• 대한약침학회지
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• 제20권3호
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• pp.227-229
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• 2017

Fibrosis of skeletal muscle following acupuncture is an iatrogenic disorder. The present case illustrates a patient with a unilateral fibrotic formation on a thumb muscle after acupuncture injection therapy with red sage. The patient in the present case was a counter-terrorism police officer with right-handedness; he noted a palpable nodule three months after injection therapy at his left first dorsal interosseous in which the acupuncture point LI4 (He Gu) is located. He also found a reduction in the strength of his left pinch grip that noticeably affected his left handgun marksmanship. However, being ambidextrous in single-hand pistol shooting is an essential requirement for counter-terrorism police officers. Based on the patient's medical history and claims, no underlying disease or trauma was found to be associated with his current complaint. During physical examination, a fibrotic formation in his left first dorsal interosseous muscle was visualized by using diagnostic ultrasound; also, as confirmed with dynamometry, the strength of his left pinch grip was significantly lower than that of the right counterpart. Because acupuncture injection therapy has three components, antiseptic practices, the mechanical action of syringe insertion, and the pharmacological effect of the sterile herb extract, any one of the components may have contributed to the present adverse event. The first dorsal interosseous muscle is small in dimension and rather vascular; thus, it is not an ideal site for intramuscular injection. When a clinician needs to treat a patient by performing acupuncture at the LI4 acupoint and injecting a herbal extract simultaneously, the clinician should only mechanically stimulate the LI4 acupoint while injecting the herbal medicine into the LI14 (Bi Noe) acupoint on the same meridian, the LI14 acupoint being located in the distal portion of the deltoid muscle and being fairly close to the universally agreed upon site on the upper arm for safe administration of an injection.

• 한국전문물리치료학회지
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• 제10권2호
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• pp.71-84
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• 2003

The purpose of this study was to provide information on driving characteristics in persons with spinal cord injury through basic statistic analysis of the survey results. The survey was administered to 44 drivers with spinal cord injury. The subjects' general, neurologic and driving characteristics were analyzed, as well as the degree of difficulty in using their vehicles between tetraplegia and paraplegia. The results were as follows: thirty-five (79.6%) of forty-four respondents was men. The average age was 35.0 years old and the age at the time of injury was 29.0 years old. Their neurologic characteristics were tetraplegics 12 (27.3%) and paraplegics 32 (72.2%). Among complete lesions, the highest level those who could drive independently was C7. All the vehicles were equipped with special devices, including "power steering", "automatic transmission" and "hand controls". The vehicles for cervical cord injury were equipped with "grip bars" as well as for the degree of difficulty in using their vehicles, all the subjects felt that "moving the wheelchair in and out of their vehicles" was too difficult for them to do. We suggest that the driver training should be an essential part of the rehabilitation program for patients with spinal cord injuries to maximize their mobility in the community. This training seems to be essential in order to modify the standards of the Handicapped Drivers Ability Test and to aid the driver rehabilitation program in the health insurance payment system. Also, the driver rehabilitation training program should include instruction in that moving wheelchairs in and out of vehicles.

• 디지털융복합연구
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• 제17권2호
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• pp.405-412
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• 2019

본 연구는 장애인복지관과 장애인자립생활센터(IL센터) 종사자 및 이용자가 갖는 4차 산업혁명시대의 기관에 대한 인식차이를 파악하여 기관의 정체성 확립을 위한 정보제공에 목적을 둔다. 부산광역시와 경상남도의 장애인복지기관 8개소 장애인 이용 당사자 178명과 종사자 173명을 대상으로 4차 산업혁명에 대한 관심도, 기관의 미래 준비수준, 장애인복지기관의 변화예측 등 관련된 자체 제작 설문지를 통해 인식 차이를 분석하였다. 그 결과 종사자가 4차 산업혁명에 대한 관심은 더욱 높았으나 장애인복지기관의 준비수준에 대한 인식에서는 이용자에 비해 종사자이 인식하는 기관의 미래 준비수준은 낮다고 평하였다. 4차 산업혁명으로 인한 장애인복지기관의 미래변화 예측에 대해서는 이용자에 비해 종사자가 더 긍정적 변화를 예측했고 종사자가 이용자 보다 더 높은 기대를 갖고 있었으나 통계적으로 유의하지는 않았다. 이런 결과에 대한 논의와 제언을 제시하였으며 이는 장애인복지기관의 미래대응전략을 위한 정보제공을 하여 향후 한국장애인복지계의 발전을 도모하고 한국장애인복지정책 방향설정에 기여할 수 있는 자료가 될 것이라 여긴다.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.572-578
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• 2021

본 연구는 지체장애인을 대상으로 인공지능 스피커에 대한 인지적 요소와 감정적 요소가 인공지능 스피커 사용 의도에 미치는 영향을 검증하는 것을 목적으로 하였다. 연구방법은 지체장애인을 대상으로 온라인 설문 조사를 실시하였다. 인공지능 스피커에 대한 인지도와 필요도, 인지된 친밀함과 즐거움, 사용 의도를 파악하였으며, 각 변인이 지체장애인의 인공지능 스피커 사용 의도에 미치는 영향력을 확인하기 위해 다중회귀분석(Multiple linear regression analysis)을 실시하였다. 연구 결과, 지체장애인의 인공지능 스피커에 대한 인지된 즐거움은 사용 의도에 유의한 정적 영향을 나타내었다. 그러나 지체장애인의 인공지능 스피커에 대한 인지도와 필요도, 인지된 친밀함은 인공지능 스피커 사용 의도에 통계적으로 유의미한 영향을 나타내지 않는 것으로 분석되었다. 본 연구의 결과는 장애인의 인공지능 스피커 사용 의도 향상을 위해 즐거움 요소를 강화하는 것이 필요함을 시사하며, 장애인을 위한 인공지능 제품과 맞춤형 서비스를 개발하기 위한 기초자료를 제공하는 점에서 의의가 있다.

• 한국콘텐츠학회논문지
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• 제22권9호
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• pp.678-688
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• 2022

본 연구는 '재난 불평등' 상황에 노출되기 쉬운 지체 장애인의 일상생활제한이 위급 시 행동에 미치는 직접적인 영향을 살펴보고, 이 관계에서 우울과 주거환경의 매개효과를 통합적으로 검증하기 위한 목적으로 수행되었다. 이를 위해 장애인삶 패널조사 2차년도(2019) 패널 중 만 20세 이상의 지체 장애인 총 803명을 대상으로 분석하였다. 분석결과, 첫째, 지체 장애인의 일상생활제한은 우울에 정(+)적인 효과, 주거환경과 위급 시 행동에 각각 부(-)적인 효과가 나타났고, 우울은 위급 시 행동에 부(-)적인 효과, 주거환경은 위급 시 행동에 정(+)적 효과가 나타났다. 둘째, 지체 장애인의 일상생활제한과 위급 시 행동 사이에 우울과 주거환경은 매개 효과가 있는 것으로 나타났다. 즉, 지체 장애인의 일상생활제한이 위급 시 행동에 미치는 영향에 대하여 주거환경과 우울이 중요한 역할을 할 수 있는 변인임을 시사한다. 분석결과를 토대로 연구의 함의를 제안하였다.

• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.112-120
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• 1996

We peformed tendon transfer with a microvascular free flap for recovery of handicapped function and reconstruction for the skin and soft tissue loss. We review the clinical data of 11 children who underwent these operation due to injured foot by pedestrian accident from January, 1986 to June, 1994. The mean age of patients was 5.6 years old(3-8). Five cases underwent tendon transfer and microvascular free flap simultaneously. Another 6 cases underwent operations separately. The time interval between tendon trasnfer and microvascular free flap was average 5.6 months(2-15 months). The duration between initial trauma and tendon transfer was average 9.6 months(2-21 months). The anterior tibial tendon was used in 6 cases. Among these, the technique of splitting the anterior tibial tendon was used in 5 cases. The posterior tibial tendon was used in 3 cases and the extenosr digitorum longus tendon of the foot in 2 cases. Insertion sites of tendon transfer were the cuboid bone in 3 cases, the 3rd cuneiform bone in 3 cases, the 2nd cuneiform bone in 1 case, the base of 4th metatarsal bone in 1 case, and the remnant of the extensor hallucis longus in 3 cases. The duration of follow-up was average 29.9 months(12-102 months). The clinical results were analysed by Srinivian criteria. Nine cases were excellent and 2 cases were good. The postoperative complications were loosening of the tranferred tendon in 2 cases, plantar flexion contracture in 1 case, mild flat foot deformity in 1 case and hypertrophic scar in 2 cases. So we recommend the tendon transfer with a microvascular free flap in the case of injured foot of children combined with nerve injury and extensive loss of skin, soft tissue and tendon.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권1호
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• pp.67-76
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• 2015

Purpose : The current tactile walking surface indicators have not been easily accessible to blind and vision-impaired people due to unexpected variation of walking environment and walking behavior of transportation poor. Moreover, those indicators frequently cause the inconvenience to transportation users' walking. Thus, this study aims to investigate the improvement of tactile walking surface indicators, by comparing and analyzing findings from the relevant research. Results from this study contribute to suggest the better standard criteria of tactile walking surface indicators for transportation users, especially blind and vision-impaired people, the handicapped, the child and the elderly and weak, providing the secure and convenient circumstance for walking. Method : This study presents the problems about the standard criteria of tactile walking surface indicators via the examination of finding from the past studies. For example, we examine all standard criteria, focusing on shapes, colors and qualities of materials used for Tactile Walking Surface Indicators. Then, the present study suggests the improvement of standard, which apply to the current walking environment practically and reasonably. Results : To improve the current condition of tactile walking surface indicators, the analysis on international and domestic standard criteria need to be conducted. Findings from these analyses helps to suggest the better criteria for the interval between projecting points of tactile walking surface indicators, effective perceived range of walking road, and the brightness contrast between tactile walking surface indicators and finishing materials. Implication : The suggested standard criteria of tactile walking surface indicators need to be tested by transportation users, and the practical instructions of establishing tactile walking surface indicators should also be developed.

• 디지털융복합연구
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• 제19권11호
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• pp.511-516
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• 2021

본 연구는 장애인복지관의 전문인력을 대상으로 임파워먼트와 소진의 관계, 그리고 이직의도의 매개효과를 분석하였다. 최근 장애인복지관 종사자들의 소진이 심각한 문제로 제기되고 있기 때문에 소진과 관련된 변수들의 관계를 규명하는 연구가 필요한 시점이다. 분석을 위해 D광역시와 C도의 장애인복지관 14개소의 전문인력 363명을 대상으로 설문조사를 진행하였다. 주요한 분석방법은 상관관계, 확인적 요인분석, 부트스트랩 검정 등이다. 분석결과, 장애인복지관 전문인력의 임파워먼트가 소진에 유의미한 영향을 미치고 이직의도의 매개효과가 유의미한 것으로 나타났다. 본 연구의 분석결과에 의하면, 장애인복지관 전문인력의 소진을 감소시키기 위해 임파워먼트를 향상시키고 이직의도를 감소시키는 것이 바람직하다. 이러한 차원에서 장애인복지관 전문인력의 소진을 감소시키기 위한 몇 가지 방안들이 제시되었다.

• 지역사회간호학회지
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• 제7권2호
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• pp.203-215
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• 1996

Social security is concerned with ensuring all citizens maintain basic needs, community health nursing maintains and promotes health for all community members. Lately, This new area of community health nursing, concern social welfare has increased. The objectives of this study are, first, to analysis the activities of nurses at community social welfare institutes, second, to estimate nursing demand for social welfare areas. The study methods used were as literature review, an analysis of statistical data and case study etc. The analytical framework also included a demand analysis of nursing manpower in community social welfare areas. The major results are as follows; 1. Employees which work at social welfare institutes number 55,464, nursing manpower (including nurse aids) number 1,458 and this is 3% of the total employees. Within nursing manpower, nurses number 780, nurse aids number 670. 2. The rates of nurses among total employees were high in institutes for mental disorders and institutes for the age. 3. The salary level of nurses was lower than average and the rates of retirement showed a roughly middle level in welfare institutes. 4. The satisfaction level of nursing services was high, and it is the trend that nurses substitute for nurse aids which retire at social welfare institutes. 5. Nurse demand that follows legal criteria is 2,221, but only 35% are working. It is therefore insufficient from the minimum of 733 to a maximum 1433. 6. The sufficiency rates by institution were high at institutes for vagrants, aged and the handicapped. In conclusion, the conditions are of nurses which are working in with the social welfare institutes are poor. Also the number of nurses compared rates of demand were in surplus. But, the basic direction of welfare policy is universal-preventive and provision of the family and of community centered service, and nursing service demand in the social welfare institute will increase continuously, we predict. Therefore, we will need a positive plan such as the development of an inservice education program and the construction of an information collection system etc.

• 정보처리학회논문지B
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• 제12B권4호
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• pp.465-472
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• 2005

본 논문에서는 HMD(Head Mounted Display) 하단에 눈동자의 움직임 영상을 취득할 수 있는 USB 카메라를 부착한 후, 3차원 1인칭 슈팅(First Person Shooting) 게임에서 게임 캐릭터의 시선방향을 눈동자 움직임에 의해 조작하는 방법을 제안한다. 본 논문에서 제안하는 방법은 다음과 같은 3부분으로 이루어져 있다. 첫 번째는 입력 영상으로부터 눈동자의 중심 위치를 실시간 영상 처리 방법으로 추출하는 부분, 두번째는 HMD 모니터상의 임의 지점을 쳐다볼 때 추출된 눈동자의 위치 정보와 모니터상의 응시 지점사이의 기하학적인 연관관계를 결정하는 캘리브레이션 부분, 그리고 마지막은 캘리브레이션 정보를 기반으로 모니터 상의 최종적인 응시 위치를 결정하고 이 정보에 의해 게임상의 3차원 뷰 방향을 조정하는 부분으로 구성되어 있다. 실험 결과 본 논문의 방법에 의해 손이 불편한 사용자에게 게임을 즐길 수 있는 기회를 제공하고, 게임 캐릭터와 게임 사용자의 시선 방향을 일치시킴으로서 게임의 흥미와 몰입감을 증가시킬 수 있는 결과를 얻음을 알 수 있었다.