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Shoulder Arthrodesis in Brachial Plexus Injury Patient (상완신경총 손상 환자에서 시행한 견관절고정술)

  • Han, Chung-Soo;Chung, Duke-Whan;Lee, Jae-Hoon;Jeong, Bi-O;Park, Hyun-Chul;Kim, Jin-Young;Song, Jong-Hoon;Seo, Jae-Wan
    • Archives of Reconstructive Microsurgery
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    • v.18 no.2
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    • pp.55-61
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    • 2009
  • Purpose: To analyze the clinical and radiologic results of the shoulder arthrodesis in brachial plexus injury patients with flail upper extremity. Material and Method: From Aug 1978 to April 2008, 29 shoulders in 29 patients with brachial plexus injury with shoulder fusion, we evaluated 20 shoulders in 20 patients, more than 1 year follow up. The average follow-up period was 6.45years (range: 1year~24years). There were 13 men and 7 women, and the mean age at the time of trauma was 32.0years(2~65 years). The type of injury was a motorcycle accident in 11 patients, in car accident in 5, pedestrian accident in 3, and fall from a height in 1. The lesion of injury was root and trunk in 1 patient, trunk and cord in 1, trunk in 18. Surgery was performed on the whole arm type paralysis in 12 patients, lower arm type paralysis in 8 patients. The preoperative visual analog scale score was 8.7(7~10). When the trapezius and serratus anterior muscle were in function, operation was performed. 18 patients were processed to the additional operation. Gracilis free flap in 6 patients, neurotization in 3, Steindler flexor plasty in 6, and tendon transfer in 3 were performed. Fixation was conducted with cancellous screws in 13 patients, Knoles pins in 5, and cancellous screws and Knoles pins in 2. The position of the arthrodesis at operation was $28.5^{\circ}$($20~45^{\circ}$) in abduction, $30.3^{\circ}$($20~45^{\circ}$) in flexion, and $30.8^{\circ}$($20~40^{\circ}$) in internal rotation. Result: The follow up visual analog scale score was 3.4(0~7). Postoperatively, shoulder spica cast was applied for 15.3weeks(8-20weeks). The median time to bony union was 17.7weeks(9~28weeks). Average range of motion was $32.0^{\circ}$($15~40^{\circ}$) of abduction, $24.0^{\circ}$($10~40^{\circ}$) of flexion, and $18.5^{\circ}$($10~30^{\circ}$)of internal rotation. Conclusion: The shoulder fusion in brachial plexus injury patients is one of the good methods to relieve pain, improve the function and stabilize the flail shoulder joint.

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Seismic Performance Evaluation of a Cone-type Friction Pendulum Bearing System (원추형 마찰진자베어링의 내진성능평가)

  • Jeon, Bub-Gyu;Chang, Sung-Jin;Park, Kyung-Rock;Kim, Nam-Sik;Jung, Duk-Young
    • Journal of the Earthquake Engineering Society of Korea
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    • v.15 no.2
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    • pp.23-33
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    • 2011
  • In this study, a CFPBS (Cone-type Friction Pendulum Bearing System) was developed which controls the acceleration delivered to the structure to prevent damage and degradation of the critical communication equipment in case of an earthquake. The isolation performance of the CFPBS was evaluated by numerical analysis. The CFPBS was manufactured in the shape of a cone differenced from the existing FPS (Friction Pendulum System), and a pattern was engraved on the friction surface. The natural frequencies of the CFPBS were evaluated from a free-vibration test with the seismic isolator system consisting of four CFPBSs. In order to verify its earthquake-resistant performance, a numerical analysis program was created from the equation of the CFPBS induced from the equations of motion. A simplified theoretical equation of the CFPBS was proposed to manufacture the equipment which could demonstrate the necessary performance. Artificial seismic waves satisfying the maximum earthquake scale of the Korean Building Code-Structural (KBC-2005) were created and verified to review the earthquake-resistant performance of the CFPBS by numerical analysis. The superstructural mass of the CFPBS and skew angle of the friction surface were considered for numerical analysis with El Centro NS (1940), Kobe NS (1995) and artificial seismic waves. The CFPBS isolation performance evaluation was based on the results of numerical analysis and the executed comparative analysis between the results from numerical analysis and the simplified theoretical equation under the same conditions.

Conservative and Arthroscopic Treatment of Calcific Tendinitis (석회화 건염의 보존적 및 수술적 치료 결과)

  • Choi, Chang-Hyuk;Kim, Shin-Kun;Lee, Ho-Hyoung
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.167-174
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    • 2007
  • Purpose: We evaluated calcium resolution and clinical improvement of calcific tendinitis after conservative and arthroscopic treatment. Materials and Methods: We reviewed 126 patients of calcific tendinitis treated from January, 2002 to April, 2005. Average age was 53 and female dominant in 77% of the cases. Calcium deposits were involved in supraspinatus tendon in 84% of the cases. We compared clinical changes for 64 cases treated with injection, and 12 cases treated by arthroscopic decompression with 6 month follow-up. Results: 77%(49/64) of the cases with steroid injection showed symptom improvement. Even though complete resolution of calcific deposit occurred in 36%(23/64), incomplete resolution in 17%(11/64) and no change in 47%(30/64), Pain was relieved in 87%(20/23), 82%(9/11) and 67%(20/30), respectively. With arthroscopic treatment, calcium deposit completely resolved in 83%(10/12), and all cases showed pain free motion after 6 months. Conclusion: Conservative treatment with steroid injection was effective for acute pain in resorptive phase. In cases of arthroscopic treatment, there was no need for complete removal of calcium deposit during the procedure, but clinical symptoms improved with resolution of the deposit.

Toward 6 Degree-of-Freedom Video Coding Technique and Performance Analysis (6 자유도 전방위 몰입형 비디오의 압축 코덱 개발 및 성능 분석)

  • Park, Hyeonsu;Park, Sang-hyo;Kang, Je-Won
    • Journal of Broadcast Engineering
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    • v.24 no.6
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    • pp.1035-1052
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    • 2019
  • Recently, as the demand for immersive videos increases, efficient video processing techniques for omnidirectional immersive video is actively developed by MPEG-I. While the omnidirectional video provides a larger degree of freedom for a free viewpoint, the size of the video increases significantly. Furthermore, in order to compress 6 degree-of-freedom (6 DoF) videos that support motion parallax, it is required to develop a codec to yield better coding efficiency. In this paper, we develop a 6 DoF codec using Versatile Video Coding (VVC) as the next generation video coding standard. To the authors' best knowledge, this is the first VVC-based 6 DoF video codec toward the future ISO/IEC 23090 Part 7 (Metadata for Immersive Media (Video)) MPEG-I standardization. The experiments were conducted on the seven test video sequences specified in Common Test Condition (CTC) in two operation modes of TMIV (Test Model for Immersive Media) software. It is demonstrated that the proposed codec improves coding performance around 33.8% BD-rate reduction in the MIV (Metadata for Immersive Video) mode and 30.2% BD-rate reduction in the MIV view mode as compared to the state-of-the-art TMIV reference software. We also show the performance comparisons using Immersive Video PSNR (IV-PSNR) and Mean Structural Similarity (MSSIM).

Relief of Chronic Posterior Neck Pain Depending on the Type of Forest Therapy: Comparison of the Therapeutic Effect of Forest Bathing Alone Versus Forest Bathing With Exercise

  • Kang, Boram;Kim, Taikon;Kim, Mi Jung;Lee, Kyu Hoon;Choi, Seungyoung;Lee, Dong Hun;Kim, Hyo Ryoung;MA, Byol Jun;Park, Seen Young;Lee, Sung Jae;Park, Si-Bog
    • Annals of Rehabilitation Medicine
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    • v.39 no.6
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    • pp.957-963
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    • 2015
  • Objective To compare the pain-reducing effect of forest bathing alone versus forest bathing in combination with stretching and strengthening exercises in patients with chronic posterior neck pain. Methods Sixty-four subjects with posterior neck pain that had lasted more than 3 months were enrolled. They were randomly divided into a forest bathing alone (FBA) group and a forest bathing with exercise (FBE) group; each group included 32 subjects. All subjects from both groups walked every morning in the forest for about 2 hours for 5 days. In the afternoon, the FBE group did a stretching and strengthening exercise for about 4 hours; the FBA group had free time in the woods. Visual analog scale (VAS) on one day, VAS over the previous week, neck disability index (NDI), EuroQol 5D-3L VAS (EQ VAS) and index (EQ index), McGill pain questionnaire (MPQ), the number of trigger points in the posterior neck region (TRPs), and the range of motion of the cervical spine were evaluated on the first and last day of the program and compared between the two groups. Results The number of TRPs were significantly reduced in the FBE group compared with the FBA group (p=0.013). However, the other scales showed no significant difference between the two groups. Conclusion When patients with chronic posterior neck pain underwent a short-term forest bathing (less than 7 days) program, FBE was more effective in the reduction of the number of TRPs than FBA. However, all other pain measurement scales we evaluated showed no statistically significant difference between the two protocols.

Surgical Treatment of Chronic Tophaceous Gout in the 1st Metatarso-Phalangeal Joint (족부 제 1중족 족지 관절에 발생한 만성 결절성 통풍의 수술적 치료)

  • Lee, Tae-Hun;Nam, Il-Hyun;Ahn, Gil-Yeong;Lee, Yeong-Hyeon;Lee, Yong-Sik;Choi, Young-Deuk;Lee, Hee-Hyung
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.156-160
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    • 2018
  • Purpose: Chronic tophaceous gout is a painful and disabling inflammatory disease. Surgical treatment for chronic tophaceous gout is very difficult with many complications. This study evaluated the efficacy of shortening scarf osteotomy on the treatment of chronic tophaceous gout in the 1st metatarso-phalangeal (MTP) joint. Materials and Methods: From January 2006 to December 2015, 14 patients (19 cases) who underwent axial shortening scarf osteotomy for chronic tophaceous gout were reviewed. All patients were male. The average age at the time of surgery was 59.6 years (42~66 years). The minimum follow-up was 24 months. Total removal of the tophi mass with the adhered medial capsule of the 1st MTP joint was attempted. Axial shortening scarf osteotomy was done on the 1st metatarsal shaft. The visual analogue scale (VAS) for pain and the American Orthopaedic Foot and Ankle Society (AOFAS) forefoot score was assessed preoperatively and postoperatively. The range of motion (ROM) of the 1st MTP joint was also compared pre- and postoperatively. Results: The average size of the extracted tophaceous mass was 32 mm. The mean amount of the length of metatarsal shortening was 4.9 mm. The mean ROM of the 1st MTP joint was improved from $30.4^{\circ}$ to $62.3^{\circ}$. The mean AOFAS forefoot score improved from 51.4 to 86.6 points. The mean VAS for pain improved from 4.6 to 0.3 points. Conclusion: The axial shortening scarf osteotomy used on chronic tophaceous gout could reconstruct the 1st MTP joint with an improved ROM and was free of pain. Axial shortening scarf osteotomy is suggested as a useful and effective method for the treatment of chronic tophaceous gout.

A Development of Theatre Art Major Course based on Case Studies of Media Technology-converged Performances (미디어기술 융합공연 사례분석을 통한 무대미술 전공 교과목 연구)

  • Park, Jin-Won;Kim, Ga-Eun
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.562-571
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    • 2019
  • The expansion of the performing arts market to include new genres of art that combine art and cutting-edge media technology has surpassed the limitations of traditional theatre art elements such as stage, costumes, lighting, sound, and props, allowing free expression of space-time and visual art. It is growing into a wide area with unlimited potential in the performing arts sector. In response to these changes and the demands of the time, there is an increasing demand for multi-talents who can plan and produce arts and technology-converged contents that will contribute to the development of the performing arts industry. As a result, university departments related to theatre art across the country feel that it is urgent to develop curricula that will enhance students' competency by incorporating the latest media technologies such as virtual reality, holography, and interactive motion sensors into the existing performance art visualization process. In this study, the author will examine the process of developing courses in technology-incorporated theatre art (design) through case studies of media technology-converged performances from the past 10 years. Based on the traditional concept of theatre art, the attempt to fuse stage art with media technology will be a cornerstone of attempts to foster a group of talented artists who transcend the limits of creative visual expression and creative value.

A Study on the Development of 3D Virtual Reality Campus Tour System for the Adaptation of University Life to Freshmen in Non-face-to-face Situation - Autonomous Operation of Campus Surrounding Environment and University Information Guide Screen Design Using Visual Focus Movement - (비대면 상황에서 신입생 대학생활적응을 위한 3차원 가상현실 캠퍼스 투어시스템 개발연구 - 시야초점의 움직임을 활용한 캠퍼스주변 환경의 자유로운 이동과 대학정보안내화면 GUI설계 -)

  • Lim, Jang-Hoon
    • Journal of Information Technology Applications and Management
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    • v.28 no.3
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    • pp.59-75
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    • 2021
  • This study aims to establish a foundation for autonomous driving on campus and communication of abundant university information in the HCI environment in a VR environment where college freshmen can freely travel around campus facilities. The purpose of this study is to develop a three-dimensional VR-style campus tour system to establish a media environment to provide abundant university information guidance services to freshmen in non-face-to-face situations. This study designed a three-dimensional virtual reality campus tour system to solve the problem of discontinuity in which VR360 filming space does not lead to space like reality, and to solve many problems of expertise in VR technology by constructing an integrated production environment of tour system. We aim to solve the problem of inefficiency, which requires a large amount of momentum in virtual space, by constructing a GUI that utilizes the motion of the field of view focus. The campus environment was designed as a three-dimensional virtual reality using a three-dimensional graphic design. In non-face-to-face situations, college freshmen freely transformed the HMD VR device, smartphone, FPS operation mode of the gyroscope sensor. The design elements of the three-dimensional virtual reality campus tour system were classified as ①Visualization of factual experiences, ②Continuity of space movement, ③Operation, automatic operation mode, ④Natural landscape animation, ⑤Animation according to wind direction, ⑥Actual space movement mode, ⑦Informatization of spatial understanding, ⑧GUI by experience environment, ⑨Text GUI by building, ⑩VR360, 3D360 Studio Environment, ⑪Three-dimensional virtual space coupling block module, ⑫3D360-3D Virtual Space Transmedia Zone, ⑬Transformable GUI(VR Device Dual Viewer-Gyro Sensor Full Viewer-FPS Operation Viewer) and an integrated production environment was established with each element. It is launched online (http://vautu.com/u1) by constructing a GUI for free driving mode and college information screens to adapt to college life for freshmen, and designing an environment that can be used simultaneously by current media such as PCs, Android, and iPads. Therefore, it conducted user research, held a development presentation, a forum on excellence in university innovation support projects, and applied it as a system on the website of a particular university. College freshmen will be able to experience university information directly from the web and app to the virtual reality campus environment.

Numerical Study of Heat Flux and BOG in C-Type Liquefied Hydrogen Tank under Sloshing Excitation at the Saturated State (포화상태에 놓인 C-Type 액체수소 탱크의 슬로싱이 열 유속과 BOG에 미치는 변화의 수치적 분석)

  • Lee, Jin-Ho;Hwang, Se-Yun;Lee, Sung-Je;Lee, Jang Hyun
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.35 no.5
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    • pp.299-308
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    • 2022
  • This study was conducted to predict the tendency for heat exchange and boil-off gas (BOG) in a liquefied hydrogen tank under sloshing excitation. First, athe fluid domain excited by sloshing was modeled using a multiphase-thermal flow domain in which liquid hydrogen and hydrogen gas are in the saturated state. Both the the volume of fluid (VOF) and Eulerian-based multi-phase flow methods were applied to validate the accuracy of the pressure prediction. Second, it was indirectly shown that the fluid velocity prediction could be accurate by comparing the free surface and impact pressure from the computational fluid dynamics with those from the experimental results. Thereafter, the heat ingress from the external convective heat flux was reflected on the outer surfaces of the hydrogen tank. Eulerian-based multiphase-heat flow analysis was performed for a two-dimensional Type-C cylindrical hydrogen tank under rotational sloshing motion, and an inflation technique was applied to transform the fluid domain into a computational grid model. The heat exchange and heat flux in the hydrogen liquid-gas mixture were calculated throughout the analysis,, whereas the mass transfer and vaporization models were excluded to account for the pure heat exchange between the liquid and gas in the saturated state. In addition, forced convective heat transfer by sloshing on the inner wall of the tank was not reflected so that the heat exchange in the multiphase flow of liquid and gas could only be considered. Finally, the effect of sloshing on the amount of heat exchange between liquid and gas hydrogen was discussed. Considering the heat ingress into liquid hydrogen according to the presence/absence of a sloshing excitation, the amount of heat flux and BOG were discussed for each filling ratio.

On-orbit Thermal Characteristic for Multilayered High Damping Yoke Structure Based on Superelastic Shape Memory Alloy for Passive Vibration Control of Solar Panels (태양전지판의 수동형 제진을 위한 초탄성 형상기억합금 기반 적층형 고댐핑 요크 구조의 궤도상 열적 특성 분석)

  • Min-Young Son;Jae-Hyeon Park;Bong-Geon Chae;Sung-Woo Park;Hyun-Ung Oh
    • Journal of Aerospace System Engineering
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    • v.18 no.1
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    • pp.1-10
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    • 2024
  • In a previous study, a structure of a superplastic yoke consisting of a thin FR4 layer laminated with viscoelastic tape on both sides of a shape memory alloy (SMA) was proposed to reduce residual vibration generated by a deployable solar panel during high motion of a satellite. Damping properties of viscoelastic tapes will change with temperature, which can directly affect vibration reduction performance of the yoke. To check damping performance of the yoke at different temperatures, free damping tests were performed under various temperature conditions to identify the temperature range where the damping performance was maximized. Based on above temperature test results, this paper predicts temperature of the yoke through orbital thermal analysis so that the yoke can have effective damping performance even if it is exposed to an orbital thermal environment. In addition, the thermal design method was described so that the yoke could have optimal vibration reduction performance.