• Title/Summary/Keyword: functional paralysis

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Effects of Horticultural Occupational Therapy on the Physical and Psychological Rehabilitation of Patients with Hemiplegia after Stroke (반신마비 뇌졸중 환자의 심리와 정서적 재활에 대한 원예작업치료 효과)

  • Kim, Mi-Young;Kim, Gui-Soon;Mattson, Neil S.;Kim, Wan-Soon
    • Horticultural Science & Technology
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    • v.28 no.5
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    • pp.884-890
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    • 2010
  • To examine the effects of horticultural occupational therapy (HOT) on the physical and psychological rehabilitation of stroke patients with paralysis on one side of the body, a horticultural therapy (HT) program was implemented along with occupational therapy (OT) in 20 patients with hemiplegia after stroke (treatment group). In the control group, another 20 patients with hemiplegia after stroke received OT but no HT. The HOT program consisted of various indoor horticultural activities that proceeded stepwise on a weekly basis over the course of four weeks. The selected horticultural occupations were organized into four-phases: motivation, adaptation, sociality, and interpersonal relationships and communication. The grooved pegboard test (GPT), geriatric depression scale (GDS), and functional independent measure (FIM) were tested to the patients in this study. Unlike control group, the treatment group showed statistically significant differences in GPT, GDS, and FIM ($p$<0.001). In addition, communication, social cognition, and self-care scores as FIM subordinate factors were improved significantly by HOT program which motivated patients to engage in rehabilitation therapy. This finding suggests that HOT has the potential to be used as an OT program for stroke patients with hemiplegia.

Relationships among Activity of Daily Living, Depression, and Quality of Life(QOL) in Patients with Stroke (뇌졸중 환자의 일상생활동작, 우울과 삶의 질의 관계)

  • Kim, Won-Ock;Kang, Hyun-Sook;Wang, Myoung-Ja;Kim, Jeong-Hwa;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.138-146
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    • 2007
  • Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

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Design of an Optimal Adaptive Filter for the Cancellation of M-wave in the EMG Controlled Functional Electrical Stimulation for Paralyzed Individuals (마비환자의 근전도제에기능적전기자극을 위한 M-wave 제거용 최적적응필터 설계)

  • Yeom Hojoon;Park Youngcheol;Lee Younghee;Yoon Youngro;Shin Taemin;Yoon Hyoungro
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.479-487
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    • 2004
  • Biopotential signals have been used as command in systems using electrical stimulation of motor nerves to restore movement after an injury to the central nervous system (CNS). In order to use the voluntary EMG (electromyography) among the biopotentials as a control signal for the electrical stimulation of the same muscle for CNS injury patients, it is necessary to remove M-wave of having high magnitude from raw data. We designed an optimal filter for removing the M-wave and preserving the voluntary EMG and showed that the optimal filter is eigen filter. We also proved that the previous method using the prediction error filter(PEF) is a suboptimal filtering in the sense of preserving the voluntary EMG. On basis of the data obtained from a model for M-wave and voluntary EMG and from actual CNS injury patients, with false-positive rate analysis, the proposed adaptive filter showed a very promising performance in comparison with previous method.

Derivation of Flood Hazard Curves for SOC Facilities under Local Intensive Precipitation (LIP(극한강우) 조건하에서 중요 SOC 시설물에 대한 재해도 곡선 작성)

  • Kim, Beom Jin;Han, Kun Yeun*
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.1
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    • pp.183-194
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    • 2019
  • In recent years, the risk of external flooding of major national facilities has increased significantly since 2000 due to the increase in local heavy rainfall events. For important domestic national facilities, it is necessary to analyze the risk of external flooding as flooding in major sites due to heavy rain can cause functional paralysis in major facilities and ultimately lead to massive trouble events. In order to manage the safety of main facilities and its related facilities at a high level, it is necessary to analyze the degree of disaster such as flood depth, flood flow rate, flood time and flood intensity when extreme floods (LIP) are introduced. In addition, the degree of vulnerability of these related facilities should be assessed and risk assessments should be reassessed through linkage analysis that combines the degree of disaster and vulnerability. By calculating a new flood hazard curve for the flood depth and flood intensity in major national facilities under the heavy rainfall conditions through this study, it is expected to be a basis for the waterproof design of important SOC facilities, flood prevention function design, advancement of flood prevention measures and procedures and evaluation of flood mitigation functions.

A Numerical Study on Structural Safety Evaluation of Railway Bridges Deformed due to External Impact Loads (외부 충돌하중으로 변형된 철도 교량의 구조적 안전성 평가에 관한 수치 해석적 연구)

  • Dong-Woo Seo;Kyu-San Jung;Sangki Park;Jung-Hyun Kim
    • Journal of Korean Society of Disaster and Security
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    • v.16 no.2
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    • pp.75-83
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    • 2023
  • In general, bridges are facilities installed for the purpose of easily passing through sections such as valleys and rivers. Railway bridges that run through downtown areas are damaged due to external factors such as earthquakes and collisions with passing vehicles, resulting in serious human casualties. This can cause serious human and properties damage, such as functional paralysis in downtown areas. Depending on the degree of damage, repair work such as partial repair or full replacement is in progress for the bridge where the collision occurred. When damage or deformation occurs due to collision, the repair method is determined according to the degree of deformation and the degree to which the load capacity of the bridge is affected by the deformation. In this study, a numerical analysis review was performed on the repair work for the local deformation caused by the collision of a vehicle on an old railway bridge installed and in operation in an urban area. To this end, a structural safety review of the bridge for local deformations caused by vehicle collisions was conducted. In this paper, a repair method for the accident bridge was presented based on the analysis results.

Comparison of Gas Exchange Parameters between Same Volume of $N_2-O_2$ and Heliox Inhalation (동일한 상시 호흡량의 $N_2-O_2$ 및 Heliox 투여 시 가스교환지표의 비교)

  • Sohn, Jang-Won;Lim, Chae-Man;Koh, Youn-Suck;Lee, Jong-Deog;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.1
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    • pp.169-175
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    • 1998
  • Background: Heliox is known to decrease $PaCO_2$ in patients with increased airway resistance by increasing minute ventilation and reducing work of breathing(WOB). Besides these effect, heliox is expected to decrease functional anatomic dead space owing to improvement of peak expiratory flow rate(PEFR) and enhancement of gas distribution. We investigated whether heliox can decrease $PaCO_2$ even at the same minute ventilation (VE) and WOB with $N_2-O_2$ to speculate the effect of the heliox on the anatomic dead space. Material and Method: The subjects were 8 mechanically ventilated patients with asthma or upper airway obstruction(M : F=5 : 3, $68{\pm}10$years) who were under neuromuscular paralysis. The study was consisted of three 15-minutes phases: basal $N_2-O_2$ heliox and washout Heliox was administered via the low pressure inlet of servo 900C, and respiratory parameters were measured by pulmonary monitor(CP-100 pulmonary monitor, Bicore, Irvine, CA, USA). To obtain the same tidal volume(Vt) in heliox phase, the Vt on monitor was adjusted by the factor of relative flow rate of heliox to $N_2-O_2$. Dead space was calculated by Bohr equation. Results: 1) Vt, VE, peak inspiratory pressure(PIP) and peak inspiratory flow rate(PIFR) were not different between $N_2-O_2$ and heliox. 2) PEFR was higher on heliox($0.52{\pm}0.19$L/sec) than $N_2-O_2$($0.44{\pm}0.13$L/sec)(p=0.024). 3) $PaCO_2$(mmHg) were decreased with heliox($56.1{\pm}14.1$) compared to $N_2-O_2$($60.5{\pm}15.9$)(p=0.027). 4) Dead space ventilation(%) were decreased with heliox($73{\pm}9$ with $N_2-O_2$ and $71{\pm}10$ with heliox)(p=0.026). Conclusion: Heliox decreased $PaCO_2$ even at the same VE and WOB with $N_2-O_2$, and the effect was considered to be related with the reduction of anatomic dead space.

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A Study of Masterplot of Disaster Narrative between Korea, the US and Japan (한·미·일 재난 서사의 마스터플롯 비교 연구)

  • Park, In-Seong
    • Journal of Popular Narrative
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    • v.26 no.2
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    • pp.39-85
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    • 2020
  • This paper examines the aspects of disaster narrative, which makes the most of the concept of 'masterplot' as a narrative simulation to solve problems. By analyzing and comparing the remnants of 'masterplots' operating in the disaster narratives of Korea, the United States, and Japan, the differences between each country and social community problem recognition and resolution will be discussed. Disaster narrative is the most suitable genre for applying the 'masterplot' toward community problem solving in today's global risk society, and the problem-solving method has cognitive differences for each community. First, in the case of American disaster narratives, civilian experts' response to natural disasters tracks the changes of heroes in today's 'Marvel Comic Universe' (MCU). Compared to the past, the close relationship between heroism and nationalism has been reduced, but the state remains functional even if it is bolstered by the heroes' voluntary cooperation and reflection ability. On the other hand, in Korea's disaster narratives, the disappearance of the country and paralysis of the function are foregrounded. In order to fill the void, a new family narrative occurs, consisting of a righteous army or people abandoned by the state. Korea's disaster narratives are sensitive to changes after the disaster, and the nation's recovery never returns to normal after the disaster. Finally, Japan's disaster narratives are defensive and neurotic. A fully state-led bureaucratic system depicts an obsessive nationalism that seeks to control all disasters, or even counteracts anti-heroic individuals who reject voluntary sacrifices and even abandon disaster conditions This paper was able to diagnose the impact and value of a 'masterplot' today by comparing a series of 'masterplots' and their variations and uses. In a time when the understanding and utilization of 'masterplots' are becoming more and more important in today's world where Over-the top(OTT) services are being provided worldwide, this paper attempt could be a fragmentary model for the distribution and sharing of global stories.