• 한국의류산업학회지
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• 제16권1호
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• pp.101-110
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• 2014

In this study, we investigate characteristics of fall, requirements toward the impact protective clothing, design preferences, etc. to develop the fall impact protective clothing for the silver-aged women. Among the 242 women respondents aging 50s to 70s, 43% experienced the fall in recent 2 years. It is found that the fall mostly occurred in winter season and happened during the regular activities such as walking outside, going up and down stairs. Most of the respondents have no experience buying the impact protective clothing, but they expressed the fall impact protective clothing would help reducing the injury from falls. Moreover, the intention to purchase the impact protective clothing is increasing with an increasing target age. However, the respondents concerned with increasing volume and weight of clothing by the protecting pad inserted into the clothing. The respondents also claimed that the impact protecting clothing should not interfere with their regular physical activities. The survey showed that respondents preferred to embed the impact protective function in pants as a form of the protective clothing. For the design preferences on the pants, casual style and straight silhouette was preferred and stretch fabric was selected. The respondents preferred underwear made of cotton spandex blend with relaxed fit.

• Tuberculosis and Respiratory Diseases
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• 제70권6호
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• pp.498-503
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• 2011

Background: The causes of exertional desaturation in patients with COPD can be multifactorial. We aimed to investigate factors predict exertional desaturation in patients with moderate to severe COPD. Methods: We tested 51 consecutive patients with stable COPD (FEV1/FVC, $40{\pm}13%$ predicted). Patients performed a six minute walk test (6MWT). Pulse oxymetric saturation (SpO2) and pulse rate were recorded. Results: Oxygen desaturation was found in 15 subjects after 6MWT, while 36 subjects were not desaturated. Lung diffusing capacity was significantly lower in desaturation (DS) group ($62{\pm}18%$ predicted) compared with not desaturated (ND) group ($84{\pm}20$, p<0.01). However there was no statistical difference of FEV1/FVC ratio or residual volume between two groups. The pulse rate change was significantly higher in the desaturated compared with the not desaturated group. Six minute walking distance, subjective dyspnea scale, airflow obstruction, and residual volume did not predict exertional oxygen desaturation. Independent factors assessed by multiple logistic regression revealed that a pulse rate increment (odd ratio [OR], 1.19; 95% confidence interval [CI], 1.01~1.40; p=0.02), a decrease in baseline PaO2 (OR, 1.105; 95% CI, 1.003~1.218; p=0.04) and a decrease in lung diffusing capacity (OR, 1.10; 95% CI, 1.01~1.19; p=0.01) were significantly associated with oxygen desaturation. Receiver operator characteristic (ROC) analysis showed that an absolute increment in pulse rate of 16/min gave optimal discrimination between desaturated and not desaturated patients after 6MWT. Conclusion: Pulse rate increment and diffusion capacity can predict exertional oxygen desaturation in stable COPD patients with moderate to severe airflow obstruction.

• 한국환경생태학회지
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• 제21권6호
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• pp.526-535
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• 2007

본 연구는 2004년도 2월에서 3월까지 철원분지의 민간인통제지역에서 두루미와 재두루미의 차량에 대한 반응 행동과 함께 방해요인과 먹이와의 수지균형에 관하여 실시하였다. 재두루미의 도로로부터의 평균취식거리는 두루미에 비하여 가까웠다. 두루미와 재두루미 모두 무리크기가 클수록 도로로부터 떨어진 평균거리는 증가하였다. 두루미와 재두루미는 차량의 근거리 정지에 대하여 경계, 걷기, 뛰기, 비행의 반응을 보였으며, 도로에서 가까울수록 차량에 대하여 민감하게 반응하였다. 도로에서 멀수록 차량의 정지에 대한 반응 시간은 두루미와 재두루미 모두 감소하였다. 차량의 정지에 대하여 반응을 보이지 않는 반응역치거리는 두루미와 재두루미 모두 250m이었다. 두루미는 200m내에서 재두루미에 비하여 민감하게 반응하였다. 도로 교통량이 증가함에 따라 동일거리에서의 반응시간은 변화가 없었지만, 도로인근 지역에서 멀어지게 하고 해당지역을 취식지로 이용하지 않게 하는 영향이 있었다. 두루미와 재두루미가 차량 통행 등의 방해요인에도 불구하고 낙곡을 취식했던 것은 도로인근 지역의 잔존 낙곡의 밀도가 높았기 때문이었다.

• Tuberculosis and Respiratory Diseases
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• 제72권4호
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• pp.367-373
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• 2012

Background: Chronic obstructive pulmonary disease (COPD) is now regarded as a heterogenous disease, with variable phenotypes. Acute exacerbation of COPD is a major event that alters the natural course of disease. The frequency of COPD exacerbation is variable among patients. We analyzed clinical features, according to the frequency of acute exacerbation in COPD. Methods: Sixty patients, who visited Gyeongsang National University Hospital from March 2010 to October 2010, were enrolled. Patients were divided into two groups, according to their frequency of acute exacerbation. Frequent exacerbator is defined as the patient who has two or more exacerbation per one year. We reviewed patients' medical records and investigated modified Medical Research Council (MMRC) dyspnea scale, smoking history and frequency of acute exacerbation. We also conducted pulmonary function test and 6-minute walking test, calculated body mass index, degree of airway obstruction and dyspnea and exercise capacity (BODE) index and measured CD146 cells in the peripheral blood. Results: The number of frequent exacerbators and infrequent exacerbators was 20 and 40, respectively. The frequent exacerbator group had more severe airway obstruction (forced expiratory volume in one second [$FEV_1$], 45% vs. 65.3%, p=0.001; $FEV_1$/forced vital capacity, 44.3% vs. 50.5%, p=0.046). MMRC dyspnea scale and BODE index were significantly higher in the frequent exacerbator group (1.8 vs. 1.1, p=0.016; 3.9 vs. 2.1, p=0.014, respectively). The fraction of CD146 cells significantly increased in the frequent exacerbator group (2.0 vs. 1.0, p<0.001). Conclusion: Frequent exacerbator had more severe airway obstruction and higher symptom score and BODE index. However, circulating endothelial cells measured by CD146 needed to be confirmed in the future.

• Tuberculosis and Respiratory Diseases
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• 제84권2호
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• pp.148-158
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• 2021

Background: Radiotherapy is a common treatment option for lung or esophageal cancer, particularly when surgery is not feasible for patients with poor lung function. However, radiotherapy can affect pulmonary function and thereby induce pneumonitis or pneumonia, which can be fatal in patients with respiratory impairment. The purpose of this study is to evaluate if reductions in pulmonary function after radiotherapy can be minimized through simultaneous pulmonary rehabilitation (PR). Methods: In this matched case control study, we retrospectively analyzed patients who had undergone radiotherapy for thoracic malignant disease between January 2018 and June 2019. We analyzed results from pulmonary function tests and 6-minute walking tests (6MWT) conducted within the six months before and after radiotherapy treatment. Results: In total, results from 144 patients were analyzed, with 11 of the patients receiving PR and radiotherapy simultaneously. Of the 133 patients in the control group, 33 were matched with 11 patients in the PR group. Changes in forced expiratory volume in one second (FEV₁) and FEV₁/forced vital capacity were significantly different between the PR group and the matched control group (240 mL vs. -10 mL, p=0.017 and 5.5% vs. 1.0%, p=0.038, respectively). The median distance of 6MWT in the PR group also increased significantly, from 407.5 m to 493.0 m after radiotherapy (p=0.017). Conclusion: Simultaneous PR improved pulmonary function, particularly in measures of FEV₁, and exercise capacity for patients with lung or esophageal cancer even after radiotherapy treatment. These findings may provide an important base of knowledge for further large population studies with long-term follow-up analysis in the identification of the PR's effects during thoracic radiotherapy.

• Archives of Plastic Surgery
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• 제37권5호
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• pp.712-716
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• 2010

Purpose: Extensive lumbosacral defects after removal of spinal tumors have a high risk of wound healing problems. Therefore it is an effective reconstructive strategy to provide preemptive soft tissue coverage at the time of initial spinal surgery, especially when there is an instrument exposure. For soft tissue reconstruction of a lumbosacral defect, a variation of the gluteal flap is the first-line choice. However, the musculocutaneous flap or muscle flap that is conventionally used, has many disadvantages. It damages gluteus muscle and causes functional disturbance in ambulation, has a short pedicle which limits areas of coverage, and can damage perforators, limiting further surgery that is usually necessary in spinal tumor patients. In this article, we present the superior gluteal artery perforator turn-over flap that reconstructs complex lumbosacral defects successfully, especially one that has instrument exposure, without damaging the ambulatory function of the patient. Methods: A 67 year old man presented with sacral sarcoma. Sacralectomy with L5 corpectomy was performed and resulted in a $15{\times}8\;cm$ sized complex soft tissue defect in the lumbosacral area. There was no defect in the skin. Sacral stabilization with alloplastic fibular bone graft and reconstruction plate was done and the instruments were exposed through the wound. A $18{\times}8\;cm$ sized superior gluteal artery perforator flap was designed based on the superior gluteal artery perforator and deepithelized. It was turned over 180 degrees into the lumbosacral dead space. Soft tissue from both sides of the wound was approximated over the flap and this provided in double padding over the instrument. Results: No complications such as hematoma, flap necrosis, or infection occurred. Until three months after the resection, functional disturbances in walking were not observed. The postoperative magnetic resonance imaging scan shows the flap volume was well maintained over the instrument. Conclusion: This superior gluteal artery perforator turn-over flap, a modification of the conventional superior gluteal artery perforator flap, is a simple method that enabled the successful reconstruction of a lumbosacral defect with instrument exposure without affecting ambulatory function.

• 대한교통학회지
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• 제32권3호
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• pp.218-226
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• 2014

본 연구에서는 회전교차로를 대상으로 현재의 횡단보도 설계기준에서 벗어나 보행자의 편의와 안전성을 향상시킬 수 있는 대각선횡단보도 설치에 관한 연구를 수행하였다. 대각선횡단보도의 설치는 보행자 편의증진에는 도움이 되지만 차량 통행에 방해요소가 될 수 있다. 따라서 본 연구에서는 회전교차로에 대각선횡단보도를 설치하였을 때 차량의 지체시간 변화에 대한 연구를 통해 합리적인 설치 기준을 제시하였다. 본 연구에서는 회전교차로의 기하구조와 다양한 교통특성 등을 반영하여 분석을 실시하였다. 연구결과 회전교차로에 대각선횡단보도를 설치할 경우 포화도, 보행자수 증가에 따라 차량의 지체시간이 증가하지만 증가율은 경우에 따라 매우 다르게 나타났다. 전체적으로 포화도 0.6이하에서는 보행자수에 관계없이 대각선횡단보도의 설치에 따른 영향이 미소하였으며 보행자수 300인/시 이하에서는 포화도에 관계없이 지체시간의 차이가 매우 작은 것으로 나타났다. 또한, 회전교차로의 내접원 지름이 커짐에 따라 포화도와 보행자수의 증가에 따른 차량 지체시간의 차이가 작아지는 것으로 분석되었다.

• 전기전자학회논문지
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• 제24권3호
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• pp.754-765
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• 2020

최근 다양한 환경에서의 보행과 특정 동작에서 해당 모드를 지원하는 지능형 대퇴 의족이 개발되고 있다. 계단 상행, 하행과 같은 특정 제어는 동작 전 모드를 변경해야하기 때문에 사용자의 의도를 기반으로 제어명령을 구분하는 기법이 필요하다. 따라서 본 논문에서는 지능형 대퇴 의족 시스템에서 사용자의 의도에 기반하여 다양한 제어명령을 구분할 수 있는 기법을 제안한다. 제안하는 기법은 근전도 신호의 보상이 필요하다고 판단되는 경우, 평상시의 근전도 신호의 세기 및 주파수 성분과 압력센서로 추정한 근육의 부피 정도의 상관관계를 이용하여 근전도 신호를 보상하는 것이며 실험을 통해 근피로가 축적되어 있는 상황에도 사용자의 의도를 정확하게 검출하는 것을 확인하였다. 향상된 사용자 의도 검출 기법을 통해 정해진 시간 내 근육의 수축 횟수를 기반으로 5개의 제어모드를 구분할 수 있도록 하였으며 실험 결과 운동 후 근피로로 인해 근신호의 세기가 평시와 다를 경우에도 근신호 보상을 통해 97.5%의 정확도를 갖는 것을 확인하였다.

• 한국ITS학회 논문지
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• 제17권6호
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• pp.14-24
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• 2018

교통카드를 이용하는 승객의 지하철역사내에서 보행이동은 직승직하, 노선환승, 역사환승 3가지로 구분된다. 직승직하는 단말기노선과 열차노선이 동일한 상황에서 나타나는 통행을 의미한다. 직승은 출발역에서 직하는 도착역에서 각각 나타난다. 노선환승은 승객이 하차 및 승차한 열차노선이 다른 상황에서 발생한다. 노선환승은 출발역과 도착역이 아닌 중간역의 환승보행통행이다. 역사환승은 단말기노선과 열차노선이 다른 경우 나타난다. 역사환승은 출발역에서 출발환승과 도착역에서 도착환승으로 나타난다. 수도권 교통카드는 출발역 및 도착역 단말기노선번호가 기록되나 열차노선정보가 존재하지 않는다. 따라서 지하철역사를 보행하는 승객의 전체흐름을 분석하기 위해서 카드자료가 활용되지 못하고 있다. 본 연구는 교통카드자료의 제한된 정보를 활용하여 지하철역사내 승객의 보행이동 분석모형을 제안한다. 이를 위해 출발역과 도착역을 연결하는 경로선택모형을 구축하여 열차노선을 분석하는 개념을 적용한다. 수도권지하철을 대상으로 사례연구를 시행하여 보행통행을 분석한다.

• 한국도로학회논문집
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• 제20권1호
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• pp.107-115
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• 2018

PURPOSES : As the population of the mobility handicapped, who are classified as the disabled, the elderly, pregnant women, children, etc., has increased, the voices for guaranteeing their rights have been increasing as well. Thus, the design manuals for roads and sidewalks for the mobility handicapped were developed by the local government, such as the Ministry of Land, Transport, and Tourism, in Seoul City. However, according to the 2013 survey results of the Seoul Metropolitan City, the mobility handicapped still feel uncomfortable with the sidewalks, and particularly request for the improvement of the step and slope of the sidewalk curb. Therefore, in this study, we conducted an empirical experimental study to determine the slope of the sidewalk curb and height of the steps considering the mobility handicapped and analyzed whether there is a statistically significant difference. METHODS : The methodology of this study is an empirical experimental one. In the study, five non-disabled people, 10 wheelchair users, and 10 eye patch and stick users walked about 2-3 min on the sidewalk plates of the sloped type (0%, 5%, 6.3%, 8.3%) and stepped type (0 cm, 1 cm, 3 cm, 6 cm), and their human physiological responses, such as the skin temperature, volume of perspiration on forehead and chest, and heart rate, were measured and recorded. After combining the data, we conducted a nonparametric test, ANOVA, or t-test to determine whether there was a statistically significant difference according to each slope and step type. RESULTS : It was found that for the non-disabled, there was no significant difference in human physiological responses according to the slope and steps of the sidewalk. It can be said that the non-disabled do not feel much physiological discomfort while walking. In the case of the sloped sidewalk plate, the heart rate of the wheel chair users increased when the slope was 6.3%. In the case of the eye patch and stick users, the volume of perspiration on the chest increased at a slope of 5.0%. In general, it is judged that a sidewalk with a slope that is less than 5% does not cause a change in the physiological response. In the case of a stepped sidewalk plate, when 0 cm, 1 cm, and 3 cm were compared for wheelchair users, the amount of forehead perspiration increased from 1 cm. Meanwhile, in the case of the eye patch and stick users, when 0 cm and 6 cm were compared, the amount of perspiration on the forehead and chest as well as the heart rate all increased at 6 cm. Taken together, in the case of wheelchair users, a difference was shown when the height of the step of the sidewalk plate was 1 cm, suggesting that installing it at 0 cm does not cause any physiological discomfort. Moreover, in the case of the eye patch and stick users, when comparing only 0 cm and 6 cm, 0 cm was considered to be suitable, as there was a difference in physiological response at 6 cm. CONCLUSIONS : In this study, we set the human physiological responses such as chest skin temperature, amount of perspiration, and heart rate as evaluation items, and our study was considered to be a meaningful experiment that targeted wheelchair users as well as eye patch and stick users. The validity of the evaluation items was confirmed, as the results of human physiological responses were significant. As for the sidewalk design, according to the experiment result, it is considered that differential application should be implemented according to the type of mobility handicap, rather than uniformly applying a sidewalk step of 2 cm and sidewalk slope of 1/25, which are the current legal standards.