• Journal of agricultural medicine and community health
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• v.40 no.4
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• pp.221-227
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• 2015

Objective: This study assessed whether both physical disability and perceived dependence relate to depression or whether perceived dependence in personal care activities, household activities, community mobility and recreational activities is an intermediate step in the relationship between physical disability and depressive symptoms. Methods: Data come from a cross-sectional survey of 209 women, aged 55 or older, with osteoarthritis (OA). Mediation analyses occurred in four step and included logistic regression analyses as outlined by Baron & Kenny. Results: The results from step 1 showed that greater difficulty with each domain of physical disabilities was significantly related to greater perceived dependence. In step 2, greater perceived dependence was significantly associated with greater depressive symptoms in all domains. Step 3 analyses showed that greater physical disabilities in each domain were significantly associated with depression. The final step testing mediation indicated that personal care activities, household activities and community mobility were fully mediated by perceived dependence. That was, once dependence was taken into account, the relationship between physical disabilities and depression was no longer significant. Partial mediation was found for dependence and recreational activity limitations. Conclusion: It is important to take into account the experience of perceived dependence as a mediator in understanding the relationship between disability and depression in the domains of personal care, household, and community mobility. To conclude, these findings point to the importance of taking into account an individual's reaction to their disability rather than just focusing on the severity of disability.

• The Journal of the Convergence on Culture Technology
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• v.6 no.3
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• pp.67-74
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• 2020

Middle-aged women experience physical and mental changes along with the loss of femininity, and they feel psychologically empty according as their child's growth and independence reduces the role of care and parenting. These women understand the sense of loss and emptiness caused of their role reduction as an opportunity to maintain their values and beliefs for their leisure life. Accordingly, middle-aged women overcome negative emotions facing in the middle-aged such as depression or empty mind, and establish self-esteem and social support in recognizing it as an opportunity for building relationship and self-realization in social relations, which come through human to human communication by doing craft activities. In this study, in order to analyze the effect of the experience factor of craft activity to self-esteem and social support for middle-aged women, we set up a research model with the experience factor of craft activity as an independent variable and self-esteem and social support as dependent variables. As a result of the study, educational experiences, recreational experiences, and deviant experiences had a meaningful effect on self-esteem, but aesthetic experiences did not have meaningful effect. And, recreational experiences and aesthetic experiences had a meaningful effect on social support, but educational experiences and deviant experiences did not have meaningful effect on social support. Therefore, the institutional system for craft experiences, that can provide content of environmental characteristics for aesthetic factor and visual elements are required. It influences to the change of senses and emotions of middle-aged women. Also, there are limitations that this study did not consider factors of ultimate life changes through craft activities. Thus this study suggests development of new model for variables of wellbeing-related matters.

• Clinics in Shoulder and Elbow
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• v.26 no.3
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• pp.267-275
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• 2023

Background: Physical therapy (PT) plays an important role in the recovery of function following anatomic total shoulder arthroplasty (aTSA). While several PT protocols have been published for these patients, there is no standardized protocol for aTSA rehabilitation. This lack of standardization may lead to confusion between patients and physicians, possibly resulting in suboptimal outcomes. This study examines how PT protocols provided by academic orthopedic surgery programs vary regarding therapeutic goals and activities following aTSA. Methods: PT protocols for aTSA available online from the Accreditation Council for Graduate Medical Education accredited orthopedic surgery programs were included for review. Each protocol was analyzed to evaluate it for differences in recommendation of length of immobilization, range of motion (ROM) goals, start time for and progression of therapeutic exercises, and timing for return to functional activity. Results: Of 175 accredited programs, 25 (14.2%) had protocols publicly available, programs (92%) recommended sling immobilization outside of therapy for an average of 4.4±2.0 weeks. Most protocols gave recommendations on starting active forward flexion (24 protocols, range 1-7 weeks), external rotation (22 protocols, range 1-7 weeks), and internal rotation (18 protocols, range 4-7 weeks). Full passive ROM was recommended at 10.8±5.7 weeks, and active ROM was 13.3±3.9 weeks, on average. ROM goals were inconsistent among protocols, with significant variations in recommended ROM and resistance exercise start times. Only 13 protocols (52%) gave recommendations on resuming recreational activities (mean, 17.4±4.4 weeks). Conclusions: Publicly available PT protocols for aTSA rehabilitation are highly variable. Level of evidence: IV.

• The Journal of Korean Academy of Sensory Integration
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• v.17 no.1
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• pp.19-29
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• 2019

Objective : The aim of this study was to verify validity of the Activity Participation Assessment for school-age children. Methods : A questionnaire consisting of 30 items from the APA, 75 items from the PACS, and 55 items from the CAPE was administered to elementary school students. A total of 207 questionnaires were analyzed. Confirmatory factor analysis was performed to confirm the construct validity of the APA. Convergence validity and discriminant validity were verified with the average variance extracted (AVE) and the square of the correlation coefficient. The discriminant validity was the Pearson correlation coefficient of the APA, PACS, and CAPE. Results : The results of the analysis were as follows: 1) For construct validity, the goodness of fit of the modified hierarchical second-order factor model was found to be appropriate (p < .001), 2) For convergent validity, the AVE was higher than .50 for all latent variables, 3) For discriminant validity, the AVE of the latent variable was greater than the square of the correlation coefficient (0.239), 4) For concurrent validity, the correlation between the total sum of the APA and PACS scores showed a positive correlation in all domains, and the correlation coefficient ranged from .303 to .647 at a statistically significant level (p < .01), 5) The correlation coefficient between the total sum of the APA and CAPE scores was .490 for recreational activities, .329 for physical activities, .571 for social activities, .401 for skill-based activities, and .390 for self-improvement activities. All domains showed a positive correlation, and were statistically significant (p < .01). Conclusion : APA can be used as a valid assessment tool to measure the participation of school aged children.

• Journal of Digital Convergence
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• v.19 no.2
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• pp.481-488
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• 2021

This study aimed to identify and to compare the difference the changes of one-leg drop landing pattern depending on chronic ankle instability (CAI) among basketball club members. For 30 basketball club members who are currently participating in recreational basketball games in Busan Metropolitan City, 21 CAI groups and 9 CON groups were classified according to the CAI standards provided by the International Ankle Consortium. The one-leg drop landing pattern was measured with the alignment of the lower extremity and joint movement at the initial contact (IC), and the point of peak knee flexion. In addition, the one-leg drop landing pattern was tested with the muscular activity of tibialis anterior, peroneus longus, medial gastrocnemius and gluteus medius at the initial contact (IC), heel contact (HC), and the point of peak knee flexion. The results of this study showed that there was no significant difference in lower limb alignment and lower limb muscular activity among single leg drop landing. These results showed no significant differences in the one leg drop landing pattern and muscular activity depending on CAI. The further studies should classify the types of chronic ankle instability and consider the physical demands and movement characteristics depending on their playing position for providing useful information on prevention of CAI in basketball club members.

• Journal of Korean Orthopaedic Sports Medicine
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• v.2 no.1
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• pp.37-43
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• 2003

Purpose: This study is to analyse the injury patterns of knee ligament and the factors influencing ligament injuries of knee, and to evaluate the changes of knee function and activity after ski injury. Materials and Methods: Thirty cases of ligament injuries of knee were studied with a questionaire, stress radiographs, magnetic resolution imaging, and physical examination. Mean age was 28.6 years old and mean follow up was 29.6 months. Clinical evaluation of Lysholm knee scoring scale was used for knee function and Tegner activity score was used for activity change after ski injury. Results: The anterior cruciate ligament (ACL) injury accompanied with medial collateral ligament(MCL) injury was most in 11 cases and isolated MCL injury was the next in 9 cases. The common types of injury mechanism were Phantom foot phenomenon (13 cases, 43$\%$) and valgus external rotation injury (12 cases, 40$\%$), which constitute 83$\%$ of all case. At the last follow up, the mean Lysholm score was 93.4 and mean Tegner activity score was 4.2. The reduced Tegner activity score after injury was 1.9. Among several injury groups, the evaluation of knee function and activity was best in the isolated MCL injury group and worst in the ACL injury accompanied with MCL injury group. The factors to influence ski injury were participation to ski class, release of binding, and skiing long time more than 2 hours. Conclusions: Lysholm score at last follow up revealed good grading, but sports activity after ski injury was reduced when compared with pre-injury state. It seems to need a active, systemic sports rehabilitation program after sports injury.

• Journal of Creative Information Culture
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• v.6 no.3
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• pp.107-128
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• 2020

In this study, the present state and characteristics of VR exhibits currently exhibited in Korea, Hong Kong, and Japan were studied to derive the improvements in the domestic VR exhibits. The previous literatures on VR exhibits at Science Museum were reviewed and online and offline data were collected, analyzed and compared. As the result of the study, VR exhibits at Science Museum in Korea turned out to focus on interest and fun rather than containing scientific content, and exhibits aimed at recreational play and physical activity. The Hong Kong Science Museum VR exhibits are more physically targeted exhibits than the cognitive target exhibits. In addition, at the Japanese Science Museum, there are many exhibits aimed at the physical target exhibits. As the result of classifying VR exhibits into the similar types, it was possible to derive them into four characteristics. The implications for future KOREA VR museum exhibitions were discussed.

• Journal of the Korean Applied Science and Technology
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• v.37 no.2
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• pp.340-353
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• 2020

The purpose of this study is to introduce surfing which is not a familiar leisure activity in Korea and provide understanding of surfing participants through the cross-sectional analysis on the process of forming recreational specialization from introductory levels with enthusiastic surfing participants. This study employs a qualitative approach to analyze each participant's experience on recreation specialization in detail, and in particular uses ethnographic research methods to derive participants' meaning of life and daily routines and cultural behavioral patterns changed through surfing. First, through the analysis of in-depth interview data, total 531 conceptual words were identified and the first categorization was established. Second, surfing participants mentioned that they had high expectations of surfing even before they first encountered it. Third, surfing participants noted that they experienced leisure constraints and made efforts to resolve this issue before reaching the recreation specialization process. Fourth, surfing participants were found to go through a recreation specialization process. Fifth, surfing participants were found to undergo life changes. They worked hard in their everyday life through physical training, improvement of surfing skills, and analysis of their own videos to be better at surfing.

• Korean Journal of Exercise Nutrition
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• v.16 no.2
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• pp.65-71
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• 2012

Oxygen is the final acceptor of electron transport from fat and carbohydrate oxidation, which is the rate-limiting factor for cellular ATP production. Under altitude hypoxia condition, energy reliance on anaerobic glycolysis increases to compensate for the shortfall caused by reduced fatty acid oxidation [1]. Therefore, training at altitude is expected to strongly influence the human metabolic system, and has the potential to be designed as a non-pharmacological or recreational intervention regimen for correcting diabetes or related metabolic problems. However, most people cannot accommodate high altitude exposure above 4500 M due to acute mountain sickness (AMS) and insulin resistance corresponding to a increased levels of the stress hormones cortisol and catecholamine [2]. Thus, less stringent conditions were evaluated to determine whether glucose tolerance and insulin sensitivity could be improved by moderate altitude exposure (below 4000 M). In 2003, we and another group in Austria reported that short-term moderate altitude exposure plus endurance-related physical activity significantly improves glucose tolerance (not fasting glucose) in humans [3,4], which is associated with the improvement in the whole-body insulin sensitivity [5]. With daily hiking at an altitude of approximately 4000 M, glucose tolerance can still be improved but fasting glucose was slightly elevated. Individuals vary widely in their response to altitude challenge. In particular, the improvement in glucose tolerance and insulin sensitivity by prolonged altitude hiking activity is not apparent in those individuals with low baseline DHEA-S concentration [6]. In addition, hematopoietic adaptation against altitude hypoxia can also be impaired in individuals with low DHEA-S. In short-lived mammals like rodents, the DHEA-S level is barely detectable since their adrenal cortex does not appear to produce this steroid [7]. In this model, exercise training recovery under prolonged hypoxia exposure (14-15% oxygen, 8 h per day for 6 weeks) can still improve insulin sensitivity, secondary to an effective suppression of adiposity [8]. Genetically obese rats exhibit hyperinsulinemia (sign of insulin resistance) with up-regulated baseline levels of AMP-activated protein kinase and AS160 phosphorylation in skeletal muscle compared to lean rats. After prolonged hypoxia training, this abnormality can be reversed concomitant with an approximately 50% increase in GLUT4 protein expression. Additionally, prolonged moderate hypoxia training results in decreased diffusion distance of muscle fiber (reduced cross-sectional area) without affecting muscle weight. In humans, moderate hypoxia increases postprandial blood distribution towards skeletal muscle during a training recovery. This physiological response plays a role in the redistribution of fuel storage among important energy storage sites and may explain its potent effect on changing body composition. Conclusion: Prolonged moderate altitude hypoxia (rangingfrom 1700 to 2400 M), but not acute high attitude hypoxia (above 4000 M), can effectively improve insulin sensitivity and glucose tolerance for humans and antagonizes the obese phenotype in animals with a genetic defect. In humans, the magnitude of the improvementvaries widely and correlates with baseline plasma DHEA-S levels. Compared to training at sea-level, training at altitude effectively decreases fat mass in parallel with increased muscle mass. This change may be associated with increased perfusion of insulin and fuel towards skeletal muscle that favors muscle competing postprandial fuel in circulation against adipose tissues.

• Proceedings of the Korea Society of Environmental Toocicology Conference
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• 2003.10a
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• pp.27-27
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• 2003

Lake Texoma is located on the border of southern Oklahoma and northern Texas. It has 93,000 surface acres, and is a focus of the recreation, and farming industries in the region. There are potential stressors around the Lake Texoma watershed that may cause adverse ecological effects in the lake. System assimilative capacity (SAC) is the ability of abiotic and biotic processes to atteuniate the stressors. SAC Exceeded indicates potential of occuring adverse eco-effects. A number of representative chemical release sites and stressor sources in the surrounding watershed were characterized, and several impact sites having stressors sources, such as being near agriculture, landfills, housing areas, oil production fields and heavy use recreational activity, were selected for surface water, sediment, and groundwater monitoring. A paired reference site, having similar physical characteristics as its impact site, was also chosen based on its proximity to the impact site. Lake water samples were collected at locations identified as marina entrance, gasoline filling station, and boat dock at five marinas selected on Lake Texoma from September 1999 to December 2001. Paired water and sediment samples were also collected. Groundwater samples were collected at about 70 producing monitoring wells. Water quality parameters measured were inorganics (nitrate, nitrite, orthophosphate, ammonia, sulfate, and chloride), dissolved methane, total organic carbon (TOC) (or DOC), volatile organic compounds (VOCs) such as methyl tert-butyl ether (MTBE) and BTEX, and a suite of metals. Biotic communities were evaluated at impact and reference sites. Five basic components were measured; two terrestirial components (plants and bird comminitires) and three aquatic components (benthic inverbrates, litteral-zone fishes, ecosystem attribures). Potential impacts to these comminites were evaluated.