• Title/Summary/Keyword: 굴곡부

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Juvenile Hemangioma Occurred in Distal Femoral Epiphysis (소아의 대퇴골 원위부 골단에 발생한 혈관종)

  • Kim, Tai-Seung;Lee, Chang-Hoon;Park, Chan-Keum
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.1
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    • pp.37-41
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    • 2010
  • A hemangioma occurred in the bony epiphysis is extremly rare. A 5-year-old boy visited to our hospital with pain and flexion contracture on the right knee. MRI showed some lesions scattered in the epiphysis of the distal femur and the proximal tibia. Biopsy specimen from the distal femoral epiphysis revealed pathologic findings compatible with hemangioma. On 8 years follow-up, the lesion in the distal femoral epiphysis had been cured, and those in the proximal tibial epiphysis were spontaneously disappeared without surgery. The scanogram shows no leg length discrepancy and angular deformity. We reports a rare case of hemangioma occurred in the bony epiphysis with the results of 8 year follow-up with the review of literatures.

A Case of Esophageal Foreign Body Complicated by Pneumothorax (기흉을 초래한 식도이물)

  • 박상열;최진택;김광현;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.7.2-7
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    • 1982
  • Foreign body in the esophagus is not uncommom in the otolaryngological field, but esophageal perforation followed by pneumothrax due to esophageal foreign body is very rare. Authors recently experienced such a case developed in 1 year old male baby. This baby had been treated at local clinic for 2 weeks prior to admission under the impression of U.R.I.. Thereafter foreign body in the esophagus (fine wire pin) with left pneumothorax was detected by chest X-ray and the body was transfered to our hospital. Closed chest tube was inserted on left and under the general anesthesia, foreign body was removed by esophagoscopy. He was discharged on 16th postoperative day uneventfully.

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3-Dimensional Analysis of Alveolar Molding Effect of Presurgical Nasoalveolar Molding Appliance and Lip Pressure After Cheiloplasty in Complete Unilateral Cleft Lip and Palate Patients (편측성 구순구개열 환자의 술전 비치조 정형장치와 구순 봉합수술의 치조골 정형효과의 3차원 분석)

  • Kim Na-Young;Kwon Sun-Man;Baek Seung-Hak
    • Korean Journal of Cleft Lip And Palate
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    • v.7 no.2
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    • pp.93-106
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    • 2004
  • 본 연구의 목적은 편측성 구순구개열 (UCLP) 환자에서 술전 비치조 정형장치 (presurgical nasoalveolar molding appliance, PNAM) 와 구순 봉합수술의 치조골 정형효과를 3차원 (3-D) 분석을 통하여 평가하는 것이다. 연구대상은 16명의 UCLP 환자 (평균 파열부거리: 10.46mm) 이며 PNAM 장치에 의한 치료와 rotation-advancement법에 의한 구순 봉합수술을 받았다 처음 내원시 (평균연령: $37.0{\pm}27.89$ 일), PNAM 치료를 받고 난 후이며 구순봉합수술 1달 전 (평균연령: $119.25{\pm}40.18$ 일), 구순봉합수술 2달 후 (평균연령: $190.81{\pm}42.78$ 일)에 상악의 인상을 채득하였다. 그 후 laser scanning machine (Orapix, Dimennex, Seoul, Korea) 과 3-D view software (3Dxer, Dimennex) 를 사용하여 3-D모형을 제작하였다. 선, 각도, 정중선변이, 거리, 면적 항목을 3-D 모형상에서 계측하고, 각 시기별의 차이를 비교하기 위하여 Wilcoxon signed rank test를 사용하여 분석하였다. PNAM치료 동안과 구순 봉합수술 후에도 치조골 후방부는 안정된 구조물이었다. PNAM치료에 의한 파열부 거리의 감소는 대분절 (greater segment) 의 내측 굴곡 (bending) 에 의하여 발생하였다. 대분절 (greater segment)의 전방 성장은 PNAM치료에 의하여 억제되었으나, 구순 봉합수술 후에 회복되었다. 구순 봉합수술 후에 대분절과 소분절 사이의 전방부 각도의 증가는 구순 반흔 (lip scar) 의 압력에 의한 치조골 정형 효과 때문으로 생각된다. 정중선변이는 PNAM치료에 의하여 개선되었다. PNAM치료 동안과 구순 봉합수술 후에 구개부 (palatal segment) 의 면적은 계속 증가하였다. 치조골 면적과 거리 항목의 증가는 후방부에서 크게 나타났다. 이러한 결과는 PNAM치료에 의한 치조골 정형효과는 주로 전방부에서 발생하며, 치조골의 성장은 구순 봉합수술 후에 후방부에서 주로 발생한다는 것을 의미한다.

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INFLUENCE OF THE LABIAL SURFACE IRREGULARITY ON THE MEASUREMENT OF THE TOOTH COLOR BY SPECTROMETER (치아 순면 형태가 측색 기기를 이용한 치아 색상 측정 결과에 미치는 영향)

  • Choi, Yong-Jin;Park, Su-Jung;Cho, Hyun-Gu;Hwang, Yun-Chan;Oh, Won-Mann;Park, Byung-Ju;Hwang, In-Nam
    • Restorative Dentistry and Endodontics
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    • v.32 no.5
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    • pp.411-418
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    • 2007
  • The most scientific and reliable method for deciding the tooth color is the instrumental measurement. However, such color measuring instrument shows the difference of the measuring value according to the diversified measuring condition. This study was conducted to evaluate what effect of the labial surface irregularity of the tooth to the result of the color measured by spectrometer. 11 models of the teeth were made by injecting the A2 shade Luxatemp Automix Plus (DMG, Germany) into the impression acquired from 11 adults. Standard disk samples (15 mm diameter, 7 mm thickness) were made with same material. CIE $L^*a^*b^*$ value was measured at the incisal, central, and gingival area of the central incisor, lateral incisor, canine and first premolar using Specbos 2100 (JETI, Germany) spectrometer. Color difference was calculated between labial surface and standard samples. Among all models of the teeth, $L^*\;and\;b^*$ value showed the reducing tendency as they go toward the gingival area, but $a^*$ value showed the increasing tendency. Color difference between model teeth and standard samples showed the most difference at the incisal area, but the gingival area showed the least difference. And the canine showed the least color difference from the comparison of standard sample, and the central incisor showed the highest difference (p < 0.01). Although the visually detectable difference of the measuring value showed notably depending on the type and measured area (p < 0.05), $L^*\;and\;a^*$ value showed notable differences depending more on the measured areas than on the type of the teeth.

Effects of Core Exercise Program on the Low Back Function in Private Guard and Security (경호원들의 코어프로그램 수행과 요추부 기능개선에 관한 연구)

  • Kang, Min-Wan
    • Korean Security Journal
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    • no.21
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    • pp.1-18
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    • 2009
  • Background: This study was to investigate the effects of spinal strengthening exercise and lumbar stabilization exercise(core exercise program) on trunk muscle strength, flexibility and balance, lumbar function. The subjects of this study were the eighteen subjects who was registered in private guard company. The each exercise group of 9 persons were chosen by random controlled trial. Methods: We used instrument BTE, Libra, Ruler Measuring tape to measured trunk muscle strength, flexibility, balance and lumbar function. Results: The result of this study were summarized below; The flexor muscle strength was improve in lumbar stabilization exercise(core exercise) group(p<.05). The extensor muscle strength was improve in lumbar stabilization exercise(core program) group(p<.05). The trunk flexibility was improve in spinal strengthening exercise group and lumbar stabilization exercise group(p<.05). The balance ability was improve in spinal strengthening group and lumbar stabilization exercise group(core program) group(p<.05). Conclusion: With the above results, demonstrated effects of spinal strengthening exercise and lumbar stabilization exercise in each private guard and security in this study.

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Inundation Analysis in Urban Area Considered Head Loss Coefficients of Curved Pipes (만곡부 관거의 손실 계수를 고려한 도시 지역의 침수 해석)

  • Won, Changyeon;Park, Jongpyo;Jun, Hwan Don
    • Proceedings of the Korea Water Resources Association Conference
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    • 2017.05a
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    • pp.201-201
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    • 2017
  • 서울시 효자배수분구(광화문 지역)는 2010년, 2011년 호우로 인해 침수 피해가 많이 발생했던 지역으로 당시 주요 침수피해 원인은 광화문 사거리 및 경복궁역 인근에 위치하고 있는 굴곡 관로의 손실수두 증가(유입, 만곡, 마찰손실 등), 지하매설물로 인한 통수단면 감소 등으로 조사되었다. 따라서 대상지역의 침수 원인을 정확히 분석하기 위해서는 관거의 만곡, 급 확대 및 급 축소에 따른 손실계수의 적용이 요구된다. 손실계수는 유입부, 만곡부에 대한 계산식을 이용하여 산정하고 모형에 적용하였으며 적정 손실계수 값을 얻기 위해 손실계수에 대한 민감도 분석을 수행하였다. 모의 검토 대상기간은 우수관거내 수심 측정자료가 존재하는 4개의 이벤트를 선정하였으며 같은기간에 해당하는 AWS 매분단위 강우자료를 취득하여 모의에 적용하였다. 또한, 적정 손실계수를 선정하기 위해 관측치와 모의치의 적합도를 평가하였으며, 평가지표는 자료 개수에 관계없이 절대적으로 평가할 수 있는 NSE(Nash-Sutcliffe Efficiency)를 사용하였다. 손실계수 적용 여부에 따른 분석결과 손실계수를 적용한 모의치가 관측치의 오차가 미적용한 모의치보다 적합도의 평가지표가 우수하게 분석되었다. 손실계수 민감도 분석 결과는 경험식에 의해 산정된 손실계수를 적용한 Case3의 NSE가 가장 우수하게 분석되었다. 이와같이 도시 지역의 침수분석에 있어 우수관거에 대한 손실계수 적용으로 분석모형의 정밀도를 높일 수 있는 것으로 판단된다.

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Presurgical Naso-Alveolar Molding Appliance for Unilateral Cleft Lip and Palate (편측성 순구개열 신생아 환자의 술전 비치조 정형장치)

  • Baek, Seung-Hak;Yang, Won-Sik;Kim, Sukwha
    • The korean journal of orthodontics
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    • v.28 no.6 s.71
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    • pp.905-914
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    • 1998
  • The goals of this study were to present presurgical naso-alveolar molding (PNAM) appliance in unilateral cleft lip and palate treatment and to evaluate the effects of PNAM appliance on alveolar molding. Samples were consisted of 4 unilateral cleft lip and palate infants (3 males and 1 female, mean age=23.2 days after birth) who were treated with PNAM appliances in Department of Orthodontics, Seoul National University Dental Hospital. Average alveolar cleft gap between the greater and lesser segment was 8.27mm and average duration of alveolar molding treatment was 9.7 weeks. These patients' models were obtained at initial visit (T1) and alter successful alveolar molding (T2). Seven linear and five angular variables were measured by using photometry and digital caliper. All statistical analyses were performed by SPSS win ver. 7.5 program. Paired t-test was used to compare the mean values. 1. The posterior part of alveolar segments are the stable structures during alveolar molding treatment period in infants. 2. Forward growth of the greater segment may be hindered by the action of alveolar molding. 3. The closure of cleft gap during alveolar molding were usually due to inward and backward bending of the anterior part of the greater segment and outward bending of the whole lesser segment.

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Characteristics of the Cenozoic crustal deformation in SE Korea and their tectonic implications (한반도 동남부 신생대 지각변형의 주요 특징과 지구조적 의의)

  • Son, Moon;Kim, Jong-Sun;Chong, Hye-Yoon;Lee, Yung-Hee;Kim, In-Soo
    • The Korean Journal of Petroleum Geology
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    • v.13 no.1
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    • pp.1-16
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    • 2007
  • The southeastern Korean Peninsula has experienced crustal multi-deformations according to changes of global tectonic setting during the Cenozoic. Characteristic features of the crustal deformations in relation to major Cenozoic tectonic events are summarized as follows. (1) Collision of Indian and Eurasian continents and abrupt change of movement direction of the Pacific plate (50${\sim}$43 Ma): The collision of Indian and Eurasian continents caused the eastward extrusion of East Asia block as a trench-rollback, and then the movement direction of the Pacific plate was abruptly changed from NNW to WNW. As a result, the strong suction-force along the plate boundary produced a tensional stress field trending EW or WNW-ESE in southeastern Korea, which resultantly induced the passive intrusion of NS or NNE trending mafic dike swarm. (2) Opening of the East Sea (25${\sim}$16 Ma): The NS or NNW-SSE trending opening of the East Sea generated a dextral shear stress regime trending NNW-SSE along the eastern coast line of the Korean Peninsula. As a result, pull-apart basins were developed in right bending and overstepping parts along major dextral strike slip faults trending NNW-SSE in southeastern Korea. The basins can be divided into two types on the basis of geometry and kinematics: Parallelogram-shaped basin (rhombochasm) and wedged-shaped basin (sphenochasm), respectively. In those times, the basins and adjacent basement blocks experienced clockwise rotation and northwestward tilting contemporaneously, and the basins often experienced a kind of propagating rifting from NE toward SE. At about 17Ma, the Yonil Tectonic Line, which is the westernmost border fault of the Miocene crustal deformation in southeastern Korea, began to move as a major dextral strike slip fault. (3) Clockwise rotation of southeastern Japan Island (about 15 Ma): The collision of the Izu-Bonin Arc and southeastern Japan Island, as a result of northward movement of the Philippine sea-plate, induced the clockwise rotation of southeastern Japan Island. The event caused the NW-SE compression in the Korea Strait as a tectonic inversion, which resultantly tenninated the basin extension and caused local counterclockwise rotation of blocks in southeastern Korea. (4) E-W compression in the East Asia (after about 5 Ma): Decreasing subduction angle of the Pacific plate and eastward movement of the Amurian plate have constructed the-top-to-west thrusts and become a major cause for earthquakes in southeastern Korea until the present time.

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Development of a Car Door Checker for Reducing Noise in Opening (승용차 도어의 개폐 이음 저감을 위한 도어체커 개발)

  • An, Byeongju;Son, Sungmin;Yun, Jaedeuk;Jung, Yoongho;Kim, Hyongdon;Shin, Jongil;Seo, Seungwoo;Jang, Kookjin
    • Transactions of the Korean Society of Automotive Engineers
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    • v.23 no.4
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    • pp.396-401
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    • 2015
  • A door checker holds a car door at several opening angles and limits the maximum door opening, so that the door does not bump against to passengers. Recently, the performance of door checker becomes more important as the feeling of door opening and closing effects on the quality of a car. However, some of door checkers make squealing noise when they are used for ages, which causes consumer's complaints as well as decreasing commercial value of the product. In this study, after various experiments for the noise, we concluded that the major reasons of the noise are acceleration of wearing and loss of lubricant due to impurities in working parts. Therefore, we developed a new mechanism of door checker which can resolve the major reasons of the noise. The developed mechanism is effective to prevent inflow of impurities and loss of lubricant by locating working parts in the case. We also proved that the developed mechanism does not make any noise after the test of 50,000 times of operations.

Biomechanical Effect of Forearm Flexor Muscles depending on Handle Sizes (수공구 손잡이 형태에 따른 생체역학적 영향도 분석)

  • Park, Shi-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.14 no.2
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    • pp.41-48
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    • 2012
  • 수공구 사용시 과도한 힘은 작업성 근골격계 질환을 일으킬 수 있는 주요 원인중 하나이다. 이와 관련하여, 수공구 파지시 인체 내부에 부과되는 근력과 외적으로 작용된 힘 간의 비율을 이해하는 것이 중요하며, 이는 근육에 부과되는 과도한 힘을 최소화 시키고, 작업에 필요한 힘의 효율성을 극대화 시키는데 필수적이라 할 수 있다. 이러한 비율과 관련하여 많은 연구가 되어 왔으나, 대부분 수리적 인체역학적 모델과 같은 간접적 추정 방법에 의거하고 있는 실정이다. 이러한 인체역학적 모델을 검증하고 개선하기 위하여 해부용 팔 (cadaver)을 활용한 직접적인 근력과 악력 측정이 필수적이다. 본 연구에서는 이러한 해부용 팔을 이용하여 상지 굴근(hand flexor)을 자동으로 제어하고 근력과 함께 악력을 측정할 수 있는 Hand Motion Simulator를 개발하고, 이를 통하여 다양한 사이즈의 손잡이 파지시 요구되는 근력과 외적으로 적용된 악력을 비교함으로써 수공구 손잡이 사이즈에 따른 근력의 효율성에 대하여 측정을 해 보았다. 또한, 적용된 굴근 (FDP & FDS) 간의 힘 비율에 따른 파지법의 차이를 조사해 보았다. 내부에 주어진 근력은 외부로 작용된 악력보다 5.3배 높은 부하가 작용하였으며 이러한 수공구 손잡이 파지시 힘의 효율성 역시 FDP 와 FDS 간의 비율이 3:2 였을 때, 그리고 손잡이 크기가 작을수록 높은 결과를 보였다. 반대로 손잡이의 크기가 커질수록 힘의 효율성은 저하되었다. 또한, 손가락 관절 각도의 경우 FDP와 FDS간의 비율에 따라 상이한 자세를 나타내었다. FDP 굴근의 비율이 높을 경우 손가락 끝마디 관절 (DIP) 의 굴곡을 보였으며, FDS 굴근 비율이 높을 경우 손가락 두 번째 관절(PIP)의 굴곡을 보였다. 본 연구를 통한 결과는 추후 상지작업자에 대한 근골격계 질환 예방 기준안 마련 및 수공구 설계를 위한 기초자료로 활용이 가능할 것으로 보인다.