• Title/Summary/Keyword: Rehabilitation Cost

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Rehabilitation Medical Desire of Parents with Developmental Disability Children (발달장애아 부모의 재활적 의료 욕구도)

  • Kim, Youn-Soon;Lee, Soo-Kyung;Yang, Chung-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.2
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    • pp.568-572
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    • 2005
  • This study is aiming for evaluating the factors influencing rehabilitation medical desire in parents (RMDP) with developmental disability children. This study was made with a randomized sample of 156 parents, who were given a questionnaire about how they feel medical needs for their children. The results of the study were as follows: The RMDP is significantly high in relatively the older aged parents group(p<.01). The RMDP is significantly high in severe disability group(p<.01). The RMDP is significantly high in the more spend group of monthly medical cost(p<.05). The group difference of RMDP by monthly income or movement type of disability is not significant(p>.05). It is thought that medical staff need to be actively involved in parents group with developmental disability children to improve motivation, who is relatively the younger than 35 years old or has mild to moderate disability degree of child.

A hybrid cardiac rehabilitation is as effective as a hospital-based program in reducing chest pain intensity and discomfort

  • Saeidi, Mozhgan;Soroush, Ali;Komasi, Saeid;Singh, Puneetpal
    • The Korean Journal of Pain
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    • v.30 no.4
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    • pp.265-271
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    • 2017
  • Background: Health care services effort to provide alternative cardiac rehabilitation (CR) models to serve patients according to their preferences and needs. So, the present study aimed to assess and compare the effects of hospital-based and hybrid CR programs on chest pain intensity and discomfort in cardiac surgery patients. Methods: In this prospective study, 110 cardiac surgery patients were invited to the CR department of a hospital in the western part of Iran between March and July 2016. Patients were divided into two groups: hospital-based and hybrid CR. The hospital-based program included 26 sessions, and the hybrid program included 10 training sessions and exercise. The Brief Pain Inventory and Pain Discomfort Scale were used as research instrument, and data were analyzed using the paired t-test and ANCOVA. Results: The results indicated that both hospital-based and hybrid CR are effective in reducing the chest pain intensity and discomfort of cardiac surgery patients (P < 0.05). In addition, the comparison of scores before and after treatment using ANCOVA shows that no significant differences were observed between the two programs (P > 0.05). Conclusions: Traditional hospital-based CR delivery is still the first choice for treatment in developing countries. However, hybrid CR is as effective as a hospital-based program in reducing pain components and it includes only 38% of the total cost in comparison to hospital-based delivery. So, we recommend using hybrid CR according with the recommendations of American Heart Association about using CR for the management of angina symptoms.

A Comparative Analysis on Medical and Korean Medical Service Tendency of Total Knee Arthroplasty Patients Using Patients Sample Data of Health Insurance Review and Assessment Service (슬관절 전치환술 환자의 의과 및 한의과 의료기관 이용 현황 비교 분석: 건강보험심사평가원 표본 데이터를 이용하여)

  • Park, Joo-sung;Kim, Nam-Kwen;Song, Yun-kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.1
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    • pp.31-39
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    • 2019
  • Objectives To obtain future research basis of Korean Medicine for total knee arthroplasty patient by analyzing medical and Korean Medical service utilization and treatment duration. Methods Data sampling was performed on Health Insurance Review and Assessment Service patient data of 2015 (Confidence level of 97%) to analyze patients' medical and Korean Medical service tendency. Sampling groups were divided into two groups; i) Patients who completed their treatment within 5 months of total knee arthroplasty, ii) Patients who continued their treatment after 5 months of total knee arthroplasty, to investigate patients' medical and Korean Medical service tendency and individual characteristics were carefully monitored. Results It was confirmed that total of 1,655 patients had gone through total knee arthroplasty out of 1,453,486 patients who were gathered for sampling. First sampling group (Patients who completed their treatment within 5 months of total knee arthroplasty) was 287 patients and second sampling group (Patients who continued their treatment after 5 months of total knee arthroplasty) was 385 patients. The proportion of patients who visited Korean Medical service in first sampling group was lower than that of second sampling group. Conclusions It was confirmed that medical and Korean Medical service and cost consumed by second group (Patients who continued their treatment after 5 months of total knee arthroplasty) was higher than that of first group (Patients who continued their treatment after 5 months of total knee arthroplasty). It is highly recommended to continue with further study for efficient medical and Korean Medical service and reduced cost.

Development of Optimal Urban Runoff System : II. Development of Decision Making Model for Optimal Control of Rainfal1-Runoff System in Urban Area (최적 도시유출시스템의 개발 : II. 도시유역의 최적유출시스템 제어를 위한 의사결정모형의 개발)

  • Lee, Jung-Ho;Kim, Joong-Hoon;Kim, Hung-Soo;Jo, Deok-Jun;Kim, Eung-Seok
    • Journal of Korea Water Resources Association
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    • v.37 no.3
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    • pp.207-217
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    • 2004
  • Our government is interested in the rehabilitation for the old sewer rather than the construction of a new sewer system. However, the research work on the sewer rehabilitation is not sufficient as much as the interest on the rehabilitation is increased. There are some research works for the determination of rehabilitation time by the genetic algorithm in Korea and foreign countries. However, the previous studies have considered the simple elements for the determination of the rehabilitation time and so the complex decision-making according to the degree of sewer superannuation has not been performed. Therefore, in this study, we estimate the capacity and Ⅰ/Ⅰ of sewer and determine the priority of the optimal rehabilitation for each outfall within the draining system. Also we develop the optimal rehabilitation decision making system for the cost estimation of optimal rehabilitation using the genetic algorithm.

Development of a Knee Exoskeleton for Rehabilitation Based EMG and IMU Sensor Feedback (단계별 무릎 재활을 위한 근전도 및 관성센서 피드백 기반 외골격 시스템 개발)

  • Kim, Jong Un;Kim, Ga Eul;Ji, Yeong Beom;Lee, A Ram;Lee, Hyun Ju;Tae, Ki Sik
    • Journal of Biomedical Engineering Research
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    • v.40 no.6
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    • pp.223-229
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    • 2019
  • The number of knee-related disease patients and knee joint surgeries is steadily increasing every year, and for knee rehabilitation training for these knee joint patients, it is necessary to strengthen the muscle of vastus medialis and quadriceps femoris. However, because of the cost and time-consuming difficulties of receiving regular hospital treatment in the course of knee rehabilitation, we developed knee exoskeleton using rapid prototype for knee rehabilitation with feedback from the electromyogram (EMG) and inertia motion unit (IMU) sensor. The modules was built on the basis of EMG and an IMU sensor applied complementary filter, measuring muscle activity in the vastus medialis and the range of joint operation of the knee, and then performing the game based on this measurement. The IMU sensor performed up to 97.2% accuracy in experiments with ten subjects. The functional game contents consisted of an exergaming platform based on EMG and IMU for the real-time monitoring and performance assessment of personalized isometric and isotonic exercises. This study combined EMG and IMU-based functional game with knee rehabilitation training to enable voluntary rehabilitation training by providing immediate feedback to patients through biometric information, thereby enhancing muscle strength efficiency of rehabilitation.

Optimization Technique to recognize Hand Motion of Wrist Rehabilitation using Neural Network (신경망을 활용한 손목재활 수부 동작 인식 최적화 기법)

  • Lee, Su-Hyeon;Lee, Young-Keun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.2
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    • pp.117-124
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    • 2021
  • This study is a study to recognize hand movements using a neural network for wrist rehabilitation. The rehabilitation of the hand aims to restore the function of the injured hand to the maximum and enable daily life, occupation, and hobby. It is common for a physical therapist, an occupational therapist, and a security tool maker to form a team and approach a doctor for a hand rehabilitation. However, it is very inefficient economically and temporally to find a place for treatment. In order to solve this problem, in this study, patients directly use smart devices to perform rehabilitation treatment. Using this will be very helpful in terms of cost and time. In this study, a wrist rehabilitation dataset was created by collecting data on 4 types of rehabilitation exercises from 10 persons. Hand gesture recognition was constructed using a neural network. As a result, the accuracy of 93% was obtained, and the usefulness of this system was verified.

Comparative Research of the Medical Cost, The Quality of Life, The Family burden of the Mentally III before and after the Community Mental Health Service (지역사회 정신보건서비스 제공 전$\cdot$후 정신장애인의 의료비용, 삶의 질, 가족 부담감 비교연구)

  • Noh In Young
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.56-72
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    • 2001
  • Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

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High Performance Fiber Reinforced Cement Composites in Construction Field (건설분야의 섬유강화 시멘트 복합 신재료)

  • Hong, Geon-Ho;Kim, Ki-Soo;Han, Bog-Kyu
    • Composites Research
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    • v.19 no.1
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    • pp.43-48
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    • 2006
  • High performance fiber reinforced cement composites have better performances than traditional cement based materials, therefore, have been expected as new construction applications such as the materials for construction & bridge structure, repair and rehabilitation applications, anti-collapse applications, anti-noise applications etc. However, they have lots of the problems such as material design, fabrication method and structural analysis. Also, the most serious problems of High performance fiber reinforced cement composites have been expensive initial cost, lack of long-term exposure data. As a result, it is needed that the efforts for lowering the initial cost and accumulation of long-term exposure. There has been hardly assessment results of life cycle cost for HPFRCC in construction field, but some papers showed that total life cycle cost could be profitable if the initial cost could be reduced.

Fire Resistance of Inorganic Polymer Composites for Repair and Rehabilitation (보수.보강에 사용하는 무기계 폴리머 복합재료의 내열성능)

  • Balaguru, P.N.;Chung, Lan
    • Proceedings of the Korea Concrete Institute Conference
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    • 1997.10a
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    • pp.647-652
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    • 1997
  • Repair and rehabilitation of existing structures is becoming a major part of construction, both in the industrially developed and developing countries. Advanced high strength composites are being utilized more and more for these applications because they are much stronger than steel, non-corrosive, and light. The light weight reduces the construction cost and time sustantially. The fibers are normally made of aramid, carbon, or glass and the binders are typically epoxies or esters. One major disadvantage of these composites is the vulnerability to fire. In most instance, the temperature cannot exceed $300^{\cire}C$. Since carbon and glass can substain high temperatures, an inorganic polymer is being evaluated for use as a matrix. The matrix can sustain more than $1000^{\cire}C$. The results reported in this paper deal with the mechanical properties of carbon composites made with the inorganic polymer and the behavior strengthened reinforced concrete beams. The results indicate that the new matrix can be successfully utilized for a number of applications.

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Development of a Foot Pressure Distribution Measuring Device for Lower Limb Rehabilitaion

  • Choi, Junghyeon;Seo, Jaeyong;Park, Jun Mo
    • Journal of the Institute of Convergence Signal Processing
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    • v.18 no.1
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    • pp.1-5
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    • 2017
  • It is important to train lower limb muscle strength using a tilting table to recover the lower extremity function of hemiplegia patients. It is known that the foot deformity and poor posture of hemiplegia patients can reduce the effectiveness of lower limb rehabilitation training. In this study, we developed a sensor system that can measure the foot pressure distribution of the patients for the load control of the lower extremity during lower limb rehabilitation training and it can be substituted for conventional high-cost technologies.

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