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고령의 대퇴 전자간 분쇄골절에서 대전자부 재부착 기구를 이용한 양극성 고관절 반치환술
김진학 ( Jin Hak Kim ),이송 ( Song Lee ),정순영 ( Soon Young Jeong ),박준성 ( Joon Seong Park ),서윤형 ( Youn Hyung Seo ) 대한고관절학회 2004 Hip and Pelvis Vol.16 No.4
목적: 전신상태가 불량한 고령의 대퇴 전자간 분쇄골절 환자에 있어서 대전자부 재부착 기구를 이용하여 시멘트성 양극성 반치환술을 시행 후 결과를 분석하였다. 대상 및 방법: 2001년 1월부터 2002년 1월까지 75세 이상의 대전자부 골절 환자에서 상기 방법으로 수술을 시행한 환자 중 1년 6개월 이상 추시가 가능했던 12예를 대상으로 하였다. 술 후 임상적 평가로는 Harris 고관절 점수와 Johnson의 일상생활 기능 평가를 사용하였고, 방사선학적 평가로는 Barrack의 골시멘트 점수 평가 방법에 따라 평가 하였다. 결과: 술 후 Harris 고관절 점수는 평균 72점이었고 일상생활 기능 평가에서는 보통 이상의 결과가 9예 이었으며, Barrack 방사선학적 평가는 8예에서 양호한 압박화를 보여 주었다. 기존 질환이 있어 자세유지가 불가능한 환자 1예에서 술 후 3주에 탈구가 발생하였으나 방사선 투시하 비관혈적 방법으로 정복 후 고관절 외전 보조기로 유지하여 치료하였다. 결론: 고령의 대퇴 전자간 분쇄골절에 대전자부 재부착 기구를 이용한 시멘트성 양극성 반치환술은 제한된 적응증에도 불구하고 유용한 치료방법이라 생각된다. Purpose: This study was performed to analyze the outcome of cemented bipolar hemiarthroplasty using the greater trochanter reattachment device (GTRD) for comminuted intertrochanteric fracture in elderly patients. Materials and Methods: From January 2001 to January 2002, 12 patients 75 years or older underwent cemented bipolar hemiarthroplasty using GTRD for comminuted intertrochanteric fracture. They were followed up for more than one year and six months. We evaluated the postoperative Harris hip score (HHS) and their daily activities of life, and we assessed radiological results using Barrack`s cement score. Results: The mean postoperative HHS was 72 points. In rating the daily activity of life, nine of the patients` postoperative results were above fair. According to Barrack`s cement scoring system, eight patients had excellent or good radiologic results. One patient had a hip dislocation that was successfully managed by closed reduction and an abduction brace. Conclusion: In spite of its known limitations, cemented bipolar hemiarthroplasty using GTRD is a useful treatment method for comminuted intertrochanteric fractures.
김진학 ( Jin Hak Kim ) 한국복음주의선교신학회 2014 복음과 선교 Vol.25 No.-
This study is focused on “all nations` mission through Isaiah 24-27,” which is called “a little Apocalyptic” and considered as one of the difficult chapters to understand. To do so, first of all, we will tackle a theological interpretation of the city in Isaiah 24-27 from the point of view of God`s judgment and salvation. The main reason for this study is that in Isaiah 24-27, the city plays a very significant role. Regarding the study of the city, even though there has been notable progress, the main problem persists, namely, that previous approaches have focused on the identification of the historical city and its literary meaning. The implication is that the role and function of the city from a theological perspective, especially connected to all nations` mission has been overlooked. In other words, from the study of the problems associated with Isaiah 24-27, it can be observed that many scholars neglect the theological message or the understanding of the city as a proper subject of theological inquiry and mission. Through the prophetic genre of judgement and salvation, the narrator challenges the audience/reader to change their minds and attitudes, especially about the city. The challenge is that the fortified city alone wouldnever provide safety and peace but rather bring God`s judgment. In contrast, God alone provides salvation and protection through God`s reign on Mount Zion/Jerusalem. The vision of God`s judgment included the whole earth and the powers of heaven as well as the kings of the earth. This judgment will take place when the Lord exercises direct reign and rule in Jerusalem/Zion. In this Mount Zion, the people of Israel and all peoples/nations are invited to the “Messiahnic banquet” which God will prepare for them. Furthermore, God will himself wipe away the tears from all faces and will destroy the shroud that enfolds all nations. That is the sign of God`s perfect mission and salvation for his people and all nations in eschatological time. The remnant of exiled Israel included all peoples will gathered together to the holy mountain of Jerusalem/Zion to worship and celebrate His salvation.
모형실험을 이용한 토석류 발생 및 유하구간의 경사별 철강재 바닥스크린의 포착효과 규명
김진학 ( Jin Hak Kim ),전근우 ( Kun Woo Chun ),김석우 ( Suk Woo Kim ),윤주웅 ( Ju Ung Yun ),김용래 ( Yong Rae Kim ),이윤태 ( Yon Tae Lee ) 한국임학회 2014 산림과학 공동학술대회 논문집 Vol.2014 No.-
토사처리 공간이 제한적인 도시생활권의 산지계류에서 토석류를 효과적으로 포착·차단할 수 있는 신공법인 바닥스크린의 적용 가능성을 파악하고 있다. 모형실험은 수로구간과 퇴적구간으로 구분하여 제작하였고, 바닥스크린 부재의 직경은 6mm로 하였다. 실험은 모형수로의 발생·유하·퇴적구간의 경사를 각각 [40˚, 20˚, 2˚]·[30˚, 15˚, 2˚]·[20˚, 10˚, 2˚]의 세 가지 경우로, 각각의 바닥스크린 순간격은 3mm·9mm·15mm로 하였다. 토석류를 가정한 공급재료는 유목, 토석 및 유목+토석의 세 가지로 하여진행하였고, 총 36개의 경우를 대상으로 5회씩 총 180회의 실험을 실시하였다. 실험결과, 발생·유하구간의 경사가 증가할수록 스크린 상의 상부에서 중점적으로 포착되던 공급재료의 포착범위가 점차 하부로 확대(0cm~40cm→0cm~50cm)되었고, 동시에 측면으로 유출되는 양이 증가함에 따라 포착율은 점차 감소(44.7%→31.3%)하는 것으로 나타났다. 또한, 바닥스크린의 순간격이 너무 작거나(3mm) 큰 경우 (15mm)는 토석과 유수의 분리가 효과적으로 이루어지지 않는 것으로 나타났다. 따라서, 바닥스크린의 현장적용 시에는 계상재료의 크기와 유출특성을 고려하여 규모와 순간격을 결정해야 하며, 향후 측면으 로 유출되는 토석류를 방지하기 위한 측면스크린의 적용 및 퇴적토사의 처리방안에 대해서도 검토할 예정이다. 이 연구는「산림과학기술개발사업(과제번호: S111213L050110)」의 지원에 의하여 수행되었다. This study was made in order to find out the adaptability of float-board screen as a new technology to effectively capture and block debris flow from mountain streams of urban living zone where there would be limited space for soil treatment. For the model experiment, a model waterway produced separately for waterway span and sediment span was used and the diameter of the float-board material was 6mm. The experiment was conducted for 3 cases of slops for waterway``s creating, flowing and discharging span; [40˚, 20˚, 2˚]·[30˚, 15˚, 2˚]·[20˚, 10˚, 2˚] respectively, and the net spacing of the float-board screen was set to 3mm·9mm·15mm respectively for each case. The supply materials assumed as debris flow were 3 kinds; wood, sand & stone, wood + sand & stone. The experiments were conducted total 180 times repeating 5 times for 36 cases. The result showed that, as the slope of waterway``s creating and flowing span increased(0cm~40cm→0cm~50cm), the capturing area of the supply materials that had been captured mainly at the upper part of the screen were expanded toward the lower part of the screen gradually(44.7%→31.3%), and as the amount of flow leaking aside increased, the capture rate decreased. It also showed that the separation of sand & stone from flow was not effectively made in case the net spacing of the float-board screen was too small(3mm) or too large(15mm). Therefore, it is deemed that the scale and the net spacing of float-board screen should be determined in consideration of the size and flow characteristic of stream-bed material when applying it on actual sites. Further studies shall be made on the application of side screens to protect debris flowleaking aside and the solutions to treat sediment. This study was conducted with the support of ``Forest Science & Technology Projects(Project No. S111213L050110)`` provided by Korea Forest Service.