• 대한기계학회:학술대회논문집
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• 대한기계학회 2001년도 추계학술대회논문집A
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• pp.442-447
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• 2001

A finite element analysis of end-to-end artery/PTFE anastomosis has been presented in this study to evaluate the distribution of compliance in the vicinity of the anastomosis due to any mismatch in compliance characteristics. But, In these studies it was assumed that the artery and PTFE have the simple cylindrical shape representing the fatty tissue surrounding the coronary artery. And the fatty tissue was considered as the elastic surrounding materials in the finite element analysis. The simulation results were obtained as follows : 1. A fatty tissue was effect to reduce the compliance mismatch in the vicinity of a artery/PTFE anastomosis of different material because a hypercompliant zone become narrorw and a compliance discrepancy decrease between the artery and the PTFE about 70%. And radial direction displacement distribution with respect to distance in the vicinity of a artery/PTFE anastomosis was similiar. 2. The variation of PTFE thckness reduce the compliance mismatch in the vicinity of a artery/PTFE anastomosis about 25%.

• 대한기계학회논문집A
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• 제27권1호
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• pp.34-41
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• 2003

Finite element analysis of end-to-end artery/PTFE anastomosis recently have been researched. But, these studies were carried out without the compensation for the error of finite element analysis and assumed the artery and PTFE as the simple cylindrical shape in spite of being the fatty tissue which covers the heart. Therefore, we performed the convergency study with respect to increasing the element numbers and considered the fatty tissue as the elastic foundation in the finite element analysis. The results are as fallow ： 1. An anastomosis with the thinner thickness and larger diameter PTFE than artery could reduce the compliance disagreement. 2. A fatty tissue was affected to reduce the compliance mismatch in the vicinity of anastomosis of different material. Therefore a hypercompliant zone become narrorw and a compliance discrepancy decrease between the artery and the PTFE about 70%. And radial displacement with respect to longitudinal direction of an artery and the PTFE anastomosis was similar to a sectional compliance.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2003년도 춘계학술대회 논문집
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• pp.1302-1305
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• 2003

In this paper we analyzed the effect of compliance mismatch with respect to the thickness variation of elastic foundation(fatty tissue) in end-to-end anastomosis. This study considered the preliminary deformed shape induced by suturing in the anastomosis of coronary artery and PTFE with different diameters using simplified suturing model and the fatty tissue surrounding heart and coronary artery for more accurate result using finite element method. Area compliance(C$\sub$A/) was used to analyze the final deformed shape of the anastomotic part with respect to the thickness variation of fatty tissue under mean blood pressure, 100 mmHg(13.3kPa). The results obtained were as follows : 1. When the elastic foundation, assumed to be incompressive material, surrounded the grafts in anastomosis, the compliance mismatch of artery and PTFE was improved by 47∼72%. 2. As the initial diameter ratio(R$\sub$I/) became larger, the higher difference of compliance was induced in spite of elastic foundation surrounding grafts.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5867-5874
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• 2012

본 연구의 목적은 뇌졸중 환자에서 주관절 각도 변화에 따른 상완이두근(biceps brachii)의 근구조 및 탄성 변화에 관하여 알아보고자 하였다. 연구대상은 주관절 수동 ROM범위가 $10^{\circ}{\sim}90^{\circ}$ 가능하며 MAS(modified Ashworth scale) 1~3등급인 뇌졸중 환자 12명을 대상으로 하였다. 이완(resting) 상태의 건측과 환측 상완이두근의 우모각, 근섬유속길이, 근탄성의 측정은 초음파 영상 촬영장치와 근긴장도 측정기(myotonometer)를 이용하여 주관절을 $10^{\circ}{\sim}90^{\circ}$로 변화시키면서 측정하였다. 본 연구 결과, 환측 상완이두근을 건측과 비교 시 우모각은 신전위치($<40^{\circ}$)에서 큰 값을 나타냈으며(p<.05), 근섬유속길이는 굴곡위치($>20^{\circ}$)에서 짧은 길이를 나타냈으며(p<.05), 근긴장은 신전위치($<50^{\circ}$)에서 전위 값이 낮게 나타나 근긴장이 높아짐을 나타냈다(p<.05). 이렇듯 이완 시 상완이두근의 근구조 및 탄성은 주관절 각도에 의해 영향을 받는다는 것을 알 수 있었다. 본 결과를 뇌졸중 환자의 근구조 변화 및 임상치료의 연구 자료로 사용할 수 있을 것으로 생각된다.

• 한국정밀공학회지
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• 제21권8호
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• pp.188-195
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• 2004

In this paper we analyzed the mechanical behavior with respect to the thickness variation of elastic foundation(fatty tissue) in end-to-end anastomosis. This study considered the preliminary deformed shape induced by suturing in the anastomosis of coronary artery and PTFE with different diameters using simplified suturing model and the fatty tissue surrounding heart and coronary artery for more accurate result using finite element method. Area compliance(CA) was used to analyze the final deformed shape of the anastomotic part with respect to the thickness variation of fatty tissue under mean blood pressure, 100mmHg(13.3㎪). And Equivalent and circumferential stresses in the anastomosis were also analyzed with respect to the change of initial diameter ratio( $R_1$) and fatty tissue thickness( $T_{F}$). The results obtained were as follows : 1 When the elastic foundation, assumed to be incompressive material, surrounded the grafts in anastomosis, the compliance mismatch of artery and PTFE was reduced by 47 -72%. 2. As the initial diameter ratio( $R_1$) became larger, the higher difference of compliance was induced in spite of elastic foundation surrounding grafts. 3. The maximum nondimensional circumferential stress is twice or three times as high as the maximum nondimensional equivalent stress in the anastomotic part.t.

• Journal of Acupuncture Research
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• 제17권2호
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• pp.209-220
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• 2000

Spasticity, an abnormal increase in resting muscle tone, is one of the most common symptoms of stroke, and its management is becoming a major issue in rehabilitation. The aims of this study are to determine the effects of electroacupuncture(EA), TENS and neuromuscular electric stimulation(NMES) on spasticity, as well as the possibility of tissue comliance method as a spasticity scale. 45 stroke patients participated in a study of the effects on hemiplegic spasticity of EA, TENS and NMES. Spasticity was measured by modified Ashworth scale on the upper extremity and tissue compliance measurement, penetration mm/kg, on Susamni(LI10) area at just before and after stimulation, and 30 minutes, 1 hour, 2 hours and 24 hours after stimulation. The acupuncture points were applied to Kokchi(LI11), Susamni(LI10), Hapkok(LI4) and Oegwan(TE5) of the affected limb. The electrodes were placed unilaterally on LI11 to LI10 and TE5 to LI4. EA with biphasic wave, 60Hz, 0.4 msec pulse duration and low intensity was applied continuously for 20 minutes. TENS with high frequency, low intensity was applied. NMES was applied with spasticity program for 20 minutes. Each electric stimulation was done on extensor muscles group of forearm for 20 minutes. EA and NMES groups were found to produce a statistically significant decrease(p〈0.05) of spasticity and these effects lasted up to 30 minutes after stimulation. There was no definite correlation between the modified Ashworth scale and tissue compliance measurement. But tissure compliance method was found to be possible as a quantitative measurement on spasticity. There was no significant correlation between the effects of EA and NMES and the characteristics of patient, but significant correlation between the effects of EA and NMES and the modified Ashworth scale.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2002년도 춘계학술대회 논문집
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• pp.154-157
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• 2002

A cyto-indentation technique was used to obtain the biomechanical compressive compliance property of an chondrocyte cell attached to glass surface, which was tried to generate joint cartilage by tissue engineering. Piezo-transducer system and dual photo-diode system were used to conduct mechanical indentation through displacement-controlled testing and the measurement of corresponding cell reaction force. The Poisson's ratio of 0.37 was quoted from other report. The compressive compliance of chondrocyte, that was determined by elastic contact theory, was 1.38${\pm}$0.057 kPa. This value is 30% higher than that of MG63 osteoblast-like cell. The cyto-indentation technique employed in this study is so precise that it can quantify the biomechanical property of single cell.

• 가정간호학회지
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• 제24권1호
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• pp.52-60
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• 2017

Purpose: This study sought to identify the relationship between knowledge and compliance with cough etiquette among elders in the community. Methods: Participants were 186 olders. Data were collected December 2016 and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Mean scores for knowledge and compliance relating to cough etiquette were above average. Several factors were related to significant differences in level of knowledge: education level, use of items to cover a cough, Carrying a handkerchief or tissue, daily frequency of hand washing, awareness of cough etiquette, and prior education on cough etiquette. Compliance differed according to use of items to cover a cough, awareness of cough etiquette, and prior education on cough etiquette. Significant correlations were found between knowledge and compliance with cough etiquette. Awareness of cough etiquette and knowledge of cough etiquette were predictors of cough etiquette compliance. Conclusion: These findings indicate that publicity and education taking into account the characteristics of the elderly are required to improve compliance with cough etiquette among olders. The results of the study can be utilized in health promotional programs for this population.

• 한국정밀공학회지
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• 제28권4호
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• pp.526-533
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• 2011

This research is about the pulsatile pump system utilized in the perfusion bioreactor for the in vitro human tissue culture. A pulsatile pump system which can be applied to the culture of the vascular tissues including blood vessel is developed by using the idea of human heart's blood pumping into organs as followings: culture chamber, a pressurizing device which generates laminar pulsatile flow by controlling the x-sectional area of the culture media delivering tubing, a compliance chamber which supplies the pressuring device with a constant pressure, and a peristaltic pump which circulates the culture media in a circuit ranging from the culture chamber to the compliance chamber. The developed pulsatile pump system shows that a physiology of the human heart's blood pumping including pulsatile pressure waveform of systolic-diastolic pressure is well represented. Not only time domain but also frequency domain characteristics of pulsatile pump system which are necessary for the vascular tissue culture such as pulsatile pressure waveform's shape, the frequency, and the magnitude can be easily generated and manipulated by using the proposed system.

• Tribology and Lubricants
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• 제26권3호
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• pp.184-189
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• 2010

In this paper, tactile response characteristics in medical haptic interface are investigated to characterize the feeling of contact between the finger skin and the organic tissue when a finger is dragged over tissue. In order to represent the tactile feeling, a prototype tactile display incorporating Magneto-Rheological (MR) fluid has been developed. Tactile display devices simulate the finger's skin to feel the sensations of contact such as compliance, curvature and friction. Thus, the tactile display provides the surface information of organic tissue to the surgeon using different actuating mechanisms ranging from the conventional mechanical motor to the smart material actuators. In order to investigate the compliance feeling of human finger's touch, vertical force responses of the tactile display under the various magnetic fields have been assessed. Also, frictional resistive force responses of the tactile display are investigated to simulate the action of finger's dragging. From the results, different tactile feelings are observed as the applied magnetic field is varied and arrayed magnetic poles combinations. This research gives a smart technology of tactile displaying.