• Journal of Chest Surgery
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• 제49권1호
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• pp.1-8
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• 2016

More than a century ago, the first scientific report was published about fracture fixation with plates. During the 1950's, open reduction and plate fixation for fractures were standardized by the founders of Arbeitsgemeinschaft $f{\ddot{u}}r$ osteosynthesefragen/Association for the Study of Internal Fixation. Since the introduction of plate fixation for fractures, several plates and screws have been developed, all with their own characteristics. To accomplice more fracture stability, it was thought the bigger the plate, the better. The counter side was a compromised blood supply of the bone, often resulting in bone necrosis and ultimately delayed or non-union. With the search and development of new materials and techniques for fracture fixation, less invasive procedures have become increasingly popular. This resulted in the minimally invasive plate osteosynthesis (MIPO) technique for fracture fixation. With the MIPO technique, procedures could be performed with smaller incisions and thus with less soft tissue damage and a better preserved blood supply. The last 5 years rib fixation has become increasingly popular, rising evidence has becomeavailable suggesting that surgical rib fixation improves outcome of patients with a flail chest or isolated rib fractures. Many surgical approaches for rib fixation have been described in the old literature, however, most of these techniques are obscure nowadays. Currently mostly large incisions with considerable surgical insult are used to stabilize rib fractures. We think that MIPO deserves a place in the surgical treatment of rib fractures. We present the aspects of diagnosis, preoperative planning and operative techniques in regard to MIPO rib fixation.

• 토지주택연구
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• 제8권3호
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• pp.181-187
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• 2017

To proactively respond to internal and external changes such as the recent demographic change and rising demand for diversified housing types, this study investigated the framed-structure free plan public house model proposed by the LH to look at the seismic performance of framed-structure apartment according to damper system use through non-linear analysis. The effectiveness thereof was also examined in terms of performance and economy. As a result, the proposed damper system application method to framed-structure free plan public house model was found to meet the performance requirements of the present earthquake-resistant design (KBC2016) and effective to apply to designs. The max response displacement and max response acceleration were compared based on the nonlinear analysis. As a result, the building with damper system showed better earthquake resistance performance than earthquake-resistant structure thanks to the damper system, although the base shear of earthquake-resistant system was reduced by 20% in design. The damper system is expected to help reduce building damage while ensuring excellent earthquake resistance performance. In addition, the framework quantities of earthquake-resistant structure and structure with damping system were compared. As a result, columns were found to reduce concrete amount by about 3.9% and rebar, by about 7.3%. Walls showed about 12.6% reduction in concrete and about 10.7% in rebar. In terms of cost, framework construction cost including formwork and foundation expenses was expected to drop by about 5~6%.

• 한국문헌정보학회지
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• 제49권4호
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• pp.289-315
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• 2015

도서정가제란 2003년 2월부터 시행된 출판 및 인쇄 진흥법에 따라 책을 정가에 판매토록 의무화한 제도이다. 이의 적용수준을 더욱 강화하려는 출판계의 노력에 따라 할인율을 낮추고 적용 기관 범위를 넓히는 것을 주요 골자로 한 출판문화산업 진흥법 개정안이 2014년 4월 국회 본회의를 통과하여 11월에 시행되었다. 도서관계의 관점에서는 이 개정으로 도서정가제 적용 예외 기관이었던 도서관이 적용 기관으로 변경됨에 따라 자료 구입 축소와 구입 비용 상승 등의 문제가 발생하였고, 이에 대한 대안으로 예산 확충에 대한 필요성이 인식되었다. 본 연구의 목적은 도서관계의 정책행위자들이 개정안 통과와 시행 과정에서 어떠한 입장과 역할을 하였는지 분석하는 것이다. 이를 통해 정책행위자 간의 상호작용 구조를 파악하는데 용이한 정책네트워크 모형을 적용하여 이의 유용성을 확인하고 개선점을 제안한다. 본 연구는 기존의 정책네트워크 모형 적용 연구에서 살펴보지 못했던 행위자 내부의 특성을 분석하였다는 점에서 의의가 있다.

• 한국어병학회지
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• 제22권2호
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• pp.115-124
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• 2009

넙치 병어에서 Photobacterium damselae subsp. damselae와 Vibrio spp.(V. anguillarum, V. splendidus, V. harveyi and V. ordalii)를 분리한 후 in vivo에서 병원성을 비교하였다. 분리균을 인위감염 한 결과, 폐사율, 혈청의 ALT, AST, cortisol 농도가 vibrio 감염구에 비하여 P. damselae 감염구에서 높게 나타났다. 또한, P. damselae 감염구에서 비특이적 면역반응인 식세포의 nitroblue tetrazolium(NBT) 반응과 혈청의 라이소자임 활성이 유의적으로 낮게 나타났다. 따라서, P. damselae는 특이적 효소인 damselysin의 분비로 높은 용혈능과 phospholipase 활성, 감염 시 내부 장기의 손상에 의한 ALT와 AST 상승, cortisol 농도의 증가로 인한 면역기능 저하가 높은 병원성을 나타낸 것으로 사료된다.

• Journal of mucopolysaccharidosis and rare diseases
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• 제2권2호
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• pp.43-45
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• 2016

Whole body energy balance is achieved through the coordinated regulation of energy intake and energy expenditure in various tissues including liver, muscle and adipose tissues. A positive energy imbalance by excessive energy intake or insufficient energy expenditure results in obesity and related metabolic diseases. Although there have been many obesity treatment trials aimed at the reduction of energy intake, these strategies have achieved only limited success because of their associated adverse effects. Serotonin is among those traditional pharmacological targets for anti-obesity treatment because central 5-HT functions as an anorexigenic neurotransmitter in the brain. Thus, there have been many trials aimed at increasing the activity of 5-HT in the central nervous system, and some of the developed methods are already used in the clinical setting as anti-obesity drugs. However, recent studies suggest the new functions of peripheral serotonin in energy homeostasis ranging from the endocrine regulation by gut-derived serotonin to the autocrine/paracrine regulation by adipocyte-derived serotonin. Pharmacological inhibition of 5-HT synthesis leads to inhibition of lipogenesis in epididymal white adipose tissue (WAT), induction of browning in inguinal WAT and activation of adaptive thermogenesis in brown adipose tissue (BAT). Fat specific Tph1 knock-out (Tph1 FKO) mice exhibit similar phenotypes as mice with pharmacological inhibition of 5-HT synthesis, suggesting the localized effects of 5-HT in adipose tissues. In addition, Htr3a KO mice exhibit increased energy expenditure in BAT and Htr2a KO mice exhibit the decreased lipid accumulation in WAT. These data suggest the clinical significance of the peripheral serotonergic system as a new therapeutic target for anti-obesity treatment.

• 국제물리치료학회지
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• 제4권1호
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• pp.523-531
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• 2013

Most patients with chronic low back pain experience functional disability of trunk muscle, and limitations in physical activity. While there are many types of exercise programs available, in recent years sling exercise has been emerging as the exercise program for spinal stabilization. It has been supported by a great amount of research with positive findings on its effectiveness. This research studies the effects of bridging exercise, conducted on a sling, on pain level and trunk muscle activation in supine, sidelying, and prone positions during a 4 weeks period. 10 healthy people(normal group, n=10) and 28 patients with low back pain participated in this study. 28 patients were divided into two groups; one group participated in exercise with the sling(experimental group, n=14) and the other group exercised without the sling(control group, n=14). They were asked to use the Numerical Rating Scale(NRS) to answer to the level of their pain they felt (no pain: 0 point, severe pain: 10 points). During sling bridging exercises, the muscle activity level in each muscle measured in each position was standardized as three seconds of EMG signals during five seconds MVIC. In conclusion, the experimental group with four weeks of sling bridging exercise experienced a statistically significant reduction in the pain level(p<.05) and increase in the muscle activities of erector spinae when in supine position, internal oblique when in sidelying position, and rectus abdominis in prone position(p<.05). Regular sling bridging exercise reduces the low back pain and enhances other trunk muscle activation, thereby positively affect spinal stabilization.

• Smart Structures and Systems
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• 제6권5_6호
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• pp.675-687
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• 2010

Structural Health Monitoring (SHM) is the science and technology of monitoring and assessing the condition of aerospace, civil and mechanical infrastructures using a sensing system integrated into the structure. Impedance-based SHM measures impedance of a structure using a PZT (Lead Zirconate Titanate) patch. This paper presents a low-power wireless autonomous and active SHM node called Autonomous SHM Sensor 2 (ASN-2), which is based on the impedance method. In this study, we incorporated three methods to save power. First, entire data processing is performed on-board, which minimizes radio transmission time. Considering that the radio of a wireless sensor node consumes the highest power among all modules, reduction of the transmission time saves substantial power. Second, a rectangular pulse train is used to excite a PZT patch instead of a sinusoidal wave. This eliminates a digital-to-analog converter and reduces the memory space. Third, ASN-2 senses the phase of the response signal instead of the magnitude. Sensing the phase of the signal eliminates an analog-to-digital converter and Fast Fourier Transform operation, which not only saves power, but also enables us to use a low-end low-power processor. Our SHM sensor node ASN-2 is implemented using a TI MSP430 microcontroller evaluation board. A cluster of ASN-2 nodes forms a wireless network. Each node wakes up at a predetermined interval, such as once in four hours, performs an SHM operation, reports the result to the central node wirelessly, and returns to sleep. The power consumption of our ASN-2 is 0.15 mW during the inactive mode and 18 mW during the active mode. Each SHM operation takes about 13 seconds to consume 236 mJ. When our ASN-2 operates once in every four hours, it is estimated to run for about 2.5 years with two AAA-size batteries ignoring the internal battery leakage.

• Elastomers and Composites
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• 제41권4호
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• pp.245-251
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• 2006

고무상으로 니트릴고무(NBR)을 플라스틱상으로 isotactic 폴리프로필렌(iPP)을 고무:플라스틱 비율이 70:30(wt:wt)되도록 내부혼합기에서 용융 혼합하고, 과산화물 가교제(DCP) 및 메타크릴산 아연염(ZDMA)을 첨가하여 동적 가교시킨 블렌드를 제조하였다. DCP만을 사용하여 동적가교시킨 블렌드에 비해 DCP와 ZDMA를 함께 첨가하여 제조한 동적가교시킨 블렌드가 우수한 인장물성, 인열강도 및 고무탄성을 나타내었다. 이는 메타크릴간 아연염의 첨가에 의해 동적가교과정 중 고무상의 가교밀도가 증가되고, 가교된 고무상이 플라스틱 연속상에 더 미세하게 분산되기 때문인 것으로 생각되었다. 또한, 제조된 블렌드는 반복 가공 시 물성의 큰 저하가 나타나지 않아 재활용성이 가능한 열가소성탄성체임을 알 수 있었다.

• PNF and Movement
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• 제13권2호
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• pp.103-109
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• 2015

Purpose: Abdominal breathing exercises are recommended to activate the breathing muscles and the pelvic floor muscles, as well as to increase postural alignment during exhalation. The purpose of this study was to clarify the effect of improving abdominal muscle strength on menstrual pain in women in their twenties using abdominal breathing exercises. Method: In this study, 32 female university students were included as the subjects. The subjects were divided into two groups based on the area of menstrual pain: lumbar pain (n=16) and lower abdomen pain (n=16). The abdominal breathing positions were divided into two positions, which included a hook lying position and hip and knee flexions at $90^{\circ}$ in the supine position. Exercises were used to strengthen the abdominal muscles during exhalation. Four sets of the exercises were completed three times a week over the course of eight weeks. The degree of pain was measured using the Numeric Rating Scale (NRS). Muscle thickness was measured using an ultrasound. Result: The thickness of the transverse abdominis (TrA) and internal oblique (IO) increased in the lower abdomen pain group. However, thickness of the external oblique (EO) did not increased following abdominal breathing. No significant difference in posture was identified in the lower abdomen group. TrA thickness increased significantly in the lumbar pain group. However, thickness did not increase significantly in the lumbar pain group. In addition, the lumbar pain group experienced no significant effects on posture. IO thickness increased following hip and knee flexions at $90^{\circ}$ in the lumbar pain group. Menstrual pain decreased following intervention in both groups. There was no significant difference in the degree of pain reduction between both groups. Conclusion: As examples of alternative medicine, abdominal breathing exercises may be effective in decreasing menstrual pain.

• 대한토목학회논문집
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• 제41권5호
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• pp.523-531
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• 2021

일반적으로 기초는 여러 개의 단일말뚝이 상부 구조체에 의해 연결된 상태로 군말뚝을 의미한다. 하지만, 군말뚝에 상부 하중 재하 시 지반에 작용하는 응력 범위는 단일말뚝에 비해 더 넓은 폭과 깊이로 확장되고, 중복되기 때문에 전체적인 지지력은 감소할 수 있다. 이러한 지지력 감소비를 군말뚝 효율이라 하나 일반적인 말뚝과 지반의 접촉 조건에 따른 영향을 분석한 연구는 부족한 실정이다. 따라서 본 연구에서는 지반 구성 및 군말뚝의 배치, 간격, 지반과 말뚝간의 접촉 특성을 해석 변수로 설정하고, 군말뚝 효율 및 군말뚝을 구성하는 개별말뚝의 거동을 분석하였다. 해석 결과, 지반 종류에 따라 마찰계수 증가 시 군말뚝 효율은 수렴 또는 감소하는 경향을 보였으며, 이를 통해 최적 군말뚝 효율을 분석하였다. 또한, 개별말뚝 분석을 통한 하중 감소비 파악 결과, 군말뚝 내부에 위치한 말뚝의 경우 하중을 상대적으로 적게 받았으며, 이는 내부 지반에 대한 영향인 것으로 판단된다.