• Title/Summary/Keyword: 정형우도

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Incidence of Deep Vein Thrombosis before Hip Fracture Surgery Diagnosed by Color Doppler Sonography Surveillance (고관절 주위 골절환자에서 술 전 색 도플러 초음파를 이용하여 진단한 심부 정맥 혈전의 빈도)

  • Jung, Jae-Hoon;Lee, Kyung-Jae;Min, Byung-Woo;Son, Eun-Seok;Koo, Tae-Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.2
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    • pp.98-104
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    • 2014
  • Purpose: To evaluate the incidence of deep vein thrombosis (DVT) before hip fracture by duplex color Doppler ultrasonography. Materials and Methods: From June 2013 to May 2014, 27 patients who had agreed to perform color Doppler ultrasonography before hip fracture surgery were evaluated for the incidence of DVT. Patients who had history of DVT were excluded. Five patients were men and 19 patients were women. The mean age was 74.3 years old (41-87). There were 15 cases of femoral neck fracture, 11 cases of intertrochanteric fractures and one case of acetabular fracture. Surgical intervention underwent within 48 hours from admission and duplex color Doppler ultrasonography was carried out at the day of admission. Results: DVT occurred in six cases (22.2%). Four cases (14.8%) occurred in proximal deep vein and two cases (7.4%) occurred in distal deep vein. The mean period of immobilization was longer in patients who had DVT. But there was no significant difference. The mean age was 79 years old (75-87) in patients who had DVT and 72 years old (65-86) in patients who had not. There was significant difference (p=0.038). Conclusion: The incidence of DVT which was diagnosed by duplex color Doppler ultrasonography before hip fracture surgery was relatively high (22.2%). So it is necessary to undergo duplex color Doppler ultrasonography more aggressively to rule out DVT before hip fracture surgery.

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Directional and Orthogonal Effects of Seismic Loads on Design Member Forces (설계부재력에 대한 지진하중의 방향 및 직교성 영향)

  • Ko, Dong-Woo;Jeong, Seong-Wook;Lee, Han-Seon
    • Journal of the Earthquake Engineering Society of Korea
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    • v.9 no.3 s.43
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    • pp.51-58
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    • 2005
  • Many RC building structures of multiple uses constructed in Korea have the Irregularities of torsion and soft story at bottom stories simultaneously. Seismic design codes generally require dynamic analysis and to take into account the effect or earthquake excitations in the orthogonal direction using the approximate methods of 100/30 and SRSS for type of building structures. And ail buildings should be designed to be safe in any direction of earthquake input. But, most of designers have difficulty in considering the orthogonal and directional effect of earthquake. The objective of the study stated herein is to verily 1) the effect of the choice of the reference axes on the seismic design member forces by comparing the analytical results on member forces using the principal axes suggested by Wilson and the global axes generally adopted in design office, 2) the validity or the 100/30 and SRSS methods by comparing the member forces obtained through linear elastic time history analysis with those obtained through using response spectrum analysis and 100/30 (or SRSS) methods. Based on the observations on the analytical results, it is concluded as follows; 1) The values of member forces by principal axes can be about $15\%$ smaller than those by the global axes in the example structure. 2) Though the values of member forces given by time history analysis are generally within the peak values predicted by 100/30 and SRSS methods, many member force vectors $(P,\;M_y,\;and\;M_z)$ by lime history analysis were located outside the boundaries predicted by the approximate method such as the 100/30 method.

Arthroscopic Treatment of Osteoarthritis of the Knee(Comparison of the groups with and without mechanical symptom) (슬관절 퇴행성 관절염의 관절경적 치료 - 기졔적 증상이 있는 군과 없는 군과의 비교 -)

  • Kim Cheol-Ho;Lim Chang-Kyun;Cho Seong-Woo;Kim Gi-Hyung;Moon Jin-Woong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.149-152
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    • 2003
  • Purpose: The purpose of this study is to evaluate the clinical results for the treatment of osteoarthritis of the knee by arthroscopic procedure according to presence or absence of mechanical symptoms. Materials and Methods: We studied sixty patients (60 knees) who underwent arthroscopic procedure for the treatment of osteoarthritis of the knee from October,2000 to January,2002. The average follow up period was 15 months(12-30 months). We evaluated the mechanical symptoms by simple radiographs, history taking and physical examination. We analysed the clinical results by Baumgaertner's scale. Results: The Baumgaetner's score improved from 3.1 preoperatively to 8.1 postoperatively in the group with mechanical symptoms, whereas the scores in the group without mechanical symptom improved from 3.5 preoperatively to 5.4 postoperatively. The patients with mechanical symptoms were satisfied more than the patients without mechanical symptoms. Conclusion: The arthroscopic surgery could be one of good alternative treatment methods for the osteoarthritis of the knee with mechanical symptoms . But, more than these patients will be needed for further evaluation.

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Arthroscopic ACL Reconstruction Using Quadrupled Hamstring Tendon with Tibial Remnant-preserving Technique (슬괵건을 이용하여 경골부 잔류 조직을 보존한 관절경적 전방십자인대 재건술)

  • Kyung, Hee-Soo;Oh, Chang-Wug;Kim, Poong-Taek;Lee, Byung-Woo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.92-98
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    • 2007
  • Purpose: We evaluated the clinical results of arthroscopic ACL reconstruction using quadrupled hamstring tendon with tibial remnant-preserving technique. Materials and Methods: Thirty-five cases were evaluated from Feb, 2003 to May, 2006. The average interval from injury to surgery was $2.6{\pm}1.6$ months. The cause of injury was mostly sports-related trauma. The average follow-up period was 17 months. Tibial remnant was preserved as much as possible and caution was taken not to damage the remnant during ACL reconstruction. Postoperative rehabilitation was the same as the usual rehabilitation method after ACL reconstruction, except for delaying motion for 2 weeks with an extension locking brace. Clinical evaluation was performed using ROM; Lachman test; pivot-shift test; anterior displacement measurement using KT-2000 arthrometer; Lysholm score and proprioception measured by single limb standing test. Results: There was no limitation of knee motion without contracture. The Lachman test and pivot-shift test were both negative. The side-to-side difference of anterior displacement measured using KT-2000 arthrometer was improved from 6.7 mm to 2.2 mm. The average Lysholm score improved from 81 to 96. The single limb standing test for proprioceptive evaluation showed no significant difference from a normal leg. Conclusion: ACL reconstruction with tibial remnant-preserving technique can preserve mechanoreceptors with prorioception and expect good functional recovery.

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Injuries Associated with Inline Skating (인라인스케이트와 관련된 손상)

  • Song Ha Heon;Kim Joung Woo;Cho Yong Woo;Yang Jung Hwan
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.25-30
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    • 2004
  • Objective: Recently, inline skates are populary increasing and have become major recreational activities. This study was performed to determine the effective prevention means on various extremity injury by investigating injury severity occording to acute injury and overuse injury. Results: Acute inline skating injury was experienced mostly among the age between 6$\~$14 years old children after school around nearby their home without using no appropriate safety device gear. The wrist injury was mostly happened. We think that overuse injury is related to boot itself, boot fitting and improper skating techniques. Conclusion: So afterall, appropriate safety equipment wearing in inline skating at the safe place after learning about the skating skills can reduce the acute inline skating extremity injuries. Choosing a pair of good fitting boots, performing the exact pushing techniques and take good rests in the middle of skating frequently can reduce the overuse injury.

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Suprascapular Nerve Entrapment Syndrome Caused by Ganglion (결절종에 의한 견갑상신경 포착 증후군)

  • Kim Soung Yon;An Sung Chan;Chun Jae Myeung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.65-70
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    • 2002
  • Purpose : To review the operative results and find out better method of a treatment of suprascapular nerve entrapment syndrome caused by ganglion. Materials and Methods : From March of 1996 to May of 2001, thirteen cases of suprascapular nerve entrapment syndrome caused by ganglion were reviewed which were diagnosed using physical examination, EMG and MRI. All of them were treated with open exision of ganglion, nerve decompression and arthroscopic examination. The clinical results were evaluated using subjective recovery of muscle power and ASES (American Shoulder and Elbow Surgeons) score. Results : Nine cases (69$\%$) showed residual symptom such as intermittent pain, insufficient recovery of muscle power, persistent muscle atrophy. Complete recovery in four cases (31$\%$). Mean value of ASES score was 86.4 (70-99.8) points. Postopertively, pain was relieved in 84$\%$ of patients and muscle power was improved in 53$\%$ of the patients but the atrophy persisted. Conclusions : Excision of ganglion is insuffient to relieve the nerve entrapment. Not only excision of ganglion but also treatment of intraarticular lesion, decompression of suprascapular and spinoglenoid notch which attributable to entrapment should be considered for the better clinical results.

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Development of Tree Detection Methods for Estimating LULUCF Settlement Greenhouse Gas Inventories Using Vegetation Indices (식생지수를 활용한 LULUCF 정주지 온실가스 인벤토리 산정을 위한 수목탐지 방법 개발)

  • Joon-Woo Lee;Yu-Han Han;Jeong-Taek Lee;Jin-Hyuk Park;Geun-Han Kim
    • Korean Journal of Remote Sensing
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    • v.39 no.6_3
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    • pp.1721-1730
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    • 2023
  • As awareness of the problem of global warming emerges around the world, the role of carbon sinks in settlement is increasingly emphasized to achieve carbon neutrality in urban areas. In order to manage carbon sinks in settlement, it is necessary to identify the current status of carbon sinks. Identifying the status of carbon sinks requires a lot of manpower and time and a corresponding budget. Therefore, in this study, a map predicting the location of trees was created using already established tree location information and Sentinel-2 satellite images targeting Seoul. To this end, after constructing a tree presence/absence dataset, structured data was generated using 16 types of vegetation indices information constructed from satellite images. After learning this by applying the Extreme Gradient Boosting (XGBoost) model, a tree prediction map was created. Afterward, the correlation between independent and dependent variables was investigated in model learning using the Shapely value of Shapley Additive exPlanations(SHAP). A comparative analysis was performed between maps produced for local parts of Seoul and sub-categorized land cover maps. In the case of the tree prediction model produced in this study, it was confirmed that even hard-to-detect street trees around the main street were predicted as trees.

Effects of activator treatment on different skeletal patterns in growing class II malocclusion patients (성장기 II급 부정교합자에서 골격 형태에 따른 액티베이터 사용 효과에 관한 연구)

  • Ki, Jun-Hun;Lee, Jin-Woo
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.29-43
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    • 2007
  • Objective: To establish proper diagnosis and treatment plan for skeletal Class II malocclusions, some important factors to consider are the patient's skeletal morphology, prognosis as well as the treatment effects. Therefore, the present study analyzed the effects of activator treatment on different skeletal patterns in growing Class II malocclusion patients. Methods: A total of 116 patients (53 boys & 63 girls) in the experimental group were treated with the activator appliance. The experimental group was classified into either hyperdivergent or hypodivergent groups according to articular and genial angles. Results: Patients with hypodivergent growth patterns showed good effects of activator treatment. Conclusion: It seems conceivable that through classifying adolescent Class II malocclusion patients into different skeletal patterns, activator treatment effects may be predicted during the diagnosis and treatment planning stage.

Free Vibration of Tapered Tube (선형변단면관(線形變斷面管)의 자유진동)

  • Lee, Yong Woo;Min, Kyung Ju
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.11 no.4
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    • pp.45-54
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    • 1991
  • The closed forms of mass matrix with rotational inertia matrix are developed for free vibration analysis in space structures containing linearing tapered members with cross section of thin-walled tube. The exact displacement functions are used for formulating mass matrix. The very small slopes of the tapered member are used in usual practice, such that the series expansion forms of these are also developed to avoid numerical failure in vibration analysis. Significant improvements of accuracy and efficiency of free vibration analysis are achieved by using the mass matrices developed in this study. Frequencies of free vibration of tapered members are compared with solutions based upon stepped representation of beam element.

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A Semantics-based protocol for Business Process Transactions (비즈니스 프로세스 트랜잭션을 위한 시맨틱스 기반의 프로토콜)

  • Kang, Dong-Woo;Lee, Sun-Jae;Lee, Jae-Yeol;Kim, Kwang-Soo
    • The Journal of Society for e-Business Studies
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    • v.11 no.2
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    • pp.93-110
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    • 2006
  • A Business Process Management System(BPMS) requires transaction management to guarantee reliability for transactions. Though several transaction protocols have been suggested for the transaction management, the difference of transaction protocols interrupts interoperability among transaction management systems. In this paper, a business process transaction based on semantics is suggested. It is defined based on the static semantics and the operational semantics. As the static semantics defines the ontologies for transaction states and transaction messages using Web Ontology Language(OWL), it solves the difference of expression for the concepts of transaction protocols. As the operational semantics defines state transitions of business process transactions using Abstract State Machine(ASM), it can guarantee formalism for transaction operations. The operational semantics refers to the state ontology and message ontology defined in the static semantics. This approach can enhance interoperability among various transaction protocols, increase the understandability for the transaction protocols, and support autonomous transaction execution and systematic transaction monitoring.

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