• Title/Summary/Keyword: 예변형

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Short-Term Results of Subpectoral Tenodesis of the Proximal Biceps Tendon Using by Interference Screw (간섭나사를 이용한 흉근하 상완 이두근 건 고정술의 단기 추시 결과)

  • Kim, Jeong-Woo;Kang, Hong-Je
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.7-13
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    • 2010
  • Purpose: Our purpose was to retrospectively analyze clinical results of subpectoral tenodesis of the proximal biceps tendon using an interference screw. Materials and Methods: We reviewed 23 cases of patients receiving tenodesis of the proximal biceps tendon between January 2008 and January 2009 for whom we had follow-up data for at least 1 year. Twenty-three cases were operated on using subpectoral tenodesis; 16 of these cases had a rotator cuff tear. The results were judged using a visual analog scale (VAS), ASES, tenderness on the biceps groove, fixation failure and the degree of deformity (BAD). Results: VAS and ASES scores were significantly improved in all patients by the time of the final observation. There were no significant complications or fixation failures. The patients without a tear of the rotator cuff had a better result than patients with a tear of the rotator cuff, but the difference between the two groups was not significant (p>0.05). Conclusion: In patients with pathology of the long head of the biceps brachii, benefits of subpectoral interference screw tenodesis include pain relief, maintenance of functional biceps, muscle strength, and cosmesis. Subpectoral biceps tenodesis using interference screw fixation appears to be a promising, reproducible, reliable technique for addressing anterior shoulder pain related to pathology of the long head of the biceps brachii.

Second Look Arthroscopic Finding after Fibrin Matrix Autologous Chondrocyte Implantation for the Treatment of Articular Cartilage Defect of the Knee - Preliminary Report - (슬관절 연골 결손에 대한 fibrin matrix 자가 연골 세포 이식술 후 이차 관절경 소견 - 예비보고 -)

  • Choi, Sung-Wook;Oh, In-Suk;Kim, Ryuh-Sup;Park, Sun-Won;Lee, Jong-Min;Lee, Moon;Kim, Myung-Ku
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.1
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    • pp.1-6
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    • 2007
  • Purpose: The purpose of this preliminary report is to investigate the short term outcome of performing gel type fibrin matrix autologous chondrocyte implantation to patients who have damaged knee joint cartilage using secondary arthroscopy. Material and Methods: Six patients who have damaged knee joint cartilage were involved. The average size of defect was $5.13\;cm^2$. While performing primary arthroscopy, whole layer of cartilage bone was obtained either from the margin of damaged cartilage or the bilateral margin of a trochlea. The cartilaginous cells were obtained for culture for four to six weeks. While performing secondary minimal invasive arthrotomy, gel type fibrin matrix autologous chondrocyte was implanted on the chondral defect site. Results: 4 among 6 patients to be more than good in Modified Cincinnati Knee Scoring system. Lysholm function score was 59.5 preoperatively, and it improved to 76.25. ICRS grading by performing secondary arthroscopy revealed 4 out of 6 patients to be nearly normal. Conclusion: Gel type fibrin matrix autologous chondrocyte implantation is a treatment for cartilage defect, which takes less time to operate than the conventional implantation. In addition, this method minimizes the size of incision and allows arthroscopic surgery. However, long term follow up and more case study is thought to be necessary.

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Recurrent Shoulder Dislocation and Proximal Humerus Fracture in Neurofibromatosis Type I - A Case Report - (제 1형 신경 섬유종증 환자에서 발생한 재발성 견관절 탈구 및 근위 상완골 골절 - 1예 보고 -)

  • Hwang, Tae Hyok;Cho, Hyung Lae;Wang, Tae Hyun;Yang, Hui Sun
    • Clinics in Shoulder and Elbow
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    • v.16 no.2
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    • pp.135-140
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    • 2013
  • We report a case of recurrent shoulder dislocation and combined proximal humerus fracture in neurofibromatosis type I. A twenty-year-old male patient with known neurofibromatosis type I presented with right shoulder dislocation and proximal humerus fracture following a minor trauma. His injured arm also had large plexiform neurofibromas on the elbow, and the dislocation of the shoulder joint was proven to be recurrent. Bony deformation of the humerus and scapula were revealed on X-ray and computed tomography, as well as multiple neurofibromatic changes of the deltoid and periscapular muscles were noted on magnetic resonance imaging. Open reduction and capsular reconstruction were performed and humeral fracture was stabilized with a reconstruction plate. Satisfactory union and functional result were achieved and the dislocation did not recur until the 7-month followup after the procedure. Recurrent shoulder dislocation and combined proximal humerus fracture in neurofibromatosis type I are rare complications. However, it should still be considered in the orthopaedic evaluation process of the diseases.

Reduction Loss after Extension Block Kirschner Wire Fixation for Treatment of Bony Mallet Finger (골성 추지 신전제한 K 강선 고정술 시행 후 정복소실)

  • Kim, Byungsung;Nho, Jae-Hwi;Jung, Ki Jin;Yun, Keonhee;Park, Eunseok;Park, Sungyong
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.239-247
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    • 2018
  • Purpose: We investigated occurrence of reduction loss after extension block (EB) Kirschner wire fixation or additional interfragmentary fixation (AIF) and clinical results including extension lag of the distal interphalangeal joint for treating bony mallet finger. Methods: Forty-six patients were included with a mean follow-up of 28 months (range, 12-54 months). Twenty-seven patients were treated with EB K-wire fixation (Group A) while 19 patients were treated with AIF (Group B). We checked radiologic factors, such as amount of articular involvement, volar subluxation, mallet fragment angle, reduction loss, range of motion including extension lag, and functional outcomes using Crawford's criteria. Results: Reduction loss occurred in eight patients (17%). Differences in mean extension lag, age, preoperative volar subluxation and mallet fragment angle between patients with reduction loss and those with reduction maintaining were significant. However, there were no significant differences in gender, hand dominance, amount of articular involvement, AIF, or further flexion between reduction loss and reduction maintaining. As for patterns of displacement, there was a significant relationship between gap or step-off and extension lag. Using Crawford's evaluation criteria, functional outcomes were excellent in 31, good in 10, fair in 3, and poor in 2 patients. Conclusion: Reduction loss should be careful in older age, smaller mallet fragment angle and preoperative volar subluxation.

Non-Local Plasticity Constitutive Relation for Particulate Composite Material Using Combined Back-Stress Model and Shear Band Formation (비국부 이론을 이용한 입자 강화 복합재 이중후방응력 소성 구성방정식 모델 및 전단밴드 분석)

  • Yun, Su-Jin;Kim, Shin Hoe;Park, Jae-Beom;Jung, Gyoo Dong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.10
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    • pp.1057-1068
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    • 2014
  • This paper proposes elastic-plastic constitutive relations for a composite material with two phases-inclusion and matrix phases-using a homogenization scheme. A thermodynamic framework is employed to develop non-local plasticity constitutive relations, which are specifically represented in terms of the second-order gradient terms of the internal state variables. A combined two back-stress evolution equation is also established and the degradation of the state and internal variables is expressed by continuum damage mechanics in terms of the damage factor. Then, deformation localization is analyzed; the analysis results show that the proposed model yields a wide range of shear band formation behaviors depending on the evolution of the specific internal state variables. The analysis results also show good agreement with the results of simplified Rice instability analyses.

Characteristics of the Main Fault Zone Developed Along Yangsan Fault : On the Outcrop of Cheonjeon-ri, Dudong-myeon, Ulju-gun, Ulsan, Korea (양산단층 주 단층대의 발달특성 : 울산광역시 울주군 두동면 천전리 일대의 노두를 중심으로)

  • Ryoo, Chung-Ryul;Cheon, Youngbeom
    • The Journal of the Petrological Society of Korea
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    • v.28 no.4
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    • pp.347-357
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    • 2019
  • The main fault zone of the Yangsan Fault, located in the southeastern part of the Korean peninsula, is newly found at the Cheonjin-ri, Dudong-myeon, Ulju-gun, Ulsan, Korea. About 100 wide fault zone exposed along the Guryangcheon stream strikes N-S and dips over 70° toward east. The main fault zone is composed of N-S-striking gouge and breccia layers and enclosed lenses. Striations on the subvertical fault surfaces mainly indicate dextral slip, but moderate-angle minor reverse faults showing top-tothe-west shearing transect the foliated high-angle gouge and breccia layers. These indicate that the dextral slip along the fault, which is interpreted as the main movement of the fault, was followed by reverse slip. The fault zone is composed of N-S-striking gouge layers and enclosed, fractured lenses. Locally distributed NE-SW- to E-W-striking fault gouge layers with fractured lenses show asymmetric folds, indicating progressive dextral movement. Therefore, the exposed fault zone has a high internal complexity due to the combined effects of NNE-SSW-trending dextral shearing and E-W-trending shortening by compression. In addition, around main boundary fault between the western volcanic rocks and eastern sedimentary rocks offsets the overlying Quaternary fluvial conglomerate. This is a good example that understanding of internal structures of main fault zone (or fault core), such as the Yangsan Fault, plays an important role to study the Quaternary activity and to find the active fault.

From 'Medicalization' to 'Biomedicalization': the Case of Mental Disorder ('의료화'에서 '생의료화'로: 정신장애의 사례)

  • Kim, Hwan-Suk
    • Journal of Science and Technology Studies
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    • v.14 no.1
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    • pp.3-33
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    • 2014
  • Over the last forty years, the dominant perspective of social science on medicine has been the medicalization theory. It indicates the social process of expanding power of medical professionals by (re)defining the problems which were treated as non-medical phenomena(e.g. homosexuality, alcoholism, obesity, etc.) into "diseases" and thus the spheres of medical intervention. Meanwhile, rapid technoscientific changes in the medical field owing to the diffusion of biological sciences and information technologies since the mid-1980s and the accompanying emergence of new social arrangements such as bioeconomy and biological citizenship have led to the rise of a new social scientific perspective called the biomedicalization theory. This paper attempts to compare the two theories and assess their merits and demerits as a basic work to deepen the understandings of sociology and STS on contemporary medicine. And it also attempts to analyze their relative relevance through the case of mental disorder. The analysis on the case of mental disorder clearly shows that the medicalization in that area seems to have continuously proceeded since the early 19th centiry to the present. Furthermore, it also seems true that the five central processes of biomedicalization(except for risk surveillance technologies of mental disorder) have been observed and realized since the late 20th century. These results indicate that although medicalization has consistently proceeded, it has not been limited to the quantitative expansion of the medical field but been extended to the qualitative transformation asserted by the biomedicalization theory. Therefore, while the concept of medicalization is valid and significant even today, we can recognize that the concept of biomedicalization allow us to capture the new phenomena which cannot be properly and sufficiently captured by that of medicalization.

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Pathologic Change and Prognosis after Combination Therapy in Advanced Neuroblastoma (소아 신경모세포종의 치료 후 조직소견의 변화와 예후와의 관계)

  • Seo, Yeon Kyong;Jung, Yu Jin;Kim, Joon Sik;Kim, Heung Sik;Park, Woo Hyun;Choi, Soon Ok;Lee, Byung Yook;Kwon, Kun Young
    • Clinical and Experimental Pediatrics
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    • v.46 no.11
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    • pp.1107-1111
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    • 2003
  • Purpose : Neuroblastoma is a malignant neoplasm which arises from primitive sympathetic neuroblasts, and occasionally can matured from a malignant neuroblastoma into a benign ganglioneuroma. It has the highest rate of spontaneous regression of any pediatric tumor. We performed a retrospective study of pathologic features after combination therapy in advanced neuroblastoma. Prognostic effects of the individual morphologic feature and prognostic groupings according to modified Shimada classification systems were analyzed. Methods : The treatment results for six patients with neuroblastoma seen at Keimyung University from Jan. 1991 to June 2000 were analyzed. Patients were treated with a combination of chemotherapy, radiation therapy, and surgery, and classified by two major prognostic criteria based on morphological features of neuroblastoma, such as modified Shimada classification and histologic grading. Results : Three cases were classified to a good histologic group; among them, two cases survived, but one case was lost in follow-up. There were three cases classified in a poor histologic group. All of these patients expired due to sepsis and hemorrhagic pancreatitis. Conclusion : Prognostic classification due to pathologic findings had significant value in evaluating the survival rate of neuroblastoma patients.

Congestion Control Algorithms Evaluation of TCP Linux Variants in Dumbbell (덤벨 네트워크에서 TCP 리눅스 변종의 혼잡 제어 알고리즘 평가)

  • Mateen, Ahamed;Zaman, Muhanmmad
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.1
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    • pp.139-145
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    • 2016
  • Dumbbell is the most basic topology that can be used in almost all kind of network experiment within it or just by little expansion. While Transmission Control Protocol TCP is the basic protocol that is used for the connectivity among networks and stations. TCP major and basic goal is to provide path and services to different applications for communication. For that reason TCP has to transfer a lot of data through a communication medium that cause serious congestion problem. To calculate the congestion problem, different kind of pre-cure solutions are developer which are Loss Based Variant and Delay Based Variant. While LBV keep track of the data that is going to be passed through TCP protocol, if the data packets start dropping that means congestion occurrence which notify as a symptom, TCP CUBIC use LBV for notifying the loss. Similarly the DBV work with the acknowledgment procedure that is used in when data ACK get late with respect to its set data rate time, TCP COMPOUND/VAGAS are examples of DBV. Many algorithms have been purposed to control the congestion in different TCP variants but the loss of data packets did not completely controlled. In this paper, the congestion control algorithms are implemented and corresponding results are analyzed in Dumbbell topology, it is typically used to analyze the TCP traffic flows. Fairness of throughput is evaluated for different TCP variants using network simulator (NS-2).

상온에서 제작된 다결정 인듐갈륨 산화물(IGO) 투명 박막트랜지스터 제조 및 특성 연구

  • Jo, Gwang-Min;Jeong, Yeon-Hu;Lee, Jun-Hyeong;Kim, Jeong-Ju;Heo, Yeong-U
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.345-345
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    • 2014
  • 최근 디스플레이 기술은 급속도로 발전해 가고 있다. 정보화 기술의 발전으로 언제 어디서나 쉽게 정보를 얻을 수 있는 유비쿼터스 시대로 접근하고 있으며, 휴대가 간편하고 이동성을 가진 휴대용 기기가 인기를 끌고 있다. 이에 따라 더 얇고 더 가벼우며 휴대하기 쉬운 디스플레이가 요구 되고 있고, 더 나아가 떨어뜨려도 깨지지 않고 유연하며, 디자인 변형이 자유로우며, 때론 종이처럼 접거나 휘어지거나 두루마리처럼 말을 수 있는 이른바 "플렉서블 디스플레이"에 대한 필요성이 점점 대두되고 있다. 이러한 첨단 디스플레이의 핵심 소자 중 하나는 산화물 박막 트랜지스터 이다. 산화물 반도체는 넓은 밴드갭을 가지고 가시광선 영역에서 투명하며, 높은 이동도를 가지고 있어 차세대 평판디스플레이, 투명디스플레이 및 플렉서블 디스플레이용 박막트랜지스터(TFT)를 위한 채널층으로써 광범위하게 연구되고 있다. 하지만 현재 대부분의 산화물 박막 트랜지스터 제조 공정은 고온에서의 열처리를 필요로 한다. 고온에서의 열처리 공정은 산화물 박막의 제조 공정 단가를 증가시키는 문제점이 있으며, 산화물 박막이 형성되는 기판의 녹는점이 낮은 경우에는 상기 기판의 변형을 가져오므로(예를 들면, 플라스틱 기판, 섬유 기재 등), 상기 산화물 박막이 적용되는 기판의 종류에 제한이 생기는 문제점이 있었다. 이에 플렉시블 디스플레이 등을 위해서는 저온공정이 필수로 선행 되어야 한다. 산화물 TFT는 당초, ZnO계의 재료가 연구되었지만 2004년 말에 Hosono 그룹이 Nature지에 "IGZO (In, Ga, Zn, O)"을 사용한 TFT를 보고한 이후 IGZO, IZO, ISZO, IYZO, HIZO와 같은 투명 산화물반도체가 TFT의 채널물질로써 많이 거론되고 있다. 그 중에서 인듐갈륨 산화물(IGO)는 삼성분계 n-형 산화물 반도체이고, 채널 이동성이 좋고 광투과도가 우수해 투명 TFT에 매우 유용하게 사용할 수 있다. 이 실험에서 우리는 인듐갈륨 산화물 박막 및 트랜지스터 특성 연구를 진행하였다. 인듐갈륨 산화물 박막은 상온에서 rf-magnetron sputtering법을 사용하여 산소분압 1~10%에서 증착 되었다. 증착된 인듐갈륨 산화물 박막은 cubic $In_2O_3$ 다결정으로 나타났으며, 2차상은 관찰 되지 않았다. 산소분압이 10%에서 1%로 변함에 따라 박막의 전도도는 $2.65{\times}10^{-6}S/cm$에서 5.38S/cm 범위에서 조절되었으며, 이를 바탕으로 인듐갈륨 박막을 active층으로 사용하는 bottom gate 구조의 박막트랜지스터를 제작 하였다. 인듐갈륨산화물 박막트랜지스터는 산소분압 10%에서 on/off 비 ${\sim}10^8$, field-effect mobility $24cm^2/V{\cdot}S$를 나타내며 상온에서 플렉서블용 고 이동도 소자 제작의 가능성을 보여준다.

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