Background: Like many other countries, falls and related injuries in older adults are great concerns in South Korea. In particular, falls are common in medical institutions, often causing the increase of the length of hospitalization. Objects: The purpose of this review was to help understand and address falls in hospitalized individuals in South Korea. Methods: The review was conducted on literature published in Korean from 2010 to 2022, searched in the Korea Citation Index and PubMed. Keywords used for the search were as follows: falls, fall risk, fall risk assessment, hospital, inpatient, intervention, Korea, and prevention. Results: A total of 54 articles were found and reviewed. The most common place of fall accidents was the inpatient room, where there were many cases of falls while walking. Loss of balance was the most common cause of falls, and many falls occurred in patients admitted to the internal medicine. Furthermore, a risk of falling increased with the type of medications taken. In terms of tools to assess patients’ fall risk, the Morse Fall Scale (MFS) was commonly used. Patient-specific fall prevention activities were common to address falls, and they decreased the frequency of falls and the fear of falling. Factors influencing the effectiveness of the fall prevention activities included attitudes toward falls, education, environmental factors, patient safety culture, and self-efficacy in preventing falls. Conclusion: Our results should help understand and address falls and injuries in medical institutions.

The electromembrane process, which has advantages such as scalability, sustainability, and eco-friendliness, is used in renewable energy fields such as fuel cells and reverse electrodialysis power generation. Most of the research to visualize the internal flow in the electromembrane process has mainly been conducted on heterogeneous ion exchange membranes, because of the non-uniform swelling characteristics of the homogeneous membrane. In this study, we successfully visualize the electroconvective vortices near the Nafion homogeneous membrane in PDMS-based microfluidic devices. To reinforce the mechanical rigidity and minimize the non-uniform swelling characteristics of the homogeneous membrane, a newly developed swelling supporter was additionally adapted to the Nafion membrane. Thus, a clear image of electroconvective vortices near the Nafion membrane could be obtained and visualized. As a result, we observed that the heterogeneous membrane has relatively stronger electroconvective vortices compared to the Nafion homogeneous membranes. Regarding electrical response, the Nafion membrane has a higher limiting current and less overlimiting current compared to the heterogeneous membrane. Based on our visualization, it is assumed that the heterogeneous membrane has more activated electroconvective vortices, which lower electrical resistance in the overlimiting current regime. We anticipate that this work can contribute to the fundamental understanding of the ion transport characteristics depending on the homogeneity of ion exchange membranes.

‘Tracers’ are bullets that emit light at the backside so that the shooter can see the trajectory of their flight. These light-emitting bullets allow snipers to hit targets faster and more accurately. Conventional tracers are all combustion type which use the heat generated upon ignition. However, the conventional tracer has a fire risk at the impact site due to the residual flame and has a by-product that can contaminate the inside of the gun and lead to firearm failure. To resolve these problems, it is necessary to develop non-combustion-type tracers that can convert heat to luminance, so-called ‘thermoluminescence (TL)’. Here, we highly improve the thermoluminescence properties of MgB4O7 through co-doping of Dy3++Ce3+ and Dy3++Na+. The presence of doping materials (Dy3+, Ce3+, Na+) was confirmed by XPS (X-ray photoelectron spectroscopy). The as-synthesized co-doped MgB4O7 was irradiated with a specific radiation dose and heated to 500 °C under dark conditions. Different thermoluminescence characteristics were exhibited depending on the type or amounts of doping elements, and the highest luminance of 370 cd/m2 was obtained when Dy 10 % and Na 5 % were co-doped.

In order to broaden the range of application of light weight aluminum alloys, it is necessary to enhance the mechanical properties of the alloys and combine them with other materials, such as cast iron. In this study, the effects of adding small amounts of Cu and Zr to the Al-Si-Mg based alloy on tensile properties and corrosion characteristics were investigated, and the effect of the addition on the interfacial compounds layer with the cast iron was also analyzed. Although the tensile strength of the Al-Si-Mg alloy was not significantly affected by the additions of Cu and Zr, the corrosion resistance in 3.5 %NaCl solution was found to be somewhat lowered in this research. The influence of Cu and Zr addition on the type and thickness of the interfacial compounds layer formed during compound casting with cast iron was not significant, and the main interfacial compounds were identified to be Al5FeSi and Al8Fe2Si phases, as in the case of the Al-Si-Mg alloys.

The physical and antibacterial properties of ophthalmic lenses fabricated by copolymerization with hydrogel monomers using two types of graphene were measured, and their usability as contact lens materials was analyzed. For polymerization, silicone monomers, including SID-OH, 3-(methacryloxy)propyl tris(trimethylsiloxy)silane, and decamethylcyclopentasiloxane, were used, and N,N-dimethylacetamide, ethylene glycol dimethacrylate as a crosslinking agent, and azobisisobutyronitrile as an initiator were added. Also, graphene oxide nanoparticle (GON) and graphene nanoplate (GNP) were used as an additive, and the physical properties of the lenses fabricated after copolymerization were evaluated. The fabricated lenses satisfied the basic physical properties of general hydrogel contact lenses and showed the characteristics of lenses with high water content, and the disadvantage of very weak durability, due to low tensile strength. However, it was confirmed that the tensile strength and antibacterial properties were greatly improved by adding GON and GNP. With GON, the oxygen permeability and refractive index of the fabricated lenses were slightly improved. Therefore, it was determined that the graphene materials used in this study can be used in various ways as a contact lens material.

Background: Clinical practice guidelines for patients with chronic low back pain (CLBP) recommend therapeutic exercise, and recently, interventions for pain neuroscience education (PNE) are also recommended. Objectives: To investigate the effects of aquatic exercise combined with PNE on pain, disability, and fear-avoidance beliefs in patients with CLBP. Design: Randomized control trial. Methods: The 27 participants recruited in this study were randomly allocated as pain neuroscience education combined with aquatic exercise group (PAEG, n=14) and aquatic exercise group (AEG, n=13). Both groups performed aquatic exercise for 50 minutes, 3 times a week for 6 weeks, and only PAEG received additional PNE. Numeric pain rating scale (NPRS), modified oswestry disability questionnaire (MODQ), and fear-avoidance beliefs questionnaire (FABQ) were used as evaluation methods before and after intervention. Results: Statistically significant decrease in NPRS, MODQ and FABQ (physical activity and work score) before and after intervention in PAEG. However, there were statistically significant changes in NPRS, MODQ and FABQ (physical activity score) before and after intervention in AEG. PAEG and AEG before and after intervention indicated statistically significant differences in MODQ and FABQ (work score). Conclusion: Aquatic exercise combined with PNE improved disability (MODQ) and fear-avoidance beliefs (FABQ) has been shown to have additional benefits. Therefore, combining PNE as a clinical intervention for CLBP patients will enhance the therapeutic effect.

Background: Elastic and non-elastic taping are widely used in clinical practice, but there are various methods of attachment. Objectives: To investigate the effect of the type and intensity of taping on the muscle strength and muscle endurance of healthy adults. Design: Experimental research. Methods: 38 healthy adults participated in this experiment. Before applying the taping to each participant, the muscle strength and endurance of the quadriceps femoris were measured. After applying three different taping intervention methods, muscle strength and muscle endurance changes were measured. Muscle strength and endurance were measured through CSMI. Repeated measures ANOVA was used for statistics on participant measurements. Results: All intervention methods influenced the muscle strength improvement of the quadriceps femoris. Elastic tape with 50% elasticity had a greater impact on muscle strength than 33% elastic tape and non-elastic tape, and secondly, elastic tape with 33% elasticity was effective, and non-elastic tape had the least impact. Muscle endurance improvement was affected by the order of 50% elasticity taping, 33% elasticity taping, and non-elastic taping. Conclusion: All three taping intervention methods showed significant effects on improving muscle strength and muscle endurance of the wide-legged quadruple muscles, but the best effect was to apply 50% elastic taping.

Background: After the coronavirus disease 2019 (COVID-19) pandemic, many changes in education were observed, particularly non-face-to-face classes. Many studies have focused on the suitability of non-face-to-face classes and the satisfaction of both students and teachers with this teaching method. However, no study on the suitability of numerous teaching methods in teaching physical therapy subjects has been conducted. Objectives: To investigated the suitability of three teaching methods, namely, face-to-face, non-face-to-face, and mixed classes, in teaching physical therapy subjects. Design: Survey research. Methods: 336 students studying physical therapy participated. A survey was conducted on the suitability of face-to-face, non-face-to-face, and mixed classes for 16 subjects. The survey was conducted using a Google questionnaire. Results: Face-to-face classes were found to be suitable for teaching the basic fields of physical therapy, and face-to-face and mixed classes were suitable for teaching the principle of diagnostic evaluation. Furthermore, faceto- face classes were found to be suitable for teaching physical therapy interventions. In other subjects, face-to-face classes were suitable for teaching rehabilitation medicine, non-face-to-face classes were suitable for teaching medical terms, and mixed classes were suitable for teaching daily life activities. Conclusion: The results of this study can be used as a basis for choosing the appropriate methods for learning and teaching physical therapy subjects.

Background: The application of exercise therapy and manual therapy to the thoracic spine is a widely used method of treating neck pain. Nevertheless, studies on the application of foam rollers and vibrating foam rollers to patients with neck pain are lacking. Objectives: To investigated the immediate effects of thoracic spine foam rolling and vibration foam rolling on pain and range of motion (ROM) in patients with chronic neck pain. Design: Randomized crossover trials. Methods: 24 patients with chronic neck pain participated in the study. The study subjects measured pain and ROM. Subjects were divided into vibration foam roller group, foam roller group, and control group. Results: Pain was not significantly different between and within groups (P<.05). There was a significant difference in flexion, extension, left rotation, and right rotation ROM in the vibration foam roller group after intervention (P<.05). There was a significant difference in flexion and extension ROM in the foam roller group after intervention (P<.05). There was a significantly greater increased extension ROM in vibration foam roller and foam roller groups compared with the control group (P<.0167). Conclusion: Thoracic spine foam rolling and vibration foam rolling improve ROM when treating patients with chronic neck pain. Therefore, it is recommended to use it in combination with other treatments

Background: Pain Neuroscience Education (PNE) is an educational approach that deals with the physiology of the nervous system as well as the pain system and refers to educating patients with chronic musculoskeletal disorders such as chronic back pain. Objectives: This study examined the effects of pain neuroscience education on patients with low back pain. Design: Systematic review. Methods: Electronic bibliographic databases of a regional information sharing system (RISS) and PubMed were searched to identify randomized controlled studies. In the final outcome, 43 publications were identified, and 13 studies met the inclusion criteria. Results: There were a total of 13 pain-related studies, including 11 studies using NPRS (VAS) and 2 studies using other pain measurement instruments. In NPRS, the effect size was 0.683, which had a medium effect size. In Roland morris disability questionnaire (RMDQ), the effect size was 0.544, which had a medium effect size. In Oswestry disability index (ODI), the effect size was 0.951, indicating a large effect size, but the confidence interval could not be obtained because there was only one study. Conclusion: Pain neuroscience education has positive effects on low back pain and disability index in related patients.

Background: In order to improve the daily life of stroke patients, it is necessary to restore walking performance. Improving gait performance is one of the main goals for stroke rehabilitation. Objectives: To investigate the change in gait parameters through evaluation of one stroke patient before, during, and after wearing the weight vest. Design: A case study. Methods: This study is an ABA study design. In principle, one assessment per day (A1) was measured three times without wearing the weight vest. Intervention assessment (B) was performed 6 times while wearing the weight vest. The second baseline evaluation (A2) was measured three times with the weight vest removed again. Results: The gait speed was increased when the weight vest was removed than when the weight vest was worn. Also, gait symmetry increased when wearing the weight vest. Conclusion: Wearing the weight vest can reduce the gait asymmetry in stroke patients and increase the gait speed after wearing the weight vest.

Background: Total hip replacement (THR) is performed in patients with femur fractures and osteoarthritis. THR patients have balance problems even after surgery. There is a lack of research on vibration stimulation interventions for balance in THR patients. Objectives: To investigated the effect of vibration stimulation intervention on the balance and gait of THR patients. Design: Randomized controlled trials. Methods: 44 subjects were randomly assigned to a vibration stimulation group (VSG) and a non-vibration stimulation group (N-VSG). Seven study subjects dropped out, and 37 completed the study. Timed up and go (TUG) and Berg balance scale (BBS) were used for balance assessment, and 10-meter walk (10MW) was used for gait assessment. The intervention program was conducted three times a week for 4 weeks. Results: Significant differences within the groups in balance (BBS, TUG) and gait (10MW) between the VSG and the N-VSG. There was no difference between the two groups in any variable. Conclusion: The VSG improved the balance and gait of THR patients without any difference from the N-VSG. However, VSG showed a higher effect size than N-VSG.

Background: Height is an important factor in determining a person’s appearance, so people often wear height increase elevator shoes insoles (HIESI) or high heels to make themselves look taller. However, high heels often act as a risk factor for musculoskeletal diseases. Objectives: To investigated how muscle tone and muscle stiffness in the lumbar region of young adult men varied according to the height of the HIESI, and analyzed the correlation. Design: Non-randomised trial. Methods: Muscle tone and muscle stiffness in the upper and lower lumbar regions of 20 healthy young adult men in an upright standing position were measured as the subjects wore no insoles and 2 cm, 3 cm, and 4 cm insoles. Results: Muscle tone and muscle stiffness in the lumbar region did not show a significant change according to the increased height of the HIESI. However, a positive correlation was observed when the subjects wore 4 cm HIESI, as there was a significant increase (P<.05) in muscle tone and stiffness in the left side of the upper lumbar region and in the right side of the lower lumbar region. Conclusion: Wearing HIESI for short periods of time in the static standing position did not cause a change in muscle tone and muscle stiffness in the lumbar region. However, wearing 4 cm HIESI demonstrated a correlation of increased muscle tone and stiffness in the upper and lower lumbar regions in an asymmetric manner.

Background: A weight-bearing jacket during treadmill gait training is being used for rehabilitation in stroke patients. However, the effect on various gait parameters has not been confirmed. Objectives: The purpose of this study was to investigate the comparison of exercise intensity through speed increase and weight-bearing jacket during treadmill gait training to restore gait ability in stroke patients. Design: Randomized controlled trials. Methods: This study recruited 24 stroke patients. The subjects were randomly assigned to the experimental group (wearing a weight-bearing jacket during treadmill gait training, n=12) and the control group (speed increase during treadmill gait training, n=12). Gait measurement device (G-walk) was used to measure the gait parameters of the subjects. Results: Both the experimental group and control group showed a significant increase in cadence, gait speed, stride length, and gait symmetry index post intervention (P<.05). In comparison between the two groups, the experimental group showed a significant increase in the gait symmetry index post the intervention than the control group (P<.05). Conclusion: Through this study, it was found that wearing a weight-bearing jacket was a more effective method for improving the gait symmetry index than increasing speed during treadmill gait training in stroke patients.

Background: For the rehabilitation of stroke patients, it is necessary to confirm the differences in the mechanical properties of the paretic- and non-pareticside masseter muscles. Objectives: To investigate the muscle tone and stiffness of masseter muscles in patients with chronic stroke. Design: A case study. Methods: This study included 20 stroke patients. Muscle tone and stiffness of the paretic and non-paretic masseter muscles in stroke patients were measured using MyotonPRO. Measurements were performed under relaxation and masseter muscle contraction conditions. Results: There was no significant difference in the muscle tone and stiffness of the paretic and non-paretic side masseter muscles in the relaxation conditions (P>.05). In male, left hemiplegia, right hemiplegia and infatction, the nonparetic side masseter muscles showed significantly increased than musle tone and stiffness of the paretic side masseter muscles in the contraction (P<.05). In female and hemorrhage, the non-paretic side masseter muscles showed significantly increased than musle tone the paretic side masseter muscles in the contraction (P<.05). Conclusion: The muscle tone and stiffness were lower on the paretic side than on the non-paretic side during masseter muscle contraction in stroke patients; thus, muscle strengthening training was required.

Korea is a country where the population is concentrated in metropolitan areas that have undergone rapid industrial development. As of 2020, more than 43% of the total population lives in large cities, and about 18.5% of the total population lives in Seoul. A basic human need living in such a metropolis is a pleasant environment. In this study, complex odors and designated odors were evaluated at the boundary areas and at the outlets for 15 public environmental facilities selected from among odor sources in Seoul. As a result of measuring the complex odor intensity was 3 ~ 6 times at the boundary areas and 100 ~ 4,481 times at the outlets. In food waste treatment facilities, incineration facilities, and waste transfer station facilities, the compound making the largest contribution to odor is acetaldehyde, which was recorded at 46%, 25%, and 32% respectively. At a sewage treatment facility and agro-fisheries wholesale market, hydrogen sulfide was the largest contributing compound at 71% and 29% respectively.

As awareness about the danger of radon in indoor air has increased, various studies have been conducted to reduce the source of radon. This study was performed to investigate the effect of radon mitigation technology in a railway tunnel. Radon barrier paint and radon shield membrane developed to reduce the concentration of radon in soil and construction material were applied in the tunnel. The tunnel was divided into three sections, A, B, and C, and radon barrier paint, a buffer section, and radon shield membrane were applied, respectively. After securing a sealing screen to the floor and division of each section, radon concentrations were measured and compared before and after each product was applied, and statistical significance was confirmed through the Wilcoxon signed rank test. Measurement was performed with the In-Situ Method and Closed Chamber Method. Radon concentration measured by the in-situ method changed in A section to 124.1 Bq/m2/day from 614.1 Bq/m2/day (79.8%, z=-2.521, p<0.05), in B section to 416.2 Bq/m2/day from 467.1 Bq/m2/day (10.9%, z=-0.980, p=0.327), and in C section to 47.3 Bq/m2/day from 645.6 Bq/m2/day (92.7%, z=-2.521, p<0.05). Radon concentration measured by the closed chamber method recorded a decrease in A section to 88.8 Bq/m3 from 364.2 Bq/m3 (75.6%, z=-2.201, p<0.05), in B section to 471.8 Bq/m3 from 583.3 Bq/m3 (19.1%, z=-0.700, p=0.484), and in C section to 115.9 Bq/m3 from 718.8 Bq/m3 (83.9%, z=-2.521, p<0.05). In addition to soil, it is very important to mitigate radon from building materials with a high contribution rate of radon in order to manage radon by source. Due to the spatial characteristics of railway tunnels, soil and wall concrete structures are exposed as they are, so it is considered that radon mitigation actions are required utilizing verified methods with high mitigation efficiency.

Complaints about foul odors are emerging as an issue, and the number of complaints is steadily increasing every year. Biofiltration is known to remove harmful or odorous substances from the atmosphere by using microorganisms, and full-scale biofilters are being installed and operated in various environmental and industrial facilities. In this study, the current status and actual odor removal efficiency of full-scale biofilters installed in publicly owned treatment facilities such as sewage, manure, and livestock manure treatment plants were investigated. In addition, the effects of design and operating factors on their efficiency were also examined. As a result, it was found that odor prevention facilities with less than 30% odor removal efficiency based on complex odors accounted for 40%-50% of the biofilters investigated. In investigating the appropriate level of operating factors on odor removal efficiency, it was found that compliance with the recommended values p lays a significant role in improving odor removal efficiency. In the canonical correlation analysis for the on-site biofilter operation and design data, residence time and humidity were found to be the most critical factors. The on-site biofilter operation and design data were analyzed through canonical correlation analysis, and the residence time and humidity maintenance were found to be the most important factors in the design and operations of the biofilter. Based on these results, it is necessary to improve the odor removal efficiency of on-site biofilters by reviewing the effectiveness of the operation factors, improving devices, and adjusting operating methods.

The types and distribution ratio of odor removal systems installed in publicly owned environmental facilities such as sewage treatment, wastewater treatment, manure treatment, livestock manure treatment, and food waste treatment were investigated. Since the intensity of the odor and the composition of the odor substances are different depending on the type of each public treatment facility, different odor removal efficiencies were derived depending on the applied odor removal technology. In addition, the removal efficiency of complex odors and individual odor substances of odor removal systems such as those applying biofilters, scrubbers, and adsorption towers were also compared and evaluated. Although it depends on each odor removal technology and application facility, about 50% of various odor removal systems presented an odor removal performance of less than 30%. The odor removal systems with an odor removal efficiency of 70% or more were evaluated to be less than 30% of the total number. Therefore, we suggest that odor removal efficiencies should be improved through continuous monitoring, diagnosis, reinforcement of maintenance, and improvement of systems.