• 지역사회간호학회지
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• 제28권4호
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• pp.494-503
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• 2017

Purpose: This study is to grasp factors influencing the quality of life in older adults after total knee replacement. Methods: This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software. Results: Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, ${\beta}=.40$), pain (8%, ${\beta}=-.30$), and depression (3%, ${\beta}=-.20$) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, ${\beta}=.44$), social support (6%, ${\beta}=.25$), and depression (3%, ${\beta}=-.22$) on the Mental Component Summary in the quality of life have significant explanatory power of 58%. Conclusion: This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

• The Journal of Korean Physical Therapy
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• 제25권2호
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• pp.81-87
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• 2013

Purpose: The purpose of the current study was to examine the effects of electromyography (EMG)-biofeedback training on lower extremity muscle activity and balance of patients with total knee replacement (TKR). Methods: Subjects were randomly allocated to two groups: experimental and control group. Subjects in the experimental group (n=10) were provided with quadriceps setting exercise by EMG-biofeedback (QSE+BF) and those in the control group were provided with QSE. Subjects in both groups were provided with the respective training programs for 20 minutes per session, five times per week, for a period of six weeks. To test significance, data analysis was performed using repeated-ANOVAs. Results: Statistically significant differences in muscle activity of the rectus femoris muscle and the vastus lateralis, and dynamic balance ability were observed in the experimental group, compared with the control group. In comparison of the muscle activity of the rectus femoris muscle and the vastus lateralis, and dynamic balance ability between different training periods within the groups, both groups showed statistically significant differences. Conclusion: EMG-biofeedback training is effective in improving lower extremity muscle activity and balance ability of patients with TKR, and should be effective in patients with other diseases.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2006년도 춘계학술대회 논문집
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• pp.185-186
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• 2006

Image Guided Surgery(IGS) system has been developed to provide exquisite and objective information to surgeons for surgical operation process. It is necessary that registration technique is important to match between 3D image model reconstructed from image modalities and the object operated by surgeon. Majority techniques of registration in IGS system have been used by recognizing fiducial markers placed on the object. However, this method has been criticized due to its invasive protocol inserting fiducial markers in patient's bone. Therefore, shape-based registration technique using geometric characteristics of the object has been invested to improve the limitation of IGS system. During Total Knee Replacement(TKR) operation, it is challenge to register with high accuracy by using shape-based registration because the area to acquire sample data from knee is limited. We have developed region-based 3D registration technique based on anatomical landmarks on the object and this registration algorithm was evaluated in femur model. It was found that region-based algorithm can improve the accuracy in 3D registration. We expect that this technique can efficiently improve the IGS system.

• 대한임상전기생리학회지
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• 제11권1호
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• pp.21-29
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• 2013

Purpose : The purpose of this study was to determine the changes in ultrasound imaging of the lower limbs in patients with degenerative osteoarthritis who received a total knee replacement (TKR). Methods : The participants for the study were ten patients who were to receive a total knee replacement. Measurements were taken a total of three times: before receiving a total knee replacement, and one week and two weeks after receiving a total knee replacement. The vastus medialis, rectus femoris muscle, tibialis anterior and gastrocnemius muscle were measured using ultrasound imaging. Results : Muscle thickness of the vastus medialis, rectus femoris muscle, tibialis anterior and gastrocnemius muscle had no significant interaction over time whether surgery was performed or not. White area index (WAI) and density of vastus medialis, rectus femoris muscle, tibialis anterior and gastrocnemius muscle had no significant interaction over time whether surgery was performed or not. Conclusion : In conclusion, lower quality muscles were due to a decrease in muscle fiber and an increase in fat fiber. Therefore, initial physical therapy after total knee replacement should consider this point and be designed appropriately as a therapeutic approach for total knee replacement patients.

• 한국항해항만학회지
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• 제27권5호
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• pp.585-591
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• 2003

최근 동북아의 중심에 위치하는 지리적 이점을 살려 부산항 및 광양항을 동북아 중심항(Hub-Port)으로 육성하고자 하는 동북아 물류(Logistics)중심화 전략이 적극적으로 추진되고 있다. 이와 같은 상황에서 경의선 및 동해선의 남북철도 연결공사는 그 의미가 크다고 할 수 있으며, 이것은 부산항이 동북아와 유럽을 육로로 잇는 해상과 철도수송의 연계를 위한 이상적인 복합운송체계(Combined Transport System) 를 갖추는 것을 의미한다. 그러나 지금까지의 연구와 정책은 남북척도의 연결에만 초점을 두고 실제 TKR (Trans-Korean Railway)의 기종점(Origin-Destination)으로서 가장 중요한 역할을 수행해야 하는 부산항 철도시설의 능력에 대한 검토는 없었다. 따라서 본 연구에서는 부산항을 중심으로 한 척도수송의 실태와 문제점을 제시하며, 향후 컨테이너 물동량 증가에 따른 부산항의 철도시설 능력을 검토하고 분석한다. 그리고 철송시설 능력에 따른 물류비용과 사회적비용 분석을 통하여 대구-부산간 경부고속철도(Gung-Bu Trans Express)와 같은 시설확충의 중요성과 철도수송 활성화를 위한 현실적 개선 방안을 제시한다.

• 한국해양공학회:학술대회논문집
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• 한국해양공학회 2001년도 추계학술대회 논문집
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• pp.55-61
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• 2001

Recently, the trade volume between Korea, China, and Europe is increasing gradually with various transport routes such as sea, railway. and linking of them. In this study, economic efficiency of existing transport routes are estimated and trainferry type shipping between Mokpo and Lianyungang is proposed as a efficient transport route considering the trade volume between Korea and China.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2007년도 춘계학술대회 논문집
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• pp.203-204
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• 2007

• International Journal of Railway
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• 제3권4호
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• pp.113-116
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• 2010

In modern conditions of world economic development the integral element of stable social and economic development of the separate countries of the world is the level of their transport infrastructure development, on the one hand capability to effectively provide economic communications between regions inside the country, and capability to integrate into world economic. The condition of a transport infrastructure and its possibility in sphere of maintenance of national participants of foreign trade are reflected in many respects on competitiveness of production, made by them, in the world market and, as consequence, on a country role in economic.

• 대한의용생체공학회:의공학회지
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• 제28권1호
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• pp.108-116
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• 2007

Recently, it has been reported that the posterior stabilized implant, which is clinically used for the total knee replacement (TKR), may have failure risk such as wear or fracture by the contact pressure and stress on the tibial post. The purpose of this study is to investigate the influence of the mal alignment of the posterior stabilized implant on the tibial post by estimating the distributions of contact pressure and von-Mises stress on a tibial post and to analyze the failure risk of the tibial post. Finite element models of a knee joint and an implant were developed from 1mm slices of CT images and 3D CAD software, respectively. The contact pressure and the von-Mises stress applying on the implant were analyzed by the finite element analysis in the neutral alignment as well as the 8 malalignment cases (3 and 5 degrees of valgus and varus angulations, and 2 and 4 degrees of anterior and posterior tilts). Loading condition at the 40% of one whole gait cycle such as 2000N of compressive load, 25N of anterior-posterior load, and 6.5Nm of torque was applied to the TKR models. Both the maximum contact pressure and the maximum von-Mises stress were concentrated on the anterior-medial region of the tibial post regardless of the malalignment, and their magnitudes increased as the degree of the malalignment increased. From present result, it is shown that the malalignment of the implant can influence on the failure risk of the tibial post.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5669-5675
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• 2012

이종궤간(표준줴/광궤)이 존재하는 유라시아 철도네트워크(TKR, TCR 및 TSR)의 화물운송시간 및 비용을 절감하기 위해서는 이 구간을 자유롭게 운행할 수 있는 궤간가변 윤축시스템의 개발이 중요하다. 국내에서는 기존 해외 윤축시스템을 보완하고자 새로운 한국형 궤간가변 윤축시스템을 개발 및 제작중이다. 본 연구에서는 안전-수명설계관점에서 강도와 내구성해석을 수행하였다. 본 시스템의 내구성해석결과로서, 주요부품은 $1{\times}10^7$ 사이클까지 안전하였다. 또한, 주행중 안전성을 확인하기위하여 국제철도규정 UIC에 따라 리그피로시험을 수행하였다. 이 시험을 통하여 본 궤간가변 윤축시스템은 관련 안전규정에 만족함을 확인하였다.