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Responsiveness of Gait Speed to Physical Exercise Interventions in At-risk Older Adults: A Systematic Review and Meta-Analysis

  • Lim, Jaehyun;Lim, Jae Young
    • Annals of Geriatric Medicine and Research
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    • v.21 no.1
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    • pp.17-23
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    • 2017
  • Background: In at-risk older adults, gait speed is an important factor associated with quality of life and falling risk. In this study, we assessed whether therapeutic exercise could improve gait speed. Methods: We conducted a meta-analysis to evaluate the 'best' therapeutic exercise method by analyzing each exercise in terms of intensity, type, and several gait speed indices. For the analysis, we gathered 122 papers through a database search and selected 9 (n=627) that were appropriate for the meta-analysis. Results: In 8 of the 9 included papers, gait speed improved with therapeutic exercise. Usual gait speed (n=246) improved more than maximal gait speed (n=574). A resistance program was more effective than a nonresistance program for improving maximal, but not usual, gait speed. We also found that the effects of therapeutic exercise were greater in noncommunity than in community-dwelling elderly people. Conclusion: In conclusion, therapeutic exercise was effective in improving gait speed.

Impact of Aerobic Exercise and Acupuncture Treatment on Obese Patients; A Retrospective Case-Controlled Study

  • Sezgin, Yilmaz;Kaplan, Askin Keskin
    • Journal of Pharmacopuncture
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    • v.24 no.2
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    • pp.54-58
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    • 2021
  • Objectives: The purpose of this study is to investigate the effects of aerobic exercise and acupuncture treatment in obese patients. Methods: The effects of exercise in obese patients receiving acupuncture therapy were investigated in this retrospective, case-controlled study in which subjects complying with exercise were enrolled in the case and non-compliers were enrolled in the control group. Results: There was a statically significant weight loss in both the study case group (94.39 ± 20.36; 88.91 ± 19.00; n = 22; p = 0.001) and the control group (103.18 ± 21.92; 99.56 ± 21.92; n = 34; p = 0.001) after 3 months. Weight loss occurred in all 22 patients in the case group. In the control group, while weight loss occurred in 27 of the 34 patients, weight gain occurred in three patients. Conclusion: In conclusion, the addition of modalities such as acupuncture, exercise and diet may provide effective improvement in weight control.

Cooperation for Development of Commercial Dispute Settlement between Korea and China Arbitral Institutions (상사분쟁 해결촉진을 위한 한-중 중재기관간 협력의 과제)

  • Kim Sang-Ho
    • Journal of Arbitration Studies
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    • v.15 no.2
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    • pp.61-91
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    • 2005
  • It is well recognized that the availability of prompt, effective and economical means of dispute resolution is an important element in the orderly growth and encouragement of international trade and investment. Increasingly, ADR(Alternative Dispute Resolution) including arbitration and mediation, instead of litigation in national courts, has become the preferred means of resolving private international commercial disputes. Under the situation, efforts for settlement of trade and investment disputes by ADR have been made between Korea and China through trade and investment agreements and arbitration agreement. Judging from the importance of economic exchange between Korea and Qingdao including Shandong Province, The Korean Commercial Arbitration Board(KCAB) and The Qingdao Arbitration Commission(QAC) should strengthen mutual cooperation to develop efficient methods of resolving commercial disputes arising between the two countries and to assist parties in solving those disputes through conclusion of arbitral agreement. Recently, efforts for conclusion of a Korea-China-Japan Free Trade Agreement(FTA) received strong support at Korea-Japan and Korea-China Summit Meeting held on June and July, 2003 respectively. If the conclusion of FTA among the three countries would be realized, it would promote regional trade and investment, contributing to economic growth in the Northeast Asian region. Under the circumstances, the key arbitral institutions including KCAB and QAC should consider to take the initiative in setting up tentatively called ${\ulcorner}$Joint Arbitration Center for Northeast Asia${\lrcorner}$ for which the CAMCA of NAFTA will be the good example.

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The Relationships between the Levels of Evaluation of the Training & Development for Job skills (직무교육훈련 평가수준들간의 관계)

  • Kim, Jin-Mo
    • Journal of Agricultural Extension & Community Development
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    • v.4 no.1
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    • pp.305-315
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    • 1997
  • The propose of this study was to analyze the relationships among the levels of training & development evaluation (reaction, learning, transfer). The study has been conducted on 730 trainees who attended in the basic accounting program in L training and development institution through three incidents of tracked research such as reaction survey right after the conclusion of training, learning evaluation through test, and an evaluation of the transferability after 3 months of training. Questionnaires and test papers for analyses were used after their reliability, validity, difficulty, and discrimination have been verified on a pre-test. The research has been conducted for six months from 4 March 1996 to the end of August 1996, and data have been collected through direct research and survey through mail. The collected data have been worked on at SAS program for Windows with a statistical significance level of 5%. Statistical method that had been used was Pearson's correlation coefficient. The result and conclusion acquired from this study were as follows: Between reaction and learning, learning and transfer of training, only a weak positive correlation exists and explanation or prediction variance showing hierarchical relationship was quite weak with 1%. Thus, this research not only does not strongly support Kirkpatrick(1976)'s hierarchical model of $reaction{\rightarrow}learning{\rightarrow}transfer$, but also indicates that the separate measurement on each levels of training evaluation needs to be done. On the other hand, there was a relatively strong positive correlation between reaction and transfer of training. Based on the result, the conclusion, and the restriction perceived through this study, the following suggestions were made. 1. There is a need to empirically analyze and verify the hierarchy of all levels of training evaluation including the evaluation of the fourth level (result) such as organizational productivity, organizational satisfaction, and separation rate. 2. A great deal of efforts will be needed to systematically analyze what the relationships are among the methods measuring the level of evaluation of the training and development, and to apply this result to the training field.

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A New Design of Fuzzy Neural Networks Using Data Information (데이터 정보를 이용한 퍼지 뉴럴 네트워크의 새로운 설계)

  • Park, Keon-Jun;Oh, Sung-Kwun;Kim, Hyun-Ki
    • Proceedings of the KIEE Conference
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    • 2006.04a
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    • pp.273-275
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    • 2006
  • In this paper, we introduce a new design of fuzzy neural networks using input-output data information of target system. The proposed fuzzy neural networks is constructed by input-output data information and used the center of data distance by HCM clustering to obtain the characteristics of data. A membership function is defined by HCM clustering and is applied input-output dat included each rule to conclusion polynomial functions. We use triangular membership functions and simplified fuzzy inference, linear fuzzy inference, and modified quadratic fuzzy inference in conclusion. In the networks learning, back propagation algorithm of network is used to update the parameters of the network. The proposed model is evaluated with benchmark data.

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Study on the Factors Affecting the Sleep Disorder of Hemodialysis Patients (혈액투석환자의 수면장애에 영향을 미치는 요인)

  • Cho, Young-Im;Choi, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.94-101
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    • 2005
  • Purpose: The purpose of this study is to investigate the degree of sleep disorder and its related factors in hemodialysis patients. Method: The subjects of this study consisted of 210 hemodialysis patients. Data were analyzed by descriptive statistics, t-test, ANOVA, pearson's correlation coefficient, or stepwise multiple regression analysis by using SPSS/PC+ program. Result: Sleep disorder degree averaged 2.24. Stress of hemodialysis patients averaged 2.52. Depression degree of hemodialysis patients averaged 1.14. There was significant difference in sleep disorder according to age, marriage status, education, family income and help-givers. Sleep disorder was significantly associated with stress and depression. Stress, depression and marriage status explained 31.3% of the variance in the sleep disorder. Conclusion: In conclusion, the sleep disorder of hemodialysis patients is the nursing problem. The sleep disorder degree relates with stress, depression. Especially, it is strongly affected by stress among them.

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Health Information Needs of Grandmothers Caring for Their Grandchildren (손자녀를 돌보는 조모의 건강정보요구)

  • Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.9 no.1
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    • pp.43-54
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    • 2006
  • Purpose: This study was done to describe the health information needs of grandmothers caring for their grandchildren. Methods: Participants in this study was 8 grandmothers caring for their grandchildren entering school. The data were collected through in-depth interviews using a semi-structured questionnaire. The interviews done from March 7 to 9 in 2005. The contents of the interview were analyzed using the inductive content analysis method. Results: 3 main categories emerged from 5 theme clusters and 17 themes. The categories were 'health of grandmother', 'health of grandchildren', and 'health of adult'. Conclusion: In conclusion, it was found that the grandmothers have the variable health management needs of family members. From this study it is proposed that there is a need to develop programs for information of health management of family members and health care to improve their quality of life. Ultimately, a good care environment for children will be good for the children's growth and development.

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Study of Bolt Coupling Torque Conclusion of TRUSS Structure Using PZT Patches (압전소자를 이용한 TRUSS 구조물의 볼트 결합 토크 추정에 관한 연구)

  • Hyun, Han-Su;Kim, Byung-Jin;Hong, Dong-Pyo
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2005.11a
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    • pp.612-615
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    • 2005
  • This studies presented truss frame which use aluminum beam by damage model. Truss frame which each joint part is contracted by bolt contracted conclusion of each bolt by 3.0 N/m. And measured impedance change that appear making bolt 0.5 N/m on damage condition 8 times. Compares impedance change of 5 segments that was set by measurement area and displayed result. To measure torque change of bolt, other damage model did not apply.

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A Study on Working conditions and Characteristics of Dental Technicians (치과기공사의 근무 환경 및 업무특성 평가에 관한 연구)

  • Song, Jae-Sang;Hong, Young-Ho;Choi, Sang-Jun
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.379-390
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    • 2011
  • Purpose: This study was conducted to improve the working conditions of dental technicians, through survey for working conditions related to perform one's duty, the extent of personal exposure to substances hazardous and complaint rate and factor of job stress and subjective symptom on musculoskeletal disorders. Methods: Using four types of structured questionnaires: social and demographic factor; the actual conditions of working space; working conditions; and characteristics of dental technicians, respondents filled in the questionnaires and the results were analyzed statistically. Results: The evaluation of comfort in working place found that satisfaction level on indoor noise was the lowest with 2.6 on a five-point scale and privacy space followed 2.8 point. In reasons for dissatisfaction with job, over workload ranked the highest by 25.4% and role overload had the highest by 39.5% in job stress factors. Based on the results, we could draw conclusion that dental technicians were unsatisfied with role overload and heavy workload a day. In reasons for musculoskeletal symptom prevalence, long-patient work was the highest by 24.1%. It was thought to cause dental technicians need deep procession and long-patient work due to the nature of their job. Conclusion: In conclusion, noise reduction and privacy space are required to improve job efficiency of dental technicians. In addition; we need to think of ways to increase the job satisfaction with adequate rest while deep procession and long-patient working.