• Title/Summary/Keyword: Effective stiffness

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Mini-open Rotator Cuff Repair Using Anterolateral Approach (전외측 도달법을 이용한 소절개 회전근 개 봉합술)

  • Cho, Chul-Hyun;Yeo, Kyung-Ki;Lee, Sung-Yoon;Jung, Gu-Hee
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.86-91
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    • 2010
  • Purpose: To introduce mini-open rotator cuff repair using the anterolateral approach and evaluate its clinical outcomes and effectiveness. Materials and Methods: 59 consecutive cases of rotator cuff tearing which were treated with mini-open repair utilizing the anterolateral approach were evaluated. The population comprised 39 men and 20 women, with an average age of 56.6 years. An average follow-up time period was 26 months. Clinical outcomes were analyzed based on VAS, ADL, and ASES scores. Results: The average respective VAS, ADL, and ASES scores improved from 7.04, 12.37, and 35.32 preoperatively to 1.02, 27.20, and 90.08 postoperatively (p=0.000). There were 41 excellent, 11 good, 2 fair, and 5 poor results. There were satisfactory results in 52 cases (88.1%). There were no statistically significant differences between the final ASES scores and age, sex, duration of symptoms, tear size, and preoperative stiffness (p>0.05). Conclusion: Mini-open rotator cuff repair using the anterolateral approach effective in providing better visualization.

Arthroscopic Repair of Type II SLAP Lesion with Bioabsorbable Knotless Suture Anchor: Surgical Technique and Clinical Results (제 2형 SLAP병변에서 생체흡수성 봉합나사못을 이용한 관절경 봉함; 수술 술기와 임상 결과)

  • Lee, Chae-Chil;Kim, Sung-Jae;Hwang, Chang-Ho;Seo, Dong-Kyo;Ko, Sang-Hun
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.59-64
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    • 2007
  • Purpose: The purpose of this study was to evaluate the results of bioabsorbable knotless suture anchoring for isolated type II SLAP. Materials and Methods: Fourteen patients with isolated type II SLAP underwent a surgical repair with bioabsorbable knotless anchor arthroscopically. Instability, rotator cuff tears or simple subacromial decompression were excluded. The UCLA and pain of VAS (Visual Analogue Scale), ADL (Activity of Daily Living, from the American Shoulder and Elbow Society) were evaluated and patients underwent a thorough shoulder examination at a minimum follow-up period of 2 years postoperatively. Results: At a mean of 27.1 months follow-up. The mean UCLA score improved from 14.4 pre-operatively to 31.2 on last follow-up. The mean VAS for pain was 4.9 and on last follow-up 1.0. The mean VAS for instability was 2.6 and on last follow-up 0.5. The mean ADL was 10.4 and on last follow-up 25.0. 12 patients reported their satisfaction as good to excellent and 10 of the 14 patients returned to their pre-injury level of activity (athletics) (P<0.05). Conclusion: Arthroscopic repair with bioabsorbable knotless suture anchors is an effective surgical technique for the treatment of an isolated unstable type II SLAP lesion. Overall satisfaction was only 85.7%. 1 patient had severe stiffness and 1 patient had shoulder pain.

Flexural Behavior of Reinforced Concrete Beams Retrofitted with Modified Polymer Mortar System (폴리머 모르타르로 단면을 복구한 철근콘크리트 보의 휨 거동)

  • Hong Geon-Ho;Choi Eun-Gyu;Lee Su-Jin;Shin Yeong-Soo
    • Journal of the Korea Concrete Institute
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    • v.16 no.1 s.79
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    • pp.94-101
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    • 2004
  • This study shows the test results of seven RC beams retrofitted with modified polymer system and parametric study about the effects of tensile strength of retrofitting materials by analytical method on the flexural behavior. The main parameters are the retrofitted depth and length. The beams are loaded to the failure by four-point loading. Test results show that the effect of the retrofitted length on the structural behavior is more significant than that of depth. As the retrofitted depth is increased, the beams represents the brittle failure mode The non-linear analysis is carried out to grasp the effect of the tensile strength of retrofitting material on the structural behavior. As the retrofitted depth and length are increased, the tensile strength becomes more effective so these parameters should be considered to determine the retrofitted area. The analytical results show that failure strength is less than that of experimental results, but the stiffness is vice versa.

Health Complaints of Elderly Persons Using a Modified C.M.I. (C.M.I.간이법에 의한 노인들의 건강수소율)

  • 박오장
    • Journal of Korean Academy of Nursing
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    • v.13 no.2
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    • pp.44-57
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    • 1983
  • The explosion of the aging population is changing the social environment of today's older people. Traditionally in Korea, a large percentage(over 90%) of elderly parents have lived with their married first son. But today, the number of elderly who live with their married sons has decreased(65.6%) The number of those who live in a different situation such as with their married daughter, unmarried offspring, with a spouse or alone has increased (34.4%) We can expect that the number of the elderly who have to live in institution will increase. The objective of this investigation was to determine differences in the number of health Complaints of older people according to their living situation with a view to planning more effective health care. The sample consisted of 231 persons over 65 years of age, 60 living in an Old Age Home ana 171 living in their own home in Kwangju. Data were gathered from July 9 to 26, 1983 by nursing students using a Questionnaire which was a modified form of the Cornell Medical Index. The data were categorized according to the subjects, living, sex, educational level, previous occupation, hobbies and sexual activity. The date were analyzed for statistical significant differences using F and X²tests. findings included the following: 1. There was a higher number of health complaints from persons who live in the institution than those living at home, but the difference was not significant. 2. The highest number of health Complaints were from persons who live alone, followed by those living with their daughters, and then by those living in the institution. Persons who live with their sons had the least Complaints. The difference in the number of Complaints accord-ing to with whom they were living was significant. 3. Women had signincantly more Complaints than men. Persons who were not living with their spouses had significantly more complaints than those living with their spouses.4. The higher eductional level the persons had, the less health Complaints they had. The number of Complaints accoraing to educational level was significantly different. 5. The highest number of health complaints were from persons who had involved in Commerce and industry, followed by those in Agriculture. Persons who were civil servant had the least 6. There were more complains from persons who had no hobby than those with hobbies. The complaints. The difference was significant. difference was significant. 7. Persons who said they were sexually inactive had significantly more complaints than those who said they were sexually active. As age increased, sexual activity significantly decreased. Those who lived with their spouse were significantly more sexually active. 8. The highest number of Somatic Complaints were eye fatigue, followed by nocturnal frequency, lumbago, cramps in extremities, vertigo, stiffness in Shoulder, tinnitus, common cold and constipation. The order of Psychic Complaints from higher to lower were anger. sensitivity, anxiety, depression and loneliness. 9. This group of Elderly persons said they valued Health the most, followed by Harmony, Religion, Money and Honor.

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Seismic Performance of Circular RC Bridge Columns with Longitudinal Steel Connection Details (축방향철근 연결상세에 따른 철근콘크리트 원형교각의 내진성능)

  • Lee Jae-Hoon;Son Hyeok-Soo;Ko Seong-Hyun
    • Journal of the Korea Concrete Institute
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    • v.16 no.2 s.80
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    • pp.249-260
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    • 2004
  • The longitudinal steel connection of reinforced concrete bridge column is sometimes practically unavoidable, however the current Korean bridge design specifications have no special provisions about lap-splices of longitudinal steel. This paper reports experimental results of a research program investigating the seismic performance of circular RC bridge columns with respect to longitudinal steel connection detailing. Twenty-one circular column specimens were tested under quasi-static test. The columns with the entire longitudinal steel lap-spliced within plastic hinge region show relatively sudden strength degradation and low ductility than the columns with continuous longitudinal steel and the columns with half of longitudinal steel lap-spliced. However, the seismic performance of the column with mechanically connected longitudinal steel is similar to that of the column with continuous longitudinal steel. The final objectives of this study are to suggest appropriate longitudinal reinforcement connection details for the limited ductility design concept and to provide quantitative reference data and tendency for performance or damage assessment based on the performance levels such as cracking, yielding, collapse, etc. Ultimate displacement/drift ratio, displacement ductility, response modification factor, equivalent viscous damping ratio, residual deformation index, and effective stiffness are investigated and discussed in this paper.

Evaluation of Flexural Behavior of Prestressed Composite Beams with Corrugated Webs (파형웨브 프리스트레스트 합성보의 휨거동 평가)

  • Oh, Jae-Yuel;Lee, Deuck-Hang;Kim, Kang-Su;Kang, Hyun;Lee, Sofia;Bang, Yong-Sik
    • Proceedings of the Korea Concrete Institute Conference
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    • 2010.05a
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    • pp.39-40
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    • 2010
  • The demands for longer span and reduction of story height have greatly increased as building structures become much larger and higher in recent years. Although the development of flexural members for reducing story height or making long span has been studied by many researchers and engineers, there is still a lack of efficient systems that meet these two demands simultaneously. This study aimed at developing a new composite beam system suitable for long span and reduction of story height, and proposed a prestressed composite beam with corrugated web. It has great resistance against non-symmetric construction load due to its strong out-of-plane shear strength with relatively small member height as well as good constructability and economic efficiency by removing/minimizing form work. The corrugated webs also make accordion effect introducing larger effective prestressing force to top and bottom flanges, which causes larger upward camber reducing the member deflection. Five full-scale specimens with key test parameters, which are web sectional shapes and number of drape points, were tested to understand their flexural behavior and to verify the performance of the proposed method. The experimental test results showed that the proposed prestressed composite beam had greater flexural strength and stiffness than the ordinary non-prestressed composite beam.

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The Effect on the Pain, Discomfort in Daily living and Life Satisfaction of Flexibility Exercise and Local Heat in Rural Elderly with Osteoarthritis (퇴행성관절염 노인의 유연성운동과 온열요법이 통증과 일상활동장애 정도 및 생활만족도에 미치는 영향)

  • Hong, Sun-Kyeong;Kang, Hae-Young
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.197-210
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    • 1999
  • Muscle stiffness, pain and discomfort in dally activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in Chonbuk province during eight weeks (from 25th of January to 20th of March, 1999). The subjects were sixteen rural old women(65-89yrs) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 30 minutes of flexibility exercise followed by $15{\sim}20\;minutes$ of local heat therapy were done three times a week. Pain scale from Arthritis Impact Measurement Scales developed by Meenan(1980) for pain, Jette's Daily Activity Discomfort Scales revised by Lee(1988) for discomfort and Life Satisfaction Scales developed by Youn(1982) for life satisfaction were used as research instruments. The data were collected by face-to-face interviews with Investigator and the experiments were done under demonstration and supervision of investigator in community health post. The data were analyzed in percentage and Wilcoxon sign rank sum test by SPSS/PC+ program. The result could be summarized as follows ; 1. The scores of experiment group who were applied hot bag followed by flexibility exercise were tended to be significant lower in the level of pain statistically(Z=4.949, P=0.0001). 2. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be significant lower in the level of discomfort in daily living statistically(Z=2.7226, P=0.0279). 3. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be higher in the level of life satisfaction, but there was no significant statistical difference(Z=-1.2087, P=0.2171). In conclusion, flexibility exercise with local heat therapy could be identified as an effective therapy to reduce pain and discomfort in daily living of the rural elderly with osteoarthritis. And as a community health practitioner, the investigator concluded that this exercise with local heat therapy could be developed as a health promotion program for the rural aged people.

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A Study on the Paper Clothing -on the basis of handmade paper- (종이 의상에 관한 연구 - 수제지를 중심으로 -)

  • 이주실;김정혜
    • Journal of the Korean Society of Costume
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    • v.44
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    • pp.181-199
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    • 1999
  • The industry of modern clothing has deviated from the overflow of commercialism and the standardization and nowadays is going toward pursuing art, creativity, and high added value. This trend brings the return of the natural materials from the synthetic textiles and increases the value of old and handmade fabrics. Finally, the handmade-paper, which is a natural material, comes to be reconsidered as a new material for the clothing. Therefore, as the natural materials and the manufacture of handmade clothing are rising again, the qualitative improvement and globalization of clothing industry should be first realized through the developments of creative and various clothing materials and new expressing techniques. The above investigation and study have been synthesized and analyzed as follows: First, through the study on the origin of the paper clothing, its historical background and the process of its development, we've learned these two facts following : the paper clothing of the East in the past mostly had practiced meanings. On the other hand, in the West it had meanings which were raised the artist's emotions and beauty-consciousness to the artistic level by the various kinds of expressing methods. Second, handmade-paper was manufactured by the embedding method, which mixed mulberry pulp, gauze, corn, hair, sisal, silk and so on. It was found that handmade-paper had the affluent and proper texture as the clothing material and was be able to control the clarity through the variation of thickness. It was also confirmed that the creative and original texture with hand-worked molding beauty was obtained by the use of handmade-paper. Third, when the handmade-paper is used, the molding beauty of plane, relievo, and solid can be freely pursued, and various and effective molding conformation can be constructed by the effect of superposition and repetition. Also, because the maximum discretion from the various optional manufacturing methods is allowed, the molding beauty can be maximized when the clothes are manufactured with handmade-paper. Fourth, the gauze with strong drape was combined to overcome the stiffness and the tearing of the paper. As a result, the durability and the wearability of the paper were strengthened and thus the thus the applications as the clothing material were enlarged. In conclusion, in order to enhance the value, creativity, practicality, and artistic sense of the design for modern clothing, the clothes made of handmade-paper should be more studied. Moreover, for the generalization of paper clothes, the studies on the development of practical paper with paper with water resistance, post-treatment after dyeing, flexibility, and durability should be done. I really hope that this study will be the motive to provoke the possibility of handmade-paper as new clothing material in not only practical sense but also artistic sense.

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Seismic Response Control of a Cable-Stayed Bridge Using Passive, Active, Semiactive and Hybrid Systems (수동, 능동, 반능동 및 복합 시스템을 이용한 사장교의 지진응답 제어)

  • ;;Spencer, B. F.
    • Journal of the Earthquake Engineering Society of Korea
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    • v.7 no.1
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    • pp.17-29
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    • 2003
  • This paper preliminarily investigates the effectiveness of various control systems, such as passive, active, semiactive and hybrid control, for seismic protection of cable-stayed bridges by examining the ASCE first generation benchmark problem for a cable-stayed bridge. This benchm.0.00000ark problem considers the cable-stayed bridge that is scheduled for completion in Missouri, USA In 2003. Seismic considerations were strongly considered in the design of this bridge due to location of the bridge and its critical role as a principal crossing of the Mississippi River. Based on detailed drawings of this cable-stayed bridge, a three-dimensional linearized evaluation model has been developed to represent the complex behavior of the bridge. A set of eighteen evaluation criteria has been developed to evaluate the capability of each control system. In this study, four passive control systems, one active control system, two semiactive control systems and three hybrid control systems are considered. Numerical simulation results show that all the control systems are effective in reducing the responses of the benchmark cable-stayed bridge under the historical earthquakes. To get good performance, however, the passive control systems need quite large control forces compared to other control systems. The simulation results also demonstrate that the passive, semiactive and hybrid control systems are robust to the stiffness uncertainty of the structure. Therefore, the semiactive and hybrid control systems are more appropriate in real applications for full-scale civil infrastructures.

A Case of Atypical Pathogen Pneumonia, associated with Recurrent into Diffuse Pneumonic Consolidation (재발성 경과를 취한 비정형 병원균주 폐렴 환자 1예)

  • Oh, Jong-Kap
    • Journal of the Korean Society of Radiology
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    • v.5 no.6
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    • pp.391-400
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    • 2011
  • Pneumonia is an infection of the lungs and respiratory system and can be classified by a variety of factors such as infectious agents, etiology, infection area, and other criteria. From a 46-year-old male, who was suspected of being infected with atypical pathogen pneumonia and underwent such tests as serological testing, examination of sputum, urine examination, parasite examination, bronchoscopy, needle biopsy and so on, no significant abnormality was found. This patient also showed no specific symptoms like auscultatory abnormalities, high fever, nonproductive cough, muscle stiffness, sputum production, dyspnea. Prescription of broad-spectrum oral antibiotics and ant-parasitic didn't seem to be effective against bacterial and atypical pathogen. The patient's condition alternately repeated between natural cure and recurrence. The average healing process during which scarring, nodule recurrence and disappearance on the lungs happened was about 20 days. Chest radiography and chest high resolution computerized tomographic scans(HRCT scan) was performed to depict parenchymal aberrations and demarcate the extent and distribution of atypical pathogen pneumonia. As a result, chest radiography did not show the specific symptoms, whereas areas of opacity (seen as white) which represent consolidation were revealed in chest HRCT scan. This indicates that only chest radiography is not that useful for early diagnosis of atypical pathogen pneumonia in patients, since it can't show exactly what the symptom is because of the barriers such as diaphragm, liver, and spine. Therefore, it is desirable that chest HRCT should be used in the diagnosis to compare with the results of chest radiography. Here, report with literature investigations the case of recurrent atypical pathogen pneumonia.