• Archives of Reconstructive Microsurgery
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• 제18권2호
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• pp.79-83
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• 2009

Purpose: Avulsion injuries of digits have been presented for a long time as complex management problems. Despite of microsurgical advances, it is difficult to achieve good functional results and their management remains somewhat controversial. However, in a finger there are three transverse digital palmar arches. The middle and distal transverse digital palmar arches are consistently large(almost 1 mm) and may be used for arterial vessel repairs either proximally or distally, depending on the length and direction needed. 39-year-old man presented with avulsion amputation of the ulnar three digits, was operated using only arterial anastomosis with rerouting the transverse digital palmar arches. Methods: Replantation was performed using the artery-only technique. Because the digital arteries had been damaged, we did that the transverse digital palmar arches were transposed in an inverted Y to I configuration and were lengthened with rerouting them for the purpose of direct anastomosis of the digital artery. Venous drainage was provided by an external bleeding method with partial nail excision and external heparin irrigation. Results: The authors conclude that complete avulsion amputations with only soft tissue at the distal to insertion of the flexor digitorum superficialis tendon were salvageable with acceptable functional results. All three fingers survived. Conclusion: With technical advancements, the transverse digital palmar arches play an important role for finger amputation. Three digital palmar arches give us additional treatment option for the finger amputation. In this case, replantation with only-arterial anastomosis was successful and we obtained good aesthetic and functional outcome.

• 한국구조물진단유지관리공학회 논문집
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• 제12권4호
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• pp.98-106
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• 2008

인양홀을 이용한 정착장치는 손상된 구조물에 내하력을 증가시키기 위해 사용되어지며, 시공이 간편하고 보강효율이 좋은 경제적인 방법이다. 본 논문에서는 구조물에 손상을 입히지 않으면서 충분한 보강효과를 가져 올 수 있는 인양홀 이용 정착장치를 선정하여 그에 대한 적용 가능성을 연구하였다. 실무에서 시공빈도가 높은 인양홀 이용 단부 정착 장치가 적용된 3개의 실험체를 제작하였고, 이에 대한 휨 실험을 수행하여 처짐, 변형률 및 파괴양상을 분석하였다. 인양홀 이용 정착장치가 구비된 철근 콘크리트 보의 보강 성능을 실험적으로 규명하기 위하여 각 실험체의 균열하중, 항복하중, 극한하중, 강선의 응력 증가량, 처짐 및 연성 등을 비교 분석하였다.

• Clinics in Shoulder and Elbow
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• 제20권4호
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• pp.189-194
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• 2017

Background: Few studies have reported the results of arthroscopic coracoplasty concomitantly conducted with subscapularis tear. Therefore, this study was conducted to examine and compare the outcomes of arthroscopic subscapularis repair after arthroscopic coracoplasty using either the subacromial approach or rotator interval approach. Methods: We retrospectively reviewed 51 patients who underwent coracoplasty with subscapularis repair. The patients were grouped according to whether the subacromial approach group (24 patients) or rotator interval approach group (27 patients) was used during coracoplasty. Preoperative and postoperative visual analogue scale scores, American shoulder and elbow surgeons scores, Korean shoulder scores, and range of motion (ROM) were assessed. Assessment of repaired rotator cuff tendon integrity was performed at 1 year after surgery using either magnetic resonance imaging or ultrasonography. Results: At final follow-up, overall functional scores and ROM improved significantly in both groups when compared with preoperative values (p>0.05). The re-tear rates were not significantly different between groups; however, the rotator interval approach group showed a significant increase in ROM compared with that in the subacromial approach group (p<0.05). Conclusions: Arthroscopic coracoplasty conducted concomitantly with subscapularis repair can provide a satisfactory outcome. There were no significant differences between the two approach groups regarding final functional scores and re-tear rates. However, the rotator interval approach group showed a greater increase in ROM at final follow-up, especially in external rotation.

• 대한약침학회지
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• 제6권2호
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• pp.159-164
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• 2003

Results : 1. The most important concept of IMS is chronic pain illness that may develop into hypersensitivity of the nerves, i.e., neuropathy. 2. Muscle shortening may be triggered by stress, including emotional, physical, external, and internal factors. 3. Muscle shortening increases mechanical tension on the muscles as well as inducing abrasion of the tissues by stretching ligament, tendon, cartilage, bone, and etc. 4. Pain from neuropathy is normally manifested on musculoskeletal system and spasm or shortening play as the central axis of this pain. 5. Neuropathy often appears at the nerve root level and the most important decisive factor of radiculopathy is muscle shortening. 6. Spondylosis is the most common cause of radiculopathy. 7. The most significant treatment principle of IMS is to relieve muscle shortening and remove stimulating determinant from the vertebrae. 8. Dry needling is quite effective for treating various pain caused by muscle shortening.

• 한국공간구조학회논문집
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• 제17권4호
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• pp.149-157
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• 2017

An innovative analysis method is proposed in this paper for the determination of ultimate resistance of prestressed concrete beams. The proposed method can be applied to simply supported or continuous beams in a unified manner whether structure and external loads are symmetric or not. Through the iterative nonlinear strain compatibility solutions, this method can also be applied to the non-prismatic section/un-symmetrical composite structures under moving load. The conventional studies have used the failure criteria when the strain of concrete reaches 0.003. However compared with bonded case, the value of strain in the reinforcement is much smaller than bonded case, thus, unbonded prestressed cases show compressive failure mode. It is shown that the proposed method gives acceptable results within 5% error compared with the prior experimental results. It can be shown that the proposed method can reach the solution much faster than typical three-dimensional finite element analysis for the same problem. This method is applicable to the existing unbonded prestressed members where deterioration has occurred leading to the reduced ultimate resistance or safety. In all, the proposed procedure can be applied to the design and analysis of newly constructed structures, as well as the risk assessment of rehabilitated structures.

• 로봇학회논문지
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• 제12권4호
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• pp.419-424
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• 2017

Twisted string actuators (TSAs) are tendon-driven actuators that provide high transmission ratios. Twisting a string reduces the length of the string and generates a linear motion of the actuators. In particular, TSAs have characteristic properties (compliance) that are advantageous for operations that need to interact with the external environment. This compliance has the advantage of being robust to disturbance in force control, but it is disadvantageous for precise control because the modeling is inaccurate. In fact, many previous studies have covered the TSA model, but the model is still inadequate to be applied to actual robot control. In this paper, we introduce a modified variable radius model of TASs and experimentally demonstrate that the modified variable radius model is correct compared to the conventional variable radius string model. In addition, the elastic characteristics of the TSAs are discussed along with the experimental results.

• Nuclear Engineering and Technology
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• 제55권12호
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• pp.4504-4517
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• 2023

After a loss of coolant accident (LOCA) in the prestressed concrete containment vessels (PCCVs) of nuclear power plants, the coupling of temperature and pressure can significantly affect the mechanical properties of the PCCVs. However, there is no consensus on how this coupling affects the failure mechanism of PCCVs. In this paper, a simplified finite element modeling method is proposed to study the effect of temperature and pressure coupling on PCCVs. The experiment results of a 1:4 scale PCCV model tested at Sandia National Laboratory (SNL) are compared with the results obtained from the proposed modeling approach. Seven working conditions are set up by varying the internal and external temperatures to investigate the failure mechanism of the PCCV model under the coupling effect of temperature and pressure. The results of this paper demonstrate that the finite element model established by the simplified finite element method proposed in this paper is highly consistent with the experimental results. Furthermore, the stress-displacement curve of the PCCV during loading can be divided into four stages, each of which corresponds to the damage to the concrete, steel liner, steel rebar, and prestressing tendon. Finally, the failure mechanism of the PCCV is significantly affected by temperature.

• 대한한의학회지
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• 제32권3호
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• pp.1-9
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• 2011

Objectives: This study was carried out to observe the foot gworeum meridian muscle from a viewpoint of human anatomy on the assumption that the meridian muscle system is basically matched to the meridian vessel system as a part of the meridian system, and further to support the accurate application of acupuncture in clinical practice. Methods: Meridian points corresponding to the foot gworeum meridian muscle at the body surface were labeled with latex, being based on Korean standard acupuncture point locations. In order to expose components related to the foot gworeum meridian muscle, the cadaver was then dissected, being respectively divided into superficial, middle, and deep layers while entering more deeply. Results: Anatomical components related to the foot gworeum meridian muscle in human are composed of muscles, fascia, ligament, nerves, etc. The anatomical components of the foot gworeum meridian muscle in cadaver are as follows: 1. Muscle: Dorsal pedis fascia, crural fascia, flexor digitorum (digit.) longus muscle (m.), soleus m., sartorius m., adductor longus m., and external abdominal oblique m. aponeurosis at the superficial layer, dorsal interosseous m. tendon (tend.), extensor (ext.) hallucis brevis m. tend., ext. hallucis longus m. tend., tibialis anterior m. tend., flexor digit. longus m., and internal abdominal oblique m. at the middle layer, and finally posterior tibialis m., gracilis m. tend., semitendinosus m. tend., semimembranosus m. tend., gastrocnemius m., adductor magnus m. tend., vastus medialis m., adductor brevis m., and intercostal m. at the deep layer. 2. Nerve: Dorsal digital branch (br.) of the deep peroneal nerve (n.), dorsal br. of the proper plantar digital n., medial br. of the deep peroneal n., saphenous n., infrapatellar br. of the saphenous n., cutaneous (cut.) br. of the obturator n., femoral br. of the genitofemoral n., anterior (ant.) cut. br. of the femoral n., ant. cut. br. of the iliohypogastric n., lateral cut. br. of the intercostal n. (T11), and lateral cut. br. of the intercostal n. (T6) at the superficial layer, saphenous n., ant. division of the obturator n., post. division of the obturator n., obturator n., ant. cut. br. of the intercostal n. (T11), and ant. cut. br. of the intercostal n. (T6) at the middle layer, and finally tibialis n. and articular br. of tibial n. at the deep layer. Conclusion: The meridian muscle system seemed to be closely matched to the meridian vessel system as a part of the meridian system. This study shows comparative differences from established studies on anatomical components related to the foot gworeum meridian muscle, and also from the methodical aspect of the analytic process. In addition, the human foot gworeum meridian muscle is composed of the proper muscles, and also may include the relevant nerves, but it is as questionable as ever, and we can guess that there are somewhat conceptual differences between terms (that is, nerves which control muscles in the foot gworeum meridian muscle and those which pass nearby) in human anatomy.

• 한국전산구조공학회논문집
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• 제28권5호
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• pp.523-533
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• 2015

원자로 격납건물은 냉각재상실사고와 같이 내부의 과도한 압력이 유발되는 사고에 있어서도 방사성 물질이 외부로 누출되지 않도록 막는 최종의 방벽이다. 이러한 격납건물의 기능적 중요성에 기인하여, 건설 초기 구조건전성시험(SIT)을 수행한다. 신고리 3호기 SIT 시험 당시 계측된 변위를 예측하기 위한 초기 해석 모델은 일부 위치에서 실제 변위를 과소 평가하는 경향을 보임에 따라 이를 개선하고자 하는 연구가 수행되었다. 해당 연구의 결과를 I 편과 II 편의 논문으로 정리하였으며, 본 I 편에서는 초기 해석모델을 개선해가는 과정에서의 해석모델 구성 시의 주요 고려사항의 분석 및 예비해석 결과를 제시하고 있다. 우선적으로 콘크리트 자체의 해석요소(mesh) 구성과 라이너, 철근, 텐던 등의 요소간의 연결 설정이 중요함을 확인하였다. 또한, 다양한 예비해석의 결과를 통해 비부착식 텐던으로 시공된 구조물에서 덕트관에 의한 강성 저감 효과 및 덕트관을 사이에 둔 텐던과 콘크리트간의 밀착 여부에 따른 강성 영향을 적절히 고려하는 것이 중요함을 확인하였다.

• 한국전문물리치료학회지
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• 제6권2호
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• pp.32-42
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• 1999

This study was conducted to identify the effects of high-heel shoes on EMG activities of rectus femoris and biceps femoris in 28 healthy women. Subjects were composed of experimental group (wearing high-heel shoes) and control group (wearing low-heel shoes). Two groups participated in three conditions standing (bare foot wearing athletic shoes and 7.5 cm height shoes). In high-heel shoes condition, EMG activities of rectus femoris of control group were significantly lower than that of biceps femoris of experimental group, but EMG activities of both muscles of experimental group did not should significant difference. In bare foot standing condition, EMG activities of rectus femoris of experimental group were significantly lower than that of biceps femoris but EMG activities of both muscles of control group had no significant difference. These results showed that hamstring lengthening effects was produced when wearing high-heel shoes because the external knee extension moment was increased. In the short term, high-heel shoes effect on the increase of the biceps femoris activities by spindle reflex, but in the long term, the normal amplitude of the same muscle activities by Golgi tendon organ reflex.