• Archives of Plastic Surgery
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• 제48권3호
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• pp.282-286
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• 2021

Recent reports have described several cases of double muscle transfers to restore natural, symmetrical smiles in patients with long-standing facial paralysis. However, these complex procedures sometimes result in cheek bulkiness owing to the double muscle transfer. We present the case of a 67-year-old woman with long-standing facial paralysis, who underwent two-stage facial reanimation using two superficial subslips of the serratus anterior muscle innervated by the masseteric and contralateral facial nerves via a sural nerve graft. Each muscle subslip was transferred to the upper lip and oral commissures, which were oriented in different directions. Furthermore, a horizontal fascia lata graft was added at the lower lip to prevent deformities such as lower lip elongation and deviation. Voluntary contraction was noted at roughly 4 months, and a spontaneous smile without biting was noted 8 months postoperatively. At 18 months after surgery, the patient demonstrated a spontaneous symmetrical smile with adequate excursion of the lower lip, upper lip, and oral commissure, without cheek bulkiness. Dual-innervated muscle transfer using two multivector superficial subslips of the serratus anterior muscle may be a good option for long-standing facial paralysis, as it can achieve a symmetrical smile that can be performed voluntarily and spontaneously.

• 한국사회정책
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• 제20권3호
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• pp.9-46
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• 2013

사회보장법에 나타나는 위임의 정도는 의회의원후보공천방식과 의회상임위원회제도의 운영방식과 관련이 있다. 위임이 적은 사회보장법 구조는 상향식 공천방식과 지속적으로 임기를 보장하는 상임위원회제도와 친화적이다. 독일과 같이 당원이 연방의원후보를 결정하는 과정에서 중요한 역할을 하는 상향식 공천방식과 지속적인 임기를 보장하는 상임위원회제도는 위임이 적은 독일의 사회법과 친화성을 갖는다. 반면에 위임이 많은 사회보장법 구조는 하향식 공천방식과 지속적인 임기를 보장하지 않는 상임위원회제도와 친화적이다. 우리나라와 같이 국회의원후보자를 중앙당에서 주도적으로 결정하는 하향식 공천방식과 지속적인 임기를 보장하지 않는 상임위원회제도는 위임이 많은 우리나라의 사회보장법과 친화성을 갖는다.

• 대한치과의사협회지
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• 제17권12호통권127호
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• pp.923-926
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• 1979

In patient of long standing malunited maxillary fracture, maxillary osteotomy or refracture seems to be justifiable. This is a case of the patient, a 60 year old Korean female patient, presented a long-standing malunited maxillary fracture with dish-type face and functional disturbance in mouth opening. We performed upon her Le Fort I osteotomy only via labial-buccal horizontal incisions in one-stag operation. The result was good in esthetics and function.

• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.457-462
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• 2021

Objective: This study analyzed the correlation between uni-standing balance ability, jumping ability, and anaerobic lower extremity power of high school Taekwondo players. Design: Cross-sectional study Methods: Two high schools recruited 36 taekwondo players, but 5 were dropped due to personal circumstances and preparations for the tournament, so the number was counted as 31. In order to test uni-standing balance ability, the Romberg test was performed using Biorescue to measure the sway area. In order to test jumping ability, standing long jump and standing highjump were measured. For anaerobic lower extremity muscle power test, the peak power and average power were measured through 30-second pedaling using a Wingate system bicycle. Results: Participants did not show any correlation with other measures in the uni-standing balance ability test (p>0.05). Looking at the correlation in the standing long jump, standing high jump (r=0.892, p<0.05), anaerobic peak power (r=0.698, p<0.05), anaerobic average leg power (r=0.662, p<0.05) showed a positive correlation. Looking at the correlations in the standing high jump, anaerobic peak power (r=0.663, p<0.05), anaerobic average power (r=0.697, p<0.05) showed a positive correlation. Looking at the correlation in the anaerobic peak power, average power (r=0.785, p<0.05) showed a positive correlation. Conclusions: This study shows that balance ability and anaerobic leg strength are independent of each other. The results of this study can be used as basic data for the training plan of high school taekwondo players in the future.

• 문화기술의 융합
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• 제8권1호
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• pp.321-329
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• 2022

유연성 편평발 청소년에게 적용한 로우다이 테이핑 기법이 동적 균형과 제자리 멀리뛰기에 미치는 영향을 알아보았다. 연구의 대상자는 유연성 편평발 청소년 35명으로 탄력 테이프 17명과 비탄력 테이프 17명으로 로우다이 테이핑 기법을 적용하였다. 본 연구의 자료분석은 t-test 활용하여 그룹 중재 적용 전과 적용 후, 그리고 각각의 그룹간을 비교하였다. 연구 결과 동적 균형과 제자리 멀리뛰기에서 중재 적용 전과 적용 후에 유의한 결과가 나타났으며(p<.05), 각각의 그룹 간 비교에서 유의한 차이가 나타나지 않았다(p>.05). 결론적으로 유연성 편평발의 청소년에게 적용된 로우다이 테이핑 기법은 동적 균형과 제자리 멀리뛰기에 효과가 있으며, 로우다이 테이핑은 안쪽 세로활 상승의 즉각적 효과를 보기 위한 중재 방법으로 적절하다.

• 대한인간공학회지
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• 제26권2호
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• pp.157-165
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• 2007

The Work-Related Musculoskeletal Disorders (WMSDs) can be occurred by various factors such as repetition, forceful exertions and awkward postures. Especially, occurrences of the WMSDs on the waist and lower limb are reported in workplaces, demanded standing postures for a long time, in service and manufacturing industry. The static and standing postures without movement for a long time increase work loads to the lower limb and the waist. Accordingly, anti-fatigue mat or anti-fatigue insole is used as a preventing device of the WMSDs. However anti-fatigue mats are limited in space and movement. In this study, multi-elastic insoles are designed and shown the effects of the workload reduction for a long time under the standing work. The foot pressures and EMG (Electromyography) are measured at 0 hour and after 2 hours by 6 health students in their twenties. The 6 prototype insoles are designed with three elastic (Low, Medium and High). These insoles are compared with no insole (insole type 7) as control group. The EMG measurement was conducted to waist (erector spinae muscle), thigh (vastus lateralis muscle) and calf (gastrocnemius muscle). The foot pressure is analyzed by mean pressure value and the EMG analysis is investigated through MF (Median Frequency), MPF (Mean Power Frequency) and ZCR (Zero Crossing Rate). The results of the foot pressure show that the multi-elastic insoles had smaller foot pressure value than that of no-insole. Moreover, Insole 2 and Insole 3 have the smallest increasing rate in foot pressure. The EMG results show that the multi-elastic insoles had smaller EMG shift value than that of no-insole in 2 hour, and then shift value shows the smallest value in Insole 2. Therefore, this study presents that the multi-elastic insoles have reducing effects of the work load for a long time standing work in both side of foot pressure and EMG.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.4326-4333
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• 2012

새만금 방조제 건설기간에 해당하는 2001년부터 2010년까지 10년간 새만금 수역에서 식물플랑크톤 현존량을 조사하였다. 식물플랑크톤 현존량은 조사 시기 및 조사 정점에 따라 57 - 85,219 cells/ml의 큰 변화를 보였다. 새만금호 내부 수역은 담수 및 해수의 유입량 변화와 계절변화에 기인하여 식물플랑크톤 현존량이 시공간적으로 변화하였다. 한편, 담수 정점들은 상시적으로 높은 현존량이 기록되어 녹조발생이 잦았으나 방조제 밖 해수역의 현존량은 보편적 범위에 있어왔다. 장기적 관점에서 방조제 물막이 공사 완공(2006년 4월)을 전후하여 비교할 때 식물플랑크톤 현존량의 큰 변화는 나타나지 않았다.

• 인간식물환경학회지
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• 제23권1호
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• pp.23-33
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• 2020

This study starts from the awareness of the problem that consumers are isolated from the standing spray product planning, and thus suggests effective designs and methods to the new standing spray design process. The ultimate purpose of this study is to suggest practicable new standing spray design outputs. Service design is based on customer experience, and thus it is intangible, process-centered and based on various relations. Applying the service design to the development of new standing spray designs has the following significance. (1) Service design is an effective method for maximizing customer-centered experience. The customer-centered method of service design promotes practicability of new standing spray design. (2) Service design solves various problems by mediating opinions among various stakeholders. Effective and practicable solutions could not be found for new standing spray design despite various efforts that had been made for a long time. Since each step of the process is approached separately, it is necessary to take an overview of the whole process like service design. (3) Service design lays stress on process in which stakeholders participate. Participation and collaboration among stakeholders in the new standing spray design process will improve their satisfaction and enthusiasm to implement the new system.

• PNF and Movement
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• 제20권1호
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• pp.59-66
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• 2022

Purpose: The aim of this research was to verify the relationship between three-dimensional (3D) ground reaction force (GRF) and severity of leg length discrepancy (LLD) while walking at a normal speed. It used a 3D motion analysis system with force platforms in standing workers with LLD. Methods: Subjects comprising 45 standing workers with LLD were selected. Two force platforms were used to acquire 3D GRF data based on a motion analysis system during gait. Vicon Nexus and Visual3D v6 Professional software were used to analyze kinetic GRF data. The subjects were asked to walk on a walkway with 40 infrared reflective markers attached to their lower extremities to collect 3D GRF data. Results: The results indicated the maximal force in the posterior and lateral direction of the long limb occurring in the early stance phase during gait had significant positive correlation with LLD severity (r = 0.664~0.738, p <0.01). In addition, the maximal force medial direction of the long limb occurring in the late stance phase showed a highly positive correlation with the LLD measurement (r = 0.527, p <0.01). Conclusion: Our results indicate that greater measured LLD severity results in more plantar pressure occurring in the foot area during heel contact to loading response of the stance phase and the stance push-off period during gait.

• 한국전문물리치료학회지
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• 제19권4호
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• pp.24-31
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• 2012

The aim of this study was to investigate the effectiveness of self-stretching exercises for iliotibial band (ITB) (Side-lying; right hip and knee were flexed to support the pelvis while left hip was extended and adducted, Standing A; side-bending of the trunk on standing with crossed leg, Standing B; same as Standing A, except the hands were clasped overhead and shifted right side, and Standing C; same as Standing B, except moving the arms diagonally downward) to help determine the most effective self-stretching method to stretch ITB. Twenty-one healthy subjects who do not have ITB shortness from Yonsei University (14 men and 7 women) between the ages of 18 to 28 years voluntarily participated. Ultrasound was performed to measure the thickness of the ITB between the long axis of the ITB and the level parallel to the lateral femoral epicondyle during four self-stretching exercises. All data were found to approximate a normal distribution. We used a one-way repeated-measures analysis of variance (ANOVA) to compare the thickness of the ITB among all self-stretching exercises. The level of significance was set at ${\alpha}$=.05. The ANOVA was followed by Bonferroni's correction. The overall mean of ITB thickness was $1.14{\pm}.4$ mm (${\pm}$ standard deviation) in resting status. The change in the ITB thickness in percentages between the tested position of each self-stretching exercises and resting status was significant (p<.05) (Side-lying $26.62{\pm}10.18%$ with 95% confidence interval [CI]=21.99~31.25%; Standing A $29.46{\pm}16.19%$ with 95% CI=22.09~36.84%; Standing B $44.06{\pm}14.82%$ with 95% CI=37.31~50.81%; Standing C $53.76{\pm}12.1%$ with 95% CI=48.25~59.29%). Results indicated significant differences among four self-stretching exercises except Side-lying versus Standing A (p<.01). Based on these findings, the Standing C self-stretching exercise was the most effective in stretching the ITB thickness among four types of ITB self-stretching exercises. Additionally, the Side-lying self-stretching exercise using gravity to stretch the ITB is recommended as a low-load (low-intensity), long-duration stretch.