• 대한족부족관절학회지
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• 제25권1호
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• pp.10-16
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• 2021

Evidence-based papers on the treatment of some chronic tendinopathy or ligament lesions using an injection in foot and ankle disorders have been reported, but there are few reports on the treatment of acute ankle ligament injury. On the other hand, some papers have reported a faster return to play for injection therapy that combines RICE (Rest, Icing, Compression, and Elevation) treatment and rehabilitation. Injection therapy can be used as an additional treatment for ankle ligament injury. Rather than having narrow-minded thinking about these treatments, it is important to make efforts to verify the safety and precautions of treatment and recognize them as a category of normal treatment. Continuous analysis and monitoring of these treatments can satisfy patients whose needs are changing rapidly.

• 도시과학
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• 제11권2호
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• pp.19-24
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• 2022

Conventional RC beams for crossing small and medium-sized rivers do not have a cross-sectional area, so the floating debris is accumulated and disasters such as damage to bridges occur. To improve this, the PSC method was invented. However, this also had problems such as transverse curvature, increase in dead weight due to cross-sectional shape, and negative moment generated during serialization, so it was necessary to develop a new type of girder. Therefore, it was intended to propose a LIT(Leton Interaction Thrust) girder bridge that is safer and has better performance than the conventional PSC girder with improved section efficiency. Unlike existing girder bridges, the LIT girder has the feature that the change in the strands of the entire girder occurs only in the vertical direction when the first tension is applied because the tendon arrangement is symmetrical by applying the raised portion. In addition, slab continuation generates a secondary moment that is advantageous to the continuous point, effectively controlling the negative moment and preventing the corrosion of the tendon. The dimensions of the cross section were determined, and the arrangement of the strands was designed to conduct structural analysis and detailed analysis. As a result of the structural analysis, the stress of the girder showed results within the allowable compressive stress, and the deflection showed the result within the allowable deflection. showed results. In addition, a detailed analysis was performed to examine the stress distribution around the girder body and the anchorage area and the stress distribution of the embossed portion, and as a result, the stress of the girder body due to the tension force showed a stable level.

• 콘크리트학회논문집
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• 제27권1호
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• pp.29-35
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• 2015

최근 연구되고 있는 해상 초대형 부유 콘크리트 구조물의 제작은 현장 타설이 어렵다는 단점이 있으므로 프리캐스트 콘크리트로 제작한 모듈을 수상에서 인양 후 프리스트레스력으로 접합 및 제작하는 것을 목표로 한다. 그러나 해상 환경에서 발생하는 다양한 하중 및 예상되는 상부 구조물에 의한 하중을 고려하였을 때, 프리스트레스력으로 접합되는 콘크리트 모듈 간의 접합부의 안정적인 거동 및 성능이 요구된다. 이에 프리스트레스력이 적용되기 전 가접합에 수중용 에폭시를 이용한 접합 방법이 고려되고 있는데, 수중용 에폭시는 고점성의 재료로서 내부에 공극이 발생하기 쉽다. 이를 해결하기 위하여 마이크로 실리카를 혼입하여 공극을 감소시킨 수중용 에폭시를 이용하여 콘크리트 부유체의 접하 거동에 대한 평가가 요구된다. 그러므로 이번 연구에서는 마이크로 실리카를 혼입한 수중용 에폭시를 이용하여 가접합하고 프리스트레싱을 적용한 시험체를 제작하여 성능을 평가하였다. 마이크로 실리카를 혼입한 수중용 에폭시로 접합된 콘크리트 모듈은 프리스트레싱만을 적용한 시험체에 비하여 균열 발생 및 응력 집중 현상이 완화되었으며, 최대 하중 및 변위는 일체형 RC 시험체에 비하여 10% 미만의 감소율을 나타내어 모듈형 콘크리트 부유체의 수상 접합을 위한 안정적인 접합재료로 사용 가능할 것으로 보인다.

• 한국공간구조학회논문집
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• 제17권4호
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• pp.149-157
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• 2017

An innovative analysis method is proposed in this paper for the determination of ultimate resistance of prestressed concrete beams. The proposed method can be applied to simply supported or continuous beams in a unified manner whether structure and external loads are symmetric or not. Through the iterative nonlinear strain compatibility solutions, this method can also be applied to the non-prismatic section/un-symmetrical composite structures under moving load. The conventional studies have used the failure criteria when the strain of concrete reaches 0.003. However compared with bonded case, the value of strain in the reinforcement is much smaller than bonded case, thus, unbonded prestressed cases show compressive failure mode. It is shown that the proposed method gives acceptable results within 5% error compared with the prior experimental results. It can be shown that the proposed method can reach the solution much faster than typical three-dimensional finite element analysis for the same problem. This method is applicable to the existing unbonded prestressed members where deterioration has occurred leading to the reduced ultimate resistance or safety. In all, the proposed procedure can be applied to the design and analysis of newly constructed structures, as well as the risk assessment of rehabilitated structures.

• Clinics in Shoulder and Elbow
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• 제7권1호
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• pp.41-45
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• 2004

In adhesive capsulitis of the shoulder of no response to nonoperative treatment, an arthroscopic capsular release and manipulation improves range of motion and pain relief. We performed an arthroscopic examination in the stiff shoulder, of which she had no response to nonoperative treatment, after the conservative treatment of a clavicular shaft fracture by motorcycle-driver traffic accident. We found the intra-articular 'rotator interval bridging scar adhesion' between subscapularis tendon and antero-superior glenoid fossa under the rotator interval which was no adhesion and contracture itself. We performed the scar adhesion removal and synovectomy, maintaining the rotator interval. We recommended nonsteroidal anti-inflammatory drug for postoperative pain relief and continuous active and passive range of motion (ROM) exercise to gain motions. Preoperatively, active and passive range of motion were 70° for forward elevation, 60° for abduction and especially 0° for external rotation. After postoperative 2 months, active ROM were 150° for forward elevation, 130° for abduction and 80° for external rotation. After postoperative 6 months, passive and active ROM were full. UCLA score improved from preoperative 9 points to postoperative 29 points.

• 척추신경추나의학회지
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• 제5권2호
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• pp.151-158
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• 2010

Objective : SLAP is rupture of biceps brachii muscle tendon and it's origin, posterior side of superior labral to anterior glenoid fossa. Snapping and Pain, instability are its typical symptoms. SLAP is physical damage so surgeons use arthroscopy. In point of surgeons view, a conservative medicine is not effective for lesion of labrum. So In this article, we report a result of conservative treatment for the amatuer baseball player diagnosis with type 2 superior labral anterior posterior lesion. Methods : In this case, patient played amatuer baseball for 2 years, had diagnosis with type 2 Superior labral anterior posterior lesion by MRI after right shoulder Injury. OS recommened arthroscopy surgery. But he receive conservative Korean medicin treatment in Korean medicine hospital, including Atx, BV, herbal acupunture and rehabilitation excersise. Results : After 6 months, in the end of continuous conservative treatment and rehabilitation excersise, patient can play baseball normally, and felt a little pain. But In physical examination, he still has a some abnormal signs. Conclusion : A Conservative treatment for an amatuer baseball player diagnosis with SLAP type 2 was effective in restore of fuctional activities, but usefulness of this treatment needs more study.

• Anatomy and Cell Biology
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• 제57권2호
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• pp.288-293
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• 2024

The temporal fascia is a double lamina sandwiching a thick fat layer above the zygomatic bony arch. To characterize each lamina, their developmental processes were examined in fetuses. We observed histological sections from 22 half-heads of 10 mid-term fetuses at 14-18 weeks (crown-rump length, 95-150 mm) and 12 near-term fetuses at 26-40 weeks (crown-rump length, 215-334 mm). The superficial lamina of the temporal fascia was not evident at mid-term. Instead, a loose subcutaneous tissue was attached to the thin, deep lamina of the temporal fascia covering the temporalis muscle. At near-term, the deep lamina became thick, while the superficial lamina appeared and exhibited several variations: i) a mono-layered thick membrane (5 specimens); ii) a multi-layered membranous structure (6) and; iii) a cluster of independent thick fasciae each of which were separated by fatty tissues (1). In the second and third patterns, fatty tissue between the two laminae was likely to contain longitudinal fibrous bands in parallel with the deep lamina. Varying proportions of the multi-layered superficial lamina were not attached to the zygomatic arch, but extended below the bony arch. Whether or not lobulation or septation of fatty tissues was evident was not dependent on age. The deep lamina seemed to develop from the temporalis muscle depending on the muscle contraction. In contrast, the superficial lamina developed from subcutaneous collagenous bundles continuous to the cheek. Therein, a difference in development was clearly seen between two categories of the fasciae.

• 대한토목학회논문집
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• 제26권3D호
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• pp.499-509
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• 2006

프리캐스트 콘크리트 바닥판은 일반적인 현장타설 바닥판과 비교할 때 많은 장점을 가지고 있으며, 최근 국내에서도 도로교의 노후 바닥판 교체 공사 및 신설 도로교에 성공적으로 적용되고 있다. 하지만, 철도교에 프리캐스트 바닥판을 적용하기 위해서는 활하중, 장대레일 종하중, 시제동하중, 온도변화, 건조수축 등 도로교와 철도교의 하중 특성의 차이를 적절히 반영한 설계가 요구되며, 특히 횡방향 이음부의 연속성을 확보하여 일체화시키기 위해 바닥판 내부에 배치한 종방향 텐던의 적정한 프리스트레스 수준을 평가하는 연구가 요망된다. 따라서 본 연구에서는 철도교에 빈번히 적용되는 PSC 합성거더 철도교에 대하여 정밀한 3차원 유한요소해석을 통해 주요 설계하중이 유발하는 바닥판의 종방향 응력을 산정하였다. 그 결과 종방향 인장응력을 유발하는 지배적인 요인은 활하중보다는 바닥판의 온도 저하나 시동하중으로 나타났으며, 특히 온도의 영향은 설계기준상의 제안식 또는 이론식과도 비교해 가며 중점적으로 분석하였다. 종방향 인장응력을 상쇄하여 올바른 구조거동을 유도하기 위한 프리스트레스의 범위를 고찰한 결과, 대상 철도교에 대해 2.4 MPa 이상의 프리스트레스를 도입하는 것이 적정한 것으로 나타났으며 이는 도로교의 경우와 유사한 수준으로 평가되었다.

• 대한정형외과 초음파학회지
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• 제2권2호
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• pp.85-89
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• 2009

목적: 견관절의 극상건에 발생한 급성 석회화 건염에 대하여 초음파를 이용한 스테로이드 국소 주사 요법을 시행하고 임상적 결과를 알아보고자 하였다. 대상 및 방법: 2007년 1월부터 2009년 4월까지 증상이 있는 50세에서 70세 사이의 견관절 극상건의 급성 석회화 건염 20례를 대상으로 하였으며, 평균 연령은 58.2세, 평균 추시 기간은 18개월(12개월~24개월)이었으며, 우측이 18례이며, 모두 극상건에 칼슘 침착이 있었다. 석회화 부위에 5-12MHz 고해상도 초음파 영상을 이용하여 18게이지 바늘로 다발성 천공을 한 후 건 주변에 2% lidocaine 1cc와 depomedrol 40mg/ml 1cc를 혼합한 국소주사를 시행하였다. 치료효과의 평가 항목으로 UCLA견관절 평가 양식, 운동 범위, VAS 점수를 이용하였다. 통계학적 검정은 SAS를 이용하여 ANOVA와 Tukey's post-hoc test로 유의 수준 5%에서 유의성을 조사하였다. 결과: 주사 직 후 10분이내에 전예에서 압통점이 소실되었으며, UCLA견관절 평가 양식에서 시술 전에는 15례에서 보통(fair), 5례에서 불량(poor)의 양상을 보였으나, 시술 후 16례에서 우수(excellent), 4례에서 양호(good)의 결과를 보였으며 보통(fair)이나 불량은(poor)은 관찰되지 않았다. 시술 후 전례가 양호 이상의 결과를 보였고, 운동 기능의 제한은 없었으며, VAS 점수는 시술 전 평균 8.9(8~10)이었으나 시술 후 평균 0.5(1~2)로 유의하게 향상되었다(p<0.0001). 합병증은 1례도 없었다. 결론: 초음파를 이용한 다발성 천공술 후 스테로이드 국소주사 요법은 극상근 석회화 건염의 급성 통증기에 이용할 수 있는 유용한 치료 방법 중의 하나이다.