• Journal of Korean Physical Therapy Science
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• v.28 no.3
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• pp.88-97
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• 2021

Purpose: Patients with total knee arthroplasty (TKA) have impaired balance and movement control. Exercise interventions have not targeted these impairments in this population. This study aimed to investigate the effect of complex balance exercises on unstable ground, on the gait, balance, and daily living ability of patients with total knee arthroplasty. Design: Randomized controlled trial. Methods: The participants consisted of 30 patients placed into two groups of 15 each: a experimental group (complex balance exercise) and a control group (physical therapy exercise). Both group exercise was applied for 3 times a week for 30 minutes for four weeks. Force plate for balance ability and Timed up and go (TUG) test were the primary outcome measures. The secondary outcome measures included 10-m walk test (10MWT) and the daily living ability using the Knee Outcome Survey Activities of Daily Living scale (KOS-ADL). Results: The result of this study showed that the experimental group had a significant difference in TUG and 10MWT than the control group, and balance was significantly different in CEA, CPL, and CAV. There was a significant difference in daily living ability between the experimental and control groups. This study confirms that the physical therapy with complex balance exercise on unstable surfaces has positive effects on balance, gait and daily living ability in patients with total knee arthroplasty. Conclusion: As a result of this study, complex balance exercise on unstable surface was more effective in improvement gait, balance and daily living ability in total knee arthroplasty. From this study, physical therapy with complex balance exercises on unstable ground may be proposed as and effective intervention method for improving gait, balance, and daily living ability in patients with early total knee arthroplasty.

• Archives of Plastic Surgery
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• v.40 no.6
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• pp.773-778
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• 2013

Background In the management of mallet deformities, oblique retinacular ligament (ORL) reconstruction provides a mechanism for automatic distal interphalangeal (DIP) joint extension upon active proximal interphalangeal joint extension. The two variants of ORL reconstruction utilize either the lateral band or a free tendon graft. This study aims to compare these two surgical techniques and to assess any differences in functional outcome. As a secondary measure, the Mitek bone anchor and pull-in suture methods are compared. Methods A single-institutional retrospective review of ORL reconstruction was performed. The standard patient demographics, injury mechanism, type of ORL reconstruction, and pre/postoperative degree of extension lag were collected for the 27 cases identified. The cases were divided into lateral band (group A, n=15) and free tendon graft groups (group B, n=12). Group B was subdivided into the pull-in suture technique (B-I) and the Mitek bone anchor method (B-II). Results Overall, ORL reconstructions had improved the mean DIP extension lag by $10^{\circ}$ (P=0.027). Neither the reconstructive technique choice nor bone fixation method identified any statistically meaningful difference in functional outcome (P=0.51 and P=0.83, respectively). Soft-tissue injury was associated with $30.8^{\circ}$ of improvement in the extension lag. The most common complications were tendon adhesion and rupture. Conclusions The choice of the ORL reconstructive technique or the bone anchor method did not influence the primary functional outcome of extension lag in this study. Both lateral band and free tendon graft ORL reconstructions are valid treatment methods in the management of chronic mallet deformity.

• Asian-Australasian Journal of Animal Sciences
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• v.20 no.11
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• pp.1636-1650
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• 2007

As an initial step toward a better understanding of the genome structure of Korean cattle (Hanwoo breed) and initiation of the framework for genomic research in this bovine, the bacterial artificial chromosome (BAC) end sequencing of 21,024 clones was recently completed. Among these clones, BAC End Sequences (BESs) of 20,158 clones with high quality sequences (Phred score ${\geq}20$, average BES equaled 620 bp and totaled 23,585,814 bp), after editing sequencing results by eliminating vector sequences, were used initially to compare sequence homology with the known bovine chromosomal DNA sequence by using BLASTN analysis. Blast analysis of the BESs against the NCBI Genome database for Bos taurus (Build 2.1) indicated that the BESs from 13,201 clones matched bovine contig sequences with significant blast hits (E<$e^{-40}$), including 7,075 single-end hits and 6,126 paired-end hits. Finally, a total of 5,105 clones of the Korean cattle BAC clones with paired-end hits, including 4,053 clones from the primary analysis and 1,052 clones from the secondary analysis, were mapped to the bovine chromosome with very high accuracy.

• Asian Journal of Atmospheric Environment
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• v.11 no.3
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• pp.165-175
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• 2017

In Japan, the primary carbonaceous particles emitted from motor vehicles and waste incinerators have been reduced due to strict regulations against exhaust gas. However, the relative contribution of carbonaceous particles derived from plants and biomass has been increasing. Accordingly, compositional analysis of carbonaceous particles has become increasingly important to determine the sources and types of particles produced. To reveal the sources of the organic particles contained in particulate matter with diameters of ${\leq}2.5{\mu}m$ ($PM_{2.5}$) and the processes involved in their generation, we analyzed molecular marker compounds (2-methyltetrols, cis-pinonic acid, and levoglucosan) derived from the plants and biomass in the $PM_{2.5}$ collected during daytime- and nighttime-sampling periods in summer (July and August) and autumn (November) in Kazo, which is in the northern area of Saitama prefecture, Japan. We also measured $^{14}C$ carbonaceous concentrations in the same $PM_{2.5}$ samples. The concentrations of 2-methyltetrols were higher in the summer than in the autumn. Because the deciduous period overlaps with this decrease in the levels of 2-methyltetrols, we considered the emission source to broad-leaved trees. In contrast, the emission source of the cis-pinonic acid precursor was considered to be conifers, because its concentration remained almost constant throughout the year. The concentration of levoglucosan was considerably increased in the autumn due to frequent biomass open burning. The ratio of plant-derived carbon to total carbon, obtained by measuring of $^{14}C$, in summer $PM_{2.5}$ sample was higher in the nighttime, and could be influenced by anthropogenic sources during the daytime.

• Wind and Structures
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• v.23 no.2
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• pp.157-169
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• 2016

The structural integrity of tube bundles represents a major concern when dealing with high risk industries, such as nuclear steam generators, where the rupture of a tube or tubes will lead to the undesired mixing of the primary and secondary fluids. Flow-induced vibration is one of the major concerns that could compromise the structural integrity. The vibration is caused by fluid flow excitation. While there are several excitation mechanisms that could contribute to these vibrations, fluidelastic instability is generally regarded as the most severe. When this mechanism prevails, it could cause serious damage to tube arrays in a very short period of time. The tubes are therefore stiffened by means of supports to avoid these vibrations. To accommodate the thermal expansion of the tube, as well as to facilitate the installation of these tube bundles, clearances are allowed between the tubes and their supports. Progressive tube wear and chemical cleaning gradually increases the clearances between the tubes and their supports, which can lead to more frequent and severe tube/support impact and rubbing. These increased impacts can lead to tube damage due to fatigue and/or wear at the support locations. This paper presents simulations of a loosely supported multi-span U-bend tube subjected to turbulence and fluidelastic instability forces. The mathematical model for the loosely-supported tubes and the fluidelastic instability model is presented. The model is then utilized to simulate the nonlinear response of a U-bend tube with flat bar supports subjected to cross-flow. The effect of the support clearance as well as the support offset are investigated. Special attention is given to the tube/support interaction parameters that affect wear, such as impact and normal work rate.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.12 no.1
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• pp.21-40
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• 2018

In this paper, we propose the distributed robust beamforming design scheme in cognitive two-way amplify-and-forward (AF) relay networks with imperfect channel state information (CSI). Assuming the CSI errors follow a complex Gaussian distribution, the objective of this paper is to design the robust beamformer which minimizes the total transmit power of the collaborative relays. This design will guarantee the outage probability of signal-to-interference-plus-noise ratio (SINR) beyond a target level at each secondary user (SU), and satisfies the outage probability of interference generated on the primary user (PU) above the predetermined maximum tolerable interference power. Due to the multiple CSI uncertainties in the two-way transmission, the probabilistic constrained optimization problem is intractable and difficult to obtain a closed-form solution. To deal with this, we reformulate the problem to the standard form through a series of matrix transformations. We then accomplish the problem by using the probabilistic approach based on two sorts of Bernstein-type inequalities and the worst-case approach based on S-Procedure. The simulation results indicate that the robust beamforming designs based on the probabilistic method and the worst-case method are both robust to the CSI errors. Meanwhile, the probabilistic method can provide higher feasibility rate and consumes less power.

• Health Policy and Management
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• v.17 no.4
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• pp.99-112
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• 2007

The purpose of this study was to analyze the effect of fire fighters' duty type on occurrence and severity of low back pain. Data were collected with questionnaire to 450 fire fighters working at 119 safety center and rescue unit of 30 fire stations in Gyeonggi-do. Finally the study was analyzed for 360 persons among them. The risk of experiencing of lower back pain occurred in the order of Rescue[odds ratio(OR) 3.36, 95% confidence interval(95% CI) 1.18-9.52], Vehicle operation(OR 2.63, 95% CI 1.26-5.50), First aid(OR 2.18, 95% CI 1.03-4.59), and Putting out a fire. The risk on severity of lower back pain occurred in the order of Vehicle operation(OR 4.00, 95% CI 1.57-9.80), First aid(OR 1.88, 95% CI 1.00-4.81), Putting out a fire, and Rescue. These result suggest that duty type of fire fighters may be a prognostic factor for occurrence and severity of low back pain. The potential implications of these findings are discussed about different approach for primary and secondary prevention by duty type of fire fighters.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.5
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• pp.261-270
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• 2019

Background: People with the Ehlers-Danlos Syndromes (EDS), a group of heritable disorders of connective tissue, often report experiencing dental procedure pain despite local anesthetic (LA) use. Clinicians have been uncertain how to interpret this apparent LA resistance, as comparison of EDS and non-EDS patient experience is limited to anecdotal evidence and small case series. The primary goal of this hypothesis-generating study was to investigate the recalled adequacy of pain prevention with LA administered during dental procedures in a large cohort of people with and without EDS. A secondary exploratory aim asked people with EDS to recall comparative LA experiences. Methods: We administered an online survey through various social media platforms to people with EDS and their friends without EDS, asking about past dental procedures, LA exposures, and the adequacy of procedure pain prevention. Among EDS respondents who both received LA and recalled the specific LA used, we compared agent-specific pain prevention for lidocaine, procaine, bupivacaine, mepivacaine, and articaine. Results: Among the 980 EDS respondents who had undergone a dental procedure LA, 88% (n = 860) recalled inadequate pain prevention. Among 249 non EDS respondents only 33% (n = 83) recalled inadequate pain prevention (P < 0.001 compared to EDS respondents). The agent with the highest EDS-respondent reported success rate was articaine (30%), followed by bupivacaine (25%), and mepivacaine (22%). Conclusions: EDS survey respondents reported nearly three times the rate of LA non-response compared to non-EDS respondents, suggesting that LAs were less effective in preventing their pain associated with routine office dental procedures.

• Journal of Power Electronics
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• v.18 no.5
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• pp.1595-1607
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• 2018

In this paper, a hierarchical control strategy is introduced to control a new three-port multidirectional DC-DC converter for integrating an energy storage system (ESS) to a bipolar DC microgrid (BPDCMG). The proposed converter provides a voltage-balancing function for the BPDCMG and adjusts the states of charge (SoC) of the ESS. Previous studies tend to balance the voltage of the BPDCMG buses with active sources or by transferring power from one bus to another. Furthermore, the batteries available in BPDCMGs were charged equally by both buses. However, this power sharing method does not guarantee efficient operation of the whole system. In order to achieve a higher efficiency and lower energy losses, a triple-layer hierarchical control strategy, including a primary droop controller, a secondary voltage restoration controller and a tertiary optimization controller are proposed. Thanks to the multi-functional operation of the proposed converter, its conversion stages are reduced. Furthermore, the efficiency and weight of the system are both improved. Therefore, this converter has a significant capability to be used in portable BPDCMGs such as electric DC ships. The converter modes are analyzed and small-signal models of the converter are extracted. Comprehensive simulation studies are carried out and a BPDCMG laboratory setup is implemented in order to validate the effectiveness of the proposed converter and its hierarchical control strategy. Simulation and experimental results show that using the proposed converter mitigates voltage imbalances. As a result, the system efficiency is improved by using the hierarchical optimal power flow control.

• Journal of The Korean Astronomical Society
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• v.42 no.6
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• pp.161-174
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• 2009

Observation of standard stars is of crucial importance in stellar photometry. We have studied the standard transformation relations of the UBV RI CCD photometric system at the Maidanak Astronomical Observatory in Uzbekistan. All observations were made with the AZT-22 1.5m telescope, SITe 2k CCD or Fairchild 486 CCD, and standard Bessell UBV RI filters from 2003 August to 2007 September. We observed many standard stars around the celestial equator observed by SAAO astronomers. The atmospheric extinction coefficients, photometric zero points, and time variation of photometric zero points of each night were determined. Secondary extinction coefficients and photometric zero points were very stable, while primary extinction coefficients showed a distinct seasonal variation. We also determined the transformation coefficients for each filter. For B, V, R, and I filters, the transformation to the SAAO standard system could be achieved with a straight line or a combination of two straight lines. However, in the case of the U filter and Fairchild 486 CCD combination, a significant non-linear correction term - related to the size of Balmer jump or the strength of the Balmer lines - of up to 0:08 mags was required. We found that our data matched well the SAAO photometry in V, B - V, V - I, and R - I. But in U - B, the difference in zero point was about 3.6 mmag and the scatter was about 0.02 mag. We attribute the relatively large scatter in U -B to the larger error in U of the SAAO photometry. We confirm the mostly small differences between the SAAO standard UBV RI system and the Landolt standard system. We also attempted to interpret the seasonal variation of the atmospheric extinction coefficients in the context of scattering sources in the earth's atmosphere.