• 대한정형외과학회지
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• 제56권5호
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• pp.433-439
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• 2021

파상풍 감염에 대한 확실하고 효율적인 예방법이 있어 선진국에서의 발병률과 사망률은 현저히 감소하였으나 이로 인해 파상풍 감염에 대한 인지도 저하 및 예방접종 규칙 미준수로 최근 발병률의 증가 추세를 보인다. 파상풍 감염 결과는 치명적일 수 있어 예방이 우선되어야 하며 감염 시 적극적인 수술적 처치와 지지요법을 통해 치료해야 한다. 이에 저자들은 족부 부상으로 인해 발생한 59세 남성 환자의 전신 파상풍 증례를 통해 감염된 족부에 적극적 외과적 변연절제술 및 절단을 시행하였고 2개월간 지지요법을 통해 환자는 성공적으로 회복하였다.

• 한국의류산업학회지
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• 제9권1호
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• pp.89-95
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• 2007

The purposes of this study were to investigate the names and locations of beauty-related high schools, and to examine the cources and subjects of beauty-related high schools according to types of high schools. Data were obtained from 8 beauty-related high schools, which consisted of 2 schools for each beauty-related high schools types and permitted the investigation of their curriculum. The findings of this study were as follows: First, These were about 30 beauty-related high schools that were mostly industrial high schools, located in Busan and Kyungsang Province, and almost used "Beauty" or "Aesthetics" as the name of department. Second, the rates of common and professional courses of business high schools and industrial high schools were similar to those suggested from the Ministry of Education and Human Resources. But for specialized high schools and integrated high schools, the rate of these courses were not in accord with those of the Ministry of Education and Human Resources. Third, The credit hour of special study in beauty-related high schools largest in hair care, followed by skin care and makeup courses. But nail and foot care were established only 2-3 beauty-related high schools. Fourth, The number of subjects of special study were largest in specialty high school. Industrial high schools offered the least number of subjects of special study. Fifth, as a result of making a comparative analysis of their subjects of special study, eight high schools offered hair care, skin care, public health and makeup courses, which had the same or similar titles. The independence titles were established nail care and foot care. The others titles were established actual training, food and nutrition, digital image processing, accounts theory, coordinatin.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.217-223
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• 2023

Purpose: Defects involving the ankle and foot are often the result of road traffic accidents. Many such defects are composite and require a flap for coverage, which is a significant challenge for reconstructive surgeons. Various locoregional options, such as reverse sural artery, reverse peroneal artery, peroneus brevis muscle, perforator-based, and fasciocutaneous flaps, have been used, but each flap type has limitations. In this study, we used the distally based lateral supramalleolar flap to reconstruct distal dorsal defects of the foot. The aim of this study was to analyze the efficacy of the flap in reconstructing distal dorsal defects of the foot. The specific objectives were to study the adequacy, reach, and utility of the lateral supramalleolar flap for distal defects of the dorsum of the foot; to observe various complications encountered with the flap; and to study the functional outcomes of reconstruction. Methods: The distal dorsal foot defects of 10 patients were reconstructed with distal lateral supramalleolar flaps over a period of 6 months at a tertiary care center, and the results were analyzed. Results: We were able to effectively cover distal foot defects in all 10 cases. Flap congestion was observed in two cases, and minor graft loss was seen in two cases. Conclusions: The distally based lateral supramalleolar flap is a good pedicled locoregional flap for the coverage of distal dorsal foot and ankle defects of moderate size, with relatively few complications and little morbidity. It can be used as a lifeboat or even substitute for a free flap.

• 대한간호학회지
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• 제45권4호
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• pp.587-594
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• 2015

Purpose: To identify the effects of foot reflexology massage on fatigue, stress and depression of postpartum women. Methods: A nonequivalent control group pre-post design was used. A total of 70 women in a postpartum care center were recruited and were assigned to the experimental group (35) or control group (35). Foot reflexology massage was provided to the experimental group once a day for three days. Data were collected before and after the intervention program which was carried out from December, 2013 to February, 2014. Data were analyzed using Chi-square test, Fisher's exact test, and t-test. Results: The level of fatigue in the experimental group was significantly lower than the control group (t= - 2.74, p=.008). The level of cortisol in the urine of women in the experimental group was significantly lower than the control group (t= - 2.19, p=.032). The level of depression in the experimental group was significantly lower than the control group (t= - 3.00, p=.004). Conclusion: The results show that the foot reflexology massage is an effective nursing intervention to relieve fatigue, stress, and depression for postpartum women.

• 한국엔터테인먼트산업학회논문지
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• 제13권5호
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• pp.195-201
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• 2019

본연구의 목적은 발내재근 훈련과 새로운 접근 방법인 발배뼈 가동술 중 유연성 편평발에 효과적인 중재방법을 알아보기 위해 연구를 진행하였다. 32명의 대상자를 발내재근 훈련과 발배뼈 가동술군 두 그룹으로 설정 연구를 진행하였다. 연구결과 발배뼈 높이 검사에서 두군 모두 유의한 샹항을 보였고(p<.01), 발내재근 훈련군이 발배뼈가동술군보다 유의한 효과를 보였다(p<.01, 95% CI: .768-4.607). 족저압 압력분포의 변화에서도 두군 모두 유의한 감소를 보였으며(p<.01), 발내재근 훈련군이 발배뼈 가동술보다 유의한 감소를 보였다(p<.01, 95% CI: 3.404-14.90 8). 본 연구결과 유연성 편평발에 발배뼈 가동술보다 발내재근 훈련이 더욱 효과적이었다. 편평발을 경험하고 있는 환자들에게 더욱더 효과적인 중재방법을 제공할 수 있을 것이며, 나아가 편평발로 인한 2차적인 근골격계 질환 또한 예방할 수 있을 것이다.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.187-195
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• 2023

Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.

• 대한족부족관절학회지
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• 제14권2호
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• pp.169-172
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• 2010

Purpose: The authors have experienced various lesions that simulate ganglion of the foot on the ultrasonography. The purpose of this study is to evaluate ultrasonographic findings of soft tissue lesions, which were interpreted as ganglion but confirmed as different lesions in the foot. Materials and Methods: We reviewed a database of patients with ganglion on the ultrasonography from two different institutions. There were 109 patients who underwent both ultrasonography and surgical confirmation. Twenty one lesions were identified, of which initial interpretation on the ultrasonography included ganglion which pathology revealed to be different lesions. All images were evaluated by one musculoskeletal radiologist, regarding size, margins, internal echogenicity of lesions, and presence of posterior enhancement. Results: Of 21 lesions, there were 6 fibrous tumors including fibroma, giant cell tumor of tendon sheath, and fibromatosis, 3 hemangiomas, 2 epidermal inclusion cysts, 2 chondromas, 2 angioleiomyomas, 1 trichilemal cyst, 1 neurofibroma, 1 granular cell tumor, 1 neurilemmoma, 1 neuromyxoma, and 1 nodular hidradenoma. Mean size of the lesion was 1.1 cm. Margins were smooth in 10, mild lobulation in 8 and marked lobulation in 3 lesions. Lesions were hypoechoic in 16, anechoic in 4 and isoechoic in 1 case. Posterior acoustic enhancement was definitely present in 5 lesions. Conclusion: On the ultrasonography, various soft tissue lesions of the foot may be confused with ganglion. During surgical resection care should be given even to a simple ganglion as it might turn up to be a solid lesions such as fibrous tumors.

• 기본간호학회지
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• 제16권1호
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• pp.39-45
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• 2009

Purpose: This study was done to verify the effects of foot reflexology on the self-esteem and vitality of elders. Method: A non- equivalent control group pre- and post-test design was used. Research instruments to measure self-esteem and vitality were used in this study. The participants were elderly women hospitalized in a hospital in Okcheon County, Chungbuk Province, Korea. The 18 patients in the experimental group performed 40 minutes of foot reflexology per time for a total of 12 times over two weeks, and the 18 patients in the control group received regular care only. Before and after the experiment, both groups were tested for self-esteem and vitality. Frequencies, percentages, $\chi^2$-test, t-test and Mann-Whitney U test with the SPSS/WIN 10.0 program were used to analyze the collected data. Results: Vitality of the elderly women patients improved significantly in the experimental group. However self-esteem did not increase significantly. Conclusion: Foot reflexology is effective as a nursing intervention in improving the health of elders.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.4053-4064
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• 2012

본 연구의 목적은 아로마발반사요법과 발반사요법이 농촌의 본태성고혈압 노인 환자의 혈압, 맥박, 그리고 혈중지질농도에 미치는 효과를 확인하기 위함이다. 연구방법은 비동등성 대조군 전 후 유사 실험연구로, 2008년 6월 30일부터 8월 9일까지 6주간 충청남도 G군 소재 C보건진료소에 등록된 본태성고혈압 환자로 실험군 I(아로마 발반사요법) 24명, 실험군 II(발반사요법) 27명, 대조군(기존의 처치) 20명을 대상으로 하였다. 수집된 자료는 SPSS/WIN 12.0 프로그램으로 분석하였다. 연구결과는 6주 간 아로마발반사요법과 발반사요법을 각각 적용한 후 실험군 I과 실험군 II 모두 대조군에 비해 수축기 혈압(p<.05)과 이완기 혈압(p<.05)에서 유의한 차이를 보였고, 맥박수도 유의하게 감소하였으나(p<.05), 혈중지질농도의 변화는 세군 간에 통계적으로 유의한 차이가 없었다(p>.05). 결론적으로 아로마 발반사요법과 발반사요법은 농촌의 본태성고혈압 노인 환자의 혈압 하강과 맥박수 감소에 긍정적인 기여를 하는 것으로 나타났으므로 향후 아로마발반사요법과 발반사요법을 본태성고혈압 환자의 간호중재방법으로 활용 할 수 있을 것이다.

• 임상간호연구
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• 제16권1호
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• pp.155-166
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• 2010

Purpose: The purpose of the study was to examine the level and correlation of compliance and barriers to self-care behavior in patients with type 2 diabetes. Methods: The participants for this study were 122 patients with type 2 diabetes enrolled in the out-patient clinic of C national general hospital. Data collection was done by self-report questionnaires. Results: The mean score of the patients with type 2 diabetes for self-care behavior was higher than average level. Level of barriers to exercise was also higher than average, and higher than other barriers of diet and medication; There were low but significant correlations between self-care behavior and barriers to diet, exercise and medication; Variance in barriers to exercise, using alcohol, regular hospital visits, medical treatment and good foot care explained 29.6% of the variance in self-care behavior. Conclusion: According to the study, the self-care behavior of medication and barriers to exercise were the highest. Barriers to exercise highly influenced self-care behavior. Barriers to diet and exercise were significantly correlated the self-care behavior. Further study or interventions are necessary to decrease barriers in patients with type 2 diabetes.