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Effects of Interactive Metronome Training on the Plantar Pressure and Fall Efficacy in Chronic Stroke Patients (상호교환식 메트로놈 훈련이 만성 뇌졸중 환자의 족저압과 낙상효능감에 미치는 영향)

  • Hwang, Won Kyung;Lee, Han Suk;Park, Sun Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.105-112
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    • 2020
  • PURPOSE: This study examined the effects of Interactive Metronome training on the plantar pressure and fall efficacy in chronic stroke patients. METHODS: Twenty-two hemiplegic patients were allocated randomly to an experimental group and control group. The experimental group received conventional physical therapy and emphasized weight-bearing interactive metronome training, whereas the control group received conventional physical therapy. The training was performed three times per week, 40 minutes per each session, for a total of seven weeks. The plantar pressure was assessed using the contact area and contact pressure, whereas the fall efficacy was assessed using the FES (Fall Efficacy Scale), ABC (Activities-specific Balance Confidence scale) and FOFQ (Fear of Falling Questionnaire). RESULTS: After training, a significant increase was observed in the paretic side of the contact area and the paretic and non-paretic side of contact pressure in both groups (p<.05). The between-group differences in the changes before and after training were statistically significant in the paretic side of the contact pressure (p<.05). After training, both the FES of the between-group and ABC of the experimental group were increased significantly (p<.05), but the between-group differences in the changes before and after training were not statistically significant in the FES, ABC, and FOFQ (p>.05). CONCLUSION: Interactive Metronome training is considered an effective treatment for improving the contact pressure of the paretic side in chronic stroke patients.

An Analysis on the Omni-Channel Strategy of Distribution Enterprise in Domestic and International (국내·외 유통업체의 옴니채널 전략 활용현황 분석)

  • Oh, Jung-Ah
    • Korean Institute of Interior Design Journal
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    • v.25 no.5
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    • pp.111-120
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    • 2016
  • Unlike the past, brick-and-mortar is no longer on the priority list for the shopping activity. Instead, it is replaced by various non-store shopping alternatives, such as Internet, TV, catalog, mobile, etc. As consumers engage digitally, they made fewer trips to stores. Especially, as mobile shopping made the price comparison possible while shopping in the store, new shopping trend of 'showrooming' came to the fore as the serious issue. In order to cope with the this crisis, many brick-and-mortar retailers utilize omni-channel strategy for their countermeasure. This research paper is to suggest the omni-channel strategy that is applicable for the brick-and-mortar retailers. The results are as follows. First, in order to set up the connected-channel shopping environment, consumers have to be exposed to the environment that can deliver the continuous brand experience under the same price policy, brand and store management, etc, as integrating the various purchasing channels into one. Especially, in-store environment needs to change for the place where consumer experience is stressed for the most as using virtual reality devices with augmented reality technology. Also, the online digital kiosk, and tablet that consumer can order the products through the online channel while shopping in-store Second, the barrier-free in-store environment should be offered in order to increase the consumer convenience. This change will allow consumer communicate with the store environment more effectively. Lastly, brick-and-mortar should extend the physical territory as utilizing the offline's advantage and disadvantage through setting up the digital interactive wall or pop-up store for increasing the opportunity of customer interaction with the store. Moreover, visiting service for the elderly, housewife with the baby, or disabled person will be one of the effective substitute.

A Study of Determinants Influencing the Economic Preparation for the Aging among People with Severe Disabilities (중증 장애인의 경제적 노후준비에 영향을 미치는 결정요인)

  • Lee, Gye-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.244-252
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    • 2018
  • This study examined the aging of people with severe disabilities experiencing relative alienation and deprivation in an aging society to find ways to make them happy and economically stable. This study identified the determinants of economic preparation for aging among people with severe disabilities using the ecosystem perspective. For this study, data were drawn from Panel Survey of Employment for the Disabled (PSED). A total of 950 samples were used from the eighth wave. Logistic regression analysis was conducted to examine the influence of various factors. As a result, age, level of education, employment, subjective socioeconomic status, self-esteem, income, homeowner, and non-beneficiaries affected the economic preparation for aging. These findings have practical and political implications concerned with improving the economic preparations for aging among people with severe disabilities.

Mobile Voice Note File Management Service For Improving Accessibility of the Blind (전맹인의 접근성 향상을 위한 모바일 음성 메모 파일 관리 서비스)

  • Lim, Soon-Bum;Lee, Mi Ji;Choi, Yoo Jin;Yook, Juhye;Park, Joo Hyun;Lee, Jongwoo
    • Journal of Korea Multimedia Society
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    • v.22 no.11
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    • pp.1215-1222
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    • 2019
  • Recently, people with disabilities also search for and collect information from the web through smart devices, and save collected information on smart devices or take notes. For non-disabled people, various memo applications are provided on the market, so it is more convenient to choose according to their preference. However, existing memo services are limited for use by blind people due to the importance of visual information. The problem with blind people when using smart devices is that the screen is not recognized, so it is not possible to check in which location the menu of the application exists. In addition, it is difficult to input and manipulate text, and systematic file management and control are not possible. Therefore, in this paper, we propose the development of voice memo service that blind people can use only voice and hearing information and can operate menu with Bluetooth remote controller. We will develop a system that includes a comprehensive voice file management function for storing, searching, playing, and deleting files, rather than simply storing voice files.

Midazolam and Ketamine Intramuscular Premedication in Attention Deficit Hyperactivity Disorder Patient with Poor Cooperability (치과 진료에 비협조적인 주의력 결핍 과잉행동 장애 증후군 환자에서의 전처치로서의 미다졸람 케타민의 근육투여)

  • Kim, Young-Jae;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Kim, Hyun-Jeong;Seo, Kwang-Suk;Lee, Jung-Man;Shin, Soonyoung
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.2
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    • pp.111-114
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    • 2012
  • Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity. Given high incidence of ADHD, many children with ADHD is likely to present for anesthesia. This case report suggests intramuscular premedication as an alternative method for anesthetic induction. A 9-year-old male patient with ADHD was transferred for dental treatment under general anesthesia. The patient refused to go into dental clinic office. Oral midazolam was given to the patient, however, he was resistant to take midazolam via oral route. Instead, we administer midazolam and ketamine via intramuscular route. After less than 10 miniutes, the patient became drowsy and was transferred to dental chair. Intravenous access and mask inhalation was possible. The patient received dental treatment under general anesthesia and recovered in a non-complicated way. In this case, intramuscular sedation with midazolam and ketamine was used as a premedication in highly uncoopearive patient refused to take oral sedative medication.

Development of Weight Shifting Training System using Biofeedback for Post-stroke Hemiplegic Patients with Step Length Asymmetry (보폭 비대칭을 보이는 뇌졸중 후 편마비 환자를 위한 체중이동 훈련 시스템 개발)

  • Kim, Seeun;Kim, Deog Young;Kim, Jung Hoon;Choi, Jong Hyun;Joo, So Young;Kang, Na Kyung;Baek, Yoon Su
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.4
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    • pp.450-458
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    • 2013
  • The aim of this study was to develop and verify gait training system for post-stroke hemiplegia patients with step length asymmetry. Most post-stroke hemiplegic patients show gait asymmetry and weight shifting training has been suggested as a useful method for improving the walking ability. However, verbal cue by physical therapist may be not effective. Therefore, our weight shift training system was designed to give a feedback to patients through precise plantar pressure and center of pressure (COP) measurement. This weight shifting biofeedback training system is composed of F-Scan plantar pressure measurement system and software development kit (SDK) for Windows operating system. Two post-stroke patients with step length asymmetry were enrolled in this study. After training for six weeks, the weight shift score and step length ratio of two all patients were improved and approached to them of non-disabled. This system developed in this study may improve the step length asymmetry, and therefore this system is also expected to improve a walking ability in hemiplegic patients.

The Subjective Well-Being of People with Disabilities : A Gender Comparison to Structural Equation Model of Life Satisfaction (장애인의 주관적 삶의 질: 삶의 만족도 구조모형의 성별 비교)

  • Lee, Ji-Su
    • Korean Journal of Social Welfare
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    • v.59 no.2
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    • pp.89-114
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    • 2007
  • The purposes of this study were : (1) to find out subjective well-being structural model of people with disabilities, (2) to compare the female's subjective well-being structural model with male's. Based on previous researches related to subjective well-being of non-disabled, I applied a integrative model of bottom-up and top-down theories to subjective well-being of people with disabilities. Data were gathered from 497 persons with disabilities(253 males and 244 females) in Korea. This research shows that the female's level of life satisfaction is not different to male's. In female group, the objective life conditions(the level of education, family income, and to have jobs or not) and self esteems are important variables in subjective well-being structural equation model. In male group, on the other side, recognition about social support level is important variable. Various theoretical and practical implications for social work practice were discussed.

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The Effects of Job Stress on Workers' Physiological Somatic Complaints (직무스트레스가 근로자들의 신체적 불편감에 미치는 영향)

  • Lee, Jong-Eun;Jung, Hye-Sun;Lee, Bok-Im;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.289-297
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    • 2004
  • Purpose: This study was conducted to determine factors affecting workers' physiological somatic complain using the Job Stress Model proposed by the National Institute for Occupational Safety and Health (NIOSH). Method: Data were collected from the 1st to the 30th of December 1999. The subjects were 2.123 workers employed at 155 work sites. Collected date were analyzed through SAS/PC program. Result: According to individual characteristics, younger and women groups showed significantly higher physiological somatic complaint than elder men groups. By work condition, groups with higher physiological somatic complaint included workers of irregular shift work. Dark lighting, improper temperature in winter, improper ventilation, inappropriate humidity, unpleasant work environment and crowded work place were significantly related with physiological somatic complaint. By work-related factor, physiological somatic complaint was high in those with higher variance in work load, quantitative work load, role conflict, job burden, role ambiguity and future ambiguity. On the other hand, physiological somatic complaint was low in those with little underutilization of ability. As for the relationships between physiological somatic complaint and non-work related factors, physiological somatic complaint was high in workers who had a side job, were bringing up infants alone, cleaned the house alone, cared for the elderly and disabled persons, were studying, were volunteering at another organization, and were spending 5-10 hours in religious activities per week. Physiological somatic complain was in significantly negative correlations with overall social support, supervisory support and family support, but in significantly positive correlations with co-worker support. Conclusion: The main predictors of physiological somatic complain were gender, shift work pattern, overtime work, ventilation, role ambiguity, role conflict, future ambiguity, job control, variance in work load, overall social support, worker with side job, worker who cleans the house alone, worker who is studying. These predictors explained 19.10% of the total variance of physiological somatic complain.

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Evaluation of the Head Mouse System using Gyro-and Opto-Sensors (각속도 및 광센서를 이용한 헤드 마우스의 평가)

  • Park, Min-Je;Kim, Soo-Chan
    • Journal of the HCI Society of Korea
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    • v.5 no.2
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    • pp.1-6
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    • 2010
  • In this research, we designed the head mouse system for disabled and gamers, a mouse controller which can be controlled by head movements and eye blinks only, and compared its performance with other regular mouse controller systems. The head mouse was moved by a gyro-sensor, which can measure an angular rotation of a head movement, and the eye blink was used as a clicking event of the mouse system. Accumulated errors caused by integral, which was a problem that previous head mouse system had, were removed periodically, and treated as dead zones in the non-linear relative point graph, and direct mouse point control was possible using its moving distance and acceleration calculation. We used the active light sources to minimize the influence of the ambient light changes, so that the head mouse was not affected by the change in external light source. In a comparison between the head mouse and the gazing tracking mouse (Quick Glance), the above method resulted about 21% higher score on the clicking event experiment called "20 clicks", about 25% higher on the dasher experiment, and about 37% higher on on-screen keyboard test respectively, which concludes that the proposed head mouse has better performance than the standard mouse system.

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Accessibility Analysis of Mobile Applications for Open Platforms (개방 플랫폼용 모바일 애플리케이션 접근성 분석)

  • Moon, Hyun Ju;Min, Hong Ki;Kim, Sukil
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.187-198
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    • 2017
  • In this study, we analyzed the accessibility of open platform Android mobile banking applications, based on Korean mobile application accessibility KS standard, Section 508 technical standard of Rehabilitation Act, and European BBC guidelines. Experimental result showed that there are no mobile banking applications of 8 commercial banks in Korea that satisfy all guidelines of three standards. Typical violations included missing alternative text, keyboard focus violations, control size and spacing non-compliance, and low contrast ratio. These violations are fatal in that they make the accessibility of the blind, the disabled and the low vision and the elderly impossible. The reason that mobile banking applications do not comply with accessibility is that mobile application developers and providers have low awareness of accessibility and do not know how to implement accessibility properly. Comparing Korea mobile application accessibility guidelines with the revised standard of the Section 508 of Rehabilitation Act and the BBC standard, many guidelines are missing. Also, evaluation criteria are ambiguous and abstract, making it difficult for developers to refer specifically. Therefore, improving mobile application accessibility requires developer and government efforts and complementation of standards.