• 대한기관식도과학회지
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• 제6권1호
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• pp.62-71
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• 2000

Background: For the purpose of reducing operating time and rate of anastomotic leakage, we have performed esophagovisceral anastomosis with an EEA stapler using the largest size possible. If any difficulty in the approach of the EEA stapler was encountered one-layer interrupted hand-sewn anastomosis. Because the rate of postoperative benign anastomotic stricture was higher than expected, a retrospective study was done on all patients who underwent esophageal reconstruction. Material and Method: Over a period of 3 years from January 1996 to December 1998, we performed esophageal reconstructions on 30 patients. Patients were divided into two groups ; EEA stapler group(Group Ⅰ) comprised of 21 patients and hand-sewn group(Group Ⅱ) comprised of 9 patients.Result:The hospital mortality was 6.67 %(2/30) and the anastomotic leakage rate was 3.33 %(1/30). Among the discharged patients, the rate of recurrent anastomotic tumor was 3.57 %(1/28) and the rate of benign anastomotic stricture stricture rate was 35 %(7/20) in Group Ⅰ and 12.5 %(1/8) in Group Ⅱ, which was not significant. Conclusion: Although nontumor benign stricture was significantly higher in Group Ⅱ than in Group Ⅰ(p=0.0492), the incidence of anastomotic complications did not differ between the two groups. The one-layer interrupted hand-sewn esophagovisceral anastomosis by maintaining a wide lumen and close approximation of mucosa to mucosal layers with evenly spaced sutures could be one of the preferred surgical method to reduce benign anastomotic strictures.

• 한국의류학회지
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• 제29권11호
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• pp.1507-1519
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• 2005

The purpose of this study was to compare two methods of measuring body surface area (BSA). The BSA of Korean adults was measured using both three-dimensional (3D) scanning and an alginate method. Two males (one overweight and one lean) and one overweight female participated as subjects. The results were as follows: First, the 3D scanned BSA of all three subjects was smaller than the BSA measured using the alginate method by as much as $6-14\%$. The difference in methods was greater in the overweight participants than in the lean subject. Second, the results comparing the BSA obtained using these two methods and the BSA estimated by 10 previously developed formulas, showed that the 3D scanned BSA was the smallest among the 12 BSAs. Third, in comparing the regional differences between these two methods, the regional BSA of the lean subject (male 2) did not show any significant difference, but the overweight subjects (male 1, female 1) showed a significant difference. Forth, the biggest difference in regional BSA obtained through these two methods was in the hand, for all three subjects. The 3D scanned hand surface area was smaller than the hand surface area measured by the alginate method by as much as $24-34\%$. Fifth, in the percentage of regional BSA, there was no significant difference in these two methods. The reasons for the underestimation in the 3D scanning might be because: 1) the 3D scanner can not recognize the folding and shading of body parts, such as the finger, toe, ear, armpit, crotch and breast, 2) 3D patching and smoothing processes depend on researchers. However, the 3D scanning method is applicable to the estimation of the entire BSA, if the surface area of the hands is known, and the participant is not overweight.

• PNF and Movement
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• 제21권3호
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• pp.327-335
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• 2023

Purpose: Cerebellar injury can be caused by a variety of factors, including trauma, stroke, and tumor. Cerebellar injury can manifest in different clinical symptoms and signs depending on the size and location of the injury. The purpose of this study was to examine and compare the recovery patterns of each motor function by tracking the motor levels of patients with cerebellar injury. Methods: This study recruited 11 patients with quadriplegia resulting from cerebellar injury. The motricity index (MI), modified Brunnstrom classification (MBC), and functional ambulation category (FAC) methods were used to evaluate motor levels. The motor function evaluation was performed immediately after the onset of the condition and at intervals of one month, two months, and six months after onset. Results: The MI values of the upper and lower extremities and hand function (MBC) indicated severe paralysis in the early stages of onset. Compared to the onset time, significant motor function recovery was observed after 1, 2, and 6 months (p < 0.05). In contrast, there was no significant pattern of recovery between 1, 2, and 6 months after onset (p > 0.05). FAC indicated showed significant recovery at one month compared to onset (p<0.05), and there was also a significant difference between 1 and 2 months (p < 0.05). On the other hand, there was no significant difference in FAC between 2 and 6 months (p > 0.05). Conclusion: Patients with cerebellar injury showed significant recovery in functions related to muscle strength and voluntary muscle control one month after onset and gradually recovered further over the next six months. On the other hand, gait function, which is closely related to balance, showed a relatively slow recovery pattern from the beginning of the disease to the six month follow-up.

• The Korean Journal of Physiology
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• 제17권2호
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• pp.93-101
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• 1983

국소한냉자극이 전신 및 국소혈액순환에 미치는 영향과 동계에 있어서 한냉에 대한 적응을 관찰하기 위하여 동계 및 하계에 편균연령 21세의 남녀 대학생 각 60명 및 50명을 대상으로 $5^{\circ}C$의 냉수에 일측 손을 담구어 3분간 국소한냉자극을 가하였다. 침수 1, 2, 3분과 회복기 1, 3, 5분에 침수한 측과 침수 반대측에서 평균혈압, 분시심박수, 광전 모세혈관 맥박의 파고, 피부전기저항을 관찰하여 다음과 같은 결과를 얻었다. 국소한냉자극시 혈압은 증가하였고 하계에서 동계보다 더 큰 증가를 보였다. 회복기에 동계는 서서히 대조치로 회복되나 하계에는 대조치보다 유의하게 감소하였다. 분시심박수는 침수시 증가하며 하계에서 동계보다 더 증가하였고 회복기에는 동계 및 하계 모두 대조치보다 감소하였다. 광전 모세혈관 맥박의 파고는 동계에는 침수 및 침수 반대측 모두 감소하였으나 침수한 측에서 더 크게 감소하였으며 이는 침수한 측에 있어서 한냉의 국소효과에 기인한 것으로 보인다. 하계에는 동계보다 작은 감소를 보였으며 회복기에는 더 빠른 회복을 보여 대조치보다 증가하였다. 피부전기저항은 침수시 침수 반대측에서는 감소하나 침수한 측에서는 유의하게 증가하였다가 회복기에 서서히 감소하였다. 침수 반대측의 감소는 동통에 의한 반응이 한냉에 의한 반응에 첨가되어 나타난 것으로 보이며, 침수한 측은 한냉에 의한 국소효과가 크기 때문인 것으로 보인다. 이상으로 $5^{\circ}C$의 국소한냉자극시 전신적 반응은 한냉자극에 의한 동통성 stress에 기인한 반응이 우세한 것으로 생각되며 김 등$^{39)}$의 보고와는 달리 동계 및 하계의 반응의 차이는 계절에 따른 한냉자극에 대한 주관적 감각의 차이에 의한 것으로 동계에서 한냉기후에 의한 국소한냉자극의 적응현상은 나타나지 않는 것으로 사료된다.

• 한국전자파학회논문지
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• 제24권5호
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• pp.534-540
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• 2013

휴대전화의 이용이 증가하면서, 손에 미치는 전자파의 영향에 대한 관심이 증가하고 있다. IEC TC106에서도 휴대전화의 전자파 인체 노출량 평가 방법 표준에 손 영향을 반영하기 위하여 국제적인 교류 연구가 활발하게 진행되고 있다. 현재 상용화된 손 팬텀은 평균 서양인 손을 이용하고 있을 뿐만 아니라, 한 가지 형태의 파지(把持)만 가능하기 때문에, SAR 측정 결과에 대한 분석에 제한이 많은 실정이다. 손의 영향을 제대로 분석하기 위해서는 다양한 형태의 파지가 가능한 손 팬텀이 필요하다. 또한, 국내 환경에 맞는 손 팬텀의 개발이 필수적이다. 본 논문에서는 다양한 형태의 파지가 가능한 835 MHz 대역과 1,800 MHz 대역의 한국인의 젤리형 손 팬텀을 제작하였다. 제작된 손 팬텀의 전기적 특성은 비유전율과 도전율이 CTIA(미국이동통신산업협회) 권고 기준 값의 ${\pm}10%$이내로서, CTIA에서 제시하는 오차 기준(${\pm}20%$)보다 더 우수한 특성을 나타냈다. 또한, 손 팬텀의 3D CAD(3차원 컴퓨터 이용 설계) 파일을 개발하여 손에 의한 SAR 영향 분석을 위한 시뮬레이션에서 활용할 수 있도록 하였다. 본 연구를 통해 제작된 젤리형 손 팬텀과 3D 파일은 휴대 전화의 손 영향에 대한 연구에 유용하게 이용될 수 있을 것으로 본다.

• 한국제4기학회지
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• 제19권2호
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• pp.13-17
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• 2005

The Khogno Khan mountain special protected area belongs to Khogno Khan subdistrict of Gurvanbulag district of Bulgan Province and is 46.9 sq.km. with its main feature being mountain forest zone. In this paper we present some results of research of the Anthropological and archaeological team of Mongolian Korean Joint research expeditions carryied out in Khogno Khan mountain special protected area from 27 July to 1 August, 2000. During archaeological reconnaissance we discovered around 27 localities of archaeological monuments belonging to different historical periods (from the Neolithic up to the Mongolian period, $13^{th}-17^{th}$ Century) in the territory of the Khogno Khan special protected area. Based on the results, we especially want to point out 1). The archaeological and historic monuments (from the Neolithic up to modern era) found in the Khogno Khan mountain and its surrounding area show that since the Neolithic period (around 8000 years ago) this area was occupied by the ancestors of Mongolians and it was used during subsequent historic periods on the one hand. 2). On the other hand the Khogno Khan mountain region was one area where there occurred intensive admixture between populations of Kurgan culture, Deerstone culture from the West Mongolia and the population of slab graves culture from Central and East Mongolia during Bronze and Early Iron Age. 3). Today the mountain is one of the area with a unique assemblage of archaeological monuments from different historic periods, what naturally seems like an open-air natural museum of Mongolian Prehistory.

• Structural Engineering and Mechanics
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• 제64권1호
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• pp.45-58
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• 2017

This paper presents the application of topology optimization as a design tool for a steel railway bridge. The choice of a steel railway bridge is dictated by the particular situation that it is suitable for topology optimization design. On the one hand, the current manufacturing techniques for steel structures (additive manufacturing techniques not included) are highly appropriate for material optimization and weight reduction to improve the overall structural efficiency, improve production efficiency, and reduce costs. On the other hand, the design of a railway bridge, especially at higher speeds, is dominated by minimizing the deformations, this being the basic principle of compliance optimization. However, a classical strategy of topology optimization considers typically only one or a very limited number of load cases, while the design of a steel railway bridge is characterized by relatively concentrated convoy loads, which may be present or absent at any location of the structure. The paper demonstrates the applicability of considering multiple load configurations during topology optimization and proves that a different and better optimal layout is obtained than the one from the classical strategy.

• 한국응급구조학회지
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• 제21권2호
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• pp.63-69
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• 2017

Purpose: The purpose of the study was to compare the ability of college students to use automated external defibrillators (AED) and to provide a basic data for helping laypersons easily apply the AED. Methods: The subjects were randomly assigned to instruction groups. One group was instructed by pictures (group P), one by videos (group M), and one by telephone dispatchers (group D), Without employing cardiopulmonary resuscitation, a single rescuer was asked to apply defibrillation to a mannequin for practice in accordance with the instructions assigned to each group. Results: Regarding the proper pad attachment of the AED, group P followed the instruction $0.31{\pm}0.47times$, group M, $0.81{\pm}0.40times$, and group D $0.69{\pm}0.47times$. Regarding the instruction of taking the hand off a patient for analyzing cardiac rhythm and the instruction of taking the hand off a patient before defibrillation, group P did not follow the instruction; group M followed the instructions $0.50{\pm}0.51times$; and group D followed all instructions at all times. Conclusion: If a dispatcher gives real-time instructions for using an AED to laypersons wtih no experience at the time of AED use, the quality of laypersons' AED use will greatly improve.

• ETRI Journal
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• 제34권6호
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• pp.932-941
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• 2012

A powerful interaction mechanism is one of the key elements for the success of smart TVs, which demand far more complex interactions than traditional TVs. This paper proposes a novel interface based on the famous touch interaction model but utilizes long-range bare hand tracking to emulate touch actions. To satisfy the essential requirements of high accuracy and immediate response, the proposed hand tracking algorithm adopts a fast color-based tracker but with modifications to avoid the problems inherent to those algorithms. By using online modeling and motion information, the sensitivity to the environment can be greatly decreased. Furthermore, several ideas to solve the problems often encountered by users interacting with smart TVs are proposed, resulting in a very robust hand tracking algorithm that works superbly, even for users with sleeveless clothing. In addition, the proposed algorithm runs at a very high speed of 82.73 Hz. The proposed interface is confirmed to comfortably support most touch operations, such as clicks, swipes, and drags, at a distance of three meters, which makes the proposed interface a good candidate for interaction with smart TVs.

• 제어로봇시스템학회논문지
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• 제21권6호
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• pp.531-537
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• 2015

Hand function is one of the essential functions required to perform the activities of daily living, and wearable robots that assist or recover hand functions have been consistently developed. Previously, wearable robots commonly employed conventional robotic technology such as linkage which consists of rigid links and pin joints. Recently, as the interest in soft robotics has increased, many attempts to develop a wearable robot with a soft structure have been made and are in progress in order to reduce size and weight. This paper presents the concept of a soft wearable robot composed of a soft structure by comparing it with conventional wearable robots. After that, currently developed soft wearable robots and related issues are introduced.