• Archives of Plastic Surgery
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• 제48권1호
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• pp.98-106
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• 2021

Background Hand fractures can be treated using various operative or nonoperative methods. When an operative technique utilizing fixation is performed, early postoperative mobilization has been advocated. We implemented a protocol involving controlled active exercise in the early postoperative period and analyzed the outcomes. Methods Patients who were diagnosed with proximal phalangeal or metacarpal fractures of the second to fifth digits were included (n=37). Minimally invasive open reduction and internal fixation procedures were performed. At 3 weeks postoperatively, controlled active exercise was initiated, with stress applied against the direction of axial loading. The exercise involved pain-free active traction in three positions (supination, neutral, and pronation) between 3 and 5 weeks postoperatively. Postoperative radiographs and range of motion (ROM) in the interphalangeal and metacarpophalangeal joints were analyzed. Results Significant improvements in ROM were found between 6 and 12 weeks for both proximal phalangeal and metacarpal fractures (P<0.05). At 12 weeks, 26 patients achieved a total ROM of more than 230° in the affected finger. Postoperative radiographic images demonstrated union of the affected proximal phalangeal and metacarpal bones at a 20-week postoperative follow-up. Conclusions Minimally invasive open reduction and internal fixation minimized periosteal and peritendinous dissection in hand fractures. Controlled active exercise utilizing pain-free active traction in three different positions resulted in early functional exercise with an acceptable ROM.

• 한국정보과학회논문지:시스템및이론
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• 제34권4호
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• pp.145-157
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• 2007

단일 칩 다중 프로세서의 경우 표준화된 병렬 프로그래밍 방법이 없는데 OpenMP를 사용하면 병렬 프로그래밍이 쉬우므로 OpenMP는 단일 칩 다중 프로세서를 위한 매력적인 병렬 프로그래밍 모델이다. 그런데 단일 칩 다중 프로세서 시스템의 구조는 대상 응용 프로그램에 따라 다양할 수 있다. 따라서 각 시스템마다 다른 방식으로 OpenMP를 구현해야 할 필요가 있다. 본 논문에서는 운영체제를 사용하지 않는 단일 칩 다중 프로세서를 위한 OpenMP 구현과 주요 디렉티브의 효과적인 변환을 제안하여 특수한 하드웨어에 의존하지 않고 OpenMP 디렉티브의 추가적인 확장 없이 성능을 향상 시킬 수 있게 한다. 실험은 대상 플랫폼인 CT3400에서 수행하고 그 결과를 제시한다.

• Clinics in Shoulder and Elbow
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• 제25권4호
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• pp.288-295
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• 2022

Background: There is no standardized therapeutic strategy for locked posterior shoulder fracture-dislocation (PSFD), and no consensus exists on the analysis of preoperative factors. This retrospective study aimed to evaluate functional results and complications in a series of PSFD cases managed with open surgical treatment. Methods: Patients diagnosed with locked PSFD who underwent open surgical treatment with reduction and osteosynthesis between April 2016 and March 2020 were included. All participants were treated with open reduction and internal fixation. Functional assessment used the modified University of California, Los Angeles (UCLA) mod scale, American Shoulder and Elbow Surgeons (ASES) questionnaire, subjective shoulder value (SSV), and visual analog scale (VAS). Complications were evaluated clinically and radiologically by X-ray and computed tomography. Results: Twelve shoulders were included (11 patients; mean age, 40.6 years; range, 19- 62 years). The mean follow-up duration was 23.3 months (range, 12-63 months). The UCLA mod, ASES, SSV, and VAS scores were 29.1±3.7, 81.6±13.5, 78±14.8, and 1.2±1.4 points, respectively. The overall complication rate was 16.6%, with one case of post-traumatic stiffness, 1 case of chronic pain, and no cases of avascular necrosis. Conclusions: Open surgical treatment of locked PSFD can achieve good functional results. A correct understanding of these injuries and good preoperative planning helped us to achieve a low rate of complications.

• Structural Engineering and Mechanics
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• 제11권5호
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• pp.503-518
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• 2001

In this paper, the procedure for deriving an infinite element that is compatible with the quadrilateral Q8 element is first summarized. Enhanced by a self mesh-expansion procedure for generating the impedance matrices of different frequencies for the region extending to infinity, the infinite element is used to simulate the far field of the soil-structure system. The structure considered here is of the box type and the soils are either homogeneous or resting on a bedrock. Using the finite/infinite element approach, a parametric study is conducted to investigate the effect of open and in-filled trenches in reducing the structural vibration caused by a train passing nearby, which is simulated as a harmonic line load. The key parameters that dominate the performance of wave barriers in reducing the structural vibrations are identified. The results presented herein serve as a useful guideline for the design of open and in-filled trenches concerning wave reduction.

• 소성∙가공
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• 제13권2호
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• pp.142-147
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• 2004

Three-dimensional rigid-plastic finite element analysis has been performed to optimize open die forging process to make round bar. In the round bar forging, it is difficult to optimize process parameters in the operational environments. Therefore in this study, finite element method is used to analyze the practice of open die forging, focusing on the effects of reduction, feeding pitch and rotation angle for optimal forging pass designs. The soundness of forging process has been estimated by the smoothness and roundness of the bar at various combination of feeding pitches and rotation angles. From the test result, process conditions to make round bar having precise dimensional accuracy have been proposed.

• 대한기관식도과학회지
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• 제3권1호
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• pp.174-180
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• 1997

Acute laryngeal trauma is a rare injury, but it threatens both the quality and maintenance of life. The optimal goal of treatment for acute communited laryngeal fracture is restoration of the skeletal framework and epithelial lining of endolarynx. But though the diagnostic skill has been developed, decision making for treatment of laryngeal trauma such as operating tim, open exploration versus closed reduction and stenting is very difficult and controversial. Recently, the authors experienced two cases with severe communited fractures of laryngeal framework and endolaryngeal avulsion injuries who were treated successfully with open surgical repair without stenting. So we report these two cases with review of the literatures.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제36권5호
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• pp.207-213
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• 2014

Fractures of the mandible occur with a greater frequency in the elderly. This study reports three cases of edentulous atrophic mandible fracture in elderly patients treated with open reduction technique. Three patients who presented with edentulous atrophic mandible fractures underwent surgical management using open reduction and internal fixation. After treatment, clinical evaluations and postoperative complications were examined with postoperative x-ray. Patients were followed with clinical and radiographic examinations. In the postoperative clinical evaluation, two male patients healed well, but one female patient complained of pain and swelling. In radiographic examinations, no union delay or lack of fusion was observed in the edentulous area. Open reduction technique is a viable treatment option for the edentulous atrophic mandible fractures in geriatric patients.

• 한국자동차공학회논문집
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• 제20권3호
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• pp.83-87
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• 2012

Computational Fluid Dynamics (CFD) method has been used to investigate the axial force of automotive water pump. As the excessive axial force can make some unexpected problems like impeller interference and coolant leakage we have focused on finding the cause of axial force and its reduction in this paper. First, we have tested the closed type water pump with and without balance hole by the calculation methods. By examining the pressure contour around the impeller, we have found that the axial force arises not only from the pressure difference around shroud but also from the pressure difference around hub. So we have tested two impellers - one is normal open type impeller and the other is open type impeller with modified hub. The results show that the axial force reduction is about 150~200N for normal one and 700N@3000RPM for modified impeller. And the hydraulic efficiency which is important in aspect of engine fuel efficiency is reduced about 6.5% for normal one but increased 4%@3000RPM for modified impeller.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.474-480
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• 2001

Purpose: The aim of this study was to evaluate the complications of open reduction and internal fixation of mandibular fracture with miniplates. Patients and Methods: A total of 134 patients who presented with 196 fractures were analyzed retrospectively. Complications were evaluated for factors such as age, the site of fracture, the severity of fracture, delayed operation, preoperative wound contamination, the site and disposition of teeth in the fracture line and midfacial fractures. Statistical analysis was used to compare complications to risk factors. Results: Of the 134 patients, 20 patients had some form of postoperative complications and complication rate was 14.9%. These complications included infection, plate fracture, malocclusion, wound dehiscence, nerve injury and nonunion. There was a significant correlation between complication rate and the severity of fracture, preoperative wound contamination and the site of the fracture and disposition of teeth(p<0.05). Conclusion: The occurrence of postoperative complications in the treatment of mandibular fractures was related to the severity of fracture, preoperative wound contamination and the site of the fracture and disposition of teeth.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 2009년도 춘계학술대회 논문집
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• pp.114-117
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• 2009

In this work, closing behavior of the voids generated in a casting process was investigated for various parameters such as reductions in height void size and billet rotation during hot open die forging process. The reduction in height and path schedule including the number of paths and billet rotation were chosen as key process variables to express the change of geometrical void shape and void closing behavior. On the other hand, values of die overlapping and die width ratio were set to be constant. Extend of void closure was observed and evaluated using tensile test and microscope. Based on the experimental result, it is ensured that void closure do not occur at 15% and 30% reduction in height as well as one or two rotations of a billet. The useful datum obtained from this study could be utilized to establish an optimum path schedule in the open die forging process.