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Factors Influencing Stroke in Community-dwelling Adults : Focusing on Health-related Quality of Life (지역사회거주 성인의 뇌졸중 영향 요인 : 건강관련 삶의 질을 중심으로)

  • Moon, Jong-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.1
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    • pp.35-45
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    • 2019
  • Objective : The purpose of this study was to investigate the factors influencing stroke in community-dwelling adults. Methods : This study used raw data from the community health survey in 2016. Among the 228,452 subjects who participated in the survey, 225,003 (98.5%) of them were included in the analysis of this study. The sociodemographic characteristics were selected as gender, age, region, income, marital status, and comorbidity was selected as osteoporosis, hypertension, diabetes, dyslipidemia, myocardial infarction and arthritis. Health-related quality of life was assessed by EuroQol-5 Dimension(EQ-5D) and the subcategory of EQ-5D (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) were included in the analysis. Dependent variables were stroke, and the independent variables were the 16 variables described above. Statistical analysis was performed using binomial logistic regression analysis. Results : In sociodemographic variables, stroke was predicted by men, aging, and lower income levels. In comorbidity variables, stroke was predicted by hypertension, diabetes mellitus, hyperlipidemia, and myocardial infarction. In sub-domains of health-related quality of life, stroke was predicted by self-care, usual activities, mobility, anxiety/depression, and pain/discomfort. Conclusion : These finding suggest that it is needed development of a customized health promotion program for the improvement of self-care and activities of daily living in community-dwelling stroke survivors.

The effect of kinesio taping and transcutaneous electrical nerve stimulation on balance and gait function and quality of life in stroke patients (키네시오 테이핑과 경피신경전기자극이 만성 뇌졸중 환자의 균형 및 보행기능과 삶의 질에 미치는 영향)

  • Kim, Soon-Hee;Jeon, Sun-young
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.247-255
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    • 2019
  • The purpose of this study is to compare kinesio tapping with transcutaneous electrical nerve stimulation to single intervention in chronic stroke patients. 29 stroke patients were divided into taping group (n = 10), transcutaneous electrical nerve stimulation group (n = 10), and taping with transcutaneous electrical nerve stimulation group (combined group n = 9). The intervention period was 5 times (30min) per week for 4 weeks. Timed Up & Go (TUG) and Berg Balance Scale (BBS) were used for balance evaluation. Functional Gait Assessment (FGA) and 10-meter walk test were used for gait evaluation. The quality of life evaluation was performed using the EuroQol-5 dimension (EQ-5D). There were significant improvements in TUG, BBS, FGA, 10-meter walk test, and EQ-5D in all three groups (p <.05). In the comparison of the intervention effects between the three groups, the combined group showed a significant increase in FGA compared to the other two groups. This study showed that taping with transcutaneous electrical nerve stimulation is more effective for FGA than single methods. However, there was no difference between the three groups except for FGA. Therefore, more subjects and intervention period will be needed in future studies.

Characteristics of Catalysts System of NGOC-LNT-SCR for CNG Buses (CNG 버스용 NGOC+LNT+SCR 촉매시스템의 특성)

  • Seo, Choong-Kil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.626-631
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    • 2019
  • The policy-making and technological development for the supply expansion of eco-friendly automobiles has been continuing, but the internal combustion engines still accounts for about 95%. Also, in order to meet the stricter emission regulations of internal combustion engines based on fossil fuels, the proportion of after-treatments for vehicles and (ocean going) vessels is gradually increasing. This study is a basic study for the post-Euro-VI exhaust response of CNG buses, and it is to investigate the basic characteristics according to Pd substitution transition metal effect, catalyst volume effect and space velocity. A catalysts was prepared and tested using a model gas reactor. The NGOC catalyst with 3Pd exhibited the highest catalytic activity with 22% at $300^{\circ}C$, 48% at $350^{\circ}C$ and about 75% at $500^{\circ}C$. 3Co NGOC containing 3wt% of transition metal was excellent in oxidation ability, and it was small in size of 2nm, and the degree of catalyst dispersion was improved and de-NO/CO conversion was high. The volume of the NGOC-LNT-SCR catalyst system was optimal in the combination of 1.5+0.5+0.5 with a total score of 165, considering $de-CH_4/NOx$ performance and catalyst cost. For SV $14,000h^{-1}$, the $CH_4$ reduction performance was the highest at about 20%, while the SV $56,000h^{-1}$ was the lowest at about 5%. If the space velocity is small, the flow velocity decreases and the time remaining in the catalyst volume become long, so that the harmful gas was reduced.

Effects of Korean Medical Combination Treatment for Lumbar Spinal Herniated Intervertebral Disc : accompanying or not High-intensive zone(HIZ) (요추 추간판 탈출증에 대한 한방 치료의 효과 연구 : High-intensive zone(HIZ) 유무에 따라)

  • Jang, Jae Won;Lee, Ji Won;Roh, Ji Ae;Lee, Gi Eon;Kim, Hyun Joong;Hong, Jung Soo;Kim, Dong Jin
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.2
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    • pp.47-63
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    • 2018
  • Objectives : The purpose of this study was to analyze the effects of lumbar spinal herniated intervertebral Disc on MRI accompanying or not High-intensive zone(HIZ) by Korean Medical Combination Treatment Methods : 324 patients who received inpatient treatment from January 2017 to September 2017 in the Daejeon-Jaseng of Korean Medicine Hospital were divided into 2 groups by High-intensive zone(HIZ) confirmed with a Lumbar spine magnetic resonance imaging. All patients received a combination of treatment including acupunture, chuna manual therapy, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index), physical examination as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 18.0 for windows. Results : After treatment, Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index), physical examination was improved respectively. But there was no statistically significance between 2 group's improvement after treatment. Conclusions : After inpatient treatment by Korean Medical Combination Treatment, Most patient's pain, disability and Health Related Quality of Life was improved significantly. But there was no statistically difference between accompanying or not High-intensive zone(HIZ). So We think that future research of higher quality and correct statistics shall be necessary.

A Study on the Emission and Particulate Matter of a Heavy Duty Natural Gas Engine According to Gas Composition under certification tests (인증시험 조건에서 가스조성 변화에 따른 대형 천연가스 엔진 배기가스 및 입자상 물질 배출 특성에 관한 연구)

  • Choi, Ji-Seon;Park, Cheol-Woong;Jang, Hyoung-Jun;Kim, Chang-Gi
    • Journal of the Korean Institute of Gas
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    • v.25 no.6
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    • pp.66-73
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    • 2021
  • In this study, The full load test and WHTC mode test were performed to examine the effect on a heavy duty natural gas engine according to the type of standard gas for certification to check engine performance and exhaust characteristics. Two types of standard gas (Gr, G23) and commercially available natural gas were applied as the fuel used. As a result of the test results of three natural gases with different fuel compositions, G23 with a high nitrogen content was inferior in torque, fuel consumption, and thermal efficiency conditions. In addition, when evaluated in the WHTC mode it was possible to obtain a result that satisfies the EURO VI regulation. However, compared to the other two fuels, the emission characteristics of G23 decreased CO2 and CO, but increased CH4, NOx and PN emissions.

Countermeasures to the Introduction of Low Caloric Gas Fuel for Natural Gas Engine (저열량 가스 적용에 따른 천연가스엔진의 대응 방안 연구)

  • Park, Cheol-Woong;Kim, Chang-gi;Oh, Se-Chul;Lee, Jang-Hee
    • Journal of the Korean Institute of Gas
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    • v.25 no.2
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    • pp.34-41
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    • 2021
  • In order to cope with the problems that may occur when the natural gas used in Korea becomes low in calories, the problems that may have to the domestic industrial gas equipment must be identified in advance, and based on this, countermeasures for efficient use of energy must be preceded. In this study, in order to solve the problem of deterioration of engine output performance and efficiency due to the introduction of low calorific gas when using a lean-burning natural gas engine that complies with the EURO-6 regulation, specific control plans and results based on the experiment are intended to be presented. In order to identify the improvement effect by the control variable represented by the ignition timing under the full load condition at the engine speed of 1,400 rpm and 550 Nm, 2,100 rpm, which is the engine speed at the rated operation condition, the thermal efficiency and exhaust gas characteristics were identified and optimized by changing the ignition timing for each gas fuel. In the case of pure methane, which shows the lowest value based on the torque under the full load condition, if the ignition timing is advanced by about 2 CAD from the reference ignition timing, the torque can be compensated without a large increase in NOx emission.

Adult Physical Activity and Health Related Quality of Life : National Big Data Utilization (7th National Health and Nutrition Survey) (성인의 신체활동과 건강관련 삶의 질 : 국가빅데이터를 중심으로)

  • Kim, Seung-Ju;Jeon, Min-Ju
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.455-465
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    • 2020
  • The purpose of this study was to investigate the relationship between physical activity and health-related quality of life of adults using the 7th National Health and Nutrition Survey. The study was conducted with 11,211 adults, and the health-related quality of life was defined using the EuroQol group's EQ-5D and physical activity using GPAQ. Data analysis was performed using the SAS 9.4 program, the general characteristics and degree of physical activity of the subject, Chi-square for KEQ-5D index, and Logistic Regression Analysis for the relationship between physical activity and quality of life. As a result of the study, the general characteristics of the subjects were marital status, educational status, occupation, smoking, alcohol consumption, economic status, stress, chronic disease, chronic disease treatment, physical activity due to leisure and physical activity due to occupation, depending on gender. There was a difference (p<0.05). As for the quality of life related to physical activity and health, the quality of life was significantly lower by 37% in the 'minimum physical activity group' of occupational physical activity (p<0.05). The results of this study are expected to be provided as basic data for physical activity-related health policy establishment and physical activity programs.

Trends in Heart Valve Surgery in Korea: A Report from the Heart Valve Surgery Registry Database

  • Choi, Jae Woong;Kim, Joon Bum;Jung, Yoo Jin;Hwang, Ho Young;Kim, Kyung Hwan;Yoo, Jae Suk;Lee, Sak;Lee, Seung Hyun;Sung, Kiick;Je, Hyung Gon;Lim, Mi Hee;Chang, Byung-Chul;Hong, Soon Chang;Lee, Heemoon;Shin, Yoon Cheol;Kim, Jae Hyun;Lim, Cheong
    • Journal of Chest Surgery
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    • v.55 no.5
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    • pp.388-396
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    • 2022
  • Background: In this study, we present recent trends in heart valve surgery in Korea through analyses of data from the Korea Heart Valve Surgery Registry (KHVSR). Methods: We enrolled 8,981 patients who were registered in the KHVSR from 2017 to 2020. Yearly trends in patients' baseline characteristics, surgical profiles, and early mortality rates were explored. The observed/expected mortality ratio (O/E ratio), calculated from the actual mortality in the KHVSR and the predicted mortality estimated using the EuroSCORE II, was also analyzed. Results: The proportion of aortic valve surgery significantly increased from 56.8% in 2017 to 60.3% in 2020. The proportion of all combined procedures and minimally invasive surgery significantly increased over the 4-year study period. The operative mortality rate was 2.9% in the entire cohort, while mitral valve repair showed the lowest mortality risk (0.9%). The mortality rates of isolated aortic valve replacement (AVR) significantly decreased from 2.1% in 2017 to 0.8% in 2020 (p=0.016). Overall, the O/E ratio was 0.784 (95% confidence interval [CI], 0.677-0.902) demonstrating significantly lower actual mortality risks than expected based on the EuroSCORE II. In particular, the O/E ratios were as low as 0.364 (95% CI, 0.208-0.591) for isolated AVR. Conclusion: The recent data from the KHVSR showed increasing trends for complex procedures and minimally invasive surgery in heart valve surgery in Korea, and demonstrated remarkably low risks of operative mortality.

Plant Proteins in Relation to Health-related Quality of Life in South Korean Individuals Aged 50 Years or Older: Korea National Health and Nutrition Examination Survey 2016-2018 (50세 이상 한국인의 식물성 단백질 섭취와 건강 관련 삶의 질과의 연관성: 국민건강영양조사 2016-2018)

  • Jun, Sook-Hyun;Lee, Jung Woo;Shin, Woo-Kyoung;Kim, Yookyung
    • Journal of Korean Home Economics Education Association
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    • v.34 no.4
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    • pp.1-18
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    • 2022
  • This study aimed to investigate the association between plant protein intake and health-related quality of life (HRQoL) in Korean individuals aged 50 years or older. Using the 2016-2018 Korea National Health and Nutrition Examination Survey data, 7,956 participants (3,434 men and 4,522 women) were included in the study. HRQoL was measured using the Euro-quality of life five-dimension (EQ5D), composed of physical function, self-care, daily activities, pain/discomfort, and anxiety/depression problems. The EQ5D estimates were converted into an EQ5D index score. The association between daily intake of plant proteins and HRQoL was evaluated using regression analysis. The intake of total plant protein, legume nut seed (LNS), and fermented bean (FERMB) proteins were all positively associated with HRQoL in both men and women (p < 0.01). Of EQ5D's five dimensions, physical function and daily activities were most commonly associated with plant protein intake. Compared to LNS protein or FERMB protein intake, total plant protein intake showed a better association with HRQoL. In conclusion, a significant association was observed between plant protein intake and HRQoL. It suggests that adequate intake of plant protein might be helpful for the maintenance or improvement of HRQoL in Korean adults.

EU Enlargement and economic environmental change of Russia and Eastern Europe - From asymmetry and subsidiarity paradigm in industrial cooperative paradigm (EU의 동방확대에 따른 동유럽·러시아간의 경제 환경 변화 - 비대칭성 및 보완성 패러다임에서 산업협력 패러다임으로)

  • Kim, Sang Won
    • Journal of International Area Studies (JIAS)
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    • v.13 no.1
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    • pp.135-156
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    • 2009
  • The two waves of EU enlargement in 2004 and 2007, have been milestones of European integration. While research has been conducted into the impact of these events on both the European and the global economies,1 there have been few attempts to assess the effects of EU enlargement and the introduction of the euro on countries such as Russia, which neighbour the EU but currently have no perspective of accession. This paper aims to provide an assessment of the effects that EU enlargement and the introduction of the euro have had on Russia, the largest country neighbouring the EU. In particular, it focuses on trade and investment links between the EU and Russia, as well as the use of the energy by Russian residents and authorities. Economic links between Russia and the EU are found to have strengthened considerably in the areas of trade, investment and other financial flows in recent years. Strong growth, particularly in Russia, as well as the high price of oil and gas, Russia's major export items, has facilitated this expansion of trade and finance. Moreover, available data do not suggest that EU enlargement has had a negative impact on Russia in terms of trade or investment diversion. Thus, the strategic partnership between Russia and the EU has been increasingly underpinned by an expansion of cross-border economic activities. Thus, the paper contributes to two broad strands of literature on this subject, namely the impact of regional trade and economic arrangements on non-member countries and the international role of currencies.