• 한국산학기술학회논문지
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• 제17권4호
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• pp.199-208
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• 2016

본 연구의 목적은 탈시설화로 대변되는 장애인 거주시설의 변화추세에 맞추어, 충청남도 중증장애인 거주시설의 입지 및 거주공간 특성과 문제점을 분석하고 개선방안을 모색하는데 있다. 연구의 결과 도출된 결론은 다음과 같다. 첫째, 충청남도 중증장애인 거주시설은 도심에서 멀리 떨어진 외곽 지역에 위치하고 있었으며, 중증장애인들의 사회복귀를 위한 교육 및 접근 프로그램이 필요한 것으로 판단된다. 둘째, 기존의 중증장애인 거주시설은 대부분 거주, 기능, 서비스 및 지원시설이 분리되어 각 실로의 접근성이 떨어지고 있지만, 거실을 중심으로 한 단위세대(유니트) 구성형식으로 전환될 경우 중증 장애인에게 일반 가정환경과 같은 접근성을 제공할 수 있을 것이다. 셋째, 중증장애인 시설의 거주공간은 거실중심의 유니트로 재구성 및 증축을 통하여, 1인당 소요되는 거주공간 면적이 미국이나 영국과 같은 해외 기준 수준으로 확장되도록 노력할 필요가 있다.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 세계 도시지반공학 심포지엄
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• pp.117-129
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• 2009

This paper studied the safety management network system of infrastructure which constructed smart sensors, closed-circuit television(CCTV) and monitoring system. This safety management of infrastructure applied to bridge, cut slop and tunnel, embankment etc. The system applied to technologies of standardization guidelines, data acquirement technologies, data analysis and judgment technologies, system integration setup technology, and IT technologies. It was constructed safety management network system of various infrastructure to improve efficient management and operation for many infrastructure. Integrated safety management network system of infrastructure consisted of the real-time structural health monitoring system of each infrastructure, integrated control center, measured data transmission using i of tet web-based, collecting data using sf ver, early alarm system which the dangerous event of infrastructure occurred. Integrated control center consisted of conference room, control room to manage and analysis the data, server room to present the measured data and to collect the raw data. Early alarm system proposed realization of warning and response within 5 minute or less through development of sensor-based progress report and propagation automation system using the media such as MMS, VMS, EMS, FMS, SMS and web services of report and propagation. Based on this, the most effective u-Infrastructure Safety Management System is expected to be stably established at a less cost, thus making people's life more comfortable. Information obtained from such systems could be useful for maintenance or structural safety evaluation of existing structures, rapid evaluation of conditions of damaged structures after an earthquake, estimation of residual life of structures, repair and retrofitting of structures, maintenance, management or rehabilitation of historical structures.

• 보건의료산업학회지
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• 제6권2호
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• pp.71-80
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• 2012

The purposes of this study were to effect the upper extremities strength and ADL with upper extremities in frail elders. This study comparison upper extremities strength to pre-exercise and post-exercise and ADL with upper extremities. 30 elders who was in C silver hospital in Busan after resistance exercise during 12 weeks using elastic band, It was confirmed that improvement upper extremities strength and ADL with upper extremities after resistance exercise. As a result of study about effect of elastic band based resistance exercise on ADL of frail elders, it seems to have good effect on over all items(eating, dressing, bathing, make-up, go to a rest room). Therefore, it is necessary to find method about rehabilitation exercise for frail or partial disability elders.

• 한국실내디자인학회논문집
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• 제9호
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• pp.18-23
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• 1996

Among the building types in which behavioral issues play, the largest role are institutional environments. Such setting share a number of important characteristics ; they serve specific population (e.g. the ill, the elderly , '||'&'||' inmates) : they are directed toward specific social behavioral objectives(e.g medical care, education , '||'&'||' rehabilitation); and they are "Total institution" in which residents spend all of there time. The basic concepts and theories of environment-behavior studies are of direct relevance in understanding such social institutions. In this study, I have examined the relationships between waiting and the specific conditions of the hospital experience. More specifically, this is a study of visitors (outpatient) within the context of the hospital , and the physical setting designated for their use in the outpatient waiting room. Environment behavior studies, with its commitment to individual behavior and the physical environment might well be a particularly way by which a study of waiting rooms can demonstrate the power of this approach and its integrative among disciplines.

• 기본간호학회지
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• 제2권1호
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• pp.87-101
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• 1995

This study was conducted with the subject of showing the importance of early rehabilitation and exercise therapy in patients who have stroke, of confirming the adavntage of ward exercise conducted by nurse, which had been conducted mainly by physical therapist only in physical thrapy room and of developing the exercise program as the independent rehabilitation nursing intervention. A total of 62 patients were selected as object from April, 5th, to May, 17th, 1995, who had been hospitalized in K medical center, and the half of them were assigned to Experimental group in ramdom assignment using a coin. It was ADL check list tool developed by Kang and Ward Exercise Program developed by the researcher that were used as a treatment. Ward Exercise Program was conducted by the reseacher and the physical therapist measured ADL score before and after Ward Exercise Program. The data were analyzed using ANOVA, pearson correlation, Chi-Square test and the effect of Ward Exercise Program was analyzed by t-tast. The result of this study is as follows. 1. The experimental group showed eminent improvement of ADL compared with the counter group with statistical significance. In eating(t=6.10, df=60, p=.000), personal hygiene performing(t=4.86, df=60, p=.000), wearing(t=5.86, df=60, p=.000), elimination(t=7.89, df=60, p=.000), mobility on the bed(t=13.36, df=60, p=.000), moving(t=9.11, df=60, p=.000), walking(t=7.45, df=60, p=.000) 2. There was no qualitative difference between experimental group and control group with the significance of $p{\le}.05$. 3. There was no relation between the general condition and the difference of ADL, while there was significant relation between the starting point of exercise and the difference of pre-exercise and post exercise ADL. As a result, it should be emphasized that the early rehabilitation and exercise therapy are important in patients who have stroke, and that it is necessary to extend the exercise therapy to the ward. Therefore, this Ward Exercise Program could be recommended as a independent clinical exercise nursing intervention in rehabilitation nursing of patients who have stroke.

• 한국전문물리치료학회지
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• 제4권3호
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• pp.17-33
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• 1997

The objective of this study was to identify pulmonary functional variations in relation to postural changes, lapse after changing position, and the use of abdominal band in the cervical cord injured. The subjects of this study were 19 quadriplegic patients who had been admitted to the department of the Rehabilitation Hospital, College of Medicine, Yousei University, from April, 1997 through May 3, 1997. A spiroanalyzer was used to measure pulmonary function in supine, standing, time after changing position, and recording to the position, application method, and tightness of the abdominal band. The data were analyzed by the repeated measure one-way ANOVA, and Wilcoxon signed rank test. The findings were as follows: 1. All phase of the patients' pulmonary function improved significantly in supine posture in contrast to standing (vital capacity by $0.46{\ell}$ and expiratory reserve volume by $0.09{\ell}$). 2. The longer the time lapsed from supine posture to standing, the patient's expiratory reserve volume, maximum ventilation volume, vital capacity, and forced expiratory volume increased. 3. When the patient lay in supine position, the maximum ventilation volume, vital capacity, and the forced vital capacity increased then the center line of the abdominal band was placed along iliac crest; on the other hand, when the patient was standing, placing the bottom line of the abdominal band along iliac crest increased the maximum ventilation volume, vital capacity, and forced expiratory volume. 4. In placing the abdominal band in the patients, leaving space between the top and bottom lines of the band helped increased in maximum ventilation volume, vital capacity, and forced vital capacity for patient in supine as well as in standing. 5. When placing the abdominal band to patients in supine posture, reducing the length of the band by 2.5% along the patient's waist line increased the patients' vital capacity, while reducing the length by 10% to patients in standing increased the maximum ventilation volume. The abdominal band should be placed in such a way that the bottom part of the band should be more tightly fastened while leaving enough room for a hand to be placed in between the body and the band for the top part of the hand. It should also be noted that in a supine position, the bottom line of the band should be placed along the iliac crest, while in standing, the center line should be placed along the iliac crest. The length of the band should also be reduced by 2.5% of the waist line in supine position, and in standing, the length should be reduced by 10%. It should also be noted that the pulmonary function of the patients should be measured at least 10 minutes after one position change.

• 한국콘텐츠학회논문지
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• 제22권3호
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• pp.547-559
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• 2022

본 연구는 정신재활시설을 이용하고 있는 정신장애인 가족의 돌봄 경험은 어떠한지 탐색하기 위한 질적 연구이다. 분석결과, 정신장애인 가족의 삶은 6개의 주제에서 12개의 하위주제로 나타났다. 발병하기 이전의 삶의 모습은 전기난로처럼 따뜻하고 편안한 일상생활, 가족간 갈등으로 새장의 앵무새처럼 답답하고 힘든생활로 나타났다. 증상이 나타나기 시작한 당사자를 바라보는 느낌은 앞이 잘 보이지 않는 두려움과 막막함, 삶을 꽃 피우기 전 질병에 갇힌 자녀에 대한 죄책감이었고, 강제 입원, 그리고 나의 느낌은 찢어지는 마음에 어찌할 바를 모름, 불투명한 회복과 미래의 삶에 대한 걱정으로 생각이 혼란해짐으로 나타났다. 질병이 장기간 지속되고 입·퇴원이 반복되면서 느낀 경험은 주변에 가족의 정신병이 알려질까 두려움, 반복되는 재발과 증상 악화에 대처하기 위해 안간힘을 씀으로 도출되었다. 정신재활시설을 이용하면서 변화된 삶은 편안한 쉼터에서 마음의 위로를 받음, 미래에 대한 희망이 보이고 웃을 수 있는 여유가 생김으로 나타났고, 앞으로 기대하는 삶, 그리고 희망은 작은 변화를 보며 감사함을 느낌, 회복을 위한 따뜻한 울타리가 되길 다짐함으로 도출되었다.

• 재활간호학회지
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• 제2권1호
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• pp.95-108
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• 1999

The purpose of this study was to identify the effect of the humor intervention program, administred to the hemodialysis patient as an adaptive coping mechanism. The research design was non-equivalent control group non-synchronized design. The study method had been done by investigating the experimental group and control group through the questionnaire on 36 patients who had been out patient hemodialysis room at B hospital in Pusan from August 18 to September 15, 1998. The humor intervention program consisted of 1 TV comedy, 1 home video and 1 comedy film. The humor intervention program was provided to the experimental group for 20-30 minute 3 times every other day at hemodialysis room. Dependent variables were measured by Spielberger's State Anxiety Inventory, Zung's Self Rating Depression Scale, Lefcourt & s Humor Coping Scale. The analysis of the collected data had been done for the hemogeneity test in which general characteristics of the experimental group and the control group had been tested by $X^2$-test and the hemogeneity test had been tested by t-test before using the humor intervention program which is for anxiety, depression and coping of humor. To test the hypothesis the t-test had been given for the difference of anxiety, depression and coping of humor between the two groups. The result were summarized as follows : 1. Anxiety score in the experimental group and control group was not significant difference. 2. Depression score in the experimental group and control group was not significant difference. 3. Coping of humor score in the experimental group and control group was not significant difference. In conclusion, even though humor intervention program did not have any efficient effect on hemodialysis patients in reacting to anxiety, depression and coping humor, it caused very positive reactions from patients, and it also reducted anxiety of patients among the experimental group a little bit. If this program could be sufficiently applied ac cording to the character of every patients with a little bit different appliences such as selection of humor intervention program, frequency and period, it will be used as an efficient the humor intervention program.

• 대한통합의학회지
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• 제7권2호
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• pp.111-119
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• 2019

Purpose : The aim of this study was to investigate patterns of medical use among juveniles and adolescents, including for chronic disease, in Korea. The study sought to do the following: (a) investigate the extent to which chronic diseases account for medical expenditures, (b) investigate and the socio-demographic characteristics associated with medical use, and (c) identify the differences in medical use between juveniles and adolescents. Methods : We used data from the 2015 Korean Health Panel and selected 12 variables. The socio-demographic characteristics investigated included, growth period (juvenile, adolescents), gender, family income, national basic livelihood act status, disability registration, and degree of disability. There were five medical factors that were considered: emergency room use, hospitalization use, hospital outpatient use, chronic disease, and medical expenditure. Data were analyzed using stepwise multiple and logistic regression. Results : The prevalence of chronic disability in juveniles and adolescents was 31.1 % and 1 %, respectively. The factors affecting medical expenditures included hospitalization use, hospital outpatient use, family income, disability, gender, chronic disease, and emergency room use ($R^2=.160$, p<.05). For national basic livelihood act recipients, the probability of having chronic disease was about 1.6 times higher (OR=1.597, 95 % CI=1.092-2.335, p=.016), compared with non-national basic livelihood act recipients. People with disabilities were 6.6 times more likely than those without disabilities to suffer from chronic disease (OR =6.571, 95 % CI=2.776-15.556, p<.001). Hospital outpatient user was 2.3 times higher than non-user (OR=2.260, 95 % CI=1.702-3.001, p<.001). Juveniles had a 1.7 times and 6.2 times higher likelihood of emergency rooms user (OR=1.654, 95 % CI=1.270-2.155, p<.001), and hospital outpatient user than adolescents (OR=6.208, 95 % CI=4.443-8.676, p<.001). Conclusion : The findings of this study suggest that health care services for juveniles is needed to manage chronic diseases that have an effect on medical expenditures.

• 재활복지공학회논문지
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• 제7권2호
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• pp.109-115
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• 2013

본 논문에서는 전동휠체어용 압력분포 측정시스템을 개발하고, 실제 휠체어 사용자들을 대상으로 동작분석과 연계한 압력분포 변화실험을 통해 유의성을 검증하고자 하였다. 측정시스템은 휠체어 이동방향에 따른 압력분포 변화 측정을 위해 64ch의 시트쿠션 FSR 센서신호 및 좌 우 각 30ch의 팔걸이 FSR 센서신호를 2ch의 좌 우 바퀴형 엔코더 신호와 동시에 12bit, 10Hz의 샘플링 속도로 획득할 수 있도록 개발하였으며, 이 신호들을 USB 인터페이스를 통해 휠체어 뒤쪽에 장착 가능한 노트북PC로 전송 후 실시간으로 화면표시, 저장, 재생을 수행할 수 있는 실시간 신호처리 소프트웨어를 개발하였다. 개발된 측정시스템을 사용한 압력분포 변화 실험은 실제 휠체어 사용자 10인을 대상으로 적외선 마커 기반의 동작분석실에서 3D 동작분석과 연계하여 실시하였다. 실험결과, 휠체어 진행 중 회전구간에서 몸이 회전의 바깥 방향으로 기울어지는 것을 확인할 수 있었으며 실험결과 및 실험 후 인터뷰를 통해 전동휠체어 설계 시 시트의 형태에 대한 개선요구사항을 획득할 수 있었다.