• Archives of Plastic Surgery
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• 제44권2호
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• pp.101-108
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• 2017

Background Understanding the female breast fascial system is of paramount importance in breast surgery. Little was written about breast ligaments. Most articles refer to Cooper's work without further anatomical studies. Lately, a horizontal septum has been described conveying nerves and vessels to the nipple areola complex. Methods During the surgical dissection of the lower part of the breast, in supero-medial technique for breast reduction operations, a fascial septum between the lower two quadrants was detected. This fibrous septum was studied through anatomic dissection of breast tissues during routine breast reshaping procedures that was done on 30 female patients. Magnetic resonance imaging (MRI) was performed preoperatively in all cases and correlated with the intraoperative findings. In the other five cases, outside the clinical study, the imaging was done during routine investigation for breast swellings. Results A vertical septum was identified in the lower part of the breast, lying at the breast meridian between the two lower quadrants. It is a tough bi-laminated structure that extends from the middle of the infra-mammary crease caudally to nipple-areola complex cranially and from the pectoral fascia posteriorly to the overlying skin anteriorly. This was proved by MRI findings. Conclusions This study describes a new inferior vertical septum which separates the lower half of the breast into two definite anatomical compartments: medial and lateral.

• The Journal of Korean Physical Therapy
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• 제11권2호
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• pp.51-59
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• 1999

특별한 경우를 재외하고 모든 질병 흑은 손상에 의한 환자는 바닥 혹은 침상에서 생활하게 된다. 질병 혹은 손상이 의학적으로 모두 해결되었다 하더라도 곧바로 일어서서 걸어갈 수가 얼다. 모든 환자는 일어서서 나갈 수 있는 준비훈련이 필요하다. 바닥에서부터 일어서기까지의 훈련방법은 여러 가지가 있을 수 있다. 단순한 반사반응의 이용, 수의적인 운동으로 인한 근력의 향상을 할 수 있는 ROM운동이 가장 보편적이나 발달단계에 적합한 임상적 접근이 가장 이상적이라 할 수 있다. 고유수용성 신경근촉진법의 앙와위와 복와위로부터 일어서기까지의 접근방법이 가장 대표적이라 할 수 있다. 이것은 발달단계에 따라서 반사반응의통합, 신경근 통합, 근력의 강화, 운동조절 등을 동시에 적용하게 됨으로 가장 적절하다. 구두명령과 치료사외 손으로 투입되는 인지적, 운동행동, 심리적인 자축이 부가적으로 제공됨으로 입체적인 접근방법이라 할 수 있다. 고유수용성신경근촉진법의 앙와위와 복와위로부터 입 위까지 운동발달단계에 맞추어 제공되는 임상적 접근은 모든 종류의 환자에게 적용할 수 있다.

• 대한통합의학회지
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• 제4권3호
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• pp.109-119
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• 2016

Purpose : The purpose of this research is to find clinical effects of functional resistance training using weighted vest on gross motor and balance abilities of children with dyskinetic cerebral palsy. Methods : This study selects 3 subjects for 8~12 years old who were diagnosed with children with dyskinetic cerebral palsy. The Design is ABA design of single-subject research design. Baseline(A) and TypeII Baseline(A : 12weeks) phases were received with NDT treatment, Intervention(B : 12weeks) phase provided with 40 minute functional resistance training using weighted vest in a session twice a week. In order to analyze the measure results of gross motor function and performance, balance abilities in children dyskinetic cerebral palsy during baseline, intervention and typeII baseline phase. Result : A statistically significant differences in the total GMFM including walking/running/jumping during baseline, intervention, typeII baseline, but no significant differences in the lying/rolling, sitting, crawling/kneeling and standing. A statistically significant differences in the total GMPM including dissociated movement, coordination, weight shift, stability during baseline, intervention, typeII baseline, but no significant differences in the body alignment domains. A statistically significant differences in the length and surface area ellipse of center of pressure during baseline, intervention, typeII baseline. Conclusion : The intervention method to facilitate multi-joint and closed kinematic chain movement equipped weighted vest applied functional resistance training on children with dyskinetic cerebral palsy effectively improve on gross motor function and performance, balance abilities.

• 대한후두음성언어의학회지
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• 제18권2호
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• pp.96-101
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• 2007

Laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aero-digestive tract. LPR differs from gastroesophageal reflux in that it is often not associated with heartburn and regurgitation symptoms. Otolaryngological manifestations of acid reflux include a wide range of pharyngeal and laryngeal symptoms. Belafsky et al. developed a useful self-administered tool, the reflux symptom index (RSI), for assessing the degree of LPR symptoms. Patients are asked to use a 0 to 5 point scale to grade the following symptoms: 1) hoarseness or voice problems; 2) throat clearing; 3) excess throat mucus or postnasal drip ; 4) difficulty swallowing; 5) coughing after eating or lying down; 6) breathing difficulties ; 7) troublesome or annoying cough; 8) sensation of something sticking or a lump in the throat; 9) heartburn, chest pain, indigestion or stomach acid coming up. A RSI score greater than 13 is considered abnormal. As there is no validated instrument to document the physical findings and severity of LPR, Belafsky et al. developed an eight-item clinical severity scale for judging laryngoscopic finding, the reflux finding score (RFS). They rated eight LPR-associated findings on a scale from 0 to 4 : subglottic edema, ventricular obliteration, erythema/hyperemia, vocal-fold edema, diffuse laryngeal edema, posterior commissure hypertrophy, granuloma/granulation tissue, and thick endolaryngeal mucus. A RFS score of greater than 7 was found to suggest LPR-associated laryngitis. Although both indices (RSI and RFS) are widely used, there is some controversy about their validity (sensitivity and specificity) and reliability (intra-rater and inter-rater) in LPR diagnosis and treatment. We discuss the validity and reliability of RSI and RFS with literature review.

• Geomechanics and Engineering
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• 제8권5호
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• pp.663-674
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• 2015

Many seismically vulnerable regions in India and worldwide are located on deep soil deposits which extend to several hundred meters of depth. It has been well recognized that the earthquake shaking is altered by geological conditions at the location of building. As seismic waves propagates through uppermost layers of soil and rock, these layers serve as filter and they can increase the duration and amplitude of earthquake motion within narrow frequency bands. The amplification of these waves is largely controlled by mechanical properties of these layers, which are function of their stiffness and damping. Stiffness and damping are further influenced by soil type and thickness. In the current study, an attempt has been made to study the seismic site response of deep soils. Three hypothetical homogeneous soil models (e.g., soft soil, medium soil and hard soil) lying on bedrock are considered. Depth of half space is varied from 30 m to 2,000 m in this study. Controlled synthetic motions are used as input base motion. One dimensional equivalent linear ground response analyses are carried out using a computer package DEEPSOIL. Conventional approach of analysing up to 30 m depth has been found to be inadequate for deep soil sites. PGA values are observed to be higher for deeper soil profiles as compared to shallow soil profiles indicating that deeper soil profiles are more prone to liquefaction and other related seismic hazards under earthquake ground shaking. The study recommends to deal the deeper soil sections more carefully for estimating the amplification factors for seismic hazard assessment at the surface.

• Bulletin of the Korean Chemical Society
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• 제26권2호
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• pp.253-259
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• 2005

[$(tacn)_4Fe_4O_2(OH)_4]_2{\cdot}8Br{\cdot}9H_2O$ (tacn = 1,4,7-triazacyclononane), a tetranuclear iron(III) complex was synthesized by the hydrolysis of (tacn)FeCl3 and crystallizes in the orthorhombic space group, Pca2(1), with cell parameters, a = 37.574(3) $\AA$, b = 16.9245(12) $\AA$, c = 14.2830(11) $\AA$, V = 9082.9(12) ${\AA}^3$. [$(tacn)_4Fe_4O_2(OH)_4]^{4+}$ cations approach S4 point symmetry containing an adamantane skeleton. Four Fe(III) atoms have distorted octahedral environments with two hydroxo and an oxo bridges. Two [$(tacn)_4Fe_4O_2(OH)_4]^{4+}$ clusters having different Fe…Fe distances are connected to each other by the networked hydrogen bonds. The electrochemical behavior reveals irreversible three cathodic and two anodic peaks. Magnetic properties are characterized by antiferromagnetic (AF) interactions between Fe(III) ion spins. However, the low-lying states are still magnetic and exhibit a blocking behavior and a magnetic hysteresis at low temperatures.

• 대한조선학회논문집
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• 제39권2호
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• pp.69-80
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• 2002

선박의 곡외판은 냉간가공과 열간가공(선상가열) 과정을 거쳐 제작된다. 선상가열의 자동화 및 기계화에 대한 연구가 다양하게 수행되어 오고 있다. 특히 가열조건과 잔류 변형 사이의 관계규명은 자동화 및 기계화를 위한 주요 요소로 생각된다. 본 연구는 그러한 관계를 규명하기 위하여 일련의 체계적인 과정을 제시하고 관계식을 제안하였다. 선상가열에 의한 변형은 3차원 열탄소성 변형현상으로 정식화될 수 있으며, 열탄소성 변형현상을 유한요소해석을 이용하여 다양한 가열조건에 대한 수치해석을 수행하였다. 유한요소법의 유용성을 검증하기 위하여 실험을 수행하였고 그 유용성을 확인하였다 변형관계식에 사용된 입력변수는 차원해석을 통하여 선정하였다. 유한요소법을 이용하여 얻어진 결과를 활용하여 선상가열에 의한 변형관계식을 추정하기 위하여 다변수해석과 다차원 보관과정을 예시하였다. 일련의 과정을 통하여 본 연구는 선상가열의 가열조건과 잔류 변형 사이의 관계식을 선정하기 위한 방법을 제안하였다.

• Physical Therapy Rehabilitation Science
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• 제5권1호
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• pp.34-39
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• 2016

Objective: Hip abductors play a role in providing stability and movement to the lower limbs. The purpose of this study was to examine the effects of hip abductor fatigue on static balance and gait in the general population. Design: One group pre-test post-test design. Methods: Thirteen university students in their twenties volunteered for the study and had underwent a functional assessment. To induce fatigue, the subjects were instructed to raise their dominant lower extremity up against a load of 50% of 1 repetition maximum while producing hip abduction in a side-lying position. Subjects were instructed to maintain an abduction speed of 30 repetitions per minute to induce fatigue. Muscle fatigue was considered to be established when subjects were unable to perform hip abduction three consecutive times along with the metronome. A post-test of balance and gait was performed immediately in order to prevent fatigue recovery. The center of pressure (COP) distance area was measured using the Zebris FDM-S Multifunction Force measuring plate. Gait performance was analyzed using the GAITRite. Results: The COP distance was increased after fatigue was induced. There was a significant increase in the standard deviation of the medio-lateral and antero-posteror distance (p<0.05). Although there was no significant difference in gait parameters, there was a significant decrease in single support time after fatigue was induced (p<0.05). Conclusions: There was an increase in static balance instability and a significant decrease in single support time during gait due to hip abductor muscle fatigue.

• PNF and Movement
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• 제14권3호
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• pp.219-229
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• 2016

Purpose: Patients with Parkinson's disease suffer many restrictions in daily life. This case report investigated how intervention with proprioceptive neuromuscular facilitation (PNF)-based physical therapy can affect the activities of Parkinson's patients. Methods: The subject was a 67-year-old female patient diagnosed with Parkinson's disease 3 years ago. Since the last five months, overall activities have become difficult for her, and she finally visited a hospital to take outpatient physical therapy because of the gait difficulties she suffered. The patient's medical history, system review, body structure and function, and activities were evaluated. The patient had difficulties in activities such as lying down, sitting, standing, maintaining a standing position, and walking. The PNF-based intervention was used for treating the impairments and improving the activities. The intervention was performed for 30 min a day, three times a week, for eight weeks. The qualifier of the international classification of functioning, disability, and health was used to measure the result, and the measurement was conducted before and after the intervention for eight weeks. Results: According to the result, the scores for maintaining a standing position, moving around within the home, and going to the toilet improved to "no problem" from "moderate problem." The scores for shifting the body's center of gravity, walking short distances, and washing oneself improved from "moderate problem" to "mild problem." The scores for sitting and standing improved to "no problem" and "mild problem" from "complete problem." The scores for preparing meals and doing housework improved from "severe problems" to "mild problem" or "moderate problem." The scores for walking long distances, moving around outside the home and other buildings, and using transportation did not show significant changes. Conclusion: Intervention with PNF-based physical therapy improved the activity of patients with Parkinson's disease, thus proving its effectiveness. The case report suggested that a therapist can use PNF as a physical therapy intervention for patients with Parkinson's who suffered restrictions in daily activities.

• 자원환경지질
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• 제48권1호
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• pp.77-88
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• 2015

우리나라에서 최초의 서구식 지질자원 조사 탐사활동은 한-독 및 한-영 통상수호조약에 따라 1884년도에 본격적으로 실시되었다. 이를 토대로 최초의 논문도 Gottsche에 의해 1886년도에 독일에서 게재되었다. 1900년대 초에는 대한제국의 독자적인 서구식 지질자원기술 확보 및 조사 탐사활동의 노력도 있었으나 불행하게도 일제에 의해 좌절되었다. 일제강점기에 일본인에 의해 전국토를 대상으로 체계적인 지질자원 조사가 실시되었고, 이 시기에 기본지질도 61매 작성과 지질조사요보, 광상조사보고 및 요보, 탄전조사보고 등이 발간되었다. 결론적으로 개화기로부터 일제강점기까지의 외국인에 의한 우리나라 국토에서 수행된 서구식 지질자원 조사 탐사활동의 의도는 순수하지 않았으나 조사 탐사 결과 그 자체만 판단한다면, 학술적 성과는 매우 크다고 할 수 있다.