• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.343-351
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• 2023

Diabetic foot is one of the most devastating consequences of diabetes, resulting in amputation and possibly death. Therefore, early detection and vigorous treatment of infections in patients with diabetic foot are critical. This review seeks to provide guidelines for the therapy and rehabilitation of patients with moderate-to-severe diabetic foot. If a diabetic foot infection is suspected, bacterial cultures should be initially obtained. Numerous imaging studies can be used to identify diabetic foot, and recent research has shown that white blood cell single-photon emission computed tomography/computed tomography has comparable diagnostic specificity and sensitivity to magnetic resonance imaging. Surgery is performed when a diabetic foot ulcer is deep and is accompanied by bone and soft tissue infections. Patients should be taught preoperative rehabilitation before undergoing stressful surgery. During surgical procedures, it is critical to remove all necrotic tissue and drain the inflammatory area. It is critical to treat wounds with suitable dressings after surgery. Wet dressings promote the formation of granulation tissues and new blood vessels. Walking should begin as soon as the patient's general condition allows it, regardless of the wound status or prior walking capacity. Adequate treatment of comorbidities, including hypertension and dyslipidemia, and smoking cessation are necessary. Additionally, broad-spectrum antibiotics are required to treat diabetic foot infections.

• 대한물리의학회지
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• 제11권4호
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• pp.71-78
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• 2016

PURPOSE: The purpose of this study was to investigate which treadmill walking training mode is more effective strategy for improving pulmonary function of persons with chronic stroke. METHODS: Twenty-one chronic stroke patients were allocated and randomly to an experimental group (treadmill training with randomized speed control, n=11) and a control group (treadmill training without speed change, n=10). All participants received 30 minutes of neurodevelopmental treatment. In addition, the two groups performed treadmill training for 20 minutes each time with or without speed change. Speed change was applied 40%, 50%, 60%, 70% of Heart Rate Reserve. All the exercise programs lasted six weeks, with five times per week. Pulmonary function was assessed before and after exercise program by using forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and maximal voluntary ventilation (MVV). RESULTS: In the both groups, FEV1 was significantly increased after training (p<.05). Compared to the control group, the experimental group showed 11.9% larger amount of change (p<.05). In the experimental group, FVC and MVV were significantly increased after training (9.9%, 7.6%, respectively) (p<.05). But in the control group, there was no significant difference in the FVC and MVV after training. CONCLUSION: Treadmill training with randomized speed control will be a better positive rehabilitation program than treadmill training without speed change to improve pulmonary function in persons with chronic stroke.

• 대한물리의학회지
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• 제19권1호
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• pp.95-105
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• 2024

PURPOSE: This study aimed to utilize the International Classification of Functioning, Disability, and Health (ICF) tool to identify a problem list and explore intervention effects using proprioceptive neuromuscular facilitation (PNF) for improving the crosswalk performance of patients who have undergone a bilateral hip arthroplasty. METHODS: The subject of this study was a 43-year-old male who had undergone a bilateral hip arthroplasty. To address the subject's functional status, a clinical decision-making process was carried out in the order of examination, evaluation, diagnosis, prognosis, intervention, and outcome. Patient information during the examination was collected using the ICF core set. The evaluation involved listing the items of each problem using the ICF assessment sheet and identifying the interaction between activity limitations and the impairment level. The diagnosis explicitly described the causal relationships derived from the evaluation using ICF terminology. The prognosis presented activity goals, body function, and structured goals in terms of the activity and participation levels that needed to be achieved for an individual's functional status. The intervention approached problems through the four components of the PNF philosophy, namely basic principles and procedures, techniques, and patterns, in an indirect-direct-task sequence. Results were compared before and after the intervention using the ICF evaluation display. RESULTS: The results of the study showed that the primary activity limitation, which was the walking time across the crosswalk, showed improvement, and the trunk's counter rotation and the weight-bearing capacity of both the lower limbs, which were impairment level indicators, were enhanced. CONCLUSION: This study suggests that PNF intervention strategies will serve as a positive approach for improving crosswalk walking in patients with bilateral hip arthroplasty.

• 대한토목학회논문집
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• 제26권2D호
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• pp.241-250
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• 2006

보행은 가장 권장되어야 하는 중요한 교통수단임에도 불구하고, 아직까지 구체적인 연구가 미미한 실정이다. 특히, 자동차 위주의 교통계획으로 인하여, 도로시설의 용량분석 및 서비스수준 평가를 위해 제정된 "도로용량편람(HCM)"에서 조차 보행 및 보행공간에 대한 구체적인 분석방법이 제시되어 있지 않고 있다. 그러므로 본 연구는 현재의 보행 서비스수준의 분석 기준인 보행유율에 소음수준과 주변밝기 정도를 추가로 고려하는 보행자가 직접 느끼는 서비스수준을 산정하기 위하여 퍼지근사추론을 사용하였다. 입력변수는 보행유율, 소음수준, 밝기정도를 사용하였으며 주간과 야간으로 나누어 퍼지근사추론 모형을 구축하였다. 구축된 모형의 예측력 분석은 $R^2$와 MAE 그리고 MSE를 사용하였으며 그 값은 주간모형의 경우 각각 0.803, 0.729, 0.735이고 야간모형의 경우 0.893, 0.878, 0.860으로 모형의 설명력이 높음을 보여주고 있다. 본 연구과정에서 야간의 경우 보행유율이 높을수록 밝기정도보다는 소음수준이 보행만족도에 더 큰 영향을 미치는 것을 볼 수 있었다.

• 대한공간정보학회지
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• 제23권2호
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• pp.69-77
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• 2015

우리나라 대피시설의 종류는 재난유형별 대피계획에 따라 구분된다. 자연재난 대피의 경우, 시 군 구별로 수립되는 '안전관리계획'에 대피소의 입지 및 대피에 관한 사항이 포함된다. 그러나 인구수용이 용이하고 구조상 안전한 건축물을 지정하도록 되어 있을 뿐 대피소의 입지나 규모 등에 대한 정량적 기준은 마련되어 있지 않다. 따라서 현실적인 대피계획 수립을 위해서는 자연재난 대피소의 분포 및 대피면적에 대한 현황 분석이 우선시 되어야 한다. 도로경사 등 지형요소와 연령별 신체능력의 차이는 도보 대피 시 신속한 대피경로 분석을 위한 주요 요인이다. 이에 본 연구에서는 지형요소와 연령별 보행속도 차이를 고려한 3차원 기반의 최적 대피경로 산정방법을 제시하고, 서울시를 대상으로 기준 대피시간(7.5, 15, 30분)별 대피소 커버권역의 지역적 차이 분석을 통해 자연재난 대피소의 입지 문제점과 정책적 시사점을 도출하고자 한다. 주요 분석결과를 요약하면 다음과 같다. 첫째, 서울시 인구 1인당 평균대피면적은 $0.45m^2$로 분석되었다. 이는 최소 대피면적을 $1m^2$로 가정했을 때 서울시 전체 인구의 45%만 수용 가능하다는 것을 의미한다. 둘째, 기준 대피시간 7.5분 이내에 대피 가능한 인구비율은 서울시 전체 인구의 33%에 불과하였다. 셋째, 5~9세 어린이나 65세 이상 노인의 대피가능 인구비율은 15~49세 기준 보행속도 그룹에 비해 현저히 낮아짐을 알 수 있었다.

• 한방재활의학과학회지
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• 제18권3호
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• pp.147-156
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• 2008

Objectives : Oriental Medicine Music Therapy is a new way of treating and preventing various diseases and promoting health by means of music specially picked and designed to produce Qi(氣) fitting to an individual person in the areas of the structure of human body, physiological function, pathological change, diagnosis and treatment. Therefore, it can facilitate the efficiency of the treatment much better and faster than only with herb or acupuncture. Equilibrium between body and mind is its originality. Methods : A 38-year old man came to hospital suffering from left side weakness, dysarthria because of cerebral infarction. After one week's medication in the part of neurology, he was sent to the oriental medicine music therapy center, and he took ten times' medical treatments once a day. Before and after the treatments, implementing 'Ink foot print analysis', as for the movement capacity and walking of left side weakness, these results are acquired. Results and Conclusions : 1. Before the oriental medicine music therapy, except the acceleration and deceleration section, within three meters, a right foot's step was measured 30.55 cm and a left foot was measured 15.2 cm, and the step distance was 15.2 cm. After the 10 times treatments, the right foot's step was 112.6 cm, the left foot's step was 113 cm, and the step distance improved to 51.8 cm. 2. The normal person's average step is about 38 cm, and it could be decreased owing to a decreptitude, pain, fatigue, and the weakness of the legs. In spite of all, from the increased 50 cm step measurement with the patient's body condition, it means that his movement capacity is recovered. 3. In the measurement of walking time, before 10 times treatments, it took 46.35 seconds within 6M, but after the treatments, it increased to 7.47 seconds as same as a normal person's walking speed. 4. In insomnia, and the abnormality of a facial muscle, it shows lots of improvement, and even the accuracy of a pronunciation, but despite of the 10 times treatments, the 'ㄹ(r)' sound placed under a vowel is unclear. 5. Before the 10 times' treatments, he can move the left side shoulder with pain and cannot move below the left elbow. After the treatments, the pain was disappeared, and he was able to move over 60 cm without pain. And improving of the movement of fingers, he can beat over 8 times with a drumstick.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.1247-1248
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• 2022

Due to rapid urbanization and population growth, it has become crucial to analyze the various volumes and characteristics of pedestrian pathways to understand the capacity and level of service (LOS) for pathways to promote a better walking environment. Different indicators have been developed to measure pedestrian volume. The pedestrian level of service (PLOS), tailored to analyze pedestrian pathways based on the concept of the LOS in transportation in the Highway Capacity Manual, has been widely used. PLOS is a measurement concept used to assess the quality of pedestrian facilities, from grade A (best condition) to grade F (worst condition), based on the flow rate, average speed, occupied space, and other parameters. Since the original PLOS approach has been criticized for producing idealistic results, several modified versions of PLOS have also been developed. One of these modified versions is perceived PLOS, which measures the LOS for pathways by considering pedestrians' awareness levels. However, this method relies on survey-based measurements, making it difficult to continuously deploy the technique to all the pathways. To measure PLOS more quantitatively and continuously, researchers have adopted computer vision technologies to automatically assess pedestrian flows and PLOS from CCTV videos. However, there are drawbacks even with this method because CCTVs cannot be installed everywhere, e.g., in alleyways. Recently, a technique to monitor bio-signals, such as electrodermal activity (EDA), through wearable sensors that can measure physiological responses to external stimuli (e.g., when another pedestrian passes), has gained popularity. It has the potential to continuously measure perceived PLOS. In their previous experiment, the authors of this study found that there were many significant EDA responses in crowded places when other pedestrians acting as external stimuli passed by. Therefore, we hypothesized that the EDA responses would be significantly higher in places where relatively more dynamic objects pass, i.e., in crowded areas with low PLOS levels (e.g., level F). To this end, the authors conducted an experiment to confirm the validity of EDA in inferring the perceived PLOS. The EDA of the subjects was measured and analyzed while watching both the real-world and virtually created videos with different pedestrian volumes in a laboratory environment. The results showed the possibility of inferring the amount of pedestrian volume on the pathways by measuring the physiological reactions of pedestrians. Through further validation, the research outcome is expected to be used for EDA-based continuous measurement of perceived PLOS at the alley level, which will facilitate modifying the existing walking environments, e.g., constructing pathways with appropriate effective width based on pedestrian volume. Future research will examine the validity of the integrated use of EDA and acceleration signals to increase the accuracy of inferring the perceived PLOS by capturing both physiological and behavioral reactions when walking in a crowded area.

• 한국조경학회지
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• 제40권6호
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• pp.70-78
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• 2012

경주 동궁과 월지의 생태적 수용력 연구를 위해 유적지내에서 관찰되어지는 7가지 이용행태에 따른 이용구간별 녹지 평균손상도를 산정하였다. 이를 위해 탐방객 이용행태의 이용인수 및 이용시간을 조사하고 손상도를 산정하였다. 각 이용행태별 손상도를 통하여 4가지 조사구의 적정수용력, 표준수용력과 한계수용력을 명확하게 파악할 수 있다. 각 조사구의 이용행태별 이용인수 및 이용시간에 따른 손상도를 산정한 결과, '걷다'의 경우 평균 2.15로 가장 높았고, '눕다'의 경우 0.05로 가장 낮은 것으로 나타났다. 그리고 각 조사구의 손상도는 조사구 4가 1.31로 가장 높았고, 조사구 3이 0.97, 조사구 1이 0.91, 조사구 2가 0.70의 순으로 나타났다. 각 조사구의 손상면적을 산정 후에 생태적 수용력을 추정한 결과, 조사구1, 2, 3, 4의 적정수용력은 각각 40인, 249인, 107인, 37인, 한계수용력은 각각 116인, 713인, 306인, 107인, 표준수용력은 각각 75인, 463인, 198인, 69인으로 추정된다. 경주 동궁과 월지의 바람직한 관리를 위한 최대의 생태적 수용력은 한계수용력 이하로 하는 것이 적합하다.

• 대한토목학회논문집
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• 제28권5D호
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• pp.735-740
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• 2008

고속철도역 환승센터에서 용량 및 서비스 수준(LOS)을 산정하기 위해 현재 인용하고 있는 설계지침은 도시철도역과 고속철도역간 동일하게 사용되고 있다. 하지만, 고속철도역의 이용자의 특성은 도시철도역의 이용자들과 현저하게 다르다. 대표적인 사례로, 고속철도 이용자들은 부피가 큰 소지품이나 교통약자를 동반하는 비율이 도시철도에 비해 높다. 이에 따라 고속철도역 환승시설의 규모는 도시철도역 환승시설의 규모보다 크게 책정되어야 한다. 고속철도역내 환승시설은 크게 보행이동시설과 환승편의시설로 대별할 수 있다. 고속철도역 이용자들의 특성을 반영하는 기법으로, 복합보행자, 복합대기자를 각각 캐리어 소지자, 백팩 소지자, 유아 동반자로 나누었다. 또한, 이들의 고유한 단순보행자 환산계수(PME : Pedestrian Moving Equivalent), 단순대기자 환산계수(PWE : Pedestrian Waiting Equivalent)를 개발 및 적용하여 고속철도역 환승시설의 새로운 용량 및 서비스 수준(LOS)을 제시하였다.

• 한국산림과학회지
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• 제90권4호
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• pp.420-430
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• 2001

임도개설상(林道開設上)의 기술적인 문제(問題)와 현장애로를 해소하기 위하여 임도(林道)의 직접적인 효과(效果)인 집재비(集材費)와 개설비(開設費)를 중심으로 투자효과(投資效果)를 최대(最大)로 하는 임도망(林道網) 배치(配置)프로그램을 개발(開發)하였다. 프로그램은 Windows 95/98을 운영체제로 하고 Microsoft Visual Basic 5.0을 사용하여 전체 인터페이스 설계(設計)와 계산 프로그램을 작성하였으며, 인터페이스는 계층적인 구조(構造)로 설계(設計)하고 GUI의 형태(形態)로 제공(提供)하였다. 프로그램 개발에 사용한 입력데이터는 Map데이터(지리정보(地理情報)데이터)로서 수치지형도(數値地形圖)(DTM), 계획구역구분도(計劃區域區分圖), 산림기능구분도(山林機能區分圖), 임내(林內) 도로망도(道路網圖)와 콘트롤데이터(계산용(計算用) 조건인자(條件因子) 테이터)인 임상별(林相別) 목재생산량(木材生産量) 및 노동투입량(勞動投入量), 지형별(地形別) 집재비(集材費), 지형별(地形別) 목도단가(林道單價), 노동단가(勞動單價), 임도(林道) 및 작업도(作業道) 우회율(迂回率), 보행거리계수(步行距離係數), 보행속도(步行速度) 등을 사용하였다. 개발된 프로그램은 현재의 임도개설비(林道開設費)로 향후 벌채(伐採)까지의 적정(適正) 임도밀도(林道密度)와 임도개설연장거리(林道開設延長距離)를 파악할 수 있다. 또한 임도노선배치(林道路線配置)를 프로그램화하여 직접적 경제효과(經濟效果)인 임업적(林業的) 효과(效果)를 제일 우선적으로 생각하여 최적(最適)의 임도노선(林道路線)이 배치(配置)할 수 있으며, 종전의 주관적인 임도노선배치(林道路線配置)보다는 많은 요인(要因)에 의하여 임도망(林道網)이 결정(決定)되고 좀 더 과학적이고 이론적인 임도노선배치(林道路線配置)가 가능하므로 투자효과(投資效果)를 최대(最大)로 하는 임도노선배치(林道路線配置) 계획법(計劃法)을 제시(提示)할 수가 있다. 또한 임도노선배치계산(林道路線配置計算)에서 임도노선(林道路線)마다의 배치우선순위(配置優先順位)가 프로그램상에서 결정(決定)되므로 임도노선배치(林道路線配置) 계획(計劃)을 시업계획(施業計劃)과 병행해서 결정(決定)할 수 있다.