• 여성건강간호학회지
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• 제27권4호
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• pp.318-325
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• 2021

Purpose: Although insulin is usually injected into the abdominal subcutaneous fat, in pregnancy women tend to avoid abdominal injections due to concern about fetal damage. Prior studies have been limited to only measuring skin-subcutaneous fat thickness (S-ScFT) at one site at specific pregnancy points. This study aimed to measure S-ScFT across several abdominal sites and over the gestational period in Korean pregnant women. This can identify which site would be relatively safe for subcutaneous injection during pregnancy. Methods: Healthy women over 24 weeks of pregnancy in Korea were invited to voluntarily participate in this descriptive study. For the 142 women, S-ScFT of 12 sites in the abdomen were measured by ultrasound, several times over the pregnancy. Each incidence was treated as a case and a total of 262 cases were analyzed. Results: The mean S-ScFT during pregnancy was 1.14±0.47 cm (1.25±0.54 cm at 24⁺⁰-27⁺⁶ weeks; 1.17±0.48 cm at 28⁺⁰-31⁺⁶ weeks; 1.09+0.40 cm at 32⁺⁰-35⁺⁶ weeks; and 1.06±0.47 cm at 36⁺⁰-40 weeks of pregnancy). Most S-ScFT were thicker than 10 mm. But S-ScFTs in the lateral abdomen and some sites were suboptimal (<6 mm), especially in the pre-pregnancy underweight body mass index group, who had a high rate of suboptimal thickness (27.1% overall and 33.9% in the lateral side). Conclusion: The whole abdomen seems to be appropriate for subcutaneous injection in most Korean women during pregnancy, with a 4 to 5-mm short needle. However, for the lateral abdomen, making the skin fold might be needed for fetal safety.

• 척추신경추나의학회지
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• 제16권2호
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• pp.9-19
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• 2021

Objectives This systematic review aimed to provide evidence for the effectiveness and safety of Chuna manual therapy (CMT) for carpal tunnel syndrome (CTS). Methods We searched 12 electronic databases (PubMed, Ovid-MEDLINE, EMBASE, The Cochrane Library, CNKI, CiNii, ScienceON, KMbase, KISS, OASIS, KMTANK, and RISS) up to the end of October 2021. We only included randomized controlled trials (RCTs) investigating CMT for the treatment of CTS. The methodological quality of the included RCTs was evaluated using the Cochrane Risk of Bias Tool 1.0. Results Six RCTs were eligible for inclusion in our study. A meta-analysis of four studies demonstrated positive results for the use of CMT when used in conjunction with Korean medicine treatment compared to those for Western conservative treatment for CTS. Conjunction treatment significantly improved the total efficacy rate compared to conservative treatment alone (P=0.0007, n=4). Conclusions There is reliable evidence for the use of CMT in treating CTS based on a published meta-analysis. To measure only the effect of Chuna, an experimental group should be designed with Chuna alone to evaluate its effectiveness. However, it should be noted that the studies included in this systematic review were heterogeneous and of low quality, thus warranting further investigation using well-designed RCTs.

• Nutrition Research and Practice
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• 제16권2호
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• pp.272-283
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• 2022

BACKGROUND/OBJECTIVES: Most child and adolescent food literacy measurement tools focus on nutrition and food safety. However, the importance of aspects related to the food system such as food distribution and food waste and their effects on environmental sustainability is growing. We therefore developed and validated a two-dimensional tool for children (8-12 years old) and adolescents (13-18 years old) that can comprehensively measure food literacy. The association of food literacy with diet quality and self-reported health was assessed. SUBJECTS/METHODS: First, we developed a food literacy conceptual framework that contains food system and literacy dimensions through a literature review, focus group interviews, and expert review. After a face validity study, we conducted the main survey (n = 200) to validate the questionnaire. Construct validity and reliability were assessed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and Cronbach's alpha. RESULTS: As a result of the Delphi study, content validity was confirmed for the remaining 30 items after two items were excluded (content validity ratio = 0.86). Eleven items were excluded from the EFA results, while the CFA results indicated appropriate fit indices for the proposed model (comparative fit index = 0.904, root mean square error of approximation = 0.068). The final food literacy questionnaire consisted of 19 questions and comprised 5 factors: production, distribution, selection, preparation and cooking, and intake. Food literacy was positively associated with diet quality, as assessed by the Nutrition Quotient score, in both children and adolescents and with self-reported health in adolescents.

• 한국항해항만학회지
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• 제46권2호
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• pp.73-81
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• 2022

Currently, shipping by sea is becoming common because of the low price and the safety of goods. The ship is designed as a larger vessel to meet the need of this development. In the design stage, the investigation of hydrodynamic forces acting on the ship hull is very important in predicting the ship's maneuverability. Given that the ship docks at various ports for loading or discharging goods, the ship usually operates in various loading conditions, depending on the site condition and other various factors. Hence, it is necessary to investigate the effect of the loading condition on the hydrodynamic forces acting on the ship, to most accurately determine the maneuverability of the ship. In this study, an experiment of Korea Autonomous Surface Ship (KASS) was conducted at the towing tank of Changwon National University to measure the hydrodynamic forces acting on the KASS. The loading condition considered in this experiment is determined based on the draft, which was decreased by 5% for each loading condition. The smallest draft is 85% of the design draft. The static test as Oblique Towing Test (OTT), Circular Motion Test (CMT), Circular Motion Test with Drift (CMTD) is performed in the various loading conditions. First, the hydrodynamic forces in the Oblique Towing test (OTT) are compared with the result of other institutes. Second, the hydrodynamic forces in various drift angle, yaw rate and loading conditions are measured. Finally, the influence of the loading conditions on the hydrodynamic coefficient is discussed.

• 한국인터넷방송통신학회논문지
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• 제22권2호
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• pp.51-62
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• 2022

본 논문에서는 환자의 자세를 기반으로 행동을 예측하여, 의료진에 의해 입력된 개인의 병력 중심의 프로파일과 신체정보, 침상의 기본 정보를 모두 조합하여 침대에서의 낙상 위험을 예측하는 모델을 설계하고, 위험의 수준을 판단할 수 있는 알고리즘을 제시한다. 낙상 위험 예측은 크게 환자의 프로파일을 활용한 정성적 낙상 위험 노출도 평가와 실시간 낙상 위험 측정 단계로 구분된다. 정성적 낙상 위험 노출도는 의료진이 낙상 위험과 관련된 환자의 건강 상태를 점검하여 위험 노출도를 평가함으로써 위험 등급이 결정된다. 실시간 낙상 위험 측정 단계에서는 환자의 침대에서의 자세를 인식하고 환자의 정성적 위험등급 정보가 고려된 낙상 위험 측정을 위한 규칙 기반 정보를 추출한다. 인식된 환자 자세 정보와 정성적 위험평가 정보를 모두 조합하여 시그모이드 함수를 활용하여 최종 낙상 위험 수준을 예측한다. 본 연구에서 제시된 절차와 예측 모델은 입원 환자를 위한 낙상 사고 예방과 환자 안전을 위한 개인화 서비스에 크게 기여할 것으로 기대된다.

• 한국산업보건학회지
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• 제32권2호
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• pp.163-171
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• 2022

Objectives: Fit performance may vary depending on the ambient aerosol number and ratio in respective test environment. Although several instrument can measure it, they differ with respect to the measurement principle and the range of ambient aerosols collected to calculate the fit factor. Methods: In this study, the fit performance between a condensation nuclei counter(CNC) and an optical particle counter(OPC) was compared according to ambient aerosol number concentration, and evaluated consistency. One type respirators(N95 masks) was worn by 50 participants PortaCount®(Pro+ 8038) and MT®(05U) were connected with one probe to one mask, and Fit Factors(FFs) were measured simultaneously. Results: The interclass correlation coefficient of the fit factor and ambient aerosol number, as measured by the two instrument, was 0.82 and 0.79, respectively, indicating a high consistency level. On the other hand there was a significant correlation between the successful test performance of the OPC instrument and the ambient aerosol number. Conclusions: The test was passed with the CNC and OPC instruments when the ambient aerosol number was 635-3,332 particles/cm³ and 368-1,976 particles/cm³, respectively. Thus, the ideal ambient aerosol number of particles differed between the two instrument.

• Medical Lasers
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• 제10권2호
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• pp.96-105
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• 2021

Background and Objectives Skin aging is reportedly associated with regulation in collagen and elastin synthesis. This study investigated the potential of combining light-emitting diode (LED) treatments using a 630-nm and 850-nm LED with simultaneous microcurrent application. Materials and Methods The dorsal skin of female pigs was treated with a home-use device. We examined the treatment effects using photography, thermocamera, microscopic pathology, and histological examination to determine the mechanism of action, efficacy, and safety of the procedure. A histological observation was performed using hematoxylin and eosin, Masson's trichrome, Victoria blue, and immunohistochemical staining. We also used the Sircol soluble collagen and elastin assay kit to measure the amounts of collagen and elastin in the porcine back skin tissue after 2 and 6 weeks. Results Evaluation by visual inspection and devices showed no skin damage or heat-induced injury at the treatment site. Histological staining revealed that accurate treatment of the targeted dermis layer effectively enhanced collagen and elastin deposition. Collagen type I, a protein defined by immunohistochemical staining, was overexpressed in the early stages of weeks 2 and 6. Combined therapy findings showed the superior capability of the 630-nm and 850-nm LED procedures to induce collagen; in contrast, elastin induction was more pronounced after microcurrent treatments. Conclusion The home-use LED device, comprising a combination of 630-nm and 850-nm LEDs and microcurrent, is safe and can be used as an adjunctive treatment for self-administered facial rejuvenation.

• Geomechanics and Engineering
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• 제29권3호
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• pp.321-329
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• 2022

Tunnel site where high water pressure is applied, such as subsea tunnel, generally selects the shield TBM (Tunnel Boring Machine) to maintain the tunnel excavation face. The shield TBM has cutters installed, and the cutters wear out during the process of excavation, so it should be checked and replaced regularly. This is called CHI (Cutterhead Intervention). The conventional CHI under high water pressure is very disadvantageous in terms of safety and economics because humans perform work in response to high water pressure and huge water inflow in the chamber. To overcome this disadvantage, this study proposes a new method to dramatically reduce water pressure and water ingress by injecting an appropriate grout solution into the front of the tunnel face through the shield TBM chamber, called New Face Grouting Method (NFGM). The tunnel model tests were performed to determine the characteristics, injection volume, and curing time of grout solution to be applied to the NFGM. Model test apparatus was composed of a pressure soil tank, a model shield TBM, a grout tank, and an air compressor to measure the amount of water inflow into the chamber. The model tests were conducted by changing the injection amount of the grout solution, the curing time after the grout injection, and the water/cement ratio of grout solution. From an economic point of view, the results showed that the injection volume of 1.0 L, curing time of 6 hours, and water/cement ratio of the grout solution between 1.5 and 2.0 are the most economical. It can be concluded that this study has presented a method to economically perform the CHI under the high water pressure.

• Medical Lasers
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• 제9권2호
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• pp.150-158
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• 2020

Background and Objectives Low-level laser therapy (LLLT) is used widely to promote hair growth in androgenetic alopecia (AGA). This study examined the clinical efficacy and safety of a home-use LLLT device with a newly designed array of light sources and software optimized for individual types of AGA. Materials and Methods The study was a randomized, double-blind, sham device-controlled trial. Forty-eight subjects (39 men and nine women) were assigned randomly in a 2:1 ratio to use either the test device (LG Pra'L HGN1, LG electronics, Korea) or sham device. The subjects used the LLLT device three times a week for 16 weeks. Phototrichogram was used to measure the hair density and hair thickness at 0, 8, and 16-weeks. Adverse events were closely monitored. Results After 16 weeks of using the device, the test group showed a significant increase in hair density and hair thickness compared to the control. In the test group, the hair density increased 6.96 counts/cm² at eight weeks and 13.67 counts/cm² at 16 weeks from the baseline. The hair thickness increased 7.21 ㎛ at eight weeks and 11.80 ㎛ at 16 weeks compared to the baseline. Conclusion The home-use LLLT device with a novel array of light sources and an individualized program according to the types of hair loss appears to be an effective and safe treatment modality for both male and female AGA patients.

• 한국구조물진단유지관리공학회 논문집
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• 제25권5호
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• pp.1-7
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• 2021

본 연구에서는 대형 시설물의 재난 모니터링을 위해 시설물에서 발생 가능한 붕괴 및 화재 사고를 감지하고, 재난 상황 발생 시 IoT 기반의 시설물 내부 상황 인지를 위한 커스터마이징 비콘을 개발하고자 하였다. 기존 변형률 센서를 이용한 데이터 계측의 경우 유선으로 변형률 센서를 연결하여 계측하였지만, 본 연구는 이를 무선으로 변경하여 실시간으로 구조물 변형의 유·무를 모니터링이 가능하도록 하였다. 이 과정에서 휘트스톤 브릿지를 이용하기 위해 커스터마이징 비콘에 연결이 가능한 변형률 센서 모듈을 제작하였으며, 계측 데이터를 원격으로 확인하기 위한 시스템 구성을 진행하였다. 계측 데이터 검증을 위해 차세대융합기술연구원 15층 내에 10개의 커스터마이징 비콘과 2개의 게이트웨이를 설치하였으며, 계측 데이터 분석 결과 변형률 데이터값이 7~8 사이에 분포하는 것을 확인하였다.