• Radiation Oncology Journal
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• v.8 no.2
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• pp.199-205
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• 1990

During a ten-year period from 1978 through 1987, 44 patients with T2NOMO glottic cancer were treated with radical radiation therapy at the Yonsei University Medical Center. Forty-two patients had a minimum follow-up of 3 years, and $81\%$ had at least five years of follow-up. Patients were staged according to the AJCC system. Forty-two patients have been analyzed in detail with respect to two variables: the status of vocal cord mobility and the degree of local extension of the disease. Five-year local recurrence free survival rates were as follows: All 42 patients, $53.3\%$ patients with normal vocal cord mobility (n =18), $69.1\%$ versus patients with impaired vocal cord mobility (n=24), $43.4\%$(p<0.05); patients with subglottic extension (n=15), $36.7$ versus patients without subglottic extension (n=29), $61.9\%$ (p<0.05). The most favorable Prognostic group included the patients with normal mobility without subglottic extension (n=14), $83.1\%$. On the basis of this analysis, we confirmed the presence of heterogeneity in T2NOMO glottic cancer This study indicates that further randomized controlled trials are warranted to evaluate.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.8 no.2
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• pp.121-134
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• 2001

The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).

• Physical Therapy Korea
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• v.17 no.2
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• pp.33-42
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• 2010

The aim of this study was to investigate correlations of the Trunk Control Test (TCT), Postural Assessment Scale for Stroke (PASS-TC), and Trunk Impairment Scale (TIS) and to compare the TCT, PASS-TC, TIS and its subscales in relation to balance, gait and functional performance ability after stroke. Sixty-two stroke patients attending a rehabilitation program participated in the study. Trunk control was measured with the use of TCT, PASS-TC, TIS balance (Berg Balance scale; BSS), gait ability (10 m walk test), functional performance ability (Tuned Up and Go Test TUG) and the mobility part of the Modified Barthel index (MBI), Fugl Meyer-Upper/Lower Extremity ($FM-U{\cdot}L/E$), The scatter-plot (correlation coefficient) was composed for the total scores of the TCT, PASS-TC, and TIS. The multiple regression analysis was performed to evaluate the impact of trunk control on balance, gait, and functional performance ability. Twenty eight participants (45.2%) and twenty participants (32.3%) obtained the maximum score on the TCT and PASS-TC respectively; no subject reached the maximum score on the Trunk Impairment Scale. There were significant correlations between the TIS and TCT (r=.38, p<.01), PASS-TC (r=.30, p<.05), TCT and PASS-TC (r=.59, p<.01). Stepwise multiple regression analysis showed that the BBS score (${\beta}=.420{\sim}.832$) had slightly more power in predicting trunk control than the $FM-U{\cdot}L/E$. TIS-dynamic sitting balance, TUG and the MBI-mobility part. This study 치early indicates that trunk control is still impaired in stroke patients. Measures of trunk control were significantly related with values of balance, gait and functional performance ability. The results imply that management of trunk rehabilitation after stroke should be emphasized.

• Journal of the Ergonomics Society of Korea
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• v.33 no.2
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• pp.109-124
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• 2014

Objective: This study was conducted for one-hand users including hemiplegic clients currently using general folding manual wheelchairs, so as to analyze their specific problems and recommend solutions regarding usage. Background: Traditional manual wheelchairs require considerable use and control of both hands for operation, thus adaptations become necessary for individuals with asymmetrical use of hands. Method: Thirty hemiplegic clients who were admitted to rehabilitation and convalescent hospitals participated as subjects. The research tools were general folding manual wheelchairs commonly used by people with impaired gait, and the Wheelchair Skills Tests (WST) WST-M/WCU 4.1 version was adopted as the assessment tool. All participants were asked to fill out questionnaires on demographics and wheelchair usage characteristics. Assessment procedures were performed with currently used manual wheelchairs and with/without the use of foot to control the wheelchair. Results: When the participants drove folding manual wheelchairs without the use of foot, even the lowest failure rate among the WST items tested recorded 96.7%. On the contrary, with the use of foot in maneuvering the wheelchairs, failure rates dropped noticeably and success rate among the WST items tested was as high as 86.7%. Conclusion: These findings imply that the use of one-arm (hand) propellable (drivable) wheelchair can be an active and effective solution in resolving problems for hemiplegic clients using existing manual wheelchairs. As such, the government should provide institutional support to further develop and distribute this device or technology, and promote relative research in tandem. For now, the supply of commercially available device to hemiplegic clients is deemed urgent and also a mechanism to provide the devices and relevant services. Application: This study offers viable solutions for hemiplegic clients who rely on existing manual wheelchairs to increase their mobility and occupational performance.

• Journal of the Korea Institute of Military Science and Technology
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• v.17 no.6
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• pp.853-860
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• 2014

This paper introduces a Korean rescue robot and presents a whole body kinematic control strategy. The mission of the rescue robot is to move and lift patients or soldiers with impaired mobility in the battlefields, hospitals and hazardous environments. In order for a robot to rescue and assist humans, reliable mobility in various environments, large load carrying capacity, and dextrous manipulability are required. For these objects the robot has variable configuration mobile platform with tracks, dual arm manipulator, and two types of grippers. The electric actuators provide the strength to lift a wounded soldier up to 120 kg using whole body joints. To control the robot with multi degree of freedom, we need to synthesize complex whole-body behaviors, and to manage multiple task primitives systematically. We are to present a whole body kinematic control methodology, and demonstrate its effectiveness through numerical simulations.

• Journal of Digital Contents Society
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• v.5 no.3
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• pp.239-244
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• 2004

New developments in IT already impact wide segments of a young and mobile population. It is evident that applications of information technology can be of equal benefit to the aged and the disabled. `Eye-Gaze'(EGI) technology was designed for people with paralysis in the upper body. There is a compeling need for a dedicated Korean Language interface for this system. The purpose of this study is to research 'Barrier Free' software using a control group of the mobility impaired to assess the Eye-Gaze Interface in the context of more conventional input methods. TheEGI of this study uses Quick Glance System of Eye Tech Digital Systems. The study will be evaluated on criteria based upon the needs of those with specific disabilities and mobility problems associated with aging. We also intend to explore applications of the Eye-Gaze Interface for English and Japanese devises, based upon our study using the Hangul phonology.

• Journal of Korean Society of Transportation
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• v.31 no.5
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• pp.79-88
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• 2013

Recently, due to THE MOBILITY ENHANCEMENT FOR THE MOBILITY IMPAIRED ACT, local governments have tired to make various efforts on special transport services(STS), low-flow bus, and installing elevator in subway stations for handicapped people. But in case of STS, insufficient numbers of taxi are raised against the increasing demand of hadicapped people due to the limited budget. This study investigated actual use condition of STS and characteristics of selection of handicapped people on Duribal. In addition, an ordered-logistic model was employed for developing taxi use prediction model considering taxi fare discounts for diverting Duribal demands to taxies. The results can be a significant basic data for transportation policies to improve travel efficiency of the handicapped.

• Physical Therapy Rehabilitation Science
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• v.2 no.1
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• pp.7-11
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• 2013

Objective: Final goal of nerve advancement therapy is to provide maximum ability to function independently in life to patients. This paper appraises and describes basic concepts of the virtual reality (VR) based exercise program to improve functional movement for neurologically impaired patients. Design: Review article. Methods: Stroke patients from the physical therapy department while wearing comfortable clothing receive therapy and also VR based motion therapy administered by the therapist in charge. After evaluation of stroke patients, therapy includes an exercise program that is suitable for use with stroke patients; stroke patients wear head-mounted display while in front of the computer, where the camera is located; they follow the action on the screen and the computer perceives the operation of the stroke patients according to subject accomplishment. Results: According to obstacle condition of stroke patients using the method, which is various environments after setting, in stroke patients, there is a possibility of presenting suitable therapeutic environments. The display presentation of the method, which is identical, causes difficulty for all stroke patients. According to subject accomplishment; stroke patients result in execution of repetition training and deepening study, which leads to mobility. Conclusions: The VR based rehabilitation training programs is a difference of the existing video training program, is immediate feedback and compensation method. It will provide rehabilitation training services for the family of the patient whose condition could be improved with rehabilitative therapy where it is a continuous circumstance as a matter of the social welfare facility therapy.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.17 no.9
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• pp.2377-2398
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• 2023

In our daily lives, we engage in a variety of tasks that rely on our senses, such as seeing. Blindness is the absence of the sense of vision. According to the World Health Organization, 2.2 billion people worldwide suffer from various forms of vision impairment. Unfortunately, blind people face a variety of indoor and outdoor challenges on a daily basis, limiting their mobility and preventing them from engaging in other activities. Blind people are very vulnerable to a variety of hazards, including falls. Various barriers, such as stairs, can cause a fall. The Internet of Things (IoT) is used to track falls and send a warning message to the blind caretakers. One of the gaps in the previous works is that they were unable to differentiate between falls true and false. Treating false falls as true falls results in many false alarms being sent to the blind caretakers and thus, they may reject the IoT system. As a means of bridging this chasm, this paper proposes an intelligent shoe that is able to precisely distinguish between false and true falls based on three sensors, namely, the load scale sensor, the light sensor, and the Flex sensor. The proposed IoT system is tested in an indoor environment for various scenarios of falls using four models of machine learning. The results from our system showed an accuracy of 0.96%. Compared to the state-of-the-art, our system is simpler and more accurate since it avoids sending false alarms to the blind caretakers.

• International Journal of Internet, Broadcasting and Communication
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• v.15 no.1
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• pp.97-112
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• 2023

The purpose of this study is to design and test a new way of public transportation route guidance system for persons with disabilities, including wheelchair users. The guidance system is smartphone app-based, using, routes that involve disabled-friendly facilities in the vicinity can be searched. A database that contains publicly available data on low-floor bus services, location and extent of disabled-friendly facilities, and suitable subways and stations, was developed for this purpose. The app uses the database to access and query the required information. A pilot study was conducted to test the effectiveness of the guidance system. It was found that the system was able to convey information about the disabled-friendly routes and related guidance information even inside subway stations, effectively. The performance of the system was compared with route guidance services that do not explicitly use data on disabled-friendly services. A notable difference was observed in the travel time estimated by this program and other guidance services. The difference was around 4 to 15 minutes. This is significant savings for persons with disabilities if they use the app and service. The study thus shows that exclusive use of disabled-friendly data in route guidance will bring more benefits for persons with disabilities.