• 한국인터넷방송통신학회논문지
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• 제16권4호
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• pp.125-131
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• 2016

한방 설진 시스템의 자동화 과정에서 혀 영상 분할은 가장 중요한 분야이다. 그러나 대부분의 한방 설진 시스템의 혀 영상 분할 방식은 사용자 기반의 메뉴얼 방식이나 반자동 방식으로 제안되어 왔다. 따라서 본 논문에서는 한방 설진 시스템의 완전 자동화를 위해서 기존의 스네이크 알고리즘을 기반으로 한 혀 영상 분할의 새로운 방법을 제안한다. 제안한 방법은 기존의 스네이크 알고리즘을 개선한 방법으로서 설진을 위한 혀 영상 특성을 이용하여 포인트들이 안에서 밖으로 역추적하면서 스네이크 에너지 함수가 최소화될 수 있도록 내부 에너지 함수를 개선하였고, 외부 에너지를 계산하기 위해서는 계층적 공간 필터링 방법을 적용하여 잡음에 강인한 특징을 갖는다. 또한 제안한 방법은 표본영상 실험과 실영상 실험을 수행한 결과, 기존 스네이크 알고리즘보다 배경 잡음에 강인함을 보였으며, 임의의 포인트 한 개를 선택하고 해당 포인트의 시작점, 중간점, 끝점에서의 에너지 값을 분석하여 국소적 최저치에 빠지지 않는 강인함을 보였다.

• The Journal of Advanced Prosthodontics
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• 제4권2호
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• pp.76-83
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• 2012

PURPOSE. Zirconia has been used in clinical dentistry for approximately a decade, and there have been several reports regarding the clinical performance and survival rates of zirconia-based restorations. The aim of this article was to review the literatures published from 2000 to 2010 regarding the clinical performance and the causes of failure of zirconia fixed partial dentures (FPDs). MATERIALS AND METHODS. An electronic search of English peer-reviewed dental literatures was performed through PubMed to obtain all the clinical studies focused on the performance of the zirconia FPDs. The electronic search was supplemented by manual searching through the references of the selected articles for possible inclusion of some articles. Randomized controlled clinical trials, longitudinal prospective and retrospective cohort studies were the focuses of this review. Articles that did not focus on the restoration of teeth using zirconia-based restorations were excluded from this review. RESULTS. There have been three studies for the study of zirconia single crowns. The clinical outcome was satisfactory (acceptable) according to the CDA evaluation. There have been 14 studies for the study of zirconia FPDs. The survival rates of zirconia anterior and posterior FPDs ranged between 73.9% - 100% after 2 - 5 years. The causes of failure were veneer fracture, ceramic core fracture, abutment tooth fracture, secondary caries, and restoration dislodgment. CONCLUSION. The overall performance of zirconia FPDs was satisfactory according to either USPHS criteria or CDA evaluations. Fracture resistance of core and veneering ceramics, bonding between core and veneering materials, and marginal discrepancy of zirconia-based restorations were discussed as the causes of failure. Because of its repeated occurrence in many studies, future researches are essentially required to clarify this problem and to reduce the fracture incident.

• The Journal of Korean Physical Therapy
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• 제21권1호
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• pp.1-7
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• 2009

Purpose: The aim of this study was to determine the effect of proprioceptive neuromuscular facilitation (PNF) leg patterns on muscle activation of paretic and nonparetic arm in post-stroke hemiparetic subjects. Methods: Eighteen hemiparetic patients participated in this study. Each subject was asked to perform four PNF leg patterns against maximal manual resistance on nonparetic leg. EMG data were collected from biceps and triceps on the paretic and nonparetic side. The measured EMG data was digitized and processed to root mean square (RMS) and expressed as percentage maximal voluntary isometric contraction (％MVIC). The data were analyzed using paired t-test and one-way analysis of variance (ANOVA) with repeated measures to determine the statistical significance. Results: The results of this study were summarized as follows: Firstly, during four PNF patterns application, all of the ％MVIC values of biceps and triceps in paretic and nonparetic arms increased significantly compared with resting condition (p<0.05). Secondly, there was a significant difference in ％MVIC of paretic biceps between PNF leg pattern 1 and 4 (p<0.05). Conclusion: In conclusion, regardless of the kinematic components of PNF leg patterns, all of the muscle activation of biceps and triceps in paretic and nonparetic arm was significantly increased. The finding of this study indicates that irradiation effect caused by PNF leg patterns is beneficial for increased muscle activation of both paretic and nonparetic arms in post-stroke patients.

• 한국전문물리치료학회지
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• 제15권1호
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• pp.46-53
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• 2008

The aim of the present study was to determine the effect of proprioceptive neuromuscular facilitation (PNF) leg patterns on the muscle activation of neck flexors. Twenty healthy subjects participated in this study. Each subject performed bilateral asymmetrical PNF leg patterns against manual resistance under four conditions: through the full range of motion toward the right side, left side, and the end range in the right side, left side. Electromyographic (EMG) data was collected from the sternocleidomastoid (SCM) muscles as neck flexors. The root mean square (RMS) value of the SCM was measured and normalized from maximal EMG activity of the SCM. The data were analyzed using the paired t-test and repeated analysis of variance (ANOV A) was used to compare the statistical significance. The results of this study are summarized as follows: Firstly, the RMS values of SCM were significantly higher in all four PNF leg patterns than in the resting condition (p<.05). Secondly, there was no significant difference in muscle activation according to the direction of PNF leg patterns (p>.05). Thirdly, there was no significant difference in muscle activation according to the point of range of the motion of leg patterns (p>.05). It is suggested that PNF bilateral asymmetrical leg patterns have a considerable effect on muscle activation of the SCM, regardless of the range of motion and direction of PNF bilateral asymmetrical leg patterns.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.153-161
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• 2000

Adaptive lengthening or shortening of the nervous system is essential in order for a part of the body to move without restriction or resistance. Up until now, most treatment concepts have focused on normalizing muscle tone and preventing contractures in muscles and joint, but, as Butler and Gifford have brought to the attention of therapists, when a part of the body moves, nerves are required to move as well, so that the integration of nervous system mobilization in treatment is equally important. As the main function of the nervous system is impulse conduction, it is obvious therefore that adaptive lengthening, both centrally and peripherally, is essential in order to accommodate the enormous variety and extent of body movements and postures used in everyday life impeding news conduction. In present day manual therapy, most physical therapist mobilize the nervous system inadvertently. Probably what may make it more difficult is that, for most physical therapist it is a relatively new tissue to contemplate, at least in biomechanical terms, and basic knowledge of structure is generally less than if joints and muscles. The purpose of this study was to introduce the nervous system mobilization to a physical therapist who is primary a clinician and who has concerned in the areas of biomechanics and pathology looking far answers to the clinical Problems.

• 한국지반환경공학회 논문집
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• 제11권12호
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• pp.27-35
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• 2010

지하공간에 설치되는 구조물 중 지하수위 아래에 위치하는 부분은 상향으로 정수압인 부력이 작용하게 된다. 최근 큰 규모의 중요구조물 즉, 부력이 크게 발생하는 구조물은 공사비가 고가이나 안전율을 확실하게 증가시키는 방법인 부력저항 영구앵커를 많이 적용하고 있는 실정이다. 그러나, 부력저항 영구앵커의 저항 메커니즘 규명은 미흡한 실정이다. 특히, 시공 후 앵커의 장기거동에 대한 규명은 계측 관리의 어려움으로 이루어지지 않고 있는 것이 현실이다. 본 연구에서는 부력 저항 영구앵커의 설계 시 합리적인 구조물 거동 평가를 위하여 앵커두부에 하중계를 설치하여 앵커축력을 자동화계측 및 수동계측을 통해 시공초기부터 10년간 계측 분석하였으며, 이를 토대로 건물의 자중증가에 따른 앵커의 시공단계별 거동과 시간 경과에 따른 앵커의 장기거동(시공 후 10년 이내의 거동)을 분석하였다.

• 한국환경보건학회지
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• 제48권3호
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• pp.176-182
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• 2022

Background: The risk of imported infectious diseases has been increasing with the annual rise in the number of international travelers. Objectives: This study aims to analyze the distribution and characteristics of intestinal bacteria isolated in 2019 from residents of Chungcheongnam-do Province with experience of travelling overseas. Methods: Twenty-three former overseas travelers with diarrhea were analyzed to detect viruses and bacteria according to the Manual for Detection of Foodborne Pathogens at Outbreaks. Additionally, antibiotic susceptibility tests and 16s rRNA sequencing were performed. Results: Twenty-five strains of ten pathogens were isolated from 18 samples. Pathogenic E. coli was the most common at 57.7%, followed by Clostridium perfringens (15.4%), Campylobacter spp. (7.7%), and Salmonella spp. (7.7%). The serotype of Salmonella was confirmed as Salmonella Braenderup, II 9,46:g,[m],[s],t:[e,n,x]. Conclusions: It was confirmed that the major enteric bacterial pathogens isolated from overseas travelers in Chungcheongnam-do Province were pathogenic E. coli, as found in other studies. The study on Plesiomonas shigelloides is meaningful in that it is reported as a rare case of infection in Korea. Antibiotic resistance and 16s rRNA analysis were performed, which is expected to provide important basic data for the prevention of traveler's diarrhea.

• 대한통합의학회지
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• 제12권3호
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• pp.101-120
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• 2024

Purpose : This study aimed to carry out a scoping review to investigate the research trends in non-pharmacological interventions for physical rehabilitation following breast cancer treatment. Methods : A scoping review was conducted according to the five steps outlined by Arksey and O'Malley and PRISMA-ScR. We searched three domestic databases (ScienceOn, Riss, KCI) and two international databases (PubMed, Cochrane Central) between January 2014 and April 2024. The keywords used were 'breast cancer surgery', 'breast cancer treatment', 'breast cancer lymphedema', 'intervention', 'management', 'therapy', 'disorder', and 'dysfunction'. Results : In terms of publication, the number of studies in the past five years has increased compared to the previous five years, with most studies focusing on patients aged 41 to 60 and who underwent surgical treatment for breast cancer. A total of 43 different types of non-pharmacological interventions were applied: 21 single interventions and 22 combination interventions. Among the intervention methods, complete decongestive treatment (CDT), resistance training, and manual lymphatic drainage were the most frequently utilized. The most common duration of intervention turned out to be 4~5 weeks and more than 8 weeks, with frequencies of 2~3 sessions per week and more than 4 sessions per week. The most frequently used dependent variables included range of motion (ROM) and disabilities of the arm, shoulder and hand (DASH) for the function and disorder of the upper limb category; arm circumference or volume and bio-impedance for the lymphedema category; visual analogue scale (VAS) and numerical rating scale (NRS) for the pain category; and the European organization for research and treatment of cancer quality of life questionnaire breast cancer module (EORTC QLQ) and functional assessment of cancer therapy-breast (FACT-B) for the quality of life category. Conclusion : The findings of this scoping review provide valuable mapping data for non-pharmacological interventions for physical rehabilitation following breast cancer treatment. We recommend further research, particularly systematic reviews and meta-analyses, to build upon these findings.

• 디지털융복합연구
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• 제14권5호
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• pp.445-457
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• 2016

본 연구는 골반변위에 따른 신체 불균형에 대한 톰슨터미널테크닉과 근에너지기법의 교정 효과의 비교분석을 하는 것을 주목적으로 하고 이에 가능하면 효율적인 치료의 방법을 제시하고자 하였다. 연구대상자는 톰슨실험군, 근에너지실험군 및 정상군으로 구성되었으며 각 집단별 남녀 각 5명씩 총 10명이 무작위로 배정되었으며 톰슨실험군은 카이로프랙틱의 톰슨터미널테크닉을 사용하여 교정효과와 교정 후 유지효과를 측정하였다. 톰슨터미널테크닉과 근에너지기법의 경우 43.01%p 정도의 효과 차이가 있다. 골반변위의 교정에는 톰슨터미널테크닉을 활용한 경우가 근에너지기법 및 정상군에 비해 효과가 크다 할 수 있다. 결과적으로 톰슨터미널테크닉과 근에너지기법을 신체 불균형 교정에 사용하는 것은 효과적이며 톰슨터미널테크닉만으로도 효과가 있지만 최대의 효과를 내기 위해 톰슨터미널테크닉 교정 후 근에너지기법을 적용하는 것이 바람직할 것으로 사료된다.

• 한국지반환경공학회 논문집
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• 제7권1호
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• pp.19-28
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• 2006

현재 국내 설계기준에는 풍화암이나 N치 50이상의 양질의 토사지반에서의 현장타설말뚝 지지력 산정방법이 별도로 제시되어 있지 않으며, 말뚝의 지지력에 영향을 미치는 많은 요소를 반영할 수 있는 방법 또한 제시되어 있지 않다. 따라서 현장타설말뚝의 지지력을 산정하기 위해 지반을 토사와 암으로만 구분하고 있으며, 이로 인해 IGM으로 분류될 수 있는 풍화암을 대부분의 경우 양질의 토사지반으로 간주하여 지지력을 추정하고 있다. O'Neill 등(1996)의 연구보고서와 FHWA(1999) 설계기준에는 토사와 암반의 중간특성을 지닌 지반, 즉 IGM에서의 현장타설말뚝 지지력 산정방법을 제시하고 있으며, FHWA(1999) 설계기준에서는 IGM을 포함하여 지반을 명확하게 분류함으로써 이를 설계에 반영할 수 있도록 하였다. 본 연구에서는 IGM에서의 지지력 이론을 적용한 국내 3개 현장의 현장타설말뚝 설계사례 분석하여 그 이론의 적용성을 평가하였다. IGM에서의 현장타설말뚝의 지지력과 비교하기 위해 IGM을 양질의 사질토 지반으로 간주하고 지지력을 산정하였으며, 이를 비교 분석하였다. 지지력 비교 결과, 풍화암을 IGM으로 분류하고 IGM에서의 지지력 이론을 적용한 경우 전반적으로 지지력이 크게 나타났다.