• PNF and Movement
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• 제16권1호
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• pp.43-50
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• 2018

Purpose: This study examined the effects of a shoulder-strengthening exercise on muscle strength of shoulder flexors and extensors of caregivers. Methods: The study consisted of 19 caregivers (2 males and 17 females) employed by Medical Center B. All the participants took part in an 8-week shoulder muscle strengthening exercise, based on previous studies. In the first week, the subjects took part in a stretching exercise enhance the range of motion. In the second week, they participated in an exercise aimed at improving shoulder blade stability. From the third to seventh weeks, a resistance exercise of different intensities was applied in a phased manner. Finally, in the eight week, the subjects took part in plyometric exercise. Peak torque, average power, and total work of shoulder flexors and extensors in both sides were measured before and after the exercise at an angular speed of 120deg/sec using an isokinetic device. Wilcoxon's singed-ranks test was conducted to analyze differences in muscle strength before and after the intervention. Results: After the exercise, there was a significant improvement in peak torque and average power of flexors of the right arm. After the exercise, peak torque, total work, and average power showed a significant improvement in the flexors of the left arm (p<0.05). However, there was no statistically significant difference in extensor muscle strength in either arm after the exercise. Conclusion: Shoulder flexors of caregivers are utilized frequently in the workplace. Implementation of extensor-strengthening exercises, in addition to flexor-strengthening exercises, can contribute to reducing the incidence rate of shoulder injuries among caregivers.

• 한국융합학회논문지
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• 제13권5호
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• pp.287-294
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• 2022

본 연구는 스포츠 현장에서 부상예방으로 많이 사용되고 있는 탄력 테이핑을 슬관절 굴곡과 신전에 적용하여 근력, 근파워, 근지구력에 미치는 영향을 검증하기 위해 진행하였다. 연구 대상자는 슬관절의 굴곡과 신전 운동에 이상이 없는 남자 대학생 10명으로 하였다. 측정방법은 등속성근기능측정 장비를 활용하여 슬관절 굴근과 신근에 키네시오 테이핑을 적용 전, 후로 각속도 60°/sec 5회, 180°/sec 5회, 240°/sec 25회를 측정하였다. 연구결과는 슬관절 신전 시 키네시오 테이핑 적용 전보다 후에 우측 각속도 180°/sec에서 Average Power가 유의하게 증가하였다(p=.010). 슬관절 굴곡 시 키네시오 테이핑 적용 전보다 후에 우측 각속도 180°/sec에서 Average Power가 유의하게 증가하였다(p=.016). 또한 각속도 240°/sec에서는 Total Work Done에서 좌(p=.002), 우(p=.002) 모두 유의하게 증가하였다. 대퇴직근과 대퇴이두근에 키네시오 테이핑 적용이 슬관절 운동 시 근파워과 근지구력을 향상시키는 보조적인 영향이 긍정적으로 나타났다.

• 산업융합연구
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• 제21권10호
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• pp.167-180
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• 2023

본 연구는 산업재해로 인해 신체장해가 남은 원직복귀 산업재해 근로자의 의료이용에 영향을 미치는 요인을 파악하여 의료이용의 접근성을 높이기 위한 기초자료를 제공하는데 목적이 있다. 연구대상은 2021년 근로복지공단 패널조사 자료에서 장해등급을 받고 원직복귀한 산업재해근로자 457명이다. 자료분석은 SPSS WIN 26.0를 이용하여 위계적 다중회귀분석을 실시하였다. 연구결과는 일용직, 하위층 경제상태, 육체적 활동 제약, 주관적 건강상태, 만성질환이 외래이용 횟수에 영향을 미쳤다. 그리고, 일상생활 지원자, 화상, 육체적 활동 제약이 의료비 지출에 영향을 미쳤다. 따라서 원직복귀 산업재해 근로자 의료이용의 접근성을 높이기 위해 사업장 내 보건관리자의 역할 확대와 사업주가 직장복귀 계획 수립시 의료이용 계획을 포함해야 하며, 아프면 쉴 수 있는 유급병가제도 도입에 관한 연구가 필요하다. 화상치료 및 재활급여 범위의 확대 방안을 마련하여 경제적 부담을 줄이는 것이 필요하다.

• 한국보건간호학회지
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• 제9권1호
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• pp.83-102
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• 1995

As the society is being industrialized, the fast-paced economic development that has caused substantial increase in cerebrovascular and coronary artery diseases and the industrial development and increased use of means of transportation have resulted in the rapid rise of incidents in external injuries as well. So the pubic has become acutely aware of the need for fast and effective emergency care delivery system. The goal of emergency care delivery system is to meet the emergency care needs of patients. The emergency care delivery system is seeking to efficiently satisfy the care needs of people. Therefore the purpose of this study is designed to develop an effective programs for emergency care delivery system in Korea. The following specific objectives were investigated. This emergency care delivery system must have the necessary man power, for transfering the patients, communication net work, and emergency care facilities. 1) Man power Emergency care requires n0t only specialized traning in the emergency treatment but also knowledge and experience i11 other related area, so emergency care personnel traning program should be designed in order to adapt to the specific need of emergency patients. It will be necessary to ensure professional personnel who aquires the sufficient traning and experience for emergency care and to look for legal basis. We have to develop re-educational programs for emergency nurse specialist. They should be received speciality of emergency nursing care so that they will work actively and positively in emergency part. Emergency medical doctor and nurse specialist should be given an education which is related in emergency and critical care. Emergency care personnel will continue to provide both acute and continuing care as partner with other medical team. 2) Transfering the patients. Successful management of pre-hospital care requires adequate traning for the emergency medical technician. Traning program should be required to participate in a actual first aids activites in order to have apportunities to acquire practical skills as well as theoretical knowledge. The system of emergency medical technician should be remarkablly successful with first responder firefighters. Establishing this system must add necessary ambulances operating at any given time. It will be necessary to standardize the ambulance size and equipment. Ambulance should be arranged with each and every fire station. 3) Communication net work. The head office of emergency commumication network should be arranged with the head office of fire station in community. It is proposed that Hot-line system for emergency care should be introduce. High controlled ambulance and thirtial emergency center should simultaneously equip critical-line in order to communication with each other. Ordinary ambulance and secondary emergency facility should also simultaneously equip emergency-line in order to communication with each other. 4) Emergency care facilities. Primary emergency care facilities should be covered with the ambulatory emergency patients-minor illness and injuires. Secondary emergency care facilities should be covered with the emergency admission patients. Third emergency care center should be covered with the critical patients who need special treatments and operation. Secondary and third emergency care facilities should employ emergency medical doctor and emergency nurse specialist to treat in-patients with severe and acute illness and multiple injuires. It should be fashioned for a system of emergency facilities that meets emergency patients needs. Provide incentives for increased number of emergency care facilities with traning in personal/clinical emergency care. 5) Finance It is recommended to put the finance of a emergency care on a firm basis. The emergency care delivery system should be managed by the government or accreditted organizations. In order to facilitate this relevant program the fund is needed for more efficient and effective emergency researchs, service, programs, and policy. 6) Gaining understanding and co-operation of pubic It is also important to undertake pubic education to improve understanding of first aids and C. P. R of individuals, communities and business. It is proposed that teachers and health officers be certified in C. P. R. The C. P. R education can be powerful influence save lives. Lastly appropriate emergency care information must be provided to the pubic for assisting them in choosing emergency care.

• 한국콘텐츠학회논문지
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• 제20권4호
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• pp.571-581
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• 2020

의료통역전문인력의 검정시험 평가항목으로는 대항목, 중항목, 소항목이 있으며, 그 기준 및 수준이 명확하지 않아 시험을 준비하는 자로 하여금 혼란이 야기될 수 있다. 이에 의료통역능력 검정시험 자격요건과 평가항목의 출제기준을 우리나라의 의료체계와 부합할 수 있도록 제안하고자 한다. 시행되고 있는 의료통역능력 검정시험에 대한 조사는 국내·외 자료를 수집하였으며, 유사검정시험과 비교 및 국외 시험과 비교하였다. 또한 의료통역능력 검정시험 문항개발, 출제경험이 있는 전문가들에게 검정시험에 대한 인식을 조사 하였다. 그 결과 국제문화 평가항목에 대하여 언어권문화는 의료권문화로 통역윤리는 의료통역윤리로 수정하였다. 병원시스템 평가항목은 대항목의 「의료관련법」에서 중항목인 「의료분쟁조정법」을 「의료사고피해구제 및 의료분쟁조정등에 관한법률」로 「의료관광관련법」 4개 항목을 2개로 축소하고, 「의료해외진출 및 외국인환자유치지원에 관한법률」을 추가하였다. 우리나라 의료문화와 부합되게 의료통역능력 검정시험이 마련된다면, 검정시험에 합격한 전문인력에게 전문가로서 활동할 수 있는 안정적인 기회가 마련될 것으로 판단된다.

• 대한약리학회지
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• 제26권2호
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• pp.145-152
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• 1990

최근 본 교실에서는 two-bath system을 이용하여 혈관 내피세포에서 superoxide에 의존한 혈관 이완성 물질을 동정하여 발표하였다. 본 실험에서는 상기 system을 이용하여 돼지의 관상동맥 내피세포에서 유리되는 superoxide에 의존한 이완성 물질이 고양이의 흥부 대동맥 내피 및 소의 대동맥 배양내피세포에서 얻어진 이완성 물질에 의한 이완과 매우 유사함을 관찰하여 다음과 같은 결과를 얻었다. 1. 고양이 흥부 대동맥, 돼지 관상동맥의 내피세포 및 소 대동맥 배양 내피세포 등에서 유리되는 superoxide에 의존한 이완 물질은 모두 유사한 이완 작용을 나타내었다. 2. 돼지 관상 동맥 내피세포에서 유리되는 superoxide 의존성 이완 물질이 고양이의 흥부 대동맥 내피세포나 소의 대동맥 배양 내피세포에서 유리되는 이완 물질과는 다소 다른 점도 있었다. 즉, 돼지 관상동맥 내피세포에서 유리되는 이완 물질의 작용은 catalase나 superoxide dismutase(SOD)에 의하여 억제되었으나, 후자의 두 동맥 내피세포에서 유리되는 이완 물질은 SOD에 의해서만 억제되었다. 3. 이러한 이완성 물질들의 생성은 여러 lipoxygenase억제제인 gossypol, nordihydroguaiaretic acid, AA 861 및 eicosatetraynoic acid 등의 전처치에 의하여 봉쇄되었다. 4. Cyclooxygenase 억제제인 indomethacin이 나 cytochrome P-450 monooxygenase 억제제인 proadifen과 cimetidine에 의하여는 봉쇄되지 아니하였다. 이상의 결과로부터 이러한 이완성 물질들은 비록 각기 다른 종의 동물 모델에서 얻었다고 하더라도 장기에 따라 다소 반응의 차이는 있으나 동질성 이완 물질이며, 나아가 이러한 이완성 물질은 여러 조직의 허혈-재관류 손상에 있어서 병리생리학적으로 관련될 것으로 사료된다.

• 대한족부족관절학회지
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• 제19권4호
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• pp.142-150
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• 2015

Purpose: Restoration of ankle stability through the strengthening exercise of peroneus muscles is considered an important factor for achievement of successful outcomes, in the rehabilitation program following ankle ligament injuries. However, there were few definitive data on normal muscle strength, including eversion power by peroneus muscles. This study was conducted to evaluate the muscle strength of ankle joint measured using an isokinetic dynamometer in normal Koreans. Materials and Methods: Sixty adults (120 ankles) were recruited and divided into three groups (20 in their twenties, 20 in thirties, and 20 in forties). Each group consisted of 10 males and 10 females. The selection criteria were no history of ankle injury and no evidence of instability. The peak torque, total work, and deficit ratio were measured using the Biodex$^{TM}$ (Biodex Medical Systems). Differences in muscle strength by age, gender and dominant versus non-dominant side were analyzed. Results: The peak torque of dorsiflexion was average 31.5 Nm at $30^{\circ}/s$ of angular velocity and 18.8 Nm at $90^{\circ}/s$; average 69.3 Nm ($30^{\circ}/s$) and 42.4 Nm ($90^{\circ}/s$) on plantarflexion; average 19.6 Nm ($30^{\circ}/s$) and 10.8 Nm ($90^{\circ}/s$) on inversion; average 12.9 Nm ($30^{\circ}/s$) and 8.0 Nm ($90^{\circ}/s$) on eversion. The deficit ratio of strength in women was average 61.1% of men on dorsiflexion; average 66.2% on plantarflexion; average 48.5% on inversion; average 55.4% on eversion. The deficit ratio in non-dominant foot was average 88.6% of dominant foot on dorsiflexion; average 90.1% on plantarflexion; average 85.1% on inversion; average 85.6% on eversion. Conclusion: The muscle strength of the ankle joint showed a tendency to weaken with age. There were significant differences in muscle strength by gender and dominancy. Further studies for comparison of patients with ankle instability, a comparison between before and after surgery for instability, the correlation between clinical outcomes and the recovery in muscle strength will be needed.

• 대한예방한의학회지
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• 제17권2호
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• pp.47-68
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• 2013

Objectives : This research aimed to develop a new etiologic classification for traditional Korean Medicine in order to respond to the social and environmental change. Methods : We reviewed the existing theories on etiological classification for East Asian Medicine thoroughly and discussed the problems and limitations. Based on the experts' consensus, we abstracted disease factors and etiologic items. Results : The disease factors are classified into three parts: the human body, the environment, and the interaction between the human body and the environment. We defined them as the inner factor, the external factor, and the interaction between the inner and the external factors. The inner factor is free from the influence of the environment, and it causes diseases solely from the components of the human body. It is divided into genetic factors. The external factor is defined as a case when a disease occurs due to a factor outside the human body and includes external injuries, environmental pollution, and natural disasters. The interaction between the inner and the external factors is a disease factor that causes diseases by the interaction of the human body and the environment and includes emotions, habits, and social environment. As a result of the analysis, it was possible to see the meanings at a single glance as the scattered and fractional meanings were integrated with focus on medicinal herbs, but the increasing number of analyzed medicinal herbs tended to more and more complicate their relationships, thus, requiring additional work like filtering. Conclusions : The new etiologic classification of Korean Medicine fully reflects the perspectives on life in Korean Medicine while embracing the changes in modem society. Also, by avoiding the usage of ambivalent terms and wrong classification methods, the new classification system constructs intuitive and concise etiology and improves usability in clinical medicine.

• Journal of Trauma and Injury
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• 제32권4호
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• pp.226-237
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• 2019

Purpose: This study investigated the characteristics of adult patients who had fallen from a height and presented to an emergency room (ER) according to gender and intentionality, with the goal of reducing the harm caused by these injuries. Methods: A retrospective analysis was conducted of fall-from-height patients aged ≥19 years from the in-depth surveillance study of injured patients visiting ERs conducted under the supervision of the Korea Centers for Disease Control and Prevention from 2011 to 2016. Patterns were analyzed according to gender and intentionality. Results: There were 29,838 men (68.5%) and 13,734 women (31.5%), with mean ages of 50.3±15.7 years and 57.2±19.9 years, respectively. The most common height of the fall was ≥1 m to 4 m in men (n=15,863; 53.2%) and <1 m in women (n=7,293; 53.1%). The most common location where the fall occurred was the workplace for men (n=10,500 male; 35.2%) and residential facilities for women (n=7,755; 56.5%). Most falls from height were unintentional (n=41,765; 97.1% vs. n=1,264; 2.9% for intentional falls). Suicide was the most frequent reason for intentional falls, and the age group of 19-30 years predominated in this category (n=377; 29.9%). For intentional falls, the most common interval before presentation to the ER was 0-6 hours (n=370; 29.3%) and the most common height was ≥4 m (n=872; 69.0%). Conclusions: Among men, falls from height most often occurred from ≥1 m to 4 m, at the workplace, and during the course of paid work, whereas among women, they were most common from <1 m, in residential facilities, and during daily activities. Intentional falls most often occurred with the purpose of suicide, in the age group of 19-30 years, with an interval of 0-6 hours until treatment, from ≥4 m, and in residential facilities. Alcohol consumption was more common in intentional falls.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.446-452
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• 2020

최근 어린이 통학버스 사용이 증가함에 따라 통학버스 운전자 및 동승 보호자의 과실로 인한 사고도 큰 폭으로 증가하고 있다. 정부에서는 이를 방지하기 위한 다양한 정책들을 내놓고 있다. 이에 우리는 어린이 통학버스 사고 방지 및 안전 관리를 위한 시스템을 제안한다. 이 시스템을 이용하면 버스 운전자는 각 좌석별 어린이의 착석 여부와 안전벨트 사용 여부를 동시에 쉽게 확인할 수 있으므로 운전 중에도 어린이들의 상태에 따라 빠르게 대처 할 수 있다. 카메라로 찍히는 이미지를 실시간 분석하여 얼굴을 인식하는 기능이 있어서, 어린이들은 각자의 키에 맞게 길이가 자동 조절된 안전벨트를 사용할 수 있다. 따라서 교통사고 발생 시 발생 가능한 2차 상해를 방지할 수 있다. 또한 어린이들이 버스에서 내린 것을 확인하기 위한 슬리핑 차일드 체크 시스템과 실시간으로 어린이의 위치를 부모에게 알려주기 위한 문자 서비스도 제공된다. 라즈베리파이를 기반으로 하여 모터, 카메라, 압력센서, 블루투스 모듈 등을 이용하여 구현되었다. 이것을 버스 모형에 부착하여 일련의 기능들이 정확하게 동작함을 확인하였다.