• PNF and Movement
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• 제15권1호
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• pp.57-65
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• 2017

Purpose: The purpose of this study was to examine the effects of resistant gait training with proprioceptive neuromuscular facilitation (PNF) on the walking and balancing abilities of chronic stroke patients. Methods: Twelve chronic stroke patients were randomly assigned to either a control group (n = 6) that underwent treadmill gait training or an experimental group (n = 6) that underwent resistant gait training using PNF. The interventions were performed five times per week for four weeks. Gait variables were measured using a GAITRite system (CIR System Inc, Clifton, NJ, USA) to examine changes in walking ability; the Berg balance scale (BBS) was used to measure changes in balance; and the activity-specific balance confidence scale (ABC) was measured to examine changes in confidence about balance. A Wilcoxon signed-rank test was used to examine intragroup differences before and after the interventions, and a Mann-Whitney U-test was used for intergroup comparisons of the effects of the interventions. All statistical significance levels were set to ${\alpha}=0.05$. Results: Both the experimental group and the control group showed significant intragroup improvement in walking speed, the number of steps per minute, stride length, double support time, balance, and confidence about balance after the interventions (p < 0.05). In intergroup comparisons after the interventions, the experimental group showed significant improvements over the control group in walking speed, the number of steps per minute, stride length, balance, and confidence about balance (p < 0.05). No significant difference in double support time was seen in the intergroup comparison after training (p > 0.05). Conclusion: This study applied resistant gait training using PNF to chronic stroke patients, and the results showed significant improvements in the patients' walking and balancing abilities. Therefore, resistant gait training using PNF is thought to be applicable as an intervention method for chronic stroke patients.

• 대한통합의학회지
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• 제10권4호
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• pp.145-151
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• 2022

Purpose : Stroke patients exhibit abnormal walking patterns such as slow walking speed and asymmetrical walking values. The recovery of symmetrical walking in the stance phase using a treadmill means improvements in walking speed and asymmetrical walking. The purpose of this research was to investigate the effect of unilateral step treadmill training (USTT) on gait speed and the recovery of symmetrical walking in chronic stroke patients. Methods : Fifteen patients (11 men and 4 women) with chronic stroke participated in this study. The 10-meter walk test (10MWT) and GAITRite system were used to determine the intervention-related changes in gait speed and symmetrical walking values such as non-paretic step length (NSL), non-paretic step time (NST), paretic single-support time (PSST), step length asymmetry (SLA), and step time asymmetry (STA) after USTT. All participants completed USTT and underwent measurements at 3 different times: at pretest, posttest, and the follow-up test. Repeated-measures analysis of variance was used to compare walking speed and asymmetrical walking values. The statistical significance level was set at p<.05. Results : Walking speed by 10MWT (p<.05) showed significant improvements after USTT as follows: at pretest and posttest (p<.05), posttest and follow-up test (p<.05), and pretest and follow-up test (p<.05). Recovery of symmetrical walking patterns such as NSL (p<.05), NST (p<.05), and SLA (p<.05) were observed after USTT. However, no significant improvements were found in PSST (p>.05) and STA (p>.05) in symmetrical gait. Conclusion : This study suggests that USTT may have a positive effect on walking speed and symmetrical walking patterns in chronic stroke patients. Thus, this study contributes to the existing knowledge about the usefulness of USTT for the effective management of patients with chronic stroke. Further studies are needed to generalize these findings.

• Advances in concrete construction
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• 제14권5호
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• pp.355-368
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• 2022

This paper investigates the impact of length and volume fractions (VFs) of banana fibres (BFs) on the mechanical and physical properties of concrete. The mechanical properties were compressive strength, splitting tensile, flexural strength, and bond stress, while the physical properties were unit weight and absorption. The slump test was used to determine workability. The concrete's behaviour with BFs was studied using scanning electron microscopy. Experimental work of concrete mixtures with BFs of various lengths (12 mm, 25 mm, and 35 mm) and VFs (0%, 0.5%, 1.0%, and 1.5%) were carried out. The samples did not indicate any agglomeration of fibres or heterogeneity during mixing. The addition of BFs to concrete with VFs of up to 1.50% for all fibre lengths have a significant impact on mechanical properties, also the longer fibres performed better than shorter ones at all volume fractions of BFs. The mix10, which contain BFs with VFs 1.5% and length 35 mm, demonstrated the highest mechanical properties. The compressive strength, splitting tensile, flexural strength, and bond stress of the mix10 were 37.71 MPa, 4.27 Mpa, 6.12 MPa, and 6.75 MPa, an increase of 7.37%, 20.96%, 24.13%, and 11.2% over the reference concrete, which was 35.12 MPa, 3.53 MPa, 4.93 MPa, and 6.07 MP, respectively. The absorption is increased for all lengths by increasing the VFs up to 1.5%. Longer fibres have lower absorption, while shorter fibres have higher absorption. The mix8 had the highest absorption of 4.52%, compared to 3.12% for the control mix. Furthermore, the microstructure of concrete was improved through improved bonding between the fibres and the matrix, which resulted in improved mechanical properties of the composite.

• 한국항만학회지
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• 제11권2호
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• pp.145-156
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• 1997

The purpose in this study is development of model for the Container Terminals of Pusan Port, First of all, Quantitive and Qualititve factors are characterized which effects on Physical Distribution System in Container Terminals. The System Dynamics method is used to develope the model by using these factor. This model is able to present the timinig of investment in Container Terminals of Pusan Port. Six models are showed by change of parameters in System Dynamics, in this paper. In the model, Five feedback loop were found. Loop 1 : Number of Liners$\rightarrow$Number of Congested ships$\rightarrow$Port's Charges$\rightarrow$Export & Import Cargo Volumes$\rightarrow$Number of Liners$\rightarrow$The will to investment of government$\rightarrow$Length of berth→Number of Liners. Negative loop was acquired. Loop 2 : Port's Charge$\rightarrow$Economic of Port$\rightarrow$The will to Private management$\rightarrow$Efficiency for Port's Operation$\rightarrow$Port's Charges. Positive loop was acquired. Loop 3 : Number of Congested ships$\rightarrow$Planning for future development$\rightarrow$Information Service$\rightarrow$Support service for port's user$\rightarrow$Number of Congested ships. Negative loop was acquired. Loop 4 : Number of Congested ships$\rightarrow$Planning for future development$\rightarrow$Extent of stacking area$\rightarrow$Number of handling equipmint$\rightarrow$Number of Congested ships. Negative loop was acquired. Loop 5 : Export & Import Cargo Volumes$\rightarrow$Number of Liners$\rightarrow$Econmic of Port$\rightarrow$Support service for port's user$\rightarrow$Export & Import Cargo Volumes. Positive loop was acquired. System's level variables were selected as followings ; Number of Liners, Number of Congested ships, Export & Import Carge Volumes, Length of berth, and Port's Charges. As result of simmulation of model, fluctuation of respective year was found in level variables. This fluctuation can be used properly to present timing of investment.

• 한국음향학회지
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• 제26권7호
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• pp.328-333
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• 2007

본 논문에서는 안족이라는 움직일 수 있는 브리지의 특성을 이용하여 가야금의 물리적 모델링에서 지연 라인의 길이를 안족이 조절할 수 있는 개선된 형태의 현의 물리적 모델을 제안한다. 안족은 양 끝이 고정된 현을 받치고 있어 실제 진동하는 현의 길이를 조절하고 현의 진동을 악기의 몸통으로 전달하는 기능을 한다. 안족의 위치에 따른 기본 주파수의 변화는 로그 스케일에서 일차 선형 적합성을 이용하여 파라미터로 나타내었고, 이는 현의 모델에서 지연 라인의 길이를 조절하는 컨트롤러인 안족 모델로 구현되었다. 안족 모델은 주파수 적합성, 장력 적합성, 리키 적분기를 이용한 적합성으로 나누어 구현하였는데, 이 중 리키 적분기를 이용한 모델이 가장 우수하였다. 제안한 현의 모델은 실제 가야금의 조율 시스템을 사실적으로 묘사할 수 있었으며 원음과 아주 유사한 음 합성을 할 수 있었다.

• 한국식품과학회지
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• 제32권4호
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• pp.747-754
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• 2000

Comet assay를 이용하여 방사선 조사육의 조사여부 및 조사량을 판별해내는 방법을 개발하기 위해 1-10 kGy의 감마선 조사량으로 조사한 육조직에서 일어나는 DNA 손상을 측정하였다. Comet assay에 있어 최적의 comet image를 얻기 위해 세포 분리, 세포 lysis 및 전기영동에 대한 여러 조건들을 적용하여 최적의 조건을 확립하였다. DNA 손상도는 관찰되는 comet의 평균 tail length와 tail length에 의해 구분된 4 손상 등급에의 분포, 그리고 그 분포비율에 의해 본 연구에서 제시한 식에 의해 계산한 relative damage index(RDI) 값 등으로 비교 판정하였다. 평균 tail length와 RDI 값은 조사량이 증가함에 따라 증가하여 DNA 손상도가 증가됨을 나타내었으며, 평균 tail length으로는 조사량 간의 차이를 명확히 분별하기가 어려웠던 반면 RDI 값에 의하면 조사여부 및 조사량을 판별하기에 적합함을 알 수 있었다. 국내산 한우육과 수입 냉장육에 대하여 blind test를 실시한 결과 수입육이 높은 DNA 손상도를 나타내었는데 그 RDI 값은 방사선 조사에 의한 값보다는 비교적 낮은 것이어서 수입육의 DNA 손상은 방사선 조사가 아닌 저온처리의 결과인 것으로 판단되었다. 본 연구의 결과로부터 Comet assay가 우육의 방사선 조사여부 및 조사량 판별에 유용한 기술로 응용될 수 있을 것으로 판단되었다.

• 한국병원경영학회지
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• 제27권4호
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• pp.22-35
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• 2022

Purpose: Physician's occupational burnout has been a very important issue that can cause negative consequences not only for individual's physical and mental health, but also for patient's health and the overall national healthcare system. For the reason, this study confirmed how consultation length and the number of outpatients affect physician's occupational burnout in the medical environment. Methodology: In the study, the data of '2020 Korean Physician Survey' conducted by Korean Medical Association(KMA) was used for the analysis, and a total of 4,215 physicians were selected as study samples. The differences in the degree of occupational burnout according to the physicians' general characteristics were confirmed through uni-variate analysis, and also a regression analysis was conducted to confirm the effects of consultation length and the number of outpatients on physician's occupational burnout. Findings: As a result. the overall degree of physician's occupational burnout decreased(𝛽=-0.051, p<0.01) as the consultation length increased. Specifically, the physician's emotional exhaustion increased(𝛽=0.051, p<0.01), while the reduction of accomplishment decreased(𝛽=-0.131, p<0.001). Furthermore, the overall occupational burnout decreased(𝛽=-0.047, p<0.01) as a proportion of advice and education during the consultation increased, and it had an effect on the decrease in depersonalization(𝛽=-0.045, p<0.01) and the reduction of accomplishment(𝛽=-0.065, p<0.001). At last, as the number of outpatients increased, the overall occupational burnout increased(𝛽=0.041, p<0.05) with more emotional exhaustion(𝛽=0.095, p<0.001), depersonalization(𝛽=0.065, p<0.001), and less reduction of personal achievement(𝛽=-0.081, p<0.001). Practical implication: Consequently, it is necessary to prevent physician's occupational burnout by ensuring sufficient consultation length and providing a medical environment to treat an appropriate number of patients. Therefore, national policies should expand health insurance coverage and compensate medical fees for sufficient consultation length that both patients and physicians can satisfy. It will ultimately contribute to ensuring the patients' health and improving the quality of national healthcare services.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.106-112
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• 2016

Objective: This study was conducted to investigate the effects of resistant exercise on the gait performance of a patient with systemic lupus erythematosus (SLE) patient. Design: A case study. Methods: A 30-year-old male adult who had been diagnosed with systemic lupus erythmatosus (SLE) in April 2013, right middle cerebral artery infarction, and with left hemiplegia agreed to participate in this case study. Patient was unable to walk due to being affected with adynamia. Due to developing necrotizing vasculitis on the left lower extremity, patient underwent a myotomy on the left thigh. The patient was trained with a progressive resistant exercise program for 8 weeks. An intensity of 15 RM was used for the resistant exercises and the resistance level was increased progressively in order to improve the muscle power of the patient. Methods used to increase resistance included changing positions, providing mechanical resistance instead of manual resistance, transitioning from open kinetic chain to closed kinetic chain exercises, and changing the colors of the theraband to those with increase level of resistance. Outcome measures included the 5-repetition sit-to- stand test (5RSST), Timed Up & Go (TUG), and 10-meter walk test (10MWT). In addition, the GAITRite was used to assess the spatio-temporal gait variables, including gait speed, cadence, stride length of the left side, and double limb support pre and post-intervention. Results: The patient was able to perform sit-to- stand after two weeks of performing the resistant exercises. The patient was able to walk after 4 weeks, and the patient's overall gait performance had improved after 8 weeks. All of the variables had improved after each week. Conclusions: The results of this case study may be used to enhance future efforts to objectively evaluate resistant exercises during gait performance in persons affected by SLE.

• 대한물리의학회지
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• 제8권3호
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• pp.425-431
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• 2013

PURPOSE: The purpose of this study was to examine the effect of visual control on gait speed and balance in patients with stroke. Static balance and gait speed were investigated with comparison and fixed direction of visual. METHODS: We included twenty-six patients with stroke. Participants were measured static balance while standing on a forceplate with one of 4 different visual direction in front, floor, non-affected side and affected side for 30 seconds. To compare of the gait speed, participants had to walk with one of fixed visual direction. And to compare of gait speed with visual dispersion, gait speed were measured with visual change in left and right, up and down direction every 5m, 2m and 1m intervals. RESULTS: The result of the static balance with fixed visual showed that the affected side and the non-affected side were shown significantly increased sway of total sway length, mediolateral distance, anteroposterior distance, average velocity(p<.05). The gait speed with fixed visual showed that affected side was significantly slower(p<.05). And the gait speed significantly increased as interval of visual dispersion decrease in the sagittal and horizontal plane(p<.05). CONCLUSION: The results from this study showed that the visual direction effected on static balance and the faster visual movement made to increase the gait speed. Therefore the rehabilitation training with visual control may be implemented for stroke patients.

• Physical Therapy Rehabilitation Science
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• 제2권2호
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• pp.115-118
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• 2013

Objective: Whole body vibration training is a relatively new approach for enhancement of muscle strength, physical performance, and balance. The aim of this study was to assess the effect of unilateral whole body vibration training. Design: One group pretest-posttest design. Methods: Sixteen healthy, physically active volunteers participated in this study. Whole body vibration was applied with a frequency of 20 Hz and an amplitude of 3 mm for 3 minutes. Muscle performance and static balance were assessed before and after unilateral whole body vibration training. One leg standing broad jump test was measured to determine muscle performance which is closely linked to lower extremity muscle function. The good balance system was used in evaluation static balance. All test were measured 3 times and the average value was analyzed. Results: Jumping length was significantly improved by 0.11m in all participants after intervention (p<0.05). Among static parameters, significant results were observed where in the eyes opened condition, X-speed (medial-lateral sway) changed from 4.20 mm/s to 4.95 mm/s, Y-speed (anterior-posterior sway) changed from 5.77 mm/s to 6.54 mm/s and velocity moment changed from $12.77mm^2/s$ to $13.57mm^2/s$ (p<0.05). In the eyes closed condition, X-speed changed from 4.34 mm/s to 4.85 mm/s, Y-speed changed from 7.84 mm/s to 8.16 mm/s and velocity moment changed from $16.03mm^2/s$ to $16.11mm^2/s$ (p<0.05). Conclusions: Immediate unilateral whole body vibration improved muscle performance but impaired static balance in young adults.