• 제목/요약/키워드: Pivot

검색결과 365건 처리시간 0.037초

중심축은 무엇인가? 지역사회중심재활(CBR)을 중심으로 한 NGO 활동전략 (What is Pivot? Implementation Strategies in NGOs under CBR)

  • 신숙경
    • 재활복지
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    • 제22권4호
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    • pp.23-41
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    • 2018
  • 많은 NGO 단체들은 장애인들의 재활과 권리를 보장하기 위하여 오랜시간동안 중요한 역할을 수행해 왔다. 그러나 많은 단체들이 장애인들의 권익과 복지향상을 위한 장기간의 자발적인 노력에도 불구하고 개발도상국의 장애인들은 여전히 힘들고 열악한 상황에 있다. 이에 본 논문은 세계적으로 많은 NGO단체들이 활동하고 있는 인도를 중심으로, 그들의 NGO 활동이 보다 효과적인 결과를 가져오게 올 수 있도록 활동 전략을 제시하되, 지역사회중심재활(CBR) 패러다임을 적용하고자 한다. 인도와 같은 개발도상국의 장애인을 위한 재활전략으로 CBR이 효과적인라는 많은 연구들이 있어 왔다. 이를 위하여 본 논문은 우선 인도의 장애인에 대한 사회적 인식과 주요 현황, 그리고 재활서비스에 대한 정보를 제공하였다. 그리고 그들의 권리를 지속적으로 보장하기 위한 중요한 전략 중 하나인 CBR을 중심으로, NGO 실무자 및 자원봉사자의 역할, 지역사회의 리더 및 장애인 당사자와 관련단체들의 역할에 대한 몇가지 제언을 하였다.

Analysis of the Bone Proportional Method for Determining Acupoints in the Upper and Lower Abdominal Region in Males and Females

  • Kang, Yeonseol;Park, Jungjoon;Lee, Taerim;Yang, Giyoung;Chae, Han;Lee, Byungryul
    • Journal of Acupuncture Research
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    • 제36권4호
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    • pp.264-271
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    • 2019
  • Background: The purpose of this study was to redefine the location of acupoints in the lower abdomen by taking actual thoracic and abdominal measurements. Methods: Measurements of the length and height of the thorax, and both the upper and lower abdominal area were compared to standard values defined by the World Health Organization Western Pacific Region (WHO/WPRO), and medical text books such as Miraculous Pivot, and A-B Classic of Acupuncture and Moxibustion. These measurements were used to redefine the standard of 1 cun, and the cun value of the lower abdomen. Results: Of the 60 studies screened, all studies used the cun measurement system. Considerable variation in the localization of acupoints in the lower abdominal area were detected. The average measurement of a typical male lower abdomen was within 6.33 cun to 6.34 cun. From this data, 6.5 cun appears to be more accurate than the current standardized length of 5 cun. The standardized index values of the width of the 4 fingers, and the distance from the lateral prominence from the greater trochanter to the popliteal crease (Fm), appeared to apply to only males, as defined by the WHO/WPRO. Conclusion: Further studies on standardizing the index measurements for the lower abdominal area are necessary. For males, the more accurate standardized length of the lower abdomen was 6.5 cun, whereas for females, the measurement would typically be longer than 6.5 cun.

민속축제 활성화에 따른 무형문화재의 변용 - 강릉단오제를 중심으로 (Transfiguration of intangible cultural assets due to activation of Folk Festival - Gangneung Danoje as the pivot -)

  • 황루시
    • 헤리티지:역사와 과학
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    • 제36권
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    • pp.299-312
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    • 2003
  • Gangneung Danoje does not only have the longest history but also is the largest folk festival in Korea. However, during its long history Gangneung Danoje has not always been the way as it is today. As records reveal, since the Chosun dynasty and through Japanese rule, it has gone through numerous variations and registration processes in order to become a national designated major intangible cultural asset. Especially after it has been appointed as a national major intangible cultural asset Gangneung Danoje has under gone through variety of transformations. First of the few changes is the citizen-lead characteristic. As Gangneung Cultulral Center took charge of Danoje this trait has become prominent. Hereby Chosun dynasty's government lead system has transformed into a civilian lead festival. Second alteration is the enormous scale of expansion and the variations of the characteristic of the festival because of it. Dano event has increased annually from 12 events in 1974 to 58 events by 1999. As the scale of Danoje enlarged the promoters found solutions by providing diversified events in order to satisfy peoples' various aspirations from the festival. However this solution lead to a diversion - from participating festival to a spectating festival. And the last change that occurred is the awareness of the need to develop Danoje into an international festival. This is rather a desire from the government than of the people. In 1994, Korea visiting year as an opportunity this consciousness grew active. For instance, the invitation of mass foreign folk performance in 1999 seems to conform to this policy. The intention to make Gangneung Danoje not only to represent Gangneung but also to represent Korea's folk event can be witnessed. As we enter 21st Century this inclination for international festival has strengthened. Gangneung government has shown enthusiasm to find the future of Danoje by inviting external service corps to assess Danoje. The current inclination appears to be increase its value as an international festival through UNESCO cultural property registration and having this as a foundation make Danoje become an international cultural tourist product. The judgment of this will be made after Gangneung International Folklore Festival 2004.

《상한론(傷寒論)》 궐음병의 병리본질과 삼음삼양(三陰三陽) 개념과의 관계 (Pathological Entity of Jueyin Disease and the Relationship between the Concept of Three-Yin-Three-Yang in 《Shanghanlun》)

  • 지규용;박신형
    • 동의생리병리학회지
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    • 제33권2호
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    • pp.75-81
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    • 2019
  • In order to research the pathological entity of Jueyin disease in ${\ll}Shanghanlun{\gg}$, some sharing concept of three-yin-three-yang used in ${\ll}Neijing{\gg}$ and ${\ll}Shanghanlun{\gg}$ were investigated first, and then the meaning of jueyin and jueyin disease were analyzed. In cold damage disease, time-space factor is important because the pathological change is rapid and the symptoms along path are similar, therefore three-yin-three-yang having complex meaning of time and space can be used as an appropriate pathological concept. So to speak, it is able to be interpreted as various modes like variations of yin-yang, qi-blood, change of pulse condition, theories of opening, closing, pivot or exuberance and debilitation of form and qi manifested in the six districts of the human body following disease process. Jueyin is between front taiyin and rear shaoyin, and it's attribution is inherent in qi stagnation and yin exuberance in relative to the location of flank and liver. Putting together above descriptions, pathological entity of jueyin disease is that the symptoms mingled with cold and stagnant heat competing each other when a subject having qi stagnation in flank with cold in extremities and lower abdomen in particular is seized with cold influenza.

Diagnostic Accuracy of Clinical Test for Anterior Cruciate Ligament Injury: Systematic Review

  • Deniz Yasemin;Sang-Woo Pyun;HyungSu Lee;Seong-Eun Kim;SunGyu Han;Dongyeop Lee;Ji-Heon Hong;Jae-Ho Yu;Jin-Seop Kim;Seong-gil Kim
    • The Journal of Korean Physical Therapy
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    • 제35권3호
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    • pp.57-63
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    • 2023
  • Purpose: The aim of this study was to conduct a systematic review of randomized controlled studies from 2012 to present that explore the diagnostic accuracy of clinical tests used for diagnosing anterior cruciate ligament (ACL) injury. Methods: Study design: Systematic review. Literature search of the PubMed and Scholar databases was conducted using keywords related to diagnostic accuracy of clinical tests for ACL injury. The PRISMA Guidelines were followed to conduct this study. The Cochrane Risk of Bias Tool was utilized to assess the quality of each included study. Results: As a result, 8 studies were included, and 6 clinical tests used in ACL tears were evaluated for diagnostic accuracy. The pivot shift test was reported as having the highest +LR (29.5) value with a sensitivity of 59% and a specificity of 98%. However, the test with the lowest -LR value was the lever test, and the values were as follows: -LR (0.08), +LR (4.7), specificity (80%), sensitivity (94%). Conclusion: In this study, it was concluded that a single clinical test is not sufficient to determine the presence of ACL injury. Test combinations have a higher diagnostic accuracy than a single test. In this study, the accuracy of the clinical tests was examined without considering the amount of ACL rupture and acute-chronic condition. Further research is required to examine the impact of these two factors on diagnostic accuracy of clinical test.

스마트 학습지: 미세 격자 패턴 인식 기반의 지능형 학습 도우미 시스템의 설계와 구현 (Design and Implementation of Smart Self-Learning Aid: Micro Dot Pattern Recognition based Information Embedding Solution)

  • 심재연;김성환
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2011년도 춘계학술발표대회
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    • pp.346-349
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    • 2011
  • In this paper, we design a perceptually invisible dot pattern layout and its recognition scheme, and we apply the recognition scheme into a smart self learning aid for interactive learning aid. To increase maximum information capacity and also increase robustness to the noises, we design a ECC (error correcting code) based dot pattern with directional vector indicator. To make a smart self-learning aid, we embed the micro dot pattern (20 information bit + 15 ECC bits + 9 layout information bit) using K ink (CMYK) and extract the dot pattern using IR (infrared) LED and IR filter based camera, which is embedded in the smart pen. The reason we use K ink is that K ink is a carbon based ink in nature, and carbon is easily recognized with IR even without light. After acquiring IR camera images for the dot patterns, we perform layout adjustment using the 9 layout information bit, and extract 20 information bits from 35 data bits which is composed of 20 information bits and 15 ECC bits. To embed and extract information bits, we use topology based dot pattern recognition scheme which is robust to geometric distortion which is very usual in camera based recognition scheme. Topology based pattern recognition traces next information bit symbols using topological distance measurement from the pivot information bit. We implemented and experimented with sample patterns, and it shows that we can achieve almost 99% recognition for our embedding patterns.

СЕВЕРО-ВОСТОЧНАЯ АЗИЯ В ПОВОРОТЕ РОССИИ НА ВОСТОК (Northeast Asia in Russia's Pivot to the East)

  • Kanaev, Evgeny
    • 분석과 대안
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    • 제1권1호
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    • pp.44-64
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    • 2017
  • Russia's push in the Asia-Pacific region stems from its interests that have the national, regional and global dimensions. In their turn, the aims of this policy are civilizational, geopolitical, economic and prospective, with a long-term outlook. In the course of their achievement, cooperation with Northeast Asia's countries will play one of the key roles owing to the factors of geographic proximity, Northeast Asia's economic potential, risk hedging and a growing influence Northeast Asia exerts upon the global development. A new cooperation paradigm between Russia and the states of Northeast Asia should be based upon establishing and cementing self-reproducing ties. This is the central aim of Russian initiatives in relations, with Japan, the Republic of Korea, Democratic People's Republic of Korea, Mongolia and China. However, numerous obstacles ranging from Russia's absence in the regional free trade agreements and supply-production chains of value-added production to the permanent international instability generated by Pyongyang's missile-nuclear developments hamper the practical implementation of this task. Realizing the necessity to give an additional impetus to this new cooperative paradigm, Russia has to develop directions with an apparent consolidating effect. The most promising may be the establishment of a permanent security forum based upon Northeast Asia Peace and Security Mechanism chaired by the Russian Federation. The urgency of this measure and its expected support stem from the necessity to strengthen security in Northeast Asia, a task neither the US-led hub-and-spoke system nor ASE-AN-led multilateral dialogue venues have been able to resolve. The issues addressed at the security forum must include the unification of approaches to North Korean nuclear issue and producing a document specifying actions of the claimants on the disputed maritime territories in the "direct contact" situations. At the expert level, Russia has elaborated on the idea to establish such a forum outlining the spectrum of the key directions of cooperation. With the urgency in the establishment of this dialogue venue, its agenda has to be coordinated with the agendas of the existing security systems presented by the US alliances and the ASE-AN-led multilateral negotiations. The practical implementation of this initiative will strengthen security in Northeast Asia as its challenges will be resolved in the pre-emptive way based on coordinated approaches. Therefore, Russia as the Eurasian state will be one of the role players in the advent of the Asian century.

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Multiphysics Software를 활용한 원심 압축기용 틸팅 패드 저널 베어링 특성과 회전체 동역학 분석 (Analysis of Tilting Pad Journal Bearing Characteristics and Rotordynamics for Centrifugal Compressors Using Multiphysics Software)

  • 문소연;윤종완;박상신
    • Tribology and Lubricants
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    • 제39권6호
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    • pp.268-272
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    • 2023
  • This study explores the characteristics of tilting pad journal bearings used in the high-speed rotating shaft systems of centrifugal compressors. A centrifugal compressor is a high-speed rotating machine that is widely used to compress gases or vapors employed in various industrial applications. It transfers the centrifugal force of a fast-spinning impeller to the fluid and compresses it under high pressure. Many high-speed rotating shaft systems, which require high stability, use tilting pad journal bearings. The characteristics of these bearings can vary depending on several properties, and identifying the appropriate characteristics is essential to optimize the design on a case-to-case basis. In this study, the authors perform a time-dependent analysis of the properties of tilting pad journal bearings and the rotordynamics of the rotating shaft system using COMSOL Multiphysics software. Specifically, the authors analyze the characteristics of the tilting pad journal bearings by performing a parametric sweep using parameters such as pad clearance, maximum tilting angle, preload, number of pads, and pad pivot offset. The authors then use the results of the bearing-characteristics analysis to evaluate the vibration of the rotating shaft and verify its operation within a desirable range. The understanding gained from this study will allow us to determine the optimal properties of these bearings and the limiting operational speed using COMSOL Multiphysics software.

이중 다발 자가 슬괵건을 이용한 전방십자인대 재건술 (Double-bundle Anterior Cruciate Ligament Reconstruction using Autogenous Hamstring Grafts)

  • 최남용;남원식;양영준;한창환;문찬웅;권재영;송현석
    • 대한관절경학회지
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    • 제12권2호
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    • pp.112-117
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    • 2008
  • 목적: 이중 다발을 이용한 전방십자인대 재건술은 등장성과 해부학적 기능을 회복할 수 있다는 장점이 있다. 본 연구는 전방십자인대 손상 환자에서 부가적인 전내측 입구를 통한, 자가 슬괵건을 이용한 이중 다발 재건술의 임상적 결과를 평가하고자 한다. 대상 및 방법: 2005년 1월부터 2006년 7월까지 자가 슬괵건(hamstring tendon)을 이용하여 이중 다발 전방십자인대 재건술을 시행한 60예(남자: 52예, 여자: 8예)를 대상으로 하였다. 평균 나이는 31.7세($20{\sim}51$세)였다. 평균 추시 기간은 13.4개월($12{\sim}16$개월)이었다. 슬관절의 경골 조면 부위에서 수평 사위(horizontal-oblique)의 피부 절개를 시행하여 반건양건(semitendinosus tendon)과 박건(gracilis tendon)을 얻었다. 후외측 다발을 위한 경골 터널은 해부학적인 위치에 만들었다. Yasuda 등이 보고한 방법을 변형하여, 후외측 다발을 위한 대퇴골 터널은 부가적인 전내측 입구를 통하여 만들었다. 전내측 다발에 대하여는 통상적인 방법으로 터널을 만들었다. 후외측 다발은 박건을, 전내측 다발은 반건양건을 사용하였다. 최종 추시시 관절 운동범위, 전방 전위 정도(KT-1000 관절계), pivot-shift 검사로 임상 결과를 평가하였다. 슬관절의 기능적 평가는 Lysholm score와 modified Feagin Scoring System를 측정하였다. 결과: 최종 추시시 관절 운동 범위 제한은 없었다. KT-1000 관절계를 이용한 정상측과의 비교에서 경골 전방 전위가 술전 평균 8.4 mm에서 술후 평균 1.7 mm로 향상되었다(p<0.05). Lysholm score는 술전 평균 64.1점에서 술후 평균 92.2점으로 향상되었다(p<0.05). Modified Feagin Scoring System에 의한 기능 평가에서는 90%에서 우수 이상의 결과를 보였다. 결론: 부가적인 전내측 입구를 통한, 자가 슬괵건을 이용한 이중 다발 전방십자인대 재건술은 우수한 임상 결과를 보였다.

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전방 십자 인대 재건술 후 골관절염의 발생 빈도 및 위험 인자들에 대한 비교 - 자가 슬개건과 자가 슬괴건을 이용한 방법 - (Comparison of the Incidence and Risk Factors for Developing Osteoarthritis after ACL Reconstruction - Patellar Versus a Hamstring Autograft -)

  • 송은규;선종근;김형순;강경도;변재욱
    • 대한정형외과스포츠의학회지
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    • 제9권1호
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    • pp.48-57
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    • 2010
  • 목적: 자가 골-슬개건-골과 자가 슬괵건을 이용한 전방 십자 인대 재건술 후, 골관절염의 발생률과 위험인자를 비교하고자 하였다. 대상 및 방법: 8년 이상 추시가 가능하였던, 자가 슬개건 53예 및 자가 슬괵건 40예를 이용한 전방 십대 인대 재건술을 시행한 총 93예를 대상으로 하였다. Kellgren and Lawrence의 분류에 따라 방사선상의 골관절염의 변화를 관찰하였고, 슬관절의 임상적 기능 (Lysholm 슬관절 점수, Tegner 운동 지수), 신체검사상의 전방 이완 정도 (Lachman 검사, Pivot-Shift 검사) 및 $Telos^{(R)}$ 기구를 이용한 전방 이완 정도를 비교 평가하였다. 결과: 자가 골-슬개건-골을 이용한 대상 중 24예 (45.3%)에서, 자가 슬괵건을 이용한 대상 중 14예 (35.0%)에서 방사선 검사상 골관절염 변화가 확인되었다. 동반된 연골판 손상 (골-슬개건-골 군 p<0.001, 슬괵건군 p=0.091), 수상에서 재건술까지 12개월 이상 경과 (골-슬개건-골 군 p=0.037, 슬괵건 군 p=0.021), 재건술 당시 연령 25세 이상 (골-슬개건-골 군p=0.003, 슬괵건 군 p=0.048) 등이 골관절염의 유의한 위험 인자로 나타났다. 하지만, 골관절염의 발생과 임상적 결과, 방사선적 안정성과의 연관성은 없었다. 결론: 자가 골-슬개건-골 및 자가 슬괵건을 이용한 전방 십자 인대 재건술 후 평균 10년 추시상 두 군 모두에서 임상적으로 양호한 결과를 얻었으나, 상당한 비율에서 방사선적 골관절염 변화가 관찰되었다. 또한 동반된 연골판 손상, 수상 후 재건술까지의 지연된 시간, 25세 이상의 연령 등의 다양한 인자가 이에 관련됨을 알 수 있었다.

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