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Postoperative Rehabilitation of Foot Fracture in Korean Medicine Treatment: Clinical Case Report (족부 골절수술 후 한방 재활치료의 효과: 증례보고)

  • Park, Na-Ri;Lee, Yun-Jin;Ahn, Hee-Duk;Yang, Doo-Hwa
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.165-172
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    • 2019
  • The objective of this study is to propose postoperative rehabilitation for foot fracture in Korean Medicine and to report its effectiveness. There were three patients who were got foot fracture surgery received korean medicine with acupuncture, herbal medicine, cupping and exercise treatment. Patients were evaluated numeric rating scale (NRS), range of motion (ROM), American Orthopaedic Foot and Ankle Society (AOFAS) ankle hindfoot score, foot function index (FFI) and EuroQol-5 dimension (EQ-5D) index. Case 1 and 2 were improved NRS from 6 to 3. Case 3 was improved NRS from 5 to 2. These cases were improved ROM in all directions, AOFAS score, FFI, EQ-5D and walking status. This study suggest that Korean medicine rehabilitation could be effective for patients who have received foot fracture operation.

Effect of Nurse-led Community Comprehensive Exercise Program for Elderly with Chronic Osteoarthritis (만성 골관절염 노인을 위한 지역사회 간호사 주도 복합운동 프로그램의 효과)

  • Baek, Hee Chong;Lim, WonJi
    • Journal of Home Health Care Nursing
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    • v.26 no.1
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    • pp.102-110
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    • 2019
  • Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

Vehicle Recognition of ADAS Vehicle in Collision Situation with Multiple Vehicles in Single Lane (한 차선 내 복수 차량이 존재하는 추돌 상황에서의 ADAS 차량의 차량 인식에 관한 연구)

  • Lee, Seohang;Park, Sanghyeop;Choi, Inseong;Jeong, Jayil
    • Journal of Auto-vehicle Safety Association
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    • v.11 no.2
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    • pp.44-52
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    • 2019
  • In this study a safety evaluation method is presented for a ADAS vehicle to be tested in collision situation when multiple vehicles are present on a single lane. Test scenarios are developed based on Euro-NCAP assessment scenarios, accident database and related simulation results in previous works. An automated evaluation system that is called as the K-target mover is used for active safety evaluation experiments. The experiments are conducted with two types of tests. First, the rear-end collision tests with 25% and 50% overlap for the test vehicle and target vehicle are conducted with the two kinds of test vehicles. On the other hand, the rear-end collision tests which include multiple vehicles in a single lane with 25% and 50% overlaps, are also conducted. Experimental results show that the test vehicles with ADAS cannot recognize the collision situation sometimes in the developed test scenarios, even in the case that the test vehicle showed stable performance in the simple overlap scenarios.

NOx Conversion Efficiency of SCR Diesel Vehicle Under Cold Start Condition (냉간 시동 조건에서의 SCR 경유자동차의 NOx 전환 효율)

  • Lee, Dong In;Yu, Young Soo;Park, Junhong;Chon, Mun Soo;Cha, Junepyo
    • Journal of ILASS-Korea
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    • v.23 no.4
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    • pp.244-253
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    • 2018
  • Recently, The ministry of Environment in korea have introduced Euro-6d temp which was strengthened at the same time as Europe. Small Light-duty passenger vehicles need the SCR system of after-treatment to meet enhanced emission regulations. However, SCR system has a low conversion efficiency in a low temperature less than 200 degree. In this study, the NOx conversion efficiency of SCR system was analyzed by installing a NOx sensors and a temperature sensors in a diesel vehicle. Also, in order to analyze the effect of the cold-start, the test was performed on the same RDE route and compared with the test of hot-start. As a result, SCR system has characteristics of low conversion efficiency under cold-start conditions.

Pharmacoacupuncture Treatment of Coccygodynia Caused by Perforating Cutaneous Nerve Entrapment Syndrome: Two Cases Report (관통피부신경 포착으로 발생한 꼬리뼈 통증 환자 약침치료 치험 2예)

  • Moon, Sori;An, Sunjoo;Choi, Seonghwan;Park, Seohyun;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.149-156
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    • 2019
  • This study was performed to evaluate the effectiveness of pharmacoacupuncture treatment of coccygodynia caused by perforating cutaneous nerve entrapment syndrome. Two patients were diagnosed as coccygodynia caused by perforating cutaneous nerve entrapment syndrome which pain was within the anatomical field of the nerve, worsened by pressure-inducing posture, no objective sensory loss and in presence of pin-point tenderness. They were treated by pharmacoacupuncture at perforating cutaneous nerve region penertrating the sacrotuberous ligament and local tenderness point of coccyx. The evaluation of clinical outcome was done by pain intensity numerical rating scale (PI-NRS), pressure pain threshold (PPT) and EuroQol five dimensions questionnaire (EQ-5D) index. After treatment, their PI-NRS was decreased, PPT and EQ-5D index were increased. The pharmacoacupuncture therapy at entrapment point of perforating cutaneous nerve could be an effective way to treat coccygodynia caused by perforating cutaneous nerve entrapment syndrome.

A Study on the V2V Safety Evaluation Method of AEB (AEB의 V2V 안전성 평가 방법에 관한 연구)

  • Kwon, Byeong-Heon;Lee, Seon-Bong
    • Journal of Auto-vehicle Safety Association
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    • v.11 no.1
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    • pp.7-16
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    • 2019
  • There are trying to reduce damage from automobile accident in many countries. In many automobile companies, there have been active study on development of ADAS (Advanced Driver Assistance Systems) for commercialization, in order to reduce damage from automobile accident. ADAS is the system providing convenience and safeness for drivers. Generally, ADAS is composed of ACC (Adaptive Cruise Control), LKAS (Lane Keeping Assist System), and AEB (Autonomous Emergency Braking). AEB of the ADAS, it is an autonomous emergency braking system and it senses potential collide and avoids or degrades it. Therefore AEB plays a significant role in reducing automobile accident rate. However, AEB safety evaluation method is not established not yet. For this reason, this study suggests safety evaluation scenarios with adding cut-in, sensor malfunctioning scenario that scenario domestic street conditions considered as well as original standard AEB scenario of Euro NCAP for establishment of safety evaluation method of AEB. And verifying validity of suggested scenario by comparing the calculated values of the theoretical formulas presented in the previous study with results of the actual vehicle test.

Combination of MSAT and Korean Medicine for Managing Foot Drop Due to Lumbar Disc Herniation: Case Report (족하수 환자의 복합 한의진료 경과 및 삶의 질 변화: 증례보고)

  • Park, Ji-won;Jeong, Wu-Jin;Huh, Hyo-Seung;Hong, Hae-Won;Koo, Ji-eun
    • Korean Journal of Acupuncture
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    • v.38 no.3
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    • pp.189-195
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    • 2021
  • Foot drop due to lumbar disc herniation is perceived to be an indication for surgery. A 44-year-old male presented with motor deficit in left ankle dorsiflexion along with radiating pain and paraesthesia. Motion Style Acupuncture Therapy (MSAT) was administered on the left side every other day. Acupuncture and Chuna were performed daily. Herbal medicine was taken 3 times a day. His symptoms rapidly improved throughout treatment, verified by decreased Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), increased 5-level EuroQol-5 Dimension (EQ-5D-5L) scores, and improved motor grades. We suggest that a combination of MSAT with traditional Korean medicine could be a favorable option for foot drop in LDH patients in terms of rapid pain reduction and the improvement of quality of life.

Working Poverty and Health Disparities in Korean Workers (근로빈곤과 건강불평등)

  • Lee, Jin-Hwa;Lee, Bokim
    • Research in Community and Public Health Nursing
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    • v.31 no.4
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    • pp.514-524
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    • 2020
  • Purpose: The purpose of this study was to examine the relationship between working poverty and health status among Korean workers. Methods: This study is secondary analysis of data extracted from the 2018 Community Health Survey. For the present analysis, 23,575 of the working poor whose household disposable income is below 50.0% of the national median and 111,443 of the working nonpoor were selected. Based on existing literature, a set of variables were chosen from the Community Health Survey. Health status was measured using self-rated health status measure, Patient health Questionnire-9, and EuroQol-5dimension. Results: The proportion of subjective unhealthy status, depressive symptoms, and poor quality of life were significantly higher among the working poor than among the working nonpoor. After adjusting for general characteristics and health behavior factors, the working poverty was a significant predictor of subjective unhealthy status (AOR=1.32, 95% CI=1.25~1.40), depressive symptoms (AOR=1.61, 95% CI=1.38~1.88]), and poor quality of life (β=-0.02, p<.001). Conclusion: The current study confirmed the health disparities between the working poor and the working nonpoor. Therefore, health care programs and policies are required for reducing the health inequalities among the workers.

Complex Korean Medical Treatment of Postoperative Ankylosis in Septic Arthritis of the Knee: A Case Report (화농성 무릎관절염의 수술 후 관절강직에 대한 한의복합치료: 증례보고)

  • Woo, Hyeon-Jun;Han, Yun-Hee;Lee, Jung-Han;Ha, Won-Bae
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.161-169
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    • 2022
  • A 50-year-old Korean male tour guide without any medical or family history complained of left knee pain. After receiving umbilical cord blood injection treatment, the pain gradually worsened. After being diagnosed with septic arthritis in the left knee, arthroscopic lavage, debridement, antibiotic treatment, and routine rehabilitation therapy were performed, but the symptoms persisted. In the hospital, acupuncture, pharmacopuncture, acupotomy, Chuna manual therapy, and cupping therapy were performed in addition to the usual treatment for 59 days. To evaluate the patient's improvement, the numeric rating scale, EuroQol 5-dimension, pain disability index, and Lysholm knee scoring system were used. After treatment, the symptoms improved in all assessment tools, swelling, and range of motion of the joint. Through this study, it was found that complex Korean medical therapies may be effective for postoperative ankylosis in septic arthritis of the knee, and further studies are needed to clarify the therapeutic effect.

An Experimental Study on the Operating Limit Characteristics of Autonomous Emergency Braking System (긴급제동장치 작동 한계 특성에 대한 실험적 연구)

  • Kim, Jonghyuk;Choi, Jihun;Park, Jungwoo;Park, Jongjin;Park, Hasun
    • Journal of Auto-vehicle Safety Association
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    • v.14 no.3
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    • pp.23-29
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    • 2022
  • Among the various functions of ADAS (Advanced Driver Assistance System), the most important and representative function to the safety of vehicle passengers is AEB (Autonomous Emergency Braking system). In South Korea, laws are in progress from 2022 for making it mandatory for passenger vehicles to be installed. And as AEB-equipped vehicles continues to increase in the future, the demand for accident analysis related to the AEB function is expected to increase in the future. In order to find out the operating limits of AEB, it is necessary to consider the situations exceeding the standards covered by EuroNCAP. Therefore we have performed four experiments in this study, including situations encountered in real-word traffic conditions, i.e., an oblique stop of Global Vehicle Target (GVT) and ADAS sensor failures. These experimental results are expected to be of great help in accurate and reliable accident analysis by considering them when analyzing traffic accidents for ADAS vehicles.