• 디자인학연구
• /
• 제9권
• /
• pp.1201-1208
• /
• 1994

70년대에 "아메리칸 뉴웨이브(American New Wave)" 라는 새로운 조류로써 그래픽디자인의 새로운 지평을 연 에어프릴 그레이만(April Greiman)은 스위스에서 수학한 디자인이념을 바탕으로 한 미국 캘리포니아의 자유분방한 스타일로 일약 세계적인 디자니어로 떠올랐다. 그레이만의 "Hybrid Imagerv"는 사진, 비디오, 드로잉, 타이포크래픽, 컴퓨터이미지등 다양한 매체를 혼합하여 새시대의 시각언어를 개발하고 이를 조형적으로 창조하는데 앞장서 왔다. 그녀는 비디오나 컴퓨터로 그려진 이미지의 "텍스췌"가운데서 기능성을 찾아낸 첫번째 디자이너이고 이것들을 그녀가 창조한 주요디자인작품에 새로운 시각언어로 통합한 용기있는 작가였다. 그녀는 또한 기본적인 디자인도구로써 매킨토시컴퓨터를 사용한 디자이너중 한명이었다. 그녀의 선구적인 작업에도 불구하고 그녀는 "실험적"디자이너라는 호칭을 거부하였다. 그녀는 사고적이고 감성적인 반응을 불러일으키는 이미지들을 배열하는 작업과정에 흥미가 있다.감성적인 반응을 불러일으키는 이미지들을 배열하는 작업과정에 흥미가 있다.

• Clinics in Shoulder and Elbow
• /
• 제18권1호
• /
• pp.2-7
• /
• 2015

Background: The purpose of this study was to evaluate the usefulness and safety of the anterosuperior deltoid splitting approach for fixation of displaced proximal humeral fractures by analyzing the surgical outcomes. Methods: Twenty-three patients who could be followed-up for at least 8 months after the treatment of displaced proximal humeral fractures through the anterosuperior deltoid splitting approach were enrolled. We evaluated the reduction of the fractures and surgery-related complications at the last follow-up using X-ray results and clinical outcomes comprising the University of California at Los Angeles (UCLA) scoring system and the Korean Shoulder Society (KSS) score. Results: At the last follow-up of patients treated using the anterosuperior deltoid splitting approach for internal fixation of proximal humeral fractures, we found 22 cases (95.6%) of bone union, a mean UCLA score of 28.3 (range, 15 to 34) and a mean KSS score of 82.1 (range, 67 to 95). Various surgery-related complications were noted; a case of varus malunion after fracture displacement, a case of nonunion, a case of delayed union, two cases of impingement, and a case of partial axillary nerve injury, which recovered completely through the follow-up. Conclusions: Plate fixation using the anterosuperior deltoid splitting approach could be another reliable option for treating displaced proximal humeral fractures.

• Clinics in Shoulder and Elbow
• /
• 제18권2호
• /
• pp.75-79
• /
• 2015

Background: This retrospective comparative study aims to evaluate the surgical outcomes and complications of two surgical methods for simple fractures of the humeral shaft; minimally invasive anterior plating and open reduction combined with internal fixation. Methods: A total of 26 patients with humeral shaft simple fractures, who had surgery between June 2009 and September 2013 and were followed-up at least 12 months, were included in our analysis. They were divided into two groups; group 1 comprised of 12 patients who underwent minimally invasive anterior plating and group 2 comprised of 14 patients who underwent an open reduction and internal fixation. The clinical outcomes, radiological results, and complications were compared and analyzed. Results: We found that bone union was achieved in all patients, and the mean union periods were $20.7{\pm}3.34$ and $20.3{\pm}3.91$ weeks for groups 1 and 2, respectively. In most patients, we found that shoulder and elbow functions were recovered. At 12 months post-operation, we found that the Korean Shoulder Scoring system, the University of California at Los Angeles score and Mayo elbow performance score were $91.4{\pm}7.97$, $33.4{\pm}1.15$, and $90.8{\pm}2.23$ for group 1, and $95.2{\pm}1.53$, $33.3{\pm}1.43$, and $90.17{\pm}1.85$ for group 2. In terms of complications, we found that 2 patients had radial nerve palsy after open reduction and internal fixation, but all cases spontaneously resolved within 6 months. Complications such as infection and loss of fixation were not reported. Conclusions: Both minimally invasive anterior plating and open reduction with internal fixation produced satisfactory outcomes in the treatment of simple fractures of the humeral shaft.

• Clinics in Shoulder and Elbow
• /
• 제18권1호
• /
• pp.36-42
• /
• 2015

Background: Repair of superior labral anterior to posterior (SLAP) lesion in patients older than 40 years is controversial. The purpose of this study was to evaluate clinical outcomes of arthroscopic repair of SLAP lesions between younger and older patient groups. Methods: We reviewed 50 patients with isolated type II SLAP lesions who underwent arthroscopic repair. Patients were divided into 2 groups: group 1 included 20 patients aged <40 years, and group 2 included 30 patients aged ${\geq}40years$. Functional outcome at the final follow-up was assessed using a visual analog scale for pain and satisfaction, American Shoulder and Elbow Surgeons form, Constant score, University of California at Los Angeles score, and periodic change in range of motion (ROM). Anatomical outcome was evaluated using computed tomography (CT) arthrography at least 1 year after surgery. Results: No significant differences in functional scores or postoperative ROM were observed between the 2 groups. In group 2, later recovery of ROM (forward flexion, p=0.025; internal rotation, p=0.034) and lower satisfaction score (p=0.06) were observed for atraumatic patients (n=16) compared to patients with traumatic injury (n=14). Fifteen patients in group 1 (15/17, 88%) and 21 patients in group 2 (21/26, 81%) demonstrated a healed labrum on postoperative CT arthrography, and this difference was not significant. Conclusions: The results of this study suggest that arthroscopic repair of type II SLAP lesions can yield good functional and anatomical outcomes regardless of age, if patient selection is adequate. However, the delay in ROM recovery and lower satisfaction, particularly in older patients without traumatic injury, should be considered.

• 한국문헌정보학회지
• /
• 제25권
• /
• pp.389-413
• /
• 1993

This study was inspired by the growing importance of information as a resource for improving the quality of life, the lack of systematic research about the information environment of Koreans in the United States and the lack of understanding of the relationships between individual characteristics and information seeking behavior. During 1990 and 1991, 204 Koreans, 18 years old and more, residing in the City of Los Angeles, were interviewed. Generally the information seeking behavior of Koreans appeared to be similar to that of the socioeconomically advantaged segment of the general public. They are relatively well aware of their information needs. capable of articulating them, and willing to pursue information to meet their needs. Major findings include: (1) the dominance of educational information needs: (2) positive feelings of hope, curiosity. and interest associated with information needs: (3) the tendency to pursue information with the expectation of potential rather than immediate rewards: (4) the expertise of information sources and their ability to provide information directly relevant to a need as criteria for selecting an information source: (5) the generally heavy reliance on informal interpersonal information sources and the high ranking of professionals as the starting point for information seeking and in judgements of usefulness: and (6) the dominant use of Korean ethnic information sources. Statistically significant correlations found at the 0.05 level relate (1) level of education, age, and gender with type of information need, the feelings associated with an information need, motivations to seek information, and the use of information sources, (2) proficiency in English and length of residence in the United States with the extent to which ethnic information sources are used, and (3) pattern of daily use of media with the use of media in seeking information.

• 한국도로학회논문집
• /
• 제7권3호
• /
• pp.93-100
• /
• 2005

도로공사과정에서 발생되는 현장 발생암은 경제성을 고려하여 도로용 재료로 활용되고 있으나 풍화속도가 빠른 퇴적암 골재의 경우 품질기준 적합성 여부를 판단하기 곤란한 경우가 많이 있다. 본 연구는 현장에서 발생된 이암계 퇴적암을 보조기층용 재료로 활용하였을 때 문제점을 고찰한 것이다. 그 결과 마모율은 품질기준을 만족하였으나, 27.5$\sim$16mm 입도 범위에서 중량감소율은 편마암 및 사암의 경우 20$\sim$30%이었으나 이암계 퇴적암은 47%로 매우 높은 값을 나타내었다. 골재의 안정성 시험결과에서는 편마암 및 사암에 비하여 이암계 혼합석이 매우 높게 나타났으며, 동결 및 건조에 의한 촉진 풍화시험에 의한 중량감소율에서도 편마암 및 사암계 혼합석 3.8$\sim$21%에 대하여 이암계 혼합석은 58%를 나타내어 빠른 풍화특성을 나타내었다.

• Clinics in Shoulder and Elbow
• /
• 제20권1호
• /
• pp.37-41
• /
• 2017

Background: Increased frequency of comminuted clavicle mid-shaft fractures and importance of functional satisfaction through early joint exercise has resulted in higher emphasis on surgical treatments. This study aimed to evaluate the clinical radiological results of treatment of clavicle mid-shaft fractures by open reduction and internal fixation using a plate with a small incision. Methods: The subjects of this study were 80 clavicle mid-shaft fracture cases treated with internal fixation using a plate from October 2010 to July 2014. Clavicle mid-shaft fractures were internally fixated using anatomical plates or locking compression plates. Achievement of bone union, union period, and clavicle length shortening were evaluated radiologically, and clinical assessment was done by using Constant and University of California at Los Angeles (UCLA) scores. Results: All 80 cases were confirmed to have achieved bone union through radiographs with an average union period of 10.9 weeks (range: 7-18 weeks). The average clavicle length of shortening in the affected side was 1.8 mm (range: 0-17 mm). The average UCLA score and Constant score were 33.6 (range: 25-35) and 92.5 (range: 65-100), respectively. Regarding complications, four cases reported skin irritation by metal plates, and one case reported a screw insertion site fracture due to minor trauma history. Conclusions: We were able to induce successful bone union and obtain clinically satisfactory results in displaced mid-shaft fractures of the clavicle without major complications such as nonunion through treatment of internal fixation using a plate.

• Clinics in Shoulder and Elbow
• /
• 제20권1호
• /
• pp.24-29
• /
• 2017

Background: The purpose of this study was to compare the clinical outcome in patients aged less than 55 years who underwent arthroscopic tenodesis and arthroscopic repair for type 2 superior labrum anterior and posterior (SLAP) lesions. Methods: Between April 2008 and December 2014, surgery was performed on a total of 45 patients with isolated type 2 SLAP lesions. Arthroscopic repair was performed in 22 patients and arthroscopic tenodesis was performed in 23 patients. In both groups, the clinical outcomes at follow-ups were evaluated using the University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and visual analogue scale (VAS) score. Results: In both groups, the VAS scores for pain had improved significantly throughout the postoperative follow-up period. The VAS score showed a statistically significant difference at postoperative 3 and 6 months (p<0.05); however, there was no statistically significant difference between preoperative and postoperative results at 12 months (p>0.05). In both groups, the functional outcome was statistically improved postoperatively. In a comparison of the UCLA and ASES scores between the two groups, there was a statistically significant difference at postoperative 3 and 6 months (p<0.05), but there was no statistically significant difference between preoperative and postoperative results at 12 months (p>0.05). Conclusions: Based on the results of this and other studies, patients with isolated type 2 SLAP lesions showed better short-term clinical outcome with tenodesis than with repair. However, there was no difference between the two groups at the final follow-up.

• Clinics in Shoulder and Elbow
• /
• 제19권3호
• /
• pp.130-136
• /
• 2016

Background: A novel technique for the repair of tears of the upper subscapularis tendon-intraarticular knotless fixation-has been introduced recently. The purpose of this study was to evaluate the clinical and structural outcomes of arthroscopic intraarticular knotless fixation for the treatment of upper subscapularis tendon tears. Methods: We retrospectively analyzed the clinical and radiological outcomes of 27 patients who underwent arthroscopic intraarticular knotless fixation for upper subscapularis tendon tears. Finally, a total of 10 patients who could participate in at least a 6 month follow-up of magnetic resonance imaging evaluation and in a least 1-year follow-up on an outpatient basis were enrolled in our study. The mean age at the time of operation was 60.7 years, and the mean duration of follow-up was 14.7 months. Two patients had concomitant tears of the supraspinatus tendon and 8 patients had concomitant tears of the supraspinatus and the infraspinatus tendons. Results: The clinical and radiological outcomes improved after the patients had undertaken arthroscopic intraarticular knotless fixation. The mean visual analogue scale score for pain during motion improved from 6.7 preoperatively to 1.4 at the final follow-up (p<0.001). The mean Constant score improved from 59.3 preoperatively to 79.6 at the final follow-up, and the mean the University of California at Los Angeles score, from 21.7 to 30.2, respectively (p<0.001 and p<0.001). The upper subscapularis tendon tear was healed in every patient except one (90%), for the patient had suffered from a postoperative trauma that resulted in a retear. Conclusions: We found that arthroscopic intraarticular knotless fixation gives good clinical and structural outcomes for the repair of upper subscapularis tendon tears. Arthroscopic intraarticular knotless fixation provided such a reliable and efficient restoration of the subscapularis tendon footprint that we anticipate it will become a widely-used procedure for upper subscapularis tendon tears.

• Clinics in Shoulder and Elbow
• /
• 제19권3호
• /
• pp.149-154
• /
• 2016

Background: The purpose of this study is to compare clinical and radiological outcomes between trans-acromial fixation with Kirschner's wire (K-wire) and AO locking hook plate fixation for acute acromioclavicular (AC) joint dislocation. Methods: This study included 61 patients who underwent either closed reduction and trans-acromial fixation with K-wire (group A, 23 patients) or open reduction and internal fixation with AO locking hook plate (group B, 38 patients). Pain on a visual analogue scale (VAS) score, the University of California Los Angeles (UCLA) shoulder score, the American Shoulder and Elbow Surgeons (ASES) score, and active range of motion (ROM) were used in the functional evaluation. For radiological evaluation, coracoclavicular distance (CCD) was measured on both clavicular anteroposterior view and compared between groups. Results: At one-year follow-up, no significant differences in VAS pain score, UCLA shoulder score, ASES score, and active ROM were observed between groups, despite five cases (22.7%, 5/23) of complication in group A. The side-to-side difference between normal and affected CCD was $2.4{\pm}2.2mm$ in group A and $0.2{\pm}0.7mm$ in group B. This difference showed a statistical significance between groups (p<0.001). Conclusions: For the treatment of acute AC joint dislocation, the K-wire trans-acromial fixation group showed a significantly greater CCD than the AO locking hook plate group. In addition, during the follow-up period, much higher incidence of complication related to implant was observed in the trans-acromial fixation group. Although clinical outcomes between groups were not significantly different, these results should be interpreted carefully.