• Title/Summary/Keyword: Rehabilitation Center

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장애인 건강검진 접근성 저해요인과 개선방안 도출에 대한 질적 연구 (Accessibility Factors to Health Check-Ups for People with Disability: A Qualitative Study)

  • 홍혜수;임명준;김외숙;최은숙;김정환
    • 보건행정학회지
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    • 제30권3호
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    • pp.335-344
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    • 2020
  • Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was 'failure to obtain check-ups.' Causal conditions were observed as a 'lack of communication method,' 'physical difficulties,' and 'staff unfamiliar with people with disability,' Interventional conditions comprised 'physical accessibility,' 'staffs' competency,' and 'assistant manpower.' The active strategy was included 'to investigate the professional medical institution,' 'to find the medical institution of convenient traffic accessibility,' 'to overcome communication difficulties through equipment,' and 'to overcome linguistic barriers through sufficient communication.' Whereas, 'utilization of ancillary equipment,' 'the education of staffs on people with disability,' 'universal design manual,' and 'customized check-ups' were included in the passive strategy. Such processes arose in the contextual conditions of 'lack of expectations for daily lives' and 'lack of government support.' As a consequence, the subjects participated experienced the 'disadvantages,' 'discrimination,' and 'reduced reliability of the health check-ups.' Conclusion: The subjects who participated in this study emphasized 'staffs familiar with people with disability' and 'systems customized for people with disability' are mandatory to secure complete health check-ups for people with disability.

보건소 중심의 물리치료 활성화 모델 (A Model of Activation in Physical Therapy of Public Health Center)

  • 배성수;김중선;이한숙
    • The Journal of Korean Physical Therapy
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    • 제11권3호
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    • pp.123-131
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    • 1999
  • The purpose of is study deals with the physical therapy and the delivery system of public health center, as a center, in community based rehabilitation and delivery system. We hope that the system of physical therapy of public health center in community based rehabilitation spreads all over the country and contributes to the promotion of national health and social welfare. There are many public health center in the country because it can serve inhabitants with the medical benefits in the Erst line. public health center continuously provides poor inhabitants who cant pay medical expenses care of health. It has the public health center branches that take care of inhabitants who live a remote village and hiterland. Additionally, many people want to receive physical therapy. Therefore, the physical therapy of public health center becomes the central paint in community based rehabilitation so that we supply the inhabitants with superior rehabilitation service. We can approach them as a team that be constituted with physical therapist speech therapist, psychologist, nurse, social work. Also the role of physical therapist is divided into two parts, which are home visiting part that individually takes can of patients nod public health part that takes care of patient, family, home, community. We connect with both self-governing body and the government so that we may receive government subsidies. Also, we must prepare regular school education for community based rehabilitation

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관상동맥질환자의 심장재활 치료 경험: 질적 연구 (Experience of Cardiac Rehabilitation in Patients with Coronary Artery Disease: a Qualitative Study)

  • 이석희;김고은;표지희;옥민수
    • 한국의료질향상학회지
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    • 제28권2호
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    • pp.14-29
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    • 2022
  • Purpose:In order to improve the quality of cardiac rehabilitation, it is important to examine the experiences of the patients and how they feel about each part of the process. We used a qualitative research methodology to conduct an in-depth review of the experiences of patients who participated in cardiac rehabilitation. Methods: According to semi-structured guidelines, in-depth interviews were conducted with a total of five patients undergoing cardiac rehabilitation. Results: A total of 232 codes was derived; these codes were split into 4 categories and 10 subcategories. Although the patients were apprehensive about the diagnosis of heart disease, it also gave them a chance to reflect on their health behaviors of the past. In addition, they began to appreciate their families and support networks more as the disease progressed. The participants did not know about cardiac rehabilitation until the medical staff recommended it, but they participated in the program with the expectation that they could become healthier. The participants felt that they became more physically and mentally healthy while undergoing cardiac rehabilitation. Rehabilitation served as an opportunity to improve other health behaviors as well. However, they emphasized that it is necessary to continuously maintain improved health behavior, find an exercise method that is suitable for one's physical ability and not monotonous, and prepare a plan to reduce the time and economic burden of cardiac rehabilitation. Conclusion: The participants' positive experiences confirmed in this study will be used as evidence for the expansion of cardiac rehabilitation programs.

고령자 보행보조로봇 제어기법 연구 (Research of Elderly Gait-assistant-robot Control System)

  • 최혁재;강성재;권칠용;류제청;이석민;문무성
    • 제어로봇시스템학회논문지
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    • 제16권9호
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    • pp.823-826
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    • 2010
  • In this study, the control method of assistive robot was developed for the elderly. The control method of gait-assistant-robot was proposed considering the change of COP (Center of Pelves), BOS (Base of Support) and comparative analysis of the moving velocity for the elderly. We analyzed the movement of COP of the body and its velocity of the elderly equipped with manual walker and gait-assistant-robot. As a result, change in COP was greater from left to right than from anterior to posterior; also, the average velocity of the movement of COP and manual walker for manual walker gait was 0.7(m/s). Therefore, it is necessary to concern more on the left-right balance and synchronization of the velocity of COP.

기존댐 재개발시의 지반공학적 고려 (Geotechnical considerations for the existing dam rehabilitation)

  • 전제성;신동훈;김기영;조성은
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2005년도 춘계 학술발표회 논문집
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    • pp.589-596
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    • 2005
  • The public has negative understanding about dam construction nowadays although dam plays an important role in water supply to satisfy essential demand for living. Dam rehabilitation, in this actuality, has been recognized as an alternative to expedite continuous water policies related to irrigation and flood control. This study focused on dam rehabilitation and included its necessity and discussions on case histories associated with increasing reservoir capacity, spillway modification, overtopping protection, seepage control and improving stability of old dam. This paper, in geotechnical aspects, presents discussions of various rehabilitation methods and factors to be considered in designing dam rehabilitation.

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일측성 무시 증후군 치료에 대한 고찰 (Treatments of Unilateral Neglect Syndrome: Review)

  • 신두철;채순엽;김주상;이윤섭
    • The Journal of Korean Physical Therapy
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    • 제16권2호
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    • pp.156-168
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    • 2004
  • Unilateral neglect is a common behavioral syndrome in patients following stroke. Unilateral neglect is characterized by the failure to report or responds to people or object presented to the side opposite a brain lesion. The patients with unilateral neglect are severely disabled in all daily activities, have a poor rehabilitation outcome and therefore require professional assessment and treatment This article reviews recent efficacy of rehabilitation techniques includings; drug, cueing, scanning training, prism lense, eye patching, trunk rotation, neck vibration, TENS, limb activation, video feedback. The purpose of this reviews are: to clarify the different types of neglect, as a basis for understanding the tests and measures of unilateral neglect and give information about recent treatments.

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Design of BLDC Motor Controller for Electric Power Wheelchair

  • Chu, Jun-Uk;Moon, In-Hyuk;Choi, Gi-Won;Ryu, Jei-Cheong;Mun, Mu-Seong
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.1509-1512
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    • 2003
  • The electric power wheelchair needs to control motor torque and speed for responding to variable actions given by handling a joystick. In this paper a DSP-based BLDC motor controller using a single dc-link current sensor is presented for electric power wheelchair. It is composed by a DSP processor and three-phase inverter module. To control torque, high speed current control is achieved by the PI controller and pulse width modulation (PWM) signals with 25 kHz carrier frequency, which is performed by 200 ${\mu}sec$ cycle. The speed controller computes the new direct current reference from the speed error and the PI control equation. The displacement value by handling the joystick is converted to reference speeds of right and left wheel motors using nonholonomic wheelchair kinematics. Experimental results show that the presented control system is enough to implement a speed servo in wheelchair driving.

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흡착식 소켓을 착용한 일측 대퇴절단환자의 소켓내부압력분포 (Socket Pressure Distribution of the Uni-Lateral Trans-Femoral Amputee with a Suction Socket)

  • 장윤희;김영호;양길태;임송학;문무성
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 춘계학술대회
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    • pp.249-252
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    • 1997
  • A study on static and dynamic socket pressure distributions on a trans-femoral amputee with a suction socket was performed in order to assess an optimal socket fitting and function. Even for the amputee's static neutral position, pressure concentrations were observed in the lateral, medial, and posterior planes of the socket. During free walking, a significant movement of pressure concentration areas was observed. Large socket pressure was observed in the lateral, medial-anterior and posterior walls during mid-stance or push-off period. Socket pressure measurement will be one of the good tool to determine the optimal socket-limb interface.

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