• Journal of Korean Academy of Nursing
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• v.29 no.3
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• pp.665-678
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• 1999

Stroke is a major cause of death and long-term disability. Because muscle weakness is one of the most prominent consequences of stroke, it was considered important to determine whether exercise in order to improve muscle strength and range of motion could have an effect in limiting the learned disuse of the affected side. The purpose of the study was to identify the effects of an 8 week rehabilitation program on physical and cognitive ability in stroke patients. A total of 18 patients who were admitted to the oriental medicine unit of a K medical center in Seoul were recruited : ten for the experimental group and eight for the control group. The rehabilitation program consisted of three level's of active and passive exercises for prevention of muscle contracture and at range of motion. Muscle strength, flexibility of the upper and lower extremity, perceived balance, functional independence, depression, and quality of life for the two groups were compared at the pretest and 4 and 8 weeks after the rehabilitation program. The results are as follows : 1) When measuring muscle strengths of shoulder abduction and elbow flexion, hip flexion and knee extensor, ankle dorsi-flexor and muscle strength of knee flexor. Muscle strength of knee flexor for the experimental group was significantly higher than the comparison group at the 4 weeks. 2) Muscle strength and flexibility of the ankle dorsi -flexor for the experimental group was significantly better than for the control group at 8 weeks. 3) Functional independence, perceived balance, and Tinetti balance for the experimental group as measured at 4 and 8 weeks were better than for the control group. Also, there were changes over time in physical balance and functional ability, but there was no significant differences between the groups. 4) The experimental group showed a higher quality of life and lower depression than the control group at 8 weeks. 5) Muscle strength and flexibility of ankle dorsi -flexor were significantly changed over time and an interaction between group and time. The findings suggested that the rehabilitation program would improve the physical and psychological status of the stroke patients. Thus, the gains in actual or perceived ability to perform physical activities was marked.

• The Journal of Korean Society for School & Community Health Education
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• v.11 no.2
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• pp.103-114
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• 2010

Purpose: The aim of this study was to describe the status and associated factors of mental health on girls' high school students. Methods: The participants were 446 academic girls' high school students and 240 vocational girls' high school students of the 1st graders in Busan. The data were collected from April 28, 2009 to May 30, 2009. Survey was developed in the form of self-report five-point likert scale(1-5) using Lees Instrument of mental health(1986) that revised from Derogatis et al's Symptom Check List-90(1976). The higher score of this scale means worse status of mental health. Result: The score of mental health of subjects was low and the mean was $1.69{\pm}.50.$ The depression mean was the highest among mental health sub-variables. The mental health of the vocational girls' high school students was worse than the academics. As for subjects in mental health by their various characteristics, there are significant by school type(p<0.001), economic status(p<0.001), father's job(p<0.001), parent's marrital status(p<0.001), cognitive health status(p<0.001), record(p<0.05), character(p<0.001), satisfaction of life(p<0.001), needs for help on mental health(p<0.001). Conclusion: The intervention program needs to improve mental health of vocational high school girls' students as well as academic high school girls' students, and need to establish depression relieving nursing intervention program for girls' high school students.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.534-544
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• 2018

Purpose: This study was conducted to construct and test a structural model on family life satisfaction of aged individuals living at home. The conceptual model was based on Bandura's self-efficacy and social cognitive theories (1977; 1986) and Bowen's (1976) family systems theory. Methods: From January 25 to March 5, 2016, 227 older adults living at home completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting family life satisfaction. SPSS WIN 20.0 and AMOS 20.0 were used. Results: The hypothetical model was a good fit for the data. The model fit indices were ${\chi}^2=78.05$, ${\chi}^2/df=1.35$, RMSR=.02, GFI=.98, AGFI=.96, NFI=.94, CFI=.98, and RMSEA=.05. Family life satisfaction was positively affected by perceived collective family efficacy, status of physical health, family communication, and family support. Depression resulted in a significant negative effect. Family differentiation had a significant indirect effect on family life satisfaction. The model explained 76% of variance in family life satisfaction. Conclusion: Perceived collective family efficacy, status of physical health, depression, family differentiation, family communication, and family support were significant factors explaining family life satisfaction among older adults staying at home. Further research should be conducted to seek intervention strategies to improve family life satisfaction among older adults living at home by focusing on the respective contributing factors.

• Phonetics and Speech Sciences
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• v.2 no.4
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• pp.75-82
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• 2010

Many previous studies based on respiratory characteristics of Idiopathic Parkinson's Diseases (IPD) patients have not controlled related factors appropriately. Accordingly, these studies produced discordant results. Furthermore, there is currently a lack of studies that can provide precise explanations on the characteristics of respiration and phonation. This study included a total of 40 subjects: 20 mixed gender de novo IPD patients ranging in age from 50 to 80 (Hoehn & Yahr stage 1~3), and 20 normal subjects with similar matches for age and gender. All participants were controlled based on their gender, age, height, weight, vocal fold function, cognitive abilities, and depression factors. K-MMSE (Korean-Mini Mental State Examination), nVHI-10 (new Voice Handicap Index), and KGDS (Korean Form of Geriatric Depression Scale) were evaluated to select this study subjects. In order to compare respiratory functions between the two groups, FVC, FEV1, and FEV1/FVC were measured using microQuark, a PC-based spirometer. CSL was used by measure MPT and PAS was used to measure MFR. To investigate the characteristics of phonation ability, CSL was used to measure jitter and shimmer, while PAS was used to measure Psub. In order to compare the respiratory function averages and phonation ability between the two groups, statistical analysis was conducted using SPSS (version 12.0). The results of this study showed that most de novo IPD patients were included in the normal average range of respiratory and phonatory ability. But the respiratory and phonatory ability of de novo IPD patients showed lower tendency as compared with the normal group. When the average of respiratory and phonatory ability among the gender was compared, the difference of males was greater than the difference of females.

• Journal of Convergence for Information Technology
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• v.11 no.4
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• pp.146-152
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• 2021

This study aims to develop a protocol for the visualized memory training program using the picture book and evaluate its clinical utility. A total of 5 sessions were conducted for 5 elderly people with mild dementia. Rey-Kim II, GDS-Short, word test were conducted to observe its effectiveness before and after the program. As a results overall memory was improved but was not statistically significant. Overall depression was also improved and statistically significant. The effect of word memory varies depending on individuals' degenerative conditions. In conclusion, the visualized memory training program using the picture book is effective in improving the memory to some extent and had an emotional effect of reducing depression in mild dementia. In the future it is necessary to research its effects in larger population.

• Journal of muscle and joint health
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• v.28 no.2
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• pp.174-182
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• 2021

Purpose: This study is a secondary data analysis study to identify factors related to the quality of life of people aged 65 y or older, according household type. Methods: In 2019, the study extracted the data from the elderly participants (65 y of age or older) from G province Community Health Survey. The data were compiled and analyzed in a composite sample. Results: The quality of life was lowest among single people, grandparents-grandchildren (F=39.88, p<.001). Variables that significantly influenced quality of life in single-person households were basic security(β=-.03, p=.002), high-risk drinking (β=.04, p=.002), number of day to walk (β=.01, p<.001), diabetes mellitus (β=-.03, p<.001), depression (β=-.02, p<.001), and contact frequency (β=.00, p<.001). Variables that significantly influenced grandparents-grandchildren households were basic security (β=.03, p<.001), smoking(β=-.02, p<.001), number of day to walk (β=.00, p<.001), hypertension (β=-.01, p=.009), diabetes mellitus (β=-.04, p<.001), cognitive impairment (β=-.02, p<.001), depression(β=-.02, p<.001), contact frequency (β=.01, p<.001), and neighborhood trust (β=.02, p<.001). Conclusion: In this study, there were differences in health-related quality of life for each type of household, and various support systems are needed in their social networks to suit their characteristics.

• Journal of Korea Entertainment Industry Association
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• v.14 no.6
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• pp.171-179
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• 2020

This study was conducted to explore the experience of emotional change among senior citizens aged 65 and older experienced COVID-19 social situation. COVID-19 not only directly affects the elderly as a high-risk infectious disease, it also causes social isolation and depression caused by social distinctions, decreased cognitive skills, and worsened chronic diseases, and has indirect effects. As a result of the study, one component and four sub-components were derived, and the components were emotional changes. As the elderly experienced COVID-19, fear of spreading, fear of increasing the number of deceased and dead, and social distance I experienced depression, tightness, and anticipation for ending due to self-control. No matter how hard you try 'technical prevention', without 'psychological prevention', the anxiety of the elderly will inevitably increase. In this study, mediators for negative emotions experienced by the elderly are provided by providing accurate information to prevent the spread of fear caused by COVID-19 and proving emotional support programs such as 'psychological prevention' as well as 'technical prevention'. I think it will be necessary.

• The Journal of Korean Society for School & Community Health Education
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• v.23 no.3
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• pp.1-13
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• 2022

Objectives: The purpose of this study is to identify the life satisfaction of women with disabilities and the factors affecting their life satisfaction to improve their quality of life. Methods: This study used secondary data, the 2020 Survey of the Disabled. The subjects were 2,725 women with disabilities aged 20 or older who responded to the survey. The SPSS Windows 26.0 program was used for data analysis. Technology analysis, chi-test, and multi-logistic analysis were performed to identify the factors affecting the life satisfaction of women with disabilities. Results: Age, education level, marital status, type of medical insurance type, subjective economic status, disability severity, subjective health status, health screening, chronic disease, stress, depression, suicidal ideation, and variables that can go out alone. As a result of multi-logistic regression analysis on factors affecting life satisfaction of women with disabilities, it was analyzed that education level, marital status, subjective economic status, subjective health status, health screening, chronic disease, stress cognitive status, depression, suicide ideation, and variables that can go out alone had a statistically significant effect. Conclusion: Based on the analysis results of this study, it is required to develop and operate health education and health promotion programs for physical and mental health management of women with disabilities.

• Korean Journal of Exercise Nutrition
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• v.23 no.3
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• pp.13-21
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• 2019

[Purpose] Chronic stress is a precipitating factor for depression, whereas exercise is beneficial for both the mood and cognitive process. The current study demonstrates the anti-depressive effects of regular exercise and the mechanisms linked to hippocampal neurogenesis. [Methods] Mice were subjected to 14 consecutive days of restraint, followed by 3 weeks of treadmill running, and were then subjected to behavioral tests that included the forced swimming and Y-maze tests. Protein levels were assessed using western blot analysis and newborn cells were detected using 5-bromo-2'-deoxyuridine (BrdU). [Results] Three weeks of treadmill running ameliorated the behavioral depression caused by 14 days of continuous restraint stress. The exercise regimen enhanced BrdU-labeled cells and class III β-tubulin levels in the hippocampal dentate gyrus, as well as those of thioredoxin-1 (TRX-1) and synaptosomal β2-adrenergic receptors (β2-AR) under stress. In vitro experiments involving treatment with recombinant human TRX-1 (rhTRX-1) augmented the levels of phospho-extracellular signal-regulated kinases 1 and 2 (ERK1/2), nuclear β-catenin, and proliferating cell nuclear antigens, which were previously inhibited by U0216 and FH535 (inhibitors of ERK1/2 and β-catenin/T cell factor-mediated transcription, respectively). The hippocampal neurogenesis elicited by a 7-day exercise regimen was abolished by a selective inhibitor of β2-AR, butoxamine. [Conclusion] These results suggest that TRX-1-mediated hippocampal neurogenesis by β2-AR function is a potential mechanism underlying the psychotropic effect of exercise.

• Therapeutic Science for Rehabilitation
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• v.9 no.2
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• pp.73-86
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• 2020

Objective : The purpose of this study was to examine the effects of depressive symptoms on the relationship between avoidance(brooding, reflection, and behavioral avoidance) and sleep quality. Methods : In total, there were 947 subjects who were assessed using self-reports on three measures: Center for Epidemiological Studies-Depression (CES-D), Ruminative Response Style (RRS), Cognitive-Behavioral Avoidance Scale (CBAS), and Pittsburgh Sleep Quality Assessment (PSQI). Results : First, depressive symptoms fully mediated the relationship between brooding and sleep quality. Second, reflection did not mediate the relationship between brooding and sleep quality, and reflection had no direct effects on depressive symptoms. Third, depressive symptoms partially mediated the relationship between behavioral avoidance and sleep quality. Conclusion : This study was confirmed the pathological characteristics of brooding compare to reflection, and the essential role of behavioral avoidance and depressive symptoms on sleep problems.