• 제목/요약/키워드: day care quality

검색결과 297건 처리시간 0.032초

파킨슨 질환에 대한 문헌적 고찰 (The Review of Parkinson's Disease(PD) for Physical Therapist)

  • 김진웅;강군용;배수찬
    • 대한정형도수물리치료학회지
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    • 제8권2호
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    • pp.73-87
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    • 2002
  • Parkinson's disease(PD) is a progressive neurodegenerative disease that affects the functioning of the basal ganglia, a brain area that contributes to the control of movement. The disease is caused by the death of nerve cells in the brain that produce dopamine, a chemical messenger. The cells affected usually produce a neurotransmitter(a chemical that transmits nerver impulses) called dopamine, which acts with acetylcholine, another neurotransmitter, to fine-tune muscle control. In Parkinson's disease, the level of dopamine relative to acetylcholine is reduced, adversely affecting muscle control. When the supply of dopamine is depleted, the function of the basal ganglia is disrupted and its ability to control movement deteriorates. The result is that PD patients experience moderate rigidity, difficulty in initiating movements and slowness in executing them, and a rhythmical tremor at rest. Although the cause of Parkinson's disease is not known, genetic factors may be involved. About 3 in 10 people with the disorder have an affected family member. About 1 in 100 people over the age of 60 in the US have Parkinson's disease. And Parkinson's disease is slightly more common in men. The course of the disease is variable, but drugs may be the best effective in treating the symptoms and improving quality of life. But, The doctor may arrange physical therapy to help with physical mobility problems. It is important to continue to exercise and take care of your general health. Try to take a walk each day. Stretching exercises can help you maintain your strength and mobility. So, This papers will serve about the information of PD for clinical physical therapist. Finally, The aim of review is increasing approach method and technique for PD patients by the view of physical therapy.

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남성의 화장행동과 화장품 구매에 관한 연구 (A Study on Make-up Behavior and Cosmetics Purchasing Pattern of Male)

  • 이일청;최은미
    • 한국패션뷰티학회지
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    • 제2권2호
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    • pp.34-47
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    • 2004
  • The objective of this study is to investigate the perception of males about make-up and the make-up process, analyze principal factors affecting their decision when purchasing cosmetics and, ultimately, to provide basic data for further survey and research into features of cosmetics and their satisfaction. The subjects of the study a.e male adults living in Jeonju, Iksan and Gunsan cities of Jeonbuk province. Surveyors made direct interviews with the subjects from October 21 to 30, 2003 and collected 174 questionnaires from them, which were subsequently put to the final analysis. The demographic characters of the surveyed showed that 60.9% of them were in the age ranging 30 to 39, 75.3% married, 69.5% undergraduates or graduates, 39.1% self-employed, 25.9% earning more than 3.01 million Won monthly and 43.7% spending less than 10,000 Won a month for cosmetics. Their make-up and purchasing pattern of cosmetics featured that 54.0% of the surveyed use cosmetics for skin care, 54.0% for cleanness and health, 84.5% for foundation(lotion or skin lotion) only, and 60.9% once a day. Out of the surveyed males, 79.3% haven't experienced any adverse side effects after make-up. Of those who experienced, 80.5% named disagreement of cosmetics with skin for the reason. As for kind or symptom of the side effects, 38.8% set forth itching. Among those who had aftermath or intoxication from make-up, 52.8% said they could recover naturally. According to the survey, 57.5% felt somewhat awkward after make-up, but not quite bad though. Thirty-seven point nine percent of the males surveyed replied they cared little about the purpose of male-oriented cosmetics. Quality was raised by 31.0% as the foremost issue to improve. Television turned out to be the main source for 56.9% of the surveyed to get information about cosmetics. For 56.35%, general discount shops are preferred to buy cosmetics and 24.7% of them take ones recommended by salespeople. When buying cosmetics, 47.1% considered color and fragrance most seriously.

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구급대원 재교육 및 평가를 위한 학습모형 연구 (A Study on Learning Model for Re-education and Valuation of EMT)

  • 김선배;안동렬;이남수;최주일;오경근;박인수;박희진
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.183-206
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    • 2005
  • Nowadays, the whole world is putting in the knowledge information society by the internet which is connecting the global network. The internet enable us to see the life of the other people in real time. Most of health care professional obtain and update their new knowledge and skills through continuing education. EMTs who works five or ten shifts per day are not easy to attend continuing education session usually offered during their off-times. One of solutions to this problem would be to develop a education program which does not limit time and place. There has been increasing interest in the use of computers in medical education, but all designated facilities and teachers have no sufficient preparations for the education and training of EMT. There has been less attention to the rationale for the use and selection of applications. This article discusses an approach to the selection of medical informatics applications for the undergraduate medical curriculum. The aim of this study is to develop and evaluate a web-based continuing education program, to help EMT improve their knowledge of transfusion therapy and medical law, and to enhance their ability to contribute to the quality of patient care. The program generally was well received by EMTs. The program is a useful adjunct to the existing continuing education program. It also could be used in EMT student education and other health sciences.

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Correlation analysis between elderly oral myofunction, oral microorganisms, and cognitive function

  • Kim, Seol-Hee
    • 한국치위생학회지
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    • 제19권2호
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    • pp.161-172
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    • 2019
  • Objectives: This study aimed to analyze the correlation between oral function, oral environment, and brain cognitive function in the elderly. Methods: The subjects were 60 users of senior community center and elderly day care center. The survey was conducted from November to December 2018. Subjects were assessed by oral examination and myofunction test. Oral myofunction was measured using $IOPI^R$ and Lip de $Cum^R$. Survey data were analyzed using the statistical programs of PASW Statistics ver. 18.0. Results: Tongue muscle strength and lips muscle strength was higher in males than in females. The tongue and lip strengths were higher in the <81 years old group than the ${\geq}81$ years old group. Functional tooth analysis showed that there was a ${\geq}15$ teeth group ($40.91{\pm}7.36$) and a <15 teeth group ($32.52{\pm}7.14$). Lip muscle strength analysis showed that the ${\geq}15$ teeth group ($10.54{\pm}3.40$) was higher than the <15 teeth group ($8.20{\pm}2.41$, p<0.05). Tongue muscle strength, lumbar muscle strength, and functional tooth number were lower in the elderly subjects with mild cognitive impairment. Cognitive function was significantly correlated with functional tooth number (r=0.386, p<0.001), tongue strength (r=0.478, p<0.001), and lip strength (r=0.281, p<0.05). Tongue strength was significantly correlated with lip strength (r=0.360, p<0.001) and functional tooth number (r=0.633, p<0.001). Lip strength was significantly correlated with functional tooth number (r=0.376, p<0.001). Conclusions: These results showed that age and functional tooth number influenced oral muscle strength and that the number of functional teeth and oral muscle strength were low in the elderly with mild cognitive impairment. Oral myofunction training and oral care program are suggested to improve the quality of life of the elderly.

향기치유기반 융·복합 사회서비스 전문인력 양성 교육프로그램 개발 및 적용사례 연구 -광주광역시 중심으로- (Aromatherapy Healing-based Fusion, Complex Social Service Professional Training Program Development and Application Case Study - Gwangju is the center of the city -)

  • 정숙희;박희영
    • 한국융합학회논문지
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    • 제13권5호
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    • pp.103-112
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    • 2022
  • 노년층의 삶의 질 개선과 높은 수준의 간병·요양서비스 및 니즈를 충족시킬 대안으로 향기치유기반 융·복합 사회 서비스 전문인력 양성 교육프로그램 개발을 적용하여 개선안을 마련하는 기초 사례가 되고자 한다. 광주광역시 거주자 중 교육생 30명을 대상으로 2021년 6월 14일부터 16일간 교육 전 선호도 조사 및 만족도 조사를 2021년 9월 23일부터 7일간 설문지조사를 진행한 결과 교육 선호도 에서는 향기요법 교육이 42.11%로 가장 높게 조사되었고, 교육프로그램의 적용 후 향기요법과 정의 필요성은 50%, 만족도는 48%로 가장 높게 조사되었다. 이에 본 연구는 고령 친화 산업활성화 기초 자료로 활용되고 시니어 간병·요양서비스의 집적화 및 고부가가치 융·복합 사회서비스 관련 우수인력 확보에 기여하고자 한다.

사무실 근로자들의 실내공기질 인식에 관한 기초 조사 (K대학교를 중심으로) (A study on university office worker's perception of indoor air quality (Focused on K university))

  • 신은영;김광희
    • 교육녹색환경연구
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    • 제16권3호
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    • pp.69-76
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    • 2017
  • 실내공기질(Indoor Air Quality, IAQ)은 실내에 상주하는 이용자의 심신에 영향을 주는 공기의 질이라고 정의할 수 있으며, 보통 일상생활을 영위하는 건물 내부의 공기상태이다. 과거에 비해 많은 사람들이 실내에서 거주하는 시간이 증가하였고, 생활수준이 높아짐에 따라 건강에 영향을 미치는 실내공기질에 대한 관심이 증대되고 있다. 사무실 근로자의 경우, 하루의 약 97%인 23시간 12분을 실내에서 보내는 것으로 조사되었는데, 오랜 시간 거주하는 근로자의 특성상 실내공기질은 건강뿐 아니라 업무 생산성과 효율성에도 영향을 미치는 것으로 발표되었다. 따라서 향후, 대학 사무공간의 실내공기질의 개선을 위해서는 전 세계적으로 공인된 미국의 냉동공조학회(ASHRAE)의 권고 사항처럼 1시간에 6회 이상의 공기 교환이 이루어 져야 할 것이며, 질 높은 쾌적함을 위해서 온습도 및 기류까지 고려한 환기시스템 계획이 세워져야 한다. 또 외기공기 유입을 막아 무조건적인 에너지 비용의 저감만을 강요할 것이 아니라, 적절한 환경 제공을 통해 기대되는 근로자의 의료비 절약과 생산성 향상을 통한 수익 발생 등의 요인을 고려해야 할 것이다.

청정환기장치 최적제어를 위한 IoT 기반 실시간 공기질 모니터링 플랫폼 구현 (IoT Based Real-Time Indoor Air Quality Monitoring Platform for a Ventilation System)

  • 수던 프라사드 우프레티;김유신
    • 인터넷정보학회논문지
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    • 제21권6호
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    • pp.95-104
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    • 2020
  • 본 연구는 사물인터넷(IoT) 센서를 이용해 실내공기질에 주요한 영향을 미치는 미세먼지, 초미세먼지, 이산화탄소, 유기화학물과 온도, 습도 데이터를 실시간으로 수집/분석할 수 있는 실시간 실내공기질 모니터링 서비스를 클라우드 플랫폼으로 구현하였다. 이를 실내공기 정화시설인 청정환기장치와 연동하여 실시간 실내공기질 상태에 따라 환기장치 최적관리할 수 있도록 하였다. 본 플랫폼은 청정환기장치 내외부에 장착된 실내공기질 측정 센서로부터 실시간으로 데이터를 수집하는 IoT 데이터 수집부, 수집된 데이터를 클라우드 환경에서 가공/처리/적재하는 클라우드 데이터 처리부, 적재된 빅데이터를 분석하고 공기질 현황을 웹과 모바일에 시각화하여 보여주는 데이터 분석 서비스부로 구성된다. 그리고 이러한 플랫폼의 가동과 효과를 검증하기 위해 공기질에 민감한 영유아의 교육 생활환경인 국공립 어린이집 교실을 대상으로 실증을 실시하였다. 모든 분석 결과는 웹과 모바일에서 실시간으로 시각화 서비스될 수 있도록 실증 구현하였고, 환기장치의 실내공기질 개선효과는 실내공기질 측정 센서들의 측정값을 통계적으로 검증하여 공기질 개선에 기여하고 있음을 확인하였다.

성인에서 구취인식도의 관련요인 분석 (Self-Reported Halitosis and the Associated Factors in Adults)

  • 이미라;최준선
    • 치위생과학회지
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    • 제13권2호
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    • pp.142-150
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    • 2013
  • 본 연구는 구취인식도와의 관련요인을 분석하고자 2010년 1월 7일부터 3월 14일까지 서울 및 경기지역에 거주하는 35세 이상에서 65세 미만의 성인 450명을 대상으로 설문조사를 실시하였으며 다음과 같은 결론을 얻었다. 1. 인구사회학적 특성과 구취인식도의 관련성을 분석한 결과, 성별 등의 요인에 따라 구취인식도의 차이가 나타나지 않았다. 2. 주관적 구강건강상태와 구취인식도를 분석한 결과 전반적으로 구강건강상태가 좋지 않고, 보철치아가 있으며, 치주질환과 구강건조 증상을 인식한 집단에서 구취를 인식한 자가 더 많았다(p<0.05). 3. 건강행동 및 식습관과 구취인식도를 분석한 결과 하루 중 칫솔질 횟수가 2회 이하이고 간식 후 칫솔질을 시행하지 않으며 단 음식을 자주 섭취하는 집단에서 구취를 인식한 자가 더 많았다(p<0.05). 4. OHIP-14와 구취인식도를 분석한 결과, 삶의 질이 낮으며, 불편이나 통증 및 각종 능력저하를 많이 경험한 집단에서 구취를 인식한 자가 더 많았다(p<0.05). 또한 전반적으로 삶의 질이 낮은 집단에서 구취를 인식한 자가 많은 것으로 나타났다(p<0.05). 이상의 결과로 볼 때 구취인식도는 치주질환과 구강건조증상, 구강위생관리행동 및 삶의 질과 연관성이 있는 것으로 나타났으므로 치주질환 및 구강건조를 예방하고 구강위생관리행동의 강화는 구취를 예방하고 삶의 만족도를 향상시키는 데 크게 기여할 것으로 사료된다.

외래약국에서 파킨슨병 환자 투약대기시간 단축을 위한 전산 및 업무 흐름 개선 (Reducing the waiting time of parkinson's patients in outpatient pharmacy by improving EMR and workflow)

  • 최단희;임지윤;이용화
    • 한국의료질향상학회지
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    • 제20권1호
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    • pp.28-40
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    • 2014
  • Objectives: Prescriptions for Parkinson's can be dispensed at the outpatient pharmacy. In general, the treatment of Parkinson's disease requires a multitude of drugs, sometimes taken 4 to 6 times a day at specific times as prescribed by the medical practitioner. Said "time-specific therapy" is one of the major reasons of dispensing delay observed at the outpatient pharmacy. Because our establishment lacked a computerized system to support time-specific prescriptions, they were not recognized electronically. They had to be issued and dispensed manually, which required a greater amount of time than the automated process. To solve the problem, a new sig code was developed to handle time-specific prescriptions with a comprehensive automated dispensing system to support it. This study aims to create electronic programs and streamline the process to increase dispensing performance. And thus, ensure greater patient safety and dispensing accuracy within a shorter dispensing time and also increase employee satisfaction through a decreased workload. Methods: After identifying the problems caused by non-electronic prescriptions an automated system that allowed the issuance of time-specific prescriptions was developed. A new sig code was created that could be recognized by the Pharmacy electronic medical program, the label printer to group medications by administration times and the Automatic Tablet Counter(ATC) to count the grouped drugs accordingly. Result: With the new sig code, the practitioner became able to electronically select the times of drug administration while issuing the prescription. This 'time-specific prescription' can now be recognized by the pharmacy electronic medical program, the label printer and the ATC like any other prescription. Conclusion: The developed program started operating on September 2013. Although not all Parkinson's patients have been issued with the new electronic 'time-specific prescription', the overall dispensing process has become more streamlined and accurate. As the medical team continues to integrate the new system in their practice an additional decrease of the dispensing time is predicted. Future program upgrades and other new time-saving approaches are scheduled, which are expected to further increase the service quality of our outpatient pharmacy.

지하수 관개지역 논에서의 배출부하 특성 (Characteristics of Pollutant Loading from Paddy Field Area with Groundwater Irrigation)

  • 윤춘경;김병희;전지홍;황하선
    • 한국농공학회지
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    • 제44권5호
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    • pp.116-126
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    • 2002
  • Discharge pattern and water quality were investigated in the drainage water from about 10 ha of groundwater-irrigated paddy field in the growing season of 2001. Total discharge quantity was about 1,117.2 mm in which about 75% was caused by management drainage due to cultural practice of paddy rice farming and the rest by rainfall runoff where total rainfall was about 515 mm. Dry-day sampling data showed wide variations in constituent concentrations with average of 26.14 mg/L, 0.37 mg/L, 3.54 mg/L at the inlet, and 43.60 mg/L, 0.34 mg/L, 3.58 mg/L at the outlet for CO $D_{cr}$ , T-P, and T-N, respectively. Wet-day sampling data demonstrated that generally CO $D_{cr}$ followed the discharge pattern and T-P was in opposite to the discharge pattern, but T-N did not show apparent pattern to the discharge. Discharge and load are in strong relationship. And based on regression equation, pollutant loads from groundwater irrigation area are estimated to be 288.34, 1.17, and 5.45 kg/ha for CO $D_{cr}$ , T-P, and T-N, respectively, which was relatively lower than the literature value from surface water irrigation area which implies that groundwater irrigation area might use less irrigation water and result in less drainage water, Therefore, total pollutant load from paddies irrigation with groundwater could be significantly lower than that with surface water. This study shows that agricultural drainage water management needs a good care of drainage outlet as well as rainfall runoff. This study was based on limited monitoring data of one year, and further monitoring and successive analysis are recommended for more generalized conclusion.