• 셀메드
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• 제5권2호
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• pp.10.1-10.3
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• 2015

Arthritis is a major cause of joint pain, stiffness, and subsequent disability which adversely affects quality of life. Seriously, it can lead to long term social and psychological effects including loss of independence, depression, and anxiety. Arthritis is usually treated with joint replacement surgery or medications. However, the artificial joint is temporary and pharmacological measures have side effects, such as addiction or hypersensitivity. Thus, orthotics has been developed to improve arthritis as a nonpharmacological measure. The increased regional load across compartments of articular cartilage is an important factor in the cause of the arthritis. Mubal$^{(R)}$, a clinical shoe insole, has a sliding function to help people to walk straight and realign the body balance. The slide of Mubal$^{(R)}$ reduces the knee joint loading in patients with arthritis. In addition, pumping function of Mubal$^{(R)}$ can mitigate arthritis by stretching the squashed nerves from lumbar to cervical vertebral and actively circulating blood of pelvic limb. In addition, Mubal$^{(R)}$ could help to stimulate the growth plate. Therefore, Mubal$^{(R)}$ can be used for the child with short stature as well as patients with arthritis.

• 사상체질의학회지
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• 제28권3호
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• pp.205-214
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• 2016

Objectives This paper was aimed to review the preceding research on the origins, changes and constructive principle of Taeeumjowi-tang.Methods We reviewed Jema Lee's original works including Dongyisusebowon and relevant books to analyze Taeeumjowi-tang-related items. To compensate insufficient evidence of literature, we also refocued physiological and pathological pecularities of Taeeumin and relevant symptomatology.Results and Conclusions 1) The origins of Taeeumjowi-tang should be Mahwang-tang, Saengmaek-san, Seokchangpowonji-san, and Gondam-san. 2) Taeeumjowi-tang went through Saengmaek-san, Sanyakhwawi-jeon, Bopyesaengmaek-tang, Gilgyungsaengmaek-san, and Bopyewon-tang before it was built as the final version. 3) Taeeumjowi-tang consists of a) big blue lilyturf (麥門冬) and Omija (五味子) which are directly of help to exhale and disperse qi-fluid of Lung, b) balloon-flower (桔梗) which helps circulation of qi-fluid from Head to Lung, c) adlay (薏苡仁) and dry nut (乾栗) which are directly of help to raise up qi-fluid of Wiwan, d) ephedra (麻黃) which helps circulation of qi-fluid from Wiwan to skin, e) calamus (石菖蒲) which directly helps the psychological function of Ear, and f) radish seed (蘿葍子) which slightly eliminate the excessive function of Small intestine, treating Wiwanhan symptomatology in Taeeumin.

• 산업경영시스템학회지
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• 제22권51호
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• pp.11-19
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• 1999

This study intends to define $\ulcorner$personality$\lrcorner$ as $\ulcorner$Human-ware$\lrcorner$ based on $\ulcorner$Gene-ware$\lrcorner$ in business management. The sides of personality in management are important source of manifestation of ‘Synergy’, because the importance of personality, that is, $\ulcorner$attitude$\lrcorner$ in individuals is increasing compared with the traditional techniques, $\ulcorner$craft$\lrcorner$. In this work it is considered that Human-ware activates interchange in reciprocal relation between Gene-ware and Hard-ware and performs balancing, intermediating (catalyzing) functions in relative that things(Geneware $\leftrightarrow$ Humanware $\leftrightarrow$ Hardware). $\ulcorner$Gene-ware$\lrcorner$ represents factor and phenomena of life in evolutionary information as human instincts, system of Gene-duum(Gene＋Residuum(in phenomenology) ), Synchronization(in structuralism). In this view, this paper defines the concepts and effects of personality in management as the results of creative and stational functions of Human-ware. And this paper intends to identify the strata of psycho in human as three vertical aspects of $\ulcorner$Manifest$\lrcorner$, $\ulcorner$Latent$\lrcorner$, and $\ulcorner$Found$\lrcorner$, in this respects, function of Human-ware have analogy to that of Manifest in psychological behaviors. Finally, reviewing the Ford system based on Fordism and Taylor's system in Industrial Engineering, pursues the meaning and importance of personality, that is Humanware in management.

• The Korean Journal of Pain
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• 제20권2호
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• pp.199-202
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• 2007

Failed back surgery syndrome (FBSS) is a condition characterized by extreme pain after spinal surgery. Treatment of FBSS is aimed at improving function, using interdisciplinary approaches that encompass rehabilitation, psychological therapy, and pain management. If no response to conventional treatment is noted, a more interventional technique such as spinal cord stimulation (SCS) should be used. SCS is a well-established method of managing a variety of chronic neuropathic pain conditions. A 32 year-old male patient afflicted by FBSS that was irresponsive to both medication and several repeated nerve blocks showed improvement of symptoms after cervical and thoracic SCS with a single electrode. Centered on the midline of the spinal cord, single-electrode SCS can be an effective method for relieving pain and improving function.

• 대한의용생체공학회:의공학회지
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• 제26권1호
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• pp.1-7
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• 2005

This study aimed to investigate the hypothesis that administration of the air with 30% oxygen compared with normal air (21% oxygen) enhances cognitive functioning through increased activation in the brain. Seventeen college students (right­handed, average age of 24.3) were selected as subjects for this study. An oxygen supply equipment that provides 21% and 30% oxygen at a constant rate of 8L/min was developed. In order to measure the performance level of visuospatial and verbal cognition, two psychological tests were developed. The experiment consisted of two runs, one for cognition task with normal air (21% oxygen) and the other for cognition task with hyperoxic air (30% oxygen). Visuospatial and verbal tasks were presented while brain images were scanned by a 3T fMRI system using the single-shot EPI method. The results showed that there was an improvement in performance and also increased activation in several brain areas in the higher oxygen condition. These results suggest that while performing cognitive tasks, high concentrations of oxygen administration make oxygen administration sufficient, thus making neural network activate more, and the ability to perform cognitive tasks increase.

• 대한물리의학회지
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• 제19권1호
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• pp.119-129
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• 2024

PURPOSE: The purpose of this study was to examine the effectiveness of a low-intensity combined exercise program on daily physical fitness parameters such as balance, flexibility, muscle strength, and fear of falling of elderly women in the community. METHODS: This study assigned 30 elderly women randomly into two groups: The control and experimental groups. The control group (n = 15) underwent routine gait. The experimental group (n = 15) underwent the low-intensity combined exercise. The exercise program in this study comprising combined exercise, including balance, flexibility, muscle strength training, and the exercise program using props was conducted twice a week for 8 weeks. RESULTS: The average age of the control and experimental groups was 77.27 years and 78.33 years, respectively. There were significant differences in static balance (t = -4.167, p < .001), dynamic balance (t = 2.463, p < .001), (t = -3.870, p < .001), (t = -2.262, p < .001), (t = -5.732, p < .001), (t = -6.573, p < .001), and fear of falling (t = -5.129, p < .001). CONCLUSION: The results show that low-intensity combined exercise is an effective intervention that improves physical health fear of falling in older women. The combined exercise program was found to be more effective in terms of physical function and fall-related psychological function compared to the control group that only walked.

• 정신신체의학
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• 제25권2호
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• pp.136-144
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• 2017

연구목적 치료를 마친 유방암 환자들에서 인지 저하가 나타난다는 것이 알려져 있다. 인지 저하는 항암치료, 암이라는 질병 자체의 영향, 우울과 불안을 포함하는 정서요인 등의 다양한 원인들에 의해 나타날 수 있다고 알려져 있다. 그러나 인지 저하가 항상 신경심리검사 결과와 일치하는 것은 아니었다. 이에 본 연구는 주관적 인지 저하가 객관적 인지기능 검사와 관련성이 있는지, 인지 저하의 관련요인은 무엇인지 알아보고자 하였다. 방 법 치료 종료 후 6개월이 지난 유방암 환자들 중 인지 저하를 호소하는 29명의 환자군과 동일한 연령대의 20명의 정상 대조군이 연구에 참여하였다. 모든 연구 참여자들을 대상으로 신경심리검사를 시행하였고, 이후 다중회귀분석을 통해 신경심리검사 점수와 우울, 불안을 포함하는 정서 요인과의 관련성을 평가하였고, 연령, 교육수준, 공존 질환과의 연관성도 함께 알아보았다. 결 과 유방암 환자군과 정상 대조군 간 신경심리검사 결과의 차이는 없었다. 정상 대조군에 비해 유방암 환자군에서 우울(p=0.002) 및 불안(p<0.001) 의 정도가 유의하게 높았다. 유방암 환자군 내에서 연령, 교육수준, 공존 질환을 통제하였을 때 실행기능의 저하는 높은 우울(${\beta}=-0.336$, p=0.001), 불안(${\beta}=-0.273$, p=0.009)의 정도와 유의한 관련이 있었다. 마찬가지로 주의력 저하도 높은 우울(${\beta}=-0.375$, p=0.023) 및 불안(${\beta}=-0.404$, p=0.013)의 정도와 유의한 상관관계를 보였다. 결 론 연구 결과 환자들의 주관적 인지 저하와 객관적 인지기능 검사 결과가 일치하지 않는다는 것을 알 수 있었다. 이는 주관적 인지 저하가 우울이나 불안과 같은 정서적 스트레스의 지표로 나타날 수 있음을 시사한다.

• 대한간호학회지
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• 제20권1호
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• pp.88-117
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• 1990

The purposes of this study are to delineate a profile of the state of a stroke patient's adaptation at 3 months after hospitalization and to explore the relationship between the level of adaptation and the variables which influence the adaptation of hemiplegic patients. To these ends, theoretical framework was derived basically from the stress adaptation model. The basic assumption underlying the level of adaptation is influenced by the presenting focal, contextual and residual stimuli. This group of stimuli is further operationalized and represented by a perception of stress. which is the perceived effect of the disability and by the mediating variables such as sociodemographic factors as an external conditioning variables and perceived social support and hardiness personality characteristics as an internal intervening variables. The dependent varibales in this study is the level of physical, psychological and social adaptation and is hypothesized to be a function of the interaction between 3 sets of variables namely, the perceived disability effect, external conditioning variables and internal intevening varibles. A total of fourty three subjects from 3 general hospitals in Seoul were observed and interviewed with the aid of 7 structured instruments. The data were collected twice on each subject : first at the pre-discharge period arid at 3 months post-discharge from hospital for the second time. The study was carried out for the period from February to August, 1988. The instruments used for the study include 4 existing scales and 3 scales developed by the researcher for this study. They are : 1) The ADL dependency scale and the scale of the clinical physical functions for the assessment of physical adaptation. 2) the SDS(self report of depression) to measure the level of psychological adaptation. 3) The scale for the amount of social activities for the measurement of the level of social adaptation. 4) The scale for the perceived effect of disability for the measurement of the focal stimuli. 5) The health related hardiness scale and the perceived interpersonal support self evaluation list(ISEL) for the measurement of the hardiness personality character and the perceived social support. The data obtained were analyzed using percentage, oneway ANOVA, Pearson coefficients correlation and stepwise multiple regression. The findings provide valuable information about the present level of physical adaptation at 3 months after discharge. The patient revealed a decreased ADL dependency and lowered limitation of physical function as compared with pre - discharge state. Psycholcgically, the average degree of depression at follow up was within normal range of depression. Socially, the amount of social activities was very low. The one way ANOVA and the correlational analysis revealed the relationship between the 3 sets of variables and the adaptation level as follows : 1) The perceived disability effect was related to the degree of the depression and the amount of social activities but was not related to the physical adaptation. 2) Among the sociodemographic variables, sex and education were related to the difference of ADL dependency and the change of physical function. These factors indicate that women more than men and educated more than the less educated were found more independent. The education was also related to the degree of depression suggesting that the higher the educational level, the more well adapted the patients were both physically and psychologically. Age, marital status and job state were not found to be related to the patient's adaptation level. 3) Among the internal intervening variables, the health related hardiness characteristic was related to the differences of ADL dependency, physical functions and the social activities, indicating that the higher the hardiness character the higher the level of physical and social adaptation. 4) The perceived social support, another internal intervening variable, was related to the degree of depression and the social activities. This data suggest that the higher the perception of social support, the better adapted the patients were psychogically and socially. In summarizing the results of the correlational analysis, the level of physical adaptation was influenced by sex, the years of education and the hardiness character. The level of psychological adaptation was influenced by the years of education, the perceived disability effect and the perceived social support. And the level of social adaptation was influenced by the perceived disability effect, the hardiness character and the perceived social support. The stepwise multiple regression analysis shows findings as follows : 1) The most important factor to explain the difference of ADL dependency was sex, indicating females were more independent than males. 2) The most important factor to explain the difference of physical function and the degree of depression was the patient's education level. 3) The strongest explaining factor for the amount of social activities was perceived self esteem(one of the subconcepts of perceived social support). Thus the most important factors influencing the level of adaptation were found to be sex, education, the hardiness character and self esteem. From the above findings, the significance of this study can be delineated as follows : 1) Corroboration of the assumed relationship between the various variables and the adaptation level as suggested in the conceptual model. 2) Support for the feasibility of the cognitive approach for nursing intervention such as hardness character training, counselling and teaching for self-care in the chronic patients.

• 한국전자통신학회논문지
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• 제12권5호
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• pp.941-956
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• 2017

본 연구는 여성의 인구학적 특성, 성경험, 선호하는 음경 유형, 성기능 장애 유무에 따른 성기능 및 성 선호도에 차이를 비교하고자 하였다. 72명의 성인 여성이 본 설문에 응답하였다. 응답한 자료 분석을 통해 불완전한 응답 및 성경험이 없었던 사람을 제외한 54건이 분석되었다. 수집한 모든 자료는 SPSS 22를 이용하여 독립 t 검정 및 카이제곱 검정을 통하여 분석하였다. 연구 결과, 기혼은 미혼보다 성교빈도와 성기능에서 유의하게 더 높았다(p<.05). 경제수준이 높은 자 또는 보통인 자는 낮은 자보다 주관적 성경험, 성기능에서 유의하게 더 높았다(p<.05). 주관적 성경험이 높은 자는 낮은 자보다 성교 빈도에서 더 높았으며, 음경의 길이 및 특성을 중요하게 생각하였다(p<.05). 귀두를 더 선호하는 자는 음경과 귀두의 굵기가 비슷한 유형을 선호하는 자보다 주관적 성경험이 더 많았으며, 음경의 굵기와 크기를 중요하게 생각하였다(p<.05). 성기능 장애가 있는 자는 없는 자보다 성교 빈도에서 더 낮았으며, 음경의 길이를 중요하게 생각하지 않았다(p<.05). 본 연구의 결과는 다양한 원인에 의하여 성기능 및 성 선호도가 차이가 있을 수 있음을 의미하며, 여성의 성기능 재활을 위한 심리상담 프로그램 개발의 기초자료로 쓰일 수 있을 것이다.

• 동서간호학연구지
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• 제2권1호
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• pp.22-36
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• 1997

Functional recovery of cerebrovascular accident (CVA) patients were studied by examining functional independence measure (FIM) to evaluate the functional state of the patients at admission to and at discharge from the hospital and its relationship with the family support. Study subjects consisted of 129 CVA patients, who were admitted and received rehabilitation treatment at K Medical Center of Oriental Medicine from August 3 to December 18, 1997. The results were as follows: 1) Total FIM score was $72.37{\pm}25.16$ at admission and $101.67{\pm}22.13$ at discharge. The difference of average score was 29.30, which was statistically significant by paired t-test. 2) The largest difference between FIM scores at admission and at clischarge was observed in items of walking and wheel-chair riding, and the smallest clifference in items of social interaction. 3) The recovery was faster with motor function than with cognitive function, because the difference of FIM scores at admission and at discharge was much larger with motor function. 4) Recovery was better in groups under age 49 than in groups above age 70. Functional recorvery was prominent especially in groups with normal sensory state and speech functions, and groups without urinary incontinence. Recovery was less significantly in patients with paraplegic patients hospitalized longer than 2 months, patients with family all the time, and patients with CVA over 11 days. 5) We could not find any relationship between functional recovery and family support. FIM scores were lower in groups of old age(r=-0.325), long stayed in hospital (r=-0.426), and long period of time after the onset of disease(r= -0.339) with a reciprocal correlation between FIM scores and these parameters. 6) Stepwise multiple regression analysis was done to evaluate factors to affect the recovery from CVA. FIM score at admission could explain 51.2 % of the functional recovery. Important factors were periods of hospitalization, state of sensory function, age, and education (listed in decreasing order of importance). In total, they could explain 64.89% of the functional recovery. These results indicate that functional recovery of CVA patients, who were admitted to oriental medicine hospital for rehabilitation treatment, could be estimated by measuring FIM scores. Recovery was significantly better at discharge from the hospital than at admission and motor function recovery rate was much faster than that of cognitive function. 2. Recommendation Based on these results, we recommend following further studies. 1) Comparative study of recovery of motor function and of sensory function would be necessary by measuring FIM scores once a week to evaluate the recovery of CVA patients. 2) It would be interesting to see whether there is any difference of functional recovery between patients treated with either western medicine or oriental medicine. 3) Psychological factors affecting the recovery of CVA patients need to be studied.