• Title/Summary/Keyword: Functional Status

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Psychological functions and values of counterfactual thinking (사후가정사고의 심리적 기능과 응용적 가치)

  • Taekyun Hur
    • Korean Journal of Culture and Social Issue
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    • v.8 no.2
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    • pp.171-190
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    • 2002
  • Counterfactual thinking refers to a mental simulation of "What might have been," a cognitive process of once-possible-but-unrealized alternatives to facts, Counterfactuals have been reported to produce intensive emotional experiences, specifically regret. The present research reviewed and tried to integrate the previous inconsistent findings in the view of functional value of counterfactuals. Social psychologists proposed that counterfactuals could be categorized into upward(thoughts of better alternatives) versus downward(thoughts of worse alternatives) and additive versus subtractive. Counterfactual processes are more likely to occur following negative or unexpected rather than positive expected outcome, consistent with the minimization-mobilization hypothesis. Downward counterfactuals serve affective functions(to make one feel better) through contrast effects. Upward counterfactuals serve preparative functions(to prepare and improve performance in the future similar tasks) through causal inferences. Also, upward counterfactuals have been demonstrated in several studies to be followed by success-related attitudes and intentions and actual performance improvement. Furthermore, in terms of regulatory focus, downward counterfactuals were related with the prevention focus(to maintain the current status and upward counterfactuals were related with the promotion focus(to improve the current status). Those findings from numerous studies support that counterfactuals are functional to serve human ongoing motives. In conclusion, applicability and limitation of functional value of counterfactual thinking were discussed.

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Factors Influencing Quality of Life in the Community Dwelling Vulnerable Older women with Chronic Joint Pain (만성 관절통증이 있는 취약계층 재가 여성노인의 삶의 질에 영향을 미치는 요인)

  • Yoo, Jae-Soon;Ham, In-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.355-367
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    • 2018
  • The purpose of this study was to identify the predictors of the quality of life in community dwelling vulnerable older women with chronic joint pain. A cross-sectional study was conducted on 234 participants registered at a visiting health care service in the public health center of C-city. The structured questionnaire were used to collect data on the general characteristics, pain rating index, pain intensity, perceived health status, functional independence, sleep pattern, depression, and quality of life from February 16 to March 13, 2017. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis. The significant factors of the quality of life including general characteristics were depression (${\beta}=-.60$, p<.001), pain intensity scale (${\beta}=-.15$, p=.007), health insurance type (${\beta}=.15$, p=.001), perceived health status (${\beta}=.14$, p=.007), duration of pain (${\beta}=-.10$, p=.019), marital status (${\beta}=.10$, p=.024), and functional independence (${\beta}=.09$, p=.036). These factors accounted for 63.1% of the total variance in the quality of life. The findings suggest that a public healthcare program on managing depression is effective in improving the quality of life in community dwelling older women with chronic joint pain. Public health nurses should intervene in nursing care for economically vulnerable aged and pain management based on a precise assessment from the beginning of pain.

The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adult (재가 노인의 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경 위험 비교)

  • Lim, Kyung-Choon;June, Kyung Ja;Yoon, Jong-Lull
    • 한국노년학
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    • v.29 no.4
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    • pp.1577-1589
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    • 2009
  • The purpose of this study was to compare the health status, functional status, and home environment hazards by the fear of falling and explore the factors that contribute to the fear of falling. This was a descriptive study. Data were collected for two years with 973 older adults who enrolled in a health center at A city. Trained nurses visited subjects' home and collected data using Resident Assessment Instrument MDS-HC. The average age of the subjects was 76.8 (±7.6) and female was 74.8%. 20.7% of subjects reported fear of falling. In terms of the fear of falling, two groups were compared. There were significant differences in vision, urinary incontinence, pain that interrupts daily activity, unstable gait, comorbidities, frequency of depressive or anxious sign. The greater the age, IADL and ADL dependency, comorbidities, unstabled gait, the more fear of falling. In conclusion, this study reassured the importance of assessing the major factors related to fear of falling such as age, IADL and ADL, comorbities, gait among older adults. This study will contribute to establish strategies for preventing fall. Reducing the fear of falling through the comprehensive nursing intervention will ultimately improve the quality of life in the elderly.

Application of Model-Based Systems Engineering to Large-Scale Multi-Disciplinary Systems Development (모델기반 시스템공학을 응용한 대형복합기술 시스템 개발)

  • Park, Joong-Yong;Park, Young-Won
    • Journal of Institute of Control, Robotics and Systems
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    • v.7 no.8
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    • pp.689-696
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    • 2001
  • Large-scale Multi-disciplinary Systems(LMS) such as transportation, aerospace, defense etc. are complex systems in which there are many subsystems, interfaces, functions and demanding performance requirements. Because many contractors participate in the development, it is necessary to apply methods of sharing common objectives and communicating design status effectively among all of the stakeholders. The processes and methods of systems engineering which includes system requirement analysis; functional analysis; architecting; system analysis; interface control; and system specification development provide a success-oriented disciplined approach to the project. This paper shows not only the methodology and the results of model-based systems engineering to Automated Guided Transit(AGT) system as one of LMS systems, but also propose the extension of the model-based tool to help manage a project by linking WBS (Work Breakdown Structure), work organization, and PBS (Product Breakdown Structure). In performing the model-based functional analysis, the focus was on the operation concept of an example rail system at the top-level and the propulsion/braking function, a key function of the modern automated rail system. The model-based behavior analysis approach that applies a discrete-event simulation method facilitates the system functional definition and the test and verification activities. The first application of computer-aided tool, RDD-100, in the railway industry demonstrates the capability to model product design knowledge and decisions concerning key issues such as the rationale for architecting the top-level system. The model-based product design knowledge will be essential in integrating the follow-on life-cycle phase activities. production through operation and support, over the life of the AGT system. Additionally, when a new generation train system is required, the reuse of the model-based database can increase the system design productivity and effectiveness significantly.

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Reconstruction of microstomia considering their functional status

  • Ki, Sae Hwi;Jo, Gang Yeon;Yoon, Jinmyung;Choi, Matthew Seung Suk
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.161-165
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    • 2020
  • Background: Microstomia is defined as a condition with a small sized-mouth that results in functional impairment such as difficulty with food intake, pronunciation, and poor oral hygiene and cosmetic problems. Several treatment methods for microstomia have been proposed. None of them are universally applicable. This study aims at analyzing the cases treated at our institution critically reviewing the pertinent literature. Methods: The medical records of all microstomia patients treated in our hospital from November 2015 to April 2018 were reviewed retrospectively. Of these, all patients who received surgical treatment for microstomia were included in the study and analyzed for etiology, chief complaint, surgical method, and outcomes. The functional outcomes of mouth opening and intercommissure distance before and after the surgery were evaluated. The cosmetic results were assessed according to the patients' satisfaction. Results: Five patients with microstomia were corrected. Two cases were due to scar contracture after chemical burn, two cases derived from repeated excision of skin cancer, and one patient suffered sequela of Stevens-Johnson syndrome. The following surgical methods were applied: one full-thickness skin graft on the buccal mucosa, three buccal mucosal advancement flaps after triangular excision of the mouth corner, and one local buccal mucosal flap. Mouth opening was increased by 6.0 mm, and the intercommissure distance improved by 7.2 mm on average. Follow-up was 9.6 months (range, 5-14 months). Cosmetic assessment was as follows: two patients found the results excellent, three judged it as good. Conclusion: Microstomia has several causes. In order to achieve optimal functional recovery and aesthetic improvement it is important to precisely evaluate the etiologic factors and the severity of the impairment and to carefully choose the appropriate surgical method.

An Analysis of Unit Task and Structural Function for Records Management at Chonnam National University (전남대학교 기록관리의 단위업무와 조직기능 분류에 대한 분석)

  • Yoo, Wan-Lee;Lee, Myoung-Gyu
    • Journal of Korean Society of Archives and Records Management
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    • v.13 no.2
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    • pp.179-199
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    • 2013
  • This study is analyzed by examining the records management systems that are built to use comfortably and manage the records of universities efficiently. This paper analyzed the current status of the records in Chonnam National University (CNU), unit task, function, and organization. As a result, CNU has 127 sections that treat 1,625 unit tasks. The unit task involved in education accounts for 85.91%. The problem is that unit tasks are not organized unequally. It can seem to include some problems in classification and analysis of work when unit tasks are even, more or less, in a particular area. Functional classification in universities are also unequally organized. In universities, functional classification in the field of administration is detailed, while functional classification in the field of research is small in quantity. A more efficient records management will be done if work and function about organization are formed appropriately.

A Study on the Energy Planning Technique of Smart Green City : Focus on Application Condition in Multi-functional Administrative City, Korea (에너지 측면의 스마트 그린시티 계획기법에 관한 연구 : 행복도시의 적용실태를 중심으로)

  • Oh, Deog-Seong;Park, So-Yeon;Lee, Seo-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6368-6375
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    • 2015
  • The goal of this research is to identify the energy planning techniques of Smart Green City and to establish the realized plan through the analysis of Multi-functional Administrative City. For the research, eighteen planning techniques were derived and categorized into three sectors and six basic direction through literature review and Brain-storming analysis considering correlation between three goals of Smart Green City and expectation of planning technique. And Multi-functional Administrative City was analyzed for the current status of application of planning techniques focus on two application aspects. In conclusion, 'Establishing Integrated Management Center for Urban Energy', 'Building Energy Management System', 'Building Automation System', 'Green Transport System', 'Intelligent Transport System', 'Introduction of Eco-friendly Transportation' planning techniques in reduction of building energy consumption sector and green-intelligent transport system sector were identified as important techniques for Smart Green City.

Impact of an Early Hospital Arrival on Treatment Outcomes in Acute Ischemic Stroke Patients (급성 뇌경색 환자의 증상 발현 후 응급실 도착까지의 시간이 치료 결과에 미치는 영향)

  • Kwon, Young-Dae;Yoon, Sung-Sang;Chang, Hye-Jung
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.2
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    • pp.130-136
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    • 2007
  • Objectives : Recent educational efforts have concentrated on patient's early hospital arrival after symptom onset. The purpose of this study was to evaluate the time interval between symptom onset and hospital arrival and to investigate its relation with clinical outcomes for patients with acute ischemic stroke. Methods : A prospective registry of patients with signs or symptoms of acute ischemic stroke, admitted to the OO Medical Center through emergency room, was established from September 2003 to December 2004. The interval between symptom onset and hospital arrival was recorded for each eligible patient and analyzed together with clinical characteristics, medication type, severity of neurologic deficits, and functional outcomes. Results : Based on the data of 256 patients, the median interval between symptom onset and hospital arrival was 13 hours, and 22% of patients were admitted to the hospital within 3 hours after symptom onset. Patients of not-mild initial severity and functional status showed significant differences between arrival hours of 0-3 and later than 3 in terms of their functional outcomes on discharge. Logistic regression models also showed that arrival within 3 hours was a significant factor influencing functional outcome (OR=5.6; 95% CI=2.1, 15.0), in addition to patient's initial severity, old age, cardioembolism subtype, and referral to another hospital. Conclusions : The time interval between symptom onset and hospital arrival significantly influenced treatment outcome for patients with acute ischemic stroke, even after controlling for other significant clinical characteristics. The findings provided initiatives for early hospital arrival of patients and improvement of emergency medical system.

Effects of functional training on strength, function level, and quality of life of persons in intensive care units

  • Seo, Byul;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.8 no.3
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    • pp.134-140
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of exercise therapy and bedside ergometer exercise on muscle strength, function level, and quality of life of persons in intensive care. Design: Randomized Controlled Trial Methods: Sixteen patients in the ICU were randomly assigned to either the exercise group (n=8) or the bedside cycle ergometer group (n=8). Activities in the ICU exercise group (rolling, sitting at the edge of the bed, transfer from sitting to standing, standing balance training, ambulation) and bedside cycle ergometer group were performed 5 times a week for 30 minutes during the ICU admission period. Medical Research Council (MRC) and Functional Status Scale-Intensive Care Unit (FSS-ICU) parameters were assessed at the time of admission to the ICU, and reevaluation was assessed on the day of ICU discharge. The Short Form-36 (SF-36) was assessed at the time of discharge from the ICU. Results: MRC and FSS-ICU were significantly increased before and after intervention in both the experimental and control groups (p<0.05). There was a significant difference between MRC and FSS-ICU in the comparison of the changes before and after the intervention (p<0.05). SF-36 was compared between groups after intervention and there was a significant difference between the experimental and the control group (p<0.05). Conclusions: Muscle strength and functional levels improved after intervention in both the experimental and control groups. The ICU exercise group was more effective than the bedside cycle ergometer group to improve muscle strength, functional level, and quality of life performance of persons in the ICU.

Assessment of Quality of Life and Functional Outcomes of Operated Cases of Hirschsprung Disease in a Developing Country

  • Loganathan, Arun Kumar;Mathew, Aleena Sara;Kurian, Jujju Jacob
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.2
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    • pp.145-153
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    • 2021
  • Purpose: Children treated for Hirschsprung disease (HD) are adversely affected by fecal incontinence and soiling. This can be detrimental to their physical, psychosocial quality of life (QoL) and impacts the normal functioning of their family. QoL studies in HD are predominantly from developed countries. We measured general quality of life, impact on family and functional bowel status using validated questionnaires in HD children in a developing country. Methods: Patients with HD, treated in a tertiary paediatric institution in India between 2010 and 2017, were identified. Patients and/or their proxy completed the Pediatric Quality of Life and Family Impact Module questionnaires. Functional outcomes were assessed using Rintala's score. Results: A 86 children and their parents participated in the study. Majority had rectosigmoid disease (67.4%) and underwent Soave's endoanal pull through (74.4%). A 21% of patients had low Rintala score indicating poor functional bowel outcomes. Only 11% of children had poor QoL scores. Family functioning outcomes were also severely affected in the same subgroup of patients. There was statistically significant correlation between Rintala score and QoL scores (p-value<0.001). Disease severity, type of surgery, and duration of follow-up did not have a statistically significant impact on the QoL. Conclusion: QoL in children with HD was comparable to the general population. Bowel dysfunction affects a notable number of children and was the most significant determinant of poor QoL.