• 한국의학물리학회지:의학물리
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• 제22권2호
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• pp.67-71
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• 2011

본 연구에서는 방사선사를 포함한 레이저, 갠트리 및 온-보드 영상장치의 총체적 셋업의 정확성을 평가하고자 하였다. 경험이 많은 방사선사에게 매일 아침 마커블록을 카우치의 Lock bar 시스템에 고정하고 마커블록을 레이저 중심에 맞추도록 하였다. 71일간 마커블록을 2D/2D 정합으로 위치를 보정하기 위하여 $0^{\circ}$ and $270^{\circ}$ 각도에서 한 쌍의 kV 영상을 획득하였다. 정합이 되었을 때 원격으로 카우치를 조정하여 셋업에러를 보정하고 보정 값은 저장하였다. 상하방향(vertical)과 앞뒤방향(longitudinal) 평균오차를 분석한 결과 상하방향은 0.65, 앞뒤방향은 0.66으로 나타났으며 반면에 좌우방향(lateral)은 0.01으로 나타났다. 상하방향과 앞뒤방향의 p 값은 모두 0.00으로 통계적으로 유의하게 나타났으며, 좌우방향에서는 p 값이 0.829로 나타나 계통오차를 발견하기 어려웠다. 총체적 셋업평가방법은 일간으로 시행하기에 유용하고 편리하였다. 그러나 계통오차를 줄이기 위해서 여전히 레이저와 OBI의 일간 점검은 필요하다.

• Archives of Plastic Surgery
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• 제43권6호
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• pp.551-558
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• 2016

Background Fascial free flaps have been widely used for reconstruction of the hand because they are thin. However, studies reporting objective data regarding the advantages of this approach are lacking. Thus, we report our experience with such flaps. Methods Forty-five cases of fascial free flaps between November 2006 and March 2014 were reviewed. Nine cases involving reconstructed dorsal or lateral defects were included. Four anterolateral thigh fascial free flaps and 5 lateral arm fascial free flaps were examined. Maximal flap contour was assessed by measuring reconstructed tissue thickness at the central area from the surface of the skin to below the bone in a vertical manner using ultrasonography and X-ray data. Contralateral regions were examined in the same manner and a comparative analysis was performed. A questionnaire survey regarding aesthetic satisfaction was also administered. Results All reconstructed parts had a thicker contour than the contralateral side. The average relative percentage of reconstructed tissue thickness was found to be 152% using ultrasonography and 143% using X-ray imaging. According to the aesthetic satisfaction survey, the average rate of satisfaction for patients was 62%, and satisfaction with the flap contour was 72%. Conclusions Using a fascial free flap, the reconstructed tissue was approximately $1.5{\times}$ as thick as the contour of the normal side, which led to positive responses regarding aesthetic satisfaction.

• Archives of Plastic Surgery
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• 제38권6호
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• pp.775-782
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• 2011

Purpose: Nasal bone fracture is most common facial bone fracture. The cause of fractures is mainly trauma such as fighting, automobile accident and fall down, and it commonly involves young males. Very frequently nasal bone fractures are associated with other facial injuries such as orbital bone fracture, maxillary bone fracture and nasal septal deformities. Because of various dynamic directions of power are involved, phenomenon of fractures are also various and treatment cannot be simple. Methods: We studied and analyzed retrospectively 452 cases nasal bone fractures from January 2008 to December 2010. Diagnosis were made with physical examination, Nasal bone X-rays, Facial bone CT and 3D facial bone CT. Four surgeons are involved in treatments of these patients and applied different procedure along patient's condition and deformity. We analyzed the cause of nasal bone fractures, deformities, associate injuries and applied surgical technique, and patient's satisfaction rate. In this study, old nasal bone fractures were excluded. Results: Young male group was most commonly sustained nasal bone fracture and physical violence was most common cause of injury. 64 of 452 patient was involved associate injuries of face. Closed reduction were applied 246 cases and C-arm quide reduction were 167 cases and in 20 cases lateral osteotomy were applied. Approximately, more than 80% of the Patients were satisfied with the outcomes. Conclusion: Diagnosis and treatment of nasal bone fractures are considered simple but because of various deformity and associate injuries, treatment is not always simple and universal. Time to time, we face unsatisfied patient after treatment of nasal bone fractures. For obtaining satisfactory result, cause of injury and state of deformities and associate injuries such as nasal septal deformity should be evaluated properly and proper treatment should be applied.

• 패션비즈니스
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• 제16권1호
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• pp.150-159
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• 2012

This study intend to analyze differences between 3D body scanning sizes and direct measurement sizes of same subjects. The subjects of study are female students of university in China. 3D data analyze as a 3D Body Measurement Soft System. The conclusion found is as below: In case of circumferences, error between direct-measurement size and 3D body scanning size is from 4.9mm to 62.2mm. The neck circumference size of directmeasurement is bigger than 3D body scanning size. The height error range is from 0.6mm to 51mm. Height of underbust, waist and hip are that direct-measurement sizes are higher than 3D body scanning sizes. Gap of width is from 3.8mm to 21.9mm. The gap range is too narrow relatively to others. Only direct-measurement size of neck width is wider than 3D body scanning size. Error range of length is from 0.3mm to 41.8mm. 3D body scanning sizes of lateral neck to waistline, upperarm length, arm length, neck shoulder point to breast point, shoulder center point to breast point, lateral shoulder to breast point are longer than direct-measurement sizes. They have a negative margin of error. I intend to set up same measurement point between direct-measurement and 3D body scanning but they have some errors because direct-measurement point is applied by a person. 3D body scanning measurement point is settled by automatic system. A measurement point of direct-measurement and 3D body scanning isn't unite. So we need to make a standard of setting up measurement points.

• Physical Therapy Rehabilitation Science
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• 제4권1호
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• pp.11-16
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• 2015

Objective: Prone bridge exercise is one of the core strengthening exercise for improving abdominal, lower and upper extremity muscles. In addition, coactivation of the trunk muscles and extremities is important for treatment of low back pain. This study aimed to investigate the correlation between the thickness, cross-sectional area of the target muscle, and endurance during prone bridge exercise. Our hypothesis was that an increase in muscle thickness is positively related to the hold time for the static prone bridge exercise. Design: Cross-sectional study. Methods: Fourteen healthy university students (8 men and 6 women) voluntarily participated in the study at Sahmyook University. Hold time for the prone bridge with one and both legs was measured. The resting and contracted thickness of the lateral abdominal, rectus femoris, and triceps muscles was measured using rehabilitative ultrasound imaging. The correlation between muscle thickness and endurance for maintenance time was evaluated. Results: The prone bridge with both legs and the contraction thickness of the triceps muscle showed a positive correlation (r=0.692, p<0.05); the prone bridge with one leg and the contraction thickness of the internal oblique and transversus abdominis muscles showed a positive correlation (r=0.545, 0.574, p<0.05, 0.05, respectively). Conclusions: Endurance for the prone bridge exercise with a stable support surface is correlated with the contraction thickness of arm muscles; the prone bridge exercise with an unstable support surface is correlated with the contraction thickness of the deep abdominal muscles.

• 대한관절경학회지
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• 제13권2호
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• pp.174-178
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• 2009

목적: 상완 골두 골괴사증에서의 관절경하 핵심 갑압술을 소개하고자 한다. 수술 술기: 후방 및 전방 삽입구를 이용하여 진단적 관절경을 시행하고 견봉 외측 연의 전방 1/3 부위의 3 cm 하방에 2cm의 천공술을 위한 삽입구를 만든 후, 유도핀 삽입시 주위 연부 조직 손상을 막기 위해 짧게 만든 회색 도관를 위치시킨다. C-형 투시 장치를 견관절의 전후방에 정확히 위치시키고, 관절경을 통해 상완 골두의 관절면을 관찰하면서 3~4개의 유도핀을 괴사 부위에 삽입한 후 7.0 mm 확공기를 이용하여 천공술을 시행한다. 결론: 본 술기는 기존의 삼각흉근 도달법을 이용한 개방적 핵심 감압술에 비해 합병증을 감소시킬 수 있으며, 견관절내 병변의 진단 및 치료를 동시에 할 수 있을 뿐 아니라 술후 통증 및 재활에 유리하여 초기 상완 골두 골괴사증의 치료로 활용할 수 있는 효과적인 술식으로 생각된다.

• Archives of Plastic Surgery
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• 제46권6호
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• pp.594-598
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• 2019

Overall complication rates of 9.1% have been reported following implantable cardioverter defibrillator (ICD) placement. Brachial plexus injury is infrequently reported in the literature. We describe a 26-year-old female experiencing left arm nerve pain, a positive Tinel's sign, numbness in the median nerve distribution of the hand and biceps muscle weakness following revision ICD via subclavian vein approach. Nerve conduction studies identified severe partial left brachial plexopathy, which remained incompletely resolved with conservative management. Surgical exploration revealed lateral cord impingement by the ICD generator and a loop of the ICD lead, along with fibrosis, necessitating surgical neurolysis and ICD generator repositioning. As increasing numbers of patients undergo cardiac device implantation, it is incumbent on practitioners to be aware of potential increases in the prevalence of this complication.

• Steel and Composite Structures
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• 제21권5호
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• pp.963-980
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• 2016

The jib system with middle strut is widely used to achieve the large arm length in the large scale tower crane and the deployability in the mobile construction crane. In this paper, an analytical solution for the out-of-plane buckling of the jib system with middle strut is proposed. To obtain the analytical expression of the buckling characteristic equation, the method of differential equation was adopted by establishing the bending and torsional differential equation of the jib system under the instability critical state. Compared with the numerical solutions of the finite element software ANSYS, the analytical results in this work agree well with them. Therefore, the correctness of the results in this work can be confirmed. Then the influences of the lateral stiffness of the cable fixed joint, the dip angle of the strut, the inertia moment of the strut, and the horizontal position of the cable fixed joint on the out-of-plane buckling behavior of the jib system were investigated.

• 한국운동역학회지
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• 제25권2호
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• pp.207-218
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• 2015

Objective : The purpose of this study was to investigate the characteristics of Gam-ki (double-arm winding) depending on the emotion being expressed. Gam-ki is one of the basic movements of Korean traditional dance. Method : We selected three Korean traditional dancers who belong to National Dance Company of Korea. They were asked to express four different emotions (anger, joy, sadness, and neutral) while performing Gam-ki. We analyzed elapsed time and time ratio, size of movement, ground reaction forces and ground impulses. Results : During Gam-ki the elapsed time for each phase as well as for one cycle was longest when "sadness" was expressed then followed by "neutral" and then "angry" and "joy." Except for the ankle in/eversion, the ROMs of the lower limb joints seem not to be an emotion-characteristic factor. The ROMs of the upper limb joints were largest when "anger" was expressed. Neck rotation is associated with expressing negative emotions ("angry" and "sadness"). For medial-lateral GRF "angry"> "joy" > "neutral" > "sadness" was in order. Therefore, it can be regarded as a factor indicating the activity of the emotion.

• Journal of Acupuncture Research
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• 제21권2호
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• pp.301-314
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• 2004

Objectives : We studied to discover the patterns of DITI of the patients having a both neck and upper extremity pain on one side without any nerve root compression sign and the history of cervical disc herniation. Method : We selected 26 patients as an experimental group, who had visited for a both neck and upper extremity pain on one side without any nerve root compression sign, at the department of acupunture and moxibustion in Conmaul oriental medical hospital, during 2001. 01. - 2003. 09. And 31 normal adults were selected as a control group, not having any neck or arm pain and any history of cervical disease. We analyzed the segmental temperature statistically with t-test. Results & Conclusion : There was a significant change of temperatures in the scapula, posterior brachium, lateral forearm and dorsal hand area. And the experimental group showed cold spot and disruption of normal thermographic shape that were usually shown on the cervical sprain.