• Journal of Korean Neurosurgical Society
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• v.46 no.1
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• pp.1-4
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• 2009

Objective: To report an unsuspected adaptive plasticity of single upper motor neurons and of primary motor cortex found after microsurgical connection of the spinal cord with peripheral nerve via grafts in paraplegics and focussed discussion of the reviewed literature. Methods: The research aimed at making paraplegics walk again, after 20 years of experimental surgery in animals. Amongst other things, animal experiments demonstrated the alteration of the motor endplates receptors from cholinergic to glutamatergic induced by connection with upper motor neurons. The same paradigm was successfully performed in paraplegic humans. The nerve grafts were put into the ventral-lateral spinal tract randomly, with out possibility of choosing the axons coming from different areas of the motor cortex. Results: The patient became able to selectively activate the re-innervated muscles she wanted without concurrent activities of other muscles connected with the same cortical areas. Conclusion: Authors believe that unlike in nerve or tendon transfers, where the whole cortical area corresponding to the transfer changes its function a phenomenon that we call "brain plasticity by areas". in our paradigm due to the direct connection of upper motor neurons with different peripheral nerves and muscles via nerve grafts motor learning occurs based on adaptive neuronal plasticity so that simultaneous contractions of other muscles are prevented. We propose to call it adaptive functional "plasticity by single neurons". We speculate that this phenomenon is due to the simultaneous activation of neurons spread in different cortical areas for a given specific movement, whilst the other neurons of the same areas connected with peripheral nerves of different muscles are not activated at the same time. Why different neurons of the same area fire at different times according to different voluntary demands remains to be discovered. We are committed to solve this enigma hereafter.

• Korean Journal of Veterinary Research
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• v.37 no.2
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• pp.269-280
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• 1997

The development and change of the cartilage canals ralated to chondrocyte growth and the major histological pattern were investigated in the calcaneus of the Korean native cattle fetuses from CRL 28mm to 175mm. The results as follows; 1. The cartilage canal first appeared in the caudal subperichondral region of the sustentaculum tali of the CRL 28mm fetus, and well developed after the period. 2. The three major cartilage canals, one entered from the head of calcaneous into where achilles tendon insert and the others from the caudal region of sustentaculum tali and the calcaneal sulcus, growth distinctively. The latters participated in the ossification center prior to the former. 3. The number of cells in this canals and the size increased synchronously with chondrocytic hypertrophy. In the intermediate and deep canals, the chondrogenic change showed distinctinvely. Our results demonstrated that the cartilage canals from the lower part were important the formation of the ossification center, and the growth and development of canals associated with the hypertropic changes of chondrocytes in the calcaneus of the Korean native cattle fetus.

• Journal of Korean Neurosurgical Society
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• v.61 no.2
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• pp.277-281
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• 2018

Objective : Craniovertebral junctional anomalies constitute a technical challenge. Surgical opening of atlantoaxial joint region is a complex procedure especially in patients with nuchal deformity like basilar invagination. This region has actually very complicated anatomical and functional characteristics, including multiple joints providing extension, flexion, and wide rotation. In fact, it is also a bottleneck region where bones, neural structures, and blood vessels are located. Stabilization surgery regarding this region should consider the fact that the area exposes excessive and life-long stress due to complex movements and human posture. Therefore, all options should be considered for surgical stabilization, and they could be interchanged during the surgery, if required. Methods : A 53-year-old male patient applied to outpatients' clinic with complaints of head and neck pain persisting for a long time. Physical examination was normal except increased deep tendon reflexes. The patient was on long-term corticosteroid due to an allergic disease. Magnetic resonance imaging and computed tomography findings indicated basilar invagination and atlantoaxial dislocation.The patient underwent C0-C3-C4 (lateral mass) and additional C0-C2 (translaminar) stabilization surgery. Results : In routine practice, the sites where rods are bound to occipital plates were placed as paramedian. Instead, we inserted lateral mass screw to the sites where occipital screws were inserted on the occipital plate, thereby creating a site where extra rod could be bound.When C2 translaminar screw is inserted, screw caps remain on the median plane, which makes them difficult to bind to contralateral system. These bind directly to occipital plate without any connection from this region to the contralateral system.Advantages of this technique include easy insertion of C2 translaminar screws, presence of increased screw sizes, and exclusion of pullout forces onto the screw from neck movements. Another advantage of the technique is the median placement of the rod; i.e., thick part of the occipital bone is in alignment with axial loading. Conclusion : We believe that this technique, which could be easily performed as adjuvant to classical stabilization surgery with no need for special screw and rod, may improve distraction force in patients with low bone density.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.844-854
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• 2007

Purpose: This study was to verify the effect of muscle strengthening exercises using a Thera-Band on the lower limbs. Methods: The design utilized for this study was a nonequivalent control group pretest-posttest design. A control group (16) and experimental group (16) were selected from stroke patients of K Oriental Medicine Hospital who were hospitalized for 5 months from December 2005 through April 2006. While only acupuncture therapy and physical therapy were used on the control group, acupuncture, physical therapy and additional muscle strengthening exercises using a red thera band were used on the experimental group. Muscle strengthening was performed 20 minutes per session, more than one session a day for 4 weeks. Hypotheses for this study were verified using Two-way repeated ANOVA and ANCOVA using a pre test score as a covariate. Results: The experimental group with thera band muscle strengthening exercises showed a decrease in asymmetry weight loading percentage(F=14.704, P= .010), range of knee (Z=-3.15, P= .001) & deep tendon reflex score(Z=-2.52, P= .012) and moving performance(F=12.328, P= .001)compared to the control group. Conclusion: It is confirmed that muscle strengthening exercises using a Thera-Band can be used as an effective nursing intervention to improve the function of the lower limb of hemiplegic stroke patients.

• Journal of Biomedical Engineering Research
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• v.34 no.3
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• pp.141-147
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• 2013

Ultrasonic shears is currently in wide use as an energy device for minimal invasive surgery. There is an advantage of minimizing the carbonization behavior of the tissue due to the vibrational energy transfer system of the transducer by applying a piezoelectric ceramic. However, the vibrational energy transfer system has a pitfall in energy consumption. When the movement of the forceps is interrupted by the tissue, the horn which transfers the vibrational energy of the transducer will be affected. A study was performed to recognize different tissues by measuring the impedance of the transducer of the ultrasonic shears in order to find the factor of energy consumption according to the tissue. In the first stage of the study, the voltage and current of the transducer connecting portion were measured, along with the phase changes. Subsequently, in the second stage, the impedance of the transducer was directly measured. In the final stage, using the handpiece, we grasped the tissue and observed the impedance differences appeared in the transducer To verify the proposed tissue distinguishing method, we used the handpiece to apply a force between 5N and 10N to pork while increasing the value of the impedance of the transducer from 400 ${\Omega}$.. It was found that fat and skin tissue, tendon, liver and protein all have different impedance values of 420 ${\Omega}$, 490 ${\Omega}$, 530 ${\Omega}$, and 580 ${\Omega}$, respectively. Thus, the impedance value can be used to distinguish the type of tissues grasped by the forceps. In the future study, this relationship will be used to improve the energy efficiency of ultrasonic shears.

• Journal of the Korea Concrete Institute
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• v.18 no.4 s.94
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• pp.479-487
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• 2006

This paper deals with a research about the time-dependent behavior analysis for pre-tensioned high-performance concrete(HPC) members. By improving AASHTO-LRFD(2004) method for predicting the creep and shrinkage of normal concrete, and the relaxation of prestressing tendon, a time-dependent behavior analysis of high-performance concrete structures has been introduced. Two methods, the step-function method and the time-step method have been incorporated in the time-dependent analysis. The developed program can predict the initial and time-dependent losses of prestressing forces and the deflections of high-performance concrete structures. The present model has been verified by comparing with the experimental results from the test of time-dependent behaviors of pre-tensioned members using high-performance concrete. From this, the current model gives good relations with the experimental results, but the AASHTO method is not good for the prediction of time-dependent behaviors of high-performance concrete members.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.24 no.4
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• pp.449-455
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• 2011

Recently, international collaborative research which was organized at Bhabha Atomic Research Centre in India, was conducted to develop for pressure capacity and nonlinear behavior of PHWR 1/4 scale nuclear containment building between experimental test and numerical code. In this paper, a nonlinear finite element analysis was carried out in order to predict ultimate pressure capacity and nonlinear behavior of the 1/4 scale containment building. The 1/4 scale containment building is consisted of basemat, cylinder wall, dome and 4-buttress. For the finite element analysis, commercial program ABAQUS was used. Finite element models including concrete, rebar and tendon have been developed for assessment of ultimate pressure capacity and failure mode for nuclear containment building. From the analysis results, first crack of the concrete, the yielding of the rebar and ultimate capacity pressure occurred at $1.6P_d$(design pressure), $3.36P_d$ and $4.0P_d$, respectively.

• Journal of the Korean Geotechnical Society
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• v.35 no.5
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• pp.43-51
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• 2019

At present, the ground anchor method is commonly applied to securing the slope stability in Korea. The ground anchor is reported to decrease in tensile load due to aging and environmental influences with time such as corrosion, relaxation, creep and so on. In Korea, the lift-off test is performed for the periodic inspection or cases when the symptoms of deterioration on anchors and the residual tensile load of the anchors is checked. However, the current lift-off test standard (MOLIT, 2010) is not fully specified in details. In this study, the factors affecting the lift-off test were investigated based on the previous research and foreign standards and lift-off tests were performed with consideration for the loading and unloading cycle, load increment method, and tensioning tendon method. Based on the results, this paper proposes improved testing and evaluation procedures of the lift-off test considering the workability and time limits in the field.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.28 no.6
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• pp.707-714
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• 2015

In this paper, an experimental program has been conducted to investigate transfer length in high strength concrete members pretensioned through a seven-wire strand with FBG sensors. To measure transfer length, five members were fabricated, which had a length of 3 m and a cross-section of $150{\times}150mm$. It was measured that the concrete compressive strength was 58MPa at pretensioning. Test results indicated that more precise and reliable measurement on the transfer length was attained with FBG sensors than conventional gauges attached on concrete surface. Through comparing the measured transfer length and predictions, applicability of several transfer length models in literature was investigated. This paper can be useful for relevant research field such as investigation on the bond mechanism of a seven-wire strand in concrete members.

• Journal of Haehwa Medicine
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• v.15 no.1
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• pp.59-69
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• 2006

Objectives & Methods : I investigated 45 literature of Oriental and Western medicine about the treatment of pain in shoulder and arm. Result and Conclusion : 1. The etiological causes of Pain in Shoulder and Arm based on literatures of Oriental medicine are attack of wind-heat on the lung, wind cold, damp-heat struggle between the vital energy and pathogenic factor and six pathogenic factors. And all these causes are the conception of blockage syndrome, Qi and blood stagnating in meridian system. 2. The treatment of Pain in Shoulder and Arm based on Oriental medicine is mainly composed of both medical therapy for Bi syndrome due to pathogenic wind, deficiency of both Qi and blood, consumption of the liver and the spleen, and also acupuncture and moxibustion treatment by selection for acupoint. And those treatments are for treating etiology. And also there are treatments using the meridian system and Twelve Muscle Region and Ashihyeol for the purpose of treating the symptoms. 3. The etiological causes of Pain in Shoulder and Arm based on literatures of Western medicine are degenerative cut of tendon and nerve symptoms caused by tendonitis, bursitis, calcification, ruptured cervical disc and thoracic outlet syndrome. 4. The treatment of Pain in Shoulder and Arm based on Western medicine is for alleviation of pain, such as giving an anodyne, steroid products, local anesthetic injection and stretching and strengthening the muscles.