• Title/Summary/Keyword: Graduated exercise

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Effects of Chest Expansion Resistance Exercise on Chest Expansion and Maximal Inspiratory Pressure in Patients with Stroke (흉곽확장저항운동이 뇌졸중 환자의 흉곽가동범위와 최대흡기압에 미치는 영향)

  • Kim, Chang-Beom;Choi, Jong-Duk
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.15-21
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    • 2015
  • PURPOSE: This study compared the effects of chest expansion resistance exercise (CERE) and breathing retraining (BRT) on stroke patients' chest expansion and maximal inspiratory pressure(MIP), thereby intending to present an effective intervention method for enhancing their respiratory functions. METHODS: The subjects were 30 stroke patients and randomly and equally assigned to a CERE group (10), a BRT group (10), and a control group (10). The intervention was applied to each group five times per week, 30 minutes per each time, for six weeks. A tapeline was used to measure upper and lower chest expansion and MIP prior to and after the intervention and the results were compared. RESULTS: After the intervention, the upper and lower chest expansion was considerable in the CERE group (p<.01), significant in the BRT group (p<.05) but was not significant in the control group (p>.05). According to the post-hoc test result, the upper and lower chest of the CERE group and the BRT group significantly expanded compared to that of the control group (p<.05) and the upper and lower chest of the CERE group statistically significantly expanded relative to that of the BRT group (p<.05). According to the MIP evaluation result, the CERE group saw considerable improvement (p<.01) and the BRT group underwent significant changes (p<.05), but there were no significant changes in the control group (p>.05). The post-hoc test result was that the CERE group and the BRT group saw significant improvement compared to the control group (p<.05) and the CERE group experienced statistically significant enhancement relative to the BRT group (p<.05). CONCLUSION: As an intervention for respiratory function improvement, CERE is considered effective for strengthening respiratory muscles and promoting chest expansion through manual resistance by a therapist.

A Study on Obesity and Nutrition Knowledge in Male Employees who have High Educational Background (고학력 남자 직장인의 비만도의 영양지식조사)

  • 변진원
    • The Korean Journal of Food And Nutrition
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    • v.12 no.3
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    • pp.312-319
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    • 1999
  • This study was carried out to examine obesity and nutrition knowledge in male employees who had high educational background. The subjects in this study were 213 persons aged 20 to 40(52.6% among them were 20s) Ninety six percent of them graduated university. Most of them took exercise regularly and showed less smoking tends but drank frequently. Twenty two point one percent of the subjects had diseases specially gastrointestinal disease. anthropometric results were height:172.1cm; weight :70.5kg;BMI:23.8;fat mass:16.1kg; fat percentage :21.3% ;LBM :55.4kg ; and TBW : 40.9kg BMI and fat percent were used for screening obesity. According to BMI the normal group (20∼25) was 64.6% the oberweight group (25∼27) was 18.4% the underweight group (<20) was 9.9% and the obese group (>27) was 7.1% Based on fat percentage, the normal group (14%∼23%) was 58.5% the obese group(>23%) was 36.0% and the underweight group(<14%) was 6.5%. There was significant relationship be-tween age or marriage and BMI or fat percentage. But the rest of socio-dmographic and health-related factors didn't affect signifincantly. There was no difference in nutrition knowledge of subjects by obesity rate however obese group was more sensitive to the foods related to weight gain.

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A Study on the Consciousness of Dental Technicians about the Courses of Dental Technology Dept., Junior College, Korea (한국(韓國) 치과기공사(齒科技工士)들의 전문대학(專門大學) 치기공과(齒技工科) 교육(敎育)에 대한 의식구조(意識構造) 조사(調査) 연구(硏究))

  • Choi, Un-Jea
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.63-89
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    • 1997
  • This survey aimed at the analysis of the consciousness of the dental technicians on the college education ; 205 dental technicians who graduated the relavant school answered. Following is the result of the analysis with its ststistcal number. 1. About the time when they chose their major, 84 people(41.1%) answered the prepartion period for the college. And, 74(36.1%) said that they applied on their own thought to their major. The reason why they chose it was first the prosperity expected in the near future, 93(45.4%) replied. 2. 161(78.5%) were satisfied with their college days. On the other hand, the most regretful one those days, 69(33.7%) answered, was the scarcity of the study seminar. 3. About the exercise courses, 120(58.6%) showed dissatisfaction, and 66(32.3%) people of the dissatisfied pointed out the lack of the instruments. 4. The suitable number in a class, 124(60.5%) supported, is 20 heads. The appropriate period of education was said three years by 71(34.6%), four years 53(25.9%) and the extension to the graduate school by 41(20.0%) 5. About the tips for the professors, 147(71.7%) proposed they would research and lecture further more. To the college administration, 116(56.5%) suggested it should accomo-data enough instruments for practicing.

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A Study on Customized Nutrition Intervention Program Design and Application for the Low-Income Elderly (저소득층 노인을 위한 맞춤영양관리 프로그램의 개발과 시범 적용 연구)

  • Do, Hyun-Joo;Lee, Young-Mee
    • Korean Journal of Community Nutrition
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    • v.16 no.6
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    • pp.716-729
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    • 2011
  • This study aimed to plan nutrition support programs for the elderly living alone whose nutrition status were seriously concerned, conducted seven stages nutrition intervention program on a trial basis, and evaluated the effectiveness of the program of the Elderly Nutrition Support Project. Subjects were selected for personalized nutrition management based on nutritional risk score and nutrition intervention were tailored to the problems occurred. The elderly nutrition support program targets were 44 senior citizens who lived alone with low income. The 33 (as Type 1) of the subjects with whom milk, tofu, seaweed, eggs, black beans have been supported, and also provide nutrition education, and the rest 11 persons (as Type 2) to whom food was not supported but provide nutrition education programs. As a result, all subjects showed that compared with pre and post program implementation, their daily exercise time and milk and protein consumption level were increased and some improvement was observed regular meals consumption and low-salt diets. Their nutrient intake level such as calories, protein, calcium, iron improved after implementation. In addition, NSL DETERMINE scores significantly improved from 13.21 to 7.24 in Type 1 and 11.27 to 9.91 in Type 2. As positive dietary behavioral changes were observed as in that they purchased more protein and calcium rich foods.

A Study on Cho Heon-yeong's Buinbyeongchiryobeob (婦人病治療法) - Focused on Medical Ideology and Prescription (조헌영의 『부인병치료법(婦人病治療法)』 연구: 의학사상과 처방을 중심으로)

  • Dowon Kim;Wung-Seok Cha
    • The Journal of Korean Medical History
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    • v.34 no.1
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    • pp.11-22
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    • 2021
  • In this study, we examine Cho Heon-yeong's medical theory in obstetrics and gynecology by looking at the contents and prescriptions of 『Buinbyeongchiryobeob (婦人病治療法)』. This book is a clinical text on obstetrics and gynecology written in the 1940's. This book consists of an Introduction, Jeungchi (證治), Yangjinhanchi (洋診漢治), Cheobangnonhae (處方論解) and refers to 『Donguibogam(東醫寶鑑)』, 『Keongakjeonseo (景岳全書)』, 『Junguihaksajeon (中醫學辭典)』, 『Jejungsinpyeon (濟衆新編)』, 『Uihakipmun (醫學入門)』 and 『UijongKeumkam (醫宗金鑑)』. Cho Heon-yeong's theory in this book has the following characteristics. First, his medical eclecticism is centered on Korean Medicine, with incidental use of Western medicine. Second, he regarded weakness (虛證) as a vital factor in obstetrics and gynecology. Third, he added "mental state" to the list of basic physiological characteristics of women. Fourth, he presented a new diagnostic standard based on a spectrum of fire (火) and cold (冷). There are 363 prescriptions in this book, and 171 of them are from 『Donguibogam (東醫寶鑑)』. The books frequently used prescriptions are all designed to supplement (補藥). There are 48 prescriptions that original to Cho Heon-yeong. Additionally, this book contains eopsaeng (攝生) and pretended stimulation therapies and exercise methods.

Correlation of Exercise-Induced Bronchoconstriction to $PC_{20}$ and Maximal Airway Narrowing on the Dose-Response Curve to Methacholine (운동유발성 기관지수축의 정도와 Methacholine 유발시험의 민감도 및 최대기도협착과의 관련성)

  • Lim, Hyung-Suk;Yoon, Kyung-Ae;Koh, Young-Yull
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.2
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    • pp.165-174
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    • 1995
  • Background: Exercise is one of the most common precipitants of acute asthma encountered in clinical practice. The development of airflow limitation that occurs several minutes after vigorous exercise, i. g. exercise-induced bronchoconstriction(EIB), has been shown to be closely correlated with the nonspecific bronchial hyperresponsiveness, which is the hallmark of bronchial asthma. All previous reports that assessed the correlation of EIB to nonspecific bronchial hyperresponsiveness have focused on airway sensitivity($PC_{20}$) to inhaled bronchoconstrictor such as methacholine or histamine. However, maximal airway narrowing(MAN), reflecting the extent to which the airways can narrow, when being exposed to high dose of inhaled stimuli, has not been studied in relation to the degree of EIB. Methods: Fifty-six children with mild asthma(41 boys and 15 girls), aged 6 to 15 years(mean${\pm}$SD, $9.9{\pm}2.5$ years) completed this study. Subjects attended the laboratory on two consecutive days. Each subject performed the high-dose methacholine inhalation test at 4 p.m. on the first day. The dose-response curves were characterized by their position($PC_{20}$) and MAN, which was defined as maximal response plateau(MRP: when two or three data points of the highest concentrations fell within a 5% response range) or the last of the data points(when a plateau could not be measured). On the next day, exercise challenge, free running outdoors for ten minutes, was performed at 9 a.m.. $FEV_1$ was measured at graduated intervals, 3 to 10 minutes apart, until 60 minutes after exercise. Response(the maximal ${\triangle}FEV_1$ from the pre-exercise value) was classified arbitrarily into three groups; no response((-) EIB: ${\triangle}FEV_1$<10%), equivocal response ($({\pm})$EIB:10%<${\triangle}FEV_1$<20%) and definite response($({\pm})$EIB:${\triangle}FEV_1$>20%). Results: 1) When geometric mean $PC_{20}$ of the three groups were compared, $PC_{20}$ of (+) EIB group was significantly lower than that of (-)EIB group. 2) There was a close correlation between $PC_{20}$ and the severity of EIB in the whole group(r=-0.568, p<0.01). 3) Of the total 56 subjects, MRP could be measured in 36 subjects, and the MRP of these subjects correlated fairly with the severity of EIB(r=0.355, p<0.05) 4) The MAN of (+) EIB group was significantly higher than that of (-)EIB group(p<0.01). 5) The MAN correlated well with the severity of EIB in the whole group(r=0.546, p<0.01). Conclusion: The degree of MAN as well as bronchial sensitivity($PC_{20}$) to methacholine is correlated well with the severity of EIB. The results suggest that the two main components of airway hyperresponsiveness may be equally important determinants of exercise reactivity, although the mechanism may be different from each other. The present study also provides further evidence that EIB is a manifestation of the increased airway reactivity characteristic of bronchial asthma.

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A clinical study of ADL and health related Behaviors of elders Aged 65 or over in An urban Area (도시지역 노인의 ADL과 건강관리에 대한 임상적 연구)

  • Hur, Young-Gu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.4 no.1
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    • pp.45-58
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    • 1998
  • This study was carried out to find out general characteristics and health-related behaviors of elders aged 65 or over and factors related to their activities of daily living. and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at Tae Jean city, with males and females was scaled 1 : 3. To collect data for study, the field survey was conducted from March 20 to October 31, 1997 with questionaire. 1. 65.0% of the subjects were 65-75 years old, while 35.0% were 75 years old or over, 20.5% of them were illterate, 46.5% could read and write Korean. graduated from elementary school, and 11.5% middle school or higher level. 2. 28.5% of subjects perceived their current health status, 46.0% of men and 38.0% of women as fair, In genal elderly men perceived their health status better than elderly women. Among the subjects, 62.0% of men and 57.0% of women reported that they experienced one or more illnesses during the last year. 3. 76.0% of men and 33.0% of women were current smokers. 55.0% of current smokers. 55.0% of current make smokers smoked 11-12 cigarettes per day and 53.2% of current female smokers smoked less than 10 cigarettes per day. 4. 76.0% of men and 37.3% of women drank alchol currently. 5. 56.0% of men and 34.7% of women practiced regular exercise for their health maintenance and promotion. 6. In general, 38.5% of subjects needed other's assistance for doing one or more Activites such as doing heavy home work, Walking up and down stairs or walking half a mile. 7. Common disease of the subjects were hypertention, depenerative arthritis and diabetes mellitus in order.

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The Evaluation of Childbirth Class and Eductional Need of Pregnant Women (출산교실에 참여한 임부의 교육 평가 및 교육)

  • Park, Young-Sook;Kim, Young-Im;Park, Yeon-Hwan
    • Women's Health Nursing
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    • v.2 no.1
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    • pp.125-137
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    • 1996
  • This study was conducted to identify the educational need of pregnant women, and to evaluate the effect of the 2-hour childbirth class provided by researchers. The subjects were composed of 183 pregnant women who participated voluntarily in the 2-hour childbirth class, and the data were collected by self reporting structured questionnaire designed by researchers. The data were analyzed with descriptive statistics, paired t test, and McNemar test by SPSS pc program. The results were as follows ; 1. Mean age of th subjects was 27 and most subjects graduated from the high school and the college. 80.3% of the subjects had nuclear family. 82.5% of the subjects were full time housewives. 2. 85.8% of the subjects were ipara. Though 71.6% of the subjects might have antepartal care in the clinic, 67.2% of the subjects had no chance to participate in the childbirth class before this study. 3. Subject's health and lifestyle, especially related to eating habits, were changed in the antepartum period. We found that the pregnancy affected positively on health and lifestyle of the women. Over 75% of the subjects became to understand the progress of labor, breath methods during the labor, and perineal exercise. Most subjects changed to think that they could control their body more actively and positively during the labor after participating in the childbirth class. 93.4% answered that 'childbirth class was necessary and important'. Most subjects wanted to be taught the contents, such as postpartum care, breast feeding, and infant care in the childbirth class. In conclusion, pregnant women to attend the childbirth educational program with their husband, and the 2-hour childbirth class provided by the researchers very effective in many aspects. Therefore we anticipated that the childbirth class on basis of pregnant women's needs will contribute to improvement of pregnant women's health and well-being during the labor.

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Sexual Desire, Sexual Attitude, and Sexual Desire Coping Behavior in Military Personnel (육군 병사의 성욕구, 성태도 및 성욕구 대처행동)

  • Yunseo, Jung;Hyoung Sook, Park
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.1
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    • pp.30-38
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    • 2017
  • Purpose: The aim of this study was to identify the sexual desire, sexual attitude and sexual desire coping behavior in military personnel, and analyze relationships among these variables. Methods: Data were collected from February to April, 2015 using a structured questionnaire. Participants in the study were 199 military personnel visiting the military hospital P. Results: The average score for sexual desire was $2.09{\pm}0.59$, for sexual attitude, $3.15{\pm}0.42$, and for sexual desire coping behavior, $3.18{\pm}0.40$. Sexual desire showed a significant difference according to age (F=3.386, p=.023), assignment (F=3.327, p=.038). Sexual attitude was significantly different by religion (F=6.857, p<.001). The sexual desire coping behavior was found to be more active with military service period 5~9 months compared to 11~15 (F=3.621, p=.014) and in private first class compared to rank of private (F=3.165, p=.026). There was a significant positive correlation between sexual desire and sexual behavior, between sexual attitude and sexual desire coping behavior. Conclusion: To prevent sex-related accidents and diseases, it is necessary to provide sexual and health education customized for military personnel. For military personnel to cope appropriately with sexual desire, military personnel need to implement alternate measures such as encouraging soldiers to enjoy hobbies or physical exercise programs.

Risk Factors for Hip Fracture among the Elderly (노인들의 고관절골절 위험요인에 관한 환자-대조군 연구)

  • Kim, Yong-Kwon;Cho, Young-Ha
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.25-36
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    • 2002
  • Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

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