• Journal of Yeungnam Medical Science
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• v.40 no.4
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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.

• Journal of the Korean Society of Physical Medicine
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• v.11 no.4
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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.

• Journal of the Korean Society of Physical Medicine
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• v.19 no.1
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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.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.26 no.2D
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• pp.241-250
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• 2006

Although walking is an important transport mode which should be promoted, realistic studies about walking is not sufficient. Especially, due to the transportation planning oriented toward automobile, there is not realistic analysis method for walking in the Highway Capacity Manual. Therefore, in this study the fuzzy approximate reasoning was employed to build a model for the analysis of walkways service level. For the input variable the noise level and brightness as well as the pedestrian flow rate were employed and the output variable was the walking satisfaction degree. The fuzzy models were constructed for daytime and nighttime separately. The forecastability analysis for the models were conducted using $R^2$, MAE and MSE. The values of them for the daytime model are 0.802, 0.729 and 0.735 respectively and the values for nighttime are 0.893, 0.878 and 0.860 respectively, so it can be said that the models explain the real situation well. As a result of this study, it can be concluded that the noise level has stronger effects to walking satisfaction then the brightness in night.

• Journal of Korean Society for Geospatial Information Science
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• v.23 no.2
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• pp.69-77
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• 2015

In Korea, local governments have decided the location of shelters as part of their disaster planning. However, no quantitative standards, such as assuming different hazard and shelter types, shelters' capacity, are specified in that planning. To propose the direction of disaster evacuation policy, first of all, the current state of shelters' location and evacuation area is needed to be analyzed. In addition, considering topographical condition such as road slope and physical strength by age are important factors to measure optimal evacuation route. The purpose is to suggest a new methodology of estimating optimal evacuation route considering resistance of road slope and difference of walking speed by age. Moreover, as a case study of Seoul, Korea, using coverage analysis of GIS analysis tool, the accessible area (or vulnerable area) to the shelters is evaluated based on the spatial distribution of disaster evacuation shelters and their accommodation capacity, according to evacuation time within 7.5, 15 and 30 minutes. The main results are summarized as follows: 1) The average area of disaster evacuation shelter per person is calculated as 0.45 square meters. Considering that the minimum shelters' area per person is 1 square meters, only 45% of people in Seoul can be accommodated. 2) The ratio of inhabitants who live in accessible area within 7.5 minutes presents only 33% of all. Furthermore, the ratio of inhabitants by age group of 5~9 or over 65 years old shows significantly lower percentage in comparison with 15~49 years old people.

• Journal of Korean Medicine Rehabilitation
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• v.18 no.3
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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.

• International conference on construction engineering and project management
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• 2022.06a
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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.

• Journal of the Korean Institute of Landscape Architecture
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• v.40 no.6
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• pp.70-78
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• 2012

In order to calculate the ecological carrying capacity of Donggung and Wolji, Gyeongju, the number and time for various activities of tourists were surveyed and then the injury tolerance on lawns was predicted with seven types of various activities. According to the injury tolerance in various activities for the suitable carrying capacity, the normal carrying capacity and the limited carrying capacity were explicitly determined in four lawns. According to the number and time for various activities, the injury tolerance of various activities was predicted in four lawns, and the highest average injury tolerance was 2.15 in walking, the lowest average injury tolerance was 0.05 in lying. The highest injury tolerance was 1.31 in lawn 4, and then the order was 0.97 in lawn 3, 0.91 in lawn1, and 0.70 in lawn 2. The ecological carrying capacity was predicted with a damaged area according to the injury tolerance of various activities. The suitable carrying capacity was done separately to 40 persons, 249 persons, 107 persons, 37 persons, the limited carrying capacity was 116, 713, 306, 107 respectively and the normal carrying capacity was 75, 463, 198, 69 in four lawns. When managed in Donggung and Wolji, Gyeongju, the number of tourists was under the limited carrying capacity, the conformation would grow better.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.28 no.5D
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• pp.735-740
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• 2008

The Design manual for adjusting the capacity and LOS of facilities has been shared in urban railways and high-speed railway stations. However, the pattern of urban railways users and those of high-speed railway users are different from each other. For an example, the high-speed railway users tend to carry voluminous luggages and the transportation disadvantaged such as children and the elderlies. Accordingly, we see that the scale of facilities and the station itself should be constructed differently. The transfer facilities in the high-speed railway stations are classified widely into walking assisting facilities and convenient facilities. We invented the concept of PME (Pedestrian Moving Equivalent) and PWE (Pedestrian Waiting Equivalent)for the spatial calculation of those who are with wheeled luggages, back packs, and children to reflect the uniqueness of users in high-speed railway stations. These equivalents have been applied to the design of the facilities to asses the new Capacity and LOS that are users' favored.

• Journal of Korean Society of Forest Science
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• v.90 no.4
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• pp.420-430
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• 2001

The object of this study is to develop a computer program for the arrangement of the forest-road network maximizing the investment effect in forest-road construction with factors such as terrains, forest physiognomy, management plan, logging system, cost of forest-road construction, capacity of inputted labour, capacity of timber production and so on. The operating system developed by this study is Korean Windows 95/98 and Microsoft Visual Basic ver. 5.0. User interface was designed as systematic structure, it is presented as a kind of GUI(graphic user interface). The developed program has result of the most suitable forest-road arrangement, has suitable forest-road density calculated with cost of logging, cost of forest-road construction, diversion ratio of forest-road, cost of walking in forest. And the most suitable forest-road arrangement was designed for forest-road arrangement network which maximized investment effect through minimizing the sum of cost of logging and cost of forest-road construction. Input data were divided into map data and control data. Digital terrain model, division of forest-road layout plan, division of forest function and the existing road network are obtained from map data. on the other hand, cost of logging related terrain division, diversion ratio of forest-road and working road, cost of forest-road construction, cost of walking, cost of labor, walking speed, capacity of inputted labor, capacity of timber production and total distance of forest-road are inputted from control data. And map data was designed to be inputted by mesh method for common matrix. This program can be used to construct a new forest-road or vice forest-road which compensate already existing forest-road for the functional forestry.