• The Journal of Internal Korean Medicine
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• v.19 no.2
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• pp.50-59
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• 1998

Background : Vascular dementia occurs mainly due to cerebral vascular disease. So we performed this clinical study to investigate the incidence and characteristics of vascular dementia in stroke patients. Methods : This study was performed on the patients hospitalized from April 1, 1998 to August 31, 1998 at the department of circulatory internal medicine, hospital of Oriental medicine, Kyung-Hee University, and diagnosed cerebral infarction or hemorrhage by Brain CT or MRI. we devided the patients into two groups; vascular dementia group and non dementia group according to MMSE-K(Mini Mental State Examination Korean version), Hasegawa dementia scale. Patients were diagnosed dementia using DSM-IV. We compared general characteristics, stoke types and laboratory findings between the two groups and investigated the correlationship between MMSE-K and Hasegawa dementia scale. Results : Results showed that the incidence of vascular dementia was about 27.8% in stroke patients. The greater number of subjects with dementia were women in the lower educational classes and had lower MBI(Moderfied Bathel Index) scores. Vascular dementia were more common in patients with large brain lesion size($>20cm^3$). There was a positive correlationship between Hasegawa scores and MMSE-K.

• The Journal of Internal Korean Medicine
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• v.40 no.6
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• pp.1225-1236
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• 2019

Objective: This is a case report on the effect of Korean traditional medicine on deep stupor to semi-coma with intracerebral and intraventricular hemorrhage. Methods: The patient was treated by Korean traditional medicine such as acupuncture, moxibustion, and herbal medicine. The change of mental state was evaluated by the Glasgow Coma Scale (GCS). We used the Modified Medical Research Council Scale (MRC scale) and the Modified Barthel Index (MBI) to evaluate the effectiveness of the treatment. Results: After treatment, the physical function and ability to perform activities of daily living were improved. The Modified Barthel Index increased from 0 to 40 after treatment with Korean medicine. Conclusions: According to this study, Korean traditional medicine can be effective for the treatment of quadriparesis in patients with deep stupor to semi-coma in intracerebral and intraventricular hemorrhage.

• Korean Journal of Adult Nursing
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• v.28 no.6
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• pp.637-645
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• 2016

Purpose: The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery. Methods: The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day. Results: Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within $4.0{\pm}2.2days$ following surgery. Mean days of first defecation of constipation group vs. non-constipation group was $5.5{\pm}1.7days$ vs. $2.1{\pm}1.0days$. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance. Conclusion: Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient's ADL after surgery to prevent constipation.

• Therapeutic Science for Rehabilitation
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• v.2 no.1
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• pp.48-56
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• 2013

Purpose : To identify the correlation between CBS and pencil and paper test, and to test the sensitivity of above tests about unilateral neglect. Mostly used tool of pencil and paper test is line bisection and albert test. CBS is behavioral neglect test. Methods : The subjects of study were 44 stroke patients with left hemiplegia. Data were analyzed for Pearson correlation, paired t-test and ANOVA using SPSS program. The significance level was ${\alpha}<.01$. Results : The results of the study was as follow: 1. CBS had a significant correlation of line bisection and Albert test. 2. CBS was more sensitive than the pencil and paper in unilateral neglect. 3. CBS had high correlations with ADL than the pencil and paper test. Conclusion : The result showed that CBS was more useful than a pencil and paper test to distinguish unilateral neglect and available to diagnose anosognosia. Therefore, it should be considered applying CBS to inspect and cure unilateral neglect.

• Journal of KIISE
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• v.43 no.2
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• pp.229-236
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• 2016

Theta join is one of the essential and important types of queries in database systems. As the amount of data needs to be processed increases, processing theta joins with a single machine becomes impractical. Therefore, theta join algorithms using distributed computing frameworks have been studied widely. Although one of the state-of-the-art theta-join algorithms uses M-Bucket-I heuristic, it is hard to use since running time of M-Bucket-I heuristic, which computes a mapping from a record to a reducer (i.e., reducer mapping), is O(n) where n is the size of input data. In this paper, we propose MBI-I algorithm which reduces the running time of M-Bucket-I heuristic to $O(r_{max}log\;n)$ and gives the same result as M-Bucket-I heuristic does. We also conducted several experiments to show algorithm and confirmed that our algorithm can improve the performance of a theta join by 10%.

• The Journal of Korean Medicine
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• v.20 no.1 s.37
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• pp.60-65
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• 1999

We have conducted a study of the interobserver reliabilities of Modified Barthel Index and Motor Assessment Scale with 30 patients hospitalized with strokes in the department of circulatory internal medicine, Sang Ji University Oriental Hospital. The observations were performed by two staff and residents in the circulatory internal medicine department. Raters were assigned in random pairs to individual patients. Evaluations were performed independently by the two observers. In order to minimize the impact of fluctuations in the patients' clinical status, the second set of observations immediately followed the first. Each patient was used for only one pair of evaluations. The results were as follows. 1. Mean kappa value of 13 items in Modified Barthel Index(MBD was 0.742, which indicated excellent interobserver reliability. The kappa values indicated almost $perfect({\kappa}:\;0.81-1.00)$ for 4, substantial for $9({\kappa}:\;0.61-0.80)$, and moderate for $2({\kappa}:\;0.41-0.60)$ of 13 items. All items. except Grooming item, showed statistically significant interobserver agreement(p<0.01) 2. Mean kappa value of 8 items. except General tonus, in Motor Assessment Scale(MAS) was 0.823, which indicated excellent interobserver reliability. and this value of Motor Assessment Scale was more high than MBI' s value. 0.81. The kappa values indicated almost perfect for 5, substantial for 3 of 8 items. All items showed statistically significant interobserver agreement(P<0.01).

• PNF and Movement
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• v.18 no.2
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• pp.173-182
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• 2020

Purpose: The purpose of the study was to investigate the effects of visual feedback exercise (VFE), sandal exercise (SE), and thera-band exercise (TE) on people with functional ankle instability. Methods: The 45 study participants were divided into three groups of 15. In the VFE group, participants performed short-foot exercises using visual feedback; the SE group performed sandal exercises, and the TE group performed thera-band exercises. Over a period of 8 consecutive weeks, the experimental groups exercised for 15 minutes per session, four times per week. Balance was measured using the Biodex Balance System for dynamic balance ability (overall balance index [OBI], mediolateral balance index [MBI], and anterioposterior balance index [ABI]). Vibration threshold sense (VTS) was assessed using a vibratory sensory analyzer. Ankle muscular strength was measured using the Biodex 4 Pro. The main outcome measures were assessed at baseline and after 8 weeks of training. Results: Significant improvements in dynamic balance were noted in all three groups (p < 0.05). Significant improvements in VTS and muscular strength were also noted in the VFE and TE groups but not in the SE group (p < 0.05). Conclusion: Appropriate environmental and situational mediation may be of great clinical significance for patients suffering from chronic ankle instability. It is hoped that the findings will inform a program for prevention of ankle instability.

• Human Ecology Research
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• v.55 no.6
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• pp.649-659
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• 2017

This study investigated the effect of a child care center directors' work stress and awareness of their servant leadership on burnout. The subjects of this study were 200 child care center directors in Incheon. They responded to 'Work Stress Scale', 'Maslach Burnout Inventory (MBI)', 'Servant Leadership Scale'. There were five subscales of Servant Leadership Scale (altruistic calling, emotional healing, wisdom, persuasive mapping, and organizational stewardship). Data were analyzed by frequency, percentage, mean, standard deviation, Pearson's correlation and hierarchical regression. Moderating effects were examined using analysis procedures of Baron and Kenny. The major results were as follows. First, child care center directors' burnout and work stress were positively correlated. Child care center directors' burnout and awareness of their servant leadership (emotional healing, wisdom, persuasive mapping, and organizational stewardship) was negatively correlated. Second, child care center directors' work stress, emotional healing, persuasive mapping and organizational stewardship affected their burnout. This means that the work stress of child care center directors increases their burnout. However, the child care center director's servant leadership is a factor in reducing burnout. Third, child care center directors' work stress and organizational stewardship had an interaction effect on burnout. The results suggests that child care center directors' organizational stewardship needs to be considered as an important factor for decreasing their own burnout. We also discussed implications and suggestions for future research and policy makers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.11
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• pp.5102-5109
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• 2011

The purpose of the this study was to identify validity and reliability of the Korean version of the London Handicap Scale (K-LHS) measuring participation restriction for stroke survivors within outpatient rehabilitation setting. 54 stroke patients participated. The reliability was good with a Cronbach's ${\alpha}$ and intraclass correlation coefficient of .791 and .983, respectively. The results of exploratory factor analysis was that the K-LHS was constructed two factors and explanation power was 72.32%. There are significant correlation between K-MBI and subitems of K-LHS (r=-.454 ~ -.819)(p<.01), except economic item. Because the K-LHS seems to be a valid and reliable, thus, it is considered to be appropriate as a tool to measure participation restriction of stroke patients in clinical practice.

• Journal of Physiology & Pathology in Korean Medicine
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• v.33 no.2
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• pp.151-157
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• 2019

Academic burn-out is a state of emotional, and physical exhaustion caused by prolonged stress over the course of the semester and academic year. It is composed of exhaustion, inefficacy, and cynicism. The purpose of this study was to reveal that the academic burn-out would be significantly different between early and the end stage of semester, and the sub pattern would be different according to Sasang constitution among the healthcare college students. The first survey was conducted in early March 2018 and the second one was done in the end of June 2018. Total 386 questionnaires concerning KS-15 of Sasang Constitution, MBI-SS of academic burn-out and general characteristics such as drinking, smoking and so on were collected and 9 of them were excluded, because of insufficient answers. The academic burn-out score significantly increased from 56 in early stage of semester to 63 in the end stage of semester (p<.001). In sub-pattern analysis, the exhaustion score significantly increased from 21.3 to 26.7 (p<.001), and cynicism score increased from 15.4 to 17 (p<.001). The cynicism score of drinking alcohol group ($16.21{\pm}5.572$) was higher than the non-drinking alcohol group ($14.62{\pm}5.859$), and the exhaustion score of smoking group ($23.75{\pm}6.942$) was significantly higher than that of non-smoking group ($21.05{\pm}6.697$) in early stage of semester. The exhaustion score of female ($27.47{\pm}5.762$) was higher than that of male ($26.02{\pm}6.536$) (p=.024), and the inefficacy score of Taeeumin ($20.13{\pm}5.244$) was significantly higher than that of Soyangin ($18.15{\pm}5.588$) in the end stage of semester. The healthcare college student experiences academic burn-out, and there is significantly different according to gender and SC in sub-pattern. Further study is needed to manage the academic burn-out according gender and Sasang constitution.