• 한국전자통신학회논문지
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• 제17권3호
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• pp.491-498
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• 2022

우리의 일상생활에서 양질의 수면은 행복 지수와 밀접한 관계가 있다. 사람들은 수면 장애를 만성 질환으로 인식하든 아니든 많은 어려움을 호소하고 있으며 일상생활에서 수면 중에 호흡 곤란을 경험하는 경우가 종종 발생한다. 수면 중에 호흡 관련 장애를 자동으로 인식하는 것은 매우 중요하나 현실적으로 매우 어렵다. 본 논문은 이러한 문제를 해결하기 위해 가정에서 건강관리를 위해 모바일 기반의 비접촉 수면 모니터링을 제안한다. 수면 중 호흡 신호는 스마트 폰의 소리 센서를 이용하여 호흡 신호를 수집하고, 신호의 특징을 추출, 호흡의 주파수, 진폭, 호흡의 주기, 호흡의 패턴을 분석한다. 모바일 건강이 모든 문제를 해결하지는 못하나 개인의 건강 상태의 조기 발견과 지속적인 관리를 목적으로 하고, 일반 가정의 침실에서 스마트 폰으로 추가 센서 없이 수면 중에 호흡과 같은 생리학적 데이터 모니터링의 가능성을 보여준다.

• Journal of Trauma and Injury
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• 제35권3호
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• pp.202-208
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• 2022

Purpose: There is limited research on the effects of neuropathic pain (NP) on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries. This study evaluated whether patients with combat-related extremity injuries with and without NP had differences in quality of life, sleep quality, and depression levels. Methods: A total of 98 patients with combat-related extremity injuries, 52 with NP and 46 without, were included in this cross-sectional study. The presence of NP was determined using the Leeds Assessment of Neuropathic Symptoms and Signs questionnaire. The outcome measures were a visual analogue scale (VAS), the 36-Item Short Form Survey, the Beck Depression Inventory, and the Pittsburgh Sleep Quality Index (PSQI). Results: The VAS subparameter scores for pain (all P<0.05), PSQI sleep dur ation subscale scores (P=0.025), PSQI sleep disturbance subscale scores (P=0.016), and PSQI total scores (P=0.020) were significantly higher in patients with NP than those without. Logistic regression analysis showed that VAS scores of 5 and above for average pain during the previous 4 weeks contributed independently to the prediction of NP. Conclusions: Patients with combat-related extremity injuries with NP had more pain and poorer sleep quality than those without NP. Sleep quality should be evaluated as part of the diagnostic work-up in patients with combat-related extremity injury with NP, and interventions to improve sleep quality may help manage NP in this patient group.

• Geomechanics and Engineering
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• 제29권2호
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• pp.99-111
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• 2022

Instability of bolted rock mass has been a major hazard in the underground coal mining industry for decades. Developing effective support guidelines requires understanding of complex bolted rock mass failure mechanisms. In this study, the dynamic failure behavior, mechanical behavior, and energy evolution of a laboratory-scale bolted specimens is studied by conducting laboratory static-dynamic coupled loading tests. The results showed that: (1) Under static-dynamic coupled loading, the stress-strain curve of the bolted rock mass has a significant impact velocity (strain rate) correlation, and the stress-strain curve shows rebound characteristics after the peak; (2) There is a critical strain rate in a rock mass under static-dynamic coupled loading, and it decreases exponentially with increasing pre-static load level. Bolting can significantly improve the critical strain rate of a rock mass; (3) Compared with a no-bolt rock mass, the dissipation energy ratio of the bolted rock mass decreases exponentially with increasing pre-static load level, the ultimate dynamic impact energy and dissipation energy of the bolted rock mass increase significantly, and the increasing index of the ratio of dissipation energy increases linearly with the pre-static load; (4) Based on laboratory testing and on-site microseismic and stress monitoring, a design method is proposed for a roadway bolt support against dynamic load disturbance, which provides guidance for the design of deep underground roadway anchorage supports. The research results provide new ideas for explaining the failure behavior of anchorage supports and adopting reasonable design and construction practices.

• 대한한방내과학회지
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• 제43권5호
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• pp.951-959
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• 2022

Objectives: The aim of this study is to describe the effects of treatment with traditional Korean medicine on a patient with multiple cerebral infarction caused by posterior cerebral artery occlusion. Methods: The patient was treated with herbal medicine (Yikgeebohyul-tang) and acupuncture. The effects of these treatments were evaluated using the Manual Muscle Test, the Korean version of the Modified Barthel Index, the Modified Rankin scale, and a subjective percentage of sensation in the left lower extremity and face. Results: After treatment, the Modified Rankin Scale score, subjective percentage of sensation in the left lower extremity, and gait disturbance improved. Conclusion: The results suggest that traditional Korean medicine may be effective for treating the symptoms of multiple cerebral infarction caused by posterior cerebral artery occlusion.

• 대한한방내과학회지
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• 제43권6호
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• pp.1122-1133
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• 2022

Objectives: The aim of this study was to retrospectively evaluate the efficacy and safety of Ongyeong-tang (OGT) in the treatment of insomnia in patients afflicted with neurological diseases, according to the medical records of one medical institution. OGT is a herbal prescription that originates from the "Synopsis of Prescriptions of the Golden Chamber" and has been used for menopausal symptoms, uterine diseases, skin diseases, insomnia, and other neuropsychiatric symptoms. Methods: Medical records of patients who visited Kyung Hee University Korean Medicine Hospital from January 1, 2021 to June 30, 2022, received outpatient or inpatient treatment, and met the inclusion criteria were used in this study. Results: Twenty-four patients satisfied the inclusion criteria and were included. The Pittsburgh Sleep Quality Index-Korean version (PSQI-K) score was used to evaluate the outcomes before and after treatment. After an average of 14.42±9.2 days of OGT extract intake, 20 patients (83.3%) experienced improvement. The remaining four (16.7%) had no change in their symptoms, but none demonstrated worsening of symptoms. The total PSQI-K score showed a statistically significant decrease from 13.08±4.54 to 10.42±4.58 (p<0.001). Sleep quality, sleep duration, sleep disturbance, use of sleeping medications, and daytime dysfunction also showed statistically significant improvements. Conclusions: Administration of OGT extract may be a relatively safe and effective therapeutic option for insomnia in patients with neurological diseases.

• 한국물환경학회지
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• 제39권4호
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• pp.329-342
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• 2023

Turbid water and suspended sediment (SS) load are having negative consequences such as water quality degradation and ecological damage, thus necessitating the establishment of management guidelines to reduce their impact. The present work investigates the spatio-temporal distribution of fish species and the effects of turbid water from 2011-2016 in the upper reaches of Soyang-Dam. The family Cyprinidae is the largest population in the study area, among which Zacco platypus and Zacco koreanus are the dominant species. The diversity of species is relatively abundant in the upper watershed, while the seasonal effect on the population distribution remains unclear. Using two main common components of the empirical orthogonal function (EOF) analysis, the distribution characteristics of 27 species at five survey sites are revealed. Zacco koreanus is found to be predominant at the upstream A-Naerincheon, while Zacco platypus and Rhinogobius brunneus are found to be predominant at the upstream B-Bukcheon. Disturbance of an aquatic ecosystem has a relatively greater impact in the downstream, as-compared to the upper area-the high proportion of forest area is decreased whereas that of agricultural and urbanized areas is increased. The patterns of representative species are changed according to the mid- to long-term effects of turbid water and SS. Accordingly, the significant correlation between the SS load and fish distribution EOF analysis indicates that it should be considered as a potential alternative that can overcome the limitations of impact assessment on turbid water to the Fish Assessment Index (FAI). A comprehensive study examining the long-term effects of SS load to the fish ecosystems with a systematic statistical analysis of sufficiently accumulated data at the national level is needed as future research.

• Korean Journal of Acupuncture
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• 제40권2호
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• pp.44-53
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• 2023

Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.207-213
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• 2023

Objective: The purpose of this study was to understand the complex anatomical structure and function of the midbrain to better understand the patient's symptoms and plan effective treatment including pharmacological and rehabilitation interventions. Design: A single case study Methods: A 17-year-old girl presented with acute onset of drowsiness, gait disturbance, mutism, and ptosis. Physical examination revealed postural instability, rigidity of all limbs, and limitations in extraocular movement. The brain MRI revealed an isolated acute infarction in the bilateral midbrain. Considering the location of the infarction, the presenting symptoms were the result of an impairment of the dopaminergic pathway in addition to lesions in the nuclei of the oculomotor nerve. Levodopa/carbidopa was prescribed. And the intensive and comprehensive rehabilitation program was done. Results: As a result of the study, through comprehensive intervention, which encompassed assessments such as the manual muscle test, Korean Modified Barthel Index score, and Trail-making test, significant enhancements in the patient's condition were observed. These findings provide evidence supporting the effectiveness of the intervention in promoting the patient's physical functioning and overall well-being. Conclusions: The results of this case highlight the significance of comprehending the intricate anatomical structure and functional aspects of the midbrain, which led us to approach appropriate pharmacological and rehabilitation interventions. Through active communication among the medical team, we were able to establish a therapeutic plan, which demonstrated that effective treatment can be achieved.

• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.394-401
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• 2023

Background: Pregnancy is associated with a number of physical, emotional, and biological changes that can exacerbate maternal psychological disturbances, such as body image concerns and depression. Sleep disturbances during pregnancy can also have adverse impacts. This study aimed to determine the prevalence of depression, sleep disturbances, and body image concerns among pregnant women. The study also examined the relationship between these factors and pregnancy-related variables, such as bad obstetric history and whether the pregnancies were unplanned. Methods: A cross-sectional study of 146 pregnant patients was conducted at a tertiary care center over 15 months. The patients were administered the Beck Depression Inventory, Pittsburgh Sleep Quality Index, and Body Image Concern Inventory questionnaires. Contingency tables, Fisher exact test, and Spearman correlation were used to identify underlying relationships. Results: The prevalence of depression was 22.6%. Although body image disturbance was noted in only 2.7% of patients, 46.6% had poor sleep quality. Poor sleep was associated with primigravida status. Bad obstetric history and unplanned pregnancy were associated with depression. Depression was found to be significantly correlated with body image disturbances and poor sleep quality. Conclusion: Psychiatric disorders were prevalent during pregnancy. This study highlights the importance of screening for depression in pregnant patients. Counselling and caregiver education can be useful for mitigating psychological disturbances. Management of pregnancies by multidisciplinary teams that include psychiatrists could be immensely useful in improving the pregnancy experiences of patients.

• 한국지반환경공학회 논문집
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• 제25권4호
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• pp.5-12
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• 2024

간석지(공유수면) 내 단지를 조성하는 경우, 해안 퇴적지반 특성상 대규모 성토재가 필요하고, 단지공사 시 불가피하게 발생되는 연약점성토를 성토재료로 활용하는 것이 자원재활용 및 경제적 측면(소요토량감소)에서 필요한 실정이다. 본 연구에서는 연약점성토의 성토재활용에 따른 절취교란된 점성토의 압밀특성변화를 파악하고, 압밀침하량 설계방안에 대하여 제안하였다. 연구 대상지의 압밀시험결과를 통해 교란(절취)에 따른 압밀특성치 변화(압축지수감소, 선행하중산정불가)를 확인하였고, 점성토 성토층을 복합대상층(압밀대상 및 상재하중층)으로 산정(압밀침하량)하는 방안이 실제거동과 부합한 결과로 분석되었다.