편마비 환자에서 족저근막의 두께 변화

박지원,박성희,고명환,Park, Ji-Won,Park, Sung-Hee,Ko, Myoung-Hwan 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.3

Purpose: This study investigated the change in plantar fascia thickness in hemiplegic and non-hemiplegic feet in stroke patients using an ultrasonographic evaluation. Methods: Sixteen hemiplegic and non-hemiplegic feet from 16 hemiplegic patients (patient group) and 16 feet from 8 healthy subjects (control group) were evaluated by ultrasonography. The sagittal sonograms were obtained in the prone position, and the plantar fascia thickness was measured at its insertion into the calcaneus. Results: The mean plantar fascia thickness was measured to be $4.5\pm0.8$mm in hemiplegic feet of the patient group, $3.4\pm1.0$mm for the contralateral non-hemiplegic feet and $2.8\pm0.3$mm for the control group. There was a statistically significant difference in plantar fascia between the hemiplegic feet and contralateral non-hemiplegic feet as well as between the contralateral non-hemiplegic feet and control group (p<0.01 and p<0.05, respectively). The plantar fascia thickness according to the Brunnstrom stage and modified Ashworth scale was increased significantly in the hemiplegic feet (p<0.01). Conclusion: These results show that the plantar fascia is overloaded in the hemiplegic and non-hemiplegic feet of stroke patients. A therapeutic approach should be considered for these patients.

일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구

박지원,김용순,김기숙,Park, Ji-Won,Kim, Yong-Soon,Kim, Ki-Sook 한국가정간호학회 2009 가정간호학회지 Vol.16 No.2

Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

Comparative Morphology of the Tongue of Miniopterus schreibersi fuliginosus and Pipistrellus savii

박지원,이정훈,Park, Ji-Won,Lee, Jung-Hun Korean Society of Electron Microscopy 2009 Applied microscopy Vol.39 No.3

주사전자현미경을 이용하여 한국산 긴가락박쥐(Miniopterus schreibersi fuliginosus)와 검은집박쥐(Pipistrellus savii)의 혀유두의 형태를 관찰하였다. 본 연구에서 두 종 모두 세 가지의 혀유두, 즉, 실유두, 버섯유두 그리고 성곽유두가 관찰되었다. 실유두는 다시 두 종류로 세분화되어졌으며, 침상의 돌기물을 갖는 유형1은 혀의 전반부의 1/2 지점까지 분포하며, 유형2는 밋밋하고 두꺼운 돌기물을 갖고 있으며 혀의 후반부의 1/2에 분포한다. 두 종 모두 35~45개의 버섯유두가 혀의 표면에서 관찰된다. 이들 버섯유두는 혀의 측면과 혀의 전반과 후반부의 끝 쪽에서 나타난다. 두 종의 버섯유두는 각각 두 개 혹은 세 개의 매우 큰 유두로 혀의 후반부 중앙에 일직선으로 배열되어 있다. 두 개의 성곽유두는 혀의 후반부 끝쪽 가까이에 분포하고 있다. 이들 성곽유두는 크고 둥글며 각각은 두 층의 pad를 갖고 있다. 긴가락박쥐와 검은집박쥐의 혀유두의 전체적인 형태는 다른 익수류와 유사하였다. 그럼에도 불구하고, 두 종 사이에 드물지만 주목할 만한 차이점이 실유두와 버섯유두에서 나타났다. 검은집박쥐와는 달리 긴가락박쥐의 유형2의 실유두는 두 개 혹은 세 개의 돌기를 가지고 있었다. 혀의 후반부 중앙에 위치하고 있는 큰 버섯유두의 경우, 긴가락박쥐에서는 3개, 검은집박쥐에서는 단지 2개만 관찰되었다. A SEM study on morphology of lingual papillae of Korean long-fingered bat (Miniopterus schreibersi fuliginosus) and Savi's Pipistrelle (Pipistrellus savii) was conducted. Three kinds of lingual papillae were observed: filiform, fungiform, circumvallate papillae. Filiform papillae were divided into two types; the type 1 had a group of needle-like projections, and was distributed throughout the front half of the tongue; the type 2 had a smooth and thick body, and was found in rear half of the tongue. 35 to 45 fungiform papillae were found on the dorsal surface of the tongue in both species. They were observed along the lateral margins and were also found on front and rear end part of the tongue. There were two to three noticeably large fungiform papillae arranged in a straight line on the region between lingual prominence and circumvallate papillae. There were two circumvallate papillae close to the rear end of the tongue. They were large and round, each having two layers of pads. The overall morphology of lingual papillae of M. schreibersi fuliginosus and P. savii was found to be similar with other Chiroptera. However, few but noticeable differences were found among the filiform papillae and fungiform papillae. Type 2 filiform papillae differed in that bifid and trifid configuration were found in M. schreibersi fulginosus unlike in P. savii. In addition, numbers of large fungiform papillae located in the center of posterior region of the tongue were different with M. schreibersi have three while P. savii having only two.

발반사 마사지가 유방암 환자의 수술 후 통증과 수면만족도에 미치는 효과

박지원,유혜라,이홍숙,Park, Ji-Won,Yoo, Hye-Ra,Lee, Hong-Suk 한국가정간호학회 2006 가정간호학회지 Vol.13 No.1

This study, a quasi-experimental study using a nonequivalent control group pretest-posttest design. conducted a survey on 30 patients test group and control group of IS patients sampling an adjacent population at random - who are operated on the breast cancer and are in the A University Hospital located in Suwon, to examine into the effects of foot reflex zone massage on their pain and sleep satisfaction through the nursing interventions. It gave them a foot reflex zone massage for the total 30 minutes-basic massage 10 minutes and reflex massage 20 minutes required to alleviate their pain day in day out covering a two-month period from the first of July to the first of September 2004. for the purpose of collecting data. It launched into a two-round foot reflex zone massage at 6 and 24 hours since mastectomy through a direct visit at the hospital room to measure pain intensity, physiological index(pulse and blood pressure) and sleep satisfaction of them. The results are as follows. First, it showed that there is all the difference between pain intensity of test group and that of control group. In result, the first hypothesis, pain of test group. which measure at 6(p=.000) and 24 hours(p=.001) since mastectomies, will be bigger than that of control group, was established. Second, it showed that there is all the difference between physiological index of test group and that of control group. In result. the second hypothesis, pulse(p= .025, p= .002), systolic blood pressure(p= .004, p=.012) and diastolic blood pressure(p=.004. p= .003) of test group, which investigate at 6 and 24 hours since mastectomies, will be bigger than that of control group, was established. Third, it showed that there is a significant difference between sleep satisfaction of test group and that of control group(p=.000). In result, the fourth hypothesis, sleep satisfaction of test group. which examine in the morning after mastectomies, will be bigger than that of control group, was established. In the result. a foot reflex zone massage is seen to be effective in the pain reduction and sleep promotion of patients who are operated on breast cancer, and in providing them with more qualitative care by improving confidence between them and nurses through a physical touch. Also, it can be applied to a clinical examination through an independent nursing intervention.

마이크로그리드 운영 시스템 연계를 위한 IEC 61850 기반 IoT 게이트웨이 플랫폼

박지원,송병권,신인재,Park, Jeewon,Song, ByungKwen,Shin, InJae 한국전력공사 2018 KEPCO Journal on electric power and energy Vol.4 No.2

마이크로 그리드 환경에는 변압기, 스위치, 에너지저장장치 등 많은 종류의 전력 설비가 존재하지만, IoT 기술의 발달에 따라 온도, 압력, 습도와 같은 센서 정보를 취득할 수 있는 기회를 제공하고 있다. 기존의 마이크로 그리드 환경에서는 IEC 61850 표준에서 정의하고 있는 MMS 등의 통신 프로토콜을 준용하여 전력 설비와 플랫폼 간 통합 운용되고 있다. 그렇기 때문에 IoT 데이터를 수용하기 위해서는 IEC 61850 기반으로 구성된 데이터 수집 장치(FEP)에 IoT 데이터를 연계해 줄 수 있는 게이트웨이 기술이 필요하다. 본 논문에서는 마이크로그리드 운영 시스템 연계를 위한 IEC 61850기반 IoT 게이트웨이 플랫폼 프로토타입을 제안하고자 한다. 게이트웨이 플랫폼은 IoT 프로토콜(MQTT, CoAP, AMQP) 인터페이스 모듈과 데이터베이스, IEC 61850서버로 구성되어 있다. 데이터베이스의 경우, JSON 데이터를 저장하기 위해 오픈소스 기반의 NoSQL 데이터베이스인 Hbase와 MongoDB를 이용하였다. IoT 프로토콜을 검증하기 위해 라즈베리파이 아두이노 인텔 에디슨 SoC 기반 전력 IoT 디바이스 시뮬레이터를 이용하였고, IEC 61850은 Sisco's MMS EASY Lite를 이용하여 IoT 프로토콜과 IEC 61850 프로토콜간의 상호호환성을 검증하였다. There are many types of power facilities such as transformers, switches, and energy storage devices in the micro grid environment. However, with the development of IoT technology, opportunities to acquire sensor information such as temperature, pressure, and humidity are provided. In the existing micro grid environment, the communication protocols such as MMS transport protocol in IEC 61850 standard is applied in accordance with the integrated operation between the power facilities and the platform. Therefore, to accommodate IoT data, a gateway technology that can link IoT data to a data collection device (FEP) based on IEC 61850 is required. In this paper, we propose IEC 61850 based IoT gateway platform prototype for microgrid operating system linkage. The gateway platform consists of an IoT protocol interface module (MQTT, CoAP, AMQP) and database, IEC 61850 server. For databases, We used open source based NoSQL databases, Hbase and MongoDB, to store JSON data. We verified the interoperability between the IoT protocol and the IEC 61850 protocol using Sisco's MMS EASY Lite.

국소 교뇌 경색으로 인한 뇌졸중 환자에서 장기적인 운동기능 회복에 관한 사례보고

박지원,Park, Ji-Won 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.4

Purpose: The aim of this study was to present fundamental information regarding clinical prognosis and clinical criteria for therapeutic intervention in stroke patients with focal pons infarction. Methods: Four stroke patients (male: 2, female: 2) who were diagnosed with pons infarction were recruited. All subjects had motor functions evaluated using methods such as the Motricity Index (MI), the Modified Brunnstrom Classification (MBC), Functional Ambulatory Category (FAC), and the Bathel Index (BI). Evaluations were done at least 4 times over a period that was approximately 8~11 months from stroke onset. We compared the final evaluation with the first evaluation. Results: All patients with focal pons infarction showed improvement with time in motor function. The physical strength of all patients was improved to normal or good grades from zero or trace grades in the Motricity Index test. Also, other motor functions such as ambulatory capacity and activities of daily living (ADL) improved with time. Conclusion: Aspects of functional recovery and clinical prognosis are clearly predictable for specific patients with focal pons infarction. In addition, adequate therapeutic interventions can be provided clinical criterion to patients, according to aspect of functional recovery. Accordingly, patients with pons infarction change for the better over time.

Complex Korean Medicine Treatment for Posterior Ankle Impingement Syndrome: Case Report

박지원,경다현,구지은,배준효,김수진,배지은,Park, Ji-won,Kyung, Da-hyun,Koo, Ji-eun,Bae, Jun-Hyo,Kim, Su-jin,Bae, Ji-eun Society for Meridian and Acupoint 2022 Korean Journal of Acupuncture Vol.39 No.3

Posterior ankle impingement syndrome is one of the impingement syndromes characterized by posterior ankle pain that occurs during forced plantar flexion. This report presents a case of a 48-year-old PAIS patient with os trigonum syndrome accompanied by tenosynovitis of flexor hallucis longus. She was treated with complex Korean medicine to a good effect. The Numeric Rating Scale and the EuroQol 5-Dimension 5-Level were used to measure the impact of Korean medicine on the patient's pain and quality of life. Decreased NRS and increased EQ-5D-5L scores reflected improvement in her symptoms within 25 days. This study suggests complex Korean medicine treatment for PAIS may be beneficial for alleviating pain and improving quality of life.

촉각 자극과 두점식별 자극에 따른 뇌활성도 분석: fMRI 사례 연구

박지원,김중선,Park, Ji-Won,Kim, Chung-Sun 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.4

Purpose: Sensory input is very important for proper performance of human. Two-point discrimination is the most widely used tactile sensory test. The purpose of this study was to find the changes in cortical activation patterns between tactile stimulation and two-point discrimination. Methods: Two healthy subjects participated in our study. fMRI scanning was done during 4 repeated blocks of tactile stimulation and two point discrimination of the right index finger tip. In one block, stimuli were repeated 10 times every three seconds. To determine the changes of cortical neurons during sensory input, intensity index was analyzed. Results: When tactile stimulation of the right index finger tip was completed, only contralateral primary somatosensory area was activated. In contrast, during two-point discrimination, both the primary somatosensory area and ipsilateral supplementary sensory area were activated. Conclusion: During two point discrimination, both primary somatosensory area and ipsilateral supplementary sensory area were activated. Therefore, two-point discrimination is required more complex and conscious activity than tactile stimulation.

가정간호교육생의 보완요법에 대한 태도와 인지정도 조사 연구

박지원,임난영,Park, Jee-Won,Lim, Nan-Young 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

Purpose: Home health nurses could affect patients' choice of alternative therapy. This study was carried out to investigate home health nurses' attitudes and cognition toward alternative therapy. Method: The subjects were 92 nurses who preparing the home health nurses at 2 university in Seoul and Suwon. Using the questionnaire. we measured the subjects' attitudes and cognition toward alternative therapy. Result: The mean score of attitudes about application was 3.14. and the score of attitudes about therapeutic effect was 2.57. The score of attitudes about therapeutic effect were significantly positive correlation to the score of cognition about alternative therapy. The attitudes about therapeutic effect were different significantly according to number of working years. But they commonly wanted to apply the soojichim. aroma-therapy. massage. danjon breathing. music therapy. plant therapy. and foot reflexology to their home health care subjects. Conclusion: Alternative therapies became a popular source of health care in Korea. This study showed pre-home health nurses had positive attitudes toward alternative therapies and they had wide variations of knowledge in how to use each therapy. But they acknowledge the value of alternative therapies as useful nursing interventions. so we all nurses should pay attention to develope the nursing intervention using alternative therapy.

ARENA를 이용한 최적 기본 휴대량 산정에 관한 연구

박지원,이재영,박정갑,Park, Ji-Won,Lee, Jae-Yeong,Park, Jung-Kap 한국국방경영분석학회 2008 한국국방경영분석학회지 Vol.34 No.2

This study presents a new estimation of optimal amount of B/L for infantry rifles and artillery weapons which are currently using in Korean Army. To do that, we analyzed current concept of B/L and methodologies used to compute B/L before, and re-calculate optimal amount of B/L to solve some problems founded. We also applied ARENA simulation model to propose estimated values of optimal B/L. The proposed optimal B/L will certainly help to improve efficiency for wartime readiness in the future. 본 연구에서는 현재 우리나라 육군이 사용하고 있는 보병화기와 포병화기(155M)의 기본 휴대량(B/L : Basic Load) 개념 정립 및 산정방법을 고찰하여 문제점을 도출하고 시뮬레이션 기법(ARENA Model)을 통해 최적의 B/L을 재산정하여 제시하였다. 본 논문을 통한 기대효과는 군수지원의 물동량 감소로 실질적인 전투 준비 태세 강화와 국방예산 절감이 예상되며, 효율적인 B/L운영 보장으로 전투 효율성을 증대시킴은 물론 궁극적으로 전장 승리를 보장하는데 기여할 것이다.