• 한국안전학회지
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• 제24권4호
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• pp.104-110
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• 2009

In this driving simulation study, the impairing effects of various types of electronic devices usage(i. e., destination search by using in-vehicle navigation system, TV watching and dialing cellular phone) during driving on front-to-rear-end collision avoidance were investigated. Percentage of collisions, driving speeds when the drivers collided, and initial reaction time for collision avoidance were analyzed and compared as the dependent measures. The results indicated that (1) any types of electronic devices usage during driving induced more serious collision-related impairment than control condition where no additional task was required, and (2) in general, destination search task appeared to impair drivers collision avoidance performance more than the other task requirements in terms of percentage of collisions and initial reaction time for collision avoidance, but TV watching induced most serious collision impact. These results suggested that any types of electronic device usage could distract drivers attention from the primary task of driving, and be resulted in serious outcome in potentially risky situation of front-to-rear-end collision. In particular, mandatory use of eye-hand coordination and receiving feedback seemed to one of essential factor leading the drivers visual attentional distraction.

• 척추신경추나의학회지
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• 제15권1호
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• pp.135-145
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• 2020

Objectives : This study reports the clinical case of a patient diagnosed with ossification of the posterior longitudinal ligament treated with Korean Medicine focusing on Chuna therapy. Methods : The patient was treated by a doctor from July 18th, 2019 to November 28th, 2019. The patient was diagnosed with ossification of the posterior longitudinal ligament based on magnetic resonance imaging results and was recommended to undergo surgery at another hospital. The primary complaint of the patient was left neck pain, left arm sensation, right leg sensation, and right leg loss of strength. The doctor treated the patient with Chuna therapy, acupuncture, cupping, herbal medicine, and pharmacopuncture. The effect of treatment was evaluated using visual analogue scale, neck disability index, pain rating score and Japanese Orthopedic Association score. Spurling, compression, and distraction tests were utilized. Results : Visual analogue scale decreased from 10 at the arm and 10 at the leg to 1 and 2, respectively. Neck disability index decreased from 25 to 11, pain rating score decreased from 66 to 1, and Japanese Orthopedic Association score recovered from 12 to 17 points. In addition, positive spurling test, compression test, and distraction test all improved to negative. Conclusions : Korean medicine treatment can be effective for ossification of the posterior longitudinal ligament patients, even when surgery is recommended. Further clinical studies, such as case series and case-control studies, are required to verify these findings.

• Korean Journal of Anesthesiology
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• 제71권6호
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• pp.453-458
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• 2018

Background: Pain on injection is a limitation with propofol use. The effect of the Valsalva maneuver on pain during propofol injection has not been studied. This maneuver reduces pain through the sinoaortic baroreceptor reflex arc and by distraction. We aimed to assess the efficacy of the Valsalva maneuver in reducing pain during propofol injection. Methods: Eighty American Society of Anesthesiologists class I adult patients undergoing general anesthesia were enrolled and divided into two groups of 40 each. Group I (Valsalva) patients blew into a sphygmomanometer tube raising the mercury column up to 30 mmHg for 20 seconds, while Group II (Control) patients did not. Anesthesia was induced with 1% propofol immediately afterwards. Pain was assessed on a 10-point visual analog scale (VAS), where 0 represented no pain, and 10, the worst imaginable pain, and a 4-point withdrawal response score, where 0 represented no pain, and 3, the worst imaginable pain. Scores were presented as median (interquartile range). Results: We analyzed the data of 70 patients. The incidence of pain was significantly lower in the Valsalva than in the control group (53% vs. 78%, P = 0.029). The withdrawal response score was significantly lower in the Valsalva group (1.00 [0.00-1.00] vs. 2.00 [2.00-3.00], P < 0.001). The VAS score was significantly lower in the Valsalva group (1.00 [0.00-4.00] vs. 7.00 [6.25-8.00], P < 0.001). Conclusions: A prior Valsalva maneuver is effective in attenuating injection pain due to propofol; it is advantageous in being a non-pharmacological, safe, easy, and time-effective technique.

• 한국자동차공학회논문집
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• 제21권4호
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• pp.62-69
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• 2013

Visual demands associated with in-vehicle display usage and text messaging distract a driver's visual attention from the roadway. To minimize eyes-off-the-road demands, voice interaction systems are widely introduced. Under cognitively distracted condition, however, awareness of the operating environment will be degraded although the driver remains oriented to the roadway. It is also know that the risk of inattentive driving varies with age, thus systematic analysis of driving risks is required for the older drivers. This paper aims to understand the age-related driving performance degradation and visual attention changes under auditory cognitive demand which consists of three graded levels of cognitive complexity. In this study, two groups, aged 25-35 and 60-69, engaged in a delayed auditory recall task, so called N-back task, while driving a simulated highway. Comparisons of younger and older drivers' driving performance including mean speed, speed variability and standard deviation of lane position, and gaze dispersion changes, which consist of x-axis and y-axis of visual attention, were conducted. As a result, it was observed that gaze dispersion decreased with each level of demand, demonstrating that these indices can correctly rank order cognitive workload. Moreover, gaze dispersion change patterns were quite consistent in younger and older age groups. Effects were also observed on driving performance measures, but they were subtle, nonlinear, and did not effectively differentiate the levels of cognitive workload.

• 한국태양에너지학회 논문집
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• 제31권6호
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• pp.132-138
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• 2011

Inducing the natural lighting into building has been commonly applied to the spaces where artistic objects are displayed to create better visual environment for the appreciation. The direct natural lighting, especially through top lighting system may, however, bring forth discoloing of highly light-sensitive materials such as paintings or demanding additional cooling load. In addition, it causes to create glare against appreciators or to yield in visual distraction due to the extreme contrast on the inner surfaces of the spaces. Shading device such as louver is capable of preventing such voidable cases with careful manipulation. This study aims to provide basic design guide-line when the flat-form louver has to be applied to top lighting system. Interaction between the daylight and louver was simulated by Reluxpro program with variation of the attachment location, the angle of the lover, surface reflectivity, to obtain the illumination of the floor surface. This study yields the louver just under the top lighting window with 90 degree angle gives the most desirable way of employment when the uniform illumination on the floor surface is required.

• Journal of Acupuncture Research
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• 제33권2호
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• pp.77-87
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• 2016

Objectives : This is a pilot study for a large randomized controlled trial to investigate the efficacy and safety of a newly developed contrast therapy device-- alternating topical heat and cold -- for patients with chronic low back pain. The main objective of this study is to confirm the feasibility of the study design. Methods : The design was a randomized, 2-arm, parallel-group, single-blind, placebo controlled trial. Patients in each group received real or sham contrast therapy in an acupuncture point 10 times over four weeks. The primary outcome measure was pain intensity on a 100-mm visual analogue scale (VAS). The secondary outcomes were back-related dysfunction based on the Oswestry Disability Index (ODI), the Roland-Morris disability questionnaire (RMDQ), and range of motion of lumbar spine based on the modified Schober test (mSchober test), Finger-to-Floor distance (FTF distance), and Finger-to-Thigh distraction (FTT distraction). Results : A total of 30 subjects with chronic low back pain were randomly assigned to a contrast therapy group (n＝15) or a sham group (n＝15). A repeated-measures analysis of variance showed statistically significant group time interaction for VAS, RMDQ, mSchober test and FTF distance (p<0.05). The treatment group showed significant improvement in pain intensity and functional disability as compared to the sham group. Conclusion : Contrast therapy may be an effective and safe treatment for chronic low back pain.

• 대한건축학회논문집:계획계
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• 제33권12호
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• pp.41-52
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• 2017

This study investigates the waiting and resting behaviors of children within a restorative healthcare facility design. In particular, the aim is to compare children with and without disabilities and reveal similarities and differences in terms of their behavioral characteristics and uses of design facilities, related to positive distraction, for restoration in the hospital. Three major common spaces for outpatients in S children's hospital in Seoul were examined including the main lobby and two waiting and resting spaces in the pediatric and rehabilitation medicine departments, respectively. A total of 155 children under the age of 12-67 with physical disabilities and 88 without-were observed while they waited and rested at the three spaces before or after doctors' examination. Basic demographic information and waiting and resting behavioral characteristics were compared between the two groups. The results indicated that the disabled children were more restricted in terms of space, facilities used, and social behaviors. However, regardless of disabilities, the children showed more positive distractions related to cognitive and social behaviors in areas where restorative design elements such as an aquarium, garden, or visual images were available. Based on the results, design implications were discussed to strengthen positive distraction behaviors in children with and without disabilities and to foster the restorative quality of the spaces for waiting and resting in the children's hospital.

• 척추신경추나의학회지
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• 제3권1호
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• pp.83-94
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• 2008

This study is designed to evaluate the effect of conservative oriental medical treatment with Kyungkuen Chuna for Herniated intervertebral lumber disc(HIVD) patient. The improvement of the patient was evaluated by Range of Motion(ROM), Straight Leg Rasing Test(SLRT), Visual Analogue Scale(VAS), Oswestry Low-back Pain Disability Index(ODI). After conservative oriental medical treatment with Kyungkuen Chuna, ROM, SLRT, VAS and ODI were significantly improved. It is suggested that Conservative oriental medical treatment with Kyungkuen Chuna could be effective methods to treat the HIVD patient.

• 한국정보전자통신기술학회논문지
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• 제4권1호
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• pp.23-31
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• 2011

본 논문은 차세대 자동차 지능형 통합 스마트 모니터 시스템을 제작하였다. 차량의 계기판 장치는 많은 방해 요소를 감소시키며, 운전자들에게 영향을 주지 않고 도로에 집중할 수 있도록 하는 것이 필수적이다. 위험 경보는 시각적인 디스플레이와 함께 유용하게 사용되지만 기존의 방식은 문제가 있다. 차량 안전 시스템의 최적화는 위험을 알리는 각종 경보보다 더 필수적인 것은 운전자가 도로에 집중할 수 있는 시각적인 장치가 요구된다. 지능형 통합 스마트 모니터 시스템은 자동차에서 가장 많이 보는 정보인 자동차 속도, 엔진 회전속도, 연료, 엔진 온도, 연료 게이지, 회전표시등과 각종 경보 표시등 기본 정보를 모아서 운전자에게 제공한다. 본 논문에서 설계한 지능형 통합 스마트 모니터 시스템은 박막 트랜지스터 액정 표시 장치, 액정 표시 장치배경 조명 발광다이오드, 평면 미러, 특수 제작된 렌즈 및 구동회로로 구성되어 있으며, 운전자 안전성을 고려한 차세대 지능형 자동차 통합스마트 모니터 시스템을 제작, 분석하였다.

• 한국정보통신학회논문지
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• 제13권7호
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• pp.1247-1254
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• 2009

본 연구는 다양한 전자기기 사용 유형이 추돌 가능상황에서 운전자의 추돌회피 행동에 대해 어떠한지 상대적으로 평가하고, 이러한 추돌 가능 상황에서 운전자의 추돌 회피를 위한 가장 효과적인 추돌 경고 형태가 무엇인지 검토하는 것을 목적으로 수행되었다. 선행차량과의 추돌비율과 추돌회피를 위한 최초의 반응시간을 종속 측정치로 사용하여 분석한 결과, (1) 다양한전자기기 사용과제 유형 중에서 항행을 위한 목적지 검색과제가 다른 과제들(TV 시청 혹은 휴대전화 사용)에 비해 상대적으로 더 높은 추돌비율을 보였고, (2) 이러한 추돌을 방지하는데 청각경고의 형태가 가장 효과적이라는 것이 발견되었다. 특히, 운전 과제 자체뿐만 아니라, 전자기기와의 다양한 상호작용이 주로 시각적 부하를 초래하는 과제들이라는 점을 감안하면 추돌방지를 위한 경고 형태 중에서 시각경고 형태는 상대적으로 그 효과성이 감소될 수 있다는 것이 시사되었다.