• PNF and Movement
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• 제15권3호
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• pp.259-266
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• 2017

Purpose: This study aimed to compare muscle activities in the right leg during squatting on an angle-adjustable inclined wooden plate at three different angles. Methods: The subjects were 19 healthy adult men and women. An angle-adjustable inclined wooden plate was used for the experiment, and the subjects performed squatting at three adjusted angles of $0^{\circ}$ ankle angle, $10^{\circ}$ ankle flexion, and $10^{\circ}$ plantar flexion. Squatting was randomly performed without a sequence. The knee angle was set at $45^{\circ}$, and a goniometer was used to measure the angles accurately. Electromyography was employed to measure and compare muscle activity in the right leg in each condition. The measured data were converted to root mean square values to calculate the muscle activities. Results: This study showed no statistically significant difference at a $0^{\circ}$ ankle angle, but a statistically significant difference was found in the vastus medialis at $10^{\circ}$ of ankle flexion. Moreover, statistically significant differences were observed in the vastus medialis and lateralis at $10^{\circ}$ of plantar flexion. Conclusion: This study showed a statistically significant difference in the vastus medialis at $10^{\circ}$ of ankle flexion and statistically significant differences in the vastus medialis and lateralis at $10^{\circ}$ of plantar flexion. Therefore, it may be effective to perform squatting at $10^{\circ}$ of ankle flexion when intending to selectively strengthen the vastus medialis and at $10^{\circ}$ of plantar flexion when intending to strengthen both the vastus medialis and lateralis.

• 대한물리의학회지
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• 제7권4호
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• pp.471-480
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• 2012

PURPOSE: The object of the present study is to investigate the effects of the insole supporting medial longitudinal arch while walking in spastic cerebral palsy with pes planus. METHODS: Ten spastic bilateral cerebral palsy children with pes planus participated in this study. The insole were custom-made for the individual child. Muscle activity was measured by surface EMGs attached on tibialis anterior (TA), gastrocnemius (GA), vastus medialis oblique (VMO), biceps femoris long head (BF). temporal-spatial parameters such as velocity, step length, stride length, stance time, toe angle were collected while the subjects walked on the GAITRite system. RESULTS: The results of the present study were summarized as follows: 1. Muscle activities in mean EMGs while walking: Left VMO, Right TA, Left BF and GA revealed significant reductions after applying insole. 2. Muscle activities in peak EMGs while walking: Left TA and BF demonstrated reductions significantly after applying insole. 3. There were improvements in temporal-spatial gait parameters with insole: velocity, both step length, Right stride length and Right toe angle were increased(p<.05). CONCLUSION: Therefore the current study demonstrated that insole supporting the medial longitudinal arch would be effective on gait of the spastic cerebral palsy with pes planus.

• Journal of Chest Surgery
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• 제24권1호
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• pp.15-25
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• 1991

From February 1988 to December 1990, 42 patients underwent so called REV operation for pulmonary stenosis or atresia with or without anomalies of ventriculoarterial connection and truncus arteriosus. The principles of operative technique are mobilization of pulmonary arterial tree beyond the pericardial reflection, transection of pulmonary trunk between the pulmonary ventricle and pulmonary artery, suture of distal pulmonary arterial stump to the upper margin of Pulmonary ventriculotomy site with absorbable suture, and anterior patch with 0.625% glutaraldehyde fixed autologous pericardium with monocusp inside it. Age at operation ranged 3-156months [mean 41.8 month] with twelve of whom infants. Operative indications were pulmonary atresia, with ventricular septal defect[16], and pulmonary stenosis with double outlet right ventricle[8], with ventricular septal defect[16], with double outlet right ventricle[8], with complete transposition of the great arteries[8], with corrected transposition of the great arteries[6], with Fallot`s tetralogy[3], and truncus arteriosus[1]. There were six hospital deaths[14%] and no late death. Twenty-four of 36 survivals were followed up more than 12 months with good clinical results. Postoperative angiocardiogram was performed in fifteen patients. Hemodynamically, two patents had residual pressure gradients along the pulmonary outflow tract, one patient showed severe pulmonary regurgitation; morphologically, there were six significant stenosis of left pulmonary arterial tree, two of whom showed significant pressure gradients. Our present experience with REV operation suggests that this technique make it possible to perform anatomic repair in a wide variety of congenital anomalies of abnormal ventriculoarterial connection associated with pulmonary outflow tract obstruction without using the prosthetic material, even in infants, with relatively low mortality and morbidity.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제6권5호
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• pp.1316-1332
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• 2012

Formation flying is an important technology that enables high cost-effective organization of outer space aircrafts. The ad-hoc wireless network based on direct-sequence ultra-wideband (DS-UWB) techniques is seen as an effective means of establishing wireless communication links between aircrafts. In this paper, based on the theory of matched filter and error bits correction, a hybrid detection algorithm is proposed for realizing multiuser detection (MUD) when the DS-UWB technique is used in the ad-hoc wireless network. The matched filter is used to generate a candidate code set which may contain several error bits. The error bits are then recognized and corrected by an novel error-bit corrector, which consists of two steps: code mapping and clustering. In the former step, based on the modified optimum MUD decision function, a novel mapping function is presented that maps the output candidate codes into a feature space for differentiating the right and wrong codes. In the latter step, the codes are clustered into the right and wrong sets by using the K-means clustering approach. Additionally, in order to prevent some right codes being wrongly classified, a sign judgment method is proposed that reduces the bit error rate (BER) of the system. Compared with the traditional detection approaches, e.g., matched filter, minimum mean square error (MMSE) and decorrelation receiver (DEC), the proposed algorithm can considerably improve the BER performance of the system because of its high probability of recognizing wrong codes. Simulation results show that the proposed algorithm can almost achieve the BER performance of the optimum MUD (OMD). Furthermore, compared with OMD, the proposed algorithm has lower computational complexity, and its BER performance is less sensitive to the number of users.

• 대한물리의학회지
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• 제15권3호
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• pp.69-77
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• 2020

PURPOSE: The aim of this study was to measure changes in spine inclination and thoracolumbar structure and morphology according to upper-extremity movements with and without resistance in order to evaluate the spine stability in workers. METHODS: Forty-eight middle-aged male workers (mean age, 40.48 ± 6.27 years) participated in this study. Using the spine analysis system, changes in the inclination of the spine and structure as well as shape of the thoracolumbar spine were measured. For posture measurement, the postures of standing, lifting the right and left arms (shoulder joint 90° flexion), and lifting with both arms were measured in random order. In addition, variables were measured using a resistance of 3 kg for each posture. The statistical significance level was set at α = .05 for all variables. RESULTS: There were statistically significant differences between the front and back inclinations of the spine, kyphotic curve of the thoracic spine, lordotic curve of the lumbar spine, rotation changes in the thoracolumbar spine, and rotation changes in the T4 vertebra (p < .05). However, there was no significant difference in the left and right tilts of the spine. In the post-hoc analysis, rotation changes in the T4 vertebra showed a significant difference in posture when resistance was applied to the left and right sides CONCLUSION: Causes of musculoskeletal diseases include excessive thoracic spine rotation, torsion, and hyperlordosis of the lumbar spine. Therefore, it is necessary to improve the working environment in order to ensure a healthy posture and prevent musculoskeletal diseases that can reduce the ability to carry various and/or excessive loads.

• 한국도로학회논문집
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• 제17권5호
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• pp.47-56
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• 2015

PURPOSES: The purpose of this study is to estimate the impact of variable message signage (VMS) on traffic safety as a function of road curve radius using statistical methods. METHODS: In order to analyze the impact of VMS installations on traffic safety, travel speed, lateral distance, and geometric data relating to road curvature in each study area was acquired and analyzed for the impact of providing VMS information on driver performance and traffic safety using statistical methods including student t-test, Mann-Whitney test, and the Anderson-Darling test for estimating traffic safety hazard zone in each lane. RESULTS: As a result of analyzing driver performance characteristics before and after providing VMS information, it was determined that by providing VMS information, mean travel speed is deceased and vehicles are driven with increased precision, following the centerline in the first and second lanes. Also the results of analyzing traffic safety impacts of VMS indicate that traffic safety performance factors in the first lane of the Gapyeong section can, on average, increase in the left and right side of the lane by 19.22% and 68.98%, respectively, and in the case of the second lane, safety impacts, on average, can increase in both sides by 100%. For the Hongcheon section, traffic safety impacts in the first lane, on average, can increase along the left and right sides of the lane by 32.31% and 47.18%, and within the second lane, traffic safety can be increased along the left and right side of the lane by 10.97% and -0.01%, respectively. CONCLUSIONS: Based on the results of this study, the impact on traffic safety obtained by providing VMS information for road sections with smaller curve radii is greater than can be obtained for road sections with larger curve radii.

• 한국운동역학회지
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• 제26권1호
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• pp.101-113
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• 2016

Objective: The purpose of this study was to investigate the effect of leg length discrepancy (LLD) on the human body during gait and standing posture. Methods: The study group comprised of 17 adult participants with LLDs of <1 cm. LLDs were artificially induced to 0, 1, 2, and 3 cm. The proportion of weight distribution, shift of the mean center of pressure, and Cobb's angle were measured in the standing position. Kinematic variables such as walking and striding width and time, and the proportion of stance phase for single- and double-limb gait were measured as well. The participants were required to either stand or walk on a treadmill (Zebris FDM) with a pressure plate, and the Cobb's angle measurements were obtained from radiographs. Results: A discrepancy of 3 cm in leg length resulted in a statistically significant shift of the center of pressure in the standing position. Moreover, the Cobb angle increased as the discrepancy became larger. The step length and width of the longer (left) leg during gait statistically significantly increased when the discrepancy was 2 cm. In addition, step time was statistically significant when the discrepancy between the longer (right) and shorter (left) legs was more than 2 cm. The proportion of single-limb stance phase was statistically significant as the discrepancy became larger, especially when the discrepancy was >2 cm for the longer (right) leg and 1 cm for the shorter (right) leg. Conclusion: The study showed that LLD influenced deformations of the human body and walking.

• Journal of Chest Surgery
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• 제44권2호
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• pp.108-114
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• 2011

Background: Homograft cardiac valves and valved-conduits have been available in our institute since 1992. We sought to determine the long-term outcome after right ventricular outflow tract (RVOT) reconstruction using homografts, and risk factors for reoperation were analyzed. Materials and Methods: We retrospectively reviewed 112 patients who had undergone repair using 116 homografts between 1992 and 2008. Median age and body weight at operation were 31.2 months and 12.2 kg, respectively. The diagnoses were pulmonary atresia or stenosis with ventricular septal defect (n=93), congenital aortic valve diseases (n=15), and truncus arteriosus (N=8). Mean follow-up duration was $79.2{\pm}14.8$ months. Results: There were 10 early and 4 late deaths. Overall survival rate was 89.6%, 88.7%, 86.1% at postoperative 1 year, 5 years and 10 years, respectively. Body weight at operation, cardiopulmonary bypass (CPB) time and aortic cross-clamping (ACC) time were identified as risk factors for death. Forty-three reoperations were performed in thirty-nine patients. Freedom from reoperation was 97.0%, 77.8%, 35.0% at postoperative 1 year, 5 years and 10 years respectively. Small-sized graft was identified as a risk factor for reoperation. Conclusion: Although long-term survival after RVOT reconstruction with homografts was excellent, freedom from reoperation was unsatisfactory, especially in patients who had small grafts upon initial repair. Thus, alternative surgical strategies not using small grafts may need to be considered in this subset.

• The Korean Journal of Pain
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• 제29권2호
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• pp.103-109
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• 2016

Background: The location and the number of lumbar sympathetic ganglia (LSG) vary between individuals. The aim of this study was to determine the appropriate level for a lumbar sympathetic ganglion block (LSGB), corresponding to the level at which the LSG principally aggregate. Methods: Seventy-four consecutive subjects, including 31 women and 31 men, underwent LSGB either on the left (n = 31) or the right side (n = 43). The primary site of needle entry was randomly selected at the L3 or L4 vertebra. A total of less than 1 ml of radio opaque dye with 4% lidocaine was injected, taking caution not to traverse beyond the level of one vertebral body. The procedure was considered responsive when the skin temperature increased by more than $1^{\circ}C$ within 5 minutes. Results: The median responsive level was significantly different between the left (lower third of the L4 body) and right (lower margin of the L3 body) sides (P = 0.021). However, there was no significant difference in the values between men and women. The overall median responsive level was the upper third of the L4 body. The mean responsive level did not correlate with height or BMI. There were no complications on short-term follow-up. Conclusions: Selection of the primary target in the left lower third of the L4 vertebral body and the right lower margin of the L3 vertebral body may reduce the number of needle insertions and the volume of agents used in conventional or neurolytic LSGB and radiofrequency thermocoagulation.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5121-5131
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• 2015

본 논문의 목적은 체육관련 전공자들의 역량과 노동시장에서의 고용구조를 조사하는데 있다. 대학수학능력시험 성적을 등급으로 공시한 각 학교별 자료를 분석해보면, 대학수학능력 시험의 2등급에 속한 학교는 1개교이며, 3등급에는 11개 학교가, 4등급에는 32개교가, 5등급에 15개교가, 6등급에 5개교가 속하였다. 대학수학능력시험 등급이 우수한 학교의 경우 소재지가 수도권이거나 체육교사의 교원자격증이 부여되는 사범계열학과의 대학수학능력시험 등급이 상대적으로 우수한 것으로 나타났다. 체육계열 대학생의 역량을 세분화 하여 분석한 결과 인지능력 3.30, 신체능력 3.88, 사회성 3.61, 경영능력 3.21, 정서능력 3.52로 나타났다. 국가자격에 의해 고용되는 직종은 생활체육지도자 또는 경기지도자, 스포츠강사, 퍼스널트레이너 등 비정규직의 취약한 고용구조로 연결되었다.