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The Effects of Walking and Turning and Treadmill Training on Postural Balance and Walking in People with Parkinson's Disease

  • Bang, Dae-Hyouk;Jeong, Wang-Mo
    • PNF and Movement
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    • 제17권2호
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    • pp.189-197
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    • 2019
  • Purpose: The aim of our study was to evaluate the therapeutic effects of walking and turning plus treadmill training on the functional balance and walking ability of individuals with Parkinson's disease (PD). Methods: Twenty-four participants with Stage 1 to 3 ($2.13{\pm}0.64$) PD based on the Hoehn and Yahr scale were randomly allocated to the experimental group (EG) and control group (CG), with 12 participants in each group. The measured outcomes included the motor subscale of the unified Parkinson's disease rating scale (UPDRS-M), the Berg balance scale (BBS), the Timed Up and Go (TUG) test, the 10-meter walk test (10MWT), and the 6-minute walk test (6MWT). Results: Pre-to-post intervention improvements were noted for all the outcome measures for both groups (p < 0.05). Post intervention, there was a significant improvement in the EG compared to the CG for the following measured outcomes (p < 0.05): UPDRS-M (p = 0.021; 95% CI, 0.081-6.519), BBS (p = 0.042; 95% CI, 1.375-4.541), TUG (p = 0.034; 95% CI, -3.315--0.143), 10MWT (p = 0.011; 95% CI, -2.032--0.289), and 6MWT (p = 0.002; 95% CI, 24.39-91.273). Conclusion: Our study suggests that walking and turning plus treadmill training improves balance and walking compared to treadmill training only in patients with PD.

성인여성의 건강행위에 관한 연구 (An Exploration of Adult Women Health-Behaviors)

  • 김명희;전미영
    • 한국보건간호학회지
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    • 제16권2호
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    • pp.239-253
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    • 2002
  • Health care for women regularly focuses on the reproductive system to the exclusion of other health needs. The lack of research focusing on women's common health issues is a major problem to the enhanced optimal level of women's health. Health care providers have to recognize biological and social differences between men and women. This study was conducted to identify the baseline data and their correlation of health perception, health behavior, and health status of adult women for developing nursing intervention. The study was a descriptive correlational design. A convenient sampling method was used for collecting data from 103 adult women, over 18 years of age, during the period from Sep 1 to Nov 30, 2001. The study's subjects were interviewed using a structured questionnaire. The instruments for this study were the health perception scale modified by Lee(1985) based on the tool developed by Ware(1977) and Jenkins (1966), and the health behavior scale by Ko, Kumja(1987). Health status was measured by the short form Cornell Medical Index(CMI) modified by Nam, Hochang(1965). The data were analyzed SPSS PC+, by frequency, mean, t-test, ANOVA, and Pearson correlation coefficients. Also, the Duncan test was utilized for a post hoc test of ANOVA. The results of this study are as follows: 1. The mean score for health perception was 3.02(S.D=0.39) on a 5 point scale. 2. The mean score for health behavior was 3.08(S.D=0.43) on a 5 point scale. 3. The mean score for health status was 18.54 on 58 items. The mean score for physical symptoms of a subscale of health status was 11.30 on 36 items and the mean score for psychological symptoms was 7.37 on 22 items. 4. The relationship of sociodemographic variables to health perception. health behavior, and health status of women.: 1) There were significant differences in the scores of health perception by disease experience(t=-3.37, p=0.00). 2) There were significant differences in the scores of health behavior by age(F=10.52, p=0.00), height(F=4.73, p=0.01), marital status(t=-5.56, p=0.00), educational background(t=2.90, p=0.00), and drinking or non-drinking(t=2.17, p=0.03). 3) There were significant differences in the scores of health status by educational background(t=2.28, p=0.02) and disease experience(t=2.61, p=0.01). 5. Health perception showed significant positive correlation with health behavior(r=0.39, p=0.00). Health perception showed significant negative correlation with health status(r=-0.44, p=0.00), that is, the more women perceived health, the less she complained about unhealthy symptoms. Health behavior had no significant correlation with health status but showed a positive correlation with psychological symptoms of a subscale of health status(r=-0.19, p=0.05). Many of the leading causes of disease are preventable through changes in health perception and behavior. The need to increase individual awareness of relationships among health perception, health behavior, and health status and to enhance knowledge regarding the long-term effects of positive health behaviors, is an important nursing strategy for women's health promotion.

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Promoting Attendance at Cervical Cancer Screening: Understanding the Relationship with Turkish Womens' Health Beliefs

  • Demirtas, Basak;Acikgoz, Inci
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.333-340
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    • 2013
  • Background: The aim of the study was to identify the relationship between 'Health Belief Model Scale for Cervical Cancer and the Pap Smear Test' subscale scores and demographic/gyneco-obstetric characteristics. Materials and Methods: This cross-sectional study was conducted with 256 women. Data were obtained using the 'Demographic and Gyneco-Obstetric Identification Form' and the 'Health Belief Model Scale for Cervical Cancer and the Pap Smear Test. Results: The percentage of women who had heard about the Pap test was 77.7 whereas only 32.4% had actually undergone the test. Some 45.7% of the women stated that they did not know the reason for having a Pap test. Women who had obtained a Pap smear test had statistically significantly fewer perceived barriers than those who had never had (p<0.05). Scores with regard to the subscales including 'Benefits of Pap Smear Tests and Health Motivation', 'Perceived Seriousness of Cervical Cancer', 'Susceptibility to Cervical Cancer' and 'Cervical Cancer Health Motivation' did not differ with demographic/gyneco-obstetric characteristics such as womens' educational level, whether or not young age at first marriage, whether or not having family history of female cancer, and whether or not having had a Pap test (p>0.05). Conclusions: Increasing knowledge about benefits of Pap smear tests, increasing motivation to obtain Pap Smear Test and increasing perceived seriousness of cervical cancer could promote attendance at cervical cancer screening. Different strategies are needed for behavioural change. Implementation of educational programmes by nurses in a busy environment could result in a major clinical change, based on the findings of this study.

아동의 문제행동과 관련된 어머니 양육행동 및 사회적 지원 (Effects of Maternal Parenting Behavior and Social Supports on Children's Problem Behaviors)

  • 김지현;한준아
    • 가정과삶의질연구
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    • 제30권6호
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    • pp.1-11
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    • 2012
  • We investigated the effects of maternal parenting behavior and social supports on children's problem behaviors. The participants are 148 elementary school children and their teachers from one elementary school in Seoul. The data were analyzed by using descriptive statistics, correlation analysis, t-test, and multiple regression. The major findings are summarized as follows: (1) there were differences in maternal parenting behavior(warmth), teacher support, and internal problem behaviors according to children's gender; (2) mothers's parenting behavior(warmth) and teachers' support explained children's overt problem behaviors; and (3) mothers' parenting behaviors(supervision) and friends' support explained children's internal problem behaviors. In conclusion, there were differences between the subscale of maternal parenting behavior and social supports influencing overt problem behaviors and internal problem behaviors.

여성노인의 건강증진 생활양식 이행의 예측요인에 관한 연구 (The Study on Health Promoting Lifestyle of the Elderly Women)

  • 성미혜;임영미
    • 대한간호학회지
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    • 제33권6호
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    • pp.762-771
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    • 2003
  • Purpose: This study was undertaken in order to determine factors affecting health promoting lifestyle of elderly women. Method: The subjects were 299 elderly community residing women over the age 65 living in 2 large cities. The instruments used for this study were a survey of general characteristics, health promoting lifestyle(47items), perceived health status(6 items), self-efficacy(l7 items), and social support(18 items). The data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and Stepwise Multiple Regression. Result: The result of the study are as follows: The average item score for the health promoting lifestyle was 2.46, the highest score on the subscale was interpersonal support(M=2.83). A significant difference between age, education level, income, experience of smoking, alcohol, exercise, and health promoting lifestyle were found. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was social support(55%). Conclusion: Social support accounted for 54% of the variance in health promoting lifestyle in the elderly women. Therefore, health promoting programs that increase social support should be developed to promote a healthy lifestyle of the elderly women.

한국 일부지역 성인의 건강행위이행에 관한 연구 (The Study on Health Behavior among Korean Adults)

  • 김애경
    • 대한간호학회지
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    • 제28권4호
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    • pp.931-940
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    • 1998
  • This study was done to describe health behavior and determine affecting factors in Korean adults, based on the Health Behavior Assessment tool. The subjects were sample of 298 adults from five cities. The instrument for this study were Health Behavior Assessment tool (30 items, 4 scale). Frequency, percentage, t-test, ANOVA, cluster analysis with SPSS program were used to analyze the data. The results of the study are as follows ; 1) The average item score for health behavior was 2.56, the highest score on the subscale was limitation of liking(M=3.16), followed by stress management (M=2.98), nutrition(M=2.82), energy conservation (M=2.67). 2) A significant difference between age, sex, perception of health, and health behavior were found. 3) Pattern of health behavior among Korean adults focused on stress management in order to obtain emotional stability, and balance and harmony in dietary life, and energy conservation. Patterns of health behavior in Korean adults is unique in each individual. Therefore nursing intervention skill for health promotion have to be developed based on the health behavior in each individual.

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이중와류 분사기를 적용한 고압 모델 연소기의 연소 특성 연구 (Combustion Characteristics of High Pressure Thrust Chamber with Single Coaxial Swirl Injector)

  • 서성현;이광진;한영민;김승한;김종규;설우석
    • 한국연소학회:학술대회논문집
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    • 대한연소학회 2003년도 제27회 KOSCO SYMPOSIUM 논문집
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    • pp.131-136
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    • 2003
  • Experimental study on combustion characteristics of double swirl coaxial injectors has been conducted for the assessment of critical design parameters of injectors. A subscale thrust chamber has been fabricated with a water-cooled copper nozzle, which allows a chamber to be reused without replacing parts. Two different designs of injectors have been tested for the understanding of the effects of recess length on combustion. Clearly, the recess length drastically affects the combustion efficiency and hydraulic characteristics of the injector. Internal mixing of propellants in the injector with the recess number of two increases a combustion efficiency and reveals sound combustion although a pressure drop required for the similar amount of mass flow rates increases compared with the injector of the recess number of one.

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청소년 성발달 평가척도 개발을 위한 예비연구 (A Preliminary Study on the Sexual Development Assessment Scale for Adolescents)

  • 하은혜;유미숙;조유진
    • 아동학회지
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    • 제26권1호
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    • pp.279-297
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    • 2005
  • The purpose of this preliminary study was to test the validity and reliability Sexual Development Assessment Scale for Adolescents. Subjects were 579 middle school and 504 high school students in Seoul and Gyeonggido. Statistical analyses were by factor analyses, Cronbach's ${\alpha}$, $x^2$ value and Cramer's V. Construct validity was composed with 10 factors on sexual Development Assessment Scale for middle school students and 12 factors for high school students. Reliability of each subscale was high and the item discrimination, $x^2$ value and Cramer's V were also meaningful.

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유도탄 탄두의 전방구조물 완충효과 연구 (Study on Shock Absorb Effect in front Section of Missile Warhead)

  • 염기선
    • 한국군사과학기술학회지
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    • 제7권2호
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    • pp.118-125
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    • 2004
  • In anti-ship missile, the seeker and guidance control units are located in front of warhead. When the missile hits target, these structures play an important role to warhead structure like a shock absorber Because the shock waves are attenuated, the survival probability of warhead increases which guarantees the explosive train. In this thesis the role of frontal sections is studies. The theoretical analysis and numerical analyses using LS-DYNA code are performed. To prove the effect of shock absorber, the penetration test using subscale prototype warhead are executed.

Effectiveness of a Mindfulness-Based Intervention in Older People Exposed to Trauma During the Jeju 4·3 Incident

  • Hyeonmi Hong;Young-Eun Jung
    • 대한불안의학회지
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    • 제19권2호
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    • pp.94-99
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    • 2023
  • Objective : We assessed the effectiveness of a mindfulness-based intervention in improving positive psychological resources in older people who were affected by the Jeju 4·3 incident. Methods : This study included 25 older people recruited from the Jeju 4·3 Trauma Center. The intervention was conducted on a once-a-week basis for six weeks. All participants completed self-report questionnaires, including the Five Facet Mindfulness Questionnaire Short Form (FFMQ) and Positive Resources Test (POREST). Results : This intervention significantly improved the total score and the nonreactivity, observing, acting with awareness, describing, and nonjudging of inner experience FFMQ scores. The interventions also significantly improved the POREST subscale scores. Conclusion : The mindfulness-based intervention significantly improved positive psychological resources in older people exposed to the Jeju 4·3 incident.