri CT scan with no known pathology were examined. The study population was divided to 10 groups by gender and age (from third to seventh decade). The number of each group was twenty. Retroversion of proximal humerus and glenoid were measured using the lines that were connected the central axis of humeral head, central points of the humeral epicondyles paralleling to the trochlea, paralled to the glenoid surface, midpoint between the transverse glenoid diameter and medial edge of the scapular. We also measured the bicipital groove distance from the humeral central axis and scapulothoracic angle. Results: Retroversion of proximal humerus was highly variable, ranging in this study from 13 to 58 degrees(mean 28.73) These values correlated with sex, not age, height or hand dominance. Glenoid retroversion at the inferior sections showed average 1.3 degree, did not signigicant differences. The central axis was an average of l0mm(5-15mm) posterior to the posterior margin of the bicipital groove. Scapulothoracic angle was average 43 degrees(25-53 degrees) Conclusion: Anatomical reconstruction of retroversion angle should be individualized and bicipital groove could be useful as landmark for the lateral fin of the prosthesis to be positioned an average of 10mm posteriorly.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.20 no.2
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• pp.126-130
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• 2009

Arytenoid motion has long been recognized as complex. Misunderstandings about the specifics of arytenoid motion remain prevalent. The resultant misunderstandings have led to erroneous or suboptimal clinical approaches to the treatment of vocal fold immobility. A thorough understanding of the anatomy of the arytenoid and cricoid cartilages, the cricoarytenoid joint, and related ligaments, muscles, and other structures is essential in order to fully understand laryngeal motion disorders. Arytenoid motion occurs in three directions. Movements involving a change anteriorly and posteriorly, as well as vertically, are due to the revolving or pitchlike motion of the arytenoid along the minor axis of the cricoid's elliptically shaped facet. The medial and lateral movements are due to the orientation of the arytenoid which in turn is determined by the forward, lateral, and inferior inclination of the cricoid-arytenoid facet. During adduction it is the outward angulation of the vocal process from the body of the arytenoid that allows the entire length of the vocal proceses to approximate one another and to have this meeting occur at the proper vertical height.

• Journal of Korean Foot and Ankle Society
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• v.21 no.4
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• pp.122-127
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• 2017

This paper reviews the indications and surgical technique of supramalleolar osteotomy as one of the treatments for moderate degenerative ankle osteoarthritis. Although it is technically demanding and requires extensive preoperative planning, supramalleolar osteotomy will be a good treatment option for moderate degenerative ankle osteoarthritis. The osteotomy is designed to shift the weight bearing axis to the lateral side of the ankle joint and unload the medial side of the joint. In our experience, a supramalleolar osteotomy is effective to the treatment of moderate ankle osteoarthritis with a small amount of preoperative talar tilt and varus or normal heel alignment.

• International Journal of CAD/CAM
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• v.6 no.1
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• pp.81-87
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• 2006

This paper describes a method for extracting surfaces from multi-material CT (Computed Tomography) data. Most contouring methods such as Marching Cubes algorithm assume that CT data are composed of only two materials. Some extended methods such as [3, 6] can extract surfaces from the multi-material (non-manifold) implicit representation. However, these methods are not directly applicable to CT data that are composed of three or more materials. There are two major problems that arise from fundamentals of CT. The first problem is that we have to use n(n-1)/2 threshold values for CT data contains n materials and select appropriately one threshold value for each boundary area. The second is that we cannot reconstruct only from CT data in which area three or more materials are adjacent each other. In this paper, we propose a method to solve the problems by using image analysis and demonstrate the effectiveness of the method with application examples construct polygon models from CT data of machine parts.

• Proceedings of the Korean Information Science Society Conference
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• 2001.04b
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• pp.502-504
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• 2001

본 논문은 동작자가 표현하는 수화 동작 중, 지문자 영상을 2차원 영상처리에 의하여 이식하는 방법을 제안한다. 손에 개인에 따라 변량이 존재하고 같은 동작을 표현하더라도 항상 일정하지 않기 때문에, 지문자 인식을 위하여 손의 구조적인 정보를 이용한다. 추출된 손 영역을 입력으로 하여 손의 외곽 정보를 이용한 MAT(Medial Axis Transform)를 수행한다. 여기에서 나온 골격의 변화에 따라 각각 손가락에 해당하는 2번 쇽(Shock)과 손 바닥에 해당하는 4번 쇽의 관계에 의하여 지문자를 인식한다. 이러한 구조적인 정보를 이용함으로써 개인에 의해 나타나는 표현의 차이를 제거할 수 있고, MAT를 이용할 때 나타나는 외곽영역의 잡음에 의한 구조 변화에도 안정적으로 대처할 수 있다. 제안한 알고리즘을 이용하여 31개의 단순 지문자에 대한 270개의 입력영상을 실험한 결과 81.1%, 모양이 흡사한 지문자를 통합하여 26개의 지문자로 식별할 경우에는 91.1%의 인식율을 나타내었다.