• Title/Summary/Keyword: Cost of Rehabilitation

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A Preference and Satisfaction Survey on the Wound Management System (창상 치료 시스템에 대한 선호도 및 만족도 조사)

  • Kang, Yoon Kyeong;Hong, Aram;Lee, Boung Chul;Kim, Dohern;Seo, Cheong Hoon
    • Journal of the Korean Burn Society
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    • v.16 no.2
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    • pp.99-103
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    • 2013
  • Purpose: The biggest problem of wound healing is a possible occurrence of lesion. Especially, in the case of patients who have a skin injury around exposed body parts, if their treatment period drag on for long time, they can suffer from aftereffects and the costs can be passed on to a society. Therefore, in this research, we investigated the need to develop the effective medicine and appliances for the patients by examining which therapy methods are being applying to the skin damage and what is the advantage and limit by evaluating the patient's satisfaction level. Methods: We carried out an online and offline survey targeting medical teams in order to analyze device for wound care. A total of 125 medical teams applied to the research, and investigate the level of customer satisfaction. Results: The moist dressings are the most used method for wound healing. When it comes to the level of customer satisfaction, biological dressing product also has a high satisfaction level. However its high cost tends to limit the use. Conclusion: This research reached a conclusion that it is need to develop a low cost and high efficiency wound care product considering the fact that its high cost and low efficiency induced economic problems. Generally, it is needed to develop a product for skin regeneration based on biological technologies, not a product just for damage cure.

Rehabilitation Medical Desire of Parents with Developmental Disability Children (발달장애아 부모의 재활적 의료 욕구도)

  • Kim, Youn-Soon;Lee, Soo-Kyung;Yang, Chung-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.2
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    • pp.568-572
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    • 2005
  • This study is aiming for evaluating the factors influencing rehabilitation medical desire in parents (RMDP) with developmental disability children. This study was made with a randomized sample of 156 parents, who were given a questionnaire about how they feel medical needs for their children. The results of the study were as follows: The RMDP is significantly high in relatively the older aged parents group(p<.01). The RMDP is significantly high in severe disability group(p<.01). The RMDP is significantly high in the more spend group of monthly medical cost(p<.05). The group difference of RMDP by monthly income or movement type of disability is not significant(p>.05). It is thought that medical staff need to be actively involved in parents group with developmental disability children to improve motivation, who is relatively the younger than 35 years old or has mild to moderate disability degree of child.

Analysis of Correlation Between Defective Number of Sewer Pipes and I/I(Infiltration/Inflow) Volume (하수관거내 불량개소수와 I/I발생량간의 상관성분석)

  • Chang, Daehwan;Han, Ihnsup;Woo, Byungha;Hong, Seongjin
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.3
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    • pp.321-329
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    • 2009
  • I/I(Infiltration/Inflow) characteristics should be studied to achieve I/I reduction which is a main object of sewer rehabilitation. However, The scientific and practical studies which are based on actual survey within the country are not thorough going enough. The earlier studies were limited because of a short research period and specific region. Thus, In this study, a formula is deduced by intensive correlation analysis between defective number and I/I volume in sewer pipe. It can be used as preliminary data when the project established for cost-effective pipe rehabilitation. The study shows that the researched region have a faulty point at every 9.3m on average and prove correlation between defective number and I/I volume in sewer pipes. Thus, this study can improve the investigation system and estimate the volume of the pipe rehabilitation, when site investigations for rehabilitation have been conducted.

Sewerage rehabilitation strategy based on sewer capacity evaluation (하수관거 통수능 검토를 통한 관거 개선방안 연구)

  • Ryu, Jaena;Oh, Jeill;Oh, Sukho
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.1
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    • pp.47-55
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    • 2009
  • Sewers are important national infrastructure and play an essential part by handling both wastewater and stormwater to minimise problems caused to human life and the environment. However, they can cause urban flooding when rainfall exceeds the system capacity. Sewer flooding is an unwelcome and increasingly frequent problem in many urban areas, and its frequency will increase over time with urbanisation and climate change. Under current standards, sewers are designed to drain stormwater generated by up to 10 year return period storms, but data suggests that many in practice have been experienced flooding with exceeding system capacity under increased storm events. A large number of studies has considered upgrading or increasing the design standard but there are still lack of information to propose a suitable return period with the corresponding system quantity to achieve. A methodology is required to suggest a proper level of standard within a suitable sewerage rehabilitation planning that can avoid the exceedance problem. This study aimed to develop a methodology to support effective sewer rehabilitation that could prevent urban flooding mainly resulted from the exceedance of existing storm sewer system capacity. Selected sewerage rehabilitation methods were examined under different storm return periods and compared to achieve the best value for money.

A Comparative Analysis on Medical and Korean Medical Service Tendency of Total Knee Arthroplasty Patients Using Patients Sample Data of Health Insurance Review and Assessment Service (슬관절 전치환술 환자의 의과 및 한의과 의료기관 이용 현황 비교 분석: 건강보험심사평가원 표본 데이터를 이용하여)

  • Park, Joo-sung;Kim, Nam-Kwen;Song, Yun-kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.1
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    • pp.31-39
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    • 2019
  • Objectives To obtain future research basis of Korean Medicine for total knee arthroplasty patient by analyzing medical and Korean Medical service utilization and treatment duration. Methods Data sampling was performed on Health Insurance Review and Assessment Service patient data of 2015 (Confidence level of 97%) to analyze patients' medical and Korean Medical service tendency. Sampling groups were divided into two groups; i) Patients who completed their treatment within 5 months of total knee arthroplasty, ii) Patients who continued their treatment after 5 months of total knee arthroplasty, to investigate patients' medical and Korean Medical service tendency and individual characteristics were carefully monitored. Results It was confirmed that total of 1,655 patients had gone through total knee arthroplasty out of 1,453,486 patients who were gathered for sampling. First sampling group (Patients who completed their treatment within 5 months of total knee arthroplasty) was 287 patients and second sampling group (Patients who continued their treatment after 5 months of total knee arthroplasty) was 385 patients. The proportion of patients who visited Korean Medical service in first sampling group was lower than that of second sampling group. Conclusions It was confirmed that medical and Korean Medical service and cost consumed by second group (Patients who continued their treatment after 5 months of total knee arthroplasty) was higher than that of first group (Patients who continued their treatment after 5 months of total knee arthroplasty). It is highly recommended to continue with further study for efficient medical and Korean Medical service and reduced cost.

A hybrid cardiac rehabilitation is as effective as a hospital-based program in reducing chest pain intensity and discomfort

  • Saeidi, Mozhgan;Soroush, Ali;Komasi, Saeid;Singh, Puneetpal
    • The Korean Journal of Pain
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    • v.30 no.4
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    • pp.265-271
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    • 2017
  • Background: Health care services effort to provide alternative cardiac rehabilitation (CR) models to serve patients according to their preferences and needs. So, the present study aimed to assess and compare the effects of hospital-based and hybrid CR programs on chest pain intensity and discomfort in cardiac surgery patients. Methods: In this prospective study, 110 cardiac surgery patients were invited to the CR department of a hospital in the western part of Iran between March and July 2016. Patients were divided into two groups: hospital-based and hybrid CR. The hospital-based program included 26 sessions, and the hybrid program included 10 training sessions and exercise. The Brief Pain Inventory and Pain Discomfort Scale were used as research instrument, and data were analyzed using the paired t-test and ANCOVA. Results: The results indicated that both hospital-based and hybrid CR are effective in reducing the chest pain intensity and discomfort of cardiac surgery patients (P < 0.05). In addition, the comparison of scores before and after treatment using ANCOVA shows that no significant differences were observed between the two programs (P > 0.05). Conclusions: Traditional hospital-based CR delivery is still the first choice for treatment in developing countries. However, hybrid CR is as effective as a hospital-based program in reducing pain components and it includes only 38% of the total cost in comparison to hospital-based delivery. So, we recommend using hybrid CR according with the recommendations of American Heart Association about using CR for the management of angina symptoms.

Development of a Knee Exoskeleton for Rehabilitation Based EMG and IMU Sensor Feedback (단계별 무릎 재활을 위한 근전도 및 관성센서 피드백 기반 외골격 시스템 개발)

  • Kim, Jong Un;Kim, Ga Eul;Ji, Yeong Beom;Lee, A Ram;Lee, Hyun Ju;Tae, Ki Sik
    • Journal of Biomedical Engineering Research
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    • v.40 no.6
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    • pp.223-229
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    • 2019
  • The number of knee-related disease patients and knee joint surgeries is steadily increasing every year, and for knee rehabilitation training for these knee joint patients, it is necessary to strengthen the muscle of vastus medialis and quadriceps femoris. However, because of the cost and time-consuming difficulties of receiving regular hospital treatment in the course of knee rehabilitation, we developed knee exoskeleton using rapid prototype for knee rehabilitation with feedback from the electromyogram (EMG) and inertia motion unit (IMU) sensor. The modules was built on the basis of EMG and an IMU sensor applied complementary filter, measuring muscle activity in the vastus medialis and the range of joint operation of the knee, and then performing the game based on this measurement. The IMU sensor performed up to 97.2% accuracy in experiments with ten subjects. The functional game contents consisted of an exergaming platform based on EMG and IMU for the real-time monitoring and performance assessment of personalized isometric and isotonic exercises. This study combined EMG and IMU-based functional game with knee rehabilitation training to enable voluntary rehabilitation training by providing immediate feedback to patients through biometric information, thereby enhancing muscle strength efficiency of rehabilitation.

Comparative Research of the Medical Cost, The Quality of Life, The Family burden of the Mentally III before and after the Community Mental Health Service (지역사회 정신보건서비스 제공 전$\cdot$후 정신장애인의 의료비용, 삶의 질, 가족 부담감 비교연구)

  • Noh In Young
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.56-72
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    • 2001
  • Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

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Optimization Technique to recognize Hand Motion of Wrist Rehabilitation using Neural Network (신경망을 활용한 손목재활 수부 동작 인식 최적화 기법)

  • Lee, Su-Hyeon;Lee, Young-Keun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.2
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    • pp.117-124
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    • 2021
  • This study is a study to recognize hand movements using a neural network for wrist rehabilitation. The rehabilitation of the hand aims to restore the function of the injured hand to the maximum and enable daily life, occupation, and hobby. It is common for a physical therapist, an occupational therapist, and a security tool maker to form a team and approach a doctor for a hand rehabilitation. However, it is very inefficient economically and temporally to find a place for treatment. In order to solve this problem, in this study, patients directly use smart devices to perform rehabilitation treatment. Using this will be very helpful in terms of cost and time. In this study, a wrist rehabilitation dataset was created by collecting data on 4 types of rehabilitation exercises from 10 persons. Hand gesture recognition was constructed using a neural network. As a result, the accuracy of 93% was obtained, and the usefulness of this system was verified.

Development of Optimal Urban Runoff System : II. Development of Decision Making Model for Optimal Control of Rainfal1-Runoff System in Urban Area (최적 도시유출시스템의 개발 : II. 도시유역의 최적유출시스템 제어를 위한 의사결정모형의 개발)

  • Lee, Jung-Ho;Kim, Joong-Hoon;Kim, Hung-Soo;Jo, Deok-Jun;Kim, Eung-Seok
    • Journal of Korea Water Resources Association
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    • v.37 no.3
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    • pp.207-217
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    • 2004
  • Our government is interested in the rehabilitation for the old sewer rather than the construction of a new sewer system. However, the research work on the sewer rehabilitation is not sufficient as much as the interest on the rehabilitation is increased. There are some research works for the determination of rehabilitation time by the genetic algorithm in Korea and foreign countries. However, the previous studies have considered the simple elements for the determination of the rehabilitation time and so the complex decision-making according to the degree of sewer superannuation has not been performed. Therefore, in this study, we estimate the capacity and Ⅰ/Ⅰ of sewer and determine the priority of the optimal rehabilitation for each outfall within the draining system. Also we develop the optimal rehabilitation decision making system for the cost estimation of optimal rehabilitation using the genetic algorithm.