• 제목/요약/키워드: Poliomyelitis

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4절 연쇄 보조기무릎관절의 개발 (Development of 4-Bar Linkage Orthotic Knee Joint)

  • 김장환;이진복
    • 한국콘텐츠학회논문지
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    • 제11권12호
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    • pp.317-325
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    • 2011
  • 본 연구의 목적은 소아마비, 하지 근력약화 등의 장애인이 사용하는 잠금형 보조기무릎관절을 대체하기 위하여, 4절 연쇄 방식의 입각기조절형 보조기무릎관절을 개발하는 것이다. 본 연구에서 개발한 4절 연쇄 보조기무릎관절은 기존의 입각기조절형 보조기무릎관절과 달리, 기하학적으로 잠금상태가 제어되어 전기제어 부품 등이 필요하지 않으며 부피를 최소화하였다. 평가를 위하여, 소아마비로 진단받고 잠금형 보조기무릎관절을 사용해온 소아마비자가 대상자로 참여하였다. 대상자의 걸음걸이를 3차원으로 분석한 결과, 4절 연쇄 보조기무릎관절을 착용했을 때 입각기 동안 무릎관절의 신전이 유지되고 유각기 동안 무릎관절이 굴곡되며 자연스러운 걸음걸이를 보여주었다.

휠체어 여성 장애인의 체형 연구 (A Study on the Body Type of Wheelchair using disabled Women)

  • 박광애;장지혜
    • 복식
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    • 제55권5호
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    • pp.131-145
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    • 2005
  • The purpose of this study is to analyze the physical characteristic by directly measuring the wheelchair using disabled women and to classify Body Type of a disabled person. The subjects were 103 disabled women of wheelchair used women and between 20 - 55 years of age The result of this study is as follow. 1. There was a remarkable difference in the physical characteristic of wheelchair using disabled women due to their cause of disability. The cause of disability was classified into the 4 groups; Poliomyelitis, Spiral Cord Injury, Muscular Dystrophy, Cerebral Palsy. 2. The result came out to be 4 factors by the factor analysis on the data of an anthropometric measurement to the wheelchair using disabled women and also cluster analyzing the factor scores, the experiment was concluded to 4 types. Type 1 came out to be a short height with the shortest legs. Type 2 was body shape which had a corpulent upper body and wide shoulder but with short and slim lower body. Type 3 has the shortest height, weak and lean upper body, small shoulders Type 4 has the largest stature and legs 3. A comparison of anthropometric measurements of wheelchair using disabled women with National Anthropometric Survey Korea(1997) was significant difference

Prolongation of the effect of a single dose of rocuronium in a patient with postpolio syndrome under desflurane anesthesia: a case report

  • Kimura, Yukifumi;Nitta, Yukie;Shibuya, Makiko;Fujisawa, Toshiaki
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권3호
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    • pp.233-237
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    • 2022
  • Postpolio syndrome (PPS) is widely known to manifest as muscle weakness in patients affected by poliomyelitis in early childhood. This is caused by the long-term overwork of motor nerves regenerated from surviving nerve cells. We report a characteristic delay in recovery from muscle relaxation after administering rocuronium to a patient with PPS under general anesthesia with desflurane. A 59-year-old woman was scheduled to undergo surgical debridement for jaw osteonecrosis. She had a history of poliomyelitis at the age of 2 years, and was diagnosed with PPS at the age of 51 years. General anesthesia was induced with 80 mg propofol, 50 ㎍ fentanyl, and 30 mg (0.69 mg/kg) rocuronium, and maintained with desflurane and remifentanil. The durations of train-of-four (TOF) count 0 and 1 were 96 and 37 min, respectively. Five minutes after discontinuing desflurane, the TOF count was 4. Three minutes after administering 200 mg sugammadex, the TOF ratio was 0.83, and the tracheal tube was subsequently removed. In summary, the effect of a single dose of rocuronium on twitch in TOF monitoring was significantly prolonged in a patient with PPS, which may have been exacerbated by desflurane.

소아마비에서 4절 연쇄 장하지보조기 사례연구 (Case Study of 4-Bar Linkage KAFO in Person With Poliomyelitis)

  • 김장환;권오윤;이충휘;조상현;신헌석;최흥식
    • 한국전문물리치료학회지
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    • 제20권1호
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    • pp.18-27
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    • 2013
  • The purpose of this study was to compare the ring lock type knee-ankle-foot orthosis (KAFO) with newly developed 4-bar linkage KAFO on the gait characteristics of persons with poliomyelitis clinically. This 4-bar linkage is the stance control type KAFO which provide the stability during stance phase and knee flexion during swing phase. Two subjects participated in this study voluntarily. We provided the customized 4-bar linkage KAFO then asked the subjects to walk in level surface and stairs under the two different KAFO conditions. The characteristics of gait in the persons with poliomyelitis were evaluated using a 3D motion analysis system and force plate. Additionally 6 minute walk test for physiological cost index were conducted using pulse oximeter to measure the energy consumption. In the results of this study, the differences of 4-bar linkage KAFO compared with ring lock type KAFO are as follows: (1) Walking speed, stride length, and step length on level increased in subjects, (2) The gait symmetry was improved by generated knee flexion and decreased pelvic external rotation on level and stairs walking, (3) Decreased vertical excursion of center of mass and pelvic elevation during swing phase was decreased on level, (4) Knee extension moment, hip flexion moment, hip and knee internal rotation moment of non-braced limb were decreased on level walking, (5) Walking speed in 6-minute walk test was increased and physiological cost index was decreased. These findings indicate that 4-bar linkage KAFO compared with ring lock type KAFO is effective in enhancing pattern, endurance, and energy consumption in level surface and stairs walking.

협장에 의한 액와동맥혈전증 (Axillary Artery Thrombosis Secondary to Prolonged Use of a Crutch (Crutch thrombosis) - A Case Report -)

  • 김상익
    • Journal of Chest Surgery
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    • 제23권4호
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    • pp.799-803
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    • 1990
  • It is known that an interesting and unusual axillary artery thrombosis may develop over a period of time if an improperly adjusted crutch impinges repeatedly on the axilla. A 39 year-old male developed occlusion of left axillary artery and gangrenes of the left fingers after he had used axillary crutch for 25 years because of limping of the left leg resulting from poliomyelitis. The left hand was salvaged by successful thrombectomy. We report this case, review and discuss the literatures.

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일부농촌지역의 모자보건사업중 분만상태와 예방접종실시에 관한 조사 연구 (A Study on Delivery Environments and Immunization practice of the Maternal St Child Health Services in a Rural Area)

  • 주채복
    • 대한간호학회지
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    • 제5권2호
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    • pp.92-103
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    • 1975
  • This study was conducted to find out status of delivery environments, delivery attendants, and various immunization practices towards 513 babies who were born during the period from January 1, 1972 to December 31, 1974, in Dongnae Area, Shindong Myon, Chunseong Gun, Ganwon Do. The results and findings obtained from the study are summarized as follows : 1. Of all deliveries, 10.7% of the babies were reported born at the hospitals. 2. Deliveries attended by qualified professionals such as, doctors, midwives or public health nurses, were 22.2% of the total deliveries. Those who delivered alone without having anyone's assistants were as much as 9.7%, The percentage of the deliveries attended by the professional groups were increased year by year among the younger group mothers with the babies birth order being first or second place. 3. Sewing scissors were most frequently used as a tool for cutting the umbilical cord indicating 87.5% in this area. Sterilized tools were used among 50.3% of the women. 4. The usage af vinyl sheet and cement bag paper were frequently used as a delivery sheet, indicating 32.3%. Delivery set which was distributed by the health center was used 18.0%. (excluded the deliveries attended by professional attendants) 5. Immunization practices for the infant were observed as relatively high rate: 92.8% of the infant received D. p. T., 81, 3u/o received against poliomyelitis, 52.8% for small pox, 78.9% with B. C. G., and 18.5%against measles. The percentage af babies complected 3 times shot for D. P. T. and 2 times shot for poliomyelitis vaccine turned out be to 67.8% and 87.5%, respectively.

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휠체어를 사용하는 성인 남성의 체형분류 (Classification of body types of male wheelchair users)

  • 박광애;권영아
    • 한국의류산업학회지
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    • 제11권4호
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    • pp.621-632
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    • 2009
  • The purpose of this study was to analyze the physical characteristic of the wheelchair users by directly measuring the disabled men who use a wheelchair and to classify body types. The subjects were 178 male wheelchair users 20-69 years range of age. The results of this study were as follows. The cause of disability was classified into four groups; Poliomyelitis(P), Spinal Cord Injury(S), Cerebral Palsy(C), Amputee(A). There was a remarkable difference in the physical characteristic of the wheelchair users due to their cause of disability. A have greater values in all the dimensions. P have the largest drop values and smaller values in the lower body dimensions. S have greater values in the height of upper body trunk, back interscye length, and chest circumference, whereas smaller values in waist front length and thigh circumference. C have smaller values in most body dimensions except circumference of lower limb. By the factor analysis on the anthropometric data came out the result to be eight factors. The result of cluster analysis using factor scores shows the body types of wheelchair users can be divided into four body types; PY, RBB, TBP, RA. PY type is short and has the largest drop values, whereas RBB type tends to have the smallest drop values. TBP type is tall and the torso tends to be larger than those of the other types. RA type has smaller values in front body dimensions and moderate values in other dimensions. The diversity in body types should be considered among the wheelchair users.

충남지방(忠南地方) 초중고(初中高) 학동(學童)들의 지체부자유(肢體不自由)에 관(關)한 조사(調査) (A Research on Crippled Schoolchildren in Chungnam Area)

  • 권장원
    • Journal of Preventive Medicine and Public Health
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    • 제14권1호
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    • pp.13-22
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    • 1981
  • A study was conducted to provide comprehensive information on epidemiological state of crippled schoolchildren in Chungnam area from November 23,1979 to June 19,1980. In this study, two step survey was conducted upon whole primary, middle and high school, and subsequent selected 537 cases in total 3,063 crippled children. The results obstained are as follows; 1. The prevalence rate of orthopedic defect children was 3.7 per 1,000 and dominant male as 6:4. 2. It was relatively higher the school grade and prevalence rate more increased. Prevalence rate was highest in high school as 4.7 per 1,000, middle in middle school as 4.4 per 1,000 and lowest in primary school as 3.1 per 1,000. 3. The most predominant group was $15{\sim}19$ age as 52.9 percent. 4. The most common job of their parent was agriculture as 52.9 percent and next job sales and service. Economic state of Cripple's parent have revealed no particular difference. 5. In a family, the most common incidence rate was first children in both sex and decreased by ordered sibling. 6. Poliomyelitis was the most common cause as 71.5 percent and next cerebral palsy 11.9 percent. 7. The most common affected site was lower extremity (Right: 42.3%, Left: 35.5%) and next upper extremity. Right was more dominant as 55 : 45. 8. Intelligence was decresed in cerebral palsy predominantly than other cause of defect, including poliomyelitis. 9. For the treatment of their condition at onset of illness, crippled children was utilized private clinic and herb medicine, but was changed tendency of treatment as acupucture and moxibustion after diagnosis of cause of defect.

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지체부자유 아동의 구강위생상태에 관한 통계학적 연구 (A STATISTICAL STUDY ON THE SIMPLIFIED ORAL HYGIENE INDEXIN THE HANDICAPPED CHILDREN)

  • 허만욱
    • 대한소아치과학회지
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    • 제5권1호
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    • pp.47-63
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    • 1978
  • The author studied on the Simplified Oral Hygiene Index in the handicapped children, who are housed by several rehabilitation institution age from 3 to 17 year in Seoul area and 439 normal children as a control group. The obtained results are as follows: 1) In the Oral Hygiene Index(OHI), The handicapped children showed remarkable increment compared to normal children(The Index score was 2.00 in cerebral palsy children, 1.94 in poliomyelitis, 1.79 in other's diseased children, in 1.01 in normal children) and the score was increased as age increment. 2) In the OHI of the handicapped children, male was higher than female. 3) Dental calculus deposition in the handicapped children was severe in the lower anterior teeth and least in the upper anterior teeth. 4) Dental calculus Index of the handicapped children was comparatively higher in the region which had higher food debris index. 5) As the conculusion of this study, we found that continuous and active dental enlightenment and treatment for oral health in the handicapped children are necessary.

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건강증진-21세기의 새로운 도전 (HEALTH PROMOTION - A NEW CHALLENGE IN THE 21ST CENTURY)

  • 한상태
    • 보건교육건강증진학회지
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    • 제9권2호
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    • pp.1-11
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    • 1992
  • 전세계적으로 볼 때, 보건분야는 전반적으로 향상되는 추세를 나타내고 있습니다. 특히 평균수명의 증가와 영아사망률의 감소가 대표적인 것입니다. 서기 2000년이 되면 소아마비가 사라지고, 나병, 홍역, 요오드 결핍증과 같은 문제들이 실질적으로 완전히 해결될것입니다. (중략)

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