• The Journal of Korea CHUNA Manual Medicine
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• v.2 no.1
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• pp.111-120
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• 2001

We reviewed literatures of western and oriental medicine about postoperative management of spine. Traditionally, with orthoses and bed rest, many physicians restricted activity of daily life and back exercises of patients who had taken spine surgery. More aggressive early mobilization, however, such as strengthening exercise and stretching after 4 weeks of surgery gets grounds nowadays. Physical therapies including manipulation, TENS, MENS, ultrasound and cryotherapy are being used as helpful treatment modalities of postoperative pain and swelling. Failed back surgery syndrome occurs due to wrong patient, diagnosis and surgery and is managed with conservative treatment or reoperation. In oriental medicine, treatments of musculoskeletal injuries including surgical wound are based on the balance of chi(氣) and blood(血).

• Journal of Korean Institute of Industrial Engineers
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• v.14 no.2
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• pp.63-70
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• 1988

Recently a new regime, called "back school" is advocated for the purpose of rapidly and economically returning a patient to full functional fitness and normal occupational activities. Assuming that this functional and vocational restoration is a goal of a regabilitation program, it is apparent that early recovery and higher success rate are major concern. In this study, a mixture model is developed and used to evaluate the recovery process of low back pain (LBP) patients in a rehabilitation program. The model provides (1) the probability of being recovered, and (2) the rate of recovery. Patients with gradual onset, with higher education, or of young age tend to show better prognosis.

• Journal of Home Health Care Nursing
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• v.6
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• pp.5-18
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• 1999

This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

• International Journal of Concrete Structures and Materials
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• v.2 no.2
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• pp.107-113
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• 2008

The last 10 years have seen considerable growth in the use of proprietary and special repair cements for concrete pavements in the state of Oklahoma. Many of these products lend themselves to "fast track" construction techniques that allow reopening to traffic within 12 hours or less. These products achieve high early strengths by accelerating the Portland cement hydration process for both Type I and Type III cements. In this paper, the important features of a durable repair which include strength, compatibility and bond or adhesion are first discussed. Then the development, testing and field implementation of the aforementioned materials are discussed including the learning curve required to implement a repair system, not just install a new material. Some of the materials discussed, while expensive on a cost per unit basis, hold great promise for economical use on fast track project.

• Journal of Korean Physical Therapy Science
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• v.4 no.3
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• pp.499-509
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• 1997

The facial nerve have a long pathway. Thus facial nerve fibers easily involved at any point along their course will lead to a facial palsy of lower motor neuron type and upper motor neuron type. The electrophysiologic examination can evaluate and anticipating that prognosis of facial nerve palsy. The electrophysiologic examination are Nerve Excitability Test(NET), Elecctroneurography(ENG), Electro-myography(EMG), Blink Reflex, and Electrogustometry et.al. The NET is very useful method for assessment of prognosis and distinguish between nerve degeneration and physiological block as early as 72 hour after onset of the facial palsy. And other examination also give objectively information of facial nerve for prognosis and treatment. Treatment goal of physiotherapy are prevent contracture and disuse atrophy of facial muscle with muscle reeducation and strengthening and maintain symmetry facial motion. The treatment better start as early as possible.

• Speech Sciences
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• v.4 no.2
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• pp.103-113
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• 1998

The human baby appears to be born with preexistent knowledge of language. This specialized neural structure in the brain awaits auditory experience with language to trigger it into functioning. The auditory-linked acquisition of language is a time-locked function related to early maturational periods in the infant's life. The longer auditory language stimulation is delayed, the less efficient the language facility will be. It is for these reasons that it is urgent to fight the hearing problems of children with all the skill, knowledge and insights of which we are capable, the so called 'rehabilitative process'. An understanding of the timetable and the origin of prenatal to early life development of auditory mechanism will help in planning the aural rehabilitation. Further interests and studies are needed to establish the systematic structure of rehabilitative audiology.

• Journal of Trauma and Injury
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• v.36 no.3
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• pp.269-275
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• 2023

A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.

• The Journal of Korea CHUNA Manual Medicine
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• v.4 no.1
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• pp.1-16
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• 2003

Objectives : The purpose of this study is researching for possibility that Moire topography be applied in group school screening for scoliosis known school health problem, and find acceptable method of early detection and early treatment for scoliosis Methods : The authors practiced Moire topography for primary & middle school 1,895 students[male 976, female 919] in Jeonju, korea in 2001. After we distinguished students who had abnormal finding in Moire topography and then re-examined spinal X-ray analysis. The data was analysed and evaluated statistically Results : According to this research, the abnormal finding in Moire topography was 53.7% (1,018 students), and students needed X-ray re-examination were 11.2% (213 students). Students diagnosed scoliosis by X-ray re-examination were 1.8%. According to statistical analysis, interval between vertical base line of pelvis and vertical base line of neck, gap between left distance and right distance to the vertical base line of pelvis and difference of contour lines have strong correlations with deformity degree of the body surface examined by Moire. Conclusions : Following this research, throughout early detection for scoliosis by Moire topography could reduce exposure from scoliosis radiographs, and could detect trunk asymmetry that couldn't be found existing X-ray examination, so it made selecting students under observation who have bad posture possible.

• Journal of Haehwa Medicine
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• v.20 no.1
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• pp.137-142
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• 2011

Objective : The purpose of this study was to review on the need for early screening of scoliosis. Methods : We have researched and analyzed theories and literatures of scoliosis screening program. Result : The following results were obtained in this study. 1. Scoliosis screening should be carried out to improve middle and high school students's health and learning abilities. 2. The methods are the forward bending test, Moire test and X-Ray. 3. After the examination held by differentiating the degree of scoliosis, surgery or brace treatment for students should be carried out. 4. After the examination, appropriate acupuncture, exercise therapy and orthodontic treatment for students should be carried out. 5. Spinal health courses for young people should be held regularly to equip and encourage a healthy body and healthy mind and contribute to improve the learning efficiency. Conclusion : Scoliosis screening and early detection should be done in the Daejeon city middle school or high school students, and appropriate treatment should be performed as soon as possible.

• Korean Journal of Soil Science and Fertilizer
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• v.48 no.6
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• pp.744-750
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• 2015

The objectives of this study were to investigate soil chemical characteristics for forest rehabilitation and suggest management in abandoned coal mine areas in Boryeong City, Chungcheongnam-do. Total study sites were seven sites, and soil properties analyzed were soil pH, total organic carbon (TOC), total-N, C/N ratio, and available $P_2O_5$ (A.v. P). Average soil pH (range) was 5.9 (4.5~7.0). Three study sites (Samgwang, Shinsung1, and Shimwon1) showed lower soil pH than standard (pH 5.6~7.3) of Korea Industrial Standards (KS) for abandoned coal mine forest rehabilitation. Average contents of TOC, and total-N were 1.5% (0.1~4.7%), and 0.10% (0.03~0.23%), respectively. Five study sites where the collapsed time was less than 10 years (Wangjashingang, Wonpoong, Samgwang, Shinsung1, and Shinsung2) showed lower TOC level than standard of KS (more than 1.2%). Wangjashingang, Wonpoong, Samgwang, and Shinsung1 showed lower level of total-N than standard of KS (more than 0.09%). C/N ratio of six study sites except Shimwon1 was out of proper range (15:1~30:1). Average A.v. P (range) was $20.7mgkg^{-1}$ (4.8~63.1), less than other abandoned coal mine fores rehabilitation areas in Mungyong City, and Hwasun-gun. TOC, total N and A.v. P increased with elapsed time from forest rehabilitation, while other soil properties did not show distinct pattern. Betula platyphylla was planted in Samkwang and Sinsung where soil pH was less than KS standard. Because the growth of Betula platyphylla can be limited in acid soil, it is necessary to neutralize soil pH to proper level with some soil amendment such as lime or shell of oyster. Furthermore, TOC, total-N and A.v. P in early stage of forest rehabilitation showed lower level than proper to vegetation growth. Therefore it needs continuous monitoring of soil characteristics and fertilization for vegetation growth and influx from surrounding forest in early stage of rehabilitation.