• 대한간호학회지
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• 제31권1호
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• pp.94-106
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• 2001

The purpose of this study was to verify the use of Seo's Elderly Stress Scale (SESS), which was developed in 1996. Through the modified tool, it is possible to examine the stress of Korean elders and to contribute to the welfare of them. The subjects were 350 elders over 65 years old who live in Seoul, Kwang-Ju, Yang-Ju Gun Kyung-ki Do, Ui-Jong Bu, and Young-Am Kun, Jeun-Ra Nam Do. the data of 331 elders (94%) were analyzed. Data were collected between January and March in 1996 and analyzed using the SPSS Win 8.0. The result are as follows: 1. Items with low correlation with the total items were removed. So 27 items were removed and 37 items remained. This 37 items were death in the family and/or close friends, family member's behavior not meeting expectations, marriage of daughter, marriage of son, friction with daughter- in-law, argument among children, children refuse to live with parent, children leaving home, sex injury or accident, in frequest visits from children and grandchildren, providing care for your daughter or daughter-in-law post-partum, decrease in decision making and authority in home, Lunar new year and the harvest featival, house sitting, working in the house, performing a sacrificial rite, missed birthday, not living with the eldest son, decreased eyesight, decreased strength, decreased memory, sleep pattern changes, thoughts about death, loneliness, decreased hearing, change of dental condition, change in your diet or eating style, difficulty in self care, moving because of disease or aging, argument with friend or neighbour, travel, dealing with the procedure of heritage, loss of money or property, not enough pocket money, hearing on elderly neglect in television or radio, hope of going home and ignorant from others. 2. Overlapped items were discussed by colleagues and were modified. 'marriage of daughter' and 'marriage of son' were modified in 'marriage of children'. 'self injury or accidents' and 'family accidents' were modified in to self or family accidents. 3. Factor analysis was done in order to identify validity and three factors were obtained from the result. The first factor familial relation area, included 17 items. The second factor, physical area, included 9 items. The third factor, psycho-socio-economic area, included 9 items. Cronbach coefficient alpha for the 35 items was .923. 4. Pearson's correlation was .704 between SESS and SOS (Symptoms of Stress) in order to confirm construct validity. Based on the result, the following is suggested; 1. The modified SESS needs to be reverified with elder. 2. Korean elder's health promotion can be made by development of stress intervention which was accurately measured with SESS.

• Journal of Acupuncture Research
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• 제30권5호
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• pp.1-9
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• 2013

Objectives : The purpose of this study was to present clinical utility of therapeutic exercise on the neck and shoulder parts based on the movement system impairment syndrome(MSIS) as Dong-Qi therapy of the Dong-Si Acupuncture and was to examine which Dong-Si acupoints were most effective and non-invasive when performing therapeutic exercise of the MSIS. Methods : Totally eight therapeutic exercises correspondent to eight neck and shoulder MSIS were summarized and tabulated from the Diagnosis and Treatment of Movement Impairment Syndrome and Movement System Impairment Syndromes Of The Extremities, Cervical and Thoracic Spines by Sahrmann SA. Together with the MSIS summaries, acupuncture points and Dong-Qi therapy were summarized and tabulated from Yangweijiequanji 1 and Yangweijiequanji 2 by Yangweijie. According to the posture and movement of the MSIS exercise, effective and non-invasive acupoints were selected. Thereafter, clinical pilot study which five normal volunteers participated in were performed to examine whether these acupoints resulted in any side effects of acupuncture therapy such as pain and distortion of the needle during the MSIS exercises. Results : Through clinical pilot study, ZhongZi, ZhongXian, ZhengJin, ZhengZong and MuLiu in a sitting position, and HuaGuYi, ZhongZi and ZhongXian in a supine position were finally determined as safe and non-invasive Dong-Si acupoints to treat cervical pain. In terms of shoulder pain, ZuQianJin, ZuWuJin, HuaGuEr and JianZhong in a supine position, SiHuaZhong, ZuQianJin, ZuWuJin, QuLing, JianZhong, ShenGuan and JiuLi in a standing position, and ZuQianJin, ZuWuJin, HuaGuEr, QuLing and JianZhong in a prone position were finally accepted as safe and non-invasive Dong-Si acupoints. Conclusion : It is concluded that Dong-Si acupoints can be safely and non-invasively used together with therapeutic exercises of the MSIS to treat cervical and shoulder pains.

• 보건교육건강증진학회지
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• 제12권2호
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• pp.36-47
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• 1995

This research was obtained from analyzing how the physiques of the 3rd grade students of high school for males and females and developed for the last eleven years(from 1983 to 1993). By the physiques and nutritional index of physical growth and development, Relative Body Weight of 36.62 exceeded the standard, on the other hand females showed lower records than the standard. Relative Chest Girth Index belonged to the normal type of males and females in all, in the comparison of the records between 1983 and 1993, males increased in average 0.29 and females in average 0.55. Relative Chest Girth Index of females was greater than that of females. By the results of Relative Sitting Height Index, growth of the lower body for males and females was greater than that of males. In case of Vervaeck Index, males increased in average 2.04 but females increased in average 1, 20 relatively less than males. These phenomena provided for the evidence of the deficient nutrition in females. In the regression models of body height and body weight within a certain period, statistical regression model types which best indicated chronological average changes of body height and body weight, took 3rd Order Polynomial Regression Model rather than linear regression model. In females, statistical regression model types which best is suitable for chronological average change of body height and body weight, took 4th and 2nd Order Polynomial Regression Model respectively. The prediction value of 1995 by estimated polynomial regression model anticipated that body height of 3rd grade year students of high school of males in 1993 went on increasing from 170.87cm to 171.79cm in average 0.92cm growth and that of females from 158.99cm to 160.79cm in average 1.80cm growth. In addition, body weight of males seemed to increase from 62.58kg to 64.52kg in average 1.94kg growth and that of females seemed to increase from 54.05kg to 54.19kg in average 0.14kg growth. Linear Regression Model was suitable for the regression model of body weight for body height. Prediction on increase of an average body weight for body height was that, according to growth of body height 1cm in males, body weight increased 1.41kg averagely and that of females 0.86kg. For that reason, we came to conclusion that body weight increase for body height 1cm in males was greater than that in females on average.

• 생명과학회지
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• 제20권12호
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• pp.1867-1871
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• 2010

본 연구는 건강한 성인을 20명을 대상으로 AB spur를 착용하고 12주 복식호흡 운동을 함에 따라 신체적 특성및 체지방률(% body fat), 체질량지수(BMI), 복부 비만율(Waist/Hip ratio)의 변화를 검증하여 비만과 관련되어 복식호흡의 중요성 강조 및 비만관련 인자 감소에 있어 기초자료로 제공하려는데 목적이 있다. 본 연구의 대상자는 모두 D 대학교에 재학중인 대상자(총 20명; 남: 3 명, 여: 17명)들로 문진을 통하여 사전과 현재 병력을 조사하여 의학적으로 질환이 없는 대상자로 구성하였다. 본 연구를 수행하기 위해 복식호흡기기를 이용한 복식호흡훈련을 충분히 숙지 시킨 후에 하루 6시간, 12주간 매일 착용하게 하였다. 복식호흡 방법은 크게 들이쉬기(2~3초), 숨정지(1~2초), 내쉬기(약 4~5초) 순서로 하였으며, 정확한 호흡을 유도하기 위하여 AB spur를 착용하고, 숨을 들어 마시며 복부를 최대한 내밀어준다. 본 연구결과 12주 복식호흡 훈련은 체중 및 체지방률, BMI, 복부 비만도를 유의하게(p<0.05) 감소시켰고 이는 비만과 관련하여 의미 있는 결과라 사료된다. 추후 운동과 더불어 비만자에 있어 이러한 복식호흡의 중요성을 강조하면 비만에 따른 체중 및 체지방 감소에 보다 효과적인 방법을 제시할 수 있을 것으로 사료된다.

• 한국축산시설환경학회지
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• 제12권1호
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• pp.13-20
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• 2006

품종과 성 및 체중이 검정돈의 행동특성에 미치는 영향을 분석하기 위하여 공인 종돈능력 검정소에서 검정중인 Duroc, Landrace, Yorkshire 및 Berkshire 등 4개 품종 32두의 행동패턴을 녹화한 자료의 비디오 분석을 실시하였다. 또한 4개 품종 8,477두를 대상으로 돼지의 주요 경제형질인 일당증체량, 90kg 도달일령 및 사료요구율에 영향을 미치는 품종 및 성의 효과를 추정하였다. 검정돈의 품종에 따른 행동특성의 차이는 Berkshire 종이 앞으로 엎드린 자세와 앉은 자세로 보낸 시간의 비율이 상대적으로 낮고 걷는 동작, 물을 마시는 동작 및 사료를 먹는 동작으로 보내는 시간의 비율이 다른 품종에 비하여 상대적으로 높게 나타났다. 성에 따라서는 수퇘지가 서있는 자세로 보낸 시간과 사회성 행동으로 보낸 시간 비율이 높게 나타났다. 체중에 따라서는 60kg 이상의 체중에서 30kg 이하의 돼지에 비하여 앞으로 엎드린 자세로 보낸 시간의 비율이 낮았으며, 서있는 시간의 비율이 높게 나타났다. 그러나 그 외의 행동과 동작으로 보낸 시간의 비율은 차이가 없었다. 검정돈의 모든 형질에서 품종 간에 뚜렷한 차이를 나타내었으며, 일당증체량은 Duroc 종이 가장 우수하였고, 90kg 도달일령은 Berkshire 종이 가장 불량하였다. 사료요구율은 Duroc 종이 가장 우수하였고 Yorkshire 종과 Berkshire 종이 불량하였다. 검정돈의 각 형질에 대한 성별에 따른 차이를 보면 일당증체량은 수퇘지가 양호하였고 90kg 도달일령은 차이가 없었으며, 사료 요구율은 수퇘지가 우수하였다. 결론적으로 각각의 행동이나 동작으로 보낸 시간의 비율이 품종과 성 및 체중에 따라 차이가 있음을 알 수 있는데, 이는 품종과 성 및 성장단계에 따라 돼지가 가지는 특유의 행동패턴을 나타낸 것으로 판단된다. 돼지의 품종과 성 및 성장단계에 따라 나타나는 특유의 행동특성과 생산성, 취급, 관리와의 연계에 대한 진전된 연구가 필요한 것으로 사료된다.

• 대한간호학회지
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• 제23권1호
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• pp.56-67
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• 1993

The purpose of this study was to compare the circumference and skinfold thickness of upper and lower limb and the leg strength of the casted limb with those of the normal limb after removal of a leg cast. The subjects for the study were orthopedic patients who had had long and short leg casts or splints due to tibial, fibulal, metatarsal, calcaneus fracture or ankle sprains. The subjects were divided into two groups, those who had the cast on for less than 40 days and those for over 41 days. Circumference and skinfold thickness of the upper and lower limb on the side on which the cast was ap-plied were compared with those of the contralateral side after removal of the cast. Circumference and skinfold thickness of the upper and lower limb, and leg strength for those in a cast for under 40 days were compared with those of over 41 days for both the side to which cast was applied and the contralateral side. Measurements were made after removal of the cast. Skinfold thickness was measured by fat caliper, circumference was measured by tape and lower extremity strength was determined with flat foot pressing on an electronic digital health meter in the sitting position. The results can be summarized as follows : 1. The circumference of the upper and lower leg on the side on which the cast was applied, when measured after the cast was removed, were significantly less than those of the normal side, 93.88%, 93.11% each. 2. Skinfold thickness of the quadriceps and gastrocnemius on the side on which the cast was applied were significantly less than those of the normal side when measured after removal of the cast, 85.98%, 82.85% respectively. 3. Leg strength on the side where the cast was applied was significantly 1ss than that on the normal side, 60.20%. 4. There was no difference in the circumference of upper and lower limbs, skinfold thickness or leg strength on the side where the cast was applied between the group which had the cast applied for under 40 days and the group that had it applied for over 41 days. 5. The circumference of the upper arm and lower leg on the normal side for the group that had the cast applied for over 41 days was significantly greater than the group that had the cast application for under 40 days. T ere was no difference between the two groups in the circumference of the forearm and upper leg, skinfold thickness and leg strength in the normal side. From these results, it may be concluded that muscle atrophy was apparent in the casted limb compared to the normal limb, and the circumference of the upper arm and lower leg, and leg strength on the normal side increased after removal of the cast in the group which had the cast on for more than 41 days.

• 대한골관절종양학회지
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• 제2권1호
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• pp.8-17
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• 1996

The purpose of this study is a comparative evaluation of range motion, especially extension deficit between the group of total patellectomy and that of intact patella, after reconstruction of the patellar tendon in the prosthetic replacement of a proximal tibia. Between 1990 and 1994, 15 patients who had a primary malignancy on proximal tibia were operated on. All patients were evaluated clinically and radiographically. Two patients were excluded because one had a deep infection treated with arthrodesis of the knee and the other was a composite allograft. The mean follow-up of the 13 patients was 27 months(15-47), including 10 osteosarcomas, 1 chondrosarcoma, 1 malignant fibrous histiocytoma and 1 malignant giant cell tumor. Eleven patients had a resection of the proximal tibia and 2 had an extracapsular total knee resection with distal femur. Reconstruction of the defect was done in 8 cases with a custom-made Link Endo-Model Total Rotation Knee Joint Prosthesis, and in 5 with How Medica Modular Resection System (HMRS). We used two methods to reconstruct the ligamentum patellae. Fixation of the patellar tendon to the prosthesis only with suturing and/or stapling(group SS) was done in 7. Transposition of gastrocnemius muscle to enhance fixation and to cover the prosthesis(group TG) was done in 6. Regardless of fixation methods, total patellectomy was done in 5 either to lengthen the patellar tendon or to make primary skin closure easier or for both. In 8 cases, patella was left intact or resurfaced with polyethylene prosthesis. Active extension was measured while the patient was in a sitting position. There is no statistically meaningful difference in terms of extension deficit (Wilcoxon rank test, p=0.8800) between patellectomy group and intact patella group, and between group of fixation only with suturing and that of gastrocnemius transposition. Two cases of extension deficit over 30 degree were seen in group SS and in the group of intact patella. Conclusively, total patellectomy could be an option without increasing the risk of extension deficit when primary skin closure is difficult or patellar tendon is a little bit short to be fixed. There is no rating in the Enneking system of functional evaluation that this finding into consideration.

• 대한임상전기생리학회지
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• 제5권2호
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• pp.61-72
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• 2007

INTRODUCTION: Local heat and cold application has been frequently used as means of muscle relaxation and blood circulation or reinforcing muscle strength, relaxing muscle tension in clinical situation. In particular, it has been known that long-term heat and cold application for relaxing muscle tension inhibits muscle spasticity or tension. But, it has been rarely reported that what influences of heat and cold application on activation of muscle action potential. Therefore, this study aims to analyze surface temperature and electromyography activities according to the heat and cold application. METHODE: Subjects of this research were 10 normal men and women (5 men, 5 women). Hot pack and cold pack was applied to vastus medialis muscle of thigh and rectus femoris muscle for 20 min. Surface temperature of vastus medialis muscle and rectus femoris muscle was measured, knee joint of subjects was in $45^{\circ}$ flexion, sitting on a chair, maximal isometric contraction was induced, surface electromyography (sEMG) signals were collected and root mean square (RMS) and median frequency (MOF) were analyzed. All measurements were conducted before and immediately after experiment, 10 min., 20 min. and 30 min. after experiment. Data were analyzed with SPSS 12.0 program, comparison of changes in superficial temperature and sEMG signals through repeated measurement was conducted with repeated measures ANOVA and significance level $\alpha$ was 0.05. RESULTS: Changes of surface temperature of vastus medialis muscle according to cold application were radically decreased immediately after application, but it was recovered after 30 min. of application and it showed significant difference (F4. 36=72.216, P<0.001). Surface temperature of rectus femoris also showed radical decrease immediately after application, but it was recovered after 30 min. of application and showed significant difference (F4. 36=88.930, P<0.001). Changes of surface temperature of vastus medialis muscle according to heat application were radically increased immediately after application, but it was recovered after 30 min. of application and it showed significant difference (F4. 36=27.267, P<0.001). Surface temperature of rectus femoris also showed radical decrease immediately after application, but it was recovered after 30 min. of application and showed significant difference (F4. 36=19.774, P<0.001). Changes of sEMG by heat and cold application were no statistical difference. Surface temperature of skeletal muscle after heat and cold application showed significant change for 30 min., but it was found that increase or decrease of surface temperature had not great influence on sEMG activities.

• The Journal of Korean Physical Therapy
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• 제17권4호
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• pp.575-588
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• 2005

Family and parents which serve as a primary group for the children's development also play important role in their cerebral palsy children's treatment. This study wants to know how the parents' participation in their children's physical therapy and satisfaction degree have an impact on their children's improvement of the motor function. For that purpose, a home made self filling survey was conducted of 156 cerebral palsy children's parents whose children were treated in 4 university general hospitals and 3 welfare centers from the 1st of April 2004 to the 31th of march 2005. The gross motor function was employed to evaluate the cerebral palsy children's motor function improvement. In this study, those questioned were divided into two groups according to the time of treatment. 'Group A' is consist of the patients whose parents attended to the treatment more than one hour at home. The patients who belonged to 'Group B' were treated less than one hour at home. The general features of the cerebral palsy children and their parents and the characteristics of their physical disability, the parents' participation and their satisfaction degree were examined by survey. Evaluating the difference between two groups' motor function according to their parents participation degree in the physical therapy leads to the following results. First, 'Group A' was better than 'Group B' in their satisfaction degree with the physical therapy and participation degree. Statistically 'Group A' was superior to 'Group B' in the requirements of the information and education for the children with cerebral palsy. Second, after two months of treatment, 'Group A' showed more statistically significant improvement than 'Group B' in every items as like lying in item 1, sitting in item2, crawling and kneeling in item 3, standing in item 4, walking,running, jumping in item 5. Third, parents' participation in physical therapy and satisfaction degree have some relevance to their children' motor function improvement. The satisfaction degree is related to motor function like crawling and kneeling in item 3, walking,running, jumping in item 5. It is showed that the parents' participation degree and information about handicapped children.

• 한국보건간호학회지
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• 제7권1호
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• pp.81-97
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• 1993

This study was carried out to analyze the factors of the perieved symptoms of fatigue of the industrial workers, to examine the inter-relatisnship of the above factors with their general charactenstics and the environments of working area for the examination of their health status and the effective health management of them. This study was undertaken from December 1 to December 20, 1990. The subjets were 495 workers who had worked at the Industrial complex located in Chonbuk Province. The result of this study were as follows: 1. The worker's percieved symptoms of fatigue were classified to the following seven factors; A) Musculo-Skeletal Symptoms, B) Neuro-Psychial Symptoms, C) Optical Symptoms, D) Heart Symptoms, E) Head Symptoms, F) Respiratory Symptoms, G) Genital Symptoms 2. Analysis of the inter-relationship of their percieved symptoms of fatigue with general characteristics; 1) The difference of distribution to their percieved symptoms of fatigue according to sexuality was significant; Female were higher than Male $(p{\leqq}0.001$, p<0.005) 2) The difference of distribution to their percieved symptoms of fatigue according to age was significant; Age group under 24 years of age were higher than the other's group (p<0.001). 3) The difference of distribution to their percieved symptoms of fatigue according to the level of education was significant; Workers who stand on a low intellectual were higher than workers on a high intellectual level. 4) The difference of distribution to their percieved symptoms of fatigue for a week was the highest when worked at sunday. 5) The difference of distribution to their percieved symptoms of fatigue for seasons was high at spring. 3. Analysis of the inter-relationship of their percieved symptoms of fatigue with the environments of working area. 1) The difference of distribution of their percieved symptoms of fatigue according to the working department was significant; Production workers were higher than office workers. 2) The difference of distribution of their percieved symptoms of fatigue related with working posture was significant; Sitting: Musculo-Skeletal symptoms (p<0.05), Optical symptoms (p<0.005) 3) The more dissatisfied with their's own duty they were, the higher became the distribution of their percieved symptoms of fatigue (p<0.001. p<0.005, p<0.05) 4) The more dissatisfied with their working condition they were, the higher became the degree of their percieved symptoms of fatigue (p<0.001. P<0.05) 5) The difference of distribution of their percieved symptoms of fatigue according to kinds of job was significant: Workers who has handled heavy materials were higher than who had not handled $(p{\leqq}0.001$, p<0.05). Workers who has handled chemical materials: Optical, symptoms $(p{\leqq}0.001)$. Workers who has handled dusty materials: Respiratory symptoms (p<0.01) 6) The environment of working area was significantly affected to the distribution of their percieved symptoms of fatigue: Workers complains of a illumination problem; Optical symptoms (p<0.005), Heart symptoms (p<0.005) Workers complains of a ventilation problem: Heart symptoms (p<0.05), Optical symptoms, Heart symptoms (p<0.01) Musculo-skeletal symptoms ($p{\leqq}0.001$)