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김덕용,정수진 대한연하장애학회 2011 대한연하장애학회지 Vol.1 No.1
Swallowing difficulty is common, especially in the elderly, neurologic disorders, head & neck cancer and etc. It may cause dehydration, weight loss, malnutrition, and aspiration pneumonia. The bedside examination may be important to assess the swallowing difficulty. However, the instrumental assessments such as videofluoroscopic swallowing study, fiberoptic endoscopic examination of swallowing, dynamic CT and manometry are more informative to identify the pathophysiology of dysphagia and are also more helpful to make the therapeutic plans. The unique characteristics of each instrumental assessment of swallowing were reviewed.
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3축 가속도계를 이용한 뇌손상 후 활동 진전의 정량적 측정법
김덕용,박창일,장원혁,장용원,박태훈,전중선 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.5
Objective: The aims of this study were to assess intention tremor severity caused by brain injury using tri-axial accelerometry and also to determine the reliability and the correlation with clinical measurements. Method: Twenty two patients with intention tremor caused by brain injury were included. The quantitative measurement of tremor was performed using tri-axial accelerometry during finger to nose test. The dominant frequency and amplitude of tremor were acquired using Fast Fourier transformation analysis. The severity of tremor was also clinically rated by clinical rating scale for tremor, hand writing test, figure drawing test, pouring water test. The correlation between clinical measurement and tri-axial acce-lerometry measurement, and the inter-rater reliability were assessed. Results: The tri-axial accelerometry measurement showed good inter-rater reliability. The mean dominant frequency was 3.10 Hz. The amplitudes at dominant frequency were significantly correlated with clinical rating scale for tremor, pouring water test (p<0.05) but not with hand writing test, figure drawing test. Conclusion: Quantitative measurement of intention tremor using tri-axial accelerometry may be very useful to assess the tremor severity caused by brain injury.
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뇌졸중 후 편마비 환자의 견관절 아탈구에서 기능적 전기자극의 효과
김덕용 대한뇌졸중학회 2001 Journal of stroke Vol.3 No.2
Background : Shoulder subluxation is a significant problem in poststroke patients, resulting in pain and loss of function. The aim of this study was to evaluate the effect of FES(functional electrical stimulation) on the shoulder subluxation in poststroke hemiplegic patients with case-control study. Methods : A prospective, randomized controlled study was carried out to determine the effect of functional electrical stimulation on shoulder subluxation after stroke. Forty patients were selected and randomly assigned to a control and FES group. In FES group, FES on supraspinatus and posterior deltoid muscle was applied for 4 weeks. The severity of shoulder subluxation was determined by the radiologic evaluation before treatment and 4 weeks later. Results : The vertical disparity of shoulder subluxation was significantly reduced in FES group compared to the control group(p〈0.05). However, the horizontal disparity was not changed. The arm function was significantly improved in both groups, but we didn’t find any difference between the two groups. Conclusions : The functional electrical stimulation therapy may be considered to be a supplementary therapy in the shoulder subluxation of poststroke hemiplegic. Korean Journal of Stroke 2001;3(1): 158~163
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브랜드 계층구조의 관점에서 본 정부부처 구성원들의 소속감에 관한 연구
김덕용,신정철 (사)한국커뮤니케이션디자인협회 커뮤니케이션디자인학회 2010 커뮤니케이션 디자인학연구 Vol.34 No.-
Recently, the international position of Korea has been recognized to be rising gradually by most of people because international finance crisis has been overcome quickly, and the visible results and achievements of domestic major companies such as Samsung, LG, Hyundai and Kia motors etc. have become known to the people. The reportings about the Korean Wave by the press and media is one of the factors that have made them think like that. However, the actual figures of internationa position of Korea have decreased for the last a few years. For example, the World Competitiveness Index of the International Institute for Management Development (IMD) has decreased for 4 years from 2005 to 2008.Especially, a point which deserves our attention is that among 4 evaluation indexes of governmental efficiency, infrastructure, economic achievements and company efficiency, a rapid drop in the ranking of governmental sector results in a drop in the ranking of competitiveness. Having considered the point, the efficiency of Korean government shows a lot of problems and limitations. We need to face these problems squarely and re-establish our nation as object for brand strategy. On the other hand, our nation and its employees working in government authorities have to break away from bureaucratic management, and change their concepts into brand management and operate with a marketing view. One of the most difficult areas to which brand design must be applied is nation branding, and the identity and sense of belonging of the employees in government authorities. As the brand theory develops, various strategies for brand hierarchy structure about companies, goods and services have been presented. However, There are no sufficient researches on the hierarchy of government organizations or public institutions. Therefore, this paper aims to provide clues that form the basis of nation brand through a research on the thes is of "Is the expression of identity through considering the strategy of brand hierarchy structure efficient in government organizations or public institutions?" In addition, as it is necessary to efficiently manage the identities of nation and government authorities with long-term strategies in order to acquire the international competitiveness of Korea,this paper aims to find strategic plans for the systematization of images and functions of government branches, and the consistent management of communication identity. 최근 들어 대한민국의 국제적 위상은 국제금융 위기의 발 빠른 극복과 삼성, LG, 현대 . 기아 자동차등 국내 대기업들의 가시적인 성과와 수치가 알려지고, 한류문화 열풍이 언론과 매스컴들의 기사 내용에 대다수의 국민들이 국가의 위상이 점점 높아지는 것으로 인지하고 있다. 하지만, 대한민국의 실제 국제적 위상의 수치는 최근 4년 간 IMD(스위스 로잔의 국제경영개발원, International Institute for Management Develop -ment) 국가경쟁력 지수(The World Competitiveness Index)는 2005-08년 기간 동안 계속 하락을 하고 있는 실정이다. 특히 유의 할 점은 정부 효율과 인프라, 경제성과, 기업효율 등 4대 평가지표 가운데 정부부문 순위의 급격한 하락이 경쟁력 순위의 하락을 초래한 것으로 보여 지는 부분임을 고려하면, 아직 대한민국의 정부 효율성은 많은 문제점과 한계를 나타나고 있다. 이러한 문제점을 직시하고 국가를 브랜드 전략의 대상으로 재정립을 하고 국가와 소속 구성원들도 관료주의적 경영에서 벗어나서 마케팅 관점을 가지고 브랜드 경영차원으로 개념의 전환과 운영이 되어야 한다. 브랜드 디자인을 적용해야 하는 가장 어려운 영역 중 하나는 국가 브랜딩이며, 그 조직 구성원들의 정체성과 소속감이다. 브랜드 이론이 발전하면서 기업과 상품, 서비스에 대한 다양한 브랜드 계층구조 전략 등이 제시되고 있지만, 정부조직이나 공공기관에서의 계층에 대한 연구가 부족한 상황이다. 따라서 정부조직이나 공공기관에 브랜드 계층구조 전략을 고려한 아이덴티티의 표현이 효과적인가? 에 대한 연구를 통하여 국가브랜드 관리에 기초가 되는 단서를 제공하고자 한다. 또한 대한민국의 국제 경쟁력을 획득할 수 있는 방법으로서 장기적인 전략을 가지고 국가 및 정부부처의 아이덴티티를 효율적으로 관리하는 것이 필요하며, 나아가서는 정부기관의 이미지와 기능의 체계화 및 일관된 커뮤니케이션 아이덴티티(Communication Identity)를 관리하는 전략방안을 모색하고자 한다.
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