• Archives of Reconstructive Microsurgery
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• 제17권2호
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• pp.101-107
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• 2008

Purpose: Free flaps from the great toe are an established method for reconstruction of absent or partially amputated thumbs. However, options differ as to which technique represents the ideal solution for each level of amputation. Various methods of distal thumb reconstruction have been proposed. We prefer to transplant the entire great toe nail complex with the almost all of the pulp rather than a portion of the nail. This paper reflects our experience in using the great toe mini wrap-around flap for distal thumb reconstruction. Materials and Methods: In the period from October of 2005 to July of 2007, 9 patients were treated for traumatic thumb defects localized at the distal phalanx of the thumb. The patients included seven men and two women. The mean age was 44 years (range, 21~60) and the dominant right hand was involved in seven of nine patients. Results: The transferred flaps have survived completely in all cases. The mean range of motion in the interphalangeal joints was 51o, with 73% of the normal uninjured opposite hands. The two-point discrimination was 10.5 mm (range, 5~13 mm). In Semmes-Weinstein monofilament test, the sensibility was 4.31 in 4 cases, 3.61 in 3 cases and 2.83 in 2 cases. The pinch power was 64% (range, 55~95%) of the opposite hand. All patients were satisfied with the appearance of the reconstructed thumb and felt comfortable at final follow-up. Conclusion: We have successfully reconstructed 9 cases of traumatic distal thumb defects using the mini wrap-around free flap. The mini wrap-around free flap in great toe is an excellent alternative method for distal thumb reconstruction in selected patients.

• 한국컴퓨터정보학회논문지
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• 제25권5호
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• pp.217-227
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• 2020

본 연구는 물류 기업이 블록체인기술을 채택하는 데 어떠한 요인들이 영향을 미치는가를 파악하고 블록체인기술이 물류성과에 미치는 영향을 분석하는 것을 연구목적으로 하고 있다. 블록체인기술의 채택에 영향을 미치는 변수들은 TOE 프레임을 바탕으로 제시하였다. 블록체인기술 채택 요인으로 기대이익, 조직준비성, 기술호환성, 경쟁압력을 제시하였다. 그리고 블록체인기술로는 스마트 계약과 정보 투명성을 제시하였다. 물류성과는 신속성과 조정성을 제시하였다. 한국의 물류 기업을 대상으로 설문조사를 실시하였다. 수집된 자료를 분석한 결과를 보면 기대이익, 기술호환성은 블록체인기술(스마트 계약, 정보 투명성)에 정의 영향을 미치는 것으로 나타났다. 조직준비성은 정보투명성에 정의 영향을 미치는 것으로 나타났다. 블록체인기술은 물류성과에 정의 영향을 미치는 것으로 나타났다.

• 한국게임학회 논문지
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• 제16권4호
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• pp.79-86
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• 2016

몬테카를로 트리탐색은 최대우선탐색 알고리즘이며, 많은 게임 특히 바둑 게임에 성공적으로 적용되어 왔다. 삼목 게임에서 MCTS 간의 대국을 통해 성능을 평가하고자 했다. 첫 번째 대국자는 항상 두 번째 대국자에 비해 압도적인 우위를 보였으며, 최선의 게임 결과가 무승부가 됨에도 불구하고 첫 번째 대국자가 두 번째 대국자에 비해 우월한 이유를 찾고자 했다. MCTS는 반복적인 무작위 샘플링을 기반으로 하는 통계적 알고리즘이기 때문에, 특히 두 번째 대국자를 위해 전략을 요하는 시급한 문제를 적절히 대처하지 못한다. 이를 위해 전략적 MCTS(S-MCTS)를 제안하며, S-MCTS는 결코 삼목 게임에서 지지 않는다는 것을 보였다.

• 대한인간공학회지
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• 제26권2호
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• pp.131-136
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• 2007

In this study, we developed an active ankle-foot orthosis(AAFO) which can control dorsi/ plantar flexion of the ankle joint to prevent foot drop and toe drag during walking. 3D gait analyses were performed on five healthy subjects under three different gait conditions: the normal gait without AFO, the SAFO gait with the conventional plastic AFO, and the AAFO gait with the developed AFO. As a result, the developed AAFO preeminently induced the normal gait compared to the SAFO. Additionally, AAFO prevented foot drop by proper plantarflexion during loading response and provided enough plantarflexion moment as a driving force to walk forward by sufficient push-off during pre-swing. AAFO also could prevent toe drag by proper dorsiflexion during swing phase. These results indicate that the developed AAFO may have more clinical benefits to treat foot drop and toe drag, compared to conventional AFOs, and also may be useful in patients with other orthotic devices.

• 대한조선학회지
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• 제12권2호
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• pp.35-42
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• 1975

This paper investigates the distribution of stress and its behavior at the Root Toe in fillet welding joint. Furthermore, the stress components and principal stresses in the fillet welds are calculated by the finite element method. The distribution of stresses obtained numerically by means of the finite element method is also compared with the experimental results of two dimensional photoelasticity. A Cover plate type and Center block type of fillet welds are used as models for the numerical calculations covering the variations of 2 W/M(thickness of main plate/thickness of cover plate)=1 through 2W/M=4. The results obtained in these studies are summarized as follows; 1) When W2/M values become small, the stress concentration factors of the Root are larger than of the Toe in a C-type. Its critical value is 2W/M=3.00. However, no critical value exists in a T-type. 2) For 2W/M Values being avove 3.5 in a C-type and above 4.0 in a T-type, $K_R$ and $K_{\tau}$ become 1. 3) According to the differences of 2W/M values, the differences in stress become increasing in the Root but become decreasing in the Toe. These differences, however, disappear as the free boundary surface is approached. 4) The stress concentration factors of both the Root and Toe obtained by means of the finite element method have somewhat lower values than obtained by the photoelasiticity. But their principal stress directions coincide in either method. 5) It proves beneficial to employ the finite element method for two-dimensional plane stress analysis in front fillet welding joint.

• Physical Therapy Rehabilitation Science
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• 제7권1호
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• pp.35-40
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• 2018

Objective: The purpose of this study was to investigate the immediate effect of applying self-myofascial release (SMR) to the plantar fascia using a foam roller on hamstring and lumbar spine superficial back line (SBL). Design: Randomized controlled trial. Methods: Thirty-one healthy adults agreed to the method and purpose of the study. Selection and exclusion criteria were screened, and baseline measurements for the Toe Touch test and passive straight leg raise (PSLR) test were obtained. The participants were then randomly assigned to the SMR group or the sham group. After group assignment, the SMR group rolled the surface of the foot from the heel to the metatarsal head using a foam roller for 5 minutes. The sham group received passive mobilization of the ankle joint in the supine position. Afterwards, the Toe Touch test and the passive straight leg-raise test were re-assessed. Results: In the SMR group, the Toe Touch test results showed significant improvement (p<0.05). Left and right PSLR test results showed a significant increase (p<0.05). In the sham group, there was no significant difference between pre and post-test results. The SMR group showed a significant difference in the PSLR test and Toe Touch test compared to the sham group (p<0.05). Conclusions: The results of this study showed that SMR on the plantar fascia was immediately effective for improving the flexibility of the SBL of the lumbar spine and hamstring.

• Physical Therapy Rehabilitation Science
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• 제7권1호
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• pp.41-47
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• 2018

Objective: To investigate the effect of performing three different toe touch (TT) task condition on the activities of four different muscles using surface electromyography (sEMG) in healthy young adults. Design: Cross-sectional study. Methods: A total of 20 healthy young adults (6 males, 14 females) voluntarily participated in this study. All subject randomly performed three different TT task conditions as follows: general toe-touch (GTT) task, one side toe touch (TT) task during weight bearing, and one side foward toe touch (FTT) task during weight bearing. The muscle activities of erector spinae (ES), gluteus maximus (GM), hamstring (HAM), tibialis anterior (TA) muscles during the TT task were measured using sEMG. Subject performed each of the three conditions three time in random order and mean values were obtained. Results: With the trunk flexion period, the TT and FTT showed significantly greater muscle activity in the GM, HAM and TA compared to the GTT task (p<0.05). The TT position showed significantly greater HAM muscle activity than the GTT position. The dominant and nondominant ES muscle activity was significantly greater in the FTT compared to the GTT position (p<0.05). The dominant GM, HAM, and TA was significantly greater in the TT and FTT compared to the GTT position (p<0.05). Although the dominant ES was significantly greater in the TT and FTT compared to the GTT position (p<0.05), the dominant GM muscle activity was signifcantly greater in the TT compared with the GTT position (p<0.05). Conclusions: These findings may be applicable within the clinical field for selective trunk and lower extremity muscle activation and basic biomechanics purpose.

• 전기학회논문지
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• 제59권11호
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• pp.2114-2118
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• 2010

The purpose of this study was to analyze bradykinesia of toe tapping movement in patients with Parkinson's disease (PD) as compared to those of normal subjects. 39 PD patients (age: $65.5{\pm}11.2$ yrs, H&Y stage:$2.3{\pm}0.5$), 14 eldelry subjects with comparable mean age ($65.0{\pm}3.9$ yrs) and 17 healthy young subjects ($24.1{\pm}2.1$ yrs) participated in this study. Angular velocity during repetitive toe tapping movement was measured in both feet using a gyro sensor system. Suggested quantitative measures of bradykinesia were root-mean-squared (RMS) angular velocity, RMS angle, peak power and total power which were derived from the angular velocity signal. ANOVA showed that all measures were significantly different among three groups (p<0.001). Subsequent post-hoc test revealed that all measures in PD patients were significantly smaller than in healthy elderly and healthy young subjects (p<0.02). All measures were significantly correlated with UPDRS scores(r=-0.689~-0.825). These results suggest that the developed system can be used as quantitative measures of the lower limb bradykinesia in PD patients.

• 전기학회논문지
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• 제66권12호
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• pp.1810-1814
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• 2017

This paper develops an approach to the algorithm of Gait pattern Analysis and step measurement with Multi-Pressure Sensors. The process of gait consists of 8 steps including stance and swing phase. As 3 parts of foot is supporting most of human weight, multiple pressure sensors are attached on the parts of foot: forefoot, big toe, heel. As 3 parts of foot is supporting most of human weight, multiple pressure sensors are attached on the parts of foot: forefoot, big toe, heel. normal gait proceed from heel, forefoot and big toe over time. While normal gait proceeds, values of heel, forefoot and big toe can be changed over time. So Each values of pressure sensors over time could discriminate whether it is normal or abnormal gait. Measuring Device consists of non-inverting amplifiers and low pass filter. Through timetable of values, normal gait pattern can be analyzed, because of supported weight of foot. Also, the peak value of pressure can judge whether it is walking or running. While people are running, insole of shoes is floating in the air on moment. Using this algorithm, gait analysis and step count can be measured.

• 한국운동역학회지
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• 제20권4호
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• pp.381-386
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• 2010

This study examined the changes in the walking pattern during level walking under low illumination conditions. Fourteen male subjects ($22.1{\pm}2.21$ years, $174{\pm}3.74\;cm$, $68.86{\pm}10.81\;kg$) with normal vision and no disabilities were enrolled in this study. All experiments were performed on a level walkway with three conditions: normal walking (preferred & low speed) and walking with low illumination. 3D motion capturing system was used for acquisition and analysis of the walking motion data with a sampling frequency of 120Hz. The walking speed, normalized jerk(NJ) at the center of mass(COM), wrist and heel, knee and elbow joint angle, ratio of the knee joint angle to elbow joint angle and the toe clearance on stance phase were used to compare the differences in walking pattern between the two illumination conditions, The results showed that the walking speed and joint angles decreased in low illumination, whereas the NJ and toe minimum clearance increased. In low illumination, most variables were similar to effects of low speed walking, but toe clearance was different from the effects of low speed. These results can be used as primary data for examining the changes in the level walking pattern of young adults under low illumination. Further study will be needed to compare these results in young adults with those in the elderly.