• Title/Summary/Keyword: Functional Status

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Even in Patients with a Small Hemorrhagic Volume, Stereotactic-Guided Evacuation of Spontaneous Intracerebral Hemorrhage Improves Functional Outcome

  • Kim, Young-Zoon;Kim, Kyu-Hong
    • Journal of Korean Neurosurgical Society
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    • v.46 no.2
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    • pp.109-115
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    • 2009
  • Objective: The decision to adopt a conservative or surgical modality for a relatively small volume of spontaneous intracerebral hemorrhage (SICH) is difficult and often controversial, especially when consciousness is tolerable. The authors examined the results of stereotactic-guided evacuation of SICH for relatively small volumes with respect to functional outcome. Methods: This prospective study was performed on 387 patients with SICH who underwent stereotactic-guided evacuation (n = 204, group A) or conservative treatment (n = 183, group B) during the past 8 years. The primary end-point was recovery of functional status, which was estimated using the Modified Barthel Index (MBI) and the modified Rankin Scale (mRS). Results: All patients had a Glasgow coma scale (GCS) score of $\geq$ 13 and unilateral hemiparesis of less than motor power grade 3. Group demographic characteristics and initial neurological statuses were similar. In all cases, the volume of SICH involved was < 30 cm$^3$ and location was limited to basal ganglia and thalamus. At 6-month follow-ups, MBI was 90.9 in group A and 62.4 in group B (p < 005), and MRS was 1.2 in group A and 3.0 in group B (p < 0.05). Better motor function and stereotactic-guided evacuation had a significant effect on a functional recovery in regression analyses. Conclusion: Even in patients with a small volume of SICH, stereotactic-guided evacuation improved functional recovery in activities in daily life than conservative treatment did.

Effects of Rehabilitation Program on Functional Recovery in Stroke Patients (재활운동 프로그램이 뇌졸중 환자의 기능상태 회복에 미치는 효과)

  • 서연옥
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.665-678
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    • 1999
  • Stroke is a major cause of death and long-term disability. Because muscle weakness is one of the most prominent consequences of stroke, it was considered important to determine whether exercise in order to improve muscle strength and range of motion could have an effect in limiting the learned disuse of the affected side. The purpose of the study was to identify the effects of an 8 week rehabilitation program on physical and cognitive ability in stroke patients. A total of 18 patients who were admitted to the oriental medicine unit of a K medical center in Seoul were recruited : ten for the experimental group and eight for the control group. The rehabilitation program consisted of three level's of active and passive exercises for prevention of muscle contracture and at range of motion. Muscle strength, flexibility of the upper and lower extremity, perceived balance, functional independence, depression, and quality of life for the two groups were compared at the pretest and 4 and 8 weeks after the rehabilitation program. The results are as follows : 1) When measuring muscle strengths of shoulder abduction and elbow flexion, hip flexion and knee extensor, ankle dorsi-flexor and muscle strength of knee flexor. Muscle strength of knee flexor for the experimental group was significantly higher than the comparison group at the 4 weeks. 2) Muscle strength and flexibility of the ankle dorsi -flexor for the experimental group was significantly better than for the control group at 8 weeks. 3) Functional independence, perceived balance, and Tinetti balance for the experimental group as measured at 4 and 8 weeks were better than for the control group. Also, there were changes over time in physical balance and functional ability, but there was no significant differences between the groups. 4) The experimental group showed a higher quality of life and lower depression than the control group at 8 weeks. 5) Muscle strength and flexibility of ankle dorsi -flexor were significantly changed over time and an interaction between group and time. The findings suggested that the rehabilitation program would improve the physical and psychological status of the stroke patients. Thus, the gains in actual or perceived ability to perform physical activities was marked.

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The Influence of Unloading Taping Method Using Non-elastic Tape on the Pain, Opening Mouth, Functional Level, Quality of Life in Patients With Temporomandibular Joint Disorder (비탄력 테이프를 이용한 무부하 테이핑 기법이 턱관절장애 환자의 통증 수준, 개구범위, 기능적 수준, 삶의 질에 미치는 영향)

  • Hwang, Jea-hoon;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.3
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    • pp.29-39
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    • 2016
  • Background: In the treatment of temporomandibular joint (TMJ) disorder, the goals of traditional physical therapy are not only to reduce the inflammatory process leading to pain, but also to decrease joint overload and muscle hyperactivity. To achieve those goals, physical therapists generally use a photo-therapy, joint mobilization, and massage. Objects: To examine the impact of an unloading technique using non-elastic taping on the pain, opening mouth, functional level, and quality of life in patients with TMJ disorder. Method: Twenty patients with TMJ disorder were included in this study and randomly divided into the experimental ($n_1$=10), and control ($n_2$=10) groups. Traditional physical therapy including massage and stretching for 30 min was performed in both groups. Non-elastic taping was performed in the experimental group after traditional physical therapy, and they were recommended to keep the tape attached for 12 hours. Outcomes for pain, functional level, and quality of life were measured using a survey. The opening mouth was measured using a general ruler. Result: Significant differences were observed in the pain level, opening mouth, functional level, and quality of life after the intervention and on follow-up in both groups. However, we found that while the levels of all parameters were maintained throughout the follow-up period in the experimental group, the functional status level was not maintained throughout the follow-up period in the control group. Conclusion: Our unloading technique using non-elastic tape results comparable to those achieved by traditional physical therapy in the treatment of TMJ. However, the unloading taping method using non-elastic tape is more effective than traditional physical therapy in maintaining the impact of intervention.

The influence of functional health literacy on health promotion behavior (기능적 의료정보 이해능력이 건강증진행위에 미치는 영향)

  • Lee, Ji Eun;Lee, Seo Young;Noh, Hyun Kyung;Lee, Eunjoo
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.6
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    • pp.1427-1438
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    • 2015
  • This study identified the level of functional health literacy and health promotion behavior and their relationship among middle-aged women. Data were collected from 163 middle-aged women between 40 and 64 residing D city and K province from December 1th to 26th, 2014 with a convenient sampling method. The average score of functional health literacy and health promotion behavior were $4.75{\pm}2.98$ and $2.30{\pm}0.55$, respectively Health promotion behavior was positively associated with functional health literacy. The full model accounted for 43.2% of the variance in health promotion behavior in middle-aged women. Therefore, strategies that effectively improving the level of functional health literacy are necessary to promote health behaviors in middle-aged women so that they have better health status and quality of life in later stage of life.

The Effect of Strengthening Exercise Program on the Physical Activity, Activities of Daily Living, Social Behavior and Functional Performance of the Elderly in a Home for the Aged (양로원 노인의 신체활동, 일상생활동작, 사회행동 및 기능수행에 대한 근력강화 운동프로그램의 효과)

  • Kim, Hyun-Sook;Chung, Chee-Kyung;Lee, Kang-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.107-115
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    • 2002
  • Objectives : To evaluate the effects of a strengthening exercise program on the physical activity, activities of daily living(ADL), social behavior and functional performance of the elderly in a home for the aged. Methods : We administered a survey questionnaire that consisted of questions to establish general characteristics, health habits and status, physical activity, ADL, and social behavior. Additionally, a physical fitness and functional performance examination was peformed on subjects who were 65 years old or older. Study subjects numbered 33 in the experimental group and 35 in the control group. For intervention, we used a strengthening exercise program of the upper and lower limbs for 12 weeks(5 times/week) using dumbbells and lead-packed weights. Results : After the strengthening exercise program, the scores of physical activity and social behavior were significantly higher than the control group and the before exercise measurements. Moreover, the variables of functional performance were significantly higher than in the control group or the before exercise records. Conclusion : These results Indicate that a strengthening exercise program can improve the score of physical activity, ADL and social behavior, as well as decrease the time(sec) of functional performance of the elderly in a home for the aged.

Applying Extended Theory of Planned Behavior for Lung Cancer Patients Undergone Pulmonary Resection: Effects on Self-Efficacy for Exercise, Physical Activities, Physical Function, and Quality of Life (폐절제술을 받은 폐암환자에 대한 확장된 계획행동이론의 적용: 운동 자기효능감, 신체활동, 신체기능 및 삶의 질에 미치는 효과)

  • Lim, Yeonjung;Lee, Haejung;Kim, Do Hyung;Kim, Yeong Dae
    • Journal of Korean Academy of Nursing
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    • v.50 no.1
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    • pp.66-80
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    • 2020
  • Purpose: This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection. Methods: This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ2 test, Fisher's exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE). Results: There were significant differences between the two groups regarding SEE (χ2=13.53, p=.009), PA (χ2=9.51, p=.049), functional status (χ2=10.55, p=.032), and 6MWD (χ2=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component. Conclusion: The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.

Future Image Expressed in Contemporary Fashion Design (현대 의상 디자인에 나타난 미래 이미지)

  • 이유경
    • The Research Journal of the Costume Culture
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    • v.6 no.4
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    • pp.188-202
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    • 1998
  • The purpose of this study is to analyze how future images are embodied in contemporary fashion design. To find out future images expressed in contemporary fashion design, this paper characterized the future society as information society, network society, pluralistic society, and global village. Cyber design and techno-style expressed through metal or lustrous material which is influenced by information symbolize future image. Also, minimalism which is characterized as simplicity and purity affects the contemporary fashion design. The network society which affets t the horizontal and functional social system diminishes the meaning of socio-economic status. Therefore, street fashion has diffused to high fashion, and the formal wear has tendency to be changed into casual wear. In addition, the meaning of status symbol in contemporary fashion design become decreased. The pluralistic society affects to search for one's own personality and identity. Also, contemporary fashion design is influenced by post-modernism and deconstructionism. In order words, genderless, ageles, seasonless, and infra fashion appeared. The global village emphasizes extension of universality in life style and search for world quality. so, ethnic fashions appear frequently in contemporary fashion design. Also, the effects of Korean traditional costume to contemporary fashion design has increased.

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Status of Inspection and Management for Nuclear Power Plants Snubbers (원전 방진기 검사 및 관리 현황)

  • Cho, Yong-Bae;Moon, Gyoon-young;Yoo, Hyun-Joo
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.10 no.1
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    • pp.20-24
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    • 2014
  • Recently, it is getting more and more important ensuring the integrity for the equipment degradation according to the increase of nuclear power plant operating period. In many equipment of the nuclear power plant, snubbers mainly installed in reactor coolant pumps, steam generators and piping protected the equipment and piping from the occurrence of transient dynamic loads such as the earthquake, thermal load during the plant operation. This report describes the function, regulation, inspection requirements and management status of the snubbers installed in domestic nuclear power plants.

Current Status of the Research and Development of Bispecific Antibodies

  • Kwon, Sun-Il
    • Biomedical Science Letters
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    • v.26 no.3
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    • pp.136-148
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    • 2020
  • A bispecific antibody (BsAb) is an artificial protein containing two kinds of specific antigen binding sites. BsAb can connect target cells to functional cells or molecules, and thus stimulate a directed immune response. Last several decades a wide variety of bsAb formats and production technologies have been developed. BsAbs are constructed either chemically or biologically, exploiting techniques like cell fusion and recombinant DNA technologies. There are over 100 different formats of bsAb so far developed, but they could be classified into the two main categories such as Fc-based (with a Fc region) bsAbs and fragment-based (without a Fc region) bsAbs. BsAb has a broad application prospect in tumor immunotherapy and drug delivery. Here, we present a brief introduction to the structure of antibody, pharmacological mechanisms of antibodies and the trend in the production technologies of therapeutic antibodies. In addition, we address a review on the current status of various bsAb format development and their production technologies together with global situation in the clinical studies of bsAb.

Current Status of Semiconductor and Microelectronic Packaging Technology Development in Korea

  • Sun, Yong-Bin
    • Proceedings of the International Microelectronics And Packaging Society Conference
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    • 2002.05a
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    • pp.1-6
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    • 2002
  • It is very important to foresee the main stream of technology development in the future. Packaging related manufacturers in equipment and materials focused their strength on products sharing big portion of world markets. As a result, domestic supply sources for packaging materials and equipment has been increased, but the manufacturer's capital and manpower is so limited to develop high technology machinery and high functional materials. The current status of packaging infrastructures in Korea is reviewed statistically. The hot issues in packaging arena are now in wafer level packaging, 3D packaging, and ultra-thin packaging. In addition, the recent advancement in microelectronics packaging technology is also covered.

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