• Asian Journal of Business Environment
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• 제14권2호
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• pp.11-18
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• 2024

Purpose: The purpose of this study is to empirically evaluate the unintended welfare losses induced by paid sick leave, examine the severity of the unintended moral hazard loss caused by paid sick leave, and evaluate how much moral hazard cost society can accept to obtain paid sick leave benefits. Research Design, Data and Methodology: We examine the Medical Expenditure Panel Survey data collected in 2013 and 2014 by employing a panel probit analysis to control for individual heterogeneity. Results: The estimation result shows that the probability of absence due to paid sick leave increases from 4.91% to 7.84%. Among them, excluding the probability of increasing absence from 1.29% to 2.69% due to the actual disease, the probability of absence due to the moral hazard was estimated to be 2.41% to 6.49% in the proposed models. Based on the result, if we evaluate the increase in absence caused by moral hazard as a social cost, the estimated cost is approximately $174 to $297 per worker per year. Conclusion: Considering these expected costs, our society can obtain the access benefit from paid sick leave if we are willing to accept the moral hazard cost.

• The Journal of Korean Physical Therapy
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• 제36권1호
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• pp.1-8
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• 2024

Purpose: The purpose of this study was to determine the effect of proprioceptive neuromuscular facilitation (PNF) abdominal muscle strengthening exercise on the activity, posture, and body function of clients with abdominal muscle weakness after cesarean section. Methods: PNF abdominal muscle strengthening exercise was applied to one patient with abdominal muscle weakness after cesarean section. PNF abdominal muscle strengthening exercise was applied five times a week for four weeks. The 5-time supine-to-long sitting test (5-TSLST) and supine-to-stand test (SST) were used to measure activity, and the pelvis tilt angle test (PTAT) and anterior head translation test (AHTT) were used to measure posture. Body function was assessed using the transverse abdominis muscle strength test (TAMST), the internal oblique and external oblique muscle strength test (IOEOMST), and the rectus abdominis muscle strength test (RAMST). Results: Activity, posture, and body function were improved post-intervention. Conclusion: The study verified that PNF abdominal muscle strengthening exercises are effective when applied to patients with abdominal muscle weakness after cesarean section. The findings of this study provide useful data for future interventions in patients with abdominal muscle weakness after cesarean section.

• The Journal of Korean Physical Therapy
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• 제36권1호
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• pp.33-38
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• 2024

Purpose: This study investigated the effect of proprioceptive neuromuscular facilitation (PNF) on gait speed in a stroke patient with genu recurvatum. Methods: The subject was a 52-year-old female diagnosed with stroke. Information on health was collected through client Interview based on the International Classification of Functioning, Disability and Health (ICF). The ICF was used to identify connections between functional problems, and for diagnosis, and functional problems were described using ICF terms. For prognostic purposes, comprehensive goals for functional activity and participation level are presented as long- and short-term goals. Intervention was performed using an exercise program composed of techniques and principles based on PNF concepts for 50 minutes a day, 3 times a week, for 6 weeks. Gait speed and lower limb strength before to after intervention differences were used as study outcomes. Results: Clinical advantages were observed in body function (3.6kg increase in knee extension strength, 1.4kg increase in knee flexion strength, 0.9kg increase in hip abduction). Gait speed, which was the patient's primary limitation, was improved by 0.2m/sec. Conclusion: Based on the results of this study, application of the PNF concept would appear to improve gait speed and genu recurvatum in stroke patients.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.124-133
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• 2024

Objective: This study aims to investigate the immediate effects of myofascial release and Duoball assisted self-relaxation (DASR) techniques on pain and muscle tension in patients experiencing chronic cervical pain. Design: A randomized controlled trial. Methods: This study is a randomized controlled experimental study. Eighteen patients with chronic neck pain who met the selection criteria were randomly assigned to myofascial release group and myofascial release group using Duoball. Results: The frequency results for assessment muscle tension showed a decrease of about 10% in the suboccipital muscle, SCM, Pect m, UT, and LS in both the MFR and DASR groups, and the stiffness results showed a decrease in all muscles except the upper trapezius in the MFR group and the DASR group. All were found to decrease by about 10% in the suboccipital muscle, SCM, Pect m, UT, and LS, and the decrement results showed an increase of about 15% in the suboccipital muscle, SCM, Pect m, UT, and LS in both the MFR and DASR groups(p<0.05). Conclusions: In patients experiencing chronic neck pain, application of MFR and duoball assisted self relaxion was shown to be effective on pain and muscle tension. MFR is a non-pharmacological intervention method with few potential side effects and is considered a universal and easily applicable treatment method.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.186-195
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• 2018

In Korea, there is a need for safe and convenient elderly housing so that older people can enjoy a good quality of life and perform various daily activities while they maintain their health and well-being. Thus, this study is to suggest community -based housing settings for the elderly. We analyzed living space characteristics of the Continuing Care Retirement Communty(CCRC) in the U.S. In particular, we focused on CCRCs in the Oregon area and examined two types of settings: 1) a tower setting and 2) a town setting. The CCRC living arrangements include independent living, assisted living, nursing care, and memory care. We visited six CCRCs in Oregon during January through May in 2015. The field observations and floor plan surveys were conducted for data collection. The data analysis revealed that there are two types of arrangements: the suburban type and the urban type. Element analysis of the living unit designs for each CCRC type demonstrated typical space configurations. It was found that home care services were provided from local communities. It is suggested that community-based housing for the elderly should include mixed housing types so that community facilities can be shared. Medical services in the community were offered through healthcare institutions, disease prevention centers, welfare centers, and sports facilities. In order to apply these community-based care systems to elderly Korean housing, it is important to develop a community based on independent homes that share services and welfare facilities.

• 한국실내디자인학회논문집
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• 제26권3호
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• pp.71-80
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• 2017

Korea is facing various social problems including single elderly household, increase in the number of disabled people and poverty rate and a difference in the proportion of males to females between urban areas and rural areas along with the advent of rapid aging society. Especially, the ratio of poor households in rural areas residing in housing which falls below the minimum housing level and most of them are in the dead zone of housing welfare. In addition, if it is impossible for them to move (relocate) to new housing, the house remodeling is the only measure for improving their housing welfare. However, we don't have enough prior relevant academic and practical experience, and house remodeling requires a series of process including prior planning construction and post-occupancy evaluation, but almost no fundamental research that provides relevant insight has been carried out. Therefore, the purpose of this study is to describe all field situations that occur in the whole customized house remodeling process for disabled female senior citizens living alone in a rural area. The remodeling process was classified into initial planning stage, field verification and adjustment stage and construction stage as the method to participate in the field directly, and any change in the remodeling plan and its causes at each stage were analyzed. As a result, some remodeling items were changed from the main viewpoint of participating parties before the beginning of construction and for reasons such as the deterioration level of housing site, limitation in building equipment and rearrangement of housing, etc., and the remodeling method and its details were developed. It was identified that constant change that occurred in the remodeling process resulted from 1) unique poor characteristics of existing housing and 2) physical condition of residents and their unique lifestyle characteristics that were two aspects required to be emphasized by customized remodeling.

• 한국사회복지학
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• 제64권1호
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• pp.125-150
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• 2012

본 연구는 이주문화에 대한 상호문화적응과 통합의 관점에서 대학생들의 다문화 태도변화를 위한 다문화교육프로그램을 개발하고 그 효과성을 평가하는데 목적이 있다. 연구방법으로 유사실험전후비교 조사설계의 방법을 사용하였으며, 실험집단(45명)과 통제집단(47명)에서 나타나는 다문화태도의 차이를 분석하였으며, 프로그램 효과성의 지속성 여부를 분석하기 위하여 추후조사를 실시하였다. 분석결과, 다문화교육 프로그램에 참여한 실험집단의 사전-사후 차이는 통제집단에 비해 유의미한 것으로 나타났으며(t=4.264, p=.000) 그리고 사전-추후 차이 역시 두 집단 간에 유의미하게 차이가 있음(t=2.466, p=.016)을 알 수 있었다. 하지만 통제집단의 경우 사전-사후-추후점수간에 변화가 없는 것으로 나타났다. 이상의 결과를 바탕으로 하여, 향후 우리사회가 지향해야 할 다문화교육의 전개 방향에 대해 논의하였다.

• 한국학교보건학회지
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• 제17권2호
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• pp.73-83
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• 2004

Purpose: This study was designed to examine the effects of solution-focused group counseling on the school attitude, self-esteem and hope in school maladjusted adolescents. Methods: The research design of this study was a non-equivalent control group pre-post test design. Thirty middle school students referred to a community mental health center in G city for school maladjustment from a school and welfare center were assigned to the experimental group and thirty middle school students in care for school maladjustment at a welfare center were assigned to the control group. The solution-focused group counseling for the experimental group was conducted once a week for 90 minutes during 6 weeks. The data were collected from December 10, 2003 to May 23, 2004. The data was analyzed by x2-test, t-test and paired t-test using the SAS program. Results: 1) School attitude increased significantly after solution-focused group counseling (t=6.036 p=.001). 2) Self-esteem increased significantly after solution focused group counseling (t=2.705, p=.010). 3) Hope increased significantly after solution-focused group counseling (t=3.671, p=.001). Conclusion: Solution-focused group counseling appears to be a very effective intervention for school maladjusted adolescents by increasing self-esteem, positive school attitude, hope and coping with problems.

• 한국실내디자인학회논문집
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• 제19권6호
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• pp.224-232
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• 2010

This paper aims to identify the characteristics and the current situation of the architectural characteristics, children's characters using facilities, and status of management and utilization by surveying 'Day Service for Children' in Tokyo-do. First, About the status of management and utilization, 'Day Service for Children' is operated by a local government, NPO corporate group and social welfare corporate. There are not big differences of the care program or running hours depending on operating principals but there are differences depending on staff organization, number of children and space constitution. Also, infants ratio at 'Day Service for Children' is high for the purpose of detecting disability early and supporting their development early. They have diverse disabilities but developmental disabilities' ratios high and most children are using both this facility and normal nursery centers together. Samples for proper child care based on status of space constitutions were installing lock, raising door knobs and using softer floor materials which are for children's safety. For the problem of space utilization, most comments were about lack of space which is not enough for teaching and training materials. Therefore, as an example, observation rooms for parents and teachers were sometimes used as storages and it changes teachers' moving direction, staying area and behavior zone. The programs of 'Day Service for Children' are divided to group teaching and private one. It will be the best if they have separate spaces such as group class room, private class room and play room. When they were operated by NPO corporate group or Social welfare corporate, there are many cases that their space was not properly zoned for each activity.

• 한국실내디자인학회논문집
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• 제22권2호
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• pp.149-156
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• 2013

Men should be able to do whatever they want to and want to safely protected at home which is special domain for them. The disabled live mentally uncomfortable lives at home which should be a place where they should be comfortable and convenient. Renovation projects started in Incheon since 2009 by commencing renovation projects for the disabled by the government and welfare centers. Since the project is a program supported by the government or welfare centers thus priority on renovation was decided and carried out by in-depth interview to decide areas to renovate because of limited budgets. This paper is aimed to propose plans for renovating homes according to priority for renovation for dwellers when renovating homes for the disabled with limited budgets. Renovating home for the disabled can be broadly divided into physical, environmental, esthetic renovations, and physical renovation is a basic renovation for daily lives without restrictions in living and include easy movements, accesses to each rooms and adequacy of movement, easily accesses related with easily accessible distance and height, safety to prevent accidents caused by physical inabilities. Environmental renovation is general supports becoming the base of daily living and include control for controlling lighting, heating, air quality for comfortable environments in living space and pleasantness to maintain bright and pleasant interior with sufficient light. Esthetic renovation includes expression of identity by expressing image of one self and visual effects or spatial consideration for hobbies to enjoy comfortable and rich lives.