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The Effect of Patient-Centered Goal Setting on Rehabilitation Outcomes in Patients With Subacute Stroke (환자중심 목표설정이 아급성기 뇌졸중 환자의 재활치료 성과에 미치는 영향)

  • Won, Jong-im;An, Chang-man;Park, Min-hee
    • Physical Therapy Korea
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    • v.25 no.1
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    • pp.31-38
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    • 2018
  • Background: Patient-centered care has recently become highly recommended, because it can improve health outcomes more effectively than problem-oriented care. The goal attainment scale (GAS) is one of the methods used for patient-centered care. It was originally developed as an outcome measurement tool, but it can also be used as a therapeutic intervention when setting quantifiable patient-centered goals. Objects: We sought to identify the effect of setting patient-centered goals on rehabilitation outcomes in patients with subacute stoke using GAS. Methods: Overall, 46 subjects with subacute stroke were divided into experimental ($n_1=23$) and control ($n_2=23$) groups. Subjects in both groups attended physical therapy sessions five times a week for four weeks. Those in the experimental group set goals using goal-attainment scaling. The mobility of each subject was evaluated using the Rivermead mobility index (RMI); daily-living activities, using the K-modified Barthel index (K-MBI); participation, using the Hopkins rehabilitation-engagement rating scale (HRERS); satisfaction, using the patient-satisfaction scale (PSS). Results: Subjects in the experimental group experienced more significant increases in RMI, HRERS, and PSS than those in the control group (p<.05, p<.05 and p<.01, respectively). After four weeks, GAS scores of the experimental group had increased more significantly than those of baseline (p<.01). Conclusion: Setting patient-centered goals is effective in improving the mobility and satisfaction of patients with subacute stoke. Setting patient-centered goals needs to be performed more frequently in clinical settings.

Study on the Renal Anemia - Experimental Study in Acute Renal Anemia - (신성빈혈(腎性貧血)에 관(關)한 연구(硏究) - 급성신성빈혈(急性腎性貧血)의 실험적(實驗的) 고찰(考察) -)

  • Yoon, Zo-Eun
    • The Korean Journal of Nuclear Medicine
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    • v.3 no.2
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    • pp.1-16
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    • 1969
  • The double tracer study on erythrokinetics was carried out experimentally with radioactive iron ($^{59}Fe$) and chromium ($^{51}Cr$) in rabbits. The 0.1% canthalidin solution and 1% pot. perchlomate solution was given subcutaneously to 20 rabbits respectively. 3 and 6 days after injection, the blood chemistry, urine examination, ferrokinetics and apparent half survival time of RBC were ($^{51}Cr\;T\frac{1}{2}$)determined. Following were the results: 1) Red blood cell hematocrit and hemoglobin values were moderately reduced and B.U.N. and serum creatinine values were slight]y inercased in the canthalidin group, while B.U.N. and serum creatinine values were within normal limits in the pot. perchlomate group. Reticulocyte values were slight]y increased in the canthalidin group, while was normal range in the pot. perchlomate group. 2) Blood chemistry finding was not significant statistically in both experimental groups, but serum iron value was moderately reduced in both group. 3) Plasma volume was unchanged in both group, but red cell volume and whole blood volume were slightly reduced in both groups. 4) Results of ferrokinetics were as follows: i) The plasma iron disappearance rate was delayed in both groups. Plasma iron turnover rate, red cell iron utilization and red cell iron turnover rate were decreased in both groups, and then red cell iron turnover rate was more decreased than plasma iron turnover rate in both groups. Circulating red cell iron was slight]y increased in canthalidin group and red cell iron concentration was within normal range in both groups. ii) P.I.T.R.-R.C.I.T. value was moderately increased in the canthalidin group and slightly increased in the pot. perchlomate group. Reticulocyte index, red cell iron turnover index, plasma iron turnover index and effective erythropoiesis index were whole]y reduced in both groups. iii) The red cell life span was slightly shortened in the canthalidin group while was within normal range in pot. perchlomate group. The pathologic finding of renal biopsy of the canthalidin group shows a selective damage in glomerulus, while shows almost normal range or slight damage in tubules. And that of the pot. perchlomate group shows a selective damage in tubules with slight damage of glomerulus.

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Effect of Craniocervical Flexion Exercise with Masticatory Muscle Contraction on Deep Cervical Muscle Thickness and Neck Disability Index in Patient with Neck Pain (씹기근육 수축을 동반한 머리목굽힘운동이 목통증 환자의 깊은목뼈굽힘근의 수축두께와 목장애지수에 미치는 영향)

  • Park, Eun-Soo;Choi, Ho-Suk;Shin, Won-Seob
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.139-146
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of craniocervical flexion exercise with masticatory muscle contraction in patients with neck pain. Patients with neck pain also experience muscle weakness and limitation of activities of daily living. Craniocervical flexion exercise with masticatory muscle contraction may increase the thickness of the deep cervical flexor muscles, thereby reducing pain and limitations on activities of daily living. METHODS: Twenty-six volunteers participated in this study. The subjects were randomly divided into an experimental group (n=13) and a control group (n=13). Both groups performed craniocervical flexion exercise using a pressure biofeedback unit; the experimental group performed craniocervical flexion exercise with masticatory muscle contraction for 20 minutes, 3 times a week for 4 weeks. Assessment tools included ultrasonography for measurement of muscle thickness and the Neck Disability Index for the level of pain and function. RESULTS: The rate of change in muscle thickness in both groups significantly increased (p<.05), with a significantly greater increase in the experimental group than in the control group (p<.05). The Neck Disability Index score significantly improved (p<.05) in both groups, with significantly greater improvement in the experimental group compared with the control group (p<.05). CONCLUSION: These results suggest that craniocervical flexion exercise with masticatory muscle contraction can be effective in increasing muscle thickness and improving the Neck Disability Index score in patients with neck pain.

The Doping Concentration and Physical Properties Measurement of Silicon Wafer Using Terahertz Wave (테라헤르츠파를 이용한 실리콘 웨이퍼의 도핑 정도와 물리적 특성 측정에 관한 연구)

  • Park, Sung Hyeon;Oh, Gyung Hwan;Kim, Hak Sung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.37 no.1
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    • pp.1-6
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    • 2017
  • In this study, a terahertz time domain spectroscopy (THz-TDS) imaging technique was used to measure doping concentration and physical properties (such as refractive index and permittivity) of the doped silicon (Si) wafers. The transmission and reflection modes with an incidence angle of $30^{\circ}$ were employed to determine the physical properties of the doped Si wafers. The doping concentrations of the prepared Si wafers were varied from $10^{14}$ to $10^{18}$ in both N-type and P-type cases. Finally, the correlation between the doping concentration and the power of the THz wave was determined by measuring the powers of the transmitted and reflected THz waves of the doped Si wafers. Additionally, the doped thickness, the refractive index, and permittivity of each doped Si wafer were calculated using the THz time domain waveform. The results indicate that the THz-TDS imaging technique is potentially a promising technique to measure the doping concentration as well as other optical properties (such as the refractive index and permittivity) of the doped Si wafer.

Efficacy and Safety of Extract Obtained from Pueraria thunbergiana Bentham and Curcuma longa L. on the Improvement of the Menopausal Symptoms (갈근강황추출물의 갱년기 증상 개선에 대한 유효성 및 안전성 평가)

  • Ahn, Ha-Young;Hur, Da-Hee;Kim, Yong-Jae;Cha, Min-Seok;Lee, Dong-Nyung;Kim, Hyeong-Jun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.4
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    • pp.75-92
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    • 2020
  • Objectives: This clinical trial is performed to investigate the effect of improving the menopausal symptoms and the safety of extract obtained from Pueraria thunbergiana Bentham and Curcuma longa L. in menopausal women Methods: This study was randomized, double blinded, placebo-controlled clinical trial. 110 women with menopausal symptoms were assigned to treatment group (n=55) and control group (n=55). The results of this study were evaluated through changes in Kupperman Index score, Menopause-specific Quality of Life Questionnaire (MENQOL) score, degree of hot flashes and sweating, Body Mass Index(BMI), laboratory test results including female hormones. Results: In the treatment group compared to before baseline, there was significant difference in the Kupperman Index total score, score of each item in the Kupperman Index, MENQOL total score, hot flush and sweating visual analogue scale (VAS), hot flush score, and hot flush duration at one time. However, there was also a significant change compared to baseline in the control group, there was no significant difference between the treatment group and the control group. There was no significant change in female hormone levels in both group, and there were no adverse events associated with the clinical trial product. Conclusions: This clinical trial showed that extract obtained from Pueraria thunbergiana Bentham and Curcuma longa L. was helpful in improving menopausal symptoms in menopausal women without significant side effects.

Dermatoglyphic Traits in Koreans (한국인의 지문)

  • Park, Kyung-Sook;Cheon, Hee-Yeong
    • The Korean Journal of Zoology
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    • v.27 no.4
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    • pp.213-220
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    • 1984
  • The frequencies of finger print patterns and the pattern intensity index among 2, 925 Koreans (804 males, 2, 121 females) are analyzed. Total finger ridge counts was calculated for 776 Koreans (426 males and 350 females). Comparisons are made with results among other racial populations in a review of the literature. Certain differences exist between males and females in both qualitative (finger print pattern) and quantitative (total ridge count) dermatoglyphic traits. Males have higher frequences of whorls (53.6% for males, 45.7% for females), and radial loops (2.9% for males, 2.2% for females), while the frequencies of archs (1.9% for males, 2.9% for females) and ulnar loops (41.6% for males, 49.2% for females) are higher in females. The pattern intensity index for males (15.2) was higher than that for females (14.3). The mean of the total ridge count was higher (140.4$\\pm$41.2) in males than in females (129.8$\\pm$40.6). There was no correlation between total ridge count and IQ (r=-0.0027, N=343). Total ridge count among different racial groups was found to vary slightly.

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Effective professional intraoral tooth brushing instruction using the modified plaque score: a randomized clinical trial

  • Park, Se-Ho;Cho, Sung-Hee;Han, Ji-Young
    • Journal of Periodontal and Implant Science
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    • v.48 no.1
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    • pp.22-33
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    • 2018
  • Purpose: The purpose of this study was to evaluate the efficacy of the modified plaque score (MPS) for assessing the oral hygiene status of periodontitis patients. Methods: A total of 116 patients were included in this study. After evaluation of the $L{\ddot{o}}e$ and Silness gingival index (GI), Silness and $L{\ddot{o}}e$ plaque index (PlI), O'Leary plaque control record (PCR), and MPS, patients were randomly assigned to either a conventional tooth brushing instruction (C-TBI) group (n=56) or a professional intraoral tooth brushing instruction (P-TBI) group (n=60). The MPS and clinical parameters were re-evaluated after scaling and a series of root planing. The convergent validity of MPS with the PlI and PCR was assessed. The measurement time for MPS and PCR was compared according to the proficiency of the examiner. Results: After root planing, the GI, PlI, PCR, and MPS improved from their respective baseline values in both groups. Three different plaque indices including the MPS, showed significant differences between the C-TBI group and the P-TBI group after root planing. The MPS showed significant concurrence with the PCR and PlI. The mean time for PCR measurement was $2.76{\pm}0.71$ times longer than that for MPS measurement after 2 weeks of training. Conclusions: MPS seems to be a practical plaque scoring system compared with the PlI and PCR. These findings suggest that repetitive plaque control combined with an easily applicable plaque index (MPS) may facilitate more effective oral hygiene education and improved periodontal health.

Developing a soil water index-based Priestley-Taylor algorithm for estimating evapotranspiration over East Asia and Australia

  • Hao, Yuefeng;Baik, Jongjin;Choi, Minha
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.153-153
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    • 2019
  • Evapotranspiration (ET) is an important component of hydrological processes. Accurate estimates of ET variation are of vital importance for natural hazard adaptation and water resource management. This study first developed a soil water index (SWI)-based Priestley-Taylor algorithm (SWI-PT) based on the enhanced vegetation index (EVI), SWI, net radiation, and temperature. The algorithm was then compared with a modified satellite-based Priestley-Taylor ET model (MS-PT). After examining the performance of the two models at 10 flux tower sites in different land cover types over East Asia and Australia, the daily estimates from the SWI-PT model were closer to observations than those of the MS-PT model in each land cover type. The average correlation coefficient of the SWI-PT model was 0.81, compared with 0.66 in the original MS-PT model. The average value of the root mean square error decreased from $36.46W/m^2$ to $23.37W/m^2$ in the SWI-PT model, which used different variables of soil moisture and vegetation indices to capture soil evaporation and vegetative transpiration, respectively. By using the EVI and SWI, uncertainties involved in optimizing vegetation and water constraints were reduced. The estimated ET from the MS-PT model was most sensitive (to the normalized difference vegetation index (NDVI) in forests) to net radiation ($R_n$) in grassland and cropland. The estimated ET from the SWI-PT model was most sensitive to $R_n$, followed by SWI, air temperature ($T_a$), and the EVI in each land cover type. Overall, the results showed that the MS-PT model estimates of ET in forest and cropland were weak. By replacing the fraction of soil moisture ($f_{sm}$) with the SWI and the NDVI with the EVI, the newly developed SWI-PT model captured soil evaporation and vegetation transpiration more accurately than the MS-PT model.

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The effects of 12-weeks complex training using swiss ball and elastic band on senior fitness and sarcopenia index in elderly women (스위스 볼과 탄성 밴드를 이용한 저항성운동이 여성 노인의 체력 및 근감소증 지표에 미치는 영향)

  • Park, Woo-Young
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.6
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    • pp.1465-1474
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    • 2020
  • The purpose of this study is the effects of 12 weeks complex training using swiss ball and elastic band on senior fitness and sarcopenia index in elderly women. The subject of this study was classified into exercise group (n=13) and control group (n=14). EG were carrier exercise program with swiss-ball and elastic band by 3 times a week, 3sets, RPE 11-13, and 60 minute. Test variables of among this study, senior fitness which is muscle strength, endurance, flexibility and dynamic balance and age-related sarcopenia index were muscle strength, muscle mass and short physical performance battery (SPPB). The results of this study were not significantly improvement at muscle strength, cardiopulmonary and flexibility but dynamic balance was significantly difference. And SPPB were significantly difference. In conclusion, the complex whole body training had positive effects on dynamic balance and SPPB of the elderly women.

A Study on the Analysis of Electromagnetic Characteristics and Design of a Cylindrical Photonic Crystal Waveguide with a Low-Index Core (중심-동공을 갖는 원통형태 광결정 도파로의 전자장 특성 분석 및 설계 연구)

  • Kim, Jeong I.
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.29-34
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    • 2021
  • In this paper, a cylindrical photonic crystal waveguide with a low-index core is first proposed. The core can be filled with air, liquid, or arbitrary dielectric materials. Exact analyses for the electromagnetic field characteristics of guided modes, by using appropriate Bessel functions and applying the boundary conditions, are performed to find out the guiding characteristics of the proposed waveguide. For verification and usage in design and manufacturing process, the computer-calculation of the waveguide transmission characteristics is also performed by applying the rigorous full-vectorial finite difference method. Providing variations of the effective area for the fundamental mode of the designed waveguide with different numbers of cladding layers, ranging from 2.6056 ㎛2 to 5.9673 ㎛2 over the operation wavelength, generally as the core refractive index n1 is higher, the mode area becomes smaller and the result leads to more optimistic effect for nonlinear device applications.