• 대한물리의학회지
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• 제14권1호
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• pp.1-5
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• 2019

Purpose: In chronic stroke patients, muscle tone and stiffness increase due to ankle spasticity. Electrotherapy may control the spasticity of patients with central nerve system damage via neurophysiological mechanisms. Therefore, this study was conducted to determine the immediate effects of interferential current therapy on gastrocnemius (GCM) muscle. Methods: This study was a one-group pretest-posttest design and 20 stroke patients participated. The experimental group underwent interferential current therapy for GCM for 30 minutes. Muscle tone (MT) and stiffness were assessed using MYOTONE(R) PRO. After 30 minutes of interferential current therapy, MT and stiffness of the affected side and unaffected side by GCM were measured. Results: After interferential current therapy, the medial GCM MT (Hz) was significantly reduced in stroke patients. There was a significant difference in MT between affected GCM muscles and unaffected side medial GCM muscles before intervention, but there was no significant difference after interferential current therapy. Conclusion: This study demonstrated that interferential current therapy had a positive effect, producing an immediate decrease in the medial GCM muscles tone of stroke patients. However, this study employed a one-group pretest-posttest design. Future studies will show differences in muscle tone compared to a control group or other electrical stimulation treatments.

• 의료법학
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• 제21권2호
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• pp.37-73
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• 2020

우리 법원은 의료과오소송에서 진료상 주의의무 위반의 경우 신체적 법익침해에 따른 재산적·비재산적 손해배상을 인정하고, 설명의무 위반의 경우 신체적 법익침해와 상관없이 자기결정권 침해에 따른 위자료 배상을 인정한다. 이러한 판례의 태도에 대하여 설명의무 위반에 따른 위자료 배상이 진료과오의 책임요건을 회피하는 수단으로 활용되고 있다는 비판이 있다. 이들은 결과적으로 신체침해가 아니라 선택기회 상실에 대해 위자료 배상을 인정하는 우리 판례를 신체침해에 대한 배상으로 일원화할 것을 주장한다. 이에 본 논문에서는 판례가 신체적 법익침해론을 따르는 독일과 우리의 의료과오소송의 차이를 검토하고, 독일에서의 설명의무 위반에 대한 논의를 소개하였다. 그리하여 우리와 독일의 인격적 법익침해론과 신체적 법익침해론, 그리고 설명의무 위반에 따른 손해배상 논의의 차이를 확인하였다. 이를 바탕으로 우리의 판례법리 및 인격적 법익침해론의 입장에서 설명의무 위반에 따른 손해배상책임의 주요쟁점을 검토하였다. 의료행위는 의학적 적응성이 인정되는 한 위법한 신체침습이 아니다. 의료행위에 대한 동의 역시 의료행위의 위법성을 조각시키기 위한 것이 아니다. 의료행위에 대한 환자의 동의는 자기결정권의 실행이고, 환자의 자기결정권은 의사의 설명을 통해 구체화된다. 의사가 설명의무를 위반한 경우, 불설명 혹은 설명부족은 그 자체로 부작위에 위한 위법행위를 구성한다. 그로 인하여 침해되는 법익은 자기결정권이다. 환자는 생명·신체에 대한 이익으로 연결되지 않는 때에도 신체에 대한 주체로 자신의 신체에 행해질 행위에 대해 알고, 스스로 결정할 수 있는 권리가 있다. 이러한 권리가 침해되어 선택의 기회가 상실되었다면, 그 자체로 비재산적 손해상태가 인정되어 위자료를 배상하여야 한다. 따라서 의료행위에 악결과가 없어도, 성공한 의료행위였다고 하더라도, 의사의 설명의무 위반으로 환자의 자기결정권이 침해되었다면 위자료 배상은 인정된다. 자기결정권 침해에 따른 위자료 배상에 의료행위로 인한 악결과는 요구되지 않는다. 한편 설명의무 위반의 경우에도 신체손해에 대한 배상이 부정되는 것은 아니다. 설명의무 위반으로 침해된 법익을 자기결정권이고, 선택기회상실이 통상손해로 인정된다. 그러나 자기결정권 침해로 선택기회가 상실되었고, 의사가 설명하여 환자가 선택기회를 잃지 않았다면 다른 선택을 했을 것임이 분명하고, 다른 선택을 했다면 악결과를 피할 수 있었음을 증명하면 악결과에 대해서도 배상을 받을 수 있다. 다만 이때 신체손해는 자기결정권 침해에 따른 특별손해로 의사의 예견가능성이 문제되는 것이기 때문에 의사가 예견할 수 없었던 불가항력적 손해는 배상의 대상이 되지 않는다.

• 한국터널지하공간학회 논문집
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• 제9권3호
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• pp.263-273
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• 2007

일반적으로 고심도에 건설되는 암반구조물의 경우 높은 현지응력과 공동의 굴착에 따른 유도응력으로 인하여 공동 경계면에서 스폴링(spatting)이나 슬래빙(slabbing)과 같은 취성파괴가 발생할 수 있다. Hoek-Brown과 Mohr-Coulomb 파괴기준과 같은 전통적인 파괴기준을 적용한 결과 취성파괴현상과 파괴심도 등을 예측할 수 없는 것으로 나타나 취성파괴를 예측하기 위한 여러 모델이 제안되었으며, 그 중 CWFS 모델이 적합한 것으로 알려져 있다. 본 연구에서는 모형실험에서 얻어진 원형공동주변의 취성파괴현상을 모델링하기위하여 CWFS 모델을 적용하였으며, 입력자료의 산정을 위해 암석의 손상정도와 손상에 따른 물성의 변화를 측정하는 손상제어시험을 수행하였다. CWFS 모델에 의해 예측된 파괴양상을 전통적인 파괴기준에 의한 해석결과 및 모형실험결과와 비교하여 취성파괴모델링의 적용성을 평가하였다.

• 한국전문물리치료학회지
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• 제16권2호
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• pp.41-49
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• 2009

This study was designed to investigate the effects of treadmill exercise of low-intensity and moderate- intensity on the functional recovery and histological change in spinal cord injury (SCI) rats. SCI was induced by the spinal cord impactor dropped after laminectomy. Experimental groups were divided into the Group I (normal control), Group II (non-treatment after SCI induction), Group III (low-intensity treadmill exercise after SCI induction), Group IV (moderate-intensity treadmill exercise after SCI induction). After operation, rats were tested at modified Tarlov scale at 2 days with divided into 4 groups, and motor behavior test (BBB locomotor rating scale, Grid walk test) was examined at 3, 7, 14, and 21 days. For the observation of damage change and size of the organized surface in spinal cord, histopathological studies were performed at 21 days by H & E, and BDNF(brain-derived neutrophic factor) & Trk-b immunohistochemistry studies were performed at 1, 3, 7, 14, 21 days. According to the results, treadmill exercise can play a role in facilitating recovery of locomotion following spinal cord injury. Specially, moderate-intensity treadmill exercise after SCI induction was most improvement in functional recovery and histological change.

• Earthquakes and Structures
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• 제22권1호
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• pp.1-13
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• 2022

When a building suffers damages under moderate to severe loading condition, its physical properties such as damping and stiffness parameters will change. There are different practical methods besides various numerical procedures that have successfully detected a range of these changes. Almost all the previous proposed methods used to work with translational components of mode shapes, probably because extracting these components is more common in vibrational tests. This study set out to investigate the influence of using both rotational and translational components of mode shapes, in detecting damages in 3-D steel structures elements. Three different sets of measured components of mode shapes are examined: translational, rotational, and also rotational/translational components in all joints. In order to validate our assumptions two different steel frames with three damage scenarios are considered. An iterative model updating program is developed in the MATLAB software that uses the OpenSees as its finite element analysis engine. Extensive analysis shows that employing rotational components results in more precise prediction of damage location and its intensity. Since measuring rotational components of mode shapes still is not very convenient, modal dynamic expansion technique is applied to generate rotational components from measured translational ones. The findings indicated that the developed model updating program is really efficient in damage detection even with generated data and considering noise effects. Moreover, methods which use rotational components of mode shapes can predict damage's location and its intensity more precisely than the ones which only work with translational data.

• Journal of the Korean Wood Science and Technology
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• 제36권4호
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• pp.84-92
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• 2008

강원도 양양 지역 산불 피해 소나무 목재의 피해 정도에 따른 해부 및 물리적 특성을 조사하였다. 피해 정도에 따라 수피의 탄화 깊이가 깊어지는 경향이 관찰되었으나 목질부까지 탄화가 진행되지는 않았으며 수지의 삼출정도에 차이를 보였다. 산불 피해목 변재의 생재함수율은 건전재보다 다소 낮게 나타났으나 심재의 경우에는 건전재보다 피해목이 다소 높게 나타났다. 생재밀도는 피해재 심재가 건전재 심재보다 다소 높게 나타났으며, 변재에서는 차이를 보이지 않았다. 형성층대를 관찰한 결과, 산불 피해를 강하게 입은 경우 형성층의 활동이 일어나지 않았고, 비교적 피해를 약하게 입은 경우에는 형성층의 활동이 관찰되었으나 세포분열 속도는 건전재보다 느렸다. 산불 피해를 강하게 입은 목재에서는 에피델리움세포와 방사조직의 세포벽이 짙게 염색되고 세포내에 과립형태의 물질이 관찰되었으며, 최외각 연륜 부위의 결정화도는 산불 피해재가 건전재보다 다소 높게 나타났다.

• 농업과학연구
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• 제49권2호
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• pp.367-377
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• 2022

The purpose of this study was to analyze the deterioration of trail conditions and to obtain information for desirable maintenance and restoration of a trail in Deogyusan National Park. The physical characteristics of a trail were surveyed at a total of 412 sites over 79.8 km length. The average trail degree and width were found to be 14.31° and 1.60 m, respectively, while the average bare trail width was 1.40 m and the average maxim trail depth was 5.66 cm. Major deterioration types of trail were trail deepening (36.6%), rock exposure (33.9%), and root exposure (12.5%) in order of frequency. Deterioration classes of the trail were 0.626 km (0.8%), 3.110 km (3.9%) and 8.935 km (11.2%) for heavily, moderately, and lightly deteriorated, respectively, with a deterioration rate of 12.671 km (15.9%). Compared to other national parks, the ratio damaged trail to the total trail was 15.9%, which is slightly higher than other, including Jirisan National Park 9.6% (2019), Bukhansan National Park 13.6% (2019), Sokrisan National Park 11.7% (2019), Chiaksan National Park 12.3% (2015), and Woraksan National Park 10.5% (2015). The section of trail in Deokyusan National Park where the damage grade is analyzed as "Heavy" should therefore be restored in consideration of the field conditions. In particular, the damage status of the trail is expected to be greatly improved when the trail surface maintenance level is restored.

• The Journal of Korean Physical Therapy
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• 제12권2호
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• pp.69-82
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• 2000

Physical therapists are exposured to radio-and microwave-frequency electromagnetic radiation by operating electrotherapy units. So there is few protection system in physical therapy room. Clinical pathology room and so on where various kins of electromagnetic instruments is used in hospital while protection failities like protection wall or protection glass is being used only in radiological room to reduce the damage of radiation. Acoording to Larsen's survey on female physical therapist in denmark. it was said that the percentage of congenital malfornation was $3.6\%$ and cadiac malformation made up $0.7\%$. It is likely that effect of electromagnetic fields on the result cannot be ruled out. Rita ouellet-Hellstron and Walter F. Steward insisted that the danger of abortion increase in the case of pregnant femeal physical therapist exposured to microwave diathermy. The intention of our study is arousing the necessity of microwave protection in P.T room and finding the proper method for physical therapist safe. The results of this study were as follows: 1. Each electrotherapy units are occurrenced the electromagnetic fields, and specially amply occurrenced in H.P,I.C.T 2 unit operating, M.W.D unit head on parallel, S.W.D unit head on parallel. all electrotherapy units are operating. 2. There were electric fields mount are consideration to species of electrotherapy units(p<.05). 3. There were magnetic fields mount are consideration to species of electrotherapy units(p<.05). 4. There were electric fields mount are consideration to distance of electrotherapy units(p<.05). 7. There were magnetic fields mount are consideration nut to distance of electrotherapy units(p>.05). 8. Before and after protection on magnetic fields mount are consideration to all distance(0m, 0.3m, 1m, 3m, 5m)(p<.05) 9. Before and after protection on electric fields mount are consideration to 0m, 1m, 3m distance(p<.05), and consideration not to 0.3m, 5m distance(p>.05) 10. After protection fellow the each electrotherapy units. distance, intencity to electromagnetic fields are reduced(p<.05).

• Physical Therapy Rehabilitation Science
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• 제9권4호
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• pp.269-274
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• 2020

Objective: There are many cases of applying various taping methods to prevent muscle damage and to assist with movement. The purpose of this study was to investigate and to compare the effects of dynamic taping on joint position sense and to find out the difference in error values during various degrees of shoulder flexion. Design: Cross-sectional study. Methods: A total of 20 subjects participated in this study with a randomized cross-over design. The order of taping was adjusted by randomly proceeding with dynamic taping, sham taping, and no taping. After the taping, the proprioception of the shoulder joint was evaluated. The evaluation of proprioceptive sensation was performed by evaluating joint position sensation. The sequence was adjusted by randomly performing joint position tests at each shoulder flexion of 50, 90, and 110 degrees. All angles were repeated 3 times. Results: There was a significant difference between dynamic taping and no taping in 50 degrees of shoulder flexion. There was a significant difference between sham taping and no taping in 90 degrees of shoulder flexion (p<0.05). No significant difference was found in 110 degrees of shoulder flexion. Conclusions: In this study, it was confirmed that dynamic taping is effective in improving the joint position sense in 50 degrees of shoulder flexion. In the future, it is expected that further studies will be conducted on patients with shoulder dysfunction with decreased proprioception.

• 정보보호학회논문지
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• 제29권6호
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• pp.1403-1412
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• 2019

터빈, 배관 및 저장탱크와 같은 물리장치들의 경우 노후화뿐만 아니라 제어장치에 대한 사이버공격으로 인해 PLC(Programmable Logic Controller)와 같은 제어시스템의 보호 및 상태감시기능이 동작하지 않는 경우, 피해파급력이 크고, 가동 중지 시 그 비용 손실 또한 매우 크다. 가동 중인 물리장치의 작동을 중지하지 않고 간접적으로 상태감시를 함으로써 가용성을 유지하기 위한 방안으로써 온도, 가속도, 전류 등을 간접적으로 감지하고, 데이터들을 Influx DB에 저장하여 실시간으로 감시하는 시스템을 설계 및 구현한다. 실제 구현된 시스템으로부터 데이터를 얻고 이를 이용하여 이상상태를 감지할 수 있음을 검증하였다. 간접적 실시간 감시시스템의 범용화를 통해 데이터를 축적해 활용하면, 추가비용 없이 가동을 중지하지 않고 사용할 수 있을 뿐만 아니라 미리 고장을 예측하고 필요한 경우에만 조치를 취하는 고장예지기술, 이상상태를 이중으로 감시하는 신뢰도 높은 건전성 관리 기술을 통해 유지보수비용과 위험도를 대폭적으로 감소시키고, 보안위협에 대한 대비가 가능하다.