• 한국융합학회논문지
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• 제11권2호
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• pp.53-60
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• 2020

본 논문은 손목 후전, 측방향 검사 시 손목을 지지하여 자세 변동을 최소화 시킬 수 있는 경사보조도구에 대해 영상 평가하고자 한다. 50명을 대상으로 일반적 검사(수직), 튜브 각도(후전방향:10°, 측방향:20°)와 경사보조도구(수직)를 이용한 손목 후전, 측방향 영상을 획득하여 먼쪽 노뼈 관절면과 손목 뼈와의 간격을 측정하였다. 손목의 후전, 측방향 영상에서 관절 간격을 측정 하였을때 일반적 검사(5.54mm, 9.42mm), 튜브 각도(2.05mm, 5.07mm) 그리고 경사보조도구(1.79mm, 5.46mm) 순으로 관절 간격이 작게 나타났다. 관절 간격이 작을수록 열려진 관찰이 용이하다. 따라서 경사보조도구를 이용한 손목의 후전, 측방향 촬영은 영상의 왜곡을 감소시켜 진단적 가치가 높은 영상을 획득할 수 있고, 재촬영 시 환자 자세 변동에 따라 발생할 수 있는 편차를 감소시킬 수 있을 것으로 사료된다.

• 한국전문물리치료학회지
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• 제12권2호
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• pp.11-19
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• 2005

Patellofemoral pain syndrome (PFPS) is often attributed to malalignment and maltracking of patella within the patellofemoral joint. Most exercise for PFPS has focused on selectively strengthening the vastus medialis oblique muscle (VMO). This study was designed to identify the effect of medial, lateral wedge and difference of Quadriceps angle (Q-angle) on vastus medialis oblique/vastus lateralis muscle (VL) activity ratios. The subjects were twenty young adult males who had not experienced any knee injury. They were asked to perform isometric contraction exercises in three postures using medial and lateral wedge. The EMG activity of the VL and VMO were recorded in three postures by surface electrodes and normalized by %MVC values derived from seated, isometric knee extensions. The normalized EMG activity levels (%MVC) of the VL and VMO for the three postures of the lower extremities were compared using 2-way repeated measures ANOVA with 1 between-subject factor (group), and 1 within-subject factor (wedge). Results of repeated measures of ANOVA's revealed that the medial wedge isometric contraction exercise produced significantly greater EMG activity of VMO/VL ratios in Group I (Q-angle $18^{\circ}$ or less) (p<.05). But, the medial wedge isometric contraction exercise was no significant difference of VMO/VL ratios in Group II (Q-angle $19^{\circ}$ or more) (p>.05). These results have important implications for selective VMO muscle strengthening exercises in PFPS patients.

• 한국지반환경공학회 논문집
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• 제10권7호
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• pp.159-165
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• 2009

변형률 쐐기모델은 지반의 변형과 말뚝의 복합적인 상호거동을 반영하는 효과적인 횡방향 지지력 산정방법이며, 국내에서도 근래에 들어 실무에서 그 적용성이 점차 증가하고 있다. 특히 다층지반에서의 변형률 쐐기모델은 아직까지 국내에서 검증된 바가 없어, 다층지반에서 횡방향 하중을 받는 말뚝의 거동을 변형률 쐐기모델로 이해하기 위해서는 충분한 연구가 필요하다. 이에 본 연구에서는 다층 지반에서도 변형률 쐐기모델이 지반과 말뚝의 복합거동을 모사할 수 있는 유효한 모델인지 확인하기 위하여 모형실험과 수치해석기법으로 그 적용성을 확인해 보았다. 모형말뚝을 이용하여 직접 횡방향 하중을 재하시킴으로써 말뚝의 거동특성을 평가하고, 주면 마찰저항력의 크기로 지반의 변형률을 평가하여 지반의 수동쐐기를 도출하면서 지층의 강성에 따른 수동쐐기의 상태변화를 확인함으로써 다층지반에서의 적용성을 확인하였다. 아울러 수치해석 기법을 이용하여 모형실험을 검증함으로써 모형실험의 신뢰성을 검증하여 변형률 쐐기모델의 적용성을 검증하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5107-5111
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• 2016

Background: Epidemiological studies have indicated an increasing incidence of radiation induced secondary cancer (SC) in breast cancer patients after radiotherapy (RT), most commonly in the contra-lateral breast (CLB). The present study was conducted to estimate the SC risk in the CLB following 3D conformal radiotherapy techniques (3DCRT) including wedge field and forward intensity modulated radiotherapy (fIMRT) based on the organ equivalent dose (OED). Material and Methods: RT plans treating the chest wall with conformal wedge field and fIMRT plans were created for 30 breast cancer patients. The risks of radiation induced cancer were estimated for the CLB using dose-response models: a linear model, a linear-plateau model and a bell-shaped model with full dose response accounting for fractionated RT on the basis of OED. Results: The plans were found to be ranked quite differently according to the choice of model; calculations based on a linear dose response model fIMRT predict statistically significant lower risk compared to the enhanced dynamic wedge (EDW) technique (p-0.0089) and a non-significant difference between fIMRT and physical wedge (PW) techniques (p-0.054). The widely used plateau dose response model based estimation showed significantly lower SC risk associated with fIMRT technique compared to both wedge field techniques (fIMRT vs EDW p-0.013, fIMRT vs PW p-0.04). The full dose response model showed a non-significant difference between all three techniques in the view of second CLB cancer. Finally the bell shaped model predicted interestingly that PW is associated with significantly higher risk compared to both fIMRT and EDW techniques (fIMRT vs PW p-0.0003, EDW vs PW p-0.0032). Conclusion: In conclusion, the SC risk estimations of the CLB revealed that there is a clear relation between risk associated with wedge field and fIMRT technique depending on the choice of model selected for risk comparison.

• 대한족부족관절학회지
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• 제21권1호
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• pp.7-11
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• 2017

Purpose: We retrospectively analyzed the radiographic and clinical results after the first ray of forefoot osteotomy using low profile wedge plate without additional cancellous bone grafting for pes planus correction. Materials and Methods: Twenty-four patients were enrolled in this study. Medial cuneiform opening wedge osteotomy was performed in 12 patients (Cotton osteotomy, group C) and first metatarsal base osteotomy was performed in 12 patients (group MT). Results: On average, the wedge size was 5.61 mm (5~6 mm). The mean time to radiographic union was 3.18 and 3.27 months in groups C and MT, respectively. Postoperative talonavicular coverage angle, talo-first metatarsal angle (anteroposterior), talo-first metatarsal angle (lateral), talo-calcaneal angle (lateral), medial cuneiform height, and American orthopaedic foot, as well as ankle society midfoot scale were significantly improved in both groups. Nonunion, delayed union or fixation failure was not presented in our series. Conclusion: We have shown that low profile wedge plate was effective in the case of first ray forefoot osteotomy for pes planus correction without any additional cancellous bone grafting.

• 대한방사선치료학회지
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• 제24권2호
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• pp.183-188
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• 2012

목 적: 암치료 기술의 발전으로 환자의 생존기간이 길어짐에 따라 치료 이후 삶의 질을 증진하고 치료 방법에 의한 부작용을 줄이는 노력에 관심이 집중되고 있다. 본 연구는 유방암 접선조사 치료에서 치료방법 차이가 반대쪽 유방 산란 선량에 미치는 영향을 분석하고자 하였다. 대상 및 방법: 본원에서 제작한 유방 모형 팬텀의 전산화 단층 영상을 이용하여 이클립스 10.0 (Eclipse 10.0, Varian, USA) 치료계획 시스템을 사용하여 $30^{\circ}$ wedge plan, $15^{\circ}$ wedge plan, $30^{\circ}$ EDW (Enhanced dynamic wedge) plan, Non-wedge plan, FIF(Field in Field) plan을 수립하였다. 각 치료계획은 선형가속기 CL-6EX (VARIAN, USA)를 이용하여 400 cGy씩 조사하였고 팬텀의 중심점으로부터 횡축방향으로 1 cm, 3 cm, 5 cm, 9 cm 씩 이동한 지점의 1 cm 깊이에서 전리조(FC 65G, IBA)를 이용하여 내측접선(Medial tangential) 조사와 외측접선(Lateral tangential) 조사에서 발생하는 산란선량을 각각 측정하고 비교 분석하였다. 결 과: 반대쪽 유방 산란 선량을 평가해보았을 때 $30^{\circ}$ wedge plan, $15^{\circ}$ wedge plan, $30^{\circ}$ EDW (Enhanced dynamic wedge) plan, Non-wedge plan, FiF (Field in Field) plan에서 처방선량에 대해 각각 6.55%, 4.72%, 2.79%, 2.33%, 1.87%로 나타났다. 내측접선조사와 외측접선 조사로 나누어 보았을 때 내측접선 조사 측정값은 각각 4.94%, 3.33%, 1.55%, 1.17%, 0.77%로 나타났고 외측접선 조사는 각각 1.61%, 1.40%, 1.24%, 1.16%, 1.10%의 산란 선량이 측정되었다. 결 론: 유방암 접선 조사 치료방법 중 반대쪽 유방에 가장 적은 산란 선량이 발생하는 방법은 FiF plan으로 이때 발생한 산란선량은 팬텀 내에서 기인한 선량이 주로 작용하는 것으로 판단되었다. 가장 많은 산란 선량이 발생하는 치료방법은 $30^{\circ}$ wedge plan이었고 쐐기필터를 비롯한 치료 장비에서 기인한 선량은 3.3%로 평가되었다. 치료계획 시스템은 처방선량에 대해 상대적으로 낮은 산란 선량 영역은 정확성이 떨어지는 것으로 나타났다. 치료 조사야 밖으로 발생하는 산란 선량은 처방 선량에 비해 그 양이 적지만 2차 암 발생 확률과 관련이 있다는 점에서 간과할 수 없는 부분이며 방사선 치료를 결정하는데 있어 고려되어야 할 부분으로 사료된다.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.84-88
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• 2016

Objective: Generally, it is known that there is a correlation between excessive calcaneus eversion and a patient with low back pain and it also affects pelvic alignment. However, there are not enough studies that show calcaneal eversion having an effect on the alignment of the trunk. Design: Cross-sectional study. Methods: A 3-dimensional motion analysis system was used to assess the lower limbs, pelvic alignment, and trunk alignment with increased unilateral and bilateral calcaneal eversion in twenty-one subjects. All subjects were asked to maintain a static posture for seven seconds on a wedge three times per posture for measurement and analysis purposes. The wedge used in the process was a lateral wedge with a 10-degree tilt to the lateral direction. To unify all of the subjects' foot position, the front and inner side of the wedge were marked. The height of the tilted wedge's inner side and flat wedge were balanced equally in order to be able to maintain the lateral part of the foot to the same height when producing an increased calcaneal eversion. Results: Comparing the changes in trunk and pelvic alignment in accordance to calcaneal eversion for each posture, there was a significant different in the X and Y-axis for each posture, but not in the Z-axis (p<0.05). Thus, it can be confirmed that calcaneal eversion in the sagittal plane and frontal plane may have and effect on the pelvis and the trunk. Conclusions: Postures with increased bilateral and unilateral calcaneal eversion has an effect on pelvic alignment, but does not cause any changes in trunk alignment.

• 정보저장시스템학회논문집
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• 제2권4호
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• pp.224-229
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• 2006

There has been studied flow to minimize the spot size to increase data capacity. Optical data storage devices are being developed near practical limits with wavelength and NA of 405nm and 0.85. There has been studied many types of next generation storage devices such as blu-ray multilayer system, probe based data storage and holographic data storage. Among these data storage devices, solid immersion lens(SIL) based near field recording (NFR) has been widely studied. In this system, SIL is the key component that focuses the laser beam with a very small size which enables ultra high data capacity. Therefore, optical performance evaluation system is required for SIL assembly. In this dissertation, a simple and accurate SIL assembly measurement method is proposed with wedge plate lateral shearing interferometer(LSI). Wedge plate LSI is cheaper than commercialized interferometer, robust to the vibration and the moving distance for phase shifting is large that is order of micrometer. We designed the thickness, wedge angle, material, surface quality and wavelength of wedge plate as 1mm, 0.02degree, fused silica, lamda/10(10-5) and 405nm, respectively. Also, we confirmed simulation and experimental results with quantitative analysis. This simple wedge plate LSI can be applied to different types of SIL such as solid immersion mirror(SIM), hemispherical, super-hemispherical and elliptical SIL.

• 한국철도학회논문집
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• 제20권3호
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• pp.299-310
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• 2017

본 연구에서는 3-piece 마찰 웨지 화차의 주행성능을 예측하기 위해 ADAMS/View에서 독립하중 마찰 웨지 모델을 개발하였다. 마찰 웨지 모델은 볼스터의 좌우, 수직방향에 따른 마찰을 각각 구현해줄 수 있다. 개발된 마찰 웨지 모델은 ADAMS/Rail 차량 모델에 적용하여 동역학 해석 결과를 얻었다. 대상차량은 임계속도 210km/h를 가진다. 직선 안정성 해석에서 UIC518에 근거해 차체의 횡, 수직방향 한계 가속도에 만족하는 것을 확인하였다. 300R 곡선에서 해석 적용 속도는 70km/h로 UIC518에 근거해 차체, 대차의 한계 가속도에 만족하였다. 또한 "철도차량 안전기준에 관한 규칙"의 윤중감소율, 횡압, 탈선계수에 만족하는 것을 확인하였다.

• 대한정형도수물리치료학회지
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• 제12권2호
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• pp.1-10
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• 2006

The purpose are to assess the efficacy of a contact lateral-wedged insole with strapping on the femorotibial angle in patients with varus deformity osteoarthritis of the knee after treatment period. 25 outpatients with knee osteoarthritis (OA) were randomized to be treated with a contact lateral-wedge insole with strapping. Standing radiographs were used to analyze the femorotibial angle for each subject. The result of repeated two-way ANOVA's reveled that a contact lateral-wedged insole with strapping produced significantly differences in the femorotibial angle between groups after treatment period (P<0.05). and repeated one-way ANOVA's reveled that it produced significantly differences in the femorotibial angle between experimental groups after treatment period (P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.