• PNF and Movement
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• v.16 no.1
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• pp.67-73
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• 2018

Purpose: Smartphones, which are widely used worldwide to detect acceleration and position, have been used in the area of rehabilitation medicine in recent clinical research studies and tests. The aim of the present study was to determine the feasibility of using a smartphone application based on center of movement (COM) displacement to measure gait parameters in stroke patients in the clinical field of rehabilitation medicine. Methods: The study consisted of 30 stroke patients. The COM was measured using a smartphone application, Gait Analysis Pro, during a 6-m walk. Each patient performed three 6-m walking trials, and the smartphone application measured gait duration, gait speed, step length, cadence, and vertical and lateral displacement of the COM. The Kolmogorov-Smirnov test was conducted to determine the normality in gait parameters, and a repeated one-way analysis of variance (ANOVA) was performed to determine the consistency among the three trials. A p value of 0.05 was considered statistically significant in all the tests. Results: In all the measured parameters, the smartphone application showed a normal distribution, as shown by the results of the Kolmogorov-Smirnov test. There were no significant differences among the three repetitive walking trials. Conclusion: These results suggest that the smartphone application can be used for evaluating gait in stroke patients, as well as in healthy adults. However, prior to using the smartphone application in the clinical field, further research involving three-dimensional gait analysis is needed to enhance the confidence level of the findings.

• Korean Journal of Applied Biomechanics
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• v.24 no.4
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• pp.445-453
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• 2014

The purpose of this study was to analyze the gait characteristics and interaction between lower extremity joints according to shoe's heel heights in young women. Participants were selected as subject consisted of young and healthy women (age: $23.71{\pm}1.49yrs$, height: $165.92{\pm}2.00cm$, body weight: $54.37{\pm}3.46kg$) and walked with 3 types of shoe's high-heel (0, 5, 9 cm). The variables analyzed consisted of the displacement of Y axis in center of mass ([COM]; (position, velocity), front rear(FR) and left right(LR) angle of trunk, lower extremity joint angle (hip, knee, ankle) and asymmetric index (AI%). The displacement of Y axis in COM position showed the greater movement according to increase of shoe's heel heights, but velocity of COM showed the decrease according to increase of shoe's heel heights during gait. The hip and knee angle didn't show significant difference statistically according to increase of shoe's heel height, but left hip and knee showed more extended posture than those of right hip and knee angle. Also ankle angle didn't show significant difference statistically, but 9 cm heel showed more plantarflexion than those of 5 cm and 0 cm. The asymmetric index (AI%) showed more asymmetric 9 cm heel than those of 0 cm and 5 cm. The FR and LR angle in trunk tilting didn't show significant difference statistically according to the increase of shoe's heel height during gait in young women.

• Korean Journal of Applied Biomechanics
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• v.24 no.4
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• pp.435-443
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• 2014

The purposes of this study was to investigate the physical compensation for gait on induced equinus in normal subjects. Ten subjects were participate in the experiment (age: $23.8{\pm}2.8yrs$, height: $177.3{\pm}4.3cm$, weight: $70.8{\pm}4.6kg$). The study method adopted 3D analysis with six cameras and ground reaction force with two force-plate. Induced equinus were classify as gait pattern on unilateral and bilateral equinus. The results were as follows; In displacement of COM, medio-lateral and anterior-posterior COM were no significant, but in vertical COM, unilateral equinus gait was higher than bilateral equinus gait. In displacement hip joint, left hip joint was more extended in FC1 and FC2 during unilateral equinus gait. In displacement knee joint, left knee joint was more extended in FC2, right knee joint was more extended in all event during unilateral equinus gait. In trunk tilt, unilateral equinus gait was more forward tilt in TO1 and TO2. ROM of each joint was no significant. In Displacement of pelvic tilt angle, X axis of unilateral equinus gait was more increase than bilateral equinus gait at FC2, TO2 and MS2. Y axis of unilateral equinus gait was more increase than bilateral equinus gait at MS1, FC2 and MS2. Z axis was no significant in both equinus gait. In GRF, right Fx and Fy were no significant in both equinus gait, Fz was more bigger vertical force in bilateral equinus gait. Left Fx was more bigger internal force in unilateral equinus gait, Fy and Fz were no significant in both equinus gait.

• Child Health Nursing Research
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• v.30 no.1
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• pp.54-66
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• 2024

Purpose: This study investigated participation in and perceptions of antibiotic stewardship among nurses at a children's hospital. Methods: This descriptive study included 125 nurses working in the inpatient ward, intensive care unit and emergency room of a single tertiary children's hospital. The study measured 14 factors influencing antibiotic stewardship behaviors using the theoretical domains framework. Each factor was analyzed by categorizing it into components (capability, opportunity, and motivation) that have been proposed as influencing factors in the COM-B model of behavior. One-way analysis of variance and Pearson correlation coefficients were used to explore differences in antibiotic stewardship behaviors and influencing factors according to general characteristics and the correlation between antibiotic stewardship behaviors and COM-B components. Results: No statistically significant difference in antibiotic stewardship behaviors was found based on the experience of antibiotic stewardship education or the nursing department. However, significant differences were observed in the perception levels of factors related to antibiotic stewardship behaviors according to the experience of antibiotic stewardship education in skill (physical) (p=.042), knowledge (p=.027), intentions (p=.028), and social influences (p=.010). Additionally, significant differences were observed in perception levels according to the sub-components of the COM-B model, specifically physical capability (p=.042), psychological capability (p=.027), and social opportunity (p=.010). Conclusion: To expand nurses' involvement and roles in antibiotic stewardship, nurses should acknowledge the significance of appropriate antibiotic use, aiming to enhance the quality of medical care and ensure patient safety. In pursuit of this objective, tailored education aligning with the specific needs and practices of nurses is essential.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.2
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• pp.59-67
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• 2019

Purpose : The purpose of this study was to analyze the dynamic range of motion (ROM) of pelvic and translation of center of mass (COM) when wearing different shoe insole lifts according to leg length discrepancy (LLD) during free speed gait. Methods : Thirty-five healthy adults were participated in this study. Kinematic data were collected using a Vicon motion capture system. Reflective and cluster 40 markers attached to participants lower extremities and were asked to walk in a 6 m gait way under three different shoe lift conditions (without any insole, 1 cm insole, and 2 cm insole). The pelvic ROM and COM translation in three planes were sorted using a Nexus software, and a Visual3D motion analysis software was used to coordinate all kinematic data. Results : There were significantly increased maximal pelvic elevation and total pelvic range in coronal plane when wearing a standard shoe with 2 cm insole lift during gait (p<.05). When wearing a standard shoe with 2 cm insole lift, the total range of the pelvic segment were significantly different in all three motion planes (p<.05). Conclusion : Although LLD of less than 2 cm develops abnormal movement pattern of the pelvis and may cause of musculoskeletal diseases such as low back pain, hip and knee joint osteoarthritis, therefore intensive various physical therapy interventions for LLD are needed.

• Journal of KIISE:Computing Practices and Letters
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• v.7 no.5
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• pp.489-497
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• 2001

This paper describe design and implementation of a medical multi-agent system platform called MAMI (Multi-Agent system for Medical Image), which provides intelligent medical information services. The most important component of MAMI is a medical multi-agent system platform that supports a physical environment that medical agents can be deployed. MAMI follows FIPA (Foundation for Intelligent Physical Agent)\`s agent management reference model. In MAMI, COM(Common Object Model) and XML (eXtensibel Markup Language) for encoding ACL (Agent Communication Language) are used for multi-agent communications. In MAMI, a medical staff is conceptualized as an agent and integrated with multi-agent systems. MAMI agent platform provides an infrastructure applicable to share necessary knowledge between human agents and software agents. So MAMI makes intelligent medical information services easier.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.3
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• pp.99-111
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• 2023

PURPOSE: This study examined the effects of pelvic compression methods on the muscle activities of the trunk muscles during plank exercises in individuals with and without low back pain. METHODS: Individuals who experienced back pain for three or more days within the last six months (low back pain group, LBPG; n = 15) and those who did not (non-experienced low back pain group, NLBPG; n = 15) were instructed to perform plank exercise without pelvic compression or while wearing a ReaLine or Com-pressor belt. The electromyography (EMG) data was measured during each session of exercise. Surface EMG signals were collected for the rectus abdominis (RA), external oblique (EO), erector spinae (ES), and gluteus maximus (GM) muscles. The data were collected during three 5-s exercises with a 1-min rest period between the three sets. RESULTS: During the plank exercise, the muscle activity of the RA in the LBPG was significantly higher than that in the NLBPG (p < .05), and greater muscle activity was observed in the LBPG even when two pelvic compression methods were applied (p < .05). The muscle activity of RA was decreased significantly during pelvic compression according to the pelvic compression methods in both groups (p < .05). No significant interaction was observed between the groups or the pelvic compression methods for the RA, EO, ES, or GM muscle activities during plank exercises. CONCLUSION: Both pelvic compression methods reduced the RA muscle activity during plank exercises in individuals who had not experienced back pain within the last six months.

• The Journal of Korean Physical Therapy
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• v.35 no.4
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• pp.111-116
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• 2023

Purpose: Pneumoconiosis is a chronic lung disease in which the lungs become hardened due to the accumulation of fine mineral dust that has been breathed in at industrial sites. The lungs are unable to function properly, resulting in complications of several respiratory diseases. Methods: The subjects were 36 elderly adults (pneumoconiosis patients 18, healthy elderly 18) over the age of 65 years. The respiratory function was assessed using a spirometer to measure forced vital capacity (FVC), first second of forced expiration (FEV1), FEV1/FVC, and peak expiratory flow n(PEF). The static balance function test was determined by the center of mass (COM), ankle angle range, hip angle range, sway parameters, and reciprocal compensatory index (RCI). Cognitive function was measured by applying MoCA-k. Results: Comparison of respiration functions between the two groups showed statistically significant differences in FVC, FEV1, FEV1/FVC, and PEFs (p<0.05). Cognitive abilities showed statistically significant differences due to higher cognitive skills in the control group as compared to the patient group (p<0.05). Most results of the static balance capability measurements showed statistically significant differences between the groups (p<0.05). However, no statistically significant differences were obtained for COM AP Range, Angle AP Range, RCI ML Range, and AP Range (p>0.05). Conclusion: The results of the current study indicate that patients suffering from pneumoconiosis have less cognitive ability and balance function as compared to healthy elderly people. Therefore, we expect an improvement in the balance ability and cognitive function through systematic management and strengthening lung function training to improve the quality of life of pneumoconiosis patients.

• Proceedings of the Korean Institute of Communication Sciences Conference
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• 2004.07a
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• pp.277-277
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• 2004

• Journal of Nutrition and Health
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• v.38 no.4
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• pp.297-306
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• 2005

It is known that dehydroepiandrosterone (DHEA) shows a dual effect, prooxidant or antioxidant, depending on the do-sage or physiological status of animals. The purpose of this study was to determine the effects of DHEA administration at low dose on lipid peroxidation, protein carbonylation and fatty acid composition in liver. Sprague Dawley male rats were fed either com oil diet containing $15\%$ com oil or fish oil diet containing $2\%$ corn oil + $13\%$ sardine oil, with or without $0.2\%$ DHEA for 9 weeks. Atherogenic index and hepatic triglyceride and cholesterol levels were significantly reduced by DHEA administration in rats fed with fish oil diet. Hepatic lipid peroxide product (TBARS) and protein carbonyl levels were significantly higher in rats fed with fish oil diet than in rats fed with corn oil diet. However, DHEA administration significantly reduced the hepatic thiobarbituric acid-reactive substance (TBARS) and conjugated diene levels in rats fed with fish oil diet. Contents of C16 : 0, C16 : 1, C20 : 5 and C22 : 6 in hepatic microsome were higher in rats fed with fish oil diet than in rats fed with corn oil diet, and contents of C18 : 2 and C20 : 4 were lower than in rats fed with com oil diet. DHEA administration significantly increased C16 : 0 and C18 : 3 contents and reduced C18 : 2 content in rats fed with com oil diet, while it increased C16 : 0 and C18 : 1 and reduced C20 : 5 and C22 : 6 in rats fed with fish oil diet. On overall, DHEA administration increased saturated fatty acid (SFA) and reduced polyunsaturated fatty acid (PUFA) in hepatic microsome, thereby PUFA/SFA ratio was significantly (p < 0.0001) reduced without the change of n-3/n-6 ratio. Taken together, low dose of DHEA administration lowered PUFA/SFA ratio in hepatic microsomal membranes and also showed antioxidative effect especially in fish oil-induced highly oxidative stress condition through blocking increases of C20 : 5 and C22 : 6 contents.