• Title/Summary/Keyword: external risk

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The Effect of Different Starting Periods of Passive Exercise on the Clinical Outcome of Arthroscopic Rotator Cuff Repair

  • Back, Young-Woong;Tae, Suk-Kee;Kim, Min-Kyu;Kwon, Oh-Jin
    • Clinics in Shoulder and Elbow
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    • v.17 no.2
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    • pp.57-63
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    • 2014
  • Background: To compare the effect of different starting periods of rehabilitative exercise (early or delayed passive exercise) on the rate of retear and other clinical outcomes after the arthroscopic repair of the rotator cuff. Methods: In total, 103 patients who underwent arthroscopic repair of the rotator cuff were included in the study. Determined at 2 weeks post-operation, patients who were incapable of passive forward elevation greater than $90^{\circ}$ were allotted to the early exercise group (group I: 79 patients; 42 males, 37 females), whilst those capable were allotted to the delayed exercise group (group II: 24 patients; 14 males, 10 females). The group I started passive exercise, i.e. stretching, within 2 weeks of operation, whilst group II started within 6 weeks. The results were compared on average 15.8 months (11-49 months) post-operation using the passive range of motion, the Visual Analog Scale (VAS) pain score, and the University of California at Los Angeles (UCLA) and Constant scores. Stiffness was defined as passive forward elevation or external rotation of less than $30^{\circ}C$ compared to the contralateral side. Follow-up magnetic resonance imaging (MRI) was carried out on average 1 year post-operation and the rate of retear was compared with Sugaya's criteria. Results: There were no differences between the two groups in gender, age, smoking, presence of diabetes, arm dominance, period of tear unattended, pre-operative range of motion, shape and size of tear, degree of tendon retraction, and tendon quality. There were no significant differences in clinical outcomes. Whilst stiffness was more frequent in group II (p-value 0.03), retear was more frequent in group I (p-value 0.028) according to the MRI follow-up. Conclusions: During rehabilitation after the arthroscopic repair of the rotator cuff, the delay of passive exercise seems to decrease the rate of retear but increase the risk of stiffness.

Effect of LED trap on controlling Sitophilus zeamais and Tribolium castaneum in granary (곡물저장창고에서 LED 트랩을 이용한 어리쌀바구미와 거짓쌀도둑거저리의 실증 유인효과)

  • Song, Ja-Eun;Lee, Sang-Guei;Lee, Hoi-Seon
    • Journal of Applied Biological Chemistry
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    • v.59 no.2
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    • pp.129-132
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    • 2016
  • This study was conducted to evaluate the attraction effects of Sitophilus zeamais and Tribolium castaneum to light emitting diode (LED) trap in granary and compared with the black light bulb (BLB) trap, which is typical used in commercial trap. The red LED trap showed more attractive to S. zeamais and T. castaneum than that of the BLB. Moreover, the external condition of granary was about 1.5 times more attractive to S. zeamais and T. castaneum than the internal condition of granary. These results suggested that red LED trap could be useful to control S. zeamais and T. castaneum in granary.

Development of Statistical/Probabilistic-Based Adaptive Thresholding Algorithm for Monitoring the Safety of the Structure (구조물의 안전성 모니터링을 위한 통계/확률기반 적응형 임계치 설정 알고리즘 개발)

  • Kim, Tae-Heon;Park, Ki-Tae
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.4
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    • pp.1-8
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    • 2016
  • Recently, buildings tend to be large size, complex shape and functional. As the size of buildings is becoming massive, the need for structural health monitoring(SHM) technique is ever-increasing. Various SHM techniques have been studied for buildings which have different dynamic characteristics and are influenced by various external loads. Generally, the visual inspection and non-destructive test for an accessible point of structures are performed by experts. But nowadays, the system is required which is online measurement and detect risk elements automatically without blind spots on structures. In this study, in order to consider the response of non-linear structures, proposed a signal feature extraction and the adaptive threshold setting algorithm utilized to determine the abnormal behavior by using statistical methods such as control chart, root mean square deviation, generalized extremely distribution. And the performance of that was validated by using the acceleration response of structures during earthquakes measuring system of forced vibration tests and actual operation.

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Free Flap (심부하복벽천공지 유리피판을 이용한 즉시 유방 재건술)

  • Ryu, Min Hee;Kim, Hyo Heon;Jeong, Jae Ho
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.229-236
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    • 2007
  • Purpose: Breast reconstruction with deep inferior epigastric perforator(DIEP) free flap is known to be the most advanced method of utilizing autologous tissue. The DIEP free flap method saves most of the rectus abdominis muscle as well as anterior rectus sheath. Therefore, the morbidity of the donor site is minimized and the risk of hernia is markedly decreased. Methods: We chose the internal mammary artery and its venae comitantes as recipient vessels, and deep inferior epigastric vessels as donor vessels. The number and location of the perforators derived from medial or lateral branch of deep inferior epigastric artery(DIEA) in 23 DIEP flaps were identified. Ten patients underwent evaluation of their abdominal wall function preoperatively and 6 months postoperatively by using Lacote's muscle grading system. Results: Of the 23 patients, a patient with one perforator from lateral branch of DIEA experienced partial necrosis of flap. Total flap loss occurred in one patient. Mild abdominal bulging was reported in one patient 4 months postoperatively probably because of early vigorous rehabilitational therapy for her frozen shoulder. Postoperative abdominal wall function tests in 10 patients showed almost complete recovery of muscle function upto their preoperative level of upper and lower rectus abdominis and external oblique muscle function at 6 months postoperatively. All patients have been able to resume their daily activities. Conclusion: The breast reconstruction with DIEP free flap is reliable and valuable method which provide ample soft tissue from abdomen without compromising the integrity of abdominal wall. Selection of reliable perforators is important and including more than two perforators may decrease fat necrosis and partial necrosis of flap.

Assessment on Water Movement in Paddy-Upland Rotation Soil Scheduled for Ginseng Cultivation (답전윤환 인삼재배 예정지 토양의 물 이동특성 평가)

  • Hur, Seung-Oh;Lee, Yun-Jeong;Yeon, Byung-Ryul;Jeon, Sang-Ho;Ha, Sang-Geon;Kim, Jeong-Gyu
    • Korean Journal of Medicinal Crop Science
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    • v.17 no.3
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    • pp.204-209
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    • 2009
  • This study was conducted to assess water movement in paddy-upland rotation soil scheduled for ginseng cultivation through the measurement of infiltration and permeability of soil water. Soil sample was divided with four soil layers. The first soil layer (to 30cm from top soil) was loamy sand, the second and the third soil layers (30$\sim$70 ㎝) were sand, and the fourth (< 120 ㎝) was sandy loam. The soil below 130 ㎝ of fourth soil layer was submerged under water. The shear strength, which represents the resisting power of soil against external force, was 3.1 kPa in the first soil layer. This corresponded to 1/8 of those of another soil layer and this value could result in soil erosion by small amount of rainfall. The rates of infiltration and permeability depending on soil layers were 39.86 cm $hr^{-1}$ in top soil, 2.34 cm $hr^{-1}$ in 30$\sim$70 ㎝ soil layer, 5.23 cm $hr^{-1}$ and 0.18 cm $hr^{-1}$ in 70$\sim$120 ㎝ soil layer, with drain tile, and without drain tile, respectively. We consider that ground water pooled in paddy soil and artificial formation of soil layer could interrupt water canal within soil and affect negatively on water movement. Therefore, we suggest that to drain at 5 m intervals be preferable when it makes soil dressing or soil accumulation to cultivate ginseng in paddy-upland rotation soil to reduce failure risk of ginseng cultivation.

Protection Design for EMI and Indirect Lightning Effect for RS-170a Video Signal (RS-170a 영상 신호에 대한 EMI 및 낙뢰 간접영향 보호 설계)

  • Cho, Seong-jin;Sim, Yong-gi;Kim, Sung-hun;Park, Jun-hyun
    • Journal of Advanced Navigation Technology
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    • v.23 no.5
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    • pp.444-451
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    • 2019
  • In this paper, we introduce the design consideration of the EMI and lightning induced transient protection circuit for RS-170a video signal on the avionics equipment. Avionics equipment is subject to the risk of malfunction or physical damage due to indirect lightning effect from lightning strike or electromagnetic interference from external environment. So in order to protect the avionics equipment from these effects, we should analyze the effect of electromagnetic interference and lightning strike on aircraft and apply protection design for each avionics device, but protection circuit may cause signal distortion if signal level is low and frequency is high. In this paper, we introduce common protection design for EMI and indirect lightning effect, and consideration for minimize signal distortion caused by protection circuit for RS-170a. In addition, we show some example of improvements to the actual equipment design using consideration discussed in this paper.

Two Korean girls with complete androgen insensitivity syndrome diagnosed in infancy

  • Heo, You Jung;Ko, Jung Min;Lee, Young Ah;Shin, Choong Ho;Yang, Sei Won;Kim, Man Jin;Park, Sung Sub
    • Annals of Pediatric Endocrinology and Metabolism
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    • v.23 no.4
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    • pp.220-225
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    • 2018
  • Androgen insensitivity syndrome (AIS) is a rare genetic disease caused by various abnormalities in the androgen receptor (AR). The AR is an essential steroid hormone receptor that plays a critical role in male sexual differentiation and development and preservation of the male phenotype. Mutations in the AR gene on the X chromosome cause malfunction of the AR so that a 46,XY karyotype male has some physical characteristics of a woman or a full female phenotype. Depending on the phenotype, AIS can be classified as complete, partial or mild. Here, we report 2 cases of complete AIS in young children who showed complete sex reversal from male to female as a result of AR mutations. They had palpable inguinal masses and normal female external genitalia, a blind-end vagina and absent $M{\ddot{u}}llerian$ duct derivatives. They were both 46,XY karyotype and AR gene analysis demonstrated pathologic mutations in both. Because AIS is inherited in an X-linked recessive manner, we performed genetic analysis of the female family members of each patient and found the same mutation in the mothers of both patients and in the female sibling of case 2. Gonadectomy was performed in both patients to avoid the risk of malignancy in the undescended testicles, and estrogen replacement therapy is planned for their adolescence. Individuals with complete AIS are usually raised as females and need appropriate care.

A Case Study on Bootstrapping of Start-up: Focused on Black Ruby Studio (초기 스타트업의 부트스트래핑 사례: (주)블랙루비 스튜디오)

  • Won, Chi-Woon;Bae, Tae-Jun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.4
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    • pp.191-198
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    • 2019
  • The purpose of this study is to explain the bootstrapping method to understand the process of overcoming the difficulties experienced by the limited resources of the initial start-up, through the example of Black Ruby Studio. Most nascent start-ups have constrained resources. This problem is a subject that is constantly being repeated in entrepreneurship research. Despite these problems, there are relatively few studies detailing the process of overcoming the initial difficulties of start-up. Bootstrapping is described as a way to reduce external inflows, reduce risk, and resolve funding issues internally. Many start-ups initially rely on bootstrapping as a way to solving scarce funds and limited resources. Therefore, this study reviewed the prior literatures in bootstrapping, and used 32 detailed item bootstrapping methods suggested in Winborg & Landstrom(2001) on bootstrapping in order to understand bootstrapping concept of start-up. This study gives insightful implication to prospective founders by using the bootstrapping method for survival of start-up and the process of overcoming the difficulties in the start-up.

Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey (상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사)

  • Park, Hyunsoon;Kim, Ha Woon;Kim, Hee Jeong;Kim, Soon Ick;Park, Eun Hye;Kang, Nam Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.55-66
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    • 2019
  • Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

Reducing the Falling Accident due to the Removal of Safety Fence from Gondola (곤돌라 안전난간 제거 등으로 인한 추락재해 감소방안)

  • Byun, Hyung Shik;Rhim, Jong kuk;Yang, Won Beak
    • Journal of the Korea Safety Management & Science
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    • v.21 no.2
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    • pp.9-14
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    • 2019
  • Gondola is widely used as a construction facility to perform external finishing work without using scaffolding at a construction site. However, since 2000, there have been 17 deaths from now so these risks associated with work can not be ignored. Therefore, it is expected that it will contribute greatly to prevent related disasters if introducing necessary measures to prevent repeated related disasters and installing additional safety devices. In order to eliminate the risk factor according to the operation of the gondola, it is necessary for the operator to use it to use it while the examination of each product is completed, and to use the over load Dangerous arbitrary measures such as arbitrary operation of the prevention device, removal of the safety fence for convenience of work, installation of the wire rope installed in the air, falling out of the wire rope and falling to the ground Do not perform such sealing measures so that any operation of the overload prevention device can not be done so as not to take such arbitrary measures, or wire the power supply wire to the safety fence so as not to delete the safety fence. Then, when the safety fence is removed, so that it does not become a gondola operation, or when replacing the wire rope in the air, to prevent the wire rope from coming off, Additional measures such as installing falling down prevention device may be necessary.