• 근관절건강학회지
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• 제21권1호
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• pp.1-10
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• 2014

Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

• Steel and Composite Structures
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• 제37권3호
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• pp.307-321
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• 2020

The slim-floor solution provides an efficient alternative to the classic slab-over-beam configuration due to architectural and structural benefits. Two deficiencies can be identified in the current state-of-art: (i) the technique is limited to nonseismic applications and (ii) the lack of information on moment-resisting slim-floor beam-to-column joints. In the seismic design of framed structures, continuous beam-to-column joints are required for plastic hinges to form at the ends of the beams. The present paper proposes a slim-floor technical solution capable of expanding the current application of slim-floor joints to seismic-resistant composite construction. The proposed solution relies on a moment-resisting connection with a thick end-plate and large-diameter bolts, which are used to fulfill the required strength and stiffness characteristics of continuous connections, while maintaining a reduced height of the configuration. Considering the proposed novel solution and the variety of parameters that could affect the behavior of the joint, experimental and numerical validations are compulsory. Consequently, the current paper presents the experimental and numerical investigation of two slim-floor beam-to-column joint assemblies. The results are discussed in terms of moment-rotation curves, available rotational capacity and failure modes. The study focuses on developing reliable slim-floor beam joints that are applicable to steel building frame structures located in seismic regions.

• Archives of Plastic Surgery
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• 제43권2호
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• pp.189-196
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• 2016

Background Several techniques have been designed to treat fifth metacarpal fractures reported to be effective. However, these methods cannot be easily applied to the fourth metacarpal due to its central anatomical position. In this study, we sought to analyze the functional outcomes of patients who underwent transverse pinning for a fourth metacarpal bone fracture. Methods A total of 21 patients were selected and their charts were retrospectively reviewed. After fracture reduction, two transverse Kirchner wires were first inserted from the fifth metacarpal to the third metacarpal transversely at the distal part of the fractured bone, and then another two wires were inserted at the proximal part of the fractured bone. The splint was removed approximately one week postoperatively and the Kirchner wires were removed four to five weeks postoperatively. Patients started active and passive exercise one week after the operation. Pain visual analog scores, total active and passive motion, and the active and passive range of motion of the metacarpophalangeal joint and grip strength were evaluated. Results Dorsal angulation improved from a preoperative value of $44.2^{\circ}$ to a postoperative value of $5.9^{\circ}$. Six weeks after surgery, functional recovery parameters, such as range of motion and grip strength, had improved to 98% of the function of the normal side. No major complication was observed. Conclusions We suggest that the transverse pinning of fourth metacarpal bone fractures is an effective treatment option that is less invasive than other procedures, easy to perform, requires no secondary surgery, minimizes joint and soft tissue injury, and allows early mobilization.

• 콘크리트학회논문집
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• 제19권2호
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• pp.209-216
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• 2007

본 연구는 강섬유 보강 초고강도 콘크리트가 적용된 슬래브-기둥 접합부의 구조적 특성을 파악하였다. 2개의 슬래브-기둥 시험체와 4개의 독립 기둥 시험체의 기둥 하중 전달 실험이 수행되었다. 기둥 하중 실험 수행시, 슬래브-기둥 접합부의 실제 구속 상태를 고려하기 위해 슬래브 하중을 적용하였다. 주 변수로는 강섬유 보강 초고강도 콘크리트의 확대 타설이며, 이에 더하여 슬래브의 접합부 구속 효과, 강섬유 보강, 그리고 접합부의 콘크리트 강도 등이 실험을 통해 파악되었다. 또한, ACI Code(2005)와 CSA Standard(2004)의 예측식과 실험 결과를 비교하였다. 슬래브-기둥 접합부를 통한 기둥 하중 전달에 대한 강섬유 보강 초고강도 콘크리트의 효과를 실험을 통해 확인하였다.

• 한국전문물리치료학회지
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• 제17권2호
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• pp.60-66
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• 2010

In chronic ambulatory hemiplegic patients, structural changes might be developed at both ankles possibly due to unequal and repetitive weight bearing on tendons and ligaments. We examined ankles by sonography to find out structural changes of tendons and ligaments of both ankles in ambulatory hemiplegic patients. Nineteen ambulatory hemiplegic patients over 1 year were included as study subjects. All subjects had no previous trauma or disease history in their ankle joints and they were able to walk independently or with supervision but had spastic ankles with equinovarus tendency. We examined both ankle joints by sonography to see joint effusion and measure width, thickness, and area of tendons of the tibialis anterior, tibialis posterior, and Achilles, and also ligaments of the anterior talofibular and calcaneofibular. We compared sonographic features of the hemi-side ankle with the sound-side ankle. There were no significant differences between hemi-side and sound-side ankles in almost all measured parameters of tendons and ligaments. However, the width of the hemi-side tibialis posterior tendon ($7.24{\pm}1.52$ mm) was narrower than the sound-side tendon ($8.61{\pm}1.37$ mm). With the amount of active joint motion and weight bearing possibly preventing ligament and tendon atrophy even though marked weakness, spasticity occurred during the chronic hemiplegic phase.

• Steel and Composite Structures
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• 제7권2호
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• pp.87-103
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• 2007

This paper presents some of the results from an experimental research project on the behavior of extended end-plate connections subjected to moment conducted at the Structural Laboratory of Jordan University of Science and Technology. Since the connection behavior affects the structural frame response, it must be included in the global analysis and design. In this study, the behavior of six full-scale stiffened and unstiffened cantilever connections of HEA- and IPE-sections has been investigated. Eight high strength bolts were used to connect the extended end-plate to the column flange in each case. Strain gauges were installed inside each of the top six bolts in order to obtain experimentally the actual tension force induced within each bolt. Then the connection behavior is characterized by the tension force in the bolt, extended end-plate behavior, moment-rotation relation, and beam and column strains. Some or all of these characteristics are used by many Standards; therefore, it is essential to predict the global behavior of column-beam connections by their geometrical and mechanical properties. The experimental test results are compared with two theoretical (equal distribution and linear distribution) approaches in order to assess the capabilities and accuracy of the theoretical models. A simple model of the joint is established and the essential parameters to predict its strength and deformational behavior are determined. The equal distribution method reasonably determined the tension forces in the upper two bolts while the linear distribution method underestimated them. The deformation behavior of the tested connections was characterized by separation of the column-flange from the extended end-plate almost down to the level of the upper two bolts of the lower group and below this level the two parts remained in full contact. The neutral axis of the deformed joint is reasonably assumed to pass very close to the line joining the upper two bolts of the lower group. Smooth monotonic moment-rotation relations for the all tested frames were observed.

• 대한한의학방제학회지
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• 제13권2호
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• pp.193-206
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• 2005

Objective: This study is designed to compare the effects of Sulguanjul-Bang No.1 on osteoarthritis in knee joint according to formulation. Methods: 47 patients with symptomatic osteoarthritis of the knee joint were enrolled in a open clinical trial. The 47 patients were devided into two groups at random and taken Sulguanjul-bang No.1 with decoction type, suspension type respectively for8 weeks. After 8-week treatment period, the following parameters were analyzed ; Visual analogue Scale(VAS), Lysholm index score, patients' global assessment. Results: Sulguanjul-bang No.1 treatment led to significant improvement in the pain and symptoms of osteoarthritis as determined by all efficacy measures. After 8 weeks of therapy, there was significant improvement in VAS, Lysholm index and patients' global assessment. But there is no significant difference between two groups. Conclusions: Sulguanjul-bang No.1 was very beneficial pain relief effect and functional improvement irrespect of formulation, decoction type or suspension type.

• 한방재활의학과학회지
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• 제26권3호
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• pp.1-15
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• 2016

Objectives This study was designed to evaluate the anti-inflammatory effects of Seungseup-tang (SST) on the monosodium iodoacetate (MIA)-induced osteoarthritis rats. Methods Osteoarthritis was induced by injection of MIA ($50{\mu}l$ with 80 mg/ml) into knee joint cavity of rats. Rats were divided into 4 groups (normal group, control group, indomethacin treated group, SST treated group, each n=6). Normal group was not injected with MIA and taken normal diet. Control group was injected with MIA and taken with distilled water. Indomethacin treated group was injected with MIA and taken indomethacin 5 mg/kg by oral administration. SST treated group was injected with MIA and taken SST 200 mg/kg by oral administration. We examined the weight-bearing ability of hind paw, biomarkers related to oxidative stress in serum, inflammatory proteins and inflammatory mediators and cytokines. Moreover, histopathological examination of knee joint structure was also performed by Hematoxylin & Eosin (H&E), Safranin-O staining method. Results In the present study, SST treated group showed a similar inhibitory effects alike indomethacin treated group, in most of the studied parameters of inflammation. The increased oxidative stress biomarker such as reactive oxygen species (ROS) and peroxy nitrite ($ONOO^-$) in the serum were reduced with SST. Especially, the level of $ONOO^-$ compared with control group significantly suppressed. Also, the expression of inflammatory mediators and cytokines induced by nuclear factor-kappa B (NF-${\kappa}B$) activation was modulated through inhibition of IkBa phosphorlation. In addition, histological analysis revealed that cartilage damage by MIA repaired markedly in SST treated group. Conclusions According to the results, Seungseup-tang may be effective for preventing the progression of osteoarthritis.

• 한국공간구조학회논문집
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• 제18권1호
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• pp.45-53
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• 2018

Following the earthquake that shook the city of Gyeongju, Korea, in 2016, it became apparent that research on the safety of cultural heritages against the seismic hazards is necessary in Korea. Predictions of how historically significant stone pagodas would behave the earthquakes anticipated in near future, which are the subject of this study, is also required. In this study, the dynamic characteristics of 15 cultural heritage designated stone pagodas of Korea were investigated, including natural frequency and damping ratio, and the stiffness of the stone material and its contact area were determined using eigenvalue analysis by assuming the stone pagodas to be multi-degree-of-freedom structures. The results of this study enable the structural modeling of stone pagodas using a finite element analysis program and the method is expected to be useful in assessing the structural safety of stone pagodas against vertical loads as well as lateral forces, including earthquakes. Also, by identifying the dynamic characteristics of the structures, the results of this study can be utilized as a nondestructive testing method to determine the rigidity of cultural heritage structures and to identify inherent problems. The natural frequencies of the Korean stone pagodas were measured to be within 3.5~8.3Hz, excluding cases with distinct natural frequency results, and it was determined that the natural frequencies of the stone pagodas are influenced by various parameters including the height and joint stiffness of the structures.

• The Korean Journal of Physiology and Pharmacology
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• 제24권6호
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• pp.453-462
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• 2020

Chronic joint pain due to loss of cartilage function, degradation of subchondral bone, and related conditions are common plights of an arthritis patient. Antioxidant compounds could solve the problems in arthritic condition. The objective of this study was to evaluate the anti-arthritic activity of D-carvone against complete Freund's adjuvant (CFA)-induced arthritis in rats. D-carvone was orally administered for 25 days at the doses of 30 and 60 mg/kg against CFA-induced arthritic rats. Changes in body weight, paw swelling, organ index, hematological parameters, oxidative stress markers, inflammatory cytokines, and histopathology were recorded. Oral treatment of D-carvone significantly improved the body weight, reduced the paw swelling, edema formation, and organ index in arthritic rats. The levels of white blood cells were reduced, red blood cells and hemoglobin levels were improved in D-carvone treated arthritic rats. Lipid peroxidation levels were lowered whereas enzymatic and non-enzymatic antioxidants were significantly elevated by D-carvone administration against arthritic rats. D-carvone significantly modulated inflammatory cytokine levels and improved the ankle joint pathology against CFA-induced arthritic inflammation. In conclusion, D-carvone proved significant anti-arthritic activity against CFA-induced arthritis in rats.