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A Recognition for community Based Rehabilitation by Public Health Center Physical Therapists in Seoul Province (서울시 보건소 물리치료사들의 지역사회중심재활에 대한 인식)

  • Kim, Chan-Mun;Hong, Wan-Sung;Bae, Sung-Il
    • Journal of Korean Physical Therapy Science
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    • v.5 no.1
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    • pp.549-556
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    • 1998
  • To survey the recognition of Community Based Rehabilitation(CBR) by Public Health Center(PHC) Physical Therapists in Seoul Province. This study analysed general characteristic of Physical Therapists and cognition, participation, education, problems and requirements for CBR. The subjects of this study were 31 therapists who work at PHC in Seoul Province and Seoul City Childerns Municipal Hospital. Data was collected for 18 days from April 13 to 31, 1998 and results computed from 25 responses. First, Female therapists outnumber males. The age category 30 to 35 old represented 44.0% of the total number studied. 48.0% of therapists had worked more than 7 years and therapists usually 84.0% worked from 3 to 4 years at the PHC. Junior colleage graduates were 72.0%, and respondents with family responsibility were 52.0%. Second, Recently pain control and therapeutic exercises has become the major requirement of patients at PHC(56.0%). If the offered expanded services, a rehabilitation programe at PHC(36.0%) was highly. When asked about a working guide book, nobody had one. Third, 64.0% of therapists were aware of the present level of CBR, 28.0% of them had gotten an information from newspaper and mass media. Fourth, For CBR, 72.0% had positive ideas in which they could participate. 56.0% wished to compose a team of various rehabilitation specialists. 52.0% wished for the meeting day to be flexible and 64.0% desired to meet once or twice a week. Fifth, Almost all(92.0%) desired more educational opportunity about CBR. Example, once or twice a year(48.0%) and training period of 4 to 7 day(44.0%). They wanted to learn theory and parctice together(88.0%) and 48.0% wanted national mutirehabilitation center as a educational managing organization. Sixth, The most important requirement for accomplishing CBR by Physical Therapists was job security and adequate number of therapists(48.0%). Required number of physical therapists in the PHC was 3(52.0%). The cooperative agency should be the distict govement(32.0%) and community welfare center of the disabled persons(32.0%). Factors inhibiting the execution of CBR were lack of physical therapists(56.0%), and equipments for pain control and for therapeutic exercises(68.0%).

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Evaluation of Robust Performance of Fuzzy Supervisory Control Technique (퍼지관리제어기법의 강인성능평가)

  • Ok, Seung-Yong;Park, Kwan-Soon;Koh, Hyun-Moo
    • Journal of the Earthquake Engineering Society of Korea
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    • v.9 no.5 s.45
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    • pp.41-52
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    • 2005
  • Using the variable control gain scheme on the basis of fuzzy-based decision-making process, Fuzzy supervisory control (FSC) technique exhibits better control performance than linear control technique with one static control gain. This paper demonstrates the effectiveness of the FSC technique by evaluating the robust performance of the FSC technique under the presence of uncertainties in the models and the excitations. Robust performance of the FSC system is compared with that of optimally designed LQG control system for the benchmark cable-stayed bridge presented by Dyke et al. Parameter studies on the robust performance evaluation are carried out by varying the stiffness of the bridge model as well as the magnitudes of several earthquakes with different frequency contents. From the comparative study of two control systems, FSC system shows the enhanced control performance against various magnitudes of several earthquakes while maintaining lower level of power required for controlling the bridge response. Especially, FSC system clearly guarantees the improved robust performance of the control system with stable reduction effects on the seismic responses and slight increases in total power and stroke for the control system, while LQG control system exhibits poor robust performance.

Related factor of oral health promotion activities, self-efficacy and oral disease control and beliefs of nursery teacher (유아교육기관교사의 자기효능감, 통제위 및 구강질병관리신념과의 관련요인)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.1
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    • pp.157-172
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    • 2010
  • Objectives : This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods : This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results : The efficacy is highly in a married person(p=0.001) according to the teacher's age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person(p=0.006) according to the teacher's age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest(p=0.038) in the age of 40 among teacher's age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20 ~ 29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions : Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.

The Mediating Effect of Customer Satisfaction in the Relationship between Bakery Cafes Servicescape and Revisit Intention (베이커리카페의 서비스스케이프와 재방문의도 간 관계에 고객만족의 매개효과)

  • Kwon, Ki-Wan;Woo, Sung-Keun
    • Culinary science and hospitality research
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    • v.21 no.6
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    • pp.14-27
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    • 2015
  • This study aims to analyze the influence of bakery cafes servicescape on customer satisfaction and revisit intention, and to verify the mediating effect of customer satisfaction on the relationship between servicescape and revisit intention. This study targeted 10 bakery cafes located in Seoul, and after asking the persons concerned of the bakery cafes to check understanding, a survey with customers aged 20 or over was conducted over 10 days from March 15th to 24th 2015. A total of 250 self-administered questionnaires were distributed, and 244 questionnaires(97.6%) were used for study analysis after the exclusion of 6 incomplete and unreliable responses. To investigate the demographic characteristics of the respondents, a frequency analysis was carried out; for verification of the reliability and validity of the measuring tools, a reliability analysis and exploratory factor analysis were carried out; and for verification of the research hypotheses, simple and multiple regression analyses as well as a mediation analysis were carried out. All the data required for this study were analyzed using the SPSS 18.0 statistic program. The study findings showed that servicescape influenced customer satisfaction and revisit intention, and that Customer satisfaction had a mediating effect. Based on these findings, future marketing strategies and differentiated servicescape application methods for bakery cafes were suggested. Moreover, the limitations of the study and orientation for further research were discussed.

Treatment Outcomes of Paclitaxel for Refractory or Recurrent Epithelial Ovarian Cancer Patients in Thailand

  • Pitakkarnkul, Supakorn;Tangjitgamol, Siriwan;Srijaipracharoen, Sunamchok;Manusirivithaya, Sumonmal;Pataradool, Kamol;Prutthiphongsit, Watchara;Khunnarong, Jakkapan;Thavaramara, Thaovalai
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2421-2427
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    • 2013
  • Background: To study the response rate, toxicity profiles, and survival of refractory or recurrent epithelial ovarian cancer (EOC) patients treated with paclitaxel. Materials and Methods: Patients with refractory or recurrent EOC who were treated with paclitaxel between January 2002 and December 2011 at the Department of Obstetrics and Gynecology, Faculty of Medicine, Vajira Hospital were identified. Clinicopathological features of the patients including detailed data of paclitaxel treatment were collected. Results: During the study period, a total of 44 patients were identified, with a mean age of $52.9{\pm}8.2$ years. Some 13.6% (six patients) had refractory cancer to first-line chemotherapy while 86.4% (38 patients) had recurrent cancer. Among these, 35 (79.6%) and 9 (20.4%) patients were considered as platinum-sensitive and platinum-resistant, respectively. Three patients (6.8%) received fewer than 2 cycles of paclitaxel due to loss to follow-up, leaving 41 patients evaluable for response. The overall response rate observed in all 41 patients was 41.5% (17 patients; 12 complete and five partial responses): 12.5% or 1/8 patients with refractory or platinum-resistant cancer and 48.5% or 16/33 patients with platinum-sensitive disease. Stable disease was demonstrated in 17.0% (seven patients) while progressive disease was apparent in 41.5% (17 patients). Median time to progress was 4.5 months (range, 0.67-58.6 months). Median progression-free survival was not reached while median overall survival was 16.3 months (95% confidence interval, 11.0 months -21.6 months). Common toxicities were neutropenia, neuropathy, and alopecia. Conclusions: Paclitaxel is an active agent for refractory or recurrent EOC. Neutropenia, neuropathy and alopecia are common side effects.

Gene Expression Profiles in the Peripheral Blood Leukocytes (PBL) of Olive Flounder Paralichthys olivaceus after Stimulation with Lipoolysaccharide (LPS) in vitro (지질다당질로 자극한 넙치 백혈구의 발현유전자의 분석)

  • Nam, Bo-Hye;Moon, Ji-Young;Kim, Young-Ok;Kim, Woo Jin;Kong, Hee Jeong;Lee, Sang-Jun;Choi, Tae-Jin
    • Journal of Marine Bioscience and Biotechnology
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    • v.2 no.3
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    • pp.192-197
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    • 2007
  • Suppression subtractive hybridization (SSH) was performed to construct an cDNA library of olive flounder Paralichthys olivaceus peripheral blood leukocytes (PBL) stimulated with lipopolysaccharide (LPS). Total 470 clones were randomly selected and sequenced, 214 out of 470 sequences showed identities with known genes and 252 sequences were unknown genes. Among the 218 known genes, 34 sequences were found to be homologous to IL-1RII gene, and 14 sequences were identified as IL-$1{\beta}$. RT-PCR analysis showed that IL-$1{\beta}$ mRNA was induced 1h after LPS-stimulation, and IL-1RII was increased from 3h after stimulation, indicating that most of SSH clones are associated with inflammatory responses in fish, and this SSH cDNA library would be useful to identify bio-defense and immuno-related genes in fish.

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Effects of the Social Activity and Leisure Activity of the Rural Elderly on the Subjective Quality of Life (농촌 노인의 사회활동 및 여가활동이 주관적 삶의 질에 미치는 영향)

  • An, Jong-Cheol;Lim, Wang-Kyu
    • The Journal of the Korea Contents Association
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    • v.14 no.4
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    • pp.189-210
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    • 2014
  • The purpose of this study was to investigate the casual relationship among social activity, leisure activity and subjective quality of life of the rural elderly. For this end, this study analyzed the differences of the factors by the demographic characteristics and the effects of the social activity and leisure activity on subjective quality of life of the rural elderly. The data was collected using structured questionnaires, and total 324 responses were used in the data analysis. According to the results of this study, the social activity, leisure activity and subjective quality of life was shown to the partially differences by the demographic characteristics. The social activity and leisure activity of the rural elderly had a positive effect on the satisfaction and expectation of life as the subjective quality of life. The religious activities and leisure activity had a positive effect on the satisfaction of life, and the leisure activity through hobbies had a positive effect on the expectation of life. The economic activity had a positive effect on the subjective economic satisfaction, expectation of living standard and municipal government. Also, the volunteer activity and pastime had a positive effect on the subjective health satisfaction. Finally, this study was discussed the theoretical and practical implications as well as the solution to the subjective quality of life of the rural elderly.

Effects of Ovarian Cycle on Hemodynamic Responses during Dynamic Exercise in Sedentary Women

  • Choi, Hyun-Min;Stebbins, Charles L.;Nho, Hosung;Kim, Mi-Song;Chang, Myoung-Jei;Kim, Jong-Kyung
    • The Korean Journal of Physiology and Pharmacology
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    • v.17 no.6
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    • pp.499-503
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    • 2013
  • This study tested the hypothesis that effects of the menstrual cycle on resting blood pressure carry over to dynamic exercise. Eleven healthy females were studied during the early (EP; low estrogen, low progesterone) and late follicular (LP; high estrogen, low progesterone) menstrual phases. Stroke volume (SV), heart rate (HR), cardiac output (CO), systolic blood pressure (SBP), diastolic blood pressure (DBP), and total vascular conductance (TVC) were assessed at rest and in response to mild and moderate cycling exercise during EP and LP. During EP, compared to LP, baseline SBP ($111{\pm}1$ vs. $103{\pm}2$ mmHg), DBP ($71{\pm}2$ vs. $65{\pm}2$ mmHg) and mean arterial pressure (MAP) ($84{\pm}2$ vs. $78{\pm}1$ mmHg) were higher and TVC ($47.0{\pm}1.5$ vs. $54.9{\pm}4.2$ ml/min/mmHg) was lower (p<0.05). During exercise, absolute values of SBP (Mild: $142{\pm}4$ vs. $127{\pm}5$ mmHg; Moderate: $157{\pm}4$ vs. $144{\pm}5$ mmHg) and MAP (Mild: $100{\pm}3$ vs. $91{\pm}3$ mmHg; Moderate: $110{\pm}3$ vs. $101{\pm}3$ mmHg) were also higher, while TVC was lower (Mild: $90.9{\pm}5.1$ vs. $105.4{\pm}5.2$ ml/min/mmHg; Moderate: $105.4{\pm}5.3$ vs. $123.9{\pm}8.1$ ml/min/mmHg) during EP (p<0.05). However, exercise-induced increases in SBP, MAP and TVC at both work intensities were similar between the two menstrual phases, even though norepinephrine concentrations were higher during LP. Results indicate that blood pressure during dynamic exercise fluctuates during the menstrual cycle. It is higher during EP than LP and appears to be due to additive effects of simultaneous increases in baseline blood pressure and reductions in baseline TVC.

Parental response, recognition and management about fever in children (소아의 열에 대한 부모의 반응과 이해 및 처치)

  • Kim, Eugene;Hur, Jae Kyun
    • Pediatric Infection and Vaccine
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    • v.14 no.1
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    • pp.55-61
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    • 2007
  • Purpose : Fever, the most common presenting symptom in pediatric clinics, has been believed to be a dangerous symptom by many parents. Proper recognition about fever will relieve unnecessary anxiety of parents and help them understand the course of the disease. Our objectives of this study were to investigate current parental recognition about fever and to compare these results with those described in 1992. Methods : Between May and July 2006, we questioned caregivers who visited the pediatric outpatient clinic in St.Paul hospital. The questionnaire consisted of 19 items asking about recognition, attitude and management of fever. Results : A total of 136 caregivers were interviewed. Compared with 10 years ago, there were no significant improvements in misconception about fever. Many caregivers (61%) had wrong information about a definition and the way to measure body temperature. There were still high concerns about febrile convulsion and brain damage from fever. Caregivers started treatment at the body temperature which actually needed no therapy. Conclusion : Parents were not aware that fever is just one of physiologic responses and has benefits, which led to unnecessary anxiety and treatment. This misconception has not been changed over the years. Pediatrician should inform parents that fever itself is not harmful and only rational reason for use of antipyretics is to relieve a discomfort of a febrile child. An educational interventions offered by pediatricians will be helpful for parents to have right attitude and understandings toward fever.

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UVB-Shielding Effects of para-Coumaric Acid (파라-쿠마린산의 자외선B 차단 효과)

  • Song, Kyo-Sun;Boo, Yong-Chool
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.38 no.3
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    • pp.263-273
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    • 2012
  • Recent studies have uncovered attractive properties of para-coumaric acid (PCA) as a potential skin hywhitening agent. The purpose of the current study was to examine its UVB-shielding effects. Effects of PCA on the viability of HaCaT cells exposed to UVB were assessed in vitro in comparison with other aromatic amino acid metabolites that have similar UV absorption spectra. For in vivo test, PCA cream (1.5 %) and cream base were topically applied to the dorsal skin of SKH-1 hairless mice and the inflammatory responses due to UVB exposure were monitored by changes in skin color (erythema) and thickness (edema). The cream application-UVB exposure regimen was repeated every other day for a total of 12 sessions. When HaCaT cells were irradiated with UVB, there was a dose-dependent decline in cell viability. The cell viability decline due to UVB exposure (10 mJ $cm^{-2}$) was significantly prevented by 100 ${\mu}M$ PCA, cinnamic acid, urocanic acid, or indole acrylic acid by 39, 27, 39, or 31 %, respectively. Topical application of PCA cream onto the dorsal skin of hairless mice (10 ${\mu}g\;cm^{-2}$) attenuated the changes of color parameters, $L^*$, $a^*$, $b^*$ values, and thickness of the UVB (150 mJ $cm^{-2}$)-exposed skin by 59, 50, 58, and 53 %, respectively. The current study, together with the previous studies that demonstrated the antimelanogenic effects of PCA, suggested that PCA may prevent not only dyspigmentation but also inflammatory reactions in the UVB-exposed skin.