• 국제물리치료학회지
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• 제8권2호
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• pp.1146-1151
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• 2017

The purpose of this study was to compare the effects of respiratory exercise on cardiopulmonary function and muscle activity of rectus abdominis in smokers and non-smokers with elderly people. All the participants were older than 65 years, and twenty non-smokers, and twenty smokers participated. Non-smokers and smokers were randomly divined into 10 feedback breathing exercises (FBE) and a balloon-blowing exercise (BBE) group. The FBE and the BBE were performed three times a week for four weeks. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1), forced expiratory volume at one second/forced vital capacity (FEV1/FVC), peak expiratory flow (PEF), and vital capacity (VC) were measured as pulmonary function. EMG was used to measure the activity of the rectus abdominis. In the FBE and BBE groups, $FEV_1$ was significantly lower in non-smokers compared to smokers at two and four weeks (p<.05), $FEV_1/FVC$, PEF and VC were significantly lower in non-smokers compared to smokers to pre-test, two weeks, four weeks and six weeks (p<.05). Muscle activity of rectus abdominis was significantly difference in the BBE group at pre-test, two weeks, four weeks, and six weeks (p<.05). These results suggest that respiratory exercise was effective in improving pulmonary function and rectus muscle activity.

• 대한물리치료과학회지
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• 제1권2호
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• pp.265-273
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• 1994

In order to investigate the subjective symptoms of VDT workers according to the working condition, this qutionnaire survey was conducted on 477 workers of 11 general hospitals, 15 banks and 9 research institutions in Taejon city and Chungnam province from June, 1993 to october 1933. The following results were obtained : 1. The main subjective symptoms answered by VDT workers were "eye strain". "eye pain". "blurred vision" for eye symptoms, "fatigue", "tendency to be fed up", "impatience" for psychoneurotic symptoms and "shoulder stiffness", "neck stiffness", "low back pain" for musculoskeletal symptoms. Most of these symptoms of VDT workers higher in female than male. 2. The number of VDT workers who complained eye and musculoskeletal symptoms were significantly increased. Smoking VDT workers showed higher complained rate of eye, psychoneurotic and musculoskeletal symptoms than nonsmoking group but alcohol drinking group showed higher rate of symptoms complaints of eye and musculoskeletal symptoms than not drinking alcohol group. 3. The VDT wokers who worked longer hours continuously and more hours of daily work, complained more frequent eye and musculoskeletal symptoms. 4. All subjective symptoms showed positive correlation to the sex and daily VDT working hours.

• 한국안광학회지
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• 제18권2호
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• pp.203-211
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• 2013

목적: 양안으로 사물을 주시할 때 우세안을 주로 사용한다. 이러한 이유로 안경과 콘택트렌즈 처방 시 우세안의 중요성이 크다. 이를 위해 본 연구는 연령대별로 구분하여 양안에 있어서 굴절력의 변화에 따른 우세안과 비우세안의 시력 차이가 있는지 알아보았다. 방법: 안질환이 없는 186명을 대상으로 Hole-in-the-card test법을 통한 우세안을 검사하였다. 검사의 일관성을 위해 동일인이 측정하였으며, 검사의 신뢰성을 높이기 위해 3회 반복 실시하였다. Spss통계를 통해 굴절력에 따른 우세안과 비우세안의 상관관계를 알아보았다. 결과: 대상자 186명 중 우안 우세안은 135명, 좌안 우세안은 51명이었다. 굴절이상 환경에 노출되기 시작하는 10세 이전(평균 $8.8{\pm}1.18$세)과 본격적으로 굴절이상이 발생하는 10세에서 20세 사이(평균 $14.1{\pm}2.58$세), 그리고 시력안정화 시기에 접근하는 20세 이후(평균 $51.8{\pm}17.51$) 모두 우세안의 시력이 비우세안보다 시력이 높았지만 통계적으로 유의하지 않았다. 근시성 난시에 있어서 우세안의 난시 굴절력 평균값이 비우세안 난시안의 평균값보다 작게 나타났으며, 통계적으로 유의한 결과를 나타내었다(p=0.017<0.05). 결론: 양안 중에서 전체적으로 난시도가 작고 균형 잡힌 눈이 우세안으로 선택될 확률이 높다고 판단된다.

• 한국전문물리치료학회지
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• 제23권1호
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• pp.87-93
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• 2016

Background: Posture balance control is the ability to maintain the body's center of gravity in the minimal postural sway state on a supportive surface. This ability is obtained through a complicated process of sensing the movements of the human body through sensory organs and then integrating the information into the central nervous system and reacting to the musculoskeletal system and the support action of the musculoskeletal system. Motor function, including coordination, motor, and vision, vestibular sense, and sensory function, including proprioception, should act in an integrated way. However, more than half of stroke patients have motor, sensory, cognitive, and emotional disorders for a long time. Motor and sensory disorders cause the greatest difficulty in postural control among stroke patients. Objects: The purpose of this study is to determine the effect of visual and somatosensory information on postural sway in stroke patients and carrying out a kinematic analysis using a tri-axial accelerometer and a quantitative assessment. Methods: Thirty-four subjects posed four stance condition was accepted various sensory information for counterbalance. This experiment referred to the computerized dynamic posturography assessments and was redesigned four condition blocking visual and somatosensory information. To measure the postural sway of the subjects' trunk, a wireless tri-axial accelerometer was used by signal vector magnitude value. Ony-way measure analysis of variance was performed among four condition. Results: There were significant differences when somatosensory information input blocked (p<.05). Conclusion: The sensory significantly affecting the balance ability of stroke patients is somatosensory, and the amount of actual movement of the trunk could be objectively compared and analyzed through quantitative figures using a tri-axial accelerometer for balance ability.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.276-284
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• 2020

본 연구의 목적은 임상실습 경험에 따른 물리치료 대학생들의 손 씻기에 대한 인식도와 실천도를 조사하여 물리치료학과 학생의 손 씻기에 대한 기초 자료를 제공하고자 하였다. 본 연구는 광주광역시 소재의 물리치료학과 대학생을 대상으로 총 536부의 설문조사하여 자료를 수집하였다. 대상자의 일반적 특성을 빈도분석으로 산출하였고, 임상실습 유·무의 손 씻기에 대한 인식도와 실천도를 독립표본 t-test로 분석하였다. 임상실습 유·무에 따른 손 씻기 인식도를 분석한 결과, 손목까지 손 씻기에서 유의한 차이를 보였고(p<0.05) 올바른 손 씻기 6단계에서 유의한 차이를 보였다(p<0.01). 임상실습 유·무에 따른 손 씻기 실천도를 분석한 결과, 식전과 임상실습 전 손 씻기에서 유의한 차이를 보였고(p<0.05) 실습기구 접촉 후 손 씻기, 엄지손가락부터 손가락 돌리며 손 씻기에서 유의한 차이를 보였다(p<0.01). 인식도와 실천도 사이의 상관관계를 분석한 결과 대부분 양의 상관관계를 보였다. 이는 손 씻기에 대한 인식도를 높여서 실천도를 높아야 함을 의미한다. 따라서, 앞으로 학교 내와 임상실습 내에서 자체적으로 손 씻기 교육을 반복적으로 실시하여 인식도와 실천도를 높여야 할 것으로 사료된다.

• 대한방사선치료학회지
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• 제27권2호
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• pp.167-174
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• 2015

목 적 : 복잡하고 정교하게 계획된 용적변조회전 방사선치료(Volumetric Arc Therapy, VMAT)의 Portal Dosimetry를 이용한 치료 전 선량평가가 다양한 인자에 따라 재현성을 유지하는지 분석하고자 하였다. 대상 및 방법 : 실험에는 TrueBeam STx$^{TM}$(Ver.1.5, Varian, USA), Portal dosimetry application(Ver.10, Varian)과 Portal Vision aS1000 Imager(Varian, USA)을 사용하였다. 두경부암 환자 2명, 전립샘암 환자 3명, 폐암 환자 1명, 자궁경부암 환자 1명, 총 7명의 환자에 대하여 Portal Dosimetry용 VMAT 전산화치료계획(Eclipse, Ver.10.0, Varian, USA)을 수립하였다. 오전 치료 전과 후 오후 치료 종료 후 각 4시간 간격을 두고 3회씩 5일에 걸쳐 선량평가를 시행하였다. Gamma pass rate(GPR 3%, 3mm 95%신뢰구간)와 Beam 출력의 상관관계를 확인하기 위하여 선량평가 시행 전 Beam 출력 을 물등가모형과 이온전리함(IBA dosimetry, Germany)을 이용하여 측정하였다. Electronic Portal Imaging Device(EPID) 상태에 따른 GPR 의 변화를 확인하기 위하여 EPID의 영상 교정 (Dark field correction, Flood field correction) 전과 후로 나누어 선량평가를 시행하였다. 또한 다엽콜리메이터(Multi Leaf Collimator) 상태에 따른 GPR의 변화를 확인하기 위해 다엽콜리메이터 Initialize 전과 후로 나누어 선량평가를 시행하였다. 결 과 : Portal Dosimetry를 시행하여 얻은 모든 환자들의 각 시간대 별 GPR의 평균값은 97.11%, 96.09%, 95.37% 였고 최대 차이를 보인 환자의 경우 각 시간대 별 GPR의 평균값은 95.73%, 94.20% 93.23% 였다. 선량평가 시점의 Beam 출력을 측정한 결과 각 시간대별 평균값은 100.45%, 100.46%, 100.59% 였다. EPID의 영상 교정(Dark field correction, Flood field correction)을 시행하기 전과 후의 대상 환자들의 GPR의 평균값은 95.94 %, 96.01% 였다. 또한 다엽콜리메이터 의 Initialize 를 시행하기 전과 후의 대상 환자들의 GPR 의 평균값은 95.83%, 96.40%였다. 결 론 : 치료기 사용시간이 경과됨에 따라 대상 환자들의 GPR 평균값이 0.8% 감소함을 확인할 수 있었다. Beam 출력은 각 측정시점에 0.1% 오차범위 안에서 일정한 상태를 유지하였다. EPID의 영상 교정 전, 후 의 선량평가 결과 GPR은 평균 0.1% 차이를 나타내었다. 다엽콜리메이터의 Initialize 전, 후의 선량평과 결과 Initialize 시행 후 GPR이 평균 0.6% 상승하였고 다엽콜리메이터 상태에 따라 GPR이 변화할 수 있다는 것을 확인할 수 있었다. 복잡하고 정교하게 계획된 VMAT의 치료 전 선량평가 도구로서 재현성을 유지하며 Portal Dosimetry를 이용하기 위해서는 주기적인 장비의 점검뿐만 아니라, 선량평가에 영향을 미칠 수 있는 다양한 인자들에 대한 관리가 이뤄져야 할 것으로 판단된다.

• Molecular & Cellular Toxicology
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• 제2권4호
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• pp.262-265
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• 2006

We report a case of phenytoin toxicity due to impaired drug metabolism in a patient homozygous for $CYP2C9^{\ast}3$. A 46-year-old woman was taking phenytoin to prevent postoperative seizures. She attained high serum phenytoin levels at the standard doses (300 mg/day) and developed symptoms of phenytoin toxicity including blurred vision, nausea and headache. The patient was treated with reduced doses of phenytoin and then phenytoin therapy was finally discontinued. Genotyping for CYP2C9 revealed that this patient had a homozygous genotype, $CYP2C9^{\ast}3/^{\ast}3$. This is the first Korean case of phenytoin toxicity with homozygous $CYP2C9^{\ast}3$. This case suggests the clinical usefulness of pharmacogenetic testing for individualized dosage adjustments of phenytoin.

• 셀메드
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• 제10권3호
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• pp.18.1-18.4
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• 2020

Among five sense organs or Gyanendriyas 'Eyes' are considered as most important sense organs. They are said to be the path to mind and seat of Tejas (Light). Now a days due to their overuse and negligence in maintenance we are facing many eye related problems like Dry Eye Syndrome, Cataract, Age related Macular Degeneration, Glaucoma, Computer Vision Syndrome etc. To observe the association of defective lifestyle and related eye problems with their preventive measures, different Ayurvedic procedures are reviewed from ancient literatures and some modern researches. Dinacharya (Daily regimen) explained in Ayurveda helps to prevent many derangements. Lifestyle modification in terms of proper daily regimen and dietary regimen could help to prevent eye problems. Padabhyanga (foot massage) is one of the procedures mentioned in Dinacharya, an effective therapy for healing of eye disorders.

• 영어어문교육
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• 제16권3호
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• pp.253-268
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• 2010

Robert Lowell is one of the major poets in the modern American poetic world. His major work, Life Studies, is a representative of confessional poetry. It presented American spiritual civilization and universality for life from the late 1950s to 1960s. It dealt with the subject of the poet's private life under the psychological pressure. Lowell described his distinctive vision of the relationship of painful world and suffering self in his poetry. An important feature of his confessional poems was the criticism on modern civilization by means of characterization. Life Studies was written as a kind of therapy to overcome his early trauma, as well as the social problems of contemporary Americans which Lowell was confronted with. Through his personal experiences, Lowell exposed and judged the collapse of traditional value and moral confusion in the society. Therefore, he is a poet who opened his own world of poetry with his poetic achievements.

• Annals of Clinical Neurophysiology
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• 제24권2호
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• pp.107-110
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• 2022

We describe the case of a 22-year-old female complaining of ophthalmoplegia, which deteriorated with seizure. Leigh syndrome (LS) was diagnosed by identifying the m.9176T>C mutation. She improved with vitamin cocktail therapy plus intravenous methylprednisolone, and had an excellent prognosis. This was the first case of an adult patient with LS presenting with the m.9176T>C mutation and reporting cortical symptoms, which in this case comprised cortical vision loss, and cortical, basal ganglia, and brainstem signal changes on magnetic resonance imaging.