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Clinical Observation and Treatment of Fracture-Dislocation of Talus (거골 골절 및 탈구의 임상적 고찰)

  • Lee, Dong-Chul;Kim, Se-Dong;Jung, Hae-Hoon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.302-311
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    • 1992
  • Talus is a important structure of the ankle joint and its function is critical for ambulation and weight bearing. The talus fracture is rare, but the complications of fracture and dislocation are serious and resulting in avascular necrosis, osteoarthritis. So its treatment is carefully considered at initial status. Authors reviewed 11 cases of fracture and dislocation of the talus treated at Yeungnam university hospital from 1984 to 1991. The longest follow up was 8 years and shortest, 1 year. The results were as follows. 1. There were all males, the average age was 30 years old. 2. The most common cause was fall down(8 cases), and next traffic accident(2cases), sports injury(1 case). 3. According to Marti-Weber classification, 1 cases was type I, 1 in type II, 4 in type III and 5 in type IV. 4. The method of treatment were open reduction and internal fixation in 6 cases, the others were closed reduction in 5 cases. 5. Final results(by Hawkins grading system) were as follows, 3 cases were excellent, 4 cases were good, 1 case was fair and 3 cases were poor. 6. Complications were AVN in 2 cases, degenerative arthritis in 8 cases, malunion in 1 case. 7. The range of motion of the ankle joint was relatively preserved(74%), but in the subtalar joint it was decreased(43%).

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Effect of aging on the sorption and desorption behaviors of Pb and Cd in the coastal sediment (노화(aging)가 연안 퇴적물 내 납과 카드뮴의 흡/탈착 거동에 미치는 영향)

  • Gwak Mun-Yong;Sin Won-Sik
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2006.04a
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    • pp.247-252
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    • 2006
  • 오염 퇴적물내 중금속의 방출과 이에 따른 생이용성(bioavalability)은 기존의 가역 평형관계로써 설명하기에 불충분한 것으로 알려져 있다. 최근 연구결과에 의하면 이러한 탈착 저항성을 설명하기 위한 비가역적 모델에 의해 퇴적물내 중금속의 탈착저항성 부분이 존재함이 밝혀졌다. 탈착저항성에 대해서는 아직 충분한 규명이 이루어지지 않았으나, 오염물질의 노화(aging)에 의해 일단 탈착저항성을 띠게 되면 생이용성(bioavailability)이 감소되는 것으로 알려져 있다. 본 연구에서는 노화(aging)가 연안 퇴적물 내 납과 카드뮴의 흡/탈착 특성에 미치는 영향을 알아보기 위해 연속 탈착실험과 biphasic 탈착모델을 적용함으로써 납과 카드뮴의 탈착저항성을 규명하고자 하였다. 그리고 연속 추출 실험을 통해서 노화(aging)에 따른 퇴적물 내 납과 카드뮴의 흡착 기작을 규명하고자 하였다. 연속탈착 실험 결과 시간이 경과함에 따라 탈착저항성부분의 크기가 증가하였으며, 연속추출 실험 결과 납의 경우 carbonate fraction에서 추출된 납이 가장 많았으며, 노화(aging) 따라 exchangeable fraction에서 추출된 납이 감소하는 반면 reducible, organic material, residual fraction에서 추출된 납의 양이 증가하였다. 카드뮴의 경우 가장 많은 양이 추출된 단계는 exchangeable fraction이였으며, organic material fraction에서는 카드뮴이 추출되지 않았다. 노화(aging) 따라 reducible fraction과 residual fraction에서의 추출량이 증가하는 경향을 보였으나 그 양은 매우 적은 것으로 나타났으며, 노화(aging)에 따른 exchangeable fraction과 carbonate fraction에서의 추출량은 큰 변화가 없었다. 대해서는 북한지역의 분포상황을 밝혔다.것을 알 수 있었으며, 크롬과 비소의 경우는 초기에 많이 용출되고, 구리의 경우는 꾸준히 용출되는 것을 알 수 있었다. 3년 된 통나무집이 8년 된 통나무집보다. 용출양이 더 컸으며, 이는 CCA성분이 초기에 많이 용출된다는 것을 의미한다. 억제 효과를 나타내었고 Hep3B에서는 부탄을 분획물 (1 mg/mL)에서 82%의 비교적 높은 성장억제효과를 나타내었다.as a "front" and "back". Thus, Germany′s private space may face a genuine public space and street, which is rare in the Korean housing. Although the layout of indoor space in the korean housing tends to be open, such an openness may be outstanding in living and dining spaces, kitchen and various accesses to rooms. In the case of Germany, such indoor spaces are usually closed to each other. Thus corridors act to separate these spaces. Such differences are analysed to be due to the different perceptions of interpersonal and socio-cultural attributes as intra-family and inter-neighbor relationships or communications. 알 수 있었다.도 질소와 인산처럼 토양지지대가 있는 경우가 낮은 함량을 유지하였다.pe from the daily life, to fantasize and daydre

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The impact of convergence balance training and taping on spasticity and balance ability in patients with chronic stroke (균형훈련과 테이핑 융복합 적용이 뇌졸중 환자의 발목관절 경직 및 균형능력에 미치는 영향)

  • Park, Shin-Jun;Kim, Tae-Hyun;Go, Jun-Hyeok;Youn, Pong-Sub
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.297-306
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    • 2017
  • The study was performed to determine the impact of the gastrocnemius taping with balance training on spasticity and balance ability of the ankle joint. A total of 25 stroke subjects were divided into two groups: a taping with balance training (n=14), a sham taping with balance training (n=11). Spasticity assesment was scored by modified ashworth scale. Balance ability assesment was performed by functional reach test (FRT), the timed up & go test (TUG). The stability index (SI), the left-right weight distribution (left-right WD), the toe-heel weight distribution (toe-heel WD) were analyzed in the eyes open conditions(EO) and eyes closed conditions(EC) conditions using by the Tetrax interactive balance system. The experimental group showed a significant improvement in SI, left-right WD and toe-heel WD in the EO and EC, MAS, FRT, TUG. In comparison between the groups, a significant improvement was detected in FRT, TUG, SI and left-right WD in the EO, and left-right WD and toe-heel WD in the EC. It was found out that a short period of balance training with taping is effective on spasticity and balance ability in stroke patients. Therefore, any stroke patient without skin damage is encouraged to use the gastrocnemius taping for balance rehabilitation.

Development of Success Attribution Scale for Body Guard in Korea (한국 경호원의 성공귀인 측정도구 개발)

  • Kim, Sang Jin
    • Convergence Security Journal
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    • v.17 no.2
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    • pp.173-183
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    • 2017
  • This study is for presenting the factors about success attribution that fit the korean security service conditions and developing the actual analysis of measurement tools by investigating the success factors of the security service agents. To this end, conducted a meeting from the fully open questionnaire at first, and then formed the semi-structured questionnaire, finally carried out the survey from the closed questionnaire and analyzed data from SPSS 21.0, AMOS 21.0 and developed the measurements. It was conducted from December, 2014 to June, 2015. This survey was conducted of 170 security guards after the verification of the content validity though the pilot survey and presented the success attribution factors and standards on the basis of the result form this survey. At the first and second analysis process, the success attribution factors of the guards consisted of inner qualities, external qualities, induction factors for inner qualities, and induction factor for external qualities. On analysis of the final data and documents, however, at the third analysis, the success attribution factors of the guards consisted of 'martial arts and physical ability'(4 questions), 'attitudes to work'(3 questions), 'support for the working environment'(3 questions), 'organized business skills'(3 questions), 'attitudes to the duty'(3 questions), and 'coping with crises(2 questions).

A Study on security characteristics and vulnerabilities of BAS(Building Automation System) (BAS의 보안 특성 및 취약점에 관한 연구)

  • Choi, Yeon-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.669-676
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    • 2017
  • Recently, due to the importance of information security, security vulnerability analysis and various information protection technologies and security systems are being introduced as a countermeasure against cyber-attacks in new as well as existing buildings, and information security studies on high-rise buildings are also being conducted. However, security system introduction and research are generally performed from the viewpoint of general IT systems and security policies, so there is little consideration of the infrastructure of the building. In particular, the BAS or building infrastructure, is a closed system, unlike typical IT systems, but has unique structural features that accommodate open functions. Insufficient understanding of these system structures and functions when establishing a building security policy makes the information security policies for the BAS vulnerable and increases the likelihood that all of the components of the building will be exposed to malicious cyber-attacks via the BAS. In this paper, we propose an architecture reference model that integrates three different levels of BAS structure (from?) different vendors. The architectures derived from this study and the security characteristics and vulnerabilities at each level will contribute to the establishment of security policies that reflect the characteristics of the BAS and the improvement of the safety management of buildings.

Biomechanical Analysis of Lower Limb on Stance during Golf Swing (골프 스윙 시 스탠스에 따른 하지의 역학적 분석)

  • Yoon, Se-Jin;Sul, Jeong-Dug;Woo, Byung-Hoon
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.532-542
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    • 2021
  • The purpose of this study was to investigate the body's strategy through kinematic variables of the lower extremities and ground reaction forces to maintain the club-head speed and ball accuracy despite the three stances during the golf swing. Ten male golfers who official handicap two were participate in the experiment. All subjects performed swing after maintaining the address posture according to stance conditions(square; SS, open: OS, closed: CS). Using a 3D motion analysis system and force plateform, the results were calculated with the 7-iron full swing each stance. In result, there was no difference in center of displacement, and left and right hip and knee joint angle displacement. Left ankle joint was largely plantar-flexed in OS, and right ankle joint was largely performed in CS from the address to the downswing. From address to take-back, right foot had a large left direction and the left foot had a right direction were greater in OS than in CS. Therefore, despite various stances, maintaining the same posture at impact is thought to have a positive effect on club head speed and ball direction.

Polarus Intramedullary Nail for Nonunion of Humerus neck (Polarus 골수정을 이용한 상완골 경부 불유합의 수술적 치료)

  • Kang, Ho-Jung;Kim, Sul-Gee;Yoon, Hong-Kee;Hahn, Soo-Bong;Kim, Sung-Jae
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.112-123
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    • 2007
  • Purpose: Evaluate the clinical results of humerus neck nonunion treated with Polarus intramedullary nail. Materials and Methods: 8 patients who underwent surgery for nonunion of humerus surgical neck fracture were included. All patients were female, the average age was 65 years. 5 out the total 8 cases initially received surgery, open reduction and internal fixation with metal plate in 1 case, Ender nail insertion in 2 cases, external fixator in 1 case and closed reduction and percutaneous pinning in 1 case. The other 3 non union cases initial received conservative managemnent. The average period of nonunion was 9 months in the operated group and 6.2 months in the conservative group. All 8 cases received closed reduction with intrameedullary Polarus nail and auto iliac bone graft. Union was confirmed radiologically, and functional evaluation was done with the UCLA functional criteria. Results: All 8 cases showed union on radiologic evaluation. Average time to union was 3.5 months, average follow up period was 27 months. Average UCLA shoulder evaluation score was 7.6 points preoperatively which improved to 26.3 points after surgery. Active shoulder flexion was 40.7 degrees preoperatiely which increased to 104 degrees after surgery. Shoulder abduction improved from 32.9 degrees preoperatively to 96.3 degrees after surgery. UCLA functional criteria was good in 5 cases and fair in 3 cases, which no poor cases. Conclusion: Polarus IM nailing and AIBG is a useful method for treating nonunion of humerus neck fracture with improvement in union and function.

Defining the Boundary of Estuarine Management Zone for Estuarine Environmental Management (하구 환경관리를 위한 관리구역 경계 설정방안)

  • Lee, Kang-Hyun;Cho, Hyun-Jeong;Rho, Baik-Ho;Lee, Chang-Hee
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.17 no.4
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    • pp.203-224
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    • 2012
  • Definition of estuary and its administrative boundaries is needed for the practical management of estuarine environment. However, the majority of Korean estuaries are lack of scientific data required for defining the administrative boundaries. For this reason, a systematic way to set the boundaries has not been developed so far. This study proposed adaptive and comprehensive criteria in defining the boundary of an estuary based on the available data which includes physiochemical, geographical and topographical characteristics and regional data such as land uses and socio-economic conditions. An estuary boundary is defined with a sequential manner. First of all, according to the estuarine circulation pattern, 463 estuaries in Korea were classified into open estuaries and closed estuaries. Then an individual belonging to each type of estuary is defined an water zone boundary considering the physiochemical, geographical and topographical characteristics and land uses. Finally, a land zone boundary is set along the catchment. According to the proposed criteria, we have delineated 274 estuarine management zones in Korea on a trial basis and found that it was possible to set a boundary reasonably considering the difference of level of available data and regional characteristics in each estuary.

A Study on the Labor Change in Mountainous Villages (산촌(山村)의 노동력(勞動力) 변화(變化)에 관(關)한 연구(硏究))

  • Yo, Byoung Il;Park, Myoung Kyu
    • Journal of Korean Society of Forest Science
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    • v.45 no.1
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    • pp.37-45
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    • 1979
  • The purpose of the study was to define the labor change in the moutainous villages, So this study analyzed the mass dram of the population from the mountainous villages created by the unequal development between the first and second under the high economic development and the large difference in the income between city and rural area. The content of the study was (1) the foundation of the production in the survey area (2) labor change in the mountainous villages (3) the supply and the demand of the labor in this area. The date were collected from 118 household of 2 villages (one with a high level of brest product, and the other with a low level of forest products) in Cheon-nam Province through a questionarie. The results of the study were as follows. 1. The mass drain in the mountainous villages started in the middle of 1970's, and the rate of drain has been very rapid and accelerated. 2. The drain of the mountainous village with a low level of forest products is more than that of the mountainous village with a high level of forest products. 3. In the mountainous village with high level of forest products, the specialization in the farmer class has begun and the farmers with a side job are now increasing. 4. Generally the major drain consisted of the young class (16-30 age), and consequently it caused a change in the composition of labor power into old age and women. 5. The character of the forest labor market is how changing from closed to open.

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Characterization of ATPase Activity of Chaperonin from the Hyperthermophilic Archaeon Pyrococcus horikoshii (초고열성 고세균 Pyrococcus horikoshii 유래 샤페로닌의 ATPase 활성 특성)

  • Choi, Seong Seok;Kim, Se Won;Seo, Yong Bae;Kim, Gun-Do;Lee, Hyeyoung;Kim, Yeon-Hee;Jeon, Sung-Jong;Nam, Soo-Wan
    • Microbiology and Biotechnology Letters
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    • v.47 no.4
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    • pp.574-580
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    • 2019
  • ATP drives the conformational change of the group II chaperonin from the open lid substrate-binding conformation to the closed lid conformation to encapsulate an unfolded protein in the central cavity. It is thought that the folding activity of group II chaperonin is strongly correlated with the ATP-dependent conformational change ability. In order to confirm the dependence of the reaction temperature and ATP concentration of PhCpn, the ATPase activities were measured under different reaction temperatures and ATP concentrations. The maximal ATPase activity of PhCpn was observed at 80℃ and 3 mM ATP concentration. As a result of ATPase activity according to the type of salt ions, the highest activity was observed at 300 mM LiCl among the univalent cations and 5 mM MgCl2 among the divalent cations, respectively. The values of Km and Vmax for ATP substrate were estimated as 2.17 mM and 833.3 μM/min, respectively. This results provide the enzymatic information of PhCpn when the prolonged and high activities of pharmaceutical and industrial proteins (or enzymes), by using chaperonin molecules, are required.