• Title/Summary/Keyword: 손상 사례

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The Effect of Closed Kinetic Chain Exercise Using PNF on Hand Function and Activities of Daily Living of Patient with Incomplete Spinal Cord Injure : Single Subject Design (PNF를 이용한 닫힌사슬운동이 불완전 경수 손상 환자의 손 기능과 일상생활동작에 미치는 영향 : 단일사례연구)

  • Jung, Du-Kyo;Lee, Jae-Han
    • PNF and Movement
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    • v.12 no.1
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    • pp.45-50
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    • 2014
  • Purpose: Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. The purpose of this case report is to describe the effect of closed kinetic chain exercise using PNF on hand function and ADL of patient with incomplete spinal cord injure. Methods: Patient was a 53-year-old man with C4 tetraplegia and hand and upper extremity impairment who participated in this training intervention for 10 weeks. Results: Patient demonstrated improvements in upper extremity strength, hand function and performance of ADL. Outcome measures(ASIA motor scale, Hand power, Jebsen-Taylor Hand Function test, SCIM) were measured before and after the training program. Conclusion: The results of this case suggests that an closed kinetic chain exercise program in incomplete spinal cord injury patient may induce Hand function and ADL.

The Effects of Gait Performance and Respiratory of Backward Walking in Body Weight Supported Treadmill on Incomplete Spinal Cord Injury: A Case Study (체중지지 트레드밀 후방 보행 훈련이 불완전 척수 손상 환자의 보행과 호흡에 미치는 효과: 단일사례연구)

  • Kim, Sung-Hoon;Choi, Jong-Duk
    • PNF and Movement
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    • v.11 no.2
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    • pp.103-110
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    • 2013
  • Purpose : The aim of study was to assess the effect of backward walking combined with body weight supported treadmill training for patients with spinal cord injury. Methods : Forced vital capacity(FVC), forced expiratory volume at one second(FEV1), peak expiratory flow(PEF) and FEV1/FVC ratio(FER) were measured with a spirometer for on subject of T12 spinal cord injury. 10 meter walking test(10MWT), timed up & go test(TUG) and 6-Minute walking test(6MWT) were the measured. Intervention consisted of backward walking combined with body weight supported treadmill training five times a week for 12 weeks. Results : The date of 10MWT, TUG, 6MWT were improved. Furthermore, the date of PEF, FEV1, FVC, FER showed a improvement. Conclusion : Backward walking combined with body weight supported treadmill training may be a better and more effective method for gait performance and respiratory on incomplete spinal cord injury.

Using ICF model Rehabilitation Management Case Report on Patients with Cerebellum Disorder (ICF 모델을 적용한 소뇌손상환자의 재활관리 사례보고)

  • Kong, Sun-Woong;Kim, Ji-Sun;Bae, Si-Jeol;Hwang, Ki-Kyeong
    • PNF and Movement
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    • v.11 no.1
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    • pp.79-88
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    • 2013
  • Purpose : Currently, ICF to describe the functions and disability in the world has been used as a universal language. ICF tools based on ICF, the rehabilitation management of clients have been developed to be efficient. This study was designed to describe clinical decision for functional goal of clients to used ICF tools. Methods : In the following the utilization of all developed ICF tools will be described within a case example of a 53-year-old women, suffering from cerebellum disorder. As problems in the subject's functional activities was difficulties in changes sitting postures, standing postures and maintaining standing postures. Activity limitation was determined change sitting, standing posture as a goal through discussion with the patient. Results : After setting the identified problems as the purpose of intervention through the assessment, we find out the outcomes using the ICF evaluation display. Consequently, with functional activities limitation that discovered from assessment(categorical profile, assessment sheet), sitting postures to standing postures and maintaining standing postures were improved. Conclusion : This study was showed ICF tools based on Rehab-cycle for the patient's functional goals clinical practice. The future study, the ICF in clinical practical tools for effective use will require more attempt.

The Design of Anti-DDoS System using Defense on Depth (다단계 방어기법을 활용한 DDoS 방어시스템 설계)

  • Seo, Jin-Won;Kwak, Jin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.22 no.3
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    • pp.679-689
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    • 2012
  • There were clear differences between the DDoS attack on 7th July 2009 and the rest of them prior to the attack. Despite It had emitted relatively small sized packets per infected PC, the attack was very successful making use of HTTP Flooding attack by aggregating small sized packets from the well sized zombie network. As the objective of the attack is not causing permanent damage to the target system but temporal service disruption, one should ensure the availability of the target server by deploying effective defense strategy. In this paper, a novel HTTP based DDoS defense mechanism is introduced with capacity based defense-in-depth strategy.

A Methodology to Determine Composite Material Allowables and Design Values Using Building Block Approach (빌딩블록 접근법을 이용한 복합재 재료 허용치 및 설계치 설정 방법)

  • Kim, Sung Joon;Lee, Seung-gyu;Hwang, In-hee
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.50 no.6
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    • pp.377-384
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    • 2022
  • In the design of composite aircraft structures, it is very important to set material allowables and design values, which take into account certification. And when determining the material allowable and design value of composite structures, the static strength, damage tolerance requirements, and environmental effects should be considered. The building block approach has been applied to the civil and military aviation industry for a long time and provides the principal certification methodology. This current certification methodology is based on extensive testing including coupon, element, sub-component, and full scale test. In this paper, some examples of composite allowable tests have been presented and the fundamental background and application methods of the building block approach have been presented.

Hemarthrosis Occurred after Arthroscopic Rotator Cuff Repair in a Chronic Renal Failure Patient with a Stenosis in an Ipsilateral Arteriovenous Fistula (동측의 동정맥루를 가진 만성 신부전증 환자의 회전근개 파열에 대한 관절경적 수술 이후 발생한 혈관절증)

  • Huh, Soon Ho;Kim, Se Jin;Park, Jin Yeong;Kang, Kyung Rok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.366-371
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    • 2019
  • Hemarthrosis occurring after arthroscopic surgery for lesions of the shoulder joint is a very rare complication that can develop due to an injury to the blood vessels when an anterior portal is formed. This is a complication that rarely develops in patients who are taking antithrombotic drugs or who do not have associated diseases, such as thrombocytopenia. We report a case of hemarthrosis that occurred after performing arthroscopic surgery to repair a rotator cuff tear in a patient with a stenosis in an arteriovenous fistula for hemodialysis in the ipsilateral upper arm.

The Potential of the Korean Endemic Plant, Abeliophyllum distichum, as a Plant Resource (한국 특산 식물 미선나무, 식물자원으로의 잠재력)

  • Tae Won Jang
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2023.04a
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    • pp.9-9
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    • 2023
  • 한국 특산 식물인 미선나무 (Abeliophyllum distichum)는 IUCN Red List의 EN (위기종) 등급에 지정되 어 보호받아 왔다. 미선나무는 국내 자생지 6곳을 포함하는 13개의 서식지에서 생육되고 있다고 알려져 있다. 2017년 이후, 국내에서는 지속적인 보전과 관리하에 법정보호종에서 해제되어 멸종위기종 복원 성 공 사례의 귀감이 되었으나 국내를 제외하면 미선나무의 활용은 아직 어려운 현실이다. 미선나무는 1속 1종이지만 종 내에서 다양성이 존재한다. 꽃의 형태적 특징에 따른 다양한 분류가 이루어지며, 옥황1호을 포함한 분홍, 상아, 연녹색, 흰색 등으로 구분된다. 유전체 연구 및 성분 분석을 통해, 각 표현형마다 유전 정보와 유효 성분의 차이가 존재한다는 것이 알려졌다. 활용 가치를 높이려면, 유전적으로 안정되고 표준화가 가능한 원료가 필요하며, 이는 신품종을 이용하거나 새로운 개발이 필요하다는 것을 내포한다. 일반 식품으로의 활용은 어려우나 기능성 화장품의 원료 등으로 활용되고 있으며, 이러한 활용들은 미선나무의 높은 활용 가치를 투영한다. 활용 가치 평가를 위해 수행된 DNA 손상, 멜라닌 생합성, 항염증, 항산화, 항암 억제 등의 연구를 통해 다양한 약리학적 효능을 가진다는 결과들이 도출되었고, 많은 문헌들이 그 근거를 뒷받침한다. 또한, 유효 성분의 합성경로를 재정립하고 RNA 분석을 통해 그 양상을 예측하기 위한 연구가 진행 중에 있다. 미선나무에서 유래한 식물조직 배양체인 callus의 유도 및 배양이 진행되고 있으며, 옥황1호 유래 callus를 활용하여 다양한 연구를 수행하고 있다. 앞서 언급한 미선나무 연구 및 개발에 대한 한계를 파악하고, 천연 식물 자원으로의 미선나무에 대한 지속적인 관심과 지원을 통해 나고야의정서에 대응하는 전략적 접근이 필요하다.

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A Case of Biliary Cast Syndrome After Endoscopic and Percutaneous Management of Common Bile Duct Stone (총담관 결석 환자에서 내시경적, 경피적 담관 시술 후 발생한 담관 원주 증후군)

  • Jae Chun Park;Jung Gu Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.224-229
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    • 2022
  • Biliary cast syndrome is an unusual complication in patients who have previously undergone liver transplantation. It occurs in approximately 5%-18% of such patients. Rare cases of biliary cast syndrome in patients without liver transplants have also been reported. The pathogenesis of biliary cast has not been clearly identified, although etiologic factors including post-transplant bile duct damage, ischemia, biliary infection, and presence of a post-operative biliary drainage tube have been proposed. Here we present a case of biliary cast that developed in a 49-year-old male who underwent a non-liver surgery after endoscopic and percutaneous management of common bile duct stone.

Beach Resort Formation and Development Processes by Fabric Construction in an Island Environment (구조물 축조에 의한 도서지역 해수욕장의 발달과정에 관한 연구 -완도군 보길면 지역을 사례로-)

  • 박의준;황철수
    • Journal of the Korean Geographical Society
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    • v.36 no.4
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    • pp.474-482
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    • 2001
  • The purpose of this study is to investigate the formation and development processes of beach resort by fabric construction in a island environment. The results are as follows. (1) The research area(Tong-ri beach, Bokil-myon, Chollanam-do)has been transformed to belch by sedimentary environmental change since latter half of 1800's. (2) The mean slope of beach face is 0.96°, and the difference of attitude between beach and mud flat face is 75cm. (3) The mean particle size of beach surface sediment is 3.53$\Phi$. This value is very finer than that of any other beach in Korea peninsula. But its value is coarser than that of mud flat surface sediment. (4) The particle size distribution of core sediment is become changed to fine particle in 70cm depth. This value is corresponded to difference of altitude between beach face and mud flat face. (5) The analysis of aerial photographs after 1970 indicates that sedimentation process was not brisked since 1970's. Consequently, the research ares has been developed by sedimentary environmental change for sea-level rise effect and wave height energy rise effect.

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An Analysis of Best Practices for Efficient Utility Relocation and an Inquiry into the Applicability of SUE (효율적인 지하지장물 이설을 위한 모범사례분석 및 SUE 적용에 관한 연구)

  • Lee, Seung-Hyun;Baek, Seung-Ho;Tae, Yong-Ho;Ahn, Bang-Ryul;Park, Hyeon-Yong
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.971-976
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    • 2007
  • In the U.S., utility damages or utility delay caused by conflicts during the underground utility relocation is one of the weighty problem in the construction industry. Also, in domestic case, delay and additional cost caused by underground utility(i.e, electricity, communication, gas, water supply and sewerage) relocation has been happened so that there is an increase of claims for responsibility between owners and contractors. However, there is insufficient survey for the recent circumstance of additional cost for delay and design changes caused by utility relocation and shortage of enough research for solving and analyzing of causes and their ripple effect. This research presents a result of the study about the best practices of FHWA(Federal Highway Administration), SHAs(State Highway Agencies) and the utility companies managing utility relocation. Also, it presents the basic concept of SUE(Subsurface Utility Engineering), the most reliable tool of FHWA presented, and investigates the developing status about SUE in Korea. At the end of this paper, this research proposes a practical and more applicable study about the efficient utility relocation focusing on local industry.

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