• 제목/요약/키워드: and conclusion

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뇌졸중환자의 동작관찰 보행훈련이 시·공간적 지표와 재활동기에 미치는 영향 (Effects of Observed Action Gait Training on Spatio-temporal Parameter and Motivation of Rehabilitation in Stroke Patients)

  • 강권영
    • 대한물리의학회지
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    • 제8권3호
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    • pp.351-360
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the effects of observed action gait training on stroke patients. METHODS: 22 subjects were randomized into two groups. The observed action gait training performed that watched a video of normal gait before gait training and the general gait training without watching it. The experimental group(n=11) performed observed action gait training and the control group(n=11) performed general gait training. Both group received gait training for 3 times per week during 8 weeks. RESULTS: The experimental group showed significant differences in the cadence, gait velocity, stride, step, single limb support, double limb support, stride length and step length(p<.05). The control group showed significant differences only in the stride(p<.05). CONCLUSION: The observed action gait training affected coordination and weight shift, as well as symmetry of the body. Plasticity of the brain was facilitated by repetitive visual and sensory stimulation. The observed action gait training promoted the normal gait by watching the normal gait pattern. In conclusion, motor learning through the sensory stimulation promotes brain plasticity that could improve motor function, and observed action gait training indirectly identified stimulated brain activities.

고혈압(高血壓) 환자를 대상으로 시행한 외기발공(外氣發功)의 유효성(有效性) 고찰 (A study on the EGT(Extra Gigong Therapy) with Hypertension)

  • 김주미;박종웅;박령준;필감매;선재광
    • 대한의료기공학회지
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    • 제9권1호
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    • pp.1-48
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    • 2006
  • This is a paper on the validity of Extra Gigong Therapy(EGT) on Hypertension patients. We've treated hypertension patients EGT, used IEMD for analysis, so that come to these conclusions. 1. Average value of treatment group was 4.215, this is higher than one of control group. They had differences up to the standard. 2. Hypertension patients are divided into EGT treated group(treatment group) and non-treated one(control group). 3. Light stomach meridian has differences in treatment group and no differences in control group before and after EGT. That means EGT is effective. So does Spleen meridian. 4. With 12 meridians' electric potential values, we come to conclusion that EGT is likely to do hypertension patients good, especially on the point of view of liver, kidney, stomach and spleen meridian pathways. And bibliographies back up in this conclusion. 5. We classified hypertension patients into 4 factors: that is a spiritual factor, a physical factor, an eating factor and a circulation factor. Among these, a physical factor was seen of high frequency. There is a close connection between a physical factor and liver, kidney, spleen meridian pathways. The consequence was that subjects are suburban residents in the prime of time who had overworked.

실제 임상 데이터를 이용한 NONMEM 7.2에 도입된 추정법 비교 연구 (Comparison of Estimation Methods in NONMEM 7.2: Application to a Real Clinical Trial Dataset)

  • 윤휘열;채정우;권광일
    • 한국임상약학회지
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    • 제23권2호
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    • pp.137-141
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    • 2013
  • Purpose: This study compared the performance of new NONMEM estimation methods using a population analysis dataset collected from a clinical study that consisted of 40 individuals and 567 observations after a single oral dose of glimepiride. Method: The NONMEM 7.2 estimation methods tested were first-order conditional estimation with interaction (FOCEI), importance sampling (IMP), importance sampling assisted by mode a posteriori (IMPMAP), iterative two stage (ITS), stochastic approximation expectation-maximization (SAEM), and Markov chain Monte Carlo Bayesian (BAYES) using a two-compartment open model. Results: The parameters estimated by IMP, IMPMAP, ITS, SAEM, and BAYES were similar to those estimated using FOCEI, and the objective function value (OFV) for diagnosing the model criteria was significantly decreased in FOCEI, IMPMAP, SAEM, and BAYES in comparison with IMP. Parameter precision in terms of the estimated standard error was estimated precisely with FOCEI, IMP, IMPMAP, and BAYES. The run time for the model analysis was shortest with BAYES. Conclusion: In conclusion, the new estimation methods in NONMEM 7.2 performed similarly in terms of parameter estimation, but the results in terms of parameter precision and model run times using BAYES were most suitable for analyzing this dataset.

서울 시내 한 백화점 근로자의 고혈압 치료 순응도에 관한 연구 (A Study on Compliance of Hypertensive Workers at a Department Store in Seoul)

  • 지주옥
    • 한국직업건강간호학회지
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    • 제12권1호
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    • pp.19-30
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    • 2003
  • Increasing occupational cerebrovascular & cardiovascular disease, it becomes the most serious problem in the occupational health management. Hypertension is the most important risk factor of cerebrovascular & cardiovascular disease. Although treatment for hypertension has the priority, hypertension has not been managed systematically at the worksite. The objectives of this study were to investigate the actual situation of its treatment, figure out what factors can affect compliance for hypertension treatment and analyze the relations between compliance and employment status. Subjects were 28 workers who have been diagnosed as hypertension at periodic health examination, 20 workers who have been managed for hypertension at dispensary and 22 workers who were diagnosed during the study periods. The results of the study were as follows; 1. More women have been hired as part time workers and had lower education background and income than the full time workers. 2. Among the factors that have been known to affect the treatment compliance, part time workers had less supports from the company than full time workers. 3. We got the comparison of difference between compliance and variables that the factor grade of cure promotion and average ages are high in high compliance. In conclusion there were not the difference of compliance by employment status. But it was hard to rule out the selection vias because the sample size was so small. So it seems difficult to generalized the conclusion that employment status doesn't affect the treatment compliance.

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Effects of Dual Tasks on Balance Ability in Patients with Cerebellar Ataxia

  • Kang, Bangsoo;Park, Jin-Hoon
    • The Journal of Korean Physical Therapy
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    • 제27권5호
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    • pp.292-298
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    • 2015
  • Purpose: The purpose of this study was to examine the effects of dual tasks on balance and postural control during standing in patients with cerebellar ataxia (CA). It was hypothesized that CA patients would exhibit different sway characteristics of the center of mass (COM) depending on the complexity of the secondary cognitive tasks compared with normal control subjects. Methods: A total of 8 patients with CA and age-matched healthy control subjects participated in this study. They were instructed to perform two balance tasks (non-dual and dual movement) with 3 different complexity of dual tasks. Range, variability, and velocity of COMs were measured. Results: According to the results CA patients showed deficits in balance and postural control with increased dual-task complexity during the static balance task in saggital sway movements. However, there was no significant difference in static balance in frontal sway. With higher difficulty in the cognitive task, CA patients took longer to stabilize their body center, while normal control subjects showed no change between conditions. In addition, CA patients had a greater COM resultant velocity during recovery in the dual-task condition compared with the single-task condition. These findings indicate that CA patients had defendable compensatory strategies in performing dual tasks. Conclusion: In conclusion, CA patients appeared to manage the priority to balance and postural control. Particularly in a situation with a postural threat such as when potential consequences of the loss of stability increase, they appeared to prioritize the control of balance and posture over the performance of the secondary task.

경항통(頸項痛)에 봉약침요법(蜂藥針療法)이 미치는 영향(影響) (The Effect of Bee-venom Acupuncture on Neck Pain)

  • 권순정;송호섭
    • Journal of Acupuncture Research
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    • 제21권4호
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    • pp.75-84
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    • 2004
  • Objective: To evaluate the treatment effect of Bee-venom Acupuncture on Neck Pain, which is well known for anti-inflammatory effect and function of activating immune system. Methods : We investigated 22 cases of patients with Neck Pain induced by soft tissue injury. One group was treated by Bee-venom Acupuncture therapy (Bee-venom Acupuncture Group :BA), the other group was treated by General Acupuncture therapy (None Bee-venom Acupuncture Group :GA). We evaluated the treatment effect of each group by few statistical analysis such as frequency analysis, Mann Whitney U test and spearman correlation analysis. Results : 1. In the age distribution of both groups, we found the highest frequency at the interval 35 to 45 years old. And in the number of medical treatment, Both groups show the highest frequency at the interval of less than four times. 2. BA was significantly decreased in VAS and clinical grade compared with GA. 3. We found significant correlation between period and number of treatment. So did we between VAS and clinical grade. Conclusion : As a result of thorough investigation, we could come to a conclusion that Bee-venom Acupuncture Group might have a notable effect on VAS and clinic grade.

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계단오르기 동안 가방의 무게와 가방메기 형태가 안쪽빗넓은근과 가쪽넓은근의 근활성도비에 미치는 영향 (The Effects of Bag Weight and Carrying Bag Position on Vastus Medialis Oblique and Vastus Lateralis Muscle Activity Ratio during Step up in Healthy Adult)

  • 조현래
    • 대한통합의학회지
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    • 제2권3호
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    • pp.49-55
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    • 2014
  • Purpose : The purpose of this study was to investigate the effect of cross bag weight and carrying bag position type on vastus medialis oblique and vastus lateralis muscle activity ratio during step up. Method : Twenty healthy subjects participated in this study. subjects randomized performed step up with bag weight less than 15%, more than 15% of totalbody weight and without bag and carrying bag position ipsilateral and contralateral. muscle activity was measured with surface electromyography. One-way analysis of variance with repeated measures was used with a significance level of 0.05 Result : The results of this study were as follows: 1. The muscle activity ratio decreased significantly ipsilateral bag position more than 15% of body weight(p<.05). Also, the muscle activity ratio increased significantly contra lateral bag position more than 15% of body weight(p<.05). Conclusion : In conclusion, it was found that applied carrying bag position with weight on VMO,VL muscle activity ratio during step up down. Therefore carrying bag position can be used to selective activate vastus medialis oblique muscle in subjects with patellofemoral pain syndrome.

장애인 고용증진을 위한 치과기공사의 적합성 여부와 교육주관에 관한 평가 (Judgment of the suitability to work as a dental technician in order to promote the employment of the disabled and evaluation about educational facilities)

  • 김철수;김욱태
    • 대한치과기공학회지
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    • 제33권2호
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    • pp.171-177
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    • 2011
  • Purpose: This study was to seek the application after fostering the dental technician with the disability. The purpose of this was to suggest basic data to enhance employment for the disabled by fostering dental technician with disability through the opinion of experts. Methods: For this aim, this study made the literature research using precedent research data implemented by related departments and fields and domestic & foreign literature including the reports on the status of the disabled. Results: On the base of the findings the conclusion was deduced as following. It needs to open dental technician training curriculum with disability to enhance employment for the disabled and smoothness and qualification for the practical demand and supply of the dental technician. Conclusion: To foster the dental technician with disability, there needs the change of negative view that the disabled will not be able to do well. The disabled also can do the work well as those without disability if they get the education and the training.

좌섬요통 환자의 12경맥 전위측정 연구 (Differences in electric potential of meridian system -Comparing electrical potentials of patients with Lumbago due to strain and contusion-)

  • 최환수;남봉현
    • Journal of Acupuncture Research
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    • 제21권5호
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    • pp.101-111
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    • 2004
  • Objective : Assuming that the characteristic of meridian system has been similar to this of electric potentials in human body and that measurements of electric potential at well(井穴) and sea (合穴) points in branches of the twelve meridians(WSBTM) will be representative of measurements of the twelve meridians, to measure the electric potentials of 13 patients with Lumbago due to strain and contusion(좌섬요통<挫閃腰痛>, LSC), to find out the characteristic of meridian system in patients with LSC. Methods : Electric potentials of well and sea points in the meridians in twenty one patients with the pain in the lion diagnosed as LSC were repeatedly measured by physiograph(PowerLab). Measurements of those electrical potentials were analyzed by factor analysis. Results : The electric potentials of WSBTM at the left side were divided into four factors. On the other hand those at the right side Were divided into four factors. Conclusion : In conclusion, their electrical potentials at the left and right side were factors which are different from each side. Thus electrical potentials of well and sea points might be the representative meridian to show their characteristics.

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핵심간호능력 중심 간호학실습교육목표 개발 (Development of Objectives in Nursing Clinical Education based on the Nursing Core Competencies)

  • 김미원
    • 대한간호학회지
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    • 제36권2호
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    • pp.389-402
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    • 2006
  • Purpose: The purpose of this study was to set up a Nursing Core Competencies required for staff nurses and to set up Objectives for Nursing Clinical Education based on the Nursing Core Competencies. The objectives in this study are to be achieved ultimately through clinical practice because it is a common avenue of work and the basic objective regardless of the education system and curriculum. Method: A nursing Core Competencies were established by literature review and verified by 15 experts. Nursing Clinical Education Objectives were established by literature review and analysis, and a survey for validity using a five point Likert scale was given to 257 nursing professors, 503 head-nurses, 509 staff nurses who had less than 3 years clinical experience in 34 general hospitals and 738 senior student nurses from 81 nursing colleges. Result: Nine nursing core competencies were set up. In addition 39 Objectives for each of the nursing clinical core competencies were set up. Conclusion: In conclusion, this study will contribute to professional nursing education to provide comprehensive nursing care by applying knowledge to nursing practice to achieve the Nursing Pore Competency as a professional nurse.