• 성인간호학회지
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• 제16권1호
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• pp.37-48
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• 2004

Purpose: The purpose of this preliminary study was to develop and evaluate the effects of East-West Self-help program for Rehabilitation of post-stroke clients. Method: This program is developed through literature review, survey and seminar. The program is consisted of six sessions twice a week for 6 weeks. This program is composed of health education on stroke, exercise, oriental nursing interventions, and therapeutic recreation. The outcomes have been evaluated on the basis of perceived health status, self-efficacy, U/E function, ADLs and subjective response. Result: 1) After the 6 week program, the perceived health status had improved and the score of rehabilitation self-efficacy increased significantly. 2) After the 6 week program, the score of BADL increased significantly, but, the score of IADL was not statistically significant. 3) After the 6 week program, the amount of use and quality of movement of the affected U/E were increased significantly. 4) All of the participants showed satisfaction with this program. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be continuously developed and implemented as a community based self-helf group program for post-stroke clients.

• 보건행정학회지
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• 제19권4호
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• pp.78-97
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• 2009

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

• 한국의류산업학회지
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• 제13권5호
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• pp.752-758
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• 2011

In this paper, experiments to develop working clothes and evaluated, including the current and material-improved working clothes in relation to physiological functionality measurement. Experiments were conducted on subjects after wearing working clothes in an climate chamber, and the thermo-physiological response, such as human body temperature, micro-climate within the clothes, blood pressure, heart rate were measured. In this manner, the physiological functionality of improved working clothes was compared with that of current working clothes and evaluated. The summary of obtained results is as follows: For physiological functionality evaluation through material-improved working clothes, P working clothes showed significantly lower rectal temperature than C working clothes. For mean skin temperature, P's skin temperature was significantly higher than C's in the second half of the experiment. P working clothes's temperature around the thighs in Micro climate was significantly lower than that of the C working clothes. Also, humidity within the clothes showed similar trends. During the exercise period, C working clothes showed higher blood pressure than P, but P showed higher heart rates than C. Also, the oxygen uptake amount was higher in C than P during the exercise period, it explains that the energy consumption amount of P working clothes was smaller than that of C working clothes. Of the subjective evaluation, for temperature sensation, workers wearing P working clothes felt cooler. For humidity, C working clothes showed more humidity. For comfort, P working clothes were better, and for sense of fatigue, workers felt less tired wearing P working clothes. From results above, we can see that physiological functionality improved in the material-improved working clothes in the working clothes for construction site workers. The improvement of working clothes through functionality improvements not only will provide personal pleasantness to constriction site workers, but will also generate efficiency and productivity improvements at construction sites. All in all, the continuous study of functionality improvements in working clothes taking into consideration the human body's physiological responses is required.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.38-45
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• 2009

Purpose: The congenital muscular torticollis is a neck deformity involving shortening of the sternocleidomastoid muscle, which is detected at birth or shortly after birth. This childhood disease is the third most common congenital musculoskeletal anomaly. The indication for surgery is a persistent head tilt with dificit of passive rotation and lateral bending of the neck and a tight band or tumor in the sternocleidomastoid muscle even after physical therapy. The purpose of this article is to report surgical outcomes with patients who had no or little response to physical therapy. Methods: Surgery was performed on 29 patients and their average age was 4.1 years (from 6 months to 20.1 years). The unipolar open release and partial myectomy were done in 28 cases and the muscle lengthening was done in 1 case. Physical therapy was started from postoperative seventh day. Follow - up period was ranged from 2 months to 5.4 years(mean follow - up, 20.4 months). Result: There were neither rotation nor lateral bending deficit after surgical treatment. Mild head tilt was noticed in 3 cases and residual bend was observed in 4 cases. The subjective assessments of surgical results by parents were excellent. Conclusion: Our surgical outcome encourages the surgical treatment of congenital muscular torticollis for patients who failed to respond to physical therapy.

• 감성과학
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• 제3권2호
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• pp.17-28
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• 2000

Psychoacoustic characteristics of automobile horns play significant role in resulting subjective evaluation and psychphysiological reactions. However, comparison and differentiation of physiological responses to commercially available horns is a complicated task due to the small contrast in technical features of horns and the influence of such processes as habituation on physiological outcome with the increased number of auditory stimulation trials. In a study on 10 college students, there was performed comparative analysis of reactivity of physiological responses mediated by central and autonomic nervous systems in order to identify the role of habituation on decrement of psychophysiological responsivity and assess the ability to differentiate subjectively most and least preferred, as well as most and least appropriate horns according to physiological manifestations. The EEG and autonomic responses to 7 automobile horns were analyzed during 3 blocks of trials, with varying order of stimuli and changed acoustic parameters of horns in each block. Thus, responses were analyzed for totally 21 trials of auditory stimulation. It was shown that electrodermal and cardiovascular responses have different reactivity patterns to repeated stimulation: skin conductance measures habituated, cardiac reactivity showed no signs of habituation, and the vascular response demonstrated sensitization. The temporal EEG exhibited marked habituation of fast beta band power, while alpha-blocking effect did not habituate during the course of experiment. Differentiation of physiological responses of most and least preferred and appropriate horns was possible in our study, however, some cardiovascular reactivity measures differentiated during the entire course of the experiment, while EEG and electrodermal parameters showed significant differences only during first block of trials, and were later affected by the habituation.

• 한국의류산업학회지
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• 제2권3호
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• pp.265-271
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• 2000

Heat stress results in fatigue, a decline in strength, alertness., and mental capacity. The problem is compounded when high humidity exists. To help relieve worker heat stress, many types of cooling units are marketed. While workers may experience some cooling, critical body core temperatures often continue to elevate. This study was designed to find the effects of three kinds of cooling vest with portable frozen gel strips on thermophysiological parameters and on temperature and humidity within clothing. The heart rate, rectal, and skin temperature as well as sweat rate and clothing microclimate were measured during 80 min in 5 healthy males. Inquiries were also made into the subjective rating thermal, humidity comfort, and fatigue sensations. The main findings in our experiments are as follows: (a) Physiological parameters such as rectal temperature was the lowest in garb A1, intermediate in garb A, and the highest in garb A2 throughout the experiment. And mean skin temperature was the lowest in garb A, intermediate in garb A1, and the highest in garb A2; (b) Temperature and humidity within clothing (back) were garb in Al, intermediate in garb A, and the highest in garb A2. But the temperature and humidity within clothing (chest) were garb in A, intermediate in garb A1, and the highest in garb A2; (c) Most participants (4 out of 5 persons) answered that they felt more comfortable and fatigueless in garb A1 than in garb A and A2. It is concluded that local cooling in garb A1 of the upper torso could physiological reduce the thermal strain in participants wearing cooling vest.

• 대한불안의학회지
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• 제12권1호
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• pp.1-6
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• 2016

Objective : This study was performed to confirm the hypothesis that the more one applies positive thinking, the less severe the symptoms of stress and the better the therapeutic responsein panic disorder and major depressive disorders. Methods : The study included 50 subjects with confirmed diagnoses of panic disorder or major depressive disorders. Positive thinking was assessed using Positive thinking scale. Beck Depression Inventory was used as a subjective measure for depression, and to ensure an objective measure for depression and anxiety, the Hamilton Depression and Hamilton Anxiety rating scales were implemented. Results : The positive thinking scale measured at the initial visit had shown a strong negative correlation with objective depression. Although patients with a high level of positive thinking had shown a tendency to respond better to the treatment, as compared with those with a lower level, the differences were not statistically significant. Conclusion : Positive thinking is likely to ameliorate major depressive disorder, panic disorder-induced depression, and anxiety. Nevertheless, it was not possible to confirm the effects of positive thinking on the patients' treatment responses.

• 대한인간공학회지
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• 제28권4호
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• pp.147-154
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• 2009

The tactical computer is currently being developed and installed in armored vehicles and tanks for reinforcement. With the tactical computer, Korea Army will be able to grasp the deployment status of our forces, enemy, and obstacles under varying situations. Furthermore, it makes the exchange of command and tactical intelligence possible. Recent studies showed that the task performance is greatly affected by the user interface. The U.S. Army is now conducting user-centered evaluation tests based on C2 (Command & Control) to develop tactical intelligence machinery and tools. This study aims to classify and regroup subordinate menu functions according to the user-centered task performance for the Korea Army's tactical computer. Also, the research suggests an ergonomically sound layout and size of main touch buttons by considering human factors guidelines for button design. To achieve this goal, eight hierarchical subordinate menu functions are initially drawn through clustering analysis and then each group of menu functions was renamed. Based on the suggested menu structure, new location and size of the buttons were tested in terms of response time, number of error, and subjective preference by comparing them to existing ones. The result showed that the best performance was obtained when the number of buttons or functions was eight to conduct tactical missions. Also, the improved button size and location were suggested through the experiment. It was found in addition that the location and size of the buttons had interactions regarding the user's preference.

• 한국음향학회지
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• 제24권5호
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• pp.248-254
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• 2005

본 논문에서는 대역분할 광대역 음성 부호화기의 구조와 음질 향상을 위한 새로운 고대역 구조를 제안한다. 대역분할 방식에 의해 광대역 음성은 저대역 ($O\~4kHz$) 음성과 고대역 ($4\~8kHz$) 음성으로 나뉘어 지고 각각 G.729E와 MLT(Modulated Lapped Transform) 여기모델을 적용하여 서로 독립된 방식으로 부호화한다. 4kbps의 낮은 전송률로 부호화되는 고대역에서는 MLT 여기모델을 효율적으로 이용하기 위하여 유 무성음을 구별하였고 유성음에 대해서는 저대역 피치주기를 이용한 MLT peak picking 방법을 적용하였다. 즉, MLT 변환된 여기신호는 주기적인 피크를 갖는 주기신호로 나타나며 이때의 피크값을 추출하여 양자화하여 전송한다. 무성음에 대해서는 에너지 값에 따라 비트를 달리 적용하고, 선형예측 스펙트럴 응답이 가중된 MLT 벡터 양자화 방법을 적용하였다. 제안된 15.8kbps 광대역 음성 부호화기의 성능평가는 주관적인 음질평가로 선호도 테스트를 수행하였다.

• 한국음향학회지
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• 제20권2호
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• pp.58-65
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• 2001

잔향에 대한 인간의 주관적인 지각을 객관적인 수치로써 나타내는 방법으로 5자유도 잔향 모델이 제안된 바 있다[1]. 5자유도 잔향 모델은 잔향에 대한 다섯 개의 객관적인 평가량들을 이용하여 시간에 따른 음 에너지 감쇠 곡선을 근사한 것으로, 인공적으로 잔향을 합성하고자 할 때 잔향 필터의 설계 기준으로 유용하게 사용될 수 있다. 그러나 이로부터 구현할 수 있는 잔향 필터는 이론적으로 무한히 많을 수 있고, 따라서 인간이 듣기에 부자연스러운 합성음을 만들어 내는 경우도 존재할 수 있다. 본 논문은 5자유도 잔향 모델의 한계를 시간 영역과 주파수 영역으로 나누어 살펴보고 잔향 모델, 즉 원하는 잔향 조건이 주어졌을 때 자연스러운 잔향을 얻기 위해 필요한 필터 설계 기준을 실제 청음 실험을 통하여 제시하고 있다.