• 제목/요약/키워드: pitch treatment

검색결과 202건 처리시간 0.026초

증상이 있는 청소년기 부주상골의 수술적 치료 (Surgical Treatment of Symptomatic Accessory Navicular in Adolescent)

  • 김종민;정성훈;박병문;문찬삼;이길형
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.36-40
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    • 2010
  • Purpose: To investigate the results of surgical treatment of the symptomatic accessory navicular in adolescent. Materials and Methods: 11 patients who were 11-16 years old with symptomatic accessory navicular were identified between 2001 and 2009. Six cases were diagnosed after trauma and 8 cases were diagnosed by accident with painful bony protrusion on medial aspect of foot. In cases after at least 3 months of ineffective conservative treatment, patients were treated by resection of accessory navicular and reattachment of tibialis posterior tendon to the apex of the medial longitudinal arch using periosteum and ligamentous soft tissue without transposition of its course. And then short leg cast was applied for correction of the flat foot (if it is combined) which was molded into the longitudinal arch with the talonavicular joint released and foot inverted during about 6 weeks. Results: All were type II accessory navicular without tibialis posterior tendon lesions. In most cases pain was improved, results were excellent in seven and good in four. Calcaneal pitch angle and talus-first metatarsal angle was improved about $4.64^{\circ}$ and $5.79^{\circ}$ in average. Conclusion: Symptomatic accessory navicular in adolescent might not be associated with the tibialis posterior tendon lesions. The surgical treatment composed of excision of the accessory navicular with simple replication of the tibialis posterior tendon without altering its course led to good results in most cases. The procedure has a low rate of complications. And it is easy to be performed with a good satisfaction.

Analysis of added resistance and seakeeping responses in head sea conditions for low-speed full ships using URANS approach

  • Kim, Yoo-Chul;Kim, Kwang-Soo;Kim, Jin;Kim, Yoonsik;Park, Il-Ryong;Jang, Young-Hun
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제9권6호
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    • pp.641-654
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    • 2017
  • The KVLCC2 and its modified hull form were investigated in regular head waves using Unsteady Reynolds Averaged Navier-Stokes (URANS) methods. The modified KVLCC2 (named KWP-bow KVLCC2) is designed for reducing wave reflection from the bow. Firstly, the original KVLCC2 is studied for verification of the present code and methodology and the computed time history of total resistance and 2DOF motions (heave and pitch) for the selected two wave length conditions are directly compared with the results obtained from KRISO towing tank experiment under the identical condition. The predicted added resistance, heave and pitch motion RAOs show relatively good agreement with the experimental results. Secondly, the comparison of performance in waves between KVLCC2 and KWP-bow KVLCC2 is carried out. We confirmed that newly designed hull form shows better performances in all the range of wave length conditions through both the computation and the experiment. The present URANS method can capture the difference of performance in waves of the two hull forms without any special treatment for short wave length conditions. It can be identified that KWP-bow KVLCC2 gives about 8% of energy saving in sea state 5 condition.

내반 요족 변형에서 시행한 제1중족골 및 종골에 대한 절골술 (Combined First Metatarsal and Calcaneal Osteotomy for Fixed Cavovarus Deformity of The Foot)

  • 주인탁;박종민;유종민;정진화
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.130-134
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    • 2010
  • Purpose: The aim of this study was to evaluate the result of combined first metatarsal and calcaneal osteotomy for static cavovarus deformity of the foot. Materials and Methods: We performed a dorsal closing wedge $1^{st}$ metatarsal osteotomy and a lateral and upward displacement calcaneal osteotomy for 9 patients, 12 feet (6 male and 3 female). The mean age at the time of operation was 37 years and the mean followup period was 27 months. The causes of deformity were 2 poliomyelitis, 1 cerebral palsy, 1 Charcot-Marie-Tooth disease and 5 idiopathic type. Five lateral ligament reconstructions of the ankle and six percutaneous Achilles tendon lengthenings were added. The surgical results in terms of pain, function and alignment of the foot were evaluated by means of AOFAS ankle-hindfoot score and talo-$1^{st}$ metatarsal, calcaneus-$1^{st}$ metatarsal and calcaneal pitch angles were checked with weight bearing radiographs in lateral projection. Results: Talo-$1^{st}$ metatarsal and calcaneal pitch angles were reduced from the mean preoperative values of $21^{\circ}$ and $25^{\circ}$ to $12^{\circ}$ and $19^{\circ}$, respectively, at last followup. Also, calcaneus-$1^{st}$ metatarsal angle was increased from the mean $114^{\circ}$ to $114^{\circ}$. The mean AOFAS score was improved from 44.5 points preoperatively to 89.2 points at followup. There were 1 metatarso-cueiform joint nonunion, 1 sural nerve injury and 3 remaining symptomatic claw toes. Conclusion: Combined first metatarsal and calcaneal osteotomy appears to be an effective procedure for the treatment of adult static cavovarus foot.

거골하 관절 제동술을 이용한 소아 유연성 편평족의 치료 결과 (The Results of Subtalar Arthroereisis for Flexible Flatfoot of Children)

  • 이경태;김진수;양기원;김재영;최재혁
    • 대한족부족관절학회지
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    • 제10권2호
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    • pp.218-222
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    • 2006
  • Purpose: We evaluate the results of subtalar arthroereisis with $Kalix^{(R)}$ implant (Newdeal, Lyon, France) that were performed in painful flatfoot deformity. Materials and Methods: We performed the subtalar arthroereisis on 16 feet of children symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 11 years (8-14 years) old. We checked the functional status with AOFAS functional score in pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-$1^{st}$ metatarsal angle, calcaneal pitch angle, cuboid-surface height. Finally, we asked to patient's parents for satisfaction of the surgery. Results: Mean follow up period was 34.1 months. Average AOFAS score improved from preoperatively 71.9 to postoperatively 91.3. Only one patient has subtalar pain. Average lateral $1^{st}$ metatarsal angle reduced from $-18.2^{\circ}$ preoperatively to $-4.6^{\circ}$ at final follow-up. Average anterior to posterior $1^{st}$ metatarsal angle was reduced from $18.9^{\circ}$ preoperatively to $6.5^{\circ}$ at final follow-up. Average calcaneal pitch angle was increased from $8.6^{\circ}$ preoperatively to $12.6^{\circ}$ at final follow-up. Average cuoboid-surface height was improved from 12.1 mm preoperatively to 16.0 mm at final follow-up. All patients had excellent or good satisfaction. Conclusions: Subtalar arthroereisis with $Kalix^{(R)}$ implant is a viable surgical alternative for painful flatfoot deformity of children.

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족부측방촬영을 통한 정상 아동의 족근골 및 중족골간 각도 계측 결과 (Measurements on Radiographs of the Foot in Normal Children)

  • 고철언;조현오;곽경덕;김병용;손수민;문진경;오필환
    • 대한족부족관절학회지
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    • 제1권2호
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    • pp.75-80
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    • 1997
  • 정상 아동 124명에서 족부 단순방사선촬영 소견에서 편평족과 관련하여 방사선학적 계측치를 나이에 따라 비교한 결과 나이가 어릴수록 대부분이 편평족 소견을 보였고 나이가 많아짐에 따가 차츰 발아치가 형성되어 13세 이후에는 대부분의 예에서 성인과 비슷한 소견을 보였다. 따라서 아동에서는 방사선학적 계측에서 편평족 소견을 보이더라도 이를 치료할 필요가 있을지 결정하는데는 임상 소견이 더 중요할 것으로 사료된다. 본 연구는 정상아동에 대한 횡적 조사연구이므로 향후 종적 조사를 시행하면 나이에 따른 발아치의 변화를 좀 더 정확하게 파악할 수 있을 것으로 사료된다.

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족근동 증후군으로 오인된 Accessory Anterolateral Talar Facet에 의한 거종관절 충돌 (Accessory Talar Facet Impingement due to Accessory Anterolateral Talar Facet Misdiagnosed as Sinus Tarsi Syndrome)

  • 박재우;박철현
    • 대한족부족관절학회지
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    • 제22권1호
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    • pp.16-20
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    • 2018
  • Purpose: To evaluate the clinical and radiographic results of surgical treatment for patients with sinus tarsi pain due to accessory talar facet impingement. Materials and Methods: Between July 2013 and July 2015, nine patients who underwent surgery for the accessory talar facet impingement were reviewed. The mean follow-up period was 18.6 months (12~36 months), and the mean age was 33.1 years (19~60 years). Previous trauma history, duration of symptom, and types of surgery were analyzed. The clinical results were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and visual analogue scale (VAS). Radiographic results were assessed using Meary's angle, calcaneal pitch angle, heel alignment angle, and heel alignment ratio. Results: All patients had evident trauma history prior to the initial symptom. The mean duration of symptoms was 25.6 months (6~120 months). Four patients received only accessory anterolateral talar facet (AALTF) excision, and four patients received medial sliding calcaneal osteotomy (MSCO). One patient underwent both AALTF excision and MSCO. The AOFAS ankle-hindfoot score was significantly improved from 73 (62~77) preoperatively to 93 (67~100) postoperatively. The VAS score was decreased from 6 (5~7) preoperatively to 1 (0~5) postoperatively. The Meary's angle and calcaneal pitch angle showed no significant difference after surgery. The heel alignment angle and ratio increased from $-3.6^{\circ}$ ($-10^{\circ}{\sim}5^{\circ}$) and 0.22 (-0.15~0.6) preoperatively to $2.8^{\circ}$ ($1^{\circ}{\sim}5^{\circ}$) and 0.42 (0.3~0.6) postoperatively, respectively. Conclusion: If there is persistent sinus tarsi pain in patients with hindfoot valgus, accessory talar facet impingement caused by AALTF could be considered as a cause of chronic sinus tarsi pain.

Chemical Activation Characteristics of Pitch-Based Carbon Fibers by KOH

  • Jang, Jeen-Seok;Lee, Young-Seak;Kim, In-Ki;Yim, Going
    • Carbon letters
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    • 제1권2호
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    • pp.69-75
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    • 2000
  • Naphtha cracking bottom oil was reformed with heat treatment and then spun at $310^{\circ}C$. These pitch-based carbon fibers were carbonized at $1000^{\circ}C$ after oxidation at $280^{\circ}C$, for 90 min. These fibers were chemically activated with molar ratio of KOH/CF (1 : 1) at different temperatures ($250{\sim}900^{\circ}C$) for 1 hr. The process of activation was characterized with DTA, TGA, BET surface area and pore size distribution. The activation of fibers by KOH was performed by several process. One is the reduction process that carbon fiber was reacted with $K_2O$ produced from dehydration process above $400^{\circ}C$. The other is the process that $K_2CO_3$ was directly reacted with carbon fiber. At $800^{\circ}C$, the activation was performed by catalyzed mechanism that $K_2O$ was obtained from the reaction of metal potassium with $CO_2$, then was changed to $K_2CO_3$. At $870^{\circ}C$, the activation was also observed that activation mechanism was promoted by metal catalyst with $CO_2$ from decomposition of $K_2CO_3$. The specific surface area of prepared activated carbon fibers was dependent on the activation mechanism. The specific surface area was in the range of $1519{\sim}2000\;cm^3/g$ and was the largest prepared at $870^{\circ}C$. The pores developed were mostly micropores which was very narrow and uniform. The total pore volume was $0.58{\sim}0.77\;cm^3/g$.

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유럽규격 시험방법에 의한 국산 유용 침엽수재의 천연 내후성 평가 (Evaluation of Natural Decay Durability on Valuable Domestic Softwoods by European Standard Test Method)

  • 이종신;김영숙;김규혁;김경태;김윤희
    • 한국가구학회지
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    • 제26권3호
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    • pp.222-228
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    • 2015
  • To evaluate the natural decay durability of valuable domestic softwoods which are used for preservative treatment in our country, we carried out decay test by European standard method. Of all test wood species, Japanese larch (Larix leptolepis) showed slightly high natural decay durability compared to other 4 wood species, Japanese red pine (Pinus densiflora), pitch pine (Pinus rigida), Japanese cedar (Cryptomeria japonica), and scots pine (Pinus sylvestris). However, all of evaluated domestic softwood species in this study caused high weight losses over about 30% in heartwood by test fungus, Poria placenta. We can hardly expect a good natural decay durability from these softwood species. According to the classification of the natural durability of European standard (EN 350-1), they are classified into "Not durable" or "Slightly durable". Therefore, if using these softwoods as exterior materials, we must do preservative treatment to ensure durability.

산처리에 의해 개질된 리튬이온 이차전지용 흑연 전극의 특성 (Performance of Graphite Electrode Modified with Acid Treatment for Lithium Ion Secondary Battery)

  • 김명수;문승환;김문걸;김택래;함현식;박홍수
    • 한국응용과학기술학회지
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    • 제22권2호
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    • pp.142-150
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    • 2005
  • The natural graphite particles A and heat-treated graphite particles B at $1800\;^{\circ}C$ after pitch-coating were used as the anode base materials for lithium ion secondary battery. In order to improve the performance of anode materials, the base anode materials were treated with various acids. With the acid treatments of 62% $HNO_3$ and 95% $H_2SO_4$ aqueous solution, the specific surface area and electrical conductivity of base anode materials were increased, and the initial charge-discharge capacity and cycle performance were improved due to the elimination of structural defects.

산화처리 탄소 및 이를 이용한 EDLC 특성 (Oxidation-treated of Oxidized Carbons and its Electrochemical Performances for Electric Double Layer Capacitor)

  • 양선혜;김익준;전민제;문성인;김현수;안계혁;이윤표
    • 한국전기전자재료학회논문지
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    • 제20권6호
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    • pp.502-507
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    • 2007
  • The oxidation treatment of several carbon materials with a sodium chlorate and 70 wt.% of nitric acid, combined with heat treatment, were attempted to achieve an electrochemical active material with a larger capacitance. Among pitch, needle coke, calcinated needle coke and natural graphite, the structure of needle coke and calacinated needle coke were changed to the graphite oxide structure with the expansion of the inter-layer. On the other hand, the calcinated needle coke after oxidation and heating at $200^{\circ}C$ has exhibited largest capacitance per weight and volume of 29.5 F/g and 24.5 F/ml at the two-electrode system in the potential range of 0 to 2.5 V. The electrochemical performance of the calcinated needle coke was discussed with the phenomenon of the electric field activation and the formation of new pores between the expanded inter-layer at first charge.