• 한국정밀공학회지
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• 제13권12호
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• pp.63-69
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• 1996

As the significance of quality in the sense of customer satisfaction is growing, the management of quality becomes one of the main interests in the manufacturing systems research. This paper presents the concept of quality-driven CIM(Computer Integrated Manufacturing) system which is composed of a business process domain and a quality domain. In the business process domain, business functions are integrated by conventional design and manufacturing databases on the one hand, and an integrated quality system is interlinked to them via several quality modules on the other hand. Quality information model connects the business process domain with the quality domain where various types of quality data are stored in the form of quality database. This framework helps a manufacturing enterprise to implement the quality-driven CIM system to achieve its final objective "customer satisfaction".ion".uot;.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.95-100
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• 2016

Objective: The purpose of this study was to investigate effects of hand grip strength on the muscle activation of shoulder joint in breast cancer patients. Design: Cross-sectional study. Methods: Ten breast cancer patients who agreed to active participation were included. These patients were operated with either conservative surgery or segmental mastectomy, and then were treated with radiation therapy and chemotherapy. The activity of the upper trapezius, lower trapezius, supraspinatus and serratus anterior muscle were measured using surface electrodes during 4 hand gripping tasks (lowered their arms in standing position, 0%, 30%, and 50% of maximum voluntary contraction) in the scapular abduction plane. Results: The results were analyzed using a one-way repeated measures ANOVA. There was a significant difference in the lower trapezius and supraspinatus muscles according to grip strength, lower trapezius and supraspinatus muscles showed significantly difference according to grip strength (p<0.05). The result of the muscle activation according to hand strength (0%, 30%, and 50%) it showed a significant difference between the upper trapezius and supraspinatus in 0% grip strength (p<0.05). In addition, it did not show a significant difference between muscles in 30%, 50% hand strength. Conclusions: This study showed an increase in shoulder muscle activation with increasing hand grip strength with the upper trapezius muscle being more activated than other muscles in 0% grip strength. The finding of this study suggests usefulness for development of preventative measures and rehabilitation strategies for increasing shoulder motor function in patients with breast cancer.

• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.87-95
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• 1997

Traumatic injury to the hand often leads to soft tissue defects with exposed tendons, bones, or joints. Though many new flap have been introduced, the choice of flap that would be best for the patient depends on such factors as the site, size, and degree of wounds. Additionally the selected surgical method should be yielded cosmetic and functional superiority by the one-staged reconstruction. In our experience, small to medium sized soft tissue defect with bone and tendon exposure of hand can be resurfaced with an arterialized venous free flap from the volar aspect of distal forearm. Wide and deep defects of the hand can be covered with a sensory cutaneous free flap such as the medial plantar free flap, dorsalis pedis free flap, and radial forearm free flap. Specialized flap such as wrap-around flap, toe-to-finger transfer, onychocutaneous free flap can be used for the recontruction of defect on the thumb and finger. Based on the above considerations and our clinical experience of 60 free flap cases of the hand, the various methods for the proper repair of soft tissue defects of the hand are described. And we obtained satisfactory functional and cosmetic results with 95% success rate of free flap.

• Archives of Reconstructive Microsurgery
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• 제22권1호
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• pp.24-28
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• 2013

Purpose: Soft tissue defect of the hand, which cannot be covered with skin graft or local flap, is usually reconstructed using a free flap. Temporoparietal fascial free flap is one of the best alternatives for functional reconstruction of the hand with exposed tendons, bones, and joints. Materials and Methods: We have experienced four cases of reconstruction using a temporoparietal fascial flap with a skin graft and followed up for 20 years. We conducted a retrospective review of the patients' clinical charts and photos. Results: At the time of initial injury, the average age of patients was 50.3 (39~62) years. The radial artery was used for reconstruction of the dorsal side of the hand, whereas the ulnar artery was used for that of the volar side of the wrist. Short term complication such as skin graft loss and donor site alopecia occurred. However, during the long term follow-up period, no change of flap volume was noted, and full range of motion in the adjacent joint was maintained. In addition, hyperpigmentation of the grafted skin on the flap disappeared gradually. Conclusion: Selection of the optimal flap is important for reconstruction of the hand without functional limitation. We obtained satisfactory soft tissue coverage and functional outcomes using a temporoparietal fascial free flap and followed up for 20 years.

• 혜화의학회지
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• 제14권1호
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• pp.67-81
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• 2005

We have conclusions after the study of muscular system about small intestine channel of hand taiyang muscle. Judging from many studies of interrelation between Meridian muscle and muscle, it is considered that Meridian muscle theory has some similarities with modern anatomical muscular system. It is considered that Small intestine channel of hand taiyang muscle contains Flexor digitorum profundus muscle, Extensor digiti minimi muscle, Abductor digiti minimi muscle, Extensor carpi ulnaris muscle, Flexor carpi ulnaris muscle, Triceps brachii muscle, Infraspinatus muscle, Levator scapulae muscle, Sternocleidomastoid muscle, Masseter muscle, Temporalis muscle. The symptoms of small intestine channel of hand taiyang muscle is similar to referred pain of modern Myofascial Pain Syndrome, and the medical treatment of "I Tong Wi Su(以痛爲輸)" is also similar to that of Myofascial Pain Syndrome. Small intestine channel of hand taiyang muscle is one of the three yang channels of hand muscle, and it has unity in extension of upper limb and trunk in the movement. And it is thought that weakness of small intestine channel of hand taiyang muscle is related with muscular system causing Round Shoulder and Head Forward Position.

• 기본간호학회지
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• 제9권2호
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• pp.165-179
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• 2002

Purpose: This descriptive study was done to evaluate the attitude and practice of hand-washing by student nurses. Method: The subjects of the study were 463 senior and junior undergraduate student nurses and RN-BSN students. The questionnaire was developed by the researchers Data were collected from Oct. 16 to Dec. 20. 2001. and analysed by SPSS/WIN. General characteristics. attitude and practice were analyzed by frequency and percentage and differences in attitude and practice according to grade and practice setting were analyzed with $x^2$ test, t-test or ANOVA. Result: 1) The mean frequency of hand-washing was 6.63. Senior students washed more frequently than junior students. 2) The reasons for non-compliance were 'not being accustomed', 'forgetting', and 'not accessible'. 3) The mean time for hand-washing was 23.79 sec., less than the stated appropriate time of 42 18 sec. 4) 90% of the students washed their hands 'after contacting excretions and contaminated items' and few washed 'before giving care to the client'. 5) Most students washed hands rotationally rubbing with soap and water. 6) While washing, they removed their rings more often than their watches. 7) Soap bar (52.8%) and paper towel (69.6%) were most frequently used as decontaminating agent and drying method, but detergent solution (74.2%) and paper towels (60%) were considered as the most appropriate agent and method. 8) Hand-washing was perceived important generally 'to protect from cross-infection'. 'to protect one-self' and 'the most cost effective'. 9) All students responded nurses should practice 'hand-washing.'

• 전자공학회논문지SC
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• 제44권4호통권316호
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• pp.48-54
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• 2007

손 모양은 청각장애인의 의사소통 수단인 수화에서 중용한 요소 중 하나이다. OpenGL 기반의 가상현실 공간에서 수화 동작을 표현하기 위해서는 수화 동작 데이터를 삽입하고 수정하는 편집 프로그램이 필요하다. 하지만, 기준의 수화 동작 편집기는 수화를 잘 이해하지 못하는 일반 사용자가 손 모양을 정확하게 편집하거나 표현하는데 어려움이 있다. 또한, 수화 사전에 포함되는 각 수화 단어의 데이터 수가 많기 때문에 이를 효율적으로 생성하고 저장하는 프로그램이 필요하다. 본 논문에서는 그래픽 사용자 인터페이스(GUI)를 통해 다양한 손 모양을 쉽게 편집하고 생성된 손 모양 데이터를 데이터베이스에 저장할 수 있는 손 모양 편집 프로그램을 개발하였다. 생성된 손 모양 코드는 수화 동작을 생성하기 위한 수화 단어 편집기에 연결되어 수화 데이터베이스의 전체 용량을 감소시킨다.

• Archives of Reconstructive Microsurgery
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• 제8권1호
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• pp.77-83
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• 1999

전북대학교병원 정형외과에서 1993년 8월부터 1997년 8월까지 족부 및 수부 손상 5례에 대하여 족 배 유리 피부판 이식술을 시행하고, 1999년 3월까지 최소 19개월부터 최장 67개월간 추시하여 다음과 같은 결과를 얻었다. 1. 나이별로는 9세부터 35세까지로 평균 23세 이었으며, 성별로는 전례가 남자이었으며, 족부에서 시행하였던 예가 4례, 수부에서 1례이었다. 2. 족부의 손상 원인은 교통사고 2례, 기계 사고 1례, 자전거 바퀴 사고 1례 이었으며, 수부에서는 교통사고에 의하여 전완부 요골의 개방성 골절이 동반되고 수부 배부의 다발성 신전 건 파열 및 피부 괴사에 의한 신전 건 노출 1례이었다. 3. 수여 동맥은 족 배 동맥 2례, 전 경골 동맥 1례, 후 경골 동맥 1례 그리고 척골 동맥이었으며, 수여 정맥은 족부 4례에서 2개 정맥을 문합하였으며, 5례(100%) 전례에서 성공하였다. 4. 추시 결과 유리 피판 이식술 후 외양(exterior)과 일상생활시 피부판이 손상되는 분쇄(maceration) 정도는 우수하였으나, 감각 회복 정토는 불량하였다. 5. 제공 부위인 족 배부는 유리 피판 이식술 3주 후 전층 식피술을 시행하여 완전 접착되었으며, 추시상 유병율없이 우수한 결과를 보였다.

• 재활간호학회지
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• 제5권1호
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• pp.7-17
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• 2002

The purpose of this study was to investigate the effect of taping therapy on activities of daily livings (ADL), hand function and range of motion in poststroke-hemiplegic patients. Sample were selected from 20 poststroke-hemiplegic patients at public health center in the period from September 5 to November 21, 2001. The research design was one group pretest-posttest design. The hemiplegia period of the participants was from one year to five years. The pretest and posttest included measuring activity of daily livings(ADL), instrumental activity of daily livings(IADL), hand function, range of motion, quality of life. In this research design, a treatment were to expose taping therapy who were received self-help management program. This self-help management program was composed of five sessions and each session had health education on stroke, diet, risk factor, ROM exercise and recreation. 20 patients were treated with kinesio taping(Nippon Sigmax Co., Ltd., Benefact(r), width 50mm). Tapes were applied to the Deltoid, Supraspinatus, Infraspinatus, Brachioradialis with paralyzed upper extremity. The taping therapy was performed once a week for 5 weeks. SPSS Win 8.0 was used for the data analysis. The results of this study were as follows: 1) The score of BADL was increased from 30.5 to 33.95 after program, and that was statistically significant(p=.019). 2) The score of IADL was increased from 11.6 to 12.75 after program, but that was statistically insignificant(p=.161). 3) The score of hand function was increased from 17 to 20.35 after program, and that was statistically significant(p=.026). 4) The shoulder's ROM(p=.000) and wrist's ROM(p= .004) were significantly increased. According to the results of this study, taping therapy is effective for improving ADL, hand function, ROM, quality of life. However, this study found no significant differences in IADL. Consequently, these findings showed that the taping therapy was effective in improvement of physical aspects(BADL, hand function, upper extremity's ROM) in poststroke-hemiplegic patients.

• 한국멀티미디어학회논문지
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• 제13권11호
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• pp.1715-1727
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• 2010

인간의 손은 현실의 사물과 인터랙션하는 가장 직접적이고 자연스러운 인터페이스라고 할 수 있으나, 가상 환경에서는 인간 손 관절체의 높은 자유도와 관련 인터페이스 장치의 한계로 말미암아 가상현실 애플리케이션에 활발히 도입되고 있지 못한 상황이다. 특히, 가상 조립 시뮬레이션은 제품 개발 단계에서 디지털 목업의 검증을 위한 프로세스로서 가상현실 애플리케이션 중 도전적인 주제라고 할 수 있다. 하지만, 가상의 객체를 파지(grasp)하기 어렵고 지속적으로 세밀하게 조작 할 수 없는 점 등은 핸드 햅틱 인터랙션이 가상 조립 등의 가상현실 애플리케이션에 적용 시 커다란 장벽으로 인식되고 있다. 본 논문에서는 핸드 햅틱 인터랙션을 두 관점에서 분석하여 각 단계별로 단계적 절차를 수행하는 방법을 제안하고자 한다. 인간이 사물을 쥐고 조작할 때, 손 안에서 사물이 빠져나가지 않도록 사물의 외형에 따라 손의 힘의 균형을 조절하는 견고함과 일단 사물을 쥐게 되면 손 안에서 인간의 의도를 반영한 정밀한 사물 조작이 가능한 세밀성이 가능한 핸드 햅틱 인터랙션을 제안하고자 한다. 제안된 알고리즘은 초기 grasp를 용이하게 하기 위해 품질평가척도를 통해 grasp의 견고함을 확보하고, 세밀한 조작성을 확보하기 위해 물리 기반의 시뮬레이션을 수행한다. 제안된 방법의 효율성을 평가하기 위하여 서로 다른 디스플레이 환경-모노, 입체 디스플레이-에서 실험을 수행하였다. 그리고 2-way ANOVA 테스트를 통하여 본 연구에서 제안한 충돌 전 grasp 단계와 충돌 후 조작 단계로 구분된 알고리즘이 앞서 언급한 두 관점을 모두 만족함을 보였다. 마지막으로, 제안된 인터랙션 방법을 이용하여 복잡한 그래픽 모델에 관한 가상 조립 시뮬레이션에 적용된 실 사례를 보였다.