• 제목/요약/키워드: Recovery Assessment Scale

검색결과 85건 처리시간 0.023초

Time to Recover Consciousness in Patients with Diffuse Axonal Injury : Assessment with Reference to Magnetic Resonance Grading

  • Park, Sung-Jun;Hur, Jin-Woo;Kwon, Ki-Young;Rhee, Jong-Joo;Lee, Jong-Won;Lee, Hyun-Koo
    • Journal of Korean Neurosurgical Society
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    • 제46권3호
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    • pp.205-209
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    • 2009
  • Objective : This study was conducted to investigate the correlation between the degrees of injury on brain magnetic resonance imaging (MRI) and the time interval to recovery of consciousness in patients with diffuse axonal injury. Methods : From January 2004 to December 2008, 25 patients with diffuse axonal injury were treated at our hospital. We retrospectively investigated the patients' medical records and radiological findings. We divided the patients into three groups according to the grade of MRI finding : grade I, small scattered lesions on the white matter of the cerebral hemisphere; grade II, focal lesions on the corpus callosum; and grade III, additional focal lesions on the brain stem. Result : Seven patients belonged to the grade I group; 10 to the grade II group; and 8 to the grade III group. The mean Glasgow Coma Scale (GCS) score of all patients at the time of admission was 7.28. Recovery of consciousness was observed in 23 of the 25 patients; the remaining two patients never regained consciousness. The time interval to recovery of consciousness (awake status) ranged from 1 day to 125 days (mean 22.1 days) : grade I group patients, within approximately 1 week (mean 3.7 days); grade II group patients, within approximately 2 weeks (mean 12.5 days); and grade III group patients, within approximately 2 months (mean 59.5 days). Conclusion : Our study results suggest a correlation between the mean time interval to recovery of consciousness in patients with diffuse axonal injuries and the degrees of brain injuries seen on MRI. Patients with grade I and II diffuse axonal injuries recovered consciousness within 2 weeks, while patients with grade III injuries required approximately 2 months.

뇌졸중 환자의 균형, 인지, 기능회복, 일상생활 평가도구의 상관성 (The Correlation between the Balance, Cognition, Motor Recovery and Activity of Daily Living in Stroke Patie)

  • 조기훈;김찬문
    • 대한물리치료과학회지
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    • 제18권1호
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    • pp.61-67
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    • 2011
  • Background: The purpose of the present study was to determine correlations between the Berg Balance Scale (BBS), Modified Barthel Index(MBI), Mini-Mental State Examination(MMSE) and Fugl-Meyer motor function Assessment(FMA) in persons with strokes. Methods: We recruited 77 stroke patients from the Seoul Bukbu Geriatric Hospital in Seoul, Korea. Balance was measured by BBS. Activity of Daily Living was assessed using MBI. Cognitive function was examined using MMSE. Motor Recovery was measured using FMA. Data was analyzed using Pearson' correlation. Resurts: There were a statistically significant correlation between BBS and MBI, BBS and MMES, BBS and FMA upper extremity, BBS and FMA lower extremity. There were a statistically significant correlation between MBI and MMSE, MBI and FMA upper extremity, MBI and FMA lower extremity. There were a statistically significant correlated between FMA upper extremity and FMA lower extremity. Conclusions: This study will help rehabilitation program for stroke patients and will be the reference data for selection of therapy and evaluation method.

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내재적 피드백을 위한 질문이 만성 뇌졸중 환자의 기능회복과 과제수행에 미치는 영향 (The Effect of Questions for Internal feedback on Functional Recovery and Task performance in chronic stroke patients)

  • 선화정;김희수;우지혜;유영열
    • 대한치료과학회지
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    • 제10권2호
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    • pp.21-30
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    • 2018
  • Objective: The purpose of this study was to investigate questions and instructions for internal feedback effects on functional recovery and task performance while chronic stroke patients practised task-specific training. Method: Twenty-four chronic stroke patients were randomly divided into two groups; when patients performed same tasks, one was treated using questions and the other using instructions for internal feedback Both lasted 30 minutes, 5 times a week for 8 weeks. Outcome measures included Erasmus MC Modifications to the Nottingham Sensory Assessment (EmNSA), Measurement Properties of the Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES), Chedoke Arm and Hand Activity Inventory (CAHAI), Korean version of Modified Barthel Index (K-MBI). Results: There were no significant differences between the two groups in EmNSA and K-MBI(p>.05). But, in MESUPES and CAHAI, there was significant difference between the two groups(p<.05). Conclusion: In this study, questions for internal feedback during task-specific training are more effective in improving upper extremity motor function and task performance than instructions for internal feedback.

상지신경 가동기법이 뇌졸중 후 편마비 환자의 기능회복에 미치는 영향 (Effect of the Upper Limb Nerve Mobilization on Functional Recovery in Hemiplegic Patients Following Stroke)

  • 박지원;김식현;남기석;김연희;배성수
    • 한국전문물리치료학회지
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    • 제8권2호
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    • pp.29-39
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    • 2001
  • The purpose of this study was to examine the effect of the upper limb nerve mobilization (ULNM) on functional recovery of upper extremity in hemiplegic patients following stroke. Twenty patients who had functional impairment on upper extremity were participated. Subjects were randomly divided into two groups: Control group (n=10) received traditional physical therapy only for 4 weeks; Experimental group (n=10) received ULNM treatment along with traditional physical therapy for the same period. Upper extremity functions were assessed by manual muscle test (MMT), modified Ashworth scale (MAS), and Fugl-Meyer assessment (FMA) before and after the treatment. In both experimental and control group, upper extremity functions were significantly improved in MMT (p<.01) and FMA (p<.01), however only experimental group showed significant improvement in FMA after the treatment (p<.05). Moreover, experimental group showed significantly greater improvement than control group in MMT (p<.05), MAS (p<.05), and FMA (p<.05). We conclude that the upper extremity functions is a useful additional therapeutic technique for the effective treatment of upper extremity deficits in hemiplegic patients.

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무인비행체를 이용한 건축물의 긴급 위험도 평가 기술 (SMART SKY EYE) 개발 (Rapid Structural Safety Evaluation Method of Buildings using Unmanned Aerial Vehicle (SMART SKY EYE))

  • 정동민;이종훈;이다혜;주영규
    • 대한건축학회논문집:구조계
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    • 제35권2호
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    • pp.3-11
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    • 2019
  • The recent earthquake of Pohang (M5.4) and the Gyeongju earthquake (M5.8) suggested the possibility of a strong earthquake in Korea and reminded us that the Korea is no longer an earthquake-safe zone. In the disaster recovery stage in a disaster like an earthquake, the investigation of the damage situation and the safety assessment of the building serve to provide important information for the initial action such as establishment of the recovery strategy and rescue of the survivor. However, the research that depends on manpower can not cope with the difficulty of processing a large number of doses in a short time, and the expertise of the manpower must be taken into consideration, which may result in delayed initial action. In this study, we propose an rapid safety evaluation technique of building using unmanned aerial vehicle which evaluates the performance and safety of buildings by integrating conventional safety inspection method with unmanned aerial vehicle technology and developed evaluation method of each evaluation factor. In order to verify this, the buildings damaged by the earthquake in Pohang were checked and compared using this system. The results are consistent with the results of the existing emergency earthquake risk assessment. As a result, the possibility of checking the emergency safety using the unmanned aerial vehicle for the damaged structures in case of a large-scale disaster such as an earthquake was confirmed.

셀룰라아제 처리된 데님직물의 태에 관한 연구(제3보) -텐셀직물의 주관적인 태 평가- (The Assessment of Hand for Enzyme Hydrolyzed Denim Fabrics (Part III) -Subjective Evaluation of Tencel Fabrics-)

  • 김경애;이미식;김정희
    • 한국의류학회지
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    • 제27권1호
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    • pp.40-47
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    • 2003
  • This paper discussed the assessment of hand of Tencel denim fabrics finished by enzymatic hydrolysis. The subjective hand and the preference of Tencel denim fabrics were evaluated using the developed scale. The factors affecting consumers taste for Tencel denim fabrics were analyzed by statistics using SAS program. Also, the effects of cellulase treatment on the properties of Tencel denim fabrics were evaluated by the subjective hand measurements. The results are as follows: As the weight loss increased. fabrics were evaluated as finer, smoother, softer, warmer, more refined (surface properties), more compact and weaker (durability), more flexible, flossier, lighter, softer, thinner (sense of weight), more elastic, and less wrinkly (shape recovery). Fabrics were evaluated to have the dry touch regardless to the rate of weight loss (moisture properties). Overall hand preference of Tencel denim fabrics was in the side of not preferred. Hand of Tencel fabrics seems not to appeal to Korean people. Color preferences were not significantly different among five groups. The correlations between subjective hand and preference showed that fine, smooth, flexible, warm, refined, loose, soft, dry touches were preferred in Tencel denim fabrics.

Surface Roughness Impact on Francis Turbine Performances and Prediction of Efficiency Step Up

  • Maruzewski, Pierre;Hasmatuchi, Vlad;Mombelli, Henri-Pascal;Burggraeve, Danny;Iosfin, Jacob;Finnegan, Peter;Avellan, Francois
    • International Journal of Fluid Machinery and Systems
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    • 제2권4호
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    • pp.353-362
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    • 2009
  • In the process of turbine modernizations, the investigation of the influences of water passage roughness on radial flow machine performance is crucial and validates the efficiency step up between reduced scale model and prototype. This study presents the specific losses per component of a Francis turbine, which are estimated by CFD simulation. Simulations are performed for different water passage surface roughness heights, which represents the equivalent sand grain roughness height. As a result, the boundary layer logarithmic velocity profile still exists for rough walls, but moves closer to the wall. Consequently, the wall friction depends not only on roughness height but also on its shape and distribution. The specific losses are determined by CFD numerical simulations for each component of the prototype, taking into account its own specific sand grain roughness height. The model efficiency step up between reduced scale model and prototype value is finally computed by the assessment of specific losses on prototype and by evaluating specific losses for a reduced scale model with smooth walls. Furthermore, surveys of rough walls of each component were performed during the geometry recovery on the prototype and comparisons are made with experimental data from the EPFL Laboratory for Hydraulic Machines reduced scale model measurements. This study underlines that if rough walls are considered, the CFD approach estimates well the local friction loss coefficient. It is clear that by considering sand grain roughness heights in CFD simulations, its forms a significant part of the global performance estimation. The availability of the efficiency field measurements provides an unique opportunity to assess the CFD method in view of a systematic approach for turbine modernization step up evaluation. Moreover, this paper states that CFD is a very promising tool for future evaluation of turbine performance transposition from the scale model to the prototype.

고유수용성 신경근 촉진법의 하지패턴이 퇴행성 슬관절염 환자의 근기능에 미치는 영향 (Effect on Muscle Questionnaire of Knee Osteoarthritis with Lower Extremity Patterns of the Proprioceptive Neuromuscular Facilitation)

  • 정현성;배성수;정연우
    • 대한물리의학회지
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    • 제2권1호
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    • pp.21-30
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    • 2007
  • Purpose : this study was to investigate the influence on lower extremity pattern of PNF to muscle questionnaire ability of patients with knee OA. Methods : The subjects were consisted of 60 women patients with knee OA. And all subjects were randomly devide to two group which was modality group and PNF group. Each group had a treatment for 30 minutes per day and three times a week during 8 weeks period. VAS was used to measure pain, patient specific functional scale(PSFS) was used to measure patient's functional disability level, global perceived effect scale(GPES) was used to measure recovery or worse of patient's condition, muscle assessment questionnaire (MAQ) was used to measure patient's pain level. Results : 1. VAS was showed that PNF group had more significantly decreased than modality group(p<.05). 2. PSFS was showed that PNF group had more significantly increased than modality group(p<.05). 3. GPES was showed that PNF group had more significantly decreased than modality group(p<.05). 4. MAQ was showed that PNF group had more significantly decreased than modality group(p<.05). Conclusion : There are strong significant between PNF group and modality group.

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ROSA/LSTF Test and RELAP5 Analyses on PWR Cold Leg Small-Break LOCA with Accident Management Measure and PKL Counterpart Test

  • Takeda, Takeshi;Ohtsu, Iwao
    • Nuclear Engineering and Technology
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    • 제49권5호
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    • pp.928-940
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    • 2017
  • An experiment using the $Prim{\ddot{a}}rkreisl{\ddot{a}}ufe$ Versuchsanlage (PKL) was performed for the OECD/NEA PKL-3 Project as a counterpart to a previous test with the large-scale test facility (LSTF) on a cold leg smallbreak loss-of-coolant accident with an accident management (AM) measure in a pressurized water reactor. Concerning the AM measure, the rate of steam generator (SG) secondary-side depressurization was controlled to achieve a primary depressurization rate of 200 K/h as a common test condition; however, the onset timings of the SG depressurization were different from each other. In both tests, rapid recovery started in the core collapsed liquid level after loop seal clearing, which caused whole core quench. Some discrepancies appeared between the LSTF and PKL test results for the core collapsed liquid level, the cladding surface temperature, and the primary pressure. The RELAP5/MOD3.3 code predicted the overall trends of the major thermal-hydraulic responses observed in the LSTF test well, and indicated a remaining problem in the prediction of primary coolant distribution. Results of uncertainty analysis for the LSTF test clarified the influences of the combination of multiple uncertain parameters on peak cladding temperature within the defined uncertain ranges.

사고대비물질 취급자의 비상대응계획 작성 프로그램 연구 (Development of a Supporting Program for the Emergency Preparedness Plan)

  • 김성범;노혜란;석광설;박재득
    • 한국안전학회지
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    • 제26권5호
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    • pp.54-58
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    • 2011
  • Emergency preparedness plan(EPP) is the systematic management of activities that involve a material degree of risk of loss or other damage to the surroundings(people, property and environment), and the boundary of accident recovery plan(ARP). The main purpose of the program is to provide a safety management system to each facility in order to enable to prevent accident and to control accident immediately. The EPP includes not only typical safety-related documentations such as material safety data sheet(MSDS), standard operation procedure(SOP), emergency response plan(ERP). EPP is established basis of the preliminary safety analysis involving risk identification, assessment and prevention plans. The program is also helpful for government or related agencies to control a number of accidents in small-scale companies in the whole country.