• Title/Summary/Keyword: 운동부

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Development of an Intelligent Legged Walking Rehabilitation Robot (지능적 족형 보행 재활 보조 로봇의 개발)

  • Kim, Hyun;Kim, Jung-Yup
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.9
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    • pp.825-837
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    • 2017
  • This paper describes a novel type of a walking rehabilitation robot that applies robot technologies to crutches used by patients with walking difficulties in the lower body. The primary features of the developed robot are divided into three parts. First, the developed robot is worn on the patient's chest, as opposed to the conventional elbow crutch that is attached to the forearm; hence, it can effectively disperse the patient's weight throughout the width of the chest, and eliminate the concentrated load at the elbow. Furthermore, it allows free arm motion during walking. Second, the developed robot can recognize the walking intention of the patient from the magnitude and direction of the ground reactive forces. This is done using three-axis force sensors attached to the feet of the robot. Third, the robot can perform a stair walking function, which can change vertical movement trajectories in order to step up and down a single stair according to the floor height. Consequently, we experimentally showed that the developed robot can effectively perform walking rehabilitation assistance by perceiving the walking intention of the patient. Moreover we quantitatively verified muscle power assistance by measuring the electromyography (EMG) signals of the muscles of the lower limb.

Treatment of Tibial Fractures by Interlocking Intramedullary Nailing (Interlocking Intramedullary Nail을 이용한 경골 골절의 치료)

  • Jung, Kwang-Yeoung;Lee, Dong-Chul;Suh, Jae-Sung;Kim, Se-Dong
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.388-399
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    • 1993
  • The adequate treatment of tibia fracture is one of the most difficult due to severe commiuntion, open wound, delayed union, angulation deformity and infection. We treated 38 fractures of the tibia by Interlocking intramedullary nail from Feb. 1983 to Mar. 1993, 35 cases of the tibia fracture were fresh, 13 cases of fracture were open. The other 3 cases were delayed union and nonunion. The Mean follow-up was 14.0 months. The results were as followings. 1. Of the 38 fractures, 37 fractures united and the mean union time was 18.7 weeks. 2. Interlocking intramedullary nail could be used to the majority of fractures of the proximal & distal tibia shaft fractures. 3. The Interlocking nail had rigid rotational stability and was appropriate for the treatment in severe unstable fractures, commninution and open with bone loss. 4. Delayed union or nonunion was a good indication for intramedullary nailling. 5. The major complication were valgus deformity of 2 cases, varus deformity of 1 case, 1 case deep infection. 6. Interlocking intramedullary nailing provided rigid fixation of fracture and then made early joint motion exercise and ambulation.

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Two-Bundle Anterior Cruciate Ligament Reconstruction with Single Femoral Tunnel and Tibialis Anterior Tendon Allograft (단일 대퇴 터널과 전경골 동종건을 이용한 이중 다발 전방십자인대 재건술)

  • Kim, Yeung-Jin;Chae, Soo-Uk;Yang, Jung-Hwan;Lee, Ji-Wan;Shim, Sung-Woo
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.107-113
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    • 2010
  • Purpose: To evaluate the outcome of the two-bundle anterior cruciate ligament reconstruction with single femoral tunnel and tibialis anterior tendon allograft and to determine any functional advantages. Materials and Methods: From June 2006 to March 2008, we performed single femoral tunnel and two-bundle ACL reconstruction with tibialis anterior tendon allograft in 26 cases. Mean age was 35.5 years. 20 cases were male and 6 cases were female. Average follow-up period was 2 years and 5 months, range from 1 year to 3 years and 5 months. Subjective and objective parameters were utilized in analyses, such as the mean range of motion, Lysholm knee score, Tegner activity score, Lachman test and IKDC score. Results: Postoperative mean Lysholm knee score, IKDC Evaluation Form, Tegner activity scale, Pivot shift test, and anterior displacement by the Telos stress test demonstrated statistically significant differences compared to the preoperative. Conclusion: Two-bundle anterior cruciate ligament reconstruction with single femoral tunnel showed good clinical results and was good operative technique.

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Analysis of Lateral Meniscus Injury - Non-discoid versus Discoid - (외측 반월상 연골 손상의 분석 - 비원판형과 원판형의 비교 -)

  • Cho, Sung-Do;Go, Sang-Hun;Jung, Kwang-Hwan;Cha, Jae-Ryong;Lee, Chae-Chil;Youm, Yoon-Seok;Seo, Dong-Kyo
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.2
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    • pp.122-127
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    • 2007
  • Purpose: To know about the clinical characteristics such as causes, types, associated injuries and treatment of the lateral meniscus injuries. Materials and Methods: Retrospective analysis was performed for 129 lateral meniscus tears which were divided into 2 groups, Non-discoid and Discoid. Analysis included age and sex distribution, causes of injury, types and location of tear, associated injuries, and methods of treatment. Results: Both Non-discoid and Discoid were prevalent in man and Discoid group was equally distributed through 2nd to 5th decades and Non-discoid group was more prevalent in 4th to 5th decades. Sports injury was the most common cause in both groups and the Nondiscoid group tended to sustain minor injuries compared to Discoid group. Complex tear and body was most common type and site of tear in both groups. Associated injuries were common in Non-discoid group and isolated injuries were common in Discoid group. Partial meniscectomy was commonly done in Non-discoid group and subtotal meniscectomy in Discoid group based on the types of tear. Conclusion: Non-discoid and Discoid lateral meniscus injuries are similar in types and sites of injuries but different in causes of injury, associated injuries and methods of treatment. Therefore, proper diagnosis and treatment would be necessary according to the characteristics.

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Needs for Integrated Care for Older Adults in Seoul (서울특별시 지역사회 거주 노인의 통합돌봄 요구)

  • Kim, Hyeongsu;Ko, Young;Son, Miseon
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.177-187
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    • 2020
  • The purpose of this study was to classify the care needs of the older adults aged 65 and over and to identify characteristics of care need groups. This was a secondary analysis study using data from 2017 National Survey of Older Persons in Seoul. There were 50.4% in the general group without any support needs, 17.9% in the medical needs group, 14.2% in the welfare needs group with support needs of daily living or social activity, and 17.5% in the complex needs group with both medical and welfare needs. Significant differences were shown in most variables of the general characteristics, grading of long-term care or disability, financial burden and caregiving, health behaviors, health status, and life satisfactions among groups (p<.001). The complex care need group should be provided with integrated care service for medical and welfare through multidisciplinary team approach.

기기냉각수 최저온도와 정지냉각계통 유량조절밸브 개도에 관한 설계분석

  • 김도현;이중섭;오종필;오광석
    • Proceedings of the Korean Nuclear Society Conference
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    • 1995.10a
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    • pp.444-449
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    • 1995
  • 한국형 표준 원자력발전소의 정지냉각운전시 최대냉각율은 75$^{\circ}$F/hr(41.7$^{\circ}C$/hr)로 기술사양서에 규정되어 있다. 정지냉각운전 냉각율에 가장 큰 영향을 미치는 2가지 중요한 변수는 정지냉각계통 열교환기를 지나는 원자로냉각재 유량과 기기냉각수의 온도다. 이중 열교환기를 지나는 원자로냉각재 유량은 butterfly형 정지냉각계통 유량조절밸브의 개도에 의하여 조절되는데 개도에 따른 throttle 능력이 중요한 인자다. 또 기기냉각수의 온도는 해수온도의 변화에 따라 편차가 발생하므로 유량조절밸브의 개도와 기기냉각수 온도의 상관관계에 따라 냉각능력이 달라진다. 본 논문에서는 현 울진 3&4호기 정지냉각계통 열 교환기 및 조절밸브 둥의 설비를 기준으로 기술사양서 상의 냉각율 75$^{\circ}$F/hr(41.7$^{\circ}C$/hr) 유지가 가능한 최저 기기냉각수의 온도를 찾아보았고, 아울러 기기냉각수의 온도와 조절밸브의 개도 사이의 관계를 조사하였다. 그 결과 현재의 울진 3&4호기 조절밸브를 최저개도로 조절할 때 약 57$^{\circ}$F(13.9$^{\circ}C$)의 기기냉각수가 공급되어도 냉각율 제한치를 넘지 않는 것으로 분석되었다. 한편, 최저조절가능 유량이 약 2000 gpm(7570 l/min)일 경우에는 낮은 기기냉각수가 공급될 경우 최대냉각율을 초과하므로 한 train을 정지시키고 한 train만으로 운전할 것을 고려하여야 할 것으로 보인다. 이 경우 최저 약 56.5$^{\circ}$F(13.6$^{\circ}C$)의 기기냉각수가 공급되어야 한다. 본 논문의 분석결과는 향후 기기설계사양서나 운전지침서 등에 반영되어 실제 발전소 설계 및 운전절차 수립에 기여할 수 있을 것으로 생각된다.공감대의 형성이 요구된다. 질적 측면에서는 공원 녹지의 기능성의 회복이라는 측면과 시대에 부합되는 새로운 기능 및 가치의 부여가 필요하며, 이를 위해서는 공원의 매력, 공원의 시설기능 증진, 녹지의 질의 향상 및 녹지 가치의 증진에 대한 다양한 시책이 요구된다. 구성적 측면에서는 공원녹지의 개별적 존재보다는 공원 녹지를 상호간 유기적인 계통을 확보하여 공원 녹지의 네트워크를 형성하여 도시 속의 산재된 고립된 섬으로서의 공원 녹지가 아닌 시민생활에 늘 가까이 있는 생활 속의 공원녹지로 재편되어야 한다. 이러한 정책의 의제는 양적 측면에서 보전(CONSERVATION)과 창출(CREATION), 질적 측면에서 쇄신(RENOVATION)과 복구(RESTORATION), 그리고 구성적 측면에서 공원 녹지의 연결(CONNECTION)과 시민 참여에 의한 운동(MOVEMENT)이라는 정책 개념의 구현을 통해 가능하다. 이러한 정책 개념과 의제를 가지고 서울시 공원 녹지 정책을 구체화시키기 위해서 푸르름의 새로운 탄생이라는 기치 아래 풍요로운 서울, 사랑 받는 공원, 생활 속의 녹지의 3대 목표, 공원 녹지의 보전, 잠재 공원 녹지의 창출, 공원의 활성화, 녹지의 복구, 경관 보전 및 복구, 공원 녹지의 네트워크, 도시 녹화의 7대 과제를 설정하고 미시설 공원 녹지 집행, 개발 사업시 공원 녹지의 확보, 환경 녹지의 총량 보호 관리, 도시 소공원 개발, 역사 문화 공원 조성, 하천 공간 복원, 공원 시설 기능 개선, 이용 프로그램 개발, 공원 관리 개선, 환경 피해 녹지의 회복, 도시 환경 림 조성, 녹지 기능 증진, 도시 자연 경관 보전, 공원 녹지체계 구성, 공원 녹지 공급 균형, 주변 환경 녹화, 가로 녹화의 17개 시책을 제안하였다. 이러한 정책사업의 원활한 추진을 위해서는 기존의 관주도의 일방적인 공원 녹지 행정이 아닌 시민의 참여를 통한 시민이 함께 하는 정 책 사업의 추진이 요구되며, 특히 민간 부문의

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Geological Structure of the Jirisan Metamorphic Complex of the Yeongnam Massif in the Hwagae Area, Korea (화개지역에서 영남육괴 지리산 변성암복합체의 지질구조)

  • Lee, Deok-Seon;Kang, Ji-Hoon
    • The Journal of the Petrological Society of Korea
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    • v.22 no.4
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    • pp.251-261
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    • 2013
  • Hwagae area, which is situated in the southeastern part of the Jirisan province, Yeongnam massif, Korea, is mainly composed of Precambrian Jirisan metamorphic rock complex (JMRC). Lithofacies distribution of the Precambrian constituent rocks mainly shows NS-trending tight fold and EW-trending open fold. This paper researched deformational phased structural characteristics of JMRC based on the geometric and kinematic features and the forming sequence of multi-deformed rock structures, and suggests that the geological structure of this area was formed through at least three phases of ductile deformation. (1) Most of structural elements related to the $D_1$ deformation were recognized as $S_{0-1-2}$ composite foliation which was transposed by the $D_2$ deformation. (2) The $D_2$ deformation occurred under the EW-directed tectonic compression, and formed the NS-trending $F_2$ fold and $D_2$ ductile shear zone which is (sub)parallel to the axial plane of $F_2$ fold. (3) The $D_3$ deformation occurred under the NS-directed tectonic compression, and partially reoriented the pre-$D_3$ structural elements into ENE or WNW direction. It indicates that the distribution of Precambrian lithofacies showing NS and EW-trending folds in the Hwagae area is closely associated with the $D_2$ and $D_3$ deformations, respectively.

Osteosarcoma in an 8 Month-Old Infant treated with Limb Sparing Operation (8개월된 유아 골육종 환자에서의 사지 보존술)

  • Kim, Jae-Do;Kwon, Young-Ho;Kang, Myung-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.1
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    • pp.100-104
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    • 2005
  • Osteosarcoma is the most common tumor in malignant bone tumors. The peak age incidence in osteosarcoma is between 10 to 14 years of age. This tumor rarely develops under 6 years of age and the youngest patient in the previous literature was a 13 months old girl who had an osteosarcoma involving the second metacarpal bone. We report a case of an 8 month old male infant, who had an osteosarcoma involving the right proximal tibia. This patient was treated by wide excision with transepiphyseal resection and reconstruction with allograft. At 20 months after operation, the varus deformity was developed at the proximal junctional site of allograft. Thereafter, the revision was performed with correction of deformity and augmentation with the proximal fibula transfer. At 51 months after operation, he has been remained as free of disease, and he has recovered the knee motion ranged from 15 degree to 75 degree. The osteosarcoma in infant is very rare but it should be considered the osteosarcoma in the differential diagnosis of any bone lesion. Instead of amputation, the limb sparing operation and the solutions for limb length inequility in growing period should be carefully considered in the infantile osteosarcoma.

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Full mouth Rehabilitation in a Patient with Occlusal Collapse with Vertical Dimension Increase (교합 붕괴 환자에서 수직 고경을 증가한 보철 수복 : 증례 보고)

  • Jo, Si-Hoon;Jeong, Su-Yang;Nam, Hyun-Seok;Song, Kwang-Yeob;Park, Ju-Mi;Ahn, Seung-Geun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.477-482
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    • 2010
  • In a case of multiple posterior teeth loss, antagonistic teeth extrude to the edentulous space and compensatory occlusion on the remained anterior teeth leads to occlusal trauma. Extrusion of antagonistic teeth breaks down occlusion plane and loss of posterior support bring about severe wear of remained teeth. In this situation, it is needed to restore remained teeth and edentulous space by increasing vertical dimension to obtain prosthodontic rehabilitation space and to correct occlusion plane. In this case report, the patient had a masticatory problem with loss of posterior teeth support and an esthetic problem of shortened anterior teeth. Before the tooth preparation for the prosthodontic restoration, the patient used removable device for 2 months to increase vertical dimension reversibly. After that, he got provisional fixed restoration with irreversible tooth reduction and used it for 3 months. It had spent 5 month to evaluate the adaptation state on final restoration with incresed vertical dimension. The increasing amount was 3 mm, which was relatively in less degree and masticatory system adapted to the increased vertical dimension without any pathologic changes. Final restoration was made to have equal-intensity contacts on all teeth in a verifiable centric relations and immediate disclusion of all posterior contacts the moment the mandible moves in any direction from centric relation. In addition, metal occlusion surface on posterior teeth was applied to prevent excessive muscle activation, occlusal trauma and the porcelain fracture.

A Study on the Ship Channel Design Method using Variable Bumper Area Model (I) (가변범퍼영역모델을 이용한 항로설계기법(I))

  • Jeong Dae-Deug;Lee Joong-Woo
    • Journal of Navigation and Port Research
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    • v.29 no.1 s.97
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    • pp.9-15
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    • 2005
  • To design ship channel is one of important factors for planning and developing a port. In most case, the core factors for designing ship channel are the layout and width of channel provided the net underkeel clearance is secured to be safe enough to pass. In this study, Variable Bumper Area(VBA) model is applied to design and assess ship channel. This model reflects ship's particular, ship domain theory, ship speed and mariner's ship handling skill and experience, especially external forces which cause leeway, set and drift and the change of ship maneuvering characteristics. A real time, full mission shiphandling simulator is used to analyze ship dynamic data according to mariner's ship control, external forces, ete. This model defines Domain degree and Domain-index for assessing the efficiency and safety of the channel. The proposed model is applied to Ulsan new port plan which has a channel width of 1.5 times the length of the largest vessel, a radius of 5 times the length of the largest vessel in a curve of 57 degree centerline angle and SBM facility adjacent to the lateral edge of channel. The result of this study shows that the width of the channel and radius of channel curve are suitable for the target ship but the difficulty of ship handling is caused by the large course change and SBM located in the vicinity of channel.