Park, Jin-Hyuck;Heo, Seo-Yoon;Seo, Jun;Park, Ji-Hyuk
Therapeutic Science for Rehabilitation
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v.5
no.2
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pp.35-47
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2016
Objective: The aim of this study was to identify the driving rehabilitation for on-road driving through a systematic review. Methods: We systematically examined papers published in journals from December 2014 to January 2015, using CINAH, Embase, Pubmed, PsycINFO, and The Cochrane Library. Eventually, 15 studies were included in the analyses. Results: The evidence of 15 studies was from levels I, III, and V. The subjects included in the analyses were patients with stroke(40.0%), older driver(20.0%), traumatic brain injury(20.0%), acquired brain injury(13.3%) and spinal cord injury(6.7%). The intervention types were driving simulator training(53.3%), cognitive skills training(26.6%), off-road educational training(6.7%), adaptation of assistive device(6.7%), and behind-the-wheel training(6.7%). The effects of driving rehabilitation were different depending on the types of intervention. However, driving simulator training showed significant improvement of on-road assessments in all studies included this study. Conclusions: Driving rehabilitation for on-road driving has been used in various types. Specially, the effect of the driving simulator training has been proved by many studies. Future studies are to be required with client from a range of diagnostic groups to establish evidence-based interventions and determine their effectiveness in improving on-road driving.
Journal of Agricultural Extension & Community Development
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v.27
no.3
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pp.111-124
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2020
This study begins with an interest in community capacity, the basis for mobilizing community action and the driving force of community development. The study aims to identify the structural equation model of community capacity, social participation, satisfaction in life, and the impact relationship and to verify the differences between urban and rural areas. The analysis data used the 2018Korean Social Integration Survey, which is the statistical data for national approval. The analysis method was performed by using SPSS was used to perform descriptive analysis and t-test, and the structural equation model. Multi-group analysis of AMOS was also performed to verify the research model. As the result of analysis, both the condition and status of community capacity and social participation, which are products of community capacity, showed a higher average of rural areas than urban areas. As a result of the analysis of the structural equation model between community capacity, social participation, and life satisfaction, differences between rural and urban groups were identified. In rural areas, both the capacity-condition and the capacity-status variables act as positive factors for social participation and life satisfaction, but in urban areas, the path of capacity-condition, social participation, capacity-status and life satisfaction was significant. On the other hand, social participation variables acted as a factor of direct and indirect negatively influence on life satisfaction. Therefore, it can be said that the quality of community capacity in rural areas is superior to that of urban areas.
Elderly welfare housing refers to a residential facility with diverse medical and welfare services for cohabitation of elderly. Especially, community shared spaces in the elderly welfare housing plays an important role as a place for community and leisure activities that enhance vitality of elderly life. The purpose of this study was to investigate types, planning characteristics and actual utilization of community shared spaces in for-profit elderly welfare housing. Eight for-profit elderly welfare housing facilities in Seoul and Gyeonggi province were selected for this study and categorized into small-, medium- and large-scale facilities based on the number of housing units. Community shared spaces in the elderly welfare housing were classified into six space types: social space, education space, exercise space, medical space, convenience space and leisure space. Findings are as follows. Small-scale elderly welfare housing facilities with less than 100 housing units had fitness centers, clinics, restaurants, convenience stores and hobby rooms which were required by law. All community shared spaces were planned on a single level. Fitness centers was found the most frequently used while the other spaces were not used very frequently. Medium-scale facilities with 100 to 299 housing units had multi-purpose halls, libraries, swimming pools, indoor and/or outdoor driving ranges, physical therapy centers, saunas, karaokes and so on. Most community shared spaces were found frequently used. Large-scale facilities with 300 or more housing units had religion rooms, community halls, hair salons, pharmacies, etc. In most facilities, community shared spaces were planned in distributed locations.
This study was carried out on 178 bus drivers in the Masan area to investigate their health and nutritional status. THe nutritional status of the subjects was surveyed using a self-administered questionnaire, and blood analyses were conducted through annual health examinations in June, 1999. The results were as fellows: About 51% were classified as normal, 33% as health-concerned, and 17% as disease-suspected. The levels of total seam cholesterol were significantly higher in the over 20 year group (194.64 $\pm$ 41.42 mg/dl) than in the under 10 year group (175,00 $\pm$ 31.33 mg/dl) with respect to the length of their driving careers. Systolic blood pressure (SBP) was significantly higher in the 51 to 60 age group than in the other groups (p < 0.05) . The total seam cholesterol increased with increasing age (p < 0.001), and SBP increased with increasing Body Mass Index (BMI) (p < 0.001). Diastolic blood pressure (DBP), total cholesterol (p < 0.01), hemoglobin (p < 0.05) and glutamate-pyruvate-aminotransferase (GPT) (p < 0.05) were significantly higher in the BMI of over 20, than in the BMI under 20. The GPT was significantly higher in the BMI over 25 than in the BMI under 25. In The mean daily energy intake was 1912.7 kcal (76.5% of the RDA) ultra the protein intake was 74.3 g (106.2% or the RDA). Compared with the recommended allowance, the energy, calcium, thiamin, and riboflavin intakes were below, and the Fe, vitamin A, vitamin C intakes were above the Korean RDA. The average carbohydrate, protein, fat ratio of energy intake was 66 : 15 : 19, respectively. The length of their driving careers had a positive correlation with their ages and total serum cholesterol levels, and their ages had a positive correlation with their blood pressures, total seam cholesterol and hemoglobin levels and BMI. Their BMI had a positive correlation with their ages, blood pressures, total serum cholesterol, hemoglobin, GPT and GOT levels. The results of this study indicate that bus drivers needed regular exercise, and control of their body weights to prevent chronic diseases, and that their health status should be monitored as the length of their driving careers and ages increase.
Proceeding of Spring/Autumn Annual Conference of KHA
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2009.04a
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pp.101-105
/
2009
The purpose of this study is to figure out the trends of the community facilities patterns in the designated apartments through the method of analyzing a case of a community housing yet to be open to its tenants. The thesis is based on document research and analysis of apartments categorized into five different groupings all in a status of being a prospective dwelling. The conclusion of the case study results as follows. Firstly, the distribution of a plan is either centrifugal or widespread. Secondly, the elevation plan contains its facilities in the basements or low-rise floors. Thirdly, sports facilities such as an indoor driving range, a fitness club and a GX-room and a open square on the outer space were unifiably common to all five groupings. In conclusion, in light of the facility patterns shown in the five extracted groupings of apartments, it seems that it will be difficult for all residents to benefit from the public facilities because the facilities are perceived as being limited to only a specific tower which hampers the improvement of the quality of life of the rest of the tenants and dampens an active social gatherings. Therefore, the public facilities must be planned and constructed to meet the satisfaction of the residents in whole, in place of being a commercially lucrative space.
Journal of Fisheries and Marine Sciences Education
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v.18
no.3
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pp.364-373
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2006
Each roles of school community members as principals, assistant principals, head teachers, teachers, parents of pupils, and persons of regional society by questionnaire method. The opinions of 805 subjects of school members in Pusan city by stratified random sampling are analyzed. The results of analysis are as follows : The major roles of principals in school community are considered as (1) converging various schools members' opinions and reflecting them to school management (2) setting manifest educational goals of school and projecting visions of school development in the future (3) managing efficient, rational school. The major roles of assistant principals in school community are defined as (1) mediating and co-ordinating relation between principal and teachers (2) combing and harmonizing school members (3) dividing and co-ordinating school members' roles. The major roles of head teachers are defined as (1) driving departmental services and acting teaches' professional competency (2) mediating relation between school managers and teachers (3) converging teachers' opinions, delivering and reflecting them to the school managers. The major roles of teachers are defined as (1) supporting pupils' growth (2) completing teaching-learning activities (3) devoting pupul discipline. The major roles of pupils in school community are (1) believing schooling and teachers (2) self-initiative, positive learning activities (3) comprehending, caring, co-operating others. major roles of parents of pupils in school community are (1) believing schooling and teachers (2) The participating schooling (3) supporting schooling. The major roles of persons of regional community in school community are defined as (1) concerning and believing schooling (2) supporting and co-operating schooling (3) comprehending and loving schooling.
Journal of rehabilitation welfare engineering & assistive technology
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v.11
no.2
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pp.91-98
/
2017
Background & Object: Basic daily activity screening tool such as the Modified Barthel Index (MBI) has been used commonly in rehabilitation clinic and community based rehabilitation setting. Previous studies have shown the significant relations between the level of daily activities and driving ability on stroke or elderly people. However, there is a lack of studies to investigate the usefulness of MBI on prediction of driving ability for stroke patient. This study was to predict driving abilities of stroke survivor using Korean version Modified Barthel Index (K-MBI). Methods: A sample of 48 patients with stroke in rehabilitation hospital was recruited. All participants were tested level of basic daily activities using K-MBI. The driving ability of participants was tested using virtual reality driving simulator. The predictive validity was calculated of the K-MBI among pass or fail group of driving simulator test using receiver operating characteristics curves. Results: The cut-off score of >86.5 on the K-MBI is proper sensitivity to predict on driving performance ability. Conclusion: This pilot result offers clinical reference to therapists and caregivers for reasoning on driving recommendation period during rehabilitation stage of stroke survivors. Further studies need to identify prediction using real on-road test in a large population group.
This study examines factors that influence older drivers to consider stopping driving in advance and whose advice plays an important role in the driving cessation decision. Data came from a nationally representative cross-sectional survey of community-dwelling older adults (N=2,076). About two thirds reported that they have considered stopping driving (62.8%) and they preferred to decide by themselves (66.0%). Logistic regression results showed that women and residents in urban areas were twice as likely to consider voluntary driving cessation compared to their counterparts. Each one year increase in age contributed to the probability that respondents would consider driving cessation by five percent. Those with greater difficulties in ADLs due to chronic illnesses were also more likely to consider driving cessation. No sociodemographic and health factors were related to whether older drivers preferred to decide by themselves or listen to others. These results imply that policies to promote self-motivation to stop driving among older drivers would be effective. Furthermore, they suggest it could be important to help older drivers plan their driving cessation in advance while still at a young-old age, and that more attention needs to be paid to men and those living in rural areas among older drivers.
Kim, Su-Il;Rah, Ueon-Woo;Kim, Deog-Young;Bae, Ha-Suk
Physical Therapy Korea
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v.10
no.2
/
pp.71-84
/
2003
The purpose of this study was to provide information on driving characteristics in persons with spinal cord injury through basic statistic analysis of the survey results. The survey was administered to 44 drivers with spinal cord injury. The subjects' general, neurologic and driving characteristics were analyzed, as well as the degree of difficulty in using their vehicles between tetraplegia and paraplegia. The results were as follows: thirty-five (79.6%) of forty-four respondents was men. The average age was 35.0 years old and the age at the time of injury was 29.0 years old. Their neurologic characteristics were tetraplegics 12 (27.3%) and paraplegics 32 (72.2%). Among complete lesions, the highest level those who could drive independently was C7. All the vehicles were equipped with special devices, including "power steering", "automatic transmission" and "hand controls". The vehicles for cervical cord injury were equipped with "grip bars" as well as for the degree of difficulty in using their vehicles, all the subjects felt that "moving the wheelchair in and out of their vehicles" was too difficult for them to do. We suggest that the driver training should be an essential part of the rehabilitation program for patients with spinal cord injuries to maximize their mobility in the community. This training seems to be essential in order to modify the standards of the Handicapped Drivers Ability Test and to aid the driver rehabilitation program in the health insurance payment system. Also, the driver rehabilitation training program should include instruction in that moving wheelchairs in and out of vehicles.
This study was conducted to test the assessment validity and examine the cut-off scores for driving risk as a part of the Self-report Assessment Forecasting Elderly Driving Risk (SAFE-DR) development project. The 132 senior drivers were categorized as either risky of 58 or safe of 74 drivers through the Drivers 65 Plus. Based on this initial assessment, we analyzed the risk prediction cut-offs. Furthermore, we tested the construct, content, and predictive validity. The cut-off score for the prediction of driving risk was found to be 74.5 points. The positive predictive value was 88.6%, and the negative predictive value was 86.3% about the cut-off score, signifying an excellent level of discrimination. Convergent validity, nomological validity, and content validity were found to be appropriate. Therefore, this study confirms that SAFE-DR is an appropriate assessment that can be used to screen dangerous elderly drivers.
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