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Single and Double-row Repair in Rotator Cuff Tears (회전근 개 파열의 일열 봉합술과 이열 봉합술)

  • Park, Jin-Young;Choi, Jin-Hyung;Park, Hong-Keun;Yu, Je-Wook;Seo, Joong-Bae
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.89-95
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    • 2006
  • Purpose: Arthroscopic repair of rotator cuff tears are many techniques that have been developed to improve the initial postoperative strength of the repair. There was a doubt that current arthroscopic cuff repairs using a single row of suture anchors reproduce insufficient area of the anatomic cuff insertion, and concerns about failure of fixation often lead surgeons to limit early motion. Newer technique of double-row repair in arthroscopic treatment may provide initial stronger fixation and more contact with bone at the repair site than single-row repair did. We studied the comparison between clinical outcomes of arthroscopic single- and double-row repair in cuff tears at 1year postoperatively. Materials and methods: We retrospectively analyzed 40 shoulders with single-row repair and 38 shoulders with double-row repair of full-thickness rotator cuff tears between May 2002 and October 2004. Out of total 78 shoulders, 42 (54%) were male patients and 36 (46%) were female patients and the mean age at surgery was 56 years. All patients were diagnosed by physical examination and MRI. At 1year' follow-up after operation, we evaluated with the ASES and the Constant scoring system, and measured muscle power of abduction, internal and external rotation of the affected shoulder then compared with each other. Results: Mean ASES scores and Constant scores in double-row repair group improved more than single-row repair group significantly at 1year postoperatively. Muscle power of abduction and internal rotation, especially abduction power, improved more significantly in double-row repair group than in single-row repair. Conclusion: Arthroscopic double-row repair for the full thickness rotator cuff tear may be a superior technique, which showed better clinical outcomes and restoration of muscle power compared with single-row repair at relatively short period of postoperative follow-up. Restoration of footprint close to normal anatomy by double-row repair seems to play an important role in the recovery of muscle strength.

Geochemical Implication of Rare Earth Element Tetrad Effect from a Leucocratic Granite Gneiss in the Imweon Area, Gangwon Province, Korea (강원도 임원지역 우백질 화강편마암에 나타난 희토류원소 테트라드 효과의 지구화학적 의의)

  • Lee, Seung-Gu;Kim, Kun-Han;Song, Yong-Sun;Kim, Nam-Hoon;Park, Kye-Hun
    • The Journal of the Petrological Society of Korea
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    • v.16 no.1 s.47
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    • pp.27-37
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    • 2007
  • Here we discuss a geochemical characterisitc of rare earth element (REE) pattern of a Precambrain leucogranitic gneiss at Imweon, Gangwon Province, Korea. The outcrop includes biotite gneiss xenolith. The leucocratic granite gneiss contacting with biotite gneiss is pegmatitic. However, there is no evidence of contact metamorphism between biotite gneiss and leucocratic-pegmatitic granite gneiss. The leucocratic granite gneiss shows a specific phenomenon of M-type (convex curved) tetrad effect in chondrite-normalized REE patterns with large negative Eu anomaly. The degree of REE tetrad effect in the leucocratic-pegmatitic granitec gneiss is weak and shows partly W-type (concave curved) tetrad effect. The Eu anomaly of leucocratic granite gneiss has close relationship with the degree of tetrad effect as well as Ca/Sr ratio. Our results suggest that the REE tetrad effect from the leucocratic granite gneiss should be formed during differentiation process of granitic magma. We also confirmed that the weathering might affect Eu or Ce anomaly rather than the formation of REE tetrad effect in granitic rock.

A Study of the Anxiety Levels of Hospitalized Psychiatric Patients in Terms of Length of Hospitalization (정신과 입원환자의 입원기간에 따른 불안정도에 관한 연구)

  • 김윤희
    • Journal of Korean Academy of Nursing
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    • v.11 no.1
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    • pp.45-63
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    • 1981
  • This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

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Measurement of an Isoelectric Point and Softness of a EO-PO Adducted Zwitterionic Surfactant (EO-PO가 부가된 양쪽성 계면활성제의 등전점 및 유연력 측정에 관한 연구)

  • Lim, JongChoo;Mo, DaHee;Lee, JinSun;Park, JunSeok;Han, DongSung
    • Korean Chemical Engineering Research
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    • v.50 no.3
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    • pp.455-463
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    • 2012
  • In this study, the measurement of physical properties of ethylene oxide-propylene oxide adducted zwitterionic surfactants were measured such as critical micelle concentration, surface tension, interfacial tension, contact angle, viscosity and foam stability. Also, the dual function characteristics of a zwitterionic surfactant were investigated by determining an isoelectric point, which were obtained using zeta potential measurement and QCM (quartz crystal microbalance) experiments. The isoelectric point of DEP-OSA82-AO zwitterionic surfactant determined by zeta potential measurement was close to that obtained by QCM experiment and both results have shown almost the same trend as that determined by the frictional property measured using an automated mildness tester. In particular, it has been observed that DEP32-OSA82-AO and DEP34-OSA82-AO surfactants provide better softening effect at a pH of acidic or neutral condition than at an alkaline condition. This result indicates that both surfactants act as a cationic surfactant at a pH of acidic or neutral condition and thus provide good softening effect during a rinsing cycle in the detergency process.

Development of an Active Dry EEG Electrode Using an Impedance-Converting Circuit (임피던스 변환 회로를 이용한 건식능동뇌파전극 개발)

  • Ko, Deok-Won;Lee, Gwan-Taek;Kim, Sung-Min;Lee, Chany;Jung, Young-Jin;Im, Chang-Hwan;Jung, Ki-Young
    • Annals of Clinical Neurophysiology
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    • v.13 no.2
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    • pp.80-86
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    • 2011
  • Background: A dry-type electrode is an alternative to the conventional wet-type electrode, because it can be applied without any skin preparation, such as a conductive electrolyte. However, because a dry-type electrode without electrolyte has high electrode-to-skin impedance, an impedance-converting amplifier is typically used to minimize the distortion of the bioelectric signal. In this study, we developed an active dry electroencephalography (EEG) electrode using an impedance converter, and compared its performance with a conventional Ag/AgCl EEG electrode. Methods: We developed an active dry electrode with an impedance converter using a chopper-stabilized operational amplifier. Two electrodes, a conventional Ag/AgCl electrode and our active electrode, were used to acquire EEG signals simultaneously, and the performance was tested in terms of (1) the electrode impedance, (2) raw data quality, and (3) the robustness of any artifacts. Results: The contact impedance of the developed electrode was lower than that of the Ag/AgCl electrode ($0.3{\pm}0.1$ vs. $2.7{\pm}0.7\;k{\Omega}$, respectively). The EEG signal and power spectrum were similar for both electrodes. Additionally, our electrode had a lower 60-Hz component than the Ag/AgCl electrode (16.64 vs. 24.33 dB, respectively). The change in potential of the developed electrode with a physical stimulus was lower than for the Ag/AgCl electrode ($58.7{\pm}30.6$ vs. $81.0{\pm}19.1\;{\mu}V$, respectively), and the difference was close to statistical significance (P=0.07). Conclusions: Our electrode can be used to replace Ag/AgCl electrodes, when EEG recording is emergently required, such as in emergency rooms or in intensive care units.

Study of dynamic mechanical behavior of aluminum 7075-T6 with respect to diameters and L/D ratios using Split Hopkinson Pressure Bar (SHPB)

  • Kim, Eunhye;Changani, Hossein
    • Structural Engineering and Mechanics
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    • v.55 no.4
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    • pp.857-869
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    • 2015
  • The aluminum 7075-T6 is known as an alloy widely used in aircraft structural applications, which does not exhibit strain rate sensitivity during dynamic compressive tests. Despite mechanical importance of the material, there is not enough attention to determine appropriate sample dimensions such as a sample diameter relative to the device bar diameter and sample length to diameter (L/D) ratio for dynamic tests and how these two parameters can change mechanical behaviors of the sample under dynamic loading condition. In this study, various samples which have different diameters of 31.8, 25.4, 15.9, and 9.5 mm and sample L/D ratios of 2.0, 1.5, 1.0, 0.5, and 0.25 were tested using Split Hopkinson Pressure Bar (SHPB), as this testing device is proper to characterize mechanical behaviors of solid materials at high strain rates. The mechanical behavior of this alloy was examined under ${\sim}200-5,500s^{-1}$ dynamic strain rate. Aluminum samples of 2.0, 1.5 and 1.0 of L/D ratios were well fitted into the stress-strain curve, Madison and Green's diagram, regardless of the sample diameters. Also, the 0.5 and 0.25 L/D ratio samples having the diameter of 31.8 and 25.4 mm followed the stress-strain curve. As results, larger samples (31.8 and 25.4 mm) in diameters followed the stress-strain curve regardless of the L/D ratios, whereas the 0.5 and 0.25 L/D ratios of small diameter sample (15.9 and 9.5 mm) did not follow the stress-strain diagram but significantly deviate from the diagram. Our results indicate that the L/D ratio is important determinant in stress-strain responses under the SHPB test when the sample diameter is small relative to the test bar diameter (31.8 mm), but when sample diameter is close to the bar diameter, L/D ratio does not significantly affect the stress-strain responses. This suggests that the areal mismatch (non-contact area of the testing bar) between the sample and the bar can misrepresent mechanical behaviors of the aluminum 7075-T6 at the dynamic loading condition.

Carbonization Patten and Operation Characteristics of a 1Φ 2 W MCCB Damaged by PCITS (PCITS에 의해 소손된 1Φ 2 W MCCB의 탄화 패턴 및 작동 특성)

  • Lee, Jae-Hyuk;Choi, Chung-Seog
    • Fire Science and Engineering
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    • v.28 no.5
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    • pp.8-13
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    • 2014
  • The purpose of this study is to analyze the damage pattern when overcurrent is applied to a thermal magnetic type molded case circuit breaker (MCCB) using a Primary Current Injection Test System (PCITS). When an overcurrent of 150 A was applied to the PCITS for 5 seconds with the trip bar of an MCCB being damaged, it was found that the surface of the temperature control device (bimetallic strip) positioned at the right was significantly carbonized. When an overcurrent of 300 A was applied to the PCITS for 5 s under the same conditions, the entire temperature control device was deteriorated, becoming flattened and in close contact with the MCCB. When an overcurrent of 450 A was applied to the PCITS for 5 s, the coil of the temperature control device was melted and disconnected. In addition, it was observed that the contacts, the enclosure and upper cover were deformed and there was a trace of carbonization on them. When approximately 3 s had elapsed after an overcurrent of 600 A was applied, white smoke occurred inside the MCCB and a flame was radiated out, after which the overcurrent supply stopped with "phutt" (whomp) sound. It was observed that when the same type of MCCB is damaged by a general flame, the surfaces of its handle, terminal, arc divider (extinguisher) and temperature control device were carbonized uniformly. In addition, it was found that the trip bar of the operating mechanism was melted down and the metal operation pin was moved while being tripped.

The Persistent Paresthesia Care on Left Lingual & Buccal Shelf Regions after the Lingual & Long Buccal Nerve Block Anesthesia -A Case Report- (설신경과 장협신경 전달마취 시행 후 발생된 설부와 협선반부의 장기간 이상감각증 관리 -증례보고-)

  • Kim, Ha-Rang;Yoo, Jae-Ha;Choi, Byung-Ho;Mo, Dong-Yub;Lee, Chun-Ui;Kim, Jong-Bae
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.9 no.2
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    • pp.108-115
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    • 2009
  • Trauma to any nerve may lead to persistent paresthesia. Trauma to the nerve sheath can be produced by the needle. The patient frequently reports the sensation of an electric shock throughout the distribution of the nerve involved. It is difficult for the type of needle used in dental practice to actually sever a nerve trunk or even its fibers. Trauma to the nerve produced by contact with the needle is all that is needed to produce paresthesia. Hemorrhage into or around the neural sheath is another cause. Bleeding increases pressure on the nerve, leading to paresthesia. Injection of local anesthetic solutions contaminated by alcohol or sterilizing solution near a nerve produces irritation; the resulting edema increases pressure in the region of the nerve, leading to paresthesia. Persistent paresthesia can lead to injury to adjacent tissues. Biting or thermal or chemical insult can occur without a patient's awareness, until the process has progressed to a serious degree. Most paresthesias resolve in approximately 8 weeks without treatment. In most situations paresthesia is only minimal, with the patient retaining most sensory function to the affected area. In these cases there is only a very slight possibility of self injury. But, the patient complaints the discomfort symptoms of paresthesia, such as causalgia, neuralgiaform pain and anesthesia dolorosa. Most paresthesias involve the lingual nerve, with the inferior alveolar nerve a close second. This is the report of a case, that had the persistent paresthesia care on left lingual & buccal shelf regions after the lingual and long buccal nerve block anesthesia.

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Reinforcing Method for the Protective Capacities of Dispersal and Combat Facilities using Logistic Regression (로지스틱 회귀모형을 활용한 소산 및 전투시설의 방호성능 보강방안 연구)

  • Park, Young Jun;Park, Sangjin;Yu, Yeong-Jin;Kim, Taehui;Son, Kiyoung
    • Journal of the Korea Institute of Building Construction
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    • v.16 no.1
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    • pp.77-85
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    • 2016
  • This study provides the numerical model to assess retrofit and strengthen levels in the dispersal and combat facilities. First of all, it is verified that direct-hitting projectiles are more destructive to the structures rather than close-falling bombs with explosion tests. The protective capacity of dispersal and combat facilities, which are modeled with soil uncertainty and structural field data, is analyzed through finite element method. With structural survivability and facility data, the logistic regression model is drawn. This model could be used to determine the level of the retrofit and strengthen in the dispersal and combat facilities of contact areas. For more reliable model, it could be better to identify more significant factors and adapt non-linear model. In addition, for adapting this model on the spot, appropriate strengthen levels should be determined by hands on staffs associated with military facilities.

Exploring Requirements of the Smart Textiles for Bio-Signal Measurement Based on Smart Watch User Sensibility (스마트워치 사용자감성에 기반한 생체신호측정용 스마트 텍스타일의 요구조건 탐색)

  • Jang, Eunji;Kim, Inhwan;Lee, Eu-Gene;Cho, Gilsoo
    • Science of Emotion and Sensibility
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    • v.20 no.4
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    • pp.89-100
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    • 2017
  • Since smart devices are able to efficiently provide information without barriers of time and location, they are widely utilized with advent of the hyper-connected society. Especially, the smart devices have been developed in the form of wearable devices for mutual interaction between human and objects. Smart clothing, which embeds smart devices within clothes, measures and obtains a variety of bio-signals as it is in close contact with the human bodies. Conventional smart clothing generated wearers' discomfort because they were developed by simple attachment of electronic devices to clothes. Therefore, it is highly recommended to develop novel smart clothing based on smart textiles which integrate electronic devices as parts of textiles. As smart watches are currently the most available wearable devices in the market, smart watch users were selected in this study, for the purpose of investigating core needs of wearable smart device users based on the user experience and user's sensibility. Qualitative research was performed through semi-structured interview in order to obtain detailed answers about user sensibility based on smart watch user experience. After the in-depth interview, the user's sensibility was categorized into four aspects; functional, aesthetic, social, and empirical. Sensibility adjectives and key words were assigned to each aspect and their frequency was analyzed. It was the functional aspect of sensibility that the wearable device users require the most. The results of this study will be utilized as a fundamental data to develop the smart textiles required for the next generation of smart clothing which is attracting as a future wearable device.