• 대한한방내과학회지
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• 제40권5호
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• pp.851-864
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• 2019

Multiple system atrophy is a neurodegenerative disease that causes diverse bodily dysfunctions (cerebellar, pyramidal, automatic, and urological, in any combination), as well as Parkinsonism. Patients with multiple system atrophy commonly display antecollis, a condition where the patient's head tilts forward more than 45 degrees. Despite its common occurrence in these patients, no current standardized therapies are effective for treating antecollis. In this study, Korean medicinal treatments, including Chuna manual therapy, pharmaco-acupuncture, bee venom acupuncture, acupuncture, herbal medicine, and moxibustion therapy, were administered to the patient over a 27-day period. After the treatment, assessments of the head position on the EPIS-PD scale (Part I) and at a standing position from the side (Part II) both revealed improvements. As the head flexion angle decreased, the patient's head posture improved, as determined by a decrease in angle from 80 degrees to 30 degrees in the upright, standing position. As a result, patients who previously were unable to walk without the support of walking frames could now roam freely and independently, with significant increases in both walking speed and distance. In essence, this study suggests that Korean medicine is an effective treatment for patients with multiple system atrophy who suffer from antecollis and gait disorders.

• 의정연구
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• 제26권3호
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• pp.5-35
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• 2020

이 글은 제21대 국회의 출범과정에서 나타난 여야의 첨예한 대립이 우리 정치의 현실에 비추어 어떻게 평가될 수 있으며, 그것이 향후 국회 운영에 어떠한 변화를 가져올 것인지 전망하려는 목적에서 쓰여졌다. 제21대 국회의 원구성 결과는 민주화 이후 지속되어 온 정당의 의석비율에 따른 상임위원장 배분 관행을 전면적으로 깨뜨렸으며, 이는 우리의 국회가 적어도 상당기간 동안 의사결정과정에서 새로운 국면에 접어들었음을 의미한다. 선거에서의 압승을 통해 국회 운영에 있어서 압도적인 주도권을 갖게 된 더불어민주당은 '일하는 국회'를 기치로 내걸고 국회가 정파적인 다툼과 갈등을 넘어서 정부의 정책을 뒷받침해야 할 것을 역설하고 있는 반면, 지역구선거에서의 참패로 이전의 영향력을 크게 상실한 미래통합당은 국회의 행정부 견제역할을 강조하고 있다. 민주화 이후 현재에 이르기까지 한국 국회의 운영에 있어서는 두 가지 상반된 경향이 특징적으로 목격된다. 오랜 권위주의의 경험은 민주화에 따른 국회 기능의 정상화와 함께 집권여당의 독주를 견제하고 협치를 강화하는 방향으로 국회의 의사결정과정을 변모시켰다. 그러나 다른 한편으로 강화되고 있는 정파적 양극화와 이에 따른 양당제의 고착은 정파적인 합의에 기반한 협치를 더욱 어렵게 만드는 구조적인 동인으로 기능하였다. 이러한 상황 속에서 이 글은 제21대 국회가 정파적 양극화와 협치의 제도화 속에서 균형점을 찾고, 유권자들의 신뢰를 되찾기 위해서는 세 가지 조건이 필요하다고 주장한다. 국회 의사결정과정에서의 절차적인 준수, 국회 내의 다양성 확보, 그리고 숙의의 과정을 통한 입법활동은 제21대 국회가 과거의 잘못된 관행을 뒤로 하고 대의민주주의의 핵심기관으로 자리매김할 수 있는 계기가 될 것이다.

• 한국건축시공학회지
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• 제18권4호
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• pp.375-384
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• 2018

국내 건설경기의 하락과 함께 건설산업의 해외시장 진출은 건설업계 및 정부의 핵심적인 과제로 인식되고 있으며, 최근 대형 기업들의 해외진출뿐만 아니라 중소업체들의 해외시장 진출이 주요한 건설정책 및 건설업계의 이슈가 되고 있다. 따라서 본 연구는 건설엔지니어링분야의 해외건설 지원정책을 도출하여 평가한 결과, 시장개척자금 지원사업 정책, 전문인력 육성 및 교육정책, 수주정보 제공 지원정책 순으로 높게 평가되었다. 해외근무 경력의 인센티브 정책 만족도는 39.6점에 그쳐 상대적으로 낮았다. 이러한 정책평가 결과를 통하여 정부측면과 업체 측면에서 개선방안을 제안하였다. 정부측면에서 건설엔지니어링분야의 해외건설지원정책 개선방향으로는 PM, CM, 설계업체의 엔지니어에 맞는 정보제공 방안과 건설엔지니어링분야의 해외전문인력 양성 및 교육지원정책의 확대로 실무인력 배출방안을 제안하였다. 건설엔지니어링업계 측면에서는 건설엔지니어링의 기술역량 확보를 위한 해외 글로벌 전문인력의 확보방안을 제안하였다. 또한 신규사업 발굴과 해외건설 시장개척지원 사업의 성과를 공유할 수 있는 체계 구축방안과 중소 건설엔지니어링업체가 해외사업을 위한 건설사업관리 역량강화 및 계약 및 리스크 관리의 강화방안을 제안하였다.

• 복식
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• 제38권
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• pp.193-211
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• 1998

Without a solid marketing system in placed, the fashion industry cannot flourish on out-standing design or technology alone. Even though the significance of collecting and analyzing information, merchandising, and retail distribution is recognized, these functions are not firmly rooted or prevalent in our industry. In contrast, Italy which possesses similar demographic traits such as the lack of natural resources and other physical factors has succeed-ed in globalizing its fashion market by responding swiftly and exercising flexiblity to its constantly changing consumer demand. This in turn has earned Italy the competitive edge in the global fashion arena. Italy's unique management skills and operation know-how, along with successful market strategies come into play in bringing competitiveness to Italy's fashion market. Firstly, smaller companies with ability to adopt swiftly to the ever changing market. Secondly, fashion friendly social environment. Thirdly, niche marketing through highly specialized system and differentiation. Fourthly, timeless innovation through intense corporate competition. Lastly, establishment of foundations to support the industry through diverse networking. The alone building blocks have formed a basis for erecting an unparalleled market with a reputation for excellence in design and quality in the global fashion world. This study has examined how Italy's fashion industry has evolved from an underdeveloped textile business into a cutting edge fashion in-dustry. Italy's unique business processes and practices were studied to come up with a collection and merchandising ideas in a niche market. By selecting this venue we are able to continuously grow and develop in a market with diverse consumer needs. To analyze the Italian fashion market, data from 3 institutions were utilized, namely, CIT-ER which has provided consumer trends and sales analysis, SITA,a data service provided statistics from the textile and apparel businesses, and NBI has also furnished valuable data. Italian consumer preference, buying behavior, consumer profile, retail channels and other related data from the above institutions has formed a backbone for market segmentation and target markets, and as a result, we were able to zero in on the type of consumer, produce, pricing and retail channels for our womenswear. Going forward the direction is to elevate product image and pretige, and create syn-ergy between related industries, and at the same note, in order to develop internationally recognized brands such as Max Mara and Benetton. Certain elements such as the specialization of the fashion industry, alon-g with fashion-related data base and systems support, and most importantly experts with acute fashion sense and capacity to analyze pertinent data are in need. I firmly believe that we can achieve Italy's level in the fashion market with support from the government and unrelenting effort within the industry itself, and hope that this report can prove to be useful.

• 대한의용생체공학회:의공학회지
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• 제41권2호
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• pp.84-93
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• 2020

Despite of a lot of studies about proprioception tests, there are little study results to investigate the relationship between the functional movement and proprioception level. In this study, we tried to perform quantitative analysis for the effect of ankle joint proprioception level on the one leg standing postural control ability. Nine healthy people volunteered for this study. Force and position aspects of proprioception were evaluated using the electromyography system (EMG) and mobile clinometer application, respectively. The center of pressure (COP) trajectories, measured by a pressure mat sensor, were used for quantitative analysis of balance for each subject. We computed indices and errors of force and position aspects of proprioception from the EMG and ankle angle. Mean velocity of total and anterior-posterior direction (Vm and Vm_ap), root mean squared distance in anterior-posterior direction (RDap), travel length (L), and area (A) of COP trajectories were also calculated as indices of postural control ability of subjects. Two aspects of proprioception showed the low correlation from each other as previous studies. However, the EMG error of gastrocnemius lateral activation showed a high correlation coefficient with COP variables such as Vm (ρ=0.817, p=0.007), Vm_ap (ρ=0.883, p=0.002), RDap (ρ=0.854, p=0.003), L (ρ=0.817, 0.007) and A (ρ=0.700, p=0.036). Within our knowledge, this is almost the first study that investigated the relationship between proprioception level and functional movement. These study results could support that the ankle joint proprioception facilitation exercise would have positive effects on functional balance rehabilitation interventions.

• Physical Therapy Rehabilitation Science
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• 제6권4호
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• pp.159-163
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• 2017

Objective: Persons with stroke have a tendency to exhibit asymmetric weight-bearing during sit-to-stand because due to the attempt to support themselves with the non-paretic foot. However, there are few devices that can assist with sit-to-stand (STS) performance. This study was designed to investigate the use of the elastic band with rings (EBR) in improving weight-bearing effectively in persons with stroke during STS training. Design: Cross-sectional study. Methods: Thirteen stroke survivors participated in the study. An EBR was applied onto the patient during STS activity. The foot pressure was measured before and after wearing the EBR, with a 5-minute rest period between measurements. Subjects were asked to perform each test twice with and without the EBR. Bilateral feet pressures were measured with standing posture being divided into the forward and backward aspects. The foot contact pressure during STS activity was measured with the CONFORMat System. Results: With EBR, the forward pressure of the affected foot significantly increased while the less-affected forward foot pressure significantly decreased (p=0.015 and p=0.023, respectively). The backward foot pressure did not differ significantly in the two limbs, and there was no difference with and without the EBR in terms of the total pressure of the affected foot. There was a significant difference with and without the EBR in the total pressure of the less-affected foot (p<0.05). Conclusions: STS training with the EBR has been shown to improve weight-bearing of both feet while decreasing the total pressure of the less-affected foot in stroke survivors. Therefore, we suggest that the EBR is a useful tool for STS training for persons with stroke in the clinic.

• 한국운동역학회지
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• 제15권2호
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• pp.1-10
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• 2005

G. B. LEE, A. S. GWON, The Research for Using methodof GRF (Ground Reaction Force) on Rotational Movement in Arabesque. Korean Journal of Sport Biomechanics, Vol. 15, No. 2, pp.1-10, 2005. As, in relation to all movements of a human being, the movements such as mutually walking, running, rotating, and jumping are attained endlessly through the ground amid the interaction with the ground, in terms of the harmonious movement of the upper limbs and the lower limbs, related to the basic movement in ballet, the type of a movement depends on the size and direction of the force that presses down the ground (Fz, Fx, Fy) amid the interaction with the ground. Therefore, aiming to correctly and efficiently perform a rotational movement in Arabesque, this study analyzed factors of the force manifestation through GRF (Ground Reaction Force), by dividing into preparing, stepping, standing, rotating, and finishing stages (events (1) ${\sim}$ (5)), targeting the subjects of 4 elite female students who majored in ballet. 1. At the No.5 position of the preparing stage, It is necessary that support the ground with left and right foot balance, 2. As the stepping stage is the phase ranging from the event (2), in which a plie movement of bending a knee is started, to the event (3) of stretching a knee, Rebunding motion is not good, and One have a position with ankle and knee flextion condition in order to stretch strengthly in event (3) position 3. At the event (1) position, It is necessary that exert the Fz reaction force at the event (3) position. Because large stretch force help to have a toe on position easily and show a active motion 4. In order to have a stand and rotation motion smoothly, One need a muscle strength training for ankle extension, knee extension, control horizental force

• 한국전문물리치료학회지
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• 제2권2호
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• pp.9-23
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• 1995

The objective of this study was to identify the effects of weight-transfer training on the weight bearing distribution and gait patterns of hemiplegic patients through visual and auditory feedback using a limb load monitor. The subjects of this study were 18 hemiplegic patients who had been hospitalized or were visited out-patient department of the Rehabilitation Hospital, College of Medicine, Yonsei University, from January 5, 1995 through March 15, 1995. Pre-and post-training changes in gait patterns were measured using ink foot prints as well as by recording weight bearing distribution using a limb load monitor. The data were analyzed by the repeated measure one-way ANOVA and paired t-test. The finding were as follows: 1. Prior to the training, 18 subjects bore more weight on the sound leg(61.6 %) than on the affected leg(38.4 %). 2. Posterior to the training, the average percentage of weight bearing on the affected leg increased significantly from 38.4 % prior to training; to 46.0 % immediately after training; 45.7 % after a 30 second delay; and 45.3 % after a 60 second 3. The difference in gait patterns between pre- and post- training was statistically significant, with an increase in gait velocity to 3.65 cm/sec post-training; an increase in stride length to 5.37 cm on the affected side; 4.77 cm on the sound side; and a narrowing of the base of support to 1.19 cm. In conclusion, hemiplegic weight-transfer training using visual and auditory feedback with a limb load monitor was found to be enhancing symmetrical standing posture, and simultaneously improve gait patterns.

• Journal of Dairy Science and Biotechnology
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• 제25권2호
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• pp.33-40
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• 2007

The Korean dairy industry has been developed continuously for the past seventy years both in quality and quantity; now the total amount of dairy products accounts for 13 percent of that of livestock production - a remarkable turnover. Korea now stands at the 13th economic power around the world and it is inevitable that we must pursue an open-door policy at a global level; the dairy industry should also strengthen its potentialities in the long term in order to compete with advanced dairy countries. It is predicted that the impact of DDA agreement and FTA negotiations on the domestic dairy industry will be great; so it is urgently needed that we should reconsider the current status of the dairy industry and comprehensive mesures for dairy industry development to improve its international competitiveness. Such measures comprise the three aspects: first, reforming the policy of dairy industry-related systems, second, improving the productivity and third, expanding the consumption of dairy products. In terms of the system reforming, the most important things are, above all, the planned production relevant to market needs, the milk supply and demand management, and the raw milk transaction method. Secondly, the appropriate scale of management is important for the enhancement of productivity together with the modernization of dairy facilities. Thirdly, step-up effort is needed to expand the milk consumption; especially, more milk should be provided to the students by improving the standing milk ration system in middle and senior high schools. The government should make more effort to support and develop new dairy products tuned to consumers' taste, accelerating the publicity of diverse and steady milk consumption together with related organizations.

• 환경생물
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• 제28권1호
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• pp.1-7
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• 2010

Small wetlands in an upland matrix can support diverse vegetation composition that increase both local and regional species richness. In this study we characterize the full range of wetland vegetation in an upland forest landscape at Dumyeong-ri, Gijang-gun, Busan. This wetland index can be calculated with species data, or with community type data as performed. Classified community types were used to describe vegetation at three wetlands and adjacent areas. The communities contained 28 species of vascular plants and 28 species were identified four plant community types. The Pinus densiflora type was dominated by Pinus densiflora and contained only four species. None of the plots had high proportion of standing water. The Carpinus laxiflora type had high obligate upland species (OU) and facultative upland species (FU). The Rhododendron mucronulatum type grew in over half of the plots included Pinus densiflora and Alnus japonica. Some species bother swampy areas adjacent to site C. The Miscanthus sacchariflorus type consisted of seasonal wetlands. The three sites contained nine species with the strongest indicator species being Miscanthus sinensis var. purpurascens, Miscanthus sinensis, Echinochloa crus-galli, and Sagittaria aginashi. This type had the highest proportions of obligate wetland species. Plant species richness averaged 5.069. Shannon-Weaver index of diversity also varied among the community types (F=22.7, df=4, 115), with the types FU having significantly higher value (2.746) than the others (1.057 for type FW and 1.600 for type OU). Regional plans including all of the diverse types of wetland vegetation in upland forests will contribute substantially to the conservation of plant diversity.