• 제목/요약/키워드: back of hand

검색결과 691건 처리시간 0.027초

Clinical Features and Treatments of Upper Lumbar Disc Herniations

  • Kim, Duk-Sung;Lee, Jung-Kil;Jang, Jae-Won;Ko, Byung-Soo;Lee, Jae-Hyun;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • 제48권2호
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    • pp.119-124
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    • 2010
  • Objective : Disc herniations at the L1-L2 and L2-L3 levels are different from those at lower levels of the lumbar spine with regard to clinical characteristics and surgical outcome. Spinal canals are narrower than those of lower levels, which may compromise multiple spinal nerve roots or conus medullaris. The aim of this study was to evaluate the clinical features and surgical outcomes of upper lumbar disc herniations. Methods : We retrospectively reviewed the clinical features of 41 patients who had undergone surgery for single disc herniations at the L1-L2 and L2-3 levels from 1998 to 2007. The affected levels were L1-L2 in 14 patients and L2-L3 in 27 patients. Presenting symptoms and signs, patient characteristics, radiologic findings, operative methods, and surgical outcomes were investigated. Results : The mean age of patients with upper lumbar disc was 55.5 years (ranged 31 to 78). The mean follow-up period was 16.6 months. Most patients complained of back and buttock pain (38 patients, 92%), and radiating pain in areas such as the anterior or anterolateral aspect of the thigh (32 patients, 78%). Weakness of lower extremities was observed in 16 patients (39%) and sensory disturbance was presented in 19 patients (46%). Only 6 patients (14%) had undergone previous lumbar disc surgery. Discectomy was performed using three methods : unilateral laminectomy in 27 cases, bilateral laminectomy in 3 cases, and the transdural approach in 11 cases, which were performed through total laminectomy in 10 cases and unilateral laminectomy in 1 case. With regard to surgical outcomes, preoperative symptoms improved significantly in 33 patients (80.5%), partially in 7 patients (17%), and were aggravated in 1 patient (2.5%). Conclusion : Clinical features of disc herniations at the L1-L2 and L2-L3 levels were variable, and localized sensory change or pain was rarely demonstrated. In most cases, the discectomy was performed successfully by conventional posterior laminectomy. On the other hand, in large central broad based disc herniation, when the neural elements are severely compromised, the posterior transdural approach could be an alternative.

남성복의 변화에 관한 연구 (A Study on the Development of men's Wear in Korea)

  • 이순홍
    • 복식
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    • 제29권
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    • pp.5-22
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    • 1996
  • the present thesis aims to contribute to the further development of the men's wear indus-try in Korea which now confronts the need to adjust itself more actively to the conditions of the coming age of internationalization and free trade. To achieve this this thesis suggests the trade should provide for the changing domestic needs on theone hand and refine its wares as high value-added products in compe-tition with those from the advanced countries in fashion industry on the other, The history of the 'suit' the standard men's attire dates back to 1850 when the 'Ditto suit' was introduced composed of coat waist coat vest and trousers to remain virtually unchanged till the end of the nineteenth cen-tury and the modern men's wear originated in Britain. In Korea since the introduction of western clothes from 1876 custom-made suits had been dominant until 1944 while western clothes earned popular currency between 1945 and 1964 and ready-made suits began to spread with their advantages recognized in terms of practicality convenience and functionality The next phase from 1965 to 1985 witnessed the establishment of a number of ready-made brands although custom-made suits stayed in their height of prosperity until 1975. The turn-ing point for the men's wear industry came in 1975 when high-calss ready-made brands be-gan to turn up with the arrival of large companies in the market matching the change in consumers' life style. The men's wear market went through further diversification and specialization dur-ing the years between 1985. and 1990. Around the year 1990 however the expansion of the business suit industry came to slow down ac-companied by an oversupplied market. The fashion of pragmatism in the 1990s called for the growth of the casual wear department and as consumers' life style became more and more individualized conscious dressing in accord ance with T.P.O established itself as an important branch of culture, Such casual boom is likely to aid in promoting Korea's men's wear indus-try to peer with that of advanced countries. Consumers' fashion sense is now ahead of the trade's as well as being shortcycled highly individualized stylized and diversified. To meet consumers' demands under such circum-stances each company is required to develop its unique soft Know How based on accurate information and strategically specialized plan-ning. The trade should convert its hithero producer-oriented strategy to a new consumer oriented one and actively lead the needs and purchasin g pattern of consumers by providing an efficient and reasonable price policy with optimum supply of merchandise and also by presenting 'our' trend suited to our circum-stances.

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Eco Resort Wear Sizing System Targeting Jeju's Medical Tourists

  • Kwon, Sookhee;Hong, Jiun
    • 대한인간공학회지
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    • 제31권6호
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    • pp.765-772
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    • 2012
  • Objective: The purpose of this research was to aid creating an effective sizing system for the vacation wear intended for Jeju's medical tourists, specifically females from the major countries including the USA, Japan, and Korea. Background: Medical tourism makes the gains of every year 40,000,000,000 dollar, every year 30% it is increasing. Thus the Jeju-do is propelling medical tourism. The body size each country is different. Consequently must set the body size standard for the women. Method: (1) It observed the body size of the Korean women of 2004 years and 2010 years. (2) It analyzed the body size of the women of the USA, China, Japan and Korea. (3) It set the sizing system of the women of the USA(ASTM), China (GB), Japan(JIS) and Korea(KS). Results: Korean adult females' height in 2010 has increased from 2004. The Waist Back Length, Waist Front Length, Arm Length etc has also increased along with the Height. The upper body has become slimmer at the same time; the Chest Circumference, Bust Circumference, and Underbust Circumference have decreased. The lower body on the other hand has become bigger: the Waist Circumference and Hip Circumference have increased. The BMI has decreased by 0.4 from 2004 - the Height has increased while Weight has decreased. The Chest Circumference and Under Bust Circumference of Korean women across all age groups have increased at a proportional rate to other parts of body; however, the rate of increase in Chest Circumference was far greater. American females(Caucasians) had the greatest ratio of waist to bust (Waist Circumference/Chest Circumference), smallest ratio of Neck Base Circumference to Bust Circumference (neck/bust). Korean females had smallest ratio of Waist Circumference to Underbust Circumference(waist/bust). As for the drop of Chest Circumference and Waist Circumference, American females had the highest and Koreans had the lowest. As for the drop of Hip Circumference and Chest Circumference, Japanese had the highest and Americans had the lowest, but Japanese women at the same time showed the A line body shapes. As for difference of Chest Circumference and Underbust Circumference, American females had the biggest(13.73) followed by Korean(11.1), Japanese(10.9) and Chinese(10.5). Conclusion: The women of the USA, China, Japan and Korea body size is different. Especially the value of the Bust Circumference - the Underbust Circumference is different. Thus, it set the sizing system(Table 8).

ProFile, ProTaperTM K-Flexofile 근관 성형시 근관의 만곡도에 따른 근관 형태 변화 비교연구 (A COMPARATIVE STUDY ON THE CANAL CONFIGURATION AFTER SHAPING BY PROFILE, PROTAPERTM AND K-FLEXOFILE IN SIMULATED CANALS WITH DIFFERENT ANGLES OF CURVATURE)

  • 이보금;김동준;황윤찬;황인남;오원만
    • Restorative Dentistry and Endodontics
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    • 제30권4호
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    • pp.294-302
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    • 2005
  • 본 연구는 ProFile, ProTaper 및 K-Flexofile로 근관 성형시 근관의 만곡도에 따라 근관의 형태가 어떻게 변화하는지를 비교 분석하고자 시행되었다. ISO #15 finger spreader를 15도, 30도 및 45도로 만곡시키고 에폭시 레진으로 각각도의 근관을 갖는 30개의 근관 모형을 제작하였다. 근관의 길이는 18mm로 하였고 근관의 만곡은 근관의 입구로부터 10mm 부위에서 시작하도록 제작하였다. 근관 성형에는 엔진 구동형 니켈-타이타늄 파일인 ProFile과 ProTaper, 수동형 stainless steel 파일인 K-Flexofile을 사용하였다. ProFile과 ProTaper는 제조자의 지시에 따라 크라운다운법으로 근관 성형하였고, K-Flexofile은 스텝백법으로 근관 성형하였다. 근첨부 성형은 #25파일 크기까지 시행하였다. 근관 성형 전 후 이미지를 스캐너를 이용하여 얻고 Photoshop 7.0프로그램을 이용하여 중첩하였다. 이미지 분석 프로그램을 이용하여 치근단 쪽에서부터 1, 2, 3, 4, 5, 6, 7, 8, 9및 10mm부위의 내 외측 폭경 변화와 총폭경 및 근관의 중심축에 대한 근관 변위을 측정하였다. 각 부위에서 내 외측 폭경과 총폭경 및 근관 변위의 유의성 검정을 위해 one-way ANOVA분석을 시행하였으며 각 기구간의 유의성 검정은 Scheffe's test로 사후 분석하였다. 또한 기구의 변형과 파절 여부를 평가한 결과 엔진 구동형 니켈-타이타늄 파일인 ProFile과 ProTaper를 사용하여 근관성형시 수동형 스테인레스 스틸 파일인 K-Flexofile에 비해 근관의 변위를 적게 유발하고 특히 ProFile이 근관 성형시 바람직한 기구임을 시사하였다.

초등학교 아동들의 환경인식 조사 (A Study on Environmental Awareness of Elementary School Students)

  • 박춘배;백남권
    • 한국환경과학회지
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    • 제20권5호
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    • pp.631-638
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    • 2011
  • The sense of crisis on seriousness of earth environment is gradually getting greater and the importance of environment education followed by this trend is being highlighted. As an environment friendly New Environmental Paradigm opposed to the human Dominant Social Paradigm on the existing environment is on the rise, the environment education considers not only the perceptive field, but the definitive field and behavioral pattern to follow as important values. Accordingly, the basic awareness of students on environment was found out in order to perform a proper environment education and tried to find out the behavior pattern that the students have on environment on this basis. For the research tool of this study, the one that has revised the Revised NEP Scale for elementary school students which Geum, Ji Hun Kim, Jin Mo have validated the feasibility and reliability while the test paper was prepared by dividing into recycling behavior, energy preservation behavior and source of information. The target of this study was 600 students in sixth grade of elementary school residing in Kimhae, Gyeongsangnamdo while the mean, average, standard deviation, independent t-test and correlation analysis were performed using SPSS 15.0 statistics program for a total of 462 copies including 235 copies from male students and 227 copies from female students. The results of this study are as follows. First, everyone had high pro-NEP tendencies on the environmental problem with 4.14. On the other hand, the anti-NEP did not have high awareness standard with 2.98. Second, the awareness level on resource recycling was shown as being quite high with 4.05. Between NEP and resource recycling, a positive correlation of r=.155 was shown so that the awareness level on resource recycling was getting quite high as the awareness on environment problem was getting higher. Third, the awareness level on energy saving activity was shown as being very high with 3.0. Between NEP and resource recycling, a positive correlation of r=.210 so that the awareness level on energy saving was getting quite high as the awareness on environment problem was getting higher. Fourth, for the source of information on environmental problems of region, our country and global village, the television and internet were shown as main sources of information while the ratio of positive answers on teachers and region as sources of information was shown as quite low.

노년기 여성의 상지동작별 형태변화에 관한 연구 -석고법에 의한 피복인공공학적 접근- (A Study on the Sleeve Form Variation According to Arm Movements for Elderly Women - Approach to Clothing Ergonomics by Plaster Gypsum Experiments -)

  • 민현자;김혜경
    • 한국의류학회지
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    • 제13권2호
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    • pp.155-165
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    • 1989
  • The purpose of this study was to investigate on the sleeve form variation according to arm movements for elderly women. This study was experimented using the Plaster gypsum. The subjects who were elderly women were divided into three groups according to Rorher Index. Arm movements were five type ($0^{\circ},\;45^{\circ},\;90^{\circ},\;135^{\circ},\;180^{\circ}$) to each the vertical motion in front and in side. The statistical analyses used in this study were Mean, Standard Deviation, Spearman's correlation coefficients, paired T-test, Kruskal-wallis one-way ANOVA and Duncan's multiple range test. The results were as follows: 1) Increasing the movements, the width of the sleeve increased and the height of the sleeve cap decreased but girth of the sleeve cap was not consistant. 2) When varied the rates of the three aspects of the sleeve, the height of the sleeve cap showed the largest variation rate. 3) There was a negative correlation between the height and the width of the sleeve. On the other hand, there was a positive correlation between the sleeve width and the sleeve girth. 4) There were the vertical motion differences between in front and in side on the three aspects of sleeve. 5) The sleeve width and the sleeve girth were different according to somatotypes but the height of the sleeve cap was not different. 6) According to the variation rates of the body surfaces in length of standard lines, the form of sleeve was changed more in the front than in the back. Maximum variation rate showed in the areas of $D_1-D_3,\;E_1-E_3$ in the horizontal lines and $A-E_2$ in vertical lines. 7) According to the comparative drawing of the heights of sleeve cap and sleeve girth, the sleeve basic pattern $S_1(A.H/4)$ was more suitable for the direction $0^{\circ}\;and\;45^{\circ}$. And the basic pattern S_6(A.H/5)$ was more suitable for the direction $90^{\circ}$, the pattern $S_7(A.H/6)$ suitable for the direction $135^{\circ}$, and the pattern $S_8(A.H/8)$ was more suitable for the direction $180^{\circ}$.

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근근막 동통증후군과 전침(Electric Acupuncture)치료의 유효성에 관한 연구 (The Effect of Electric Acupuncture Therapy on Myofascial Pain Syndrome)

  • 정문봉;이상한;민봉기;윤미연
    • 대한물리치료과학회지
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    • 제6권1호
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    • pp.897-903
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    • 1999
  • Many out patients of the rehabilitation center complaint a pain caused by suffering of MPS, and it brings many different kind of social and ecinomical problems such as medical expenses and the reduction in work efficiency. Therefore, we conducted a research to present a fast and effective treatment to the MPS patients. this research was conducted from November, 1996 to January 1998 with eighteen outpatients who agreed to be the subjects to our reserach. We applied the electric acupuncture on 28 different trigger point on the patients with mostly muscular-skeletal pain and some tender and radiating pain. After the treatment, VRS, VAS, PRI were used to measure the degree of the pain on the patients third and seventh visits, and following results were found. 1. To apply EAP treatment, we acupunctured 6em-Iong needles on Tps region, then the electrodes of pulse generater pg-306 E.S.T were connected on the top of the needles. the electric acupuncture therapy was conducted for 20 minutes with the intensity of 4hz - 60hz(auto wave). The treated electric intensity was the level at which the patients did not feel discomfort. 2. Thirteen out of the 18 participated patients were in their 30s and 40s(72.2%), showing highest frequency. There were more female than male with the ratio of 1 to 1:2. 3. six out of the participated patients (33.3%) had the pain for less then a week, and the average duration of the pain of the participated patients wear 0.8 years. 4. The pain occured mostly in the upper trapezius by 6 part (21.4%), then in the gluteus medius region by 4 part (14.3%). Many of the patients with the pain in the upper back area accompanied varios kind of the referred pains such as radiculopathy, HIVD and Frozen shoulder. 5. MPS occured more frequently on the right side than left side then left side and it seemed to be due to the frequent use of the right hand. 6. There was almost no difference in the measurement of the intensity of the pain right before and after the EAP treatment. Howerver, there was significant decrease in the numerical values of the VAS, and a little bit of decrease in the numerical values of the PRI after the EAP treatment. 7. Based on the results of this present research, it can be concluded that EAP can be used for the treating the myofascial pain syndrome with promptness and safety in most cases.

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Flash EEPROM의 Inter-Poly Dielectric 막의 새로운 구조에 관한 연구 (Study of the New Structure of Inter-Poly Dielectric Film of Flash EEPROM)

  • 신봉조;박근형
    • 전자공학회논문지D
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    • 제36D권10호
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    • pp.9-16
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    • 1999
  • Flash EEPROM 셀에서 기존의 ONO 구조의 IPD를 사용하면 peripheral MOSFET의 게이트 산화막을 성장할 때에 사용되는 세정 공정을 인하여 ONO 막의 상층 산화막이 식각되어 전하 보존 특성이 크게 열화되었으나 IPD 공정에 ONON 막을 사용하면 그 세정 공정시에 상층 질화막이 상층 산호막이 식각되는 것을 방지시켜 줌으로 전하보존 특성이 크게 개선되었다. ONON IPD 막을 갖고 있는 Flash EEPROM 셀의 전화 보존 특성의 모델링을 위하여 여기서는 굽는(bake) 동안의 전하 손실로 인한 문턱전압 감소의 실험식으로 ${\Delta}V_t\; = \;{\beta}t^me^{-ea/kT}$을 사용하였으며, 측정 결과 ${\beta}$=184.7, m=0.224, Ea=0.31 eV의 값을 얻었다. 이러한 0.31 eV의 활성화 에너지 값은 굽기로 인한 문턱전압의 감소가 층간 질화막 내에서의 트립된 전자들의 이동에 의한 것임을 암시하고 있다. 한편, 그 모델을 사용한 전사 모사의 결과는 굽기의 thermal budget이 낮은 경우에 실험치와 잘 일치하였으나, 반면에 높은 경우에는 측정치가 전사 모사의 결과보다 훨씬 더 크게 나타났다. 이는 thermal budge가 높은 경우에는 프로그램시에 층간 질화막 내에 트립되어 누설전류의 흐름을 차단해 주었던 전자들이 빠져나감으로 인하여 터널링에 의한 누설전류가 발생하였기 때문으로 보여졌다. 이러한 누설전류의 발생을 차단하기 위해서는 ONON 막 중에서 층간 질화막의 두께는 가능한 얇게 하고 상층 산화막의 두께는 가능한 두껍게 하는 것이 요구된다.

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석탄회(石炭灰)(Fly ash) 시용(施用)이 배추의 수량(收量) 및 토양특성(土壤特性)에 미치는 영향(影響) (Effect of Fly Ash on the Yield of Chinese Cabbage and Chemical Properties of Soil)

  • 김복진;백준호;김영석
    • 한국토양비료학회지
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    • 제30권2호
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    • pp.161-167
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    • 1997
  • 석탄 화력발전소에서 생산되는 석탄회를 비료자원 및 토양 개량제로 활용하기 위한 기초자료를 얻기 위해서 배추를 공시작물로 하여 석탄회(유연탄회, 무연탄회)를 수준별(5%, 10%, 15%)로 시용하고 배추의 생육 및 수량, 식물체중 무기성분 함량, 토양의 이화학적 성질에 미치는 영향 등을 조사한 결과를 요약하면 다음과 같다. 1. 석탄회의 화학적 조성은 알칼리성 물질로서 규소와 알루미늄을 75%($SiO_2$:50.3-54.7%, $Al_2O_3$:21.9-25.3%)이상 함유하고 있어 규산염광물과 유사한 특성을 지니며, 작물생육에 필요한 여러 가지 다량원소(인산, 가리, 석회, 고토) 및 미량원소(붕소, 동, 아연, 철, 망간)를 함유하고 있었으며, 인산, 석회, 고토 등은 유연탄회에서, 가리, 붕소 함량등은 무연탄회에서 높았다. 2. 배추의 생체수량은 무시용구인 대조구보다 석탄회 시용으로 유의한 수량 증가를 보였으며, 석탄회 종류별로 볼 때 유연탄회는 최고 시용수준인 15%, 무연탄회는 시용수준 10%에서 최고수량을 보였으나 유연탄회 및 무연탄회 공히 시용수준간에는 유의한 수량차이가 없었다. 3. 수확기 식물체중 대부분의 무기성분 함량은 석탄회 시용으로 감소하였으나, 붕소 함량만은 증가하였다. 석탄회 종류별로 보면 유연탄회 시용량에 따라 질소, 인산, 석회 등이, 무연탄회의 경우에는 질소, 인산 등이 증가하였다. 4. 토양중 무기성분 함량은 대조구에 비해 유연탄회 시용으로 토양의 pH와 인산, 석회, 고토, 아연, 동 및 붕소 함량이, 무연탄회 시용은 토양의 pH와 인산 및 붕소 함량이 높은것으로 보아 토양산도의 교정효과와 함께 이들 성분에 대한 잔효가 기대된다. 5. 수확기 식물체중 크롬, 카드뮴, 납 등의 함량과 시험후 토양중 카드뮴 함량은 유연탄회나 무연탄회의 시용에 관계없이 흔적으로 나타났으나, 크롬 및 납 등의 함량은 유연탄회 및 무연탄회 모두 미량으로 함유되어 있었다.

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유엔의 6.25전쟁 지원과 성격 -신정공세 전후 유엔의 휴전교섭 노력을 중심으로- (The nature of UN support of the Korea War)

  • 양영조
    • 안보군사학연구
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    • 통권8호
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    • pp.1-48
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    • 2010
  • The purpose of this study is to examine and analyze the Untied Nations' efforts for peace on Korean peninsular after CCF's participation in Korean War. The Untied Nation tried to negotiate th peace plan between two sides from the end of 1950. Once the CCF's entry into the war had been confirmed, the war situation moved to a new phase, and the UN forces, which had guided the war in an effort to destroy the NKP A forces, and to punish North Korea, had to set up new guidelines to cope with the new situation. Accordingly, in late November, 1950, the UN forces camp, mainly the US Joint Chiefs of Staff and the United Nations Command, discussed various options, such as an expansion of the war up to the Chinese territory, a cease fire along the 38th Parallel, or a forced and inevitable evacuation. The Korean delegation to the UN insisted that "the unification of Korea should be achieved only by victory in the war. The Chinese intervention in the war is a Challenge to the UN in the same way as the North Korean invasion. The UN participation in the war was to repulse the invasion. With the same spirit we should drive back the Chinese Communists." The Korean delegation also emphasized to the friendly nations the political objective and will of unification, and that a cease fire at a threshold of unification might return us to the status quo ante bellum, and would be contrary to the Korean nation's desire. At that time, particularly, the US strongly considered the employment of nuclear weapons as one of the new strategies to cope with the Chinese invasion. The international effects of these casual remarks were realized almost at once. The British Prime Minister who had not wanted the expansion of war in the Far East, especially from the view point of the interest of NATO's security, visited Washington. so the conference had a very important meaning for the UN forces' new strategy. On the other hand, at the UN, on the 5th of December, the very day Truman and Attlee agreed to seek a cease-fire under UN auspices, a group of thirteen Asian and Arab states proposed to ask China and North Korea not to cross the 38th Parallel, and sounded out both sides about a cease fire along the 38th Parallel. The United States and the United Kingdom gave their assent, but China and North Korea gave no direct response. The CCF, who were securing the initiative of operation, were not agreeable with the proposal of the UN forces. The Untied Nation has tried to negotiate th peace plan between two sides from the December of 1950 and January of 1951. The Untied Nations' has achieved great results to negotiate for the peace plan on Korean peninsular after CCF's participation in Korean War. It's the results considering both the operation situation and political opinions.

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