• 제목/요약/키워드: Mobility limitation

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천공지 기저 피판을 이용한 다양한 하지 재건 (Lower Extremity Reconstruction by Perforator Based Flap)

  • 오창현;심정수;박대환
    • Archives of Plastic Surgery
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    • 제36권6호
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    • pp.720-726
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    • 2009
  • Purpose: Fasciocutaneous flap with random pattern flap has limitation in mobility and length - width ratio. This characteristic is more pronounced in lower extremity which has relatively poor vascularity. Perforator based flap in lower extremity reconstruction has various advantages as a axial flap, allowing abundant blood supply and widening of mobility range. So if it is not a case of wide defect, free flap can be replaced by perforator based flap. Methods: From April 2007 to March 2009, 18 cases of perforator flap were performed. 8 had defect in upper 1/3 of calf, 6 in middle 1/3, and 4 in lower 1/3. In 10 cases island flap were used, 3 case had transposition flap, 2 cases used advancement flap, 2 case had propeller flap and 1 case had rotation flap. Results: 17 cases survived without flap necrosis. Partial flap necrosis occurred in 1 case, so secondary split thickness skin graft was done. Chronic wound with pseudomonas infection occurred in 1 case, but it was completely cured with conservative treatment. Conclusion: Perforator based flap is useful in lower extremity reconstruction because of relative freedom in changing the size and thickness of the flap depending on the recipient site, good mobility, and abundant vascularity. And donor site morbidity can be minimized. Lower extremity reconstruction using perforator based flap is a good method because it can minimize the complication and obtain effective result.

초기 구강설암 환자에서 부분 설절제술 후 조음변화 (Articulation Changes after Partial Glossectomy in Patients with Early Tongue Cancer)

  • 이길준;염혜연;이강규;이은경;손영익
    • 대한후두음성언어의학회지
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    • 제21권1호
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    • pp.42-47
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    • 2010
  • Backgrounds and Objects: Carcinoma of the tongue is the most common cancer of the oral cavity. A primary treatment strategy includes surgery and/or radiotherapy. Resection of the tongue often results in speech dysfunction, which depends on the site and extent of resection, type of reconstruction, and the mobility of remaining tongue. This study aimed to evaluate the characteristics of articulation errors that were resulted from the partial glossectomy without free flap reconstruction. Materials & Method : Articulation evaluations including speech intelligibility and percent of correct consonants (PCC) were performed for 24 patients who underwent partial glossectomy for their T1 or T2 tongue cancer. Mobility of the tongue, size of the resected tongue, and the history of adjuvant radiotherapy were analyzed for their relationship with the results of articulation evaluation. Results: Speech intelligibility score was $6.4{\pm}0.9$ (on 7-point scale) and overall PCC was 96.9%. There were close relationships between the size of resection and limitations in the tongue mobility, especially in "protrusion and elevation (r=-0.687)" and "retroflexion (r=-0.775)". Errors in "alveolar fricatives" and "palatal affricates" were also closely related with the size of resection (r=-0.537 and -0.538, respectively). PCC for "liquid sound" /r/ was 83.2%, which was closely related with the history of radiation therapy. Conclusion : Overall articulatory function was satisfactory in cases of early tongue cancer after partial glossectomy of a limited volume without flap reconstruction. However, the size of resection and the history of radiation therapy were closely related to the limitations in some types of tongue mobility and the resultant articulation errors.

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뇌성마비 아동의 활동 능력과 참여 사이의 상관관계 (The Correlation between Activity Ability and Participation in Children with Cerebral Palsy)

  • 김지영;김훈주;안선정;감경윤
    • 한국산학기술학회논문지
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    • 제13권1호
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    • pp.211-219
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    • 2012
  • 본 연구는 대동작 기능 분류 체계 확장판(GMFCS E&R)과 사물조작 능력 분류 체계(MACS)를 이용하여 뇌성마비 아동의 활동 제한을 알아보고, 뇌성마비 아동의 참여 영역에서의 제약 정도를 파악하여 활동 제한과 참여 제약 사이에 어떤 관계가 있는지를 알아보고자 시행되었다. 본 연구는 2010년 5월 1일부터 2010년 8월 31일까지 부산, 경남 지역의 병원과 복지관에서 재활치료를 받는 4세~12세 뇌성마비 아동 152명 대상으로 GMFCS E&R과 MACS를 이용하여 뇌성마비 아동의 활동 제한 정도를 평가하고, 뇌성마비 아동의 참여 제약에 대한 설문을 실시하였다. 본 연구의 결과는 SPSS 12.0 통계처리 프로그램을 이용하여 뇌성마비 아동의 활동 제한과 참여 제약 정도를 분석하고 활동 제한과 참여 제약 사이 상관관계를 분석하기 위해 Spearman 상관분석을 하였다. 본 연구 대상자의 활동제한에서 빈도가 가장 높은 GMFCS E&R 5 단계, MACS 5단계는 이동, 교육, 사회적 활동에 대해 심한 참여 제약이나 완전한 참여 제약이 있는 아동이 가장 많았다. 활동 제한과 참여 제약의 상관관계 분석 결과는 유의한 정적관계가 있음을 보였다. 따라서 본 연구를 바탕으로 참여 영역에서 뇌성마비 아동의 기능적 움직임에 대해 평가하고 중재 계획을 세우는 데 유용할 것이다.

통합된 WLAN/3G 네트워크의 증명 방법의 분석 (Analysis of Authentication Architecture in Integrated WLAN/3G Networks)

  • ;한경헌;조병록;한승조
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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    • pp.237-242
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    • 2008
  • A number of wireless technologies have been implemented, but each technology has its limitation in terms of coverage and bandwidth. WLAN and 3G cellular network has emerged to be a complementary platform for wireless data communications. However, the mobility of roaming terminals in heterogeneous networks poses several risks. To maintain secure communications in universal roaming, the effective authentication must be implemented. The focus of this paper is on analysis of authentication architecture involved in integrated WLAN/3G networks.

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체형에 따른 관절운동증진 및 제한형태에 관한 연구 (Joint Range of Motion Increase & Decrease Types)

  • 문상은
    • 대한물리치료과학회지
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    • 제4권2호
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    • pp.373-382
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    • 1997
  • This study has been aimed at figuring out the fact that four kinds of body type grouped according to the tilting of scapular of upper extremity and ilium of low extremity showed the mobility increase for joint parts and the limitation. When we make a thrapy plan which should be comprehensive and general in preventative management and therapy. For the sake of patients who have spinal disabilities including low back pains, it is required for many joints distributing among upper and lower extremity to have hypermobility and hypomobility based on regulation. So, this study was conducted to establish a standard for the effective pattern of hypermobility or hypomobility. I hope that the result of this study can help support the practics of physical therapy as a part of scientic method. Especially I think it will be able to be conductive to those who major in physical therapy on the arthrogenic region.

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자기신호처리 적외선 감지소자의 온도효과를 고려한 해석적 모델 (An analytical model considering temperature effects in self-signal processing infrared detectors)

  • 조병섭;곽계달
    • 전자공학회논문지A
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    • 제32A권3호
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    • pp.124-133
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    • 1995
  • A theoretical self-consistent thermoelectric model has been developed for optimal thermal design in the self-signal processing infraed detectors. The model is achived by employing the coupled thermoelectric equation which allows which allows the simultaneous investigation of the termal and electrical aspects of device behavior. The thermal limitation of detectivity and responsivity are determined by the enegy gap, carrier concentration, lifetime, and mobility as a function of the temperature. The calculated results indicate that the detectivity is decreased at bias fields above about 50 V/cm, because the performence is limiting by temperature when the bias voltage reached the level associated with Joule heating. It has been also found that the improvement in the mid-band modulation transfer function(MTF) may be restricted by increasing the bias fields. Further, the important paramerers in the thermal optimization of SPIR detector, such as temperature in the device, ambipolar velocity, element thickness and length, are also considered. The analytical study provides a mathematical basis for optimal design of such a photoconductive IR detector and the agreement between the experimental and theoretical results are seen to be good.

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엔진 메인 베어링에서의 최소유막두께에 관한 연구 (A Study on the Minimum Oil Film Thickness of Crankshaft Main Bearings in Engine)

  • 최재권;이정현;한동철
    • Tribology and Lubricants
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    • 제8권2호
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    • pp.50-63
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    • 1992
  • The minimum oil film thicknesses (MOFT) in the crankshaft main bearings of a 1.5 liter, L-4, gasoline engine are measured and calculated to study the dynamically loaded engine bearing. The MOFT are measured simultaneously at each of the five main bearings using the total capacitance method(TCM). To improve the reliability of the TCM, a reasonable determination method of bearing clearance is introduced and the effects of bearipg cavitation and aeration on the test results are analyzed. Also the crankshaft is grounded by means of a slip ring instead of the friction contact method to improve the test precision. The calculation is based on the model of statically determinate beam, short bearing approximation and Mobility method. From the comparison between the measured and calculated MOFT curves, it is found that a qualitative similarity exists between them, but in all cases, measured MOFT are smaller than that of calculated. The crankshaft vibration and the imbalance of the load distribution between the engine bearings have important influence upon the MOFT curve. So it is found that the calculation result from the model of the statically determinate beam has a limitation in predicting bearing performance.

Characterization of Low-Temperature Graphene Growth with Plasma Enhanced Chemical Vapor Deposition

  • Ma, Yifei;Kim, Dae-Kyoung;Xin, Guoqing;Chae, Hee-Yeop
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2012년도 제42회 동계 정기 학술대회 초록집
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    • pp.421-421
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    • 2012
  • Graphene has drawn enormous attention owing to its outstanding properties, such as high charge mobility, excellent transparence and mechanical property. Synthesis of Graphene by chemical vapor deposition (CVD) is an attractive way to produce large-scale Graphene on various substrates. However the fatal limitation of CVD process is high temperature requirement(around $1,000^{\circ}C$), at which many substrates such as Al substrate cannot endure. Therefore, we propose plasma enhanced CVD (PECVD) and decrease the temperature to $400^{\circ}C$. Fig. 1 shows the typical structure of RF-PECVD instrument. The quality of Graphene is affected by several variables. Such as plasma power, distance between substrate and electronic coil, flow rate of source gas and growth time. In this study, we investigate the influence of these factors on Graphene synthesis in vacuum condition. And the results were checked by Raman spectra and conductivity measurement.

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두개천골치료가 자율신경계에 미치는 영향 (The Effect that CST gets to autonomic nerve system)

  • 서현규;김병곤;정연우
    • 대한정형도수물리치료학회지
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    • 제10권2호
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    • pp.5-32
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    • 2004
  • We have studied the effect and application of CST which is the function and disease of the autonomic nerve system based on recovery of flexibleness of the autonomic nerve. CST purpose to keep sustenance of human body by recovering joints have limitation of mobility and controlling autonomic nerve system by diminution tense of the sympathetic nerve. CST makes well flowing of CSF by pressure the fourth ventricle of the brain or relaxation of soft tissues of the base of a cranial bone. There is no result of studies about CST in Korea yet. It will bring a benefit if it prove the effect of CST in countries depend on drugs way high such as Korea. It needs positive approach and definite research for the improvement.

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통합된 WLAN/3G 네트워크의 증명 방법의 분석 (Analysis of Authentication Architecture in Integrated WLAN/3G Networks)

  • ;이상덕;조병록;한승조
    • 한국정보통신학회논문지
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    • 제12권6호
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    • pp.1016-1021
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    • 2008
  • 많은 무선기술이 개발되었지만, 그 기술들은 적용사례와 대역폭에서 한계를 가지고 있다. WLAN과 3G 네트워크는 무선통신을 도와주기 위한 플랫폼으로 나왔다. 그러나 서로 다른 네트워크 터미널의 이동성은 여러 리스크를 발생시킨다. 통신 보안과 효과적인 증명이 실행되어야 한다. 이 논문의 주제는 통합된 WLAN/3G 네트워크에 관한 증명방법의 분석에 있다.