• Title/Summary/Keyword: 일상수행능력

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Factors Influencing Unplanned Hospital Readmission among Medical Aid Community Care Program Participants (재가의료급여 시범사업 대상자의 재입원에 미치는 영향: 일반적 특성, 일상생활수행능력, 서비스 이용을 중심으로)

  • Yim, Eun Shil;Na, Young-Kyoon;Kim, Areum;Kim, Kibeom;Kim, Bomin
    • Journal of Korean Academy of Rural Health Nursing
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    • v.19 no.1
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    • pp.44-54
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    • 2024
  • Purpose: This study identifies the factors influencing unplanned readmissions among participants of the medical aid community care pilot program. Methods: This descriptive study analyzed data from 1,013 participants in a medical aid community care pilot program. Data were analyzed using multiple logistic regression analysis. Results: The presence of mental illness, injury-related conditions, long-term care grades, and activities of daily living scores are key factors influencing the likelihood of readmission. In particular, the presence of a mental disorder or an injury-related condition increased the probability of readmission, whereas individuals with long-term care grades 1~2 showed a decreased likelihood of readmission. Conclusion: This study emphasizes the importance of enhancing the management of mental and injury-related conditions, effective utilization of long-term care services, and improvement of ADL scores to reduce readmission. These findings offer crucial insights for enhancing the efficiency of home medical care benefit programs and sustainable expansion of services.

Effects of Total Sleep Deprivation on Fine Motor Performance (전수면박탈이 정상인의 미세운동수행 능력에 미치는 영향)

  • Lee, Heon-Jeong;Song, Hyung-Seok;Ham, Byung-Joo;Suh, Kwang-Yoon;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.8 no.2
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    • pp.129-137
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    • 2001
  • Objectives: The purpose of this study is to investigate the effects of 38-hour sleep deprivation on fine motor performance. The Motor Performance Series (MPS) in the Vienna Test System (computerized neurocognitive function tests) was used in this study. Methods: Twenty four subjects participated in this study. Subjects had no past history of psychiatric disorders and physical illness. Subjects had normal sleep-waking cycle without current sleep disturbances and were all right-handed (Annett's Hand Preference Questionnaire: above +9 points). To minimize the learning effects, familiarization with the Vienna Test System was performed one day before the study. Subjects were to get up at 6:00 in the morning after getting enough sleep according to his or her usual sleep-wake cycle. After awakening, subjects remained awake for 38 hours under continuous surveillance. During two consecutive study days, the subjects tested MPS at 7 AM and 7 PM each day, which means the MPS was done four times in total. During the experiment, anything that could affect the subjects' sleep such as coffee, tea, alcohol, a nap, tiring sports, and all medications were prohibited. Results: In MPS, the fine motor functions of both hands decreased after 38 hours of sleep deprivation. The decrement in motor performance was prominent in the dominant right hand. In the right hand, the total number of tapping was reduced (p<.005), and the number of misses (p<.05) and the length of misses (p<.05) of line tracking, the total length of inserting a short pin (p<.01), the total length of inserting a long pin (p<.05), and the number of misses in aiming (p<.05) increased. Such performance decrement was distinct in the morning sessions. Conclusions: These results suggest that fine motor performance decrement during sleep deprivation is predominant in the right hand, which exerts maximal motor function. The finding of decrement in motor function in tapping during sleep deprivation also suggested that the time required for exhaustion of muscles is shortened during sleep deprivation. More deterioration of motor performance was shown in the morning, which could be explained as circadian rhythm effects.

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A Study on the Use of Balance Scale for Life Care of the Elderly People (노인의 라이프케어를 위한 균형 평가척도 활용에 관한 연구)

  • Yang, Seung-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.411-417
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    • 2019
  • The purpose of this study is to identify the effect not of therapeutic behavior but of the balance evaluation process itself on the balance ability of the elderly. For this, 36 elderly people over 65 age belonging to two elderly welfare centers in Jeonju city were divided into 3 groups of 12 each. All participants were divided into three groups, one was the daily evaluation, another was weekly, and the other group was twice at the beginning and the end of the study. And this study conducted for 4 weeks totally. The balance scale that we used one was Berg Balance Scale and for comparison within groups and between groups, Paired t-test and one-way ANOVA methods were used. The post-hoc test was used 'Scheffe test', and the significance level was α = .05. The results showed that the balance ability was significantly improved after 4 weeks in all three groups. Among all groups, the highest improvement was observed in the daily evaluation group and the lowest improvement was observed in the general evaluation group. In the comparison between the groups, it was confirmed between the daily evaluation group and the weekly evaluation group, between the daily evaluation group and the general evaluation group. These results show that the evaluation process using the balance function scale, rather than the therapeutic behavior, can affect the balance ability of the elderly. I would like to be able to utilize this basic research data that just evaluation of balance function using balance scale in the social facilities and institutions for the elderly can positively influence the improvement of the balance function and strengthen the postural controling ability necessary for the independent daily life practice.

The Study of Correlation Between the Balance, Cognition and Activity of Daily Living in Stroke Patients (뇌졸중 환자의 균형, 인지, 일상생활 평가의 상관성 연구)

  • Kang, Bo-Ra;Jeong, Eun-Song;Kim, Jae-Hee;Ha, Yoo-Na
    • Journal of Korean Society of Neurocognitive Rehabilitation
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    • v.10 no.2
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    • pp.45-52
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    • 2018
  • The purpose of the present study was to determine correlations between the Berg Balance Scale (BBS), Montreal Cognitive Assessment-Korean (MoCA-K) and Modified Barthel Index (MBI) targeting stroke patients, and it seeks to analyze the influence among each factor to establish the fundamental research in evaluating the functional performance capability of stroke patients. The study was conducted between December 2017 and March 2018 and the target of the study was 34 stroke patients who are hospitalized and treated in Y rehabilitation hospital located in Goyang city. Following in criteria of how participants were selected. First, a person without the onset of 6months or more. Second, a person who can communicate and score over 20 points on MMSE-K. Third, a person without unilateral neglect. Fourth, a person without lower motor neuron lesion and orthopedic disease on the bilateral lower extremity. Fifth, a person without audiovisual problem and history of using drug or surgery that influence athletic function. sixth, patients who agreed on participating in the study. The evaluation was processed by measuring BBS, MoCA-K, and MBI with the occupational therapist and physical therapist. Also, one assistant was participated in measuring balanced ability for the safety reason. It was found that significantly correlates (p<.01) with BBS and MoCA-K (r=.459), BBS and MBI (r=.550), MoCA-K and MBI (r=.565). This study is meaningful that it provided the basis for the active use of BBS, MoCA-K and MBI as a clinical evaluation tool and its usefulness.

Evaluation of proficiency and improvement of accuracy on the analysis of brominated flame retardants (PBDEs) in ABS polymer (ABS수지 중 polybrominated diphenyl ether(PBDE)류 분석 숙련도 평가 및 정확도 향상)

  • Ryu, Jehoon;Kim, Dalho
    • Analytical Science and Technology
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    • v.28 no.6
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    • pp.446-452
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    • 2015
  • In order to evaluate and improve the ability of Korean testing laboratories to measure Polybrominated diphenyl ethers in acrylonitrile-butadiene-styrene (ABS), a proficiency test was organised by Korea Research Institute of Standards and Science (KRISS) based on ISO/IEC 17043. The proficiency test material used was 10 g of a granular ABS fortified with a mixture of congeners of PBDE (BDE-154, 183, 206, 209). Homogeneity and stability were investigated to assess the adequacy of the test material. The certified value established by KRISS based on the national reference was used for assigned value of each PBDE. The test materials were distributed to the 16 participating laboratories. The participating laboratories were requested to analyse the samples employing the methods used in their routine analysis. Each laboratory was given it’s own code to secure the anonymity. Participants results were evaluated with z-scores according to ISO/IEC 17043. The standard deviation for proficiency assessment was set by standard deviation of the participants results except for outlier. The results, the laboratory's performance and improvement of accuracy were discussed.

Usefulness of 18F-Florbetaben in Alzheimer's Disease Diagnosis (알츠하이머병 진단에서 18F-Florbetaben의 유용성)

  • Lee, Hyo-Yeong;Im, In-Chul;Song, Min-jae;Shin, Seong-gyu
    • Journal of the Korean Society of Radiology
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    • v.10 no.5
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    • pp.307-312
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    • 2016
  • Alzheimer's disease is the most common degenerative brain diseases that causes dementia. ${\beta}$-amyloid neuritic plaque density that accumulates in the brain is difficult to perform daily living, such as memory loss, language ability deterioration. It is used to estimate ${\beta}$-amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer's disease and other causes of cognitive impairment. Using the $^{18}F$-Florbetaben with high sensitivity and specificity for the ${\beta}$-amyloid neuritic plaque density to evaluate the usefulness for the early diagnosis of Alzheimer's disease. In $^{18}F$-FDG Brain imaging shows no specific findings. And it appeared on the MR-Brain imaging without atrophy of the hippocampus. However, the intake of ${\beta}$-amyloid neuritic plaque density in $^{18}F$-Florbetaben informs that it is the progress of Alzheimer's disease. Therefore, $^{18}F$-Florobetaben is very useful for early diagnosis of Alzheimer's disease.

Effect of a Yoga-based Exercise Program on Psychological, Physiological Factors and Physical Fitness in Elderly Women (요가운동이 여성노인의 심리적, 생리적 변화 및 운동능력에 미치는 영향)

  • Kim, Yi-Soon;Kwak, Yi-Sub;Cho, Bong-Soo
    • Journal of Life Science
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    • v.16 no.4
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    • pp.584-588
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    • 2006
  • Physical activity has been effective in enhancing quality of life and physical fitness of older adults over relatively short periods of time. However, little is known about the Yoga-based exercise program on physiological changes and physical fitness with psychological variables in elderly women. The purpose of this study is to investigate the effect of Yoga- based exercise program on physiological, psychological factors and physical fitness in elderly women. Forty-four elders were recruited from the public health center. They were divided into exercise training group(n=22) and control group(n=22). The training group participating in 10 weeks of Yoga-based exercise program. Data was analyzed with descriptive statistics, the chi-square test, Fisher's Extract test, and ANCOVA to evaluate body fat, spine ROM, blood pressure, cholesterol, depression, life satisfaction, ADL and physical fitness. There was a significant improvement in blood pressure, total cholesterol, precent of body fat, physiological function, depression, life satisfaction, ADL and physical fitness in the exercise training group than that of the control group. From the results, Yoga-based interventions designed to improve various variables were equally acceptable to elderly women.

Effect of Progressive Resistance Task-oriented Strengthening Exercise on Balance and Activities of Daily Living in Stroke Patients (점진적 과제지향적 다리근력강화 운동이 뇌졸중 환자의 균형능력과 일상생활수행능력에 미치는 영향)

  • Kang, Tae-Woo;Kim, Hye-Mi;Kim, Beom-Ryong
    • PNF and Movement
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    • v.18 no.1
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    • pp.77-86
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    • 2020
  • Purpose: This study investigated the effects of progressive resistance task-oriented strengthening exercises (PRTSE) on the strength of the lower extremities, balance, and activities of daily living (ADL) of patients following a stroke. The purpose of the study was to provide fundamental data regarding the use of PRTSE with stroke patients. Methods: Twenty stroke patients were randomly divided into an experimental group (n = 10) who took part in PRTSE and a control group (n = 10) who performed general rehabilitation exercises. Both groups performed their respective exercises for 30 minutes five times a week for four weeks. The strength of their lower extremities was measured using a hand-held dynamometer. The balance of the participants was assessed using a Berg balance scale. The modified Barthel index was conducted to measure ADL. A paired t-test was performed to compare within-group changes before and after the PRTSE. Differences between the experimental and the control groups were analyzed using an independent t-test. For all tests, the level of statistical significance was α = 0.05. Results: After the exercises, there was a significant within-group change in the strength of lower extremities, balance, and ADL in the experimental group and the control group (p < 0.05). There was also a significant between-group difference in the strength of lower extremities after the intervention (p < 0.05). Conclusion: General rehabilitation is commonly applied as a treatment for stroke patients and is relatively effective. The application of PRTSE may be useful in such patients, considering its effects on the strength of lower extremities, balance, and ADL.

Effect of Proprioceptive Neuromuscular Facilitation Chopping Pattern on Neglect, Balance, and Activity of Daily Living of Stroke Patients with Hemi-Spatial Neglect: A randomized clinical trial (고유수용성신경근촉진법 내려치기 패턴 훈련이 편측무시가 있는 뇌졸중 환자의 편측무시, 균형능력 및 일상생활수행능력에 미치는 영향: 무작위 임상 시험)

  • Kang, Tae-Woo;Kim, Beom-Ryong
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.107-115
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    • 2019
  • PURPOSE: This study examined the effects of the chopping pattern of proprioceptive neuromuscular facilitation (PNF) on the neglect, balance ability, and activities of daily living in stroke patients with hemi-spatial neglect. METHODS: Twenty stroke patients with neglect volunteered for this study. The subjects were assigned randomly to either the experimental group (EG, n=10) or control group (CG, n=10). The chopping pattern of PNF and exercise therapy were applied in the EG and CG, respectively, for four weeks. Neglect, balance, and activities of daily living were evaluated at the pre-and post-intervention. The assessment tools included a line-bisection test, balance test using Space balance 3D, and modified Barthel index. The pre-and post-intervention values were compared in each group using a paired t-test and the between-group differences were assessed using an independent t-test. Statistical significance was set to ${\alpha}=.05$ for all variables. RESULTS: Significant differences were observed between the EG and CG in terms of neglect, balance, and activities of daily living (p<.05). Both groups showed significant improvement in neglect, balance, and activities of daily living (p<.05). CONCLUSION: These results suggest that the chopping pattern of PNF is effective in improving the hemi-spatial neglect, balance, and activities of daily living in stroke patients with neglect.

Representation of Female Journalists in Korean Popular Films : (2011) and (2012) (한국 대중영화의 여기자 재현: <모비딕>과 <부러진 화살>을 중심으로)

  • Noh, Kwang Woo;Yong, Mi Ran
    • Cartoon and Animation Studies
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    • s.34
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    • pp.237-262
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    • 2014
  • Recent Korean popular films and television dramas represent journalist as the character who colludes with corrupt power to engage in scandals or completes one's goals by good or bad means. It matters that the negative discourse of journalists fosters audience's distrust on journalism. Representation of journalists in popular culture is related to the reliability of journalism. In relation, it is noticeable that popular media represent female journalists. This study examines how recent popular films deal with female journalists through the case of (2011) and (2012) to find improvement of discourse on journalists. In result, three female characters in these films represent positively 'reformative leadership' (Chief Cho in ), 'appropriation of information technology'(Seong Hyo Kwan in ), and 'emotional response' (Jang Eun Seo in ). Compared to representation of journalists through male, the positive representation of female journalists constributes to positive discourse on role and function of journalism. However, it may be considered that these positive representations are merely a part of whole journalists.