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Characteristics and Side effects Relevance of Physically Restrained Elderly Patients with Dementia in the Nursing Hospitals (요양병원에서 신체억제대를 적용한 일부 치매노인 환자의 특성과 부작용 관련성)

  • Kim, Su-Youn;Chae, Kyung-Suk
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.221-229
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    • 2018
  • The purpose of this study was to identify the characteristics and side effects relevance of physically restrained elderly patients with dementia in the nursing hospitals. The data were collected from nursing care providers working at the 5 nursing hospitals with survey and analyzed 190 data using SPSS 21.0 program. The finding showed that age of '75 to 84' years occupied 58.3%, '17-24' hours of the total restrained time of the day 22.6%, night time 57.4% and no fall down history 54.2%. Age showed relevance with local edema and problem of joint construction(p<.05), specifically '85 and over' years having 25% occurrence in the problem of joint construction. Walking ability showed relevance with pressure ulcer, but in the patients who could walk it showed more frequency than in the patients who could not walk. The total restrained time of the day showed relevance with skin redness, local edema, problem of joint construction(p<.05). Based on this finding, it would be necessary to apply differential care policies according to the characteristics of patients when we care the restrained patients with dementia.

Simple and Efficient Methods for the Response Estimation of Building Structure Subjected to Human Induced Loads (무리하중을 받는 구조물의 간편하고 효율적인 응답추정)

  • Kim, Tae-Ho;Lee, Dong-Guen;Min, Kyung-Won
    • Journal of the Earthquake Engineering Society of Korea
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    • v.9 no.4 s.44
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    • pp.19-28
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    • 2005
  • Long span structures with low natural frequencies such as shopping malls, large offices, and assembly rooms may experience signification dynamic responses due to human activities. In many cases, the group activities are common thing in comparison with the single activity. The purpose of this study is to evaluate the responses of building structure subjected to group human loads using mode shapes. For this purpose, equations to estimate the magnitudes ol responses ol structure subjected to group walking loads are derived. And the correlation of loads is verified for identifying the relation of each human load composing of group human loads using two load cells. The method is proposed for evaluating the responses of structure subjected to group loads using mode shapes and correlation function related to each human loads. The effectiveness ol the proposed method is verified analytically using a simple beam and floor and experimentally on a footbridge measuring the structural response induced by group pedestrians for the case of synchronization or not. Results indicate that the amplitudes of group walking loads can be easily estimated if the mode shapes are available, and that the corresponding structural responses can be estimated easily by the simple response measurement using the proposed method.

A Study on Environmental Assessment of Bikeway based on ANP Model for Sustainable Green Road (지속가능 녹색 도로 조성을 위한 ANP 모델 기반 자전거도로 환경 평가 방안)

  • Lee, Ji Hwan;Joo, Yong Jin;Park, Soo Hong
    • Spatial Information Research
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    • v.20 no.6
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    • pp.33-43
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    • 2012
  • As part of recent sustainable transport, bike has come into the spotlight as a green transport at close range to link between walking and public transit and also alterative to solve problems of existing vehicle travel. Some arguments on promotion of using bicycles have already been made in Europe, the U.S and other developed countries. To be sure, much has been written extensively in description of utilization of bike oriented by supplier, for examples, Level of Service with bike path, infrastructure such as bicycle racks and lounge etc. Therefore, our study has been differentiated in development of new evaluation model focused on level of bike user's satisfaction, comprehensively considering suitability for bikeway installation, connectivity of the public transportation system and stability in Incheon City. ANP(Analytic Network Process) analysis which is able to allow consideration of the interdependence of criteria has been hired due to multi-collinearity instead of AHP used in multi-criteria decision analysis. Last but not least, we drew bike route on a case-by-case for maintenance and improvement of its facility in Namdong-gu and Bupyeong-gu. To conclude, suggested finding has dem onstrated the validity of evaluation scheme for bikeways which is appropriate for type and purpose and ultimately this can be used to establish policy decision making for improvement of bikeway.

A Case Study on the Clinical Application of Lee Silverman Voice Treatment-BIG (LSVT-BIG) Program for Occupational Performance and Motor Functions of Stroke Patients (뇌졸중 환자의 작업수행과 운동기능을 위한 Lee Silverman Voice Treatment-BIG(LSVT-BIG) 프로그램의 임상적용에 대한 사례연구)

  • Jeong, Sun-A;Hong, Deok-Gi
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.63-75
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    • 2020
  • Objective : The purpose of this study was to examine the changes in work performance and motor function of stroke patients in the Lee Silverman Voice Treatment-BIG (LSVT-BIG) program and to confirm its clinical applicability. Methods : Two stroke patients underwent the LSVT-BIG program for a total of 16 sessions (60 minutes per session and, four days a week for four weeks). To assess any changes between before and after the intervention, the Canadian Occupational Performance Measurement (COPM), Berg Balance Scale (BBS), Timed Up and Go (TUG), Functional Reaching Test (FRT), Manual Function Test (MFT) were used. Differences in scores between before and after the intervention were analyzed. Results : The performance and satisfaction of occupational performance increased after the intervention in both subjects. The performance time of the TUG decreased to 0.91, 8.42 seconds for each subject, increasing the walking speed. In FRT distance change, the subject increased in both the affected side and unaffected side. The BBS score increased by 3 points in one subject and by 6 points in the other, indicating improved balance. In addition, in the MFT score, subject A showed an improvement of 1 point on the unaffected side, and subject B showed an improvement of 1 point on the unaffected side and 3 points on the affected side. Conclusion : We confirmed the applicability of the LSVT-BIG program as a new intervention technique for stroke patients. Future, complementary research on the effects of the LSVT-BIG program on stroke patients will be needed.

Development and Effectiveness of Private Parking Information Algorithm (복합용도 초고층빌딩에 대한 개별주차정보제공 알고리즘 개발)

  • Kim, Young-Sun;Nam, Baek;Lee, Choul-Ki;OH, Young-Tae
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.12 no.5
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    • pp.13-21
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    • 2013
  • Super high-rise buildings of combined use such as large shopping malls and multiplex etc. have larger parking facilities than general buildings and are characteristic of an increase in the number of the entrance and the exit connecting internal external space of the parking lot. These features cause a congestion of internal traffic by increasing car driving distance in the parking lot, and vehicle idling increases by drivers wander the parking lot in order to find parking space. In addition, they make drivers suffer from lots of difficulties due to parking including increasing their walking line after parking. Therefore, in this study, we developed individual parking information provision algorithm to specify the optimal parking place for drivers according to the purpose of visiting a building and the drivers' moving path, and selected new construction site for the second lotte world in order to evaluate the algorithm developed and performed evaluation. As a result of the evaluation, it was analyzed that in the case of applying the individual parking information provision algorithm compared to the existing parking information provision algorithm, moving distance in the parking lot decreases around 7.43~83.4%, and that in the case of $CO_2$ emission, it decreased about 47.7% on average, which indicates that the efficiency resulted from application of the individual parking information provision algorithm is very high as the application effects are tested.

Arthroscopic Shaving Cystectomy of Popliteal Cyst by using Posteromedial Portal (관절경적 후내측 도달법을 이용한 슬와 낭종의 절삭 절제술)

  • Kwak, Kyoung-Duck;Ahn, Sang-Min;Baek, Seung-Il;Jung, Chan-Jong;Roh, Jae-Su
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.153-158
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    • 2006
  • Purpose: We evaluated the effectiveness of arthroscopic shaving cystectomy by using posteromedial portal for popliteal cyst with the correction of valvular mechanism. Materials and Methods: We had treated 15 cases of popliteal cyst with arthroscopic shaving cystectomy by using posteromedial portal from April 2004 to June 2005. The mean duration of follow up was 15 months (range: $12{\sim}28$). Functional results were based on the Rauschning and Lindgren criteria. We estimated operative time, time for regaining pain-free full range of motion and checked sonography for recurrence of the cyst at 12 months after the surgery. Results: The functional results by Rauschning and Lindgren criteria were rated Grade 0 or Grade 1 in all cases at last follow up. The average operation time was 45 minutes (range: $35{\sim}70$). All cases regained pain-free full range of motion within five days after surgery and range of motion was also normal at last follow up. There were no recurrence and no walking disturbance in all cases. Conclusion: Arthroscopic shaving cystectomy by using posteromedial portal is one of the effective alternative method of the treatment for popliteal cyst and it is also useful to correct the valvular mechanism.

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Development of Processing Program for Audio-vision System Based on Auditory Input (청각을 이용한 시각 재현장치의 분석프로그램 개발)

  • Heo, Se-Jin;Bang, Sung-Sik;Seo, Jee-Hye;Choi, Hyun-Woo;Kim, Tae-Ho;Lee, Na-Hee;Lee, Yu-Jin;Park, Ji-Won;Lee, Hui-Joong;Won, Chul-Ho;Lee, Jong-Min
    • Journal of Korea Multimedia Society
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    • v.13 no.1
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    • pp.58-65
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    • 2010
  • The final goal of our research is developing not a simple collision a1ann equipment for the blinded walkers, but the apparatus (Audio- Vision System) which can simulate vision based on auditory information so that the blinds can figure the three dimensional space in front of them. On the way to the final goal, in this study, simulation software was developed and verified. Thirty normal volunteers were included in the subject group and the average age Was 25.8 years old. After being accustomed to the system by evaluating 10 blinded virtual spaces, the volunteers performed test using another set of 10 blinded virtual spaces. The results of test were scored by shape, center, margin, and gradient surface of objects in virtual space. The score of each checking point ranged from 1 to 5, and the full score was converted to 100. As results of this study, the total score ranged from 77 to 97 with the average of 88.7. In this study, a simulation software was developed and verified to have acceptable success rale. By combining to visual sensors, the vision-reconstruction system based on auditory signal (Audio-vision System) may be developed.

An Estimation of Economic Value on Street Plan for a Walking Tour - In the Case of 'Welcome Avenue Project' in Gwacheon - (걷고 싶은 거리 조성사업의 경제적 가치 추정 - 과천 특화거리 사업 중 '환영의 거리'를 사례로 -)

  • Ko, Dong-Wan;Yu, In-Hye;Kim, Hyoun-Jeong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.36 no.6
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    • pp.12-21
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    • 2009
  • This study focused on the estimation of econcmic value and the evaluation of attitudes toward plans for the establishment of a walking tour as a public service in the city of Gwacheon. A value analysis based upon 152 questionnaires returned by the residents of Gwacheon and 175 questionnaires from the users of Seoul Race Park in Gwacheon utilized a CVM(Contingent Valuation Method) approach to estimate use value, non-use value, and potential value. The results show that 69.8% of residents and 60.0% of Seoul Race Park users had an interest, 81.6% of residents and 89.7% of Seoul Race Park users agreed to the proposed plan, and 67.8% of residents and 69.7% of Seoul Race Park users expressed a willingness to pay an additional tax or admission fee. The estimated WTP for an additional resident tax per household/year is 11,721 won while it was an additional 750 won per admission for the Seoul Race Park user group. Based on these results, the estimated total economic value of all households/year and the user group over a period of 5 years is 9,997 hundred million won, which was a doubling of the 1.4 in value of total construction costs. The results of this study strongly support the establishment of a walking tour street plan as a public service commodity.

Chronological Analysis on the Accessibility Change of Outdoor Space in Apartment Complexes in Cheonan City Using Space Syntax (공간구문론을 활용한 천안시 아파트단지 외부공간의 시기별 접근성 변화 분석)

  • Lee, Ki-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.32-41
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    • 2017
  • This study examined the arrangement attribute of each component based on the relationship among the components using space syntax at the entire complex level when analyzing the outdoor space of an apartment complex in Cheonan and as a preliminary study. The accessibility change in the access space to each space and to the facilities were examined based on a resident walking in the perspective that the outdoor spaces of the apartment complex are one spatial structure connected together. The space was divided into a total of 5 periods and the access space to the facilities and spaces located in outdoor space of the apartment complex were established as the unit space. In this study, a total of 6 analysis items were established: main complex access space, main building access space, shopping mall within complex, control office/center for senior citizens, children's playground, and resident sports facilities. In the analysis, the following conclusion was obtained. First, the accessibility to the main complex access space was high over almost all periods and the main building access space generally showed low accessibility. Second, the shopping mall showed a tendency that the closer the period, the more the accessibility is increased. Third, the control office/center for senior citizens, which can be considered as a common resident space and the children's playground out of the resident sports facilities, showed an exceptional tendency, the integration order was constantly high without a large change by the period and the control office/center for senior citizens showed the tendency for a high integration order, indicating that it is planned mainly in a location with good accessibility.

Analysis of Bus Accidents Influential Factors on Bus Exclusive Lane in Seoul (Bus Median Lane and Bus Curb Lane Defined) (서울시 버스전용차로구간의 버스사고 영향요인 분석 연구 (중앙전용차로 및 가로변전용차로 구분))

  • Lim, Jun-Beom;Hong, Ji-Yeon;Chang, Il-Jun;Park, Jun-Tae
    • International Journal of Highway Engineering
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    • v.14 no.2
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    • pp.145-155
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    • 2012
  • At present, Seoul City is putting the bus exclusive lane system into practice according to mass transit revitalization policy. Starting with the installation of roadside bus exclusive lane in the past, at present, even the road sections for central- lane bus exclusive lane system are on the increase. The purpose of this research is to analyze the factors giving impacts on bus accident on central bus exclusive lane and roadside bus exclusive lane. In case of the central bus exclusive lane, the 6 variables, such as the number of bus routes, number of access & entrance to central lanes patterns, whether the stop line of central lanes retreats or not, separated distance between the stop line of central lanes and crosswalks, traffic volume, and number of bus routes stopping at bus stops on reversible lanes, were found to have a significant influence on bus accidents. In case of roadside bus exclusive lane sections, the four variables such as the number of right-turn bus routes, whether to be chronic illegal parking & stopping, time for the walk signal, and forms of land use, etc. were found to have a significant influence on bus accident.