• Journal of Trauma and Injury
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• 제27권3호
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• pp.57-62
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• 2014

Purpose: A hamate body coronal fracture is well known as a very rare fracture in the carpal bones and is also hard to diagnose in initial stage due to the bone's architecture. We report our experience in treatment of such a fracture, and we present a review of the relevant literatures. Methods: Four patients who experienced hamate body coronal fractures from October 2006 to October 2013 were enrolled in this study. One patient also had an associated Capitate fracture, and two patients had associated dislocations of the $4^{th}$ metacarpal joint. We performed open reduction and mini-screw fixation on the four patients. In addition, a K-wire was fixed for the two patients with dislocations. Results: The average follow-up period was 24.5 months after surgery, and bone union was observed at the $8^{th}$ week after surgery. We confirmed that bone union had been completed for all the patients, and functional tests showed that joint motion was in the normal range without complications. Conclusion: When a patient has consistent pain on the ulnar side of the wrist, a hamate fracture should be suspected. Computer tomography is better than a simple X-ray scan for confirming the diagnosis of a hamate body coronal fracture. An open reduction and mini-screw fixation led to a good result.

• 척추신경추나의학회지
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• 제17권2호
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• pp.63-72
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• 2022

Objectives This case study aimed to investigate the effect of complex Korean medicine treatment including Chuna manual therapy on sacroiliac joint (SIJ) pain status post SIJ fusion with sacroiliac screw fixation. Methods Complex Korean medicine treatments including Chuna manual therapy were provided to patients with SIJ widening due to a traffic accident trauma. Measurement of range of motion and manual muscle test to evaluate functional activities of daily living was conducted before and after treatment. Moreover, outcome estimates were performed using the numeric rating scale, pain disability index, and EuroQol 5-dimension five-level questionnaire. Results After complex treatment, functional activities of daily living improved. Sacroiliac joint pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with complex Korean medicine treatment including Chuna manual therapy may improve traumatic SIJ widening status post SIJ fusion. A postoperative rehabilitation protocol based on accumulated research results considering a multidisciplinary approach should be prepared to ensure holistic treatment.

• 대한정형외과스포츠의학회지
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• 제6권1호
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• pp.57-65
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• 2007

목적: 관절경하에서 봉합 나사못을 이용하거나 또는 도관나사못을 동반 사용하여 상완골 대결절 골절편을 고정하며 동시에 동반된 병변을 치료하여 임상적 결과를 분석하고 그 유용성을 문헌 고찰과 함께 보고하고자 한다. 대상 및 방법: 2004년 4월부터 2006년 4월까지 전위 골절, 복잡 골절, 회전 근개 파열, 견관절 구축이 나 관절 순 손상을 동반한 미세 전위된 상완골 대결절 골절 중에서 관절경하에서 봉합 나사못을 이용하거나 또는 도관나사못을 동반 사용하여 정복 및 고정을 시행한 총 7예를 대상으로 후향적으로 분석하였다. 6개월 이상 추시된 환자의 최종 운동 각도 및 ASES 및 UCLA score를 이용하여 술후 임상적 결과를 분석하였다. 결과: 임상적 결과로 평근 ASES 및 UCLA score는 술후 최종 추시 시 93.6점과 31.5점로 향상되었으며 술후 최종 추시시 평균 운동 범위는 전방거상 154.3도, 측방거상 145.8도, 외회전 32.6도, 내회전 제 1 요추 수준으로 향상되었다. 결론: 상완골 대결절 골절에서 전위된 골절이거나, 골절편이 작거나 여러개일 경우, 또는 회전근 개 파열, 견관절 구축이나 반카르트 병변등의 동반질환들이 있는 경우에는 관절경하에서 동반 병변 치료와 함께 봉합 나사못을 이용하거나 또는 도관나사 못을 동반 사용하여 대결절 골절을 고정하는 방법은 유용한 치료방법중의 하나로 생각된다.

• Composites Research
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• 제34권3호
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• pp.186-191
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• 2021

요추에 퇴행이 발생하였을 때 이를 치료하기 위해 요추 유합술이 시행된다. 유합술은 척추체 사이의 추간판을 제거하고 뼈 그래프트 등을 삽입하여 굳혀 하나 이상의 분절을 완전히 고정시켜 척추의 안정성을 복원한다. 둘 이상의 척추체가 단단히 유합될 수 있게끔 척추체를 고정하는 수단으로 척추경 나사못과 연결봉이 환자의 체내에 삽입된다. 본 연구에서는 중증 요추 퇴행성 질환의 치료에 쓰이는 척추 유합술에서 사용하는 척추경 나사못 구조물이 적용된 총 7개의 환자 맞춤형 요추 유한 요소 모델을 생성하였다. 생성한 모델에 각각 티타늄과 CFR-PEEK로 구성된 연결봉을 구성하였다. 척추의 4가지 대표적 거동에 대해 유한요소해석과 통계적 분석을 진행하여 연결봉의 재질이 척추 상태에 미치는 의공학적 영향을 조사하였다. 인접 분절의 추간판 내 압력과 각 분절의 관절 구동 범위가 의공학적 영향을 확인하기 위한 지표로 사용되었다. 연결봉에 CFR-PEEK를 사용한 경우 Ti 연결봉에 비해 인접 분절의 추간판 내 압력은 감소하였고 각 분절의 관절 구동 범위는 증가하였다. 그러나 모든 하중조건에서 통계학적으로 유의미한 경향성 차이는 관찰되지 않았다.

• 한국생산제조학회지
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• 제22권6호
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• pp.996-1002
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• 2013

This study addresses the development of a full duplex robotic system for transferring flat-panel display glass. We propose to accomplish this using a bidirectional linear transfer mechanism in place of the conventional rotary transfer mechanism. The developed full duplex robot comprises a driving part that carries the glass panel laterally, vertical part that can be moved up and down by means of a ball screw and linear motion guide arrangement, and hand part that slides by the cylinder of the driving part along the guide rail with a V-guide bearing attached to the bottom of the support. In addition, an alignment part prevents the hand part from derailing and holds the hand part while the driving part moves horizontally. The full duplex robot lifts and drives a glass panel directly while transferring it to the buffer and does not require rotational motion. Therefore, both transferring and stacking are realized with a single device. This device can be used in existing industrial facilities as an alternative to existing industrial robots in current as well as future process lines. The proposed full duplex robot is expected to save considerable amounts of time and space, and increase product throughput.

• 대한의용생체공학회:의공학회지
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• 제29권4호
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• pp.323-328
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• 2008

A patient with respiratory disorders such as a sleep apnea is increasing as the obese patient increase on the modern society. Positive Airway Pressure (PAP) devices are used in curing patient with respiratory disorders and turn out to be efficacious for patients of 75%. However, these devices are required for evaluating their performance to improve their performance by the mechanical breathing simulator. Recently, the mechanical breathing simulator was studied by the real time feedback control. However, the mechanical breathing simulator by an open loop control was specially required in order to analyze the effect of flow rate and pressure after operating the breathing auxiliary devices. Therefore the aims of this study were to make the mechanical breathing simulator by a piston motion and a valve function from the characteristic test of valve and motor, and to duplicate the flow rate and pressure profiles of some breathing patterns: normal and three disorder patterns. The mechanical simulator is composed cylinder, valve, ball screw and the motor. Also, the characteristic test of the motor and the valve were accomplished in order to define the relationship between the characteristics of simulator and the breathing profiles. Then, the flow rate and pressure profile of human breathing patterns were duplicated by the control of motor and valve. The result showed that the simulator reasonably duplicated the characteristics of human patterns: normal, obstructive sleep apnea (OSA), mild hypopnea with snore and mouth expiration patterns. However, we need to improve this simulator in detail and to validate this method for other patterns.

• Journal of Korean Neurosurgical Society
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• 제40권2호
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• pp.84-89
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• 2006

Objective : The purpose of this study is to compare the outcomes of two methods for stabilization and fusion : Postero-Lateral Fusion [PLF, pedicle screw fixation with bone graft] and Posterior Lumbar Interbody Fusion [PLIF, cage insertion] for spinal stenosis and recurred disc herniation except degenerative spondylolisthesis. Methods : Seventy one patients who underwent PLF [n=36] or PLIF [n=35] between 1997 and 2001 were evaluated prospectively. These two groups were compared for the change of interbody space, the range of segmental angle, the angle of lumbar motion, and clinical outcomes by Prolo scale. Results : The mean follow-up period was 32.6 months. The PLIF group showed statistically significant increase of the interbody space after surgery. However, the difference in the change of interbody space between two groups was insignificant [P value=0.05]. The range of segmental angle was better in the PLIF group, but the difference in the change of segmental angle was not statistically significant [P value=0.0l7]. Angle of lumbar motion was similar in the two groups. Changes of Prolo economic scale were not statistically significant [P value=0.193]. The PLIF group showed statistically significant improvement in Prolo functional scale [P value=0.003]. In Prolo economic and functional scale, there were statistically significant relationships between follow-up duration [P value<0.001]. change of interbody space [P value<0.001], and range of segmental angle [P value<0.001]. Conclusion : Results of this study indicate that PLIF is superior to PLF in interbody space augmentation and clinical outcomes by Prolo functional scale. Analysis of clinical outcomes showed significant relationships among various factors [fusion type, follow-up duration, change of interbody space, and range of segmental angle]. Therefore, the authors recommend instrumented PLIF to offer better clinical outcomes in patients who needed instrumented lumbar fusion for spinal stenosis and recurred disc herniation.

• 한국정밀공학회지
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• 제30권11호
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• pp.1129-1137
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• 2013

We report a centerless grinding machine which can perform multi-function with 600 mm wide grinding wheels. By increasing manufacturing area, long workpiece such as camshaft and steering shaft, is allowed to grind more quickly, compared with cylindrical grinding system. In this paper, the design of centerless grinding machine puts emphasis on symmetry to exploit the thermal stability. Results of finite element analysis shows that the difference of the structural deflection in the front and rear guideways is less than $1.5{\mu}m$ due to symmetric design. The difference is less than $3.0{\mu}m$, even though the thermal deformation is considered. According to the performance evaluation, the radial error motion of the G/W spindle, which is measured by applying Donaldson Ball Reversal, is about 1.1${\mu}m$. The yaw error of the G/W slide is improved from 2.1 arcsec to 0.5 arcsec by readjusting the slide preload and ball screw.

• 유변학
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• 제10권4호
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• pp.247-255
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• 1998

이축 압출기에서 삼성분계 블렌드가 용융 혼련될 때 상구조의 형성과정에 대하여 연구하였다. 삼성분계 블렌드의 연속상은 polycarbonate(PC)로 고정하였고 나머지 분산상을 이루는 성분으로는 acrylonitrile-butadiene-styrene(ABS), methyl methacrylate-butadiene-ethyl acrylate(MBE), styrene-acrylonitrile(SAM) 공중합체, 그리고 poly(methyl methacrylate)(PMMA)를 사용하였다. 블렌드의 여러 가지 조성에 따라 최종 상구조는 현저한 차이를 보였고 특히 MBE와 PMMA의 경우는 각각 PC-SAN의 계면에 선택적으로 위치하였다. 삼성분계 고분자 블렌드의 상구조 형성과정은 성분간의 계면장력과 합체 현상의 상호 작용에 의하여 지배되었으며 합체의 정도는 계면에서의 점도에 의하여 민감하게 변화되었다.

• 한국산학기술학회논문지
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• 제11권2호
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• pp.435-442
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• 2010

이동하중을 받는 구조물의 동적 거동은 이동물체의 속도에 따라 정하중을 받을때 보다 큰 처짐을 나타내게 되어 구조물의 설계에 중요한 영향을 미치게 된다. 기계가공이나 볼스크류우를 이용한 위치제어분야에서 개선 및 성능 유지를 위한 해석의 기법이 요구되고 있다. 회전하는 티모센코축을 따라 이동하는 두 개의 이동하중을 받는 시스템에 대한 운동방정식이 Hamilton의 원리로 유도되었다. 무차원화된 속도비, 질량비, Rayleigh 계수비의 영향이 시스템의 응답에 미치는 영향을 해석하였다.