• 제목/요약/키워드: Recovery Scale

검색결과 922건 처리시간 0.031초

뇌졸중 환자에 있어서 Mini-Mental State Examination과 Motor Assessment Scale을 통한 인지기능과 기능적 회복의 상관관계 연구 (The Cognitive performance in relation to motor functio recovery in stroke patients)

  • 박창주;홍도선;최경욱
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.333-352
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    • 2000
  • The objective of this study was to identify the effects of the cognitive performance of stroke patients on their motor function recovery after comprehensive rehabilitation management. The subjects of this study were 41 stroke in-patients of the Rehabilitation Hospital, College of Medicine, Yonsei University, hospitalized during the period from September 1, 1997 to May 5, 1998. The cognitive performance was measured using a Mini-Mental State Examination(MMSE) and the motor function recovery using Motor Assessment Scale(MAS). The data were analyzed by the paired t-test, independent t-test, a one way ANOVA, and Pearson's correlation coefficiency. The findings were as follows: 1. There was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 2. There was no significant difference found in relation to sex, age, cause of stroke, laterality of paralysis and the level of spasticity. However, there was a big difference between pre- and post-treatment regarding the treatment period. 3. In line with the cognitive performance level, there was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 4. The correlation between the elements of the cognitive performance and the motor recovery was found to be high in orientation, attention, calculation, and language. Those elements were expected to give larger effects on motor recovery after the comprehensive rehabilitation management. Based on this study, the cognitive performance level was found to play an important role in bringing effects on motor recovery after the comprehensive rehabilitation management of stroke patients. And the evaluation on the motor recovery based on quality would be also expected to be examined, as well as the cognitive performance level test accompanied by Intelligence Quality(IQ) test.

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인터넷 상거래에서의 서비스회복 품질 측정도구 개발 (Developing a Measurement Scale for Service Recovery Quality in Internet Commerce)

  • 민동권
    • 한국산업정보학회논문지
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    • 제13권5호
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    • pp.44-54
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    • 2008
  • 본 연구의 목적은 인터넷 상거래에서 서비스실패가 발생할 때 기업이 기울이는 서비스회복 활동의 품질 측정도구를 개발하는 것이다. 같은 용도로 Parasuraman 등(2005)이 개발한 E-RecS-QUAL 측정도구를 수정 보완한 본 측정도구는 eSR-Q(electronic Service Recovery Quality)라 명명되었다. 본 측정도구의 신뢰성과 타당성을 검증하기 위해 내적 일관성과 수렴 판별 법칙 타당성 등 구조 타당성의 측면이 집중적으로 분석되었다. 그 결과 4개 차원(반응, 보상, 접촉, 사과) 14개 항목으로 구성된 eSR-Q가 완성되었다. 본 연구는 이 측정도구의 등장배경과 개발 및 검증 과정, 한계점, 그리고 향후 개선방안 등을 다룬다.

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출혈성 뇌졸중 환자의 생리적 예측 인자에 대한 연구: 입원시 Glasgow Coma Scale 점수에 따른 비교 (The Prognostic Values of Acute Physiological Parameters in Hemorrhagic Stroke Patients: Differences Between Patients with High and Low Glasgow Coma Scale Scores on Admission)

  • 서화숙;오현수
    • 성인간호학회지
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    • 제19권1호
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    • pp.45-54
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    • 2007
  • Purpose: This study was to identify the significant acute physiological predictors of mortality and of functional and cognitive recovery in hemorrhagic stroke patients. Methods: The subjects were 108 hemorrhagic stroke patients admitted to Neurological Intensive Care Unit of a university hospital. Results: The significant physiological predictors of mortality and of functional and cognitive recovery were quite different upon admission Glasgow Coma Scale scores: respiratory rate, hematocrit, serum pH, osmolality, and $PaCO_2$ were the predictors in the subjects with a high Glasgow Coma Scale scores while blood pressure, $PaO_2$, respiratory rate, and hematocrit in the subjects with a low Glasgow coma scale scores. Conclusion: The physiological derangements induced by acute stroke are undoubtedly influence clinical outcome. More study is required to determine their diverse impacts on clinical outcomes.

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동료멘토(peer mentor) 프로그램이 뇌졸중 환자의 회복에 미치는 영향: 연구 프로토콜 (A Effect of Peer Mentor Program on Recovery after Stroke)

  • 이창대;박지혁
    • 재활치료과학
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    • 제4권2호
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    • pp.84-91
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    • 2015
  • 본 연구는 해외 많은 분야의 재활에서 적용되고 있는 peer mentor 프로그램을 국내에 연구적, 임상적으로 도입하여 뇌졸중 환자의 정신적, 신체적 회복을 돕는 방법을 소개하고자 하였다. 두 집단 실험 설계로 뇌졸중이 발생한지 3-6개월인 환자들을 대상으로 설계하였다. 동료멘토는 뇌졸중이 발생한지 2년이 지난 외래 환자로 서로 다른 회복수준을 보이는 환자들로 구성하고, 프로그램을 운영하기에 앞서 참가자들에게 심리적, 평가적, 정보적인 도움을 주는 방법과 프로그램 운영 방법에 대해 교육한다. 한국판 노인 우울 척도 단축형 (Geriatric Depression Scale Short Form-Korea Version; GDSSF-K)을 사용하여 프로그램 참가자들의 심리적 요인을 측정하고, 뇌졸중 영향척도(Stroke Impact Scale; SIS)를 통해 회복수준을, 노인 상지 기능평가도구(Upper Extremity Function Test for the Elderly; TEMPA)을 사용하여 신체적 요인을 측정한다. 본 연구를 토대로 연구를 진행하고자 하는 연구자는 본 연구에서 제안한 방법과 더불어 뇌졸중 환자의 회복에 더 효과적인 프로그램 적용 방법에 대한 모색이 필요할 것이다.

ROSA/LSTF test and RELAP5 code analyses on PWR steam generator tube rupture accident with recovery actions

  • Takeda, Takeshi
    • Nuclear Engineering and Technology
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    • 제50권6호
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    • pp.981-988
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    • 2018
  • An experiment was performed for the OECD/NEA ROSA-2 Project with the large-scale test facility (LSTF), which simulated a steam generator tube rupture (SGTR) accident due to a double-ended guillotine break of one of steam generator (SG) U-tubes with operator recovery actions in a pressurized water reactor. The relief valve of broken SG opened three times after the start of intact SG secondary-side depressurization as the recovery action. Multi-dimensional phenomena specific to the SGTR accident appeared such as significant thermal stratification in a cold leg in broken loop especially during the operation of high-pressure injection (HPI) system. The RELAP5/MOD3.3 code overpredicted the broken SG secondary-side pressure after the start of the intact SG secondary-side depressurization, and failed to calculate the cold leg fluid temperature in broken loop. The combination of the number of the ruptured SG tubes and the HPI system operation difference was found to significantly affect the primary and SG secondary-side pressures through sensitivity analyses with the RELAP5 code.

대형 증기터빈 물유입에 의한 손상메커니즘 분석과 원상복구특성 연구 (Study on Damage Mechanism Analysis and Recovery Characteristic of the Large Scale Steam Turbine Cased by Water Induction)

  • 김두영;박광하;이봉희
    • 동력기계공학회지
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    • 제15권5호
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    • pp.22-29
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    • 2011
  • In this study, the damage mechanism of large scale steam turbine due to water induction was analyzed and recovery characteristics were reviewed. A turbine consists of the rotating rotor and the stationary casing, and the clearance between them is very small for the efficiency enhancement. If water induction, while relatively cold steam or water is introduced into turbine, occurs, the considerable humping is caused at the casing near the initial water induction point and that induces the rubbing between rotor and casing. Finally, it leads to the catastrophic failure. Bowed rotor has the different characteristics in the recovery depending on damage degree. The elastic deformation due to light rubbing is recovered by turning the rotor with 3 rpm under normal operation condition, but most plastic deformation due to rubbing deforms the local microstructure and that results in permanent deformation which could not be recovered under normal operation condition. Bowed rotor has diverse characteristics depending on the recovery method, and the method is empirical and needs the cutting edge technology. Careful recovery treatment of the rotor will eliminate the risks and secure the high quality rotor similar to new rotor. If any critical error is made during the recovery, the rotor would not be recovered permanently and it should be scrapped.

HRSG 보일러 튜브 내면 스케일의 특성연구 (A Study on Characteristics of HRSG Boiler Inner Tube Scale)

  • 이승민;민병연;정년호
    • Corrosion Science and Technology
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    • 제11권3호
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    • pp.82-88
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    • 2012
  • The thickness and chemical composition of oxides on heat recovery steam generator tubes of combined cycle power plant were examined in order to evaluate the corrosion of the tubes. Tubes were removed from the plant after actual operations for 21,482, 42,552 and 56,123 hours respectively. Thickness and growth rate of the oxide scale on reheater inner tube (SA213-T22) were very high compared to those other tubes. The oxide scale was about $250{\mu}m$ thick and uniform. The components of the scale were iron oxides. The oxide scale was mixed oxides consisting of magnetite$(Fe_3O_4)$ and hematite$(Fe_2O_3)$. The oxide on inner tube was removed using many kinds of chemicals and it was found that chelating agents were dissolved faster than other chemicals.

정신과 환자를 위한 한국판 회복평가척도(Recovery Assessment Scale)의 신뢰도 및 타당도 연구 (Reliability and Validity of the Korean Version of the Recovery Assessment Scale(RAS) for Psychiatric Patients)

  • 임경민;신은식;심선화;정윤주
    • 한국콘텐츠학회논문지
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    • 제14권10호
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    • pp.628-638
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    • 2014
  • 본 연구는 정신과 환자에게 한국판 회복평가척도(RAS-K)의 신뢰도와 타당도를 검사하기 위해 실시하였다. 회복평가척도의 원본을 가지고 번안, 역번안을 실시하여 한국판 회복평가척도를 만들었다. 이 연구는 만성적인 정신과적 문제를 가지고 있는 18세 이상의 142명의 대상자에게 실시하였다. 평가도구는 한국판 회복평가척도, 한국판 희망척도, 정신건강회복척도, 행동 및 증상 평가 척도를 사용하였다. 신뢰도 검사에서 내적일치도는 .92, 검사-재검사 신뢰도는 .79로 높은 내적일치도를 지니고 있음을 알 수 있었다. RAS-K와의 동시타당도는 한국판 희망평가척도(r=.675, p<0.01), 정신건강회복척도(r=.816, p<0.01)와는 유의미한 관계를 나타내었으나, 행동 및 증상 평가척도와는 관계는 낮았다. 요인분석 결과는 요인이 5개로 추출되었으며 전체 설명 비율이 62.476%였다. 이 연구는 RAS-K는 한국의 정신과적인 문제를 가진 사람들에게 회복을 평가하기에 적절한 도구라는 것을 보여준다.

파일럿 지료 조성설비를 이용한 폐 일회용 기저귀의 유용성분 회수에 관한 연구 (Studies on the Recovery of Useful Materials from Disposable Diaper Waste using Pilot Stock Preparation Units)

  • 이태주;남윤석;박정은;조준형;류정용;이호선
    • 펄프종이기술
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    • 제47권4호
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    • pp.66-75
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    • 2015
  • Disposable diaper waste is consisted of plastic, fiber, and SAP (Super Absorbent Polymer). They are valuable to be used as raw materials of other products including plastic blocks and pulp mold. Nevertheless, disposable diaper waste have been disposed by landfill and incineration without recycling. Due to strict environmental regulations it is necessary to develop fractionation technique to recycle the disposable diaper waste. In this study the fractionation technique using pilot-scale stock preparation units was investigated. Process for separation of plastic and fibers from disposable diaper waste was composed by the combination of pilot-scale pulper, drum screen, screen and cleaner. Recovery rate of plastics and fiber was checked according to the various operating conditions. In drum screen, recovery rate of plastic was high when the cut size of disposable diaper waste was $5cm{\times}5cm$. The highest recovery rate of fiber was achieved with 0.3 mm slot screen. It is important to control the neutral state of SAP for improvement of recovery rate of fiber since SAP can be swelled easily in water. Therefore SAP can be controlled efficiently by the addition of calcium chloride into the pulper. Consequently recovery rates of plastics and fibers were over 90 and 80% under the optimum pilot operating conditions.

수면 위 내시경 검사 후 회복 시간과 회복 관련 요인에 관한 연구 (A Study on Recovery Time and Factors Related to Recovery after Sedative Gastroscopy)

  • 최승혜;최스미
    • Journal of Korean Biological Nursing Science
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    • 제8권1호
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    • pp.49-59
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    • 2006
  • Purpose: The purpose of this study was to investigate the recovery time and its related factors after sedative gastroscopy. Method: The subjects of this study consisted of 103 clients. The data were collected from clients who visited a health care system at S national university hospital in Seoul. The sedative gastroscopy was performed by gastrointestinal endoscopists. Patients' demographics and medical characteristics were assessed by reviewing the patients' charts. Degree of sedation and recovery were assessed by the Ramsay's sedation scale and the Aldrete score, respectively. Result: The mean recovery time was $37.8{\pm}16.9$ minutes(range, 5 to 90 minutes). Hypoxia was resent in four clients during recovery. Alcohol intake(p=0.02) and pulmonary function(p=0.003) were significant factors affecting recovery time, whereas midazolam dose and sedation level were not. Conclusion: Current alcohol intake, pulmonary function were predicting factors on recovery time.

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