• Title/Summary/Keyword: Cost of Rehabilitation

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The Effects of Making Horcitultural Products and Selling Activities on Vocational Rehabilitation of Persons with Mental Disabilities

  • Seol, Ga Ae;Yun, Suk Young;Choi, Byung Jin
    • Journal of People, Plants, and Environment
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    • v.22 no.3
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    • pp.279-287
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    • 2019
  • This study carried out a horticultural program for people with mental disabilities to determine suitability of the horticultural activity program and to actually apply to vocational rehabilitation. The program was carried out in 16 sessions from April 12 to June 7, 2018 with nine people with a strong will to participate in vocational rehabilitation at a health center for persons with mental disabilities. The tools used were the Horticultural Activity Performance Assessment (psychological behavior) and Purdue Pegboard Test that examines functions of hands and arms. The subjects sold the products they made during class time and obtained the profits. After the program, the scores increased with a significant difference (p = .000) in the psychological behavior area of the Horticultural Activity Performance Assessment. Hand and arm movement also showed continuous improvement along the program with a significant difference (p = .000), as well as finger dexterity also with a significant difference (p = .018). The net profit was 314,000 KRW (subtracting cost of goods 314,000 KRW from total sales 628,000 KRW). The profit was shared equally among the nine subjects, each receiving 34,900 KRW. Therefore this study proved horticultural activity class is suitable for vocational rehabilitation of people with mental disabilities proved by the positive effects. We also expect that the subjects will be able to make more profits if they learn more skills, since they are interested the process of making such profits.

A Literature Study on Usage of and Satisfaction Levels with Combined Treatment Including Oriental and Western Medicine

  • Lim, Jung-Hun;Lim, Sung-Min
    • Journal of Pharmacopuncture
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    • v.15 no.3
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    • pp.7-12
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    • 2012
  • Objective: This study aimed to summarize and analyze the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine. Methods: We searched studies on the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine over the past 10 yrs (2001-2011) from 3 Korean databases (National Assembly Library, Research Information Service System, and National Discovery for Science Leaders). The reviewers also conducted a summarizing analysis by sampling the literature according to the type of study, study period, region, study subjects, sample size, type of sampling, research method, data analysis, study instruments, main results, etc. Results: When the main results of six studies on combined treatment usage and satisfaction levels were considered together, the most important decisive factor in determining the usage of combined treatment was the illness of the patient, followed by the patient's occupation, sex, age, education, marital status, religion, treatment cost, and treatment results. In addition, the most important factor that determined satisfaction levels with combined treatment was age, followed by education, religion, income, health status, treatment procedures, staff attitude, and cleanliness. Conclusions: Elderly patients with musculoskeletal, cerebro-vascular, and circulatory system illnesses are more likely to prefer combined treatment over independent Oriental or Western treatment and are more likely to request specialized, adjusted medical care.

Design-Build Change Order Impacts in Highway Projects

  • Ryu, Kyeong Rok;Choi, Kunhee;Ryoo, Boong Yeol;Kang, Julian H.
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.371-375
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    • 2015
  • Design-Build (DB) has gained in popularity in roadway projects due to its defining advantage to improve communication and fast-track project delivery. However, very little is known about the impact of change order frequency and occurrence timing pertaining to DB projects. The study analyzes their impacts on project time and cost performance by conducting a rigorous numerical analysis drawing on 530 3R (rehabilitation, reconstruction, and resurfacing) projects completed between 2002 and 2011 in Florida by using a multiple linear regression. The results indicate that DB outperformed Design-Bid-Build in project cost as well as time. Critically, the regression analysis signifies that earlier change order occurrence caused more unfavorable impacts on schedule and cost. The proposed analyses and models will lead to the improved ability of agencies to quickly and more reliably estimate the potential change order impacts on schedule and cost.

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Analysis of Performance for Exercise Load Adjustable Circular Eddy Current Load Brake system (운동 부하 조절이 가능한 원형 맴돌이전류 부하 제동장치의 성능 분석)

  • Na, G.S.;Lee, E.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.3
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    • pp.231-236
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    • 2015
  • In this study, we propose a non-contact circular eddy current load brake using permanent magnet that can be applied to the rehabilitation exercise equipment. The circular eddy current load brake is manufactured and is evaluated for performance. This has the torque value of 49% compared to a "ㄷ" type eddy current load brake having a fixed load. And we confirmed that load is regulated due to the conductivity and air gap. Proposed load brake is adjustable according to the user's condition and can be applied to the equipment having advantages such as miniaturization and cost reduction.

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Physiological Cost Index of Walking in Healthy Children (건강한 아동이 걸을 때에 생리학적 소비지수)

  • Lee, Hyang-Sook;Kim, Bong-Ok
    • Physical Therapy Korea
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    • v.9 no.1
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    • pp.43-51
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    • 2002
  • Physiological Cost Index (PCI) of walking has been widely used to predict oxygen consumption in healthy subjects or patients. The purpose of this study was to evaluate the predictability of physiological cost index of walking for the amount of exercise and cardiac function. Walking exercise was conducted in 67 healthy children (age 4-12) with a self-selected comfortable walking speed on the level surface. Walking speed was calculated, and heart rate was measured before and immediately after the walking. PCI was calculated for statistical analysis. The results were as follows; 1) The walking speed tends to increase and PCI of walking tends to decrease with age. There was significant difference in walking speed and PCI of walking among three age groups (p<.05). The change of walking heart rate tends to decrease with age, however, there was no significant difference among three age groups. 2) Linear regression equation between walking speed and age was 'Y (walking speed) = 2.124X (age) + 48.286' ($R^2$=.337), (p=.00). 3) The walking heart rate tends to decrease with age. Linear regression equation between walking heart rate and age was 'Y (walking heart rate) = 143.346 - 2.63X (age)' ($R^2$=.3425), (p=.00). 4) The walking heart rate decreased as body surface area (BSA) increased. Linear regression equation between walking heart rate and BSA was 'Y (walking heart rate) = 149.830 - 27.115X (BSA)' ($R^2$=.3066), (p=.00). In conclusion, these equations and PCI could be useful to quantify the variation of energy expenditure of children with pathological gait when compared with age-matched healthy children.

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A Study on Cost Benefit Analysis Optimization Model for Water Distribution Network Rehabilitation Project of Taebaek Region (태백권 배수관망 개량사업의 비용효과분석 최적화 모델 연구)

  • Kim, Taegon;Choi, Taeho;Kim, Kyoungpil;Koo, Jayong
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.3
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    • pp.395-406
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    • 2015
  • This research carried out an analysis on input cost and leakage reduction effect by leakage reduction method, focusing on the project for establishing an optimal water pipe network management system in the Taebaek region, which has been executed annually since 2009. Based on the result, optimal cost-benefit analysis models for water distribution network rehabilitation project were developed using DEA(data envelopment analysis) and multiple regression analysis, which have been widely utilized for efficiency analysis in public and other projects. DEA and multiple regression analysis were carried out by applying 4 analytical methods involving different ratios and costs. The result showed that the models involving the analytical methods 2 and 4 were of low significance (which therefore were excluded), and only the models involving the analytical methods 1 and 3 were suitable. From the result it was judged that the leakage management method to be executed with the highest priority for the improvement of revenue water ratio was installation of pressure reduction valve, followed by replacement of water distribution pipe, replacement of water supply pipe, and then leakage detection and repair; and that the execution of leakage management methods in this order would be most economical. In addition, replacement of water meter was also shown to be necessary in case there were a large number of defective water meters.

Clinical Practice Guideline for Cardiac Rehabilitation in Korea

  • Kim, Chul;Sung, Jidong;Lee, Jong Hwa;Kim, Won-Seok;Lee, Goo Joo;Jee, Sungju;Jung, Il-Young;Rah, Ueon Woo;Kim, Byung Ok;Choi, Kyoung Hyo;Kwon, Bum Sun;Yoo, Seung Don;Bang, Heui Je;Shin, Hyung-Ik;Kim, Yong Wook;Jung, Heeyoune;Kim, Eung Ju;Lee, Jung Hwan;Jung, In Hyun;Jung, Jae-Seung;Lee, Jong-Young;Han, Jae-Young;Han, Eun Young;Won, Yu Hui;Han, Woosik;Baek, Sora;Joa, Kyung-Lim;Lee, Sook Joung;Kim, Ae Ryoung;Lee, So Young;Kim, Jihee;Choi, Hee Eun;Lee, Byeong-Ju;Kim, Soon
    • Journal of Chest Surgery
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    • v.52 no.4
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    • pp.248-329
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    • 2019
  • Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

Development of Rehabilitation and Management Techniques for Old Water Distribution Systems (기존 상수도 노후관망의 개량 및 관리 기법의 개발)

  • 김중훈;김종우
    • Water for future
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    • v.29 no.3
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    • pp.197-205
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    • 1996
  • Flow carrying capacity of water distribution systems is getting reduced by deterioration of pipes in the systems. The objective of this study is to develop a managerial decision-making model for the rehabilitation of water distribution systems with a minimum cost. The decisions made by the model also satisfy the requirements for the discharge and pressure at demanding nodes in the system. The replacement cost, pipe break repair cost, and pumping cost are considered in the economic evaluation of the decision along with the break ratio and interest ratio to determine the optimal replacement time for each pipe. Then, the hydraulic integrity of the water distribution system is checked for the decision by a pipe network simulator, KYPIPE, if the discharge and pressure requirements, the decision made for the optimal replacement time is revised until the requirements are satisfied. The model is applied to an existing water distribution system, the Metropolita Water Supply Project (1st Phase). The result shows that the decisions for the replacement time determined by the economix analysis are accepted as optimal and the hydraulic integrity of the system is in good condition.

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Analysis of the Needs of Field Experts for the Provision of Rehabilitation Sports Activities Services for the Disabled (장애인 재활운동 및 체육활동 서비스 제공을 위한 현장 전문가 요구도 분석)

  • Kang, Dong-Heon;Park, Ji-Young;Eun, Seon-Deok
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.213-231
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    • 2021
  • Due to the absence of rehabilitation sports service systems linked to post-discharge medical measures and rehabilitation, disabled people cannot participate in physical activities suitable for individual disability types, characteristics, and physical functions. In December 2017, the Act on the Rights of Health for the Disabled) was implemented to provide an institutional basis for disable people to address their needs for rehabilitation sports. Based on related studies conducted in Korea, this study aims to collect the results of a demand survey conducted on experts who are rehabilitation sports service providers and analyze the demand for rehabilitation sports services from a policy perspective. This study extracts the needs of experts presented in the literature and presents the extracted content as an inductive content analysis. The criteria for selecting the literature were selected based on studies related to "adaptive physical activity and exercise," "sports for all for the disabled," and "rehabilitation sports" conducted in the Republic of Korea, including the results of a demand survey on experts. The study results were categorized into seven categories (perception of sports activities, programs, leaders, facilities, accessibility, cost/support/financial resources, and others) of field experts who are rehabilitation sports service providers. In a future study, it will be necessary for people with disability, who are consumers who will provide actual services, to identify problems at the disabled sports site and come up with measures to improve them.

Analysis on Oriental Medical Tour Experience of Japanese (일본인의 모 한방병원 체험에 관한 분석)

  • Kim, Doo-Hee;Lee, Dong-Eun;Kim, Hyung-Kil;Cho, Woong-Hee;Hong, Sun-Gi;Choi, Eun-Ju;Yoo, Jun-Sang;Park, Won-Hyung;Cha, Yun-Yeop;Lee, Seon-Goo;Lee, Woo-Chun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.914-918
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    • 2011
  • This survey was designed to analyze questionnaire of Japanese who experienced Oriental Medical Tourism and to facilitate it afterwards. The survey was organized for 38 Japanese participants in oriental medicine hospital from Feb. 10 to Mar. 7 in 2011. According to the research, most of them didn't know about oriental medicine but they were interested. They preferred preventive medication through health improvement to medical treatment. When making decisions on which tourism products to use, the quality of medical service came first consideration for them. The most appropriate length of visit was 4~7days and cost per day was 7100~14000 yen. We need to gather more information on their various fields of interest in order to provide customized medical service and more surveys should be conducted henceforth.