• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.95-105
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• 2024

Objective: The purpose was to investigate changes in mechanical properties, range of motion, and grip strength of the forearm muscle in 13 students depending on the wrapping direction of the floss band. Design: A single-blind, crossover study Methods: Subjects were randomly assigned to the wrapping direction of the flossing band and then performed a concentric exercise of the wrist flexors using a Flex-Bar. Intervention A applied the flossing band in a right spiral direction, Intervention B applied the flossing band in a left spiral direction, and Intervention C performed the exercise alone. All subjects used their dominant right hand, and pre- and post-assessments were conducted between interventions. To analyze differences in changes between groups pre- and post-, all results were subjected to one-way ANOVA, followed by Scheffe's test as a post-hoc analysis. The paired samples t-test was used to analyze the difference between pre- and post-change within groups. Results: First, in the mechanical properties of the Flexor carpi ulnaris (FCU) muscle, interventions A and B significantly improved muscle tone and stiffness than intervention C (p<0.05), and intervention A showed a significant decrease in decrement (muscle elasticity) than intervention B (p<0.05). Second, interventions A and B showed significant improvement in grip strength than intervention C (p<0.05). Conclusions: The right spiral direction of the flossing band tended to increase the elasticity of the muscles compared to the left spiral direction. Therefore, in future studies, it is necessary to choose the direction of the flossing band to increase the elasticity of the muscles.

• Archives of Plastic Surgery
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• 제40권1호
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• pp.52-56
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• 2013

Background Measuring grip and pinch strength is an important part of hand injury evaluation. Currently, there are no standardized values of normal grip and pinch strength among the Korean population, and lack of such data prevents objective evaluation of post-surgical recovery in strength. This study was designed to establish the normal values of grip and pinch strength among the healthy Korean population and to identify any dependent variables affecting grip and pinch strength. Methods A cross-sectional study was carried out. The inclusion criterion was being a healthy Korean person without a previous history of hand trauma. The grip strength was measured using a Jamar dynamometer. Pulp and key pinch strength were measured with a hydraulic pinch gauge. Intra-individual and inter-individual variations in these variables were analyzed in a standardized statistical manner. Results There were a total of 336 healthy participants between 13 and 77 years of age. As would be expected in any given population, the mean grip and pinch strength was greater in the right hand than the left. Male participants (137) showed mean strengths greater than female participants (199) when adjusted for age. Among the male participants, anthropometric variables correlated positively with grip strength, but no such correlations were identifiable in female participants in a statistically significant way. Conclusions Objective measurements of hand strength are an important component of hand injury evaluation, and population-specific normative data are essential for clinical and research purposes. This study reports updated normative hand strengths of the South Korean population in the 21st century.

• 치위생과학회지
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• 제15권2호
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• pp.166-171
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• 2015

본 연구는 치위생과 학생들의 손 씻기에 대한 지식도, 태도, 수행도를 분석하고자 2014년 9월 5일부터 11월 20일까지 K대학과 H대학의 치위생과에 재학 중인 학생 288명을 대상으로 설문조사를 실시하였으며 다음과 같은 결론을 얻었다. 일반적인 특성에 따른 손 씻기 지식도를 보면 학년에서는 3학년 4.72점으로 가장 높게 나타났으며, 스켈링 실습을 이수한 경우에 손 씻기 교육을 많이 받을수록 지식도가 높게 나타났고 통계적으로 유의한 차이가 있었다(p<0.05). 일반적인 특성에 따른 손 씻기 수행도에서 손 씻기 교육 후 인식의 변화 '있다'가 4.17점으로 '없다' 4.03점보다 높게 나타났으며 유의한 차이를 나타냈다(p<0.05). 손 씻기에 대한 지식도, 태도, 수행도의 상관관계는 태도(r=-0.020)와 음의 상관관계를 보였고(p>0.05), 수행도(r=0.161, p<0.05)는 양의 상관관계를 나타냈으며 통계적으로 유의한 차이를 나타냈다. 이상의 결론으로 치위생과 학생들의 올바른 손 씻기에 영향을 미치는 정기적인 손 씻기 교육프로그램을 개발하여 적용한다면 손 씻기에 대한 지식도, 태도, 수행도를 증진시키는데 기여할 수 있을 것이다.

• 한국전자파학회논문지
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• 제19권8호
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• pp.837-843
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• 2008

본 논문에서는 메타 재질을 이용하여 이중 대역에서 동작하는 전력 분배기를 제안하였다. 여기에서 사용된 메타 재질은 left-hand 특성을 인위적으로 캐패시터와 인덕터로 구현하고, 이것의 파라스틱 성분에 의한 Right-hand 성분이 추가된 CRLH 전송 선로로 구현하였다. 이러한 CRLH 전송 선로 특성을 이용하여 기존 Gysel이 고안한 전력 분배기와 결합하여 고 전력에서 사용이 가능하고 이중 대역에서 동작하는 전력 분배기를 제작하였다. 본 논문에서 제작한 전력 분배기는 0.88 GHz와 1.67 GHz 이중 대역에서 동작하고, 각 주파수에서 21.0 dB, 15.8 dB의 반사 계수와 3.83 dB, 3.64 dB의 삽입 손실을 확인하였다. 또한, 각 출력 포트 간의 위상차는 $3{\sim}6^{\circ}$됨을 확인하였다.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.84-88
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• 2009

Purpose: Compression of the ulnar nerve in the ulnar tunnel is a relatively uncommon condition. Many authors have described several etiologies of ulnar nerve compression. We experienced two cases of ulnar nerve compression in the ulnar tunnel due to an anomalous pulsatile S - shaped ulnar artery. Methods: Case 1: A 51 - year - old man was referred with numbness and paroxysmal tingling sensation along the volar side of the ring and little fingers of his right hand for 6 months. When exploration, the ulnar artery was pulsatile S - shaped and was impinging on the ulnar nerve. To decompress the ulnar nerve, the tortuous ulnar artery was mobilized and translocated radially onto the adjacent fibrous tissue. Case 2: A 41 - year - old man was referred with tingling sensation on the 4 th, 5 th finger of the right hand for 4 months. Sensory nerve conduction velocities of the ulnar nerve was delayed. Preoperative 3D angio CT scan showed an anomalous S - shaped ulnar artery. Same operation was done. Results: The postoperative course was uneventful. After decompression, paroxysmal tingling sensation decreased to less than 1 minute per episode, occurring 1 - 2 times a day. After 4 months, they had no more episodes of numbness and tingling sensation. Examination demonstrated good sensation to pinprick and touch on the ulnar aspect of the hand. Conclusion: We report two cases of ulnar nerve compressive neuropathy that was caused by an anomalous pulsatile S - shaped ulnar artery in the ulnar tunnel. Although this is an unusual cause of ulnar nerve compression, the symptoms will not spontaneously resolve. The prompt relief of compressive neuropathic symptoms following the translocation of the impinging ulnar artery from the affected ulnar nerve onto adjacent tissue proved that the ulnar nerve compression is due to the anomalous vessel.

• 대한인간공학회지
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• 제32권4호
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• pp.405-411
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• 2013

Objective: Product design process without considering the strength of the user can cause the excessive burden on musculoskeletal system of human body. Since the muscle strength will vary depending on the body posture, the design of product should consider the characteristics of body posture. This study was performed to investigate the effects of forearm postures on the push and pull strength. Background: Overexerted force has been identified to cause musculoskeletal disorders. It is important to know the push and pull strength exerted by human when designing so that exerted force does not exceed the safety limits. Method: Maximum isometric push and pull strength of left, right and both hands were measured according to forearm postures with pronation, neutral and supination. For the study, 66 male and 30 female undergraduate students were participated as subjects. All subjects were normal and healthy with no clinical history. Results: The results showed that the push strength of male and female were 93.3% and 85.4% of pull strength. It showed that the strength of one-hand was 72.1~81.0% of the strength of two-hands, and the strength of left hand was 93.1~95.8% of the strength of right hand. The strength of female was 62% of the one of male. It was found that the strength with pronation $90^{\circ}$ was reduced up to 20% compared to the strength with neutral posture. Conclusion: Push and pull strength of male and female were reduced when forearm was rotated extremely. Application: The results of this study will be used for the prevention of work related musculoskeletal disorders and design of industrial equipment.

• Archives of Plastic Surgery
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• 제36권5호
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• pp.642-648
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• 2009

Purpose: Hexadactyly without thumb is a rare congenital anomaly of the hand where six triphalangeal digits are symmetrically distributed without thumb. Contrary to mirror hands, triphalangeal six digits are symmetrically distributed on each side at the midline with well - differentiated carpal bones, extensor tendons, one ulnar and one radius. The authors developed a new surgical technique based on a three - dimensional concept to correct the hexadactyly and applied to 2 cases of hexadactyly with good functional and aesthetic results. Here we document the surgical technique and its result. Methods: A 16 month old male patient visited our clinic with chief complaints of bilateral hexadactyly deformity. On physical examination most radial first and second digits showed no opposition and adduction motion on both side hands. Radiography showed 6 triphalangeal digits with normal development of carpal, radial and ulnar bone. Right side abnormality was corrected by removal of most radial side extra - digit, rotation and migration of 2nd ray to thumb position and creation of 1st web by transposing a mid - palm based rectangular palmar flap as in Snow & Littler procedure which has been being applied for correction of 1st web syndactyly in cleft hand deformity. Seven months later, left side abnormality was also corrected with the same procedure. Results: Postoperative appearances of the both hands were satisfactory. Flexion, extension, opposition and grasping were possible with the pollicized 2nd ray. Pinching power was 3.0 kg 15 months after surgery and 2.5 kg 22 months after in right hand respectively. Conclusion: In correction of hexadactyly deformity, satisfactory aesthetic and relevant functional results can be expected with authors' newly developed technique: removal of most radial digit, rotation and migration of 2nd digit to thumb position as well as creation of the 1st web space by transposition of mid - palm based rectangular flap.

• 한국초등수학교육학회지
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• 제20권4호
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• pp.583-599
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• 2016

본 논문에서는, 식을 구성하는 요소에 초점을 맞추어 교과서에서 제시하는 좌변이 단항식인 등식의 양태를 분석하고 있다. 이에 따르면, 교과서에서는 좌변이 단항식인 등식을 체계적으로 도입 취급하기 보다는 학생들이 이미 알고 있는 것처럼 취급하고 있다. 본 논문에서는 이러한 분석을 바탕으로 다음 네 가지 제언을 결론으로 제시한다. 첫째, A형 등식(우변에 1종류의 계산 기호와 2개 이상의 수 또는 변수 또는 명수가 있는 등식)과 B형 등식(우변에 2종류 이상의 계산 기호와 3개 이상의 수 또는 변수 또는 명수가 있는 등식)을 명시적인 설명에 의해 도입할 필요가 있다. 둘째, 숫자식, ${\Box}$(빈칸)이 있는 식, 단어가 있는 식, ${\Box}$(변수)가 있는 식, 문자식의 취급 순서를 명확히 설정할 필요가 있다. 셋째, 좌변이 단항식인 등식이 다양한 의미로 사용된다는 것에 주목하게 할 필요가 있다. 넷째, 좌변이 단항식인 등식을 구성하는 수의 범위를 분수, 소수까지 넓힐 필요가 있다.

• 대한수의학회지
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• 제43권1호
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• pp.5-9
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• 2003

The fused thoracic vertebra and deformity of the lumbar vertebrae in the female Thoroughbred horse were observed macroscopically. The 11th and 12th thoracic vertebrae (T) were partially fused. They were composed of three parts between the spinous process of the 11th and 12th T, left and right caudal articular processes of the 11th T, and left and right cranial articular processes of the 12th T. The vertical surface of cranial articular process of the 11th T and left mamillary process of the 12th T were absent. The left caudal part of the transverse process of the 12th T and left costal fovea of the transverse process of the 12th T were severely deformed. On the other hand, the left transverse process of the first lumbar vertebra (L) was a typical rib-like transverse process and two times longer than the right transverse process of the 2nd L. The right transverse process of 4th L has an oval concave facet on the medial part of caudal border for articulation with the right transverse process of 5th L; the latter has a corresponding convex facet on the medial part of the cranial border in the right transverse process of the 5th L.

• 대한정형도수물리치료학회지
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• 제17권1호
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• pp.24-28
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• 2011

Background: The purpose of this study is to make a grip strength checker to make people measure their grip strength easily, based on standardized grip strength checker chart. Method: In this study, we measured right hand grip strength of 80 women residents of Deajeon (women in their 30s to 60s, 20 in each) 2 times per day for 5days in same conditions from 20th of November 2010 to 24th of November. it was measured by Jamar Hydraculic Hand Dynamometer made lately to compare with the current measuring equipment. No matter how big their hands are, their hands were fixed at second level. Measured as they sit on a chair and let their shoulders gathered and not be rotated, let their arms be 90 degree, wrist and forearm be at the middle for the first time, and took another after they took a rest, and measured the average of the two. Result: There was not a meaningful difference between the current measuring equipment and the equipment made lately (p>.05). Conclusion: It is thought that the equipment made lately can be believed. In addition, we want people to realize their own grip strength easily by this study.