• 한국직업건강간호학회지
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• 제26권2호
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• pp.74-84
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• 2017

Purpose: This study aimed to assess the risk of developing cardiovascular disease (CVD) and to evaluate the effects of intervention for CVD prevention in construction workers. Methods: A total of 497 workers participated the health status survey and finally 90 workers were analyzed for evaluation of the intervention with the one-group pretest-posttest design. The data were collected from the questionnaires and health examinations in the healthcare service for road constructor's CVD prevention as secondary analysis. The intervention of the healthcare was composed of CVD prevention education for all workers and face to face counselling for the high risk group of CVD risk during 6 months in workplace. Data were analyzed with descriptive statistics, $x^2$ test, Wilcoxon signed rank test, and paired t-test. Results: The moderate and high risk groups of CVD were 9.7% and 0.8%. After the intervention, the physical activity (MET-min/week) significantly increased (Z=-5.46, p<.001). But, there were no significant differences in blood pressure, fasting glucose, body mass index, and CVD risk appraisals between pre and post intervention. Conclusion: The findings imply that it is necessary to develop the health promotion program for construction workers which fully reflects the characteristics of individuals and the organization.

• Investigative Magnetic Resonance Imaging
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• 제19권2호
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• pp.99-106
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• 2015

Purpose: To investigate factors influencing the evaluation of background parenchymal enhancement (BPE) at follow-up breast magnetic resonance imaging (MRI) after adjuvant endocrine therapy. Materials and Methods: One hundred twelve women with breast cancer and MRI of the contralateral unaffected breast before and after endocrine therapy were identified. Two readers in consensus performed blinded side-by-side comparison of BPE (minimal, mild, moderate, and marked) before and after therapy with categorical scales. Age, body mass index, menopausal status, treatment regimen (selective estrogen receptor modulator or aromatase inhibitor), chemotherapy, follow-up duration, BPE at baseline MRI, MRI field strength before and after therapy, and recurrence were analyzed for their influences on decreased BPE. Results: Younger age, premenopausal status, treatment with selective estrogen receptor modulator, MRI field strength, and moderate or marked baseline BPE were significantly associated with decreased BPE. In multivariate analysis, MRI field strength and baseline BPE showed a significant association. Conclusion: MRI field strength and baseline BPE before and after therapy .were associated with decreased BPE at post-therapy, follow-up MRI.

• 한국지진공학회논문집
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• 제7권4호
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• pp.89-95
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• 2003

본 논문에서는 시간영역에서의 응답을 이용하여 복잡한 트러스의 구조물에서 발생할 수 있는 손상의 위치와 크기를 추정할 수 있는 알고리즘을 제안하였다. 일정한 시간동안 획득한 응답데이터를 각 부재별 평균 변형에너지를 구하기 위하여 공간적으로 확장하였다. 이렇게 확장된 평균 변형에너지는 다시 손상 지표를 구축하는데 사용하였으며, 손상 지표는 손상 전과 손상 후의 구조물의 강성의 비이다. 본 논문에서 제안한 방법론의 타당성은 유한요소 모델로 손상을 모의하고 이로부터 얻은 응답데이터를 적용하여 입증하였다. 또한 응답데이터에 노이즈를 추가하여 노이즈가 제안한 알고리즘에 미치는 영향도 분석하였다.

• 한국산림과학회지
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• 제100권1호
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• pp.124-130
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• 2011

본 연구는 국립공원 탐방 수요예측에 적합한 모형을 추정하고, 계절 ARIMA Model을 이용하여 국립공원 탐방수요를 예측하였다. 분석 자료는 2003년 1월부터 2010년 12월까지 우리나라 18개 국립공원의 월별 탐방객 수 자료를 이용하였다. 분석결과 $ARIMA(1,0,0)(1,1,0)_{12}$모형이 국립공원 탐방수요를 예측하는데 적합한 모형으로 선정되었으며, MAPE를 이용한 사후평가 결과에서도 모형의 정확도가 높은 것으로 나타났다. 따라서 본 연구 결과는 국립공원 탐방수요 예측기법의 신뢰성 및 타당성 향상과 함께 국립공원 관리전략 수립에 기여할 것으로 판단된다.

• The Korean Journal of Pain
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• 제34권1호
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• pp.114-123
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• 2021

Background: Evaluation of the effectiveness of caudal epidural injection on pain, spine mobility, disease activity, and activity of daily living in axial spondyloarthritis (SpA) patients. Methods: A total sample of 47 patients were registered in this study. They were randomly assigned into 2 groups; Group I received caudal epidural injections, ultrasound-guided, with 1% lidocaine hydrochloride mixed with triamcinolone, whereas Group II did not receive any injections. All participants fulfilled the ASAS criteria for axial SpA. Outcome measures were as follows: visual analogue scale, Oswestry disability index (ODI), modified Schober test, lateral lumbar flexion, and Ankylosing Spondylitis Disease Activity Score (ASDAS) with assessment at baseline, 2 weeks, and 8 weeks post-treatment. This clinical trial was registered on clinicaltrials.gov under the number NCT04143165. Results: There was a significant difference between both groups regarding pain, ODI, spine mobility and ASDAS scores in favor of group I. This effect was at its maximum after 2 weeks. Despite the decline of this effect after 2 months, the difference between the groups remained significant. Higher disease activity, younger age, and shorter disease duration were associated with better outcomes. Conclusions: Epidural injection of lidocaine and triamcinolone is a cost effective and a practical technique for controlling pain, as well as improving the function of the spine and disease activity scores in axial SpA patients with acceptable complications and relatively sustained effect.

• Journal of Korean Neurosurgical Society
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• 제67권2호
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• pp.194-201
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• 2024

Objective : This study aimed to evaluate the clinical feasibility of the combination of ultrasound and nerve stimulator guidance in transforaminal epidural steroid injections (TESIs) to manage lumbosacral chronic radicular pain. Methods : Using the combination of nerve stimulator and ultrasound guidance, TESIs were performed in 125 segments of 78 patients who presented with chronic lumbar radicular pain. Demographic characteristics and surgical outcomes were recorded on admission, pre-procedural and post-procedural for 1-week, 1-month, 3-month, and 6-month follow-ups. The result was measured using the Numeric rating scale (NRS) and Oswestry disability index (ODI). Results : Patients who received TESIs showed significant improvements on two evaluation tools (NRS, ODI), compared to that before procedure (p<0.001). No significant complications were observed for 6 months' follow-up. Conclusion : The result suggests that a combination of ultrasound and nerve stimulator guidance in transforaminal epidural injections is safe, reliable and effective for short-term management of lumbar disc herniation. It is a promising technique and has shown good results in providing intermediate pain relief.

• 대한토목학회논문집
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• 제12권4호
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• pp.95-106
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• 1992

강섬유의 형태가 콘크리트의 휨거동에 미치는 영향을 알아 보기 위하여 5종의 강섬유를 사용한 실험을 실시하였다. 강섬유 혼입율은 1~2%로 변화를 주었고 전단 스팬비와 철근비는 고정하였다. 형태가 다른 강섬유의 보강 효과를 비교 분석하기 위한 방법으로 섬유 보강 효과 지수를 채택하였고, 인성 효과를 분석하기 위하여 유효 인성 지수를 제안하였으며, 이들 지수들은 강섬유 보강 효과를 비교 분석하는데 유용한 방법으로 평가되었다. 실험 결과에 의하면 강섬유 혼입율은 양단이 hook 형태인 강섬유의 경우에는 1% 이내가 효과적이며, dog bone 형태인 강섬유는 1~2%, 기타 강섬유는 2% 정도가 적절하였다. 강섬유의 혼입으로 인한 휨강도 및 파괴인성의 증진 효과는 무근 콘크리트보의 경우가 철근 콘크리트보의 경우보다 크게 나타났다. 또한 강섬유의 형태에 의한 휨강도와 인성의 증진 효과는 양단이 hook나 dog bone(paddled)형태의 강섬유가 섬유 혼입율이 상대적으로 낮음에도 straight나 crimped 및 wavy 형태보다 우수한 것으로 판명되었다.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.63-69
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• 2020

Background: Stroke recovery is a long and complex process. Successful stroke recovery seems to be strongly associated with patients' high motivation and committed participation. Patients' motivation is a key determinant of successful rehabilitation outcomes, but it is difficult in defining and measuring. Patients' participation is defined as the degree or extent to which subjects take part in rehabilitation activities and can be measured by observable behavior. Objects: The purpose of this study was to investigate the impact of patients' level of participation in rehabilitation on functional outcomes in patients with stroke. Methods: Forty post-stroke inpatients participated in this study. The level of rehabilitation participation was measured by the Hopkins Rehabilitation Engagement Rating Scale (HRERS). Other measures used for the evaluation were the Rivermead Mobility Index (RMI) and Korean version of the Modified Barthel Index (K-MBI). Overall measurements were made at early intervention and late intervention. Spearman correlation and multiple regression were used to measure the relationships between HRERS, RMI, and K-MBI. Results: The correlation found between HRERS total scores at early intervention and RMI total scores of late intervention was above moderate (r = 0.607, p < 0.01). RMI total scores at early intervention (p < 0.000), HRERS total scores at early intervention (p < 0.001), and disease duration (p < 0.003) were significant predictors of RMI total scores at late intervention. Conclusion: The level of participation at early intervention was associated with improvement in mobility. The level of mobility at early intervention, disease duration, and patients' participation at early intervention were important determinants of functional outcome. These findings suggest that patients' participation should be encouraged in order to achieve successful stroke recovery.

• Journal of Korean Biological Nursing Science
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• 제10권1호
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• pp.11-18
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• 2008

Purpose: The purpose of this study was to identify the effect of the physical activity promotion program on physical function and quality of life in the elderly. Method: The research was designed with one single pre-post group. The study group of 295 elderlies were selected through the convenience sampling form in a senior citizen's center in Ulsan city. The subjects received the physical activity promotion program for 60 min three times a week for 3 months. To evaluation the effects of the physical activity promotion program, body mass index (BMI), physiological index, physical function (muscle endurance, agility, balance) and quality of life were measured at before and after the program. The data was analyzed through SPSS 10.0 program for descriptive statistics and paired t-test. Result: After performing the physical action promotion program for 3 months, the results were follows. 1) There were significantly increased in BMI (t=4.36, p=.000). 2) There were significantly decreased in diastolic pressure (t=.68, p=.009). 3) There were significantly improved in muscle endurance (t=6.50, p=.000), agility (t=4.74, p=.000) and Rt. leg balance (t=4.15, p=.000). 4) There were significantly improved in quality of life (t=7.28, p=.000). Conclusion: These findings showed that the physical activity promotion program was effective in improving physical function and quality of life in the elderly. Therefore, the physical activity promotion program could be applied as an effective nursing intervention program for the elderly to promote their health.

• Imaging Science in Dentistry
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• 제51권2호
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• pp.155-165
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• 2021

Purpose: This study aimed to evaluate changes of the alveolar bone and interdental bone septum of the mandibular incisors through cone-beam computed tomography (CBCT) after orthodontic treatment of mandibular dental crowding without dental extraction. Materials and Methods: The sample consisted of 64 CBCT images(32 pre-treatment and 32 post-treatment) from 32 adult patients with class I malocclusion and an average age of 23.0±3.9 years. The width and height of the alveolar bone and interdental septum, the distance between the cementoenamel junction (CEJ) and the facial and lingual bone crests, and the inclination of the mandibular incisors were measured. Results: The distance between the CEJ and the marginal bone crest on the facial side increased significantly (P<0.05). An increased distance between the CEJ and the bone crest on the facial and lingual sides showed a correlation with the irregularity index (P<0.05); however, no significant association was observed with increasing mandibular incisor inclination (P>0.05). The change in the distance between the CEJ and the marginal bone crest on the facial side was correlated significantly with bone septum height(P<0.05). Conclusion: Bone dehiscence developed during the treatment of crowding without extraction only on the incisors' facial side. Increasing proclination of the mandibular incisor was not correlated with bone dehiscence. The degree of dental crowding assessed through the irregularity index was associated with the risk of developing bone dehiscence. The interdental septum reflected facial marginal bone loss in the mandibular incisors.