• Title/Summary/Keyword: Upper level program

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Range of Motion, Stretching, and Aerobic Exercise in Accelerated Rehabilitation of Knee and Shoulder (슬관절과 견관절의 초기재활과정에서 관절운동범위와 스트레칭, 그리고 유산소성 운동 프로그램)

  • Kim Yong-Kweon;Jin Young-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.56-61
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    • 2003
  • This is a review article about range of motion, stretching, and aerobic exercise in accelerated rehabilitation of knee and shoulder. If the joint was immobilized for a long time after injury, it would cause stiffness and atrophy. Therefore, this program includes various exercise techniques; range of motion for joint stiffness, and stretching for muscle relaxation, and cardiovascular training (e.g., swimming, upper body extremity, stationary bicycle) for prevention of cardiopulmonary function decrease. In accelerated rehabilitation, It is very important factor to make interaction between clinical exercise specialist and patients. Also, we recommend that they should discuss with sports medicine doctor as a team members the following; pain, adaptation of exercise, fitness level, and progression of program.

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Inpatient or outpatient total elbow arthroplasty: a comparison of patient populations and 30-day surgical outcomes from the American College of Surgeons National Surgical Quality Improvement Program

  • David Momtaz;Farhan Ahmad;Aaron Singh;Emilie Song;Dean Slocum;Abdullah Ghali;Adham Abdelfattah
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.351-356
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    • 2023
  • Background: Total elbow arthroplasty (TEA) is uncommon, but growing in incidence. Traditionally an inpatient operation, a growing number are performed outpatient, consistent with general trends in orthopedic surgery. The aim of this study was to compare TEA outcomes between inpatient and outpatient surgical settings. Secondarily, we sought to identify patient characteristics that predict the operative setting. Methods: Patient data were collected from the American College of Surgeons National Quality Improvement Program. Preoperative variables, including patient demographics and comorbidities, were recorded, and baseline differences were assessed via multivariate regression to predict operative setting. Multivariate regression was also used to compare postoperative complications within 30 days. Results: A total of 468 patients, 303 inpatient and 165 outpatient procedures, were identified for inclusion. Hypoalbuminemia (odds ratio [OR], 2.5; P=0.029), history of chronic obstructive pulmonary disorder or pneumonia (OR, 2.4; P=0.029), and diabetes mellitus (OR, 2.5; P=0.001) were significantly associated with inpatient TEA, as were greater odds of any complication (OR, 4.1; P<0.001) or adverse discharge (OR, 4.5; P<0.001) and decreased odds of reoperation (OR, 0.4; P=0.037). Conclusions: Patients undergoing inpatient TEA are generally more comorbid, and inpatient surgery is associated with greater odds of complications and adverse discharge. However, we found higher rates of reoperation in outpatient TEA. Our findings suggest outpatient TEA is safe, although patients with a higher comorbidity burden may require inpatient surgery. Level of evidence: III.

A Mathematical Model for Strategic Decision Making in Two Level Supply Chain Network Design (2단계 공급사슬 네트워크에서 전략적 의사결정을 위한 수리적 모형)

  • Chung, Ki-Ho
    • Management & Information Systems Review
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    • v.32 no.3
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    • pp.107-125
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    • 2013
  • This study deals with a strategic decision making in two level supply chain network design. This study presents more realistic mathematical model than the previous studies by considering simultaneous location of plants and distribution centers, determination of capacity level for both plants and distribution centers, and upper limit condition for numbers of locating plants and distribution centers. This paper tries to help the strategic decision making for two level supply chain network design. For this purpose, three different sized numerical examples are generated and optimal solutions are obtained by applying Excel Solver program. And sensitivity analysis is performed for the biggest sized example problem, which has 10 potential plants, 20 potential distribution centers, and 200 customer zones. After the plants being located are fixed, optimal minimum costs are obtained and compared for each of 7 different numbers of distribution centers to be located. As the number of distribution centers increases, changes in inbound transportation cost and outbound transportation cost can be derived. In case of considering cost as well as customer satisfaction level for two level supply chain network design, the analysis of this changes may help more sophisticated decision making.

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Effects of Nordic Walking Exercise on muscular strength, Flexibility, Balance and Pain in Older Woman with Knee Osteoarthritis (노르딕 워킹이 퇴행성 무릎 관절염 노인여성의 근력과 유연성, 균형 및 통증에 미치는 영향)

  • Oh, Yoo-Sung;Kim, Ji-sun;Jang, Woo-Seong
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.4
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    • pp.1312-1326
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    • 2019
  • The purpose of this study is to examine whether the 12-week Nordic walking can improve the physical function and arthritis pain of elderly women with osteoarthritis This study were divided into randomly assigned Nordic Walking Exercise Group (n=9) and Control Group (n=7) for 16 Elderly women diagnosed with Osteoarthritis (age: 73±3.79 year, height: 154.3±4.09 cm). The exercise group used Nordic sticks to carry out 30 minutes of Nordic walking exercise three times a week for 12 weeks, and the kinetic intensity was set at 40-60% of HRR. The control group maintained daily life for the same period. Body composition (weight, percentage body fat, skeletal muscle mass), muscular strength, Flexibility (muscular strength of upper and lower limbs, flexibility of upper and lower limbs), balance ability (static balance, dynamic balance) and pain level were measured as subordinate variables. These indicators were measured twice before and after the exercise program. The study shows that percentage body fat and skeletal muscle mass in the body composition function over 12 weeks of Nordic walking exercise have significant effects after the exercise than before (p=004)(p=.003), and it also shows significant interaction effects between the groups and timings(p=.018)(p=.005). In muscular strength, Flexibility factors, there were significant effects between the groups and timings in the upper limb muscular strength and the lower limb flexibility (p=.009)(p=.036), and a significant difference between the exercise group and the control group(p=.006) in the lower limb muscular strength. In addition, in the upper limb flexibility, there was a more significant difference after the exercise than before(p=.020). There were improvement effects after the exercise than before in the balance ability and the static balance(p=.016), but no difference in the dynamic balance(p>.05). In pain, there was a significant improvement after the exercise than before(p=.022), and a significant difference between the exercise group and the control group(p=.013). In conclusion, the 12-week Nordic walking exercise has positive effects on the body composition functions of the elderly women with Osteoarthritis, and has a positive effect on the improvement of upper limb muscular strength and lower limb flexibility in the health fitness factors. These effects are believed to have contributed effectively to the improvement of the level of pain by contributing to the improvement of physical and motor functions of the elderly women with Osteoarthritis. Therefore, it is considered that Nordic walking exercise, which enhances stability and balance of the patients with Osteoarthritis by using poles, is an effective exercise method for the improvement of the body and motor functions by lowering the pain of the joints and reducing the muscular strength and percentage body fat.

The Influences of Appearance Satisfaction on School Adjustment and the Mediating Effects of Self-efficacy between Them among Adolescents (청소년의 외모만족도가 학교적응에 미치는 영향과 자기효능감의 매개 효과)

  • Song, Seon Mi
    • Journal of the Korean Society of School Health
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    • v.26 no.1
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    • pp.1-12
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    • 2013
  • Purpose: To examine the effects of appearance satisfaction on school adjustment among adolescents and, further, the mediating effects of self-efficacy between appearance satisfaction and school adjustment. Methods: Conducted a self-report survey of 640 students consisting of sixth, eighth, and tenth graders in the Jeju Special Self-Governing Province. The collected data were analyzed through the independent-sample t-test, the One-way ANOVA, the Pearson's correlation analysis, and the hierarchical multiple regression analysis using the SPSS WIN 18.0 statistical program. Results: First, boys and girls showed statistically significant differences. Boys reported higher levels of appearance satisfaction, school adjustment, and self-efficacy than girls. Second, there were no significant differences in appearance satisfaction and self-efficacy according to the school level. However, statistically significant differences were observed in school adjustment between sixth and eighth graders. Third, students who thought they belonged to the upper class in terms of academic performance and family economy showed the highest level of appearance satisfaction, school adjustment, and self-efficacy. Fourth, there were positive correlations between appearance satisfaction, self-efficacy, and school adjustment. Fifth, self-efficacy proved to have mediating effects between appearance satisfaction and school adjustment among adolescents. In particular, it had a full mediating effect on the relation between appearance satisfaction and adjustment to school life, one of the subfactors of school adjustment. Conclusion: The results suggest that appearance satisfaction is a factor which influences adolescents' school adjustment and that self-efficacy is an important means of mediating between appearance satisfaction and school adjustment. The study is significant in that it highlighted the importance of self-efficacy as one of the important variables to consider when planning various educational programs to help adolescents adjust to their school. In the light of the findings, in an effort to enhance adolescents' self-efficacy and help them lead a harmonious school life in Korea's so-called 'lookism' society, it is necessary to develop and implement counseling programs and character education materials that help adolescents develop a positive perception of their appearance and build self-esteem and self-confidence.

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Influence Factors on Academic Stress of Nursing Students: Focused on Dimensions of Empathy, Ego-resilience, Stress-coping Strategies (간호학생의 학업스트레스 영향요인: 공감의 하위영역, 자아탄력성, 스트레스 대처방식을 중심으로)

  • Jeong, Hye-Sun
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.256-266
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    • 2017
  • The purpose of this study is to investigate influencing factors of nursing students' academic stress focusing on dimensions of empathy, ego-resilience, and stress coping strategies. Academic stress, dimensions of empathy, ego-resilience, and stress coping strategies among subjects were collected using structured questionnaires from 305 nursing students between November 1, 2015 and November 30, 2015. The results of this study showed that the factors affecting nursing students' academic stress were grade, personality orientation, major satisfaction, ego-resilience and emotion focused coping style, and the total explanatory power was 54.1%. To improve nursing students' academic stress, it is necessary to pay attention to the nursing students who are in their upper grades, extroverted, and with low major satisfaction. In developing a program to reduce academic stress, it is thought that it is necessary to include measures to raise the level of ego-resilience and to improve the level of emotion focused coping style among stress-coping strategies, and to conduct subsequent research to identify pathways in which the dimensions of empathy, ego-resilience and stress-coping strategies affect academic stress.

Knowledge, Behavior, and related Factors of Skin Care of Women (여성의 피부미용관리 지식 및 행태와 관련요인)

  • 김복희;남철현
    • Korean Journal of Health Education and Promotion
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    • v.15 no.1
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    • pp.1-30
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    • 1998
  • A study on skin care was conducted in order to develop proper skin care program and disseminate the Information to the consumers. The study was performed from October 2, 1997 though April 30 1997 by using questionnaires. The subjects were 1,793 from lug cities of Seoul, Pusan and, and 800 from medium and small cities of Kyongsan, Kimchon, Mokpo and KimHae cities. All subjects were females over 20 years. 1. 64.3% of the subjects said that they chose the massage packs after considering their skin condition. 55.1% of the subjects said that they did not know the side effects of the massage packs. 2. 53.3% of the subjects reported that they knew the cause of acne. and 73.3% of the respondents reported that they knew the nature of their body classified by oriental medicine. 3. The average knowledge and attitude was 10.61 :t3.46%( who it is converted to percent, it is 53.1%). The upper limit was 18.9% and lower limit was 19.0%. 4. The factors which are under the influence on knowledge of skin care were the times of massage, education level, the height of subjects, disease of skin, age, the degree of fatty body, the hour of make-up(R2=0.137). 5. The factors which are under the influence on the times of massage were education level, the experience of skin side effect, the status of physic8I health and the birth place of the subjects(R2=0.139). 6. The main factors which had significant effect on the status of face skin health were the status of physical health, economic status, age, the side effect of skin cosmetic, and the hour of make-up(R2=0.140). 7. Finally, it is recommended that training package on side effect of cosmetics, massage, physical characteristics and proper way of make-ups, and the public should be educated on the above mentioned areas.

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Simulating Arsenic Concentration Changes in Small Agricultrual Reservoir Using EFDC-WASP Linkage Model (EFDC-WASP 연계모형을 이용한 소규모 농업용 저수지 비소 농도 모의)

  • Hwang, Soonho;Shin, Sat Byeol;Song, Jung-Hun;Yoon, Kwang Sik;Kang, Moon Seong
    • Journal of The Korean Society of Agricultural Engineers
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    • v.60 no.5
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    • pp.29-40
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    • 2018
  • Even if a small amount of arsenic (As) is entering to small agricultural reservoir from upper streams, small agricultural reservoir becomes sensitive to changes in arsenic concentration depending on the water level in case of accumulation continuously because of its scale. If we want to manage arsenic concentration in small agricultural reservoir, it is very important to understand arsenic changes in agricultural reservoir. In spite of the fact that modeling is the most accurate method for analyzing arsenic concentration changes in small agricultural reservoirs, but, it is difficult to monitor arsenic change everyday. So, if data is prepared for modeling arsenic changes, water quality modeling is more effective than monitoring. Therefore, in this study, arsenic concentration changes was simulated and arsenic concentration change mechanism in small reservoir was analyzed using hydrological and water quality monitoring data and by conducting EFDC (Environment Fluid Dynamics Code)-WASP (Water Quality Analysis Simulation Program) linkage. EFDC-WASP coupling technique was very useful for modeling arsenic changes because EFDC can consider hydrodynamic and WASP can perform arsenic concentration simulation, separately. As a results of this study, during dry season, As concentration was maintained relatively high arsenic concentrations. Therefore, water level control will be needed for managing As concentration of reservoir.

Numerical Study of Structural Behavior of Underground Silo Structures for Low-and-Intermediate-level Radioactive Waste Disposal Facility (중저준위 방폐물 처분 사일로 구조물의 구조거동 수치해석 연구)

  • Kim, Sun-Hoon;Kim, Kwang-Jin
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.35 no.3
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    • pp.183-190
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    • 2022
  • The construction of an underground silo structure was the first stage of erecting the Gyeongju low-and-intermediate-level radioactive waste disposal facility. The facility, completed in 2014, has a scale of 100 000 drums and is currently in operation. The underground silo structure, 25 and 50 m in diameter and height, respectively, consists of cylindrical (for storing waste packages) and dome parts. The dome is divided into lower (connected to the operation tunnel) and upper parts. The wall of the underground silo structure is an approximately 1-m-thick reinforced concrete liner. In this study, finite element analysis was performed for each phase of the construction sequence and operation of the underground silo structure. Two-dimensional axial symmetric finite element analysis was implemented using the SMAP-3D program. Three-dimensional finite element analysis was also performed to examine the reliability of the two-dimensional axial symmetric finite element model. The structural behavior of the underground silo structure was predicted, and its structural safety was examined.

Evidence and suggestions for establishing vitamin D intake standards in Koreans for the prevention of chronic diseases

  • Kim, Jung Hyun;Park, Hyoung Su;Pae, Munkyong;Park, Kyung Hee;Kwon, Oran
    • Nutrition Research and Practice
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    • v.16 no.sup1
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    • pp.57-69
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    • 2022
  • BACKGROUND/OBJECTIVES: Vitamin D is produced in the skin during sun exposure and is also ingested from foods. The role of vitamin D needs to be considered in the prevention and management of various diseases. Moreover, since the majority of Koreans spend their days indoors, becoming susceptible to the risk of vitamin D deficiency. The current study aims to prepare a basis for determining dietary reference intake of vitamin D in Korea, by reviewing the evidence against various diseases and risks. MATERIALS/METHODS: Literature published in Korea and other countries between 2014 and 2018 was prioritized based on their study design and other criteria, and evaluated using the RoB 2.0 assessment form and United States Department of Agriculture Nutrition Evidence Library Conclusion Statement Evaluation Criteria. RESULTS: Of the 1,709 studies, 128 studies were included in the final systematic analysis after screening. To set the dietary reference intakes of vitamin D based on the selected articles, blood 25(OH)D levels and indicators of bone health were used collectively. Blood vitamin D levels and ultraviolet (UV) exposure time derived from the Korean National Health and Nutrition Examination Survey were analyzed to establish the dietary reference intakes of vitamin D for each stage of the life cycle. The adequate intake levels of vitamin D, according to age and gender, were determined to be in the range of 5-15 ㎍/day, and the tolerable upper intake level was established at 25-100 ㎍/day. CONCLUSIONS: The most important variable for vitamin D nutrition is lifestyle. A balanced diet comprising foods with high contents of vitamin D is important, as is vitamin D synthesis after UV exposure. The adequate intake level of vitamin D mentioned in the 2015 Dietary Reference Intakes for Korean (KDRI) remained unchanged in the 2020 KDRI for the management of vitamin D nutrition in Koreans.