• Journal of Korean Neurosurgical Society
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• v.39 no.6
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• pp.423-426
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• 2006

Objective : There is still debate about the diagnostic efficacy of digital infrared thermographic imaging[DITI], nevertheless, it has been used for the diagnosis of carpal tunnel syndrome[CTS]. We performed comparative study between patient and control groups to investigate the diagnostic value of DITI in CTS. Methods : We studied 27 patients with electrodiagnostically-proven CTS and 18 symptom-free volunteers as a control. We measured thermal difference on DITI in the corresponding regions of the hands and forearms. We statistically analyzed the thermal data using a t-test. Results : The average thermal difference in the diagnosed patient group ranged from $0.0303^{\circ}C$ to $0.2856^{\circ}C$, while that in control group ranged from $0.0611^{\circ}C$ to $0.2878^{\circ}C$. In the CTS patient group, thermal difference between each 2nd finger was higher than that of other regions. However, there was no statistical significance between patient and control groups. Conclusion : We found that the diagnostic value of DITI in CTS was not sufficient. There should be a reconsideration of the usefulness of DITI in CTS.

• Steel and Composite Structures
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• v.45 no.2
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• pp.219-230
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• 2022

The aim of this paper is to study the mechanical behaviors of the cold-formed thin-walled steel and reinforced concrete sandwich composite slab (CTS&RC-SCS) under vertical loads and to develop the calculation methods of its flexural bearing capacity and section stiffness. Two CTS&RC-SCS specimens were designed and manufactured to carry out the static loading test, and meanwhile, the numerical simulation analyses based on finite element method were implemented. The comparison between experimental results and numerical analysis results shows that the CTS&RC-SCS has good flexural capacity and ductility, and the accuracy and rationality of the numerical simulation analysis are verified. Further, the variable parameter analysis results indicate that neither increasing the concrete strength grade nor increasing the thickness of C-sections can significantly improve the flexural capacity of CTS&RC-SCS. With the increase of the ratio of longitudinal bars and the thickness of the composite slab, the flexural capacity of CTS&RC-SCS will be significantly increased. On the basis of experimental research and numerical analysis above, the calculation formula of the flexural capacity of CTS&RC-SCS was deduced according to the plastic section design theory, and section stiffness calculation formula was proposed according to the theory of transformed section. In terms of the ultimate flexural capacity and mid-span deflection, the calculated values based on the formulas and the experimental values are in good agreement.

• Journal of Korean Society of Transportation
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• v.30 no.2
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• pp.29-42
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• 2012

Recently, traffic congestion has become serious due to increase of private car usages. Carsharing or other innovative public transportation systems were developed to alleviate traffic congestion and carbon emissions. These measures can make the traffic environment more comfortable, and efficient. Cloud Transportation System (CTS) is a recent carsharing model. User can rent an electronic vehicles with various traffic information through the CTS. In this study, a concept, vision and scenarios of CTS are introduced. And, authors analyzed the location of CTS rental stations and estimated CTS demands. Firstly, we analyze the number of the population, employees, students and traffic volume in study areas. Secondly, the frequency and utilization time are examined. Demand for CTS in each traffic zone was estimated. Lastly, the CTS rental station location is determined based on the analyzed data of the study areas. Evaluation standard of the determined location includes accessibility and density of population. And, the number of vehicles and that of parking zone at the rental station are estimated. The result suggests that Haewoondae Square parking lot would be assigned 11 vehicles and 14.23 parking spaces and that Dongbac parking lot be assigned 7.9 vehicles and 10.29 parking spaces. Further study requires additional real-time data for CTS to increase accuracy of the demand estimation. And network design would be developed for redistribution of vehicles.

• Journal of Acupuncture Research
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• v.34 no.3
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• pp.139-152
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• 2017

Objectives : This study reports the clinical effects of miniscalpel needle therapy in patients with carpal tunnel or tarsal tunnel syndrome. Methods : Three patients with carpal tunnel syndrome (CTS) or tarsal tunnel syndrome (TTS) (first case, patient with CTS and TTS; second case, patient with CTS; and third case, patient with TTS) were treated with miniscalpel needle (MSN) therapy and integrative Korean medical treatment. The Numeric Rating Scale (NRS), Neuropathic Pain Scale (NPS), Boston scale score, and AOFAS (American Orthopaedic Foot and Ankle Society) ankle-hindfoot score were measured. Results : In general, outcome measures after treatment showed improvement in all cases. In the first case (CTS and TTS), scores on the NRS, NPS, and Boston scale decreased, and AOFAS ankle-hind foot scores increased. In addition, Tinel's sign showed improvement. In the second case (CTS), scores on the NRS, NPS, and Boston scale, and Tinel's sign, were decreased. In the third case (TTS), scores on the NRS and NPS, and Tinel's sign, showed improvement, and AOFAS ankle-hind foot scores were increased. Conclusion : These results suggest that MSN therapy has a meaningful clinical effect in CTS and TTS.

• Annals of Clinical Neurophysiology
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• v.6 no.2
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• pp.98-102
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• 2004

Background: Carpal tunnel syndrome (CTS) is a common condition characterized by entrapment neuropathy of the median nerves. Clinical manifestations are the most important findings for diagnosis and assessment of therapeutic effects. But, objective indicators, such as electrophysiological findings, are also valuable supplementary tools. This study investigated the relationship between clinical grading and sensory nerve conduction velocity (SNCV) of median proper palmar digital nerve (MPPDN) in CTS patients. Method: This study was done on 90 upper limbs of 53 patients with CTS (men: 6, women: 47, age: 26~69 years, mean age; 52 years). Each SNCV of MPPDN was recorded with bar electrode using antidromic method. Each SNCV was compared with clinical grading of CTS. The clinical grades of CTS were designated as follows; group 1 is mild symptoms, 2 is moderate symptoms, and 3 is severe and longstanding symptoms. Result: In thumb, the SNCV of MPPDN was not different significantly between 3 groups (p=0.817). In the index finger, the SNCV was the fastest in the group 1, but faster in group 3 than in group 2 (p=0.001). In the middle and ring fingers, SNCV was decreased in higher clinical grading groups (middle finger: p=0.015, ring finger: p=0.044). Conclusion: SNCV of MPPDN of middle and ring finger correlated with the clinical grading of CTS. SNCV of index finger was the fastest in group 1. But SNCV of thumb did not correlate with the clinical grading of CTS.

• Journal of KIISE:Computing Practices and Letters
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• v.10 no.5
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• pp.385-393
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• 2004

Cluster systems have been widely used for solving problems in various application domains, and regarded as useful high performance computing resources. As the number of cluster system user is increasing, it is no less important to maintain stable operation than to improve cluster system performance. Although hardware preventive maintenance is important for keeping normal operation, the testing tool which can be used for general cluster systems during maintenance has received little attention. In this Paper, considering hardware Preventive maintenance, we suggest a testing tool for hardware of cluster system. The cluster system testing tool which is named CTS(Cluster system Test Suite) has two check routines; one for memory, and the other for NIC respectively. The CTS is designed to support the common features of general cluster systems and all the Jobs such as setting test conditions to querying the results can be done entirely within an integrated GUI environment. CTS is used as the testing tool for two kinds of cluster systems during maintenance, and the experimental results show that CTS reports useful information for cluster systems management.

• Molecular & Cellular Toxicology
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• v.2 no.4
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• pp.266-272
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• 2006

Carpal tunnel syndrome (CTS) is one of the most common disorders by under pressure of the median nerve at the wrist in these days. However, pathological mechanism of CTS is unknown. We carried out this study to identify the changes of gene expression and to evaluate possible mechanism in CTS. 120 CTS patients and 30 control patients were included in this study. Patients with a history of diabetes, hypertension, thyroid diseases, and arthritis were excluded. CTS patients were divided to three experimental groups-Mild, Moderate, and Severe group-according to elecrodiagnosis. Radioactive cDNA microarrays (Nylon membrane including 1,152 genes) were used to examine the difference of gene expression profile in CTS. We identified up-regulated genes by more than 2.0 value of z-ratio, and down-regulated genes by less than-2.0 value of z-ratio. 20 genes such as the ITGAL, ITGAM, PECAM1, VIL2, TGFBR2, RAB7, RNF5 and NFKB1 were up-regulated, and 28 genes such as PRG5, CASP8, CDH1, IGFBP5, CBX3, HREV107, PIN, and WINT2 were down-regulated. These genes were related with TGF beta signaling pathway, NF-Kb signaling pathway, antiapoptotic pathway and T cell receptor signaling pathway. However, there were no differences in gene expression profiles according to severities of symptoms. We suggest that CTS could be related with proinflammatory mechanism and antiapoptotic mechanism.

• Journal of Pharmacopuncture
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• v.24 no.4
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• pp.153-164
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• 2021

Objectives: Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-to-moderate CTS to identify clinical evidence for the use of MA in CTS. Methods: We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results: We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in posttreatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 (Daereung) was used to treat CTS in all of the included studies. Conclusion: MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.

• Annals of Clinical Neurophysiology
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• v.23 no.2
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• pp.99-107
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• 2021

Background: Pain and autonomic dysfunction are prominent symptoms in some patients with carpal tunnel syndrome (CTS). Infrared thermography (IRT) has been used to evaluate CTS by measuring the cutaneous temperature and sympathetic vasomotor function. Methods: This study enrolled the 66 hands of 33 subjects, some of which had clinical CTS and the others were healthy. The enrolled patients completed the Boston Carpal Tunnel Questionnaire (BCTQ) and Historical-Objective scale, and underwent nerve conduction studies (NCSs) and IRT. Skin temperature was measured at the fingertips and the thenar and hypothenar regions in each hand. We analyzed (1) the correlations between self-reported severity, physician-assessed severity, and test results, and (2) the sensitivity and specificity of IRT in diagnosing CTS. Results: No significant correlation was observed between the results of the BCTQ, NCS, and IRT. IRT had a low sensitivity and high specificity in diagnosing CTS. Conclusions: IRT cannot replace NCS in diagnosing CTS, nor did it provide an advantage in combination with NCS. However, lower temperatures at the median nerve in some hands with moderate-to-severe CTS suggested the involvement of sympathetic nerve fiber function. Follow-up studies with a larger-scale and complementary design are required to elucidate the relationships.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.27 no.7
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• pp.1217-1226
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• 2003

The purpose of this paper is to investigate fatigue crack behavior under shear(Mode II) loading. Various specimens and devices have been used in order to produce Mode II loading in fatigue experiments for shear crack propagation. But, there is not sufficient comparisons of experimental results between Mode II and others loading modes, because of characteristics of applied loads and specimens. So, compact tension shear(CTS) specimens were used in this paper to investigate the propagation behavior of Mode II by comparing the experimental results between loading modes. We firstly observed the characteristics which was showed in Mode II experiment using CTS specimens. The experimental results under Mode II loading were compared with fatigue crack behavior under Mode I and Mixed-mode I＋II loading. The characteristics for initiation and propagation behavior under Mode II loading was investigated by such comparisons.