• The Journal of Korean Physical Therapy
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• 제12권2호
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• pp.95-105
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• 2000

Glenohumeral internal and external rotation with shoulder abducted in the frontal plane often causes impingement of the supraspinatus tendon. whereas similar activity in scapular plane does not cause impingement. The Purpose of this study was to determine if assessment among the three positions as 30 degrees, 60 degrees, 90 degrees abduction in the sitting position of the scapular plane could be affected the comparison between intemal and external peak torque, total work, average power. In this study, Isokinetic shoulder rotational strength was evaluated in twenty healthy male university students, using the Cybex NORMTM System (CYBEX Division of LUMEX, Inc., Ronkonkoma, New York). Test data was gathered in the plane of the scapular, 30 degrees of horizontal flexion anterior to coronal plane, and the subjects performed the test with the arm 30, 60, and 90degrees abducted in the sitting position. also, test speed was set at deg/sec. Statistical analysis was performed using SPSS 7.5 for Windows software and mean and standard deviations were calculated. ANOVA was used to analyze the difference of the values in the three test positions. A paired t-test was used of examining the difference in the means peak torque between external and internal rotation. Not any significant difference was found among three abduction positions in scapular plane, even though there was a consistent pattern of greater strength in the abducted position of 60 degrees. Internal relation strength peak torque and total work were greater than those of external rotation in every test positions.

• 한국구조물진단유지관리공학회 논문집
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• 제27권3호
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• pp.12-20
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• 2023

본 연구에서는 영구 교좌장치가 설치되는 교량의 교각 상부에서 FCM에 의한 상부공 시공에 주로 적용하고 있는 "내부 프리스트레싱 긴장재에 의한 임시 고정시스템"에서 강봉에 도입한 긴장력의 변화와 주두부의 기울음 특성을 분석하여 안정성 확보 방안에 대한 기초자료를 제시하였다. 상기 시스템은 시공 중 불균형 모멘트에 의하여 발행하는 상향력에 저항하기 위하여 교각과 교각 상부의 PSC BOX 내부에 연직으로 강봉을 설치한 후 상부에서 인장 및 정착하기 때문에, 그 동안 강봉에 도입한 긴장력의 변화와 주두부의 기울음 정도를 확인하기 어려웠다. 따라서, 강봉의 길이 변화 및 주두부 변위에 대한 계측 및 분석은 미세 측정이 가능한 FBG 센서를 활용하여 각 세그먼트 진행의 전후에 수행하였다. 강봉의 계산 인장력과 잔존 인장력을 비교한 결과 안전율은 모든 교량에서 저하하였다. 그 원인은 주로 강봉의 정착 과정에서부터 1세그먼트 완료까지의 초기 긴장력 손실로 확인되어 이에 대한 대책을 제시하였다. 주두부의 미세 기울음 특성을 분석한 결과 안전율이 충분히 확보된 교량에서도 세그먼트의 진행에 따라 미세 기울음이 증가되는 양상을 보였으며, 세그먼트 진행 단계별로 콘크리트 타설 전,후의 차이도 뚜렸하게 확인되었다. 또한, 모든 교량에서 미세 기울음의 증가는 강봉의 긴장력 손실과 밀접한 관계를 보이며 기울음 측면과 반대 측면의 응력 감소가 더욱 크게 나타났다. 이러한 현상의 원인은 불균형모멘트에 의하여 기울음 측면과의 반대 측면의 강봉에 상향 인장력이 발생하여 강봉의 응력 차이를 유발시킨 때문으로 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제45권3호
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• pp.596-603
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• 1998

소세포 폐암에 동반된 LEMS는 부종양성 증후군의 일종으로 LEMS가 진단된 환자의 50% 이상에서 소세포 폐암이 동반되는데 특히 흡연력이 있는 고령에서 잠재성암을 진단하기 위한 적극적인 노력이 필요하다. 저자 등은 기괸지경 검사상 조직학적으로 진단되지 않았으나 폐암이 강력히 의심되어 적극적으로 수술적 치료를 시행하여 소세포 폐암을 진단하였고, 수술 후 LEMS의 임상양상이 호전되었으며 항암 화학요법후 추가로 호전된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 한국안전학회지
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• 제12권3호
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• pp.178-184
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• 1997

외력의 작용에 의해 발생되는 인체 내부의 내응력에 대한 이해가 중요하게 됨에 따라, 인간의 생체모델에서 근력이나 관절내에서의 응력분포를 밝히기 위한 다수의 수학적 모델이 소개되어져 왔다. 그러나 고체모델이나 인공손목관절의 개발에 무엇보다도 중요한 실제에 가까운 3차원적인 수학적 모델의 개발은 지금까지 성공적이지 못하였다. 본 연구에서는 인체의 손목관절에서 원위 요골과 척골로 구성되어진 3차원 수학적 모델과, 정교하게 재구성되어진 2차원의 유한요소법을 이용한 수학적 모델을 완성함에 있다. 본 연구에서는 동적운동시의 손목관절에서 근력과 원위 요골과 척골로 전달되어지는 힘과 관절내의 응력분포를 수학적 모델을 통하여, 정확하게 예측할 수 있는 가능성을 보여 주었다. 본 연구에서 추출되어진 결과는 동적운동 시 (반복운동), 손목관절을 이루고 있는 원위 요골과 척골에 상당히 많은 양의 힘이 전달되어 짐을 밝히었으며, 이것은 반복운동에 의하여 손목관절에 종종 발생하는 누적성질환과 깊은 연계성을 갖고 있음을 보여 주고 있다.

• 대한한방내과학회지
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• 제45권2호
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• pp.176-189
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• 2024

In femoral neuropathy, the femoral nerve is compressed or ischemic. Patients with femoral neuropathy experience muscle atrophy, difficulty flexing the hip joint and extending the knee, decreased sensation of the lower extremities, and loss of patellar tendon reflex. The prognosis of femoral neuropathy is reported to vary, as it takes several days to several months for neurological abnormalities to resolve. We describe a case of a 58-year-old female with a diagnosis of severe femoral neuropathy and complaints of motor weakness and hypoesthesia. The patient underwent combined Western-Korean medicine treatment. The Toronto Clinical Neuropathy Scoring System, Overall Neuropathy Limitations Scale, and Berg Balance Scale were used as evaluation tools during the treatment period. The combined Western-Korean medicine treatment led to a significant improvement in symptoms in this patient with severe femoral neuropathy where the cause was unclear and the prognosis was expected to be poor.

• 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.

• Nuclear Engineering and Technology
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• 제40권1호
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• pp.77-86
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• 2008

This paper describes the nonlinear analyses of a 1:4 scale model of a prestressed concrete containment vessel (PCCV) using an axisymmetric model and a three-dimensional model. These two models are refined by comparison of the analysis results and with testing results. This paper is especially focused on the analysis of behavior under pressure and the temperature effects revealed using an axisymmetric model. The temperature-dependent degradation properties of concrete and steel are considered. Both geometric and material nonlinearities, including thermal effects, are also addressed in the analyses. The Menetrey and Willam (1995) concrete constitutive model with non-associated flow potential is adopted for this study. This study includes the results of the predicted thermal and mechanical behaviors of the PCCV subject to high temperature loading and internal pressure at the same time. To find the effect of high temperature accident conditions on the ultimate capacity of the liner plate, reinforcement, prestressing tendon and concrete, two kinds of analyses are performed: one for pressure only and the other for pressure with temperature. The results from the test on pressurization, analysis for pressure only, and analyses considering pressure with temperatures are compared with one another. The analysis results show that the temperature directly affects the behavior of the liner plate, but has little impact on the ultimate pressure capacity of the PCCV.

• Structural Engineering and Mechanics
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• 제83권3호
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• pp.363-375
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• 2022

Flexural capacity prediction is a challenging problem for externally prestressed concrete beams (EPCBs) due to the unbonded phenomenon between the concrete beam and external tendons. Many prediction equations have been provided in previous research but typically ignored the differences in deformation mode between internal and external unbonded tendons. The availability of these equations for EPCBs is controversial due to the inconsistent deformation modes and ignored second-order effects. In this study, the deformation characteristics and collapse mechanism of EPCB are carefully considered, and the ultimate deflected shape curves are derived based on the simplified curvature distribution. With the compatible relation between external tendons and the concrete beam, the equations of tendon elongation and eccentricity loss at ultimate states are derived, and the geometric interpretation is clearly presented. Combined with the sectional equilibrium equations, a rational and simplified flexural capacity prediction method for EPCBs is proposed. The key parameter, plastic hinge length, is emphatically discussed and determined by the sensitivity analysis of 324 FE analysis results. With 94 collected laboratory-tested results, the effectiveness of the proposed method is confirmed, and comparisons with the previous formulas are made. The results show the better prediction accuracy of the proposed method for both stress increments and flexural capacity of EPCBs and the main reasons are discussed.

• 대한한의학회지
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• 제36권4호
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• pp.8-18
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• 2015

Objectives: There have been several studies evaluated effect of electroacupuncture (EA) on spasticity but most studies could not assess spasticity quantitatively because they used clinical rating scales for assessment spasticity. The objective of this study is to evaluate effect of EA on poststroke spasticity quantitatively using tendon reflex (T-reflex). Methods: 29 stroke patients with upper extremity spasticity were randomized to EA group and control group. The EA group received combined EA and rehabilitation therapy 5 times a week for 3 weeks. Acupuncture treatment was given at Jian Yu (LI 15), Qu Chi (LI 11), Shao Hai (HT 3), Wai Guan (TE 5), He Gu (LI 4), Lie Que (LU 7), Hou Xi (SI 3) of the affected side, 30 minutes of electrical stimulation with a frequency of 40/13 Hz was applied at Qu Chi (LI 11), He Gu (LI 4). The control group received only rehabilitation therapy. The efficacy of treatment was assessed using T-reflex latency and amplitude, modified Ashworth scale (MAS) of biceps brachii, brachioradialis and triceps brachii. Fugl-Meyer motor function assessment (FMA) and functional independence measure (FIM) were also measured to assess motor function and functional independence. All outcomes were measured before treatment, immediately after 3 weeks of treatment and 1 week after 3 weeks of treatment. Results: No statistically significant differences were found in outcomes including T-reflex between the study groups except for FIM values immediately after 3 weeks of treatment (p=0.037). Conclusions: These results suggest that 3 weeks of EA does not reduce poststroke upper extremity spasticity electrophysiologically and clinically. However, small sample sizes and contradictory tendency between results from T-reflex and those from MAS require cautious judgement on interpretation of the results. A larger, well-designed clinical trials for quantitative evaluation of effect of EA on poststroke spasticity will be needed.

• 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.