• Title/Summary/Keyword: Joint operation

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A Comparative Study of the Handicaps in and Satisfaction with the Ordinary Life before and after the Plastic Operation for Artificial Joint Replacement-Centering around Those Who suffer from Joint Diseases (인공관절 전치환 성형 수술 전후의 일상활동 장애정도 및 삶의 만족도 비교연구 - 관절 질환 환자를 중심으로 -)

  • Kang, Shin-Hwa
    • Journal of muscle and joint health
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    • v.3 no.1
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    • pp.37-49
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    • 1996
  • The joint diseases threaten modern people's healthy life. They bring about a long pain, an anasarca, loss of joint function or even deformation and rigidity of joint, limiting people's ordinary activities much. The chronic joint patients may be subject to some hypochondria caused by anxiety for their life, social isolation, financial problem and physical disability. Therefore, this population should continue to be duely taken care of by medical personnels. In particular, nurses should adequately help these people to recover and improve their health through suitable adaptations. With such basic conceptions in mind, this study was aimed at reviewing these patients' conditions in their ordinary life before and after a plastic operation for artificial joint replacement as well as their satisfaction with their life. For this purpose, those patients who underwent some plastic operations for artificial joint replacement at university hospitals in Seoul from January 2, 1993 to June 30, 1995 were selected as the population of this study. Among them, 87 people were randomly sampled to answer a questionnaire designed specially. For the surveying tools, Jette's (1980) scale was applied to address the sample people's inconveniences experienced and supports received in their ordinary life, while the scale of Wood, Wylie & Sheafer was used to measure their satisfaction with their life. The collected data were analyzed for percentiles, means, SD, t-test and Pearson's correlations. The results of survey can be summarized as follows ; As a result of t-test the frequencies of other people's support before and after the plastic operation, it was disclosed that those who underwent the operation were supported less frequently. In addition, as a result of t-testing their satisfaction with life before and after the operation, it was found that the operation increased their satisfaction with life significantly. Meanwhile, as a result of t-test inconveniences, frequencies of supports and life satisfaction before and after the plastic operation for artificial knee replacement, it was disclosed that only the inconveniences were significantly reduced after the operation. In contrast, the t-test the variables before and after the plastic operation for artificial hip replacement, it was found that only the frequencies of other people's supports were significant reduced after the operation. Furthermore, the differences 6 months, one year and two years after the plastic operation for artificial joint replacement were t-tested on the variables. As a result, it was disclosed that people's inconvenience, frequencies of supports and life satisfaction were not improved 6 months after the operation but their frequencies of supports decreased significantly one year after, while their inconveniences and life satisfaction were significantly improved two years after. As a result of analyzing the variables with Pearson's correlations, inconveniences and frequency of supports were negatively correlated significantly with the life satisfaction. In conclusion, the plastic operation for artificial joint replacement significantly improved people's living inconveniences, reduced their frequency of other people's support and enhanced their satisfaction with life. To break don the plastic operation for artificial knee replacement improved patients' inconveniences, while the plastic operation for artificial hip replacement not only improved patients' inconveniences but reduced the frequencies of other people's support also. Finally, the finding that the plastic operation for artificial joint replacement brought about the improvement two years after suggests that this period is needed for the patients to adapt themselves to the post-operation conditions.

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Evaluation of Effects of Real Joint-Operation of Multi-purpose Dams (다목적댐군의 실제 연계운영 효과 평가)

  • Kang, Min-Goo;Lee, Gwang-Man;Cha, Hyung-Sun
    • Journal of Korea Water Resources Association
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    • v.40 no.2 s.175
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    • pp.101-112
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    • 2007
  • In this study, a methodology was developed to evaluate the effects produced in the event of joint-operation of dams from the viewpoint of water use. It was applied to evaluating the actual results of dam operation in the Han River basin. In order to evaluate the effects of real joint-operation in terms of water supply and flow conditions, the methodology used the satisfaction rate of water requirement and the stability of flow conditions at the evaluation site as indicator. In order to evaluate the effects of joint-operation in terms of power generation, the total power generation produced by dams was used as evaluation indicator. Actual operation results were evaluated by comparison of evaluation indicators relating to single dam operation by which the notified mont of water was supplied, as well as to optimization models. Results of actual joint-operation of the Han River basin, from 2001 to 2004, were compared yearly with results from single operation and optimization model; in terms of water supply, the satisfaction ratio of water requirement stood at $94.36{\sim}99.68%$ for single operation, $97.16{\sim}99.90%$ for actual joint-operation, and 100.0 % for optimization model for all four years. The stability of flow condition was evaluated by the coefficient of river regime and coefficient of flow conditions definitely, indicating that flow conditions were more stable in case of actual operation and optimization models than in case of single operation. The actual total power generation was compared with that generated by other operation rules, indicating that the optimization model increased the power generation by $-3.47{\sim}6.54%$ compared with the actual total power generation, and that the single operation decreased the power generation amount by $12.68{\sim}38.94%$ compared with the actual total power generation.

Suitability Evaluation on Joint Operation of Neutral Wire and Overhead Grounding Wire through Lightning Surge Analysis in Combined Distribution System (혼합배전계통에서 뇌과전압 해석을 통한 중성선과 가공지선 혼용 운전의 타당성 평가)

  • Jeong, Seok-San;Lee, Jong-Beom;Kim, Yong-Kap;Song, Il-Keun;Kim, Byoung-Suk
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.59 no.12
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    • pp.2135-2142
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    • 2010
  • This paper studies the validity about a joint operation of neutral wire and overhead grounding wire in combined distribution systems. The overhead grounding wire and neutral wire are currently installed separately and grounded by common. However there is no any ineffectiveness or electrical problem in case of the proposed system, such system can be operated at real distribution system. Therefore this paper describes the suitability of a joint operation through lightning surge analysis on combined distribution systems. Lightning surge analysis is carried out by EMTP/ATPDraw to obtain the overvoltage of overhead line and underground cable in various conditions such as locations and current types of lightning stroke. Overvoltage gained by the analysis show that the insulation strength of the joint operation case is not stable compare with the current operation case.

A Study on the Optimal Position of Lightning Arrester on Joint Operation of Neutral Wire and Overhead Grounding Wire through Lightning Surge Analysis in Combined Distribution System (혼합배전계통에서 뇌과전압 해석을 통한 중성선과 가공지선 혼용 운전시 적정 피뢰기 위치에 관한 연구)

  • Jeong, Seok-San;Jang, Hwa-Youn;An, Chun-Yong;Lee, Jong-Beom
    • Proceedings of the KIEE Conference
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    • 2011.07a
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    • pp.535-536
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    • 2011
  • This paper studies the validity about a joint operation of neutral wire and overhead grounding wire in combined distribution systems. The overhead grounding wire and neutral wire are currently installed separately and grounded by common. However there is no any ineffectiveness or electrical problem in case of the proposed system, such system can be operated at real distribution system. Therefore this paper describes the suitability of a joint operation through lightning surge analysis on combined distribution systems and analyzes the optimal position of lightning arrester on joint operation of neutral wire and overhead grounding wire. Lightning surge analysis is carried out by EMTP/ATPDraw to obtain the overvoltage of overhead line and underground cable in various conditions such as location and current types of lightning stroke. Over voltage gained by the analysis show that the insulation strength of the joint operation case is not stable compare with the current operation case.

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Clinical and Radiological Outcomes of Modified Phemister Operation with Coracoclavicular Ligament Augmentation Using Suture Anchor for Acute Acromioclavicular Joint Dislocation

  • Cho, Nam Su;Bae, Sung Ju;Lee, Joong Won;Seo, Jeung Hwan;Rhee, Yong Girl
    • Clinics in Shoulder and Elbow
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    • v.22 no.2
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    • pp.93-99
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    • 2019
  • Background: Modified Phemister operation has been widely used for the treatment of acute acromioclavicular (AC) joint dislocation. Additionally, the use of suture anchor for coracoclavicular (CC) fixation has been reported to provide CC stability. This study was conducted to evaluate the clinical and radiological results of a modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation. Methods: Seventy-four patients underwent the modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation and were followed-up for an average of 12.3 months. The visual analogue scale (VAS), range of motion, Constant score, and Korean shoulder scoring system (KSS) were used for clinical assessment. Acromioclavicular interval (ACI), coracoclavicular distance (CCD), and acromioclavicular distance (ACD) were obtained to evaluate the radiological assessments. Results: At the last follow-up, the mean VAS Score was 1.7 points, the mean joint range of the forward flexion was $164.6^{\circ}$, external rotation at the side was $61.2^{\circ}$ and internal rotation to the posterior was a level of T12. The mean Constant score and the mean KSS was 82.7 points and 84.2 points, respectively. At the mean ACI, CCD, and ACD, significant differences were found preoperatively and at the last follow-up. When the ACI, CCD, and ACD were compared with the contralateral unaffected shoulder at the last follow-up, the affected shoulders had significantly higher values. Conclusions: The modified Phemister operation with CC ligament augmentation using suture anchor is clinically and radiologically effective at acute AC joint dislocation.

Study on the Joint Logistics Operation Strategy of the DVD Industrial in Korea (한국 영상물의 안정적인 공급을 위한 물류공동화 운영전략에 관한 연구)

  • Lee Myong Bok;Hong Sang Tea;Kang Kyong Sik
    • Journal of the Korea Safety Management & Science
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    • v.7 no.1
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    • pp.179-198
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    • 2005
  • The purpose of this study is to propose a strategic approach to improve firms competitive advantages by selecting main business body and business sector at the same time. In this study the strategy of an efficient business model for joint logistics is suggested by means of searching for a joint program. The methods applied to this study were literature survey, questionnaire and internet information as well as case studies on advanced domestics and foreign logistics enterprises. The research scope of this study has focused on the joint logistics of SMEs being in the DVD(Digital Video Disk) industry sector. The results of this study are shown as follows ; first, in short terms, main business operating body has, second, in long terms, logistics operating enterprise has a direct effect on the joint logistics operation strategy of the DVD(Digital Video Disk) industry in Korea. The conclusion of this study shows that this method as a model of consequence to increase the joint logistics implementation successfully.

Surgical Treatment for Acute Acromioclavicular Joint Dislocation (급성 견봉쇄골관절 탈구의 수술적 치료)

  • Kim Jeong Hwan;Kim Chong Kwan;Lee Saeng Guk;Kim Young O;Park Jae Kyu;Yoon Jong Ho
    • Clinics in Shoulder and Elbow
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    • v.4 no.1
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    • pp.17-23
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    • 2001
  • There has been considerable controversy concerning the methods for treatment of dislocation of the acromioclavicular joint, especially in grade III injury. The authors have treated 24 cases of the complete dislocation of the acromioclavicular joint from January 1990 to July 2000. We performed 14 cases of coracoclavicular wiring operation, 10 cases of modified Phemister operation and compared the results and complication of wiring operation with modified Phemister. The clinical results in modified phemister operation were excellent in 8 cases(80%), good in 1 case(l0%), fair 1 case(10%). In wiring operation, excellent is 11 case(78%), good is 2 case(14%), fair is 1 case(14%). The complications of modified Phemister operation were breakage and migration of K-wire in 2 cases. In wiring operation, breakage of wire was in 2 cases but migration was not showed. We prefered coracoclavicular wiring operation for dislocation of acromioclavicular joint of active young adults because of the following advantages: 1) violation of acromioclavicular joint can be avoided but rotation of the clavicle was not restricted. 2) The operation is simple to perform. 3) Postoperative immobilization is minimal. 4) Removal of the wire is easy because wire was not migrated when breakage of wire was occured.

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Biomechanical Analysis of the Shelf Operation for Dysplastic Hip Joint by Finite Element Analysis (유한요소해석을 이용한 이형성 고관절의 선반형성술에 대한 생체역학 해석)

  • Park W.M.;Kim Y.H.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.519-520
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    • 2006
  • The aim of this study was biomechanical analysis of shelf operation in patients with dysplastic hip joint by finite element contact analysis. Two dimensional CT images were used to construct the finite element models to analyze the contact pressure, and the 3D expansion of the Ninomiya's method was used in the calculation of the resultant force in the hip joint. The surgery recovered the center-edge angles to the normal anatomical range and increased the contact areas in two patients. The maximum contact pressures and von-mises stresses were decreased. The present study provides the biomechanical guideline of optimal surgical parameters to maximize the surgical efficiency and the clinical outcomes in dysplastic hip joint using the shelf operation.

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ROK Military Efforts for Jointness Improvement and Some Views for the Development of Its Joint Operational Capability (합동성 강화를 위한 각 군의 노력과 합동작전의 효율적 수행방안)

  • Park, Chang Kwoun
    • Strategy21
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    • s.30
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    • pp.5-30
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    • 2012
  • Jointness is a core concept of ROK military reform plan. ROK military has pursued to transform its military organization and capability for enhancing jointness and joint operation after the 1990s. It has strengthened the organization of JCS(Joint Chief of Staffs), introduced joint education, and acquired modernized weapons and equipment proper for joint operation. The 1986 Glodwater-Nichols Act of the U.S. military and lessons of the recent war provided a good direction how ROK military should take measures to enhance jointenss. In fact, defense reform efforts for jointness has produced invaluable fruits for transforming industrial age military forces into information age one which possesses more strong combat capabilities and develops joint business for efficient defense management. Nevertheless, there are many issues ROK military should address for stepping up the jointness. This paper well analyzes practical problems and issues ROK military faces to develop jointenss and draws policy recommendations for the policy makers.

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Effects of Resistance Exercise with Pressure Biofeedback Unit on the Gait Ability and Knee Joint Function in Subject with Total Knee Replacement Patients

  • Jin Park
    • The Journal of Korean Physical Therapy
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    • v.36 no.1
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    • pp.27-32
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    • 2024
  • Purpose: This study was conducted to verify the effect of applying a pressure biofeedback unit on walking ability and knee joint function while performing knee joint extensor strengthening exercises using resistance exercise equipment in total knee replacement (TKR) patients. Methods: This study was conducted on twelve patients receiving rehabilitation treatment after being admitted to a rehabilitation hospital post-TKR. Of these, six were allocated to a feedback group with a pressure biofeedback unit, and the other 6 were allocated to a control group without a pressure biofeedback unit. The subjects performed an exercise program for 45 minutes per session, five times a week, for two weeks. Walking ability and knee joint function were evaluated and analyzed before and after exercise. Results: The feedback group showed significantly better improvements in walking speed, gait cycle, step length on the non-operation side, time on the foot on the operation side, K-WOMAC stiffness, and K-WOMAC function than the control group (p<0.05). Conclusion: When strengthening the knee joint extensor muscles using resistance exercise equipment in TKR patients, the provision of a pressure biofeedback unit was found to improve walking ability and knee joint function by inducing concentric-eccentric contraction of the knee joint extensor muscles. Therefore, the study shows that exercise based on the provision of a pressure biofeedback unit should be considered when strengthening knee joint extensor muscles to improve the walking ability and knee joint function of TKR patients in clinical practice.