• 근관절건강학회지
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• 제3권1호
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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.

• 한국수자원학회논문집
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• 제40권2호
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• pp.101-112
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• 2007

본 연구에서는 댐군을 연계운영할 경우 발생하는 효과를 이수측면에서 평가할 수 있는 방법을 개발하여 한강수계 댐군 운영 실적의 평가에 적용하였다. 개발된 평가방법에서는 용수공급과 유황개선 부분에서 연계운영의 효과를 평가하기 위하여 평가지점에서 필요수량에 대한 충족률과 유황안정도를 평가지표로 사용하였다 발전 부분에서 연계운영의 효과는 댐군에 의해 생산된 총발전량을 평가지표로 사용하였다. 실제 운영실적은 공칭공급량을 공급하는 단독운영과 최적화 모형에 의한 평가지표들과 비교하여 평가되었다. 한강수계의 2001년부터 2004년까지의 실제 연계운영 실적을 단독운영과 최적화 모형의 결과와 각 연도별로 비교해 보면, 용수공급 측면에서 필요수량 충족률은 단독운영은 $94.36{\sim}99.68%$, 실제운영은 $97.16{\sim}99.90%$, 최적화 모형은 4개년 모두 100.0 %를 나타냈다. 댐 운영 방법별로 하상계수와 유황계수를 사용하여 유황안정도를 평가해 보면, 유황이 단독운영 보다 실제운영과 최적화 모형이 더 안정적인 결과를 나타냈다. 실제 총발전량을 다른 운영방법의 결과와 비교해 보면, 최적화 모형은 실제 총발전량 보다 $-3.47{\sim}6.54%$ 증가된 결과를 나타냈으며, 단독운영은 실제 총발전량 보다 $12.68{\sim}38.94%$ 감소된 결과를 나타냈다.

• 전기학회논문지
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• 제59권12호
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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.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2011년도 제42회 하계학술대회
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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.

• Clinics in Shoulder and Elbow
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• 제22권2호
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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.

• 대한안전경영과학회지
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• 제7권1호
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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.

• Clinics in Shoulder and Elbow
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• 제4권1호
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• pp.17-23
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• 2001

1990년부터 2000년까지 본원에서 modified Phemister 방법과 cerclage wiring 방법으로 치료하고 1년이상 추시가 가능했던 견봉쇄골관절탈구 환자 24례를 임상적으로 분석하여 다음과 같은 결과를 얻었다. 1. modified Phemister 방법을 시행한 10례에서 우수 8례(80%), 양호 1례(10%), 보통 1례(10%)이었다. 2. Cerclage wiring 방법을 시행한 14례에서 우수 11례(78%), 양호 1례(14%), 보통 1례(14)이었다. 3. 술후 합병증으로 modified Phemister 방법에서 2례에서 고정강선의 파열 및 이동이 있었으며, cerclage wiring 방법에서 2례에서 아탈구, 2례에서 강선의 파열은 있었으나 이동은 없었다. 4. 이상과 같은 결과로 보아 modified Phemister 방법과 cerclage wiring 방법의 비교시 방사선상 오구돌기와 쇄골간 이완의 정도의 차이와 기능상의 차이는 없었으나 견봉쇄골관절을 고정하지 않음으로서 쇄골의 회전운동을 제한하지않고, 외상성관절염을 피할 수 있고, 강선의 파열시 이동이 없어 제거가 쉬워서 cerclage wiring을 선호하였다.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2006년도 춘계학술대회 논문집
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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.

• Strategy21
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• 통권30호
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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.

• The Journal of Korean Physical Therapy
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• 제36권1호
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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.