• 제목/요약/키워드: S2CVA

검색결과 60건 처리시간 0.023초

뇌졸중환자의 일상생활 수행수준과 가족원의 스트레스 (A Study on the Stress of Family-Caregivers and Level of Daily Living Performance with Patients of Cerebra Vascular Accident(CVA))

  • 조영희
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.372-386
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    • 1999
  • The purpose of this study was to explore the degree of stress in caregivers caring for CVA patients and the level of daily living performance of CVA patients. The subjects for the study were caregivers of 112 CVA patients who enter a hospital or out-patient-department (OPD) at two Oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL check list for daily living performance of patients and Choi's 4 sore scale for stress of caregivers. The survey was conducted from July 4th to August 30th in 1999. The survey results were analyzed with the Statistical Package for Social Science(SPSS) program and can be summarized as follows: 1. The level of daily living performance for the CVA patients was: 1) complete dependence (M=14.9, 13.1%), 2) complete independence (M=23.6, 20.9%), 3) incomplete independence (M=23.9, 21.0%), 4) incomplete dependence (M=26.6, 25%), 5) dependence and independence (M=23.0, 20.0%). The items for with there was a high level daily living performance were: 1) drinking (M=3.62), 2) eating(M=3.25). 3) position returning (M=3.18) : and the items for which there was a low level of daily living performance were: 1) ascending and descending stairs (M=2.08), 2) walking (M=2.47), 3) dressing and undressing trousers (M=2.55). 2. Degree of caregiver stress was: Mean=2.39 at 40 score. The items for which was a high level caregiver stress were: 1) medical fee (M=3.25), 2) being handicapped or recurrence (M=3.02) : and the items for which there was a low level of caregiver stress were: 1) discontinuity of patient's treatment (M = 1.98). 2) change of home atmosphere caused by patient's disease (M = 1.98), 3) desire of patient's knowing about disease (M= 1.99). 3. There was statistically significant difference in the degree of caregiver stress according to the following caregiver's demographic characteristics: education level (F=3.52, P=0.03). change of caregiver (F=5.41. P=0.02). 4. There was a statistically signifiant difference in the level of daily living performance according to the CVA patients demographic characteristics: patient's paralytic status (F=4.48, P=0.01), duration of disease (t=2.76, P=0.03). 5. There was significant difference in degree of caregiver stress according to the CVA patient's demographic characteristics: CVA status (F=4.75, P=0.01). 6. There was statistically significant difference in the degree of caregiver stress according to the level of daily living performance in CVA patients(r=-0.482, P<0.00).

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양.한방 뇌졸중 환자 주간호자의 삶의 질, 발병 전 환자와의 관계 및 가족지지 비교 (Comparison in Quality of Life, Relationship with Patients and Family Support, between Caregiver of Patients with Cerebro-Vascular Accident(CVA) in Western and Oriental Medicine)

  • 김미숙;한상숙
    • 동서간호학연구지
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    • 제12권1호
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    • pp.33-42
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    • 2006
  • Purpose: This study was a descriptive study to compare of quality of life, relationship with CVA patients, and family support between caregiver of patient with CVA in western and oriental medicine. Method: Total 270 caregivers for CVA patients were selected from western medicine department (114) and oriental medicine department (156) at K hospital in Seoul. The instrument tools utilized in this study were quality of life, Family support, Caregiver's relationship with patients, daily activity. Collected data were analyzed by $X^2$-test, t-test using SPSS Windows 12.0 Program. Result: The result are as follows: 1) There was no significant difference in quality of life between caregivers of patients with CVA in western and oriental medicine(t=.26, p=.792). 2) There was significant difference in relationship with patients(t=2.64, p=.009) and family support(t=2.12, p=.035) before onset of disease between caregivers of patients with CVA in western and oriental medicine. Conclusion: As a result, caregivers of oriental medicine with CVA patients showed closer relationship with patients before the onset of disease and higher family support compare to caregivers of western medicine with CVA patients.

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다시기 원격탐사자료 기반 무감독 변화탐지의 계절적 영향 제거 (Seasonal Effects Removal of Unsupervised Change Detection based Multitemporal Imagery)

  • 박홍련;최재완;오재홍
    • 한국측량학회지
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    • 제36권2호
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    • pp.51-58
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    • 2018
  • 최근, 다양한 위성센서가 개발되면서 다시기 위성영상의 취득이 용이해지고 있다. 이에 따라, 재난/재해, 국토모니터링 등과 같은 활용분야에 다시기 위성영상을 적용하기 위한 변화탐지 기법에 대한 연구들이 수행되고 있다. 특히, 빠른 시간 내에 변화지역의 추출이 가능한 무감독 변화탐지 기법의 개발과 관련된 연구들이 수행되고 있지만, 계절적 변화 등과 같은 방사적 차이로 인해 오탐지가 발생하는 단점이 있다. 따라서, 본 연구에서는 무감독 변화탐지 기법 중의 하나인 $S^2CVA$ 기법을 적용하여 생성한 변화방향 벡터를 이용하여 계절적 영향으로 인한 오탐지를 감소시키고자 하였다. 이를 위하여, 동일한 계절을 가지는 RapidEye 위성영상과 다른 계절에 촬영된 RapidEye 위성 영상에 $S^2CVA$ 기법을 적용하였으며, $S^2CVA$의 변화방향벡터가 계절적 영향에 따른 오탐지를 제거할 수 있는지를 분석하였다. 정량적 평가를 위해 변화탐지 결과의 ROC 곡선과 AUC 분석을 통해 기존의 방법에 비해 변화탐지 성능이 향상된 것을 확인하였다.

토지피복지도 갱신을 위한 S2CVA 기반 무감독 변화탐지 (Unsupervised Change Detection Based on Sequential Spectral Change Vector Analysis for Updating Land Cover Map)

  • 박녕희;김동학;안재윤;최재완;박완용;박현춘
    • 대한원격탐사학회지
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    • 제33권6_2호
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    • pp.1075-1087
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    • 2017
  • 본 연구에서는 위성영상에 대한 변화탐지 기법의 결과를 토지피복지도 갱신의 기초자료로 활용하고자 하였다. $S^2CVA$(Sequential Spectral Change Vector Analysis) 기법을 다시기 다중분광 위성영상에 적용하여 해당 지역 내의 변화지역을 추출하였다. 특히, 분광변화벡터의 방향정보를 이용하여 계절적 변화에 의한 변화지역의 오탐지를 최소화하고자 하였다. 변화탐지 결과인 이진영상은 구역통계를 활용하여 토지 피복도와 함께 통합하였으며, 토지피복지도 갱신을 위하여 객체 기반의 분석을 수행하였다. PlanetScope 자료와 환경부의 토지피복지도를 이용한 실험결과, 토지피복지도 내에 변화된 지역을 효과적으로 탐지할 수 있음을 확인하였다.

병원중심 가정간호 뇌혈관질환자의 중증도별 서비스 특성 및 비용 분석 (Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care)

  • 장인순;황나미
    • 대한간호학회지
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    • 제31권4호
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    • pp.619-630
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    • 2001
  • Purpose: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. Method: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). Conclusion: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.

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Effect of Joint Movement on CVA in Forward Head Posture

  • Hong, Seong bum
    • 국제물리치료학회지
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    • 제9권2호
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    • pp.1508-1512
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    • 2018
  • This study was conducted to examine the effect of joint mobilization on forward head posture and to propose an effective method to improve correct body posture and balance. A total of eight patients from a Maitland-applied group (n=8) received mobilization therapy to increase the mobility of the cervical joint, with Maitland's movement grade III intensity for 30 seconds of treatment and 30 seconds of rest, for ten intervals, three times a week for four weeks. The craniovertebral angle (CVA) changes before and after the intervention with the Maitland technique were measured as $56.85{\pm}2.31^{\circ}$ before, $63.23{\pm}2.23^{\circ}$ two weeks after, and $64.98{\pm}1.27^{\circ}$ four weeks after joint intervention. There were significant CVA changes before and after the Maitland technique (P <.05). The results of this study suggest that the Maitland technique is useful for improving the head vertebral angle in patients with forward head posture.

전환사채 주식전환을 위한 조건부 VaR 최적화 (Conditional Value-at-Risk Optimization for Conversion of Convertible Bonds)

  • 박구현;심은택
    • 경영과학
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    • 제28권2호
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    • pp.1-16
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    • 2011
  • In this study we suggested two optimization models to answer a question from an investor standpoint : how many convertible bonds should one convert, and how many keep? One model minimizes certain risk to the minimum required expected return, the other maximizes the expected return subject to the maximum acceptable risk. In comparison with Markowitz portfolio models, which use the variance of return, our models used Conditional Value-at-Risk(CVaR) for risk measurement. As a coherent measurement, CVaR overcomes the shortcomings of Value-at-Risk(VaR). But there are still difficulties in solving CVaR including optimization models. For this reason, we adopted Rockafellar and Uryasev's[18, 19] approach. Then we could approximate the models as linear programming problems with scenarios. We also suggested to extend the models with credit risk, and applied examples of our models to Hynix 207CB, a convertible bond issued by the global semiconductor company Hynix.

뇌졸중환자의 자가간호 수준과 가족구성원의 간호요구 (A Study on the Care Needs of Family-Caregivers and the Level of Self Care for Patients of Cerebral Vascular Accident(CVA))

  • 조영희
    • 기본간호학회지
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    • 제7권2호
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    • pp.239-255
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    • 2000
  • The purpose of this study was to explore the care needs of family-caregivers caring for patients with a CVA and the level of self care of the patients. The subjects for the study were 112 patients with a CVA and their caregivers. These patients were seen in a hospital or out-patient-department(OPD) at two oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL checklist for self care of patients and Kim's Likert-style checklist for care needs of family-caregivers to patient with CVA. The survey was conducted from July 4 to August 30, 1999. Internal validity by calculation of Cronbach's alpha was 0.95, which was regarded as high. The survey results were analyzed using the SPSS program, with percentages, means, t-test, ANOVA and Pearson's correlation coefficients. The results of this study are as follows : 1. The level of self care for patients with a CVA was : 1) complete dependence(M=14.9, 13.1%), 2) complete independence(M=23.6, 20.9%), 3) incomplete independence(M=23.9, 21.0%), 4) incomplete dependence(M=26.6, 25.0%), 5) dependence and independence(M=23.0, 20.0%). The items for which there was a high level of self care were : 1) drinking(M=3.62), 2) eating (M=3.25), 3) position returning(M=3.18) : and the items for which there was a low level of self care were : 1) ascending and descending stairs(M=2.08), 2) walking(M=2.47). 3) putting on and taking off trousers(M=2.55). 2. The mean score of the sum of the care needs of the family-caregivers was : 1) need for immediate care and help: 2) need of the way to communicate with patient: 3) need for education and assistance related to physical functional level: 4) need to be informed about the disease, treatment and care: 5) need for social support and consultation: 6) need for appreciation: 7) need for management of nursing problems related to immobility. The highest meed factor was the need for immediate care and help(M=3.47): and lowest need factor was the need for management of nursing problems related to immobility(M=2.80). 3. There were significant differences between the level of care need and general characteristic of the caregivers, there were family-caregivers age(P=0.001), marital status (P=0.276), occupation (P=0.006), monthly income(P=0.000), Patient's relationship to caregivers(P=0.004) and health(P=0.000). 4. There were significant differences between the level of self care and general characteristic of the patients, there were patient paralytic condition(P=0.01), blood pressure(P=0.01), and length of suffering(P=0.03). 5 There were significant differences between the level of care need and the general characteristic factors, which were CVA patient's blood pressure (P=0.05), problem of medical fee (P=0.05). 6. There was significantly correlation with the family-caregivers care need and the level of self care in the CVA patient(r=0.300, P=0.000). As a result, need to promote the level of self care in patients and to meet the care need of family-caregivers for more efficient nursing of CVA patients, is emphasized. Therefore more study is needed on an efficient way to provide rehabilitation and quality nursing interventions for family-caregivers and patients with CVA.

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슬링을 이용한 경부 안정화 운동이 만성 목통증환자의 넙다리뒤근 유연성에 미치는 영향 (Effects of Cervical Stabilization Exercise Using Sling on Hamstring Flexibility in Patients with Chronic Neck Pain)

  • 김승민;이재혁;김태영;정은동;윤범철
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.33-44
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    • 2018
  • Purpose: The primary purpose of this study was to investigate the effects of cervical stabilization exercise (CSE) on hamstring flexibility in patients with neck pain. A secondary purpose of this study was to investigate the effects of cervical range of motion (CROM) and craniovertebral angle (CVA). Methods: This study was a single-blind, randomized, comparative trial. Twenty patients were allocated into either the cranio-cervical flexion exercise (CCFE) group or the CSE group. Before and after the intervention, we measured straight leg raise (SLR), popliteal angle (PA), CROM, and CVA in the sitting and standing positions. Fisher's exact test, the Mann-Whitney test, and Wilcoxon's signed-rank test were used to analyze our data. Results: Both groups showed significant improvements in the value of SLR, PA, cervical extension, cervical rotation, and CVA in the standing position (both, p<.05) after intervention. However, only the CSE group showed significant improvements in cervical right lateral flexion (z=-2.209; p<.01) and cervical left lateral flexion (z=-2.537; p<.05) after intervention. The CSF group showed more significant improvements in SLR, PA, both cervical lateral flexions, and both cervical rotations than the CCFE group. Conclusions: The results of this study will guide future research in identifying the effectiveness of CSE. In conclusion, it can be inferred that CSE has a positive effect on SLR, PA, CROM, and CVA in the standing position in patients with chronic neck pain.

베하스(BeHaS) 운동프로그램이 시설에 거주하는 뇌졸중 노인의 악력과 우울 및 생활 만족도에 미치는 효과 (Effects of the BeHaS Exercise Program on Hand strength, Depression and Life Satisfaction in Institutionalized Elders with CVA)

  • 서은희;박선일;김종임
    • 기본간호학회지
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    • 제19권4호
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    • pp.416-424
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    • 2012
  • Purpose: This study was done to identify the effects of the BeHaS exercise program consisting of exercise, education, and cognitive supports on the hand strength, depression and life satisfaction in institutionalized elderly people with CVA. Method: A quasi-experimental design with an experimental group (n=18) and a control group (n=18) was used. The elders in the experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics, Chi-square and t-test with SPSS/Win 18.0. Results: Hypothesis 1 was supported as the hand strength of the elders in experimental group significantly increased compared to those in the control group. Hypothesis 2 was also supported as depression scores for elders in the experimental group significantly decreased compared to those in the control group. Hypothesis 3 was supported as life satisfaction scores for elders in the experimental group significantly increased compared to those in the control group. Conclusion: The results of this study indicate that the BeHaS exercise program can play a useful role in improving depression and life satisfaction in institutionalized elderly people with CVA.