• 제목/요약/키워드: Development disability

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만성 요통 및 하지방사통 환자에서 감압치료(KNX $7000^{(R)}$)와 견인치료의 단기 치료 효과 (The Short Term Effects of the Decompression (KNX $7000^{(R)}$) and Traction Device on Pain in Patients with Chronic Low Back Pain with or without Radicular Pain)

  • 박소현;김철승;이동규;안상호
    • The Journal of Korean Physical Therapy
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    • 제23권5호
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    • pp.29-34
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    • 2011
  • Purpose: The purpose of this study is to evaluate the short term effects of the traction and decompression device, which is a newly developed domestic medical device, on pain and functional activity in patients with chronic low back pain with or without radicular pain. Methods: Forty patients with chronic low back pain were included and allocated to decompression (n=20) and traction groups (n=20). They received decompression or traction therapy for 20 minutes a day, 3 days per week for two weeks. For evaluating pain and functional activity, a visual analogue scale (VAS) for low back pain and the Oswestry back pain disability index (ODI) were obtained on pre-treatment, and at 6, 12 and 15 days after treatment. Patients'satisfaction levels were measured 15 days after treatment. Results: VAS was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in both groups (p<0.05). ODI was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in the decompression group (p<0.05). However, there was no significant difference between the two groups in the VAS and ODI scales (p>0.05). Patients' satisfaction levels were significantly higher in the decompression group than in the traction group (p<0.05). Conclusion: These findings suggest that decompression therapy might be effective for increasing functional activity in patients with low back pain and could provide patients with higher satisfaction than traction therapy. This study provided validity data for the therapeutic effects of the decompression device in patients with low back pain and it will be useful for medical cost development and patient education of this device.

Effects of Ginseng Radix on the ischemia-induced 4-vessel occlusion and cognitive impairments in the rat

  • Kim, Young-Ock
    • Journal of Ginseng Research
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    • 제31권1호
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    • pp.44-50
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    • 2007
  • Ginseng powerfully tonifies the original Qi. Ginseng used for insomnia, palpitations with anxiety, restlessness from deficient Qi and blood and mental disorientation. In order to investigate whether Ginseng cerebral ischemia-induced neuronal and cognitive impairments, we examined the effect of Ginseng on ischemia-induced cell death in the hippocampus, and on the impaired learning and memory in the Morris water maze and passive avoidance in rats. Ginseng when administered to rat at a dose of 200 mg/kg i.p. water extracts to 0 minutes and 90 minutes after 4-VO, significantly neuroprotective effects by 86.4% in the hippocampus of treated rats. For behavior test, rats were administered Ginseng (200mg/kg p.o.) daily for two weeks, followed by their training to the tasks. Treatment with Ginseng produced a marked improvement in escape latency to find the platform in the Morris water maze. Ginseng reduced the ischemia-induced learning disability in the passive avoidance. Consistent with behavioral data, treatments with Ginseng reduced jschemia-induced cell death in the hippocampal CA1 area. Oxidative stress is a causal factor in the neuropathogenesis of ischemic-reperfusion injury. Oxidative stress was examined in a rat model of global brain ischemia. The effects of Ginseng on lipid peroxidation (inhibition of the production of malondialdehyde, MDA) in different regions of the rat brain were studied. Ferrous sulfate and ascorbic acid (FeAs) were used to induce lipid peroxidation. The antiperoxidative effect showed 48-72% protection from tissue damage as compared with untreated animals. These results showed that Ginseng have a protective effect against ischemia-induced neuronal loss and learning and memory damage.

Ethnic Differences in the Adjustment to Poverty and Disability among Unmarried Elderly Americans : An Analysis of Multi-State Transitions in Living Arrangements from 1984-1990

  • 박경숙;프랜시스골드샤이더;로저애버리
    • 한국인구학
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    • 제22권1호
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    • pp.123-151
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    • 1999
  • 미국사회에서 노인의 거주지 적응양식은 인종간에 차이가 크다. 일반적으로 소수인종노인은 백인 노인에 비하여 자녀와 함께 사는 경향이 강하다. 이에 대하여 문화적 입장에서는 소수인종은 백인에 비하여 가족부양규범이 강하다고 주장한다. 다른 한편 경제적 입장에서는 소수인종은 그들의 생애를 지배하는 빈곤 때문에 규모의 경제를 통하여 가계비용을 줄이기 위하여 확대가족을 유지할 수밖에 없다고 주장한다. 본 연구는 노인이 질병과 빈곤에 적응하는 방식에 있어 인종간 차이를 검토함으로써 기존의 경제학적 논의와 문화적 논의의 적합성을 검정하는데 목적을 두고 있다. 이를 위하여 노인의 거주지 적응에 대한 문화적 영향과 관련하여 두가지 가설을 검정하고 있다. 첫째, 소수인종 노인은 백인노인에 비하여 빈곤과 질병상황에서 가족으로부터 더 오랜기간 보호를 받는지를 검토한다. 둘째, 소수인종 노인은 백인노인에 비하여 건강이 악화될 때 더욱 신속하게 가족으로부터 보호를 받을 수 있는지를 검토한다. 분석을 위해서 1984년에서 1990년기간 동안 실시된 "고령화에 대한 종단적 조사(Longitudinal Survey on Aging)"를 이용하여 마르코비안 다중생명표 모형과 사건분석을 수행하였다. 본 연구결과에 따르면 소수인종 노인은 가족부양규범의 문화적 이점을 그다지 크게 다지고 있지 않다. 인종간 사망력과 시설입소의 차이를 통제할 때, 소수인종 노인은 백인노인에 비하여 보다 흔하게 자녀동거에서 단독거주형태로 혹은 그 반대방향으로 거주지 변화를 경험하고 있다. 백인 노인은 소수인종에 비하여 질병상태와 관련하여 자녀와 동거하는 경향이 더 강하다. 사망력과 시설입소의 인종간 차이를 통제할 때 소수인종노인이 백인노인보다 쉽게 자녀동거에서 단독거주로 이행하는데 이는 소수인종에서 가족부양체계가 불안정함을 의미한다. 또한 빈곤시에 소수인종 노인은 백인노인에 비하여 쉽게 자녀와 떨어져 살게 된다. 이러한 결과는 소수인종 노인에 대한 가족의 지원은 그 가족의 경제적 제약속에서 매우 안정적이지 못함을 시사한다. 못함을 시사한다.

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Burden of Disease in Japan: Using National and Subnational Data to Inform Local Health Policy

  • Gilmour, Stuart;Liao, Yi;Bilano, Ver;Shibuya, Kenji
    • Journal of Preventive Medicine and Public Health
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    • 제47권3호
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    • pp.136-143
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    • 2014
  • The Global Burden of Disease (GBD) study has been instrumental in guiding global health policy development since the early 1990s. The GBD 2010 project provided rich information about the key causes of mortality, disability-adjusted life years, and their associated risk factors in Japan and provided a unique opportunity to incorporate these data into health planning. As part of the latest update of this project, GBD 2013, the Japanese GBD collaborators plan to update and refine the available burden of disease data by incorporating sub-national estimates of the burden of disease at the prefectural level. These estimates will provide health planners and policy makers at both the national and prefectural level with new, more refined tools to adapt local public health initiatives to meet the health needs of local populations. Moreover, they will enable the Japanese health system to better respond to the unique challenges in their rapidly aging population and as a complex combination of non-communicable disease risk factors begin to dominate the policy agenda. Regional collaborations will enable nations to learn from the experiences of other nations that may be at different stages of the epidemiological transition and have different exposure profiles and associated health effects. Such analyses and improvements in the data collection systems will further improve the health of the Japanese, maintain Japan's excellent record of health equity, and provide a better understanding of the direction of health policy in the region.

휠체어 사용 장애인을 위한 스마트홈 구축 및 사용성평가 - 주거 환경 내 일상생활활동을 중심으로 - (The Development and Usability Testing of the Smart Home for Wheelchair Users - Focus on the Activities of Daily Living at Home -)

  • 임명준;표경선;이금주;박지영;최현;권효순
    • 한국HCI학회논문지
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    • 제11권2호
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    • pp.5-14
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    • 2016
  • 휠체어를 사용하는 장애인은 주거 환경에서 접근성이 부족하여 일상생활활동에 어려움을 겪는다. 다양한 스마트 기술을 이용한 스마트홈은 휠체어 사용 장애인의 일상생활활동에 있어 접근성을 높여줄 수 있다. 본 연구에서는 휠체어를 사용하는 장애인을 위해 스마트홈을 구축하였고, 구축된 스마트홈에 대한 사용성평가를 실시하였다. 사용성평가는 시나리오기반사용경험평가, 도구적 일상생활활동평가, 그리고 심층설문방법을 사용하였다. 지역사회 거주 휠체어 사용 장애인 3명을 대상으로 스마트홈 사용성평가를 실시한 결과, 기존 거주지에 비해 구축된 스마트홈의 사용성이 더 높은 것으로 나타났다. 하지만 심층설문 결과, 스마트홈 내부의 부분적인 개선 요구사항 또한 도출되었다. 본 연구를 통해 스마트홈 구축 시 휠체어 사용 장애인의 주거환경 구축에 고려해야 하는 다양한 요소들을 확인할 수 있었다.

Health-promoting Lifestyle Behaviour for Cancer Prevention: a Survey of Turkish University Students

  • Ay, Semra;Yanikkerem, Emre;Calim, Selda Ildan;Yazici, Mete
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2269-2277
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    • 2012
  • Background: Health risks associated with unhealthy behaviours in adolescent and university students contribute to the development of health problems in later life. During the past twenty years, there has been a dramatic increase in public, private, and professional interest in preventing disability and death through changes in lifestyle and participation in screening programs. The aim of the study was to evaluate university students' health-promoting lifestyle behaviour for cancer prevention. Method: This study was carried out on university students who had education in sports, health and social areas in Celal Bayar University, Manisa, Turkey. The health-promoting lifestyles of university students were measured with the "health-promoting lifestyle profile (HPLP)" The survey was conducted from March 2011 to July 2011 and the study sample consisted of 1007 university students. T-test, ANOVA and multiple regression analyses were used for statistical analyses. Results: In the univariate analyses, the overall HPLP score was significantly related to students' school, sex, age, school grades, their status of received health education lessons, place of birth, longest place of residence, current place of residence, health insurance, family income, alcohol use, their status in sports, and self-perceived health status. Healthier behaviour was found in those students whose parents had higher secondary degrees, and in students who had no siblings. In the multiple regression model, healthier behaviour was observed in Physical Education and Sports students, fourth-year students, those who exercised regularly, had a good self-perceived health status, who lived with their family, and who had received health education lessons. Conclusion: In general, in order to ensure cancer prevention and a healthy life style, social, cultural and sportive activities should be encouraged and educational programmes supporting these goals should be designed and applied in all stages of life from childhood through adulthood.

장애인 주택개조 빈도 및 중요도 비교분석 -접근로 및 내부공간을 중심으로- (A Comparative Analysis on the Frequency and Importance of Home Renovation for the Disabled -Focused on Accessible Path and Internal Space -)

  • 이규일;안성준
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.27-36
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    • 2016
  • 일반적으로 보급되는 주택 내에서 장애인들은 불편하고 위험한 요소를 감수하며 살아가고 있는 것이 현실이다. 본 연구는 장애인 거주자의 생활방식에 따른 공간요소별 주택개조공사의 내용 및 빈도를 중심으로 문제점을 찾고 각 항목별로 전문가 설문조사를 통해 도출한 중요도와의 상관관계를 분석함으로써 공간별 장애물을 제시하여 주택개조에 필요한 기초자료를 제공함을 목적으로 한다. 이를 위해 지체장애인, 뇌병변장애인, 시각장애인을 대상으로 휠체어사용, 좌식생활, 단독보행, 클러치사용, 와상생활, 보조인동반보행 등 6개 생활방식으로 구분하여 주택 내 공간별 개조 공사의 빈도를 분석하였고, 공간적으로는 접근로, 현관, 복도, 거실, 침실의 5개 공간으로 한정하여 분석하였다. 분석 결과 공사빈도율과 중요도가 높게 나타난 항목은 거주자의 선호도 뿐만 아니라 전문가의 중요도도 높은 것이므로 해당 항목들을 중심으로 우선적으로 주택개조를 고려하여야 할 것이다.

햅틱 테크놀로지를 활용한 장애 아동 교육 콘텐츠 연구 (Haptic Technology for Educational Contents for Children with Disabilities)

  • 권정민;남보람
    • 한국콘텐츠학회논문지
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    • 제11권3호
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    • pp.505-517
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    • 2011
  • 햅틱 감각은 인간 오감의 하나로 인지적 발달과 일상적 생활에 영향을 주는 필수적인 감각이다. 최근 햅틱 테크놀로지에 대한 논의와 연구가 활발해지기 시작하였는데, 본 논문에서는 햅틱의 의미와 학습에 있어서의 중요성을 살펴보고, 이를 교육에 활용한 콘텐츠의 사례를 연구한 후, 햅틱 테크놀로지를 장애아동의 교육에 활용할 수 있는 방법을 논하였다. 그 방법으로, 국 내외 데이터베이스를 검색하여 햅틱을 교육에 활용한 논문만을 선정하여 이를 메타분석적 방법으로 분석하였다. 햅틱 테크놀로지를 이용한 몇 안되는 연구는 일반학생의 과학과 수학 학습에 집중되어 있었으나, 햅틱 테크놀로지는 감각적, 학습적, 인지적 장애를 포함한 다양한 장애와 특성을 가진 아동의 교육에 유용한 도구가 될 수 있으며, 과학, 수학 뿐아니라 음악, 미술, 역사 등 교과의 여러 분야에 걸쳐 활용될 수 있을 것이다.

위해사건 확인을 위한 증례검토지 개발 (Development of Case Review Form for Detecting Adverse Events)

  • 옥민수;이상일;김윤;이재호;이진용;조민우;김선하;손우승;김현주
    • 한국의료질향상학회지
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    • 제21권1호
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    • pp.66-76
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    • 2015
  • Objectives: The purpose of this study is to develop a case review form for detecting adverse events through a medical records review in hospitalized patients in South Korea. Methods: To develop the case review form, several literatures were reviewed, first. Through the clinical expert meeting, screening criteria were selected and case review form was developed. Result: The Korean version of case review form consisted of the review form-1 for adverse event screening and form-2 for adverse event identification. The applied methodology for the case review form is determined according to the previous studies. For example, the method used in the first stage review is nurse review. Furthermore, the National Coordinating Council for Medication Errors Reporting and Prevention index is used to categorize disability, and a scale of 1 to 6 was used in the causation scores and preventability scores, respectively. Through the clinical expert meeting, a total of 41 screening criteria were selected. Conclusion: The Korean specific case review form was developed for detecting adverse events in hospitalized patients. The results from this study can be used in a large-scale study regarding the nationwide incidence of adverse events.

웨어러블 스마트 액추에이터의 특성과 제품동향 분석 (Analysis on the Characteristics and Product Trend of Wearable Smart Actuator)

  • 이혜원;서성은;노정심
    • 한국의류학회지
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    • 제41권6호
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    • pp.1022-1038
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    • 2017
  • Wearable smart products contributed to expand the concept of modern clothing in terms of closer communication between wearers and the surrounding environment. This study investigated the concept of wearable smart actuators and characteristics of actuating feedback. The representative product development trends over the past 10 years are examined based on the method of actuating feedback. A first keyword search from Naver and Google reused to select the final 58 products based on the second key keyword actuating feedback. The wearable smart actuator system works in a similar way to a human body system such as those of the information processing process. Actuating feedback is delivered directly to the user as the last signal of the system, which has visual, auditory and tactile feedback. It works in complex at the device to be delivered to the user. Actuator feedback is divided into three types of active and passive, depending on the user situation, the overall purpose of the product, the collected information, and the device dependency. Active actuating feedback determines and actuates the situation on behalf of the user when the user is in an emergency or a disability situation. Passive actuating feedback plays a role in environmental monitoring to help in a healthy daily life.