• Title/Summary/Keyword: health system

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The Study of Isokinetic Exercise Test of Trunk Rotation of 20's Male College Students (20대 남자대학생의 몸통회전에 대한 등속성운동 검사에 관한 연구)

  • Choi, Byung-Ok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.2
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    • pp.21-25
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    • 2006
  • Objective: The purposes of this study are to provide fundamental data and a rehabilitation program in physical therapy. It has been operated by 30 male college students for lumbar isokinetic exercises. Method : Subjects have been carried out in an experiment by Biodex system operating isokinetic torso rotation. This performance was activated by left rotation after right rotation repeatedly. Results: 1. The mean peak torques at $60^{\circ}$/sec were $95.6{\pm}20.62$ (Rt) and $93.84{\pm}18.41$ (Lt). 2. The mean peak torques/body weight at $60^{\circ}$/sec were $69.28{\pm}28.31$ (Rt) and $67.07{\pm}27.04$ (Lt). 3. The total works in right side at $60^{\circ}$/sec and $180^{\circ}$/sec were $492.21{\pm}92.37$, $1294.97{\pm}278.96$ and in left side at $60^{\circ}$/sec and $180^{\circ}$/sec were $515.78{\pm}109.47$, $1443.74{\pm}329.67$. 4. The work to body weight ratio at $60^{\circ}$/sec was $78.30{\pm}32.37$ (Rt) and $79.93{\pm}37.30$ (Lt). 5. The average powers in right side at $60^{\circ}$/sec and $180^{\circ}$/sec were $76.75{\pm}16.69$, $117.19{\pm}29.94$ and in left side at $60^{\circ}$/sec and $180^{\circ}$/sec were $78.54{\pm}18.58$, $125.39{\pm}32.90$. 6. The work fatigue at $180^{\circ}$/sec was $21.76{\pm}14.82$ (Rt) and $19.66{\pm}26.23$ (Lt). Conclusion: In right side and left side, there was no significant difference in peak torque. peak torque/body weight, work to body-weight ratio, average power of trunk rotators at $60^{\circ}$/sec(p<0.05). However there was a significant difference in the total work of trunk rotators at $60^{\circ}$/sec(p>0.05). Also there was a significant difference in the average of trunk rotators at $180^{\circ}$/sec(p>0.05).

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An Analysis of the Effectiveness of Stroke between East-West Integrative Medicine Hospital and Western Medicine Hospital by the Data of Brain Rehabilitation Registry (뇌질환 재활 통합 등록체계 자료(Brain Rehabilitation Registry)를 통한 한양방 협진병원과 양방병원의 뇌졸중 환자 치료효과 분석)

  • Heo, Kwang-Ho;Hwang, Eui-Hyoung;Cho, Hyun-Woo;Lee, In;Hong, Jin-Woo;Shin, Yong-Il;Kim, Soo Yeon;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.3
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    • pp.117-124
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    • 2013
  • Objectives The aims of this study was to observe the effectiveness of East-West Integrative Medicine (EWIM) by analysing between EWIM estimated group and Non-EWIM eastimated group with Brain Rehabilitation Registry. Methods We divided hospitals into two groups, one is EWIM estimated group hospital (Kyeonghee university, Wonkwang university, Dongguk university) and the other is non-EWIM estimated group (Jeonnam university, Gyeongbuk university, Catholic university). Then we analysed the effectiveness of treatments retrospectively using the database of Brain Rehabilitation Registry (http://www.kbrr.or.kr/, version 1.0). Totally 293 patients were included, EWIM estimated group was 175 and non-EWIM estimated group was 118. The main outcome measurements were National Institutes of Health Stroke Scale (NIHSS), Modified Barthel Index (MBI) and Mini Mental State Examination-Korea (MMSE-K). Results Changes of NIHSS was not significant in both total patient and patient who treated over 3 weeks. MMSE-K showed positively significant difference (p=0.044) in EWIM estimated group patients who treated over 3 weeks. In case of MBI, EWIM estimated group showed more effective result and also statistically significant in both total patients and patients who treated over 3 weeks. Conclusions We patially argued that EWIM estimated group was more effective than non-EWIM estimated group in stroke patients' functional recovery. We suggested base data of EWIM in stroke patiens through this study and this could be applied future researches of developing modified EWIM system.

Systematic review of the effect of dried ginger powder on improvement of nausea and vomiting associated with early pregnancy or motion sickness (생강 건조 분말의 임신 및 멀미에 의한 오심, 구토 개선 기능성에 대한 체계적 고찰)

  • Kwak, Jin Sook;Paek, Ju Eun;Jeong, Sewon;Kim, Joohee;Kim, Ji Yeon;Kwon, Oran
    • Journal of Nutrition and Health
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    • v.47 no.1
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    • pp.45-50
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    • 2014
  • Purpose: Ginger (Zingiber officinale) has been widely used as an antiemetic agent. This systematic review was aimed at evaluation of the effect of dried ginger powder supplementation on improvement of nausea and vomiting associated with early pregnancy or motion sickness. Methods: We searched Pubmed, Cochrane, Science Direct, and KISS (Korean studies Information Service System) using keywords such as ginger or Zingiber officinale in combination with nausea, vomiting, motion sickness, or pregnancy, published in March 2013. Results: The strength of the evidence was evaluated on the selected 12 RCTs (randomized controlled trials). Eleven trials including 2,630 subjects showed that supplementation with dried ginger powder resulted in significant improvement of nausea or vomiting related to early pregnancy or motion sickness. Among the nine studies including 809 women in early pregnancy before 20 weeks of gestation, ginger supplementation was superior to placebo in five studies (n = 305), and as effective as positive control (vitamin $B_6$ or dimenhydrinate) in four studies (n = 504). Ginger intake significantly reduced the episodes or severity of vomiting related to motion sickness compared to placebo or showed the same effect as several antiemetic drugs in two studies (n = 1,821). Conclusion: Our findings added evidence indicating that ginger powder supplements might improve the symptoms of nausea or vomiting related to early pregnancy or motion sickness without significant adverse events.

A Study on the Qualifications of Designated Person on the Maritime Safety Act (해사안전법상 안전관리책임자 및 안전관리자의 자격요건에 관한 연구)

  • Jin, Ho-Hyun;Kim, Jin-Kwon
    • Journal of Navigation and Port Research
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    • v.37 no.5
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    • pp.519-526
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    • 2013
  • In managing shipping business, the concept of seaworthiness of the vessel has developed in accordance with the development of the shipping industry. However, despite of the development of the vessel's seaworthiness, marine accident has continuously occurred at sea. International Maritime Organization(IMO) has paid attention to the research and investigation of Human Error in shipping operations in addition to physical seaworthiness of the vessel. In 1994, IMO adopted the "International Management Code for the Safe Operation of Ships and for Pollution Prevention(ISM code)" of "SOLAS 1974" Annex, to take countermeasure against this human error. In 1999, Korea adopted the 'ISM Code' and then enacted the Maritime Safety Act (previously Maritime Traffic Safety Act). The Maritime Safety Act regulates necessary qualifications of the Human Resources of shipping companies for establishment and implementation of the safety management system. However, there has been a discrepancy between shipowners and ship management companies in interpreting the legislative texts, finally causing confusion. In this paper, I would like to examine the deficiencies in the regulation on the standard of qualifications of the Designated Person under the Maritime Safety Act and thereby suggest any possible improvements in it.

Spatial Information Application Case for Appropriate Location Assessment of PM10 Observation Network in Seoul City (서울시 미세먼지 관측망 위치 적정성 평가를 위한 공간정보 활용방안)

  • Jeong, Jong-Chul
    • Journal of Cadastre & Land InformatiX
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    • v.47 no.2
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    • pp.175-184
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    • 2017
  • Recently, PM10 is becoming a main issue in Korea because it causes a variety of diseases, such as respiratory and ophthalmologic diseases. This research studied to spatial information application cases for evaluating the feasibility of the location for PM10 observation stations utilizing Geogrphic Information System(GIS) spatial analysis. The spatial Information application cases for optimal location assessment were investigated to properly manage PM10 observation stations which are closely related with public spatial data and health care. There are 31 PM10 observation stations in Seoul city and the observed PM10 data at these stations were utilized to understand the overall assessment of PM10 stations to properly manage using interpolation methods. The estimated PM10 using Inverse Distance Weighted(IDW) and Kriging techniques and the map of PM10 concentrations of monitoring stations in Seoul city were compared with public spatial data such as precipitation, floating population, elementary school location. On the basis of yearly, seasonal and daily PM10 concentrations were used to evaluate the feasibility analysis and the location of current PM10 monitoring stations. The estimated PM10 concentrations were compared with floating population and calculated 2015 PM10 distribution data using zonal statistical methods. The national spatial data could be used to analyze the PM10 pollution distribution and additional determination of PM10 monitoring sites. It is further suggested that the spatial evaluation of national spatial data can be used to determine new location of PM10 monitoring stations.

Identification and Distribution of the Pathogenic Microorganisms Isolated from Edible Ice in North Area of Daegu, Korea (대구시 북구지역의 식용얼음에서 세균 분포 및 동정)

  • Kim, Su-Jung
    • Korean Journal of Microbiology
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    • v.45 no.1
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    • pp.86-90
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    • 2009
  • The definition of edible ice is frozen water for the use of food manufacturing, processing, or cooking, as well as for the direct eating. It has been reported that in the process of ice manufacturing and its selling, edible ice is contaminated with some microorganisms, which causes food poisoning and gastroenteritis. It was shown that besides in the edible ice, germ growth caused by various reasons occurred in the mineral water, tap water, water filtering system, and water purifier. With public awareness, in order to examine the sanitary conditions of edible ice in the Northern area of Daegu metropolitan city, 15 places were randomly selected. As a result, 14 places were found to be contaminated with microorganisms. After incubating on the Brain Heart Infusion (BHI) agar plate, 80% of Gram-negative bacilli, 17% of Gram-positive cocci, and 3% of Gram-negative cocci were cultured. Enterobacter cloacae, Chryseomonas luteola, Pantoea spp., Klebsiella pneumoniae, Acinetobacter baumannii, Acinetobacter calcoaceticus or Providencia rettgeri were detected. Gram-positive cocci cultured in BHI agar plate from 5 specimens were identified as Staphylococcus aureus or Staphylococcus xylosus, which is well known bacteria causing strong food poisoning. This present paper raises questions on the importance and awareness of sanitary conditions of edible ice and the identification of pathogenic microorganisms living in the edible ice in relation to their distribution. The examination of sanitary conditions of edible ice in other areas in Daegu seems to be also needed to find out if there are similar cases.

Design of discriminant function for thick and thin coating from the white coating (백태 중 후태 및 박태 분류 판별함수 설계)

  • Choi, Eun-Ji;Kim, Keun-Ho;Ryu, Hyun-Hee;Lee, Hae-Jung;Kim, Jong-Yeol
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.119-124
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    • 2007
  • Introduction: In Oriental medicine, the status of tongue is the important indicator to diagnose one's health, because it represents physiological and clinicopathological changes of inner parts of the body. The method of tongue diagnosis is not only convenient but also non-invasive, so tongue diagnosis is most widely used in Oriental medicine. By the way, since tongue diagnosis is affected by examination circumstances a lot, its performance depends on a light source, degrees of an angle, a medical doctor's condition etc. Therefore, it is not easy to make an objective and standardized tongue diagnosis. In order to solve this problem, in this study, we tried to design a discriminant function for thick and thin coating with color vectors of preprocessed image. Method: 52 subjects, who were diagnosed as white-coated tongue, were involved. Among them, 45 subjects diagnosed as thin coating and 7 subjects diagnosed as thick coating by oriental medical doctors, and then their tongue images were obtained from a digital tongue diagnosis system. Using those acquired tongue images, we implemented two steps: Preprocessing and image analyzing. The preprocessing part of this method includes histogram equalization and histogram stretching at each color component, especially, intensity and saturation. It makes the difference between tongue substance and tongue coating was more visible, so that we can separate tongue coating easily. Next part, we analyzed the characteristic of color values and found the threshold to divide tongue area into coating area. Then, from tongue coating image, it is possible to extract the variables that were important to classify thick and thin coating. Result : By statistical analysis, two significant vectors, associated with G, were found, which were able to describe the difference between thick and thin coating very well. Using these two variables, we designed the discriminant function for coating classification and examined its performance. As a result, the overall accuracy of thick and thin coating classification was 92.3%. Discussion : From the result, we can expect that the discriminant function is applicable to other coatings in a similar way. Also, it can be used to make an objective and standardized diagnosis.

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An Example of Test on Differences of Pulse Waveform Characteristics at Cun, Guan and Chi (촌, 관, 척 위치의 맥파 특징 차이 검정에 대한 1례)

  • Lee, Jeon;Lee, Yu-Jung;Jeon, Young-Ju;Lee, Hae-Jung;Ryu, Hyun-Hee;Kim, Jong-Yeol
    • Korean Journal of Oriental Medicine
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    • v.14 no.2
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    • pp.107-112
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    • 2008
  • Although the pulse diagnosis position, Guan is apart from Cun or Chi by only $10{\sim}20$ mm at most, traditional medical doctors applies different indent pressures and even they states different pulse images are felt at Cun, Guan and Chi, To support their clinical behaviors, in this study, we tested statistically whether there are differences in pulse waveform measured at these three positions with SphygmoCor system used world widely, A 30 years old female subject without any evidence of cardiovascular diseases was involved in this experiment. Radial pulse waves were recorded at three different positions on left lower arm 10 times at three positions-Cun, Guan and Chi. With ANOVA, we tested whether, among three different positions. there are any differences in 12 parameters of radial pulse waveform and in estimated AIx(Augmentation Index) as an arterial stiffness index extracted from radial pulse waveform. As results, differences in optimal indent pressure h0 were observed at different measuring positions(P<0.001) but not significantly different. And pulse pressure his were found to be different(Chi$22.60{\pm}3.06%,\;18.60{\pm}3.37%\;and\;26.4{\pm}5.02%$ respectively. Consequently. AIx at Gwan seems to be lowest and that at Chi seems to be highest. So. we assert the AIx at Chi is likely to be overestimated. In further studies. we want to examine what make differences in these parameters between measuring positions. And it also seems to be worthy to investigate the relationship between the depth of radial artery and AIx. And, ultimately, we need to determine the best measuring process including measuring position, hold-down pressure, signal quality validation and so on. so to achieve the optimal waveform which represents subject's health condition for both western medicine and traditional medicine.

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The Effects of Visual Flow Speed's Modulation-Based Virtual Reality Program on Gait Function in Stroke Patients (시각 흐름 속도에 따른 가상현실 프로그램이 뇌졸중 환자의 보행에 미치는 영향)

  • Kang, Hyung-Kyu;Chung, Yi-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.247-253
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    • 2012
  • The purpose of this study was to evaluate the effects of a visual flow speed's modulation-based VR(virtual reality) program on gait function in stroke patients. Thirty one stroke patients were randomly selected at Dep. of Rehabilitation medicine of M hospital in Seoul. We carried out the gait analysis by dividing them with four conditions : one condition had applied without the visual flow modulation-based VR and another had done three visual flow speed's modulation-based VR(0.25, 1, 2 times). The gait analysis was used with GaitRite system. The data were collected using gait velocity, cadence, stride length, step length, single support time, and double support time during treatment. The results were as follows. First, the slow visual flow(0.25 times)-based VR program on the condition was significant decrease gait velocity, cadence, stride length, step length and increase single support time, double support time(p<.05). Second, the fast visual flow(2 times)-based VR program on the condition was significant increase gait velocity, cadence, stride length, step length, single support time on paretic lower limb and decrease single support time on non-paretic lower limb, double support time(p<.05). Third, the normal visual flow(1 times)-based VR program on the condition was not significant differ gait velocity, cadence, stride length, step length, single support time, double support time. In conclusion, the visual flow speed's modulation-based VR program improves gait function in chronic stroke patients.

Factors Affecting the Organizational Citizenship Behaviors of Administrative Hospital Staff Members (종합병원 행정직원의 조직시민행동 영향요인)

  • Park, Jung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.539-547
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    • 2017
  • This paper reports the results of descriptive research aimed at determining the effects of the administrative hospital staff members' organization-based self-esteem and work engagement on their organizational citizenship behaviors. The participants of the study were 200 administrative staff members of general hospitals, each with 200 beds or more, located in B city. Data were collected from March 15 to 30, 2017, and analyzed statistically using a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. The findings of this study can be summarized as follows. The organizational citizenship behaviors differed significantly according to whether they had an experience of turnover (t=-4.260, p=.000) and how long they had served at their present work (t=3.297, p=.039). In addition, the organizational citizenship behaviors had strong positive correlations with the organization-based self-esteem (r=.454, p=<.000) and work engagement (r=.595, p<.000). In addition, the factor that explained the organizational citizenship behaviors most significantly was work engagement, followed by organization-based self-esteem and the period of service at the present work. All three factors accounted for 41% of those behaviors. These findings suggest that the hospital should perform internal marketing or improve its welfare system to make administrative staff members raise their self-esteem based on their organization. Moreover, the hospital should form an organizational culture of its own, in which administrative staff members feel the importance of their job, enjoy it and are given autonomy in job performance, ultimately contributing to the development of hospital management.