• Title/Summary/Keyword: Limited daily activity

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The Usefulness of a Wearable Device in Daily Physical Activity Monitoring for the Hospitalized Patients Undergoing Lumbar Surgery

  • Kim, Dong Hwan;Nam, Kyoung Hyup;Choi, Byung Kwan;Han, In Ho;Jeon, Tae Jin;Park, Se Young
    • Journal of Korean Neurosurgical Society
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    • v.62 no.5
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    • pp.561-566
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    • 2019
  • Objective : Functional outcomes have traditionally been evaluated and compared using subjective surveys, such as visual analog scores (VAS), the Oswestry disability index (ODI), and Short Form-36 (SF-36), to assess symptoms and quality of life. However, these surveys are limited by their subjective natures and inherent bias caused by differences in patient perceptions of symptoms. The Fitbit $Charge^{(R)}$ (Fitbit Inc., San Francisco, CA, USA) provides accurate and objective measures of physical activity. The use of this device in patients after laminectomy would provide objective physical measures that define ambulatory function, activity level, and degree of recovery. Therefore, the present study was conducted to identify relationships between the number of steps taken by patients per day and VAS pain scores, prognoses, and postoperative functional outcomes. Methods : We prospectively investigated 22 consecutive patients that underwent laminectomy for spinal stenosis or a herniated lumbar disc between June 2015 and April 2016 by the same surgeon. When patients were admitted for surgery and first visited after surgery, preoperative and postoperative functional scores were recorded using VAS scores, ODI scores, and SF-36. The VAS scores and physical activities were recorded daily from postoperative day (POD) 1 to POD 7. The relationship between daily VAS scores and daily physical activities were investigated by simple correlation analysis and the relationship between mean number of steps taken and ODI scores after surgery was subjected to simple regression analysis. In addition, Wilcoxon's signed-rank test was used to investigate the significance of pre-to-postoperative differences in VAS, ODI, and SF-36 scores. Results : Pre-to-postoperative VAS (p<0.001), ODI (p<0.001), SF-36 mental composite scores (p=0.009), and SF-36 physical composite scores (p<0.001) scores were found to be significantly different. Numbers of steps taken from POD 1 to POD 7 were negatively correlated with daily VAS scores (r=-0.981, p<0.001). In addition, the mean number of steps from POD 3 to POD 7 and the decrease in ODI conducted one month after surgery were statistically significant (p=0.029). Conclusion : Wearable devices are not only being used increasingly by consumers as lifestyle devices, but are also progressively being used in the medical area. This is the first study to demonstrate the usefulness of a wearable device for checking patient physical activity and predicting pain and prognosis after laminectomy. Based on our experience, the wearable device used to provide measures of physical activity in the present study has the potential to provide objective information on pain severity and prognosis.

The Daily Variance in Impedance at Acupuncture Points

  • Kovich, Fletcher
    • Journal of Acupuncture Research
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    • v.35 no.4
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    • pp.176-181
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    • 2018
  • Background: Low electrical impedance at acupoints is a familiar concept, and it has also been found that this increases with poor organ function. Kovich hypothesizes that organ states are communicated to their related acupoints in real time, and this experiment set out to test this. Methods: The electrical impedance at 4 digestion-related acupuncture points (acupoints) was recorded over a 14-hour period and a food diary was recorded. The readings were taken in 23 sessions, between which the participant continued his usual daily routine. Results: The impedance at all the monitored acupoints varied considerably throughout the day, and the peaks were aligned with periods of high stomach activity. Conclusion: Variations in stomach function produced corresponding variations in the impedance at key stomach-related acupoints. However, the experiment was limited in that samples were only taken at around 30-minute intervals, and further investigations are needed to explore this phenomenon in more detail.

CSI-based human activity recognition via lightweight compact convolutional transformers

  • Fahd Saad Abuhoureyah;Yan Chiew Wong;Malik Hasan Al-Taweel;Nihad Ibrahim Abdullah
    • Advances in Computational Design
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    • v.9 no.3
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    • pp.187-211
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    • 2024
  • WiFi sensing integration enables non-intrusive and is utilized in applications like Human Activity Recognition (HAR) to leverage Multiple Input Multiple Output (MIMO) systems and Channel State Information (CSI) data for accurate signal monitoring in different fields, such as smart environments. The complexity of extracting relevant features from CSI data poses computational bottlenecks, hindering real-time recognition and limiting deployment on resource-constrained devices. The existing methods sacrifice accuracy for computational efficiency or vice versa, compromising the reliability of activity recognition within pervasive environments. The lightweight Compact Convolutional Transformer (CCT) algorithm proposed in this work offers a solution by streamlining the process of leveraging CSI data for activity recognition in such complex data. By leveraging the strengths of both CNNs and transformer models, the CCT algorithm achieves state-of-the-art accuracy on various benchmarks, emphasizing its excellence over traditional algorithms. The model matches convolutional networks' computational efficiency with transformers' modeling capabilities. The evaluation process of the proposed model utilizes self-collected dataset for CSI WiFi signals with few daily activities. The results demonstrate the improvement achieved by using CCT in real-time activity recognition, as well as the ability to operate on devices and networks with limited computational resources.

Ultrasound-guided epidural block in axial spondyloarthritis patients with limited spine mobility: a randomized controlled trial

  • Elsaman, AM;Hamed, A;Radwan, AR
    • The Korean Journal of Pain
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    • v.34 no.1
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    • pp.114-123
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    • 2021
  • Background: Evaluation of the effectiveness of caudal epidural injection on pain, spine mobility, disease activity, and activity of daily living in axial spondyloarthritis (SpA) patients. Methods: A total sample of 47 patients were registered in this study. They were randomly assigned into 2 groups; Group I received caudal epidural injections, ultrasound-guided, with 1% lidocaine hydrochloride mixed with triamcinolone, whereas Group II did not receive any injections. All participants fulfilled the ASAS criteria for axial SpA. Outcome measures were as follows: visual analogue scale, Oswestry disability index (ODI), modified Schober test, lateral lumbar flexion, and Ankylosing Spondylitis Disease Activity Score (ASDAS) with assessment at baseline, 2 weeks, and 8 weeks post-treatment. This clinical trial was registered on clinicaltrials.gov under the number NCT04143165. Results: There was a significant difference between both groups regarding pain, ODI, spine mobility and ASDAS scores in favor of group I. This effect was at its maximum after 2 weeks. Despite the decline of this effect after 2 months, the difference between the groups remained significant. Higher disease activity, younger age, and shorter disease duration were associated with better outcomes. Conclusions: Epidural injection of lidocaine and triamcinolone is a cost effective and a practical technique for controlling pain, as well as improving the function of the spine and disease activity scores in axial SpA patients with acceptable complications and relatively sustained effect.

The Spatio-Temporal Characteristics of Primary School Children's Daily Life Activities (초등학생 일상생활활동의 시.공간적 특성)

  • Park, Soon-Ho
    • Journal of the Korean association of regional geographers
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    • v.8 no.4
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    • pp.492-512
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    • 2002
  • The daily life activities of primary school children have been increasingly diversified. This research examined the spatio-temporal characteristics of primary school children's daily life activities. The time allocation of primary school children's daily activities was monotonous. They tended to spend most of their time in school activities, private lessons after school, and studying at home. The daily trip to school has been diversified as the result the of increase in the number of double-income families, car owners, facilities for pastime, and educational facilities for private lessons after school. The selection of educational facilities for private lessons was strongly influenced by accessibility to the residence because of the limited time budget of primary school children and the controlled trip behavior by parents. The leisure activities were considered as a minor function and took place in the interval of performances of study-related activities. The high proportion of leisure activities was found in the indoor play. The amount of the time for leisure activity was very insufficient. The spatial range and time budget were strongly influenced by the institutional conditions of parents.

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A Study of Medical Personnel in King Youngjo Period - Based on The Annals of the Joseon Dynasty - (영조대 의관에 대한 연구 - 『조선왕조실록』을 중심으로 -)

  • Keum, Yujeong;Seung, Hyebin;Eom, Dongmyung;Song, Jichung
    • The Journal of Korean Medical History
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    • v.33 no.2
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    • pp.77-87
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    • 2020
  • Objective : The Annals of the Joseon Dynasty is a primary historical record that has provided a great deal of information about what the Joseon Dynasty was like. However, as of yet, we know very little about the medical officers in Joseon dynasty, such as their government posts and official ranks. The purpose of this study is look in to the activities, government posts, and official ranks of the medical personnel by examining Yeongjosillok. Methods : First, I selected historical records containing '醫' in Yeongjosillok. Then, I organized medical officers' name by reading each record. I screened historical records in Yeongjosillok with their names to analyze their activities, government posts, and official ranks. When there was limited information available, I referred to The Daily Records of Royal Secretariat of Joseon Dynasty. Results : I found 262 historical records in Yeongjosillok containing '醫'. Then I found 26 people who served as medical officers in Yeongjosillok. Also, l found that 11 government posts and 7 official ranks were awarded to them throughout the 110 historical records in Yeongjosillok and The Daily Records of Royal Secretariat of Joseon Dynasty. Conclusion : Through this study, I was able to examine the detailed activities of unknown medical officers by studying the historical records in Yeongjosillok and The Daily Records of Royal Secretariat of Joseon Dynasty. Under the Joseon Dynasty's class-based society, the middle class had various restrictions. However, I found that medical officers that belonged to the middle class received exceptional treatment despite their social status.

The Systematic Discussion of a Study on the Application of Computerized Cognitive Rehabilitation on Patient with Dementia in Korea (국내 치매 환자를 대상으로 한 전산화 인지 재활 적용 연구에 대한 체계적 고찰)

  • Lee, Hyunjin;Kim, Kyoungdon;Kim, Bora
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.4
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    • pp.83-89
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    • 2017
  • Purpose : This study aimed to investigate a study on the intervention of computerized cognitive rehabilitation applied to patients with dementia in Korea. Thus, a systematic discussion was conducted. Methods : Studies from January 2000 to December 2016 were searched in the Korea Education and Research Information Service. The main key words used were: "dementia," "computerized cognitive rehabilitation," "computerized cognitive training," "computer assisted cognitive therapy," and "computerized cognitive therapy." Result : A total of five studies were selected. The effects of the computerized cognitive rehabilitation therapy applied to patients with dementia resulted in improved cognitive functions, as well as daily living and activities instrumental to daily living. There was also an increase in brain activity. The qualitative aspects of this study showed a low level of internal and external validities due to the small number of subjects, short period of intervention, and limited study environment. Conclusion : In the future, it is necessary to continue a study in which the level of evidence is high to determine whether various cognitive rehabilitation programs are effectively applied to patients with dementia.

Solutions for the Shelf Space Allocation and Inventory Replenishment of Convenience Stores with Product Substitution (제품대체를 고려한 편의점의 진열공간 할당과 재고보충을 위한 해법)

  • Yoon, Sung-Joon;Park, Yang-Byung
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.37 no.1
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    • pp.141-150
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    • 2014
  • Due to their accessibility and 24-hr availability, convenience stores are an integral part of daily lives. Because they sell a limited number of products and have small shelf space, shelf space allocation and inventory replenishment are important considerations for inventory management that critically affect profit. In this paper, we propose five solutions for the vendor-managed inventory problem of convenience stores that maximize profit while considering stock-out-based product substitutions. The performance of the proposed solutions is evaluated via simulation to reflect the demand uncertainty and marketing activity.

Factors influencing unmet dental needs of preschool children: A study based on data of the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHNES) (제6기(2013-2015년) 국민건강영양조사를 활용한 미취학 아동의 미충족 치과의료에 영향을 미치는 요인)

  • Yeo, An-Na;Kang, Yu-Min;Lee, Su-Young
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.117-129
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    • 2019
  • Objectives: The purpose of this study was to investigate the influence of demographic characteristics and oral health status on unmet dental needs among preschool children and to provide a basis for improvement of the dental care equality and accessibility using data from the $6^{th}$ National Health and Nutrition Survey. Methods: This study was performed using data collected from the $6^{th}$ National Health and Nutrition Survey. The subjects were 1,472 out of 22,940 people, who participated in the survey and under went oral examination. IBM SPSS Statistics (Version 20.0) was used for statistical analyses based on the complex sampling design. Frequency analysis was performed to determine the distribution of unmet dental needs according to the characteristics of the subjects. The Rao-Scott ${\chi}^2$ test was performed to examine the relationship of unmet dental needs with general characteristics and health- and oral health-related variables. Relevant factors were determined using binary logistic regression analysis. Results: The factors that had statistically significant relations with unmet dental needs included age, medical insurance, household income, limited physical activity, history of dental caries in deciduous teeth, and subjective health status. Logistic regression analysis of complex samples was conducted to determine factors related to unmet dental needs. The results of analysis showed that limited physical activity and history of dental caries in deciduous teeth were related to unmet dental needs. Conclusions: The results show the factors affecting, and the reasons for, the unmet dental needs of preschool children. Future studies are needed to develop national projects and oral health education reforms to address inequalities in preschool children's dental care.

지체장애 인식에 대한 개념분석

  • Jeong, Myeong-Sil
    • The Korean Nurse
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    • v.35 no.4
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    • pp.64-74
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    • 1996
  • In general. social cognition for a disabled person seemed that he was limited aspects of emotion and psychology. Thus he was rejected. avoided. worthless and not accepted. People who have been raised in an ethnic collectivity often acquire from that experience not only basic conceps and attitudes toward health and illness but also fundamental styles of interpersonal behavior and concerns about the world. The effects of this enculuration carryover into health- care situation and also become an important influence on personal activities devoted to health maintenance and disease prevention. Our Korean culture is a state of tradition Confucianism. respects his honor and external feature. Therefore recognition of a disabled person is more specipic. This study uses Walker and Avant's process of concept analysis. The concep of recognition of disabilty can be defined as follows : Recognition of disability is a person's conscious process of sensation. perception. memory and thought and is constructed from value. attitude. emotion and expierince which is dynamics. and in everyday life is feeling that basic activity is not free and occurs interaction of envionment. Attributes of disability recognition are defined as 1) It is feeling that basic activity of his daily life is not free in everyday life. 2) It is a person's conscious process of sensation. perception. memory and thought. 3) It occurs interaction of enviornment. 4) It is constructed from value. attitude. emotion and experience. 5) it is dynamics ( changing but not stasis). Nurse is always suppoted and pushed him. She plans institutional and situational surroundings.

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