• Title/Summary/Keyword: Rehabilitation Cost

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The Effect of Elastic Band Exercise Training and Detraining on Body Composition and Fitness in the Elder (탄력밴드 운동이 노인의 신체조성과 체력에 미치는 지속적 효과)

  • So, Wi-Young;Song, Misoon;Cho, Be-Long;Park, Yeon-Hwan;Kim, Yeon-Soo;Lim, Jae-Young;Kim, Seon-Ho;Song, Wook
    • 한국노년학
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    • v.29 no.4
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    • pp.1247-1259
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    • 2009
  • Muscle mass is reduced by aging. There seems to be no direct relationship between sarcopenia(muscle loss) and medical cost in the elderly, but lowering muscle mass results in increase risk of fall and decrease of strength, fitness, physical activity, and independent life. This is coupled with physical trouble and chronic degenerative disease such as diabetes, obesity, hyperlipidemia, and hypertension. Thus, sarcopenia is potential risk factor increasing mortality. The purpose of this study was to investigate the effects of elastic band exercise and detraining on sarcopenia prevention related variables, body composition and fitness. The subject of this study was 60~70 aged 14 seniors who participated in exercise program in J-welfare senior center at J-gu in S-city. Elastic band exercise was performed twice per week for 12 weeks. The body composition and fitness variables were measured before 12 weeks of control, after control(before exercise), after 12 weeks of exercise(before detraining), and after 12 weeks of detraining. There was no significant difference in body composition and fitness variables before and after 12 weeks of control, but elastic band exercise before and after 12 weeks has effect on body composition variables such as weight (t=2.978, p=0.001), body mass index (t=3.502, p=0.004), percent body fat (t=2.216, p=0.045), muscle mass (t=-3.837, p=0.002), visceral fat area (t=5.186, p<0.001), and waist-hip ratio (t=3.045, p=0.009) and on fitness variables such as 2-minutes step (t=-6.891 p<0.001), arm curl (t=-4.702, p<0.001), chair stand (t=-4.860, p<0.001), chair sit and reach (t=-5.910, p<0.001), back scratch (t=-3.835, p=0.002), and 8-ft up and go (t=7.560, p<0.001). This exercise effect was continued after 12 weeks of detraining on body composition variables such as weight (t=2.323, p=0.037), body mass index (t=2.503, p=0.026), muscle mass (t=-3.137, p=0.008) and on fitness variables such as 2-minutes step (t=-6.489 p<0.001), chair stand (t=-4.694, p<0.001), chair sit and reach (t=-3.690, p=0.003), and 8-ft up and go (t=7.539, p<0.001). It was found that the elastic band exercise has positive effect on body composition and fitness in the elderly and the effect was maintained over 12 weeks of detraining.

Development of Wireless Ambulatory Measurement System based on Inertial Sensors for Gait Analysis and its Application for Diagnosis on Elderly People with Diabetes Mellitus (관성센서 기반의 무선보행측정시스템 개발 및 노인 당뇨 환자 보행 진단에의 응용)

  • Jung, Ji-Yong;Yang, Yoon-Seok;Won, Yong-Gwan;Kim, Jung-Ja
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.2
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    • pp.38-46
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    • 2011
  • 3D motion analysis system which is currently widely used for walking analysis has limitations due to both necessity of wide space for many cameras for measurement, high cost, and complicated preparation procedure, which results in low accessability in use and application for clinical diagnosis. To resolve this problem, we developed 3-dimensional wireless ambulatory measurement system based on inertial sensor which can be easily applicable for clinical diagnosis for lower extremity deformity and developed system was evaluated by applying for 10 elderly people with diabetes mellitus. Developed system was composed of wireless ambulatory measurement module that consists of inertial measurement unit (IMU) which measures the gait characteristics, microcontroller which collects and precesses the inertial data, bluetooth device which transfers the measured data to PC and Window's application for storing and processing and analyzing received data. This system will utilize not only to measure lower extremity (foot) problem conveniently in clinical medicine but also to analyze 3D motion of human in other areas as sports science, rehabilitation.

Comparison of Stress Between the Mother and Father Who Have Children (운동발달장애아 어머니와 아버지의 스트레스 비교)

  • Song, Ju-Young
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.65-80
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    • 1998
  • Parents of handicapped children are experiencing difficulties in their children's care, social isolation, change of life style and lirnited leisure time. Because the parents should take care of the children's daily life, they have lots of psychological and physical stress. Chronic stress of parents puts stress to the other family members and affects the development of children with handicap. The purpose of this study were to identify the level of stress in each of parents of children with motor problem, the characteristics of the children and general information related with the children, and to analyse the stress by reasons. Specially organized questionnaire were used for an investigation method. "Test of stress in mother who has children with chronic illness" by Kim Hee-soon were modified and used. The questionnaire answered by 43 mothers and 35 fathers were analyzed. Data analysis includes frequency analysis, Pearson correlation coefficients, paired-samples t-test and MANOV A by SPSSWIN. The results were as follows: 1) Degree of handicap was most moderate (46.5%), level of motor development was most pull to walk (34.9%), and combined handicap was 69.8%. 2) Sexual distribution represented that 51.2% male and 48.8% female. The cost of physical therapy was 69.8% in no more than 100,000 won. 3) The mean of age, for the mother was 32.8 years and 35.3 years. Level of motor development that mother and father expect was 88.4%, 83% walk alone. 4) Both mother and father experienced stress in other of Part II (changes in father was the illness status of the child and difficulty in taking care of child), Part III (prognosis of the child's condition), Part I (social-personal relationships and the responsibility of the care givers). In the total score of stress, mother's stress is indicated higher level than father's stress. 5) There was no correlationship between characteristics and stress of mother and father. 6) There was no statistically significant difference between characteristics and related general information of children with handicap and stress of mother and father. As a results, the mother of children with handicap are experiencing more stress than the father. Both of parents have the most difficulties in the changes in the illness status of the child and difficulty in taking care of child. This study can be used as resources of education, therapy and counselling for children with handicap and their parents. This study, also, can be used to encourage the quality of Iife for the children with handicapped and their family.

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Implant-assisted removable partial denture using freely removable abutment in a fully edentulous patient: A case report (완전 무치악 환자에서 자유 착탈가능 임플란트 지대주를 이용한 임플란트 융합 국소의치 수복증례)

  • Oh, You-Kyoung;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeon-Jong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.58-66
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    • 2020
  • Implant-Assisted Removable Partial Dentures (IARPDs) treatment is being performed in a fully edentulous patient using implant surveyed prosthesis as an abutment. Implant-supported prosthesis as an abutment of IARPDs is classified into screw-retained and cement-retained type according to the retention type, and each has advantages and disadvantages. The EZ crown system (Samwon DMP, Yangsan, Korea) has a cylinder combined with abutment, and the nickel-titanium spring in this cylinder provides a constant force on the zirconia ball to obtain retention in EZ crown system. In this patient, the natural abutment teeth of the mandibular overdenture was hopeless. We planned implant assisted removable partial denture using anterior implant surveyed prosthesis considering functional and esthetical rehabilitation, cost and patient's needs. When fabricating IARPDs using implant as abutment, we could compensate for the shortcomings of existing implant-supported prosthesis retention type and made the design of removable partial denture easy due to using EZ crown system.

A Study on the Problems and Development of the Benefits in Work Injury Insurance (산재보험 급여체계의 합리화 방안에 관한 연구)

  • Kim, Jin-Soo
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.119-141
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    • 1999
  • Korea paid attention to the work injury insurance in the early economic development stage as other developed countries did. Thus "The industrial Accident Compensation Insurance Law" was legislated in 1963 and it is now expanded to apply to the workplace with five or more employees. Beside the low coverage of the number of employees, the scope of benefits are the problem of work injury insurance. The work injury insurance's main benefits are for the loss of income and the medical cost caused by occupational accidents. On the other hand, the investment on the prevention accident and the medical, social and employment rehabilitation is very low, even though the occupational accident pension is higher than that in other OECD countries. Practically lay-off benefits and survivor' benefit for some special workers are paid more than they need, therefore they want to remain under the benefit condition and the medical care days are longer. This paper indicates the problems of work injury insurance and suggest how to improve the functions of it.

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Flexural Strength Analysis of RC T-Beams Strengthened Using Fiber Sheets (섬유시트로 보강된 T형 철근콘크리트보의 휨 강도 해석)

  • Park, Tae-Hyo;Lee, Gyu-Chul
    • Journal of the Korea Concrete Institute
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    • v.15 no.2
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    • pp.234-245
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    • 2003
  • Most of the concrete bridge structures are exposed to damage due to the excessive traffic loading and the aging of the structure. The damage of concrete causes the further deterioration of the function in the concrete structure due to corrosion of the reinforced bars and decohesion between the concrete and the reinforced bar. The quick rehabilitation of the damaged concrete structures has become of great importance in the concrete structural system in order to avoid the further deterioration of the structures. Recently fiber sheets are used for strengthening the damaged concrete structures due to its many advantages such as its durability, non-corrosive nature, low weight, ease of application, cost saving, control of crack propagation, strength to thickness ratio, high tensile strength, serviceability and aesthetic. However, the lack of analytical procedures for assessing the nominal moment capacity by the fiber sheet reinforcement leads to difficulties in the effective process of decisions of the factors in the strengthening procedure. In this work, flexural strengthening effects by fiber sheets bonded on bottom face of the member are studied for the reinforced concrete T beam. In addition, auxiliary flexural strengthening effects by U-type fiber sheets bonded on bottom and side faces of the member to prevent delamination of the bottom fiber sheet are theoretically investigated. The analytical solutions are compared with experimental results of several references to verify the proposed approach. It is shown that the good agreements between the predicted results and experimental data are obtained.

Prediction of Ultimate Strength and Strain of Concrete Columns Retrofitted by FRP Using Adaptive Neuro-Fuzzy Inference System (FRP로 보강된 콘크리트 부재의 압축응력-변형률 예측을 위한 뉴로퍼지모델의 적용)

  • Park, Tae-Won;Na, Ung-Jin;Kwon, Sung-Jun
    • Journal of the Korea Concrete Institute
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    • v.22 no.1
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    • pp.19-27
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    • 2010
  • Aging and severe environments are major causes of damage in reinforced concrete (RC) structures such as buildings and bridges. Deterioration such as concrete cracks, corrosion of steel, and deformation of structural members can significantly degrade the structural performance and safety. Therefore, effective and easy-to-use methods are desired for repairing and strengthening such concrete structures. Various methods for strengthening and rehabilitation of RC structures have been developed in the past several decades. Recently, FRP composite materials have emerged as a cost-effective alternative to the conventional materials for repairing, strengthening, and retrofitting deteriorating/deficient concrete structures, by externally bonding FRP laminates to concrete structural members. The main purpose of this study is to investigate the effectiveness of adaptive neuro-fuzzy inference system (ANFIS) in predicting behavior of circular type concrete column retrofitted with FRP. To construct training and testing dataset, experiment results for the specimens which have different retrofit profile are used. Retrofit ratio, strength of existing concrete, thickness, number of layer, stiffness, ultimate strength of fiber and size of specimens are selected as input parameters to predict strength, strain, and stiffness of post-yielding modulus. These proposed ANFIS models show reliable increased accuracy in predicting constitutive properties of concrete retrofitted by FRP, compared to the constitutive models suggested by other researchers.

Utilization of Medical Assistance Patients in Nursing Hospital (의료급여환자의 요양병원 이용에 관한 연구)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.366-375
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    • 2017
  • The purpose of this study is to analyze the use of hospital, hospitalization, medical service, discharge and power of medical care patients who are concerned about moral hazard. We conducted focus group interview with 3 medical care patients and their families and 5 workers who had worked for more than 4 years in a nursing hospital. The main results and implications are as follows. First, admission to nursing hospitals was mostly based on the linkage between the medical institutions and the competition to attract the patients rather than the choice of the patients. Second, the main cause of the long-term hospitalization of medical assistance patients was the lack of social protection measures such as absences of residence and care giver, although there are factors that cause moral hazard such as low self-pay. Third, most of the patients were in need of treatment, but they were admitted to the hospital even though their needs were not higher than those of the health insurance patients. Fourth, the rehabilitation service is the mainstay of the medical service of the nursing hospital, and the roles of nursing staff and care givers are important. Fifth, medical care patients are paying medical expenses for nursing hospitals due to cost of living and family support, but they are exempted from the hospital expenses or the burden of their own expenses in the hospital. Sixth, public institutions and social welfare institutions have not managed continuously since commissioning patients to nursing hospitals and have neglected the connection with community services after discharge.

The Effect of Pile Distallation on the Reduction of Cumulative Plastic Settlement (말뚝 설치를 통한 콘크리트궤도의 누적소성침하 감소 효과)

  • Lee, Su-Hyung;Lee, Il-Wha;Lee, Sung-Jin;Kim, Dae-Sang
    • Journal of the Korean Geotechnical Society
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    • v.24 no.5
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    • pp.129-137
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    • 2008
  • An active application of concrete track is being expected far the future constructions of Korean railroad. In comparison with the existing ballasted tract, a concrete track is very susceptible for the settlement, since its rehabilitation requires much time and cost. When a concrete track is constructed on fine-grained subgrade soil, excessive cumulative plastic settlements due to repetitive train road may occur. In this case, the settlement of the concrete track may be effectively reduced by installing a small number of small-diameter piles beneath the track. This paper presents the effect of pile installation on the reduction of cumulative plastic settlement of concrete track. A method combining experiential equation and numerical method is proposed. Using an existing experiential equation and the estimated earth pressure distribution, the cumulative plastic strain was calculated. From the results, it is verified that the effects of the pile installation is significant to effectively reduce the cumulative plastic settlement of concrete track. The reduction effects of the cumulative plastic settlement according to the pile number and pile arrangement are presented.

Transfer of Arsenic from Soilsto Rice Grains through Reducing the Thickness of Soil Covering in Soil Reclamation in an Abandoned Coal Mine Area (폐석탄광산 농경지(논) 토양개량복원 시 복토두께 조정에 따른 비소의 벼 전이효과 현장실증)

  • Il-Ha Koh;Yo Seb Kwon;Ju In Ko;Won Hyun Ji
    • Journal of Environmental Impact Assessment
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    • v.32 no.3
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    • pp.157-165
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    • 2023
  • In Korea, a major contaminant of farmland soils in the vicinity of abandoned mines is arsenic, for which the general soil reclamation method is contaminated soil stabilization and cover the stabilized soil with clean soil at a thickness of 40 cm. In a previous pot experiment study we confirmed the feasibility of a lower thickness (20 cm) of covering soil for such reclamation in abandoned coal mines, where arsenic contamination levels are generally lower than in metal mines. In this subsequent study a field experiment including rice plant cultivation in field test plots was conducted. For over 4 months, the transfer of arsenic from the contaminated soil to the unpolished rice grains was reduced by 44% when a clean soil covering with a thickness of 20 cm was applied. The maximum decrease (56%) was shown when the stabilization process was performed before the covering. These results reveal a lower thickness of clean soil covering has a high feasibility and it can increase cost-efficiency in the reclamation of an abandoned coal mine.