• 지역사회간호학회지
• /
• 제15권2호
• /
• pp.218-227
• /
• 2004

Purpose: The purpose of this study was to determine the effects of 5 weeks self-help management program developed by Kim et al. (2000-b) and reinforced with music therapy for post stroke patients. Method: This was pre-experimental study and the subjects were 14 post stroke hemiplegic patients at home who were registered at the Gunsan Health Center. The program was applied for five weeks and two hours for each session composed of the preparation step, the main step and the finishing step. The contents of the program were ROM exercise, daily activity training, risk factors and aftereffects, nutrition management and stress management. To collect data, all subjects were questioned before and after the application of the program. Collected data were analyzed through frequencies, percentages, Wilcoxen signed rank test and Cronbach's alpha using SPSS-WIN program. Result: After the application of the self-help management program, a statistically significant increase was observed in the subjects' ability to perform activities of daily living (p=.039), ability to perform instrumental activities of daily living (p=.005), self-efficacy (p=.001), self-care behavior (p=.001) and quality of life (p=.001), and a statistically significant decrease was observed in depression (p=.012). Conclusion: The present self-help management program was found to be helpful in improving the subjects' physical and psychological functions after they were attacked by stroke, so to be an effective nursing intervention strategy for post stoke patients. Future researches need to reinforce and materialize music therapy and to develop and apply a self-help management program that includes not only post stroke patients but also their families. In addition, it is necessary to expand the scope of subjects and apply follow-up management in order to continue self-help meetings.

• Genomics & Informatics
• /
• 제6권2호
• /
• pp.91-94
• /
• 2008

Single nucleotide polymorphisms (SNPs) are the most abundant form of human genetic variation and are a resource for mapping complex genetic traits. A genome is covered by millions of these markers, and researchers are able to compare which SNPs predominate in people who have a certain disease. The International HapMap Project, launched in October, 2002, motivated us to start the Korean HapMap Project in order to support Korean HapMap infrastructure development and to accelerate the finding of genes that affect health, disease, and individual responses to medications and environmental factors. A Korean SNP and haplotype database system was developed through the Korean HapMap Project to provide Korean researchers with useful data-mining information about disease-associated biomarkers for studies on complex diseases, such as diabetes, cancer, and stroke. Also, we have developed a series of software programs for association studies as well as the comparison and analysis of Korean HapMap data with other populations, such as European, Chinese, Japanese, and African populations. The developed software includes HapMapSNPAnalyzer, SNPflank, HWE Test, FESD, D2GSNP, SNP@Domain, KMSD, KFOD, KFRG, and SNP@WEB. We developed a disease-related SNP retrieval system, in which OMIM, GeneCards, and MeSH information were integrated and analyzed for medical research scientists. The kHapMap Browser system that we developed and integrated provides haplotype retrieval and comparative study tools of human ethnicities for comprehensive disease association studies (http://www.khapmap.org). It is expected that researchers may be able to retrieve useful information from the kHapMap Browser to find useful biomarkers and genes in complex disease association studies and use these biomarkers and genes to study and develop new drugs for personalized medicine.

• 한국전문물리치료학회지
• /
• 제14권1호
• /
• pp.64-73
• /
• 2007

The purpose of this study was to find any correlations among Postural Assessment Scale for Stroke (PASS), Modified Barthel Index (MBI), Tone Assessment Scale (TAS), Motor Assessment Scale-Gait (MAS-G), Fugl Meyer-Balance (FM-B), and to predict MBI from subscales of the PASS. The subjects were 41 stroke patients of the Korea National Rehabilitation Center in Seoul. The main outcome measures were postural control (PASS), gait (MAS-G), Balance (FM-B), Tone (TAS), ADL (MBI). The data was analyzed using the Pearson product correlation. PASS scale was used between other clinical and instrumental indexes, multiple stepwise regression analyses were performed to identify prognostic factors for ADL incline, and Cronbach's alpha coefficient was used to identify internal consistency on PASS scale. The results of this study areas follows: 1. The highest level was sitting without support, the lowest level was standing on paretic leg on PASS scale. The highest level was chair/bed transfer, the lowest level was bathing on MBI. 2. All items of the PASS, except postural tone were significantly correlated with Gait, Balance, MBI (p<.01), 3. The Internal Consistency (Cronbach's alpha coefficient=.85) was very high, indicating that the PASS is homogeneous and is likely to produce consistent response. Furthermore, the sums of maintaining position items and of changing-position items were strongly correlated (r=.64, p<.05) and there were significant correlations between sums of PASS, sums of maintaining position items (r=.87, p<.01), and changing-position items (r=.93, p<.01). 4. The standing without support of the PASS items was the strongest variance ($R^2$=.85) of the predicting ADL function. These findings provide strong evidence of the predictive value of the postural control on gait, Balance, ADL function in stroke patients and to can provide a reference for the successful therapeutic program and more improved functional recovery.

• 자원ㆍ환경경제연구
• /
• 제26권4호
• /
• pp.473-498
• /
• 2017

본 연구는 Porter 가설을 기반으로 내생성을 고려한 환경규제가 한국 제조업의 생산성에 미치는 영향을 2003년부터 2013년까지의 "광업 제조업조사", "과학기술통계" 및 "환경통계 포털" 자료를 이용하고 패널고정효과 모형을 사용하여 분석했다. 기존 연구들에서 발생할 수 있는 내생성 중 누락변수편의를 없애기 위해 시장경쟁정도, 산업별 R&D 투자금액, 시장개방도 및 진입 퇴출율과 같이 생산성에 영향을 미치는 요인들을 설명변수로 포함하여 분석했으며, 측정오차 및 역인과성을 제거하기 위해서 도구변수 추정법을 이용했다. 주요 분석결과는 다음과 같다. 첫째, 환경규제는 장기적으로 한국 제조업의 생산성을 개선시켜 Porter 가설을 지지하는 것으로 나타났다. 둘째, 누락변수에 의한 내생성은 분석결과에 큰 영향을 미치지 않았으나 측정 오차 및 역인과성에 의한 내생성은 환경규제의 효과를 과소평가 시키는 것으로 분석되었다. 마지막으로 환경기술 R&D은 단기적으로 생산성을 감소시켰다.

• 통합자연과학논문집
• /
• 제1권2호
• /
• pp.140-148
• /
• 2008

This study was conducted to compare of health status, dietary behaviors and nutrient intakes according to family types of the elderly in rural areas. Family types were divided into three types-elderly living alone, elderly living with spouse, and elderly living with spouse and children. Subjects were 119 persons aged over 65 years (34 male, 85 females) living in rural areas and period of survey was from 29 January 2007 to 2 February. General environmental factors, health status, dietary behaviors and nutrient intakes were compared according to family types, the elderly living along showed a significantly lower in monthly income(p<0.01), self perceived health status(p<0.001), Instrumental Activity of Daily Living(IADL) score, and General Self Efficacy Scale(GSES) score compared to the elderly living with spouse and those living with spouse and children. However, Center for Epidemiologic Studies Depression Scale(CES-D) was higher than those of the elderly living family members (p<0.05). In addition, sum of dietary behavior score was the lowest in the elderly living alone (22.3 in elderly living alone, 24.1 in elderly living with spouse, 23.4 in elderly living with spouse and children, p<0.001) and nutrient intakes of potassium, zinc, vitamin C(p<0.01 respectively), calcium, phosphorus, iron, vitamin A, vitamin E, vitamin B6 and folic acid(p<0.05 respectively) also reported to be significantly lower in the elderly living alone than in others of two types. From these results, health status, dietary behavior pattern and nutrient intakes of the elderly living alone were found to be inadequate overall, so measures to deal with these health and nutritional status were needed.

• 콘크리트학회논문집
• /
• 제23권1호
• /
• pp.23-30
• /
• 2011

이 연구는 콘크리트의 내구성 저하요인인 해수침식 및 동결융해 반복작용을 받은 콘크리트의 성능저하 정도를 실험적으로 고찰하기 위하여 포틀랜드 및 혼합시멘트를 사용하여 콘크리트 공시체를 제조한 후 상대동탄성계수, 압축강도 변화 및 기기분석을 통하여 성능저하 원인을 구명하였다. 동결융해 520싸이클까지의 결과 보통포틀랜드 및 저열포틀랜드시멘트는 75% 이상의 상대동탄성계수와 압축강도가 내황산염포틀랜드시멘트 약 44%의 값을 나타내어 상대적으로 낮은 저항성을 나타내었으며, 고로슬래그미분말을 50% 대체하여 사용한 콘크리트가 혼합시멘트계 콘크리트 중 가장 우수한 동결융해 저항성을 나타내었다. 혼합시멘트계 콘크리트의 해수침식 유 무에 따라 비교한 결과, 고로슬래그미분말 콘크리트의 잠재수경성 촉진으로 동결융해 저항성이 우수하였으나, 실리카퓸을 혼합한 콘크리트는 해수침식에 의한 성능저하가 발생하여 동결융해 저항성이 낮아지는 경향을 나타내었고, 해수침식 및 동결융해 작용을 받은 보통포틀랜드 콘크리트는 동결융해 작용에 의한 쏘마싸이트 피크와 해수침식에 의한 석고 및 프리델 염분 피크가 주로 검출되고, 고로슬래그미분말을 혼합한 콘크리트는 해수침식의 유 무에 상관없이 좋은 결과를 나타내었다.

• 대한가정학회지
• /
• 제41권6호
• /
• pp.143-156
• /
• 2003

The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.

• 대한간호학회지
• /
• 제43권1호
• /
• pp.1-10
• /
• 2013

Purpose: The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. Methods: A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. Results: The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.

• 치위생과학회지
• /
• 제9권4호
• /
• pp.461-467
• /
• 2009

The purpose of this study was to find out the degree of self-consciousness of oral malodor, the status of oral hygiene care, some oral examination factors, and measurement values of malodor compounds through conduction oral examination and questionnaire survey, and measuring volatile malodor compounds by instrumental analysis. The data were collected from 155 patients visiting a dental clinic by using a self-administered questionnaire, conducting oral examination for halitosis, and measuring malodor compounds with Oral Chroma. The rate of recognizing their breath as 'somewhat bad' were 80.0% for the female patients and 74.3% for the male, and, however, 14.3% of the male recognized their breath as 'very bad' while 18.8% of the female did not recognized oral malodor, showing statistically significant difference between gender(p=0.004). The average concentrations of volatile sulfur compounds measured by Oral Chroma were 1.65 ng/10 ml for hydrogen sulfide, 1.71 ng/10 ml for methyl mercaptan and 1.66 ng/10 ml for dimethyl sulfide, on the average, respectively, exceeding malodor threshold levels of all 3 compounds, and were significantly higher in the male group than those in the female, also exceeding all threshold levels except hydrogen sulfide values of the female group. The type of oral malodor was the most prevalent for Type I as 23.2%, followed by Type V, Type IV, Type II whileas Type I and Type IV in the female as 30.6% and 25.9% respectively, showing statistically significant difference by gender(p=0.006). The correlations among oral examination indices was the highest between tongue fur score and simplified oral hygiene index, followed by a significant reverse correlation between the number of fixed prosthodontic teeth and the number of dental caries(p=0.000).

• 한국전문물리치료학회지
• /
• 제14권3호
• /
• pp.64-71
• /
• 2007

The purposes of this study were to determine correlations between the Berg Balance Test (BBS), Timed -UP & Go Test, Fugl Meyer-L/E, Balance, Sensory (FM-L/E, B, S), Motor Assessment Scale-Gait (MAS-G), Comfortable maximal Gait Speed (C MGS), and the Modified Barthel Index (MBI). The subjects were 40 stroke patients of the Korea National Rehabilitation Center in Seoul. Main outcome measures were Balance control (BBS, FM-B), Gait (TUG, C MGS, MAS-G), ADL (MBI) and Motor Function of Lower Extremities (FM-L/E, S). The data were analyzed using Pearson product correlation. FM scales between other clinical and instrumental indexes and multiple stepwise regression analyses were performed to identify prognostic factors for Balance, Gait and ADL Motor Function of Lower Extremity inclinations. The results of this study were as follows: The BBS, FM-L/E, balance, sensory and MBI showed positive correlation relations, but TUG and C MGS showed negative correlations. The sensory factor of the FM-scale showed the strongest variance in predicting BBS. However the FM-balance showed the strongest variance in predicting TUG, MAS-G and C MGS. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general clinical performance of the patients.