• 대한한방내과학회지
• /
• 제19권2호
• /
• pp.50-59
• /
• 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.

• 대한한방내과학회지
• /
• 제40권6호
• /
• pp.1225-1236
• /
• 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.

• 성인간호학회지
• /
• 제28권6호
• /
• pp.637-645
• /
• 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.

• 재활치료과학
• /
• 제2권1호
• /
• pp.48-56
• /
• 2013

목적 : 국내 작업치료사들에 의해 가장 많이 사용되는 지필검사인 직선이분 검사 와 알버트 검사를 관찰을 통해 행동적 무시를 평가하는 CBS와 비교하여 상관관계를 살펴보고 편측무시에 대한 민감도가 더 높은 검사 도구를 알아보고자 하는 것이다. 방법 : 기준에 따라 선정된 좌측 편마비 환자 44명을 대상으로 CBS, 직선이분검사, 알버트 검사, K-MBI를 시행하여 편측무시 정도를 비교 분석하였다. 결과 : 관찰을 통한 행동적 무시 검사인 CBS는 지필검사인 직선이분 검사, 알버트 검사와 유의한 상관관계를 보였다(p < .01). CBS가 지필검사보다 편측무시에 대한 민감도가 더 높았고, 일상생활활동과 더 높은 상관관계를 보였다(p< .01). 결론 : 본 연구의 결과를 살펴볼 때 CBS가 지필검사에 비해 편측무시를 판별하기 더 유용하며 질병부인검사도 가능한 검사도구이다. 따라서 편측무시 검사와 치료 시 CBS의 적용이 고려되어야 할 것이다.

• 정보과학회 논문지
• /
• 제43권2호
• /
• pp.229-236
• /
• 2016

세타조인은 데이터베이스에 있어서 가장 기본적이면서도 중요한 질의 중 하나이다. 최근 처리해야 하는 데이터의 양이 증가함에 따라, 맵리듀스와 같은 분산 병렬 처리 프레임워크를 사용한 데이터베이스의 질의처리가 많이 연구되고 있다. 대표적인 연구로 M-Bucket-I 휴리스틱을 이용한 세타조인이 있으나, 이 알고리즘은 수행시간이 입력 데이터의 크기를 n이라 할 때, 각 레코드를 $r_{max}$개의 리듀서 중 어느 리듀서로 보낼지 정하는 리듀서맵핑을 구하는데 O(n)의 시간이 걸려 쉽게 사용할 수 없다는 문제가 있다. 본 논문에서는 기존의 M-Bucket-I 휴리스틱을 개선하여, 같은 리듀서 매핑 결과를 내놓더라도 수행시간이 $O(r_{max}log\;n)$으로 보다 짧은 새로운 알고리즘을 제시한다. 다양한 실험을 통하여 기존의 맵리듀스를 이용한 세타조인보다 성능을 10% 정도 향상시킬 수 있음을 보였다.

• 대한한의학회지
• /
• 제20권1호
• /
• pp.60-65
• /
• 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
• /
• 제18권2호
• /
• pp.173-182
• /
• 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
• /
• 제55권6호
• /
• pp.649-659
• /
• 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.

• 한국산학기술학회논문지
• /
• 제12권11호
• /
• pp.5102-5109
• /
• 2011

이 연구는 뇌졸중 환자의 참여제한을 측정하는 도구인 한국판 London Handicap Scale의 타당도와 신뢰도를 알아보기 위해 실시되었다. 외래 재활치료를 받고 있는 뇌졸중 환자 54명을 대상으로 하였다. 한국판 LHS의 문항내적일치도는 Cronbach's ${\alpha}$ 값이 .791이었고, 급간내상관계수는 .983으로 신뢰도가 높았다. 구성타당도를 알아보기 위해 탐색적 요인분석을 실시한 결과, 한국판 LHS는 2개의 요인으로 구성되며 설명력은 72.32%인 것으로 나타났다. 한국판 LHS와 한국판 수정바델지수와는 경제상태 항목을 제외하고 모든 항목에서 유의한 상관성이 있는 것으로 나타났다(r=-.454 ~ -.819)(p<.01). 한국판 LHS의 신뢰도와 타당도가 높기 때문에, 임상에서 뇌졸중 환자의 참여제한을 측정하는 도구로 사용되는데 적절한 것으로 여겨진다.

• 동의생리병리학회지
• /
• 제33권2호
• /
• pp.151-157
• /
• 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.