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The Effect of Wind-instrument Centered Music Therapy on Respiration, Oral Motor and Articulation for Patients with Cervical Cord Injury - Case Study - (취주악기를 사용한 음악치료가 경수손상환자의 호흡, 구강운동 및 조음에 미치는 영향 -사례연구-)

  • Kim, Tai youn;Park, Shin ae;Lee, Yong seok
    • 재활복지
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    • v.21 no.1
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    • pp.233-252
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    • 2017
  • The purpose of this study is to investigate the influence on respiration, oral motor and articulation using wind-instrument centered music therapy for patients with cervical cord injury who need continuous train of respiratory muscle. Three patients with cervical cord injury who needed continuous training of respiratory muscle were selected and post data was analyzed. The harmonica using both exhalation and inspiration was selected as an wind-instrument. Each session was taken 30 ~ 40 minutes, once a week from total 6 weeks with small group. Material about every session's work was provided for individual to maintain practice after program. Oral motor and articulation test was done to assess reflecting features of maximal expiratory flow and wind-instrument of factor related breath. Maximal expiratory flow has increased by average 25ml more, articulation has increased by 3.16 points more and the movement of oral motor has increased 11.67 points more than pre-test from the analyzation. In the comparison of the details, the increase of oral motor function was confirmed from scores on the jaw and tongue except for the lips. Based on the results of this study, this study suggests that wind-instrument centered music therapy will be a practical and effective intervention for respiratory rehabilitation in patients with cervical cord injury.

Factors affecting objective and subjective masticatory ability assessment of Korean elderly people (한국 노인의 객관적·주관적 저작능력 평가에 영향을 미치는 요인)

  • Jung, Hyo-Jung;Min, Yong-Guang;Kim, Hyo-Jung;Lee, Joo-Young;Lee, Eun-Song;Kim, Baek-Il;Ahn, Hyung-Joon
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.216-223
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    • 2018
  • Objectives: The purpose of the study was to investigate factors affecting the assessment of objective and subjective masticatory ability in the elderly, and to evaluate masticatory ability assessment more accurately. Methods: A total of 112 participants were recruited after oral examination in senior citizen welfare facilities. The participants' masticatory ability was evaluated objectively (Mixing ability index; MAI), and subjectively (Key food intake ability; KFIA). Participants' general characteristics and oral health-related variables were also recorded. Based on masticatory ability assessment, participants were classified as either high or low. IBM SPSS Statistics Ver.23.0 was used for all analyses, including descriptive statistics, Chi-square test, Mann-Whitney U test, Spearman rank correlation, and Logistic regression analysis. Results: Higher masticatory ability was positively correlated with higher scores on MAI and KFIA. Additionally, there was a significant positive correlation between MAI and KFIA. When analyzing factors affecting objective and subjective masticatory ability assessments, Functional tooth units (FTUs) were revealed as a related factor. In subjective masticatory ability assessment, oral moisture, difficulty in chewing, and the Geriatric Oral Health Assessment Index (GOHAI) were also influential factors. Conclusions: In order to accurately assess masticatory ability, it is necessary to use both objective and subjective measures. Additionally, to improve the masticatory ability in the elderly, treatment should be provided to improve overall oral health and satisfaction.

Risk Factors for the Treatment Failure of Antibiotic-Loaded Cement Spacer Insertion in Diabetic Foot Infection (당뇨병성 족부 감염에서 항생제 혼합 시멘트 충전물 사용의 치료 실패 위험 인자 분석)

  • Park, Se-Jin;Song, Seungcheol
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.2
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    • pp.58-66
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    • 2019
  • Purpose: To evaluate the efficacy of antibiotic-loaded cement spacers (ALCSs) for the treatment of diabetic foot infections with osteomyelitis as a salvage procedure and to analyze the risk factors of treatment failure. Materials and Methods: This study reviewed retrospectively 39 cases of diabetic foot infections with osteomyelitis who underwent surgical treatment from 2009 to 2017. The mean age and follow-up period were $62{\pm}13years$ and $19.2{\pm}23.3months$, respectively. Wounds were graded using the Wagner and Strauss classification. X-ray, magnetic resonance imaging (or bone scan) and deep tissue cultures were taken preoperatively to diagnose osteomyelitis. The ankle-brachial index, toe-brachial index (TBI), and current perception threshold were checked. Lower extremity angiography was performed and if necessary, percutaneous transluminal angioplasty was conducted preoperatively. As a surgical treatment, meticulous debridement, bone curettage, and ALCS placement were employed in all cases. Between six and eight weeks after surgery, ALCS removal and autogenous iliac bone graft were performed. The treatment was considered successful if the wounds had healed completely within three months without signs of infection and no additional amputation within six months. Results: The treatment success rate was 82.1% (n=32); 12.8% (n=5) required additional amputation and 5.1% (n=2) showed delayed wound healing. Bacterial growth was confirmed in 82.1% (n=32) with methicillin-resistant Staphylococcus aureus being the most commonly identified strain (23.1%, n=9). The lesions were divided anatomically into four groups; the largest number was the toes: (1) toes (41.0%, n=16), (2) metatarsals (35.9%, n=14), (3) midfoot (5.1%, n=2), and (4) hindfoot (17.9%, n=7). A significant difference in the Strauss wound score and TBI was observed between the treatment success group and failure group. Conclusion: The insertion of ALCSs can be a useful treatment option in diabetic foot infections with osteomyelitis. Low scores in the Strauss classification and low TBI are risk factors of treatment failure.

Get It Closer: Effect of the Approach-Avoidance Experience on Attitude through a Touchscreen Device (터치스크린을 통한 접근-회피 경험이 태도에 미치는 영향)

  • Jung, Yujin;Kang, Hyunmin;Yun, Munseon;Han, Kwanghee
    • Science of Emotion and Sensibility
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    • v.22 no.2
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    • pp.17-28
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    • 2019
  • The touchscreen device is now commonly found in the form of mobile phones, tablet PCs, and other devices. Varied physical and visual experiences can be experienced through touchscreens. This study intended to explore how the physical and visual experiences provided by the touchscreen would affect people through their existing associations of behavior-attitude. Previous studies have found that certain behaviors affect attitudes. In particular, the approach-avoidance behavior has been noted to influence both social and personal attitudes. It was thus deemed necessary to ascertain the approach-avoidance effect exerted by touchscreens on the attitudes of users as the technology is widely used today. Experiment 1 provided an approach-avoidance experience via a touchscreen and demonstrated that touchscreen-based approach-avoidance dragging behavior on the touchscreen can affect a user's preference and purchase intent. It was found that a product that had been approached showed both higher preference and higher purchase intent than a product that had been avoided. Experiment 2 investigated whether a similar effect would occur when only the visual experience of approach-avoidance was provided. The outcome proved that products that had been visually approached had higher scores than products that had been avoided, both in terms of preference and purchase intent. The movement of the arm on the touchscreen (Experiment 1) and the visual perception of the approach-avoidance experience (Experiment 2) were both shown to influence participants' attitudes toward products. The results of this study suggest that the behavior and perception of users may be an important factor in designing touchscreen interfaces for online shopping.

Quality Characteristics of Cookies Added with Lentinus edodes Water Extract (표고버섯 물 추출물을 첨가한 쿠키의 품질 특성)

  • Jung, Kyung Im;Choi, Young Ju;Oh, Jung Hwan;Lee, Jung Im;Park, So Young;Kim, Hye Ran;Jeon, Byung-Jin;Kim, Dongmin;Kong, Chang-Suk
    • Journal of Life Science
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    • v.29 no.9
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    • pp.955-963
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    • 2019
  • This study evaluated the characteristics and antioxidant properties of cookies prepared with different amounts (0%, 1%, 3%, 5%, and 7%) of Lentinus edodes water extract (LEWE). The baking loss rate of cookies increased as the amount of LEWE increased (p<0.05). The pH of cookies significantly decreased when amounts of LEWE increased (p<0.05), but spread factor, leavening rate, and moisture content showed no significant difference among the samples. L value and b value of cookies significantly decreased when amounts of LEWE increased (p<0.05), but a value of cookies significantly increased when amounts of LEWE increased (p<0.05). Hardness was higher in the 7% LEWE cookies. Chewiness and brittleness increased with increasing LEWE concentration, but cohesiveness and springiness showed no significant differences among the samples. Total polyphenol content and DPPH (1,1-diphenyl-2-picrylhydrazyl) radical scavenging activity significantly increased upon the addition of LEWE (p<0.05). In a sensory evaluation, the appearance, color, and taste of the cookies were rated higher in groups containing 0% LEWE, but the flavor, texture, and overall acceptability scores were highest for cookies with 1% LEWE added. These results suggest that cookies prepared by adding 1-3% LEWE achieve the best sensory evaluation and antioxidant activity.

Convergence Factors Related with Communication Competency of Students in Health Majors in Studying for TOEIC (TOEIC을 학습하는 보건계열 일부 대학생의 의사소통능력과 관련된 융복합적 요인)

  • Hong, Soomi;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.17 no.5
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    • pp.257-266
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    • 2019
  • This study investigates convergent factors related with communication competency of some health majors students in studying for TOEIC. The questionnaire was used using an unregistered self-administered questionnaire for 280 health majors students in TOEIC class from college located in J area from November 1, 2018 to November 30, 2018. The hierarchical multiple regression analysis shows the following results. The communication competency of respondents turned out to be significantly higher in following groups: a group in which ego-resilience is higher, a group in which inkling is higher, and a group in which self-leadership is higher. The results show explanatory power of 57.0%. The results of the study indicate that the efforts, to increase ego-resilience, inkling and self-leadership are required to improve the communication competency among health majors students in studying for TOEIC. These results can be used to develop and operate educational resources and support programs that improve communication competency of health majors students in studying for TOEIC. Future research requires presentation and analysis of structural models considering factors affecting communication competency and correlation with TOEIC scores of health majors students in studying for TOEIC.

A Study on Aadjustment of the Patterns, and the Correlation between the Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (CaPSP) and Korean Medicine Doctors' Diagnosis (갱년기장애 및 폐경기 후 증후군 변증진단 도구의 변증분류 조정과 진단의 간의 진단일치도 연구)

  • Lee, In-Seon;Kim, Jong-Won;Jeon, Soo-Hyung;Chi, Gyoo-Yong;Kang, Chang-Wan
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.1
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    • pp.1-14
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    • 2021
  • Objectives: We studied for the adjustment of the patterns of 'The Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (hereinafter CaPSPI)' (studyI) and the correlation between CaPSPI and Korean medicine doctors' diagnosis which was carried out without knowing the results of CaPSPI (studyII). Methods: The studyI followed the previous study method in 2018 (2018-3). The studyII was conducted from June 1, 2019 to July 10, 2020 with ◯◯ University Korean Medicine Hospital IRB's approval (2019-4). Doctors' diagnosis was conducted face-to-face with the subjects. Doctors' diagnosis was carried out based on the Kupperman's questionnaire, 'Diagnosis System of Oriental Medicine (hereinafter DSOM)' and four examinations (四診) records. The diagnosis was marked with 0 for 'no', 1 for 'somewhat', 2 for 'yes' and 3 for 'very yes'. The correlation between CaPSPI and the mean of doctors diagnostic scores were investigated statistically. Results: The studyI showed that heart-heat (心火) pattern was added. The Factor loading coefficient for heart-heat was 0.551 to 0.789, and the Cronbach's coefficient was 0.896. The studyII showed that the diagnosis (Kappa statistic) of two doctors showed statistically significant concordance (all eight patterns), with correlation of them were 0.3 or higher. And the correlation between the CaPSPI score and the mean of doctors' diagnostic score showed a statistically significant correlation, with liver qi depression (肝鬱) being the highest at 0.552 and dual deficiency of the heart-spleen (心脾兩虛) being the lowest at 0.301. Conclusions: Since the diagnosis results of CaPSPI showed a significant correlation with the diagnosis of Korean traditional medicine experts, it was believed that the CaPSPI results can be trusted and used for clinical purposes.

Drought evaluation using unstructured data: a case study for Boryeong area (비정형 데이터를 활용한 가뭄평가 - 보령지역을 중심으로 -)

  • Jung, Jinhong;Park, Dong-Hyeok;Ahn, Jaehyun
    • Journal of Korea Water Resources Association
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    • v.53 no.12
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    • pp.1203-1210
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    • 2020
  • Drought is caused by a combination of various hydrological or meteorological factor, so it is difficult to accurately assess drought event, but various drought indices have been developed to interpret them quantitatively. However, the drought indexes currently being used are calculated from the lack of a single variable, which is a problem that does not accurately determine the drought event caused by complex causes. Shortage of a single variable may not be a drought, but it is judged to be a drought. On the other hand, research on developing indices using unstructured data, which is widely used in big data analysis, is being carried out in other fields and proven to be superior. Therefore, in this study, we intend to calculate the drought index by combining unstructured data (news data) with weather and hydrologic information (rainfall and dam inflow) that are being used for the existing drought index, and to evaluate the utilization of drought interpretation through verification of the calculated drought index. The Clayton Copula function was used to calculate the joint drought index, and the parameter estimation was used by the calibration method. The analysis showed that the drought index, which combines unstructured data, properly expresses the drought period compared to the existing drought index (SPI, SDI). In addition, ROC scores were calculated higher than existing drought indices, making them more useful in drought interpretation. The joint drought index calculated in this study is considered highly useful in that it complements the analytical limits of the existing single variable drought index and provides excellent utilization of the drought index using unstructured data.

The effect of acculturative stress on depression of Mongolians in Korea: Focusing on moderating effect of social support (문화적응 스트레스가 한국에 거주하는 몽골이주민의 우울에 미치는 영향: 사회적 지지의 조절 효과)

  • Buyadaa, Naranbulag;Yu, Kumlan
    • Korean Journal of Culture and Social Issue
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    • v.27 no.1
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    • pp.35-49
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    • 2021
  • The purpose of this study was examine the depression among Mongolians in South Korea. We also determined the effect of acculturative stress and social support on depression. In this study, total of 200 adults over age 18 completed the BDI-II of Mongolian Version, Acculturative stress scale for international student, The Multi-dimensional Scale of Perceived Social Support. Data were analyzed by using the factor analysis, correlation analysis, t-test, and hierarchical regression analysis. We used SPSS 22.0, AMOS 22.0. We found significant difference in mean scores between groups according to socio-demographic characteristics. The level of depression was high in over 3 years immigrants group (M = 8.41, SD = 9.6954), marriage immigrants group (M = 19.1, SD = 16.7649), and female groups (M = 7.61, SD = 9.2188) than compared to reference groups. Acculturative stress and social support of Mongolian immigrants had a significant impact on depression (β = .365, p <.001; β = .- 555, p <.001). There was a moderating effect of social support on the relationship between acculturative stress and depression (β = 1.080, p <.001). The limitations and implications of the study were discussed. We conclude that this study can be used to assess the depression and the mental health of Mongolians in South Korea.

CD206+ dendritic cells might be associated with Heat-pattern and induced regulatory T cells after treatment with bee venom

  • Jung, Woo-Sang;Kwon, Seungwon;Yang, Jung Yun;Jin, Chul;Cho, Seung-Yeon;Park, Seong-Uk;Moon, Sang-Kwan;Park, Jung-Mi;Ko, Chang-Nam;Bae, Hyunsu;Cho, Ki-Ho
    • The Journal of Korean Medicine
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    • v.43 no.2
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    • pp.1-7
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    • 2022
  • Objectives: Bee venom (BV) is a widely used therapy in Traditional East Asian Medicine (TEAM). We previously reported that BV was clinically effective for treating Parkinson's disease, that phospholipase A2 (PLA2) was the main component of BV, and that it induced regulatory T cells (Tregs) by binding CD206 on dendritic cells (DCs). Therefore, we aimed to reconfirm our findings in human blood samples and investigate the relationship between CD206+ DCs and clinical syndrome differentiation in TEAM. Methods: We surveyed 100 subjects with questionnaires on cold-heat patternization and obtained their blood samples. The obtained human peripheral blood monocytes (hPBMCs) were washed with phosphate-buffered saline (PBS). After resuspension with ex vivo media, numbers of cells were counted. Tregs were counted after culturing the samples in a 37℃ CO2 incubator for 72 h. Results: We divided the subjects into a relatively high CD206+ group or a relatively low CD206+ group. The heat factor scores of high CD206+ group were significantly higher than that of low CD206+ group (high vs low: 239.2 ± 54.1 vs 208.4 ± 55.1, p=0.023). After culturing with PLA2, Tregs increased in the high CD206+ group but decreased in the low CD206+ group. Conclusion: In this study, we reconfirm that CD206+ DCs induced Treg differentiation by incubating human blood samples with PLA2 and that they showed an association with syndrome differentiation, especially with heat patterns, in TEAM. A heat pattern in TEAM might be one indication for PLA2 therapy because its score was elevated in the high CD206+ group.