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The Effect of Physical Therapy on Functional Change and Related Factors in Stroke Patients (뇌졸중환자의 물리치료경과에 따른 기능변화와 관련요인)

  • Lee Seung-Ju;Yeh Min-Hae;Chun Byung-Yeol
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.7-21
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    • 1998
  • An analysis of 101 stroke patients who were enrolled in 10 hospitals of Cities of Pusan, Taegu, and Andong from November 1, 1996 to April 31. 3997 was conducted using the modified Barthel Index(BI) and the adapted PULSES profile index(PS) to evaluate their function. Patients were examined at the following intervals: Initial assessment, one month after initial. at discharge, and one month after discharge. The mean BI score of patients initial assessment was 27.18, and that of PS was 17.54. There were statistically significant between initial score and one month after initial (21.39: p<0.001), at discharge(37.47: p<0.001), one month after discharge(46.49: p<0.001). PS scores were also improved .significantly(-2.62, -4.52. and -6.26(p<0.001). And the score between dischange and one month after discharge was significant (9.01: p<0.001) and in PS score(-1.73: p<0.001). Age and BE score were significantly associated with the improved in BI score between initial and discharge(T3-T1)(p<0.05). Below age forty the Bower initial BI score showed significantly higher improvement(T3-T1) after physical therapy(p<0.05). Initial Bl score, patients' attitude for physical therapy after discharge, age, and surgical operation were significantly associated with the improvement of BI score between initial and one month after discharge(T4-T1)(p<0.05). The lower initial BI score, patients' positive attitude for physical therapy after discharge, below age forty. and no surgical operation showed significantly higher improvement(p<0.05). BI score at discharge, side of hemiparesis and religion were significantly associated with the improvement of BI score between at discharge and one month after discharge(T4-T3) (p<0.05). The lower BI score at discharge. left aide of hemiparesis, with religion showed significantly higher improvement (p<0.05). Age, initial PS score were significantly associated with the improved in PS score between initial and discharge(T3-T1)(p<0.05). The higher initial PS score and below age forty showed significantly higher improvement(T3-T1)(p<0.05). Initial PS score, patient' attitude for physical therapy after discharge, age, educational level, physical therapy hour after discharge, and surgical operation were significantly associated with the improvement of PS score between initial and one month after discharge(T4-T1)(p<0.05). The higher initial PS score, patients' positive attitude for physical therapy after discharge, below age forty, higher education, the shorter physical therapy hour, and no surgical operation showed significantly higher improvement(T4-T1)(p<0.05). PS score at discharge, educational level, patient' attitude far physical therapy after discharge, physical therapy hour after discharge, and gender were significantly associated with the improvement of PS score between discharge and une month after discharge(T4-T3) (p<0.05), The higher PS non at discharge, higher education, patients' positive attitude for Physical therapy after discharge, the shorter physical therapy hour, and male showed significantly higher improvement (T4-T3)(p<0.05). In conclusion, initial BI score and age were significantly associated with BI score improvement and initial PS score, age, and educational level were also significantly associated with PS score improvement in stoke patients.

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Potassium Availability and Physical Properties of Upland Soils (밭토양(土壤)의 물리성(物理性)과 가리(加里))

  • Yoo, S.H.
    • Korean Journal of Soil Science and Fertilizer
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    • v.10 no.3
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    • pp.189-201
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    • 1977
  • Some of basic aspects of soil potassium with special reference to soil physical properties were discussed. Data in the Official Soil Series Description(Korea) was analyzed according to soil type, land form, and soil texture to find soil potassium status which may explain different response to potassium application. Exchangeable potassium contents decreased with soil depth irrespective of soil type, land form and soil texture. Change in degree of potassium saturation within soil profile was not so clear as exchangeable potassium but the degree of potassium saturation of A horizon was highest among soil horizon. Soils of terrace and mountain foot slope showed high values both in exchangeable potassium and degree of potassium sauration and only these two soils were classified as soils having exchangeable potassium higher than 0.3 meq per 100g of soil and degree of potassium saturation higher than 5.0%. Exchangeable potassium of fine loamy and fine clayey soils is higher than 0.3 meq per 100g of soil but degree of potassium saturation is lower than 4.0%. Degree of potassium saturation of sandy soils exceeds 5.0% but exchangeable potassium is very low. Soils of rolling, hilly, unmatured and alpine land soils have lower exchangeable potassium and show lower degree of potassium saturation. The highest distribution of exchangeable potassium content irrespective of soil horizons was shown in the range of 0.1-0.2 meq per 100g of soil. The highest distribution of degree of potassium saturation was in the range of 2.0-3.0% in A horizon and 1.0-2.0% in B and C horizons. Of the soil series concerned in this analysis, 27.3% in A horizon, 11.1% in B horizon and 4.0% in C horizon had exchangeable potassium higher than 0.3 meq per 100g of soil and 18.0% in A horizon, 6.3% in B horizon, and 4.1% in C horizon showed degree of potassium saturation higher than 5.0%. The low response of potassium application only to soils in terrace and mountain foot slope may be resulted from the high exchangeable potassium content and high degree of potassium saturation. It is concluded that a great response of potassium application to soils is expected especially in dry season.

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