• Title/Summary/Keyword: Community rehabilitation

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Education Need of the Visit ing Health Service Workers in Gwangju and Jeollanam-do Public Health Facilities (일부 공공보건기관 방문보건요원의 교육요구도 조사)

  • Kim, Young-Lak;Kim, Shin-Woel;Chung, Eun-Kyung;Choi, Jin-Su
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.51-64
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    • 2002
  • This study was aimed to provide the basic data for the development of effective educational program by reflecting the opinions of the visiting health service workers. The subjects were 144 visiting health service workers in Gwangju and Jeollanam-do area who responded the mail questionnaire. The data were collected from June to July, 2001 using questionnaire composed of the education need, knowledge by subjective appraisal, and experience of education. The major findings of this study were as follows: 1. The number of respondents who received at least one education within recent three years were 43(29.9%) at the central level, 57(39.6%) at the provincial level and 53(36.8%) at the district level. The satisfaction with education was higher at the central level than at the provincial and district level. 2. Knowledges by subjective appraisal on the 'chronic degenerative diseases management' and 'health promotion' was relatively high. while that of 'rehabilitation' was low. 3. The knowledge by subjective appraisal of visiting health service was related with experience of education and license status. The knowledge was higher in registered nurses than in nurse aids. The curricula related to increased level of knowledge of visting health service workers were 'elderly health care', 'rehabilitation' and 'psychiatric-mental health nursing' educations at the central level 'continuing education for the community health practioners' and 'psychiatric-mental health education' at the provincial level and 'elderly health care', 'rehabilitation' 'psychiatric-mental health' and 'acute diseases control' educations at the district level. 4. The respondents preferred elderly health management as the contents of education, officer group education as the method of education, province(30.4%) as the main body of education, exercise and practice as the form of education, 2-3 times per year as the frequency of education, and 3-5days as the period of education. The findings of this study could suggest that future education program should be planned to increae the knowledge level of visiting health service workers by reflecting their educational need.

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Phenomenological Study on Relationships of People with Acquired Disability with the Opposite Gender (후천적 장애인이 이성과의 관계 맺기에 관한 현상학적 연구)

  • Park, Hun-Kyung;Moon, Jung-In;Yoo, Doo-Han
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.59-72
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    • 2011
  • Objective : The purpose of this research was to understand the emotions of disabled in starting relationships with the opposite gender and disclosing experienced events related to starting relationships with the opposite gender. Methods : In order to gain an understanding of experience, emotions and process of people with acquired disability, phenomenological study, a form of qualitative research was used. Data on subjects was collected through in-depth interviews, on-the-scene recording and technical observation diary, etc and were analyzed through Colaizzi's phenomenological study method. Results : Subjects who had acquired disabilities experienced changes in physical, psychological, social aspects and especially in the course of relationships with the opposite gender. Data from in-depth interviews of 8 subjects were analyzed 6 types of subject themes were derived. 1) Diagnosis of varying psychological reactions. 2) Various psychological reactions of parents and the other gender. 3) Through aggressive support rehabilitation volition will change. 4) After you have a disability as a lack of social skills. 5) Changes in confidence through rehabilitation. 6) the other gender for the different ideas. Conclusion : This research is valuable in presenting important data in understanding problems and emotions of relationships of people with acquired disabilities with opposite gender. Starting relationships with the opposite gender has more meaning than any other interacting activities in society. Conflicts exist in starting relationships and support programs for various specialists are indispensable.

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Application of Picture Book Reading Training Protocol using Electronic Media and Its Effects on Reading Ability for to Borderline Intellectual Children (경계선 지능 아동을 대상으로 전자매체를 활용한 그림책 읽기 훈련 프로토콜의 적용 및 읽기능력에 미치는 영향)

  • Son, Sung-Min;Kwag, Sung-Won;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.25-35
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    • 2018
  • Objective : The purpose of this study was to identify changes in reading ability among children with Borderline Intelligence by applying an electronic media reading training protocol. Methods : A picture book reading training protocol was applied to 10 childrens with borderline intelligence using electronic media to improve reading skills. This protocol was performed for 10 session once a week. After the analysis of the content validity index about the protocol presented in this study, this prococol was applied to the subjects. To analyze the changes of the reading ability for the subjects, KNISE-BAAT type A and B reading test were used. Results : According to the tests taken before and after implementing, the Application of Picture Booking Training Protocol using Electronic Media there was a significant improvement in Reading ability (Understanding words, Completion sentence, Vocabulary selection, Vocabulary arrangement, Understanding short text). However, there was no significant difference in Oral Reading. Conclusion : Application of Picture Booking Training Protocol using Electronic Media may be used as a beneficial measure to improve the reading abilities of children with Borderline Intellectual.

Application of Rasch Analysis to the Korean Berg Balance Scale (한국판 버그 균형척도 평가도구의 라쉬분석)

  • Lee, Jung-Ah;Yi, Chung-Hwi;Park, So-Yeon;Hwang, Su-Jin
    • Physical Therapy Korea
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    • v.13 no.3
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    • pp.49-56
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    • 2006
  • This study was designed to examine, using Rasch analysis, the rating scale performance of the Korean version of the Berg Balance Scale (BBS). The subjects were 95 elderly people at community dwelling. Subjects (19 men, 76 women) ranged in age from 65 to 91 years. Rasch analysis was then done by means of the Winsteps program to determine the validity and reliability of the Korean version of the BBS evaluation tools for elderly people. The results were as follows: Twenty-one elderly people were excluded for misfit persons. Three items were found to be misfits and the order of item difficulty of the remaining 11 items was arranged. Elderly people BBS ability is indicated by -.94~7.41 logit, and the transformation formula is score=(logit score+.94)/$(.94+7.41){\times}100$. This transformation formula can be applied to Korean elderly people for balance ability. In the order of difficulty of evaluation items, the most difficult item was "Standing on one foot" and the easiest item was "Standing to Sitting". In conclusion, the Korean version of BBS evaluation tool for the elderly people has been proved valid and will be useful in clinical practice and research in Korea.

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The Effect of Sensory Diet Based on Proprioception on the Toddler's Sleep Pattern : Single Subject Research (고유감각을 기초로 한 감각식이가 유아의 수면 패턴에 미치는 효과: 단일사례연구)

  • Jung, Hye-Rim;Rho, Guem-Mi;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.2
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    • pp.23-32
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    • 2012
  • Objective : The aim of the present single subject research was to identify the effect of sensory diet based on proprioception on toddler's sleep pattern and the continuance of the effect. Methods : The sensory diet based on proprioception consisted of 14 session was provided to a 13 months old girl for 2 weeks. The time taken to fall asleep, amount of sleep, bed time and severity of behavior before sleep were recorded by her mother who was taken the education about observation. Results : After the sensory diet, the child present change of time taken to fall asleep, amount of sleep, bed time and severity of behavior before sleep, and the effect on time taken to fall asleep, continued temporally. Conclusion : The sensory diet based on proprioception was related to stabilize the sleep pattern of a toddler, and the effect of the sensory diet continued temporally after the sensory diet. For future research, more subjects and methodical measure are need to generalize the result of sensory diet based on proprioception affecting to toddler's sleep pattern.

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Driving Performance Evaluation Using Bio-signals from the Prefrontal Lobe in the Driving Simulator

  • Kim, Young-Hyun;Kim, Yong-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.2
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    • pp.319-325
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    • 2012
  • Objective: The aim of this study was to develop the assistive device for accelerator and brake pedals using bio-signals from the prefrontal lobe in the driving simulator and evaluate its performance. Background: There is lack of assistive devices for the driving in peoples with disabilities in Korea. However, if bio-signals and/or brain waves are used at driving a car, the people with serious physical limitations can improve their community mobility. Method: 15 subjects with driver's license participated in this study for experiment of driving performance evaluation in the simulator. Each subject drove the simulator the same course 10 times in three separated groups which use different interface controllers to accelerate and brake: (1) conventional pedal group, (2) joystick group and (3) bio-signal group(horizontal quick glance of the eyes and clench teeth). All experiments were recorded and the driving performances were evaluated by three inspectors. Results: Average score of bio-signal group for the driving in the simulator was increased 3% compared with the pedal group and was increased 9% compared with the joystick group(p<0.01). The subjects using bio-signals was decreased 44% in number of deduction compared with others because the device had the built-in modified cruise control. Conclusion: The assistive device for accelerator and brake pedals using bio-signals showed significantly better performance than using general pedal and a joystick interface(p<0.01). Application: This study can be used to design adaptive vehicle for driving in people with disabilities.

Extra-spinal sciatica and sciatica mimics: a scoping review

  • Siddiq, Md Abu Bakar;Clegg, Danny;Hasan, Suzon Al;Rasker, Johannes J
    • The Korean Journal of Pain
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    • v.33 no.4
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    • pp.305-317
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    • 2020
  • Not all sciatica-like manifestations are of lumbar spine origin. Some of them are caused at points along the extra-spinal course of the sciatic nerve, making diagnosis difficult for the treating physician and delaying adequate treatment. While evaluating a patient with sciatica, straightforward diagnostic conclusions are impossible without first excluding sciatica mimics. Examples of benign extra-spinal sciatica are: piriformis syndrome, walletosis, quadratus lumborum myofascial pain syndrome, cluneal nerve disorder, and osteitis condensans ilii. In some cases, extra-spinal sciatica may have a catastrophic course when the sciatic nerve is involved in cyclical sciatica, or the piriformis muscle in piriformis pyomyositis. In addition to cases of sciatica with clear spinal or extra-spinal origin, some cases can be a product of both origins; the same could be true for pseudo-sciatica or sciatica mimics, we simply don't know how prevalent extra-spinal sciatica is among total sciatica cases. As treatment regimens differ for spinal, extra-spinal sciatica, and sciatica-mimics, their precise diagnosis will help physicians to make a targeted treatment plan. As published works regarding extra-spinal sciatica and sciatica mimics include only a few case reports and case series, and systematic reviews addressing them are hardly feasible at this stage, a scoping review in the field can be an eye-opener for the scientific community to do larger-scale prospective research.

A Study on a Rhabilitation Design, Decision Making and Housing Management Policies for Reuse of Deteriorated Apartments in Korea (노후아파트 재활용을 위한 건축디자인 의사결정 및 관리정책 연구)

  • Shon, Seung-Kwang;Cho, Hyung-Geun;Cho, Sun-Chul;Choi, Il
    • Journal of the Korean housing association
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    • v.13 no.5
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    • pp.77-88
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    • 2002
  • This article deals the investigations how to solve the social deficiencies of deteriorate apartments, which is a half cycle of a building and it goes slum clearance and redevelopment. And this proposes an active remodeling and design strategy, management, and housing policies for extending the usage of the resource. Most of apartment housing in Korea is built by the panel wall and slab structure system fur economic price. To remake is possible, even though not designed in flexibility and variation. The remodeling strategies are dwelling unification, transformation of two units to one or three units, addition of a room, changing into commercial and community required spaces, and reshaping of a envelop and facade by addition of a dwelling or dwellings, roof floors, change of materials and colors, and so on. And, all activities in structural aspect are proposed removal in upper part and addition in lower part of an apartment housing. Active remodeling cost a great deal compare to new construction, so any remodeling activities should be based on a minimal interfere and budgets to enhancing the quality in existing building. The final aim of an active remodeling is to enhance the quality in economic values, and to keep original state and to put on the new one in a small part. To promote the active and careful management and rehabilitation, it is necessary to give the positive incentive in terms of architectural law, bank loan, and any redevelopment project should get the remodeling record in national resources.

The Association among Activity of Daily Living, Instrumental Activities of Daily Living, Depression and Isolation in Disabled People (장애인의 일상생활동작, 도구적 일상생활동작, 우울 및 고립감의 관계)

  • Choi, Young-Soon;Kim, Hyun-Li;Kim, Young-Hee;Lim, Jae-Ran
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.5-12
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    • 2011
  • Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

Driving Performance Evaluation Using Foot Operated Steering System in the Virtual Driving Simulator (가상 운전 시뮬레이터를 이용한 족동 조향 시스템의 운전 성능 평가)

  • Song, Jeongheon;Kim, Yongchul
    • Journal of Biomedical Engineering Research
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    • v.38 no.4
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    • pp.197-204
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    • 2017
  • The aim of this study was to evaluate driving performance of normal subjects for controlling the steering wheel by using foot operated steering devices in the driving simulator. Many people with complete bilateral loss or loss of use of upper limbs but with normal lower limbs are frequently left without use and/ or control of their hands, arms, or the upper extremities of their bodies. As a result, persons disabled in this manner have problems in operation an automobile because they cannot grasp and manipulate a conventional steering wheel. Therefore, if foot operated steering devices are used for controlling the vehicle on in people with disabilities, the disabled people could improve their community mobility by driving a car safely. Ten normal subjects were involved in this research to evaluate steering performance by using three types of steering devices(conventional steering wheel, pedal type foot steering, circular type foot steering) in driving simulator. STISim Drive 3 program was used for testing the driving performance in two road scenarios: straight road and curved road at low and high speed of vehicle (40 km/h and 80 km/h). This study used two-way ANOVA to compare the influences of two factors(type of foot steering device and road scenario) in the three dependent variables of steering performance(standard deviation of lateral position, the lateral position of vehicle and the number of line crossing). The average values of the three dependent variables(standard deviation of lateral position, lateral position and the number of line crossing) of driving performance were significantly smaller for conventional steering wheel or pedal type foot steering than circular type foot steering.