• Title/Summary/Keyword: Early rehabilitation

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Psychometric Charateristics of Occupational Low Back Pain Patients (일부 재해성 요부손상 환자의 심리적 특성)

  • Ha, Mi-Na;Cho, Soo-Hun;Kweon, Ho-Jang;Han, Sang-Hwan;Joo, Young-Soo;Pack, Nam-Jong
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.3 s.51
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    • pp.715-725
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    • 1995
  • This study was done for identifying the factors which affect psychologic symptoms of low back(LBP) patients. The study subjects were 43 work-related low back pain patients, 28 work-related non-low back pain patients and 47 general low back injury patients. The study materialis SCL 90-R for checking psychologic symptoms and questionnaire for obtaining general information about the subjects. The data were analyzed by model of analysis of covariance adjusted by several variables such as gender, age, education and marital status and then compared the least square means of symptom score between groups. To identify the factors that affect psychologic symptom, duration of suspension, return to work and interaction factor of these two variables were analyzed by multivariate model and we calcuated partial correlation coefficient of these variables. As a result, work-related LBP patients showed higher score of symptoms in somatization, depression and psychosis than work-related non-LBP and non-work-related LBP. Duration of suspension and return to work were significant explanatory variables for psychologic symptom score of work-related LBP. Then, we may conclude that the treatment and rehabilitation programe for work-related LBP should cover the strategy of early return to work.

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Behavior Evaluation of Thin Bonded Continuously Reinforced Concrete Overlay on Aged Jointed Concrete Pavement(2) (노후 줄눈 콘크리트 포장 보수를 위한 얇은 연속 철근 콘크리트 덧씌우기 포장의 거동 평가(2))

  • Ryu, Sung-Woo;Cho, Yoon-Ho
    • International Journal of Highway Engineering
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    • v.12 no.4
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    • pp.101-110
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    • 2010
  • In this paper, it has been studied about the CRCO to maintain or rehabilitate the aged JCP. The CRCO and JCO was constructed at useless section of Seo-Hae-Ahn express highway in South Korea. The performance evaluation was conducted. Especially, it was focused on the roll of longitudinal reinforced steels inserted into the CRCO. On crack survey results from field construction section, the reflection cracks at joint of the existing pavement occurred in CRCO. However, due to the constraints of longitudinal reinforced steels, crack width was small. Total crack length and quantity in the CRCO more than that in the JCO. And crack spacing in the CRCO was narrower than it in the CRCP. Through the bonding strength test results, if the cold milling and cleaning as well as surface treatment is applied, there will be no debonding problem at interlayer in the early age. From analysis of the horizontal behavior at the joint, the longitudinal reinforced steels constrained crack width which became wider than initial state over time. Also, that steel in the CRCO reduced the horizontal movement due to temperature variation(4 times than that in the JCO). But, if interface is debonded, the roll decreased. Vertical VWG data showed that CRCO did not occur debonding problem at steel location, but there was some problem in JCO. It was confirmed by field coring. The tensile strain appeared in the CRCO, But the compressive strain occurred in the JCO in early age. Through the FWD test result, deflection in the CRCO was less than that in the JCO. And K value in the CRCO was greater than it in the JCO.

Nonlinear Flexural Analysis of RC Beam Rehabilitated by Very-Early Strength Latex-Modified Concrete (초속경 라텍스개질 콘크리트로 보강된 RC보의 비선형 휨해석)

  • Choi, Sung-Yong;Yun, Kyong-Ku;Kim, Yong-Bin;Kang, Mun-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4635-4642
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    • 2010
  • Latex modification of concrete provides the material with higher flexural strength, as well as high bond strength and reduced water permeability. One of the most advantages of the very early-strength latex-modified concrete (VES-LMC) could be the similar contraction and expansion behaviour to normal concrete substrate, which enable to ensure long-term performance. The purpose of this study was to parametric nonlinear flexural nonlinear analysis of RC beam rehabilitated by VES-LMC. The results were as follows; The flexural nonlinear analysis model of RC beam overlaid by VES-LMC in ABAQUS was proposed to predict the load-deflection response, interfacial stress, and ultimate strength. The proposed FE analysis model was verified by comparison of an experimental data and the FE analysis results. The FE analysis results showed that yield point as well as flexural stiffness increased as the depth increased; the stiffness of beam overall increased as the bond stiffness became larger; the bond strength between two different materials is a key factor in composite beam. A parametric study showed that an overlay thickness was a main influencing factor to the behavior of RC beam overlaid by VES-LMC.

Population Policy and Population Quality(Report 1. General Review on the Problems of Mental and Physical Handicaps) (인구정책과 인구자질향상을 위한 연구(제 1 보 심신장애자 발생억제대책))

  • Kim, Jong-Kun;Huh, Jung
    • Korea journal of population studies
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    • v.3 no.1
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    • pp.5-41
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    • 1979
  • Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps(see Table 13). In this study, the data on the handicaps are collected by two independent system ; one by the nation-wide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601, 400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.

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The History of CO2 Laser Acupuncture and Moxibustion (CO2 레이저 침구 치료의 역사)

  • Jang, Insoo;Yang, Changsop;Sun, Seungho;Jeong, Minjeong;Han, Changho;Hwang, Eui-Hyoung;Seo, Hyungsik
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.36-43
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    • 2019
  • Objectives : Carbon dioxide ($CO_2$) laser, a high power laser has been used for pain management, dermatology, and surgery and laser acupuncture and moxibustion as well, since it had been oscillated in 1964 at Bell Telephone Laboratories in the US. The purpose of this study is to investigate the history of $CO_2$ laser acupuncture through reviewing studies published in early stage of laser medicine. Methods : To investigate the early history of $CO_2$ laser acupuncture, studies were searched in the electronic databases, including PubMed, ScienceDirect, CNKI, Wanfang, J-STAGE, CiNii, KTNP, and OASIS, since 1964. Articles in English, Chinese, Japanese and Korean were included, and there were no limitations in literature types such as reviews, essays, clinical trials, animal experiments and veterinary research. Results : We found that the first $CO_2$ laser application to acupoints was done by a research team in Shanghai in 1976. They used $CO_2$ laser for acupuncture treatment and it was also the first laser acupuncture treatment in China. Since the first case report of $CO_2$ laser for leukopenia, it has been applied to various diseases in China, Korea, Japan and other western countries. It has been widely applied in the fields of dentistry and veterinary medicine, as well as clinical applications. Conclusions : Not only $CO_2$ laser can be used as laser acupuncture by stimulating the acupoints and meridians, but also can produce moxibustion effect by using heat stimulus. Therefore, it is expected that it will be used in various clinical fields in the future.

Genetic Environments of Au-Ag-bearing Gasado Hydrothermal Vein Deposit (함 금-은 가사도 열수 맥상광상의 성인)

  • Ko, Youngjin;Kim, Chang Seong;Choi, Sang-Hoon
    • Economic and Environmental Geology
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    • v.55 no.1
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    • pp.53-61
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    • 2022
  • The Gasado Au-Ag deposit is located within the south-western margin of the Hanam-Jindo basin. The geology of the Gasado is composed of the late Cretaceous volcaniclastic sedimentary rocks and acidic or intermediate igneous rocks. Within the deposit area, there are a number of hydrothermal quartz and calcite veins, formed by narrow open space filling along subparallel fractures in the late Cretaceous volcaniclastic sedimentary rock. Vein mineralization at the Gasado is characterized by several textural varieties such as chalcedony, drusy, comb, bladed, crustiform and colloform. The textures have been used as exploring indicators of the epithermal deposit. Mineral paragenesis can be divided into two stages (stage I, ore-bearing quartz veins; stage II, barren carbonate veins) considering major tectonic fracturing event. Stage I, at which the precipitation of Au-Ag bearing minerals occurred, is further divided into three substages (early, middle and late) with paragenetic time based on minor fractures and discernible mineral assemblages: early, marked by deposition of pyrite and pyrrhotite with minor chalcopyrite, sphalerite and electrum; middle, characterized by introduction of electrum and base-metal sulfides with minor argentite; late, marked by argentite and native silver. Au-Ag-bearing mineralization at the Gasado deposit occurred under the condition between initial high temperatures (≥290℃) and later lower temperatures (≤130℃). Changes in stage I vein mineralogy reflect decreasing temperature and fugacity of sulfur (≈10-10.1 to ≤10-18.5atm) by evolution of the Gasado hydrothermal system with increasing paragenetic time. The Gasado deposit may represents an epithermal gold-silver deposit which was formed near paleo-surface.

A Study on the Needs and Understanding about the Home Physical Therapy System (가정 물리치료제도에 대한 인식 및 필요에 대한 조사연구 -가정간호수습생을 대상으로-)

  • Kwon, Hei-Jeoung;Hong, Wan-Seong;Kim, Myung-Joon;Yang, Yung-Ae;Hwang, Seong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.125-143
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    • 1999
  • The purpose of this study was to investigate the need and understanding about the physical therapy. The subjects of this study were 101 licensee nurses who was taking the home nursing trainers. The results were as follows: 1. The home nursing trainers(97.1%) were required the need for home physical therapy service. The reasons which requires the home physical therapy were 'the increased elderly patients(97.0%)', 'the early leaving of the hospital(96.0.%)', 'the lack of caretakers(96.0%)', and 'the increased chronic patients(96.0%)'. 2. The ratio of affirmation of home physical therapy system was 97% of the home nursing trainers, the reasons which were helped the patients was 'the saved time(97.0%)'. 'the decreased psychological stress(95.0%)' 'the continuing treatment after discharge(93.0%)' and 'the teaching patients and caretakers(93.0%)'. 3. The main center which was organized the home physical therapy service was 'the department of home physical therapy arid the home nurse(42.6%)', 'the department of home nurse(22.8%)', and 'the department of home physical therapy(1l.9%)'. 4. The home nursing trainers wanted to learn the home physical therapy methods for chronic patients(95.0%). The contents of home physical therapy methods was 'the therapeutic exercise for preventing deformity(15.4%)', and 'maintenance of normal posture and howe to change body position(12.4%)'. 5. Statistically significant difference in the teams (the home physical therapy, the home nurse, and the home physical therapy with the home nurse) was found between the age groups, and statistically significant difference in the teams was found between the educational degree groups.

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A Study on History of Criminal Policy in Korea (한국(韓國)의 형사정책(刑事政策)에 관한 역사적(歷事的) 고찰(考察))

  • Kim, Hyeong-Cheong
    • Korean Security Journal
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    • no.6
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    • pp.1-46
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    • 2003
  • During the ancient times, there was no separative judicial system and administrative , legislative and judiciary functions were ultimately concentrated in the all-powerful monarch. And the three states developed state organization , adopting hieratical structures and placing at the pinnacle . State Codes were promulgated to initiate a legal system to rule the people, these codes instituted under influence of China codes. The people tradition sees crime control as the preservation of the authority of hereditary rulers. In the period of the Koryeo dynasty, government accepted a serious of detailed penal code from Tang dynasty . Legal response to crime stressed preservation of the dynasty rather than making citizen behave according to certain rules. In the period of Early Joseon , the compilation of Grand Code for state administration was initiated, the Kyeongkuk Taejeon ,became comer stone of the dynastic administration and provided the monarchial system with a sort of constitutional law in written form. This national code was in portant means of criminal policy at that time, Late Joseon , the impact of Western culture entering through China gave further impetus to pragmatic studies which called for socio-economic reforms and readjustment. Approach to criminal justice policy emphasized more equitable operation of the criminal justice system ,rehabilitation and crime control. Korea-Japanese Treaty concluded on 22 August ,1910 and proclaim a week later ,Japan gave the coup de grace to the Korea Empire and changed the office of the Resident - General into the Government - General . Thus korean criminal policy were lost during a dark ages ,which lasted for 36 years after fall of Joseon Dynasty (the colnial period,1910${\sim}$1945). After 1945 Korea's liberation from Japanese colonial rule, the occupation of devided Korea by the United States and Soviet Union frustrated the efforts of Koreans to establish an independent government, and the transplantation of two conflicting political ideologies to south and the north of the 38th parallel further intensified the national split. U.S. military government office occupied the south of the 38 the parallel and placed emphasis on democracy of criminal policy. ln 1948, the U.S. military government handed over to the ROK government its administrative authority.

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Tai-Chi for Patients with Parkinson's Disease -the problem and improvement demand of clinical study experience- (파킨슨병 환자를 대상으로 한 태극권 요법 -임상 연구 경험을 통해 본 문제점과 개선 방안-)

  • Hwang, Eui-Hyoung;Lee, Jae-Hyeok;Lee, Sang-Jae;Heo, Kwang-Ho;Cho, Hyun-Woo
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.2
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    • pp.17-30
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    • 2012
  • Objectives : This study was to analyse the reasons for the early termination of our clinical trials that were to know the influences of Tai-chi on non-motor symptoms of Parkinson's disease. Methods : We stopped the primary study of Tai-chi to observe the changes of non-motor symptoms of Parkinson's disease. So we carried out the survey to our participants of clinical trials. We conducted the survey about the patient's characteristics of usual exercise, experience of Tai-chi, appropriate time allocation, difficulties of proceeding the program and patient's opinion for the improvement of education. And the 4 questions about the contributiveness of Tai-chi for the Parkinson's disease, usability of supplied references, difficulties and time allocation of education were using the questionaries form of 5-point scale(Likert scale). Results : The results of survey showed that the benefits of Tai-chi program for the improvement of symptoms was $3.15{\pm}0.89$ and difficulty of lecture was $3.76{\pm}1.09$. 41% of participants answered that the motions of the Tai-chi is difficult to follow and 17% of participants felt the imbalance during the motion of Tai-chi. Conclusions : Participants replied that the Tai-chi is hard for the patients of Parkinson's disease and the time for the education was too short to keep doing exercise. Thus we have plan to educate the patients of Parkinson's disease with Tai-chi program consists of easier motion by developing ourselves or searching previous studies.

Trend analysis of financial balance of Korean medicine clinics during 20years(1987~2007) (20년간(1987년~2007년) 한의원 경영수지의 경향 연구)

  • Kim, Dae-Hun;Lim, Byung-Mook
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.2
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    • pp.41-52
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    • 2012
  • Objectives : This study aimed to analyze the trend of financial balance of Korean medicine clinics during 20 years, and to provide basic information for adjusting the fee schedule of Korean medicine procedures in national health insurance(NHI). Methods : We collected 6 financial analysis reports for Korean medicine clinics from the Association of Korean Oriental Medicine(AKOM). The data on incomes, costs and EBIT(earning before interests and taxes) of subject clinics were abstracted, and their long-term trends were evaluated. Results : The proportion of insurance income in total income increased from 23% to 56% during 20 years. Among 5 treatment groups, 'non-insurance medication' took up 65~67% of total incomes in 1997, but its proportion decreased to 42.4% in 2007. 'medical procedure, physical therapy and others' increased from 12.4% in 1987 to 29.2% in 2007. The labor cost was major part of total cost and its proportion maintained from 52% to 54%. Cost of 'non-insurance medication' was on the decline from 41% in 1996 to 31.6% in 2007. EBIT were -17.4 million won in 1996, and 18.4 million won in 2007. Conclusions : Financial balance of Korean medicine clinics improved until early 2000, but it became worse in 2007. Though deficits from NHI procedures has been covered up by profit from 'non-insurance medication', health insurance became a major source of income during last two decades.