• Title/Summary/Keyword: Rehabilitation Cost

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Optical Method to Determine Gait Parameters Using Position Sensitive Detector

  • Jung, Gu-In;Kim, Ji-Sun;Lee, Tae-Hee;Choi, Ju-Hyeon;Oh, Han-Byeol;Kim, A-Hee;Goh, Bong-Jun;Kim, Jun-Sik;Lee, Eun-Suk;Jun, Jae-Hoon
    • Journal of Electrical Engineering and Technology
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    • v.10 no.5
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    • pp.2155-2161
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    • 2015
  • This study suggests an optical method to measure cardinal of gait (step width, step length, and stride length) with position sensitive detector (PSD). The effect of reflector’s shape (flat and cylinder) on the PSD output voltage was examined for the application of the suggested system to real situations with a curved shape reflector (e.g. shoes). Various mathematical models were evaluated to find the optimal equation for the distance measurement. Considering the effect of shape on detected signal, the inverse polynomial model was developed. The suggested method is simple to operate, low in cost, small in size, and can evaluate gait parameters in real time. This method is expected to be useful in the field of rehabilitation and sport science

The Short Term Effects of the Decompression (KNX $7000^{(R)}$) and Traction Device on Pain in Patients with Chronic Low Back Pain with or without Radicular Pain (만성 요통 및 하지방사통 환자에서 감압치료(KNX $7000^{(R)}$)와 견인치료의 단기 치료 효과)

  • Park, So-Hyun;Kim, Chul-Seoung;Lee, Dong-Gyu;Ahn, Sang-Ho
    • The Journal of Korean Physical Therapy
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    • v.23 no.5
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    • pp.29-34
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    • 2011
  • Purpose: The purpose of this study is to evaluate the short term effects of the traction and decompression device, which is a newly developed domestic medical device, on pain and functional activity in patients with chronic low back pain with or without radicular pain. Methods: Forty patients with chronic low back pain were included and allocated to decompression (n=20) and traction groups (n=20). They received decompression or traction therapy for 20 minutes a day, 3 days per week for two weeks. For evaluating pain and functional activity, a visual analogue scale (VAS) for low back pain and the Oswestry back pain disability index (ODI) were obtained on pre-treatment, and at 6, 12 and 15 days after treatment. Patients'satisfaction levels were measured 15 days after treatment. Results: VAS was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in both groups (p<0.05). ODI was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in the decompression group (p<0.05). However, there was no significant difference between the two groups in the VAS and ODI scales (p>0.05). Patients' satisfaction levels were significantly higher in the decompression group than in the traction group (p<0.05). Conclusion: These findings suggest that decompression therapy might be effective for increasing functional activity in patients with low back pain and could provide patients with higher satisfaction than traction therapy. This study provided validity data for the therapeutic effects of the decompression device in patients with low back pain and it will be useful for medical cost development and patient education of this device.

A Study to Analyze Service Life of Expressway Pavement according to Traffic Volumes and De-icing Chemicals (교통량 및 제설제 사용량에 따른 고속도로 포장의 공용수명 분석)

  • Kim, Chan-Woo;An, Soo-Han;Park, Hee-Young;Lee, Jung-Hun;Jung, Chul-Ki
    • International Journal of Highway Engineering
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    • v.17 no.1
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    • pp.35-41
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    • 2015
  • PURPOSES : The purpose of this study is to analyze the service life of expressway pavement based on both traffic volumes and use of deicing chemicals. METHODS : A database was built using expressway rehabilitation history information from over the last decade. In order to estimate the service life of expressway pavement, various analysis methods were considered, and a decision was made to perform analysis using a method based on an accumulated rehabilitation ratio. The service life of expressway pavement was then analyzed by classifying the scale of traffic volume and extent of de-icing chemicals used. RESULTS : The service life of PMA and SMA ranged from 7.8 to 10.6 years and from 9.9 to 12.0 years, respectively. The service life of JCP ranged from 16.0 to 22.2 years, and the service life of CRCP was 33.5 years on average. Results of assessing service life according to traffic volumes and de-icing chemicals showed that the lower the traffic volumes were, the greater the service life of PMA and JCP, and the less that de-icing chemicals were applied, the greater the service life of JCP. CONCLUSIONS : The dependence of expressway pavement service life on traffic volumes and de-icing chemicals makes it possible to apply LCCA for regional maintenance plans and cost-effective selection of expressway pavement type.

An Experimental Study on Shear Strengthening Effect of I-girder using Externally Bonded CFRP Strips (외부 부착 탄소섬유를 사용한 I형 보의 전단 보강 효과 연구)

  • Kim, Changhyuk
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.22 no.4
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    • pp.108-113
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    • 2018
  • Researches on strengthening and rehabilitation methods are being widely conducted due to the deterioration of existing concrete structures. Use of externally bonded Carbon Fiber Reinforced Polymers (CFRP) strips for the rehabilitation is a cost-effective and time-saving method. Generally, the CFRP layout for the shear strengthening was a uni-directional layout. Many researches have focused on the variables of the uni-directional CFRP layout such as the amount of material, angle, and spacing. Pilot tests indicated that the effective confinement of the concrete member can be provided with the bi-directional CFRP layout than the uni-directional layout. Therefore, the test was carried out after the uni- and bi-directional strengthening work using the same amount of CFRP material. CFRP anchors were installed to prevent unexpected premature CFRP delamination failure before reaching CFRP fracture strain. The effectiveness of the CFRP anchor and bi-directional CFRP layout for shear strengthening was verified based on the principal tensile strain contours.

The Design of Apple Artificial Pollination Welfare Robot by A Survey for the Elders' Needs of Rural Region (농촌 고령자의 욕구조사를 통한 사과인공수분 복지로봇 설계)

  • Kim, Dong-Ok;Lee, Soocheol
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.4
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    • pp.355-361
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    • 2017
  • This paper is the design for the welfare robot of apple artificial pollination by a survey for 25 elders' needs of Daegu-Gyeongbuk rural region. The results are summarized as follows. 1) In the apple farms of the region, most of farmers are the couples of 50 years thru 70 years to plant the apple trees only. The apple farm requires the senior farmers lots of painful works including their bone and muscle system problem to result in safety accidents. 2) For the aging progress of rural area, the senior farmers spend lots of labor hours and cost to do artificial pollination, a proper deletion of small fruits, and a speed spray, etc.. Most of them agree to the development of the welfare robot for an apple artificial pollination. 3) The survey results could be applied to the conceptual design in the users' point of view. Therefore, they are used as the important effects for the detail design and commercial design to develop the welfare robot for the rural seniors.

Utilization of Korean Medicine among Children with Cerebral Palsy - Qualitative Study by Grounded Theory (뇌성마비 아동의 한방의료 이용행태 - 근거이론에 의한 질적연구)

  • Lee, Hyunjoo;Kim, Buyoung;Yun, Youngju
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.2
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    • pp.25-42
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    • 2019
  • Objectives : The purpose of this study was to identify factors that affect the utilization of Korean medicine (KM) among children with cerebral palsy (CP) and explore a processing model of decision-making by their parents. Methods : We conducted an individual in-depth interview with 21 mothers of children with CP who were recruited during the observational study. A grounded theory of Strauss and Corbin was used for qualitative analysis. Thus, collected data were classified into open coding including 121 concepts, 27 sub-categories and 7 categories. Results : The central phenomenon of the process of using KM for children with CP is 'KM as an optional treatment not essential'. Therefore there are many obstacles to starting KM treatment and it is easily interrupted for various reasons, unlike general rehabilitation treatment. However, if the patient experiences the therapeutic effect, the parents want to continue KM treatment. They try to provide treatment as much as possible if they can afford it. The parents give priority to general rehabilitation treatment and value the information and experience provided by the caregivers in similar situation as well as expert opinions. Conclusions : To expand and generalize KM treatment for children with CP, efforts to change interventional conditions such as treatment effect, treatment cost, treatment compliance, and convenience of treatment based on the understanding of the strategy used by the parents in KM utilization.

Role of e-Learning Environments in Training Applicants for Higher Education in the Realities of Large-Scale Military Aggression

  • Nataliia Bakhmat;Maryna Burenko;Volodymyr Krasnov;Larysa Olianych;Dmytro Balashov;Svitlana Liulchak
    • International Journal of Computer Science & Network Security
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    • v.23 no.12
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    • pp.167-174
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    • 2023
  • Electronic educational environments in the conditions of quarantine restrictions of COVID-19 have become a common phenomenon for the organization of distance educational activities. Under the conditions of Russian aggression, Ukrainian proof of their use is unique. The purpose of the article is to analyze the role of electronic educational environments in the process of training applicants for higher education in Ukraine in the realities of a large-scale war. General scientific methods (analysis, synthesis, deduction, and induction) and special pedagogical prognostic methods, modeling, and SWOT analysis methods were used. In the results, the general properties of the Internet educational platforms common in Ukraine, the peculiarities of using the Moodle and Prometheus platforms, and an approximate model of the electronic learning environment were discussed. The reasons for the popularity of Moodle among Ukrainian universities are analyzed, but vulnerable elements related to security are emphasized. It was also determined that the high cost of Prometheus software and less functionality made this learning environment less relevant. The conclusions state that the military actions drew the attention of universities in Ukraine to the formation of their own educational platforms. This is especially relevant for technical and military institutions of higher education.

A Preliminary Study for Expending of Hospital-Based Horne Health Care Coverage - Focused on Accident Inpatients Who has the Workers Compensation Insurance - (병원중심 가정간호사업 관리대상범위 확대를 위한 기초연구)

  • Lee, Sook-Ja;Lee, Jin-Kyung;Ryu, Ho-Sihn
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.6
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    • pp.5-18
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    • 1999
  • This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

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A Study on the Estimation Method of the Repair Rates in Finishing Materials of Domestic Office Buildings (국내 업무시설 건축 마감재의 수선율 산정 방안에 관한 연구)

  • Kim, Sun-Nam;Yoo, Hyun-Seok;Kim, Young-Suk
    • Korean Journal of Construction Engineering and Management
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    • v.16 no.1
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    • pp.52-63
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    • 2015
  • Business facilities among domestic architectures have rapidly been constructed along with domestic economic development. It is an important facility taking the second largest proportion next to apartment buildings among current 31 building types of fire department classification of 2012 year for urban architectures. The expected service life of business facilities is 15 years, but 70% of those in urban areas have surpassed the 15 year service life as of the present 2014. Thus, the demand for urgent rehabilitation of such facilities is constantly increasing due to the aging and performance deterioration of the facilities'main finishing materials. Especially, the business facilities are being used for the lease of company office or private office, and such problems as aging and performance deterioration of the facilities could cause less competitive edge for leasing and real estate value depreciation for the O&M (Operation & Management) agent and the owner, respectively. Therefore, an effective planned rehabilitation as a preventive measure according to the standardized repair rate by the number of years after the construction is in need in order to prevent the aging and performance deterioration of the facilities(La et al. 2001). Nonetheless, domestic repair/rehabilitation standards based on the repair rate are mainly limited to apartment buildings and pubic institutions, resulting in impractical application of such standards to business facilities. It has been investigated and analyzed that annual repair rate data for each finishing material are required for examination of the applicability of the repair rate standard for the purpose of establishment of a repair plan. Hence, this study aimed at developing a repair rate computation model for finishing materials of the facilities and verifying the appropriateness of the annual repair rate for each finishing material through a case study after collecting and analyzing the repair history data of six business facilities. The results of this study are expected to contribute to the planning and implementation of more efficient repair/rehabilitation budget by preventing the waste of unpredicted repair cost and opportunity cost for the sake of the business facilities' owners and O&M agents.

Estimation of Erosion Damage of Armor Units of Rubble Mound Breakwaters Attacked by Typhoons (태풍에 의한 경사식 방파제의 피복재 침식 피해 산정)

  • Kim, Seung-Woo;Suh, Kyung-Duck
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.22 no.5
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    • pp.295-305
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    • 2010
  • Although the rubble mound breakwaters in Korea have been damaged by typhoons almost every year, quantification of erosion of armor block have seldomly been made. In this paper, the damage of armor units is standardized by the relative damage. In the case where the number of damaged units is reported, it is divided by the total number of units to calculate the relative damage. In the case where the rehabilitation cost is reported, the relative damage is calculated by using its relationship with the present value of the past rehabilitation cost. The relative damage is shown to have strong correlations with the typhoon parameters such as nearest central air pressure and maximum wind speed at each site. On the other hand, the existing numerical methods for calculating the cumulative damage are compared with hydraulic model tests. The method of Melby and Kobayashi (1998) is shown to give a reasonable result, and it is used to calculate the relative damage, which is compared with the measured damage. A good agreement is shown for the East Breakwater of Yeosu Harbor, while poor agreement is shown for other breakwaters. The poor agreement may be because waves of larger height than the design height occurred due to strong typhoons associated with climate change so that the relative damage increased during the last several decades.