• 대한후두음성언어의학회지
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• 제18권1호
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• pp.39-43
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• 2007

Background and Objectives: There are few studies reported that specifically examine the phonetic characteristics and voice handicap index (VHI) in patients with Allergic Rhinitis. This study was designed to examine phonetic characteristics and VHI in adult patients with allergic rhinitis. Materials and Methods: Forty-two male patients diagnosed as allergic rhinitis were given skin-prick test and others, aged from 20 to 56 years, and were compared with a 16 male control group with no pathology and in the same age group. The VHI was used to measure the changes of patient's perception. Acoustic and aerodynamic analysis test were done, and a nasalance test performed to measure rabbit, baby, and mother passage. Acoustic rhionometry (AR) was performed to evaluate nasal volume and nasal crosssectional area. Statistical analysis was done using independent sample t-test. Results: VHI showed significantly different score in the studied group, higher than that of control group. AR graph showed that there was no significant differences of nasal volume and nasal cross-sectional area. The Shimmer and SFF value in the group of allergic patients were higher than in the control group. MPT value in the group of allergic patients was lower than in the control group. Nasalance in allergic patients showed hypernasality all passage. Conclusion: We suggest that patients with allergic rhinitis have considerable voice problems. Most of them have hypernasality, which may be a compensatory mechanism by nasal obstruction.

• 재활복지
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• 제22권1호
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• pp.157-168
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• 2018

본 연구는 반폐쇄성도훈련에 기반을 둔 성대에어로빅치료(Vocal Aerobic Treatment: VAT)가 소프라노 성악가 음성개선에 미치는 영향을 알아보고자 하였다. 연구대상은 성대결절로 음성문제를 호소하는 소프라노 성악가 1명으로 연구를 진행하였다. 연구방법은 치료 전 후 음향학적평가와 주관적 음성평가를 실시하여 측정값을 비교하였으며, 성대에어로빅치료는 주 2회 총 32회기동안 진행하였다. 음향학적 평가는 MDVP (multi-dimensional voice program)와 VRP (voice range profile)를 사용하여 음도, 음질, 음역을 평가하였으며, 주관적 음성평가는 SVHI (singing voice handicap index)로 주관적인 음성만족도를 평가하였다. 음도 평가 결과 치료 후 소프라노 가수에 적절한 기본주파수(Fo)를 유지하였다. 음질평가 결과 주파수변동률(Jitter), 진폭변동률(Shimmer), 배음대소음비(NHR) 수치가 치료 전보다 감소하였다. 음역평가결과 음역의 범위가 넓어졌으며 반음의 개수가 30개에서 35개로 증가하였다. 주관적 음성평가는 설문 보고 후 획득한 총 점수를 문항수로 나눈 결과 3.6점에서 0.6점으로 감소하였으며, 본인이 느끼는 음성문제의 정도가 경미하다고 보고하였다. 이러한 결과를 정리해보면 성대에어로빅치료는 성악가 음성개선에 효과적인 것으로 사료된다. 그러나 본 연구는 소프라노 성악가 1명을 대상으로 한 성대에어로빅치료의 치료 효과에 관한 사례연구로 향후 더 많은 성악가를 대상으로 효과에 대한 연구가 이루어져야 할 것이다. 또한 성악가뿐만 아니라 다양한 직업적 음성사용자를 위한 음성관리 및 음성치료프로그램에 관한 후속 연구가 필요할 것이다.

• 말소리와 음성과학
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• 제15권4호
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• pp.61-69
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• 2023

성대구증은 불완전 성대폐쇄부전으로 평균호기류율(mean airflow rate, MFR)이 높은 것이 특징이다. MFR은 phonatory aerodynamic system(PAS)의 두 공기역학적 검사 방법(MXPH, VOEF)으로 측정하며, 두 검사 방법에 따라 결과가 다르게 나타날 수 있다. 본 연구는 성대구증 환자 30명을 대상으로 PAS의 MXPH, VOEF 프로토콜에 따른 MFR의 치료 전과 후 차이, 치료 전후 변화량 간의 차이가 있는지 비교하였다. 그리고 치료 전과 후의 Voice handicap index(VHI), GRBS 및 기본주파수(F0)를 비교하였다. 연구결과, 성대구증 환자의 치료 전과 후 모두에서 검사 방법 간에 유의한 차이가 나타났으나 치료 전후의 변화량은 유의한 차이가 없었다. VHI와 GRBS는 치료 전에 비해 치료 후에 유의하게 감소하였으나 F0는 치료 전과 후에 유의한 차이가 없었다. 본 연구를 통해 성대구증 환자의 치료에 따른 MFR 변화를 평가할 때, 두 공기역학적 검사 방법(MXPH, VOEF) 중 어떠한 검사 방법을 사용해도 된다는 것을 알 수 있다.

• 보험의학회지
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• 제28권1_2호
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• pp.11-14
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• 2009

It is common to find cerebral infarct and hemorrhage without definite neurologic signs but with lesions on neuroimaging. These lesions are called silent lacunar infarct and cerebral microbleed. Silent lacunar infarct are frequently seen in the elderly and are associated with clinically apparent stroke and vascular dementia. Known stroke risk factors, such as hypertension, diabetes mellitus, smoking, hypercholesterolemia and heart problems may increase the risk of silent lacunar infarct. Metabolic syndrome, homocysteinemia, renal failure and intima media thickness(IMT) are also other risk factors of the silent lacunar infarct. Cerebral microbleed, lacunar infarct and intracerebral hemorrhage(ICH) have similar pathology and pathogenesis. So, cerebral microbleed are coexisted with lacunar infarct, leukoaraiosis, hypertensive ICH and vascular dementia. Cerebral microbleed are associated with volume and recurrence of ICH. Also cerebral microbleed may reflect baseline status of blood brain barrior disruption. Silent lacunar infarct and cerebral microbleed are very important to clinical management, but in the aspect of insurance medicine and independent medical examiners, these lesions are not subject of evaluation for handicap.

• 한국전문물리치료학회지
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• 제3권1호
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• pp.65-72
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• 1996

The purpose of this study was to introduce rotation-plasty procedure and prosthetic ambulation training. The recent development of chemotherapy and diagnostic facility have permitted the orthopaedic surgeons to try limb saving procedures rather than amputations for the treatment of the malignant bone tumors. If the tumors around the knee joint were treated by mid-thigh amputation or hip disarticulation, it would impose the client with a great handicap for rehabilitation. Rotation-plasty procedure was first done by Borggreve, in 1930 for the congenital short femur. Recently this procedure was used a malignant bone tumor at the distal femur by Kotz and Salzer in 1982. In spite of its cosmetic problem of the distal stump, this procedure has the great functional advantage of converting the above-knee amputation to the below-knee amputation. The inverted foot was also good to control the prosthesis as a below-knee stump and heel functioned as a patella to support the body weight. This 15 years old girl case was had rotation-plasty due to osteosarcoma of the distal femur with 3rd postoperative chemotherapy, and admitted to Yonsei rehabilitation hospital for prosthetic ambulation training. Then, the case had excellent functional results of prosthetic ambulation training with rotaion-plasty after 3 months.

• 말소리와 음성과학
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• 제1권2호
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• pp.37-42
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• 2009

The purpose of the present study was to determine the effect of the management program known as vocal function exercise (VFE) on voice quality. Typical VFE was modified and applied to patients with vocal nodules by controlling intensity of voice and relieving the vocal fold to solve hyperfunctional problems in VFE. Eight female subjects aged between 28 and 54 who had been diagnosed with vocal nodules took part in the study. The patients performed VFEs once a week for eight weeks. Vocal function exercises consist of voice hygiene, respiratory training, phonation training, and glide training. The subjects' voices were analyzed pre and post therapy on the aspects of acoustics, maximum phonation time (MPT), GRBAS, and voice handicap index (VHI). As a result, it was found that fundamental frequency ($F_o$) was significant increased, shimmer decreased remarkably and that noise to harmonic ratio (NHR) lowered obviously in the acoustic parameter. In addition, MPT was increased significantly. The scale of GRBAS indicated significant improvement in grade, roughness, and strained voice. VHI indicated significant improvement in an emotional part. In conclusion, VFE was effective in improving voice quality for patients with vocal nodules.

• 대한간호학회지
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• 제39권5호
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• pp.751-758
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• 2009

Purpose: The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness. Methods: The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured. Results: The mean QOL score was 37.5 (${\pm}23.0$). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL. Conclusion: The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.

• 한국화재소방학회논문지
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• 제19권2호
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• pp.20-28
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• 2005

기존의 피난시간 예측 알고리즘이나 시뮬레이션 프로그램들에는 재실자와 개개인의 이동속도가 배제되어 있다. 그 이유는 재실자들을 하나의 군중의 형태로 간주하기 때문이다. 그러나 병원의 경우 피난이 용이하지 못한 환자들이 많아 기존의 방법으로는 피난 평가가 불가능하다. 본 연구에서는 병원 피난 평가의 기초 데이터로 병원의 환자를 장애 유형별로 구분하여 이동속도를 측정하였다. 그 외에도 보조기구별로 이동속도를 측정하였다. 또한 병동 근무자의 화재 시 대처 능력에 관한 의식조사를 설문지를 통해 실시하였다. 연구 결과로 얻어진 병원 환자들의 장애 유형별 이동속도, 전체대피실험을 통한 병원 피난시간 예측 알고리즘 그리고 설문지 조사 분석 결과 등을 두 편의 논문으로 정리하여 기술하였다.

• 디자인학연구
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• 18호
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• pp.123-134
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• 1996

이동이 불편한 장애자에게 있어서 자동차는 필수 불가결한 존재이다. 특히 장애인의 재활을 통한 사회 참여라는 측면에서 볼 때, 정상인들과 동등한 이동의 자유는 성숙사회에 있어서 질적인 삶을 영위하기 위한 중요한 요소이다. 이 연구는 이동수단을 통한 장애인의 적극적 사회참여와 휠체어 사용환경의 확대 추구를 목적으로, 휠체어 사용자들에게 있어서 트랜스포테이션에 대한 제반적인 문제요소를 조사하고, 이들 문제요소의 해결을 위하여 장애인 승차의 특성을 고려한 자동차를 스타일링 측면에서 접근하였다. 이를 위하여 먼저 기존의 양산 차에 장애자를 위한 편의 시설을 보강하고, 구조 변경된 차량들의 조형적인 부분을 제시하였다. 또한 국내에서 생산되는 차종을 선정하여 휠체어 탑승이 가능하도록 내부구조를 제시하고, 스케치를 통해 변경된 차량의 모델을 제시하는 방법으로 연구를 진행하였다.

• 한국주거학회논문집
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• 제14권3호
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• pp.147-156
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• 2003

A small apartment housings in Korea, which is built mass-product from 1980s, are dissatisfied, in spite of good condition, due to the growing living areas and changing lifestyle of the residents. Many of them confronted with slum areas and the kinds of housing stock accumulated much more in Korean contexts. For the existing small houses, it could be discuss an adaptation model to the increasing requirement standards of the house residents; wider living area, new facilities and a style of new residence. A social policy for elderly people who are handicap in physical and economical aspects, is home stay system rather than national support. But it is not easy to find the three generation family house in Korea context, specially apartment house. This paper deals with the vertical unification typology of two dwelling units to one, in order to supply three generation houses by remodel existing small apartment houses constructed by Korea National Housing Corporation. The use of convert houses into vertical expansion are expected to be a house of three generation family, it can also enhance privacy against conflictive activities in a house. And also the merging types of two dwelling units into one can be used as a device to get rid of the monotonous characteristics and gain diversity in the declining stock housing.