• 제목/요약/키워드: Opening and closing

검색결과 559건 처리시간 0.025초

일차의료기관의 이동 현황과 이에 영향을 미치는 요인에 대한 연구 (Current Status and Reasons for the Location Change of Primary Medical Institutions in Korea)

  • 신순애;이진석;김창엽;김용익;하범만
    • Journal of Preventive Medicine and Public Health
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    • 제34권3호
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    • pp.219-227
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    • 2001
  • Objectives : To understand the current status of the opening, closing and relocation of primary medical institutes in Korea and identify the underlying decision factors. Methods : Sources of analyzed data included the medical institutional master file at the National Health Insurance Corporation(1998, 2000) and Regional Statistic Annual Bulletins. To investigate changes including the opening, closing and relocation, a total of primary medicalinstitutions(16,757 in 1998, 19,267 in 2000) were analysed. Results : Between 1998 and 2000, there was a 15.0%(2,510) increase in the number of primary medical institutions and the rate of increase in the rural area was higher than the urban area, and higher for specialty clinics than primary practice. However, these findings did not suggestany improvement in the maldistribution of primary medical institutions. During the time period studied, newly opened and closed primary medical institutions numbered 4,085 and 1,573, respectively. Additionally, institutions thatrelocated numbered 2,729, or 16.3% of all primary medical institutions in operation in 1998. These openings and closings were more frequent among young doctors. As a result of our analysis on the underlying regional factors forrelocation, the factors that were statistically significant were local per capita tax burden and the number of schools per ten thousand persons. !n, the case of institutional factors, movements were significantly associated with gender and the location of primary medical institutions. Conclusions : In order to establish effective long-term intervention for primary medical institutions, further study and monitoring of primary medical institutions and the identification of factors influencing opening location and relocation is necessary.

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문 개폐 여부와 차폐체 설치 유무에 따른 공간산란선량 측정 : X선 촬영 시 피폭선량 감소방안에 대한 연구 (Measurement of the Spatial Scattering Dose by Opening, Closing Door and Installing Shielding : A Study on the Reduction of Exposure Dose in Radiography)

  • 윤홍주;이용기;이인자
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권6호
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    • pp.477-482
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    • 2019
  • Recently, due to the increased use of medical radiation, the radiation exposure of radiation workers should be considered as well as medical exposure of patients. And it is recommended to close the door during radiography. however, In this study, when the door was inevitably opened for radiography, the proposed method was to install the shield as a method of reducing the exposure dose. And its efficiency was analyzed. In simple chest radiography, the measurement point was changed according to the measurement location. Dose rate were measured 10 times for each condition using a dosimeter. And the average value was derived. Using this, the change of dose according to the opening and closing of the door and the installation of the shield was analyzed. Using this, we compared and analyzed the dose change according to the door opening and closing and the installation of the shield, and significance was verified through the SPSS ver. 24. Depending on whether the door was opened or closed, 11,215.35%, 159.0%, 101.9% increased in front of the door in the consol room, behind the wall and behind the lead glass. Depending on the installing of the shield, the 49.2%, 29.6%, 19.9%, 30.6% decrease in front of the door in the examination and consol room, behind the wall and lead glass. In addition, statistical analysis was showed that there were significant differences in both the results according to whether the door was opened or closed and shielding(p<.05). Close the door during radiography. However, when the door should be opened, it was confirmed that the dose rate were reduced by installing the shield. Therefore, to optimize radiation protection, it is recommended to install shields when opening the door.

방사선 투시를 이용한 개폐구 운동에 따른 수직 고경 계측점의 안정성에 관한 연구 (A FLUOROSCOPIC STUDY ON THE STABILITY OF SKIN REFERENCE POINTS DURING JAW OPENING AND CLOSING MOVEMENT)

  • 안형준;김창회;김영수;김용호
    • 대한치과보철학회지
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    • 제37권4호
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    • pp.516-530
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    • 1999
  • The current clinical technique for occlusal vertical dimension recording is based on marking the skin reference points on the patient's face and measuring between these points using caliper-like device. And it is difficult to achieve reliable measurements by this technique because of movable soft tissue. The purpose of this study is to reveal the stability of skin reference points by comparing the relative movement between extra-oral skin reference points and intra-oral reference points using X-ray fluoroscope. 10 test subjects were divided into 2 groups : Group I (natural dentition) and Group II (denture-wearer whose vertical dimension was lost) and Group III consists of identical test subjects to Group II with their upper denture removed and record base inserted. Attaching the 3 mm diameter steel ball to nose tip, lower lip, chin and to existing denture (or record base), fluoroscopic examination and recording were taken during 2 jaw opening and closing movements. After subsequent digitization using personal computer, 1219 still pictures with 0.1 second interval were made. Using the 2 dimensional graphic software, measurements between reference points were executed. Dividing the entire jaw movement into 3 ranges (total, 1st half opening, 2nd half opening), rate of movement and relative movement between extra-oral and intra-oral reference points were calculated and statistically analyzed. The results of this study are as follows. 1 Within the same experimental group, no statistical difference was found in the stability of skin reference between lower lip point and chin point during total range of jaw opening and closing movement (p>.05) 2. In the first half range of jaw opening, statistical difference was found between Group I (natural dentition) and Group II (denture wearer) (p<.05) Group I has greater skin reference stability than Group II. 3. In the first half range of jaw opening, statistical difference was found between Group I and Group III (record base wearer) (p<.05). Group I has greater skin reference stability than Group III. 4. In the first half range of jaw opening, no statistical difference was found in the stability of skin reference between Group II and Group III (p>.05). 5. In the second half range of jaw opening, no statistical difference was found in the stability of skin reference between any experimental groups (p>.05). 6. In patients with their occlusal vertical dimension lost, employing other measuring references rather than skin is recommended because of low stability.

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수평 구름 바퀴가 적용된 신 유형 미서기 창문의 기밀성능 개선에 관한 연구 (A Study on the Enhance of Air tightness Performance of a New Type Silding Window with horizontally Rolling Wheels)

  • 장혁수;김영일;정광섭
    • 에너지공학
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    • 제24권4호
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    • pp.63-70
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    • 2015
  • 창문에서의 틈은 열 손실 뿐만 아니라 차음 성능에도 중대한 결함으로 작용되며, 특히 인체에 유해한 미세먼지 유입 경로로도 작용된다. 이러한 틈을 제거하기위해 많은 시도들이 이루어지고 있으나, 창문의 고유 기능인 이동특성으로 인해 해결하기 어려운 난제로 인식되어왔다. 본 연구는 이를 해결하기위해 수평 회전 휠과 곡선 레일을 적용한 새로운 유형의 미서기 창문을 제작하고, KS 시험 기준에 따라 사용성, 내구성, 기밀성능, 등의 성능 시험을 하였다. 시험 결과, 개폐력은 2000 N 중량의 창문에서 30 N, 개폐 반복성 시험에서는 100,000 cycles, 기밀성 시험에서는 10 Pa에서 $0.00m^3/(m^2h)$의 성능을 보여주었다. 상기 시험 결과, 새로운 구동 방식을 지닌 본 연구에서의 창문은 기밀성과 경제적 측면에서 새로운 접근 방식을 제시하고 있다.

비선형 캠과 스프링을 이용한 오븐 렌지 도어의 열림 감성 품질 향상 메커니즘 개발 (Development on mechanism for opening sensitivity quality improvement of oven range door using nonlinear cam and spring)

  • 김휘연;윤재득;정융호
    • 한국산학기술학회논문지
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    • 제15권2호
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    • pp.616-624
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    • 2014
  • 대부분의 오븐 렌지는 위에서 아래로 여는 도어로 되어 있다. 오븐 렌지와 같이 열고 닫는 가전제품의 경우 도어의 감성이 제품 전체의 품질에 영향을 준다. 도어의 감성 품질을 평가하는 항목은 문을 열 때의 개방력, 문을 닫을 때의 폐쇄력, 문을 완전 개방하였을 때 발생하는 튕김 현상이 있다. 개방력과 폐쇄력이 크면 소비자의 불만 요소가 될 수 있고, 튕김 현상이 크면 소비자가 도어를 열었을 때 도어는 물론 몸체에도 충격이 가해져서 파손의 우려가 있다. 감성 품질을 향상시키기 위해서는 개방력, 폐쇄력, 튕김 현상을 최소화하여야 한다. 본 연구에서는 개방력, 폐쇄력, 튕김 현상을 최소화하기 위해 비선형 캠과 스프링을 이용하여 기존의 이중 압축 스프링과 캠 구조를 개선한 메커니즘을 제안하였다. 또한, 제안된 메커니즘을 위해 비선형 캠을 설계 및 제작한 후 실제 오븐 렌지에 적용하여 기존보다 감성 품질이 우수함을 확인하였다.

유체-고체 상호작용 (FSI)기법을 이용한 이엽기계식 인공심장판막을 지나는 혈액유동과 판첨거동에 관한 수치해석적 연구 (Numerical Study on the Pulsatile Blood Flow through a Bileaflet Mechanical Heart Valve and Leaflet Behavior Using Fluid-Structure Interaction (FSI) Technique)

  • 최청렬;김창녕
    • 한국유체기계학회 논문집
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    • 제7권3호
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    • pp.14-22
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    • 2004
  • Bileaflet mechanical valves have the complications such as hemolysis and thromboembolism, leaflet damage, and leaflet break. These complications are related with the fluid velocity and shear stress characteristics of mechanical heart valves. The first aim of the current study is to introduce fluid-structure interaction method for calculation of unsteady and three-dimensional blood flow through bileaflet valve and leaflet behavior interacted with its flow, and to overcome the shortness of the previous studies, where the leaflet motion has been ignored or simplified, by using FSI method. A finite volume computational fluid dynamics code and a finite element structure dynamics code have been used concurrently to solve the flow and structure equations, respectively, to investigate the interaction between the blood flow and leaflet. As a result, it is observed that the leaflet is closing very slowly at the first stage of processing but it goes too fast at the last stage. And the results noted that the low pressure is formed behind leaflet to make the cavitation because of closing velocity three times faster than opening velocity. Also it is observed some fluttering phenomenon when the leaflet is completely opened. And the rebounce phenomenon due to the sudden pressure change of before and after the leaflet just before closing completely. The some of time-delay is presented between the inversion point of ventricle and aorta pressure and closing point of leaflet. The shear stress is bigger and the time of exposure is longer when the flow rate is maximum. So it is concluded that the distribution of shear stress at complete opening stage has big effect on the blood damage, and that the low-pressure region appeared behind leaflet at complete closing stage has also effect on the blood damage.

골격성 III급 부정 교합을 동반한 악교정수술 환자에서 수술 전후의 하악기능 변화에 관한 실험적 연구 (THE CHANGES OF MANDIBULAR MOVEMENT AND MUSCLE ACTIVITY FOLLOWING ORTHOGNATHIC SURGERY IN PATIENTS WITH MANDIBULAR PROGNATHISM)

  • 이형식;박영철
    • 대한치과교정학회지
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    • 제22권1호
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    • pp.67-88
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    • 1992
  • The purpose of this study was to investigate the changes of mandibular movement and muscle activity following orthognathic surgery in patients with mandibular prognathism. Lateral cephalogram, M.K.G., E.M.G. recordings were obtained immediately before surgery, and 2 months and 8 months after surgery. Among the patients who received orthognathic surgery, 19(13 men, 6 women) were selected for this study. Statistical analysis for each time interval differences were performed with the SPSS package. The results were as follows: 1. Compared with the pre-operative group (opening 349.7mm/sec, closing 313.1mm/sec), the mean values of the maximum opening and closing velocity in the skeletal Class III surgery group were significantly decreased in the 2 months post-operative (opening 232.9mm/sec, closing 206.9mm/sec), but the values tended to increase in the 8 months post-operative group (opening 280.9 mm/sec, closing 319.1mm/sec). 2. Compared with the pre-operative group (61.7 mm/sec), the maximum velocity of the terminal tooth contact increased in the 2 months (72mm/sec) and 8 months (105.7mm/sec) postoperative groups. 3. In the mean value of vertical freeway space, there was significant difference between the normal group and the pre-operative group, but not between the normal group and the 8 months post-operative group. 4. In the mean values of the maximum opening, the maximum anterio-posterior movement from centric-occlusion, and the lateral deviation from centric occlusion, there was no significant difference between the normal group and the surgery group (the pre-operative and the 8 months post-operative groups). 5. The mature swallowing pattern was 58% in the pre-operative group, but 90% in the 2 months post-operative group, and 63% in the 8 months post-operative group. 6. In the comparison of muscle activity, there was no significant difference between the normal group and the surgery group during the rest position. However, during cotton roll clenching, there was significant difference between the normal group and the pre-operative group, but not between the normal group and the 8 months post-operative group.

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자동물꼬의 개발 (Development of the Automatic Inlet)

  • 정하우;이남호;김성준;최진용;한형근;김대식
    • 한국농공학회지
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    • 제37권1호
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    • pp.49-54
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    • 1995
  • Three types of floating-type automatic inlet were developed for the purpose of reduc- ing farmer's working hours required for water management and saving irrigation water. The point of automation is to use a float within the inlet which is floated and sinked by the ponding depth of paddy field, Thus opens and closes the control gate of irrigation. Suitability of each inlet may depend on production cost, applicability to paddy field condi- tions, and feasibility to farmers, etc. The first model was composed of three parts : chamber for irrigation control gate, chamber for float controlled by ponding depth, and connection bar between the two parts. It was designed to open and close the control gate gradually as the ponding depth drops and rises to a certain level. The second model was designed to improve the weak point of the first model which is the imperfect-closing of gate when it approaches to the end of ir- rigation. A switch-spring was equipped above the connection bar for perfect opening and closing of gate when the ponding depth reaches to a certain level. The third model was designed by combining the two chambers, that is, cut in halves the inlet volume of the above two models. Magnets were equipped above the float for perfect opening and closing gate. The functional experiment for three developed inlets was successfully carried out and the rating curves were derived.

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Myo-Monitoring이 저항근에 미치는 영향 (Influences of Myo-monitoring on Masticatory Muscles)

  • Kwang-Woo Lee;Woo-Cheon Kee;Sung-Su Jung
    • Journal of Oral Medicine and Pain
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    • 제14권1호
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    • pp.89-103
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    • 1989
  • In order to evaluate the influences of Myo-monitoring on masticatory muscles, Myo-monitoring on 31 normal persons and 30 persons with one more temporomandibular dysfunction symptoms during 45 minutes or above. The author observed velocities of mandibular opening and closing movement, variabilities of mandibular rest position and EMG activities of temporal and masseter muscles. The obtained results were as follows : 1. There were no significant differences on velocities of mandibular opening and closing movement between before and after Myo-monitoring. 2. There were significant differences on vertical dimension and total dimension form mandibular rest position to centric occlusion between before and after Myo-monitoring but no significant differences on anteroposterior and lateral dimension. 3. Activities of temporal and masseter muscles were decreased in Myo-Monitoring. 4. There were disappeared significant differences on EMG activity values between normal and symptom groups after myo-monitoring.

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Discrimination of Motions with Physical Deformation of Muscles and EMG

  • Unkawa, Taksshi;Iida, Takeo
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 2000년도 춘계 학술대회 및 국제 감성공학 심포지움 논문집 Proceeding of the 2000 Spring Conference of KOSES and International Sensibility Ergonomics Symposium
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    • pp.109-112
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    • 2000
  • The purpose of the present study is to evaluate the basic upper-limb involved in products manipulation. Upper-limb muscular deformations and electromyography (EMG) measurements are used as indexes for estimated motion: hand opening and closing, wrist extending and flexing, pronation and supination, grasping conditions. Measured values are analyzed by multivariate analysis and a regression equation is obtained for estimating the characteristics of upper-limb performance. Muscular deformation is defined as a change in shape, such as a pressure changes when the hand or wrist moves. hand opening and closing can be discriminated at a higher percentage of accuracy by muscular deformation data than by EMG data. Muscular deformation measurements using air-pack pressure sensors were verified to be effective in motion estimation applications.

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