• Title/Summary/Keyword: 고정기구

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Efficacy of Ilizarov External Fixation and Autologous Bone Grafting for Performing Arthrodesis on the Ankle Arthropathy with Risk Factors (불유합의 위험 인자를 가진 족관절 병변에 시행한 족관절 유합술로서 Ilizarov 외고정 기구 장착술 및 자가골 이식술의 유용성)

  • Lee, Yong-Sik;Nam, Il-Hyun;Lee, Tae-Hun;Ahn, Gil-Yeong;Lee, Yeong-Hyeon;Lee, Hee-Hyung;Hwang, Sung-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.189-195
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    • 2019
  • Purpose: The aim of this study is to evaluate if the Ilizarov external fixation procedure with axial compression can help to obtain fusion across the ankle joint in patients with a high risk of nonunion. Materials and Methods: From January 2006 to December 2015, the study reviewed 17 patients who underwent ankle arthropathy with a high risk of nonunion and who underwent ankle fusion using the Ilizarov external fixator with axial compression and auto bone grafting. After the lateral surface of the ankle joint was exposed through a lateral trans-fibular approach, massive removal of the articular cartilage and excision of any loose or avascular bone were done. With the cortical bone harvested from the pelvis as corticocancellous bone blocks, we inserted the two cortical blocks longitudinally into the anterior and posterior part of the free ankle space from lateral to medial to make the rectangular chamber to fill the cancellous bones. After the Ilizarov external fixator was equipped, we tightened the frame by 5 mm to compress the bone graft space. We accessed the American Orthopaedic Foot and Ankle Society (AOFAS) AnkleHindfoot score both preoperatively and postoperatively. Results: The average age at the time of operation was 63.4 years (range, 47~78 years). The mean frame time was 17.4 weeks (range, 15~23 weeks). The average follow-up period was 3.7 years (range, 2~6 years). Osseous fusion was obtained in 15 patients (88.2%). There were two stable pseudarthroses among the rheumatoid arthritis patients, and we continued their follow-up. The mean AOFAS AnkleHindfoot score improved from 48.5 to 73.7 points. Conclusion: Ankle arthrodesis using the Ilizarov external fixation with axial compression and auto bone grafting on the ankle arthropathy that had difficult conditions to achieve union is considered one of the useful methods with a correspondingly low incidence of complications.

Spatial-Sensor Observation Service for Spatial Operation of GeoSensor (GeoSensor의 공간연산을 확장한 Spatial-Sensor Observation Service)

  • Lee, Hyuk;Lee, Yeon;Chung, Weon-Il;Bae, Hae-Young
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.11
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    • pp.35-44
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    • 2011
  • Advances in science and technology have made a lot of changes in our life. Especially, sensors have used in various ways to monitor in real time and analyze the world effectively. Traditional sensor networks, however, have used their own protocols and architecture so it had to be paid a lot of additional cost. In the past 8 years, OGC and ISO have been formulating standards and protocols for the geospatial Sensor Web. Although the OGC SWE initiatives have deployed some components, attempts have been made to access sensor data. All spatial operations had to calculate on the client side because traditional SOS architecture did not consider spatial operation for GeoSensor. As a result, clients have to implement and run spatial operations, and it caused a lot of overload on them and decreased approachableness. In this paper we propose S-SOS for in-situ and moving GeoSensor that extends 52 North SOS and provides spatialFilter and spatialFinder operations. The proposed S-SOS provides an architecture that does not need to edit already deployed SOSs and can add spatial operations as occasion. Additionally we explain how to express the spatial queries and to be used effectively for various location based services.

A Convergence Study on Changes in the Muscle Activity around the Neck of the Operator according to the Patient's Head Angle at the Direct Visual Inspection of the Maxillary Right-side Molar Palatal Surface (상악 우측 대구치 구개면의 직접 시진 시 환자 머리 각도에 따른 술자의 목 주변 근육활성도 변화의 융합적 연구)

  • Lee, Sook-Jeong
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.209-216
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    • 2018
  • This study aimed to investigate the association of the muscle activity around the neck of the operator(dental hygienists') according to the change in the patient's neck angle during a direct visual inspection on the maxillary right-side molar palatal surface. The operators were $4^{th}$ year dental hygiene students, who are future dentalhy gienists, having accurate understanding on and awareness of the location of the operation site, hand fixation, and how to use the tools. Data on the change in the muscle activity around the neck were collected by using surface electromyography and neck goniometer. SPSS statistics 20 was used for statistical analyses including Shapiro-wilk test and one-way ANOVA. As a result, the activities of the operator upper trapezius, cervical erector spinae, and levator scapulae muscles significantly decreased when the patient's head was angled compared to when it was not. For the angle of the operator head, the head bend significantly decreased when the patient's head was angled than when it was not. Based on the study results, it is expected that angling the patient's head when treating his or her teeth will decrease the excessive muscle activity around the neck of the operator, and will reduce muscle fatigue. Therefore, angling the head of the patient while treating his or her teeth is recommended. This suggests that muscle pain caused by repetitive actions in the wrong posture can be reduced.

An Aerodynamic Modeling and Simulation of a Folding Tandem Wing Type Aerial Launching UAV (접이식 직렬날개형 공중투하 무인비행체의 공력 모델링 및 시뮬레이션)

  • Lee, Seungjin;Lee, Jungmin;Ahn, Jeongwoo;Park, Jinyong
    • Journal of the Korea Society for Simulation
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    • v.27 no.4
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    • pp.19-26
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    • 2018
  • The aerial launching UAV(Unmanned Aerial Vehicle) mainly uses a set of folding tandem wings to maximize flight performance and minimize the space required for mounting in a mothership. This folding tandem wing has a unique aerodynamic problem that is different from the general type of fixed wing aircraft, such as the rear wing interference problem caused by the wing of the front wing wake and vortex, and the imbalance of the pivot moment applied to the front and rear wings when the wing is deployed. In this paper, we have modeled and simulated various cases through computational fluid dynamics based on the finite volume method and analyzed various aerodynamic phenomena of the tandem wing type aircraft. We find that the front wing shall be installed higher than the rear for minimizing the wake influence and the rear wing can be deployed faster than the front because of the pivot moment due to aerodynamic forces. Also, considering the pivot moment due to aerodynamic force, the rear wing can be deployed much faster than the front wing. Therefore, it is necessary to consider it when developing the wing deploy mechanism.

Analysis of Propagation Environment for Selecting R-Mode Reference and Integrity Station (R-Mode 보정국과 감시국 선정을 위한 전파환경 분석에 관한 연구)

  • Jeon, Joong-Sung;Jeong, Hae-Sang;Gug, Seung-Gi
    • Journal of Navigation and Port Research
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    • v.45 no.1
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    • pp.26-32
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    • 2021
  • In ocean field, the spread of the Fourth Industrial Revolution based on information and communication technology requires high precision and stable PNT&D (Position, Navigation, Timing and Data). As the IMO (International Maritime Organization) and IALA (The International Association of Marine Aids to Navigation and Lighthouse Authorities) are requiring backup systems due to mitigate vulnerabilities and the increase of dependency on GNSS (Global Navigation Satellite System), Korea is conducting a research & development of R-Mode. An DGPS (Differentiate Global Positioning System) reference station that uses MF, an existing maritime infrastructure, and AIS (Automatic Identification System) base stations that use 34 integrity station and VHF will be utilized in this study to avoid redundant investment. Because there are radio shadow areas that display low signal levels in the west sea, the establishment of new R-Mode reference and integrity station will be intended to resolve problems regrading the radio shadow area. Because the frequency has a characteristic in that radio wave transmits well along the ground (water surface) in low frequency band, simulation and measurement were conducted therefore this paper to propose candidate sites for R-Mode reference and integrity station resulted through p wave's propagation characteristics analysis. Using this paper, R-Mode reference and integrity station can be established at appropriate locations to resolve radio shadow areas in other regions.

Effects of Fiber Orientations and Hybrid Ratios on Lubricant Tribological Characteristics of $Al_2O_{3f}/SiC_p$ Reinforced MMCs ($Al_2O_{3f}/SiC_p$ 금속복합재료의 섬유방향과 혼합비가 윤활마모특성에 미치는 영향)

  • Wang, Yi-Qi;Song, Jung-Il
    • Composites Research
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    • v.22 no.5
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    • pp.15-23
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    • 2009
  • The lubricant tribological characteristics of $Al_2O_3$ fiber and SiC particle hybrid metal matrix composites (MMCs) fabricated by squeeze casting method was investigated using a pin-on-disk wear tester. The wear tests of the MMCs were performed according to fiber/particle hybrid ratio in the planar-random (PR) and normal (N) orientations sliding against a counter steel disk at a fixed speed and $25\;kg_f$ loading under different sliding distances and temperatures. The test results showed that the wear behavior of MMCs varied with fiber orientation and hybrid ratio. At room temperature, the lubricant wear behavior of F20P0 unhybrid PR-MMCs was superior to that of N-MMCs while the hybrid composites exhibited the reverse lubricant wear behavior. It was also revealed that the wear resistance of PR-MMCs was superior to that of the N-MMCs due to the joint action of reinforcements and lubricant film between the friction surfaces at an elevated temperature of $100^{\circ}C$ for both fiber only and hybrid cases. In case of $150^{\circ}C$, although the trend of weight loss was similar to that of others, the wear resistance of PR-MMCs was better than that of N-MMCs for hybrid MMCs.

Posterior Cruciate Ligament Reconstruction by Tibial Inlay Technique (Tibial Inlay 방법을 이용한 후방 십자 인대 재건술의 결과)

  • Song Eun Kyoo;Yoon Taek Rim;Jung Jong Wook;Kim Jong Seon
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.80-84
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    • 2001
  • Purpose : To evaluate the clinical and radiological results of posterior cruciate ligament reconstruction(PCL) by tibial inlay technique. Materials and Methods : Twenty four patients(25 cases), who underwent reconstruction of posterior cruciate ligament by tibial inlay technique and were followed up for at least 2 years, were reviewed retrospectively. Mean age at operation was 35 years and mean period of follow up was 34 months. Clinically Lysholm knee socre, posterior drawer test and step off sign were evaluated. Instrumented posterior laxity test with $Telos^{\circledR}$ device(Telos stress device; Austin & Associates, Inc., Polston, US) was performed. Results : Lysholm knee score was improved from 56.9 points preoperatively to 94.6 points at fellow up. Posterior drawer test showed grade II instability in 1 case, grade III in 18 and Grade IV in 6 preoperatively and improved to grade I In 12, grade II in 10 and grade III in 3 at follow up. Step off signs were changed from -10mm in 6 cases, -5mm in 18 and flush in 1 preoperatively to -5mm in 3, flush in 10 and +5mm in 12 at follow up. Side to side difference of instrumented posterior laxity test was improved front 13.6mm preoperatively to 4.3mm at follow up. Conclusions : PCL reconstruction by tibial inlay technique is considered to be a good treatment method to restore posterior stability of the knee, which could result in satisfactory clinical and radiological results at more than 2 years' follow up.

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ACL Reconstruction with Hamstring Tendon and LA (Ligament anchor) Screw (슬괵건과 LA나사를 이용한 관절경적 전방 십자 인대 재건술)

  • Song Eun-Kyoo;Seon Jong-Keun;Cho Sang-Gwon
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.189-195
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    • 2003
  • Purpose : To evaluate the clinical results after anterior cruciate ligament (ACL) reconstruction with hamstring tendon and Ligament Anchor (LA) screw Materials and Methods : 103 patients (104 cases) who were followed up at least more than 2 years after ACL reconstruction were included in this study. The average period of follow-up was 36 months. The clinical results such as physical examination and Lysholm knee score and instrumented anterior laxity test with Telos were evaluated. Results : The Lysholm knee score was 57.9 in average preoeratively and improved to 95.2 in average at follow up. On the Lachman test, there were mild (+) instability in 46 cases $(45\%)$, moderate (++) in 33 $(31\%)$, severe (+++) in 25 $(24\%)$ preoperatively. 90 cases $(87\%)$ were converted to negative and 14 $(13\%)$ to mild at follow up. On Pivot-shift test, there were negative (-) instability in 22 cases $(22\%)$, mild (+) in 62 $(59\%)$, moderate (++) in 12 $(11\%)$ and severe in 8 $(8\%)$ preoperatively. 87 cases $(84\%)$ were converted to negative and 17 $(16\%)$ to mild at follow up. On instrumented anterior laxity test with $Telos^{\circledR}$, side to side difference on 20 lb was $13.4{\pm}5.6$ (7-25) mm in average preoperatively, and was decreased to $3.6{\pm}1.5$ (1-6) mm in average at follow-up. Complications were quadriceps muscle atrophy in 27 $(30.0\%)$, saphenous nerve paresthesia in 19 $(18.3\%)$, anterior knee crepitus in 13 $(12.5\%)$ and over-penetration of screw through lateral femoral cortex in 5 cases $(4.8\%)$. Conclusion : ACL reconstruction with hamstring tendon and LA screw was one of the choice of graft and fixatives in restoring knee stability and in improving clinical results with little complications such as anterior knee pain.

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A comparative analysis of Leadership Competency Education System in Korea, US and UK (한국·미국·영국의 유아교육기관 원장 리더십역량 교육체계 비교분석)

  • Park, Soo-Jin;Kim, Mi-Kyung
    • Korean Journal of Comparative Education
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    • v.27 no.4
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    • pp.255-283
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    • 2017
  • The purpose of this study is to analyze the comtent of the education system of US and the UK in order to build an integrated system that can develop the leadership competency of preschool principle. Based on this, the implications are as follows. First, competencies can developed through learning rather than fixed. Therefore, re-conceptualization of leadership competence appropriate to the characteristics and organization of the individual as the presiding authority of the preschool can be considered as ability to show visible knowledge and skills, invisible self concept. Therefore, it is necessary to establish a capacity development plan based on this. Second, the introduction and implementation of continuous and systematic training programs such as the training system that strengthens the capacity of the directors and principals of the United States and the United Kingdom is necessary. To do this, we must introduce a system that renews certification every five years, like the United States, rather than a system that acquires and maintains certification with a single training. Third, various training methods should be carried out. In the case of the US and the UK, we think it is desirable to train in various ways in the training period, the university, the teacher center, and the private organization or association. Therefore, it is necessary to build a cooperation system with various institutions such as training institutes, universities, teacher centers, educational information research institutes, and private organizations in each province, and strengthen them in various ways. Fourth, the contents and methods of qualification training and future job training of the director of the preschool should be deviated from the uniform level. Therefore, the systematic research that reflects the knowledge and contents of the administration required in the field should be given priority by the university or research organization that is in charge of the training.

Analysis on Longitudinal Dose according to Change of Field Width (선속 폭(Field Width) 변화에 따른 종축선량 분석)

  • Jung, Won-Seok;Back, Jong-Geal;Shin, Ryung-Mi;Oh, Byung-Cheon;Jo, Jun-Young;Kim, Gi-Chul;Choi, Tae-Gu
    • The Journal of Korean Society for Radiation Therapy
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    • v.23 no.2
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    • pp.109-117
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    • 2011
  • Purpose: To analyze the accuracy of tumor volume dose following field width change, to check the difference of dose change by using self-made moving car, and to evaluate practical delivery tumor dose when tomotherapy in the treatment of organ influenced by breathing. Materials and Methods: By using self-made moving car, the difference of longitudinal movement (0.0 cm, 1.0 cm, 1.5 cm, 2.0 cm) was applied and compared calculated dose with measured dose according to change of field width (1.05 cm, 2.50 cm, 5.02 cm) and apprehended margin of error. Then done comparative analysis in degree of photosensitivity of DQA film measured by using Gafchromic EBT film. Dose profile and Gamma histogram were used to measure degree of photosensitivity of DQA film. Results: When field width were 1.05 cm, 2.50 cm, 5.02 cm, margin of error of dose delivery coefficient was -2.00%, -0.39%, -2.55%. In dose profile of Gafchromic EBT film's analysis, the movement of moving car had greater motion toward longitudinal direction and as field width was narrower, big error increased considerably at high dose part compared to calculated dose. The more field width was narrowed, gamma index had a large considerable influence of moving at gamma histogram. Conclusion: We could check the difference of longitudinal dose of moving organ. In order to small field width and minimize organ moving due to breathing, it is thought to be needed to develop breathing control unit and fixation tool.

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