• Journal of muscle and joint health
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• v.26 no.3
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• pp.290-306
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• 2019

Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.

• Journal of Welding and Joining
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• v.18 no.2
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• pp.196-196
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• 2000

Formation of the weld defect, such as a blowhole and a pit in lap-jointed fillet arc welds has been a serious problem in arc welding of Zn-coated steel sheet. In this study, the relationship among welding conditions, welding materials and defect formation was investigated in order to minimize these defects in the CO₂ welds. In addition, the arc stability of the commercial welding wires was evaluated for revealing their effects on defect formation. Main conclusions obtained are as follows:1) There was no difference between shear tensile strength of the sound welds and that of the welds with blowholes whose diameters are less than 0.5mm. However, the welds with blowholes whose diameters are equal or larger than 0.5mm and pits exhibited tensile strength 10~20% and 30~40% lower than that of the sound welds respectively.2) The optimum welding condition to effectively prevent or reduce the weld defects formation are as follows:- The welding variables of 220A-23V-100cm/min and 120A-190V-30cm/min were recommended for minimizing the weld defects.- The gap between the two sheets at the lap-joint should be controlled to more than 0.2mm- Solid wire was less susceptible to the formation of the weld defects than the flux-cored wire.- The low welding current condition produced less weld defects than the hihg welding current condition.3) One of the reason why the amount of the defect was reduced at the low welding current was the gas discharging by the active agitation of the molten pool, due to an increasing in the number of the short circuit. (Received September 27, 1999)

• Journal of Welding and Joining
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• v.18 no.2
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• pp.69-76
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• 2000

Formation of the weld defect, such as a blowhole and a pit in lap-jointed fillet arc welds has been a serious problem in arc welding Zn-coated steel sheet. In this study, the relationship among welding conditions, welding materials and defect formation was investigated in order to minimize these defects in the CO₂welds. In addition, the arc stability of the commercial welding wires was evaluated for revealing their effects on defect formation. Main conclusions obtained are as follows: 1) There was no difference between shear tensile strength of the sound welds and that of the welds with blowholes whose diameters are less than 0.5mm. However, the welds with blowholes whose diameters are equal or large than 0.5mm and pits exhibited tensile strength 10∼ 20% and 30∼40% lower than that of the sound welds respectively. 2) The optimum welding condition to effectively prevent or reduce the weld defects formation are as follows: -The welding variables of 220A-23V-100cm/min and 120A-19V-30cm/min were recommended for minimizing the weld defects. -The gap between the two sheets at the lap-joint should be controlled to more than 0.2mm. -Solid wire was less susceptible to the formation of the weld defects than the flux-cored wire. -The low welding current condition produced less weld defects than the high welding current condition. 3) One of the reason why the amount of the defect was reduced at the low welding current was the gas discharging by the active agitation of the molten pool, due to an increasing in the number of the short circuit.

• Journal of Korean Foot and Ankle Society
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• v.26 no.1
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• pp.16-21
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• 2022

When an ankle lateral malleolar fracture is accompanied by a deltoid ligament rupture without a medial malleolar fracture, such an injury is called a bimalleolar equivalent fracture. This means that even if there is no bony injury on the medial side, there may be functional instability of the ankle joint due to damage to the deltoid ligament. Manual or gravity external rotational stress radiography is used to differentiate an ankle bimalleolar equivalent fracture from an isolated lateral malleolar fracture. If the medial joint gap is widened on the stress radiography, the deltoid ligament injury can be diagnosed, and surgical treatment for fibula fractures is recommended. After open reduction of the fibula fracture (with syndesmotic fixation if needed), a decision on the repair of the deltoid ligament is taken depending on the surgeons' preference and intraoperative findings. The deltoid ligament repair is performed by inserting a suture anchor (or anchors) in the medial malleolus and fixing the deep and superficial deltoid ligaments to the medial malleolus. The only randomized study to evaluate the utility of deltoid ligament sutures in ankle fractures did not support the deltoid ligament suture, but the study itself had many limitations. An appropriately powered, randomized, controlled trial of the deltoid ligament repair with both patient-reported outcome and radiographic outcome evaluation is needed in the future.

• Journal of Korean Society of Steel Construction
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• v.22 no.2
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• pp.109-119
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• 2010

There are many restrictions in the application of high-strength HSSs, including yield strength and yield ratio for the 600-MPa steel. The AISC and Canadian codes recommend that the yield strength and yield ratio of HSS members be 360 MPa and 80%, respectively. It is important to understand the true buckling behaviors of HSSs using high-strength steel at the limit states. There are many experimental data regarding the rectangular HSSs, and the circular ones are not enough for high-strength steel. Therefore, this study was conducted to create a better understanding of the buckling behaviors of the 600- and 400-MPa steels based on the results of the finite-element analysis that was done before the experiment. To understand the structural behaviors of the aforementioned steels, the width-to-thickness ratios, the angle of the web members, the yield strength, and the gap of the web members were selected as the main parameters in this study, and ABAQUS, a general finite-element program, was used.As a result, the compression web member reached elastic buckling in the 600-MPa steel and inelastic buckling in the 400-MPa steel. A brittle fracture occurred in the case where the yield ratio was greater than 80%. At the same time, it was found that the limit strength determined via FEM analysis had a higher value compared to the code evaluation with the variation of the width-to-thickness ratio in the main code member. The change in the connection load in high-strength steels was not identified by the other factors.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.31 no.5
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• pp.409-416
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• 2005

Purpose of study: The temporomandibular joint (TMJ) occupies a key functional role in mastication and contributes to normal deglutition, speech as well as cosmesis. When a large amount of mandible including the condyle head is resected, it is very difficult to reconstruct it as a functional unit. In this retrospective study, we present the functional, radiographic and cosmetic results of reconstructed temporomandibular joint using free fibular flap. Patients and Methods: Total 12 patients (M:F = 6:6) who underwent condylar reconstruction with the fibular flap were interviewed and examined by radiographs and Bio-PAK$^{(R)}$. Mean follow up periods was $47.7{\pm}20.0$ months and the average age was $38.7{\pm}15.3$ years. Remodeling of condyle and function of TMJ were evaluated and facial contour was judged subjectively. Results: All flaps were viable and no immediate postoperative complication had happened. One patient showed decreased mouth opening, so interpositional gap arthroplasty was performed. The resorption rates of reconstructed fibular were minimal and the condyle heads were changed into domeshaped neocondyle after 2 years. All patients had normal diet and no speech difficulty was reported. Nine patients were satisfied with their facial contour but three patients complained about the depression of cheek. Conclusion: The reconstruction of TMJ with free fibular flap was reliable methods and very effective means of restoring mandibular function. The functional and morphologic results were excellent and showed little complications.

• Journal of the Korean Society of Industry Convergence
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• v.20 no.4
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• pp.299-305
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• 2017

This study proposes a new technique to design and control of robot hand gripper for assembling and disassembling of a machine parts. The motion equation describing dynamics of the manipulators and object together with geometric constraint is formulated by Lagrange-Euler's equation. And the problems of controlling both the grasping force and the rotation angle of the grasped object under the constraints are analyzed. The effect of geometric constraints and a method of computer simulation for overall system is verified. Finally, it is illustrated that even in case of there exists a sensory feedback from sensing data of the rotational angle of the object to command inputs control of joint and this feedback connection from sensing data to control grasping of machinery parts.

• Journal of Welding and Joining
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• v.25 no.2
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• pp.43-48
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• 2007

Laser Transmission Joining (LTJ) of plastics is a process in which light of suitable wavelength is transmitted through a transparent substrate that is in contact with an absorbing one. In this paper, LTJ is investigated by preliminary experiments from the viewpoint of mechanical engineering. To understand transmitting characteristics of each polymer substrate, transmission rate, reflection rate and absorption coefficient of polymer are measured by using a laser power-meter. Characteristics of joining in the spot welding and seam welding are investigated by measuring the fracture load. Fracture load increases in accordance to the laser power and irradiation time. However, when the laser power is over 60W and irradiation time over 4seconds, fracture load decreases. This phenomenon is probably due to heat-softening of materials. Besides, cavities are generated at a joint by evaporation of water molecules, which can be suppressed by introduction of a gap between two substrates.

• Laser Solutions
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• v.13 no.3
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• pp.19-26
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• 2010

In this study, fundamental experiment was conducted with various strength of UHSS (Ultra High Strength Steel) by $CO_2$ laser. And then, butt and lap joint laser welding with boron alloyed steel and Al-Si coated boron alloy steel have been done by changing laser beam feature, existence of gap and existence of coating layer to know welding characteristics of those materials. As a result, in case of fundamental experiment with various strength steel, hardening was found in the weld metal of all tested materials and softening was found at the heat affected zone of SGAFC 1180. In case of laser butt welding of UHSS, mechanical properties was improved by using small laser beam diameter and Al-Si coating layer caused fracture of weld metal. In case of laser lap welding of UHSS, Al-Si coating layer resulted in formation of intermetallic compound at the fusion boundary where fracture occurred. Al-Si coating layer caused lowering mechanical properties of weld metal.

• Laser Solutions
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• v.13 no.3
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• pp.1-6
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• 2010

The in-process monitoring of $CO_2$ welding of Zn-coated steel plates has been studied and compared with that of conventional thin plates. Relationships between weld defects and plasma emission signals were evaluated in laser lap joint of thick Zn-coated steel. According to the study, weld defects were found to increase with Zn content. As a result, measured plasma emission signals also decreased. In case of plate with $15{\mu}m$-thick Zn-coated layer, defects caused by evaporation of Zn could, therfore, controled by gap of 0.1mm, resulting in a stable emission signals. However, the amplitude of signals fluctuated very widely. Variation of amplitude sould be limited in 3-8V by FFT smoothing.