• Journal of Korean Neurosurgical Society
• /
• 제63권1호
• /
• pp.108-118
• /
• 2020

Objective : This study aimed to determine the incidence and analyze trends of the herniated lumbar disc (HLD) based on a national database in the Republic of Korea (ROK) from January 2008 to December 2016. Methods : This study was a retrospective analysis of data obtained from the national health-claim database provided by the National Health Insurance Service for 2008-2016 using the International Classification of Diseases. The crude incidence and age-standardized incidence of HLD were calculated, and additional analysis was conducted according to age and sex. Changes in trends in treatment methods and some treatments were analyzed using the Korean Classification of Diseases procedure codes. Results : The number of patients diagnosed with HLD was 472245 in 2008 and increased to 537577 in 2012; however, it decreased to 478697 in 2016. The pattern of crude incidence and the standardized incidence were also similar. Overall, the incidence of HLD increased annually for the 30s, 40s, 50s, and 70s until 2012 and then decreased. However, the incidence of HLD for the 80s continued to increase. The crude incidence of HLD in female patients exceeded that of male patients in their middle age (30s or 40s) and was 1.5-1.6 times higher than in male patients in their 60s. The total number of open discectomy (OD) increased from 71598 in 2008 to 93942 in 2012 and then decreased to 85846 in 2016. The rate of younger patients (the 20s, 30s, and 40s) who underwent OD was decreased, and the rate of younger patients who underwent percutaneous endoscopic lumbar discectomy was increased. However, the rate of older patients (the 70s and 80s) who underwent OD was continuously increased. Conclusion : This nationwide data on HLD from 2008 to 2016 in the ROK demonstrated that the crude incidence and the standardized incidence increased until 2012 and then decreased. The annual crude incidence was different according to age and sex. These findings may be considered when deciding future health policy, especially in countries with a similar national health insurance system (or with plans to adopt).

• 한국구조물진단유지관리공학회 논문집
• /
• 제21권2호
• /
• pp.138-145
• /
• 2017

본 연구는 고강도 철근이 배근된 철근콘크리트 전단벽체 실험체에 대하여 균열의 발생에서부터 철근의 항복과 콘크리트의 파쇄에 이르는 전반적인 거동 특성과 함께 내진성능 평가 예측을 위한 합리적인 해석적 방안을 마련하는 것을 목표로 한다. 1.0의 일정한 형상비를 갖으며 각 방향으로 철근비와 항복강도, 배근상세, 콘크리트 설계 강도, 단부형상 및 단부 횡구속 후프(Hoop) 여부 등을 주요 변수로 갖는 총 8개의 실험체를 검증 대상으로 선정하여 기존에 저자 등에 의해 새로이 수정된 구성관계식을 적용한 비선형 유한요소해석 프로그램(RCAHEST)을 통한 해석을 수행하였다. 실험과 해석으로부터의 최대 하중 및 이에 대응되는 변위에 대한 평균과 변동계수는 각각 1.05와 8% 및 1.17과 19% 정도로 예측하였다. 모든 실험체에 대한 파괴모드와 파괴시까지의 전반적인 거동 특성 역시 비교적 적절히 예측하고 있음을 확인하였으며 이러한 연구결과들은 향후, 고강도 철근의 적용과 관련된 국내외 설계기준에의 적용을 위한 기초자료로 활용될 수 있을 것으로 기대된다.

• 한국구조물진단유지관리공학회 논문집
• /
• 제21권2호
• /
• pp.34-45
• /
• 2017

본 연구에서는 소규모 철골조에 대한 기존 건축물의 접합부 현황조사와 분석을 통해 노출형 주각부에 대한 내진성능을 평가하였다. 총 9개의 주각부에 대한 반복가력 실험을 통해 휨강도, 변형능력, 그리고 초기강성 등이 조사되었다. 실험의 주요 변수는 베이스 플레이트의 두께, 앵커볼트의 개수와 매립깊이, 앵커볼트 후크의 유무, 그리고 리브 플레이트의 유무이다. 본 실험결과에 의하면, 주각부의 휨거동은 앵커볼트의 개수와 매립깊이, 그리고 베이스 플레이트의 두께에 영향을 받는 것으로 나타났다. 반면에, 주각부에 설치된 리브플레이트는 휨강도에 큰 영향을 주지 않는 것으로 나타났다. 종합적으로 노출형 철골 주각부와 기초부 그리고 앵커볼트 등이 모두 현행 구조기준을 만족한다고 할지라도, 앵커볼트와 기초부 콘크리트 사이의 부착력이 충분하지 않을 경우, 슬립형 거동이 관측되어 개선이 필요한 것으로 파악되었다. 앵커볼트의 매립깊이가 현행 구조기준을 만족하고, 앵커볼트에 후크가 설치된 경우, 노출형 주각부의 초기강성은 주각부가 구속되었을 때의 휨강성 하한값의 약 15% 수준인 것으로 나타났다.

• 한국수정란이식학회지
• /
• 제31권3호
• /
• pp.293-297
• /
• 2016

For evaluating the boar semen quality, sperm motility is an important parameter because the movement of sperm indicates active metabolism, membrane integrity and fertilizing capacity. Phospholipase C zeta (PLCz) is important enzyme in spermatogenesis, but the effect has not been confirmed in pigs yet. Therefore, this study was aimed to analyze their association with sperm motility and kinematic characteristics. DNA samples from 124 Duroc pigs with records of sperm motility and kinematic characteristics [total motile spermatozoa (MOT), curvilinear velocity (VCL), straight-line velocity (VSL), the ratio between VSL and VCL (LIN), amplitude of lateral head displacement (ALH)] were subjected. A SNP in non-coding region of PLCz g.158 A > C was associated with MOT (p < 0.05), VCL (p < 0.01), LIN (p < 0.01) and ALH (p < 0.05) in Duroc population. Therefore, we suggest that the intron region of the porcine PLCz gene may be used as a molecular marker for Duroc boar semen quality, although its functional effect was not defined yet. Whether the association is due to the candidate gene or not require further verification. Thus, it will be of interest to continue association studies in the regions surrounding those genes.

• 한국수정란이식학회지
• /
• 제31권3호
• /
• pp.281-285
• /
• 2016

Cluster-of-differentiation antigen 9 (CD9) gene expressed in the male germ line stem cells is crucial for sperm-egg fusion, and was therefore selected as a candidate gene to investigate Duroc boar semen motility and kinematic characteristics. This study was performed to investigatetheir association with semen motility and kinematic characteristics. DNA samples from 96 Duroc pigs with records of sperm motility and kinematic characteristics [Total motile spermatozoa (MOT, $82.27{\pm}5.58$), Curvilinear velocity(VCL, $68.37{\pm}14.58$), Straight-line velocity(VSL, $29.06{\pm}6.58$), the ratio between VSL and VCL(LIN, $47.36{\pm}8.42$), Amplitude of Lateral Head displacement(ALH, $2.88{\pm}0.70$)] were used in present study. A single nucleotide polymorphism (g.358A>T) in intron 6 was associated with MOT, VCL, VAP and ALH in Duroc population (p<0.05). Therefore, we suggest that the porcine CD9 may be used as a molecular marker for Duroc boar semen quality, although its functional effect was not clear yet. These results will improve the understanding of the functions of the CD9 in spermatogenesis within the reproductive tracts, and will shed light on CD9 as a candidate gene in the selection of good sperm quality boars.

• 한국운동역학회지
• /
• 제17권2호
• /
• pp.11-21
• /
• 2007

The study was undertaken to present the quantitative materials available in underwater industries, underwater rehabilitation & physical training through comparison & analysis of effects contributing to propulsion of COG by types of fin-kick in underwater activities. For this 3D cinematography was performed for the skilled subjective and conclusions obtained on the basis of analysis of kinematic variables were as follows. In temporal variable the delay in the order of flutter>side>dolphin kick in elapsed time by total & phase resulted in longer sliding phase by larger fin kick of extension & flexion of both leg and thus more contributed in propulsion of COG. than those of the otherwise. In linear variable the contribution ratio to the result of propulsion of COG in both propulsive(mean $35.39{\pm}7.93cm$ in Y axis) and sliding phases(mean $66.36{\pm}11.01cm$ in Y axis)was shown to be order of flutter>dolphin>side fin kick. the maximum velocity of COG in Y direction was showed in both propulsive and sliding phases, and the contribution ratio to the propulsion of COG was in the order of flutter$\geq$dolphin>side fin kick. In angular variable the Significant difference in angle of leg joint by types of fin kick in both leg was showed but no routine order. The Significant difference in angular velocity of leg joint by types of fin kick in both leg was showed in the order of flutter>dolphin$\geq$side fin kick in propulsive but no in sliding phase. The Fluid resistance by tilting angle of trunk in both propulsive and sliding phase was decreased in the order of flutter>dolphin$\geq$side fin kick and tilting angle of trunk of the skilled was smaller than that of the unskilled in difference of maximum mean 7.97degree and minium mean 2.06degree. In summary of the above, It will desirable fin kick type because of more contribution to COG propulsion by the velocity & displacement in Y-axis and less fluid resistance by tilting angle of trunk and larger angular velocity in the case of more delayed in elapsed time of propulsive phase than that of the otherwise.

• 대한소아치과학회지
• /
• 제26권1호
• /
• pp.96-102
• /
• 1999

외상으로 인해 치근 완성 여부가 불분명 한 완전 탈구된 치아를 재식한 후 18개월 여간 관찰하여 다음과 같은 결과를 얻었다. 1. 재식 초기의 염증성 치근 흡수는 수산화 칼슘을 사용한 근관치료로 억제될 수 있었다. 2. 치근 완성 여부가 불확실한 치아에서 조기 근관치료가 염증성 치근 흡수 및 유착의 방지에 더 큰 임상적 성공을 얻을 수 있었다. 따라서, 재식 당시 치근첨의 개방성 여부가 명확하지 않을 때에는 성인의 치료 지침에 따라 치료하는 것이 보다 효과적이며, 불가피 할 경우에는 환자 및 보호자의 철저한 교육에 뒤따른 정확한 내원 약속이 속발증을 최소화 할 수 있을 것으로 사료된다.

• 구강회복응용과학지
• /
• 제36권2호
• /
• pp.112-120
• /
• 2020

목적: 본 연구의 목적은 하악 구치부에서 두 가지 서로 다른 부하 양식에 따른 생역학적 결과를 비교하는 것이었다. 연구 재료 및 방법: 하악 구치부 자연치열 및 임플란트 모델을 제작하였으며, 임의로 부여된 교합과 아큐라 디지털 교합측정장치로 획득한 실제 교합 두 가지 하중 조건을 부여하였다. 임의로 부여된 교합의 경우, 총 100 N 하중을 교합점에 균일하게 배분하였으며, 실제 교합의 경우는 총 100 N 하중을 아큐라(Accura, Dmetec Co. Ltd., Seoul, Korea)로 측정된 정보에 근거하여 교합점에 차등 배분하였다. 하중에 대한 응력과 변위를 유한요소해석을 이용하여 분석하였다. 결과: 유한요소해석 결과, 서로 다른 부하 조건 하에서 등가응력 및 변위 모두 상당한 차이를 보였다. 결론: 유한요소해석 수행 시 정확한 측정에 기반한 실제 교합에 가까운 부하 조건을 재현하는 것이 추천된다.

• Archives of Plastic Surgery
• /
• 제35권5호
• /
• pp.589-596
• /
• 2008

Purpose: The nasal bone fracture is most common fracture in facial bone injuries. Regardless of the severity or type of fracture, closed reduction has traditionally been the common method of treatment. However, through detailed pre-operative evaluation, we found out that many patients consider rhinoplasty prior to trauma due to aesthetic desire or nasal deformity with or without septal deviation. In treatment of nasal bone fracture, we focused not only on the fracture management but also on the patients' desire prior to trauma, and we made additional operation according to patients' desire with fracture reduction and gained rewarding outcomes. Methods: From March 2005 to June 2007, total 263 patients were treated for nasal bone fracture. Among these patients, 57 patients (21%) had the additional operation with nasal fracture reduction. The additional operations were categorized in three types: augmentation rhinoplasty with tip plasty (40%), septoplasty only (16%), corrective rhinoplasty (44%). The mean follow-up period was 5.6 months and results were evaluated by scoring. Results: Forty four of 57 patients (77%) were highly satisfied regardless of any additional operation kinds. The complications were one septal perforation, two displacement of implant and four remnant nasal deformities. For the septal perforation, no further management was performed because we lost the contact with the patient. Then 4 of the other complicated patients were revised. Conclusion: In general, many physicians tend to consider nasal fracture as a simple trauma. However through the strict history taking, physical examination and professional counseling, we could catch the patient's cosmetic desire and get the eyes on new concept: the nasal fracture is not only a trauma but a cosmetic and functional field. In the treatment of nasal bone fracture, if additional rhinoplasty is performed, patients will be more satisfied and we also can expect higher profits.

• 한국운동역학회지
• /
• 제16권3호
• /
• pp.1-7
• /
• 2006

The Primary type of swinging motion in human movement is that which is characteristic of a pendulum. The two types of pendulums are identified as simple and compound. A simple pendulum consist of a small body suspended by a relatively long cord. Its total mass is contained within the bob. The cord is not considered to have mass. A compound pendulum, on the other hand, is any pendulum such as the human body swinging by hands from a horizontal bar. Therefore a compound pendulum depicts important motions that are harmonic, periodic, and oscillatory. In this paper one discusses and compares two algorithms of Newton's method(F = m a) and Euler's method (M = $I{\times}{\alpha}$) in compound pendulum. Through exercise model such as human body with weight(m = 50 kg), body length(L = 1.5m), and center of gravity ($L_c$ = 0.4119L) from proximal end swinging by hands from a horizontal bar, one finds kinematic variables(angle displacement / velocity / acceleration), and simulates kinematic variables by changing body lengths and body mass. BSP by Clauser et al.(1969) & Chandler et al.(1975) is used to find moment of inertia of the compound pendulum. The radius of gyration about center of gravity (CoG) is $k_c\;=\;K_c{\times}L$ (단, k= radius of gyration, K= radius of gyration /segment length), and then moment of inertia about center of gravity(CoG) becomes $I_c\;=\;m\;k_c^2$. Finally, moment of inertia about Z-axis by parallel theorem becomes $I_o\;=\;I_c\;+\;m\;k^2$. The two-order ordinary differential equations of models are solved by ND function of numeric analysis method in Mathematica5.1. The results are as follows; First, The complexity of Newton's method is much more complex than that of Euler's method Second, one could be find kinematic variables according to changing body lengths(L = 1.3 / 1.7 m) and periods are increased by body length increment(L = 1.3 / 1.5 / 1.7 m). Third, one could be find that periods are not changing by means of changing mass(m = 50 / 55 / 60 kg). Conclusively, one is intended to meditate the possibility of applying a compound pendulum to sports(balling, golf, gymnastics and so on) necessary swinging motions. Further improvements to the study could be to apply Euler's method to real motions and one would be able to develop the simulator.