• Title/Summary/Keyword: Focus Motor

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Survey About Current Status of Pediatric and Adolescent Physical Therapy: Focus on Pediatric and Adolescent Rehabilitation Hospitals in Seoul and Gyeonggi Province (소아 청소년 물리치료 실태 조사: 서울 경기 지역 소아 청소년 재활병원을 중심으로)

  • Kim, Jeong-soo;Min, Kyoung-chul
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.67-80
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    • 2023
  • Objective : This study aimed to investigate the current status of physical therapy in children and adolescents. Methods : Sixty questionnaires from physical therapists treating children and adolescents with disabilities were analyzed. The questionnaire consisted of questions on physical therapy, participants, satisfaction, and the assessment of pediatric and adolescent physical therapy. Descriptive statistics and frequencies were used to investigate the current status, participants, and satisfaction. Differences between physical therapy participation difficulty, importance-ability of major aspects of pediatric and adolescent physical therapy, and therapy goal frequency were analyzed using paired T-test. Results : 11 to 15 cases (66.7%) and one-on-one treatment (95.0%) were performed independently (95.0%). The main ages of the subjects were preschool and school, the diagnoses were brain lesions and developmental delay, and treatment was conducted for up to 20 years or older. Satisfaction with pediatric and adolescent physical therapy was high (70.0%), as was the intensity of work (71.7%). Neurodevelopmental therapy, gait training, and goal-directed rehabilitation were the main treatments, and Gross Motor Function Measures of 88 and 66, respectively, were used. Respondents said that current fee system is inadequate (66.1%) and appropriate fee system is needed. Conclusion : This study extensively investigated the content of and factors related to pediatric and adolescent physical therapy. Based on the current situation, efforts to improve the expertise and continuity of pediatric and adolescent physical therapists and apply the latest treatment techniques are required.

Analysis of Groundwater Use and Discharge in Water Curtain Cultivation Areas: Case Study of the Cheongweon and Chungju Areas (청원-충주지역 수막재배용 지하수 사용량 및 배출량 분석)

  • Moon, Sang-Ho;Ha, Kyoochul;Kim, Yongcheol;Yoon, Pilsun
    • The Journal of Engineering Geology
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    • v.22 no.4
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    • pp.387-398
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    • 2012
  • Korean agricultural areas that employ water curtain cultivation (WCC) have recently suffered extensive groundwater shortages due to an increase in the number of facilities. The primary focus of this study is to measure the daily groundwater use and discharge rates in the Cheongweon and Chungju pilot areas, while the second focus is to estimate the total amount of groundwater used in WCC areas nationwide in Korea. Taking into consideration several factors, including motor type, outflow abilities of wells, records of daily minimum temperatures below $0^{\circ}C$, and the number of running wells according to weather variations, we estimated that $53,138m^3/ha$ of groundwater had been used in the 4-hectare Cheongweon pilot area during the winter period of late 2011 through early 2012. On a prorated areal basis, we can calculate that the total groundwater used nationwide was 0.57 billion $m^3$ in WCC areas of $10,746m^2$. This value is equivalent to 33.7% of the total agricultural groundwater use (1.69 billion $m^3$) in Korea. During 9-22 February 2012, the daily water discharge rate in the 4-ha Cheongweon pilot area ranged from 2,079 to $2,628m^3$, averaging $2,341m^3$. Combining this value with meteorological records for 94 days with a daily minimum temperature below $0^{\circ}C$ results in an estimated groundwater volume of $54,990m^3/ha$ for the pilot area during the 2011-2012 winter period. The total amount of groundwater used nationwide in WCC areas would then be 0.59 billion $m^3$, equivalent to 34.9% of the total agricultural groundwater use in Korea. In the Chungju area, the groundwater discharge rate was estimated to be less than 805 $m^3$/ha. This value, combined with weather data for 108 days with a daily minimum temperature below $0^{\circ}C$ in this area, can be applied to infer that the total groundwater volume used in WCC areas nationwide is no more than 55% of the total agricultural groundwater use in Korea.

Correlations of Cerebellar Function with Psychotic Symptoms and Cognitive Function in Schizophrenic Patients (남자 정신분열병 환자의 소뇌기능과 정신증상 및 인지기능간의 연관성)

  • Kim, Seo Young;Jun, Yong Ho;Kwon, Young Joon;Jeong, Hee Yeon;Hwang, Bo Young;Shim, Se Hoon
    • Korean Journal of Biological Psychiatry
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    • v.14 no.3
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    • pp.184-193
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    • 2007
  • Objectives:There is increasing evidence that the cerebellum plays an important role in cognition and psychiatric symptoms as well as motor coordination. The concept of cognitive dysmetria has been making cerebellar function in schizophrenia the focus of current studies. In other words, disruption in the corticocerebellum-thalamic -cortical circuit could lead to disordered cognition and clinical symptoms of schizophrenia. The purposes of this study were to determine cerebellar dysfunction in male schizophrenic patients semiquantitatively with ICARS and to investigate the clinical and cognitive correlates of ICARS in patients. Methods:We compared the scores of cerebellar neurologic sign using ICARS in 47 male patients with a DSM-IV-TR diagnosis of schizophrenia with 30 gender and age-matched healthy control subjects. The semiquantitative 100-point ICARS consists of 19 items divided into 4 unequally weighted subscores:posture and gait disturbances, kinetic functions, speech disorders and oculomotor disorders. All subjects were also assessed with cognitive function test. Cognitive functions were evaluated by Korean-Mini Mental Status Examination (K-MMSE), Verbal fluency test, and Clock drawing test. The patients were administered Korea version of Positive and Negative Symptom Scale(K-PANSS) to assess the symptom severity. Results:Schizophrenic patients had significantly higher scores on the ICARS than control subjects with posture and gait disturbances, kinetic functions, and oculomotor disorders. They also showed more significant impairments in cognitive function tests than control subjects. There was a significant correlation between ICARS and negative symptoms of patients. In cognitive function test, Clock drawing test was significantly associated with negative symptoms. In addition, Clock drawing test was negatively correlated with the total score of ICARS. Conclusion:In this study, we confirmed that schizophrenic patients have significant impairments in cognitive and cerebellar function, and that those were related with negative symptoms of schizophrenic patients. These results support a role of the cerebellum in schizophrenia. It is meaningful that we used a structured, and reliable procedure for rating neurological soft signs, ICARS. We hope that future prospective studies using a similar design help that rate of neurological sign should have been visible with the progression of illness.

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