• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.831-842
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• 1997

The purpose of the study was to test the reliability and validity of the Korean version of Task Self-Efficacy Scale for activities of dally living (ADL). The Task Self-Efficacy Scale was developed by Roberts(1996) for low-intensity exercise study with older people to predict their performance of ADL. The scale was translated and back translated by bilingual persons, and then was modified to resolve variations in the translations. The Korean version of Self-Efficacy Scale for ADL was then administered to 193 elderly people including 95 hospitalized patients and 98 outpatients or healthy people. Face to face interview was used to fill out the structured questionnaire, and each interview took approximately 30 minutes. The subjects for the study were 80 women and 112 men with an age range of 65 to 95 years(M=71 years) of whom 82.6% classified themselves as moderate or quite active Most subjects(80.2%) had an education level of elementary school or less. The Self-Efficacy Scale for ADL is measured on a 0 to 10 VAS, assessing three areas of ADL : self care activities, household tasks, and motor tasks. The higher the score is, the higher person's confidence in performing ADL. Psychometric testing revealed that the scale was found to be internally consistent, showing a Cronbach's alpha of .97 The scale was significantly correlated with subjects' level of activity and subjective assessment of their health status. Moderate correlation with health-related hardiness scale also supported the validity. Factor analysis was performed to confirm whether the scale represents the three sub-areas as suggested in the literature. The results of the factor analysis led to a three factor solution according to Kaiser's criterion, but the items were not strongly and cleanly loaded for the third factor. This can be explained in that, among the three sub-ADL areas of the self-efficacy scale, the areas of self care activities and household tasks seem to have similar levels of difficulty in performance with not enough differences for the self-efficacy scale to distinguish between the two areas. Therefore, one factor solution was suggested since ADL can be seen as a unit of activities at similar level of difficulty in performance. One factor solution explained 68.1% of variance of the 19-item scale and all items were correlated over .6 with the factor, showing that the selected factor solution fits the model. The results indicated that the Korean version of Task Self-Efficacy Scale for ADL was reliable and valid in producing useful information to evaluate the effects of various interventions toward promoting health and quality of life for elderly people.

• The Journal of the Korea institute of electronic communication sciences
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• v.13 no.3
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• pp.651-660
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• 2018

The purpose of this study was to investigate the effects of task-oriented circuit training(: TOCT) on upper extremity function and quality of life in chronic stroke patients. 20 stroke patients were randomized and divided into 2 groups: a preservation therapy group and TOCT group. The intervention sessions were given five times a week for four weeks. The Stroke Impact Scale(: SIS), EuroQual-5Domains(: EQ-5D), Fugl-Myer Assessment(: FMA), Motor Activity Log(: MAL), Canadian Occupational Performance Measure(: COPM) were used to measure the upper extremity function and the quality of life. In results, Two groups improved in upper extremity function after the intervention(p<.05). The EQ-5D scores of TOCT group were a significantly higher than preservation group(p<.05). The Ironing, Folding towels, Hang out towels on drying rack in COPM scores in both of performance and satisfaction have improved more than preservation group(p<.05). In conclusion, the TOCT has significant helpful effect to chronic stroke patients. These findings can be used to chronic stroke patient as an intervention for upper extremity function and quality of life.

• Korean Journal of Construction Engineering and Management
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• v.16 no.4
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• pp.41-49
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• 2015

The amount of energy consumed in air ventilation systems of public facilities accounts for 40% of their total energy consumption. To reduce their energy consumption, applying variable speed operation controlled by an inverter with a high-efficiency motor is suggested. Since these methods require higher initial investment costs compared to the existing systems, economic evaluation should be conducted from a long-term perspective. While LCCA(Life Cycle Cost Analysis) model is useful to estimate net savings of alternatives that differs with respect to initial costs and operating costs, the environmental burdens are not considered. On the contrary LCA(Life Cycle Assesment) model is suitable to assess environmental impacts associated with the stages of a product's life but it does not consider costs. In this study, the high-efficient motors are introduced into the air ventilation system of a subway station and a comprehensive analysis on the economic and environmental impacts of the proposed method is conducted by using LCCA and LCA model.

• Therapeutic Science for Rehabilitation
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• v.7 no.2
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• pp.17-27
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• 2018

Objective : The purpose of this study was to investigate the effect of occupational therapy intervention using a fully immersive virtual reality device on the upper extremity function of patients with chronic stroke. Methods : This study used a single subject (ABA) design. The study subjects was a chronic stroke patient with left lateral deviation. Four baseline periods, 12 intervention periods, and 4 baseline regression periods were performed for a total of 20 sessions for 10 weeks. OT intervention with a fully immersive virtual reality device was used every 30 minutes. BBT and WMFT evaluations were performed at each session and the results were displayed in a line graph. Results : The patient's upper limb function has improved. During baseline recurrence, efficacy of treatment was confirmed after removal of intervention, but no significant changes were observed. Conclusion : It has been found that OT intervention with a fully immersive virtual reality device for upper limb function in chronic stroke patients is an effective intervention. However, the effectiveness of maintaining treatment is not important, so we need to develop an easy-to-use home intervention program.

• Journal of Chest Surgery
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• v.31 no.3
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• pp.291-297
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• 1998

Sternal fractures, once thought of as an uncommon phenomenon, have occurred with an increasing frequency, paralleling the incidence of motor vehicle accidents. The tremendous force necessary to cause sternal fracture and this bone's prominent position overlying major intrathoracic and mediastinal structures, have important implications in the assessment and treatment of patients. This evaluation is based on the review of 72 patients of traumatic sternal fracture treated at the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital during the last 4 years from March 1993 to February 1997. The frequency was 12.2% of nonpenetrating chest trauma and average age was 43.2 years old. Automobile accidents(84%) and sternal body fractures(95.8%) with anterior displacements(19.4%) was the most common cause and fracture site. Increase of cardiac isoenzymes was more frequent and higher in sternal fracture than chest contusion but there was no relationship between the time to take normalization of them and the mode of trauma.

• Journal of Environmental Health Sciences
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• v.33 no.6
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• pp.506-512
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• 2007

This study was conducted to describe the exposure levels of welding fumes by the type of manufacturers, work process, welding type and the size of manufacturers, and to find out the trend of chronological changes of airborne welding fume levels. The subjects of this study were 509 manufacturers, consisting of 11 types of manufacturers, 3 work processes, 7 welding types, in Busan from January, 1997 to December, 2005. Airborne concentration of welding fume was determined by manual of National Institute for Occupational Safety and Health (NIOSH), and the data were analyzed by using SPSS 10.0 for Windows program. The mean concentration of airborne welding fume in all manufacturers was $1.29\;mg/m^3$ (Range: $0.01{\sim}3.00\;mg/m^3)$. The level of welding fume was the highest, as $1.96\;mg/m^3$, for manufactures of motor vehicles, trailers and semi-trailers, which was lower than $5.0\;mg/m^3$ of 8 hr-TWA in Korean permissible exposure limit for welding fume. There was a significant difference in the mean levels of welding fumes by work process, showing the highest in welding workshop ($1.39\;mg/m^3$), followed by pipeline welding workshop ($1.26\;mg/m^3$) and engineering workshop ($1.20\;mg/m^3$). Among welding types, the mean level of welding fume was the highest in the type of $CO_2$ & arc welding, as $1.46\;mg/m^3$, followed by $CO_2$ welding ($1.40\;mg/m^3$), shielded metal arc welding ($1.31\;mg/m^3$), spot welding ($1.27\;mg/m^3$), and so on. The highest mean level of welding fume was $1.58\;mg/m^3$ in work process of pipe line welding workshop for the manufacturers of basic iron and steel, and $2.27\;mg/m^3$ in the type of arc welding for the manufactures building ship and boats. By the size of manufacturers, the mean concentration of welding fume for manufactures in small scale with less than 50 workers was the highest as $1.45\;mg/m^3$ (Range: $0.07{\sim}3.00\;mg/m^3)$. The mean level of welding fume was the highest as $1.39\;mg/m^3$ both in 1997 and in 2005, showing a trend of fluctuating periodically within a range of $1.10{\sim}1.39\;mg/m^3$. The above results suggested that more effective control program for work environment producing welding fumes should be developed and applied since there were significant variations in welding fume levels by the type of manufacturers, work processes, welding types, the size of manufactures, and by year.

• Journal of Digital Convergence
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• v.13 no.6
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• pp.225-234
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• 2015

Neurobiological approach helps to resolve the mind-body dualism and develop new assessment and treatment approaches in psychiatry. However, it could be a problem to place too much emphasis on certain aspects of neurobiology, specifically structural neuroanatomy, because of the complexity or comorbidity of neuropsychiatric disorders. Developmental Coordination Disorder (DCD), for instance, is generally related to problems in motor skills and this movement disability is often related to perception. One account, two visual systems theory, relied on functional distinction in brain; ventral stream is responsible for visual recognition, and dorsal stream is responsible for the guidance of actions. However, Studies are now showing that shape perception is relevant to visually guided action, such as reaching-to-grasp an object. In this article, I reviewed fundamental findings of two-visual system theory and suggested problems of visually guided action to consider what shape perception implies for the two visual systems. Questions raised highlight possible limitations of adopting a structural neuroanatomical approach to account for perception and action effects, and by extent related psychiatric conditions such as DCD. In conclusion, neurobiological approach converging to neuropsychiatry, while useful, would be limited if it focuses too much on anatomical distinction.

• Korean Journal of Biological Psychiatry
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• v.8 no.2
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• pp.258-265
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• 2001

Objectives : Chronic alcohol consumption has been known to result in various neurocognitive deficits. Many neuropsychological studies revealed that the major disturbances occurred in the executive function, learning and short-term memory, visuospatial performance function, perceptuo-motor skills, and abstraction and problem solving abilities. This study was done to identify which cognitive areas might be mainly affected. Methods : The cognitive disturbance was evaluated using the Korean Version of the Mini Mental State Examination(MMSEK) and the 7 Minute Screen(7MS) in male inpatients with alcohol dependence(N=3 : as well as in age and education level matched healthy male controls(N=30). Four individual tests of the 7MS were consisted of the Benton Temporal Orientation Test, the Enhanced Cued Recall, the Clock Drawing and the Category Fluency. Results : 1) The average scores of four individual test of the 7MS for the alcoholics were $2.77{\pm}4.38$ for the Benton Temporal Orientation Test, $13.90{\pm}2.02$ for the Memory Test(the Cued Recall $6.77{\pm}1.94$, the Uncued Recall $7.10{\pm}2.45$), $5.84{\pm}1.86$ for the Clock Drawing, and $12.58{\pm}3.29$ for the Category Fluency. Except the Benton Temporal Orientation Test, there were statistically significant differences between test scores of alcoholics and those of controls(p<0.01). 2) The alcoholics who had MMSE-K score <24 were 9.68%. The average(${\pm}S.D.$) score of the MMSE-K for the patient group($27.23{\pm}2.62$) was significantly(p<0.001) lower than that of the healthy controls($29.20{\pm}1.24$). There were no statistically significant differences between four individual test scores of the 7MS of alcoholics with the MMSE-K score <24(N=3) and those of alcoholics with the MMSE-K score ${\geq}24$(N=28). 3) Four individual test scores of the 7MS seemed to have statistically significant association with such variables as MMSE-K, duration of alcohol drinking, blood magnesium concentration, liver function and thyroid function. Conclusion : Mild deficits of cognitive areas such as orientation, memory, visuospatial abilities and verbal fluency could be found in alcohol dependence.

• Therapeutic Science for Rehabilitation
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• v.6 no.1
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• pp.35-43
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• 2017

Objective : To identify the effect of symmetrical and asymmetric bilateral training For stroke patients in upper extremity recovery. Methods : 15 patients with stroke, randomized to an in- phase group(n =7) and anti-phase group(n =8). Each groups received symmetrical and asymmetric bilateral training, 30-min sessions per a day for 5 weeks, total 20 session.Accelerometer was used to evaluate the amount used for both groups. Y-BAT was used to evaluate performance status and satisfaction, ARAT was used to evaluate hand function. Results : the amount used of symmetrical movement training showed significant changes in affected and unaffected side. asymmetric bilateral training. there is a significant difference in affected side before and after receiving asymmetric bilateral training. Also, There was a significant difference between the groups on the affected side. Both training, there was no significant difference in performance, satisfaction, and upper limb function between group but, there was significant differences within-groups, Conclusions : Symmetric training showed higher motor performance than asymmetric training, but, To obtain a clearer difference, it would be necessary to use a neuromuscular assessment tool such as fMRI. Also, need a clearer training protocol and the need for follow-up studies on more stroke patients is suggested.

• The Journal of Korean Physical Therapy
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• v.17 no.3
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• pp.339-350
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• 2005

This study is the quasi-experimental study on the gait training rehabilitation. The purpose of this study is to prepare the baseline data for most suitable of gait while we were scrutinizing how the walking characters, functional walking ability, gait quality of stroke patients were affected by the gait on BWSTT (Body Weight Supported Treadmill Training) through the change of treadmill velocity and body weight support. To accomplish this purpose, this study used thirty subjects, more than 3 months post stroke, for rehabilitation who were divided between two gait training groups they received the neurophysiological physical therapy. For 6 weeks, 5 times a week for 15 minutes per session, the BWSTT group participated in 30 sessions structured speed-dependent treadmill training with 30% body weight supported, and the ratio of body weight support was gradually decreased as the patients advanced the capability of more self-support. The OGT(Over Ground Training) group received the same quantity of equal sessions like BWSTT. Firstly, we measured the absolute improvement of walking velocity (m/s), capacity(min/m) and cadence(steps/min) among walking characters. Secondly, we measured the functional walking ability such as Functional Ambulatory Category(FAC, score out of 5), Modified Motor Assesment Scale(MMAS, score out of 6) and Gait Quality Chart(score out of 41). Data analysis was performed with using SPSS 10.0 win program. The descriptive analysis was used to obtain average and standard deviation. The independent t-test and the paired t-test were used to compare both the groups about pre and post training test. Treatment effects were established by pre and post assessment. Subjects tolerated the training well without side-effects. Therefore, the results of this study were as follows; 1. There was a more significant difference from the improvement of walking velocity(0.09m/s), endurance(4.53min/m), cadence(4.20steps/min), FAC(0.26score), MMAS(0.33 score) and hip joint and pelvic of gait quality(0.39 score) ever before in the BWSTT group(p<.05). 2. There was a more significant increase from the walking velocity(0.01m/s) in the OGT group(p<.05). 3. There was a more statistical significant increase from comparing the average of walking velocity in both groups ever before(0.42m/s in BWSTT group and 0.31m/s in OGT group)(p<.05). There was a statistical significant difference from the average of cadence in both groups(61.87step/min in BWSTT group and 3.60steps/min in OGT group)(p<.05). As we can see from above, the findings suggest that BWSTT may be more effective than the OGT for improving some gait parameters such as gait velocity and cadency. This conclusion also suggest that BWSTT is more effective for the improvement of gait of stroke patients.