• 한국의류학회지
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• 제17권1호
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• pp.77-88
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• 1993

The changes in body temperatures of students in physical trained and untrained colleges have been studied as a funtion of garment styles under three different environmental conditions ($13{\pm}1$, $21{\pm}1$, $31{\pm}1^{\circ}C$, $60{\pm}5%$ RH, 0.25m/sec). Since exposures of the extremities of body affect the regulation of body temperature, two types of garments, i.e., the skirt and the slacks, were used in order to observe the effects of the garment styles on the regulation of body temperatures. The skirt exposed the calf of the leg, while the slacks did not. Because the body temperature is regulated better for healtier people, the subjects were divided into two groups. one group was consisted of 2 untrained female students, and the other of 2 healthier female physical college students. 1. The rectal temperatures for those in skirt were $0.3^{\circ}C$ higher than for the ones in slacks at $13^{\circ}C$ regardless of the groups. The untrained group showed $0.3^{\circ}C$ higher rectal temperatures in skirt and $0.2^{\circ}C$ higher in slacks compared to the physical trained group. 2. The skin temperatures rose with the environmental temperatures, and the skirt gave larger mean skin temperature by $0.5^{\circ}C$ at $21^{\circ}C$. 3. At $13^{\circ}C$, the untrained group felt colder, more wet, and slightly more uncomfortable for both skirt and slacks. It is concluded that the skirt is more effective in physiological defense against cold stimuli than the slacks at $13^{\circ}C$, and that the regulation of body temperature takes place more efficiently to the physical trained students.

• Archives of Plastic Surgery
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• 제35권1호
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• pp.100-103
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• 2008

Purpose: Eccrine porocarcinoma is a very rare, potentially fatal tumor which arises from the intraepidermal portion of the eccrine sweat ductal apparatus. It does not have a characteristic clinical feature but does have a high incidence of metastasis. It may be developed de novo or in a preexisting benign eccrine poroma. It usually affects older people and is located most commonly on lower extremities. We report a rare case of eccrine porocarcinoma which developed on the back without metastasis. Methods: The patient was a 94-year-old woman who showed a painful, ulcerated, dark brown colored polypoid $3.5{\times}3.0cm$ sized mass on the back for 3 years. We totally excised the lesion including normal tissue. Results: After wide excision of the lesion, pathologist reported an eccrine porocarcinoma. Histopathologic findings reveal that the classic type of eccrine gland carcinoma, eccrine porocarcinoma. Immunocytochemical studies showed a positive reactivity to anti-EMA antibody and anti-CEA antibody. Conclusion: Authors experienced a rare case of primary eccrine porocarcinoma on the back. Because of the propensity to develop local recurrence, wide excision of the primary tumor with histologic confirmation of negative margins represents the only curative treatment regimen for eccrine porocarcinoma.

• Journal of Chest Surgery
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• 제41권1호
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• pp.110-115
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• 2008

대동맥 박리증과 동반된 주요 장기로의 관류부전은 침범되는 대동맥 분지에 따라 다양한 임상양상을 나타낼 수 있으며, 수술 전에 예상했던 경우는 적극적으로 치료할 수 있으나 수술 중이나 수술 후 발생한 경우에는 관류부전에 대한 의심을 하지 않고서는 환자의 이환율 및 사망률을 증가시키게 된다. 따라서 대동맥 박리증 수술 시에는 항시 이러한 관류부전에 대한 염두를 하고 치료에 임해야 하며 조기발견 및 적극적인 치료가 그 성적에 큰 영향을 미치게 된다. 저자들은 급성 대동맥 박리증 환자에서 뇌, 신장, 하지로의 관류부전이 동반된 4명의 환자에 대해 적극적인 치료로 좋은 성적을 얻었기에 문헌고찰과 함께 보고하는 바이다.

• Archives of Reconstructive Microsurgery
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• 제18권2호
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• pp.49-54
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• 2009

Purpose: To evaluate the result of muscle free flap transplantation in chronic osteomyelitis of the tibia and calcaneus occurred from open fractures and exposed bones and internal fixatives. Materials and Methods: The free muscle flap were transferred in the tibia and calcaneus and followed up average 7.3 years at the department of orthopedic surgery from March 1997 to September 2009. Six patients were male and 1 case female averaged 50.3 years of age. Two latissimus dorsi myocutaneous free flaps were transplanted to the exposed 2/3 of the tibia with soft tissue defect, one rectus abdominis muscle free flap to the mid 1/3 of the tibia and four gracilis muscle free flaps to the distal 1/3 of the tibia and calcaneus. Results: At average 7.2 years follow-up, all of the 7 cases obtained solid bone union in the X-ray and kept sound soft tissues without pus discharges. The overall result of bone union, healed soft tissues defect and normal knee and ankle joint range of motion were excellent. Conclusion: The free muscle flap transferred to the chronic osteomyelitis of the tibia and calcaneus showed excellent results in bone union and eradication of the pus forming bacteria by its abundant blood flow.

• 재활간호학회지
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• 제20권1호
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• pp.22-32
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• 2017

Purpose: This research was conducted to determine the effects of fall prevention exercise and education on physical fitness, fall efficacy, and fall prevention behavior among community-dwelling older adults. Methods: This study applied nonequivalent control group pretest-posttest design. Data were collected from January 8th to March 4th, 2015. There were 24 subjects in the experimental group and 21 in the control group from two different senior citizen center in B city. The fall prevention program consisted of exercise, education, and telephone coaching was developed using self-efficacy theory: 'Performance accomplishment', 'Vicarious experience', 'Verbal persuasion', 'Emotional arousal'. Then, it was conducted once a week for 8 weeks. Data were analyzed with $x^2$ test and t-test using the SPSS program. Results: The findings indicated that fall prevention program conducted on older adults is good for improving their muscular strength in lower extremities (t=6.25, p<.001), physical balance (t=2.66, p=.014), physical flexibility (t=2.88, p<.001) and fall prevention behavior (t=6.19, p<.001). Conclusion: The fall prevention program can be used for community-dwelling older adults as a nursing intervention that enables older adults to enhance their self-care continuously. It is necessary to conduct a follow-up study to see if a self-help meeting could improve self-efficacy.

• Tuberculosis and Respiratory Diseases
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• 제59권4호
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• pp.427-431
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• 2005

저자들은 점점 진행하는 하지무력증을 주소로 내원한 48세 남자에서 전기생리검사를 시행하여 VGCC 양성인 LEMS를 진단하였고, 동반한 소세포폐암을 진단하여 항암요법을 시행하였고 완치 판정을 받은 후 특별한 치료 없이도 LEMS의 임상증상과 전기생리검사에서 호전을 보인 1예를 경험하였기에 이를 보고하는 바이다.

• 한국콘텐츠학회논문지
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• 제20권3호
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• pp.661-670
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• 2020

본 연구는 국가대표 유도 선수들의 스포츠 상해 발생 부위 및 발생 패턴 경향에 대해 알아보고자 하였다. 연구방법은 2008년부터 2016년까지 9년간 국가대표 유도 선수들이 훈련 및 경기 중 경험한 모든 부상에 대한 기록을 바탕으로 분석을 진행하였으며, 국가대표 유도 선수로 활동한 259명 중 여자는 123명, 남자는 136명을 대상으로 실시하였다. 물리치료가 필요한 스포츠 상해는 총 20,345건이었으며, 하지 9,688건(47.62%), 상지 5,807건(28.54%), 체간 4,850건(23.84%)이었으며, 무릎 관련 부상(27.82%)이 다른 부상에 비해 특히 자주 발생하는 것으로 나타났다. 어깨, 발, 등은 남자 선수에서 더 자주 발생하였고, 발목, 목, 손 부상은 여자선수에서 스포츠 상해가 더 많은 것으로 나타났다. 이항 추세선을 사용하여 각 부위 별 스포츠 상해 증가 및 감소에 대한 흐름을 알아본 결과 전반적으로 스포츠 상해가 감소하는 추이를 보여주었다. 그러나 손과 엉덩이와 같은 기존에 드물게 발생한 부상 부위는 점차 증가하는 경향을 보여주었다. 본 연구 결과는 향후 유도 선수의 스포츠 상해 관련 훈련 프로그램의 기초자료로 활용될 수 있을 것으로 예상한다.

• 한국전문물리치료학회지
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• 제12권1호
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• pp.22-27
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• 2005

The purpose of this study was to investigate the effects of visual information and different elevations of medially wedged insoles on the proprioceptive sense of the knee joint. The subjects of this study were 16 able-bodied men who were not athletic. An electrogoniometer was used to determine the error value between calculated 50% of full flexion (target position) and performed 50% of full flexion in a standing position with the upper extremities crossed. Tests were randomly performed in $2{\times}4$ conditions. Visual variations included open eyes vs. closed eyes, while the elevation was adjusted through the use (or lack thereof) of medially wedged insoles of 10 mm, 14 mm, and 18 mm. The average error value in each condition was statistically analyzed. The findings of this study revealed as follows: 1) The average error value was significantly higher with the subjects' eyes open than with their eyes closed (p<.05). 2) The averaged error value was also significantly higher when the subjects were elevated 18 mm than with no elevation at all (p<.05). The findings of this study should be considered in lower extremity rehabilitation programs when medially wedged insoles used.

• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.38-58
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• 2004

The regain of independent ambulatory ability is a important goal in the rehabilitation program of hemiplegic patient. Not only the function of lower extremity muscles, but also trunk muscles which stabilize extremities and pelvis, are important factors in normal gait. Therefor, it is necessary to develop an effective program which can improve muscle strength and symmetric activity of trunk muscles. The purpose of this study was to evaluate the influence of trunk muscle strengthening by forceful respiratory exercise on the gait asymmetry ratio in hemiplegic patient. 45 Hemiplegic patients due to stroke was randomized in 3 groups, forceful expiratory training(FET), forceful inspiratory training(FIT) and control group. In the experimental groups, ordinary physical therapy with forceful expiratory training and forceful inspiratory training for 20 minutes duration 3 times per week for 6 weeks were respectively performed. In the control group, only ordinary physical therapy was done. Before and after experiments, temporal-spatial gait parameters was measured in all patients. The data of 28 patients who carried out the whole experimental course were statistically analysed. The results of these experiment are as follows : 1. In comparison of difference of single support time asymmetry ratio among 3 groups, the FET group was significantly decreased than the control group (p<.05). 2. In comparison of difference of step length asymmetry ratio among 3 groups, the FIT group was significantly decreased than the control group (p<.05). Based on these results, it is concluded that the forced respiratory exercise program for 6 weeks can be improve the gait asymmetry ratio in hemiplegic patients. Therefore, the forced respiratory exercise is useful to improve the walking ability in hemiplegic patients. Since this study dealt only with the patients who could walk more than 3 meters in distance on floor independently, the further study for evaluating the influence of the forceful respiratory exercise on patients with acute stage stroke and also the development in various methods of use are expected.

• Korean Journal of Acupuncture
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• 제22권4호
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• pp.29-41
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• 2005

Objectives : Although previous anatomic, physiological and biophysics studies have examined the acupuncture meridian system, much remains unclear and controversial. This study was undertaken to examine electrical potential aspects of the meridian system. Electric potential was measured at the well and sea acupoints on the twelve acupuncture meridians (AM), on forty patients half with loin lesions, and pain of loin and lower extremities(LL) and half with shoulder lesions, and aching of shoulder and arm(SA). The object was to determine to what extent electric potential is an important risk factor between LL and SA. Methods : At the left and the right side with each of twenty LL and twenty SA patients, physiograph was used to measure electric potentials of AM ten sessions. T-test was used to compare the mean of electric potential between the two different pain groups and multiple logistic regression was used to analyze the risk of the 24 electric potentials measured. Results and Conclusions : In the LL, the only electric potential that was statistically significantly greater than SA was the bladder meridian on the left side. On the contrary, electric potentials in SA, which includes the large intestine, pericardium, triple burner, spleen, stomach, kidney and gallbladder meridians, were statistically larger than those of LL at the same side. On the right side, the five kinds of electric potentials(lung, large intestine, small intestine, pericardium and gallbladder meridian) of LL were statistically larger than those of SA. On the triple burner, stomach and kidney meridians electric potentials of SA were larger than those in LL. After adjusting for 24 electric potentials, pain risk factors, and different illness categories, multiple stepwise selection logistic regression modeling, resulted in the final selection of a total of 13 statistically significant electric potentials. These were 7 electric potentials at left side - small intestine, triple burner, spleen, stomach, bladder, liver and gallbladder meridian, and 6 at rght side - lung, large intestine, heart, pericardium, kidney and bladder meridian.