• 대한물리치료과학회지
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• 제9권1호
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• pp.113-121
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• 2002

The purpose of this study was to investigate the effects of home exercise program on the improvement of balance in the elderly. Subjects were twenty members living in Daegu (10 males, 10 females), between 65 and 81 years of age. The subjects for the experimental group were participated in the home exercise program for 8 weeks, between April 2001 and June 2001. The results of this study were as follows: After the exercise program, balance ability by CTSIB in the experiment group improved with no statistical significance. On the other hand, balance ability by OLST was significantly improved in the condition with open eyes than dosed eyes. Balance ability by OLSTR was improved 37.2% (p<0.001) on the hard surface with open eyes and improved 41.1% (p<0.01) on the soft surface with open eyes. Balance ability by OLSTL improved 37.1% (p<0.001) on the hard surface with open eyes and improved 72.5% (p<0.001) on the soft surface with open eyes. Balance ability by BBT also improved 1.7% (p<0.05).

• 대한족부족관절학회지
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• 제1권1호
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• pp.51-58
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• 1997

The purpose of this study is to evalute the efficacy af the Ilizarov external fixation for the surgical treatment. of the tibial plafond fractures. We reviewed retrospectively fourteen cases of tibial plafond fractures with moderate to severe soft. tissue damage, which were fixed with Ilizarov external fixator. Using the AO Muler classification, there were four Type C1 fractures, six Type C2 and four Type C3. In most, of the cases, the ankles were operated on with other associated fractures within a few days after injury. We reduced the fracture indirectly by soft issue taxis and fixed externally across the ankle joint. using the circular external fixator with tensioned wires and ankle hinge. In cases of inadequate closed reduction, we applied limited open reduction and internal fixation. Range of motion exercise began immediately. Postoperative follow-up averaged fourteen months (ranges, 8-30 months). Overall clinical results rated good or excellent in 7 cases, fair in 4 and poor in 3. There were three cases of pin tract infection which were resolved with short-term antibiotics and local care; one delayed wound closure in a patient. whose fracture was associated with Type III open wound; one wound slough in a patient associated with Type II open wound, which was closed later by skin graft; and one osteoarthritis. From this review, we concluded that cross-ankle circular external fixation with tensioned wires with or without. limited open reduction is a reasonable alternative for the treatment of the tibial plafond fractures with severe soft tissue damage.

• 한국공간구조학회논문집
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• 제17권2호
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• pp.79-87
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• 2017

The retractable roof structure is used in various fields and it is classified for steel retractable system and soft retractable system. For the domestic industry, it is in the initial phase now and the demand of the retractable roof structure is expected to increase in the future. Therefore, this paper is classified for steel retractable system and soft retractable system from the retractable roof structures in overseas to survey and analyze the cases of wind velocity on retractable roof structure in Japan that uses the same wind velocity criteria like Korea regarding the open-close time and average open-close time for retractable roof area.

• Journal of applied mathematics & informatics
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• 제42권3호
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• pp.635-646
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• 2024

In this research work, we introduce and investigate four innovative types of soft spaces, pushing the boundaries of traditional spatial concepts. These new types of soft spaces are named as soft T_b space, soft T^#_b space, soft T^##_b space and soft_αT^#_b space. Through rigorous analysis and experimentation, we uncover and propose distinct characteristics that define and differentiate these spaces. In this research work, we have established that every soft $T_{\frac{1}{2}}$ space is a soft _αT^#_b space, every soft T_b space is a soft _αT^#_b space, every soft T^#_b space is a soft _αT^#_b space, every soft T_b space is a soft T^#_b space, every soft T^#_b space is a soft T^##_b space, every soft $T_{\frac{1}{2}}$ space is a soft ^#T_b space and every soft T_b space is a soft #T_b space.

• Structural Engineering and Mechanics
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• 제47권6호
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• pp.791-818
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• 2013

The seismic performance of reinforced concrete (RC) frame structures with irregularities leading to soft first floor is studied using capacity assessment procedures. The soft first story effect is investigated for the cases: (i) slab-column connections without beams at the first floor, (ii) tall first story height and (iii) pilotis type building (open ground story). The effects of the first floor irregularity on the RC frame structure performance stages at global and local level (limit states) are investigated. Assessment based on the Capacity Spectrum Method (ATC-40) and on the Coefficient Method (FEMA 356) is also examined. Results in terms of failure modes, capacity curves, interstory drifts, ductility requirements and infills behaviour are presented. From the results it can be deduced that the global capacity of the structures is decreased due to the considered first floor morphology irregularities in comparison to the capacities of the regular structure. An increase of the demands for interstory drift is observed at the first floor level due to the considered irregularities while the open ground floor structure (pilotis type) led to even higher values of interstory drift demands at the first story. In the cases of tall first story and slab-column connections without beams soft-story mechanisms have also been observed at the first floor. Rotational criteria (EC8-part3) showed that the structure with slab-column connections without beams exhibited the most critical response.

• Earthquakes and Structures
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• 제24권5호
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• pp.345-352
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• 2023

This paper studied the effect of soil-structure interaction (SSI) on the seismic response and retrofit of a reinforced concrete structure with a soft-first story for different soil types. A 5-story structure built on a 30m deep homogeneous soil mass was considered as a case study structure, and steel column jacketing and steel bracing were chosen as seismic retrofit methods. Seismic responses of a fixed-base and a flexible base structure subjected to seven scaled earthquake records were obtained using the software OpenSees to investigate the effect of soil on seismic response and retrofit. The nonlinearBeamColumn elements with the fiber sections were used to simulate the nonlinear behavior of the beams and columns. Soil properties were defined based on shear wave velocity according to categorized site classes defined in ASCE-7. The finite element model of the soil was made using isoparametric four-noded quadrilateral elements and the nonlinear dynamic responses of the combined system of soil and structure were calculated in the OpenSees. The analysis results indicate that the soil-structure interaction plays an important role in the seismic performance and retrofit of a structure with a soft-first story. It was observed that column steel jacketing was effective in the retrofit of the model structure on a fixed base, whereas stronger retrofit measures such as steel bracing were needed when soil-structure interaction was considered.

• Archives of Plastic Surgery
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• 제50권5호
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• pp.523-528
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• 2023

The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.

• 대한족부족관절학회지
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• 제23권3호
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• pp.110-115
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• 2019

Purpose: This study analyzed the clinical and radiological results of Reudi-Allgower type II and III open tibia pilon fracture patients who underwent plate fixation after the recovery of a soft tissue injury after external fixation. Materials and Methods: From 2010 to 2015, this study analyzed 14 patients who were treated for open tibial pilon fractures and could be followed up at least one year. The mean age was 49 years and the average follow-up period was 19 months. An emergency operation was performed for external fixation and open wounds, and secondary surgery was performed for definitive fixation using a plate. The radiological and clinical evaluations were analyzed retrospectively. Complications, such as post-traumatic osteoarthritis and wound infections were also analyzed. Results: The mean duration between two-staged surgery was 21 days and the mean bone union time was 9.2 months. Three cases of delayed union and one case of nonunion were reported. The malunion did not occur in all cases. The average American Orthopaedic Foot and Ankle Society (AOFAS) score was 68 points. A limitation of the ankle motion occurred in all cases. In four cases, wound infections due to initial open wounds occurred; one patient underwent a below the knee amputation due to chronic osteomyelitis. Post-traumatic arthritis occurred in 10 cases. Conclusion: Severe comminuted tibial plateau open fractures of Reudi-Allgower type II and III, which are high-energy injuries that result in extensive soft tissue damage, have a higher incidence of complications, such as ulcer problems and osteomyelitis, than closed tibia plateau fractures. Post-traumatic arthritis is the most common complication of tibia plateau open fractures, and staged surgery is recommended because of the relatively satisfactory clinical results.

• 한국임상수의학회지
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• 제32권4호
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• pp.359-362
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• 2015

고라니가 교통사고 후 구조되었다. 임상검사와 방사선검사에서 손허리뼈에 심한 연부조직손상을 동반한 3형의 개방골절로 진단되었다. 골절은 4개의 원형 외부고정 링을 이용하여 비개방정복으로 비침습적으로 정복 후 고정하였다. 술 후 고라니는 성공적으로 자연으로 복귀되었다. 고라니에서 원형 외부골격고정술을 이용하여 심한 감염성 상처와 개방골절을 치료 할 수 있었다. 원형 외부골격고정술은 고라니에서 부작용 없이 사용할 수 있을 것으로 사료된다.

• Journal of Chest Surgery
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• 제50권6호
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• pp.430-435
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• 2017

Background: Mycotic aortic aneurysms are rare and life-threatening. Unfortunately, no established guidelines exist for the treatment of patients with mycotic aortic aneurysms. The purpose of this study was to evaluate the midterm outcomes of the open repair of mycotic thoracic and thoracoabdominal aneurysms and suggest a therapeutic strategy. Methods: From 2006 to 2016, 19 patients underwent open repair for an aortic aneurysm. All infected tissue was extensively debrided and covered with soft tissue. We recorded the clinical findings, anatomic location of the aneurysm, bacteriology results, antibiotic therapy, morbidity, and mortality for these cases. Results: The median age was $62{\pm}7.2years$ (range, 16 to 78 years), 13 patients (68%) were men, and the mean aneurysm size was $44.5{\pm}4.9mm$. The mean time from onset of illness to surgery was $14.5{\pm}2.4days$. Aortic continuity was restored in situ with a Dacron prosthesis (79%), homograft (16%), or Gore-Tex graft (5%). Soft-tissue coverage of the prosthesis was performed in 8 patients. The mean follow-up time was $43.2{\pm}11.7months$. The early mortality rate was 10.5%, and the 5-year survival rate was $74.9%{\pm}11.5%$. Conclusion: This study showed acceptable early and midterm outcomes of open repair of mycotic aneurysms. We emphasize that aggressive intraoperative debridement with soft-tissue coverage results in a high rate of success in these high-risk patients.