• Title/Summary/Keyword: SHOULDER

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Clinical Investigation of Fatigue Among Outpatients (피로를 호소하는 외래환자에 대한 임상적 관찰)

  • Park, Shin-Myong;Seung, Hyun-Suk;Kim, Young-Chul;Lee, Jang-Hoon;Woo, Hong-Jung;Lee, Ji-Hyeon
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.299-307
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    • 2001
  • Objectives: Fatigue is a common symptom experienced by many people who visit Oriental medical clinics or hospital. However, there has been little study about the fatigue in the Oriental medical academic world. For this reason, we attempted to investigate the present status of fatigue of outpatients, and its relation with Health Practice Index(HPI). Methods: The subjects were 63 outpatients who visited the Tonification Clinic in Kyunghee Oriental Medical Center between January 1, 2001 and July 31, 2001. Their chief complaint was fatigue and they did not have any physical or mental problem. They were given a questionnaire which included questions reflecting general characteristics, fatigue degree and health habits. We measured degree of fatigue by Chalder scale et al. Health habits were investigated about 5 articles out of 'Breslow 7 Health habits'. Results: Among the subjects, 48 people(76.2%) were considered as 'fatigue patients' by the Chalder scale. Of this 48 fatigue patients, 27 people(56.3%) had manifested fatigue for more than 6 months. The average of scale II for all the patients was 14.05, which indicates moderate degree of fatigue. They complained fatigue, drowsiness and general weakness, dryness and discomfort of the eyes, headache, shoulder pain and neck stiffness, dizziness, heat in the upper part of the body, and poor concentration. There were no differences in degree of fatigue according to Health habits including exercise or not, smoking or not, the frequency of drinking, hours of sleeping, and body mass index. Conclusions: Many people complain fatigue symptom. Therefore doctors should have more interest in fatigue and care. This study can provide standards of prognosis of fatigue patients. Also prospective studies are needed to find relationship between health habits and fatigue degree.

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Hado and Russell's Paradox (하도(河圖)와 러셀 역설)

  • Kim, Byoung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.3
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    • pp.583-590
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    • 2007
  • The significance of Han medicine (韓醫學), the Korean traditional medicine, that has lasted throughout the past couple millenniums relies upon Han Philosophy distinguished by its uniqueness. In brief, the specificity of Han medicine is characterized by unity of spirit and body, part and whole. According to this theory, when curing a frozen shoulder, it is usually cured by acupuncturing the area around the part that aches, but also doing so on the area that is totally different from the aching part such as the opposite part of the body. In fact, this can be pursued only through aspects that enable one to realize the unity of part and whole, and a ground for this possibility bases upon the crux of Eastern Philosophy, I-ching(역), such as theory of Five Elements (음양오행) and Three Pillars(삼재). In Western set theory, the issues of Class(부류) and elements(요원), whole and part were independently discussed in the area of mereology, and the question of part and whole was encountered with aporia and paradox since Greek ancient philosophy. At the turn of this century, many philosophers endeavored to pursue academic inquiry to resolve this paradox, especially by Russell and Whitehead through ${\ll}$Principia Mathematica${\gg}$ at the beginning of this century. in the process, there came out a phrase 'Russell's Paradox'. Russell himself proposed a typological resolution as an answer to the inquiry. However, 'Russell's Paradox' still remains as an aporia even till present days. During medieval period, this inquiry was even considered as 'insolubia'. Throughout this paper, 1 attempt to provide an analytic aspect on 'Russell's Paradox' from an unique thinking method and perspective of Han medicine that embodies the concept of 'unity of part and whole'. To do so, 1 suggest a physiological model in the first place depicted by diagrams of Circle 원, Quadrangle 방, Triangle 각(CQT) that portray the logic of Hado or Hotu 하도 which is 'the pattern from the river Ho'. That is to suggest that CQT원방각 of Hado can De a logical foundation that explains the notions of spirit (정신,뇌), internal organs(장부), and meridian system which functions as a solution to the question of 'Russell's Paradox'. There are precedent academic works examining the issue from philosophical aspect such as Sangil Kim's ${\ulcorner}$Han medicine과 러셀역설 해의${\lrcorner}$ Han Medicine and Resolution of Russell's Paradox(2005), and this analysis will further attempt to critically examine such works from a perspective of Han medicine.

The shoulder diagnosis Scapula study of patients who visited the hospital (병원 내원한 환자 견갑골(scapula) 진단을 위한 연구)

  • Ahn, Byeong-Ju;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.4 no.2
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    • pp.13-20
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    • 2010
  • True lateral scapula image was very important to diagnosis the scapula fracture and dislocation induced by traumatic injury. The aim of this study was to know the patient rotation angle to be showing the scapula true lateral in korean. d Materials Thirty patients(22men, 8 women, mean ages 53.4)with scapular pain, had supine Anteroposterior projection taken with $30^{\circ}$, $40^{\circ}$, $45^{\circ}$ trunk rotation angle changing the manual angulation material. Radiographs were evaluated independently by 5 experienced observers(1 orthopedics surgery specialist, 1 diagnostic radiology specialist, 3 radiological technologist) They assessed overlap of vertebral border and axillary border of scapula as follows; Totally overlapping of vertebral border and axillary border is 4, partially overlapping is 3, not overlapping is 2 and oblique location with two borders is 1. All observers scored using by PACS monitor.$30^{\circ}$ trunk rotation was scored $1.53{\pm}0.39$, $40^{\circ}$ trunk rotation was scored $3.83{\pm}0.15$ and $45^{\circ}$ trunk rotation was scored $2.17{\pm}0.43$. There was no difference(p<0.05) between group of more than 100cm of the girth of the chest and group of less than 100cm. Similarly, men and women group showed no difference(p<0.05) with trunk rotation statistically. There was no result of trunk rotation angle to radiograph the true scapula lateral image up to date. This studies were summarized as follows; Adaptation of $40^{\circ}$ trunk rotation was the best to show the true scapula lateral image in korean. Our results were very useful to get the true scapula lateral images in clinic.

Preparation and Thermal Stability of FeS2 Fine Powder for Thermal Battery (열전지용 FeS2 미세 분말의 제조 및 열적 안정성)

  • Choi, Yusong;Yu, Hye-Ryeon;Cheong, Haewon;Cho, Sungbaek;Lee, Young-Seak
    • Applied Chemistry for Engineering
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    • v.25 no.1
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    • pp.72-77
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    • 2014
  • Microstructure and thermal stability of mechanically ball milled $FeS_2$ were investigated. The average particle size and distribution of $FeS_2$ powder were changed in two steps with the increased ball milling time. The average particle size drastically decreased from $98.4{\mu}m$ to 1.01 and $0.89{\mu}m$ after ball milling of 10 h and 30 h, respectively. However, the distribution was broad and a shoulder appeared at $2{\mu}m$ because the pulverization was still in process at 10 h ball milling. After 60 h ball milling, the distribution became narrower. After ball milling of 120 h, the average particle size increased because of $FeS_2$ particle agglomeration. Therefore, the particle size distribution became broaden again. Finally, after ball milling of 170 h, $FeS_2$ with the narrowest size distribution can be obtained. Thermal stability of $FeS_2$ was unstable as the $FeS_2$ particle was pulverized. Therefore, the activation energy of the fine size particles is 27% lower than that of the as-received $FeS_2$.

Development of a Semi-Atomatic Protocol for embodiment of a desirable 3D breast shape and deployment of bra cup pattern (3차원의 바람직한 유방형상 구현을 위한 Semi-Atomatic Protocol 개발 및 브래지어 컵 패턴으로의 전개)

  • Sohn, Boo-hyun;Kweon, Soo-ae
    • Journal of Fashion Business
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    • v.20 no.4
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    • pp.189-206
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    • 2016
  • A breast model was for the human body was devised by studying a body scan and human body index of a desirable breast type. Thus, when manufacturing various 3D models, these results can accordingly become a fundamental basis for realizing a desirable breast model. This study aims to provide a basic data for designing the cup patterns of brassieres in order to improve the function and wearing comfort. The comfort of three kinds of brassieres were compared: one manufactured by the actual measured size; another manufactured as per the ratio of desirable upper and lower breast lengths; and the third manufactured by the 3D model attained by the desirable human body ratio. In this study, we suggest a process for realizing the desirable breast model using the ratio of bust breadth and waist front length, which are the components for deciding the appropriate position and size of breast, and which are easy to measure. The ideal breast shape is an equilateral triangle formed by connecting the nipple with the center of the clavicle. After deciding the interval between the nipples, this value can be used to configure the locations of nipples by drawing a tangent, with equal length, from the anterior neck point (which is the center of clavicle) to the nipple. Also, since inside points of breast do not exist, the outer point of breast, upper point of breast, and below point of breast on the same plane, and the depths from the nipple point to the respective points, are applied to simulate a 3D image, by modifications along the x, y, and z axes. Depending on the type of breast, the length from the center of shoulder to the nipple, the diameter of breast, upper length of breast, and the position of nipple, are different. In conical or protruding breast, the wearing sensation is better when the nipple point of brassiere was lifted, by modifying the upper and lower lengths of breast. Considering the wearing sensation and function of a brassiere, it was better to leave the wearer's size as it is and use a pad within the same cup, rather than increase the basal area of the breast in order to increase the volume.

Connections of Preventive Actions against Musculoskeletal Diseases by Dental Hygiene Students according to the Health Belief Model (치위생과 학생들의 건강-신념 모형에 의한 근골격계 질환 예방 행위 관련성)

  • Jung, You-Sun
    • Journal of dental hygiene science
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    • v.9 no.5
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    • pp.545-550
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    • 2009
  • This study set out to examine the knowledge about and preventive actions against musculoskeletal diseases among dental hygiene students according to the Health Belief Model, suggest a need for programs to promote health and prevent those diseases, and investigate their relations, A survey was taken among 83 sophomores and 114 juniors at the dental hygiene major of a college in Gyeonggi Province. Analyzed by using SAS 8.0 version. The findings are as follows: 1. The sophomores and juniors scored $22.50{\pm}2.37$ and $22.29{\pm}3.01$ points, respectively, on susceptibility of the Health Belief Model with significant differences between the two groups(P < 0.01). Significant differences were also found between the sophomores that scored $18.82{\pm}2.60$ points and the juniors that scored $18.64{\pm}2.77$ points on benefit(P < 0.05). 2. The juniors experienced a higher level of pain than the sophomores with statistical significance observed on the neck, shoulder, lower back, knee, foot, and ankle(P < 0.05). 3. Of the Health Belief Model, severity had significant positive correlations with 'Placing frequently used tools near the dental technician' and 'Trying to avoid repeating the same task and diversify tasks'(P < 0.01). And benefit was positively correlated with 'Trying to reduce the frequency of bending and stretching out during treatment, 'Trying not to lean much with the neck, back, arm, and wrist' and 'Trying to maintain the torso in the neutral position'(P < 0.01). The results suggest that there should be some instructions to help dental hygiene students practice the preventive actions against musculoskeletal diseases and further prevention programs against those diseases.

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Breeding on High Lycopene and Beta Carotene with Multi-Disease Resistance in Tomato

  • Kim, Myung Kwon;Lee, Hee Bong
    • Korean Journal of Breeding Science
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    • v.41 no.1
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    • pp.1-8
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    • 2009
  • This study was carried out to breed and develop high quality and functional nutrient tomato with multi disease resistance as well as a stable growing adaptation for fresh market usage under protected plastic houses cultivation. The materials were used 5 inbred lines and their 6 hybrids of large tomato group, which have been bred and developed from 1999 to 2007 in Division of Plant Resource Department of Chungnam National University. Fruit weight showed hybrid vigor effect that $F_1$ hybrids weighed more than their parent lines, fruit shape formed three type of oblate, deep oblate and globe shape, in firmness and pericarp thickness have got a high significant correlation, inbred DN611 line was measured the most firm fruit with 6.04 mm pericarp thickness. In fruit color at maturity, pink color crossed to red color appeared all red fruit color in the $F_1$ hybrids, it means red skin color is a dominant gene compared to pink skin color is a recessive gene in tomato, while between fruit skin color and shoulder part color showed no any co-relationship. The sugar content and titratable acid of $F_1$ hybrids inherited an intermediate data of their parent lines, the flavor of KP543 inbred line and the hybrid (JB535 x KP543) revealed the better taste with high brix and proper titratable acid content$^{*}$. In beta carotene content DN611 line showed 2~3 times higher than other materials so that its 3 hybrids contained an increased level of beta carotene, lycopene content was not so much difference among inbred lines and $F_1$ hybrids, of them MD508 contained higher of 8.72 mg and hybrid (JB535 x JA517) had 8.05 mg lycopene content per 100 g fruit, overall pink skin color and red skin color measured a higher lycopene content than yellow and orange skin color at ripe stage. In disease resistance test by PCR marker for Fusarium race2 (I2), Nematode (Mi1), ToMV ($Tm2^2$), Cladosporium (Cf9), (JB535 x JA517) hybrid have got multi-resistance with homozygote band in Nematode, ToMV, Cladosporium and heterozygote band in Fusarium race2. Through this breeding program we could select high quality and functional nutrient with multi resistant $F_1$ hybrids and inbred lines in tomato which are two best hybrids (JB535 x MD508), (JB535 x JA517), additionally developed high beta carotene inbred line DN611 and increased the level of lycopene inbred line MD508. These results will be very useful to make a high quality tomato variety continuously.

Investigation of Temperature Variation of Bridge Cables under Fire Hazard using Heat Transfer Analysis (열전달 해석을 통한 케이블교량 화재 시 케이블의 온도변화 분석)

  • Chung, Chulhun;Choi, Hyun Sung;Lee, Jungwhee
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.32 no.5
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    • pp.313-322
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    • 2019
  • Recently, there have been frequent occurrences of bridge fires. Fires in cable-supported bridges can damage and brake cables due to high temperatures. In this study, fire scenarios that can occur on cable-supported bridges were set up. In addition, based on the results of vehicle fire tests, a fire intensity model was proposed and cable heat transfer analyses were performed on a target bridge. The analyses results demonstrated that temperature rises were identified on cables with a smaller cross-sectional area. Furthermore, vehicles other than tankers did not exceed the fire resistance criteria. When the tanker fire occurred on a bridge shoulder, the minimum diameter cable exceeded the fire resistance criteria; the height of the cable exceeding the fire resistance criteria was approximately 14 m from the surface. Therefore, the necessity of countermeasures and reinforcements of fire resistance was established. The results of this study confirmed that indirect evaluation of the temperature changes of bridge cables under fire is possible, and it was deemed necessary to further study the heat transfer analysis considering wind effects and the serviceability of the bridge when the cable temperature rises due to fire.

Topographic Characteristics, Formation and Classification of Soils Developed in Limestone I. Physico-chemical Characteristics of Limestone Soils Based on Topography (석회암(石灰巖) 토양(土壤)의 지형적(地形的) 특성(特性)과 생성(生成)·분류(分類) I. 지형(地形)에 따른 석회암(石灰巖) 토양(土壤)의 이화학적(理化學的) 특성(特性))

  • Jung, Sug-Jae;Kim, Tai-Soon;Moon, Joon;Um, Ki-Tae
    • Korean Journal of Soil Science and Fertilizer
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    • v.22 no.4
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    • pp.265-270
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    • 1989
  • Soil properties for the limestone-derived soil were examined to relate soil formation to stratigraphy of parent materials and hillslope positions in Bangjeol Ri, Yeongweol Eup, Gangweon Do. Pyeongchang, Anmi, Yulgog and Mungyeong series were described for topographic positions such as shoulder position, footslope, terrace and local bottom associated with toposequence where the landscape consisted of gently rolling hillslopes and nearly level plains. 1. Pyeongchang, Anmi, Yulgog and Mungyeong series had the standard hue of the 2.5YR, 5YR, 10YR and 2.5Y, respectively. Thus, color sequence of soil could be related to hillslope positions on the landscape. 2. With ascending slope toward summit, the clay content increased while silt content decreased 3. Silt/Clay ratios ranged from 0.27 to 3.76 and it was increased with descending to bottom. It, also, appeared that maturity of soil was higher at summit position than at bottom. 4. Soils developed in limestone were neutral in soil reaction and very low in available $P_2O_5$. OM, available $SiO_2$, CEC, and active Fe in soils seemed to be increased with ascending to summit position.

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Short-Term Effects of an Self-Management Support Intervention on Patient Activation, Joint Flexibiltiy and Health-related Quality of Life among Korean Medical Aid Beneficiaries with Osteoarthritis (지역사회기반의 자기관리지지중재가 골관절염 의료급여수급자의 환자활력, 관절유연성 및 건강 관련 삶의 질에 미치는 단기효과)

  • Ahn, Yang Heui;Hur, Jae Bock;Choi, Eun Hee
    • 한국노년학
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    • v.36 no.3
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    • pp.595-609
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    • 2016
  • The purpose of this study was to test the effectiveness of an eight session self-management support program for improvement of patient activation, joint flexibility and health-related quality of life among medical aid beneficiaries with osteoarthritis. This study was part of a randomized and controlled research of a self-management support intervention. Participants were 60 medical aid beneficiaries who agreed to participate in this study, and were assigned to an experimental group (n=30) or control group (n=30). The 8-session and tailored program led by a trained case manager with the patient-centered approaches and cognitive-emotional-behavioral skills. Analysis included change in scores, ${\chi}^2-test$, Fisher's exact test, t-test and ANCOVA. The results showed significant increase in patient activation, joint flexibility (shoulder and right knee) except health-related quality of life in the experimental group compared to the control group. The self-management support program indicated an effect on patient activation and joint flexibility. Further research is needed to examine the outcome in the long term(9 and 12-month follow up).