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요각통으로 입원한 요추부 후만곡 환자 1례에 대한 증례보고 (One case on Lumbar Kyphosis with Complaining Lower Back Pain and Low Extremity Pain)

  • 권혁준;김주원;류기준;김호준;이명종
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.109-120
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    • 2009
  • Objectives : We already know the importance of stability and flexibility on the vertebra. It is important to keep the lumbar lordosis for stability and flexibility. We hope to reduce lower back pain and low extremity pain by changing the angle of the Lumbar Kyphosis through conservative treatment. We have evaluated the effect of conservative treatment with Saamchimbeop Pejeonggyeok by experimenting one patient suffering from Lumbar Kyphosis with lower back pain and low extremity pain. Methods : One patients were diagnosed as Lumbar Kyphosis through X-ray examination. We used conservative treatment, especially Pejeonggyeok Treatment to the patients and measured NRS((Numerical Rating Scale), rating scale for low back pain, low extremity pain and SLR(Straight Leg Raising) test and walking time in whole term of admission, and we also measured flexion, extension angle and lumbar kyphosis using lumbar x-ray lateral view after diganosing by Lumbar Kyphosis. Results and Conclusions : After treating conservative therapy, We figured out that the patient were on the mend, and we found out the angle change in flexion, extension and lumbar Kyphosis. These results suggest that Pejeonggyeok Treatment were effective to improved Lumbar Kyphosis and reduced the low back pain.

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'맞은편'은 어디인가? 공간언어의 모호성과 의사소통 문제 (Which Direction Is the Opposite Side? The Ambiguity of Spatial Language and Communication Problems)

  • 이종원
    • 대한지리학회지
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    • 제43권1호
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    • pp.71-86
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    • 2008
  • 공간정보를 전달하고 이해하는 과정에서 여러 가지 원인으로 의사소통의 불일치가 발생한다. 이 연구의 목적은 '맞은편' 이라는 공간언어를 통해 공간언어가 갖고 있는 의미의 모호성이 사람들 간 의사소통 문제를 일으키는 하나의 원인이 된다는 점을 실험을 통해서 증명하는 것이다. 단순화된 '사거리'를 활용하는 평가도구를 통해 실험 참가자들이 생각하는 '맞은편'은 어디이며, 그 방향이 맞은편을 얼마나 정확하게 의미하는지를 조사하였다. 본 실험은 대부분의 실험 참가자들이 한 방향 이상을 '맞은편'으로 적절하다고 판단하고 있음을 밝혔다. 이러한 결과는 '맞은편' 이라는 용어가 갖고 있는 의미의 모호성을 증명하는 것이다. 대부분의 실험 참가자들은 준거로 주어진 정사각형 건물의 수직과 수평 방향을 고르게 '맞은편'으로 고려하는 경향을 보였다. 준거가 되는 건물의 형태 변화, 준거가 되는 건물에 내재적 방향성 부여 등도 '맞은편' 의 방향을 결정하는데 의미 있는 영향을 주는 것으로 드러났다.

Effect of Complex Korean Medicine Treatment on Sacral Insufficiency Fracture: A Case Report

  • Jung, Ga Hyeon;Lee, Hyun;Ryu, Hwa Yeon;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • 제37권3호
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    • pp.187-192
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    • 2020
  • Sacral insufficiency fractures (SIF) are a common, but often underdiagnosed source of lower back pain without apparent trauma. This report presents the clinical outcome of a 75-year-old female with SIF, and an underlying medical history of osteoporosis and rheumatoid arthritis. She was treated non-operatively, in-hospital, with Korean medicine. Patient progress was assessed using the numerical rating scale and self-reported symptoms. Post-treatment, the numerical rating scale score for pain in her hip decreased from 7 to 2. At admission, the patient was unable to sit, and could only walk 3 m with assistance. At discharge, she could sit for longer than 1 hour and walk further than 200 m unassisted. On the follow-up visit, the patient was asymptomatic, and x-ray scans showed ossification of the sacral and pubic fractures. These results suggest that, Korean medicine can effectively reduce pain and aid rehabilitation in patients with SIF, without the need for surgery.

테이핑 요법이 노인의 무릎 통증과 관절가동범위에 미치는 영향 (Effects of a Taping Method on Pain and ROM of the Knee Joint in the Elderly)

  • 박영숙;김현정
    • 대한간호학회지
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    • 제35권2호
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    • pp.372-381
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    • 2005
  • Purpose: This study was to investigate the effects of a taping method on pain and ROM of the knee joint in the elderly. Method: The subjects were seniors registered in a senior welfare center in D city. An experimental group of 30 persons and acontrol group of 33 persons were chosen and according to the proper conditions and a knee pain score was marked from 1-5 on a Numerical Pain Rating Scale. For the experimental group, the taping method was conducted three times a week for four weeks (twelve times in all) but the control group did not receive taping.. The measuring instrument of knee pain was a numerical pain rating scale from 0 to 10 and the ROM score was the average value of three measured values with a goniometer. The data was analyzed with SPSS WIN 10.0 using an $x^2-test$, t-test, repeated measures ANOVA, and time contrast. Result: Knee joint pain was significantly decreased in the experimental group over that of the control group (p=.001). In addition, knee joint ROM of the experimental group was significantly improved over that of the control group (p=.001). Conclusion: It was proven that the taping method was effective for pain relief and increasing ROM of the knee joint in the elderly.

일부 도시.농촌노인의 건강상태 비교 연구 -광주, 전남지역을 중심으로- (A Comparative Study of Health Status in Urban and Rural Elderly -Kwangju, Chonnam Area-)

  • 강혜영;김수미
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.244-256
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    • 1996
  • This Study was conducted to investigate and compare of elderly lived in a urban and rural Area. The Subject were sampled in convenient sampling and total number of sample were 450 Persons (Urban=150, Rural=300). The Data were collected through one by one interview with interview schedule in the period of March 1-30, 1995. The Study Tools for this study were 1) CMI, 2) Self Rating Score for Health Status, 3) No. of Dignosed Diseases, 4) ADL to investigate for physical health status, 5) IADL for social health status and, 6) Life Satisfaction for psychological health status. The Data was analyzed in percentage, t-test, $x^2$ and pearson correlation by SAS program The Results could be summarized as follows; 1) In the status of physical health, the group of rural elderly were tended to have more physical problems but more active in daily life (ADL, IADL) and more satisfactory psychologically in their life than urban elderly. 2) There were negative correlations between the number of Health Problems and Self Rating Score for Health, ADL, IADL, Life Satisfaction. And there was positive correlation between the Number of Health Problems and Diagnosed Diseases.

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ADHD 경향 아동의 사회기술훈련 프로그램의 효과 (Effects of Social Skills Training Program for Children with Tendency of Attention-Deficit Hyperactivity Disorder)

  • 임윤희;김미한;최연희
    • 한국학교보건학회지
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    • 제23권2호
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    • pp.237-245
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    • 2010
  • Purpose: The purpose of this thesis was to examine the effects of social skills training program onto the children with tendency of attention-deficit hyperactivity disorder. Methods: This study used nonequivalent control group pre/post-test quasi-experimental research design. The subjects were 18 children with tendency of attention- deficit hyperactivity in D City. The subjects were divided into two groups, an experimental group of 8 children and a control group of 10. The program consisted of 20 sessions of 60 minutes per session, 5 days a weeks, for 4 weeks. The research tools included Conner's Teacher Rating Scales (CTRS) and Social Skills Rating System (SSRS). The collected data were analyzed using $x^2$ test, Mann-Whitney test on the SPSS 17.0 program. Results: a) the scores for cooperation, self-assertiveness, self-control and empathy increased significantly in the experimental group, compared to the control group. b) the scores for social skills increased significantly in the experimental group, compared to the control group. Conclusion: It appears that the social skills training program is a useful nursing intervention to improve the social skills for children with tendency of attention-deficit hyperactivity.

탄소 표면경화처리 구름베어링의 유효 경화 깊이에 대한 고찰 (Study on Effective Case Depth for Case Hardened Rolling Bearings)

  • 이한영
    • Tribology and Lubricants
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    • 제32권1호
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    • pp.18-23
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    • 2016
  • The effective case depth for case-hardened rolling bearing has been discussed. For this purpose, rolling contact fatigue tests for ball bearings built with inner race of various hardness values were conducted until L10 calculating rating life using a bearing life test machine under radial loading. Then, the distribution of residual stress below the inner raceway, which depended on the hardness value, was measured by X-ray diffraction. As a result, the linear relationship was established between the hardness value of the inner race and the theoretical shear stress evaluated at the depth where the residual stress disappeared below the inner raceway. Based on the relationship, it could be found that the factor of safety in bearing manufacturer’s rules for the effective case depth of case hardened rolling bearings was set higher. However, it could be also found that the hardness values at the depth where the maximum shearing stress acted below the raceway surface in a tapered roller bearing hardened by the carburizing process, were not sufficient for preventing plastic deformation under the basic dynamic load rating. Consequently, further efforts were still required to reduce or to disperse the contact load on the material design of a rolling bearing in order to prolong its life.

관심전환 중재가 영유아의 병원 공포와 주사통증에 미치는 효과 (Effect of Distraction on Hospitalized Children's Fear of Hospital and Needle-related Pain)

  • 조수미;안혜영
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.684-692
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    • 2013
  • Purpose: This study attempted to discover the effects of distraction on the hospitalized children's fear of the hospital and needle-related pain. Methods: The experimental group was given visual stimulation using a character from the injection room entrance. In addition, the video recording of 'bambarabam' was provided for visual and auditory stimulation to distract the children. The research tools included the hospital-related fear scale, Faces Pain Rating Scale (Wong & Baker, 1988) and Procedure Behaviour Check List (Lebaron&Zeltzer, 1984). For statistical analysis, the SPSS 19.0 program was used on the collected data for $X^2$-test and Mann-Whitney U test. Results: The experimental group showed significantly less fear ofthe hospital compared to the control group (U=151.50, p=.024). The experimental group showed significantly lower pain on both Faces Pain Rating Scale (U=167.50, p=.043) and the Procedure Behaviour Check List (U=106.00, p=.001) compared to the control group. Conclusion: These results suggest that distraction was effective in reducing the child's fear of the hospital and injection pain.

사무직 여성 근로자의 경부 통증 유무와 관련된 요인 연구 (The Study on the Factors Related to the Existence of Neck Pain in Female Office Workers)

  • 남기봉;정석희;김성수
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.213-225
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    • 2009
  • Objectives : The purpose of this study was to investigate the factors related on pain in female office workers. Methods : Neck pain group of 31 female subjects complained of neck and arm discomfort. Normal group of 20 female subjects had no complaints or minimal discomfort. Cervical curvature and muscle tone were assessed by whole spine x-ray, meridian-electromyography(MEMG), craniovertebral angle, and Moire. Neck pain was evaluated by Neck Disability Index(NDI) and Visual Analog Scale(VAS). The emotional and other physical factors that could effect neck pain were checked by questionnaires including Beck Depression Index(BDI), Stress Reaction Index(SRI), Holmes & Rahe Social Readjustment Rating Scale(SRRS), International Physical Activity Questionnaire(IPAQ), and Gastrointestinal Symptom Rating Scale(GSRS). Results : The contraction and fatigue of upper trapezius by MEMG was significantly higher in the neck pain group. And BDI, SRI, SRRS, and GSRS were significantly higher in the neck pain group (p<0.05). However, there was no significant difference in the Jackson's angle, Cobb's method, craniovertebral angle, and moire between two groups. Conclusions : The results suggest that neck pain is related to mental stress rather than physical stress and physical stress does not change cervical curvature significantly.

Strain-based structural condition assessment of an instrumented arch bridge using FBG monitoring data

  • Ye, X.W.;Yi, Ting-Hua;Su, Y.H.;Liu, T.;Chen, B.
    • Smart Structures and Systems
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    • 제20권2호
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    • pp.139-150
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    • 2017
  • The structural strain plays a significant role in structural condition assessment of in-service bridges in terms of structural bearing capacity, structural reliability level and entire safety redundancy. Therefore, it has been one of the most important parameters concerned by researchers and engineers engaged in structural health monitoring (SHM) practices. In this paper, an SHM system instrumented on the Jiubao Bridge located in Hangzhou, China is firstly introduced. This system involves nine subsystems and has been continuously operated for five years since 2012. As part of the SHM system, a total of 166 fiber Bragg grating (FBG) strain sensors are installed on the bridge to measure the dynamic strain responses of key structural components. Based on the strain monitoring data acquired in recent two years, the strain-based structural condition assessment of the Jiubao Bridge is carried out. The wavelet multi-resolution algorithm is applied to separate the temperature effect from the raw strain data. The obtained strain data under the normal traffic and wind condition and under the typhoon condition are examined for structural safety evaluation. The structural condition rating of the bridge in accordance with the AASHTO specification for condition evaluation and load and resistance factor rating of highway bridges is performed by use of the processed strain data in combination with finite element analysis. The analysis framework presented in this study can be used as a reference for facilitating the assessment, inspection and maintenance activities of in-service bridges instrumented with long-term SHM system.