• 대한족부족관절학회지
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• 제21권1호
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• pp.1-6
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• 2017

Purpose: The purpose of this study was to analyze the clinical results of medial horizontal suture fixation of Akin osteotomy in hallux valgus and present its advantages. Materials and Methods: This study was based on 48 cases of 35 patients with Akin osteotomy, who underwent surgery of hallux valgus between December 2014 and July 2015, and with at least 12 months of follow-up. The mean age of patients was 46.9 years (range, 16~71 years). The mean follow-up duration was 15.9 months (range, 12~18 months). Clinical evaluations included pain visual analogue scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS hallux metatarsophalangeal interphalangeal scale) score, and satisfaction score. Weightbearing anteroposterior radiographs were taken to measure the distal articular set angle (DASA) of the hallux. Radiographic bone union at 6 months follow-up was regarded as a success, while a loss of reduction and nonunion was regarded as a failure. Results: The mean pre- and postoperative pain VAS scores were 4.27 and 1.67, respectively (p<0.05). The mean AOFAS score improved from 59.7 to 80.5 (p<0.05). The DASA was improved from 8.15 to -2.57 (p<0.05). There was no case of skin irritation, cortical breakage, inflammation from the knot, and infection. All patients showed union without fixation failure. Conclusion: The clinical and radiological evaluations in this study demonstrate reliable results without complication. The medial horizontal suture fixation of the Akin osteotomy was effective, and the advantage of this procedure was unnecessity of the material removal, preservation of the joint, and no skin irritation.

• 보존과학회지
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• 제19권
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• pp.85-98
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• 2006

서산 마애삼존불상을 구성하는 암석은 중립질 흑운모 화강암이다. 이 삼존불은 전면에 걸쳐 절리 및 균열과 탈락, 박리박락, 표면의 결로현상 및 이차적 오염물에 의한 변색 등으로 심하게 손상된 상태이다. 이 삼존불이 조각된 암반은 다양한 형태를 갖는 수십 개의 암괴로 분리되어 있으며, 불규칙한 불연속면이 발달되어 있다. 또한 주변의 암반에는 식생이 밀집되어 습도가 높고 미생물의 오염이 가중된 상태이다. 이 암반의 구조적 안정성 검토결과, 암반에 발달한 불연속면들은 불안정한 사면 환경에 노출된 상태로서 삼존불의 구조적 안정성을 위협하고 있는 것으로 해석되었다. 따라서 암반을 포함한 주변의 식생환경에 관한 정비가 필요하며 지속적인 모니터링을 통해 보다 정밀한 암반의 거동특성을 규명해야 할 것이다.

• Smart Structures and Systems
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• 제17권5호
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• pp.819-835
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• 2016

In this paper, the activities carried out within the EU funded Clean Sky Joint Technology Initiative (JTI GRA) Project and aimed at developing a morphing flap, are illustrated. The reference device is a regional aircraft single slotted flap, enhanced with deforming capabilities to obtain improved hyper-lift performance. The design started with the identification of the internal architecture, intended to allow camber variations. A concentrated-hinge architecture was selected, for its ability to fit different curvatures and for the possibility of easily realizing an "armadillo-like" configuration, then avoiding the use of a complicate deformable skin. The flap layout is made of segmented ribs, elastically hinged each other and span-wise connected by conventional spars. Relative rotations of the rib elements are forced by SMA structural actuators, i.e., cooperating in the external loads absorption. Super-elastic SMA are used to make up recovery elastic elements, necessary to regain the original shape after activation. These further elements in turn contribute to the overall flap rigidity. After assessing the hinge number and the size of the SMA active and passive elements, the advanced design phase was dealt with. It was aimed at solving manufacturing issues and producing the executive drawings. The realized demonstrator was finally tested in lab conditions to prove its functionality in terms of whether target shape actuation or attained shape preservation under loads. On the basis of the numerical results and the experimental outcomes, precious hints were obtained for further developments of the concept.

• Archives of Reconstructive Microsurgery
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• 제20권1호
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• pp.38-42
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• 2011

Purpose: To evaluate the effect of intermittent bleeding method in the distal phalanx replantation. Materials and Methods: From January 2007 through June 2009, authors have replanted 117 cases of distal phalangeal amputation in adults at Soo Hospital and Chonbuk National University Hospital. Cases of zone II were 60 cases and zone III 57 according to Allen classification. Male to female ratio was 8.7:1.3. The most common cause was machinery injury in the factory, 98 cases(83.8%), next one was belt injury of the machine, 11 cases(9.4%) and others, 8(6.8%). At least one digital artery and digital nerve were anastomosed under the operating microscope, but vein was impossible to anastomosis as unable to find out in the zone II and III. After anastomosis of one or more digital arteries and nerves, heparine(6,000-10,000 units) was kept to intravenous injection for 24 hours and at the same time fish mouth incision in 2-3 millimeter diameter was made in the distal radial and ulnar margin of the replanted distal phanlanx. From the first 30 minutes to an hour after replantation, incision site was swabbed with heparinized cotton ball for 5 minutes in every 30 to 40 minutes to make sure perfusion for 24 hours, every an hour at the second day, every two hours at the postoperative third to fifth day. Results: 92 cases(78.6%) was completely survived at average postoperative third week follow-up and satisfied with preservation of the finger nail, digit length, good range of motion of the distal interphalangeal joint and acceptable sensibility at average 1.2 years follow-up. Conclusions: Intermittant bleeding method in replantation of crushed distal phalanx impossible to anastomosis of vein at zone II and III of Allen classification was regarded as one of the notable salvage procedure.

• Tuberculosis and Respiratory Diseases
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• 제50권3호
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• pp.353-358
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• 2001

저자들은 이개염이 동반되지 않고 안장코와 다발성 관절염, 청력 감소, 기관지 침범 등이 동반된 재발성 다발성 연골염 환자에서 성문하 연부조직의 심한 부종으로 상기도 폐쇄가 동반되어 급성 호흡부전이 발생된 환자 1예를 경험하고 문헌고찰과 함께 보고하는 바이다.

• 대한골관절종양학회지
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• 제3권1호
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• pp.47-55
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• 1997

During the last decade, the use of primary amputation has decreased, and a larger number of patients are being treated with resection and reconstruction with limb preservation. The advantage of chemotherapy, improvements in diagnostic imaging methods and newer techniques for reconstruction have made limb salvage an alternative to amputation for most patients with malignant bone tumor. Clinical results and functional results of the limb salvage operation of bone tumors treated at the Department of Orthopaedic Surgery, Guro Hospital, Korea university was reviewed. Eighteen bone tumors(seven giant cell tumors and eleven malignant bone tumors.) were studied over a period of five years. The limb salvage group included fourteen endoprothesis, two pasteurized autograft, one near total scapulectomy and one rotationplasty. Functional evaluation was performed according to the Enneking's modified system. The results were as followed; 1. At a mean follow-up of thirty two months (15-77 months), fourteen(83%) of the eighteen patients with limb salvage procedures had been continuously disease free. 2. There are no local recurrence but deep infection developed in two patients and three patients with distant metastasis. 3. Thirteen(87%) of the fifteen patients showed above 60% of functional results. 4. Fourteen(93%) of the fifteen patients were satisfied with the limb salvage procedures.

• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.374-378
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• 2016

Objective : A modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF. Methods : We retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution. Criteria included a minimum of 48 month follow-up and PCIFs for patients with radiculopathy from foraminal stenosis (C2-T1; single or multilevel) with persistent or recurrent root symptoms despite conservative treatment for more than 3 months. Patients who had undergone previous cervical operation were excluded. The visual analogue scale (VAS) score was used for clinical follow-up, and radiologic follow-up was performed to compare the changes of cervical sagittal alignment, focal angle and disc-space height of treated segment. Results : The PCIFs were performed between April 2007 and March 2011 on 46 patients (32 males and 14 females) with a total of 73 levels affected. The average duration of follow-up was 74.4 months. Improvements in radiculopathic pain were seen in 39 patients (84.7%), and VAS score decreased from $6.82{\pm}1.9$ to $2.19{\pm}1.9$. Posterior neck pain also improved in 25 patients (71.4%) among 35 patients, and VAS score decreased from $4.97{\pm}2.0$ to $2.71{\pm}1.9$. The mean disc-space heights of treated segment were $5.41{\pm}1.03mm$ preoperatively and decreased to $5.17{\pm}1.12mm$ postoperatively. No statistically significant changes in cervical sagittal alignment, focal angle were seen during the follow-up period (Cox proportional hazards analysis and Student t-test, p>0.05). Conclusion : The PCIF is highly effective in treating patients with cervical spondylotic radiculopathy, leading to long-lasting relief in pain. Long-term radiologic follow-up showed no significant spinal angular imbalance.

• 정보관리학회지
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• 제22권1호
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• pp.105-123
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• 2005

이 연구는 보존 기록 자료로서의 우리의 고전 장서를 보다 안전하게 보호하고 연구자나 이용자들에게는 시공을 초월한 열람이 가능토록 하기 위한 디지털 도서관으로서의 방법을 모색하는 데 목적이 있다. 즉, 우선 동양 전래의 사부 분류법과 현대적인 주제 분류, 그리고 색인어 등을 통해 다양한 접근점을 제공하고, 둘째, MARC나 XML 등을 활용한 DL시스템을 구축하되, 서지적 기술요소를 최대한 확대시키며. 셋째, 쉬운 해제와 색인어로 이용자의 이해를 극대화하고, 마지막으로 원본의 손상을 막기 위해 원문 DB를 구축하여 열람용으로 사용한다. 이는 향후 국내외 한국 고전 관련기관과 협력, 공유할 수 있는 네트워크 체제를 통해 국제적 서지통정으로 발전될 수 있을 것이다.

• 한국터널지하공간학회 논문집
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• 제24권6호
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• pp.679-697
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• 2022

본고에서는 호남~제주, 한중 및 한일 해저 철도에 대한 구상이 지속되고 있는 여건을 고려해 해저 철도 공사 방법 중 하나인 침매 터널 기술에 대해 조사한다. 본고는 현황조사를 통해 침매 터널을 대륙별 및 기능별로 분류해 분석한다. 본고는 준설방법을 요약해 정리하고 준설토 처리시설에 대해 설명한다. 또한 본고에서는 준설 작업이 해양 생태 환경에 미치는 영향을 줄이기 위해 취해진 조치 사례들을 소개한다. 본고는 침설 조인트 등 수중 함체 연결 과정 및 원리에 대해 설명한다. 본고는 기초공사를 성토와 지반개량으로 분류해 요약 정리하고, 관련된 지반 타공 및 수중 시멘트 사용이 주변 생태 환경에 미치는 영향에 대해 고찰한다.

• 토지주택연구
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• 제11권4호
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• pp.51-65
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• 2020

The purpose of this study was to identify the problems related to the amendment and preservation of the lien system and to suggest a feasible and efficient improvement plan. The Analytic Hierarchy Process (AHP) and descriptive statistical analyses were used in this study. The survey subjects were divided into three groups based on their expertise: "Administrative Experts, Practical Experts, and Financial Institution Experts" and compared to find the results. The results show that 1) the procedural aspect was the most important for the large classification, 2) the supplementary disclosure system was the most important for the legislative aspect, and 3) the supplementation of the abuse of the lien report was the most important for the intermediate classification. Furthermore, the study showed that the most important finding was the reinforcement of punishment for the right of false reporting and illegal acts, followed by the registration order system (the creditor alone application), and the registration system (bond, debtor, joint application). The implications and suggestions of this study are as followed. With regard to the current lien system, illegal acts such as false liens and the misuse of multiple reporting were considered as the biggest problems. In terms of the effective improvement plan of the lien system, the misuse of reporting liens and improvement in the procedural aspects of reporting rights should be given top priority. Therefore, the most important course of action is to strengthen the punishment for false liens, improve the disclosure system and make it mandatory to report rights.