• Asian Pacific Journal of Cancer Prevention
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• v.16 no.6
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• pp.2431-2440
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• 2015

Background: Registry data from four major public hospitals indicate trends in clinical care and survival from colorectal cancer over three decades, from 1980 to 2010. Materials and Methods: Kaplan-Meier productlimit estimates and Cox proportional hazards models were used to investigate disease-specific survival and multiple logistic regression analyses to explore first-round treatment trends. Results: Five-year survivals increased from 48% for 1980-1986 to 63% for 2005-2010 diagnoses. Survival increases applied to each ACPS stage (Australian Clinico-Pathological Stage), and particularly stage C (an increase from 38% to 68%). Risk of death from colorectal cancer halved (hazards ratio: 0.50 (0.45, 0.56)) over the study period after adjusting for age, sex, stage, differentiation, primary sub-site, health administrative region, and measures of socioeconomic status and geographic remoteness. Decreases in stage were not observed. Survivals did not vary by sex or place of residence, suggesting reasonable equity in service access and outcomes. Of staged cases, 91% were treated surgically with lower surgical rates for older ages and more advanced stage. Proportions of surgical cases having adjuvant therapy during primary courses of treatment increased for all stages and were highest for stage C (an increase from 5% in 1980-1986 to 63% for 2005-2010). Radiotherapy was more common for rectal than colonic cases. Proportions of rectal cases receiving radiotherapy increased, particularly for stage C where the increase was from 8% in 1980-1986 to 60% in 2005-2010. The percentage of stage C colorectal cases less than 70 years of age having systemic therapy as part of their first treatment round increased from 3% in 1980-1986 to 81% by 1995-2010. Based on survey data on uptake of adjuvant therapy among those offered this care, it is likely that all these younger patients were offered systemic treatment. Conclusions: We conclude that pronounced increases in survivals from colorectal cancer have occurred at major public hospitals in South Australia due to increases in stage-specific survivals. Use of adjuvant therapies has increased and the patterns of change accord with clinical guideline recommendations. Reasons for sub-optimal use of radiotherapy for rectal cases warrant further investigation, including the potential for limited rural access to impede uptake of treatments at metropolitan-based radiotherapy centres.

• The Journal of Korean Physical Therapy
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• v.19 no.5
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• pp.87-96
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• 2007

Purpose: It remains controversial for the effect of daily functioning and quality of life on therapeutic exercise after stroke. The purpose of this study was to describe the effects on daily functioning and QOL. Methods: Outcome measures of daily functioning included, such as the Functional Independence Measure (FIM), Barthel index. Outcome measures of QOL included, such as Stroke Impact Scale(SIS) and the Medical Outcomes Study short-form 36-item questionnaire(SF-36). Results: 125 stroke patients were recruited, who were in or outpatients. The average age was 55.4 years. 64.8% were male. The mean Bathel index and FIM score was 63.7 and 87.5. The mean SIS score were higher in communication and mean SF-36 score were higher in physical pain. In/out patients are associated with SIS (communication, emotion) and SF-36(social function, energy or fatigue). Sex are associated with SF-36 (physical function). Other disease state are associated with SIS(hand function) and SF-36 (physical function). Paralysis portion are associated with SIS(communication, daily activity). Barthel index are associated with SIS(communication, mobility) and SF-36(social function, physical function, role limits due to emotional problems). Conclusion: These findings may provide the useful with rehabilitation professionals, who specilalized in the importance of QOL in designing treatment modalities.

• Journal of the Korean Society of Physical Medicine
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• v.10 no.4
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• pp.81-90
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• 2015

PURPOSE: The purpose of this study was to compare the muscle architecture of serratus anterior and lower trapezius using rehabilitative ultrasound imaging (RUSI) in affected and unaffected side of chronic stroke patients. METHODS: The participants were thirty five patients with stroke hemiplegia in this study. RUSI was used to measure the muscle thickness of the serratus anterior and lower trapezius muscles. We compared the muscle thickness according to affected side and sex, determined the reliability of the measurement image. Independent t-test, intra-class correlation coefficient (ICC) and standard error of measurement (SEM) were used for statistical analysis. RESULTS: Significant difference in muscle thickness of serratus anterior was observed between affected and unaffected side (p<.001). Muscle thickness according to gender showed a significant difference in unaffected side of serratus anterior (p<.05). Compare asymmetry ratio of serratus anterior and lower trapezius muscle thickness showed a significant difference (p<.001). ICC for intra-reliability was .944~.962 in serratus anterior and .873~.925 in lower trapezius muscle thickness, respectively. SEM was .001~.004 in serratus anterior and .002~.008 in lower trapezius muscle. CONCLUSION: This study, using RUSI, showed significant difference in muscle thickness of serratus anterior in affected and unaffected side of stroke patients. RUSI is a practical tool for measuring soft-tissue thickness in the scapular region muscle of stroke.

• Journal of Korean Physical Therapy Science
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• v.1 no.2
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• pp.265-273
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• 1994

In order to investigate the subjective symptoms of VDT workers according to the working condition, this qutionnaire survey was conducted on 477 workers of 11 general hospitals, 15 banks and 9 research institutions in Taejon city and Chungnam province from June, 1993 to october 1933. The following results were obtained : 1. The main subjective symptoms answered by VDT workers were "eye strain". "eye pain". "blurred vision" for eye symptoms, "fatigue", "tendency to be fed up", "impatience" for psychoneurotic symptoms and "shoulder stiffness", "neck stiffness", "low back pain" for musculoskeletal symptoms. Most of these symptoms of VDT workers higher in female than male. 2. The number of VDT workers who complained eye and musculoskeletal symptoms were significantly increased. Smoking VDT workers showed higher complained rate of eye, psychoneurotic and musculoskeletal symptoms than nonsmoking group but alcohol drinking group showed higher rate of symptoms complaints of eye and musculoskeletal symptoms than not drinking alcohol group. 3. The VDT wokers who worked longer hours continuously and more hours of daily work, complained more frequent eye and musculoskeletal symptoms. 4. All subjective symptoms showed positive correlation to the sex and daily VDT working hours.

• Journal of the Korean Society of Physical Medicine
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• v.4 no.2
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• pp.125-131
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• 2009

Purpose：This study performed to evaluate the effect of hip fracture among persons over 50 years old, in Jeju-do, Korea, on mortality, activity of daily living(ADL). Methods：Three hundred eighteen patients over to 50 years of age who lived in Jeju-do and sustained a hip fracture from January 1st 2003 to December 31th 2004 were recruited. The information collected from the hospital records for each patient included age, sex, date of onset, and patients investigated activity grade, ADL, outdoor walking aid on 3month, 6month and 12month. Results：The incidence was 12.5/10,000 for total patients(female 17.0/10,000, male 6.3/10,000) in population over 50 years old. Patients who had lower activity grade and ADL level, showed higher mortality, and patients using outdoor walking aid showed higher mortality. Conclusion：The activity grade, ADL level, Using of outdoor walking aid affect mortality, so more programs about ADL must be developed for the life span and quality of life.

• Journal of Nutrition and Health
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• v.22 no.4
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• pp.275-289
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• 1989

The purpose of this study is to develop a computer system with data file and computerized programs for nutrition counseling. In this research, a 16 / XT personal computer (word : COBOL) compatible with IBM-PC/XT was used. Computer system developed for this study was as follows: Data files(food composition list, food exchange list, nutrition management comment, special diet therapy) were used for analysis the nutritional status and the ntrition education comment. (1) Programs for the nutritional status assessment 1) General information a) Name, age, sex, higher, weight, activity, disease and special diet b) Ideal body weight and Obesity assessment(Kaup index and Broca index) c) Rest and athletics status d) Biochemical data comparision with standard 2) Food Intakes 3) Nutrient Intakes a) Comparison of the amounts intaked with the recommended dietary allowances for present weight. b) Comparison of the energy composition rate intaked with the recommended dietary allowances for present weight. b) Comparison of the energy composition rate intaked with the recommended for present weight and ideal weight. c) Nutrient analysis by each meal and snack. 4) Food intakes from each food group and comparison with recommended 5) Special nutrient analysis. (2) Programs for the nutrition education based on nutritional status assessment. 1) Suggestion of number of food exchange group 2) Nutritional assessment and advise comments 3) Nutritional management comments 4) Special diet therapy In the study, the nutritioal status and nutrition education comments are based on individual data from nutrition counseling.

• Journal of Digital Convergence
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• v.16 no.11
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• pp.633-638
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• 2018

The number of individuals with spinal cord injuries in the most countries is rising each year. However, it is reported that most of them have sexual problem, however lack of research on deal with the issues related to sex identity and maladjustment in rehabilitation counseling setting. The purpose of this article: (a) to possess an adequate knowledge of the sexual problems facing individuals with spinal cord injuries; (b) to review past research on sexuality counseling with people who have spinal cord injuries; and (c) to present for some strategies for people with spinal cord injuries in order to sexuality adjustment, through Cognitive Behavior Therapy. Some suggestions are presented.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.4 no.1
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• pp.21-33
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• 1998

This Evaluation was made through 300 persons who had attended the lecture organized by O. M. P. T. (Orthopeadic Manual Physical Therapy) during the period of January to June 1998 in Seoul and in other six(6) cities. The result of evaluation is summarized as follows : 1. With regard to general satisfaction with lecture, it was evaluated as 'more than good 'by 204 person(68.0%) for 'Preparation for lecture of lecturer' and by 194 person (64.7%) for 'Teaching Method'. Statistically, the significance was largely given to 'Place and Preparation for Lecture of Lecturer' and 'Preparation for Lecture as per each Lecturer' (P< 0.001). 2. With regard to understanding of lecture, it was evaluated as 'more then good' by 190 persons(63.3%) for 'Appropriate Teaching Hours' and by 149 persons(49.7%) for 'Appropriate Degree of Lecture Difficulties'. Statistically, the significance was largely given to 'Lecturer and Appropriateness of Teaching Hours' (P< 0.05) and 'Appropriateness of Teaching Courses and Degree of Lecture Difficulties' (P< 0.01). 3. With regard to satisfaction with lecture's performance, it was evaluated as 'more than good' by 194 persons(64.7%) for 'Lecturer's Zeal for Teaching' and by 198 persons(66.8%) for 'Suitability of Textbook'. Statistically, the significance was largely given to 'Sex Distinction and Lectuer's Zeal for Teaching' (P< 0.01) and 'Lecturer and Suitability of Textbook' (P< 0.05). 4. With regard to teaching environment, it was evaluated as 'more than good' by 102 persons(37.4%) for 'Appropriateness of Teaching Environment' and by 193 persons(64.3%) for 'Provision of Appropriate Audio-Visual Aids for Teaching'. Statistically, the significance was largely given to 'Place and Appropriateness of audio-visual aids for Teaching' (P<0.05). 5. With regard to parctical use of lecture, it was evaluated as 'more than good' by 172 persons(54.7%) for 'Usefulness to clinical demonstration' and by 209 person(69.6%) for 'Attitude towards study'. With the result of evaluation made as in the above, we are able to see that the education of orthopedic physical therapy which is organized by Orthpedic Physical Therapy Society of Korea, is being successfully conducted and evaluated by its members, and furthermore the staff of this society has to make his best endeavoures for the growth of this society and for the development of this education.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.2
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• pp.691-694
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• 2014

Background: Tumor length in patients with esophageal cancer (EC) has recently received great attention. However, its prognostic role for EC is controversial. The purpose of our study was to characterize the prognostic value of tumor length in EC patients and offer the optimum cut-off point of tumor length by reliable statistical methods. Materials and Methods: A retrospective analysis was conducted on 71 consecutive patients with EC who underwent surgery. ROC curve analysis was used to determine the optimal cut-off point for tumor length, measured with a handheld ruler after formalin fixation. Correlations between tumor length and other factors were surveyed, and overall survival (OS) rates were compared between the two groups. Potential prognostic factors were evaluated by univariate Kaplan-Meier survival analysis. A P value less than 0.05 was considered significant. Results: There were a total of 71 patients, with a male/female divide of 43/28 and a median age of 59. Characteristics were as follows: squamous/adenocarcinoma, 65/6; median tumor length, 4 (0.9-10); cut-off point for tumor length, 4cm. Univariate analysis prognostic factors were tumor length and modality of therapy. One, three and five year OS rates were 84, 43 and 43% for tumors with ${\leq}4cm$ length, whereas the rates were 75, 9 and 0% for tumors >4 cm. There was a significant association between tumor length and age, sex, weight loss, tumor site, histology, T and N scores, differentiation, stage, modality of therapy and longitudinal margin involvement. Conclusions: Future studies for modification of the EC staging system might consider tumor length too as it is an important prognostic factor. Further assessment with larger prospective datasets and practical methods (such as endoscopy) is needed to establish an optimal cut-off point for tumor length.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.5 no.1
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• pp.27-38
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• 1999

This evaluation was made through 1219 persons who had attended the lecture organized by O.M.T.( Orthopeadic Manual Therapy ) during the period of January to December 1998 in Seoul and in other 11 cities. The result of evaluation is summarized as follows : 1. With regard to general satisfaction with lecture, it was evaluated as 'more than good 'by 919 person(75.6%) for Preparation for lecture of lecturer' and by 969 person (71.4%) for 'Teaching Method'. Statistically, the significance was largely given to 'Couse and Preparation for Lecture of Lecturer' and 'Preparation for Lecture as per each Lecturer' (P< 0.001). 2. With regard to understanding of lecture, it was evaluated as 'more then good' by 675 persons(55.4%) for 'Appropriate Degree of Lecture Difficulties'. Statistically, the significance was largely given to 'Appropriateness of Teaching Courses and Degree of Lecture Difficulties' (P< 0.001). Degree of Lecture Difficulties' (P< 0.001). 3. With regard to satisfaction with lecture's performance, it was evaluated as 'more than good' by 969 persons (87.7%) for 'Lecturer's Zeal for Teaching" and by 751 persons(61.6%) for 'Suitability of Textbook'. Statistically, the significance was largely given to 'Sex Distinction and Lectuer's Zeal for Teaching' (P< 0.001) and 'Lecturer and Suitability of Textbook' (P< 0.001). 4. With regard to teaching environment, it was evaluated as 'more than good' by 464 persons(38.2%) for 'Appropriateness of Teaching Environment' and by 751 persons(61.8%) for 'provision of Appropriate Audio-Visual Aids for Teaching', Statistically, the significance was largely given to 'place and Appropriateness of audio-visual aids for Teaching' (P< 0.001). 5. With regard to parctical use of lecture, it was evaluated as 'more than good' by 805 persons(67.5%) for 'Usefulness to clinical demonstration' and by 873 person(71.7%) for 'Attitude towards study'. With the result of evaluation made as in the above, we are able to see that the education of orthopedic physical therapy which is organized by Orthpedic Physical Therapy Society of Korea, is being successfully conducted and evaluated by its members, and furthermore the staff of this society has to make his best endeavoures for the growth of this society and for the development of this education.