• 대한관절경학회지
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• 제13권2호
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• pp.179-182
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• 2009

목적: Bankart병변에서 봉합나사못을 이용한 관절경적 치료는 관절와 가장자리에 점고정(point fixation)을 하여, 관절와 골 결손시에 적절한 부착부 족문(foot print)치유를 이루지 못한다는 한계점이 있다. 이에 본 저자들은 골성 Bankart병변에서 나사못 고정으로 인한 점접촉의 단점을 피하고 관절순의 교차압박을 통해 기계적 안정성을 개선시킬수 있는 경골-유사 교량형 봉합술식을 소개하고자 한다. 수술 술기: 본 술식은 교량형 봉합술식을 통한 경 골-유사 회전근개 봉합술에서 응용되었으며, 이는 부착부 족문과 건 사이 평균압력과 압력이 가해지는 접촉면적을 개선시킨다. 골성 Bankart 병변의 경우 관절와 부착부의 돌출된 골병변은 제거하거나 다듬어주며, 골편이 가동성이 있는 경우 관절순과 함께 분리시킨다. 이후 2개의 나사못(3.0 mm Biofastak, $Arthrex^{(R)}$, Naples, FL)을 골성 Bankart병변 위, 아래 부위의 내측 연에 삽입한다. 관절와를 적당한 두께로 덮을수 있도록 하 상완관절와인대 부근 관절낭순의 내측에 봉합갈고리를 이용하여 봉합사를 각각 통과시켜 mattress봉합을 시행한다. 교량형 봉합을 위해서, 전방 관절와연의 관절측 가장자리에 3.5 mm pushloc 나사못 ($Arthrex^{(R)}$, Naples, FL) 구멍을 만든 후 먼저 원위 교량형 봉합을 시행하고, 이어 근위 교량형 봉합을 시행함으로써 근위방향으로 관절순을 가동시킬 수 있다. 본 술식은 나사못 고정으로 인한 점 접촉의 기술적 단점을 피하고 관절순 교차압박을 통해 간격형성을 감소시킬수 있는 이점이 있다.

• 대한족부족관절학회지
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• 제15권2호
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• pp.51-57
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• 2011

Pilon fractures involving distal tibia remain one of the most difficult therapeutic challenges that confront the orthopedic surgeons because of associated soft tissue injury is common. To introduce and describe the diagnosis, current treatment, results and complications of the pilon fractures. In initial assessment, the correct evaluation of the fracture type through radiographic checkup and examination of the soft tissue envelope is needed to decide appropriate treatment planning of pilon fractures. Even though Ruedi and Allgower reported 74% good and excellent results with primary open reduction and internal fixation, recently the second staged treatment of pilon fractures is preferred to orthopedic traumatologist because of the soft tissue problem is common after primary open reduction and internal fixation. The components of the first stage are focused primarily on stabilization of the soft tissue envelope. If fibula is fractured, fibular open reduction and internal fixation is integral part of initial management for reducing the majority of tibial deformities. Ankle-spanning temporary external fixator is used to restore limb alignment and displaced intraarticular fragments through ligamentotaxis and distraction. And the second stage, definitive open reduction and internal fixation of the tibial component, is undertaken when the soft tissue injury has resolved and no infection sign is seen on pin site of external fixator. The goals of definitive internal fixation should include absolute stability and interfragmentary compression of reduced articular segments, stable fixation of the articular segment to the tibial diaphysis, and restoration of coronal, transverse, and sagittal plane alignments. The location, rigidity, and kinds of the implants are based on each individual fractures. The conventional plate fixation has more advantages in anatomical reduction of intraarticular fractures than locking compression plate. But it has more complications as infection, delayed union and nonunion. The locking compression plate fixation provides greater stability and lesser wound problem than conventional implants. But the locking compression plate remains poorly defined for intraarticular fractures of the distal tibia. Active, active assisted, passive range of motion of the ankle is recommended when postoperative rehabilitation is started. Splinting with the foot in neutral is continued until suture is removed at the 2~3 weeks and weight bearing is delayed for approximately 12 weeks. The recognition of the soft tissue injury has evolved as a critical component of the management of pilon fractures. At this point, the second staged treatment of pilon fractures is good treatment option because of it is designed to promote recovery of the soft tissue envelope in first stage operation and get a good result in definitive reduction and stabilization of the articular surface and axial alignment in second stage operation.

• 인지과학
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• 제31권4호
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• pp.103-136
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• 2020

이 연구의 목적은 글읽기의 주요한 현상인 중심와주변 미리보기 효과(parafovea preview effect)의 중요성을 검증하고, 성인과 청소년을 대상으로 안구운동추적 실험을 통해 연령이 다른 두 집단의 중심와주변 미리보기 효과를 비교해 보고자 한다. 또한 안구운동 추적실험을 통해 얻은 결과자료를 단일경계 확산모형(diffusion model)의 시작점(starting point) 파라미터로 설명되는지 확인할 것이다. 실험은 경계선 기법(boundary technique)을 이용하여 중심와주변 정보처리를 관찰하였다. 실험 1에서는 중심와주변에 미리보기 정보로 고빈도 단어를 제시하는 것과 미리보기 정보를 차폐하는 것을 비교하였다. 실험 2에서는 중심와주변 미리보기 정보로 저빈도 단어를 제공하였고, 중심와주변 미리보기를 차폐한 것과 비교하였다. 두 실험 결과, 청소년 집단과 성인 집단에서 중심와주변에 정보가 주어졌을 때 중심와주변 미리보기 이득 효과를 확인하였다. 또한 중심와주변에 높인 정보 성질, 즉 단어의 빈도에 따라 두 집단의 첫고정시간, 단일고정시간, 주시시간에서 고정시간 차이를 살펴보았다. 두 실험에서 얻은 첫고정시간 데이터를 분위수로 나누고 단일경계 확산모형에 fitting한 결과, 중심와주변 정보처리가 시작점 파라미터로 설명되는 것을 확인하였다.

• 한국초등과학교육학회지:초등과학교육
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• 제33권2호
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• pp.273-285
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• 2014

Purpose of this study is to analyze eye movements of pre-service teachers and elementary students about a visual material of the change on the lunar phases. Eye-Tracker was used for analysis for eye-fixation time and eye movement at the structure, behavior, function question on the visual material. The Results were as follows. First, the pre-service teacher checked the visual materials from a holistic perspective depending on the function questions and fixed eye-fixation on the moon of the behavior question concerned. On the contrary, elementary school student only checked function of the moon located in the upper part and eye-fixation focus was spread here and there regardless of the questions. Second, the pre-service teacher gazed at the sun, earth and moon in a consecutive order depending on the questions to identify their spatial relations and checked location of the moon related to the question. On the contrary, the elementary school student did not view relations between earth, sun and moon from a spatial perspective. These findings indicate that the pre-service teacher conjures up the mechanism of the change on the lunar phases and confirms it in visual materials by visualizing change on the lunar phase model from earth's point of view while the elementary school student fails to take advantage of visual materials to visualize it from earth's point of view.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권6호
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• pp.485-491
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• 2009

Postoperative skeletal stability was evaluated in combination of Le Fort I and U-shaped osteotomies for superior repositioning of maxilla in bi-maxillary surgeries in 30 consecutive patients. The fifteen patients underwent Le Fort I osteotomy alone and the other fifteen patients underwent Le Fort I and U-shaped osteotomies. In all patients, the maxilla was first osteomized and fixed with absorbable plates system. A bilateral sagittal split ramus osteotomy (BSSRO) of the mandible was then carried out and fixation was performed using absorbable plates. Maxillo-mandibular fixation with rubber ring was used for two weeks post-operatively in all patients. Lateral cephalograms were obtained pre-operatively, 1 day post-operatively, 6 months after surgery. The changes in anterior nasal spine (ANS), point A, upper incisior (U1), and point of maxillary tuberosity (PMT) were examined. The maxillas in the fifteen patients of both examination group were repositioned nearly in their planned positions during surgery and no significant post-operative changes in the examined points of the maxilla were found. These results suggest that a combination of a Le Fort I and U-shaped osteotomy is a useful technique for reliable superior repositioning of the maxilla. The post-operative change in the maxilla using this combination osteotomy was comparatively stable.

• 한국통신학회논문지
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• 제27권4A호
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• pp.371-382
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• 2002

현재까지 스테레오 시각 분야에서 사용된 카메라 구조는 대부분 두 광축이 평행한 시각 모델이였으나, 본 논문에서는 인간시각체계에 기반한 교차시각 스테레오 카메라 모델을 사용한다. 교차시각에서 획득한 스테레오 영상을 고정점에 대해서 4개의 영역으로 구분한다. 이러한 사분면 형태의 영역 분할 근거를 인간시각체계에서 살펴보고, 타당성을 기하학적으로 입증할 것이다. 그리고 분할된 한 쌍의 스테레오 영상으로부터 합성 영상 조각들을 형성한 후, 수정된 켑스트럼 작용과 피크 검출 알고리즘을 수행하여, 수평 및 수직 변위를 추출한다. 측정된 변위 벡터와 교차시각 스테레오 카메라 모델의 변수로부터 합성영상의 3차원 정보를 계산한다. 여러 스테레오 영상에 대해서 제안 방법의 결과가 인간시각체계처럼 고정점 부근에서 정확함을 보여주었다.

• 한국임상수의학회지
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• 제24권4호
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• pp.631-635
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• 2007

Luxation of the hip is the most common luxation seen in small animals. Luxations are classified by the direction in which the femoral head lies in relation to the acetabulum and craniodorsal luxations are the most common type. Recommendations for treatment are based on the presence of preexisting disease, the type and duration of luxation and severity of concurrent injuries. In this study modified external skeletal fixation was used for craniodorsal coxofemoral luxation in 5 dogs. Luxated head Joint was reduced and fixator pins were applied into the greater trochanter, the middle point of iliac body and the lateral surface of sacroiliac joint in a closed fashion. Reduction was successful in 4 of the 5 operated limbs. Complications noted in this study included pin tract drainage, pin loosening and secondary fracture at the pin insertion site.

• 미생물학회지
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• 제24권2호
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• pp.127-132
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• 1986

Soybean nodule extract was prepared and tested for the effectiveness in the induction of asymbiotic nitrogen fixation of R. japonicum P-168. A Asymbiotic nitrogenase activity was increased over twice when glutamate was replaced by nodule extract in the induction media. Independently of the induction media, the nitrogenase activity in the assay media was also enhanced by the addition of nodule extract ($100-400{\mu}g$ protein/ml). The amount of ethylene in the assay media reached the highest point after 8 days incubation of R-168 and was decreased thereafter. The growth of R. japonicum R-168 was sensitive to the concentration of nodule extract. As a while, the effect of soybean root extract was not detected both in the induction of nitrogenase activity and in the growth of R. japonicum R-168.

• 한국유기농업학회지
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• 제10권1호
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• pp.49-63
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• 2002

In order to supply 85% of total organic feed in ruminants and 80% in non-ruminants for organic animal production, nitrogen fixation ability of legume should be used in domestic roughages production. 50% of Europe organic farmer use intercropping legume in as green manure. This article is dealing with amount of biologically fixed nitrogen used by legumes and methods for estimating the transfer of biologically fixed N in rotation and separating the N benefit into fixed N and non-fixed N components are reviewed. Available data indicate that transfer amount of N to non legumes was from 50∼9.6(kg/ha) in legume-cereal rotations and proportion of legume N varied with seasons, 90% in summer, 50% in autumn. The important point in cropping system for legumes have to be included for organic forage production 6 year rotation is based on pasture system of 3 year pasture + 2 year annual(com, sudangrass), again pasture. Rye, barly and Italian ryegrass+legumes(vetch, crimson and pea) can be one of option in spring, com, soybean, sudangrass and Japanese bamyard millet would be seeded after spring harvest in the field. Farmer can make good use of rice paddy field as forge production potential area after harvesting rice. Italian, burly and rye+vetch and crimsonclover may be grown in autumn or spring time at the rice field.

• Archives of Plastic Surgery
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• 제42권5호
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• pp.580-587
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• 2015

Background Descent of the lateral aspect of the brow is one of the earliest signs of aging. The purpose of this study was to describe an open surgical technique for lateral brow lifts, with the goal of achieving reliable, predictable, and long-lasting results. Methods An incision was made behind and parallel to the temporal hairline, and then extended deeper through the temporoparietal fascia to the level of the deep temporal fascia. Dissection was continued anteriorly on the surface of the deep temporal fascia and subperiosteally beyond the temporal crest, to the level of the superolateral orbital rim. Fixation of the lateral brow and tightening of the orbicularis oculi muscle was achieved with the placement of sutures that secured the tissue directly to the galea aponeurotica on the lateral aspect of the incision. An additional fixation was made between the temporoparietal fascia and the deep temporal fascia, as well as between the temporoparietal fascia and the galea aponeurotica. The excess skin in the temporal area was excised and the incision was closed. Results A total of 519 patients were included in the study. Satisfactory lateral brow elevation was obtained in most of the patients (94.41%). The following complications were observed: total relapse (n=8), partial relapse (n=21), neurapraxia of the frontal branch of the facial nerve (n=5), and limited alopecia in the temporal incision (n=9). Conclusions We consider this approach to be a safe and effective procedure, with long-lasting results.