• 한국전문물리치료학회지
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• 제25권3호
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• pp.60-67
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• 2018

Background: Progressive muscle weakness is aggravated not only in the skeletal muscles but also in the respiratory muscles in many patients with neuromuscular diseases (NMD). Inspiratory muscle training (IMT) has been reported as therapy for pulmonary rehabilitation to improve respiratory strength, endurance, exercise capacity, and quality of life, and to reduce dyspnea. Objects: The purpose of this study was to determine the effect of playing harmonica for 5 months on pulmonary function by assessing the force vital capacity (FVC), peak cough flow (PCF), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and maximal voluntary ventilation (MVV) in patients with NMD. Methods: Six subjects with NMD participated in this study. The subjects played harmonica once a week for 2 hours at a harmonica academy and twice a week for 1 hour at home. Thus, training was performed thrice a week for 23 weeks. The examiner assessed pulmonary function by measuring FVC in the sitting and supine positions and PCF, MIP, MEP, and MVV in the sitting position at the beginning of training and once a month for 5 months. Results: Both sitting and supine FVC significantly increased after playing harmonica (p=.042), as did MIP (p=.043) and MEP (p=.042). Conclusion: Playing harmonica can be used as an effective method to improve pulmonary function in patients with NMD.

• 대한의료기공학회지
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• 제23권1호
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• pp.1-9
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• 2024

Objective : This report is to introduce the clinical application of Whidam's Su-Gi therapy to shoulder pain. Methods : Whidam's Su-Gi therapy for shoulder pain first identifies for red flags in order to select a person to be treated in korean medicine. After performing shoulder joint mobility evaluation and Su-Gi treatment, determine the disadvantage, and determine the mobility evaluation and Su-Gi treatment route of the shoulder, the shoulder blade, and cervical vertebrae. The advantage and pain are evaluated by a manual exercise test. After performing Su-Gi therapy according to the evaluation at each stage, pain and dysfunction are reevaluated to check the negative and proceed to the next step. Conclusions : The clinical application of Whidam's Su-Gi therapy to shoulder pain was organized around the correlation between the shoulder joint, the shoulder, the shoulder blade, and cervical vertebrae, and a medical flow chart was constructed away from the listed description method.

• 한국초등수학교육학회지
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• 제13권2호
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• pp.285-304
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• 2009

초등학교 수와 연산 영역 중 핵심적인 내용이면서 많은 학생들이 어려워하는 부분이 분수 연산임에도 불구하고 분수의 덧셈과 뺄셈에 관한 연구는 상대적으로 많지 않다. 이에 본 논문은 제7차 및 개정 교육과정에 제시된 내용을 바탕으로 교육과정과 교과서간 연계성, 지도시기의 적절성, 차시 구성의 적절성 측면에서 분수의 덧셈과 뺄셈에 관한 내용을 분석하고 교과서의 내용 전개에 따라 도입, 활동, 익히기 부분으로 나눠서 면밀히 분석하였다. 또한 관련된 내용이 있는 경우마다 익힘책의 내용을 추가적으로 탐색함으로써 분석의 깊이를 고려하였다. 구체적으로 도입 부분에 대해서는 '생활에서 알아보기'에 제시된 문장제가 실생활과 어느 정도 연결되는지, 다루는 문장제의 의미는 무엇이며 그 빈도는 어떠한지, 문장제의 해결 방법을 어떻게 제시하고 있는지를 분석하였다. 활동 부분에 대해서는 공통적으로 많이 활용하고 있는 시각적 모델에 대해서 활용의 다양성과 적절성을 살펴보았고, 활동을 통해 계산 원리 및 방법을 어떻게 형식화하는지를 탐색하였다. 마지막으로, 적용 부분에 대해서는 교과서의 '익히기'와 수학익힘책에 제시된 문제 유형을 분석하고, 문장제를 통해 드러나는 연산의 의미를 집중적으로 분석하였다. 이를 통해 본 논문은 개정 교육과정에 의한 수학과 교과용 도서 개발에 논의거리와 시사점을 제공하고자 한다.

• Animal cells and systems
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• 제15권4호
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• pp.279-286
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• 2011

Hypoxic ischemia injury is a common cause of functional brain damage, resulting from a decrease in cerebral blood flow and oxygen supply to the brain. The main problems associated with hypoxic ischemia to the brain are memory impairment and dopamine dysfunction. Hypothermia has been suggested to ameliorate the neurological impairment induced by various brain insults. In this study, we investigated the effects of hypothermia on memory function and dopamine synthesis following hypoxic ischemia to the brain in rats. For this purpose, a step-down avoidance task, a radial eight-arm maze task, and immunohistochemistry for tyrosine hydroxylase (TH) and 5-bromo-2'-deoxyuridine (BrdU) were performed. The present results indicated that the hypoxic ischemia-induced disturbance of the animal's performances and spatial working memory was associated with a decrement in TH expression in the substantia nigra and striatum, and an increase in cell proliferation in the hippocampal dentate gyrus. Hypothermia treatment improved the animals' performance and spatial working memory by suppressing the decrement in TH expression in the substantia nigra and striatum and the increase in cell proliferation in the dentate gyrus. We suggest that hypothermia can be an efficient therapeutic modality to facilitate recovery following hypoxic ischemia injury to the brain, presumably by modulating the dopaminergic cell loss.

• 대한한방내과학회지
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• 제16권1호
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• pp.40-61
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• 1995

This study was performed to investigate concept, systoms, causes of disease, pathogenic mechanisms, therapies and precriptions about senile constipation through the successive medical literature, recent chinese medical literature and chinese medical joumals. Senile constipation seems to be applicable to dryness syndrom and constipation of insufficiency type, have something to do with kidney(the most), lung, spleen and large intestine. The most principal cause of disease is yin-fluid, the rest deficiency of qi, insufficiency of yang, stagnation of qi and retention of fever etc. There are enriching the blood and moistening dryness in principal therapy, the rest are invigorating qi and loosing the bowel, warming and invigorating the spleen and kidney, regulating the flow of qi and promoting the stagnancy of qi and expelling the pathogenic heat etc. In prescriptions there are Yunjangtang, Jengaektang, Hwanggitang, Jechunjeon, Yukmatang and Majainhwan as the causes of disease, meanwhile are Yungjang-tang, Jechunjeon and Majainhwan in the vulgaris prescriptions. And in medical herbs there are nourishing yin medicines as Rhizoma rehmanniac, Radix ophiopogonis and Radix scrophulariae etc., invigorating qi medicines as Radix astragali, Radix codonopsitis and Radix polygoni multiflori etc, invigorating yang medicines as Caulis cistanchis and Semen psoraleae etc., promoting qi circulating medicines as Radix saussurea, Lignum aquilariae and Radix linderae etc., and reducing fever and therapeutic method to keep the adverse qi flowing downward medicines as Semen cannabis, Rhizoma rhei, Fructus immaturus ponciri, and Cortex magnoliae etc.. Meantime Rhizoma rehmanniae, Radix ophiopogonis, Caulis cistanchis, Radix angelicae gigantis, Semen cannabis, Semen biotae, Semen pruni japonicae and Semen persicae in principal herb-medicines. In clinical reports the process of disease was between 10 to 20 years, the evacuation cycle between 4 to 7 days, generally possessed chronic diseases as hypertension, diabetes, arteriosclerosis and cerebro- vascular disorders etc. and the efficiency rate was more than 90%. The senile constipation is occured in succession or promoted by chronic diseases as obesity, hypertension, diabetes, arteriosclerosis. hrperlipemia, cerebro- vascular disorders etc., so diet-regulating, adequate exercise, proper evacuation-habit and psychologic rest etc. are important more than medicine-treatments.

• 융합보안논문지
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• 제20권2호
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• pp.85-90
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• 2020

본 연구는 지적장애아동의 비만 예방·관리를 위한 애플리케이션 모형 개발에 필요한 정보를 제공하고 실용적 모바일 애플리케이션 개발을 위한 개선 방안을 제시하고자 하였다. 지적장애아동을 위한 비만 예방·관리 모바일 애플리케이션은 학부모와 장애아동 사이에 전달되는 정보와 서비스가 애플리케이션을 통해 효과적인 흐름이 가능하도록 구성하는 것이 필요하다. 부모는 애플리케이션을 통해 전달받은 지적장애아동의 현재 상태와 비만관리 정보에 피드백하고, 아이에게 지지, 격려, 보상 등의 동기부여의 과정을 통해 긍정적 변화를 가져올 수 있다. 이러한 구성을 통해 동기부여의 과정에 부모의 개입을 통해 효과적인 비만관리를 도출할 수 있을 것으로 기대된다. 콘텐츠의 구성은 영양, 운동(신체활동), 생활습관의 세 가지로 이루어지며, 각각의 콘텐츠는 지적장애아동의 특성을 반영하여 간단하면서도 이해가 쉬운 방식을 적용하는 것이 바람직하다. 지적장애아동에 최적화된 모바일 애플리케이션을 위해서는 인터페이스의 단순화, 알림기능과 보상, 음성인식 및 자막지원의 전략을 통해 사용자 확대와 지속성을 제안하였다.

• 한국디지털건축인테리어학회논문집
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• 제11권4호
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• pp.5-11
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• 2011

The present study investigated the actual conditions of physical therapy rooms at long-term hospitals in Korea and conducted a comparative analysis to develop an efficient floor plan and facility improvement measures. 1. At hospitals surveyed, physical therapy services were used at a high frequency but they did not have enough space for rehab treatment and long paths of patient flow were found to make patient management inconvenient. Therefore, physical therapy units should be conveniently located both in terms of distance and direction so as to be accessible from patient rooms or wards. The space should be organized in a concentrated layout for efficiency of physical therapy, and floor planning for therapy units should ensure the best possible viewing angle to therapists. 2. With regard to the disease characteristics of patients, many physical therapy rooms were in difficult circumstances because of poor facilities, so they need to secure skilled personnel, supplement apparatuses and equipment and have rooms for functional recovery, hydrotherapy and operation treatment. In addition, each of the curtained or partitioned areas for treatment should be set up with consideration for the amount of space taken up by medical equipment. The area under each bed should be designed for patient convenience so that it can be used as storage space for patient's belongings and shoes. 3. Patients complained about the lack of physical therapy space, resting places or exercise areas and demanded the expansion of rehab programs and facilities. Physical therapy facilities need to be improved for patient privacy and effective natural ventilation. 4. At most of the long-term hospitals surveyed, physical therapy units were found to have small areas and treatment equipment and devices were insufficient compared to the number of patients. Therefore, it is required to secure more space (at least 138.24 sq. meters per 100 beds) and improve facilities for better physical therapy services.

• 한국임상수의학회지
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• 제32권3호
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• pp.243-246
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• 2015

9개월령 암컷 치와와(체중 1.5 kg)가 운동 불내성과 좌측 흉벽 심기저부의 큰 심잡음으로 의뢰되었다. 방사선 검사의 배복상에서 좌심실 종대 및 주폐동맥, 대동맥, 좌심방 확장의 전형적인 소견인 트리플범프(triple bump)가 확인 되었다. 심초음파 검사에서 동맥관이 확인되었으며 대동맥과 주폐동맥 사이에 좌우 방향의 연속적인 와류(최고 속도 5.73 m/s)가 측정되었다. 이 환자는 대퇴 정맥(정맥을 통한 접근)으로 접근하여 Amplatzer$^{(R)}$ vascular plug를 이용해 동맥관을 성공적으로 폐쇄하였다. 본 증례는 PDA를 대퇴 정맥으로 접근하여 vascular plug를 이용해 막은 국내 최초보고이다.

• Journal of Chest Surgery
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• 제12권3호
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• pp.297-305
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• 1979

Occlusive coronary artery disease presents a potential threat to a significant population in the United States. According to many case reports, the increasing incidence of coronary artery disease due to atherosclerosis is noted in Korean, recently. Operative vascular procedures have increased steadily in number over the past 20 years in the United States. There have been many isolated case reports about coronary artery surgery, but these had little clinical impact. Nowadays, major three coronary bypass surgery has developed principally at three cardiac centers in the United States since 1967. Among three coronary bypass operation, the aorta-coronary artery saphenous vein bypass graft was first demonstrated by Favolaro and Effler at the Cleveland Clinic in 1967. We experienced one case of coronary artery disease, which was treated successfully by aorta-coronary saphenous vein graft with mild hypothermia under extracorporeal circulation in May, 1977. Saphenous vein was removed from above the knee and was 2.5 mm in diameter. The left ventricle was not vented for the left ventricle was not overdistended. Temporary artificial pace-maker-Medtronic-was implanted for the prevention and treatment of post-operative arrhythmia and heart block in post-operative first day. He is a 57 year old male businessman who had been suffered from hypertension [200 mmHg in systolic pressure] since 4 years ago, who had intermittent conservative treatment at local clinic. He had been afflicted with severe chest pain with choking sensation for 50 days. This symptom was aggravated exposing cold weather, or cold water, but was respond to rest. Pre-operative ECG revealed no any other ischemic sign except sinus bradycardia. Significant S-T segment depression was noted at lead II, AVF after double 5 minutes exercise, indicating positive Master`s test. Serum cholesterol was slight elevated to 253 mg/dl. Final pre-operative diagnosis was made by coronary arteriogram, which showed about 1.0-cm segmental 90 % occlusive atherosclerotic lesion in the proximal part of right coronary artery above the origin of acute marginal artery. Left coronary artery revealed good patency and there was no collateral circulation between right and left coronary artery .Hospital course was not eventful. He was discharged with good result on the post-operative day. He has been free from chest pain for longer than 2 years. And also the arterial flow in the coronary bypass graft is auscultated with the pocket-sized ultrasonic velocity detector, which shows the patency of the coronary bypass graft good.

• 한국화재소방학회논문지
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• 제13권3호
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• pp.35-42
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• 1999

건물 화재 시 인명안전설계의 목표는 피난에 필요한 최소한의 시간을 확보하는 것이다. 본 논문에서는 적정 피난 설계를 위하여 다음과 같은 내용을 연구하였다.-국내 사무소 건물의 거주밀도 분포를 조사 분석하였다. -고층 사무소 건물에서 대피훈련을 시행하여 예상 피난시간을 관측하였다. -피난전용 프로그램의 하나인 SIMULEX를 적용하여 컴퓨터 피난모델의 특성과 적용상의 한계를 연구하였다. -거주밀도와 파난시간과의 상관성을 분석하였다. 연구 결과 국내 사무소 건물의 거주밀도는 총 바닥면적(Gross Area)기준으로 13.14$m^2$/인 -22.69$m^2$/인이며 평균 19.72$m^2$/인 (193ft\sup 2\인)으로 조사되었다. (95% 신뢰도 기준) 또한 고층 사무소 건물의 대피훈련과 SIMULEX 모델 결과를 비교하여 피난시간에 큰 차이가 나타나 현 모델의 가정과 계산 방법에 한계가 있음을 보여주었다. 한편, 거주밀도와피난시간과의 분석 결과, 동일용도에서도 차이를 보이고 있어 용도별 거주밀도 기준 마련이 시급한 것으로 판단된다.