• 제목/요약/키워드: 낙수

검색결과 185건 처리시간 0.027초

저강도 초음파치료기 노블라이프가 상부 승모근 통증에 미치는 영향 (The Effect of Low-intensity Ultrasound (noblelife) on Pain Relief of Upper Trapezius)

  • 이재온;최종덕;정낙수;최규환
    • 한국전문물리치료학회지
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    • 제9권2호
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    • pp.97-105
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    • 2002
  • The purpose of this study was to investigate the effectiveness of the low-intensity ultrasound (noblelife) treatment on the pain points of upper trapezius muscle. The study recruited 20 patients who had trigger points in one side of the upper trapezius. The effectiveness of the low-intensity ultrasound treatment was assessed with subjective pain intensity using visual analog scale (VAS) and pressure pain threshold (PPT). The PPT was measured by pressure threshold algometer. Before and after the treatment, changes of pain were evaluated. Wilcoxon test for VAS data and paired t-test for PPT data were used for statistical significance. Compared to the pain intensity before the treatment, the pain intensity after treatment was significantly decreased (p<.05). Low-intensity ultrasound could be safely used in clinical application and at home for the treatment of patients with pain in upper trapezius muscle.

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역공학과 해석적 방법을 이용한 관재벌지시험에서의 관재물성치 결정 (Determination of Material Properties of Tube using Inverse Engineering and Analytic Method in Tube Bulge Test)

  • 김태준;김낙수
    • 대한기계학회논문집A
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    • 제27권9호
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    • pp.1508-1516
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    • 2003
  • In numerical analysis for hydroforming process, the stress calculation is effected by flow stress which is general obtained by stress-strain relationship from uni-axial tension test, so the result of the analysis, especially in tube hydroforming, has limitation of accuracy, tubes are made in roll-forming process and become work-hardened. Then roll forming process causes material properties between rolling direction and circumstantial direction of the tube to be different. So it is difficult to predict material behavior in the process condition of bi-axial stress state. In this study, the flow stress of the tube is determined by inverse engineering approach and bulge test that is widely used for formability test in the condition of bi-axial stress. And Hill's quadratic yield function and flow rule are used to consider the anisotropy of the tube in the roll forming process.

박근 유리피판술과 피부이식술을 이용한 아킬레스건이 노출된 창상의 재건 (Reconstruction of Soft Tissue Defect, Exposing Achilles Tendon by Using Gracilis Muscle Free Flap and Skin Graft)

  • 김한구;곡낙수;김우섭;김승홍
    • Archives of Plastic Surgery
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    • 제34권2호
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    • pp.217-221
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    • 2007
  • Purpose: Reconstruction of the soft tissue defect exposing Achilles tendon is a formidable challenge because of the paucity of soft tissue and relatively poor blood supply. This article describes the reconstruction of soft tissue defect exposing Achilles tendon using gracilis muscle free flap and split-thickness skin graft. Methods: From 2000 to 2005, four patients with soft tissue defect exposing Achilles tendon and infection were operated using gracilis muscle free flap and split-thickness skin graft. The defect size ranged from 3.5 to 5cm wide and 6.5 to 8cm long. The mean postoperative follow-up was twenty months. Results: All the flaps were survived without necrosis and infection. We obtained the satisfactory results with good functional and aesthetical outcomes. All cases showed good results with the characteristics of a relatively thin flap without additional debulking procedure. Conclusion: Gracilis muscle free flap with split thickness skin graft could be a good option for reconstruction of soft tissue defect of posterior ankle, exposing Achilles tendon with minimal morbidity of the donor site.

유한요소해석을 이용한 후육관 롤포밍에서의 초기소재 에지 형상 예측과 설계 (Prediction and Design of Edge Shape of Initial Strip for Thick Tube Roll Forming using Finite Element Method)

  • 김낙수;이승윤
    • 대한기계학회논문집A
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    • 제26권4호
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    • pp.644-652
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    • 2002
  • Increasing demands for Electric Resistance Welded pipes of high quality with thick wall require c lose investigations in edge deformation by slitting, strip deformation during break down farming, and difference of circumferential length. In order to obtain good quality of a welding zone, it is necessary to predict the edge shape of the initial strip. The modeling of the multi-pass thick tube roll forming process with rigid plastic finite element method ultra the edge shape prediction of an initial strip with 2nd-degree polynomial regression method are presented. Edge shapes of initial strip have been analyzed by the finite element method and designed by the regression method to satisfy the requirements in target fin pass. It is concluded that the proposed edge design method results in optimal edge shapes sat string the design requirements.

유한요소법을 이용한 폴리머 압출 공정해석에 관한 연구 (A Study on Analysis of Polymer Extruder Process Using Finite Element Method)

  • 예영수;김홍범;이재욱;김낙수
    • 대한기계학회논문집A
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    • 제29권1호
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    • pp.145-155
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    • 2005
  • In this study, a finite element method program code which can be accomodate boundary conditions on the complex surfaces has been developed to simulate polymer extruder processes. The analysis method includes the fractional 4-step method for efficient computation time and compact usage of memory storage to solve the velocities and the pressure values from the Navier-Stokes equation. By using the developed program which was verified with simple Poiseuille flow mixture phenomena in single-and twin-screw extruder are analyzed. It is concluded that the proposed method resulte Poiseuille Poiseuille d in fair agreement with the exact solution of simple flow and the back flow near the entrance happens in single-screw model. It is identified that the location and values of maximum pressure in the twin screw extruder model. It is expected that the Velocity field found can be used to predict the degree of mixture in the extruder barrel.

소득주도성장 패러다임은 여전히 유효한가? (Is the Paradigm of Income-led Growth Still Valid?)

  • 주상영
    • 사회경제평론
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    • 제31권3호
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    • pp.1-27
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    • 2018
  • 본 연구에서는 문재인 정부 출범 후 1년 간 실시된 소득주도 성장정책을 평가하고 소득주도성장의 외연확장 과제를 모색해 보았다. 분수효과를 확대하고 낙수효과를 복원하며, 증세 규모를 뛰어넘는 재정의 확대가 필요함을 강조하였다. 그러나 한국경제가 여전히 풀기 어려운 두 가지 난제는, 인구감소에 따른 저성장의 기본 추세를 되돌리기 어렵다는 점과 한국 특유의 독과점 구조가 고착되어 자원배분의 경화현상이 치유하기 힘들 정도로 악화되었다는 점이다. 소득주도성장론에 입각한 정책이 분배를 조금 개선하는 정도의 노력에 머무른다면 그 효과는 제한적일 것이다. 진정으로 패러다임 전환을 원한다면 소득주도성장의 취지를 살리는 동시에 광범위한 개혁 과제에 도전해야 한다.

심부 대퇴정맥에 발생한 혈관 평활근육종 - 1예 보고 - (Angioleiomyosarcoma Arising from the Deep Femoral Vein - A report of one case -)

  • 황성욱;곡낙수;정호중;손동섭;조대윤
    • Journal of Chest Surgery
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    • 제41권3호
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    • pp.381-385
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    • 2008
  • 두 차례의 좌측 하지 부종이 있던 69세 남자 환자가 심부 정맥 혈전으로 본원에 입원하였다. 처음은 2007년 6월에 유럽 여행에서 귀국 시 11시간 비행 후 좌측 하지 부종이 있었으며, 그 후로 2007년 7월 요추 수술 후 3일만에 다시 좌측 하지 부종이 나타나서 본원에 내원하였다. 입원 후 심부 대퇴 정맥에 발생한 심부 정맥 혈전으로 치료하였으나, 심부 정맥 혈전에 대한 수술 후에 혈관 평활근육종이란 조직 검사 결과를 알게 되어 이차 수술로 심부 대퇴 정맥을 제거하였다. 본원에서는 심부 정맥혈전의 양상을 보인 혈관 평활근육종 1예를 치험하였기에 이에 보고하는 바이다.

2중 성형에 의한 금속판재 딤플의 성형성 향상 (Enhancement of Dimple Formability in Sheet Metals by 2-Step Forming)

  • 김하성;김민수;이형일;김낙수;김동철
    • 대한기계학회논문집A
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    • 제37권7호
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    • pp.841-849
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    • 2013
  • 본 연구에서는, 핵연료 지지격자 딤플 굴곡부에 성형결함을 줄이고자, 1차 스탬핑 금형이 추가된 2-step 스탬핑모델을 제시한다. 우선 순수굽힘 변형률과의 비교로, 딤플 굴곡부 변형률의 특성을 조사한다. 이어 2 차원 1-step 기준 스탬핑 유한요소모델을 정하고 이에 상응하는 최대변형률을 구한다. 1 차 스탬핑 금형의 설계변수들을 각각 변화시켜 변형률에 대한 목적함수를 구하고, 반응표면법을 이용해 1차 스탬핑 금형의 최적 변수값을 선정한다. 다음으로 이를 3차원 모델에 적용해 2-step 스탬핑 모델의 향상된 성형성을 확인한다.

습윤양생 장치를 이용한 아파트 측벽 균열제어에 관한 연구 (Study on the Crack Control Effect of Moist Curing Equipment in Side Wall of Building)

  • 김대건;이동운
    • 한국건축시공학회지
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    • 제17권2호
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    • pp.127-134
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    • 2017
  • 최근 국내 아파트의 외벽 거푸집공사의 경우 대부분 갱폼 시스템을 통해 철근콘크리트 구조체를 시공하고 있다. 이러한 갱폼 거푸집을 사용한 콘크리트의 경우는 거푸집 탈형 후 외부환경에 노출되고 특히, 건조한 봄, 가을과 일사량이 높은 서중시기의 벽량이 많은 아파트 측벽에 다량의 균열이 발생되어지고 있다. 이에, 본 연구에서는 신축 아파트 건설현장 중심으로 균열량이 많은 아파트 측벽부분의 갱폼시스템에 습윤양생 자동설비장치를 적용하여 초기 콘크리트 양생에 필요한 수분을 공급함으로써 콘크리트의 품질확보와 다량의 측벽균열 저감을 통한 습윤양생 자동장치의 효율성 및 활용성을 검토하고자 하였는데, 그 결과, 양생 효과 및 낙수량 고려 시 습윤양생 자동장치에 0.3mm 사이즈의 노즐을 사용하여 살수양생을 실시할 경우, 자원낭비 없이 콘크리트의 품질향상 및 균열저감에 효과적인 것으로 판단되었다.

서울지역 외상성 척수손상환자의 발생률 추정 및 발생관련요인 (Estimation of Incidence Rate and Factors Related to Occurrence of Traumatic Spinal Cord Injury in Seoul)

  • 정낙수;정치경;이원철
    • 한국전문물리치료학회지
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    • 제6권2호
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    • pp.1-15
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    • 1999
  • For the purpose of disclosing estimated annual incidence rate and causative factors of traumatic spinal cord injury and obtaining basic data for the establishment of effective measures to prevent this injury, the medical record of 204 cases of Seoul residents with spinal cord injury which admitted in 46 general hospitals and National rehabilitation center located in Seoul, including Sam Yook Rehabilitation Center and Jung Ang Hospital in Kyungi do and occurred in 1995 were analyzed. The results were as follows: 1) The estimated annual incidence rate of traumatic spinal cord injury in 1995 of Seoul residents was 20.5 per million population. This incidence rate was the highest in the 40th years (34.1), followed by in the 50th years (26.5) and in the 20th years (25.6) in descending order. 2) The incidence rate ratio between male and female was 3.5:1. 3) The leading cause of injury was the highest in traffic accidents (42.2%), followed by falls from elevation (29.4%) and falls on the same level (9.8%). 4) Traffic accident mainly occured from 20th years to 40th years and falls from elevation in 50th years. 5) The level of spinal cord injury was the highest in cervical cord (63.2%), followed by the thoracic cord (21.1%) and lumbosacral cord (15.7%). Traffic accidents mainly caused in cervical cord injury whereas thoracic cord injury and lumbosacral cord injury were caused from falls from elevation. Above theconsiderations in mind, it suggested that in order to prevent traumatic spinal cord injuries, safety education of falls from elevation should be focused on the 20th years and 50th years male, moreover safety education of traffic accidents will be needed in the 30th years and 40th years male.

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