• Journal of Korean Neurosurgical Society
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• 제48권4호
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• pp.335-341
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• 2010

Objective : Anterior cervical corpectomy with fusion (ACF) or laminoplasty may be associated with substantial number of complications for treating multilevel cervical ossification of the posterior longitudinal ligament (OPLL) with significant cord compression. For more safe decompression and stabilization in multilevel cervical OPLL with prominent cord compression, we propose circumferential cervical surgery (selective ACF and laminoplasty) based on our favorable experience. Methods : Twelve patients with cervical myelopathy underwent circumferential cervical surgery and all patients showed multilevel OPLL with Signal change of the spinal cord on magnetic resonance imaging (MRI). A retrospective review of clinical, radiological. and surgical data was conducted. Results : There were 9 men and 3 women with mean age of 56.7 years and a mean follow up period of 15.6 months. The average corpectomy level was 1.16 and laminoplasty level was 4.58. The average Japanese Orthopedic Association score for recovery was 5.1 points and good clinical results were obtained in 11 patients (92%) (p < 0.05). The average space available for the cord improved from 58.2% to 87.9% and the average Cobb's angle changed from 7.63 to 12.27 at 6 months after operation without failure of fusion (p < 0.05). Average operation time was 8.36 hours, with an estimated blood loss of 760 mL and duration of bed rest of 2.0 days. There were no incidences of significant surgical complications, including wound infection. Conclusion : Although the current study examined a small sample with relatively short-term follow-up periods, our study results demonstrate that circumferential cervical surgery is considered favorable for safety and effectiveness in multilevel OPLL with prominent cord compression.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.1-8
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• 2016

Background: Various methods are used for recovery of knee flexion range of motion (ROM) due to a tightened rectus femoris muscle (RFM) or limited inferior glide of the patella. Stretching methods are common interventions for restoring the tightened RFM length. Also patellar inferior gliding (PIG) technique can recover tightened RFM length too. However, effect of applying the PIG to passive knee flexion (PKF) has not been studied. Objects: The purpose of this study was to investigate the effect of combining PIG with RFM stretching for improving knee flexion ROM in subjects with RFM tightness. Methods: Twenty-six subjects with RFM tightness were recruited. Two different methods of knee stretching were tested: 1) PKF during modified Thomas test (MTT) and 2) PKF with PIG during MTT. The passive stretching forces was controlled by hand-held dynamometer. The knee flexion ROM angle was measured by a MTT with ImageJ software. Differences between the conditions with and without PIG were identified with a paired t-test. Results: The knee flexion ROM was significantly greater for PKF with PIG ($114.44{\pm}9.33$) than for PKF alone ($108.97{\pm}9.42$) (p<.001). Conclusion: A combination of passive knee flexion exercise and PIG can be more effective than PKF in increasing knee flexion ROM in individuals with RFM tightness.

• 한국전문물리치료학회지
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• 제24권4호
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• pp.11-19
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• 2017

Background: Methods for exercising serratus anterior (SA) and upper trapezius (UT) muscles are important for the recovery of patients with various shoulder disorders, yet the efficacy of closed or open kinetic chain exercises have not yet been evaluated. Objects: The purpose of this study was to compare the activation of the SA and UT muscles during scapular protraction considering both closed and open kinetic chain exercises. Methods: Thirty subjects were randomly divided into experimental groups (closed kinetic chain exercise) and control groups (open kinetic chain exercise) in which scapular protraction was performed at $90^{\circ}$ or $125^{\circ}$ shoulder flexion. Electromyographic activity data were collected from the SA and UT muscles per position and exercise method. Results: Separate mixed 2-way analysis of variance showed significant differences in the activation of the SA (F1,28=6.447, p=.017) and the UT (F1,28=35.450, p=.001) muscles between the groups at $90^{\circ}$ and $125^{\circ}$ shoulder flexion. Also, the SA/UT ratio measures at $90^{\circ}$ and $125^{\circ}$ shoulder flexion significantly differed between the groups (F1,28=15.457, p=.001). That is, the closed chain exercise was more effective than open chain exercise for strengthening the SA muscle and controlling the UT muscle, $125^{\circ}$ of shoulder joint was more effective than $90^{\circ}$. Conclusion: The findings suggest that scapular protraction with shoulder $125^{\circ}$ flexion at the closed kinetic chain exercise may be more effective in increasing SA muscle activation and decreasing UT muscle activation as well as increasing the SA/UT ratio than open kinetic chain exercise.

• 한국디지털건축인테리어학회논문집
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• 제11권4호
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• pp.5-11
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• 2011

The present study investigated the actual conditions of physical therapy rooms at long-term hospitals in Korea and conducted a comparative analysis to develop an efficient floor plan and facility improvement measures. 1. At hospitals surveyed, physical therapy services were used at a high frequency but they did not have enough space for rehab treatment and long paths of patient flow were found to make patient management inconvenient. Therefore, physical therapy units should be conveniently located both in terms of distance and direction so as to be accessible from patient rooms or wards. The space should be organized in a concentrated layout for efficiency of physical therapy, and floor planning for therapy units should ensure the best possible viewing angle to therapists. 2. With regard to the disease characteristics of patients, many physical therapy rooms were in difficult circumstances because of poor facilities, so they need to secure skilled personnel, supplement apparatuses and equipment and have rooms for functional recovery, hydrotherapy and operation treatment. In addition, each of the curtained or partitioned areas for treatment should be set up with consideration for the amount of space taken up by medical equipment. The area under each bed should be designed for patient convenience so that it can be used as storage space for patient's belongings and shoes. 3. Patients complained about the lack of physical therapy space, resting places or exercise areas and demanded the expansion of rehab programs and facilities. Physical therapy facilities need to be improved for patient privacy and effective natural ventilation. 4. At most of the long-term hospitals surveyed, physical therapy units were found to have small areas and treatment equipment and devices were insufficient compared to the number of patients. Therefore, it is required to secure more space (at least 138.24 sq. meters per 100 beds) and improve facilities for better physical therapy services.

• 대한정형도수물리치료학회지
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• 제23권1호
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• pp.43-51
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• 2017

Background: This study was carried out to compare the effects of shoulder stabilization exercise and thoracic extension exercise including deep neck flexor exercise on posture and pain targeting physical therapists and occupational therapists with forward head posture. Methods: A total of 30 physical therapists and occupational therapists (15 males, 15 females), who are working in the nursing hospital at Daejeon, were randomly divided into a shoulder stabilization group (n=10), a thoracic extension exercise (n=10), and a control group (n=10), and 3 times were carried out for 8 weeks. Results: In the results of all measurements, 2 groups except for the control group showed a significant change in the recovery of forward head posture, and the should stabilization exercise group showed a relatively superior effect compared to the thoracic extension exercise group. Conclusions: These results of a study will be a basic data for the development of the forward head posture exercise therapy program.

• Parasites, Hosts and Diseases
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• 제51권2호
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• pp.191-196
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• 2013

The echinostome metacercariae encysted in Cipangopaludina sp. snails that were purchased from a market in Vientiane Municipality, Lao PDR, were identified as Echinostoma macrorchis (Digenea: Echinostomatidae) through recovery of adult flukes after experimental infection to rats and a cat. The metacercariae were round, $113-128(121){\times}113-125(120){\mu}m$, having a thick cyst wall, a head collar armed with collar spines, and excretory granules. The adult flukes recovered from the rats and cat at day 14 and 30 post-infection, respectively, were elongated, ventrally curved, and $3.9-6.3{\times}0.7-1.1mm$ in size. The head collar was distinct, bearing 43-45 collar spines with 5 angle spines on each side. Two testes were large (as the name implies), tandem, and slightly constricted at the middle, with irregular margins. Eggs were operculated, ovoid to elliptical, and $88-95{\times}56-60{\mu}m$. In scanning electron microscopy, the head collar was prominent, with 43-45 collar spines. Scale-like tegumental spines were densely distributed on the ventral surface between the oral and ventral suckers. Sensory papillae were distributed mainly on the tegument around the 2 suckers. It is confirmed that E. macrorchis is distributed in Lao PDR using Cipangopaludina sp. snails as the second intermediate host.

• 지구물리
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• 제9권4호
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• pp.417-426
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• 2006

1993년 남극 하계 기간 동안 남쉐틀랜드 대륙주변부에서 한국해양연구원의 종합연구선 온누리호를 이용하여 탄성파 탐사를 실시하였으며 약 800 km의 탄성파자료를 획득하였다. 탄성파 자료에서 음의 반사계수를 보이며 상대적으로 강한 진폭을 갖는 BSR이 해저면 700 ms에서 발견되었으며 이는 가스수화물의 기저면으로 간주된다. BSR 경계면에서의 물성을 밝히기 위하여 AVO 분석을 수행하였다. 탄성파 자료에 대하여 실진폭 회수, surface consistence amplitude 보정, 입사각 변환 등을 수행하고, 각각의 CDP 자료에 대하여 AVO 절편 및 AVO 기울기를 구하였다. AVO 절편의 단면도는 BSR 경계면에서 극성이 음이고 강한 반사도를 보이며 중합단면도보다 BSR 경계면의 연속성이 뚜렷하였다. AVO 분석자료를 P-G 도면으로 표시한 결과, BSR이 뚜렷한 곳의 하부에는 가스로 채워졌음을 시사한다.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2007년도 추계학술대회 논문집
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• pp.156-160
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• 2007

Ejector system is a device to transport a low-pressure secondary flow by using a high-pressure primary flow. Ejector system is, in general, composed of a primary nozzle, a mixing section, a casing part for suction of secondary flow and a diffuser. It can induce the secondary flow or affect the secondary chamber pressure by both shear stress and pressure drop which are generated in the primary jet boundary. Ejector system is simple in construction and has no moving parts, so it can not only compress and transport a massive capacity of fluid without trouble, but also has little need for maintenance. Ejectors are widely used in a range of applications such as a turbine-based combined-cycle propulsion system and a high altitude test facility for rocket engine, pressure recovery system, desalination plant and ejector ramjet etc. The primary interest of this study is to set up an applicable model and operating conditions for an ejector in the condition of sonic and subsonic, which can be extended to the hydrogen fuel cell vehicle. Experimental and theoretical investigation on the sonic and subsonic ejectors with a converging-diverging diffuser was carried out. Optimization technique and numerical simulation was adopted for an optimal geometry design and satisfying the required performance at design point of ejector for hydrogen recirculation. Also, some sonic and subsonic ejectors with the function of changing nozzle position were manufactured precisely and tested for the comparison with the calculation results.

• 한국전자파학회논문지
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• 제19권5호
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• pp.587-596
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• 2008

도심지 무선 인터넷 서비스에서 전파 특성(wave propagation characteristics)을 정화하게 예측하여 서비스 영역을 결정하는데 있어서 최적의 기지국 선정, 셀 설계 등은 매우 중요한 과정이다. 서비스 지역의 지형 지물 및 인위적 구조물의 건물 재질 및 높이와 폭 등 각기 다른 특징으로 인하여 무선망 서비스의 송수신 거리에 큰 영향을 미치고 있으며, 이는 기본적으로 요구되어지는 무선 인터넷 품질을 정확하게 예측 및 분석하여 이용자에게 서비스를 제공하는데 큰 어려움을 갖게 한다. 본 논문에서는 이러한 문제점을 개선하기 위한 전파 예측 모델에 의한 기본 기지국 위치 선정 후 가장 서비스 영향을 미치는 기지국 위치 이동 및 안테나의 각도 등 무선망 최적화를 결정짓는 파라미터 값의 변화에 따라 서비스 영역이 최적화 되어 서비스 지역 덴 품질이 개선되는 과정을 시뮬레이션 함으로써 무선방 기지국 최적화 과정을 통하여 동일 지역 내 서비스 커버리지가 넓어지고 개선된 품질로서 이용자들이 질 높은 무선 인터넷 서비스를 제공받을 수 있게 된다는 것을 보여 주었다.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 2008년도 춘계학술대회논문집
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• pp.256-259
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• 2008

Ejector system is a device to transport a low-pressure secondary flow by using a high-pressure primary flow. Ejector system is, in general, composed of a primary nozzle, a mixing section, a casing part for suction of secondary flow and a diffuser. It can induce the secondary flow or affect the secondary chamber pressure by both shear stress and pressure drop which are generated in the primary jet boundary. Ejector system is simple in construction and has no moving parts, so it can not only compress and transport a massive capacity of fluid without trouble, but also has little need for maintenance. Ejectors are widely used in a range of applications such as a turbine-based combined-cycle propulsion system and a high altitude test facility for rocket engine, pressure recovery system, desalination plant and ejector ramjet etc. The primary interest of this study is to set up an applicable model and operating conditions for an ejector in the condition of sonic and subsonic, which can be extended to the hydrogen fuel cell vehicle. Experimental and theoretical investigation on the sonic and subsonic ejectors with a converging-diverging diffuser was carried out. Optimization technique and numerical simulation was adopted for an optimal geometry design and satisfying the required performance at design point of ejector for hydrogen recirculation. Also, some ejectors with a various of nozzle throat and mixing chamber diameter were manufactured precisely and tested for the comparison with the calculation results.