• 대한근관절건강학회:학술대회논문집
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• 2001.04a
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• pp.179-190
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• 2001

The purpose of this study was to explore the effects of GEAP on pain, joint function, activities of daily living(ADL) and fatigue in chronic arthritis patients. The GEAP was held twice a week for 6 weeks for chronic arthritis patients at one university hospital in Seoul, Korea. Thirty four subjects completed the program, who were recruited at four times from September, 1999 to September, 2000. The effect of GEAP were evaluated as follows: Pain severity and number of painful joints ADL, fatigue were measured before and after the GEAP. In order to examine the joint flexibility and strengthening, the followings were measured: the extent of the upward arm reach in both sides(flexibility of shoulder), the ability to touch fingertips of the both hands in back pat and rub(flexibility of arm), the degree of range of motion (ROM) of both ankles in their dorsiflexion(flexibility of ankle) and plantarflexion with standing with toe(strengthening of ankle), and the degree of knee extension, and the grip strength. Paired t-test and Wilcoxon signed rank test were used for data analysis and the significance of the differences in the variables was examined to compare the data obtained before and after the GEAP. After the GEAP, followings were found: 1. Pain severity and number of painful joints was significantly decreased. 2. The flexibility of both shoulders and arms, knee, both ankle were significantly improved. 3. The strengthening of both arms was significantly improved, but the strengthening of ankle was not changed. 4. ADL was significantly increased. 5. Fatigue was significantly decreased. In conclusion, GEAP used in this study was clearly proved to be an effective exercise program to reduce pain and fatigue, to enhance joint function and ADL in people with chronic arthritis. It is suggested that the GEAP should be recommended as one of the useful and appropriate nursing interventions for chronic arthritis patients.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.24 no.3 s.174
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• pp.613-624
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• 2000

In this study, new design method of prosthetic foot was suggested which can evaluate the performance of prosthetic foot by implementing amputee's gait simulation using the finite element analysis. The basic shape of ESPF(Energy Storing Prosthetic Foot) was designed which is suitable for the below-knee amputee considering mechanical properties and kinematic properties. And, the performance evaluations were performed using the Taguchi method with orthogonal array L25. As a result, average main effect of factors for the ESPF's performance were calculated and then optimum condition of given shape was selected. Essential particulars for the performance evaluation from the simulation result were the quantity of external work needed in stance phase, the quantity of transferred energy from the ESPF through the knee, and the vertical displacement of knee at toe-off. Reasonable optimum condition was obtained from the using performance index. From this study, it was found that it is necessary for the design of ESPF to consider the geometrical data related to the magnitude of load on elastic material.

• Archives of Reconstructive Microsurgery
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• v.6 no.1
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• pp.87-95
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• 1997

Traumatic injury to the hand often leads to soft tissue defects with exposed tendons, bones, or joints. Though many new flap have been introduced, the choice of flap that would be best for the patient depends on such factors as the site, size, and degree of wounds. Additionally the selected surgical method should be yielded cosmetic and functional superiority by the one-staged reconstruction. In our experience, small to medium sized soft tissue defect with bone and tendon exposure of hand can be resurfaced with an arterialized venous free flap from the volar aspect of distal forearm. Wide and deep defects of the hand can be covered with a sensory cutaneous free flap such as the medial plantar free flap, dorsalis pedis free flap, and radial forearm free flap. Specialized flap such as wrap-around flap, toe-to-finger transfer, onychocutaneous free flap can be used for the recontruction of defect on the thumb and finger. Based on the above considerations and our clinical experience of 60 free flap cases of the hand, the various methods for the proper repair of soft tissue defects of the hand are described. And we obtained satisfactory functional and cosmetic results with 95% success rate of free flap.

• Journal of the Society of Naval Architects of Korea
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• v.47 no.1
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• pp.67-75
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• 2010

Submarine and deep sea diving structures are generally designed based on their ultimate strength. Fatigue strength at welded joint must be also taken into account because working stress is increased due to the increasing of diving depth and using high yield steel. The pressure hulls of submarine are subjected to fluctuating compressive loading. But in addition to the calculated stresses, high residual tensile stresses at welded part have to be considered. The state of stress level of pressure hull is tensile at surface and compressive at deep diving depth. This paper presents the results of an experimental investigation on the crack initiation and growth at the weld toe of T welded joints of HY-100 steel plate under constant amplitude loading. It is also investigated the phenomenon of the fatigue failure and test methods. Fatigue tests have been using real scaled local structural models of full penetration T-welded joint, which is a part of the cylindrical shell structures reinforced by ring stiffeners. Several load ratios under constant amplitude loading are considered in the tests. Crack initiation and growth characteristics are examined based on the beach marks of the cracked section of the test specimens. A design stress-life curve including the design formula is suggested according to tested data.

• Journal of the Ergonomics Society of Korea
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• v.31 no.6
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• pp.773-783
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• 2012

Objective: The aim of this study is to identify foot shapes of Korean male farmers by classifying their foot types using 3D scan data and analyzing the characteristics of each type. Background: The increasing demands for anthropometric information for the design of machinery and personal protective equipment to prevent occupational injuries has necessitated an understanding of the anthropometric differences to be found among occupations. Static stooped posture and squatting posture are so common in Korean farmers that anthropometric deformation in foot especially seems to occur easily. Method: 366 Korean male farmers volunteered for this study from 16 different farming villages nationwide from 2009 to 2011. Subjects were categorized into 4 age groups from 40s to 70s. Their right feet were measured by using 3D foot scanner, the anthropometric dimensions were composed of 40 items. Results: The 8 major factors affecting the foot shapes were extracted. From these factors the foot shape of Korean male farmers was classified into 3 Foot types. Foot type 1 showed severe deformation in toe 1, type 2 had a narrow shape and type 3 had a wider width for its length. Conclusion: There were some differences in foot shape and types between farmers and the public. The most characteristic foot type in Korean male farmers was type 3. Application: The results of identifying foot shapes of Korean male farmers might provide the useful information for designing ergonomic farm work shoes.

• Economic and Environmental Geology
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• v.39 no.1 s.176
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• pp.53-61
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• 2006

Geochemical and sedimentological analyses of sediment piston core were used to trace paleoceanographic environmental changes in the East China Sea. The analytical results revealed three lithostratigraphic units (I, II, and III) corresponding to a highstand stage, a transgressive stage, and a lowstand stage, respectively. Accelerator mass spectrometry (AMS) $^{14}C$ dated the boundaries between the units as 7 ka and II ka. That is, Unit I extended from the present to 7 ka, Unit II occupied a transitional episode from 7 to 11 ka, and Unit III was older than 11 ka. The transitional episode was characterized by sudden fluctuations in various geochemical proxies. Most strikingly, there was a gradual upward increase in both carbonate and total organic carbon (TOe) contents post-7 ka, during which time the ${\delta}^{l3}C$ values of organic material increased to a constant value. The gradual upward increase in the TOC and $CaCO_3$ contents in Unit I were accompanied by slight variations in grain size that probably reflect a stable modern oceanographic environment. Within Unit II (7 to 11 ka), the geochemical signals were characterized by abrupt and steep fluctuations, typical of a transgressive stage. Vertical mixing may have provoked an increase in productivity during this interval, with large amounts of terrigenous organic matter and/or freshwater being supplied by neighboring rivers. The geochemical signals remained stable throughout Unit III but exhibited different patterns than signals in Unit I. The high terrigenous organic matter content of Unit III suggests correspondence to a lowstand stage.

• Archives of Reconstructive Microsurgery
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• v.1 no.1
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• pp.17-23
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• 1992

The authors analyzed the clinical results of the reconstructive surgery for injuried hand with microsurgery in 33 patients, 35 cases at the department of orthopaedic surgery, school of medicine, Kyung Hee university from 1985 to 1992 and the results were as followings. 1. There were 31 men and 4 women who had a mean age of 23 years(range, 3 to 44 years) and the follow up evaluations averaged 19 months. 2. The causes of the injury were machinery injury in 25 cases, traffic accident in 2, frostbite in 4, burn in 3 and fall down in 1. 3. For the reconstructive procedure, scapular free flap was applied in 6 cases, radial forearm flap in 7, dorsalis pedis free flap in 4, neurovascular island flap in 6, gracilis free flap in 1, wrap around flap in 6, toe to thumb in 5. 4. 32 cases(91.4%)were successful in reconstructive surgery with microsurgery exept the failure of scapular free flap in 2 cases and dorsalis pedis free flap in 1. 5. The causes of failure in scapular free flap were infection in 1 case and thrombosis in 1. In dorsalis pedis free flap, the cause of failure was infection. In the analysis of above results, the reconstruction with microsurgery was effective procedure for reconstruction of injuried hand.

• The Journal of Korean Physical Therapy
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• v.18 no.1
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• pp.65-73
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• 2006

Purpose: The purpose of this study was to identify the effect of electroacupuncture(EA) and transcutaneous electric nerve stimulation(TENS) after sciatic nerve crush injury in rats. Methods: The EA for experimental group I (Exp I, n=15) and TENS for experimental group II (Exp II, n=15) was applied from post-injury day(PD) 1 to PD 14 after sciatic nerve injury using low frequency stimulator that gave electrical stimulation(15min/60Hz). In order observe the effect of EA and TENS, this study examined GAP-43 expression in rat lumbar spinal cord at the PD 1, PD 7 and PD 14. In addition, the stride length(SL) and toe out angle(TOA) were measured at the PD 7 and PD 4. Results; Exp I and Exp II had higher GAP-43 immunoreactivity than control group(PD 1, 7, 14). The SL of Exp I and Exp II were significantly higher than control group(PD 7, 14). The TOA of Exp I and Exp II were significantly lower than control group(PD 7, 14). Conclusion: EA and TENS application increased motor nerve recovery and expression of GAP-43 immunoreactivity after sciatic nerve crush injury. Therefore effect of TENS and EA had similar effect on nerve regeneration and functional recovery.

• Journal of the Korean Society of Physical Medicine
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• v.7 no.4
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• pp.459-469
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• 2012

PURPOSE: The purpose of the present study was to examine changes caused by asymmetric bag carrying methods to carry the bag with one shoulder only to plantar pressure during walking. METHODS: Twenty three normal adults without any gait problem participated in the present study. Experimental conditions used consisted of walking without carrying any bag(condition 1), walking wearing a bag on both shouders (condition 2), and walking wearing a bag on the right shoulder(condition 3) and the weight of the bag was set to 15% of each subject's body weight. All the subjects were instructed to participate in all experiments under these three conditions and plantar pressures were measured from the subjects' right and left feet using an F-scan system while the subjects were walking under the three conditions. To analyze the measured plantar pressure, the sole was divided into seven areas (Hallux, Toe, Met1, Met23, Met45, Mid foot and Heel) and maximum plantar pressures in individual areas were measured. RESULTS: The results of measurement of plantar pressures under three walking conditions did not show significant changes in any areas of the left and right feet except for the mid foot area of the right food. The asymmetry between the left and right feet was examined and the results showed significant differences only in area Met23 under condition 2 and did not show significant differences in any other areas. CONCLUSION: On comprehensively considering the results of the present study, it could be seen that asymmetric bag carrying did not have large effects on changes in plantar pressure during walking compared to symmetric carrying. The reason for this is considered to be posture adjusting mechanisms against load positions.

• Journal of Welding and Joining
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• v.23 no.3
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• pp.68-75
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• 2005

The fatigue life of welded joints is associated with crack initiation and propagation life. Theses cannot be easily separated, since the definition of crack initiation is vague due to the initiation of multiple cracks that are distributed randomly along the weld toes. In this paper a method involving a notch strain and fracture mechanical approach, which considers the characteristics of welded joints, e.g. welding residual stress and statistical characteristics of multiple cracks, is proposed, in an attempt to reasonably estimate these fatigue lives. The fatigue crack initiation life was evaluated statistically, e.g. the probability of failure occurrence in 2.3, 50 and $97.7\%$, in which the cyclic response of the local stress/strain hi the vicinity of the weld toes and notch factors derived by the irregular shape of the weld bead are taken into account. The fatigue crack propagation life was simulated by using Monte-Carlo method in consideration of the Ad-factor and the mechanical behavior of mutual interaction/coalescence between two adjacent cracks. The estimated total fatigue life, $(N_T)_{P50\%}$, as a sum of crack initiation and propagation life under the probability of failure occurrence in $50\%$ showed a good agreement with the experimental results. The developed technique for fatigue lift estimation enables to provide a quantitative proportion of crack initiation and propagation life in the total fatigue life due to the nominal stress range, ${\Delta}S$.