• 한국안전학회지
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• 제23권1호
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• pp.35-45
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• 2008

This study was performed to compare the kinematics among three different safety shoes(type 1: ergonomically designed and high quality shoes, 2: curved and cushioned safety shoes, and 3: regular safety shoes) and to find the effect of insole during walking. Ten healthy subjects were recruited for this study. The range of motion of knee and ankle joint, angle of rear foot and angle of heel contact were measured using a three dimensional motion analysis system. In the second peak, the angle of heel contact showed statistically significant difference between safety shoes and insole, however, there was no statistical significance among three different safety shoes. The angle of ankle increased significantly at initial contact, first peak, the second peak and the toe off phase compared with type 1 and 2 safety shoes, and the angle of ankle showed statistically significant difference between with and without applying the insole. During the first peak, the second peak and the toe off phase, the angle of knee was statistical significance between safety shoes and insole. In heel contact, the angles of Achilles' tendon showed statistically significant difference between safety shoes and insole. The rear foot angles showed statistically significant difference between safety shoes and insole during heel contact and early heel contact. These results suggest that the type 1 safety shoes were superior to others in the statistics, and applying insole could be a possible method to prevent fatigue of lower extremity and musculoskeletal disorders. Further studies are needed to find the effect of ergonomically designed safety shoes and insole on practical value in prevention of musculoskeletal disorder, fatigue and satisfaction of workers.

• 복합신소재구조학회 논문집
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• 제6권2호
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• pp.8-16
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• 2015

Prestressed concrete (PSC) is a method in which prestressed tendon is placed inside and/or outside the reinforced concrete member and the compressive force applied to the concrete in advance to enhance the engineering properties of concrete member which is weak under tension. In this paper we suggested the precast PSC girder assembled with segments of portable size and weight at the factory. The segments of precast PSC girder will be delivered and assembled as a unit of PSC girder at the site. Consequently, we suggested new-type of precast segmented PSC girder with different shapes of segment cross-section (i.e., I-shape, Box-shape). To mitigate the problems associated with the field splice between the segments of precast PSC girder anchor system is attached near the neutral axis of the girder and relatively uniform compression throughout the girder cross-section is applied. Prior to the experimental investigation, analytical investigation on the structural behavior of precast PSC girder was performed and the serviceability (deflection) and safety (strength) of the girder were confirmed. In addition, 4-point bending test on the girder was conducted to investigate the structural performance under bending. From the experimental investigation, it was found that the precast PSC girder spliced with 3 and 5 segments has sufficient in serviceability and safety conditions and it was also observed that the point where the segments spliced has no defects and the girder behaves as a unit.

• 대한토목학회논문집
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• 제13권4호
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• pp.1-13
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• 1993

프리스트레스트 콘크리트 구조물의 설계에 있어서 적절한 단면 및 소요 강선량의 결정을 위하여 구조해석을 여러번 수행하게 되는 것이 보통이다. 그러나 PC 세그멘탈 다경간 교량의 경우 콘크리트 및 강선의 시간의존적인 성질, 시공순서에 따른 구조계의 변화등을 고려한 구조해석에 많은 노력과 시간이 필요하게 되므로 다경간 교량에 대한 축소 교량모델을 가정하여 구조해석을 수행하기도 한다. 본 연구에서는 캔틸레버 공법으로 가설되는 10 경간 PC 세그멘탈 교량을 대상으로 5 경간 및 3 경간으로 축소시킨 교량모델을 가정하고 이에 대한 구조해석을 수행하여 처짐 및 모멘트의 계산 결과를 비교하므로써 축소 교량모델의 적합여부를 검토하였다. 또한 프리스트레스트 콘크리트의 극한모멘트 계산을 위한 하중계수 적용 방법에 대하여 고찰해 보았다.

• 대한물리의학회지
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• 제11권4호
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• pp.11-17
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• 2016

PURPOSE: There are several standard interventions for managing Achilles tendinitis, including eccentric exercise and calf muscle stretches, orthoses, electrotherapy, and taping. However, no study has determined the effect of non-elastic taping on deloading the Achilles tendon while vertical jumping. Therefore, this study determined the effect of non-elastic taping on ankle dorsiflexion and the triceps surae muscle activity while vertical jumping in healthy subjects. METHODS: The study recruited 17 participants. A motion analysis system was used to measure the angle of ankle dorsiflexion and wireless surface electromyography was used to measure the soleus and gastrocnemius activities while vertical jumping. Non-elastic taping was applied on randomized leg side. All subjects performed maximal effort vertical jumps without and with non-elastic taping, with three trials for each condition. The mean peak dorsiflexion and muscle activities during the three trials were calculated and paired t-tests were used to compare the mean values without and with non-elastic taping. Significance was defined as (p<.05). RESULTS: The maximum angle of ankle dorsiflexion and activity of the gastrocnemius muscle decreased significantly when non-elastic tape was applied (p<.05), while there was no significant difference in the soleus activity between no-taping and taping (p>.05). CONCLUSION: We introduce non-elastic taping as a method to decrease maximum ankle dorsiflexion and gastrocnemius activity while vertical jumping.

• Clinical and Experimental Pediatrics
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• 제59권sup1호
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• pp.161-164
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• 2016

Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis manifest as demyelinating diseases of the peripheral and central nervous system. Concurrency of these two disorders is rarely documented in literature. A 4-year-old girl presenting with cough, fever, and an impaired walking ability was admitted to hospital. She had no previous complaints in her medical history. A physical examination revealed lack of muscle strength of the lower extremities and deep tendon reflexes. MRI could not be carried out due to technical problems; therefore, both Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis were considered for the diagnosis. Intravenous immunoglobulin treatment was started as first line therapy. Because this treatment did not relieve the patient's symptoms, spinal MRI was carried out on the fourth day of admission and demyelinating areas were identified. Based on the new findings, the patient was diagnosed with acute transverse myelitis, and high dose intravenous methylprednisolone therapy was started. Electromyography findings were consistent with acute polyneuropathy affecting both motor and sensory fibers. Therefore, the patient was diagnosed with concurrency of Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis. Interestingly, while concurrency of these 2 disorders is rare, this association has been demonstrated in various recent publications. Progress in diagnostic tests (magnetic resonance imaging and electrophysiological examination studies) has enabled clinicians to establish the right diagnosis. The possibility of concurrent Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis should be considered if recovery takes longer than anticipated.

• Archives of Plastic Surgery
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• 제35권2호
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• pp.197-200
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• 2008

Purpose: A congenital lacrimal sac fistula is unusual and consists of a dimple opening below the medial canthal tendon that leads to the lacrimal sac. This anlage ducts occur when the lacrimal anlage cells proliferate and canalize rather than involute. And, the anomaly is usually not associated with any systemic abnormalities. Also congenital cleft of the earlobes is rarely seen among congenital ear anomalies. Therefore, we report rare case with symptomatic bilateral lacrimal fistula with the ear cleft. Methods: A 4-year-old boy was admitted with aggravated chronic maxillary sinusitis, recurrent chronic dacryocystitis, and epiphora. He had two minor anomalies including bilateral lacrimal fistula originated in lacrimal tear sac and unilateral transverse ear cleft. The patient had been operated with fistulectomy and perioperative antibiotics. A small vertical ellipse is made around the opening with sharp dissection. The tract is excised using the probe as the guide. Another probe is placed through the lower canaliculus to prevent the damage. A suture ligature of 6-0 Maxon is placed around the deepest point of the tract, which is then excised. Additional sutures are placed in the tissues to form a tight closure to prevent reestablishment of the fistula. The skin is closed with 6-0 Black Silk. Results: The patient recovered well without any complications such as infection, epiphora, and obstruction of lacrimal sac. Conclusion: Our case illustrates bilateral lacrimal anlage ducts in a patient with unilateral congenital ear cleft. We recommend careful evaluation of lacrimal system in these patients, especially bilateral case and other congenital anomalies. Finally, we recommend excision of the ducts when epiphora, infection, or chronic skin irritation occur.

• 한국운동역학회지
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• 제26권1호
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• pp.135-142
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• 2016

Objective: The purpose of this study was to investigate the acute effect of walking on high heels on the behavior of fascicle length and activation of the lower limb muscles. Methods: Twelve healthy inexperienced high heel wearers (age: $23.1{\pm}2.0yr$, height: $162.4{\pm}4.9cm$, weight: $54.4{\pm}8.5kg$) participated in this study. They walked in high heels (7 cm) and barefoot on a treadmill at their preferred speed. During the gait analysis, the lower limb joint kinematics were obtained using a motion analysis system. In addition, the changes in fascicle length and the level of activation of the medial gastrocnemius (MG) were simultaneously monitored using a real-time ultrasound imaging technique and surface electromyography, respectively. Results: The results of this study show that the MG fascicle operates at a significantly shorter length in high heel walking ($37.64{\pm}8.59mm$ to $43.99{\pm}8.66mm$) in comparison with barefoot walking ($48.26{\pm}9.02mm$ to $53.99{\pm}8.54mm$) (p < .05). In addition, the MG fascicle underwent lengthening during high heel walking with relatively low muscle activation while it remained isometric during barefoot walking with relatively high muscle activation. Conclusion: Wearing high heels alters the operating range of the MG fascicle length and the pattern of muscle activation, suggesting that prolonged wearing of high heels might induce structural alterations of the MG that, in turn, hinder normal functioning of the MG muscle during walking.

• 대한소아치과학회지
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• 제29권2호
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• pp.237-242
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• 2002

Lowe 증후군 또는 안뇌신증후군(oculocerebrorenal syndrome)은 X-염색체와 관련된 유전성 질환으로 반성열성유전양상을 나타낸다. 선천성 백내장과 녹내장 등의 안 증상, 근긴장 저하 건반사감소 등의 근신경계 증상, 신장 기능이상이 가장 특징적인 임상 증상이며, 이외에도 정신 지체, 성장지연, 전두부 융기, 가늘고 성긴 모발, 돌출된 귀, 골질환 등이 발생할 수 있다. Lowe 증후군 환자는 정신지체로 인해 치과치료시 전신마취하에서의 처치가 요구되나, 대사성 산증, 악성고열의 발생위험과 사용약제에 의한 부작용 등이 위험요소로 작용할 수 있으므로, 필요한 경우 내과 또는 소아과 의료진이 참여된 협진체제 하에서 가능한 짧은 시간 진행되어야 한다. 이러한 치과적 처치의 어려움으로 Lowe 증후군 환자에서 치과질환의 예방이 좀더 강조되어야 하면, 이를 위해 보호자의 주위의 적극적 관리가 요구된다.

• The Journal of Korean Physical Therapy
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• 제12권2호
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• pp.95-105
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• 2000

Glenohumeral internal and external rotation with shoulder abducted in the frontal plane often causes impingement of the supraspinatus tendon. whereas similar activity in scapular plane does not cause impingement. The Purpose of this study was to determine if assessment among the three positions as 30 degrees, 60 degrees, 90 degrees abduction in the sitting position of the scapular plane could be affected the comparison between intemal and external peak torque, total work, average power. In this study, Isokinetic shoulder rotational strength was evaluated in twenty healthy male university students, using the Cybex NORMTM System (CYBEX Division of LUMEX, Inc., Ronkonkoma, New York). Test data was gathered in the plane of the scapular, 30 degrees of horizontal flexion anterior to coronal plane, and the subjects performed the test with the arm 30, 60, and 90degrees abducted in the sitting position. also, test speed was set at deg/sec. Statistical analysis was performed using SPSS 7.5 for Windows software and mean and standard deviations were calculated. ANOVA was used to analyze the difference of the values in the three test positions. A paired t-test was used of examining the difference in the means peak torque between external and internal rotation. Not any significant difference was found among three abduction positions in scapular plane, even though there was a consistent pattern of greater strength in the abducted position of 60 degrees. Internal relation strength peak torque and total work were greater than those of external rotation in every test positions.

• 전산구조공학
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• 제10권4호
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• pp.315-325
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• 1997

본 논문에서는 이산성 연속형 최적성규준방법을 이용하여 다지간 부분프리스트레스트 콘크리트보의 최적설계 알고리즘을 유도하였고, 최적설계프로그램을 개발하였다. 목적함수로서 건설 경비는 콘크리트 경비, 긴장재 경비, 철근 경비, 그리고 거푸집 경비를 포함하였으며 이를 최소화하였다. 설계제약조건으로는 시방서상의 최대처짐제약, 휨 및 전단강도제약, 연성제약 그리고 설계변수에 대한 상.하한계제약을 고려하였다. Kuhn-Tucker 필요조건을 이용하여 최적성규준을 설계변수의 항으로 명시적으로 유도하였으며, 이때 설계변수로는 보의 유효깊이, 긴장재의 편심거리 그리고 철근비를 취하였다. 긴장재의 형상은 포물선함수로 고려하였으며, 구조물 자중의 영향은 긴장력에 의한 이차효과와 마찬가지로 실제시스템의 평형방정식에서 고려하였다. 설계변수들의 개선을 위한 반복과정과 컴퓨터프로그램을 개발하였으며, 수치예를 들어 개발된 기법의 응용성 그리고 효율성을 보였다.