• 감성과학
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• 제19권2호
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• pp.89-100
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• 2016

Inclusive design is increasingly gaining attention, as some people find using products difficult after becoming physically impaired, despite daily use. However, making inclusive products is a challenge for designers or companies, as a lack of knowledge and tools stems their low involvement in it. Developing inclusive design tools is thus needed. This study developed criteria to assess upper extremity capabilities corresponding to specific daily activities. A questionnaire survey was conducted among 58 physiatrists and orthopedists. Non-parametric statistics were employed and medians were adopted as representative scores in the assessment criteria based on normality and reliability test results, non-normal data, and strong reliability of respondents in ranking. Consequently, an assessment tool was developed with 14 criteria (divided into range of motion and strength) and capability scores between 0 and 100, which discerned the moderately impaired from the severely disabled and fully capable. Since the doctors agreed to adopt the criteria but assign numeric values, especially for mild impairments, their capability assessment perception was likely influenced by dichotomy. To compensate for these deficits, qualitative or ergonomic approaches are considered simultaneously.

• 한국환경복원기술학회지
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• 제14권1호
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• pp.11-22
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• 2011

This study was established to build and suggest the Ecological Performance Standards for replaced wetlands as the mitigation strategies for the construction projects. The request performance and assessment factors and standards were derived by bibliographic review and verified by the field survey for the reference wetlands. And the weights for each factor were derived by AHP(Analytical Hierarchy Process) method. The results are as follows : 1) Assessment factors were induced by in-depth research of many wetland assessment models and benchmarks evaluated ecological functions. This study proposed final 12 assessment factors through ecological specialist and experts interviews added with literature analysis. 2) 10 natural wetlands were selected as Reference Wetlands as the measure to propose assessment factors and assessment criteria. Those reference wetlands are well-conserved inland natural wetlands classified to the one having worthy to conserve (grade "high") according to RAM(Rapid Assessment Method). Reference wetlands chosen by the study are Parksilji, Jeongyangji, Mulkubi, Bawineupkubi, Jilnalneup, Jinchonneup, Doomoso, Haepyung wetland, Whangjeong wetland, and Whapo wetland. The research developed assessment criteria for the performance assessment factors based on several explorations of the reference wetlands. 3) "Requiring performance" of replaced wetlands is defined as "to carry out similar or same ecological functions provided by natural wetlands", in overall. The detailed requiring performances are as follows; ${\bullet}$ to play a role of wildlife habitats ${\bullet}$ to have biological diversity ${\bullet}$ to connect with other ecosystems ${\bullet}$ to provide water environment to perform good ecological functions 4) The assessment factors for required performance are categorized by wildlife habitat function, biological diversity, connectivity of adjacent ecosystem, and water environment. Wildlife habitat category is consisted of wildlife habitat creation, size of replacement wetland, and site suitability. Biological diversity category contains the number of plant species, the number of wildlife species, and number of protected species as the sub-factors. Connectivity of adjacent ecosystem is comprised of wildlife corridor, green network and distance from other ecosystem. Finally, water environment make up with water quality, depth of water body, and shape of waterfront. 5) Finally, every assessment factors were verified and weighted by the AHP methods and the final standards were proposed. The weights of factors of requiring performance suggested as habitat (0.280), connectivity (0.261), diversity (0.260), hydraulic environment (0.199). And those of detailed sub-factors are site suitability (0.118), protected species (0.096), distance to neighbor ecosystem (0.093), habitat creating (0.091), green corridor (0.090) etc.

• 대한인간공학회지
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• 제34권1호
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• pp.29-43
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• 2015

Objective: The aim of this study is to develop management guidelines and a procedure for an anthropometric suitability assessment of the main control room (MCR) in nuclear power plants (NPPs). Background: The condition of the MCR should be suitable for the work crews in NPPs. The suitability of the MCR depends closely on the anthropometric dimensions and ergonomic factors of the users. In particular, the MCR workspace design in NPPs is important due to the close relationship with operating crews and their work failures. Many documents and criteria have recommended that anthropometry dimensions and their studies are one of the foremost processes of the MCR design in NPPs. If these factors are not properly considered, users can feel burdened about their work and the human errors that might occur. Method: The procedure for the anthropometric suitability assessment consists of 5 phases: 1) selection of the anthropometric suitability evaluation dimensions, 2) establishment of a measurement method according to the evaluation dimensions, 3) establishment of criteria for suitability evaluation dimensions, 4) establishment of rating scale and improvement methods according to the evaluation dimensions, and 5) assessment of the final grade for evaluation dimensions. The management guidelines for an anthropometric suitability assessment were completed using 10 factors: 1) director, 2) subject, 3) evaluation period, 4) measurement method and criteria, 5) selection of equipment, 6) measurement and evaluation, 7) suitability evaluation, 8) data sharing, 9) data storage, and 10) management according to the suitability grade. Results: We propose a set of 17 anthropometric dimensions for the size, cognition/perception action/behavior, and their relationships with human errors regarding the MCR design variables through a case study. The 17 selected dimensions are height, sitting height, eye height from floor, eye height above seat, arm length, functional reach, extended functional reach, radius reach, visual field, peripheral perception, hyperopia/myopia/astigmatism, color blindness, auditory acuity, finger dexterity, hand function, body angle, and manual muscle test. We proposed criteria on these 17 anthropometric dimensions for a suitability evaluation and suggested an improvement method according to the evaluation dimensions. Conclusion: The results of this study can improve the human performance of the crew in an MCR. These management guidelines and a procedure for an anthropometric suitability assessment will be able to prevent human errors due to inadequate anthropometric dimensions. Application: The proposed set of anthropometric dimensions can be integrated into a managerial index for the anthropometric suitability of the operating crews for more careful countermeasures to human errors in NPPs.

• 대한물리의학회지
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• 제16권1호
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• pp.93-101
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• 2021

PURPOSE: This study examined the effects of a myofascial release technique with preservation physical therapy on low back pain, range of motion, and physical function of patients in acute traffic accidents METHODS: Twelve patients with traffic accidents were divided randomly into two groups of six patients each who met the selection criteria. The training was conducted for 45 minutes each time, for two weeks and four times per week. The experimental group received four myofascial release techniques and with preservation physical therapy. The control group received only preservation physical therapy. RESULTS: The VAS test result was statistically significant after the intervention in both groups (p < .05). After the intervention, there was no significant difference between the experimental group and control group. The Schober test result was statistically significant after the intervention in both the experimental and control groups (p < .05), and there was a significant difference between the experimental group and control group after the intervention (p < .05). The KODI assessment result was significant after the intervention in both the experimental and control groups (p < .05), and there was a significant difference between the experimental group and control group after the intervention (p < .05). CONCLUSION: The myofascial release technique with preservation physical therapy had a positive effect on low back pain, range of motion, and body function in acute traffic accident patients.

• 정신신체의학
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• 제11권2호
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• pp.205-213
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• 2003

목 적: 본 연구에서는 집단인지행동치료의 장기적 치료효과를 평가해 보고자 하였으며, 12개월 추적 연구에서 환자들의 상위 최종상태기능을 예측해 볼 수 있는 치료적 변인을 확인하고자 하였다. 방 법: 공황장애로 진단받고 집단인지행동치료를 받은 329명의 환자들을 대상으로 12개월 추적 연구를 하였으며, 최종적으로 분석에 포함된 환자들은 236명이었다. 12개월 추적 연구에서 환자들의 최종상태기능을 확인하였으며, 상위 최종상태기능 집단(HES)과 하위 최종상태기능 집단(LES)을 판별해주는 변인을 알아보기 위해서, 치료 전의 임상적 변인을 대상으로 단계적 판별분석을 실시하였다. 결 과: 집단 인지행동치료를 실시한 후, 12개월 추적 연구 시 75%의 환자들이 상위 최종상태기능을 유지하고 있는 것으로 나타났다. 12개월 추적 연구 시 상위 최종상태기능 집단과 하위 최종상태기능 집단을 판별해 주는 변수로 치료 전에 실시한 BDI(Beck Depression Inventory)와 BSQ(Body Sensation Questionnaire)가 유의미한 것으로 나타났으며, 정확 판별율은 69.2%였다. 결 론: 본 연구를 통하여 공황장애의 집단인지행동치료 이후에 12개월 이상 장기적으로 치료적 효과가 유지됨을 알 수 있었다. 특히 치료 전, 후 변인을 대상으로 판별 분석을 실시한 결과, 우울감이 적고 신체적 증상을 덜 예민하게 경험하는 사람들일수록 인지행동치료의 효과가 장기적으로 잘 유지된다는 사실을 확인할 수 있었다.

• 한방재활의학과학회지
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• 제32권3호
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• pp.131-140
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• 2022

Objectives This study aimed to investigate whether the concurrent use of conventional and herbal medications affects liver and kidney function, by examining blood test data. Methods We retrospectively reviewed the electronic medical records of 590 inpatients with musculoskeletal diseases between 2013 and 2017. We investigated cases of drug-induced liver injury (DILI) according to the Roussel Uclaf Causality Assessment Method criteria and cases of drug-induced kidney injury (DIKI) based on the Kidney Disease Improving Global Outcomes definition. Results One case (0.17%) of DILI and one case (0.17%) of DIKI were identified. Significant improvements in serum laboratory data were observed after the concurrent use of both types of medications (p<0.05). The kappa coefficients ranged from 0.26 to 0.72, indicating that the values after the concurrent use of conventional and herbal medications showed a fair similarity to the baseline values of the patients. The linear regression test showed that female sex and high body mass index (BMI) were risk factors for an increase in the serum blood levels of liver function parameters. Conclusions The concurrent use of conventional and herbal medications for musculoskeletal disorders is relatively safe; however, clinicians should exercise caution when prescribing these medications to female patients and patients with a high BMI because of their potential effect on hepatic function.

• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.779-790
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• 1997

본 연구는 목과 상지의 누적외상성장애를 호소하는 대상자들중에서 근막동통증후군으로 진단받은 환자군과 단순 증상호소군인 대조군사이에서 검사결과의 분석을 통하여 집단 검진시 고려해 볼 수 있는 검사항목을 찾고자하였다. 조사대상은 컴퓨터를 통한 자료검색 및 대화형태의 업무를 하는 여성 전화교환원 904명이었으며, 근막동통증후군으로 진단받은 105명의 환자군과 상지의 누적외상성장애의 증상만을 호소하는 550명의 대조군을 비교하여 다음과 같은 결론을 얻었다. 1. 신체계측과 악력 및 Pinch strength 측정결과, 키와 몸무게, 앉은 자세의 높이 등에서는 환자군과 대조군의 차이가 없었으나, 약력은 환자군의 우측손이 대조군보다 유의하게 낮았으며, Pinch strength는 두 군간의 유의한 차이는 없었다. 2. 시각적 상사척도는 환자군의 평균값이 $6.74{\pm}2.29$이며, 대조군은 $4.37{\pm}2.32$으로 나타나 두 군간 뚜렷한 차이를 보였다. 3. 근육효소검사에서는 비정상으로 분류된 이상자의 분포가 환자군과 대조군에서 유사한 분포를 보여 실제 진단과정에 미치는 영향은 미비한 것으로 나타났다. 4. 다중 로지스틱 회귀분석을 이용한 유의한 변수는 나이, 우측 상부승모근의 압통역치값과 시각적 상사척도로 나타났다. 5. 압통역치검사와 시각적 상사척도는 근막동통증후군의 진단에 객관적 검사로서 고려할 만한 검사로 나타났다.