• Archives of Hand and Microsurgery
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• v.23 no.4
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• pp.248-253
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• 2018

Purpose: The purpose of this study was to evaluate the clinical results of anatomic reduction of bony mallet finger using modified-intrafocal pinning technique. Methods: From March 2014 to October 2017, 18 patients with bony mallet finger were treated with modified-intrafocal pinning technique. Kirschner-wire was used to directly reduction the bony fragment, and extension block pinning and distal interphalangeal joint fixation were additionally performed to minimize the loss of reduction. Postoperative pain, range of motion, and radiological evaluation were performed. Duration of bone healing, functional recovery and complication rate were evaluated and Crawford's criteria was used to determine functional outcome after surgery. Results: Bone union was achieved in all cases after a postoperative mean of 6 weeks (5-7 weeks). An average of $2.8^{\circ}$ ($0^{\circ}-10^{\circ}$) extension loss occurred in all patients. All patients showed satisfactory joint congruency and reformation of the joint surface, the mean flexion angle of the distal interphalangeal joint at the final follow-up was $72.2^{\circ}$ ($70^{\circ}-75^{\circ}$). According to Crawford's classification, 12 patients (66.7%) were excellent and 6 patients (33.3%) were good. Conclusion: Modified-intrafocal pinning technique is a method of obtaining anatomical bone healing by directly reduction and fixation of the bony fragment. Combined with other conventional percutaneous pinning procedures, it is expected that good results can be obtained if applied to appropriate indications.

• Defense and Technology
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• no.2 s.264
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• pp.54-63
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• 2001

샤를마뉴가 발전시킨 군사 제도 중 핵심 요소는 국경의 요새화된 기지와 도시의 이용에 있었다. 이러한 것은 모든 정복된 지역들의 국경을 따라 구축되어, 국경을 따라 이어진 도로망에 의해 서로 연결되어 있었다. 여기에 추가하여 각각의 소도시들과 연결되는 이전의 국경에 직접적으로 연결되는 도로망이 있었다. 보급품을 저장한 이 요새들은 훈련된 프랑크 기병부대의 기동 기지가 되었고, 정복된 지역들에 질서를 유지하게 하였고, 차후의 작전을 구사하는 프랑크 군의 힘이 되었다.

• 한국연소학회:학술대회논문집
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• 2004.06a
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• pp.329-349
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• 2004

• Proceedings of the Korean Institute of Resources Recycling Conference
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• 2005.10a
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• pp.135-149
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• 2005

• The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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• v.38 no.10
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• pp.33-41
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• 2009

• Journal of Oral Medicine and Pain
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• v.32 no.4
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• pp.441-447
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• 2007

Internal derangement of the temporomandibular joint(TMJ) is defined as an abnormal relationship of the articular disc to the condyle. Mandibular manipulation is one of the conservative treatments to be considered first to manage the patients with anterior disc displacement without reduction. Mandibular manipulation is used to increase articular mobility and to restore the displaced disc into an anatomically normal position. While Farrar's technique has been popularly used, Minagi et al., Mongini and Suarez introduced the manipulation technique conducted by the patients themselves. But there is no study on the efficacy of self-manipulation technique, comparing with conventional one. The aim of this study was to investigate the efficacy of the conventional and self-manipulation technique, which was modified to complement the previously described technique by Minagi et al., in the treatment of patients with anterior disc displacement without reduction. TMD patients, who visited Department of Oral Medicine of Seoul National University Dental Hospital from December, 2002 to November, 2004 and were diagnosed as anterior disc displacement without reduction by TMJ magnetic resonance imaging (MRI) were enrolled. Conservative treatments including physical therapy, exercise, behavioral therapy, stabilization splint therapy, and manipulation therapy were done to every single patient until the symptomsimproved enough to discharge the patient. The charts were reviewed retrospectively according to the type of manipulation. In the results, patients whose maximum mouth opening was more than 40 mm was higher in the self-manipulation group(69.9%) than in the conventional manipulation group(42.9%). But difference between two groups was not significant. According to the fact that we decided to discharge the patients whentheir mouth opening increased to more than 40 mm and subjective symptoms such as pain and discomfort were improved as well, treatment period of discharged patients was significantly shorter in the self-manipulation group($29.2{\pm}12.3$ weeks) than in the conventional manipulation group ($61.0{\pm}38.0$ weeks) (p<0.01). In conclusion, in the treatment of TMD patients with anterior disc displacement without reduction, the self-manipulation technique which is performed by patients themselves is an effective treatment modality for increasing the range of mouth opening and shortening the total treatment period.

• 재활복지
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• v.20 no.4
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• pp.283-299
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• 2016

The purpose of this study was to investigate the effect of dysphagia intervention function and life quality of stroke patients. each 5 patients were randomly assigned in two groups, control group performing indirect feeding and experimental group performing direct feeding. Evaluation of the swallowing function was performed before intervention, after 4weeks and 8 weeks using CDS, PAS with VFSS and quality of life was performed twice, before and after intervention. Two groups showed the improved swallowing function, control group showed the significant difference only in CDS(p<.05). but experimental group showed the significant differenc in CDS and PAS(p<.01). both groups showed the significant improvement in quality of life(p<.05). but in comparison between group, no significant statistical difference were found(p>.05). Therefore, this study showed that both the swallowing function and quality of life were improved as time passed, but swallowing function was much more improved in experimental group.

• Journal of Oral Medicine and Pain
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• v.23 no.3
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• pp.281-288
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• 1998

The authors treated a 30-years old female patient who visited the Department of Oral Medicine, PNUH due to the chief complaint of limitation of mouth opening. The magnetic resonance imaging following clinical examination was used for establishing an accurate and reliable diagnosis and the patient was diagnosed as having anterior disc displacement without reduction in the right joint and anterior disc displacement with reduction in the left joint. For managing acute anterior disc displacement without reduction, mandible manipulation was applied first focusing on pain control and then stabilization appliance was used for maintenance of joint stabilization. With time, the sign and symptom was remarkably reduced and an active exercise program was recommended to maintain of normal muscle length, increase joint range of motion and develop normal coordination arthrokinematics. As a result of treatment, the patient did not complain discomfort of normal daily activities and it was difficult to consider that the displace disc was not reduced completely, but the improvement in range of motion and joint mobility were remarkably found. Therefore, an exercise program should be considered to maintain joint mobility and be effective as a self-care.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.38 no.5
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• pp.497-503
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• 2014

Minimally invasive intramedullary nail insertion or plate osteosynthesis has shown good results for the treatment of long bone fractures. However, directly seeing the fracture site is impossible; surgeons can only confirm bone fragments through a fluoroscopic imaging system. The narrow field of view of the equipment causes malalignment of the fracture reduction, and radiation exposure to medical staff is inevitable. This paper suggests two methods to solve these problems: surgical navigation using 3D models reconstructed from computed tomography (CT) images to show the real positions of bone fragments and estimating the rotational angle of proximal bone fragments from 2D fluoroscopic images. The suggested methods were implemented using open-source code or software and evaluated using a model bone. The registration error was about 2 mm with surgical navigation, and the rotation estimation software could discern differences of $2.5^{\circ}$ within a range of $15^{\circ}$ through a comparison with the image of a normal bone.

• 한국HCI학회:학술대회논문집
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• 2007.02b
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• pp.489-496
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• 2007

u-러닝(u-learning) 체제의 도입은, 다양한 형태의 원격교육을 지원하기 위한 교수-학습 시스템 및 모형을 요구하며, 이에 따라 유무선 인터넷을 이용한 u-러닝 시스템이 지속적으로 개발 적용되어 왔다. 하지만, 현재 운영되고 있는 대부분의 원격교육시스템은 교수자와 학습자간의 지속적인 쌍방향 상호작용 유지의 어려움, 시스템 구축을 위한 경제적 부담, 시스템 운영에 투입되는 교수자의 기술적 소양 부족 등의 문제점을 안고 있다. 이러한 문제점을 해결하기 위해서는 다음 항목에 대한 제고가 필요하다. 첫째, 효율적인 쌍방향 상호작용은 학습자 행동에 대한 지속적인 모니터링 및 피드백, 그리고 교수자의 상시 접속 상태 유지를 전제로 한다. 이는 사이버 교사(cyber tutor)를 이용하는 지능형 학습에 대한 논의로 이어진다. 둘째, 구현될 시스템은 경제성과 재사용성 측면이 고려되어야 하며, 이는 기존의 학교 현장의 인프라를 활용하는 u-러닝 개념의 학습 환경, 즉 이동성 네트워크 구조에 대한 설계가 요구된다. 셋째, 시스템의 직접적인 운영 주체인 일선 교사들의 기술적 소양을 고려할 때, 시스템 구축 및 사용상의 편리성, 학습 진행을 위한 보조적 지원 장치 등이 충분히 전제되어야 한다. 이에 본 연구에서는, 이동성과 내재성의 u-러닝 개념을 포함하고, 지능형 가상 교수자(cyber tutor)에 의한 블랜디드 학습(blended learning)을 도입하며, 사용자의 기술적, 경제적 부담의 제거가 가능한 지능형 u-러닝시스템을 개발하였다. 본 연구에 의해 개발된 시스템은 기존의 네트워크 인프라와 u-러닝의 개념을 통합하는 네트워크 구조, 원격학습을 지원하는 네트워크 화이트보드, 학습 과정의 저장과 해석을 지원하는 스크립트 인터프리터, 학습자 반응에 대한 피드백을 자동 제공할 수 있는 지능형 인터프리터로 구성되었다.