• Title/Summary/Keyword: Occupational Performance

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Effect of Interactive Metronome Training on Postural Control and Hand Writing Performance of Children With Attention Deficit Hyperactivity Disorder (ADHD): Single Subject Research (상호작용식 메트로놈(Interactive Metronome) 훈련이 주의력결핍 과잉행동장애 아동의 자세조절과 글씨쓰기 수행에 미치는 영향: 단일사례연구)

  • Park, Min-Kyoung;Kim, Hee
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.1
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    • pp.14-24
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    • 2018
  • Objective : The purpose of this study was to identify the effect of Interactive Metronome (IM) training on postural control and hand writing performance of children with Attention Deficit Hyperactivity Disorder (ADHD). Methods : Participant was a third grade elementary school student diagnosed with ADHD. ABA design was used and a total of 30 sessions were held for 3 sessions every week for a total of 10 weeks. In the intervention period, IM training was conducted for 40~50 minutes before intervention for writing, and the writing task was carried out. We evaluated the handwriting legibility and speed. Before baseline A and within a month after A' phase, Clinical Observation of Motor and Postural Skills (COMPS) was evaluated to examine the changes in postural control of the student. Results : After the IM intervention, the postural control of the student improved in the score of slow movement, finger-nose touching, and asymmetrical tonic neck reflex. The handwriting legibility and speed has also tended to increase during the intervention period, but it has not significantly changed. Conclusion : This study could be used as an evidence that the IM training aimed at postural control and handwriting ability could enhance the ability to improve postural control and thereby provide fundamental knowledge for future studies.

An ICF-Core Sets for Children and Youth With Cerebral Palsy Based Approach From a Physical Therapist Perspective: A Single Case Study (물리치료사의 관점에서 뇌성마비 아동과 청소년을 위한 ICF-Core Set을 기반으로 한 접근법의 효과: 단일 사례 연구)

  • Kim, Jeong-hui;Kim, Tae-ho
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.55-64
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    • 2016
  • Background: The International Classification of Functioning, Disability, and Health-core set (ICF-core set) for children and youth (CY) with cerebral palsy (CP) provides a useful conceptual framework and a guide for health care planning and measuring the changes brought by interventions across a multitude of dimensions from body functions to personal activities, social participation, and environmental factors for them. Objects: This single case study was reported to illustrate the use of a goal directed approach in applying the ICF-core set for CY with CP from a physical therapist perspective. Methods: An eleven year old boy with spastic CP, Gross Motor Function Classification System (GMFCS) level V, and his mother participated in an evaluation of his functioning state. The intervention goal was set through an interview using the ICF-core set, Canadian Occupational Performance Measure (COPM) and Goal Attainment Scale (GAS). Physical therapy was carried out on an outpatient basis using a goal directed approach for 30 min, 1 time/week during 12 weeks and the boy's gross motor function was assessed using the Gross Motor Function Measure (GMFM)-66 version (item set 2) before and after the intervention. Results: As measured by the boy's mother, the COPM score showed a meaningful clinical change (performance=mean 3.5, satisfaction=mean 2.5) and the T-score of GAS changed 34.4 after the goal directed approach. The GMFM-66 (item set 2) score changed from 31.8 to 38.7 and evaluation using the ICF-core set displayed improvement in 6 items of activity level between before and after the intervention. Conclusion: The ICF-core set for CY with CP is useful for understanding the overall functioning of CY with this condition and provides an opportunity to share and integrate information and opinions from different disciplines. We consider it as a useful tool in the universal language for the therapy and education of CY with CP.

Calibration of Portable Particulate Mattere-Monitoring Device using Web Query and Machine Learning

  • Loh, Byoung Gook;Choi, Gi Heung
    • Safety and Health at Work
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    • v.10 no.4
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    • pp.452-460
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    • 2019
  • Background: Monitoring and control of PM2.5 are being recognized as key to address health issues attributed to PM2.5. Availability of low-cost PM2.5 sensors made it possible to introduce a number of portable PM2.5 monitors based on light scattering to the consumer market at an affordable price. Accuracy of light scatteringe-based PM2.5 monitors significantly depends on the method of calibration. Static calibration curve is used as the most popular calibration method for low-cost PM2.5 sensors particularly because of ease of application. Drawback in this approach is, however, the lack of accuracy. Methods: This study discussed the calibration of a low-cost PM2.5-monitoring device (PMD) to improve the accuracy and reliability for practical use. The proposed method is based on construction of the PM2.5 sensor network using Message Queuing Telemetry Transport (MQTT) protocol and web query of reference measurement data available at government-authorized PM monitoring station (GAMS) in the republic of Korea. Four machine learning (ML) algorithms such as support vector machine, k-nearest neighbors, random forest, and extreme gradient boosting were used as regression models to calibrate the PMD measurements of PM2.5. Performance of each ML algorithm was evaluated using stratified K-fold cross-validation, and a linear regression model was used as a reference. Results: Based on the performance of ML algorithms used, regression of the output of the PMD to PM2.5 concentrations data available from the GAMS through web query was effective. The extreme gradient boosting algorithm showed the best performance with a mean coefficient of determination (R2) of 0.78 and standard error of 5.0 ㎍/㎥, corresponding to 8% increase in R2 and 12% decrease in root mean square error in comparison with the linear regression model. Minimum 100 hours of calibration period was found required to calibrate the PMD to its full capacity. Calibration method proposed poses a limitation on the location of the PMD being in the vicinity of the GAMS. As the number of the PMD participating in the sensor network increases, however, calibrated PMDs can be used as reference devices to nearby PMDs that require calibration, forming a calibration chain through MQTT protocol. Conclusions: Calibration of a low-cost PMD, which is based on construction of PM2.5 sensor network using MQTT protocol and web query of reference measurement data available at a GAMS, significantly improves the accuracy and reliability of a PMD, thereby making practical use of the low-cost PMD possible.

The Effect of Symmetrical and Asymmetric Bilateral Training for Chronic Stroke Patients in Upper Extremity Recovery (만성 뇌졸중 환자의 대칭적, 비대칭적 양측성 상지훈련의 상지기능회복 효과)

  • Kim, Sun Ho;Han, Dae Sung
    • 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 Effects of a Way-finding Exercise using a Map on the Cognitive Function and Performance of Activities of Daily Living in Patients with a Stroke (지도를 이용한 길 찾기 훈련이 성인 뇌졸중환자의 인지기능과 일상생활동작에 미치는 영향)

  • Jung, Sung-Wook;Kim, Heung-Yeol;Kim, Tack-Hoon
    • The Journal of the Korea Contents Association
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    • v.13 no.10
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    • pp.434-443
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    • 2013
  • The purpose of this study is to investigate the effectiveness of the way-finding exercise using a map in rehabilitation of cognitive function and activities of daily living in patients with a stroke. For the seven patients diagnosed with hemiplegia from a stroke, we executed the way-finding exercise using a map in the hospital, three times a week for two weeks. Loewenstein Occupational Therapy Cognitive Assessment(LOTCA) and Functional Independence Measure(FIM) were used to measure the cognitive function and performance of activities of daily living before and after intervention. For the visual perception area and the spatial relations of the spatial perception area of LOTCA, scores were significantly higher than before intervention(p<.05). For the walk/wheelchair of locomotion area and the problem solving of the social cognition area of FIM, scores were significantly higher than before intervention(p<.05). The results of this study show that a way-finding exercise for patients with a stroke is a useful therapeutic approach by enhancing cognitive function and performance of activities of daily living.

Quantitative image processing analysis for handwriting legibility evaluation (글씨쓰기 명료도 평가의 정량적 영상처리 분석)

  • Kim, Eun-Bin;Lee, Cho-Hee;Kim, Eun-Young;Lee, OnSeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.158-165
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    • 2019
  • Although evaluation of writing disabilities identification and timely intervention are required, clinicians adopt a manual scoring method and there is a possibility of error due to subjective evaluation. In this study, the size ratio and position of letters are digitized and quantified through image processing of offline handwritten characters. We tried to evaluate objectively and accurately the performance of writing through comparison with existing methods. From November 12th to 16th, 2018, 20 adults without neurological injury were selected. They used a pencil to follow the 10 words, 2 sentence stimuli after keeping the usual habit, and we collected the writing test data. The results showed that the height of the word was 1.2 times larger than the width and it tilted to the lower left. The spacing interval was 9mm on average. In the Paired T test, a high correlation was showed between our system and existing methods in the word and sentence 2. This demonstrated the possibility as a testing tool. This study evaluated objectively and precisely writing performance of offline handwritten characters through image processing and provided preliminary data for performance standards. In the future, it can be suggested as a basic data on writing diagnosis of various ages.

Effects of Goal Management Training According to Bilateral Activities of Autism Spectrum Disorders: Pilot Study (자폐스펙트럼 장애 아동에게 목표관리 훈련이 양측활동에 미치는 영향: 예비연구)

  • Ahn, Si-Nae
    • Journal of Korean Society of Neurocognitive Rehabilitation
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    • v.10 no.2
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    • pp.1-7
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    • 2018
  • The study has compared normally developed children and children who were diagnosed as autism spectrum in goal management training them to observe the effect. The research was conducted to four normally developed children and four children who were diagnosed as autism spectrum, and all subjects were provided with identical goal management training. The children and the caregivers have selected desired objectives activity, and all three activities were followed by goal management training. Intervention periods were conducted ten times in total, two times a week for five weeks, and eight subjects in the two groups were trained one on one by the researcher. The training time was 40 minutes for every session. The descriptive statistics and frequency analysis were used as the statistical method, and the Mann-Whitney test, the nonparametric statistical analysis, was conducted to compare the difference between the two groups. Goal management training for two groups did not show a statistically significant difference in terms of the performance status of Canadian Occupational Performance Measure (p>.05). In the summary of Bruininks-Oseretsky Test of Motor Proficiency (2nd) which evaluates the motor skill, there was a statistically significant difference between the autism spectrum disorder group and normal group (p<.05). Additionally, the two groups showed a statistically significant difference in eye-hand coordination sub-test among Developmental Test of Visual Perception (2nd) which evaluates the visual perception performance (p<.05). The research has confirmed the applicability of goal management training to children with autism spectrum compared to the normally developed children, and it has confirmed the effectiveness of the training.

Predictive Factors of Health promotion behaviors of Industrial Shift Workers (산업장 교대근무 근로자의 건강증진행위 예측요인)

  • Kim, Young-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.11 no.1
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    • pp.13-30
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    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

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Analyzing of Construction Safety Planning Tasks for Performance Improvement Using Importance Performance Analysis Method (IPA 분석을 활용한 주요 건설안전 계획업무 도출에 관한 연구)

  • Kang, Sang-Hun;Kim, Dae Young;Lee, Dong-Un
    • Journal of the Korea Institute of Building Construction
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    • v.20 no.1
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    • pp.73-81
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    • 2020
  • The main purpose of the study is to reduce the accident death rate in the construction industry. To achieve this goal, the safety planning tasks were analyzed and assessed in terms of the importance and preventive effects of the tasks. Through the extensive literature reviews, the safety planning tasks were identified and reviewed by safety managers. based on the safety planning tasks developed in the previous stage, a survey was conducted in order to receive responses by experts with knowledge on the effects and importance of preventive measures for safety. Then, the Importance Performance Analysis(IPA) method was employed to identify the safety manager's tasks that have an effect on performance indicators. Advice and guidance on making the employment rules, etc. (#18) and details about participation and consultation at the Occupational Safety and Health Committee (#16) were found to require revision and improvement of details and guidelines. The effective safety tasks identified are expected to have a critical role in reducing the accident death rate in the construction industry.

Towards Statistical Judgements of Occupational Stressor versus Performance Indication with Impact on Mental and Physical Health of Female College Teachers

  • Anjum Shaheen;Hussain Saleem;Abida Siddiqui;Samina Saleem;Uzma M. Panhwar;Jamshed Butt
    • International Journal of Computer Science & Network Security
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    • v.24 no.7
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    • pp.73-78
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    • 2024
  • The present world is full of challenges and opportunities for the women at work. Every woman works hard for academic growth and professional development. For the same reason they also face challenges every day such as stresses, tensions, problems and competitions. When these factors exceed above the strengths, the capabilities of a woman start drowning under stress. Stress is generally thought negative characteristic, but stress or tension maintained up to some level is necessary and effective towards work done at job. This paper covers the study relationship between job stressor and female teacher's performance. The study was carried out in Government Colleges of District Hyderabad, Pakistan. The teacher student relationship was selected as a stressor for female teachers. The study is descriptive in nature followed by method of correlation. A five point "Likert Scale" was developed to collect the data from the sample size of 158 college teachers drawn randomly and the collected data was assessed quantitatively. The relationship between the "teacher student" (as an indicator of job stress) and "female teachers' performance" was calculated by Pearson Correlation formula. The findings of the study show the significant correlations between the teacher student relationship and job stress in female teachers' performance where it is found that the stressor caused the poor Physical and Mental health of female teachers working in colleges.