• 성인간호학회지
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• 제29권1호
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• pp.51-62
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• 2017

Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

• 임상간호연구
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• 제25권2호
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• pp.179-188
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• 2019

Purpose: The purpose of this study was to develop a valid Adult Fall Assessment Scale Korean version (FAS-K) for inpatients in general hospitals in Korea. Methods: This a 14 item FAS-K was developed based on a review of national and international research and expert opinions in related field. Interrater reliability of FAS-K was analyzed using the ICC (Intraclass Correlation Coefficients). To examine the validity of FAS-K, a CVI (Content Validity Index), the Pearson correlation coefficients between FAS-K and two widely used scales, the Morse Fall Scale (MFS) and the Johns Hopkins Hospital Fall Risk Assessment Tool (JHFRAT), and the Mann-Whitney test were used. Results: The ICC was .958. The CVI ranged from .70 to 1.00. The FAS-K was significantly associated with the MFS (r=.74, p<.001) and with the JHFRAT (r=.87, p<.001), verifying the concurrent validity of FAS-K. As for the construct validity of FAS-K, significant differences between the fall and non-fall groups were found not only in the MFS (Z=-3.23, p=.001) but also in the FAS-K (Z=-3.10, p=.002). Conclusion: The findings indicate that the FAS-K is a reliable fall risk assessment tool with high validity.

• 한국전문물리치료학회지
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• 제30권1호
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• pp.1-7
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• 2023

Background: Like many other countries, falls and related injuries in older adults are great concerns in South Korea. In particular, falls are common in medical institutions, often causing the increase of the length of hospitalization. Objects: The purpose of this review was to help understand and address falls in hospitalized individuals in South Korea. Methods: The review was conducted on literature published in Korean from 2010 to 2022, searched in the Korea Citation Index and PubMed. Keywords used for the search were as follows: falls, fall risk, fall risk assessment, hospital, inpatient, intervention, Korea, and prevention. Results: A total of 54 articles were found and reviewed. The most common place of fall accidents was the inpatient room, where there were many cases of falls while walking. Loss of balance was the most common cause of falls, and many falls occurred in patients admitted to the internal medicine. Furthermore, a risk of falling increased with the type of medications taken. In terms of tools to assess patients' fall risk, the Morse Fall Scale (MFS) was commonly used. Patient-specific fall prevention activities were common to address falls, and they decreased the frequency of falls and the fear of falling. Factors influencing the effectiveness of the fall prevention activities included attitudes toward falls, education, environmental factors, patient safety culture, and self-efficacy in preventing falls. Conclusion: Our results should help understand and address falls and injuries in medical institutions.

• 한국운동역학회지
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• 제30권3호
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• pp.255-264
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• 2020

Objective: The purpose of this study is to develop new balance evaluation index that can discriminate fall risk factors and provide effective interventions for healthy elderly. In order to conduct this study, the balance assessment tools (TUG, mCTSIB, OLST, FRT and BBS) currently used in clinic were re-evaluated using biomechanical analysis. Method: The participants were healthy elderly people over 65 years old, n=26, age: 69.31±3.13 years; height: 154.00±4.12 cm, body weight: 56.13±6.04 kg. The variables are length of CoM-BoS, length of CoP-BoS, range of CoP, mean distance of CoP, mean frequency of CoP, root mean square of CoP, joint angle, ASM (%SL), CoP-CoM angle. Results: As a result of this study, the following items were included in the list of new balance evaluation index for the healthy elderly, showing differences in the biomechanical evaluation based on the clinical evaluation (Inclusion list: TUG, OLST, 8th assessment item of BBS (reaching forward with outstretched arm), 11th item (turning 360 degrees), 13th item (standing with one foot in front), 14th item (standing on one foot)). Conclusion: Based on the results, the new balance evaluation index for the healthy elderly determined through this study can be used to prevent the fall by evaluating the balance ability in various situations that can be experienced in the normal daily life of the healthy elderly.

• 태양에너지
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• 제14권2호
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• pp.61-74
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• 1994

1982년부터 전국 주요 16개 도시에 측정장비를 설치하고, 대기청명도 자료를 수집하였다. 특정된 자료를 토대로 도시별 표준치를 설정하여, 이들 자료를 해당지역의 대기청명 상태의 평가자료로 이용될 수 있도록 하였다. 현지 측정사업의 내용을 중심으로 지금까지의 결과를 살펴보면, 1) 우리나라 주요 도시에서의 대기청명 조건은 연평균 청명한 날을 기준으로 대략 62% 정도이다. 2) 계절별 대기청명 조건은 연평균치에 비하여 봄과 여름철이 각각 63%, 64%로 다소 높았으며, 가을과 겨울철은 각각 61%, 59%로 낮게 나타났다. 3) $'82{\sim}'87$년과 $'88{\sim}'93$년 사이에 측정된 평균자료로 나누어 경년변화를 분석하여 보면, 매년 전 도시에서 공히 청명도가 감소하고 있음을 확인하였다.

• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.109-113
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• 2018

Objective: The purpose of this study was to investigate the effects of fall experience and task complexity on gait performance in community-dwelling persons with chronic hemiparetic stroke. Design: Cross-sectional study. Methods: Thirty-three persons who had a history of stroke participated in this study. The participants included 18 persons (aged mean 54.0, mean score of 24.6 points on the Montreal Cognitive Assessment, MoCA) with fall experience (faller group) and 15 persons (aged mean 53.7, mean score of 24.7 points on the MoCA) without fall experience (non-faller group) in the previous six months. This study measured balance and gait performance at two different conditions (with/without 70% of water filled in a 200 cc cup). The participants were clinically assessed using the 10-meter walk test (10MWT), 6-minute walk test (6MWT), Berg Balance scale (BBS), Dynamic Gait Index (DGI), and Timed Up-and-Go (TUG) test. Results: After analyzation, persons in the faller group performed significantly better on the 10MWT, 6MWT, BBS, DGI, and the TUG test in the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). The persons in the non-faller group also performed significantly better in all outcome measures with the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). However, there was no interaction between fall experience and task complexity in the two groups. Conclusions: Our results showed that balance and gait performance depended on fall experience and task complexity but fall experience did not interact with task complexity. Clinicians should consider fall prevention and task complexity during therapeutic approaches in persons with hemiparetic stroke.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2002년도 추계학술대회
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• pp.321-339
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• 2002

The result of variance decomposition through yield of Treasury of 30 year maturity of USA, S&P 500 index, stock price of KEPCO has 76.12% of impulse of KEPCO stock price at short-term horizon, but they have 51.40% at long-term horizon. After one year, they occupy 13.65%, and 33.25%. So their effects are increased. By the way, S&P 500 index and yield of Treasury of 30 year maturity of USA have relatively more effect for forecast of stock price oi KEPCO at short-term & long-term. The yield of Treasury of 30 year maturity of USA more than S&P 500 index have more effect for stock price of KEPCO. It is why. That foreign investors through fall of stock price of USA invest for emerging market is less than movement for emerging market of hedge funds through effect of fall of yield of Treasury of 30 year maturity of USA, according to relative effects for stock price of Korea companies. The result of variance decomposition through won/dollar foreign exchange rate, yield of corporate bond of 3 year maturity, Korea Stock Price index(KOSPI), stock price of KEPCO has 81.33% of impulse of KEPCO stock price at short-term horizon, but they have 41.73% at long-term horizon. After one year, they occupy 23.57% and 34.70%. So their effects are increased. By the way, KOSPI and won/dollar foreign exchange rate have relatively more effect for forecast of stock price of KEPCO at short-term & long-term. The won/dollar foreign exchange rate more than KOSPI have more effect for stock price of KEPCO. It is why. The recovery of economic condition through improvement of company revenue causes of rising of KOSPI. But, if persistence of low interest rate continues, fall of won/dollar foreign exchange rate will be more aggravated. And it will give positive effect for stock price of KEPCO. This gives more positive effect at two main reason. Firstly, through fall of won/dollar foreign exchange rate and rising of credit rating of Korea will be followed. Therefore, foreign investors will invest more funds to Korea. Secondly, inflow of foreign investment funds through profit of won/dollar foreign exchange rate and stock investment will be occurred. If appreciation of won against dollar is forecasted, foreign investors will buy won. Through this won, investors will do investment. Won/dollar foreign exchange rate is affected through external factors of yen/dollar foreign exchange rate, etc. Therefore, the exclusion of instable factors for foreign investors through rising of credit rating of Korea is necessary things.

• 한국해양환경ㆍ에너지학회지
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• 제4권3호
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• pp.3-15
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• 2001

목포항의 수질과 영양상태의 계절 변화를 구명하고 평가하기 위하여 1996년 8원부터 1999년 8월까지 3년간 현장 관측과 수질 분석을 실시하였다. 첫째, 투명도, 용존무기질소, 인산인 및 클로로필 a와 같은 수질 항목에 대하여 OECD 영양분류기준을 적용한 결과, 목포항 해수의 영양수준은 4계절 내내 중영양 내지 부영양 상태로 평가되었고, 특히 하계에는 부영양 상태로 나타났다. 둘째, 비록 목포항 수질은 화학적 산소요구량에 의하면 해역수질 환경기준의 2급수 내지 3급수로 평가되지만, 부영양화에 의한 오염지수를 산정한 결과에 의하면, 목포항은 수질이 악화되어 4계절 내내 3급수에도 미치지 못하는 것으로 나타났다. 셋째, 부영양도를 산정한 결과, 특히 하계 또는 추계에 목포항에서 적조 발생 잠재력이 높은 것으로 나타났다. 넷째, 해수중에 존재하는 인에 대한 질소의 평균원자비(N/P)를 살펴보면, 목포항에서 식물플랑크톤의 성장에 대한 제한 영양 인자는 질소라기보다는 인으로 나타났다

• 대한물리치료과학회지
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• 제29권3호
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• pp.1-11
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• 2022

Background: The aim of this randomized controlled pilot study was to determine the effect of trunk training in wheelchair on fall efficacy, fall risk and activities of daily living in acute stroke patients. Design: Randomized controlled pilot trial. Methods: The study included 18 patients with acute stroke who were randomly allocated to an experimental group (EG) (n=9) and a control group (CG) (n=9). Patients in the EG group received general rehabilitation therapy combined with trunk training in wheelchair for 20min, whereas CG group received general rehabilitation therapy combined with bicycle training for 20min. Both groups performed the exercise 5 times a week for 3 weeks. Outcomes were assessed using Korean-Fall Efficacy Scale (K-FES), Fullerton Advanced Balance Scale (FAB) and Korean-Modified Barthel Index (K-MBI). Results: After 3 weeks of training, both groups showed significantly improved K-FES, FAB and K-MBI (p<.05 in both groups). However, the K-FES, FAB and K-MBI in the experimental group was significantly improving than in the control group (p<.05). Conclusion: These findings indicate that trunk training in wheelchair may be effective at decreasing fall risk and improving activities of daily living in acute stroke patients. Therefore, trunk training in wheelchair may be recommended as an intervention in reducing the incidence of fall risk in acute stroke patient.

• 한국지반공학회논문집
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• 제23권12호
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• pp.13-23
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• 2007

풍화토는 암석으로부터 풍화되어 그 산물로 나타난다. 또한, 풍화정도에 따라 연암, 풍화암, 잔적토에 이르기까지 그 산물은 다양하다. 일반적으로 풍화정도의 결정은 화학적 방법이나 표준관입시험의 N-value를 이용한다. 그러나 이러한 방법은 약간의 단점을 가지고 있으며, 이에 본 연구에서는 교란시료와 물리적인 방법인 Fall cone test를 이용하여 풍화정도를 결정할 수 있는 방법을 제시하였다. Fall cone test 결과, 동일한 지역에서 풍화정도의 차이를 확인할 수 있었으며, 관입량에 따른 화학적풍화지수(CWI)와 함수비의 관계는 하나의 방정식으로 표현할 수 있었다.