• Title/Summary/Keyword: 중재요소

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Application of Occupational Therapy Intervention Process Model: A Case of Child With Sensory Integration Dysfunction (작업치료중재과정모델의 적용: 감각통합기능장애 아동 사례)

  • Kim, Ji-Hyun
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.2
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    • pp.1-13
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    • 2011
  • Objective : Purpose of this study is to discuss benefits and implications of the clinical reasoning process and re-evaluation in the OTIPM by introducing a single case that occupational therapy intervention is provided based on the OTIPM. Methods : The case subject is a boy aged 5 years and 10 month who had diagnosed as attachment disorder and anxiety disorder from a pediatric psychiatrist before. The boy is referred to sensory integration therapy clinic and underwent occupational therapy intervention service twice a week for four month. Therapeutic activities for the intervention were consisted of sensory integration activities for restorative model, care-giver education for educational model, and performance skill training for acquisitional model. Measurements used in the initial evaluation are JSI-R, DDST-2, Social Maturity Test, KPPS-R, and observation-based performance task analysis. For the performance task analysis, performance skill items were constructed based on the Occupational Therapy Process Framework (OTPF), and those were assessed by the evaluation system of Assessment of Motor and Process Skill (AMPS) and Evaluation of Social Participation (ESI). Results : The detail process of implementing of the OTIPM in this study is reported by following four phases; 1) establish client-centered performance context; 2) establish baseline and interpret cause (initial evaluation); 3) intervention planning and implementing; and 4) recognize intervention outcome (reevaluation). Conclusion : In this case, occupational therapist could provide the client an occupation-based intervention within comprehensive performance context based on the OTIPM. Therapist could clearly identify the cause of problematic performance skills and behaviors and so provide effective intervention to improve client's occupational performance. Additionally, it was found that client's satisfaction of the intervention can be raised when the concept of 'who is the client' is expanded based on the OTIPM. From this study, it is proposed that OTIPM may be a model educible 'comprehensive' enhancement of 'specific' occupational engagement, as it considers both improvement of occupational performance and satisfaction.

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Hyperelastic Finite Element Formulation using Pressure Potential (압력포텐샬을 이용한 초탄성 유한요소 정식화)

  • Kim, Heon-Young;Kim, Ho;Kim, Joong-Jae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.12
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    • pp.2492-2502
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    • 2002
  • A rubber-like material model is generally characterized by hyperelasticity and formulated by a total stress-total strain relationship because the material shows nonlinear elastic behaviour under large deformation. In this study, a pressure potential obtained by a separately interpolated pressure is introduced to the non-linear finite element formulation incorporating with incompressible or almost incompressible condition of the material. The present formulation is somewhat different from the general formulation using the pressure computed in the displacement field. A non-linear finite element analysis program is developed for the plane strain and the axisymmetric contact problems of a rubber-like material. Various examples with rubber material are analyzed for its verification. The results about deformed shapes and stress distributions thought to be meaningful in comparison with a commercial program, MARC.

A Study of Finite Element Analysis for Semi-Solid Forging (반용융단조 공정의 유한요소해석에 관한 연구)

  • 이주영;김낙수;김중재
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 1997.03a
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    • pp.159-164
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    • 1997
  • The optimal conditions were investigated in order to manufacture the light automotive body parts using the semi-solid forging process by the finite element nalysis. Considering about macro-segregation cause to difference of relative velocity between solid phase and liquid phase, solidificational phenomenon cause to heat transfer from die and export of the latent heat, so solid fraction updating algorithm can be proposed. The rigid thermo-viscoplastic finite element analysis was carried out according to die temperature with proposed algorithm, so availability of forming part were understood. The finite element program can be used to the analysis of semi solid forging process.

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The Effects of Spaced Retrieval Training with Errorless Learning on Memory, IADL, Depression in Mild Cognitive Impairment: Single-Subject Design (오차배제훈련을 병행한 시간차 회상훈련이 경도인지장애 환자의 기억력에 미치는 효과와 수단적 일상생활(IADL) 및 우울에 미치는 영향: 단일대상연구)

  • Kim, Yeonju;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.4 no.2
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    • pp.73-83
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    • 2015
  • Objective: The purpose of this study was to examine the effect of the Spaced Retrieval Training (SRT) with Errorless learning on the elderly with Mild Cognitive Impairment (MCI)'s memory, Instrumental Activities Daily Living, Depression symptom. Methods: A single subject experimental research with ABA design was conducted in this study on the 78-years-old person who was enrolled in day-care center. The total experimental sessions were 16 which composed of 3 sessions for baseline, 10 sessions for intervention and 3 sessions for second baseline. K-Auditory Verbal Learning Test (K-AVLT) was measured for the memory each session. For the measurement of cognitive function, IADL, depression Symptom, Korean version of Montreal Cognitive Assessment (MoCA-K), Philadelphia Geriatric Center Instrumental Activities Daily Living (PGC IADL), Geriatric Depression Scale Korean Version (GDS-K) was measured at pre-post test. Results: Memory at the phase B was improved than Phase A. At the phase B, the scores trend was ascending, but after the intervention at the phase A', the scores trend was descending. The scores of MoCA-K were improved, PGC IADL were maintained, GDS-K were decreased. Conclusion: This results support the evidence of the SRT with EL on the elderly with MCI in the clinical setting. In the future, the correlation researches about MCI's memory and other functional factors will be needed for effective occupational therapy service.

Collective Understanding through Social Mediational Processes in a Collaborative Workshop between Science Teachers and Researchers: Focusing on 'Conflict' Aspect (과학 교사-연구자간 협력적 워크숍에서 사회적 중재를 통한 집합적 이해 과정: '갈등' 양상을 중심으로)

  • Kim, Hyeree;Lee, Sun-Kyung;Kim, Chan-Jong
    • Journal of The Korean Association For Science Education
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    • v.32 no.10
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    • pp.1502-1523
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    • 2012
  • Recently, there have been growing interest in teachers' professional development since teachers were regarded as a critical factor in the context of the reform efforts. Along with these efforts, educational researchers have continued to implement various programs to improve teachers' subject matter knowledge, beliefs, and their practices. Although considerable researches have been done regarding the efficiency of these programs, most of them have focused on individual teacher's change. However, a "teacher's mind is socially formed" (Edwards, 2001). This perspective indicates that teacher change is necessarily viewed in terms of social mediational process between individual and the social context. This study examines the interactions between teachers and researchers in order to explore the mediational processes and the aspects of collective understanding, which has emerged from the collaborative workshop. The data were collected from small group activities in a workshop and then analyzed using interactional sociolinguistic approach. Futhermore, activity system was employed to describe the social mediational process. The findings show that participating teachers constructed knowledge through conflict regarding collective understanding. This process of collective understanding was mediated by object, rules, and roles within each activity system. Findings from the study suggest that the sociocultural perspectives to teacher education are essential in understanding how teachers learn to teach and that teachers' professional discourse can play a significant role in teachers' professional development.

Meta-analysis of the Effects of Cognitive Improvement Programs of the Korean Elderly: Comparison of Cognitive Impairment Group and Normal Group (한국노인의 인지기능 향상 프로그램 효과성 메타분석: 인지기능장애집단과 일반집단 비교)

  • Kim, Ilsik;Kim, Gyeryung
    • 한국노년학
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    • v.37 no.4
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    • pp.813-833
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    • 2017
  • The purpose of this study was to classify the results of previous studies on the cognitive function improvement program of the elderly into the cognitive impairment group and the normal group to compare the effect sizes of the groups using meta - analysis. Among the previous studies on cognitive function improvement programs reported in Korea for the last five years, 86 were selected and the effect sizes were summarized using meta-analysis. As a result of the study, the overall average effect size showed a large effect size in both groups. The effect sizes of the intervention types were high for the cognitive impairment group, and the exercise and cognitive-based interventions were similar for the normal group. The gender effect size was higher for the women with cognitive impairment group, and higher for the combined case with normal group. The effect sizes according to group size were higher for 20 persons in cognitive impairment group and higher for 21~40 persons in normal group. The total number of sessions in both groups was higher than 32 times, The number of sessions per week was 3 times for the cognitive impairment group, 4 to 6 times for the normal group. The duration of activity was 55~60 minutes in cognitive impairment group and 70~180 minutes in normal group as the number of sessions and activity time increased the effect size was higher in normal group. This study will be meaningful in that it provided basic data necessary for future program development by comparing and analyzing the effect sizes of the cognitive function improvement program type and the activity factors between the cognitive impairment group and the normal group.

Analysis of users' needs for developing mobile health based prevention and intervention programs for the metabolic syndrome in college students (대학생의 모바일 헬스 기반 대사증후군 예방 및 중재 프로그램 개발을 위한 사용자 요구 분석)

  • Kang, MinAh;Lee, Soo-Kyoung
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.9
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    • pp.429-442
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    • 2017
  • This study was performed to investigate and analyze users' needs for m-health based prevention and intervention programs that are intended to improve the awareness of metabolic syndrome and promote health behaviors of college students. A questionnaire survey was conducted to 200 college students of 2 university in D city. Data were analyzed using descriptive statistics, t-tests, chi-square test with the SPSS Version 20.0. The result showed that users wanted customization of prescriptions and accurate measurement of health applications, and provided a positive feedback on information exchange between those who manage their health. The most preferred content was proper exercise methods, and the preferred gamification factors were goal-setting, compensation, and competition. The optimal price for wearable devices was between 10,000 to 50,000 won, and calorie consumption function was also preferred. Although users with experiences of wearable devices and health apps had a higher knowledge score pertaining to metabolic syndrome, there was no significant difference in the overall score. Concerning the health behaviors associated with lifestyles, individuals without the experiences of wearable devices and health apps showed a remarkably lower score. The research has a significance that it investigated and analyzed the contents needed for the development of effective moblie health based prevention and intervention programs targeting the population in their early adulthood. Therefore, based on the findings, we propose a rich and concrete follow-up study on the needs and characteristics of different user types by collecting a population with experiences of wearable devices, and a development of differentiated mobile health based prevention and intervention programs.

Effects of Self-motivated Virtual Reality Exercise Program on Heart Rate Variability and Quality of Life in the Hemodialysis Patients (자기주도 가상현실 운동프로그램이 혈액투석환자의 심박변이도, 삶의 질에 미치는 효과)

  • Cho, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5578-5584
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    • 2014
  • In this study, 46 patients from a local hemodialysis center were enrolled to assess the effects of a self-motivated virtual reality (VR) exercise program on the heart rate variability and quality of life control in hemodialysis patients. The VR group (n = 23) completed a VR exercise program, where the subjects performed the exercise 40 min per session, 3 sessions per week, for 8weeks. After the exercise program, the heart rate variability and quality of life were measured. The VR group showed significant improvement in the heart rate variability and quality of life. The self-motivated VR exercise program provided both the role of supervisor as well as feedback, which is important for hemodialysis patients.Therefore, a self-motivated VR exercise program may be a useful tool for improving the psychosocial function in chronic disease patients undergoing hemodialysis.

An Improvement of Implementation Method for Multi-Layer AHB BusMatrix (ML-AHB 버스 매트릭스 구현 방법의 개선)

  • Hwang Soo-Yun;Jhang Kyoung-Sun
    • Journal of KIISE:Computer Systems and Theory
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    • v.32 no.11_12
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    • pp.629-638
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    • 2005
  • In the System on a Chip design, the on chip bus is one of the critical factors that decides the overall system performance. Especially, in the case or reusing the IPs such as processors, DSPs and multimedia IPs that requires higher bandwidth, the bandwidth problems of on chip bus are getting more serious. Recently ARM proposes the Multi-Layer AHB BusMatrix that is a highly efficient on chip bus to solve the bandwidth problems. The Multi-Layer AHB BusMatrix allows parallel access paths between multiple masters and slaves in a system. This is achieved by using a more complex interconnection matrix and gives the benefit of increased overall bus bandwidth, and a more flexible system architecture. However, there is one clock cycle delay for each master in existing Multi-Layer AHB BusMatrix whenever the master starts new transactions or changes the slave layers because of the Input Stage and arbitration logic realized with Moore type. In this paper, we improved the existing Multi-Layer AHB BusMatrix architecture to solve the one clock cycle delay problems and to reduce the area overhead of the Input Stage. With the elimination of the Input Stage and some restrictions on the arbitration scheme, we tan take away the one clock cycle delay and reduce the area overhead. Experimental results show that the end time of total bus transaction and the average latency time of improved Multi-Layer AHB BusMatrix are improved by $20\%\;and\;24\%$ respectively. in ease of executing a number of transactions by 4-beat incrementing burst type. Besides the total area and the clock period are reduced by $22\%\;and\;29\%$ respectively, compared with existing Multi-layer AHB BusMatrix.

Caries Management of High-Risk Children by Caries Risk Assessment (우식위험평가에 의한 우식 고위험 유아의 치아우식 관리)

  • Koo, Seo-Yeon;Lee, Su-Young
    • Journal of dental hygiene science
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    • v.18 no.2
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    • pp.97-104
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    • 2018
  • The purpose of this study was to classify risk groups according to Caries Risk Assessment (CRA) and to investigate the effect of caries prevention program after 1 year of caries prevention intervention program in 6-year-old infants with high caries risk. The subjects were selected based on responses to CRA questionnaires. At the first visit, oral examination, Cariview, bacteria and saliva flow test were performed. The caries risk group was classified accordingly. The subjects were given fluoride application and oral health education every four months and evaluated the same as the first visit after 1 year. As a result of classifying the risk level according to CRA, more than 80% of the subjects were in the high or extreme high risk. The dft index was increased in all risk groups after the intervention. There was a significant difference between the before and after intervention (p<0.05). The Cariview score showed a slight decrease after the intervention in the moderate and high risk groups. As a result of the evaluation of bacteria test, Streptococcus mutans were decreased to ${\geq}10^5CFU/ml$ saliva after intervention in all groups. Lactobacilli were decreased after intervention in high risk and extreme high risk groups. As a result of saliva flow, there was significant difference between caries risk groups before and after intervention (p<0.05). In conclusion, regular caries management has been shown to influence caries risk factors in high-caries risk children. Also, it is necessary to find out periodical dental risk management system which is suitable for domestic situation through the related studies.