• Archives of Reconstructive Microsurgery
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• 제10권2호
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• pp.111-117
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• 2001

Introduction : The Functional muscle transfer is used to reconstruct the injuried muscle and paralysis of the shoulder. Especially transfer of the trapezius has been the treatment of choice but it has disadvantages of inadequate function and deformed contour, and instability of humeral head in case of acromion resection. We report an operation for shoulder reconstruction after wide resection of malignant fibrous histiocytoma, using rotational latissimus dorsi flap and review the operation method and clinical outcome. Materials and Methods : A patient, 53 year old, with malignant fibrous histiocytoma in the acromioclavicular joint area had been underwent wide excision, including the deltoid, clavicular head of pectoralis major, part of trapezius, lateral 1/3 of clavicle and acromion including scapular spine. The rotational latissimus dorsi flap with its neurovascular pedicle was dissected and then placed over the resected area and transfer of muscle attached at coracoid process was done to achieve stability of the humeral head. The range of motion of the shoulder and test of muscle power were evaluated for functional outcome. Total follow-up period is 2 years 11 months. Results : At last follow-up, the range of motion of the shoulder is abduction $90^{\circ}$, flexion $90^{\circ}$, internal rotation $40^{\circ}$, external rotation $50^{\circ}$ and the muscle power is 4 grade in all direction and then we obtained good functional results. There are no complications such as instability or subluxation of the humeral head and deformed contour and he is a disease-free survival state. Conclusions : The transfered latissimus dorsi flap provides adequate lever arm and stabilization and covering of the humeral head by sufficient muscle volume and width. This procedure can be useful not only for the paralysed deltoid reconstruction but also for use in reconstructive surgery after wide resection of the shoulder for malignant tumor.

• 구강회복응용과학지
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• 제30권1호
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• pp.1-8
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• 2014

목적: 이 연구는 파노라마방사선사진 촬영 시 환자의 머리 위치가 상방, 하방, 좌측 및 우측으로 회전됨에 따른 수평 및 수직 확대율의 변화를 비교 평가하는 것이었다. 연구 재료 및 방법: 직경 4 mm인 금속구 5개를 건조 두개골의 하악 전치부(2개)와 우측 대구치부(3개)의 치조골 상방에 위치시켰다. 상하 및 좌우 회전량을 조절할 수 있는 두개골 고정장치에 건조 두개골을 고정시킨 후, 기준 위치와 회전된 위치에서 파노라마방사선사진을 쵤영하였다. 결과: 기준 위치에서 평균 수평 확대율은 $1.22{\pm}0.01-1.44{\pm}0.01$이었고, 평균 수직 확대율은 $1.29{\pm}0.00-1.35{\pm}0.02$였다. 전치부와 구치부 비교시 수평 확대율은 전치부에서 $1.24{\pm}0.02-1.31{\pm}0.03$, 구치부에서 $1.40{\pm}0.03-1.33{\pm}0.02$로 유의한 차이가 있었고(P < 0.05), 수직 확대율은 차이가 없었다. 위치 변화에 따른 수평 확대율은 $0.88{\pm}0.03-3.73{\pm}0.16$으로 기준 위치와 비교 시 통계적으로 유의한 차이를 보인 반면 (P < 0.05), 수직 확대율은 $1.24{\pm}0.01-1.37{\pm}0.02$로 차이가 없었다. 결론: 회전된 머리위치에서 파노라마방사선사진 촬영 시 수평 확대율의 변화가 크다.

• 대한통합의학회지
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• 제10권3호
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• pp.13-25
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• 2022

Purpose : The purpose of this study was to investigate the effects of combined cervical stabilization exercise (CSE) and stretching exercise (SE) on office workers with forward head posture (FHP). Methods : A total of 32 office workers with forward head posture were randomly assigned to experimental (n=16) and control (n=16) groups. The experimental group underwent combined CSE and SE, and the control group underwent cervical self-myofascial release and SE. Both groups performed exercises for 40 min per day, thrice per week for a total of 6 weeks. Craniovertebral angle (CVA), respiration, disability, and joint range of motion (ROM) before and 6 weeks after intervention were measured and compared. Results : There was no significant between-group difference in the general characteristics (p>.05). The intra-group comparison showed significant differences in the visual analog scale (VAS) and neck disability index (NDI) of both groups post-intervention (p<.05). CVA and forced expiratory volume in 1 seconds (FEV₁) were significantly improved post-intervention in the experimental group only (p<.05). In the experimental group, all ROM variables were significantly improved post-intervention. In contrast, in the control group, all ROM variables improved significantly post-intervention, except for extension (p<.05). The inter-group comparison showed significant differences in NDI, left lateral flexion, right lateral flexion, and left rotation between the two groups (p<.05). Conclusion : The combination of CSE and SE, which stabilizes the cervical spine, had positive effects on cranial rotation angle, respiration, disability, and joint ROM in office workers with forward head posture. Therefore, the combination of the two exercises may be an effective option to reduce symptoms and prevent postural problems in office workers with FHP.

• 대한치과교정학회지
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• 제40권2호
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• pp.77-86
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• 2010

두부방사선 사진 채득 시 발생가능한 두부의 수직회전은 계측점 선정 및 계측치의 재현성에 영향을 줄 수 있으므로 진단자료의 객관화 및 중첩의 용이성을 위해 두부 회전을 최소화해야 한다. 본 연구에서는 연조직 계측점인 외안각(outer canthus)을 지표로 두부 자세를 기록하고 재현하는 방법의 신뢰도를 평가하고자 하였다. 정상 안모의 성인 남녀 21명에서 두부고정기에 부착한 Outer Canthus Indicator (OCI)를 이용하여 벽면응시를 통한 두부자세에서의 외안각의 위치를 계측하였다. 초진 시 두부자세에서 측모 광학 사진을 촬영하고 이틀 후 같은 계측치로 두부자세를 재현하여 얻은 두 장의 사진을 중첩하여 두부의 수직 회전과 외이도의 변위를 측정하였다. 두 명의 술자가 동일 과정을 반복했을 때 두부의 수직 회전은 각각 평균 $0.69\;{\pm}\;0.43^{\circ}$, $0.98\;{\pm}\;0.65^{\circ}$, 표준오차 0.09, 0.14로 나타났다. 외이도의 수평변위는 각각 평균 $0.90\;{\pm}\;0.72\;mm$, $0.72\;{\pm}\;0.55\;mm$, 표준오차 0.16, 0.12이고 외이도의 수직변위는 평균 $0.81\;{\pm}\;0.68\;mm$, $1.17\;{\pm}\;0.67\;mm$, 표준오차 0.15, 0.15이었다. 술자간 신뢰도를 평가하기 위한 paired t-test에서 변수들간 통계적으로 유의한 차이가 발견되지 않았다. Pearson 상관분석에서 외이도의 수평 변위와 수직 변위 사이에 통계적으로 유의성 있는 상관관계는 나타나지 않았다. 이상의 결과에 따라 OCI가 두부의 수직 회전에 의한 오차를 줄임으로써 규격화되고 상호 중첩 가능한 방사선 사진 및 광학 사진 자료를 채득하는 데 도움을 줄 것으로 사료된다.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.106-116
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• 2022

Background: Shoulder external rotation exercises are commonly used to improve the stabilizing ability of the infraspinatus. However, during exercise, excessive activation of the posterior deltoid compared to the infraspinatus causes the humeral head to move anteriorly in an abnormal position. Many researchers have emphasized selective activation of the infraspinatus during shoulder external rotation exercise. Objects: This study aims to delineate the optimal exercise method for selective activation of infraspinatus by investigating the muscle activities of the infraspinatus and posterior deltoid according to the four shoulder exercise methods and two forearm positions. Methods: Thirty healthy individuals participated in this study. The participants were instructed to perform shoulder external rotation exercises following four exercise methods: sitting external rotation (SIER); standing external rotation at 90° abduction (STER); prone external rotation at 90° abduction (PRER); side-lying external rotation (SLER), and two forearm positions (neutral, supinated). The electromyography (EMG) signal amplitude was measured during each exercise. Surface EMG signals were recorded from the posterior deltoid, infraspinatus, and biceps brachii. Results: EMG results of the infraspinatus and posterior deltoid in PRER, were significantly higher than that of the other exercises (p < 0.01). The EMG ratio (infraspinatus/posterior deltoid) in SIER was significantly higher than that of the other exercises. EMG activation of the posterior deltoid in SIER, PRER, and SLER was significantly higher in neutral than in supinated (p < 0.01). Furthermore, the EMG of the infraspinatus in SIER was significantly higher in neutral than in supinated (p < 0.01). The EMG ratio (infraspinatus/ posterior deltoid) in SIER was significantly higher in neutral than in supinated (p < 0.05.) Contrarily EMG ratios in PRER and SLER were significantly higher in supinated than in neutral (p < 0.05). Conclusion: The results show that clinicians should consider these exercise methods and forearm positions when planning shoulder external rotation exercises for optimal shoulder rehabilitation.

• 한국기계가공학회지
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• 제13권5호
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• pp.57-63
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• 2014

At present, a high-speed swivel tool head of a small size is required to improve the productivity of CNC automatic lathes. Hence, there is growing interest in shorter machining times with higher cutting speeds. However, an increase in the rotation speed of a swivel tool head also has adverse effects, such as vibration and noise caused by the swivel tool head system. In this work, the fatigue life and contact pressure of a swivel tool head bearing system driven by gears were calculated. Based on the calculated results, a prototype swivel tool head was manufactured and its static and dynamic characteristics, i.e., the vibration, noise and precision, were measured using a reliability testing device which allows the application of cutting force to the end of the swivel tool head.

• 전기학회논문지
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• 제67권6호
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• pp.782-788
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• 2018

This paper proposes a novel method for the omnidirectional camera-based image rendering synchronization system using head mounted display. There are two main processes in the proposed system. The first one is rendering 360-degree images which are remotely photographed to head mounted display. This method is based on transmission control protocol/internet protocol(TCP/IP), and the sequential images are rapidly captured and transmitted to the server using TCP/IP protocol with the byte array data format. Then, the server collects the byte array data, and make them into images. Finally, the observer can see them while wearing head mounted display. The second process is displaying the specific region by detecting the user's head rotation. After extracting the user's head Euler angles from head mounted display's inertial measurement units sensor, the proposed system display the region based on these angles. In the experimental results, rendering the original image at the same resolution in a given network environment causes loss of frame rate, and rendering at the same frame rate results in loss of resolution. Therefore, it is necessary to select optimal parameters considering environmental requirements.

• 한국운동역학회지
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• 제15권3호
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• pp.79-94
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• 2005

Because the golf swing is very complex movement, it is varied in different gender, skill level, and club. This study measured kinematic variables in golf swing regarding gender, skill level, and club types using FasTrak electromagnetic tracking system. Golf swing kinematics including time variables, linear and angular displacement variables, angular velocity variables were analyzed and compared through three-way ANOVA The results were as follows: 1. In time variables, Female and driver showed longer backswing time than male and iron. Downswing time was longer in female and nonexperts than male and experts. Backswing time over downswing time was longer in experts than nonexperts. Uncocking time was longer in male and experts than female and nonexperts. The differences were statistically significant (p<.05). 2. In displacement variables, Female and nonexperts showed greater backswing head lift than male and experts. Impact head lift was greater in female, nonexperts, and iron than male, experts, and driver. The differences were statistically significant (p<.05). Experts and driver showed greater top hip rotation angle than nonexperts and iron. Top shoulder rotation angle was greater in male, experts and driver than female, nonexperts, and iron. X-factor was greater in male, experts, and driver than female, nonexperts, and iron. Male and experts showed greater backswing hip sway than female and nonexperts. Impact hip sway was greater in male and iron than female and driver. The differences were statistically significant (p<.05). 3. In velocity variables, Experts displayed higher impact hip rotation velocity than nonexperts. Impact shoulder rotation velocity was greater in male and iron than female and driver (p<.05).

• Structural Engineering and Mechanics
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• 제12권2호
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• pp.201-214
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• 2001

Four finite element (FE) models are examined to find the one that best estimates moment-rotation characteristics of top- and seat-angle with double web-angle connections. To efficiently simulate the real behavior of connections, finite element analyses are performed with following considerations: 1) all components of connection (beam, column, angles and bolts) are discretized by eight-node solid elements; 2) shapes of bolt shank, head, and nut are precisely taken into account in modeling; and 3) contact surface algorithm is applied as boundary condition. To improve accuracy in predicting moment-rotation behavior of a connection, bolt pretension is introduced before the corresponding connection moment being surcharged. The experimental results are used to investigate the applicability of FE method and to check the performance of three-parameter power model by making comparison among their moment-rotation behaviors and by assessment of deformation and stress distribution patterns at the final stage of loading. This research exposes two important features: (1) the FE method has tremendous potential for connection modeling for both monotonic and cyclic loading; and (2) the power model is able to predict moment-rotation characteristics of semi-rigid connections with acceptable accuracy.

• 한국컴퓨터정보학회논문지
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• 제25권1호
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• pp.109-115
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• 2020

어깨는 인간의 몸통과 양팔을 연결하는 부위를 말하며, 양팔을 움직이는데 핵심적인 역할을 한다. 특히 양손을 머리의 뒤쪽으로 보내거나 우리 몸으로부터 멀리 보내는데 가장 중요한 역할을 수행한다. 본 논문에서는 어깨에서 팔의 안쪽 돌림과 가쪽 돌림에 대하여 각도를 측정하고, 이상 유무와 관련된 증상을 파악하며, 이러한 증상을 예방하는 방법까지 제시하도록 한다. 어깨에서 팔의 안쪽돌림과 가쪽 돌림의 각도는 70°~90°가 일반적이다. 그리고 각도가 이에 못 미치거나 통증을 느끼면 어깨에 이상이 생긴 것이다. 또한 일반인 남녀 각각 50명씩 총 100명을 대상으로 실험을 수행하여 이상이 있는 환자를 판별하였다.