• Clinics in Shoulder and Elbow
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• v.26 no.4
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• pp.373-379
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• 2023

Background: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries. Methods: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal. Results: No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups. Conclusions: Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.

• Clinics in Shoulder and Elbow
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• v.24 no.2
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• pp.98-105
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• 2021

Background: Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement. Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss' kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss' kappa, with Bonferroni correction. Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion. Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.

• Journal of architectural history
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• v.16 no.1
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• pp.83-99
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• 2007

This study examines the joint and splice of wooden structure at Geunjeongjeon Hall of Gyengbok Palace, which was constructed in the late Joseon Dynasty. The scope of the study is on the part of columns, the bracket sets, and the frame structure. This research also deals with the relationship between vortical load and horizontal load. Firstly, the examination of the joint and splice methods between the pillar and penetrating ties is on the joint and splice methods of the outer and corner. Through the investigation, it is verified that the joint methods between pillar and penetrating tie on the outer and corner pillars is the method of Sagal joints(cross joints, 사개맞춤). Joints used between pillar and penetrating tie are dovetailed tenon joints, between columns and Anchogong(안초공), between columns and Choikgong(초익공) are tenon joint(장부맞춤). Secondly, the examination of the joint and splice methods of the bracket set is on that of Salmi and Cheomcha(첨차), and Salmi and Janghyeo(장혀). Joints used between Salmi and Cheomcha, Salmi and Janghyeo are halved joint, and between each Janghyeo are stepped dovetailed splice. It is Cheomcha that is used the Jujang-Cheomcha(주장첨차) on center line. Therefore it is connected with each bracket set, which gets to is the strong system, easy and convenient on the construction of that. Thirdly, the frame structure of wooden architecture in royal palace is consist of purlins and beams, Janghyeo(장혀, timber under purlin), tall columns, king posts, etc. Through the investigation, it is verified that the joint and splice methods between purlins and beams are used with the methods of Sungeoteok joint(숭어턱맞춤). It is verified that the joint and splice methods between beams and high columns are used with methods of mortise and tenon joint(장부맞춤), is highly related with tensile force. To reduce the separation of parts, sangi(산지) and tishoi(띠쇠) are used as a counterproposal, which were generally used for architecture in royal Palaces in the late Joseon Dynasty and continued to be used until these days common wooden architecture.

• Journal of Korean Medicine Rehabilitation
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• v.26 no.4
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• pp.1-8
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• 2016

Objectives Danggwisu-san (Dangguixu-san) is a herbal prescription frequently used to treat pain or swelling caused by contusion. To determine the expiration period through scientific methodology, stability of Danggwisu-san (Dangguixu-san) water extract, a herbal medicine, was examined under various storage conditions and periods. Methods Danggwisu-san (Dangguixu-san) was stored either at room temperature ($23{\pm}2^{\circ}C$), under a refrigerating condition ($4^{\circ}C$) or under a freezing condition ($-18{\pm}2^{\circ}C$) for 0, 1, 2, 3 or 4 weeks and then freeze-dried. Total phenol and total flavonoid amounts were investigated; contents of amygdalin (Prunus persica), paeoniflorin (Paeonia lactiflora), and glycyrrhizin (Glycyrrhiza uralensis) - the marker compounds of Danggwisu-san (Dangguixu-san) - were also analyzed through high performance liquid chromatography (HPLC). Results No significant change in total phenol and total flavonoid amounts was observed under the indicated storage conditions. Moreover, the contents of marker compounds, i.e. amygdalin, paeoniflorin, and glycyrrhizin, did not alter significantly under the indicated conditions, as well. Conclusions Danggwisu-san (Dangguixu-san) was found to be stable up until 4 weeks under the indicated conditions. Further studies on efficacy and long-term stability are warranted to establish the expiration period of Danggwisu-san (Dangguixu-san).

• International journal of steel structures
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• v.18 no.4
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• pp.1373-1383
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• 2018

Experimental study was conducted to investigate the seismic behavior of roof joint. Eight full-scale specimens were tested considering the effects of axial force, joint height, hole shape of base plate and edge distance of concrete on the failure mode and resistance capacity of roof joint. With the increase of axial force, the hysteretic curves were fuller. The mechanical model of roof joint change from bending to shear. With the increase of joint height, the ultimate strength of roof joint decreased. If the hole shape of base plate changed from circle to loose, the slip behavior of roof joint appeared and the ultimate strength of roof joint decreased. The damage of edge concrete may occur if the edge distance of concrete was not big enough.

• International Journal of Concrete Structures and Materials
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• v.18 no.3E
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• pp.145-150
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• 2006

An experiment with the objective of providing guidelines for joint depth determination and timing of contraction joint sawcutting to avert uncontrolled cement concrete pavement cracking has been conducted. Theoretical analysis and laboratory tests were performed to help in understanding and analyzing the field observation. Using two-dimensional elastic fracture mechanics, the influence of several parameters on crack propagation was delineated by a parametric study, involving initial notch ratio, joint spacing, Young's modulus and thermal expansion coefficient of concrete, temperature gradient, and modulus of subgrade reaction. Bimaterials made of rock plus cement mortar and rock plus polymer mortar were applied to the concrete in a field test section, and they were subjected to fracture tests. These tests have shown that fracture mechanics is a powerful tool not only in judging the quality of the jointed cement concrete pavement but also in providing a criterion for crack propagation and delamination. Based on fracture mechanics, a method is proposed to determine the joint depth, sawcut timing, and spacing of the jointed cement concrete pavement. This method has successfully been applied to a test section in Seohaean expressway. This study also summarizes the research results obtained from a field test for jointed plain concrete pavement, which was also carried out on the Seohaean expressway.

• Journal of International Academy of Physical Therapy Research
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• v.8 no.1
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• pp.1095-1099
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• 2017

This study used both kinesiotaping and extracorporeal shock wave therapy on patients diagnosed with frozen shoulder - a common musculoskeletal disorder in adults - in order to observe the effects on the joint range of motion. 21 adult(male 12, female 9) were selected and distributed into randomized groups. One group received kinesiotaping (n=10) and the other group received kinesiotaping together with extracorporeal shockwave therapy (n=11). After a 6 week duration of receiving kinesiotaping and extracorporeal shockwave therapy, changes in the joint range of motion in the patients were observed. Post-treatment of frozen shoulder, the changes in abduction within the shoulder joint were as follows: in both groups there was a noticeable increase in the joint range of motion (p<.05). Post-treatment of frozen shoulder, the changes in external rotation within the shoulder joint were as follows: both groups showed a significant increase in the joint range of motion (p<.05). The result of suggest that, it can be inferred that both the extracorporeal shockwave therapy and kinesiotaping are effective in increasing the joint range of motion in patients with frozen shoulder.

• Journal of Biomedical Engineering Research
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• v.24 no.6 s.81
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• pp.543-548
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• 2003

Injuries of wrist in upper extremity is common onset in industrialized world. The development of joint arthroplasty and mechanical joint is area of research for biomechanical engineer and surgeon for a decade. Therefore. the knowledge of characteristic of joint motion is essential to develop the artificial wrist joint. In this study. the joint motions of wrist required for activities of daily living (ADLs). including personal hygiene and care. and general home activity were measured using flexible electrogoniometer. Total of 25 different daily activities were separated into four groups and tested on 15 subjects who did not show any abnormality of their joint functions. The maximum functional range of motion required for ADLs were obtained and standardized for analysis and comparison. Also. a least functional range of motion for ADLs were investigated. Results revealed that any significant differences were not found in least functional range of motion between left and right wrist to perform ADLs. However. a significant difference was found in different ADLs. Therefore. least range of motion obtained in this study can be used as basic data to design artificial joint and set a goal for surgeon to achieve appropriate treatment from patients.

• Journal of Welding and Joining
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• v.32 no.4
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• pp.55-62
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• 2014

The use of light-weight Al alloys in the automotive industry is increasing to meet requirements for fuel efficiency and emission reduction. Joining Al alloy to the conventional steel sheet is also very important issue with the increased use of Al alloy, and several joining processes have been introduced to enhance joining strength between dissimilar metals. This paper deals with a galvanic corrosion in the dissimilar metal joining. Salt spray tests up to 2000 hours were conducted on a self-piercing rivet, spot welded, adhesive bonded and weld-bonded joints, and cross-sections and tensile shear strength according the salt spray duration were analyzed at every 500-hour. Self-piercing rivet joint had relative low initial strength but the joint strength did not change regardless of the salt spray duration. The strength of other joints (spot welded, adhesive bonded and weld-bonded joints) decreased with the increase of salt spray duration and the corrosion behaviour of each joint was discussed.

• Biomedical Science Letters
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• v.29 no.4
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• pp.220-230
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• 2023

Identification of the pathogens causing infection is important in terms of patient's health management and infection control. Synovial fluids could be used as clinical samples to detect causative pathogens of prosthetic joint infections (PJIs) using molecular diagnostic assays, therefore, normalization and validation of clinical samples are necessary. Microbial culture is considered the gold standard for all infections, including PJIs. Recently, molecular diagnostic methods have been developed to overcome the limitation of microbial culture. Therefore, guideline for validating clinical samples to provide reliable results of molecular diagnostic assays for infectious diseases is required in clinical field. The present study aimed to develop an accurate validating method of synovial fluid clinical samples using GAPDH gene as an internal control to perform the quantitative PCR TaqMan probe assay to detect pathogens causing PJIs.