• Archives of Plastic Surgery
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• 제49권3호
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• pp.427-439
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• 2022

Peripheral nerve injuries (PNIs) often present with variable symptoms, making them difficult to diagnose, treat, and monitor. When neurologic compromise is inadequately assessed, suboptimal treatment decisions can result in lasting functional deficits. There are many available tools for evaluating pain and functional status of peripheral nerves. However, the literature lacks a detailed, comprehensive view of the data comparing the clinical utility of these modalities, and there is no consensus on the optimal algorithm for sensory and pain assessment in PNIs. We performed a systematic review of the literature focused on clinical data, evaluating pain and sensory assessment methods in peripheral nerves. We searched through multiple databases, including PubMed/Medline, Embase, and Google Scholar, to identify studies that assessed assessment tools and explored their advantages and disadvantages. A total of 66 studies were selected that assessed various tools used to assess patient's pain and sensory recovery after a PNI. This review may serve as a guide to select the most appropriate assessment tools for monitoring nerve pain and/or sensory function both pre- and postoperatively. As the surgeons work to improve treatments for PNI and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.

• 한국전문물리치료학회지
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• 제23권2호
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• pp.35-43
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• 2016

Background: The Functional Gait Assessment (FGA) was developed to measure of gait-related activities. The FGA was translated in Korean but only a few psychometric characteristics had been studied. Objects: The purpose of this study was to evaluate the validity and reliability of the Korean version of FGA scale using Rasch analysis. Methods: The study included 120 patients with stroke (age range=30~83 years; mean${\pm}$standard deviation=$58.3{\pm}11.1$). The FGA and Berg Balance Scale were performed, and were analysed for dimensionality of the scale, item difficulty, scale reliability and separation, and item-person map using Rasch analysis. Results: The 4 rating scale categories of FGA were satisfied with optimal rating scale criteria. The most items of the FGA showed sound item psychometric properties except 2 items ('gait with the horizontal head turns', and 'gait with narrow base of support'), and the 2 misfit items were excluded for all further analyses. The 8 items were arranged in order of difficulty. The most difficult item was 'gait with eyes closed', the middle difficult item was 'gait level surface', and the easiest item was 'gait with vertical head turns.' A person separation reliability was .93 and the person separation index was 3.57. Conclusion: This study suggests that the 8-item Korean FGA are valid measure of assess the gait-related balance performance, and to set the goal of rehabilitation plan in patient with stroke.

• 한국전문물리치료학회지
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• 제4권3호
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• pp.61-69
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• 1997

The ability to maintain an upright position during quiet standing is a useful motor skill. The Sensory Organization Test (SOT) is a timed balance test that evaluates somatosensory, visual, and vestibular function for maintenance of upright posture. The Fugl-Meyer Sensorimotor Assessment (FMSA) balance subscale is the functional status assessment that indicates amount of assistance needed during various balance tasks. Functional Independence Measure (FIM) is the functional status assessment tool and FIM can be used clinically as an outcome measure. The purpose of this study was to see if the SOT can be used as a evaluation tool to measure hemiplegic patients' balance ability. Thirty-six patients with hemiplegia participated in this study. SOT scores were significantly correlated with FMSA balance scores and FIM scores(p<0.05). However correlation coefficients were not so high (r=0.60, and r=0.51, respectively). Therefore, further study is needed to verify the SOT's usefulness when physical therapists are evaluating for hemiplegic patients' balance ability.

• 한국약용작물학회지
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• 제18권5호
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• pp.305-310
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• 2010

Taxifolin-3-O-$\beta$-D-xylopyranoside and quercetin-3-O-$\alpha$-L-rhamnopyranoside were isolated from an EtOAc-soluble extract of the leaves of Chamaecyparis obtuse. Quercetin-3-O-$\alpha$-L-rhamnopyranoside was found to possess a potent inhibitory activity of human recombinant aldose reductase in vitro, its $IC_{50}$ value being $11.5\;{\mu}M$. Kinetic analysis showed that quercetin-3-O-$\alpha$-L-rhamnopyranoside exhibited uncompetitive inhibition against DL-glyceraldehyde. Also, quercetin-3-O-$\alpha$-L-rhamnopyranoside suppresses sorbitol accumulation in rat lens under high glucose conditions, demonstrating the potential to prevent sorbitol accumulation in vivo. These results suggest that this compound may be a promising agent in the prevention or treatment of diabetic complications.

• 산업공학
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• 제25권4호
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• pp.376-381
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• 2012

As the number, complexity and interaction of electrical, electronic and programmable electronic (E/E/PE) systems increase, a growing emphasis has been placed on the concept of functional safety during product development. IEC 61508 provides guidelines and standardized procedures in the development of reliable and dependable E/E/PE systems to assure functional safety. Determining risk classes (i.e., safety integrity levels, SILs) associated to a specific E/E/PE item may be recognized as one of the most crucial activities in the product development per IEC 61508 since SILs are used to specify necessary safety requirements for achieving an acceptable residual risk. This article presents a case study on the assessment of SILs applying failure modes, effects and diagnostic analysis (FMEDA) from which failure rates may be derived for each important failure category by combining a standard FMEA with online diagnostic techniques.

• 한국환경복원기술학회지
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• 제15권5호
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• pp.31-48
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• 2012

The purpose of this study is to select indicators by a methodical approach and to establish a functional assessment system as a basic study for planning and constructing green space of forest. The types of green space were divided into 6 classes based on theoretical reviews of literature and the functions of green space were restricted to 'nature-ecological function', 'environment-control function' and 'usage function'. As a result of the selection of indicators, 35 indicators were initially selected by theoretical review and these indicators were reduced to 29 through brainstorming. Also, these indicators were classified into three functions such as 12 indicators (nature-ecological function), 8 indicators (environment-control function), 6 indicators (usage function) by analysis of suitability. According to the result of selection of the optimum indicators using MCB (Multiple Comparisons with the Best treatment) analysis, the optimum indicators of 7, 5, and 4 respectively by each function were selected for forest green space. The results of AHP (Analytic Hierarchy Process) for the establishment of the assessment system in forest, the weight of nature-ecological function was evaluated highest at 0.558, while the weight of environment-control and usage function were calculated at each 0.277, 0.165. 'Naturality (0.189)', 'Carbon sink (0.235)', and 'Accessibility (0.354)' among indicators showed highest by each function. The weight of indicator and assessment system may be used as a valuable guideline in case of assessing synthetically green space within urban planning.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.41-51
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• 2003

The purpose of this study was to examine the effects of stroke patients' cognitive score on their the activities of daily living. The subjects of this study were 30 stroke patients who were admitted to T$\breve{a}$e-Bong hospital from November, 2002 to March, 2003. The subjects were administerd an MMSE as a cognitive assessment and an MBI as a functional assessment upon referral to physical therapy initially. The results were as follows: 1. The MMSE scores for the stroke patients were related to the patients' abilities to perform their activities of daily living. The changes of MBl scores significantly correlated with the changes of MMSE scores (p<.05). 2. The subjects with left hemispheric lesion scored higher in MMSE than those with right hemispheric lesions (p<.05). 3. The hemispheric lesions did not significantly affect the activities of daily living score (p>.05).

• 한국신뢰성학회지:신뢰성응용연구
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• 제16권3호
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• pp.216-223
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• 2016

Purpose: This paper suggests the procedure to enhance the reliability of the software of the medical device that is to cure, treat, diagnose, and prevent a disease or an abnormal health conditions. Methods: After test requirements are classified by the software requirements specification for safety and backgrounds, reliability assessment methods are suggested. Results: Verification and validation for function and safety can be performed whether the medical device software are implemented as intended. Conclusion: Procedure on the static analysis, unit test, integration test, and system test are provided for the medical device software.

• 소프트웨어공학소사이어티 논문지
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• 제29권1호
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• pp.7-12
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• 2020

최근 기능 안전에 대한 관심이 높아짐에 따라 다양한 산업 분야에서 기능 안전 표준의 적용이 요구되고 있다. 기능 안전 표준은 시스템의 오작동을 방지하기 위해 필요한 기능 안전 관련 활동들을 정의한 문서이다. 이 표준에 정의된 모든 활동들은 시스템의 위험 분석 및 평가를 통해 산출된 등급 분류 결과에 따라 차등적으로 요구된다. 국내 무기체계 분야에는 방위사업청에서 발간한 무기체계 소프트웨어 개발 및 관리 매뉴얼이 존재한다. 이 매뉴얼은 기능 안전 관련 활동으로 소프트웨어 정적 및 동적 분석 활동을 요구한다. 하지만 해당 매뉴얼에는 선행 활동으로 요구되는 위험 분석 및 평가를 통한 등급 분류 활동 관련 내용이 구체적으로 언급되고 있지 않다. 따라서 본 연구에서는 대표적인 기능 안전 표준들을 기반으로 무기체계 소프트웨어 개발 및 관리 매뉴얼의 문제점을 분석하고 이에 대한 개선 방안을 제시하도록 한다.

• 대한정형도수물리치료학회지
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• 제28권1호
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• pp.9-17
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• 2022

Background: Functional massage is a therapeutic massage that incorporates joint motion in non-end-range to reduce pain and improve range of motion (ROM) in patients. This study was aimed at investigating the immediate effect of functional massage on pain, range of motion, balance ability and, gait speed of patients having undergone total hip replacement. Methods: Twenty patients were treated by one participating orthopedic manual physical therapist and randomly assigned to the control group (n=10) or the experimental group (n=10). To treat patients of each group, functional massage and range of motion exercises were used. The experimental group received a functional massage and the control group received range of motion exercise for minutes for one session. The visual analog scale was used for pain assessment. Balance ability was measured using a timed up and go test and a one-leg standing test for patients. The 10-meter walk test was used for the measurement of gait speed assessment of patients. Results: Significant improvements were observed in terms of balance ability (p<.05), gait speed (p<.05), and ROM (p<.05) after functional massage. There was no significant inter-group difference (p>.05). Conclusion: Application of the functional massage showed that statistically significant improvements in ROM, gait speed, and balance ability after a single treatment session. This technique may be a useful treatment in patients having undergone total hip replacement.