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The Effects of Functional Electrical Stimulation on Hand Function of Children With Spastic Cerebral Palsy (기능적 전기자극이 경직성 뇌성마비 아동의 상지 기능에 미치는 영향)

  • Bang, Hyun-Soo;Kim, Dong-Hyun
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.2
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    • pp.1-10
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    • 2016
  • Objective: This study aims investigating the effects of functional electrical stimulation (FES) on hand function of children with spastic cerebral palsy. Methods: The participants of this study are 20 children with spastic cerebral palsy aged between 11 to 16 years old. All the subjects underwent 24 sessions of FES during 8 weeks. Each FES was 20 minutes per session, and 3 sessions of FES were provided in a week. Measurements used to assess hand function are Jebsen Hand Function Test, Modified Ashworth Scale and 3D Motion Analysis. After establishment of the baseline for each client by all the measurements, reevaluations were performed every 2 weeks using Jebsen Hand Function Test and the Modified Ashworth Scale. The 3D Motion Analysis was performed only before- and after the 8 weeks of FES treatment. Results: After the FES, there was significant decrease in completed time for the all 6 subtasks of Jebsen Hand Function Test were (p<.05) and also significant decrease in spasticity score of Modified Ashworth Scale as well (p<.05). 3D Motion Analysis showed that the hand tapping and the finger tapping has been significantly improved (p<.05), and the pronation-supination movement of lower arm has been significantly improved as well. Conclusion: Based on the results of this study, it is evidenced that functional electrical stimulation is effective treatment for hand function of children with cerebral palsy. For future research, it is recommended to examine various protocols of FES including impact of long-term application.

The Experimental Study on the Bond behavior of High strength concrete (고강도 콘크리트의 부착거동에 관한 실험적 연구)

  • Lee, Joon-Gu;Kim, Woo;Park, Kwang-Su;Kim, Dae-Joung;Lee, Wong-Chan;Kim, Han-Joung
    • Proceedings of the Korea Concrete Institute Conference
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    • 1999.04a
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    • pp.774-780
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    • 1999
  • The study of bond behavior between concrete and rebar has been performed for a long time. On this study, we tried to analysed variation of bond behaviors quantitatively with varying the strength of concrete. Bond stress which observed below the neutral surface of beam and at connecting part of beam and column is affected by various bond parameters. Resistance of deformed bars which embedded in concrete to the pullout force is divided 1) chemical adhesive force 2) frictional force 3) mechanical resistance of ribs to the concrete and these horizontal components of resistance is being bond strength. We selected the most common and typical variable which is concrete strength among various variables. So we used two kinds of concrete strength like as 25MPa(NSC) and 65MPa(HSC). Tension Test was performed to verify how bond behavior varied with two kinds of concrete strength. Concentration of bond stress was observed at load-end commonly in Tension Test of the initial load stage. At this stage stress distribution was almost coincident at each strength. As tension load added, this stress distribution had difference gradually and movement of pick point of bond stress to free-end and central section was observed. This tendency was observed at first and moving speed was more fast in NSC. At the preceeding result the reason of this phenomenon is considered to discretion of chemical adhesion and local failure of concrete around rebar in load-end direction. Especially, when concrete strength was increased 2.6 times in tension test, ultimate bond strength was increased 1.45 times. In most recent used building codes, bond strength is proportioned to sqare root of concrete compressive strength but comparison of normalized ultimate bond strength was considered that the higher concrete strength is, the lower safety factor of bond strength is in each strength if we use existing building codes. In Tension Test, in case of initial tensile force state, steel tensile stress of central cross section is not different greatly at each strength but tensile force increasing, that of central cross section in NSC was increased remarkably. Namely, tensile force which was shared in concrete in HSC was far greater than that of concrete in NSC at central section.

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Fire Test of Fiber Cocktail Reinforced High Strength Concrete Columns with Loading (섬유혼입공법을 적용한 고강도콘크리트 기둥의 재하 내화시험)

  • Youm, Kwang-Soo;Jeon, Hun-Kyu;Kim, Heung-Youl
    • Journal of the Korea Concrete Institute
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    • v.21 no.4
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    • pp.473-480
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    • 2009
  • The 180 minutes fire test based on the standard curve of ISO-834 were conducted on three RC column specimens with different constant axial loading ratios to evaluate the fire performance of fiber cocktail (polypropylene+steel fiber) reinforced high strength concrete column. The columns were tested under three loading levels as 40%, 50%, and 61% of the design load. No explosive spalling has been observed and the original color of specimen surface has been changed to light pinkish grey. The maximum axial displacements of three specimens were 1.5~2.2 mm. There was no reduction in load bearing capacity of each specimen exposed to fire and no effect were observed on the fire performance within 61% of the design load. The tendencies of the results with loading, such as the temperature distribution of in concrete and the changes in temperature rise due to the water vaporization in concrete, are very similar to those without loading. The final temperatures of steel rebar after 180 minutes of fire test resulted in 491.4${^{\circ}C}$ for corner rebar, 329.0${^{\circ}C}$ for center rebar, and 409.8${^{\circ}C}$ for total mean of steel rebar. The difference of mean temperature between corner and center rebar was 153.7${^{\circ}C}$ㅍ. The tendency of temperature rise in concrete and steel rebar changed after 30~50 minutes from the starting time of the fire test because the heat energy influx into corner rebar is larger than that into center rebar. The cause of decrease in temperature rise was due to the water vaporization in concrete, the lower temperature gradient of the concrete with steel and polypropylene fiber cocktails, the moisture movement toward steel rebars and the moisture clogging.

A Study on Policy and Movement to Strengthen the Competitiveness of U.S. Textile and Apparel Industries (미국 의류직물산업의 경쟁력 강화정책 고찰)

  • 황춘섭
    • Journal of the Korean Home Economics Association
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    • v.27 no.2
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    • pp.21-30
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    • 1989
  • The U.S. response to increased international competition was examined in the present study in order to have more comprehensive understanding of the U.S. textile and clothing market. The method employed to conduct the study was the analysis of the written materials, interview with professionals, and the survey of the actual situations of the U.S. textile and apparel industries. The results are summarized as follows; 1. Official U.S. textile and apparel trade policy has been quite has been quite protective since 1950's. The protective trend has been embodied in Japan Cotton Textile Export Control (reciprocal trade agreement signed by the U.S. and Japan in 1957), Short Term Arrangement Regarding International Trade in Cotton Textiles, Long Term Cotton Textile Arrangement (1962∼1973), and Multi-fiber Arrangement (1974∼). Other governmental programs designed to improve the competitiveness of the U.S. textile and apparel industries include Long-term Textile and Apparel Products Export-expansion Program, and 807 Trade to take labor cost advantage. 2. Along with the quite protective governmental trade policy, the corporate responses have been made such as new sourcing mixes, investment in technology, specialization in the textile and apparel industries, and recent strategies pursued by retailer's. The apparel industry was subject to pressure from imports that increased at moderate levels, and the U.S. textile and apparel industries have made extensive efforts to adjust to the increasing competition from abroad. The textile and apparel industries have taken steps to increase labor productivity through automation, to speed management to create and introduce new products and new methods, and have lowered indirect overhead costs. Several industrywide promotion campaigns have attempted to establish a greater public awareness of international competition and to develop a preference for apparel produced in the United States. 3. Regarding these response of the U.S. and other situations of world textile and apparel trade market, much of the sense of crisis that pervades Korean textile and apparel industries has to do with the problem of adjusting government and corporate policy. Textile and apparel industry of Korea faces on going pressure to reduce costs, improve quality, increase service, develop new markets, diversify, and differentiate itself from its foreign competitors. The strategies that have been adopted in the past have generally worked in the past, but the time has come to adopt strategies that reflect present conditions. If this is not done, then we stand to lose large segments of these industries, which once lost will not easily be regenerated.

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3-D Analysis of Slope by Tension Wire Sensing (Tension Wire 계측을 통한 비탈면의 3차원 거동 분석)

  • Shin, Taeju;Kim, Taesoo;Hwang, Sanggoo;Han, Heuisoo
    • Journal of the Korean GEO-environmental Society
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    • v.16 no.3
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    • pp.41-48
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    • 2015
  • Several sensor systems are used to estimate and predict the slope behaviors, however though slope sensing systems are much up-to-dated compared to before, they are mainly focused on the hardware developing. It means the analyzing software is deficient to apply the examining slope behavior for slope stability. In real case, slope behavior shows the 3-dimensional movement and failure; however the modeling methods for 3-D behavior are more difficult and need more variables. 1-D analysis shows only the length variation, however the real slope makes the 3-D behaviors. To fix the 3-D space coordinate, three values should be determined such as length, horizontal angle and vertical angle. Therefore if the 3-D coordinate system were composed by the points considered of two directions and length, the 3-D space could be separated into horizontal plane and vertical plane. The data from DY-slope in Chungbuk province was analyzed to the developed 3-D coordinate system. It is concluded from the results of 3-D analysis, the slope is generally moving to transverse direction, also the displacements are happening to road and vertical direction at the same time. Presently, the accumulated displacement between sensing points shows small value within 4.3 cm, and the displacements of all sensing points show the similar directions and magnitudes.

MEDIAN CLEFT OF THE LOWER LIP AND MANDIBLE;A CASE REPORT (하순 및 하악골 정중열의 치험례)

  • Cha, Doo-Won;Kim, Hyun-Soo;Baek, Sang-Heum;Kim, Chin-Soo;Byeon, Ki-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.263-269
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    • 2001
  • Median cleft of the lower lip and/or mandible is a rare congenital anomaly, first mentioned by Couronne in 1819. Monroe(1966), Fujino(1970), Ranta(1984) and Oostrom(1996) conducted comprehensive reviews and list cases in literature. Median cleft varies greatly, from a simple vermilion notch to a complete cleft of the lip involving the tongue, the chin, the mandible, the supporting structures of the median of the neck, and the manubrium sterni. The associated anomalies include ankyloglossia, cleft tongue, neck contraction, heart lesion, absence of hyoid bone, and so on. The etiology of median cleft is unknown. Various possibilities, such as failure of mesodermal penetration into the midline, failure of fusion of mandibular processes, external factors apart from the embryogenic pattern such as pressure, position in utero, circulatory failure caused placental adhesion, diseases in pregnancy, and so on, have been discussed. A 8-year-old girl was referred to the Dept. of Oral & Maxillofacial Surgery, Kyungpook National University Hospital and had been aware of the fact that at birth "she had something wrong with her mouth." Shortly after birth she had been examined by a plastic surgeon and at that time surgical procedure had been performed to release the tongue from the lower jaw and lip at local hospital. On admission, she had a slight notching of lower lip and two fibrous frenum ran from the lip along the ventral surface of the tongue, diastema between her mandibular central incisors, and slightly constricted bifid mandible associated independent movement of the two halves of mandible. The patient had autogenous iliac bone graft to reconstruct the mandibular midline defect. The postoperative result was uneventful. In future, the correction of the soft tissue deformities such as notching of the lower lip and partial ankyloglossia will be required for the esthetic and functional improvement.

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THE EXPERIMENTAL STUDY ON THE CHANGES OF CONDYLAR HEAD FOLLOWING UNILATERAL DISCECTOMY IN RABBIT (가토 편측 악관절원판 제거 후 하악 과두 변화에 관한 실험적 연구)

  • Park, Kwang-Jin;Kim, Kyung-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.758-770
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    • 1996
  • Discectomy is the oldest and most commonly performed operation for the painful temporomandibular joint with internal derangement. It is the one operation for which there are longest follow-up study, with Eriksson, Silver, and Tolvanen et al reporting good results in patients about 30 years after discectomy. About 80% to 90% of patients clinically experience relief from pain and dysfunction after discectomy, and interestingly, the results may improve with time. However such as Myrhaug found headache and Poswillo supposed pain and limitation of movement as postoperative complications, even though this operation had the longest follow-up term, several aspects of discectomy remain unclear. The controversies to discectomy for TMJ with pain and dysfunction have laid emphasis only upon clinical results, and then the histomorphological study was planned to evaluate the morphologic change of TMJ after discectomy. To clarify the nature of the change through an observation on the morphologic changes of articular cartilage and subchondral bone of the condyle resulting from experimental unilateral discectomy in rabbit, the author excised the left articular discs of 12 male rabbits(control 4 rabbits), weighing about 3kg, and at 1, 3, 6, 9 weeks following surgery, harvested both(left surgical site and right nonsurgical sits) TMJ. The specimens were examined with light microscope after H-E and MT stain and the obtained results were as follows. 1. Histopathological features showed thickening of articular zone and active proliferation of fibrocartilaginous zone associated with slight proliferative zone in surgical site than control group. Also replacement of chondrocytes in calcified cartilaginous zone into bone cells was observed. 2. There were thinning of thickness of each zone of articular cartilage except calcified cartilagnous zone was observed in nonsurgical site. 3. In MT stain of condylar trabeculae, there was increased calcification in nonsurgical site than control and surgical site and the degree of calcification was similar in surgical site and control group. 4. In both site of experimental group no features of degenerative changes were observed. From the above results, it is presumed that the morphologic changes of surgical site discectomy are compensatory remodeling process characterized by an hyperplastic reaction of the articular zone and fibrocartilaginous zone filling the void created by removing the disc, and the bone changes are secondary to changes in the cartilage. Increased degree of calcification seen in condylar trabeculae of nonsurgical site results from the excessive use of condyle of that site.

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THE LONG-TERM CONSERVATIVE DRAINAGE CARE OF EXTENSIVE OSTEOMYELITIS ASSOCIATED WITH MANDIBULAR COMPOUND FRACTURE : REPORT OF A CASE (장기간의 보존적 배농술로 치료된 하악 복합골절 관련 광범위 골수염 치험 : 증례보고)

  • Kim, Ha-Rang;Yoo, Jae-Ha;Choi, Byung-Ho;Sul, Sung-Han;Mo, Dong-Yub;Lee, Chun-Ui
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.6
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    • pp.544-549
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    • 2009
  • Failure to use effective methods of reduction, fixation and immobilization may lead to osteomyelitis with the exposed necrotic bone, as the overzealous use of transosseous wires & plates that devascularizes bone segments in the compound comminuted fractures of mandible. Once osteomyelitis secondary to fractures has become established, intermaxillary fixation should be instituted as early as possible. Fixation enhances patient comfort and hinders ingress of microorganisms and debris by movement of bone fragments. Teeth and foreign materials that are in the line of fracture should be removed and initial debridement performed at the earliest possible time. Grossly necrotic bone should be excised as early as possible ; no attempt should be made to create soft tissue flaps to achieve closure over exposed bone. The key to treatment of chronic osteomyelitis of the mandible is adequate and prolonged soft tissue drainage. If good soft tissue drainage is provided over a long period, sequestration of infected bone followed by regeneration or fibrous tissue replacement will occur so that appearance and function are not seriously altered. Localization and sequestration of infected mandible are far better performed by natural mechanism of homeostasis than by cutting across involved bone with a cosmetic or functional defect. As natural host defenses and conservative therapy begin to be effective, the process may become chronic, inflammation regresses, granulation tissue is formed, and new blood vessels cause lysis of bone, thus separating fragments of necrotic bone(sequestra) from viable bone. The sequestra may be isolated by a bed of granulation tissue, encased in a sheath of new bone(involucrum), and removed easily with pincettes. This is a case report of the long-term conservative drainage care in osteomyelitis associated with mandibular fractures.

Estimation of Displacements and Velocities of Objects from Soccer Image Sequences (축구 영상 시퀀스로부터 물체 이동거리와 속도 측정)

  • Nam, Si-Wook;Yi, Jong-Hyon;Lee, Jae-Cheol;Park, Yeung-Gyu;Kim, Jai-Hie
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.38 no.2
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    • pp.1-8
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    • 2001
  • In this paper, we propose an algorithm which estimates the displacements and velocities of objects in the soccer field from the soccer image sequences. Assuming the time interval of an object movement is given, we transform the object positions into those in the soccer field model and compute the distance and the velocity. When four corresponding pairs of the feature points, such as the crossing points of the lines in the soccer field, exist and three of them are not on a line, we transform the object positions in the soccer image into those in the soccer field by using the perspective displacement field model. In addition, when the soccer image has less than four feature points, we first transform the object positions into those in the image which has more than four feature points, and then transform the positions into those in the soccer field again. To find the coordinate transformation between two images, we estimate the panning and zooming for consecutive images in the sequence. In the experimental results, we quantitatively evaluated the estimation accuracy by applying our algorithm to the synthetic. soccer image sequences generated by graphic tools, and applied it to the real soccer image sequences for broadcasting to show its usefulness.

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A Study on Analysis of Landslide Disaster Area using Cellular Automata: An Application to Umyeonsan, Seocho-Gu, Seoul, Korea (셀룰러 오토마타를 이용한 산사태 재난지역 분석에 관한 연구 - 서울특별시 서초구 우면산을 대상으로-)

  • Yoon, Dong-Hyeon;Koh, Jun-Hwan
    • Spatial Information Research
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    • v.20 no.1
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    • pp.9-18
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    • 2012
  • South Korea has many landslides caused by heavy rains during summer time recently and the landslides continue to cause damages in many places. These landslides occur repeatedly each year, and the frequency of landslides is expected to increase in the coming future due to dramatic global climate change. In Korea, 81.5% of the population is living in urban areas and about 1,055 million people are living in Seoul. In 2011, the landslide that occurred in Seocho-dong killed 18 people and about 9% of Seoul's area is under the same land conditions as Seocho-dong. Even the size of landslide occurred in a city is small, but it is more likely to cause a big disaster because of a greater population density in the city. So far, the effort has been made to identify landslide vulnerability and causes, but now, the new dem and arises for the prediction study about the areal extent of disaster area in case of landslides. In this study, the diffusion model of the landslide disaster area was established based on Cellular Automata(CA) to analyze the physical diffusion forms of landslide. This study compared the accuracy with the Seocho-dong landslide case, which occurred in July 2011, applying the SCIDDICA model and the CAESAR model. The SCIDDICA model involves the following variables, such as the movement rules and the topographical obstacles, and the CAESAR model is also applied to this process to simulate the changes of deposition and erosion.