Sohng, Kyeong-Yae;Park, Mi Hwa;Chaung, Seung Kyo;Park, Hye Ja
Journal of Korean Public Health Nursing
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v.28
no.3
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pp.495-508
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2014
Purpose: This study was conducted in order to evaluate the reliability, validity, sensitivity, and specificity of the Short Form of Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS-SF). Methods: A validation study was conducted on 207 elderly patients aged over 65 who were admitted to Bobath Memorial Hospital. Fall risk scores of BMFRAS, composed of eight subscales (age, fall history, physical activity, consciousness level, communication, fall risk factors, underlying disease, and medications) were assessed from the electronic medical record. BMFRAS-SF was derived from eight subscales of the BMFRAS representing the significance between fallers and non-fallers (fall history, physical activity, fall risk factors, underlying disease, and medications). Internal consistency reliability and interrater reliability were assessed by Cronbach's alpha and kappa coefficient. Validity was assessed by Spearman correlation analysis, factor analysis. Sensitivity, specificity, positive predictive and negative predictive values, and a receiver-operating characteristic curve (ROC) were generated. Results: Fallers had significantly higher risk scores than non-fallers in fall history, physical activity, fall risk factors, underlying disease, and medication scales. The BMFRAS-SF demonstrated acceptable Cronbach's alpha (.706) and kappa coefficients of .95. The BMFRAS-SF subscales showed good convergent validity and construct validity. The BMFRAS-SF presented good sensitivity(86.7%), specificity(67.9%), positive predictive value(42.9%) and good negative predictive value(94.8%) at a cut-off score of 5. Areas under the ROC curves were .860 for the BMFRAS and .861 for the BMFRAS-SF. Conclusion: The BMFRAS-SF was proved to be reliable and valid. It could be used for time-saving assessment and evaluation of the high risks for falls in clinical practice settings.
Zarnani, Saman;El-Emam, Magdi M.;Bathurst, Richard J.
Geomechanics and Engineering
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v.3
no.4
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pp.291-321
/
2011
The paper describes a simple numerical FLAC model that was developed to simulate the dynamic response of two instrumented reduced-scale model reinforced soil walls constructed on a 1-g shaking table. The models were 1 m high by 1.4 m wide by 2.4 m long and were constructed with a uniform size sand backfill, a polymeric geogrid reinforcement material with appropriately scaled stiffness, and a structural full-height rigid panel facing. The wall toe was constructed to simulate a perfectly hinged toe (i.e. toe allowed to rotate only) in one model and an idealized sliding toe (i.e. toe allowed to rotate and slide horizontally) in the other. Physical and numerical models were subjected to the same stepped amplitude sinusoidal base acceleration record. The material properties of the component materials (e.g. backfill and reinforcement) were determined from independent laboratory testing (reinforcement) and by back-fitting results of a numerical FLAC model for direct shear box testing to the corresponding physical test results. A simple elastic-plastic model with Mohr-Coulomb failure criterion for the sand was judged to give satisfactory agreement with measured wall results. The numerical results are also compared to closed-form solutions for reinforcement loads. In most cases predicted and closed-form solutions fall within the accuracy of measured loads based on ${\pm}1$ standard deviation applied to physical measurements. The paper summarizes important lessons learned and implications to the seismic design and performance of geosynthetic reinforced soil walls.
The purpose of this study was to analyse the relations among the residents' characteristics, the policy of the facility, and the physical characteristics of activity areas, and to understand the elements for the lively use of activity areas in the elderly nursing facilities. The results of the study are as follows: First, there was a relationship between the characteristics of semi-public activity areas and the residents' management-control policy. The facilities having semi-public areas of living room type showed more flexibility in time and place and more respects for the residents. Second, the activity areas of connection type were much more used than the compartment type, especially in the facilities having more residents incapable of walking. On the other hand, the facilities having high control for the residents showed high using rate in public activity areas, and all those did not have semi-public areas or showed low using rate in there. Third, in the analysis of the relationship between the physical characteristics and the using rate of activity areas, the public activity areas having compartment type in the spatial composition and hall as a form were likely to have multiple usages. On the whole, the various form of activity areas, the area per residents, openness, accessibility and centrality were having interactions each other for high using rate in activity areas. Especially, many stimulations and the furniture arrangements that were good for the residents' interactions had a function of compensation for the poor physical characteristics of activity areas. This study investigated only the using rates to understand the lively use of the space. For the future study, it is suggested that the detail using behavior of the residents should be examined to understand the influential elements.
With a view to developing male dress forms for educational purposes, human body measurement was made for male adults in their twenties residing in Busan, Korea. Based on the results, the following conclusion was obtained: 1. Comparison d the measurement in Busan and the data of the 5th Korean physical dimensions(Size Korea) In the comparison of the Busan male adults in their 20s with national physical dimensions(Size Korea) by way of the Mollison relational deviation line, all the 28 items revealed differences less than 0.7. As the Busan sample reflects the body type d the average Korean men in their 20s, Busan's measurement results can be safely used as the data for dress form development. 2. Results of front body type classification According to the factor analysis, seven factors of the front body type were produced to explain 77.25%. The factors were shoulder angles, waist height, hip shapes, chest shapes, proportion of body(chest, waist, hip)width to shoulder width and so on. Cluster analysis brought about three somatotype groups. First, the body type with the least differences in hip-waist width, shoulder-waist with, and hip angles (24,23% in appearance) was named Type H. Second, the body type with the most chest-waist width and hip angles (38.66% in appearance) was called Type Sam X Third, the body type with the greatest shoulder-chest width, shoulder-hip width, and shoulder angles (37.11% in appearance) was termed Type Y.
Background: Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. Methods: PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36 questionnaires. The meta-analysis used a linear mixed model weighted with the variance of the estimate. Results: The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months), and 24.8 mm (12 months) (P<0.05); active abduction: 153.2° (2 months), 159.0° (6 months), 168.1° (12 months) (P<0.05); Constant score: 67.8 points (2 months) to 77.2 points (12 months) (P<0.05); short-form 36 questionnaires "vitality" section: 57.0 points (6 months) to 70.0 points (12 months) (P<0.05). Conclusions: Our data confirmed the effectiveness of conservative treatment in patients with full-thickness rotator cuff tears 12 months post-intervention. The results suggest that conservative treatment for patients with full-thickness rotator cuff tears should be the first line of treatment before considering surgery.
The purpose of this study is to provide the fundamental information fer the rehabilitation of hand injury and to emphasize the point of early treatment of hand injury after operation. The subjects are composed with the physical therapists who care hand injury and are engaged in 76 university hospitals,59 general hospitals and 88 semi and local clinics respectively. Investigator take the research form chart with 41 questionnaire and use the cross tabulation frequencies and one-way ANOVA of SPSS WIN(ver 10.0) for the statistic analysis. The results of this research are as follows :1. The number of physical therapists who care hand injury are 110 men and 113 women. 2. The beginning period of active assistive exorcise on the various type of injuries are as follows: At the case of flexor tendon injury, the most part of physical therapists make response to the period that is above 4 weeks in the rate of 29.1%. At the case of fracture, the most part of physical therapists make response to the period those are from 3 weeks to less than 4 weeks and from 4 weeks to less than 5 weeks in the rate of 28.7% respectively. At the case of crushing injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 32.2%. At the case of amputation injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 40.4%. 3. In the physical therapy request, treatment period are mentioned in 22.0%. 4. The most difficult factors in the hand treatment is to contracture soft tissue and joint to physical therapist in the rate of 59.6%. 5. Among the reasons of the intervention between physical therapy request and actual treatment, the case of wrong physical therapy request is examined in 69.4%.
Purpose: The purpose of this study was to investigate the effect of stretching, muscle strengthening, and walking exercise on the cardiopulmonary function and health-related quality of life in hemodialysis patients. Methods: Twenty-one patients in the intervention and the control group participated in the exercise respectively on maintenance hemodialysis at four university hospitals. The exercise was composed of 20 to 60 min per session, 3 sessions a week for 12 weeks. The effect of exercise was assessed by cardiopulmonary function (peak oxygen uptake, peak ventilation, peak respiration rate, maximal heart rate, and exercise duration) using a cycle ergometer. Grip strength was measured by dynamometer, and flexibility was measured by sit and reach measuring instrument. Health-related quality of life was measured using Medical Outcomes Study Short Form-36. Results: Peak oxygen uptake, peak ventilation, peak respiration rate, exercise duration, grip strength, flexibility, and physical component scale were significantly improved in the intervention group after 12 week's exercise compared to the control group. Conclusion: These findings indicate the exercise can improve cardiopulmonary function, grip strength, flexibility, and physical component scale of health-related quality of life in hemodialysis patients.
Purpose: The purpose of this study was to determine the effects of a Health Maintenance Program on physical functions and mental health of the elderly in nursing homes. Method: Sixty elderly(over 65 years old) in a randomized control study participated in a 16-week group-based intervention including functional exercises and health education. The participants were divided into 3 groups(Health Maintenance Program Group, Supportive Music Exercise Group, and Control Group) of 20 elderly each. Data was collected from Dec. 1st, 2005 to Mar, 30th, 2006. Physical function of lower body strength was assessed using a 30-second chair test, flexibility was assessed using a sit-and-reach test, and static balance was assessed by the ability to balance on one leg with open and closed eyes. Depression was assessed using the Korean Form of the Geriatric Depression Scale and self esteem was assessed using Rosenberg's Self Esteem Questionnaire. Data was analyzed by Chi-square test, One-way ANOVA, and Repeated measure two factor analysis. Results: A Health Maintenance Program significantly increased muscle strength, flexibility and static balance, but depression and self-esteem scores were not significantly changed. Conclusion: Findings demonstrated that a Health Maintenance Program was more effective on physical function than mental health of the elderly in nursing homes.
Carbon/carbon composites were developed using PAN based carbon fibres and phenolic resin as matrix in different volume fractions and heat treated to temperatures between $1000^{\circ}C$ to $2500^{\circ}C$. Although both the starting precursors are nongraphitizing hard carbons individually, their composites lead to very interesting properties e.g. x-ray diffractograms show the development of graphitic phase for composites having fibre volume fractions of 30~40%. Consequently the electrical resistivity of such composites reaches a value of $0.8\;m{\Omega}cm$, very close to highly graphitic material. However, it was found that by increasing the fibre volume fraction to 50~60%, the trend is reversed. Optical microscopy of the composites also reveals the development of strong columnar type microstructure at the fibre (matrix interface due to stress graphitization of the matrix. The study forcasts a unique possibility of producing high thermal conductivity carbon/carbon composites starting with carbon fibres in the chopped form only.
Journal of the Korean Society of Physical Medicine
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v.13
no.3
/
pp.91-97
/
2018
PURPOSE: Stroke patients have reduced balance ability due to a lack of motion in the ankle joint. Elastic taping assists movement, and joint mobilization, a form of passive movement, enhances mobility. The purpose of this study was to determine the immediate effects on balance ability after anterior-to-posterior (A-P) talocrural joint mobilization combined with elastic taping in stroke patients. METHODS: Twenty stroke patients were divided into two groups: a joint mobilization with taping group (experimental group, n=10) and an elastic taping only group (control group, n=10). The experimental group underwent anteroposterior mobilization of the talus and elastic tape was applied to the calf and tibialis anterior muscles. The control group had elastic tape applied. Dynamic balanced abilities were assessed by using the BioRescue system. After 30 minutes of intervention, the forward, backward, left side, and right side sway areas ($mm^2$) were measured. RESULTS: Only the experimental group showed a significant increase in forward sway area after intervention. However, no significant differences were detected between the two groups. CONCLUSION: This study shows that A-P talocrural joint mobilization combined with elastic taping has a positive effect, producing an immediate increase in the forward balance ability of stroke patients. However, this study did not examine joint mobilization alone. In subsequent studies, it is necessary to examine the effect of joint mobilization only on balance in stroke patients.
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