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Effect of Neuromuscular Electrical Stimulation Combined with Traditional Dysphagia Rehabilitation on Masseter Muscle Thickness and Bite Force in Stroke with Dysphagia Patient

  • Lee, Myunglyeol;Lee, Kuija;Kim, Jinuk
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2365-2369
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    • 2021
  • Background: Patients with dysphagia after stroke are treated with neuromuscular electrical stimulation (NMES), but its effect on masseter muscle thickness and bite force in the oral phase is not well known. Objectives: To investigated the effect of NMES on masseter muscle thickness and occlusal force in patients with dysphagia after stroke. Design: Two group, pre-post design. Methods: In this study, 25 patients with dysphagia after stroke were recruited and allocated to either the experimental or the control groups. Patients in the experimental group were treated with NMES to the masseter muscle at the motor level for 30 minutes and were additionally treated with traditional swallowing rehabilitation for 30 minutes. In contrast, patients in the control group were only treated with traditional swallowing rehabilitation for 30 minutes. Masseter muscle thickness was measured using ultrasonography before and after intervention, and bite force was measured using an bite force meter. Results: The experimental group showed significant improvement in masseter muscle thickness and bite force compared to the control group. Conclusion: NMES combined with traditional dysphagia rehabilitation is effective in improving masseter muscle thickness and bite force in patients with dysphagia after stroke.

Control Thresholds for Managing Common Cutworm, Spodoptera litura (Fabricius) (Lepidoptera: Noctuidae) on Chinese Cabbage (배추에서 담배거세미나방(Spodoptera litura)의 요방제 수준 설정)

  • Choi, Duck-Soo;Kim, Do-Ik;Kim, Seon-Gon;Ko, Suk-Ju;Kang, Beom-Ryong;Kim, Sang-Soo
    • Korean journal of applied entomology
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    • v.50 no.3
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    • pp.215-220
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    • 2011
  • This study aimed to estimate control thresholds for managing common cutworm, Spodoptera litura Faricius (Lepidoptera: Noctuidae) at different larval densities and growth stages of Chinese cabbage in field conditions. The percent yield reduction (Y) of Chinese cabbage infested by different densities of S. litura (X, no. of larvae/100 plants) for three weeks were estimated by Y=-21.85X+1300 (R2=0.997) 5 days after transplanting and Y=-12.1X+1382 (R2=0.998) 20 days after transplanting. Based on the relationships between the densities of S. litura larvae and the yield index of chinese cabbage, the number of larvae (2nd to 3rd instar) which caused 5% loss of yield was estimated as 2.9/100 plants 5 days after transplanting, and 5.6/100 plants 20 days after transplanting.

Study on Wine Quality of Domestic Grape Cultivar 'Cheonghyang' classified by Ripening Stage (국내 육성 품종 '청향' 포도의 숙도별 양조 적성 연구)

  • Lee, Hyo-Young;Jeon, Jin-A;Park, Young-Sik;Yi, Jae-Hyoung;Kwon, Hye-Jeong;Jeong, Seok-Tae
    • Journal of the East Asian Society of Dietary Life
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    • v.26 no.5
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    • pp.445-449
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    • 2016
  • In this study, Red pearl (4x) and MBA (2x) were crossed Gangwon-do Agricultural Research and Extension Services in 2000 to compare the brewing characteristics of Cheonghyang, a seedless kind of grape registered in 2009, by maturity. Fruit characteristics of Cheonghyang were examined after the first racking and 300 days after fermentation during aging in manufacturing wine based on maturity categories of being immature, mature, and overmature after harvest between August 25 and 27, 2014. The soluble solid matter content did not differ between the first racking following manufacturing wine and during ripening, and the alcohol content following the first racking was 12.9% for immature ones, 13.0% for mature ones, and 12.7% for overmature ones., The alcohol content decreased by appropriately 1.3% to 1.8% during ripening. The total acidity content was 0.9% for immature ones, 0.8% for mature ones, and 0.5% for overmature ones following the first racking and showed insignificant variations during ripening of 0.8%, 0.7%, and 0.5%, respectively, with wine made from mature ones showing proper acidity. The volatile acid content following the first racking during ripening, showing insignificant variation by maturity; however, it decreased after ripening. The sensory evaluation detected differences in acidity of wine between mature and overmature grapes. There was no difference in sour taste between immature and mature grapes; however, overmature ones had low levels of sour taste. Our results showed that mature wine had the best overall preference.

Effects of using Postpartum Care Services on the Health-Related Quality of Life in Women after birth (산후관리서비스가 산모의 건강관련 삶의 질에 미치는 영향)

  • Jeong, Jae Yeon;Cha, Sun Jung;Gu, Yeo Jeong;Yoo, Ki Bong
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.29-37
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    • 2020
  • Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.

Effective Screening Method for Viviparous Germination of Rice

  • Ju, Young-Cheoul;Han, Sang-Wook;Park, Joong-Soo;Park, Kyeong-Yeol
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.45 no.2
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    • pp.103-107
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    • 2000
  • The viviparity of 28 rice varieties was tested at 25 days after heading(DAH), 35DAH, and 45DAH in the laboratory and field condition for 12 days. The incubation temperature was 20/l$0^{\circ}C$ (day/night), 25/15$^{\circ}$C$ and 30/20$^{\circ}$C$ in the laboratory test, and under field water conditions in the field test. The biggest varietal difference of viviparity was found in the laboratory test when examined at 45DAH with the 6-day incubation under 25/15$^{\circ}$C$ . At this conditions the mean viviparous ratio was 32.1 % with the range of 53.9 and the variance of 259.5. In the field test, the significant varietal difference in the viviparity was also found in the lodging treatment at 45 DAH for 6 days. Correlation coefficient analysis between the field and laboratory tests was highly significant from 4 days after incubation at 45 DAH and after 6-day incubation at 35 DAH, and correlation coefficient was higher as incubation days in the laboratory and submerged days under field water became longer. Considering the correlation between the field and laboratory tests, varietal difference of viviparity and convenience of testing, the laboratory test at 45 DAH for 6-day incubation under 25/15$^{\circ}$C$ was the most efficient evaluation method for the viviparity of rice cultivar.

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A Clinical Study on The Effect of Oriental Treatment For Obesity in National Health Services (공공보건의료영역에서 한방 비만치료의 효과)

  • Shin, Min-Seop;Lim, Sung-Taek;Park, Min-Ho;Yuk, Tae-Han
    • Journal of Pharmacopuncture
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    • v.9 no.1
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    • pp.95-101
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    • 2006
  • Objectives : This study was to investigate the effect of National Health Services for obesity patients by oriental medical treatment. Methods : We analyzed 46 obesity patient joined to Oriental Treatment for Obesity in Sunchang Medical Center with BCA(bocy component analysis), after we had treated them with our obesity program. We analyzed changes of BCA during before and after treatment, and analyzed items in BCA are weight(kg), amount of muscle(kg), amount of body fat(kg), body fat rate(%) and BMI(body mass index). Results : 1. Weight, amount of muscle, amount of body fat, body fat rate and BMI were decreased in after treatment, but they didn't have statistical significance. 2. This studies suggest oriental treatment for obesity may be an effective overweigh group(BMI $25{\sim}30$), because it had statistical significance(P<0.05). 3. It appears that oriental treatment for obesity have an effect in National Health Services

An Analysis of Treatment Types and Home Care Services Referral for Patients with Diabetic Foot (당뇨병성 족부궤양 환자의 치료형태 및 가정간호 연계)

  • Song, Chong-Rye;Han, Seung-Hwan;Lee, Young-Ah;Kim, Mi-Young;Chae, Sun-Mi
    • Journal of Home Health Care Nursing
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    • v.18 no.1
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    • pp.32-39
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    • 2011
  • Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20 years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes, 5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.

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Research and Development of Urban Health Infrastructure for Home Health Care for the Elderly (도시의 노인보건방문서비스를 위한 자원 및 모델 개발에 관한 연구)

  • Kang, Pock-Soo;Hwang, In-Soo;Kim, Chang-Yoon;Kim, Seok-Beom;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.21 no.1
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    • pp.47-60
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    • 1996
  • Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

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A study on quality of handicapped inpatients' service satisfaction at special dental clinic and their transformed perceptions toward to the dental treatment services (일부 복지관 장애인치과 내원 환자들의 서비스 만족도 및 진료 후 변화 인식도 연구)

  • Park, Soon-Ju;Choi, Seong-Woo;Park, Sun-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.6
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    • pp.1001-1014
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    • 2010
  • Objectives : The purpose of this study is about discovering the basic references to find the ways to vitalize handicapped dental clinics. Methods : The study was analyzed by the satisfactions of those patients who took the advantages of using the dental care at B-welfare center and also their transformed perceptions after the services are influenced. The analysis was the questionnaire consisting of 100 items and survey data. Results : 1. The satisfaction of the dental service for the disabled was respectively high which was the average of 4.49. 2. Their satisfactions of receiving kindness services by volunteers and employees were the highest in the entire research of successful handicapped dental services and it was 4.78 overall. 3. The satisfaction of using handicapped dental clinic has the higher range of female users than male's. In the mean time treatment details of the dental care and the satisfaction towards to the volunteers and faculty at the center show the statistical significance gap. 4. The oral care service after experiencing the dental clinic for handicapped relived their discomforts of using the regular dental clinic which shows their highest satisfaction as it is the point of 4.75. 5. the change perception after dental treatment for handicapped has the higher range of females than men's and solving the problems of mouth reference and discomfort of using regular clinics show the statistical significance gap. 6. In the change perception after having dental treatment for handicapped the thought of the possibility of periodical dental care shows the highest perception when the number of visiting is usually shorter and it shows the statistical significance. Conclusions : According to the satisfaction of those inpatients who use free dental care services that belong to dental clinics for handicapped in a part of Seoul welfare centers human services were appeared as the most important factor due to their advantages of taking services from volunteers and staff members. On the other hand to enhance the medical treatment information and environment which showed the weakest factors each inpatient should be specifically specialized for their needs and also further study on plans which enhance their perceptions toward to a better quality of oral-related life is required after using dental treatment service.

Role of Social Care Services after the Unification: 'TAIDA' Scenario Analysis (통일 이후 돌봄서비스의 사회통합 역할에 관한 연구: 미래 시나리오 분석)

  • Choi, Young Jun;Hwang, Gyu Seong;Choi, Hye Jin
    • 한국사회정책
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    • v.23 no.1
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    • pp.61-93
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    • 2016
  • This research aims to analyze the role of social care services after the unification, assuming that the unification would occur in 2020 in a peaceful manner. While much has been discussed about the unification in recent years inside or outside academia, most of discussion tends to focus on political and economic dimensions. Also, social policy studies on North Korean defectors have increased, but few pay attention to social policy strategies after the possible unification. In this context, this study explores various explicit and implicit roles of social care services and possible strategies after the unification. As research methodology, it employs one of the scenario methods, 'TAIDA', for projecting and simulating uncertain future. In so doing, first, it reviews South and North Korean socio-economic experiences during last two decades as feedback and German unification experiences as feedforward. In addition, it utilizes a expert survey. Based on the reviews together with the survey result, it discusses various influences of social care services after the unification and draws policy implications. This research aruges that social care services could have profound effects on the stability of socio-economic conditions after the unification.