• Therapeutic Science for Rehabilitation
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• v.11 no.2
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• pp.39-51
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• 2022

Objective : This study aimed to investigate the awareness and experience of community-based dysphagia therapy and related education in community-dwelling older adults. Methods : A total of 89 older adults were recruited from a public health center in Gyeonggi-do. Awareness, experience, and related education regarding community-based dysphagia therapy were analyzed using descriptive statistics. Results : We analyzed 89 questionnaires. Awareness, treatment experience, and education regarding dysphagia were low; however, the importance and intention to participate were high. Respondents wanted education about proper chewing and safe swallowing, oral health, oral motor exercise, and participation in community-based dysphagia programs in public health centers. The reason for the lack of experience in dysphagia education and therapy is insufficient information and opportunities. The respondents had a good understanding of dysphagia symptoms. Conclusion : Dysphagia therapy maintains swallowing and eating functions as a life-long Activity of Daily Living, and is a very important area in community rehabilitation. Based on the results of this survey, the necessity and importance of community-based dysphagia were identified. It is time to provide correct information and develop a systematic education program for community-based dysphagia therapy. Occupational therapists need to play an active role in improving quality of life by early detection and providing proper intervention.

• Therapeutic Science for Rehabilitation
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• v.11 no.4
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• pp.69-83
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• 2022

Objective : This study aimed to confirm the possibility of the clinical application of oral motor facilitation technique (OMFT) protocol and neuromuscular electrical stimulation (NMES) in patients with Wallenberg syndrome. Methods : One patient with Wallenberg syndrome was treated with OMFT and NMES applied 40 times each, 5 days a week, twice a day for 4 weeks. The Comprehensive Oral-Facial Function Scale (COFFS), Korean-Mann Swallowing Ability Assessment (K-MASA), and Penetration-Aspiration Scale (PAS) were used to compare the changes before and after the intervention. Data analysis was used to compare the score changes before and after the intervention. Results : Orofacial function and swallowing ability improved after the intervention in the individual who participated in this study. Among oral motor functions, relatively greater functional improvement was observed in tongue movement compared to other functions, which was evaluated to the extent that pharyngeal swallowing was possible. Conclusions : Early swallowing rehabilitation using systematic OMFT and NMES of exercise intensity confirmed the possibility of improving oral motor function and dysphagia. In the future, complementary studies on the effects of interventions applying the OMFT and NMES will be needed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.7
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• pp.4798-4804
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• 2015

The aim of this study is evaluate the effect of a cognitive occupational therapy program on cognitive function, depression and hands function for patients with dementia living in a local community. A cognitive rehabilitation program of 10 weeks focusing on the occupational therapy is conducted from September to December 2012 on 21 patents (experimental group: 12, control group: 9) with dementia who are admitted to nursing homes in a metropolitan region. In the experimental group, the cognitive function, depression level, hand strength, and hand coordination ability is significantly improved after the application of the cognitive program (p<.05). In conclusion, the cognitive occupational therapy program may be a useful intervention for dementia. Because the therapeutic goal for dementia treatment is mainly concentrated on the amelioration of dementia symptoms, thus it is necessary to develop a various cognition training program that can be maintained the patient's residual functional capacity and returned to the social community through the early detection and the early intervention.

• Korean Journal of Child Studies
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• v.37 no.4
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• pp.145-158
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• 2016

Objective: This study investigated the moderating effect of emotional dysregulation on the relationship between teacher efficacy and job stress among teachers in the Early Childhood Education and Care (ECEC). Methods: The participants included 586 ECEC teachers from 99 centers in Seoul, Gyeonggi-do, Daejeon, Chungcheong-do, Jeolla-do, and Gyeongsang-do. The data were analyzed through frequencies, percentages, and Pearson's correlations using SPSS 21.0 (IBM Co., Armonk, NY). To analyze the moderating effect, Ping's (1996) two-step approach was used via AMOS 20.0 (IBM Co., Armonk, NY). Results: The main findings are as follows. First, the mean scores of ECEC teacher efficacy and job stress showed above the average, and the mean score of emotional dysregulation was the nearly average. Second, fit statistics indicated that the proposed model, as revised, provided an acceptable fit to the sample data. This proposed model showed that the emotional dysregulation of teachers in ECEC had a moderating effect on the relationship between teacher efficacy and job stress. Conclusion: These findings imply that the ECEC teachers showed the higher level of self-trust and self-confidence than average regarding their own work, and suffered from the work overload. Also, the positive and supportive working environment would help the ECEC teachers to reduce their emotional dysregulation. In addition, there was a moderating effect of the ECEC teachers' emotional dysregulation on the relationship between teacher efficacy and job stress. These findings imply that the workshop or counselling programs need to be provided to teachers in order to help control their emotion dysregulation and reduce their job stress.

• Clinical and Experimental Pediatrics
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• v.61 no.2
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• pp.59-63
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• 2018

Purpose: Cardiomyopathy is becoming the leading cause of death in patients with Duchenne muscular dystrophy because mechanically assisted lung ventilation and assisted coughing have helped resolve respiratory complications. To clarify cardiopulmonary function, we compared cardiac function between the home ventilator-assisted and non-ventilator-assisted groups. Methods: We retrospectively reviewed patients with Duchenne muscular dystrophy from January 2010 to March 2016 at Gangnam Severance Hospital. Demographic characteristics, pulmonary function, and echocardiography data were investigated. Results: Fifty-four patients with Duchenne muscular dystrophy were divided into 2 groups: home ventilator-assisted and non-ventilator-assisted. The patients in the home ventilator group were older ($16.25{\pm}1.85years$) than those in the nonventilator group ($14.73{\pm}1.36years$) (P=0.001). Height, weight, and body surface area did not differ significantly between groups. The home ventilator group had a lower seated functional vital capacity ($1,038{\pm}620.41mL$) than the nonventilator group ($1,455{\pm}603.2mL$). Mean left ventricular ejection fraction and fractional shortening were greater in the home ventilator group, but the data did not show any statistical difference. The early ventricular filling velocity/late ventricular filling velocity ratio ($1.7{\pm}0.44$) was lower in the home ventilator group than in the nonventilator group ($2.02{\pm}0.62$. The mitral valve annular systolic velocity was higher in the home ventilator group (estimated ${\beta}$, 1.06; standard error, 0.48). Patients with Duchenne muscular dystrophy on a ventilator may have better systolic and diastolic cardiac functions. Conclusion: Noninvasive ventilator assistance can help preserve cardiac function. Therefore, early utilization of noninvasive ventilation or oxygen may positively influence cardiac function in patients with Duchenne muscular dystrophy.

• International Journal of Highway Engineering
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• v.13 no.1
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• pp.177-183
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• 2011

VES-LMC(very-early strength latex modified concrete) has been widely used as repair material for bridge deck overlay or rehabilitation, because it could be opened to the traffic after 3 hours of curing. However, the bright color of VES-LMC disturb driver's sigh. A black VES-LMC, matching to asphalt concrete, was developed and applied at a filed for driver's comfort and safety. The black VES-LMC included 2% carbon black in cement weight ratio. A series of performance evaluation for black VES-LMC was done in terms of field applicability, pavement color and temperature change. The field applicability test result showed that there were no change of workability, slump and air void, and the compressive strengthen developed more than 20MPa after 4 hours of placement. The thermal stress of black VES-LMC was smaller than that of OPC and asphalt concrete, which means the stability of black VES-LMC. The performance evaluation result showed that the black VES-LMC could prevent road icing at below zero temperatures and promote thawing at melting temperature.

• Proceedings of the KSRS Conference
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• v.1
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• pp.52-55
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• 2006

It's used to be said that tsunami is a rare event. The recurrence time of tsunami in Sumatra area is approximately 230 years as CalTech Research Group‘s study from paleocoral. However, the tsunami occurred in Indian Ocean on 26 December 2004, 28 March 2005 and 17 July 2006, because the earthquakes still release the energy. To cope with the tsunami disaster, we have to put the much effort on better disaster preparedness. The Tsunami Reduction Of Impacts through three Key Actions (TROIKA) was suggested by Eddie N. Bernard, the director of NOAA/PMEL (Pacific Marine Environmental Laboratory). They are Hazard Assessment, Mitigation and Warning Guidance. The satellite remote sensing has potential on these actions. The medium and high resolution satellite data were used to assess the degree of damage at the six-damaged provinces on the Andaman seacoast of Thailand. Fast and reliable interpretation of the damage by remote sensing method can be used for inundation mapping, rehabilitation and housing plans for the victims. For tsunami mitigation, the satellite data can be used with GIS to construct the evacuation map (evacuation route and refuge site) and coastal zone management. It is also helpful for educational program for local residents and school systems. Tsunami is a kind of ocean wave, therefore any satellite sensors such as SAR, Altimeter, MODIS, Landsat, SPOT, IKONOS can detect the tsunami wave in 2004. The satellite images have shown the characteristics of tsunami wave approaching the coast. For warning, satellite data has potential for early warning to detect the tsunami wave in deep ocean, if there are enough satellite constellation to monitor and detect the first tsunami wave like the pressure gauge, seismograph and tide gauge with the DART buoy can do. Moreover, the new methods should be developed to analyse the satellite data more faster for early warning procedure.

• Physical Therapy Korea
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• v.8 no.3
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• pp.63-76
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• 2001

Many studies have shown that the initial median frequency (MDF) and slope correlate with the muscle fiber composition. This study tested the hypothesis that the initial MDF and slope are fixed, regardless of the interval at which data are collected. MDF data using moving fast Fourier transformation of EMG signals, following local fatigue induced by isotonic exercise, were obtained. An inverse FFT was used to eliminate noise, and characteristic decreasing regression lines were obtained. The regression analysis was done in three different periods, the first one third, first half, and full period, looking at variance in the initial MDF, slope, and fatigue index. Data from surface EMG signals during fatiguing isotonic exercise of the biceps brachii and vastus lateralis in 20 normal subjects were collected. The loads tested were 30% and 60% maximum voluntary contraction (MVC) in the biceps brachii and 40% and 80% MVC in the vastus lateralis. The rate was 25 flexions per minute. There were no significant differences in the initial MDF or slope during the early or full periods of the regression, but there was a significant difference in the fatigue index. Therefore, to observe the change in the initial MDF and slope of the MDF regression line during isotonic exercise, this study suggest that only the early interval need to be observed.

• The Journal of Korean Physical Therapy
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• v.13 no.1
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• pp.49-59
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• 2001

The purpose of this study was to examine the effect of treatment when the V{\ddot{o}}jta therapy applied to the infant with central coordination disturbance in early stage. The subject were 10 cases : each one with the V{\ddot{o}}jta therapy applied to the group of the infants before 6 months old and the group of the infants over 6 months old. When the V{\ddot{o}}jta therapy was applied I analized the papper which was written about the infants who were diagnosed as moderate CCD and divided two groups which were the infants before 6 months old and the infants over 6 months old. These collected data were analyzed by using t-test. The results of study were as follow; 1. When I compared the locomotion stage after the V{\ddot{o}}jta therapy. t-test showed significant differences. The group of infants before 6 months old had the result 7 to over stage 7 and the group of infants over 6months old had the result 2(p<.05). 2. When I compared the result of the postural reaction after the V{\ddot{o}}jta therapy, 1-test showed significant differences. The group of infants before 6 months old had 6 cases was normalizes and the group of infants over 6 months old had 1 case was normalized(p<.05). 3. When 1 compared the duration of the V{\ddot{o}}jta therapy between the group of infants before 6 months old and the group of infants over 6 months old. t-test showed significant differences. The group of the infants before 6 months old had 5 cases for 1-6 months and 4 cases for 7-15 months, 3 cases for 16-24 months and the group of infants over 6 months old had 6 cases for 7-15 months and cases for 16-24 months, 1 case for 25-30 months(p<.01).

• Korean Journal of Cleft Lip And Palate
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• v.15 no.2
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• pp.69-82
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• 2012

Our Team Approach consists of following five stages; (1) Peri-natal care until lip repair After ultrasound diagnosis, some obstetricians recommend the mother with CL/P fetus to undergo prenatal counseling in our CLP clinic. On the day the CL/P baby was born, our oral surgeon, nurse, and pedodontist visit the maternity clinic, and take counseling and take impression for a feeding plate. The cheiloplasty is performed in three months old. (2) From lip repair to palatal repair At one year of age, Otorhinolaryngologist checks middle-ear disease. Palatoplasty is carried out at 1.5 - 2 years old. (3) In deciduous and early mixed dentitions Speech is the most important issue in social life for the CL/P subjects, therefore the training of velopharyngeal function is essential. Orthodontist monitors dentofacial development from 5 years of age. In the case of severe maxillary under-growth or severe collapse, maxillary protractor or lateral expansion is indicative, respectively. In early mixed dentition, upper central incisor on the cleft area erupts with some torsion, and then the traumatic occlusion with tooth torsion must be corrected. (4) In mixed dentition Right before the eruption of upper canines, secondary bone grafting is performed. One year prior to the operation, maxillary fan-type expansion is carried out to correct the collapse of maxillary segments. Following the surgical operation, the erupted canine will be moved into the transplanted bone to avoid alveolar resorption. (5) In permanent dentition Final tooth alignment is carried out after eruption of second molars. Some cases may require orthognathic surgery after physical maturation. Prosthetic oral rehabilitation including the dental-implant is carried out after age eighteen.