• 제목/요약/키워드: Second-hand

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수부 손상에서 정맥이식의 유용성 (Usefulness of Venous Graft in Hand Injury)

  • 이학승;김연환;김창연;김정태;안희창
    • Archives of Plastic Surgery
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    • 제37권4호
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    • pp.396-399
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    • 2010
  • Purpose: In hand injury, pedicle is usually damaged by avulsion injury or crushing injury. Because of postoperative pedicle obliteration, it is often hard to save the injured hand and fingers, even after successful replantation. The author introduces three cases of extensive hand injury, and successful results after applicatoin of multiple venous grafts to these patients. Methods: In all cases there was no circulation in any finger. In the first case, some vessels were extracted, so venous graft was applied to two sites of severely damaged venous sites. In the second case, venous grafts were applied to all four digital arteries of all fingers except thumb which got severely crushed, and two sites of dorsal veins. In the third case, venous graft was applied to all four digital arteries of all five fingers, and two sites of dorsal veins and palmar veins each. Results: In all cases, survival of hands and fingers was successful. In the second case, however, amputation in thumb and little finger at DIP joint level was inevitable, because of its severe damage, and the large dorsal defect on index finger was filled with DIEP free flap. Thumb was reconstructed with toe-to-thumb free flap, and additional debulking procedures and contracture release is furtherly needed. In the first case, additional surgery was done, as FDP tendon got re-ruptured, but in long term follow-up, satisfactory range of motion was attained. In the third case, FTSG on dorsal skin region was planned. as flap on dorsal area got partial necrosis. Conclusion: In hand injury, there are many structures to be repaired, but sometimes venous graft is avoided for its long operating time. Even though the length of damaged vessel is enough for anastomosis, the endothelium is often damaged (zone of injury). In extensive hand injury, successful reconstruction would be possible with active venous graft to all vessels suspicious for damage.

취학 전 아동의 손 기민성과 시각-운동 기술과의 상관성에 대한 연구 (Correlations Between Hand Dexterity and Visual-Motor Skills of the Preschooler)

  • 강현진;고경혜;박수정;박주연;장문영
    • 대한감각통합치료학회지
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    • 제3권1호
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    • pp.13-21
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    • 2005
  • Objective : The purpose of this study was to investigate the correlation between hand dexterity and visual-motor skills of preschoolers. We searched for the correlation between two test results, which were the 9-Hole Peg Test performance time and the visual motor integration test(VMI) performance score. Then, we also compared the 9-Hole Peg Test performance times with the VMI performance scores according to sex and age. Method : The participants were fifty normal children ranging in age from four to six years living in Busan. We used two test methods which have high reliability and validity. One was the 9-Hole Peg Test to evaluate hand dexterity, and the other was the VMI to the evaluate visual-motor skills of these young children. Results : First, over the entire range of the participating children, there was a high correlation between the performance times from the 9-Hole Peg Test and the VMI performance scores(r=-.682). Second, there was not a statistically significant difference between the performance times from the 9-Hole Peg Test and the VMI scores according to sex. Third, there were significant differences between the hand dexterity and visual-motor skills according to the children's age(p<.001). Conclusion : This study proved that there is high correlation between hand dexterity and visual-motor skills of the preschooler. Occupational therapists in preschool service should consider that visual-motor skills need to be compatible with hand dexterity in both evaluation and therapy. In addition, hand dexterity and visual-motor skills improved according to advances in age, so we must give graded tasks to proper age groups through concrete analysis of activity. By doing this, children can get the better therapeutic effects.

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혼방 및 연사방법에 따른 아크릴 니트소재의 객관적 감성평가 (Objective Sensibility Evaluation of the Acrylic Knitted Fabrics from Various Blended and Twisted Yarns)

  • 김미진;박명자
    • 한국의상디자인학회지
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    • 제8권3호
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    • pp.17-25
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    • 2006
  • We performed the objective sensibility evaluation on knitted fabrics by the following procedures: setting acrylic fabrics with knitted fabrics as basis, knitted five kinds of blended spun yarns and four kinds of twisted filament yams made by different twisting methods(the amount and direction of twist) then, measuring mechanical properties in the use Kawabata Evaluation System, obtaining hand values and total hand values. The results are as follows: First, A(F)/W acrylic/wool spun knits obtain high scores in bending, compressing, shear properties, MMD, and thickness among five kinds of acrylic-blended knit fabrics. A(S)/W acrylic/wool blended knit represented prominent values at compressing properties and thickness and so wool-blended yams demonstrated superior characters comparing other blended yarns. To contrast, acrylic/rayon blended knits showed low scores in bending properties, shear properties and thickness, so that it affects to total hand values. On the one hand, among the four kinds of acrylic filament knitted fabrics, they do not exhibit any notable dynamic differences such as tensile properties of knitted fabrics by the twist number and direction of filament yarns, bending, shear, compressing properties, weight and thickness except surface properties. Second, fabrics showed the most high score at FUKURAMI (fullness and softness) among the hand values. A(S)/W acrylic/wool blended knits obtaining the lowest values at SAHRI (crispness) outrank at total hand values, so that it was the predominant knitted fabric in objective sensibility evaluation. In total hand values, five kinds of acrylic blended knits got a higher score than four kinds of acrylic filament knits, and the amount and direction of twist did not influence on total hand values among the four kinds of acrylic filaments.

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A Structure and Framework for Sign Language Interaction

  • Kim, Soyoung;Pan, Younghwan
    • 대한인간공학회지
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    • 제34권5호
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    • pp.411-426
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    • 2015
  • Objective: The goal of this thesis is to design the interaction structure and framework of system to recognize sign language. Background: The sign language of meaningful individual gestures is combined to construct a sentence, so it is difficult to interpret and recognize the meaning of hand gesture for system, because of the sequence of continuous gestures. This being so, in order to interpret the meaning of individual gesture correctly, the interaction structure and framework are needed so that they can segment the indication of individual gesture. Method: We analyze 700 sign language words to structuralize the sign language gesture interaction. First of all, we analyze the transformational patterns of the hand gesture. Second, we analyze the movement of the transformational patterns of the hand gesture. Third, we analyze the type of other gestures except hands. Based on this, we design a framework for sign language interaction. Results: We elicited 8 patterns of hand gesture on the basis of the fact on whether the gesture has a change from starting point to ending point. And then, we analyzed the hand movement based on 3 elements: patterns of movement, direction, and whether hand movement is repeating or not. Moreover, we defined 11 movements of other gestures except hands and classified 8 types of interaction. The framework for sign language interaction, which was designed based on this mentioned above, applies to more than 700 individual gestures of the sign language, and can be classified as an individual gesture in spite of situation which has continuous gestures. Conclusion: This study has structuralized in 3 aspects defined to analyze the transformational patterns of the starting point and the ending point of hand shape, hand movement, and other gestures except hands for sign language interaction. Based on this, we designed the framework that can recognize the individual gestures and interpret the meaning more accurately, when meaningful individual gesture is input sequence of continuous gestures. Application: When we develop the system of sign language recognition, we can apply interaction framework to it. Structuralized gesture can be used for using database of sign language, inventing an automatic recognition system, and studying on the action gestures in other areas.

Case Series Report on the Effect of Hand Acupuncture - Focusing on 29 Patients with Headache -

  • Sun, Seung-Ho
    • 대한약침학회지
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    • 제14권3호
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    • pp.91-97
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    • 2011
  • Objectives : The purpose of 29 case series is to report the possibility that a hand acupuncture is effective in relieving headache. Methods : After approval from the Institutional Review Board (IRB), I analyzed 29 cases medical records of outpatients with headache, who visited ${\bigcirc}{\bigcirc}$ oriental medical hospital from December 2008 to December 2010, who have taken a hand acupuncture's treatment without other intervention, and who were diagnosed with one disease of international classification of headache disease second version (ICHD-2). The data was analyzed with Wilcoxon signed rank test to determine whether a hand acupuncture's treatment differed between before and after treatment's Visual Analogue Scale(VAS) according to types of headache and syndrome differentiation. Statistics program was used SPSS 18.0. Differences were considered significant at P<0.05. Results : The VAS of patients with headache was reduced after treatment of hand acupuncture from $6.57{\pm}2.04$ to $2.90{\pm}2.04$ for overall headache, from $6.32{\pm}2.05$ to $2.47{\pm}2.03$ for tension-type headache(P<0.001), from $7.10{\pm}2.18$ to $3.70{\pm}1.77$ for migraine(P<0.001), and from $6.00{\pm}1.41$ to $2.50{\pm}3.54$ for headache unspecified. A hand acupuncture produced a decrease in VAS of both ascendant hyperactivity of liver yang(P<0.001) and phlegm turbidity according to syndrome differentiation(P=0.002). No adverse event were encountered in any of the patients. Conclusions : It is suggested that a hand acupuncture may be effective in relieving headache, and could be applicable to first choice of acupuncture treatment for headache.

The Reliability and Validity of a Portable Hand-held Spirometer for the Measurement of Various Lung Functions in Healthy Adults

  • Merve Nur Uygun;Jun-Min Ann;Byeong-Hyeon Woo;Hyeon-Myeong Park;Ha-Im Kim;Dae-Sung Park;In-Beom Jeong
    • Physical Therapy Rehabilitation Science
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    • 제13권2호
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    • pp.179-186
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    • 2024
  • Objective: This study aims to assess the reliability and validity of the new hand-held spirometer as a potential substitute for traditional pulmonary function testing (PFT) devices. Design: Cross-sectional study. Methods: In this study, thirty healthy adults underwent spirometry using both the new hand-held spirometer and the MIR spirometer, which is a standard PFT device. Parameters including peak expiratory flow (PEF), forced expiratory volume in one second (FEV1), and forced vital capacity (FVC) were measured and analyzed for validity and reliability. Inter-rater reliability and validity were evaluated through 95% limits of agreement (LOA) and intraclass correlation coefficients (ICC). Statistical analyses, including the Bland-Altman plots and the ICC, were utilized to assess agreement between the two devices. Results: The new hand-held spirometer exhibited a good agreement with intra-class coefficient (ICC [2,1]) ranging 0.762 to 0.956 and 95% LOA of -1.94 to 1.80 when compared with MIR. The test-retest reliability of the hand-held spirometer analyzed using - ICC [2,1] demonstrated a good level of consistency (ICC [2,1] =0.849-0.934). Conclusions: In conclusion, the study aimed to assess the potential of the new hand-held spirometer as a viable alternative to traditional PFT devices, with a specific focus on its reliability and validity in spirometric measurements. The new hand-held spirometer exhibited good test-retest reliability across all measured variables, suggesting its potential as a valid and reliable tool for simultaneous PFT measurements.

임의 물체에 대한 최적 3차원 Grasp Planning (Optimal 3D Grasp Planning for unknown objects)

  • 이현기;최상균;이상릉
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2002년도 춘계학술대회 논문집
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    • pp.462-465
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    • 2002
  • This paper deals with the problem of synthesis of stable and optimal grasps with unknown objects by 3-finger hand. Previous robot grasp research has analyzed mainly with either unknown objects 2D by vision sensor or unknown objects, cylindrical or hexahedral objects, 3D. Extending the previous work, in this paper we propose an algorithm to analyze grasp of unknown objects 3D by vision sensor. This is archived by two steps. The first step is to make a 3D geometrical model of unknown objects by stereo matching which is a kind of 3D computer vision technique. The second step is to find the optimal grasping points. In this step, we choose the 3-finger hand because it has the characteristic of multi-finger hand and is easy to modeling. To find the optimal grasping points, genetic algorithm is used and objective function minimizing admissible farce of finger tip applied to the object is formulated. The algorithm is verified by computer simulation by which an optimal grasping points of known objects with different angles are checked.

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3차원 영상처리 기술을 이용한 Grasp planning의 최적화 (The Optimal Grasp Planning by Using a 3-D Computer Vision Technique)

  • 이현기;김성환;최상균;이상룡
    • 한국정밀공학회지
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    • 제19권11호
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    • pp.54-64
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    • 2002
  • This paper deals with the problem of synthesis of stable and optimal grasps with unknown objects by 3-finger hand. Previous robot grasp research has mainly analyzed with either unknown objects 2-dimensionally by vision sensor or known objects, such as cylindrical objects, 3-dimensionally. As extending the previous work, in this study we propose an algorithm to analyze grasp of unknown objects 3-dimensionally by using vision sensor. This is archived by two steps. The first step is to make a 3-dimensional geometrical model for unknown objects by using stereo matching. The second step is to find the optimal grasping points. In this step, we choose the 3-finger hand which has the characteristic of multi-finger hand and is easy to model. To find the optimal grasping points, genetic algorithm is employed and objective function minimizes the admissible force of finger tip applied to the objects. The algorithm is verified by computer simulation by which optimal grasping points of known objects with different angle are checked.

Second Language Classroom Discourse: The Roles of Teacher and Learners

  • Jung, Euen-Hyuk Sarah
    • 영어어문교육
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    • 제11권4호
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    • pp.121-137
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    • 2005
  • The present study aims to examine how the roles of teacher and learners affect the repair patterns of both teacher's and learner's utterances in English as a second language (ESL) classroom discourse. The study analyzed beginning ESL classroom discourse and found that the structure of repair seems to be greatly influenced by the roles of participants in a second language classroom. The teacher's repair work was mainly characterized by self-repair. In contrast, learners' repair sequences were predominantly characterized by other-repair. More specifically, self-initiation by the learner of the trouble source was cooperatively completed by the teacher and the other learners. Other-initiated and other-completed repair was the most prevalent form in the current classroom data, which was carried out by the teacher in both modulated and unmodulated manners. When the trouble sources were mostly concerned with the learners' problems with linguistic competence and information presented in the textbook, other-repair took place in a modulated manner (i.e., recasting and prompting). On the other hand, when dealing with learners' errors with factual knowledge, other-repair was conducted in an unmodulated way (i.e., 'no' plus correction).

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중학교 기술교과 '제조기술과 자동화' 단원을 위한 STEAM 체험활동 과제 개발 (Development of hands-on activities of STEAM for 'Manufacturing Technology and Automation' unit Technology subject in Middle school)

  • 정진우;이상봉
    • 대한공업교육학회지
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    • 제39권1호
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    • pp.66-84
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    • 2014
  • 이 연구는 중학교 제조기술과 자동화 단원을 위한 STEAM 체험활동 과제를 개발 하는데 있다. 이 연구는 준비, 개발, 개선 단계에 따라 진행되었다. 준비단계에서는 STEAM 체험 활동의 필요성에 대한 요구분석과 준비 단계로서 체험활동 목표를 설정하였다. 개발단계에서는 체험활동 과제를 선정하고 적절한 수업 모형을 이용하여 최종 과 제를 개발하였다. 개선단계에서는 개발된 체험 활동 과제에 대하여 전문가 집단의 타당도 검사와 중 학생을 대상으로 예비시험과 현장시험을 통해 수정 보완하였다. 개발된 STEAM 체험 활동은 스마트폰용 접사&망원경 KIT, 목제품을 이용한 판화 만들기이며, 각 체험 활동의 구성은 설계 개요, 재료, 평가 기준, 수업과정안, 포트폴리오 등으로 구성하였다. 이상의 연구 결과를 바탕으로 개발된 STEAM 체험활동 과제가 중학교 제조기술 단원의 실습은 물론 방과후학교, 발명반, 과학교실, 창의적 체험활동, 동아리 활동 등 에서 널리 활용하기를 바란다.