• 한국전문물리치료학회지
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• 제27권1호
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• pp.1-10
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• 2020

Background: Thoracic spine self-mobilization exercise is commonly used to manage patients with neck pain. However, no previous studies have investigated the effects of thoracic spine self-mobilization exercise alone in patients with chronic neck pain. Objects: The purpose of this study was to investigate the effects of thoracic self-mobilization using a tool on cervical range of motion (ROM), disability level, upper body posture, pain and fear-avoidance beliefs questionnaire (FABQ) in patients with chronic neck pain. Methods: The subjects were 49 patients (21 males, 28 females) with chronic neck pain. The subjects were randomly divided into an experimental group (EG, n = 23) and control group (CG, n = 26). For the EG, thoracic self-mobilization was applied. We placed a tool (made with 2 tennis balls) under 3 different vertebral levels (T1-4, T5-8, T9-12) of the thoracic spine and the subjects performed crunches, which included thoracic flexion and extension in supine position. Five times × 3 sets for each levels, twice a week, for 4 weeks. Cervical pain, disability, upper body posture, FABQ results, and ROM were evaluated at baseline, after 4 weeks of intervention, and at 8 weeks of follow-up. Assessments included the quadruple visual analogue scale (QVAS); Northwick Park neck pain questionnaire (NPQ); craniovertebral angles (CVA), forward shoulder angle (FSA) and kyphosis angle (KA) measurements for upper body posture; FABQ and cervical ROM testing. Results: The EG showed a statistically significant improvement after intervention in the QVAS (-51.16%); NPQ (-53.46%); flexion (20.95%), extension (25.32%), left rotation (14.04%), and right rotation (25.32%) in the ROM of the cervical joint; KA (-7.14%); CVA (9.82%); and FSA (-4.12%). Conclusion: These results suggest that, for patients with chronic neck pain, thoracic self-mobilization exercise using a tool (tennis balls) is effective to improve neck pain, disability level, the ROM, and upper body posture.

• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.439-447
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• 2018

Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using $0^{\circ}$ or $30^{\circ}$ endoscopy with better visualization. Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment. All 31 patients underwent unilateral biportal endoscopic far-lateral decompression (UBEFLD). One portal was used for viewing purpose, and the other was for surgical instruments. Unilateral foraminotomy was performed under guidance of $0^{\circ}$ or $30^{\circ}$ endoscopy. Clinical outcomes were analyzed using the modified Macnab criteria, Oswestry disability index, and visual analogue scale. Plain radiographs obtained preoperatively and 1 year postoperatively were compared to analyze the intervertebral angle (IVA), dynamic IVA, percentage of slip, dynamic percentage of slip (gap between the percentage of slip on flexion and extension views), slip angle, disc height index (DHI), and foraminal height index (FHI). Results: The IVA significantly increased from $6.24^{\circ}{\pm}4.27^{\circ}$ to $6.96^{\circ}{\pm}3.58^{\circ}$ at 1 year postoperatively (p = 0.306). The dynamic IVA slightly decreased from $6.27^{\circ}{\pm}3.12^{\circ}$ to $6.04^{\circ}{\pm}2.41^{\circ}$, but the difference was not statistically significant (p = 0.375). The percentage of slip was $3.41%{\pm}5.24%$ preoperatively and $6.01%{\pm}1.43%$ at 1-year follow-up (p = 0.227), showing no significant difference. The preoperative dynamic percentage of slip was $2.90%{\pm}3.37%$; at 1 year postoperatively, it was $3.13%{\pm}4.11%$ (p = 0.720), showing no significant difference. The DHI changed from $34.78%{\pm}9.54%$ preoperatively to $35.05%{\pm}8.83%$ postoperatively, which was not statistically significant (p = 0.837). In addition, the FHI slightly decreased from $55.15%{\pm}9.45%$ preoperatively to $54.56%{\pm}9.86%$ postoperatively, but the results were not statistically significant (p = 0.705). Conclusions: UBEFLD using endoscopy showed a satisfactory clinical outcome after 1-year follow-up and did not induce postoperative segmental spinal instability. It could be a feasible alternative to conventional open decompression or fusion surgery for lumbar foraminal stenosis.

• 대한원격탐사학회지
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• 제35권3호
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• pp.483-489
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• 2019

True color 영상은 자연색과 유사한 색상이 표출되며 이는 복잡한 지구의 대기 현상 및 지표의 변화에 빠른 모니터링이 가능하다는 장점이 있다. 현재 다양한 기관에서 true color 영상을 생산 중이며 우리나라에서도 차세대 기상위성으로 세대교체가 이루어져 true color 영상 생산의 필요성이 대두되고 있다. 따라서 본 연구에서는 Himawari-8 위성에 탑재된 Advanced Himawari Imager(AHI) 센서의 Top of Atmosphere(TOA) 자료를 이용해 true color 영상 생산을 위한 시각화 향상을 수행하였다. 시각화 향상을 위해 본 연구는 Nonlinear enhancement과 Histogram equalization 두 가지 기법을 각각 수행하였다. 이를 비교해 본 결과, Histogram equalization는 Nonlinear enhancement 대비 Solar Zenith Angle(SZA) $70^{\circ}$ 이상 지역과 해양 영역에서 청색 계열이 강한 영상이 나타났으며, Nonlinear enhancement 기법의 경우 Histogram equalization 기법과 비교했을 때 식생 영역이 붉은 특징이 나타났다.

• 대한족부족관절학회지
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• 제26권1호
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• pp.40-47
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• 2022

Purpose: The modified Broström repair (BR) technique has yielded good outcomes in patients with chronic ankle instability. This study compared clinical and radiological outcomes between two groups of patients who underwent modified BR or lateral ligament augmentation using suture tapes (ST). Materials and Methods: Seventy-seven patients (ST group [n=47], BR group [n=30]; body mass index <26.61 kg/m²; mean age, 30.7±11.0 years [range, 17~39 years]; mean follow-up, 34.0±12.0 months [range, 24~59 months]) were retrospectively reviewed between January 2014 and July 2017. The Foot and Ankle Outcome Score (FAOS), American Orthopedic Foot and Ankle Score (AOFAS), Foot and Ankle Ability Measure (FAAM), visual analogue scale (VAS) score, and Sefton grading system were used for clinical assessment. The talar tilt angle and anterior talar translation were measured using the Telos stress device (Telos GmbH, Marburg, Germany) at 150 N for radiological evaluation. Results: FAOS, AOFAS, FAAM, and VAS scores improved in both groups at final follow-up (ST, 91.1±5.2, 93±2, 88.1±4.5, 1.5±0.7 vs. BR, 91.3±5.4, 93±3, 83.3±4.8, 1.2±0.7, respectively; p=0.854, 0.971, <0.001, 0.04, respectively). According to the FAOS, mean sports activity scores for the ST and BR groups at the final follow-up were 90.3±3.2 and 76.6±4.2, respectively, reflecting superior outcomes in the ST group (p<0.001). Sefton grading revealed satisfactory functional outcomes (ST, 91.5% vs. BR, 90.0%). There was significant improvement in the talar tilt angle and anterior talar translation in both the ST and BR groups (7.6°±1.2°, 10.5±1.8 mm vs. 4.9°±1.1°, 7.9±1.5 mm, respectively; p<0.001). Conclusion: The ST group demonstrated comparable clinical but better improvement in mechanical stability and FAOS sports scores than the BR group.

• 한국축산식품학회지
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• 제36권3호
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• pp.343-351
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• 2016

The objective of this study was to evaluate the effects of a short-term/extreme temperature abuse (STA) on color characteristics and oxidative stability of aged beef muscles during simulated retail display. Two beef muscles (longissimus lumborum, LL and semitendinosus, ST) were aged for 7 (A7), 14 (A14), 21 (A21), and 28 d (A28), and further displayed at 2℃ for 7 d. The STA was induced by placing steak samples at 20℃ for 1 h on the 4th d of display. Instrumental and visual color evaluations, ferric ion reducing capacity (FRC) and 2-thiobarbituric acid reactive substances (TBARS) assay were performed. Initially, redness, yellowness and hue angle of all beef muscles were similar, regardless of aging time before display (p>0.05). An increase in postmortem aging time increased lipid oxidation and caused a rapid discoloration after STA during display (p<0.05). ST muscle was more sharply discolored and oxidized after STA, when compared to LL muscle (p<0.05). The FRC value of beef muscles was decreased after 7 d of display (p<0.05). The results from the current study indicate adverse impacts of postmortem aging on color and oxidative stabilities of beef muscles, particularly under temperature abusing conditions during retail display. Thus, developing a specific post-harvest strategy to control quality attributes in retail levels for different muscle types and aging conditions would be required.

• 한국운동역학회지
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• 제27권3호
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• pp.211-217
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• 2017

Objective: The purpose of this study was to investigate the effect of a 12-week professional body massage program (PMP) on forward head posture, neck pain, and plantar foot pressure balance in men in their 20s. Method: A total of 20 men with musculoskeletal diseases were recruited for this study. The participants were asked to take part in a PMP twice a week for 12 weeks. The cranial vertical angle (CVA) for forward head posture and visual analogue scale (VSC) for neck pain and right/left foot plantar pressure balances were extracted to compare between pre- and post-program differences. Results: CVAs before ($56.86{\pm}4.55^{\circ}$) and after ($62.72{\pm}4.57^{\circ}$) and VSCs before ($6.95{\pm}1.70$) and after ($1.70{\pm}1.56$) PMP revealed statistically significant differences. The right foot, after PMP, showed a significant increase in the plantar pressure balance from $46.17{\pm}2.95$ to $49.44{\pm}1.29%$, while the left foot decreased significantly from $53.83{\pm}2.95%$ to $50.56{\pm}1.29%$. Therefore, based on these results, it may be said that the foot pressure balance abilities were improved after PMP because the ideal foot pressure ratio is 50%. Conclusion: Consequently, it was suggested that a 12-week PMP could be utilized for improvement of forward head posture, neck pain, and foot plantar pressure balance in men in the 20s with musculoskeletal diseases.

• 한국융합학회논문지
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• 제8권12호
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• pp.299-305
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• 2017

본 논문은 아베-코닉 프리즘의 설계 데이터 산출 및 평가 프로그램에 관한 것이다. 우선 아베-코닉 프리즘의 설계 변수를 설정하였고, 이들 사이의 관계식을 유도하였다. 이 식들에 의해 우리는 face-length, 유효 수속 입사빔의 입사각 및 프리즘의 굴절률이 주어질 때 아베-코닉 프리즘의 설계를 위한 수치 데이터 및 아베-코닉 프리즘 분석을 위한 3가지 평가 데이타들이 출력되는 프로그램을 개발하였다. 실제 이 프로그램을 상용 사이즈가 아닌 프리즘에 적용한 결과 아주 빠른 설계 데이타를 산출할 수 있었고, 3가지 평가 데이타에 의해 설계되어진 아베-코닉 프리즘의 광학적 구조를 쉽게 이해할 수 있었다. 이는 제품 개발에 필요로 하는 아베-코닉 프리즘의 구조적인 데이터를 신속하게 확보할 수 있다는 것을 의미한다.

• 한국실내디자인학회논문집
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• 제25권1호
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• pp.73-80
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• 2016

Street is the most fundamental component of city and place to promote diverse actions of people. Pedestrians gaze at various street environments. A visual gaze means that there are interesting elements and these elements need to be preferentially improved in the street environment improvement project. Therefore, this study aims to set up the priorities of street environment components by analyzing eye movements from a pedestrian perspective. In this study, street environment components were classified into road, street facility, building(facade) and sky and as street environment images, three "Streets of Youth" situated in Gwangbok-ro, Seomyeon and Busan University of Busan were selected. The experiment targeted 30 males and females in their twenties to forties. After setting the angle of sight through a calibration test, an eye-tracking experiment regarding the three images was conducted. Lastly, the subjects were asked to fill in questionnaires. The following three conclusions were obtained from the results of the eye-tracking experiment and the survey. First, building was the top priority of street environment components and it was followed by street facility, road and sky. Second, as components to be regarded as important, fast 'Sequence', many 'Fixation Counts' and 'Visit Counts', short 'Time to First Fixation' and long 'Fixation Duration' and 'Visit Duration' were preferred. Third, after voluntary eye movements, the subjects recognized the objects with the highest gaze frequency and the lowest gaze frequency.

• Journal of Korean Neurosurgical Society
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• 제47권5호
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• pp.338-344
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• 2010

Objective : This study assessed the safety and efficacy of one level unilateral laminotomy bilateral decompression (ULBD) with the placement of a device for intervertebral assisted motion (DIAM) compared with one level ULBD only in elderly patients with degenerative lumbar spinal stenosis (DLSS). Methods : A non randomized prospective analysis was performed on 16 patients who underwent one level ULBD with DIAM (Group A) and 20 patients with one level ULBD only (Group B) between February 2007 and March 2008. Radiographic imaging, visual analog scale (VAS) and MacNab outcome scale were obtained before and after surgery at a mean interval of 21 months (range 17-27 months). Results : The disc height, interpedicular distance, slip distance and segmental lordotic angle were similar between two groups. In the group A, there was no significant difference between the pre- and post-operative imaging in terms of the sagittal balance and disc height. Both groups showed significant improvement in the clinical outcomes. In addition, there was significantly less low-back pain in the group A than in the group B at the last follow up, while the clinical improvement of the leg pain and MacNab outcome scale showed no significant difference in the two groups. There were no major complications or DIAM associated complications. Conclusion : ULBD with DIAM is a safe and efficacious treatment for selective elderly patients with DLSS, particularly for relieving low back pain comparing to ULBD. ULBD with DIAM did not alter the disc height or sagittal alignment at the mean 21 months follow-up interval.

• 대한소아치과학회지
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• 제30권3호
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• pp.510-514
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• 2003

Axenfeld-Rieger 증후군은 치과 및 안과적 이상을 동반하는 희귀한 상염색체 우성 유전성 질환이다. 주요한 안과적 증상은 부분적 혹은 완전한 양측성 홍채선조(iris stroma)의 형성 부전증, 안구 주변부의 홍채유착과 관련된 이상 및 쉬발베 소체(Schwalbe's corpuscles)의 전방 변위 등이 있다. 치과적으로는 부분적 무치증, 왜소치, 정형치(peg-shaped teeth) 및 지연맹출 등이 나타나며 안모상 가성 하악 전돌증이 보일 수 있다. 기타 전신적인 증상으로 심장 형성이상(cardiac malformation), 합지증(syndactylism), 제탈장(umbilical hernia), 귀의 이상, 정신지체, 뇌성 마비, 구개열, 제대피부이상(umbilical skin abnormality) 등이 나타날 수 있다. 소아치과 의사가 조기에 발견할 경우 환자의 절반 이상에서 나타나는 녹내장(glaucoma)에 의한 시력 상실을 조기에 방지 할 수 있다. 저자는 연세대학교 치과대학병원 소아치과에 내원한 Axenfeld-Rieger 증후군 환아에 대해 보고하는 바이다.