• 재활치료과학
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• 제11권4호
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• pp.23-39
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• 2022

목적 : 본 연구는 뇌졸중 환자의 기능적 결과를 예측하기 위한 인구통계학적 및 임상학적 특징과 머신러닝의 사용을 체계적으로 분석하고 요약하기 위해 수행되었다. 연구방법 : PubMed, CINAHL과 Web of Science를 사용하여 2010년부터 2021년 사이에 게재된 연구를 검색하였다. 주요 검색어는 "machine learning OR data mining AND stroke AND function OR prediction OR/AND rehabilitation"을 사용하였다. 뇌 이미지 처리 기법만을 분석한 연구, 딥러닝만 적용한 연구와 전체 본문을 열람할 수 없는 연구는 제외되었다. 결과 : 검색한 결과, 총 9편의 국내외 논문을 선정했다. 선정된 논문에서 가장 많이 사용된 머신러닝 알고리즘은 서포트 벡터 머신(support vector machine, 19.05%)과 랜덤포레스트(random forest, 19.05%)였다. 9개 중 7개의 연구에서 뇌졸중 환자의 기능을 예측하기 위해 중요하다고 추출된 변수를 결과로 제시했다. 그 결과, 5개(55.56%)의 연구에서 뇌졸중 환자의 기능을 예측하기 위해 환자의 임상적 특성이 아닌 modified ranking scale (mRS) 및 functional independence measure (FIM)과 같은 초기 또는 퇴원 평가 점수가 중요하다고 도출되었다. 결론 : 이 연구는 mRS 및 FIM과 같은 뇌졸중 환자의 초기 또는 퇴원 평가 점수가 임상적 특성보다 기능적 결과에 더 많은 영향을 미칠 수 있음을 나타냈다. 따라서, 뇌졸중 환자의 기능적 결과를 향상시키기 위한 최적의 중재를 개발하고 적용하기 위해서는 뇌졸중 환자의 초기 및 퇴원 시 기능적 결과를 평가하고 검토하는 것이 필요하다.

• Journal of Acupuncture Research
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• 제26권6호
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• pp.205-214
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• 2009

Objectives : This study was designed to evaluate objectively the efficacy of bee-venom acupuncture on Central post-stroke patients. Methods : After screening, 25 patients recruited with eligible criteria. Among them 1 dropped out in treatment group, 4 in control group. We applied bee-venom acupuncture 6 points of body($LI_{15}$, $GB_{21}$, $LI_{11}$, $GB_{31}$, $ST_{36}$, $GB_{39}$) 2 times a week for 3 weeks for treatment group, and normal saline for control group in the same way. After 3 weeks treatment and 2 weeks follow up we measured VAS, categorial rating scale as a pain assessment also MBI, Modified Rankin Scale as a stroke recovery. Results : 1. Treatment group showed significant difference in VAS, categorial rating scale after treatment and 2 weeks follow up, compared with baseline. The control group showed significant difference between baseline and after treatment But the 2 weeks follow up, there is no significant difference compared with baseline. Also there's no significant difference in categorial rating scale. 2. MBI showed significant difference in treatment group between baseline and after treatment, but the control group did not have any difference. There's no significant difference in Modified Rankin Scale for treatment group and control group. 3. There's no significant difference between control group and treatment group. This is because of the small sample size in the study, Thus it seems to reflect individual difference strongly. Conclusions : There are positive effect on CPSP patients in pain and stroke recovery treating with bee-venom acupuncture than control group.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권5호
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• pp.428-434
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• 2001

Few topics in operative and perioperative patient management generate more controversy than that of appropriate fluid and electrolyte therapy. especially, controversy has swirled around colloid vs crystalloid therapy and the composition of administered fluids, agreement among clinicians as to what fluid therapy is appropriate, and in what amount, is rare. This controversy likely will be enhanced by Arieff' s provocative article. He described 11 adults and 2 pediatric patients. All developed fatal postoperative pulmonary edema, seemingly caused solely by excessive postoperative fluid administration. From January 1999 to December 1999, we investigated 24 patients, which were operated by orthognathic surgery, about the intraoperative fluid therapy and the associated effect in orthognathic surgery, which is regarded as one of the major surgery of oral and maxillofacial surgery. First, They were devided into two groups, that is one-jaw surgery and two-jaw surgery, and each groups were devided by intraoperative fluid volume of 8ml/kg/hr. Subjective assesment was collected through use of a series of 3 questionnaries. In each questionnaire, a 5-point Liekert scale was used far assessment of following parameters of recovery from anesthesia: headache, dizziness, drowsiness, nausea/vomiting, thirst. The patient completed questionnaire 1 at 4 hour after surgery, questionnaire 2 was completed at 24 hours after surgery, and questionnaire 3 was completed at 48 hours after surgery. This study demonstrated that appropriated perioperative rehydration decreases postoperative adverse outcomes and improved the patient's perception of the postoperative period.

• 한국지진공학회논문집
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• 제13권5호
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• pp.41-50
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• 2009

지진피해를 입은 건물의 주된 관심사는 건물에 남아 있는 내진성능 및 여진에 대한 안전성을 판단하는데 있다. 따라서 지진피해를 입은 지역 사회의 조속한 복귀를 위해서는 건물의 잔존내진성능 평가방법을 확립해 두는 것이 필수적이다. 본 연구에서는 무보강 조적채움벽체를 갖는 RC 건물의 잔존내진성능 평가방법 개발을 주목적으로, 전형적인 학교건물을 대상으로 축력레벨을 변수로 한 실스케일, 단층 1스팬 실험체를 제작하여 정적 반복가력실험을 실시하였다. 실험 중 잔존내진성능을 판정하는데 유용한 정보 중 하나인 잔류균열폭을 상세히 측정하였다. 본 논문에서는 잔류균열폭과 잔존내진성능과의 관계에 대해서 실험적, 해석적으로 검토하고 잔존내 진성능 평가를 위한 각 손상도 레벨에 대응하는 내진성능 저감계수를 제안한다.

• 대한한방내과학회지
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• 제38권2호
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• pp.93-102
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• 2017

Objective: We describe the case of an 84-year-old man with a midbrain infarction causing pupil sparing oculomotor nerve palsy, with ipsilateral cerebellar ataxia diagnosed as Claude's syndrome. Methods: The patient was treated with Korean medicine, including herbal medicine, acupuncture, and electro-acupuncture, during 45 days of hospitalization. Improvements in the patient's symptoms and changes in ptosis were evaluated using the Korean version of the Scale for the Assessment and Rating of Ataxia (SARA). Results: After 45 days of treatment with the Korean medicine, the patient's symptoms, including ataxia and ptosis, improved. Conclusions: This study suggests that the treatment with Korean medicine was effective in aiding the patient's recovery.

• 재활치료과학
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• 제6권2호
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• pp.37-45
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• 2017

Background: The presence of visuospatial impairment can make patients slow functional recovery and impede the rehabilitation process in TBI patients. Objective: The aim of this study is to investigate effects of prism adaptation treatment for functional outcomes in patients following traumatic brain injury. Methods: The subject received prism adaptation treatment for 2 weeks additionally during traditional rehabilitation for 4 weeks. The Patient has prism adaptation treatment while wearing wedge prisms that shift the external environment about $12^{\circ}$ leftward. The patient received 10 sessions, 15-20min each session. Outcome measures were visuospatial deficit(line bisection, latter cancellation), Visual and spatial perception(LOTCA-visual perception and spatial perception), motor function of upper extremity(FMA U/E; Fugl-Meyer motor assessment upper extremity, ARAT; Action research arm test), balance(BBS; Berg Balance Scale), mobility(FAC; Functional ambulation classification) and functional level(FIM; Functional independent measure). All Assessments took place on study entry and post-treatment assessments were performed at discharge from the hospital. Results: After prism adaptation, the visuospatial impairment scores improved as indicated in the line bisection(-15.2 to -6.02), latter cancellation(2 to 0) and LOTCA- spatial perception scores(7 to 9). The upper motor function improved as indicated in the scores of affected FMA U/E(21 to 40) and ARAT(4 to 22). Ambulation and balance improved as indicated in the BBS scores(25 to 38) and FAC scores(0 to 4). ADL function improved as indicated in the FIM total scores 54 to 70(motor 34 to 61, cognition 20 to 29). Conclusion: Prism adaptation did improve functional level such as motor functions and ADL abilities in TBI patient. Further research is recommended.

• 한국재난관리표준학회지
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• 제1권2호
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• pp.73-78
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• 2008

전 세계적으로 대규모 재해 발생 빈도가 증가하고 그 피해가 심각한 상황에 이르고 있다. 최근 IT 기술과 remote sensing 기술의 발전과 더불어 재해관리 분야에 이러한 기술을 적용하기 위하여 많은 연구가 진행되고 있다. 본 연구에서는 IT, remote sensing, GIS 기술을 통합하여 재해 발생 이후 신속한 피해현황 파악과 대책 수립을 위한 시스템을 개발하였다. 이 시스템은 지상에서 피해현장을 촬영하여 피해물량을 정량적으로 산출하고 피해시설에 대한 정성적인 정보를 실시간으로 확인함으로써 신속한 대응책을 마련하고 객관적인 복구 예산운용을 위한 시스템이다. 또한 위성영상 및 항공사진, GIS 시스템 기반의 피해정보관리시스템에서 피해지역의 위치 및 실시간으로 수집된 정보를 토대로 전자재해대장 및 피해현황도 작성이 가능하도록 하였다. 본 연구를 통해 첨단 기술 기반의 재해 정보를 관리함으로써 신속한 대응이 가능하며 공간영상과 GIS 기반의 효율적 재해정보 관리가 가능할 것이다.

• 한국재난관리표준학회지
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• 제3권2호
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• pp.27-32
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• 2010

자체방제계획서는 위험물질의 등급, 주위환경의 피해, 사고대응계획 등으로 구성된 체계적인 관리제도이다. 자체 방제계획서 작성지원 프로그램의 개발 목적은 사고를 예방하고, 사고를 제어할 수 있도록 안전관리 시스템을 각 시설에 제공하는 것이다. 이 프로그램은 MSDS(Material Safety Data Sheet), SOP(Standard Operation Procedure), ERP(Emergency Response Plan) 등 일반적인 안전관련 자료를 포함하고 있다. 자체방제계획서는 위험 확인, 평가, 예방 계획, 안전 분석 등으로 구성되어있다. 또한, 자체방제계획서 작성지원 프로그램은 정부 또는 관련 기관이 중소기업에서 발생 가능한 사고를 관리하는데 유용하다.

• Physical Therapy Rehabilitation Science
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• 제4권2호
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• pp.73-78
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• 2015

Objective: This study focused on subacute stroke patients who were asked to kick a ball while walking on a treadmill. The aim of the study was to determine the effect of a body weight-supported treadmill training (BWSTT) combined with ball-kicking on muscle strength, balance, and gait. Design: Single blind, randomized controlled trial. Methods: Twenty stroke patients who volunteered to participate in this study were randomly assigned to either the BWSTT combined with ball-kicking (BWSTT-BK; 10 participants) group or the BWSTT group (10 participants). Participants in the BWSTTBK group performed treadmill walking combined with simultaneous ball-kicking for 30 minutes daily for 5 weeks. Participants from the BWSTT group performed only treadmill walking. The muscular strength, balance, and gait ability were measured before and after the 5-week training. To assess for muscular strength, a digital muscle tester was used to measure hip flexor, knee extensor, and dorsiflexor strength. To assess for balance, the Berg Balance Scale (BBS) and Timed Up and Go Test (TUG) was used. To assess for gait, the 10 meter walk test (10MWT) and Functional Gait Assessment (FGA) was used. Results: The BWSTT-BK group showed significantly improved muscular strength, balance, and gait according to BBS, TUG, 10MWT, FGA, and digital muscle testing scores compared to the BWSTT group (p<0.05). In addition, within-group comparison showed significant improvement in all variables (p<0.05). Conclusions: These findings suggest that BWSTT-BK results in more favourable outcomes for stroke patients. Therefore, BWSTT-BK may be useful for the recovery of gait ability of stroke patients.

• 척추신경추나의학회지
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• 제14권2호
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• pp.29-42
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• 2019

Objectives : This study aimed to review the effects of Daoyin exercise on stroke patients in clinical studies. Methods : In this study, we reviewed 11 electronic databases (CAJ, EMBASE, Cochrane Library, Web of Science, Pubmed, RISS, Dbpia, NDSL, KISTI, KISS, KMBASE) on October 27, 2019. We included only randomized controlled trials (RCTs) which evaluated the effect of Daoyin exercise on stroke patients. The methodological quality of the included studies was checked using the Cochrane risk of bias tool. Results : After screening the papers, eleven RCTs fulfilled the inclusion criteria. The results of the meta-analysis showed that Daoyin exercise improves the measurement value on the Fugl-Meyer Assessment, Modified Barthel Index and National Institutes of Health Stroke Scale in stroke patients. Conclusions : We concluded that Daoyin exercise has therapeutic effects in functional recovery and in enhancing the independence of daily living activities for stroke patients. However, the quality of the original articles was low and the number of papers included were few. Thus, to confirm these results, further well-designed RCTs should be conducted.