• 대한물리치료과학회지
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• 제15권1호
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• pp.39-45
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• 2008

This study was undertaken to identify the influence which affect on gait speed and energy consumption regarding putting on arm sling during gait of the 40 hemiplegic patients selected from University Hospital and rehabilitation center in seoul during two months. The analysis of data was performed using the paired samples ttest to compare the differences of gait velocity, heart rate, oxygen consumption and oxygen cost in gait of preand post－ arm sling. The results of this study were as follows; 1. When comparing the result before putting on arm sling in the gait of hemiplegic patient, gait velocity after putting on arm sling was statistically significantly increased(p<.05). 2. When comparing the result before putting on arm sling in the gait of hemiplegic patient, heart rate after putting on arm sling was statistically significantly decreased(p<.05). 3. When comparing the result before putting on arm sling in the gait of hemiplegic patient, oxygen consumption per weight after putting on arm sling was statistically significantly decreased(p<.05). 4. When comparing the result before putting on arm sling in the gait of hemiplegic patient, oxygen consumption rate per weight after putting on arm sling was statistically significantly decreased(p<.05). When putting together the above result, the gait with arm sling in comparison with the gait without arm sling was to increase gait velocity, decrease heart rate, decrease oxygen consumption and was finally to decrease energy consumption in the gait of hemiplegic patient.

• 대한인간공학회지
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• 제31권2호
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• pp.379-388
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• 2012

Objective: This study developed a new shower carrier prototype to reduce caregivers' muscle burden and to increase use convenience by reflecting the needs of domestic long-term care institutions. Background: In the long-term care institutions, one of the ADL(Activities of Daily Life) factors is bathing/showering. Recently, bath/shower-assisting equipment is actively being introduced in care institutions to reduce the caregivers' care cost, but most of the domestic equipment was designed to imitate foreign products and rarely reflected the needs of care institutions. Method: Based on Korean elderly people's body information, the bed size(length: 1,900mm, width: 650mm) was set-up, and a variable headrest with a newly designed headform was developed to provide the comfort for the elderly and convenience for caregivers. To reduce caregivers' muscle burden on transferring and showering activities, a 3-step column lifting module equipped with dual actuators(lowest/highest levels from the ground: 600/1,100mm, Stroke: 500mm) was developed, and the wheelbase parameter(length: 1,250mm, width: 580mm) was defined securing the turn-over safety of the shower carrier. The drivability tests were performed for the prototype and foreign product, and the male and female subject's muscle activities were measured through the tests. Results: The structural stability of the shower carrier prototype was secured by finite element analysis, and the muscle activities of the subjects through the drivability tests largely decreased in the prototype, compared to the foreign product. Conclusion: In this study, a new shower carrier prototype was developed to possibly reduce caregivers' muscle burden and to increase use convenience based on the needs of long-term care institutions. It was expected that the drivability performance of the prototype could be relatively superior to that of the foreign product. Application: The results obtained from the study can be applied for the optimal development of a shower carrier including other equipment to effectively care for the elderly.

• 한국전문물리치료학회지
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• 제24권3호
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• pp.47-56
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• 2017

Background: Given the potential benefits of wellness programs promoting physical activity of the community-dwelling frail elderly, it is recommended that comprehensive wellness programs combined with the component of physical activity. This may improve overall health and potentially lower the health care cost of the frail elderly. In general, the frail elderly residing in community or those after being discharged from hospitals are often committed to enhancing the status of participation in physical activity. Objects: The purposes of this study were to identify specific shortcomings of current wellness programs as part of continuum of community rehabilitation services and to propose alternatives for the care of the community-dwelling frail elderly. Through this study, geriatric health care professionals may be able to implement assessments and programs to successfully promote an effective continuum of care for the frail elderly. Methods: Article reviews were summarized and evaluated. Results: A model elaborating the relationship between components of successful wellness program and participation in physical activities for the community-dwelling frail elderly are recommended. First, periodic monitoring the levels of physical activity by the use of online measurement system should be considered. Second, individualized adaptive technologies for selecting optimal physical activities for the elderly may be better fit to individuals' current status of physical activity. Conclusion: The current status of physical activity in community-dwelling frail elderly can be monitored by online assessment systems. Through the innovative measurement system, elderly may assess his/her physical activity status overtime, select optimal physical activities matching the status, and create the elderly's own adaptive wellness programs that match to the status while residing in his/her community.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4977-4983
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• 2015

개착식 공법은 도로의 굴착에 따른 시간과 비용의 증가, 교통통제로 인한 민원발생 및 교통지정체 등 많은 문제점을 발생시키고 있다. 이러한 문제점을 해결하기 위하여 비굴착공법에 사용 가능한 하수관거 보수자재에 대한 실험을 시행하였다. 사용한 재료는 PVC프로파일이며, 국가표준시험 방법을 적용하여 기본 물성 평가를 시행하였다. 본 기술은 SPR(Sekisui Pipe Rehabilitation) 기술에 적용되는 프로파일보다 구조적 안정성이 높고, pipe integrity를 높일 수 있는 SWP(Spirally Wound Pipe)용 프로파일 구조를 적용하였다. 복합안정제의 함량을 5 phr을 이용하여 배합을 하였다. 시험 결과 복합안정제와 충격보강제를 투입한 경우에도 인장강도, 충격강도 및 연화온도가 표준의 물성을 만족함을 알 수 있었고, 가공시 부하가 없이 가공할 수 있었다. 접착 수지로 단부마감을 한 프로파일은 같은 압력에서 누수가 발생하지 않았다.

• 한국방재안전학회논문집
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• 제5권1호
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• pp.43-47
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• 2012

기반시설물의 자산관리란 기반시설 운영을 지원하는 기반시설물에 대한 상태 및 성능을 평가하고 적절한 유지보수보강을 수행하여 수명을 연장시키며, 종국적으로 국가예산을 절감할 수 있는 모든 수단을 강구하는 유지운영관리의 전사적인 체계라 할 수 있다. 이 자산관리의 범위에는 관리조직, 관리인력, 그리고 조직의 목표와 슬로건, 장단기적인 사업 계획 뿐만 아니라 정보 및 데이타 등의 전체적인 것을 아우르고 있다. 기반시설 자산관리에서의 핵심은 운영 효율성과 보수 작업성, 그리고 시설 안전성 및 재해 위험성, 그리고 조직관리 및 단계적인 정책 수립을 위한 의사결정 기준수립이 관건이 된다. 따라서 본 연구에서는 일반적인 기반시설 자산관리분석위험도 기법에 대한 개괄적 소개와 더불어 BRE(Business Risk Exposure)를 통한 위험도 평가 및 기반시설 자산관리차원의 위험평가방법에 대한 전반적인 절차를 구성하여 제시하였다. 또한 사회기반시설유지관리상의 의사결정에서 가장 중요시 될수 있는 최적유지관리시기 및 비용에 대한 리스크 관리의 필요성을 제시하고자 하였다.

• 보건교육건강증진학회지
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• 제6권1호
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• pp.11-21
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• 1989

Among disease prevention methods, health education is an excellent and effective method low cost. However, enforcing health education has the following limitations: there is little health education for the supported, health education disregards the characteristics of those educated, education materials are not specified and published satistactorily, and so on. This study suggests systemic health education planning to the Korea Medical Insurance Corporation. The special methods are as follows: 1. Health education for primary prevention a. We educate the insured who are judged to be normal by the results of health screening, dividing them into three groups:completely healthy status, emotionally disturbed status, and early pathologic status. b. We educate the insured characteristically according to occupational disease. c. In an advanced sense, we educate the insured according to their health condition and occupational status. 2. Health education for secondary and tertiary prevention We educate the insured who are judged to be inn a risk group or to be disease group according to the results of health screening. a. Health education for the risk group By health education on elimination of the risk factors, the risk group can be prevented from the disease. b. Health education for the disease group By health education on the therapeutic process and the method of rehabilitation, the disease group can return to the previous state. We conclude that: 1). Reimbursement for preventive activities{health interview, health education) must be realized. 2) A special organization for health education must be established. 3) All of the insured must be educated and managed during their lifetime by a new special organization.

• 대한한의학회지
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• 제28권3호통권71호
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• pp.86-99
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• 2007

Objectives : Cancer patients who are afraid of unpleasant therapy and doubt a perfect cure often seek out traditional Korean medicine or many other kinds of complementary and alterative medicine (CAM) instead. This study was carried out in order to learn the prevalence and kinds of the traditional Korean medicine and CAM to evaluate awareness of and attitude toward it. Methods : 213 patients with gastric cancer who had undergone surgery in the department of gastrointestinal surgery and visited for routine follow-up from November to December of 2004 were included. A questionnaire survey was done by trained interviewers for CAM and demographic information. Results : 96.7% of patients had experience with CAM. The kinds and frequencies of CAM were diet and nutrition 21.0%, folk remedy 21.0%, pharmacological treatment 13.5%, oriental medicine 5.3% and mind-body intervention 1.4%. 56.8% of patients had experienced 2-6 kinds of CAM, 37.4% more than 7. Among diet and nutrition, ginseng (62.9%) was highest, followed by ox leg bone soup (50.8%) and pumpkin (31.5%). Among the folk remedies, elm tree was highest at 46.5%, followed by phellinus linteus (Sang-Whang) at 26.8% and ganoderma lucidum (Young-Gee) 20.7%.satisfaction with CAM was relatively low (43.2%), many patients (78.2%) replied that they would use it continuously. Conclusion : Most patients had experience with many kinds of CAM, but didn't discuss it with medical doctors. If scientific study proves whether or not each kind of CAM is actually effective ondisease, it will help to improve the health of patients and prevent the inappropriate usage and cost.

• 보건행정학회지
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• 제23권1호
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• pp.90-100
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• 2013

Background: This study examined the relationships of dementia, stroke, and combined multimorbidity with long-term care utilizations among older people in South Korea. Methods: A nationally representative sample of 10,130 older adults who used long-term care services in 2010 were analyzed. We used the 5% sample of aged 65 years or older linked with National Health Insurance Corporation registry data of long-term care insurance system. The sample was categorized into three groups: dementia only (47.6%), stroke only (36.3%), and both dementia and stroke (16.1%). We estimated the use of institutional care, home care, and total expenditure of long-term care services, adjusting for the severity of each function (such as daily life, behavior or cognitive change, nursing care needs, and rehabilitation care needs) and sociodemographic characteristics. Results: Having dementia symptoms was positively associated with the use of institutional care services, on the other hand, having stroke symptoms was positively related with the use of home care. The total long-term care cost was higher in the group of having both dementia and stroke. Conclusion: Older persons with dementia symptoms and stroke symptoms have different patterns of long-term care utilization, and the multimorbidity increased the overall expenditure of long-term care utilization. These findings imply a need for differentiated management strategy targeting physically and cognitively impaired older persons, and special concerning for persons with multimorbidity conditions for long-term care insurance program in Korea.

• 정신신체의학
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• 제4권1호
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• pp.138-145
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• 1996

동일한 질병을 갖고 있거나, 같은 증상을 호소하는 환자의 경우라도 병과 관련된 행동은 사람마다 각기 다르다. 이러한 행동 양식을 잘 이해하는 것은 병의 진단과 치료 방법, 치료 순응도와 치료 효과를 결정하는 데에 중요한 요소가 된다. 비정상적인 질병 행동은 병자 역할이 핵심이 되며, 간혹 병을 부정하거나 무시하는 반대의 경우도 있다. 비정상적인 질병행동에 대한 평가는 기질적 원인이 밝혀지지 않는 여러 기능성 장애를 규명하는 한가지 방법으로 이용될 수 있으며, 인지 치료 내지는 재활, 직업 치료시에도 활용할 수 있는 중요한 개념으로 알려져 있다. 향후 한국인에게 맞는 치료법의 개발을 위해서는 각 질병에 따른 의학 역사적 관점, 사회 문화적 요소가 어우러진 통합적인 질병 행동 연구가 필요하리라 사료된다. 이는 의료 경제 측면에서도 필수적인 내용이 될 것이다.

• 한국방재학회 논문집
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• 제4권1호
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• pp.65-75
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• 2004

자연재해에 기인한 철도노반의 유실 및 파괴는 유실된 선로복구를 위한 공사가 장기간 소요됨으로써 정상적인 철도운행에 지장을 초래하여 사회적, 경제적으로 많은 비용 및 시간의 손실을 유발시키고 있다. 본 연구에서는 자연재해로 인해 유실된 철도노반에 대한 신속하고 안전한 복구대책으로서 토목섬유로 제조된 Soilbag의 적용성을 평가하고자 정적하중 및 모사반복 열차하중 재하 실대형시험을 수행하였다. 실대형시험을 통해 심도별 연직토압과 침하량을 계측한 결과, 하중분산효과에 기인한 토압 및 침하 저감 효과를 확인할 수 있었으며 시공성과 장기적 안정성을 고려할 때 Soilbag 공법의 현장적용성은 가능할 것으로 판단된다.