• Journal of Digital Convergence
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• v.15 no.2
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• pp.225-232
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• 2017

This study aimed to identify worker groups that are to accidents and to track the changes in their socioeconomic status there after. We analyzed the Korean Labor and Income Panel Study (KLIPS) database(2001-2006) were recorded according to the participant's economic activity status at the beginning of follow-up, and economic activity status was. During the follow-up period, the unemployed group experienced more accidents that resulted in disability than the economically active group. Interestingly, the unemployed group also had the highest industrial accident rate. Among the employed, daily and unpaid family workers were more vulnerable to disabilities. After the accidents, the participants tended to become economically inactive or unemployed. Compared to other worker groups, the economically inactive, unemployed, and daily and unpaid family workers experienced higher rates of accidents and faced graver conditions as a result. Although they constitute a significantly large part of society, these vulnerable workers are not currently covered by any social security measures, such as accident surveillance, training, and accident insurance. Social policy should therefore be directed toward protecting these vulnerable worker groups.

• Journal of Yeungnam Medical Science
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• v.14 no.1
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• pp.227-236
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• 1997

발꿈치는 신체의 다른부위에 비하여 엄청난 하중을 지탱하고 있으며, 주행시에는 막대한 전단력을 받으므로 그 재건에 있어서 어려운 점이 있다. 그 동안 발꿈치의 연부조직 결손을 재건하기 위한 많은 방법들이 개발되어 왔지만, 비교적 큰 발꿈치의 연부조직 결손을 재건하는 것은 아직도 쉬운 일이 아니다. 이처럼 큰 결손의 재건에는 주로 유리 피판술을 이용한 재건술을 사용하는데, 그 중에서도 광배근, 복직근, 대퇴박근 등의 근육을 이용하는 방법이 최근에 많이 이용되고 있다. 이와 같은 유리 근 피판에 피부이식을 이용하는 발꿈치 재건술은 표재성 감각기능을 재건하지 못하는 것이 단점으로 지적되고 있으나, 보행 또는 주행시 발꿈치에 가해지는 압력과 전단력을 효과적으로 견디어 낼 뿐아니라, 외관상으로도 정상에 가까운 발꿈치를 재건할 수가 있어서 좋은 방법으로 인정되고 있다. 특히, 대퇴박근은 피판을 비교적 쉽게 채취할 수 있고, 공여부에 기능적인 장애나 심한 변형을 남기지 않아서 좋은 방법이라 생각된다. 다만 크기가 비교적 작아서, 발등이나 족관절 상부에까지 이르는 광범위한 연부조직 결손에서는 사용할 수 없는 점이 아쉽다. 저자는 비교적 가늘고 긴, 대퇴박근의 형태적 특징을 최대한 이용하여, 결손부의 다양한 형태 및 크기에 따라 대퇴박근을 말발굽형, 나선형, S-자형 등으로 적절히 형상화하여 발꿈치 결손을 효과적으로 재건하는 방법을 고안하였다. 또한, 공여부에 긴 선상 반흔이 남는 것을 피하기 위하여 두 개의 작은 절개를 통해서 대퇴박근을 채취하였다. 이 방법을 이용하여 영남대학교 의과대학 성형외과학 교실에서는 1993년 이후부터 7명의 비교적 큰 발꿈치의 연부조직 결손 환자를 대상으로 유리 대퇴박근 피판술을 이용한 재건술로 성공적인 결과를 얻을 수 있었다.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.26 no.1
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• pp.9-18
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• 2020

Background: The aim of this study is for the effects of upper trapezius (UT) inhibition on round shoulder posture (RSP) index, pectoralis minor index (PMI), UT activity and neck disability index (NDI) in adults with RSP. Methods: 30 male and female participants with RSP were included in this study. The participants were divided into two groups: experimental group (EG) and the control group (CG). the EG received UT inhibition 3 days a week for 5 weeks those in the CG did not receive UT inhibition. Results: RSP index, PMI, UT activity and NDI were measured again, There was a significant difference within the EG at pre- result and post-results. Conclusion: These results suggest that UT inhibition with an RSP program was effective in decreasing the RSP index, UT activity, and NDI in adults with RSP.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.11 no.1
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• pp.74-91
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• 2005

척추의 기본적인 생체 역학적 기능은 신체 부분간의 운동을 허용하고 척수와 신경근을 보호하는 것으로서 이러한 기능을 수행하기 위해서는 척추의 역학적 안정성이 필수적이다. 척추의 안정체계는 수동적 근 골격계, 능동적 근 골격계, 그리고 신경계의 세 가지 하부체계로 나누어지며 이들 하부체계는 각각 독립적으로 안정성에 관여하고 있다. 경추의 불안정성의 문제는 비정상적으로 증가된 추간관절의 운동에 의해 염증성의 신경을 압박 또는 신장하거나 또는 통증수용기가 많이 분포하는 인대, 관절낭, 섬유륜과 종판에 비정상적인 변형을 일으키는 것을 말한다. 안정성의 장애는 근육의 기능적 측면에서 국소적 안정체계와 포괄적 안정체계의 문제로 구분할 수 있다. 불안정한 경추 환자의 임상적 양상은 일반적으로 머리가 앞으로 나오고 전방 전위된 자세로 견갑대와 승모근 상부의 과활동성을 나타낸다. 또한 능동운동은 감소되지 않으나 수동운동에서 분절의 회전운동과 병진운동의 증가와 종말감의 변화가 있다. 경추의 불안정성을 관리하기 위한 실험적 연구로 전반적인 근육 훈련, 고유수용기 훈련, 그리고 도수치료의 세 가지 주된 접근법이 있고 실제적인 접근법으로는 고유수용성 재활프로그램, 칼텐본-에반스 접근법, 그리고, 슬링운동법 등이 있다. 각 방법들은 임상에서 나름대로의 이점이 있으며 환자의 상태에 따라 이들 방법을 단독으로 또는 병행해서 적용할 수 있을 것이다. 그러나 경추에서 이러한 방법들의 효과를 입증하는 증거는 부족하여 앞으로 이러한 방법에 대한 임상적 경험보다는 그 효과를 입증할 수 있는 연구가 필요하다고 본다.

• Korean Journal of Occupational Health Nursing
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• v.14 no.1
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• pp.5-15
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• 2005

Purpose: The purpose of this study are to identify the influencing factors on work-related musculoskeletal disorders of women workers. Method: Data were collected by questionnaires from 616 women workers from in such industries as electronics, food product, garment product and analyzed using descriptive statistics, multiple logistic regression. Result: As its result, 71.3% of female manufacturing workers had musculoskeletal symptom. When Multiple logistic regression analysis on factors relating to musculoskeletal symptoms was carried out, age, work posture, job demand, type of industry, working hour, type of work, family support were statistically significant variables. Conclusion: In conclusion, this study identifies that age, work posture, job demand, type of industry, working hour, type of work, family support are important factors affecting WMSDs.

• Journal of Korean Orthopaedic Sports Medicine
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• v.11 no.2
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• pp.92-95
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• 2012

Iliacus muscle tears are a rare injury seen after the high-energy trauma or as a result of low-energy injuries in patients with a bleeding diathesis as coagulopathy, receiving anticoagulation therapy and hemophiliac. Femoral nerve palsy due to compression from a hematoma by iliacus muscle rupture are rarely reported. Routine evaluation includes MRI to confirm and define the pathologic abnormality supplemented by EMG and nerve conduction studies to evaluate patterns and extent of femoral nerve injury. Hematologic evaluation for bleeding diathesis may preceded, if suspicion of coagulopathy is present. We report the case of a healthy 32-year-old male with iliacus rupture and concomitant femoral nerve palsy sustained by kicking motion during soccer game. After 6 months of observation with non-operative treatment regimen, satisfactory results were obtained, so we report it with a review of the literatures.

• The Journal of the Convergence on Culture Technology
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• v.9 no.4
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• pp.393-399
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• 2023

Upper limb amputees wear an upper limb prosthesis for both aesthetic purposes and functional necessity, and in particular, in the case of amputee with both hands, it is essential to wear a myoelectric prosthetic hand capable of gripping action. The prosthetic hand operated by the EMG signal of the remaining muscles is a public insurance benefit item of the Industrial Accident Compensation Insurance, and test method standards are needed to be developed for the safety of the user and the effectiveness of the product performance. In this study, we developed systems for measuring the gripping force of myoelectric hand prosthesis by a load cell and for durability test of the prosthesis over repeated use with a proximity sensor, and propose a test method standard. Since the international test method standard has not yet been established, it is expected that Korea will be able to play a leading role in this standardization field in the future.

• Korean Journal of Psychosomatic Medicine
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• v.21 no.2
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• pp.81-92
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• 2013

Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

• Journal of Biomedical Engineering Research
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• v.25 no.2
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• pp.145-150
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• 2004

In this study for the prosthesis of the spatial and directional sensation for the blind, an ultrasonic scale system and an electronic compass system were developed. The ultrasonic scale utilizes 40 ㎑ sound for the detection of distance to the barrier and the spatial information is transferred to the blind by various sound interval, which is proportional to the distance. The electronic compass utilizes a magnetoresistor bridge for the detection of the magnetic field strength of earth in horizontal plane. The information for the direction of the earth's north is transferred by tactile stimuli by a vibrating motor band around upper head. Detection distance of the ultrasonic scale is ranged from 0.065 to 3.26 meters, and the detection angle resolution of the electronic compass is about 22.5 degrees. The integrated system of the ultrasonic scale and the electronic compass was developed. Distance information is converted to the location of the tactile stimulation along the clockwise direction by a vibrating motor according to the distance installed around upper head of the blind. The intent of this article is to provide an practical prosthetic tool of spatial and directional sensation for the blind. Daily practice of this system will improve the usefulness of this system.

• Journal of The Korea Institute of Healthcare Architecture
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• v.15 no.2
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• pp.23-30
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• 2009

The purpose of this study is to suggest planning directions of architectural integrates model by analysing the foreign case of integrated services for the aged and the disabled. For this study, we have researched on three different aspects. Three aspects are the element of barrier-free, architectural planning, information technology and operation. Based on the analysis of overseas examples, the good circumstance for both the disabled and the elder as one of member in the local societies could be defined like the following conditions: that is, (1) IT technology facilitates both barrier-free architecture and life to be easier and safer, and (2) both the disabled and the elder in local societies live together with the non-disabled in the same community. To realize this purpose, for a short-term plan, the system of feedback, examining the results of the research through the examples of housing plan, should be improved. In addition to, the system of public service, such as introducing the institutes for social educations, should be developed to result in the change of social insight. For a long-term plan, the whole society should have the research and plan of the unified model in a dimension of cities, where the network of public welfare is deeply associated with the system of the architecture, traffic, streets, and living-supporting information.