• 대한관절경학회지
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• 제16권1호
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• pp.79-86
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• 2012

충돌 증후군 및 회전근 개 파열에 있어 보존적 치료의 방법은 그 목적에 따라 염증과 통증의 완화를 위한 방법으로서 휴식, 진통 소염제 복용, 국소 스테로이드 주사제의 사용, 물리 요법 등을 사용할 수 있으며, 연부조직의 유연성 회복을 위한 스트레칭 운동과 기능의 회복을 위한 근력 강화 운동을 시행할 수 있다. 흔히 보존적 치료를 단계별로 구분해 보면 1단계로는 통증 완화를 위한 치료, 일상 생활 동작의 조절, 스트레칭 운동 등의 방법을 사용해 볼 수 있고, 2단계로는 전후방 회전근 개에서 시작하여 견갑골 주위 근육과 삼각근의 순서로 진행하는 근력 강화 운동을 시도해 볼 수 있으며, 3단계에서는 직업, 가사 및 취미 활동 등의 정상 생활로의 복귀를 위한 훈련과 유지 프로그램으로 구성해서 치료를 할 수 있다. 이와 같이 단계적으로 시행하게 되는 충돌 증후군 및 회전근 개 파열에 대한 보존적 치료의 핵심은 운동 치료라고 볼 수 있으며, 따라서 충돌 증후군 및 회전근 개 파열의 보존적 치료를 시행함에 있어 다양한 운동 치료 방법을 정확하게 숙지하고 환자의 상태에 맞게 적용하는 것이 중요하다고 할 수 있다.

• 콘크리트학회논문집
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• 제20권6호
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• pp.697-704
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• 2008

이 논문은 외부 강선으로 보강된 PSC 교량의 시공단계가 고려된 비선형거동 예측을 위한 연구이다. 해석시 비부착 텐던 요소와 유연도법에 근거한 보-기둥 요소를 사용하였다. 비부착 텐던 모델은 PSC 구조물의 콘크리트내의 텐던의 거동을 모사하며 포스트텐션 (posttensioned) 구조물의 프리스트레싱력과 전달을 효율적으로 모사할 수 있다. 이 모델은 여러 절점과 세그먼트로 구성되며 PSC 구조물내의 같은 위치의 텐던을 하나의 텐던 요소로 모사할 수 있다. 보-기둥 요소는 분산균열 개념에 기초한 철근콘크리트 비선형 재료모델을 포함하고 있다. 유연도법에 근거하여 유도된 보-기둥 요소의 각각의 파이버는 콘크리트와 철근의 일축 거동을 모사한다. 보-기둥요소와 비부착 텐던 요소는 RC 및 PSC 구조물의 상세 비선형해석을 수행할 수 있는 RCAHEST (reinforce concrete analysis in higher evaluation system technology)에 이식하였다. 외부 강선으로 보강된 PSC 구조물에 대한 수치기법은 신뢰성 있는 실험 결과와 비교하여 검증하였다.

• 대한한의학원전학회지
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• 제29권1호
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• pp.1-15
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• 2016

Objectives : The purpose of this study is to investigate the method of setting up logic and estimate Fang Youzhi's work through Shanghanluntiaobian. Methods : Wang Shuhe's old edition Shanghanlun and Fang Youzhi's Shanghanluntiaobian were compared and several essential provisions were analyzed and addressed the positive and negative aspects of Fang Youzhi's revising old edition Shanghanlun mixed bamboo tablets. Results : Fang Youzhi's changing Bianmaifa("辨脈法") and Pingmaifa("平脈法") and placement Bianchishiyemaizhengbingzhi chapter after Liujingbingmaizhengbingzhi for discriminating convulsion dampness summer heat stroke from febrile diseases is appropriate. Fang Youzhi's deletion Shanghanli("傷寒例") chapter that has a guiding characteristics shows his editorial policy. Fang Youzhi's addition Bianwenbingfengwenzabingmaizhengbingzhi chapter is for discriminating febrile disease from epidemic febrile disease wind warmth syndrome miscellaneous disease and it indicates Shanghanlun is a book of treatment after differentiation of syndromes containing epidemic febrile disease and miscellaneous disease. Through Fang Youzhi's revising method I can see several positive aspects. First he tried to refine the logic of the content of Shanghanlun and accord with an actual situation. Second he shows Shanghanlun is a book of treatment after differentiation of syndromes containing epidemic febrile disease and miscellaneous disease and tried to see Shanghanlun clearly. A criticism of the Preserving Old Edition Shanghanlun group could interrupt flexibility and creative thinking reading Shanghanlun and a criticism to the Sangangdingli Principles of the several exegetists is a productive criticism because medicine treats human being so it cannot be completed by a logic. Conclusions : All of these processes are Fang Youzhi's endeavour for strengthening the system and logicality of the old edition Shanghanlun and it is meaningful to show a method to read Shanghanlun to beginners.

• 한국콘텐츠학회논문지
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• 제13권5호
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• pp.183-190
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• 2013

본 연구에서는 문화콘텐츠 경쟁력 강화 및 미래형 융합콘텐츠 기술 지원을 위한 필수 요소인 문화기술의 분류체계를 제안한다. 이를 위해 문화기술의 개념 및 현황에 대한 고찰을 통해 문화콘텐츠의 특수성을 도출하고, 기존의 문화기술 분류체계와 기타 기술 분류체계의 체계적 분석을 통해 현재 문화기술 분류체계의 문제점 및 향후 문화기술 분류체계의 반영을 위한 시사점을 도출한 후 문화콘텐츠의 특수성을 반영한 새로운 문화기술 분류체계를 개발하였다. 최종적으로 제안된 문화기술 분류체계 안은 문화콘텐츠의 기획, 생산/제작, 유통, 서비스의 모든 가치사슬 과정에 해당하는 관련 기술들을 포괄함과 동시에, 중분류 구성에 있어서 CT의 특성을 문화콘텐츠의 특수성을 고려하여 개편함으로써 산업 현장에서 보다 현실성 있고, 향후 정부 투자 및 제도 반영에 유연한 분류체계로서 그 의미를 갖는다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.4961-4964
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• 2013

Greater use of mobile phone devices seems inevitable because the health industry and cancer care are facing challenges such as resource constraints, rising care costs, the need for immediate access to healthcare data of types such as audio video texts for early detection and treatment of patients and increasing remote aids in telemedicine. Physicians, in order to study the causes of cancer, detect cancer earlier, act in prevention measures, determine the effectiveness of treatment and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive and timely cancer data. Mobile devices provide opportunities and can play an important role in consulting, diagnosis, treatment, and quick access to health information. There easy carriage make them perfect tools for healthcare providers in cancer care management. Key factors in cancer care management systems through a mobile phone health approach must be considered such as human resources, confidentiality and privacy, legal and ethical issues, appropriate ICT and provider infrastructure and costs in general aspects and interoperability, human relationships, types of mobile devices and telecommunication related points in specific aspects. The successful implementation of mobile-based systems in cancer care management will constantly face many challenges. Hence, in applying mobile cancer care, involvement of users and considering their needs in all phases of project, providing adequate bandwidth, preparation of standard tools that provide maximum mobility and flexibility for users, decreasing obstacles to interrupt network communications, and using suitable communication protocols are essential. It is obvious that identifying and reducing barriers and strengthening the positive points will have a significant role in appropriate planning and promoting the achievements of mobile cancer care systems. The aim of this article is to explain key points which should be considered in designing appropriate mobile health systems in cancer care as an approach for improving cancer care management.

• 농촌지도와개발
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• 제20권1호
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• pp.143-172
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• 2013

본 연구의 목적은 농업인의 개인역량이 농업인이 속한 조직의 성과에 얼마나 영향을 미치며, 조직성과에 큰 영향을 주는 개인역량의 도출을 통해 농업조직의 성과 향상을 통한 국내농업의 경쟁력제고에 기초자료를 제공하고자 하였다. 본 연구 분석결과 11개의 농업인 개인역량 중 "관리능력, 고객만족, 마케팅, 정보획득"은 조직성과에 정(+)의 영향을 미치는 것으로 나타났으며, "전략적사고"는조직성과에 부(-)의 영향을 미치는 것으로 분석되었다. 또한, 다소 예측하기 힘든 추상적 역량인 "팀워크, 창조성, 혁신성, 실행성, 유연성"은 통계적 유의성이 없는 것으로 나타났으나, 농업인들에게 내재되어 있는 중요 역량으로 조직성과 향상을 위해 장기적이고 지속적인 교육을 통한 농업인 개인역량 강화가 필요할 것으로 판단된다.

• Physical Therapy Rehabilitation Science
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• 제9권2호
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• pp.82-89
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• 2020

Objective: The purpose of this study was to assess the effect of hospital-based pulmonary rehabilitation (PR) on exercise capacity and quality of life as well as barriers to participation in persons with chronic obstructive pulmonary disease (COPD) in South Korea. Design: One-group pretest-posttest design. Methods: A total of 14 patients were enrolled in this study in an 8-week PR program with two 60-minute sessions per week. The program included: flexibility exercises, breathing techniques, strengthening exercises, and aerobic exercises. The outcomes were defined as changes in the variables before and after the PR program. A change in the 6-minute walk distance (6MWD) was defined as the primary outcome, and changes in pulmonary function test, respiratory and grip strength, and the St. George's Respiratory Questionnaire (SGRQ) about quality-of-life results were secondary outcomes. A dropout was defined as missing >3 of the 16 sessions. Results: Patients who completed the program showed a significant improvement of 43.57±39.43 m in the 6MWD (p<0.05), but no significant differences were noted for the other function tests. The SGRQ showed a significant improvement in the activity and total score (p<0.05). The total dropout rate was 53.3%. Newly developed symptoms, exacerbation of COPD, transport problems, and lack of motivation were major barriers to PR. Conclusions: Our study showed that an 8-week hospital-based PR program improved exercise capacity and quality of life but had a high dropout rate in individuals with COPD. Since comprehensive PR has only recently been established in South Korea, patient motivation and education are critical.

• PNF and Movement
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• 제18권1호
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• pp.143-154
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• 2020

Purpose: This study aimed to investigate the current and future status of Parkinson's disease rehabilitation service in Busan. Methods: A literature search of domestic journals was conducted using the keywords "Parkinson's", "exercise", "rehabilitation", and "physical therapy". The chosen databases were Research Information Sharing Service (RISS), e-articles, and Korean studies Information Service System (KISS). International literature was searched in PubMed, Pedro, DOI, Publisher, CINAHL (EBSCOhost), and PsycINFO using the same combination of keywords. Results: The results of this study showed that 33 medical institutions provide Parkinson's disease rehabilitation service and five do not. Regarding the composition of Parkinson's disease rehabilitation teams, 15 medical institutions provide physical therapy, occupational therapy, and speech therapy as their rehabilitation program, 15 medical institutions provide physical therapy and occupational therapy, and three provide only physical therapy. The study found that muscle-strengthening, flexibility, endurance, and balance exercises were commonly provided in all 33 medical institutions for Parkinson's disease. Additional exercises were provided in only three medical institutions. The frequency was five times a week in 20 medical institutions. Conclusion: Medical institutions located in Busan provide a variety of Parkinson's disease rehabilitation services, not only in general hospitals but also in multiple medical institutions, although the composition of their Parkinson's disease rehabilitation teams and the frequency of treatment vary.

• 대한정형도수물리치료학회지
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• 제29권3호
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• pp.63-72
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• 2023

Background: This study investigated the effects of face-to-face and non-face-to-face McKenzie exercises and elastic band strengthening exercises on falls and fitness in older adults. Methods: A total of 44 subjects were divided into a face-to-face group (FG; n=22) and a non-face-to-face group (NFG; n=22) who met older adults. Both groups used McKenzie exercises and strength training with elastic bands The fall efficacy scale (K-FES) and glycosylated hemoglobin (HbA1c) Pro were used to compare the senior fitness test (SFT). Results: No significant differences were detected between the two groups before the intervention; however, a significant difference was noted in the K-FES scores after the intervention. The change in HbA1c after the intervention was not statistically significant in the FG or the NFG, and no significant difference was detected between the two groups. The change in lower limb muscle strength in the elderly physical fitness test showed no significant difference between the two groups before or after the intervention. The change in upper limb flexibility after the intervention was not significantly different in the FG or NFG, indicating no significant difference between the two groups. The change in the 3-meter round-trip test after the intervention was significantly different in both the FG and NFG groups, but the difference between the groups was not statistically significant. The change in the grip strength test of the dominant hand showed no significant difference after the intervention in the FG or the NFG, and the difference between the FG and NFG groups was not statistically significant. The dominant foot external standing after the intervention was significantly improved in the FG, but no significant difference was detected in the NFG, and the difference between the two groups was not statistically significant. Conclusion: The study findings revealed that FG and NFG McKenzie exercises and elastic band strengthen exercises were equally effective at preventing falls and improving fitness in older adults.

• 해양환경안전학회지
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• 제18권6호
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• pp.617-625
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• 2012

본 연구는 기후변화에 대응하기 위한 이산화탄소 포집 및 저장(Carbon Dioxide Capture and Storage, CCS)기술의 국내외 추진상황 및 정책마련 현황을 점검하고 국제에너지기구(International Energy Agency, IEA)가 제시한 CCS 규제 프레임워크 가이드라인을 통해 국내 이산화탄소 해양지중저장 실용화 정책에 대한 한계 및 시사점을 제시하였다. 현재 국가차원의 계획이 마련되었으나 실질적인 법개정이나 정책마련은 이루어지지 않았으며 CCS 실용화 추진을 위하여 구성된 총괄협의체는 그 협력체제 및 유연성이 부족하다. 경제성 평가 역시 CCS 과정 별로 분절적으로만 이루어지고 있으며 향후, 실증을 위한 대규모 투자가 예상되나 이를 위한 재정은 마련되지 않고 있다. 또한, CCS 관련 정보공유도 제한적이며 체계적인 대중인식 전략은 마련되지 않은 상황이다. 따라서 성공적인 CCS 실용화 추진을 위해서는 해양환경관리법을 바탕으로 한 신속한 법적체제 마련, CCS 총괄협의체 역할 조정 및 강화, CCS 전주기를 바탕으로 한 다양한 경제 시나리오 분석 및 경제적 인센티브 제도 마련, 대중인식 전략 마련, 그리고 정보교환을 위한 전문기관 설립과 같은 정책적 보완 사항들이 필요함을 본 연구에서 제시하였다.