• 제목/요약/키워드: FallPhysical function

검색결과 77건 처리시간 0.026초

일 지역 재가노인의 우울 및 삶의 질 영향요인 (Depression and Quality of Life in Korean Elders)

  • 이홍자;김현실;정영미
    • 지역사회간호학회지
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    • 제20권1호
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    • pp.12-22
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    • 2009
  • Purpose: This study was done to investigate factors associated with depression and quality of life (QoL) among the community-dwelling elderly. Methods: This study used a descriptive correlational research design. The subjects were 730 elders aged over 65 living in D district of Daegu. Data were collected using questionnaires for 30 days in April, 2007. The research instruments utilized in this study were a physical function scale of long-term care insurance system, Geriatric Depression Scale Short Form Korea Version (GDSSF-K), and Korean Quality of Life Scale (KoQoLs). The collected data were analyzed by descriptive statistics, t-test, ANOVA, Duncan, stepwise multiple regression, and Spearman correlation. Results: The mean age of the subjects was 72.6, and 68.8% and 57.9% of subjects were, respectively, female and living alone. 12.3% of variance in depression was explained by age, education, economic status, subjective health, alcohol consumption, condition of teeth, and fall experience. 18.2% of variance in QoL was explained by economic status, number of diseases, condition of teeth, incontinence, paralysis, and IADL. Economic status and condition of teeth were contributing factors to depression and QoL of the elderly. Conclusion: Findings of this study may be useful in understanding the health status of the community-dwelling elderly and developing more regionally specific health promotion strategies.

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전자기록 환경에서의 평가에 관한 연구 (A Study on Appraisal in Electronic Records Environment)

  • 김명훈
    • 기록학연구
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    • 제11호
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    • pp.91-122
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    • 2005
  • Appraisal is a basic archival function that analyzes values of records and determines the eventual disposal of records based upon their archival values. In electronic records environment, however, appraisal is different from traditional appraisal system that mainly is based on paper records. Since electronic records don't have physical entity and strongly depend on computer technologies, archivists fall into various dilemma in appraisal of electronic records. Moreover, because creation environment of electronic records is remarkably complex and diversified, appraisal of electronic records cannot be done until the later stages of the life cycle of the records. In Korea, appraisal system is founded on the Tables of Transaction for Records Scheduling through which disposal activities of all records are definite in a concrete form. However, there are little institutional infrastructures associated with appraisal of electronic records. Therefore this paper will intend to analyze characteristic features about appraisal of electronic records as a preliminary study for establishing appraisal system of electronic records in Korea. For this purpose, I have firstly compared creation environment of electronic records with traditional creation environment mainly based on paper records, and analyzed differences between appraisal of electronic records and traditional appraisal system based on paper records in view of recordness of electronic record. then I have examined functional appraisal that focuses on functions and activities in which the records are created and used, and discussed about main issues in relation to establishing appraisal system of electronic records.

만성뇌졸중 환자의 웰니스 증진을 위한 신체기능과 낙성전조동작의 관련성 연구 (A Study on the Relationship between Body Function and Prelusive Movement to Falls to Promote Wellness in Chronic Stroke Patients)

  • 박창식;김진영
    • 한국엔터테인먼트산업학회논문지
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    • 제15권7호
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    • pp.181-192
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    • 2021
  • 이 연구의 목적은 만성 뇌졸중 환자의 낙상 전조 동작과 다양한 신체 기능과의 관련성을 알아봄으로써 뇌졸중 환자의 낙상 연구에 관한 기초 자료를 제공하고자 실시하였다. 연구 대상은 뇌졸중으로 편마비 진단을 받고 N병원에서 입원 치료를 받고 있는 환자 중 연구에 동의한 환자 75명을 대상으로 실시한 결과 낙상 유무에 따른 일반의학적 특성에서 성별, 연령, 신장, 체중, BMI, 진단명, 마비 유형, 유병 기간에서는 차이가 없었으나 보행 보조 도구 사용(독립보행, 네발 지팡이, 외발 지팡이)에서는 비낙상군이 1회 낙상군과 다발성 낙상군과 비교하여 차이가 있는 것으로 나타났다. 낙상 전조 동작에 영향을 주는 요인을 알아본 결과 일어서기에서는 STS, FM-하지 운동 기능 순이었으며, 일어서기 시도에서는 FM-하지 운동 기능, STS, 연령, TIS-동적 균형, OLST-마비측 순이었다. 일어선 직후 균형 잡기에서는 FM-하지 운동 기능이 영향을 주었고, 서서 균형 잡기에서는 FM-하지 운동 기능, OLST-마비측, TIS-협응력 순이었다. 살짝 밀기에서는 FM-총합이 영향을 주었으며, 서서 눈 감고 균형 잡기에서는 STS, 연령, OLST-비마비측, FM-하지 운동 기능, TIS-정적 균형, OLST-마비측, TIS-동적 균형 순이었다. 360도 회전하기에서는 TIS-협응력, FM-하지 운동 기능, FM-상지 운동 기능 순이었다. 이상의 결과로 볼 때, 만성 뇌졸중 환자의 낙상 전조 동작과 다양한 신체 기능과의 관련성을 확인함으로써 낙상을 예방하기 위한 마비측 하지 근력 강화와 더불어 정상적인 보행 주기 및 체중 부하에 입각한 집중적인 균형, 체간조절, 보행 대칭성 훈련 등이 필요하며, 외적인 자극에 대한 최적의 운동 반응을 유도할 수 있는 고유수용성 감각 훈련이 병행되어야 할 것이다.

전신진동자극을 동반한 점진적 균형훈련 프로그램이 무릎뼈 관절염 환자의 무릎관절 통증과 기능장애 수준, 심리사회적 수준 그리고 균형능력에 미치는 효과 (Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis )

  • 윤상우;김선엽
    • 대한물리의학회지
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    • 제19권1호
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    • pp.81-94
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    • 2024
  • PURPOSE: This study aimed to investigate the effect of a progressive balance training program with whole-body vibration stimulation on knee joint pain, dysfunction, psychosocial status, and balance ability in individuals aged ≥ 65 years with knee osteoarthritis. METHODS: A total of 40 individuals aged ≥ 65 years with osteoarthritis of the knees participated in the study. Using a randomization program, participants were assigned to an experimental group (n = 20) or a control group (n = 20). Both groups were assigned a knee strength training program, and a progressive balance training program with whole-body vibration stimulation was assigned to the experimental group. All interventions were conducted three times a week for four weeks. Participants were evaluated for the following: pain (numeric rating scale, NRS), knee dysfunction (Korean version of the Western Ontario and McMaster Universities Arthritis Index, K-WOMAC), fall efficacy (Korean Version Falls Efficacy Scale, K-FES), quality of life (Euro Quality of life 5 Dimension, EQ-5D), and advanced balance scale score (Fullerton advanced balance scale, FAB) before and after the intervention, and the effects of the intervention were compared accordingly between groups. RESULTS: Both groups showed significant differences in the results of the NRS, K-WOMAC, K-FES, and EQ-5D assessments before and after the intervention, and there was a significant difference in the amount of change between the two groups (p < .05). There was a significant improvement in FAB in all but items FAB 8 and FAB 9 after the intervention in the experimental group. In the control group, there was a significant improvement in FAB 1, FAB 2, FAB 7, and FAB total after the intervention (p < .05). In addition, there was a significant difference in the amount of change between the two groups in all items except FAB 8 and FAB 9 (p < .05). CONCLUSION: The progressive balance training program with whole body vibration stimulation is an effective intervention method with clinical significance in improving knee joint pain, knee disability index, psychosocial level, and balance ability in adults aged ≥ 65 with osteoarthritis of the knees.

새로운 저전력 전가산기 회로 설계 (A Novel Design of a Low Power Full Adder)

  • 강성태;박성희;조경록;유영갑
    • 전자공학회논문지SC
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    • 제38권3호
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    • pp.40-46
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    • 2001
  • 본 논문에서는 10개의 트랜지스터를 이용한 새로운 저전력 전가산기의 회로를 제안한다. 회로는 six-transistor CMOS XOR 회로를 기본으로 하여 XOR 출력뿐만 아니라 XNOR 출력을 생성하며, 전가산기를 구성하는 트랜지스터의 수를 줄임과 동시에 단락회로를 없앰으로써 저전력 설계에 유리하게 하였다. 실측 회로의 크기 평가를 위해서 0.65 ${\mu}m$ ASIC 공정으로 의해 레이아웃을 하고 HSPICE를 이용해서 시뮬레이션을 하였다. 제안한 가신기의 셀을 이용하여 2bit, 8bit 리플 캐리 가산기를 구성하여 소비 전력, 지연 시간, 상승시간, 하강시간에 대한 시뮬레이션 결과로 제안한 회로를 검증하였다. 25MHz부터 50MHz까지의 클럭을 사용하였다. 8bit 리플 캐리 전가산기로 구현하였을 때의 소모되는 전력을 살펴보면 기존의 transmission function full adder (TFA) 설계보다는 약 70% 정도, 그리고 14개의 transistor (TR14)[4]를 쓰는 설계보다는 약 60% 우수한 특성을 보이고 있다. 또한 신호의 지연시간은 기존의 회로, TFA, TR14 보다 1/2배 정도 짧고, 선호의 상승시간과 하강 시간의 경우는 기존 회로의 2${\sim}$3배 정도 빠르게 나타났다.

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미국에서 노인을 위한 "스마트홈(SmartHome)" 개념의 요소와 적용 (Elements and Application of "SmartHome" Concept for Older Adults in USA)

  • 문창호
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제17권4호
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    • pp.7-14
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    • 2011
  • This paper is intended to suggest some reference materials for future elderly housing design, especially smart home, in Korea, by reviewing the elements and applications of smart home concept for older adults in USA. Research method includes collecting materials by attending the regular SmartHome$^{(R)}$ part meeting, the navigation of related homepages, and the analysis of collected materials. Current researches in Korea look initial stage and show some general principles without practical concept & technologies of elderly facilities. SeniorSmart$^{(R)}$ Center in USA started on August 2007 with the 3 parts of SmartHOME$^{(R)}$, SmartWHEELS$^{(R)}$ and SmartBRAIN$^{(R)}$. The Center has been doing various multidisciplinary research projects but slowing down the planned processes due to national economic recession. The major researches of SmartHome$^{(R)}$ part can be summarized as follows; CS-PFP( Continuous Scale Physical Function Performance) laboratory is being in operation to help older adults and families make the difficult decision regarding the ability and safety to live independently. Three levels of necessary laboratories from uninhabited space to senior living environment were accommodated for field research. As core technologies of SmartHome$^{(R)}$, predicting & warning system of fall risk on recognizing gait signature patterns to identify any deviation from the normal patterns of the older adults, home monitoring system which will send alerts to a specified relative and/or health care professional when vital signs of the older adults will not be within normal parameters, and Mobility & Research Clinic for evaluating, treating the older adults & multidisciplinary research are under development. SmartHome$^{(R)}$ has made collaborative research agreements for field laboratory with various retirement communities and also is continuing to work for experimental software engineering with the Fraunhofer Institute, Germany.

명당장부도(明堂臟腑圖)에서 기원한 심장도(心臟圖) 29종의 비교 (Comparison of 29 Diagrams of Heart originated from MingTangZangFuTu(明堂臟腑圖))

  • 조학준
    • 대한한의학원전학회지
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    • 제30권3호
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    • pp.55-76
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    • 2017
  • Objectives : The transition of the 29 diagrams of Heart originated from MingTangZangFuTu will be used to understand the shape of heart and the changes of people's understanding of heart. Methods : The 29 diagrams of Heart originated from MingTangZangFuTu are divided according to their shape elements (Heart itself, internal curvatures, structures above heart, wuzangxi, and excursus). Then its transitions are analyzed, and each shape element is compared to modern anatomy and its textual basis is searched. Results : The lengthy cylinderical organ situated above the heart is composed of upper part consisting with joints and the lower part void of joints. The upper part is Pyewan (such as the lungs) and fall into trachea. The lower part is Xinxi or Feixi which are either relative vein (or aorta) or left bronchus that passes behind the heart. This depiction of the structures around the heart can be considered to have composed by actual observance of a physical heart, a method that is similar to anatomy. However, the shape of the heart itself is described as a lotus flower that has not been bloomed, a depiction which finds its origin from Zhongguangbuzhu huangdineijing suwen (762). The three short curvatures inside the heart is described as Pericardium, influenced by Shisijingfahui (1341) in its depiction, or as sammo, influenced by Nanjing. Structures that are connected directly from the heart to spleen, kidney, and uterus are not found in modern anatomy. The saying in Excursus "All cords of five internal organs belong to heart" is based on Huatuoxuanmenneizhaotu, and this is changed to the saying cords of four internal organs belong to heart in Leijingtuyi for the first time. Conclusions : The authors of medical scriptures at the time did not have a method of direct observance when they were copying heart diagrams. Therefore, they made changes to the source material's diagram and excursus while being influenced by Nanjing, Huatuoxuanmenneizhaotu, and Shisijingfahui. Then the doctors' understandings with regards to the shape and function of heart were reflected during that process.

동아시아 기온과 강수의 불확실성 평가 (An Uncertainty Assessment of Temperature and Precipitation over East Asia)

  • 신진호;김민지;이효신;권원태
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2008년도 학술발표회 논문집
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    • pp.299-303
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    • 2008
  • In this study, an uncertainty assessment for surface air temperature(T2m) and precipitation(PCP) over East Asia is carried out. The data simulated by the intergovermental Panel on Climate Change (IPCC) Fourth Assessment Report (AR4) Atmosphere-Ocean coupled general circulation Model (AOGCM) are used to assess the uncertainty. Examination of the seasonal uncertainty of T2m and PCP variabilities shows that spring-summer cold bias and fall warm bias of T2m are found over both East Asia and the Korea peninsula. In contrast, distinctly summer dry bias and winter-spring wet bias of PCP over the Korea peninsula is found. To investigate the PCP seasonal variability over East Asia, the cyclostationary empirical orthogonal function(CSEOF) analysis is employed. The CSEOF analysis can extract physical modes (spatio-temporal patterns) and their undulation (PC time series) of PCP, showing the evolution of PCP. A comparison between spatio-temporal patterns of observed and modeled PCP anomalies shows that positive PCP anomalies located in northeastern China (north of Korea) of the multi-model ensemble(MME) cannot explain properly the contribution to summer monsoon rainfalls across Korea and Japan. The uncertainty of modeled PCP indicates that there is disagreement between observed and MME anomalies. The spatio-temporal deviation of the PCP is significantly associated with lower- and upper-level circulations. In particular, lower-level moisture transports from the warm pool of the western Pacific and corresponding moisture convergence significantly contribute to summer rainfalls. These lower- and upper-level circulations physically consistent with PCP give a insight of the reason why differences between modeled and observed PCP occur.

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유리섬유 제조업체 근로자의 건강장해 (Medical Surveillance of Glass Fiber Workers in Korea)

  • 이세휘;김규상;최정근;김양호;강성규;최경숙;문영한
    • Journal of Preventive Medicine and Public Health
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    • 제29권2호
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    • pp.187-198
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    • 1996
  • The industrial use of MMMF(man-made mineral fibers), has been increasing, particularly since the banning of most asbestos products. Fibrous minerals can cause health abnormalities currently associated with occupational exposure to glass fiber. This study was conducted to evaluate health risks of glass fiber manufactory workers within the country. We examined questionaries, physical examination including auscultation, chest x-ray, pulmonary function test for 488 male workers, to go through their dermal itching symptoms and respiratory evaluation. we had the results as follows. 1. In 45% of the workers itching had been expressed at their entrance. At that time we was investigating, 18.5% had itching, and most of them complained it when they fall asleep and night. The Sequent itching site is waist and groin, upper and lower extremity in order, and it had been expressed mainly during summer and winter. 2. As the results of ventilatory functions test, 6.0% were obstructive type, 1.0% were restrictive type. So, glass fiber exposures should be controlled or elimination by protective devices in the workplace. 3. The means of FVC, $FEV_1,\;FEV_1%$ were in normal range. As the comparison of ventilatory functions by age groups, MMF was decreased significantly for the group, 50 years old and more than other groups. And the comparison by the serving periods at glass fiber producing factory, MMF was decreased for the workers had worked for $11\sim15$ years. Therefore, MMF be more sensitive index in the evaluation of ventilatory impairments caused by glass fiber workers.

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타이치 운동이 지역사회 여성노인의 근력, 균형감, 유연성과 골밀도에 미치는 효과 (Effects of Tai Chi Exercise on Muscle Strength, Balance, Flexibility and Bone Mineral Density of Community Dwelling Elderly Women)

  • 소희영;주경옥;박인숙;송라윤;김현리;안숙희
    • 성인간호학회지
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    • 제25권1호
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    • pp.105-112
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of Tai Chi exercise on muscle strength, balance, flexibility and bone mineral density among community dwelling elderly women. Methods: A quasi-experimental pretest-posttest design with a nonequivalent comparison group was utilized, Elderly women were recruited from the community settings and assigned to either the treatment group (n=30) or the comparison group (n=34). Both groups completed the pretest and the posttest measures at six months with an 29.7% of dropouts. Tai Chi exercise was performed for 60 minutes, three times a week for 24 weeks. The study participants were referred to the sports clinic of the university hospital where an exercise therapist and a technician measured muscle strength, balance, flexibility, and bone mineral density without the knowledge of the group assignment. Data were collected from June 14, 2010 to May 27, 2011. Results: At the completion of 6 month Tai Chi exercise, the experimental group showed a significant difference in knee flexor strength (t=3.26 p=.002), flexibility (t=-2.93, p=.005), and bone mineral density in femur (t=2.20, p=.032), compared to the control group. Conclusion: Tai Chi exercise could be performed safely to community dwelling elderly women and effective for preventing declining in physical function in this population. Whether or not this health benefits would lead fall prevention will require further study.