• Title/Summary/Keyword: Walking age

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Tibiotalocalcaneal Arthrodesis Using Retrograde Compressive Intramedullary Nail (역행성 압박 골수내 금속정을 이용한 경골거골종골 관절 유합술)

  • Song, Moo Ho;Kim, Bu Hwan;Ahn, Seong Jun;Kang, Suk Woong;Kim, Young Jun;Kim, Dong Hwan;Yoo, Seong Ho
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.202-207
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    • 2014
  • Purpose: The purpose of this study was to evaluate the radiological and clinical outcomes of tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail for patients with complex hindfoot problems, including Charcot arthropathy, osteonecrosis of talus, combined arthritis of the ankle and subtalar joint, failure of previous ankle arthrodesis, and failed total ankle arthroplasty. Materials and Methods: Eighteen consecutive patients (10 men and 8 women) with an average age of 54 years (range, 42~72 years) underwent tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail fixation. The mean duration of follow-up was 16 months (range, 12~23 months). Radiological evaluation included assessment of the union status of ankle and subtalar joints. Clinical evaluations included visual analogue scale (VAS) for pain and patient satisfaction, and postoperative complications were analyzed. Results: Radiological union was achieved in 14 ankle joints (77%) and 16 subtalar joints (88%) at an average of 16 weeks (range, 14~40 weeks) and 14 weeks (range, 12~24 weeks), respectively. The preoperative VAS were 4.6 (range, 4~8) at rest and 8.2 (range, 7~10) during walking, and the postoperative VAS were 2.2 (range, 0~3) and 4.6 (range, 4~6), respectively (p<0.05). There were 6 nonunions (4 ankle joints and 2 subtalar joints), 3 tibia fractures, 2 delayed union of ankle joints, and 2 breakage of the implant. Conclusion: Tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail may be considered as a viable option in patients with complex hindfoot problems.

An Assessment of Socioeconomic Status and Physical Health Status of the Middle-aged Adults in Gangwha County ($40{\sim}60$대 중년기 강화 주민의 사회경제적 특성 및 신체적 건강상태에 관한 평가)

  • Kim, Eun-Mi;Choi, Yoon-Jung;Kweon, Oh-Jun
    • Korean Journal of Community Nutrition
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    • v.11 no.6
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    • pp.725-739
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    • 2006
  • This study was performed to assess socioeconomic status and physical health status of middle-aged men ($40's{\sim}60's$) in Ganghwa country. We interviewed 1,267 middle-aged men (602 male, 665 female) by trained interviewers using structured questionnaires including demographic information, general health status, and anthro-pometric measurements. And all the data were analyzed by chi-square test, Student's t-test and one-way ANOVA using SPSS 12.0 version at p<0.05. These results were that males were higher than females in educational levels (p = 0.000) and most of them decreased according to age in educational levels (p =0.000) and family income (p =0.000), and prevalence of chronic diseases (p =0.000): stomach-duodenum disease, fracture, arthritis, or hypertension. They took to the health information on TV and radio and their health managing methods were exercise and walking and resting and diet regulation. Body Mass Index (BMI) was decreased in oder males (p =0.024) but increased in older females (p=0.001). In females, obesity prevalence of 40's, 50's and 60's was 31.3%. 49.7% and 48.0%, respectively. Waist circumference was the highest in 50's males (p=0.015), but hip circumference was the highest in 50's females (p =0.015). Waist-hip ratio (WHR) increased in older males (p = 0.028) and females (p= 0.000). In spite of the subjects were engaged in agriculture and fishery and had desirable lifestyles obesity rate especially abdominal obesity, was the serious problem. Socioeconomic status, especially education and income were related to SRH (p=0.006, p=0.000), chronic disease (p=0.000) and BMI (p=0.028, p=0.000). Therefore, it is necessary that the public health policy and nutrition education programs to alter lifestyles and to improve health preservation and health promotion in the farming and fishing communities.

A study of on the occupant movement speed during emergency evacuations for the evacuation safety assessment of domestic buildings (국내 건축물의 피난안정성평가를 위한 비상대피 시 재실자 이동속도에 관한 연구)

  • Youn, Ho-Ju;Hwang, Eunkyung
    • Journal of the Society of Disaster Information
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    • v.9 no.3
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    • pp.332-338
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    • 2013
  • Recently in Korea, in order to ensure evacuation safety within buildings, reviewing and evacuation assessment using computer simulations has been performed from the planning and design stages. Since the results from the assessment mainly depends on the initial values of input elements, it is important to establish element specific data. Nevertheless evacuation related experiments and research are still insufficient to apply overseas standards to domestic conditions. This study intended to conduct a experiment on evacuation movement speed by age as part of element-specific data construction for domestic occupant movement speed. After analyzing domestic and overseas studies on evacuation movement speed, we conducted the experiment of evacuation movement speed for 134 people. Then, by carrying out a comparative analysis of the results of the movement speed obtained from the experiment with overseas movement speeds, we followed the validation procedures of the experimental results under domestic evacuation conditions. The data derived from the experiment is expected to serve as a basis for the movement speed of domestic evacuation safety assessment.

The Study on the Satisfaction and Image of Passenger at Section Seven, in Olle-gil (올레길 7구간의 이용객 만족도 및 이미지 분석)

  • Kang, Bang-Hun;Cho, Seung-Jin;Son, Jin-Kwan;Shin, Ji-Hoon
    • Journal of Korean Society of Rural Planning
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    • v.18 no.3
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    • pp.13-24
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    • 2012
  • This study aimed to investigate the images that affect general travel behavior and satisfaction of eco-tourists of Section seven of Jeju Olle-gil and to give eco-tourists preferred images to newly constructed eco-tour sections. Adjectives were selected to evaluate images, and for analysis, a survey was carried out with 132 persons who have toured 7 section of Jeju Olle-gil. On this survey, basic travel type, overall satisfaction, image before and after experience, age, gender, satisfaction level and accompanying type were inquired. 81(61.4%) knew section 7 of Jeju Olle-gil 'in advance', and 58(39.1%), which takes up the largest portion in this question, came to choose section 7 by a word of mouth. 95(71.9%) answered that they stayed 2 nights and 3 days, and 55(41.7%) answered that they stayed at a pension as accommodation. As for accompanying type, 34(25.7%) answered they accompanied family and relatives. As for the decision of visit, 60(45.5%) replied that they decided one month prior to the visit. And as for the purpose of visit, 63 (33.8%) replied they visited to appreciate nature. The adjectives that demonstrate overall satisfaction and significance level of the tourists were 'placid', 'refreshing', 'living', 'mountainous' and 'green'. As for the satisfaction level, people were satisfied with its environment, cleanliness level and direction boards. The types of section preferred by the tourists were clay pavements, followed by sand-masa soil mixture pavement and wooden deck pavement. 'Oidolgae' section was selected as the representative section, and 10:00a.m.~12:00p.m. was preferred as visiting time. And it is also proved that people were positive in appointing photo zones.

Work Sectors with High Risk for Work-Related Musculoskeletal Disorders in Korean Men and Women

  • Park, Jungsun;Kim, Yangho;Han, Boyoung
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.75-78
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    • 2018
  • Background: To identify work sectors with high risk for work-related musculoskeletal disorders (MSDs) in Korean men and women. Methods: We analyzed nationwide data to identify ergonomic risk factors in Korean employees. In particular, we analyzed data on exposure to five ergonomic risk factors (painful/tiring postures, lifting/moving heavy materials, standing/walking, repetitive hand/arm movements, and hand/arm vibration) according to employment sector, sex, and age, using the 2014 Fourth Korean Working Conditions Survey. We also used workers' compensation data on work-related MSDs in 2010, which is available by sex. Results: The different work sectors had different gender distributions. "Manufacturing" (27.7%) and "construction" (11.3%) were dominated by males, whereas "human health and social work activities" (12.4%), "hotel and restaurants" (11.7%), and "education" (10.4%) were dominated by females. However, "wholesale and retail trade" and "public administration and defense" employed large numbers of males and females. Furthermore, the work sectors with a greater proportion of work-related MSDs and with multiple ergonomic risk factors were different for men and women. For men, "construction" and "manufacturing" had the highest risk for work-related MSDs; for women, "hotel and restaurants" had the highest risk for work-related MSDs. Conclusion: Ergonomic interventions for workers should consider gender and should focus on work sectors with high risk for MSDs, with multiple ergonomic risk factors, and with the largest number of workers.

The Effect of Photoluminescent Exit Signs in Evacuation in the Event of Failure of the Power from the Building Fire (건물화재의 정전시 축광유도표지가 피난에 미치는 영향)

  • Hur Man-Sung
    • Fire Science and Engineering
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    • v.19 no.4 s.60
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    • pp.69-74
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    • 2005
  • This study is intended to examine the effect of photoluminescent exit signs in the event of failure of both the power to the lighting and illuminated exit sign. To achieve the purpose, the test house was exhibited in Fire EXPO '05. 520 visitors were examined from May 26-29, 2005. The results of this study are as follows; The evacuation from buildings in dark conditions showed that $70\%$ of men and $72\%$ of women were crawled along the wall. Meanwhile, $88\%$ of men and $83\%$ of women were evacuated with ordinary walking in photoluminescent exit signs. The egress time was shortened from 53 seconds to 64 seconds in accordance with age, height and visual power. The photoluminescent exit signs located on public buildings floors will aid in evacuation from buildings in the event of failure of the power to the lightings and illuminated exit signs.

Assessment of Universal Design for Seoullo 7017 in Seoul, Korea - Using a New Seven Universal Design Principles -

  • Yoo, Jieun;Kim, Jin-Oh
    • Journal of recreation and landscape
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    • v.12 no.4
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    • pp.35-44
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    • 2018
  • The purpose of this research is to evaluate Seoullo 7017 based on Universal Design (UD) principles and guidelines. To derive UD principles applicable to the site context, we used the 2017 Seoul Universal Design Guideline and assessment index provided by the Universal Design Research Center and established 11 evaluation criteria. With respect to research methods, a literature review and on-site field survey were applied, through which we derived UD principles and evaluation criteria to identify UD problems. The 11 evaluation criteria consist of pedestrian space, facilities, access, main entrance, parking lots, trails, restrooms, convenience facilities, information facilities, rest areas, and playgrounds, and these were associated with UD principles for evaluation. As a result, the main entrance had the highest UD score, while parking lots had the lowest in terms of equity, safety, simplicity, and accessibility. Restrooms received a lower UD score because of poor conditions of security and alert systems. Rest areas were found to be uncomfortable for disabled people. With respect to the internal trails, we found the lack of braille block and irregular placement of planting pots made blind people uncomfortable when walking. In terms of UD principles, flexibility received the highest score, followed by amenity, equity, simplicity, tolerance, accessibility, and safety. Flexibility received the highest score, owing to the provision of proper information about convenience facilities and trails, while safety received the lowest, based on poor access to parking lots, inadequate paving materials and colors, and a lack of 24-hour security systems. We hope this research contributes to improving the universal design, so that people are not discriminated against in the use of the park in terms of age, sex, or physical disability. We expect the study to help facilitate empirical studies to verify UD principles and provide improved quality of UD for Seoullo 7017.

Effects of Litter Type and Gender on Behavior Characteristics and Growth Performance of Korean Hanhyup Broiler (한국형 한협 육계의 행동 특성과 성장성에 미치는 Litter Type과 Gender의 영향)

  • Yang, Ka Young;Ha, Jae Jung;Roh, Hee-Jong;Cho, Chang-Yeon;Oh, Seung Min;Oh, Dong-Yep
    • Korean Journal of Poultry Science
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    • v.46 no.3
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    • pp.155-160
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    • 2019
  • The Korean Hanhyup broiler has commercialized native meat-type chicken. This study aimed to determine the effects of two types of litter material-sawdust and rice husk, and gender on the Korean Hanhyup broiler. Chicks (n=416) were randomly assigned in a $2{\times}2$ factorial design by type of litter material and gender. The behavior of chicken's was monitored continuously for 12 hours during the $1^{st}$ through $8^{th}$ week of age. The time spent on standing, sitting, and walking and the frequency of drinking, feeding, preening, dust bathing, flapping, and aggressive pecking, and pecking of chicken's behavior were recorded. The behavior of chickens during the starter (1 to 4 weeks) and finisher period (5 to 8 weeks) was compared to observe the changes upon maturity. Our results indicate that litter material type and gender have no effect on the behavior of chickens. However, aggressive pecking and pecking caused increment in the rice husk as compared to sawdust (P<0.05). Sawdust as litter material for bedding was found to be better than rice husk with respect to Korean Hanhyup broiler behavior.

Fall prevention strategies in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review and meta-analysis

  • Hwang, Sujin;Woo, Youngkeun
    • Physical Therapy Rehabilitation Science
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    • v.7 no.4
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    • pp.197-203
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    • 2018
  • Objective: Independent walking is the most essential prerequisite to maintain quality of life in older persons. The purpose of this review was to investigate the effect of fall prevention strategies on fall risk for type 2 diabetes mellitus (T2DM) within community-dwelling older adults aged 65 and over. Design: A systematic review and meta-analysis. Methods: PubMed and three other databases were searched up to October 31st, 2018 and randomized controlled trials (RCTs) evaluating fall prevention strategies for fall risk in persons who were 65 years of age or above with T2DM were included. The review extracted the following information from each study selected: first author's surname, published year, country, study population, type of intervention, intensity of intervention, comparison, measurement variables, additional therapy, summary of results, and mean and standard deviation from selected studies. Results: This review selected fourteen RCTs with 460 older adults with diabetes mellitus. Of the 14 studies, the types of intervention used to improve the risk of falls were strengthening (5), aerobic exercises (2), multimodal exercises (4), one virtual reality exercise (1), whole body vibration with balance exercise (1), and Tai Chi exercise (1). Seven RCTs were eligible for the meta-analysis. Therapeutic interventions were more effective than the control group for the Timed Up-and-Go test (-1.11; 95% CI, -1.82 to -0.41) and the 6-minute Walk Test (-1.89; 95% CI, -8.33 to 4.54). Conclusions: The results of the review suggest that interventions to prevent fall risk in older adults with T2DM should focus on strengthening, balance, aerobic, and multimodal exercises.

The reliability test of a smart insole for gait analysis in stroke patients

  • Seo, Tae-Won;Lee, Jun-Young;Lee, Byoung-Hee
    • Journal of Korean Physical Therapy Science
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    • v.29 no.1
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    • pp.30-40
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    • 2022
  • Background: This study analyzed the reliability of smart guides for gait analysis in patients with stroke. Design: Cross-sectional study. Methods: The participants of the study were 30 patients with stroke who could walk more than 10 m and had an MMSE-K test score of ≥24. Prior to the experiment, the subjects or their guardians entered their demographic characteristics including gender, age, height, weight into the prepared computer. The experiment was conducted in a quiet, comfortable, and independent location, and the patient was reminded of the equipment description, precautions, and safety rules for walking. A smart insole was inserted into the shoes of the patients and the shoes were put on before the patients walked three times on the 5-m gait analysis system mat installed in the laboratory. Results: The reliability of the equipment was compared with that of the gait analysis system, and the results of this study are as follows: among the gait analysis items, velocity had an ICC=0.982, the cadence had an ICC=0.905, the swing phase on the side of the gait cycle had an ICC=0.893, the swing phase on the side of the gait had an ICC=0.839, that on the non-affected side had an ICC=0.939, single support on the affected side had an ICC=0.812, and support on the non-affected side had an ICC=0.767. Conclusion: The results of this study indicate no statistical difference between the smart insole and the gait analysis system. Therefore, it is believed that real-time gait analysis through smart insole measurement could help patients in rehabilitation.