• 대한물리치료과학회지
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• 제15권2호
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• pp.87-95
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• 2008

Background: Hemiplegic patients usually have difficulty maintaining balance. Balance training is a major component of there habilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of PLS(Posterior Leaf Spring), FES(Functional Electrical stimulation), treadmill training, and neurodevelopmental treatment on the improvement of balance in patients with hemiplegia. Methods: We looked into published studies from Dankook University’s electronic library databases of RISS4U, KMbase, NCBI, and MEDLIS concerning the effectiveness of any form of intervention leading to improvement of balance. All types of studies relevant to the topic that were published in English during the time period of 1986 to 2005 were included. Results: 1. There were significant differences in standing balance, dynamic activity balance, and gait speed between barefoot subjects and subjects who wore SPAFO and HPAFO(p<.05). 2. The changes in ROM and FRT related to sex, age, height, and weight part of the diagnosis, as well as experience relapse, was of meaningless value. Changes in ROM related to the duration of pain and experiences of falling down were also meaningless. However, FRT showed significant static differences(p<.05). 3. The body-weight-support treadmill training scoring of standing balance, step length, and a timed 10m walking test showed definite improvement. 4. The proprioceptive control approach improved dynamic balance in patients with hemiplegia. Conclusion: Consequently, further study is needed to verify methods when physical therapists are researching balance ability in hemiplegic patient.

• 한국운동역학회지
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• 제30권1호
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• pp.121-129
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• 2020

Objective: This study was conducted with the aim of verifying the effectiveness of the duocock exercise, which is being utilized at the newly developed site to promote balance maintenance, basic physical strength and muscle strength among various age groups, in order to prevent fall and successfully age. Method: In this study, we conducted the duocock Exercise Program for 12 weeks (twice a week for an hour) for 10 senior citizens aged 65 or older (68.8±4.76 yrs, height: 15±6.00 cm) using Western-based health institutions in Daejeon, and compared the pre- and post- effects on basic physical strength and posture balance. All the data obtained from this study were used in statistical program SPSS 24 to perform paired t-test. The significance level for all statistical analyses was set at the level of p<0.05. Results: The 12 week duocock program showed statistically significant improvements in lower extremity muscle strength, equilibrium, agility, balance, and coordination in the basic fitness factors underlying successful aging (p<0.05). In addition, the trunk imbalance, which acts as a factor of falls and body balance, was statistically significant (p<0.05) and the posture balance of the sagittal plane also showed the effect of proper body adjustment. Conclusion: Based on the results of this study, duocock provides a new exercise program in the form of a sustainable sport as a two-handed exercise, and is very effective for the elderly to improve their basic physical strength as well as to control postural imbalances, strengthen and increase muscle strength.

• Journal of Trauma and Injury
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• 제28권4호
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• pp.248-255
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• 2015

Purpose: study of the mutual influence of the individual anatomical regions damage in patients associated with falls from heights. Methods: 561 medical reports of patients associated with falls from heights admitted to Republican Research Center of Emergency Medicine (RRCEM), in period of 2010-2013 yy, were analyzed retrospectively. Patient's age range was from 15 to 89. Treatment of these patients held in three stages: period of acute disorders of vital functions; relative stabilization period; stabilization of vital functions. The scope and content of medical diagnostic procedures performed on pre-hospital and intensive care stages. The severity of each injury was scored according to the AIS scale, the total severity of lesions was scored by points due to ISS. Digital material is treated by methods of mathematical statistics. Results: Falls from heights leads to associated injuries for 4 times more than isolated trauma, and increases according to height of fall and falling surface. Patients with TBI+chest trauma, are most serious contingent that has highest mortality and complications (36.8%). TBI+musculoskeletal system trauma are characterized by high blood loss, traumatic shock and fat embolism, forming a vicious circle. Conclusion: in patients associated with falls from heights clinical manifestations of injuries mutual aggravation syndrome will be seen. TBI leads to complication of chest trauma, delayed diagnostics of abdominal and chest trauma, aggravation of coma condition. Developing of high blood loss and fat embolism in musculoskeletal system trauma leads to shock and pulmonary embolism, which increases probability of death in the presence of abdominal or chest trauma, but abdominal trauma or chest trauma has no significant effect on the severity of the musculoskeletal system trauma.

• 대한인간공학회지
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• 제35권1호
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• pp.1-10
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• 2016

Objective: This study aimed to find good design for summer functional farm shoes under the agricultural environment and working characteristics, which can help safe farm work and further promote the efficiency of working. Background: Most accidents at farms were overturn accidents caused by slipping or falling, and it was found that the main factors which caused the overturn accidents were inappropriate work shoes for the working conditions. These inappropriate work shoes often cause overturn accidents in the rural areas with steep paths. Method: A survey on work shoes was conducted with 174 farmers, and the outcome of this survey was used to find problems of work shoes and improvement ideas for the design of work shoes which can be used at farms. Results: Regarding the form of farm shoes, the ankle height was set at 6 inches to prevent the bending of the ankle and the inflow of foreign substances. The size and groove of the pattern of the outsole were extended to prevent catching of foreign substances. In the upper part, polyurethane and cordura were used in combination to secure air permeability, which was pointed out as the reason for the discomfort during the work wearing existing work shoes. Conclusion: Since farmers felt discomfort with the shoes which they were currently wearing, this study suggested a design of farm shoes by analyzing the important matters of the work shoes in development in order to improve such discomfort. Application: This study can help develop farm shoes that would practically ease farmers' burden of working at farm worksites and keep them safe.

• Journal of Trauma and Injury
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• 제30권4호
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• pp.238-241
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• 2017

A 52-year-old man experienced blunt trauma upon falling from a height of 40 m while trying to repair the elevator. The patient's systolic blood pressure and hemoglobin levels were 60 mmHg and 7.0 g/dL, respectively, upon admission. A large volume of bloody discharge was observed in the open wound of the perianal area and sacrum. A computed tomography scan revealed an open comminuted sacral fracture with multiple contrast blushes. He underwent emergency laparotomy. Both internal iliac artery ligations were performed to control bleeding from the pelvis. Protective sigmoid loop colostomy was performed because of massive injury to the anal sphincters and pelvis. Pad packing was performed for a sacral open wound and perineal wound at the prone position. After resuscitation of massive transfusion, he underwent the second operation 2 days after the first operation. The pad was removed and the perineal and sacral open wounds were closed. After the damage-control surgery, he recovered safely. In this case, the hemodynamically unstable, open comminuted sacral fracture was treated safely by internal iliac artery ligation with pad packing.

• 보존과학회지
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• 제25권2호
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• pp.131-145
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• 2009

고령 양전동암각화는 녹색 사암으로 구성된 너비 6m 높이 3m의 암반의 절리면에 겹동그라미(3점)와 방패무늬(30점)의 그림들이 있다. 구성암석의 주 구성광물은 석영, 장석 및 녹니석이며, 교질물인 점토광물 중 녹니석이 대부분이나 일라이트와 소량의 방해석도 산출된다. 이들 점토광물들은 구성광물을 피복 및 성분을 교대하거나 공극을 충진하는 양상으로 산출된다. 수용성 염과 암석의 풍화현상과의 관계를 포함한 훼손양상과 암각화가 그려진 암반의 사면안정성을 조사하였다. 훼손양상은 주로 표면박리, 입자박락, 균열 및 파손 등이다. 그리고 절리와 균열이 발달한 암반은 낙석의 가능성이 있는 것으로 해석된다. 보존을 위해서는 균열 및 파손 부위에 대한 접착처리와 약해진 표면층에 강화처리가 필요하다.

• 대한족부족관절학회지
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• 제17권1호
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• pp.34-39
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• 2013

Purpose: To evaluate the effectiveness of intraoperative stress test for diagnosis of occult Lisfranc injury. Materials and Methods: Between April 2009 and October 2012, 21 patients with occult Lisfranc injuries underwent intraoperative stress test and internal fixation. There were 11 males and 10 females with an average age of 45.3 years (range, 23~79 years). Injuries were caused by traffic accident in 10 cases, indirect force (twisting injury) in 8 cases, and crush in 2 cases, falling from a height in 1 case. Unstable injuries on stress radiograph in occult injury of Lisfranc joint were treated by open reduction or closed reduction and fixation with cannulated screw or K-wire. Radiological evaluation was assessed according to preoperative and postoperative diastasis between $1^{st}$ and $2^{nd}$ metatarsal base. Results: Assoicated injuries were 9 cases of metatarsal fractures, 6 cases of cuneiform fractures and 6 cases of both metatarsal and cuneiform fractures. Medial and middle column fixation was in 13 cases, and three columns fixation was in 8 cases. Initial diastasis between $1^{st}$ and $2^{nd}$ metatarsal base was 2.8 mm (1.3~4.7 mm) on AP radiograph and postoperative diastasis between $1^{st}$ and $2^{nd}$ metatarsal base was 1.2 mm (0.5~2.4 mm) on AP radiograph. Conclusion: Even there is no sign of clear Lisfranc injury, it is necessary to pay attention and give evaluation on circumstances of occult Lisfranc injuries with metatarsal or cuneiform fractures. Intraoperative stress test is helpful to diagnose an occult Lisfranc injury. For unstable injuries on stress radiographs of occult Lisfranc joint injury, operative treatment with open or closed reduction and internal fixation is useful method.

• 한국유기농업학회지
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• 제18권1호
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• pp.55-62
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• 2010

'신고' 배 실생묘의 수체 생육 특성에 관한 결과를 통해서, 충분히 부숙된 유기질 비료의 시용은 뿌리 생체중 및 세근의 양이 많아지고 근 활력이 높아졌을 뿐만 아니라 지상부 수체 생육이 좋아지는 효과를 나타냈다. 과원 내 유목묘의 궁극적인 목적은 왕성한 수체 생장으로 과실 생산을 조기에 달성하는 것인데, 본 실험 결과를 통해서 유기질 비료 처리로 초기 과원재배의 궁극적인 목적을 어느 정도 이룰 수 있을 것으로 판단된다. 또한, 건강한 수체 생산으로 응애의 피해에 의한 낙엽률이나 엽 피해도를 감소시키는 결과를 가져와서 병충해에 대한 내성을 제고함을 알 수 있었다. 따라서 토양 내 충분히 부숙된 유기질 복합 퇴비 시용은 빠른 시일 내에 수체 생장과 안정성을 확보할 수 있다는 측면으로, 육묘장이나 기타 과수 실생묘에 이용될 수 있을 것으로 판단된다

• 한국수자원학회논문집
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• 제34권4호
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• pp.365-379
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• 2001

본 연구는 사다리식 어도에서 회유성 어류의 소상능력을 평가하기 위한 것으로서 은어와 송어를 대상으로 하여 생태수리실험을 실시한 것이다. 생태수리실험의 결과를 바탕으로 하여 하천에서 회유성 어류의 이동환경을 분석하였다. 사다리식 어도에서 회유성 어류의 소상능력에 영향을 미치는 주요 인자는 어도의 유량, 어도경사, 어도입구부의 어도와 하상 사이의 낙차이다. 사다리식 어도에서 은어의 소상은 주어진 유량에 대하여 어도경사에 좌우되고, 송어의 소상은 주어진 어도경사에서 유량에 영향을 많이 받는다. 산천어는 소하성이 거의 상실된 것을 실험을 통하여 확인할 수 있었다. 사다리식 어도에서 은어와 송어의 소상수리영역을 무차원 인자 F(sub)f 와 H(sub)h 에 따라서 설정할 수 있었다. 우리나라 동해안지역에 설치된 사다리식 어도의 소상기능은 어도의 최대경사가 매우 급하기 때문에 충분히 발휘되지 못하고 있다.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2008년도 추계 학술발표회
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• pp.992-1006
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• 2008

The tunnel type spillways is under construction to increasing water reservoir capacity in Dae-am dam. Cutting-slope adjacent to outlet of spillways had been originally designed to be 63 degrees and about 65m in height. Examination is carried out in preceding construction that it is caused to some problems possibility which of machine for slope cutting couldn't approach to the site, blasting for cutting slope might have negative influence on highway and roads nearby, and fine view along the Tae-hwa river would be eliminated. In order to establish stability of tunnel and more friendly natural environment that we are carry out detailed geological surface survey and analysis of slope stability. So, we are design and construct for tunnel excavation with possible method that it is keep up natural slope. The result of survey and analysis that natural slope was divided 3 zone(A, B, C zone). In A and B zone, in first removed floating rock, high tensile tension net is install that it prevent of release and falling of rock, in order to security during under working. In addition to, pre-stressed rock anchor is install purpose of security during tunnel excavation because of fault zone near vertical developed above excavation level. Zone C is relatively good condition of ground, design is only carry out random rock bolt. All zone are designed and constructed drainage hole for groundwater and surface water is easily drain. Desinged slpoe is harmony with near natural environment. Successfully, construction is completed.