• Journal of agricultural medicine and community health
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• v.33 no.1
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• pp.1-10
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• 2008

일개 농촌 마을에서 농한기를 활용하여 시행된 근골격계 질환 예방사업을 소개하고 주요 사업결과를 분석하여 농업인의 건강증진을 위한 기초자료로 활용하고자 본 연구를 수행하였다. 2006년 12월 5일부터 2007년 1월 26일까지 사곳리 마을회관을 12회 방문하여 4번의 기초교육과 5번의 심화교육 등 9번의 근력 및 유연성 강화교육을 실시하였다. 교육 전(사전평가), 기초교육과 심화교육 사이(중간평가), 교육 후(최종평가) 등 3회에 걸쳐 의사 2인에 의한 근골격계 질환 평가, 시각통증척도에 의한 근골격계 통증 평가, 생활체육 전문가 3인에 의한 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성 측정을 통한 근골격계 근력 및 유연성 평가, 설문지를 사용한 어깨, 허리, 무릎의 기능 평가를 실시하였다. 총 12회의 일정 중 1회 이상 참석한 농업인은 총 57명이었으며 남자가 20명(35.1%), 여자가 37명(64.9%)이었으며 평균 연령은 60.7(±8.1)세였다. 근골격계 질환 검진에서 한 번 이상의 검진을 받았던 43명중 32명(74%)이 한 가지 이상의 근골격계 질환을 가지고 있었으며, 퇴행성관절염이 26명(60.5%), 근막통 증후군이 19명(44.2%), 허리디스크가 10명(23.3%)이었다.목어깨, 허리, 무릎다리의 통증정도는 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간의 비교에서 모두 감소하는 경향을 보였으며 3차 평가에서 1차 평가에 비해 목어깨, 허리, 무릎다리 모두 유의한 통증의 감소를 보였다(p<0.05). 근골격계의 기능을 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간 비교한 결과 모두 기능점수가 우수하게 변화했으나 통계적으로 유의하지 않았다. 근력 및 유연성 정도는 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성을 측정하였으며 1차 평가에 비해 3차 평가에서 모든 항목에서 근력 및 유연성 정도가 통계적으로 유의하게 증가하였다(p<0.05).연구대상자의 수가 적었고, 농한기에 의한 근골격계 질환의 개선 효과를 배제할 수는 없었지만 이번연구를 통하여 일부 농업인에서 근골격계 질환 관리 프로그램 실시 후 근골격계 질환의 단기적인 개선효과를 볼 수 있었다. 근골격계 질환의 중장기적인 개선효과를 기대할 수 있는 추가적인 연구와 농번기를 통한 관리 프로그램에 대한 추가적인 연구가 필요하다.

• Journal of the Korean Society of Radiology
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• v.81 no.2
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• pp.409-417
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• 2020

Purpose To evaluate the safety and efficacy of the percutaneous manual aspiration thrombectomy technique to treat thrombotic occlusion of native arteriovenous fistulas. Materials and Methods A retrospective review of 20 patients who underwent percutaneous manual aspiration thrombectomy for native thrombotic arteriovenous fistula occlusion from March 2012 to December 2017 was performed. We evaluated technical and clinical success rates and complications. The primary and secondary patency rates were calculated using the Kaplan-Meier analysis. Results Percutaneous manual aspiration thrombectomy was performed in 20 patients (n = 20) with concomitant balloon angioplasty. The overall technical and clinical success rates were both 85% (n = 17). The native arteriovenous fistulas, based on their site, were the left radiocephalic (n = 13), left brachiocephalic (n = 4), and right radiocephalic (n = 3) fistulas. An underlying stenosis was detected in the juxta-anastomotic venous site (n = 16), outflow draining vein (n = 12), and central vein (n = 4). The primary and secondary patency rates at 1, 3, 6, and 12 months were 100%, 70.6%, 70.6%, and 56.5% and 100%, 94.1%, 94.1%, and 86.9%, respectively. There were no complications associated with procedure. Conclusion Percutaneous manual aspiration thrombectomy is a safe and effective method to treat thrombotic native arteriovenous fistula occlusion.

• Journal of Chest Surgery
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• v.30 no.4
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• pp.383-389
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• 1997

From March, 1992 to March, 1996, a total of 279 patients underwent coronary bypass surgery at the Sejong General Hospital, Puchon. We selected 22 patients with severe left ventricular(LV) dysfunction from them. The criteria were the presence of global or segmental abnormalities of left ventricular contraction and LV ejection fraction(EF) less than 35% based on biplane LV angiography by planimetry method. The mean age of 17 male and 5 female patients was 60$\pm$5.6years(range:47~73 years). All had the anginas, which were Canadian class II in 6, class 111 in 12 and class IV in 4. All patients except one had the history of previous myocardial infarction more than once. Seven of them had the symptoms and signs of congestive heart failure, such as dyspnea on excertion and increased pulmonary vascular markings. Their mean LVEF was 29.4$\pm$4 5%(range : 18~35%) and mean LV end-diastolic pressure was 18.7 $\pm$8. 2mmHg(range:10~42mmHg). 21 patients had 3 vessel-disease and 1 had 2 vessel-disease. Complete revascularization was tried with the use of 16 internal mammary arteries and 60 sapheuous veins and 3 radial arteries grafts. The mean number of distal anastomosis was 3.5$\pm$ 1.1. Concomitantly, one mitral valvuloplasty and annuloplasty was performed in the patient with moderate mitral regurtigation. The hospital mortality was 4.5%. During the follow-up, there were 3 late deaths. Of 18 survivors, 2 patients were lost in follow-up 24 and 27 month respectively after operation and the remaining 16 patients have bcen followed up with an average of 30.4 $\pm$ 13.4 months.15 patients had improvement with respect to angina but 8 patients still have the continuing or progressing heart failure. The 1-year, 2-year and 3-year actuarial survival rate was 85.2, 69.1, 46.1%, respectively. This study indicates that coronary artery bypass sur ery can be performed in the patients with severe LV dysfunction at acceptable risk but does not greatly contribute to the improvement of congestive heart failure.

• Pediatric Infection and Vaccine
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• v.13 no.2
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• pp.155-162
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• 2006

Purpose : Appropriate use of antimicrobials is an essential factor to treat infectious diseases and prevent acquisition of antimicrobial resistant pathogens. This study was undertaken to search that application of computerized management program for restriction of antimicrobials use in a hospital is helpful to decrease antimicrobial use density. Methods : Antibiotics utilization committee decided to restrict the use of 16 antimicrobials(14 expensive drugs having fear of drug resistance by pathogens and additional two drugs with inappropriate using tendency). Retrospective evaluation of antimicrobial user numbers between May and July of 2004 and 2005(study group) was conducted to compare with previous use density during same period of 2002 and 2003(control group). Results : Inpatients number of control group($823.5{\pm}37.1$ persons) was more than study group($809.2{\pm}39.3$ persons, P<0.001), but, outpatients number and hospitalized duration were equal in two groups. Antimicrobial user number/100 inpatients per day of glycopeptides and antifungal agents was equal in two groups, and study group was significantly higher density than control group in the use of carbapenems, piperacillin-tazobactam and quinolones(P<0.001). But study group was significantly lower density than control group in the use of drugs with inappropriately using tendency and expensive cephalosporins having broad antimicrobial spectrum(P<0.001). Conclusion : Application of computerized management program for restriction of antimicrobials use in a hospital is effective to decrease the use density of antimicrobials with inappropriately using tendency, but it is an insufficient measures for the restricted use of other antimicrobials on the whole.

• Journal of Digital Convergence
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• v.16 no.9
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• pp.427-435
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• 2018

The purpose of the study was to investigate the effects of nordic walking on body composition and physical fitness in obese women with intellectual disability(ID). The subjects in experimental group(n=12) participated in nordic walking program for 12 weeks while those in control group(n=9) was controled not to participate in physical activities. After the training, weight, muscle mass and fat mass% showed significant improvement in experimental group. In physical fitness, strength, balance and coordination in experimental group showed significant improvement. In conclusion, these results suggest that nordic walking can be recommended as an effective intervention program to change body composition and to improve physical fitness in obese women with ID.

• The Journal of the Korea institute of electronic communication sciences
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• v.8 no.8
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• pp.1265-1270
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• 2013

This study was aimed to analyse the effect of Soru massage therapy on pain of the head and neck of 46 seniors aged over 65. The therapy was given twice a week for eight weeks and a total of 16 sessions for 30 minutes. The results revealed that the pain average on the head and neck of the male and female subjects was statistically significant. For the test group who had a random test, the average of pain on the head and neck of the subjects was statistically significant. Based on the results, Soru massage therapy showed positive results for pain on the head and neck of elderly persons, which indicates that it can improve their health and quality of living. Therefore, this study is an arbitrary alternative therapy which can be applied for the elderly who have pain on the head and neck caused by muscular tension.

• The Journal of the Korea Contents Association
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• v.18 no.2
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• pp.502-508
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• 2018

This study was a quasi-experimental design with a non-equivalent control group to investigate the effects of yoga nidra on self-esteem in nursing students. Thirty-nine undergraduate nursing students were selected by convenience sampling, with 19 assigned to an yoga nidra group and 20 assigned to a control group. The data were collected from May 1 to June 24, 2016. The yoga nidra intervention was performed for 60 minutes per session, two sessions per a week for 8 weeks. The control group did not participate in the yoga nidra and had no designated intervention. Self-esteem were measured with Rosenberg's Self-Esteem Scale. The yoga nidra group scores were significantly increased in self-esteem levels compared with the control group. In conclusion, these findings indicate that yoga nidra intervention would elevate self-esteem levels in nursing students and it can be used as a tool to improve the self - esteem of university students as well as nursing college students.

• Journal of Digital Convergence
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• v.16 no.3
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• pp.457-468
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• 2018

The purpose of this study was to investigate the effect of yoga self-help management program on the health status and depression of patients with fibromyalgia syndrome. The subjects who participated in the study were patients diagnosed with fibromyalgia syndrome at a university hospital in G city. The total number of participants was 43, 21 in the experimental group and 22 in the control group. For the experimental group, a total of 16 yoga self-help management programs were held twice a week for eight weeks at the yoga center, and yoga DVDs, photographs, and educational booklets developed for the home were provided. The control group was subjected to pre - test and post - test without intervention. Data were analyzed using SPSS/WIN 18.0 program. As a result of the study, it was found that the experimental group had significantly improved health status(Tender point, FIQ) and the depression was lower than the control group, which was effective in the intervention strategy of the fibromyalgia syndrome patients.

• Journal of the Korean School Mathematics Society
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• v.19 no.1
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• pp.21-41
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• 2016

Ministry of Education has proposed storytelling in context of the actual or fantasy for the sake of fun and easy mathematics education. However most of school mathematics is not associated with the real life. In that case it could be one method for cultivating positive affects about mathematics that we make up and apply mathematics narrative with which we can reveal what makes mathematics interesting. In this study, among every problem in every examination in four regular examination that targeted the first-year of one ordinary high school in Seoul, I elected a total of four problems, and wrote a total 4 of mathematics narratives. I analysed a case on a few students with which I had conversations after teaching those 4 number of mathematics narratives, and studied mathematics narrative's influences on affects about mathematics of ordinary high school students. As a result, from one of a few students we could observe that his mathematical emotional mind had varied positively. From the student and the other students who had been engaged I discussed some implications and some points to be improved about making up and applying mathematics narrative for cultivating positive affects about mathematics.

• The Journal of the Korea Contents Association
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• v.11 no.10
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• pp.380-387
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• 2011

This study was to investigate the effects of music-combined respiration and oral motor training on the voice of healthy elderly. 27 women attending a senior center in Seoul participated and were randomly assigned to the experimental (n = 16) and the control group (n = 11). Subjects attended music program(25 minutes per session) once a week for 4 weeks. For both groups, Fundamental Frequency (F0), Maximum Phonation Time (MPT) and Sequential Motion Rates (SMR) were measured using the Praat speech analysis program before and after the training. The results showed statistical significance in scores of intensity, F0, MPT, and SMR in the experimental group while only intensity was statistically significant in the control group. Considering that, the increasing life expectancy and growing number of older adults, their quality of life has been important. So this study suggests that the respiration and oral motor training would be effectively incorporated into training and services for this population.