• The Journal of Pediatrics of Korean Medicine
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• v.33 no.4
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• pp.74-88
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• 2019

Objectives The aim of this study is systematic evaluation of the quality of qualitative studies related to short stature. It will be utilized as fundamental data for future qualitative research about Korean Medicine Pediatrics treatment for short stature. Methods We searched qualitative studies related to short stature in the Pubmed. Two researchers independently assessed the quality of the qualitative researches by using Consolidated criteria for reporting qualitative research (COREQ) and Critical Appraisal Skills Program (CASP). We also qualitatively synthesized theme of each included studies. We presented integrated theme and categories with in vivo coding about qualitative research about short stature. Results A total of 47 papers were screened and 7 papers were finally selected. In the quality assessment using COREQ, detalied information about the researchers, methods of approach, reasons for non-participation, presence of non-participants, participant's review of the transcript, and participant's review of the findings were insufficient. In the quality evaluation using CASP, there were lack of justifications for the research methods, description method of research, and bias in process of data analysis. The findings were synthesized into three themes: fixed idea about height, discomfort caused by small stature and personal coping strategy with stress caused by short stature. Conclusions In further qualitative research, it is necessary to report the research according to COREQ and CASP checklist. It is also necessary to understand the stress and coping strategies to short stature of patients, We need to develop a social management strategy for short stature.

• Journal of Korean Academy of Nursing
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• v.45 no.2
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• pp.192-201
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• 2015

Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

• Earthquakes and Structures
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• v.1 no.1
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• pp.109-127
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• 2010

This work aims at introducing structural sensitivity analysis capabilities into existing commercial finite element software codes for the purpose of mapping retrofit strategies for a broad group of structures including heritage-type buildings. More specifically, the first stage sensitivity analysis is implemented for the standard deterministic environment, followed by stochastic structural sensitivity analysis defined for the probabilistic environment in a subsequent, second phase. It is believed that this new generation of software that will be released by the industrial partner will address the needs of a rapidly developing specialty within the engineering design profession, namely commercial retrofit and rehabilitation activities. In congested urban areas, these activities are carried out in reference to a certain percentage of the contemporary building stock that can no longer be demolished to give room for new construction because of economical, historical or cultural reasons. Furthermore, such analysis tools are becoming essential in reference to a new generation of national codes that spell out in detail how retrofit strategies ought to be implemented. More specifically, our work focuses on identifying the minimum-cost intervention on a given structure undergoing retrofit. Finally, an additional factor that arises in earthquake-prone regions across the world is the random nature of seismic activity that further complicates the task of determining the dynamic overstress that is being induced in the building stock and the additional demands placed on the supporting structural system.

• Journal of Environmental Impact Assessment
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• v.20 no.6
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• pp.845-856
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• 2011

In order to establish fundamental data for stream restoration and environmental flow, we investigated inhabitation and species diversity of fish to substrate size in the typical streams of Geum River Basin. Field monitoring including fish sampling was conducted from October 2007 to October 2009. Substrate size was determined according to six different : silt (Si), sand (Sa), fine gravel (Fg), coarse gravel (Cg), cobbles (Co) and boulders (Bo). A total number of fish caught in the 18 sites was 7,649 representing 10 families 50 species, and Si, Sa, Fg, Cg, Co and Bo stations occupied 30, 29, 38, 30, 27 and 17 species, respectively. The most frequently found species in number was pale chum (Zacco platypus, 29.7%, n=2,275) followed by Z. koreanus (22.5%, n=1,720) in total stations. Biological diversity with increase of substrate size from the dominance of part species showed higher values as dominance index, lower and diversity, richness and evenness index. Index of biological integrity (IBI) and qualitative habitat evaluation index (QHEI) scores decreased with increase of substrate size. Therefore, it is necessary to make an effort on stream rehabilitation with evaluation of physical habitat condition by indicator species in order to maintain biodiversity and perform ecological restoration.

• Therapeutic Science for Rehabilitation
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• v.5 no.1
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• pp.55-65
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• 2016

Objective : This study aimed to investigate the effects of home-based action observation training on upper extremity in brain tumor patient. Methods : Among the single case study design, this experiment used ABA' design. The evaluations were carried out 4 times during pre baseline period(A) and post baseline period(A') respectively. At the intervention period(B), a total of 25 times of action observation training and 10 times of evaluation were administered. Results : Study results indicate that 9-hole peg test, Box and Block Test, Manual Function Test were increased when compared to action observation intervention(B) to pre intervention baseline(A). Conclusion : Based on these results, home-based action observation training may be an effective upper extremity intervention strategy for tumor-induced hemiparetic patient.

• The Journal of Korean Physical Therapy
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• v.28 no.2
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• pp.106-111
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• 2016

Purpose: The aim of this study is to determine the effect of glenohumeral (GH) rotation position in modified knee push-up plus exercise (MKPUP) by examining the surface electromyography (EMG) amplitude in serratus anterior (SA), pectoralis major (PM), and upper trapezius (UTz) and the activity ratio of each muscle. Methods: A total of 22 healthy subjects volunteered for the study. Each subject performed the MKPUP at $0^{\circ}$, $45^{\circ}$, and $90^{\circ}$ of GH joint internal rotation. EMG of the SA and PM, UTz was compared between GH rotation positions and each muscle activity ratio. EMG was used to measure the muscle activity in terms of ratios to maximal voluntary isometric contraction (MVIC). Results: The difference in EMG activity during the exercise in three GH joint internal rotation positions was observed with the SA and the PM. The greater the GH joint internal rotation angle was, the lower the activity of the PM. In contrast, the SA showed higher activity. However, the activity of UT was similar under all conditions. The ratio of the SA and the PM was considerably greater at $90^{\circ}$ GH joint internal rotation than at $0^{\circ}$ and $45^{\circ}$. Conclusion: When excessive activation of the PM or imbalanced activation between the PM and the SA occurs, the MKPUP exercise is most effective at $90^{\circ}$ of GH joint internal rotation. Use of this position would be a beneficial strategy for selective strengthening of the SA and minimizing PM activation.

• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.767-777
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• 2002

The purpose of this study was to construct a grounded theory as the basis for developing future nursing interventions by describing and analyzing the holistic lives of the physically handicapped adolescents. The subjects were 10 physically handicapped adolescents who were attending a rehabilitation school located in Kyunggi region and could understand and respond to the questions. The aim and purpose of the study were explained to the subjects, and only those who accepted to participate in the study were selected as the actual study subjects. The study data were collected from July to November 2000. The investigators provided detailed explanations to the subjects about keeping the anonymity of the subjects name and confidentiality of the information provided by the study subjects. The subjects received in-depth interviews by the investigators. Each interview took about 40 minutes to 1 hour and 30 minutes, and each subject received interviews with the range of one to 3 times. All interviews were recorded under the permission of the subjects. The investigators formed field notes after finishing each interview. In the process of data analysis, 'realizing the difficulty due to physical handicap' was found to be the causal condition, whereas' acceptance of physical handicap' was identified as the context. Then, we identified' awaring as the valuable being' as the core phenomenon, 'support from family and social group and spiritual help' as the intervening condition, 'effort for adaptation' as the strategy, and' finding the meaning of life' as the consequence. Through the theoretical model derived from this study, an important aspect the lives of physically handicapped adolescences was identified that' awaring as the valuable being' help them cope better and find the meaning of life in spite of suffering they experience.

• Health Policy and Management
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• v.23 no.1
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• pp.90-100
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• 2013

Background: This study examined the relationships of dementia, stroke, and combined multimorbidity with long-term care utilizations among older people in South Korea. Methods: A nationally representative sample of 10,130 older adults who used long-term care services in 2010 were analyzed. We used the 5% sample of aged 65 years or older linked with National Health Insurance Corporation registry data of long-term care insurance system. The sample was categorized into three groups: dementia only (47.6%), stroke only (36.3%), and both dementia and stroke (16.1%). We estimated the use of institutional care, home care, and total expenditure of long-term care services, adjusting for the severity of each function (such as daily life, behavior or cognitive change, nursing care needs, and rehabilitation care needs) and sociodemographic characteristics. Results: Having dementia symptoms was positively associated with the use of institutional care services, on the other hand, having stroke symptoms was positively related with the use of home care. The total long-term care cost was higher in the group of having both dementia and stroke. Conclusion: Older persons with dementia symptoms and stroke symptoms have different patterns of long-term care utilization, and the multimorbidity increased the overall expenditure of long-term care utilization. These findings imply a need for differentiated management strategy targeting physically and cognitively impaired older persons, and special concerning for persons with multimorbidity conditions for long-term care insurance program in Korea.

• Journal of Korean Physical Therapy Science
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• v.16 no.2
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• pp.1-9
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• 2009

Background: The ability for backward walking is considered to be necessary for the neuromuscular control and maintenance of balance in daily ambulatory activity. This study aimed to determine the effect of backward walking training on the walking speed and balance control in patients with hemiplegia. Methods: Fourteen patients with hemiplegia were randomly allocated to an experimental and control groups of seven patients each. For the experimental group, we performed both conventional training and backward walking training, and conventional training only for the control group. The conventional training programs for the 2 groups were conducted for 30 min, twice a day, 5 times a week for 4 weeks, and backward walking training for the experimental group was conducted for 30 min, 3 times a week. The outcomes were assessed using the functional reach test (FRT), timed up-and-go (TUG) Test, and the 10 meter walk time test (10mWT). Result: A comparison of the FRT, TUG test, and 10mWT scores obtained before and after the 4-week treatment revealed statistically significant differences (p<.05) for the experimental group; however, there was no such difference in the case of the control group (p>.05). On assessment after the 4-week treatment, statistically significant differences were noted in the TUG test and 10mWT scores of the experimental group (p<.05). Conclusion: Our findings suggest that backward walking training is an effective clinical strategy for improving the walking speed and functional mobility of patients with hemiplegia.

• The Journal of Pediatrics of Korean Medicine
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• v.17 no.1
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• pp.141-155
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• 2003

Method : Chronic motor tic or vocal tic disorders are characterized which have one of the two kinds of tics for more than a year. It is characterized chronic motor tic or vocal tic disorders that have one of the two kinds of tics for more than a year. But Tourette's disorder is a disease which has one or more motor tics and vocal tics for more than a year. Contemporary empirical studies have suggested the rate of comorbid attention-deficit hyperactivity disorder(ADHD) or obsessive compulsive disorder(OCD) in children with tic disorders be high. Objects : As society is confusing, tic disorders are increasing. Therefore, determining the treatment strategy in children with tic disorders is very important. So we studied the literatures of traditional chinese medicine about tic disorders and reported the results. Results : The principals for medical treatment were So-gan(疏肝), I-gi(理氣), Sik-pung(熄風), Gin-kyung(鎭痙), Chung-oel(淸熱) etc. Medicines treatment is used more than acupuncture treatment. The herbs are used Uncariae ramulus et Uncus(釣鉤藤), Paeoniae Radix Alba(白芍藥), Poria(白茯岺), Glycyrrhizae Radix(甘草), Bupleuri Radi.x(柴胡), Fossilia ossis Mastodi(龍骨) etc. in the order named. Acupuncture points were used Naegwan(PC6), Shinmuin(HT7), P'ungnyur4(ST40), Paek'oe. (GV20), Chung-wan(CV12), Samumgye(SP6), Kongson(SP4), T'aech'ung(LR3) and so on.