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The Effects of Tai Chi Exercise on Physiologic, Psychological Functions, and Falls among Fall-Prone Elderly (태극운동이 낙상 위험 노인의 신체적, 심리적 기능 및 낙상발생에 미치는 효과)

  • Choi, Jung-Hyun;Moon, Jung-Soon;Sohng, Kyeong-Yae
    • Journal of muscle and joint health
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    • v.10 no.1
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    • pp.62-76
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    • 2003
  • This study was a quasi-experimental study of non-equivalent control group pretest and posttest design. The purpose of this study was to determine the effect of Tai Chi exercise program on physical functions, psychological functions, and fall among the fall-prone elderly. The data were collected from September 19, 2001 to January 31, 2002. The study, conducted at two facilities located in Kwang-ju, was targeted to the ambulatory aged 60 years or older who had at least one of the key fall risk factors. Experimental group participated in Tai Chi exercise for 40 minutes per one time and three times a week for 12weeks at an auditorium. Fifty nine fall-prone elderly were assigned to 12-week Tai Chi exercise program (n=29) and control group (n=30). They underwent tests of lower muscle strength, time for chair stand, balance, flexibility, depression, falls efficacy, fear of falling, and numbers of fall at the baseline and at the 12th week. Numbers of fall and fall injuries were monitored for 16 weeks(12-weeks intervention plus 4-week follow-up periods) using fall calendar. Each participant was given a calendar to record the numbers of fall per day for a month. The calendars were collected at the last week of each month. 1. Tai Chi exercisers showed significant improvement in the strength of knee flexors, and ankle dorsiflexors and plantarflexors compared to the control group. The experimental group had improvement in the strength of knee extensors while the control group did not, with no statistical significance. 2. Tai Chi exercisers reported positive change in the average time of chair stand as compared to the control group. 3. Tai Chi exercisers had significant improvement in flexibility as compared to the control group. 4. There was no significant difference in the depression between the two groups, even though the Tai Chi exercisers maintained depression score in the same level while the others were increased. 5. Tai Chi exercisers showed significant improvements in the falls efficacy as compared to the control group. The falls efficacy was significantly improved among the experimental group while the opposite was identified among the control group. 6. The experimental group reported the significant reduction of the fear of fall, whereas control group reported the opposite. 7. Of the 59 subjects for 16weeks(12weeks intervention period and 4weeks follow up), 9 (31.0%) of the 29 in exercise group and 15 (50%) of the 30 in the control group fell (relative risk=0.62. 95% CI 0.32-1.19), even with no statistical difference. The results suggest that the Tai Chi exercise program can improve the strength of knee flexors, ankle dorsiflexors and plantarflexors, chair stand. flexibility, falls efficacy, and fear of falling for the fall-prone elderly.

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The Development of Satisfaction Tool to Health Care Services - focused on Patients and their families - (의료 서비스에 대한 만족도 측정 도구의 개발)

  • Kang, So-Young;Lee, Sun-Mi
    • Quality Improvement in Health Care
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    • v.3 no.1
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    • pp.104-124
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    • 1996
  • Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

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Depression and Social Support among Adults in Jeju Province, South Korea (제주지역 성인의 사회적 지지와 우울)

  • Park, Eun-Ok
    • Journal of agricultural medicine and community health
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    • v.36 no.1
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    • pp.25-35
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    • 2011
  • Objectives: This study aimed to compare depression and social support according to general characteristics and to investigate the influence of social support on depression. Methods: This study analyzed raw data from a project funded by Jeju Province. Data were collected through home visit interview with 750 households selected by using a randomized cluster sampling method. CES-D was used to measure depression, and the Medical Outcomes Study Social Support Survey was used to measure social support. The data of 1,155 subjects were analyzed using t-test, ANOVA, and regression. Results: The mean was 11.35 for depression and 75.53 for social support. Women showed a higher depression score and a lower social support score than men did. Older people; the divorced or the bereaved; and those in groups comprising people with lower education, lower social class, poor health, or high stress presented higher depression and lower social support. The result of stepwise regression showed that social support was one of the predictive variables of depression, and 22% of variance was explained by social support in this study. Conclusions: Social support was a powerful predictive variable of depression, and it was suggested that to prevent and manage depression, strategies that enhance social support should be developed and evaluated.

The Expression changes of AMPK, ERK-1/2, and p38 protein associated with Exercise in the Mouse hippocampus exposed to Radiofrequency Radiation (전자파(電磁波)에 노출된 생쥐의 해마에서 운동이 AMPK, ERK-1/2, p38 단백 발현 변화에 미치는 생체 영향)

  • Lee, Min-Sun;Park, Oak Jin;Kim, Hyun Taeg;Kim, Myeung Ju
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.267-273
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    • 2020
  • To determine the biological effects of exercise on hippocampus in mice brain exposed to radiofrequency radiaton (RF), the expression of AMPKα, p-AMPKα, ERK1/2, p-ERK1/2, p38, and p-p38 protein in the mouse exposed to RF were investigated in the hippocampal tissues, Western blot method was used to compare the protein expression levels for each molecule. Significant increases in protein expression of individual and phosphorylated molecules were observed in the spontaneous exercise group, and the expression of these molecules was notably decreased in the RF exposure and spontaneous exercise group. This study shows that neuroplasticity can be increased by exercise in hippocampus that is responsible for memory, but memory and cognitive function may be affected by exposure to RF. We may expect clinically interesting results on dementia or Alzheimer disease if we proceed further investigation on the effect of RF.

Female worker′s menstrual discomforts and coping -focus on hospital workers- (여성근로자의 월경시 불편감과 대처방법에 따른 완화정도 -의료기관 종사자를 대상으로-)

  • Lim, Yun-Mi
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.259-266
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    • 2018
  • Purpose: This study is to investigate the pattern of discomfort, coping style and relief level of female workers. Methods: The subjects were 394 women who worked at three general hospitals located in S city and agreed to the purpose of this study. Data were collected April 20~30, 2010, and one-way ANOVA and Pearson's correlation were performed using descriptive statistics using SAS 9.2. Results: showed that discomfort during menstruation was significantly different from age, marital status, pregnancy experience, and birth experience. The average degree of discomfort during menstruation was $2.46{\pm}0.68$, which was the average of 5, and the pattern was pain, water accumulation and behavior change. The degree of mitigation according to coping strategies was the most effective at $3.55{\pm}0.58$, and the relationship between coping behavior and discomfort during menstruation was correlated only with avoidant coping. p = .001). Conclusion: In order to mitigate the inconvenience of menstruation, women should seek to cope with their own coping strategies rather than passive coping methods and suggest the development of an educational program that can relieve the discomfort during menstruation.

SARS quarantining hospital employees's knowledge about SARS and attitude to SARS control (사스 격리전담 병원 직원들의 사스에 대한 이해와 태도 조사)

  • Kim, Woo Jin;Kim, Young Sun;Jo, Heui Sug
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.4
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    • pp.361-369
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    • 2003
  • Background : In Korea, the effort to control the spread of severe acute respiratory syndrome (SARS) has succeeded, but we have to maintain vigilance against SARS and other infectious diseases, because many experts warn that SARS may return or that other infectious agents could spread globally. The purpose of this study is to describe the degree of knowledge of hospital employees, assuming full responsibility for treating and attending to SARS suspected case, and to elucidate the attitude to SARS using questionnaires. Method : All employees of Kangwon university hospital were eligible for this study. We used validated questionnaires to survey demographic characteristics, the degree of knowledge of SARS, intention of treating and attending suspected cases, influence and effects of SARS on the community, and acquisition of information about SARS. Result : Based on the 251 completed surveys, out of 280 returned the score for knowledge about SARS was $72.0{\pm}13.7$, 50.6% responded positively about joining a SARS team, and 23.1% were opposed to the designation for quarantining. There was no relationship between the degree of knowledge of SARS and the attitudes to it. Most employees wanted to know how to manage SARS patients and how to prevent SARS. Conclusion : The attitudes to SARS were not affected by the level of knowledge of SARS. We suggest that national policies about SARS and other infectious diseases should be promulgated using the mass media and internet to provide information on rapidly spreading infectious agents, especially about the proper protocol for treating suspected cases and the appropriate steps to prevent or reduce the risk.

Knowledge and Beliefs About the Association Between Diet and Cancer Among Korean Immigrants in the U.S.A. (미국거주 한국인 이민자들의 암과 식품에 대한 지식과 신념)

  • Cho, Jae-Kyung;Kim, Katherine;Elena Yu
    • Korean Journal of Health Education and Promotion
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    • v.15 no.1
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    • pp.133-149
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    • 1998
  • 본 연구는 미국에 사는 한국인 이민자들의 암예방과 식품에 대한 지식과 신념에 관하여 알아보는데 그 목적이 있다. 본 연구의 도구로는 미국 국민 건강연구조사 (NHIS)의 설문지를 한국어로 번역하였고, 연구의 대상자는 미국의 시카고에 거주하는 263명의 한국인 이민자들이다. 본 연구의 주된 연구결과는 다음과 같았다. (1) 대부분의 대상자(83.3%)들은 한국음식을 먹고 있다고 답하였다. (2) 대상자들의 47.5%가 영어를 전혀 못 읽거나 거의 못 읽는다고 답하였다. (3) 식생활 변화를 하지 않는 이유에 대해 현재 먹고 있는 음식을 즐기기 때문에 식생활을 바꾸고 싶지 않다는 답이 가장 많았다. (4) 우리가 먹고 마시는 음식과 관계 있는 주요질병에 대해서 25.4%의 응답자만이 암이라고 답하였다 (미국 NHIS 에서는 48%). (5) 응답자의 48.3%만이 섬유소에 대해 들어보았다고 응답하였다. (6) 7.1%의 응답자만이 섬유소가 많은 음식으로 corn flakes와 bran flakes를 고를 수 있었다. 이 결과로 보아 한국인 이민자들이 미국음식에 대해 잘 모르는 것으로 보인다. (7) 약 62%의 응답자들이 암예방에 관한 무료 보건강좌에 참석하고 싶다고 응답하였다. 보건강좌 장소에 대해 "교회'라고 답한 응답자가 가장 많았다. (8) 질병예방에 관한 정보를 어디에서 얻느냐는 질문에 대하여 "신문"이라고 답한 응답자가 가장 많았다. 본 연구에서 얻은 결과를 볼 때 대부분의 응답자들이 미국 정부에서 하고 있는 암예방 교육의 혜택을 받고 있지 않는 것으로 나타났다. 한국인 이민자들의 문화적 배경에 맞는 암교육이 필요하며, 영어를 잘 못하는 이민자들을 위해 한국말로 번역된 보건교육자료를 사용하여야 한다.교육자료를 사용하여야 한다.표현을 위하여 확장된 기본 모델을 중심으로 각 레벨의 구성 요소들의 형식적 의미(formal semantics)와 레벨 내 혹은 레벨 구성요소들간의 관계성(relationship), 그리고 제약조건의 표현과 질의 추론 규칙들을 식별하여 FOPL(First Order Predicate Logic)로 표현한다. 또한, 본 논문은 FOPL로 표현된 predicate들과 규칙들을 구현하기 위하여 Prolog로 변환하기 위한 이론적 방법론을 제시하고 정보자원 관리를 위한 기본 함수들과 스키마 진화(schema evolution)를 위한 방법론을 제안한다. 최저 잔류탁도를 나타내는 최적 응집제 주입량에서의 Zeta potential은 원수탁도가 5NTU일 경우 Alum, PAC 및 PACS 모두 -20mV∼-15mV사이였으며, 원수 탁도가 10NTU인 경우에는 0∼0.5mV 범위에 있는 것으로 나타나 응집제 종류 및 주입량이 상이하더라도 응집효율이 가장 양호한 상태에서의 Zeta potential은 일정한 범위내에 있는 것으로 나타났다.각 각 11.1, 10.2, 12.2 그리고 13.0%의 발달율을 보여 유의적인 차이를 보이지 않았다. 4. 수정 후 114 시간 개별배양된 수정란으로부터 분리된 small과 large의 할구를 공핵체로 사용한 처리구에서 핵이식 수정란의 세포융합율에 있어서 각각 71.0, 71.4, 69.9 및 77.1% 의 융합율올 보여 유의적인 차이를 나타내지 않았으며, 핵이식 수정란의 배반포기배로의 발달율에 있어서도 각각 11.4%, 8.0%, 17.2% 그리고 12.9% 의 발달율을 보여 유의적인 차이를 보이지 않았다. 이상의 결과로 보아 핵이식 수정란을 효율적으로 생산하기 위하여 수핵난자의 세포질에 ionomycin 과 DMAP 의

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A Comparative Study of Knowledge, Attitude, and Experience towards Dental Tourism between Indonesian and Korean People (한국과 인도네시아의 치과 의료관광에 대한 지식, 태도, 경험의 비교)

  • Deasy, Rosalina;Kim, Jong-Yeon;Hong, Seong-Ae
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.299-308
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    • 2014
  • Nowadays, dental tourism becomes phenomenon because of its cost-effectiveness, improvement of quality and technology, dental infrastructure, and attractive tourism. Korea as one of popular destination country had established dental system. On the other hand, Indonesia with high number of population is potential market for dental tourism. The aim of this study is to compare the knowledge, attitude, and experience towards dental tourism among Indonesian and Korean. Two cross-sectional descriptive surveys were conducted to collect the data. This study was used one questionnaire in two different languages due to nature of the study population. Data from a total 923 of Indonesian from 33 provinces in Indonesia was collected during the period from April through July 2010. On the other hand, during May until August 2010 data from a total of 312 Korean were obtained. It was found that the majority of participants in both countries had never heard about dental tourism. Among those who had heard about dental tourism, the most common source was internet. Ownership of dental insurance had significant relationship with knowledge of dental tourism among Indonesian while level of education and monthly internet usage had it among Korean (p<0.05). Attitudes of Indonesian and Korean people about dental tourism were negative due to assumption that dental services in their home country were satisfactory. 100% of Korean had no experience on dental treatment in other countries while 2.4% of Indonesian had experience with it. In conclusion, regarding all these evidences, comprehensive and positive information about dental tourism is needed to enhance people's knowledge, attitude, and experience.

A Study on the Effect of Ethical Management on Organizational Transparency and Performance in Long-Term Care Institutes: With a Focus on the Mediation Effect of Organizational Culture (노인장기요양기관의 윤리경영이 조직투명성 및 경영성과에 미치는 영향 연구: 조직문화의 매개효과를 중심으로)

  • Nam, Hee Soo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.12 no.4
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    • pp.201-215
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    • 2017
  • The purpose of this study is to define the relationship between ethical management, organizational culture, and management performance in long-term care institutes for the elderly while identifying the level of ethical management, organizational culture, and management performance of caregivers and the impact and mediation of the relationships between them based on the hypothesis. The results show that caregivers in the Gyeonggi region scored 2.929 out of 5 in ethical management, 3.393 in organizational culture, 2.925 in organizational transparency and 3.185 in management performance. The levels of ethical management, organizational culture and management performance in caregivers are lower than those of welfare workers, social workers, and nursing assistants. This is due to their relatively low level of education, wages and working environment. This study determined that there is a significant relationship between variables in terms of correlation between ethical management, management performance, organization transparency, and organizational culture. Second, the authors adopted hypotheses that ethical management has a statistical effect on organizational transparency, management performance, and organization culture. Third, the authors concluded that organizational culture has a direct impact on organization transparency and there is a significant mediation effect between ethical management, organizational transparency, and management performance. Based on these results, we propose the following: First, ethical leadership at the core of ethical management. Second, awareness in organizational transparency. Third, balanced management performance. Fourth, a flexible organizational culture that can respond to ethical management environment must be established.

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Changes of Knowledges and Attitudes on Nutrition after 'NutriPlus Program', part of Convergence Education (융합교육 '영양 플러스사업' 후 영양지식과 태도의 변화)

  • Jang, Mi-Sun;Park, Hyun-Hee;Park, Eun-Hee;Park, Hae-Ryoung
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.385-392
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    • 2015
  • This study in A City was performed to target low-income families in NutriPlus Program, infants toddlers for parents' convergence education effects were analyzed. The subjects of the study was involved in parents' education level can be identified. During the same period before and after the evaluation of nutrition education to a total of 263 people were targeted. It is comprised of the infants of 61 and of the toddler 192. nutrition education, dietary life attitude of infants after the increase in the width of the scores were as follows : Less than high school group was $6.57{\pm}6.51$, Greater than college group was $4.57{\pm}6.09$ a, rather less than high school group showed a large increasing rate, which was statistically significant (p = 0.03). NutriPlus Program is growing due to low-income families to improve children's nutritional status and nutrition knowledge and dietary life attitude will have a positive impact on, part of convergence education. In addition, parents' education level, depending on, varied and effective nutritional education should be taken.