• Title/Summary/Keyword: Treatment support

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Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis (혈액투석 환자의 역할행위이행 영향요인)

  • Jeon, Hyun Mi;You, Hye Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.1
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    • pp.23-31
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    • 2019
  • Purpose: This study was a descriptive survey research to identify the factors that influence sick role behavior compliance in patients on hemodialysis. Methods: Structured surveys were used to collect data from 170 patients who are on hemodialysis three times a week through outpatient care at a university hospital located in G City using tools measuring resilience, family support, and sick role behavior compliance. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and Stepwise multiple linear regression. Results: The results showed that factors that influenced sick role behavior compliance in the subjects were in the order of family support (${\beta}=.27$, p<.001), age (${\beta}=.27$, p<.001), and resilience (${\beta}=.23$, p=.003). Resilience, family support, and sick role behavior compliance were positively correlated. Factors influencing hemodialysis patients' sick role behavior compliance included family support, age, and resilience. These variables explained 30.2% of the variance in sick role behavior compliance. Conclusion: Based on these results, care intervention and the development of a training program that involves family in the treatment plan and process to support and encourage patients are needed to increase the sick role behavior compliance in patients on hemodialysis.

The Effect of Trunk Stability Exercise on Balance and Gait in Stroke Patients (체간 안정화 운동이 뇌졸중 환자의 균형과 보행에 미치는 영향)

  • Song, Ju-Min;Kim, Soo-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.3
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    • pp.413-420
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    • 2010
  • Purpose : The purpose of this study was to demonstrate the effect of trunk stability exercise on various support base and posture on gait speed, static and dynamic balance performance. Methods : Included 17 persons with stroke who were living in the community. Trunk stability exercise program was conducted three times per week, 50 minutes per session, for 8 consecutive weeks. Subjects were tested with 10 m walking test(sec), multidirectional reach test (cm), timed get up and go test(sec) and K.A.T.3000 at both (pre and post treatment) time points. Paired t-test was used to exam mean differences between pre and post treatment by using SPSS 12.0. Results : After 8 weeks exercise program, there were significant differences in gait speed, static and dynamic balance performance(p<0.05). Conclusion : This study have shown that trunk stability exercise on various support base and posture improve physical functions(gait speed, static and dynamic balance performance).

Development of Large-Scale Aluminum Castings of Air Bag Support Components for the Korean High Speed Trains (한국형 고속전철 객차 연결부 에어백 지지부 대형 알루미늄 주물의 개발)

  • Yoo, Seung-Mok;Nam, Jeong-Ho;Kim, Jeong-In;Lim, Chae-Ho;Kim, Young-Hyun;Park, Soo-Hyun
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.2046-2052
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    • 2008
  • For the lighting of vehicles structural casting components of aluminum casting alloys are substituted for those of steel or iron. For the manufacturing of large-scale premium quality aluminum castings the developments of a new casting process and a heat treatment process are necessary. The optimum casting design and heat treatment condition for large-scale castings are drawn with the help of Z-Cast software for the casting process analysis in this study. Low pressure sand casting method is applied successfully to produce air bag support components of D357 aluminum casting alloy.

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Development of Water Quality Management Model for Rural Area Using Decision Support System (의사결정지원기법을 이용한 농촌유역 수질관리모형의 개발)

  • 양영민;권순국
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 1999.10c
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    • pp.783-788
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    • 1999
  • In this study, a decision support system (DSS) was developed to calculate optimal wastetreatment cost, treatment level and treatment quantity of various pollutants for applying for in rural basin. The DSS includes a gegraphic informatino system (GIS), relational database system (RDBS), water quality models(Loading function , WASP5), watershed pollution load calculation module(SPLC), optimal water quality management plan to satisfy the water quality regulations. The system can be modified by user to trace the optimal condition for decision. The effort was conducted to apply the developed DSS to select the for optimal water quality management plan small rural basin called Kwanri Stream.

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A Development of Smart Remote Medical Direction Support App (스마트 원격 의료 지도 지원 앱 개발)

  • Eum, Sang-hee;Kim, Gi-Ryon;Kim, Gwang-yeon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.78-79
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    • 2018
  • Recently, medical technology and IT technology have been trying to converge to overcome limitations of the time and the space in medical technology application. In this study, an app was developed to support remote medical direction for emergency medical services. The developed app allows doctors in remote locations to receive real-time emergency patient situations from emergency paramedics. It can also guide the patient's condition diagnosis and emergency treatment and enable rapid response from the emergency room.

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Mental Health Factors associated with North Korean Defectors' Quality of Life

  • Rho, In-Suk;Kang, Hee-Young;Jeon, Jeung-He
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.19-27
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    • 2019
  • The purpose of this study was to assess mental health and quality of life (QOL) including factors influencing QOL among early North Korean defectors in South Korea. Participants were 151 early North Korean defectors residing in a settlement support center. All measures were self-administered. Unlike refugees living in communities, early defectors did not experience a high rate of mental health problems and reported a good QOL. Psychoticism was the most predictive factor affecting QOL. Findings from this study suggest the importance of mental health assessment and support over time. Psychoticism, significant in explaining QOL of early North Korean defectors, needs early diagnosis and treatment to prevent progression. Mental health issues among refugees may not be evident while they are in a structured, supportive environment. Evaluation and treatment are needed over time.

Effect of Pelvic Tilting Exercise and Gait Training on Gait Characteristics of the Patients with Hemiplegia (골반경사 운동과 보행훈련이 편마비 환자의 보행특성에 미치는 영향)

  • Kwak Kil-Hwan;Lee Dong-Wook;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.45-64
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    • 2003
  • The purpose of this study was to examine the effects of the pelvic tilting exercise, pelvic tilting exercises with floor walking training, pelvic tilting exercises with treadmill walking training on quantitative gait function in patients with hemiplegia. Thirty patients with hemiplegia due to cerebrovascular disease participated in this study. Subjects were randomly assigned to one of pelvic tilting exercise group, pelvic tilting exercise with floor walking training group and pelvic tilting exercises with treadmill walking training group. The effects of each therapeutic method were evaluated by measurements of gait velocity, cadence, stride length, step length, base of support and foot angle using ink-foot prints. Data were analyzed statistically using paired t-test and one-way ANOVA. The results of this research are as followings : 1. After treatment, it turned out that pelvic tilting exercises with treadmill walking training has the most effect on gait velocity, cadence, stride length, step length and foot angle, which has significant difference in statistics (p<0.05). 2. Quantification of the gait velocity, cadence, both stride length and step length demonstrated a significant increase (p<0.05) after treatment in all groups when compared with values measured before treatment. The base of support and foot angle in affected side decreased significantly (p<0.05) after treatment in all groups when compared with values measured before treatment. 3. The lumbosacral angle noted a significant increase (p<0.05) after treatment in all groups, however, an ANOVA analysis did not reveal any differences between groups.

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Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease (만성 심폐질환을 가진 말기 노인 환자의 연명의료 의사결정의 번복 및 관련 요인)

  • Choi, Jung-Ja;Kim, Su Hyun;Kim, Shin-Woo
    • Journal of Korean Academy of Nursing
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    • v.49 no.3
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    • pp.329-339
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    • 2019
  • Purpose: The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease. Methods: This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients' demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment. Results: The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment. Conclusion: This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.

Factors Influencing the Intention for Continual Fertility Treatments by the Women Undergoing Assisted Reproductive Technology Procedures: A Cross-Sectional Study (보조생식술 시술 여성의 난임치료 지속 의도 관련 요인: 횡단적 연구)

  • Kim, Miok;Kim, Minkyung;Ban, Minkyung
    • Journal of Korean Academy of Nursing
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    • v.54 no.1
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    • pp.59-72
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    • 2024
  • Purpose: This cross-sectional study aimed to identify factors influencing the intention for continual fertility treatments among women undergoing assisted reproductive technology (ART). Methods: A total of 197 women were recruited through convenience sample from fertility hospitals in Gyeonggi-do and Busan, South Korea. Data were collected using a self-report questionnaire incorporating measures of uncertainty; Depression Anxiety Stress Scales; Fatigue Severity Scale; Coping Scale for Infertility-Women; spousal support; treatment environment; and intention for continual fertility treatment. Descriptive statistics, chi-square tests, t-tests, and logistic regression analysis were conducted using IBM SPSS 26.0. Results: As many as 70.6% of the participants expressed an intention for continual fertility treatments. Logistic regression analysis revealed that factors such as uncertainty (odds ratio [OR] = 0.44, 95% confidence interval [CI] 0.20~0.95), active coping (OR = 4.04, 95% CI 1.11~14.71), treatment environment (OR = 2.77, 95% CI 1.26~6.07), and the duration of marriage (OR = 2.61, 95% CI 1.24~5.49) were significantly related with this intention. Conclusion: These findings underscore the significance of uncertainty management, having proactive coping strategies, having supportive treatment environments, and considering the duration of marriage concerning women's intention for continual fertility treatment in the context of ART. The implications of these results extend to the development of nursing intervention programs aimed at providing crucial support for women undergoing ART and seeking to continue their infertility treatment.

SPECTRAL THEOREMS ASSOCIATED TO THE DUNKL OPERATORS

  • Mejjaoli, Hatem
    • Korean Journal of Mathematics
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    • v.24 no.4
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    • pp.693-722
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    • 2016
  • In this paper, we characterize the support for the Dunkl transform on the generalized Lebesgue spaces via the Dunkl resolvent function. The behavior of the sequence of $L^p_k$-norms of iterated Dunkl potentials is studied depending on the support of their Dunkl transform. We systematically develop real Paley-Wiener theory for the Dunkl transform on ${\mathbb{R}}^d$ for distributions, in an elementary treatment based on the inversion theorem. Next, we improve the Roe's theorem associated to the Dunkl operators.