• Title/Summary/Keyword: Balance-confidence

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Analysis of Researches on the Warming Therapy for Surgical Patients (수술 환자에게 적용한 가온요법 연구논문 분석)

  • Jun, Jum-Yi
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.260-270
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    • 2010
  • Purpose: The main question is systematic review of the published in Korea and foreign countries on warming therapy for surgical patients. Methods: The researchers searched at Medline, CINAHL, KERIS, Adult Nursing Association, Korean Society of Nursing Science, Korean Academy of fundamentals of Nursing, and National Assembly Library web site for the published on warming therapy for surgical patients from 1980 to 2008. Words for search were operation/surgery, warming, operation/surgery and warming. Studies were included randomized controlled trial, and there were no restrictions regarding operative phase and outcome measures. Results: 36 published researches that met the criteria were mostly published in foreign countries between 2000 and 2008 and focused on surgery with general anesthesia. Sample size ranged from 21 to 60 subjects, age range between 21 and 60 years of age. Thirty different warming therapies were reported, fifty-two different dependent variables. Outcome indicators included active external warming, intra-operative, and body temperature. 'Positive effects' and 'no effects' equaled. The most frequently reported 'positive effects' were body temperature, shivering, and acid-base balance. No effects were more likely to be heart rate, blood pressure, and hemodynamics. Conclusion: Many types of warming therapy, are reported in the literature with little information about the efficacy of each, many different dependant variables were studied. There were no consistent reports as to length of time used for warming procedures. Overall, the effects of warming therapy are inconsistent. And additional research must be down before any particular method of warming can be used with confidence as to its effectiveness. Attention must be made as to the research design, better measurement of the dependent variables. This review may serve as a base.

Contingency and Management Reserves Estimation Method for Project Budget (프로젝트 예비비 편성 방법에 관한 연구)

  • Kwon, Hyukchun;Kang, Changwook
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.1
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    • pp.17-24
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    • 2016
  • Many organizations have transformed their business in order to survive and compete in the future. They generate projects by creating a vision, using strategies and objectives with funds aligning strategies and make efforts to complete them successfully because project success leads to business success. All projects have triple constraints such as scope, time, and cost to be completed. Project cost performance is a key factor to achieve project goals and which is mostly related with risks among various cost drivers. Projects require a cost estimation method to complete them within their budget and on time. An accurate budget cannot be estimated due to the uncertainties and risks. Thus some additional money should be funded in addition to the base budget as a contingency reserve for identified risks and a management reserve for unidentified risks. While research on contingency reserve for identified risks included in project budget baseline have been presented, research on management reserve for unidentified risks included in total project budget is still scarce. The lack of research on estimation method and role of the management reserve have made project managers little confidence to estimate project budget accurately with reasonable basis. This study proposes a practical model to estimate budgets including contingency and management reserves for not only project cost management but also to keep the balance of organization's total funds to maximize return on investments for project portfolio management. The advantages of the proposed model are demonstrated by its application to construction projects in Korea and the processes to apply this model for verification are also provided.

The Effects of Community Ambulation Training on Gait, Depression and Self-efficacy in Chronic Stroke Patients (지역사회 보행훈련이 만성 뇌졸중 환자의 보행 및 우울증, 자기효능감에 미치는 영향)

  • Kim, Ju-hyung;Shim, Jae-Hun;Oh, Duck-Won;Yu, Kyung-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.137-146
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    • 2018
  • PURPOSE: This study examine the effect of community ambulation training on gait, depression and self - efficacy of stroke patients in order to develop more effective training methods of community rehabilitation. METHODS: In the experimental group, community ambulation training combined with indoor and outdoor walking was performed for 30 minutes three times a week for six weeks. In the control group, general indoor walking training was performed. The physical factors were assessed by a 10-meter walking test, six-minute walking test and community gait test. Psychological factors were assessed by the Korean version of the Epidemiology Center Depression Scale and Activity-Specific Balance Confidence Scale. RESULTS: In the 10-meter walking test, the normal walking speed was significantly improved after the intervention in both the experimental group and the control group (p<.05). However, the fast walking speed was significantly improved only in the experimental group (p <.05). ln the community gait test, the experimental group showed significant improvement (p<.05), but the control group did not. Depression and self-efficacy were significantly improved in the experimental group (p<.05) but not in the control group. CONCLUSION: Community ambulation training may improve the gait ability of stroke patients and reduce their depression and improve self-efficacy.

Conceptual Exploratory on Security Martial Arts' Spirit (경호무도 정신특성의 개념 탐색)

  • Kim, Dong-Hyun
    • Journal of the Society of Disaster Information
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    • v.8 no.3
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    • pp.213-222
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    • 2012
  • The purpose of this study was to extract the spiritual characteristic factors of the security martial arts qualitatively which are emphasized in guard situation. To get the purpose of this study, 216 people who are students majored in security service, security service professionals, specialists of practical and theoretical security martial arts were selected as participants for this study. The results of this study were as follows. There were divided 4 sub-factors and 20 detailed factors. The spiritual characteristics of the security martial arts were named psychological spirit which was consisted of concentration, self-confidence, self-management, flow, and self-esteem, ethical spirit which was consisted of sacrifice, justice, royalty, peace, and sense of duty, martial arts' spirit which was consisted of courtesy, toughness, defense, balance of mind and body, and bravery, and practical spirit which was consisted of responsibility, cooperation, modesty, determination, and professionalism.

An analysis on the students' responses of the elective course, "Women in Medicine" (선택과목 '의료와 여성(Women in Medicine)'에 대한 학생반응 분석)

  • Jeon, WooTaek;Kim, Miran;Ryue, Sook-hee
    • Korean Medical Education Review
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    • v.9 no.2
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    • pp.21-27
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    • 2007
  • Even though 35% of Korean medical students are female, medical schools and hospitals maintain a strongly male-dominated culture which discourages female students from active career development. In 2006, Yonsei Medical school instigated an elective course entitled "Women in Medicine" to encourage and stimulate 51 female students who enrolled the course. Researchers conducted participant observations at all 6 lectures, as well as 2 surveys and 4 student fucus group discussions comprising a total of 18 students. The total satis faction r ate of the course was high at 4.6 points out of a 5-point score Nevertheless, the study results confirmed three conflict points between lectures and students. Firstly, the lecturers emphasized the excellence and carrier-goal oriented life style, whereas most students are more interested in an ordinary women doctor's life. Secondly, the lecturers emphasized the importance of husband and family's support for success in their career but most female students have little confidence in their ability to achieve a balance between work and family. Thirdly, the lecturers emphasized the women doctor who is able to lead a team effectively, but women students have few opportunities to play a leadership role in their school life. These study findings imply that there is a generation gap in the concept of "successful women doctor's life" between lecturers and students. and that interactive dialogue between lecturer and students is more important than lecture style presentations from extremely successful female doctors. In addition to such lectures, a leadership program based on active student participation should be developed.

Effectiveness of Arch Support Taping is Subjects With Excessive Foot Pronation: A Meta-analysis

  • Park, So-yeon
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.70-76
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    • 2019
  • Background: An excessive pronated foot is defined as a flattening or complete loss of the medial longitudinal arch. Excessive foot pronation is considered to have high risk factors of overuse injuries in the lower limb. Various treatments have been investigated in attempts to control excessive pronation. Objects: This meta-analysis identifies the effects of an anti-pronation taping technique using different materials. Methods: The electronic databases used include MEDLINE, the Physiotherapy Evidence Database (PEDro), Science Direct, the Korean Studies Information Service System (KISS), the Research Information Sharing Service (RISS), the Korea National Library, and the Korean Medical Database (studies published up to July 31, 2019). The database search used the following keywords: "foot drop" OR "foot arch" OR "foot pronation" OR "flat foot (pes planus)" AND "taping" OR "support." Eight eligible studies were analyzed to determine the effectiveness of anti-pronation taping in study and control groups. Results: The overall random effect size (Hedges'g) of the anti-pronation taping technique was 0.147 (95% confidence interval [CI]: -.214 to .509). When the effect (Hedges' g) was compared by the type of tape material, rigid tape (RT; Lowdye taping) was .213 (95% CI: -.278 to .704) and kinesiotape (KT; arch support taping) was -.014 (95% CI: -.270 to .242). Based on this meta-analysis, it was not possible to identify the extent to which anti-pronation taping was effective in preventing navicular drop, improving balance, or changing foot pressure. Only three of the eight eligible studies applied KT on excessive pronated feet, and the outcome measure areas were different to those of the RT studies. The KT studies used EMG data, overall foot posture index (FPI) scores, and rear foot FPI scores. In contrast, the RT studies measured navicular heights, various foot angles, and foot pressure. Conclusion: This review could not find any conclusive evidence about the effectiveness of any taping method for patients with pronated feet. Future studies are needed to develop the anti-pronation taping technique based on the clinical scientific evidence.

Effect of Action Observation Physical Training for Chronic Stroke Patients on the Stairs Walking Ability and Self-Efficacy

  • Park, Geun-hong;Lee, Hyun-min
    • The Journal of Korean Physical Therapy
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    • v.33 no.2
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    • pp.53-61
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    • 2021
  • Purpose: This study examined the impacts of action observational physical training related to stair walking on the stair walking ability and self-efficacy of chronic stroke patients. Methods: This study was conducted on 24 chronic stroke patients, who were assigned randomly to an action observational physical training group (12 persons) and a landscape observation physical training group (12 persons). To the action-observational physical training group, five videos related to stair walking were presented, and after observing them, physical training was carried out. The landscape observation physical training group observed the videos consisting of landscape, where there were no humans and animals, and then underwent physical training. This study measured the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius to examine the muscle activity of the lower limb. A timed up and go and step test was performed to examine the balance ability, and a timed stair test was conducted to examine their stair walking ability. A self-efficacy scale was measured to examine the degree of their confidence of performing stair walking. The assessment was conducted three times in total: pre-, post-, and follow-up surveys. Results: As a result of this study, the action observational physical training group significant improvement after the intervention than in the landscape observation physical training group. Moreover, the follow-up study four weeks after the intervention showed significant improvements in the action observational physical training group (p<0.05). Conclusion: These results show that the action observational physical training had a positive impact on the stair walking ability and self-efficacy of chronic stroke patients.

A Study on the American Presidential Libraries focusing on dysfunctions (미국대통령기록관의 역기능에 관한 연구)

  • Jo, Min-Ji
    • The Korean Journal of Archival Studies
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    • no.20
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    • pp.213-256
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    • 2009
  • If there are pyramids in Egypt for ancient pharaohs, there are presidential libraries, in other words presidential temples, in America for modern ex-presidents. An American presidential library is a monument-but also a history museum and an archive. These libraries are their unique commemorating way for American ex-presidents. These reflect and explain their presidency with their own point of views through museum exhibitions. However, the history presented in the museums of presidential libraries often lacks balance and critical perspective, and offer public access selectively. The presidential libraries, nothing but American business, made from American heroism and self-confidence tradition. In that point, we have to recognize american commemorating cultures are americans, while benchmarking american system. The importance is balanced views and critical perspectives when we accept advanced other country's systems.

A Qualitative Study into Special Education Teachers' Failure and Success Factors in Teacher Recruitment Examinations (특수교사들의 임용시험 실패 요인과 성공 요인에 관한 질적 연구)

  • Pack, Mee-Jung;Nam, Yun-Sug
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.221-232
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    • 2019
  • This study aimed at finding out special education teachers' failure and success factors in teacher recruitment examinations. Total of 24 special education teachers participated in the semi-structured interview and 12 separate semantic themes were extracted via continuous comparative analysis on the interview contents. The findings were the following. First, the identified factors for the failures on the examinations were merely following what others do, failure-causing learning strategies, unconditional memorization, ineffective study groups, anxiety and lack of confidence, and lack self-management issue. Second, the identified factors for the success on the examinations were my style of study habits, success-causing learning strategies, balance of understanding and memorization, effective study groups, positivity, and strong self routine. The research proposes several practical applications to prepare the exam regarding this results.

Convergence Study on the Relationship between Kinesiophobia and Fear of Falling in Patients with Stroke (뇌졸중 환자의 운동공포증과 낙상공포 사이의 관계에 대한 융합 연구)

  • Jo, Sungbae;Choi, Wonjae;Jung, Jihye;Park, Jiyu;Lee, Seungwon
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.33-41
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    • 2019
  • This study aimed to investigate the convergence relationship between kinesiophobia and fear of falling in patients with stroke. A total of 113 patients with stroke participated in this study. Participants underwent inpatient rehabilitation and completed surveys with three different questionnaires including the fall efficacy scale (FES), translated Tampa Scale for Kinesiophobia 13 (TSK-13), and activity-specific balance confidence scale (ABC). TSK-13 and FES showed weak negative correlation (r=-0.226), and TSK-13 and ABC showed moderate negative correlation (r=-0.300). FES had a very strong positive relationship compared with ABC (r=0.838). Faller showed significantly low FES and ABC scores compared with non-faller (p<0.05). These results present that patients with stroke had mild kinesiophobia, and kinesiophobia is related to fear of falling. It is necessary to evaluate kinesiophobia in stroke rehabilitation.