• Journal of Korean Medicine Rehabilitation
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• v.27 no.4
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• pp.111-119
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• 2017

Objectives Clinical pathway (CP), is management plans that display goals for patients and have led to improve outcomes for many diseases. In Korea, Interest in Korean medicine's stabilization (Clinical pathway, Clinical Practice Guideline) is increasing, But the number of studies is scare. Method and Analysis This trials composes nonequivalent control group pretest-posttest design to conduct clincal pathway trial for the acute pain after back surgery. The subjects were 10 control patients with back surgery, and 10 experimental patients with application of integrative CP. Each group patient will observed 6 weeks. We check validation of CP. Also we compared the patient's status using the pain, function, Quality of life index between the two groups. Discussion This trial is the first CP for the acute pain after back surgery using integrative medicine concepts. Aim of this trial is to find the effectiveness and validity of clincal pathway for acute pain after back surgery.

• Journal of Trauma and Injury
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• v.30 no.4
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• pp.173-178
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• 2017

Purpose: Most patients with acute low back pain visit emergency room (ER). They mostly need beds, and if their length of stay is longer, it can become difficult to accommodate new patients at the ER. We analyzed the treatment process of patients with back pain and tried to find method for shortening of the length of stay at the ER. Methods: We retrospectively analyzed the medical records of patients with back pain who visited at our ER for one year. Patients were divided into two groups according to their length of stay at ER and were compared the charateristcs of between two groups. Results: A total of 274 patients were included in the study. Eigthy-nine patients (32.5%) were in the group with less than 3 hours and 185 patients (67.5%) were in the other group. In the comparison of the two groups according to the medical departments, the number of patients who were in group with more than 3 hours were 25 (14.0%) in the emergency department, 94 (50.5%) in neurosurgery, 66 (35.5%) in orthopedic surgery. Length of stay was significantly increased in orthopedic surgery and neurosurgery (p=0.014). In addition, the length of stay was longer when computed tomography and magnetic resonance imaging examinations were performed (p=0.000). Regardless of the type of analgesic agent, the median time to the analgesic treatment was shorter in the group with less than 3 hours (p=0.034). Conclusions: In patients with back pain who visit the ER, the emergency medicine doctor will early control the pain and do not unnecessary image examination to reduce a length of stay at the ER.

• The Korean Journal of Pain
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• v.34 no.2
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• pp.217-228
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• 2021

Background: The purpose of this study was to assess the effectiveness of transcutaneous electrical nerve stimulation (TENS) in chronic low back pain and neuropathic pain. Methods: Seventy-four patients aged 18-65 with chronic low back pain were included in the study. Baseline measurements were performed, and patients were randomized into three groups. The first group received burst TENS (bTENS), the second group conventional TENS (cTENS), and the third group placebo TENS (pTENS), all over 15 sessions. Patients' visual analogue scale (VAS) scores were evaluated before treatment (preT), immediately after treatment (postT), and in the third month after treatment (postT3). Douleur Neuropathique 4 Questions (DN4), the Modified Oswestry Low Back Pain Disability Questionnaire (MOS), the Beck Depression Inventory (BDI), and sympathetic skin response (SSR) values were also evaluated preT and postT3. Results: A statistically significant improvement was observed in mean VAS scores postT compared to preT in all three groups. Intergroup comparison revealed a significant difference between preT and postT values, that difference being assessed in favor of bTENS at multiple comparison analysis. Although significant improvement was determined in neuropathic pain DN4 scores measured at postT3 compared to preT in all groups, there was no significant difference between the groups. No statistically significant difference was also observed between the groups in terms of MOS, BDI, or SSR values at postT3 (P > 0.05). Conclusions: bTENS therapy in patients with low back pain is an effective and safe method that can be employed in short-term pain control.

• Structural Engineering and Mechanics
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• v.38 no.4
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• pp.443-457
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• 2011

The loss of strength in a structure as a result of cyclic loads over a period of life time is an important phenomenon for the life-cycle analysis. Service loads are accentuated at the areas of stress concentration, mainly at the connection of components. Structural components unavoidably are affected by defects such as surface scratches, surface roughness and weld defects of random sizes, which usually occur during the manufacturing and handling process. These defects are shown to have an important effect on the fatigue life of the structural components by promoting crack initiation sites. The value of equivalent initial flaw size (EIFS) is calculated by using the back extrapolation technique and the Paris law of fatigue crack growth from results of fatigue tests. We try to analyze the effect of EIFS distribution in a multiple site damage (MSD) specimen by using the extended finite element method (XFEM). For the analysis, fatigue tests were conducted on the centrally-cracked specimens and MSD specimens.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.10 no.2
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• pp.11-22
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• 1990

An automatic incremental algorithm for geometric non-linear finite element analysis of the structures subjected to the conservative and non-conservative forces is presented. By making efficient combination of the load incremental method and the displacement incremental method, this scheme can trace various post-buckling equilibrium path such as snap-through and turning-back. Several numerical examples to demonstrate the feasibility of the present algorithm, over ranges of deformation that are well beyond those likely to occur in practical structures, are given and discussed.

• Design & Manufacturing
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• v.14 no.1
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• pp.15-21
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• 2020

Smart systems in different application areas such as automotive, medical and consumer electronics require a novel manufacturing method of electronic, optical and mechanical functions into products. Traditional methods including mechanical assembly, bonding of plastic and electronic circuit cause the problems in large size of products and complicated manufacturing processes. In this study, thermoforming and film insert molding were applied to fabricate a dome shaped plastic part embedded with electronic circuits. The deformation of patterns printed on PET film was predicted by thermoforming simulation using T-SIM, and the results were compared with those by experiment. In order to decrease spring-back after thermoforming, the Taguchi method of design of experiment was used. Through ANOVA analysis, it was found that mold temperature was the most dominant parameter for spring-back. By using flow analysis, gate design was performed to decrease injection pressure. During film insert molding, the wash-out of ink printed on film occurred for Polycarbonate. When the resin was changed to PMMA, the wash-out disappeared due to low melt temperature.

• The Transactions of the Korean Institute of Electrical Engineers B
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• v.53 no.4
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• pp.213-223
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• 2004

In the machine tool industry, direct drive linear motor technology is of increasing interest as a means to achieve high acceleration, and to increase reliability. The advantages of such a motor are that it has a good linearity and has no need of such mechanical energy conversion parts, which change rotary motion into linear motion, as screws, gears, chains etc In this paper, two structures of LOA are analyzed. One is the moving-coil type LOA and the other is moving-magnet type LOA. Two types of LOA are analyzed, with reference to the following parameters as variables: magnetic field, flux linkage, motor thrust and back emf. These variables are derived by the use of analytical method in terms of two-dimensional rectangular coordinate system. The maximum values of thrust according to such design parameters as air-gap length and magnet height for each model is also represented. The results are validated extensively by comparison with finite element method. In particular, we experiment moving-coil LOA which is already manufactured and confirm that the experimental results are shown in good agreement with analysis through the comparison of between analytical and experimental results

• Structural Engineering and Mechanics
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• v.74 no.3
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• pp.381-394
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• 2020

The structural performance of cold-formed steel (CFS) built-up battened columns were numerically investigated in this paper. The built-up column sections were formed by connecting two-lipped channels back-to-back, with a regular spacing of battens plates, and have been investigated in the current study. Finite element models were validated with the test results reported by the authors in the companion paper. Using the validated models, the parametric study was extended, covering a wider range of overall slenderness to assess the accuracy of the current design rules in predicting the design strengths of the CFS built-up battened columns. The parameters viz., overall slenderness, different geometries, plate slenderness (b/t ratio) and yield stress were considered for this study. In total, a total of 228 finite element models were analyzed and the results obtained were compared with current design strength predicted by Effective Width Method of AISI Specifications (AISI S100:2016) and European specifications (EN1993-1-3:2006). The parametric study results indicated that the current design rules are limited in predicting the accuracy of the design strengths of CFS built-up battened columns. Therefore, a design equation was proposed for the AISI and EC3 specifications to predict the reliable design strength of the CFS Built-up battened columns and was also verified by the reliability analysis.

• Journal of Korean Society of Forest Science
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• v.109 no.1
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• pp.72-80
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• 2020

Two strategies for calculating economic feasibility are the machine rate and cash-flow methods. This study used the cash-flow method to evaluate the economic feasibility of the HAM300 yarding operation for extracting tree length logs in Larix kaempferi forest stands. In financial analysis based on 7-year cash-flow, the net present value and pay-back period method were used. We analyzed two scenarios: operating opportunities (50, 100, 150, and 200 days per year) and productivity change yield (7.5 and 10.5 ㎥/scheduled machine hour: SMH). The analysis indicated that high rates of return on extraction activity investment can be achieved when machines are used for >150 days per year. In addition, improved productivity (10.5 ㎥/SMH) increased financial feasibility compared to current productivity (7.5 ㎥/SMH) when machines were operated for 100 days per year. These results suggest that the appropriateness of HAM300 harvesting depends on the number of annual operating days and productivity.

• Journal of Institute of Control, Robotics and Systems
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• v.19 no.5
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• pp.410-415
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• 2013

This paper proposes a bidirectional platoon control law using a coupled distance error based on the backstepping-like feedback linearization control method for an interconnected mobile agent system with a string structure. Unlike the previous results where the single agent was controlled using the only own information without other agents, the proposed control law cannot show the only distance error convergence of each agent, but also the string stability of the whole system. Also, the control performances are improved by the proposed control law in spite of low performance of bidirectional control strategy in the previous results. The proposed bidirectional platoon control algorithm is based on the backstepping-like feedback linearization control method. The position errors between each agent and the preceding and the behind agents are coupled by weighted summation. By the proposed control law, the distance error of each agent can converge to zero while the string stability is guaranteed when the coupled errors can converge to zero. To this end, the back-stepping control method is employed. The pseudo velocity input is determined considering the kinematic relationship between agents and the string stability. Then, the actual dynamic control input is determined to make the actual velocity converge to the pseudo velocity input. The stability analysis and the simulation results of the proposed method are included in order to demonstrate the practical application of the proposed algorithm.