• Title/Summary/Keyword: Living independence

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Effect of the Virtual Reality Cognitive Rehabilitation Program on Cognition Ability and Activities of Daily Living in Patients with Mild Cognitive Impairment (가상현실 인지재활 프로그램이 경도인지장애 환자의 인지능력과 일상생활동작에 미치는 영향)

  • Kang, Hyeok-Jun;Kim, Sang-Ryul;Kim, Jeong-Heon;Song, Dae-Heon;Yang, Ji-Eun;Chu, Mi-Ran;Lee, Hyun-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.155-161
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    • 2020
  • PURPOSE: This study investigated the effect of a head-mounted display (HMD) based virtual reality (VR) cognitive rehabilitation program on the cognitive ability and activities of daily living in patients with mild cognitive impairment. METHODS: This study enrolled 5 mild cognitive impairment patients at the G welfare center in Gwangju metropolitan city. Patients were examined using the MMSEDS (Mini mental state examination-dementia screening). The VR cognitive rehabilitation program was applied twice a week for four weeks. The functional independence measure (FIM) and Loewenstein occupational therapy cognitive assessment-geriatric population (LOTCA-G) were compared before and after applying the VR cognitive rehabilitation program. RESULTS: Subsequent of application of the VR cognitive rehabilitation program, significant increase was observed in the LOTCA-G score. The FIM score was also perceived to increase, after the intervention, but was not statistically significant. CONCLUSION: Application of the VR cognitive rehabilitation program as a therapy is effective in improving the visual perception, and upper extremity executive ability, especially orientation, thinking organization, attention, and concentration.

Effects of the ADL Activity Group Exercise Program on Independent Life of CNS Patients (일상생활 동작 집단학습 운동프로그램이 편마비 환자의 독립적 생활에 미치는 영향)

  • Park, Hyun-Sik;Kim, Taek-Yean;Park, Jong-Hang
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.66-76
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    • 2008
  • Purpose : The purpose of the study was to determine Effects of the ADL Group Study Program Training on Functional Independence and Quality of Life for the CNS Patients. Methods : Thirty patients with stroke were assigned to experimental and control group. During eight weeks, both group participated in the conventional physical therapy and only the experimental group added in the ADL Group Study program. Experimental group performed two a week for 8 weeks and both group were scored Mini-Mental State Examination-Korean version before the training. The data were analyzed with frequency, independent t-test, paired t-test using SPSS PC(ver.12.0). Results : The result of this study is as fallows : First, after eight weeks, the experimental group the significant improvement in Korean Activity Daily Living scale, washing(p<0.01), bathing, ambulation, toilet using(p<0.05) and decorating, the short distance transfer(p<0.05) in Korean Independent Daily Living scale, vitality(p<0.05) in Quality of Life score. Conclusion : These finding suggest that the ADL Group Study Program Training can be used to improve functional independent and quality of life for the CNS patients. Also, the result of this study can provide a reference for the successful therapeutic program in CNS patients.

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The effect of otago exercise-based fall prevention education activities on balance, fall efficacy and activities of daily living in the subacute stroke patients: A randomized controlled clinical trial (오타고운동 기반 낙상예방교육활동이 아급성 뇌졸중 환자의 균형, 낙상 효능감 및 일상생활동작능력에 미치는 영향: 무작위 대조군 임상 연구)

  • Yoon, Hyun Sik;Han, Kyu Bum;Oh, Seung In;Lee, Da Bee;Song, Ha Hee;Song, Jeong Eun;Cha, Young Joo
    • Journal of Korean Physical Therapy Science
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    • v.27 no.1
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    • pp.1-8
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    • 2020
  • Background: This study analysed the effect of the fall prevention education activities on balance, fall efficacy, activities of daily living (ADL) of sub-acute stroke patients. Design: Randomized controlled trial. Methods: The subjects of the study were 24 subacute patients, who have onset period of less than 6 months. They are randomly allocated in the conventional therapy group (n=12) and fall prevention education group (n=12) and observed with frequency for 5 times a week for four weeks. Measuring took place before and after the experiment leading to following results of the Fall efficacy scale (FES), Berg balance scale (BBS) and Functional Independence Measure (FIM). Results: FES, BBS and FIM score was significantly greater in the post-test than in the pre-test in both groups (p<0.01). Independent t-test confirmed that the fall prevention education group showed much greater improvement change in the FES, BBS and FIM score than conventional therapy group (p<0.05). Conclusion: The present study demonstrated the importance of clinical contribution of the fall prevention education in the individuals with subacute stroke patients to the balance, fall efficacy and ADL following the stroke rehabilitation.

Implications of the Increase of Single Person Households for High-Tech Industries: Focusing on AI Adopted Products (1인 가구 증가가 하이테크 산업에서 지니는 함의: 인공지능기술 탑재 상품을 중심으로)

  • Cho, Jae-Yung
    • Journal of Convergence for Information Technology
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    • v.9 no.6
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    • pp.146-152
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    • 2019
  • This study discussed implications of the increase of single person households (SH) for high-tech industries especially focusing on artificial intelligence (AI) adopted products, based on critically reviewing the past researches on their characteristics including consumption trends; the improvement of AI technology; and its market potentiality in various industries. According to the results, SH spent more time with others like friends and neighbors more than couples. Younger people increasingly chose to live alone by their own free will for achieving their goals. 'Living alone' or 'going solo' is not thought negatively any more, but as a new market power in the future. Considering their value oriented consumption behaviors based on spirit of independence and individualism, they will need high-tech products more like AI adopted products than others because of their advantages for the value of single life. Thus, the rapid progress of AI technology is predicted to bring them satisfaction of their wants and it is suggested to prepare for the market segmentation of SH as AI end-users.

The Effect of Computerized Cognitive Program on Cognitive Function and Activities of Daily Living of Stroke Patients (전산화 인지프로그램 적용이 뇌졸중 환자의 인지기능과 일상생활활동에 미치는 영향)

  • Jang, Cheul;Bae, Won-Sik
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.49-58
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    • 2021
  • Purpose : This study investigates the effects of the application of traditional occupational therapy and the korean computerized cognition training system on the cognitive function and performance of daily activities of stroke patients with cognitive impairment. Methods : From inpatients referred for rehabilitation treatment at L Rehabilitation Hospital located in Busan, 20 patients diagnosed with stroke from April 05. 2021 to May 02. 2021 (study period) were selected, They were divided into two, an experimental group consisting of 10 subjects who underwent a computerized cognitive rehabilitation program and traditional occupational therapy in combination and a control group of 10 subjects who underwent traditional occupational therapy alone. In order to measure the cognitive function of the subjects before the intervention, two assessment tests were conducted: a Neurobehavioral Cognitive Status Examination (NCSE), which evaluates stroke-related cognitive ability, and a Functional Independence Measure (FIM) test, which evaluates life activities. Then, both groups received a total of 20 training sessions at 30 minutes per session, five times a week for four weeks. Results : A statistically significant difference was found in cognitive function between before and after the cognitive training for both the experimental group and the control group. For the FIM scores, statistically significant differences were observed after intervention in the categories of handling personal matters and social cognition, and in the total score. The average scores of the remaining items also improved. Conclusion : The results of this study showed that both the computerized cognition rehabilitation program and the traditional occupational therapy had a positive effect on the improvement of cognitive function in stroke patients.

Risk Factors Associated with Medication Adherence in HIV/AIDS Patients (한국인 HIV/AIDS 환자의 복약순응도에 미치는 위험 인자 연구)

  • Kyung Sun Oh;Jin-soo Lee;Euna Han
    • Korean Journal of Clinical Pharmacy
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    • v.33 no.4
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    • pp.254-260
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    • 2023
  • Background: Adherence to antiretroviral treatment (ART) is crucial for maintaining the HIV-RNA suppression in patients living with HIV/AIDS. This study aims to analyze the risk factors contributing to low medication adherence among individuals with HIV/AIDS by analyzing data from the Korean HIV/AIDS cohort study. Methods: The dependent variable is ART medication adherence. The depressive symptom and anxiety scores were collected as main independence variables. Covariates included gender, age, transmission route, alcohol and smoking information, and antiviral treatment regimen details. To predict the relationship between ordinal dependent variables and independent variables, an ordered logistic regression analysis was conducted, and odds ratios (OR) were calculated. Results: The results of the ordered logistic regression analysis showed that female was associated with a higher risk of low medication adherence (OR=2.91, 95% CI=1.08, 7.83). Among the subjects who were non-smokers and non-drinkers, the risk of low medication adherence was lower (OR=0.36, 95% CI=0.18, 0.70). Depending on the ART treatment group, individuals taking integrase inhibitor had a lower risk of medication adherence (OR=0.31, 95% CI=0.13, 0.76), and those experiencing depressive symptoms were related with a higher risk of low medication adherence (OR=1.97, 95% CI=1.12, 3.46). Conclusions: The encouragement and emotional support of healthcare professionals are essential for patients living with HIV/AIDS who experience depressive symptoms to maintain ART adherence. Additionally, further research is needed to ensure that HIV/AIDS infected female with concurrent depressive symptoms can achieve appropriate ART therapeutic effect.

A Study on Community-dwelling Elders with Dementia, their Primary Caregiver, and Living Environments (재가 치매노인의 주 수발자와 환경 실태)

  • Kim Nam Cho;Kim Jung Hee;Lim Young Mi
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.13-29
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    • 2002
  • The purpose of this study was to describe about elders with dementia, their families, and their living environment by visiting the households where demented elders resided. The findings will be used as a basis to develop future individualized adjustment programs for demented elders and their families living in communities. The study participants were 64 demented elders and their families who were registered to a dementia counseling center at Nam-Gu community health center located in Inchon, Korea. Data were collected for two months, from May to June 2001. The length of data collection for each home visit ranged from 1.5 to 2.5 hours. Conclusion are as follows based on these study findings: Those demented elders had more than one chronic health problem in addition to their pre-existing dementia condition. Two thirds of the demented elders were not receiving any specific treatment for dementia. They showed a moderate level of independence in basic ADL, but were mostly residing at home because of lack of ability to perform more delicate and complicate routine daily activities by themselves. In addition, the primary caregivers were not well adjusted to the care-giving activities for their demented family members due to the lack of knowledge and information about dementia. The caregivers were mostly women including daughters-in-law, woman spouses and daughters, over a half of whom perceived their physical and mental health status as poor. Their image toward the demented elders was considerably negative. while their level of knowledge on dementia was moderate. The burden for the care-giving was high, whereas their coping method was passive. As the difference in image toward elderly before and after the onset of dementia in their family member increases, the caregiver burden also increased. The main resource of social support for the caregivers was their children. The caregivers showed high level of needs for knowledge and information on dementia, and day care service was the most preferred type of service by the caregivers. There was lack of safety in the living environments for the demented elders and their families, and in the surrounding environments to prevent dementia-related symptoms. Considering that home-based family care-giving is the most culturally appropriate model of providing care for the demented elders in Korea, we need to develop and apply an individualized adjustment program for the demented elders and their families.

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Survey Research Regarding the characteristic of the Retirement House in Mountain Village of Shikoku - Focusing on Ochiai area in Higashiiyayama-son in Tokushima Prefecture of Japan (사국(四國)산촌의 은거옥(隱居屋)의 특성에 관한 조사연구 -일본 덕도현(德島縣) 동조곡산촌(東祖谷山村) 낙합지구(落合地區)를 중심으로-)

  • Park Chan
    • Journal of the Korean housing association
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    • v.17 no.4
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    • pp.57-64
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    • 2006
  • This research is the survey result of the retirement house in Ochiai area that is a famous as mountain village of Japan. This area is being formed in a steep slope and be arranged the building long a side along the contour line. As for the plan type of a main house 'the middle bedroom three-madori(bay) type' and 'the parallel two madori(bay) type' occupy many. As for in the retirement custom of Ochiai area the independence family style (separation/ separate meal/separate household economy) is a principle and a parents family builds the retirement house and move out. The plan. of the retirement house is two-room type of 'Omote(public room) and Uchi(kitchen and living room)' and agree with the plane prototype 'plan constitution of a necessary minimum' of farmhouse of this area. The reconstruction that the retirement house is remodeled handily with a main home, especially intend the convenience of the life such as a kitchen and toilet has been done. The retirement custom has been succeeded thoroughly until recent years in this area. However, this traditional custom is seeing the end, without there is the successor of a main house with depopulation.

The Development of Eco-village Planning Indicators for Sustainability (지속가능성 확보를 위한 생태마을 계획요소 개발)

  • Woo, Hye-Mi;Ban, Yong-Un;Han, Kyung-Min;Baek, Jong-In
    • Journal of Korean Society of Rural Planning
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    • v.18 no.2
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    • pp.1-11
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    • 2012
  • Eco-village has been regarded as an alternative to accomplish sustainable development for rural village. This study has intended to develop comprehensive planning indicators to establish an eco-village based on such aspects of sustainable development as economy, environment, and society. To reach this objective, this study has set up six goals as follows: 1) ecological production activities for agriculture, 2) resource circulation and energy independence in the economic domain; 3) building cultural and historical succession and community activation, and 4) living together with surrounding regions in social domain; and 5) maintaining environmental habitat, and 6) restoring natural ecosystem in environmental domain. Based on these goals, this study has developed the planning indicators to build an eco-village through case study, literature review, survey for suitability, and factor analysis. This study has found 17 strategies and 47 planning indicators in accordance with the six goals.

The Effect of Modified CIMT Combined with Kinesio-Taping on Upper Limb Function in Hemiplegic Patients (테이핑을 이용한 건측 억제유도 운동이 만성 뇌졸중 환자의 상지기능에 미치는 영향)

  • Kim, Myung-Kwon;Ji, Sang-Ku;Jun, Hye-Jin;Lee, Chang-Ryeol;Lee, Moon-Hwan
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.183-192
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    • 2009
  • Purpose:This study was conducted to investigate whether modified CIMT with Kinesio-Taping on paretic upper limb effects upper limb function in stroke patients in comparison to those receiving only modified CIMT. Methods:20 out-patients with hemiplegia were randomly assigned to either an experimental or a control group. Both groups received modified CIMT during a 10-week period. Additionally, an experimental group received modified CIMT with Kinesio-Taping on paretic upper limb and trunk. Results:In Manual function test, Grip strength, Jebsen-Taylor hand function test, MAL(Motor Activity Log) and Functional independence measure (FIM) were significantly different at all intervals of the study period(0, 3, 6, 10-week) in the experimental and control groups(p<.05). Exceptionally there was no significant difference in Jebsen-Taylor hand function test between the experimental and control groups. Conclusion:These results suggest that modified CIMT with Kinesio-taping improve the upper limb function. And also increase usage of affected upper limb and assist in daily living activity more than only modified CIMT.

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