• 지역사회간호학회지
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• 제15권2호
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• pp.218-227
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• 2004

Purpose: The purpose of this study was to determine the effects of 5 weeks self-help management program developed by Kim et al. (2000-b) and reinforced with music therapy for post stroke patients. Method: This was pre-experimental study and the subjects were 14 post stroke hemiplegic patients at home who were registered at the Gunsan Health Center. The program was applied for five weeks and two hours for each session composed of the preparation step, the main step and the finishing step. The contents of the program were ROM exercise, daily activity training, risk factors and aftereffects, nutrition management and stress management. To collect data, all subjects were questioned before and after the application of the program. Collected data were analyzed through frequencies, percentages, Wilcoxen signed rank test and Cronbach's alpha using SPSS-WIN program. Result: After the application of the self-help management program, a statistically significant increase was observed in the subjects' ability to perform activities of daily living (p=.039), ability to perform instrumental activities of daily living (p=.005), self-efficacy (p=.001), self-care behavior (p=.001) and quality of life (p=.001), and a statistically significant decrease was observed in depression (p=.012). Conclusion: The present self-help management program was found to be helpful in improving the subjects' physical and psychological functions after they were attacked by stroke, so to be an effective nursing intervention strategy for post stoke patients. Future researches need to reinforce and materialize music therapy and to develop and apply a self-help management program that includes not only post stroke patients but also their families. In addition, it is necessary to expand the scope of subjects and apply follow-up management in order to continue self-help meetings.

• 디지털융복합연구
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• 제18권4호
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• pp.229-236
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• 2020

고속도로를 이용하는 차량이 늘어나고 고령인구가 증가함에 따라 고령자로 인한 고속도로 사고의 피해가 심각해지고 있다. 특히 흐린 날과 야간의 고속도로 교통사고 시 고령운전자의 응급상황이 후속차량에게 전달되지 않아서 2차, 3차 사고로 확대되어 심각한 후유증을 남긴다. 그러므로 고령자의 사고차량과 후속차량들 간의 경제적이고 효과적인 차량간 긴급통신 정책과 그 시스템의 구축이 절실한 상황이다. 본 논문은 고령운전자의 응급상황 시 특수한 비상등 패턴을 활용하여 후속차량에게 전달하여 2차사고 예방 및 긴급구호를 이끌어 낼 수 있는 정책 및 방법을 제안하였다. 추가적으로 적색 제동등을 활용한 차량간 적외선 긴급통신 시스템을 도입하고 RC-Car 형태의 시작품으로 구현함으로써 그 실현 가능성을 확인해 보았다.

• 한국산업정보학회논문지
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• 제18권1호
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• pp.37-45
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• 2013

뇌졸중 환자들은 운동장애, 감각장애, 인지장애 등 다양한 후유증을 경험하게 되며 이를 극복하기 위하여 많은 재활훈련을 받게 된다. 이러한 재활훈련은 병원에서만 이루어 질 때 보다 일상 속에서 지속적으로 수행될 때 그 효과가 극대화 된다. 이를 위해서 다양한 가정용 훈련프로그램이 보급되었지만 이를 수행함에 있어서 적절한 피드백에 제공되어 지는 프로그램 부족한 실정이다. 따라서 본 연구에서 3차원 깊이 측정이 가능한 키넥트 센서를 이용하여 사용자에게 필요한 피드백을 제공 받을 수 있는 가정용 운동프로그램을 개발하고자 한다. 본 연구에서 제안된 프로그램은 사용자가 원할 때만 수행지식(knowledge of performance; KP) 피드백과 결과지식(knowledge of result; KR) 피드백을 선택적으로 제공하며 이러한 사용자 주도적인 선택적 피드백은 사용자의 운동효과를 극대화 시킬 것이다.

• The Korean Journal of Physiology and Pharmacology
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• 제5권1호
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• pp.27-32
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• 2001

We have characterized the aftereffects of impulse activities on the transmission of afferent sensory to the primary somatosensory (SI) cortex of the anesthetized rats (n=22). Following conditioning stimulation (CS, 10 sec, either 5 Hz or 200 Hz) to the receptive field (RF), quantitative determination of the changes of afferent sensory transmission was done by generating post-stimulus time histogram of unit response to the testing stimulation (TS, at 0.5 Hz) to the RF center (RFC) for 60 min. In one group of experiments, CS was delivered to the RF center (RFC). In another group of experiments, CSs were simultaneously given to both RFC and RF outside (RFO, either forepaw or hindpaw). CS of 5 Hz to RFC exerted irreversible facilitation of sensory transmissions evoked by TS. Simultaneous CSs of 5 Hz to RFC and hindpaw RFO exerted reversible suppression of afferent transmission. However, CSs of 5 Hz to RFC and forepaw RFO did not significantly altered afferent sensory transmission to SI cortex neurons. CS of 200 Hz to RFC exerted irreversible suppression of sensory transmissions up to 60 min of experimental period. Simultaneous CSs of 200 Hz to RFC and RFO did not significantly altered afferent sensory transmission to SI cortex neurons. The profiles of CS-induced modulation of afferent sensory transmission were significantly different between two CS conditions. Thus, this study suggests that activity-dependent modulation of afferent transmission from a RF center to the SI cortex may be significantly altered when remote body part was simultaneously activated.

• 인터넷정보학회논문지
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• 제20권4호
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• pp.47-53
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• 2019

일반적으로 어지럼증은 여러 가지 복합적인 원인에 의해서 발생하지만 그 중에서 신경계에 속하는 전정계통의 기능 장애에 의한 증상이 가장 환자에게 심한 증상으로 다가오며, 구역질과 구토를 동반하게 된다. 이러한 어지럼증에 대한 치료는 약물요법, 수술요법, 재활치료 등이 있으며, 약물요법이나 수술요법은 대체적으로 후유증의 위험 때문에 재활치료요법인 전정재활훈련을 많이 시행하고 있다. 전정재활훈련은 안구훈련, 자세안정훈련, 보행훈련 등이 있는데 그 중 보행훈련은 의사 또는 전문치료사의 감독하에 일정한 공간에서 진행되므로 시간적, 공간적 부담이 가중되어 환자들이 훈련을 진행기 불편한 단점을 가진다. 이를 해결하고자 본 논문에서는 증강현실 기술을 활용해 사용자가 직접 보행재활훈련을 진행 할 수 있는 보행훈련 콘텐츠를 구현하였다. 추후 어지럼증 환자를 대상으로 한 임상시험을 통해 의료 환경에서 사용 가능한 어지럼증 재활 콘텐츠로 활용 가능할 것으로 기대한다.

• 척추신경추나의학회지
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• 제16권2호
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• pp.47-54
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• 2021

Objectives This review was conducted to study use of Aconitum herbal medicine for pain control in musculoskeletal disease. Methods Musculoskeletal disease is a major factor of social cost increase and physical disability. Various drugs, surgery and imaging are being overused regardlessly. Aconitum herbal plants are one of the most toxic Korean traditional herbs. However, they could be utilized effectively on patients with appropriate processing and decocting time. We searched Korean medicine literature to see various features of aconitum herbal plants and tried to find the utilization of the plants in effective way for pain control in musculoskeletal disease. Results Aconitum herbal plants needs to be used carefully because of intoxication which could lead to severe damage to human body. Processing of these toxic plants could minimize the harm and raise the benefits, such as relieving various types of pain and positive inotropic action. Further studies with clearer evidence and discovering aftereffects of processing in more details are needed. Conclusions Aconitum herbal plants could dedicate to controlling pain in musculoskeletal disease with various forms and appropriate processing.

• Journal of Yeungnam Medical Science
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• 제40권3호
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• pp.297-301
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• 2023

The coronavirus disease 2019 (COVID-19) pandemic has been ongoing for more than 2 years. Many patients who recover from severe acute respiratory syndrome coronavirus 2 infection continue to have aftereffects such as dyspnea and fatigue, which may lead to functional decline. Therefore, the need for managing these symptoms using methods such as pulmonary rehabilitation (PR) has emerged. The purpose of this study was to report the effectiveness of PR in five patients with acute COVID-19. PR was performed in patients with persistent dyspnea and oxygen demand after COVID-19. All five patients were able to maintain an independent functional status before COVID-19. However, after acute COVID-19, they were unable to walk independently and needed assistance for activities of daily living due to dyspnea and fatigue. Therefore, they were referred to rehabilitation units, and PR was performed. The modified Medical Research Council dyspnea scale, maximal expiratory pressure (MEP), 6-minute walking test, forced vital capacity, and grip strength were assessed before and after PR, and the results were compared. After PR, the parameters improved, except for the MEP in one patient (patient 3) and the grip strength in another patient (patient 4). After PR, two out of five patients returned to work and the other three returned home. Therefore, we conclude that PR is necessary for patients with acute COVID-19 with activity limitations.

• 대한화상학회지
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• 제16권2호
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• pp.99-103
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• 2013

Purpose: The biggest problem of wound healing is a possible occurrence of lesion. Especially, in the case of patients who have a skin injury around exposed body parts, if their treatment period drag on for long time, they can suffer from aftereffects and the costs can be passed on to a society. Therefore, in this research, we investigated the need to develop the effective medicine and appliances for the patients by examining which therapy methods are being applying to the skin damage and what is the advantage and limit by evaluating the patient's satisfaction level. Methods: We carried out an online and offline survey targeting medical teams in order to analyze device for wound care. A total of 125 medical teams applied to the research, and investigate the level of customer satisfaction. Results: The moist dressings are the most used method for wound healing. When it comes to the level of customer satisfaction, biological dressing product also has a high satisfaction level. However its high cost tends to limit the use. Conclusion: This research reached a conclusion that it is need to develop a low cost and high efficiency wound care product considering the fact that its high cost and low efficiency induced economic problems. Generally, it is needed to develop a product for skin regeneration based on biological technologies, not a product just for damage cure.

• International Journal of Computer Science & Network Security
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• 제23권10호
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• pp.199-208
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• 2023

The emergence of COVID-19 virus has shaken almost every aspect of human life including but not limited to social, financial, and economic changes. One of the most significant impacts was obviously healthcare. Now though the pandemic has been over, its aftereffects are still there. Among them, a prominent one is people lifestyle. Work from home, enhanced screen time, limited mobility and walking habits, junk food, lack of sleep etc. are several factors that have still been affecting human health. Consequently, diseases like diabetes, high blood pressure, anxiety etc. have been emerging at a speed never witnessed before and it mainly includes the people at young age. The situation demands an early prediction, detection, and warning system to alert the people at risk. AI and Machine learning has been investigated tremendously for solving the problems in almost every aspect of human life, especially healthcare and results are promising. This study focuses on reviewing the machine learning based approaches conducted in detection and prediction of diabetes especially during and post pandemic era. That will help find a research gap and significance of the study especially for the researchers and scholars in the same field.

• 의료법학
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• 제25권1호
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• pp.61-86
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• 2024

본 연구는 경막외 혈종 발생과 관련한 문헌 및 척추 수술 후 경과관찰 상의 과실에 관한 판결 중 요추 MRI 검사 여부에 대해 판단한 하급심 판결에 관해 검토함으로써 척추 수술 후 환자에 대한 지속적이고 세밀한 경과관찰의 중요성을 확인했다. '수술 후 MRI 검사나 협진을 게을리한 사례', '수술 후 통증 및 증상 호소에도 MRI 검사를 지체한 사례', '시술 후 신경학적 증상 발현에도 바로 귀가 조치한 사례'에서는 경과관찰 상의 과실이 인정되었다. '증상에 대해 조치하여 후유증상 발생에 과실이 인정되지 않은 사례', '검사 시행에 대한 의사의 재량범위를 인정한 사례'에서는 경과관찰 상의 과실이 인정되지 않았다. 본 연구가 척추 수술을 받은 환자에 대해 지속적인 세밀한 경과관찰이 필요하다는 것과 특히 새로운 신경학적 증상을 보이는 경우 신속한 MRI 검사 및 진단과 수술적 처치 내지 전원 조치의 중요성에 대한 인식을 높임으로써 척추 수술 후 경과관찰과 관련한 의료사고 및 분쟁의 예방에 도움이 되기를 바란다.