Objectives : The purpose of this study is to evaluate the feasibility of massive clinical research and to make a basic analysis on the effectiveness and safety of moxibustion treatment on knee osteoarthritis compared to usual care. Methods and Results : This study is a protocol for a pilot randomized controlled trial. Forty participants are assigned to the moxibustion group (n=20) and usual care group (n=20). Participants assigned to the moxibustion group receive moxibustion treatment on the affected knee(s) at six standard acupuncture points (ST36, ST35, ST34, SP9, Ex-LE04 and SP10) three times per week for four weeks (total of 12 sessions). Participants in the usual care group don't receive moxibustion treatment during the study period and follow-up are made on the 5th, 9th and 13th weeks after random allocation. Both groups are allowed to use any kind of treatment, including surgery, conventional medication, physical treatment, acupuncture, herbal medicine, over-the-counter drugs and other active treatments. Education material that explains knee osteoarthritis and current management options and self-exercise is provided for each group. The pain scale of the Korean Western Ontario and McMaster Universities Questionnaire (K-WOMAC) is the primary outcome measurement used in this study. Other subscales of the K-WOMAC, the Short-Form 36 Health Survey (SF-36), Beck Depression Inventory (BDI), Physical Function test, Patient Global Assessment, and Pain Numeric Rating Scale (NRS) are used as outcome variables to evaluate the effectiveness of acupuncture. Safety is assessed at every visit. Conclusions : The result of this trial will provide a basis for the effectiveness and safety of acupuncture treatment for knee osteoarthritis.
The purposes of this study are to review research trends of applied geography field, to retrospect geographical works done by Korean geographers in applied geography, and to prospect the future of applied geography. We are in the period where societal problems such as energy, transportation, pollution, environment, health care, and many others, require careful consideration and need throughout strategies for solution. Most societal problems have some geographical dimensions. Because these problems are geographic in nature, there is an obvious implication that geography as a discipline has something to offer in their solutions. In fact, most geographic problems are best presented and analyzed through the applications of geographic theories, concepts and tools. Applied geography is a branch of general geography. It relies on the scientific methods and uses the principles and methods of pure geography. However applied geography is different in that it analyzes and evaluates real world action and planning and seeks to implement and manipulate environmental and spatial realities. Thus, geographic theories and other social theories that have geographic dimensions are fundamental to applied geography. Applied geography has a short history as theme in Korean geography. During the last two decades. Korea achieved remarkable economic growth. We have also encountered widening regional disparity, housing shortage of larger cities, transportation congestion, environmental pollution and many other problems. Applied geographers have tried to analyze and solve such spatial problems during the last 30 years. The research trend of Korean applied geography can be subdivided into 5 categories: (1) land use analysis and efficient utilization, (2) national physical development and planning. (3) regional development and regional planning, (4) tourism and location-allocation, transportation planning. Still the overconcentration of Seoul metropolitan region and unbalanced regional development are perceived to be the serious spatial problems which may induce more works to solve these problems. In Korea new emphasis has to be given to some professional training and experimental learning, including methodology, field techniques data management, statistical analysis, cartography, GIS, and other tools, as applicable and beneficial to problem solving in real world. The growth of applied geography depends on new insights and purposed solutions of future applied geographers in Korea. Applied geographers will contribute to the creation of future Korean geographies.
This study was designed to find out a degree of social stigman on people with mental disorder. Many comparisons were made. The first was a comparison with the stigma on the physically disabled. And the differences between general public, the mentally ill, their families, and professionals were explored. Among general public attitudes, the sociodemographic and regional differences were also explored. The subject was 600 people, including 300 general public, 100 mentally ill, 100 families, 100 professionals. They were evenly distributed to 3 regions - big city, urban area, and rural area. The data were collected by a survey questionnaire consisting of the Attitude toward People with Mental Illness Scale, and the Attitude toward People with Physical Disabilities Scale. The analysis showed that the public attitude toward the mentally ill was quite acceptable. Social stigma was low in areas like accepting his/her human right. But the public also showed low acceptance on areas in allowing social functioning roles, and social integration. High stigma on the hospitalized mentally ill was expressed to those hospitalized patients regarding divorce against their will. However, volunteer experiences with this population seemed influential in high acceptance and low stigma. In comparison with the stigma on people with physical disabilities, the results showed. different levels in different areas. In regional comparison, the results showed that big city is the lowest among three. And the results of urban and rural area revealed different levels in different areas. In regard to self-stigma, while the subjects expressed low in general, they revealed high on areas like relating with others. Based on the findings, the study would conclude that mental health policy should be community-based, social integration oriented policy instead of in-patient oriented policy. Moreover, the professionals should intervene on the elements affecting both negative and positive attitudes.
This study tries to understand how the physical impairment develops to practical disabilities among adults with cerebral palsy through path analysis, based on the concept of disability by WHO that the physical impairment and "activities of daily living"(ADL) are affected by the combination of interrelated concept of personal health and environment. Pain and instrumental support are conceptualized as mediating variables for ADL among the adults with cerebral palsy, which are used in the analysis. As a result of surveying of 381 participants, paralyzed region is the only variable directly influencing ADL; other variables such as gender, age, and types of cerebral palsy do not have direct effect on ADL. However, it turns out that age, types of cerebral palsy, and paralyzed region influence on pain problems and also on ADL indirectly, when pain is introduced as a mediating variable. The study also shows that the extent of instrumental support works directly and indirectly toward pain and ADL. It means that individual impairment does not necessarily have influence on the limitations of ADL, but on the result of interrelatedness of individual factors and social factors. Finally, this study implies that the social work practice should be intervened with a new approach of the consideration of the effects of mediating variables.
Numbers of companion animals and people rearing them are increasing in developed countries. As a result, businesses related to companion animals are becoming more advanced and specialized. Dogs have been cohabiting with humans as companions (pets) for thousands of years and, as a result, eat carbohydrate-rich foods similar to humans and maintain lives similar to their owners. Tight bonds between dogs and their owners are formed by sharing similar lifestyles, including a dwelling and food. Owners are responsible for their pets and treat them with emotional stability. Pets depend on their owners, although the food situation can cause stress. Since pet dogs are carnivorous in nature, providing pet dogs with a nutritionally balanced diet and functional materials is important for a healthy gut microbiome. Recently, the gut microbiota has become a research focus because it is associated with protection from harmful pathogens and immune regulation while maintaining physiological homeostasis. An abnormal gut microbiota is related to pathogenic processes and various gut, metabolic, mental, and neurological diseases. Additionally, pet dogs at risk of disease affect the health of their owners. Therefore, this review discusses the composition and diversity of the gut microbiota of dogs and the relationships between the gut microbiota and diseases.
This study was to evaluate the effects how to have an influence on activities daily living and quality of life in day hospital program for the stroke patient. 41 experimental groups and 41 control groups in National rehabilitation hospital selected and examined K-ADL, K-IADL and quality of life. The result of this study indicated that experimental group was higher than control group in activity daily living performance and instrumental activity daily living performance. also experimental group was higher than control group all of total items in quality of life. age and economic state of general characteristic had an effect on K-ADL, K-IADL and quality of life and economic state, scholarship, marriage, job, helper had effect on quality of life. pain, social function, mental health, physical role in item of quality of life had effect on K-ADL and limit of physical role had best effect on K-IADL. Consequently we found that it needs to continuous rehabilitation to maintain body function, to prevent secondary disability, to improve social integration and quality of life for stroke patient actually.
Despite the fact that it is not a fatal symptom. the lower back pain of human species is considered a health problem of modern society: 80% of world population experience it and the distress and dysfunction caused by interferes daily life as well as the general productivity. This study was performed to investigate the general tendency of lower back Pain on nurses: influence of nursing activities, working condition and the physical characteristics of nurses on the pain in order to provide data for prevention and treatment. 386 nurses working at 16 general hospitals throughout the country were sampled. Questionaries developed by the researcher was used for data gathering. Results are as follows : 1. Lower back pain was experienced by most(72.3%) of the nurses: the highest rate of -Pain experience was revealed to be the a9e group of 35-39 (80.8%) followed by 25-29 group (74.2%). 2. In almost all instances (91.4%), the first pain attack occurred before the age of 29, and in 73.1%. the attack occurred between the age of 15-24. 3. In 10.1%, the pain was almost persistent or occurred every other day frequency. In 9%, the pain was relieved by the administration of analgesics or "unable to move". 4. More than 6 days′sick leave due to the pain revealed to be in 2.2%. No significant difference was revealed between specialities of service. 5. Pain experience and the over or under weight revealed not to have significant relations. (X$^2$=0.55224, p〉0.7587) 6. The length of working hour of I. C. U. and O. R, revealed to be longer than that of nurses general ward, however. no significant difference on the rate of pain occurrence apparent. (X$^2$=0.4952, p〉0.8239) No significant difference on the rate of pain occurrence between nurses working over 46 hours/week and under 45 hours/week. (X$^2$=3.86241, p〉0.078318) 7. The most frequent Pain related movement revealed to be "lifting patient or heavy object" (24. 7%, N=68) followed by "the sameness of position, either standing or sitting"(16.8%) 8. Regular physical exercise revealed to have no significant influence on the rate of Pain occurrence. 9. Higher raft of pain experience was revealed in the group of nurses wearing eye glasses. Uncomfortable shoes revealed to have influenced the pain. 10. The most frequent pain relieving treatment revealed to be "rest" (54.2%, N= 151) followed by "analgesics" (12.6%, N=35) and "hot compress/fomentation"(10.5%, N=29). In 13.7% (N=38) no special care was given.
MIRD-type Korean adult male phantom, 'KMIRD' was constructed to calculate Korean-specific dosimetric quantities for radiation protection consideration. The external shape of KMIRD was based on national physical standard data of Korean. KMIRD has thicket trunk than MIRD5 and arm models divided from trunk. The height and weight of the KMIRD are 171 cm and 63.8 kg. ICRP23 data were referred to constitute organs and tissues of KMIRD. However nine organs were constructed based on Korean reference data provided by Radiation Health Research Institute. In the present study, the MCNPX2.3 Monte Carlo transport code was combined with KMIRD to calculate dose conversion coefficients for photon in the energy range from 0.05 to 10 MeV. The simulated irradiation geometries are broad parallel photon beams in AP, PA, LLAT and RLAT direction. Absorbed dose conversion coefficients were compared with data calculated with MIRD5, MIRD-type phantom based on ICRP23 reference man. In some organs, the discrepancies between two phantoms amount up to nearly 30%. The effective doses conversion coefficients of KMIRD are lower than those of MIRD5. The dose discrepancies between two MIRD-type phantoms ate because of physical differences between Korean and Western, also geometric differences between two phantoms. KMIRD should be revised using the full set of Korean reference data of all organs. The developed MIRD-type Korean adult male phantom can be applied to dose assessment of internal exposure.
This study was performed to examine effects of PNF combined pattern training on balance ability and functional ability of hockey players. In order to achieve this purpose, total 28 participants were separated into two group: 14 comparison group and 14 experiment group, and the experiment group performed PNF combined pattern training for 12 week, 3 times a week, 60 minutes a day. Each group was measured beforehand, after 6 week and 12 week. balance ability was measured using GOOD BALANCE system and functional ability was measured using carioca and shuttle-run test. For statistically verifying above measured values, repeated measure analysis of variance was analyzed and have following results. As the comparing results of balance ability, normal standing eye close(NSEC) was ant-post and velocity moment of experiment group showed significant differences(p<.05). And one leg right eye close(OLREC) was ant-post, med-lat and velocity moment of experiment group showed significant differences (p<.05). Also, dynamic balance ability was ant-post and velocity moment of experiment groups showed significant differences(p<.05). As the comparing results of functional ability, shuttle-run of experiment group sowed significant differences(p<.05). From above results, balance ability of hockey players was shown to be improved through symmetric training of PNF combined pattern applied to hockey players, and it can be considered that this is actively recommended for training method to improve athletic performance of hockey players.
The purpose of this study was to examine the effect of backward walking training on the balance capability(Functional Gait Assessment; FGA, Timed Up & Go Test; TUG) and gait performance(10 meter Walking Test; 10 mWT) of stroke patients. Eighteen with stroke patients were randomly allocated to an experimental and contral group of nine patients each. both groups received general neurorehabilitative physical therapy for 45 minutes per day 5 times per week during 4 weeks. The experimental group also performed additional backward walking training for 20 minutes per day 3 times per week during 4 weeks. There were signicantly increase by backward walking training in outcome of the balance capability from the FGA was increase from $17.67{\pm}1.00scores$ to $19.22{\pm}1.00scores$(p<.05), TUG was decrease from $26.45{\pm}1.37sec$ to $23.28{\pm}1.35sec$(p<.05) and 10 mWT was decreased from $21.74{\pm}1.35sec$ to $18.33{\pm}1.10sec$ (p<.05). These result suggest that backward walking training for stroke patients is effective in improving balance capability(FGA, TUG) and gait performance(10 mWT).
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