• 대한안전경영과학회지
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• 제16권1호
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• pp.129-138
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• 2014

As S. Korea is becoming an "aged society", workers in the country would be exposed to higher risk of workplace injuries due to their reducing work abilities as they are getting old. To identify the relationship between the work ability and the incident rate of workplace injuries, the work ability index (WAI) scores were surveyed from 409 workers occupied in different manufacturing industries reside on north GyoengBuk area. The workplace injury statistics in the year of 2010 for the corresponding industries were analyzed and summarized with the WAI scores by age groups, years of service, and sizes of business. The results showed the WAI scores of the workers occupied in the higher risk of workplace injury was lower than that of the workers of the lower risk. It means the lower the WAI score, the higher the chance of being injured during the task. It is concluded that appropriate correlation exists between the WAI scores of workers and the incident rate of workplace injury. It is recommended to administrate individual work abilities of aged workers in order to keep low rate of workplace injuries in upcoming aged and highly aged society.

• Archives of Plastic Surgery
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• 제49권6호
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• pp.760-763
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• 2022

The dorsal metacarpal artery perforator flap is a flap that rises from the hand dorsum. Owing to its reliability and versatility, this flap is used as a workhorse for finger defect. However, to cover the radial-volar defect of the proximal interphalangeal joint (PIPJ) of the index finger, a longer flap is required than before. Here, we introduce the oblique extended reverse first dorsal metacarpal artery (FDMA) perforator flap to cover the radial-volar aspect defect of the index finger. A 45-year-old man got injured to the radial-volar defect of PIPJ of the left index finger caused by thermal press machine. The wound was 2 × 1 cm in size, and the joint and bone were exposed. We used FDMA perforator from anastomosis with palmar metacarpal artery at metacarpal neck. Since the defect was extended to the volar side, the flap was elevated by oblique extension to the fourth metacarpal base level. The fascia was included to the flap, and the flap was rotated counterclockwise. Finally, PIPJ was fully covered by the flap. Donor site was primarily closed. After 12 months of operation, the flap was stable without complication and limitation of range of motion. The oblique extended reverse FDMA perforator flap is a reliable method for covering the radial-volar defect of the PIPJ of the index finger. This flap, which also has an aesthetic advantage, will be a good choice for hand surgeons who want to cover the PIPJ defect of the index finger using a nonmicrosurgical option.

• 대한물리의학회지
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• 제10권3호
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• pp.1-7
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• 2015

PURPOSE: The aim of this study was to investigate the effects of exercise intensity and initial timing on functional recovery following sciatic nerve injury in rats. METHODS: Total of 80 Sprague-Dawley rats was used and randomly divided 6 groups. Under deep anesthesia, the sciatic nerve was nipped by adapted hemostatic tweezers for 30 seconds and the injured nerve was transparent under naked eyes. Acute exercise groups was applied treadmill after sciatic nerve crush injury during 5days with three type intensity. Late exercise groups was also applied treadmill during 5 days with three type intensity after 5 days break. Values of sciatic functional index were measured and analyzed in each group after exercise period. RESULTS: The sciatic functional index values between control groups 1, acute low-intensity group, acute middle-intensity group in acute phase showed statistical significant (p<.05). The sciatic functional index values between control groups 2, late low-intensity group, late middle-intensity group and late high-intensity in late phase showed statistical significant (p<.05). The comparison in acute and late phase, sciatic functional index values of each low-intensity group and each high-intensity group showed statistical significant (p<.05). CONCLUSION: Whether at acute or late phase, treadmill exercise as a therapy obtained beneficial effects of functional recovery and exercise training at low speed is more beneficial effects on the recovery of motor function in acute phase.

• 한국환경생태학회지
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• 제10권1호
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• pp.76-86
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• 1996

우리나라 중부지역에서 만성적인 환경오염 피해를 받고 있는 수목의 피해 정도와 지역별 범위를 알아보기 위해 독일가문비나무, 전나무, 소나무를 대상으로 본 연구를 실시하였다. 수목피해를 조기에 진단하기 위하여 피해도지수조사와 접촉각 측정을 실시한 결과 다음과 같은 결론을 얻을 수 있었다. 첫째, 서울과 인천 등의 대도심권을 중심으로 접촉각감소, 피해도지수의 증가와 같은 가시적인 피해와 생리적인 피해가 동시에 나타났다. 둘째, 전체 14개지역에서 다소의 차이는 있으나 모두 환경오염에 의한 수목의 피해를 모두 받고 있는 것으로 나타났다. 특히 인천을 비롯한 서해안 지역의 피해가 가중되고 있어 보다 관범위한 지역을 대상으로 체계적이고 지속적인 연구가 수행되어 이에 대한 대책이 이루어져야 할 것이다.

• Archives of Plastic Surgery
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• 제44권2호
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• pp.144-149
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• 2017

Background The purpose of this study was to identify the epidemiologic characteristics of hand tendon injuries in children and to compare these with those of adults. Methods This retrospective study was conducted on acute traumatic tendon injuries of the hand treated at our institution from 2005 to 2013, based on medical records and X-ray findings. Age, sex, hand injured, mechanism of injury, tendons and zones injured, number of affected digits, and comorbidities and complications were analyzed. Patients were divided into 2 groups: a pediatric group (${\leq}15years$) and an adult group (>15 years). Results Over the 9-year study period, 533 patients were surgically treated for acute traumatic tendon injuries of the hand. In the pediatric group (n=76), being male, the right hand, the extensor tendon, complete rupture, the middle finger, and glass injury predominated in hand tendon injuries. In the adult group (n=457), results were similar, but injury to the index finger and knife injury were the most common. An accompanying fracture was more common in the adult group and complication rates were non-significantly different. Conclusions This comparative analysis revealed no significant epidemiologic intergroup differences. The belief that pediatric tendon injuries tend to be less severe is misplaced, and careful physical examination and exploration should be conducted in pediatric cases of hand injury.

• 한국방재안전학회논문집
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• 제7권1호
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• pp.1-8
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• 2014

서울거리모니터 실태조사에 따르면, 2013년 서울시 균형성과지표 5,000건 대비 18,490건(12월말 기준)을 신고하여 17,903건을 조치하였다. 2012년 1,151건의 신고에 비해 대폭 증가하였지만 지역 연령 직업 성별 편차가 심하고 전체인력의 3.9%에 불과한 우수 활동자 25명이 13,880건을 신고하여 총 신고실적의 75.1%에 달하는 높은 의존도를 나타냈다. 거리모니터활동은 허버트 윌리엄 하인리히(H.W Heinrich)의 재해발생 "도미노이론"과 "1:29:300의 법칙"에 의거하면 불안전한 상태를 제거함으로서, 사망자 54명, 중경상자 1,573명과 잠재적 부상자 16,275명을 감소시켜 총 17,903명에 달하는 서울시민의 생명을 존중하고 보호하였다. 본 연구에서는 서울거리모니터와 강동구거리모니터 비교분석을 통한 문제점을 도출하여 모니터링활동의 효율적인 개선방안을 제시하였다.

• 한국환경생태학회지
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• 제29권3호
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• pp.431-440
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• 2015

본 연구는 수도권매립지에서 매립이 완료된 제 1매립장 사면에 식재된 수목과 토양환경 간의 상관관계를 규명하고자 수행하였다. 제 1매립장 사면에 식재된 주요 수목 26종을 대상으로 69개의 식생 조사구조사구($7{\sim}20m{\times}5{\sim}20m$) 를 설치하여 2007년부터 2009년에 걸쳐 조사하였으며, 토양분석은 2007년부터 2008년까지의 수목 생육불량률 기준으로 수목 생육불량 지표종을 선정하고 지표종의 생육정도에 따라 7개의 조사구를 선정하여 토양을 채취하고 분석하였다. 수도권매립지 환경 적응양호 종은 총 10종으로 침엽수는 곰솔(묘목), 향나무로 2종이었으며, 활엽수는 갈참나무, 능수버들, 밤나무(묘목), 살구나무, 상수리나무, 이팝나무, 튤립나무(묘목), 팽나무로 8종이었다. 적응불량인 수종은 총 8종으로 침엽수 2종, 활엽수 6종이었다. 판단보류는 총 8종으로 침엽수 1종, 활엽수 7종이었다. 수목 생육불량 지표종은 불량률이 25% 이상인 종을 중심으로, 개오동나무, 회화나무, 자귀나무, 단풍나무를 선정하여 식재지의 토양환경을 분석하였다. 토양분석결과, 토양산도는 염기성토양이었으며, 토양 삼상은 고상률 60% 이상이거나 55% 이하이지만 기상이 10% 이하인 지역이 대부분이었고, 유기물 함량은 0.14~2.52%이었다.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.81-90
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• 2003

This study was conducted to assess the effects of the gait training method in incomplete spinal cord injured persons using an auto-walking machine. Persons with incomplete spinal cord injury level C or D on the American Spinal Injury Association impairment scale participated for eight weeks in an auto-walking training program. The gait training program was carried out for 15 minutes, three times per day for 8 weeks with an auto-walking machine. The foot rests of the auto-walking machine can be moved forward, downward, backward and upward to make the gait pattern with fixed on crank. The patient's body weight is supported by a harness during waking training. We evaluated the gait speed, physiologic cost index, motor score of lower extremities and the WISCI (walking index for spinal cord injury) level before the training and after the forth and eighth week of walking training. 1. The mean gait speed was significantly increased from .22 m/s at pre-training to .28 m/s after 4 weeks of training and .31 m/s after 8 weeks of training (p=.004). 2. The mean physiologic cost index was decreased from 4.6 beats/min at pre-training to 3.0 beats/min after 4 weeks and 2.0 beats/min after 8 weeks of training, but it was not statistically significant (p=.140). 3. The mean motor score of lower extrernities was significantly increased from 29.8 to 35.8 after 8 weeks of training (p=.043). 4. The mean WISCI level was significantly increased from level 10 to level 19 after 8 weeks of training (p=.007). The results of this study suggest that the gait training program using the auto-walking machine increased the gait speed, muscle strength and galt pattern (WISCI level) in persons with incomplete spinal cord injury. A large, controlled study of this technique is warranted.

• Journal of Acupuncture Research
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• 제32권1호
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• pp.109-118
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• 2015

Objectives : This study aimed to investigate the correlation between fear-avoidance beliefs and neck pain/neck disability caused by traffic accidents. Methods : We surveyed 52 patients who were injured in traffic accidents. The patients completed baseline measures of pain, disability, fear-avoidance beliefs according to the visual analogue scale(VAS), neck disability index(NDI) and a fear-avoidance beliefs questionnaire (FABQ). At the end of medical treatment, VAS and NDI were reassessed. In order to determine the relationship between FABQ(including its subscales), change of VAS and NDI, Pearson correlation coefficients were used. To examine the accuracy of previously reported cut-off scores, we classified the patients into low and high groups and analyzed the change of VAS and NDI. The relationship was measured by Mann-Whitney U-test and a student's T-test. Results : FABQ and its subscales(total, physical activity and work) were significantly correlated with final VAS and NDI. FABQ-T showed low significant negative correlation with change of NDI. Previously reported cut-off scores did not show a statistical significance in this study Conclusions : This study suggests that screening for fear-avoidance beliefs may be useful for identifying patients at risk of prolonged pain after traffic accidents.

• Journal of Trauma and Injury
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• 제35권4호
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• pp.240-247
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• 2022

Purpose: Studies on the relationship between obesity and injuries, especially those sustained in pedestrian traffic accidents, are lacking. We aimed to assess the effects of obesity on the severity of injury at the time of admission to the emergency room in patients who experienced pedestrian traffic accidents. Methods: This study included trauma patients registered in the Korean Trauma Database from July 1, 2018 to December 31, 2020, whose mechanism of injury was pedestrian traffic accidents and who were treated at a single institution. Those aged below 15 years were excluded. Patients were assigned to nonobese and obese groups based on a body mass index of 25 kg/m². An Injury Severity Score of 25 or greater was considered to indicate a critical injury. Results: In total, 679 cases of pedestrian traffic accidents were registered during the study period, and 543 patients were included in the final analysis. Of them, 360 patients (66.3%) and 183 patients (33.7%) were categorized as nonobese and obese, respectively. The median age was significantly higher in the nonobese group than in the obese group (60 vs. 58 years). Multivariate analysis demonstrated that the odds ratio for critical injury in obese patients was 1.59 (95% confidence interval, 1.01-2.48) compared with nonobese patients. Conclusions: Obesity affected the likelihood of sustaining severe injuries in pedestrian traffic accidents. Future studies should analyze the effects of body mass index on the pattern and severity of injuries in patients with more diverse injury mechanisms using large-scale data.