• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.439-447
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• 2018

Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using $0^{\circ}$ or $30^{\circ}$ endoscopy with better visualization. Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment. All 31 patients underwent unilateral biportal endoscopic far-lateral decompression (UBEFLD). One portal was used for viewing purpose, and the other was for surgical instruments. Unilateral foraminotomy was performed under guidance of $0^{\circ}$ or $30^{\circ}$ endoscopy. Clinical outcomes were analyzed using the modified Macnab criteria, Oswestry disability index, and visual analogue scale. Plain radiographs obtained preoperatively and 1 year postoperatively were compared to analyze the intervertebral angle (IVA), dynamic IVA, percentage of slip, dynamic percentage of slip (gap between the percentage of slip on flexion and extension views), slip angle, disc height index (DHI), and foraminal height index (FHI). Results: The IVA significantly increased from $6.24^{\circ}{\pm}4.27^{\circ}$ to $6.96^{\circ}{\pm}3.58^{\circ}$ at 1 year postoperatively (p = 0.306). The dynamic IVA slightly decreased from $6.27^{\circ}{\pm}3.12^{\circ}$ to $6.04^{\circ}{\pm}2.41^{\circ}$, but the difference was not statistically significant (p = 0.375). The percentage of slip was $3.41%{\pm}5.24%$ preoperatively and $6.01%{\pm}1.43%$ at 1-year follow-up (p = 0.227), showing no significant difference. The preoperative dynamic percentage of slip was $2.90%{\pm}3.37%$; at 1 year postoperatively, it was $3.13%{\pm}4.11%$ (p = 0.720), showing no significant difference. The DHI changed from $34.78%{\pm}9.54%$ preoperatively to $35.05%{\pm}8.83%$ postoperatively, which was not statistically significant (p = 0.837). In addition, the FHI slightly decreased from $55.15%{\pm}9.45%$ preoperatively to $54.56%{\pm}9.86%$ postoperatively, but the results were not statistically significant (p = 0.705). Conclusions: UBEFLD using endoscopy showed a satisfactory clinical outcome after 1-year follow-up and did not induce postoperative segmental spinal instability. It could be a feasible alternative to conventional open decompression or fusion surgery for lumbar foraminal stenosis.

• 한방재활의학과학회지
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• 제32권1호
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• pp.51-62
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• 2022

Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.

• Asian-Australasian Journal of Animal Sciences
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• 제16권1호
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• pp.50-56
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• 2003

An experiment was carried out to compare the body weight, shank length, rectal temperature, comb area, abdominal fat, blood parameters and bone traits of capon, slip and intact birds in Taiwan country chicken cockerels. One hundred and sixty-six Taiwan country chicken cockerels were randomly assigned to caponized or intact male groups. Caponized birds were surgically altered at 10 weeks old and raised to 28 weeks old. At 28 weeks of age, the capons were separated into capon and slip groups, depending on the atrophy of the comb and wattle in size. The results showed that body weight and shank length in slips were significantly (p<0.05) greater than in intact birds. Intact birds had the highest (p<0.05）feather scores and the lowest (p<0.05) rectal temperature. Compared with intact birds and slips, capons had a significantly (p<0.05) smaller comb area. Bone percentage, stress and cortical thickness, and bone and ash calcium content and plasma testosterone concentration, in intact birds were the highest (p<0.05) followed by slips and capons. However, intact birds had the lowest (p<0.05) plasma ionized calcium and phosphorus concentrations. Bone and ash manganese contents in capons were significantly (p<0.05)lower than those in others. These findings support the hypothesis that androgenic effects on secondary sexual characteristics are stronger than anabolic growth promoting response. Androgens can directly influence calcium fluxes in male chickens. Caponized caused a reduction in the bone percentage, stress, cortical thickness and bone calcium content.

• Computers and Concrete
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• 제19권6호
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• pp.625-630
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• 2017

In this paper, 54 pull-out specimens and 36 cubic specimens with different replacement ratios of fly ash in the concrete (i.e., 0%, 20%, 30%, 40%, 50%, 60%) were fabricated to evaluate the bond at the interface between fly ash concrete and steel rebar. The results showed that the general shape of the bond-slip curve between fly ash concrete and steel rebar was similar to that for the normal concrete and steel rebar. The bond strength between fly ash concrete and the steel rebar was closer to each other at the same rebar diameter, irrespective of the fly ash replacement percentage. On the basis of a regression analysis of the experimental data, a revised bond strength mode and bond-slip relationship model were proposed to predict the bond-slip behaviour of high volume fly ash concrete and steel rebar.

• 대한정형외과학회지
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• 제55권1호
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• pp.71-77
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• 2020

목적: 요추부 척추관 협착증에서의 후방 감압술 시 극간인대 및 극상인대의 보존이 술 후 척추 불안정성의 예방에 미치는 영향에 대하여 밝히고자 했다. 대상 및 방법: 2014년 3월부터 2017년 3월까지 요추부 척추관 협착증에서 후방 감압술을 시행하고 1년 이상 추시관찰한 83명의 환자를 후향적으로 연구하였다. 대상자들을 수술의 종류에 따라 포트홀 감압술을 시행한 56명의 환자는 그룹 A로, 후궁 아전절제술을 시행한 27명의 환자는 그룹 B로 분류하였다. 임상적 결과를 평가하기 위해 Oswestry disability index (ODI), 요통과 방사통에 대한 시각통증점수(visual analogue scale, VAS), 신경성 간헐적 파행(neurogenic intermittent claudication, NIC) 전 보행거리가 수술 전후로 측정되었다. 영상의학적 결과를 평가하기 위해 수술 전 및 수술 후 매 6개월마다 직립상태에서 측면 및 굴곡-신전 단순 방사선 사진을 촬영해 전위 정도(slip percentage), 역동적 전위 정도(dynamic slip percentage), 각변위(angular displacement), 역동적 각변위(dynamic angular displacement)를 측정하였다. 결과: ODI (그룹 A에서 28.1에서 12.8로 호전; 그룹 B에서 27.3에서 12.3으로 호전), 요통에 대한 VAS (그룹 A에서 7.0에서 2.6로 호전; 그룹 B에서 7.7에서 3.2로 호전), 방사통에 대한 VAS (그룹 A에서 8.5에서 2.8로 호전; 그룹 B에서 8.7에서 2.9로 호전), 그리고 NIC 전 보행 거리(그룹 A에서 118.4 m에서 1,496.2 m로 증가; 그룹 B에서 127.6 m에서 1,481.6 m로 증가)는 두 그룹 모두에서 호전되었다. 다른 영상의학적 결과들에서 유의한 차이가 없었던 반면 역동적 각변위는 술 후 두 그룹간에 유의한 차이를 보였다(그룹 A에서 6.2°에서 6.7°로 증가; 그룹 B에서 6.5°에서 8.4°로 증가; p-value=0.019). 결론: 요추부 척추관 협착증에서의 후방 감압술시 극간인대 및 극상인대를 포함한 후방 인대의 제거는 술 후 역동적 각변위의 증가를 초래하며 후방 인대를 보존하는 포트홀(port-hole) 감압술을 통해 이를 예방할 수 있다.

• 대한정형외과학회지
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• 제55권5호
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• pp.411-417
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• 2020

목적: 양방향 내시경적 감압술(unilateral biportal endoscopic decompression, UBE)의 유용성을 증명하기 위해 수술의 임상적, 영상학적 결과를 보고하고자 한다. 대상 및 방법: 요추 추간공 협착증으로 일측성 양방향 내시경적 측부 추간공 감압술(unilateral biportal endoscopic far-lateral decompression, UBEFLD)을 시행받은 20명의 환자들을 분석하였다. 임상적으로 시각통증척도(visual analogue scale, VAS), modified Macnab criteria, Oswestry Disability Index (ODI), 영상학적으로 수술 전후 단순영상을 비교하여 intervertebral angle (IVA), percentage slip, disc height index (DHI), foraminal height index (FHI)를 분석하였다. 결과: VAS는 평균적으로 술 전 6.20에서 술 후 1개월 2.05, 3개월 1.75, 1년 1.45로 호전을 보였다(p<0.001). Modified Macnab criteria는 술 후 1개월 70.0%, 3개월 80.0%, 1년 85.0%의 환자들에서 good 혹은 excellent 판정을 받았다(p=0.034). ODI는 술 전 59.8%, 1개월 35.8%, 3개월 33.2%, 1년 17.1%로 호전을 보였다(p<0.001). IVA는 술 후 평균 0.40도 증가(p=0.057), percentage slip은 술 후 0.19% 증가하였다(p=0.134). DHI는 술 전 0.49에서 술 후 0.62로 증가(p=0.359), FHI 또한 술 전 0.71에서 술 후 0.79로 증가하였다(p<0.001). 결론: UBEFLD는 임상학적 및 영상학적으로 모두 만족스러운 결과를 보였으며 종래의 척추 유합술이나 현미경 추간공 성형술의 훌륭한 대체가 될 수 있음을 의미한다.

• 콘크리트학회논문집
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• 제23권6호
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• pp.809-815
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• 2011

철근과 GFRP bar의 콘크리트 및 PVA가 사용된 ECC에서의 부착-미끌림 관계를 실험을 통해 평가하였다. 총 8개의 최대하중 발현 이후 파괴 모드가 크게 변경되고 부착강도의 증진을 예상할 수 있는 PVA 및 PE가 2% 부피비로 혼입된 ECC로 제작된 RILEM 기준에 따른 실험체가 제작되었다. 이 연구의 목적은 ECC 및 GFRP가 사용되었을 경우 하중-변위 관계 및 부착응력-미끌림 관계를 다음과 같은 변수에 따라 파악하는 것이다. 1) 콘크리트의 종류(보통 콘크리트, 섬유보강 콘크리트), 2) 보강근의 직경(10 mm, 13 mm) 실험 결과 콘크리트와 ECC는 철근에 대한 실험체는 유사한 거동을 하였지만 GFRP에 대해서는 서로 다른 거동을 보였다. 기존 연구로 제안된 평가 방법은 실험 결과와 유사한 값을 나타내었지만 부착강도를 과대평가하는 경향을 보였으며 설계기준으로도 사용되는 ACI 위원회 제안식은 보수적인 결과를 타나내었다.

• 한국측량학회지
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• 제26권4호
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• pp.397-405
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• 2008

한 지점의 위치에 대한 정확도는 위성의 위치와 몇 가지 요인으로 인하여 발생하는 신호의 지연 등에 주로 의존하게 된다. 이러한 지연의 효과가 3차원 위치 오차에 미치는 영향을 분석하기 위하여 GPS 오차를 포함하는 GPS 관측 파일(RINEX)을 시뮬레이션 하고, 시뮬레이션된 관측 파일을 기선 처리하여 그 효과를 분석하였다. Bernese ver5.0을 이용하여 전리층 지연, 대류권 모델, DOP, 랜덤 오차 등 과 같은 GPS 오차를 시뮬레이션에 적용하였다. 실험결과 기선이 짧다면 무전리층 조합으로 인하여 전리층 지연 효과를 제거할 수 있기 때문에 TEC에 의한 위치오차는 그리 크지는 않았다. 그러나 기선이 길어진다면 3차원 위치오차는 최대 10cm까지 나타났다. 싸이클 슬립은 싸이클 슬립이 증가함에 따라 점차적으로3차원 위치오차가 변화되기 보다는 싸이클 슬립이 60%를 넘었을 때 좌표에 미치는 영향이 커짐을 알 수 있다. 이는 시뮬레이션된 싸이클 슬립이 위성에 골고루 분배되었기 때문에 싸이클 슬립에 의한 영향은 크지 않았으나 60%를 넘을 경우 그 오차는 급격히 증가하였다. 또한 DOP이 3보다 작은 경우, 2시간 선별하여 계산된 3차원 위치오차는 $3{\sim}4cm$ 정도 향상되었다.

• 한국의상디자인학회지
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• 제18권1호
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• pp.51-60
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• 2016

This study aims to contribute to development of women's incontinence panties with anti-aging effect meeting customers' requirements by examining types, sorts, sizes and specifications of women's incontinence panties currently sold in the market. The results of analysis of a total of 22 commercial products are as follows. 1. Among the samples, 21 incontinence panties were slip on type like regular underwear; only 1 was pad insertion type. With respect to the length of side seam, 17 (77.3%) incontinence panties were above 14 cm which is classified as maxi; the rest of them (5, 22.7%) were 7~11 cm which is classified as middy. 2. With respect to size, the percentage of Size 3 was 40.9% showing the largest, followed by Size 4 (31.8%), Size 2 (18.2%), Size 5 (9.1%). To produce the incontinence panties considering various ages and body shapes, it is recommended to select above Size 4 as a minimum. 3. With respect to materials of the incontinence panties, natural fibers such as cotton or rayon were mostly used and a polyurethane, nylon or polyester was mixed to enhance the wearing sensation and stretchability of the panties. Finally, for structure of the crotch area, single knit was the largest (9, 40.9%), terry weave 7 (31.8%), sofe pile weave 4 (18.2%), and waffle weave or diamond weave 2.

• 한국주거학회논문집
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• 제15권4호
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• pp.65-74
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• 2004

As the advent of an aging society, housing for the elderly has been of great concern. Because the majority of the elderly prefers living in their own familiar homes rather than moving to new ones, this study is concerned with the ways use and maintenance of the existing houses from the viewpoint of their independent living. The data was analyzed with frequency, percentage, mean, correlation, and multiple regression by using the SPSS 10.0 for Windows. The findings from the study were: Needs for Affordance of interior design(AID) were required slightly above the average. Among the items of AID, physiological maintenance was the most demanding, and social facilitation, behavioral facilitation, and perceptual maintenance were sequentially followed in the level of needs. The elements that should be considered in housing environment plans for the elderly household ire: (a) use of slip-proof tiles for the floor of the bathroom, (b) installation of safety bars in the bathroom, and (c) installation of emergency buttons. It also turned out that educational levels and health status were the most significant factors on the needs for AID.