• 기본간호학회지
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• 제13권2호
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• pp.275-284
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• 2006

Purpose: The purpose of this study was to analyze tile trends in physiological variables in CAT research in nursing in Korea. Method: Of studies published in Korea between January, 2000 and December, 2005, 227 studies were analyzed according to the criteria of type, theme, and patterns in physiological variables related to CAT. Results: There were 72 articles on CAT research in which physiological variables were examined. The most frequently researched type of CAT was massage and in particular, foot massage. The most frequently used physiological variables in CAT research were blood pressure, pulse, and body temperature. Patients with high blood pressure were the most frequent subjects for CAT research. As to the effect of physiological variable by CAT type, foot massage showed a decline in blood pressure in all six research studies involving patients with high blood pressure. Conclusion: There is a need to describe accurately the mechanism by which CAT affects physiological variables. There is also a need for repetitive analysis to verify the effect, and meta-analysis for the effect on physiological variables according to type of CAT.

• 한국운동역학회지
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• 제19권2호
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• pp.297-309
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• 2009

이 연구에서는 피칭웨지 스윙 시 족저압력 측정기를 이용하여 평지, 오르막 내리막경사면에서의 족저압력분포의 메카니즘을 분석하여 운동역학적인 기초자료를 제공하고자 피험자는 KPGA 3명, KLPGA 3명을 대상으로 족저압력분포를 측정한 후 스윙시간, 동작특성, 평균족저압력 그리고 최대족저압력을 분석한 결과 경사면의 형태변화에 따른 스윙동작 시 구간별 시간변인과 족저압력변인들을 종합적으로 분석 결과 경사면에서의 스윙동작은 백스윙 과정에서 하지의 코일링 동작을 방해하는 요인이 될 수 있으며, 다운스윙과정에서도 체중분산을 최소화시키는 하지의 블로킹 동작과 이 후 릴리스 동작에도 부정적인 영향을 미치는 것으로 분석되었다. 또한 경사면은 스윙동작에 영향을 미칠 수 있는 많은 외적 요인들 중의 하나인데, 오르막경사면에서의 어드레스 자세는 하지의 움직임을 제한하기 때문에 약간 좁은 스탠스를 유지하고, 내리막경사에서는 반대로 하지의 더 큰 활동성을 막기 위하여 더 넓은 스탠스를 가져야 할 것으로 판단되며, 어드레스 자세에서 뿐만 아니라 오르막경사의 다운스윙 동안에도 가능한 신체균형을 유지시키기 위하여 체중을 왼발에 두어야 할 것으로 판단된다.

• The Korean Journal of Pain
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• 제33권4호
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• pp.335-343
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• 2020

Background: Zhongyi paste is a traditional Chinese medicine herbal paste that is externally applied to reduce inflammation and relieve pain. Methods: An acute foot swelling inflammation model in C57BL/6J mice was established by carrageenan-induced pathogenesis. Zhongyi paste raised the pain threshold and also reduced the degree of swelling in mice with carrageenan-induced foot swelling. Results: Analysis indicated that serum tumor necrosis factor-alpha, interleukin-1 beta, and prostaglandin E₂ (PGE₂) cytokine levels and PGE₂ levels in the paw tissue of the mice were decreased by Zhongyi paste treatment. The quantitative polymerase chain reaction and western blot results showed that Zhongyi paste downregulated the mRNA and protein expression of extracellular signal-regulated kinase 1/2 (ERK1/2), and cyclooxygenase-2 (COX-2), and also downregulated the mRNA expression of PGE₂. At the same time, the Zhongyi paste exerted a stronger effect as an external drug than that of indomethacin, which is an oral drug, and voltaren, which is an externally applied drug. Conclusions: Our results indicated that Zhongyi paste is a very effective drug to reduce inflammatory swelling of the foot, and its mechanism of action is related to regulation of the ERK1/2-COX-2-PGE₂ pathway.

• 대한인간공학회지
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• 제33권2호
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• pp.109-124
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• 2014

Objective: This study was conducted for one-hand users including hemiplegic clients currently using general folding manual wheelchairs, so as to analyze their specific problems and recommend solutions regarding usage. Background: Traditional manual wheelchairs require considerable use and control of both hands for operation, thus adaptations become necessary for individuals with asymmetrical use of hands. Method: Thirty hemiplegic clients who were admitted to rehabilitation and convalescent hospitals participated as subjects. The research tools were general folding manual wheelchairs commonly used by people with impaired gait, and the Wheelchair Skills Tests (WST) WST-M/WCU 4.1 version was adopted as the assessment tool. All participants were asked to fill out questionnaires on demographics and wheelchair usage characteristics. Assessment procedures were performed with currently used manual wheelchairs and with/without the use of foot to control the wheelchair. Results: When the participants drove folding manual wheelchairs without the use of foot, even the lowest failure rate among the WST items tested recorded 96.7%. On the contrary, with the use of foot in maneuvering the wheelchairs, failure rates dropped noticeably and success rate among the WST items tested was as high as 86.7%. Conclusion: These findings imply that the use of one-arm (hand) propellable (drivable) wheelchair can be an active and effective solution in resolving problems for hemiplegic clients using existing manual wheelchairs. As such, the government should provide institutional support to further develop and distribute this device or technology, and promote relative research in tandem. For now, the supply of commercially available device to hemiplegic clients is deemed urgent and also a mechanism to provide the devices and relevant services. Application: This study offers viable solutions for hemiplegic clients who rely on existing manual wheelchairs to increase their mobility and occupational performance.

• 한국운동역학회지
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• 제23권1호
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• pp.85-90
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• 2013

Efficient gait is compensate for a lack of exercise, but the wrong walking can cause disease that joints, muscles, brain and body structure(Scott & Winter, 1990). Also many researchers has been studied gait of positive mechanism using analytical methods kinetic, kinematic. This study is to identify nature of knee adduction moment, depending on different foot progression angle and the movement of rotation of pelvis and body. Health study subject conducted intended walking with three different angles. The subjects of this study classified three types of walking; walk erect, pigeon-toed walk and an out-toed gait. Ten university students of K without previous operation and disease record selected for this study. For accuracy of this study, three types of walking carried out five times with 3D image analysis and using analysis of ground reaction force to analyze nature of knee adduction moment and the movement of rotation of pelvis and body. Firstly, the HC(heel contact) section value of intended walk erect, pigeon-toed walk and an out-toed gait was not shown statistically significant difference but TO(toe off) section value was shown that the pigeon-toed walk statistically significant. The value of pigeon-toed walk was smallest knee adduction moment(p< 0.005). Secondly, X axis was the change of rotation movement body and pelvis when walk erect, pigeon-toed walk and an out-toed gait. Shown statistically Y axis was not shown statistically significant but Z axis statistically significant(p<0.05). These result show the significant differences on TO section when walking moment reaches HC, it decides the walking types and rotates the foot.

• 대한관절경학회지
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• 제16권1호
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• pp.17-25
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• 2012

목적: 급성 전방십자인대 손상 환자의 자기공명영상(magnetic resonance imaging, MRI)에서 나타난 골멍의 형태 및 크기와 전방십자인대의 손상 정도와의 관계를 알아보고 골멍의 발자취(footprint)를 조사해 손상기전을 알아보고자 하였다. 대상 및 방법: 급성 전방십자인대 손상 6주 이내의 급성기에 자기공명영상을 촬영하여 골멍이 나타나는 65명을 대상으로 하였다. 골멍의 형태는 Costa-Paz 분류에 따라, 골멍의 크기는 Kornaat의 방식으로 측정하였다. 자기공명영상의 전방십자인대 관상사면영상(anterior cruciate ligament [ACL] oblique coronal view)에서 손상 정도를 등급화 하였다. 결과: Costa-Paz 분류에 따른 대퇴골 외과의 골멍 형태와 전방십자인대 손상 정도의 관계를 알아본 결과, 부분 파열군(1, 2 등급)에서 제2형이 많고, 완전 파열군(3 등급)에서 제3형이 많았다(P=0.037). Kornaat 총 골멍 점수는 전방십자인대 손상 등급에 따라 차이를 보였으며(P=0.014), 손상기전은 축회전 손상(pivot shift injury)이 가장 많았고 편타 외반 손상 (clip valgus injury) 등이 뒤를 이었다. 결론: 급성 전방십자인대 손상 시 골멍의 형태와 크기는 전방십자인대의 손상 정도와 관련이 있었고, 골멍의 발자취를 통해 손상기전을 유추할 수 있어 급성 전방십자인대 손상의 진단 및 치료에 도움이 되리라 사료된다.

• 자원환경지질
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• 제56권3호
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• pp.239-257
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• 2023

상동 텅스텐(W)-몰리브덴(Mo) 광산은 태백산 광화대에 위치하는 스카른 광상으로, 광화 작용 최후기에 수직적 분포양상을 보이는 회중석-석영맥을 산출한다. 본 연구에서는 이 석영맥의 조직 관찰과 LA-ICPMS를 통한 석영의 미량원소 함량 분석을 통해 석영맥을 형성한 유체의 조성 및 이들의 침전 기작에 대해 파악하고자 하였다. 석영맥 조직 관찰 결과, 상동광산의 상반맥과 하반맥에서는 각각 괴상조직과 신장형 괴상조직이 주로 발달하고, 본맥에서는 두가지 조직이 모두 관찰된다. 이러한 석영맥의 조직적 특징으로 볼 때, 괴상조직을 나타내는 상반맥의 석영맥은 맥상스카른 형성 단계에서 화성암체의 H₂O 포화로 인한 수압 파쇄작용들 중 초기에 발생한 작용에 의해 침전되었고, 신장형 괴상조직을 나타내는 본맥과 하반맥의 석영맥은 상반맥의 석영맥 형성 이후 발생한 반복적 수압파쇄작용에 의해 형성된 것으로 생각된다. 석영의 미량원소 분석 결과 대부분 Li⁺ +Al³⁺↔Si⁴⁺의 치환관계를 만족하지만, 하반맥에서는 Li⁺이 우세하게 치환되는 경우와, Na⁺과 K⁺이 우세하게 치환되는 경우로 뚜렷하게 구분된다. 이는 하반맥의 신장형 괴상조직에 기반하여, 서로 다른 조성을 가지는 유체의 반복적 유입에 의한 결과로 해석된다. 석영의 Ti 함량은 상반맥, 본맥, 그리고 하반맥에서 각각 평균 28.6, 8.2, 그리고 15.7 ppm이며, 침전온도와 Ti 함량이 비례관계를 가진다는 점에서, 상반맥의 석영맥이 가장 고온환경에서 침전된 것으로 고려된다. 유체의 pH와 반비례관계를 가지는 석영의 Al 함량은 상반맥, 본맥, 그리고 하반맥에서 각각 평균 162.3, 114.2, 그리고 182.5 ppm으로 큰 차이를 보이지 않으며, 타 열수 광산들의 석영과 비교하여 매우 낮은 함량을 나타낸다. 이는 상동광산의 석영맥을 구성하는 석영 및 회중석이 약산성 내지 중성의 비교적 일정한 pH조건에서 침전되었음을 지시한다.

• 대한족부족관절학회지
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• 제16권2호
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• pp.94-100
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• 2012

Purpose: The purpose of this study is to analyze the clinical features of distal tibia fractures and to evaluate the treatment outcomes of minimally invasive plate osteosynthesis (MIPO). Materials and Methods: From January 2004 to December 2009, 84 cases of 81 patients treated with plate fixation for distal tibia fracture were enrolled in this retrospective review. We investigated age, sex, injury mechanism, fracture patterns, and complications, and the clinical features were analyzed. To evaluate the treatment outcomes of MIPO, we divided into two groups. MIPO group consisted of 55 patients were treated with MIPO technique and conventional group consisted of 18 patients were treated with open reduction and internal fixation with conventional anterolateral plating. The results were compared between two groups by assessing bony union time, operation time, amount of blood loss, range of ankle motion, clinical score by American Orthopaedic Foot and Ankle Society (AOFAS) score, and post-operative complications. Results: The mean age of 81 patients with distal tibia fracture was 54.8 years. According to AO classification, A1:2:3 were 16, 20, 16 patients, B1:2:3 were 2, 8, 7, C1:2:3 were 1, 3, 11 patients. According to injury mechanism, slip down injury was patients, traffic accident was 26, fall from height injury was 14 patients respectively. The type A fractures were lower energy trauma and more older patients. The type C fractures were higher energy trauma and younger patients. MIPO group was better than conventional group in operative time, blood loss, bony union time, and ankle joint motion. In complications, MIPO group showed no nonunion and infection, one malunion, one skin necrosis, nine skin irritations, and one screw breakage. Conventional group showed two nonunion, four infections, two skin necrosis, and one metal failure. Conclusion: Distal tibial fractures caused by low energy trauma were on the increase. Minimal invasive plate osteosynthesis was shorter bony union time and operation time, less blood loss, and larger ankle motions than conventional open reduction and plate fixation.

• 한국융합학회논문지
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• 제8권9호
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• pp.365-372
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• 2017

스쿼트운동은 운동방법과 자세에 대한 이론적 근거 및 동작에 대한 기준 확립을 통해 안전하고 효과적으로 운동성과를 기대할 수 있는 중요한 프리웨이트운동 중의 하나이다. 그러나 바르지 못한 운동에 의한 부작용과 그에 대한 과학적 대응방안에 대한 연구와 운동모형의 개발 또한 필요하다. 스쿼트운동을 위한 풋플레이트를 설계하기 위한 구조해석의 주안점은 동적 거동을 단순화하여 구분 동작으로 모델링을 수행한다. 모델링을 기반으로 설계된 풋플레이트 바닥면에 위치한 로드셀의 한계 하중으로 인한 구조적 안전성 여부를 변형율과 응력의 크기를 산출함으로써 구조의 안정성과 이로 인한 운동기구의 설계방법을 제시한다. 이러한 스쿼트운동에 따른 세그먼트별 모델링과 지면반발력에 대응한 역학적 시뮬레이션 분석, 그리고 하중해석을 통한 운동역학분석의 결과를 통해 프리웨이트운동을 지원하는 운동보조장치, VR, 등의 기구에 적용하여 관련 시스템설계를 완성할 수 있다. 본 논문에서는 스쿼트운동 기구에 활용되는 풋플레이트의 설계 시에 인가되는 수직하중분포에 대한 설계방법을 제시하고 이러한 결과를 토대로 보다 안전하고 신뢰성 높은 운동보조기구시스템의 설계 및 제작기술을 제시하였다.

• 한국운동역학회지
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• 제25권4호
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• pp.489-498
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• 2015

Objective : The purpose of this study was to analyze the effects of the windlass mechanism in trail-walking shoe prototypes that can effectively support arches. A study of these effects should help with the development of a first-rate trail-walking shoe development guide for the distribution of quality information to consumers. Methods : The subjects were ten adult males who volunteered to participate in the study. Shoes from three companies, which will be referred to as Company S (Type A), Company M (Type B), and Company P (Type C), were selected for the experiment. The subjects wore these shoes and walked at a speed of 4.2 km/h, and as they tested each shoe, the contact area, maximum pressure average, and surface force were all measured. Results : Shoe Type A showed a contact area of $148.78{\pm}4.31cm^2$, Type B showed an area of $145.74{\pm}4.1cm^2$, and Type C showed an area of $143.37{\pm}4.57cm^2$ (p<.01). Shoe Type A demonstrated a maximum average pressure of $80.80{\pm}9.92kPa$, Type B an average of $85.72{\pm}11.01kPa$, and Type C an average of $89.12{\pm}10.88bkPa$ (p<.05). Shoe Type A showed a ground reaction force of $1.13{\pm}0.06%BW$, Type B a force of $1.16{\pm}0.04%BW$, and Type C a force of $1.16{\pm}0.03%BW$ (p<.05). Conclusion : The Type A trail-walking shoe, which was designed with a wide arch from the center of the forefoot to the front of the rearfoot showed excellent performance, however, more development and analysis of the windlass mechanism for a variety of arch structures is still necessary.