• 제목/요약/키워드: difficulties in daily

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골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교 (Comparing Effects of Tai Chi Exercise, Tai Chi Self-help Program, and Self-help Management Program for Osteoarthritis Patients)

  • 조경숙;강현숙;김종임;박원숙;송라윤;안양희;임난영;이인옥;최선하;한상숙
    • 근관절건강학회지
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    • 제14권1호
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    • pp.77-84
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    • 2007
  • Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.

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Performance Evaluation of Elderly Home Automation Control (EHAC) IoT System

  • Phua, Karsten Cheng Kai;Goh, Wei Wei;Marjani, Mohsen
    • International Journal of Computer Science & Network Security
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    • 제21권1호
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    • pp.214-219
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    • 2021
  • As the number of elderly increased rapidly every year, many elderly still choose to stay independent despite of difficulties and challenges faced in their daily routine. Elderly has desperate needs for support for their living. Internet of Things helps to support and improve elderly's life in many ways to meet the needs and requirements. Home Automation Control (EHAC) is a research based system that support elderly with controlled automation solution that control and operates various home electrical appliances based on the measurement of heart pulse rate and environment temperature. This paper works on EHAC system to evaluate the performance of the system in elderly's daily routine. This paper presented experiments conducted with approach of IoT testing and discussion on analysis of the results.

The Role of Cognitive Control in Tinnitus and Its Relation to Speech-in-Noise Performance

  • Tai, Yihsin;Husain, Fatima T.
    • 대한청각학회지
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    • 제23권1호
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    • pp.1-7
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    • 2019
  • Self-reported difficulties in speech-in-noise (SiN) recognition are common among tinnitus patients. Whereas hearing impairment that usually co-occurs with tinnitus can explain such difficulties, recent studies suggest that tinnitus patients with normal hearing sensitivity still show decreased SiN understanding, indicating that SiN difficulties cannot be solely attributed to changes in hearing sensitivity. In fact, cognitive control, which refers to a variety of top-down processes that human beings use to complete their daily tasks, has been shown to be critical for SiN recognition, as well as the key to understand cognitive inefficiencies caused by tinnitus. In this article, we review studies investigating the association between tinnitus and cognitive control using behavioral and brain imaging assessments, as well as those examining the effect of tinnitus on SiN recognition. In addition, three factors that can affect cognitive control in tinnitus patients, including hearing sensitivity, age, and severity of tinnitus, are discussed to elucidate the association among tinnitus, cognitive control, and SiN recognition. Although a possible central or cognitive involvement has always been postulated in the observed SiN impairments in tinnitus patients, there is as yet no direct evidence to underpin this assumption, as few studies have addressed both SiN performance and cognitive control in one tinnitus cohort. Future studies should aim at incorporating SiN tests with various subjective and objective methods that evaluate cognitive performance to better understand the relationship between SiN difficulties and cognitive control in tinnitus patients.

코로나-19 유행 시기 신규 보건교사의 교직 적응에 대한 FGI연구 (An FGI Study on the Adaptation of Beginning Health Teachers During the COVID-19 Era)

  • 최성광;최미정
    • 문화기술의 융합
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    • 제8권6호
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    • pp.317-326
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    • 2022
  • 이 연구에서는 신규 보건교사들의 코로나-19 시기에 교직적응 과정에서 경험한 어려움, 해결과정, 그리고 그것이 시사하는 바를 알아보기 위해 J도에 발령받은 3명의 신규 보건교사들을 대상으로 FGI 연구방법을 통해 분석하였다. 연구결과, 첫째, 코로나-19 업무처리 과정에서 수많은 전화와 매일의 학교 현황보고 과정에서 특히 학부모들과 관계의 어려움이 있었다. 코로나-19 업무가 어느 정도 익숙해진 이후에는 보건실 업무를 혼자서 고민해야 한다는 부담감, 다양한 학생을 대상으로 한 보건 수업의 어려움, 응급상황에서 유일한 의료인으로서 전문성을 발휘해야 한다는 부담감을 느끼고 있었다. 둘째, 신규 보건교사들은 교직 적응과정에서 느낀 어려움을 해결하기 위해 온라인을 통한 보건교사 소모임, 유튜브 등을 통해 계속해서 관련 정보를 공유하며 소통하고 있었다. 셋째, 이러한 교직 적응 과정이 시사하는 바는 교육청 차원에서 신규 보건교사에게 실질적인 도움을 주는 구체적인 연수가 필요하고, 보건수업과 관련한 수업 콘텐츠 등의 인프라를 지원하는 것이 필요하다는 것이다.

수질오염총량관리를 위한 4대강수계 장기유황곡선 작성방안 (Development of Long Term Flow Duration Curves in 4 River Basins for the Management of Total Maximum Daily Loads)

  • 박준대;오승영
    • 한국물환경학회지
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    • 제29권3호
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    • pp.343-353
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    • 2013
  • Flow duration curve (FDC) can be developed by linking the daily flow data of stream flow monitoring network to 8-day interval flow data of the unit watersheds for the management of Total Maximum Daily Loads. This study investigated the applicable method for the development of long term FDC with the selection of the stream flow reference sites, and suggested the development of the FDC in 4 river basins. Out of 142 unit watersheds in 4 river basins, 107 unit watersheds were shown to estimate daily flow data for the unit watersheds from 2006 to 2010. Short term FDC could be developed in 64 unit watersheds (45%) and long term FDC in 43 unit watersheds (30%), while other 35 unit watersheds (25%) were revealed to have difficulties in the development of FDC itself. Limits in the development of the long term FDC includes no stream monitoring sites in certain unit watersheds, short duration of stream flow data set and missing data by abnormal water level measurements on the stream flow monitoring sites. To improve these limits, it is necessary to install new monitoring sites in the required areas, to keep up continuous monitoring and make normal water level observations on the stream flow monitoring sites, and to build up a special management system to enhance data reliability. The development of long term FDC for the unit watersheds can be established appropriately with the normal and durable measurement on the selected reference sites in the stream flow monitoring network.

골관절염 여성에게 적용한 타이치 운동과 자조관리 프로그램의 관절염증상 및 낙상공포감에 대한 효과비교 (Effects of Tai Chi combined with Self-help Program on Arthritic Symptoms and Fear of Falling in Women with Osteoarthritis)

  • 송라윤;엄애용;이은옥;;배상철
    • 근관절건강학회지
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    • 제16권1호
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    • pp.46-54
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    • 2009
  • Purpose: The purpose of the study was to compare the effects of the Tai Chi self-help program with a self-help program on pain, stiffness, physical functioning, and fear of falling in women with osteoarthritis. Method: Total of 82 women with Osteoarthritis recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi self-help group or a self-help group. Thirty subjects in the Tai Chi self-help group and 39 in the self-help group completed posttest measures(pain, stiffness, physical functioning, and fear of falling) at 6 months. Results: After the 6 month study period, the subjects in the Tai Chi self-help group reported significantly less difficulties in performing daily activities(mean difference=-0.16 vs. 6.19 for the self-help), and less fear of falling(mean difference=-3.20 vs. 0.27 for the self-help) than those in the self-help group. There were no significantly differences in pain and stiffness between the groups. Conclusion: The Tai Chi combined with self-help program was more effective than the self-help only program in reducing difficulties in performing daily activities and fear of falling in women with Osteoarthritis. Whether these changes prevent fall episodes requires further study.

IT환경에서 대학생의 스마트폰 중독과 사회성과의 관계에 관한 연구 (A Study on Correlation between Undergraduates' Smart Phone Addiction and Sociality in an IT Environment)

  • 김경희
    • 한국정보통신학회논문지
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    • 제19권7호
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    • pp.1671-1679
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    • 2015
  • 본 연구는 대학생들의 스마트폰 중독이 사회성발달에 미치는 영향력을 분석하고자 하였다. 실증분석결과 스마트 폰 중독이 증가될수록 사회성은 낮아지는 것으로 나타났다. 구체적으로 스마트폰중독의 하위영역으로는 일상생활 장애, 가상세계경험지향, 금단, 내성으로 구성되었으며, 사회성의 하위영역으로는 자신감, 사교성, 대인관계 등으로 구성되었다. 일상생활장애와 내성이 증가될수록 자신감이 낮아지는 것으로 나타났다. 그리고 가상세계경험지향과 금단이 증가될수록 사교성도 낮아지는 것으로 나타났다. 성별에 따른 세분집단 간 스마트폰중독성향은 남성보다 여성이 더 높은 것으로 나타났다. 최근 스마트폰사용증가로 인해 사회적으로 그 중독문제가 제기되고 있는 상황이다. 따라서 스마트폰중독예방을 위한 합리적 사용방안이 사회적으로 논의되어야 할 것이다.

근력강화 운동프로그램이 시설 노인의 일상생활 동작 수행 개선에 미치는 효과 (The effect of Muscle Enforcement Exercise program on Activity of daily living Improvement and Posture Balance of the Institution Old)

  • 이철인;박래준
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.90-114
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    • 2004
  • This study was conducted to examine the influence and effect of muscle enforcement program on Activity of daily living(ADL) improvement and posture balance of the old, and to provide more effective muscle enforcement program and educational data. The muscle enforcement exercise program was performed on the old(institution, 16 men, 10 women) for 8 weeks from April 22, 2002 through June 17,2002. Programed Exercise 1 - Exercise 10 were practised 8 times per program for 3 days a week. The load of exercise was increased per two weeks. The methods of measurement were questionnaire, Indiana 47903(action-response analysis machine) and Sample exercise protocol for KAT 2000(balance training device). SAS/PC statistic analysis was used for data analysis. T-test was used for analysis of change before and after exercise in this study. The summary and conclusions are as follows. 1. On subjectively recognized health states, the healthy were $42.3\%$. On the satisfaction with health states, the satisfied were $50.0\%$. On the factors of effects on daily-life behavior performance, the group who had troubles was $50\%$ and the group who was so and so was $34.6\%$ compared with the old of the same age. On prospect about health states in the future, the group who would be better was $38.\%$. On effective methods for problem solving, exercise was $42.3\%.\;88.5\%$ of respondents answered the need of health care. The participation intention in health program was $92.3\%$. 2. On the change of psychological emotion and behavior aspects, the group who had repeated complaints or anxieties and reduced activities or interests was effective(P<0.01). 3. On the improvement effects of IADL difficulties, the group who had difficulties in doing daily-life indoors was improved effectively compared with before and after exercise(P<0.01). On medication management, the effects of improvement after exercise were high compared with before exercise(P<0.01), the effects of improvement was high on the whole. 4. On the effects of ADL function improvement, putting on upper clothing and lower clothing was improved effectively(P<0.05), toilet use and individual sanitation was improved effectively(P<0.05). 5. On the effects of action-response, the results of 8weeks regular exercise program were not different significantly compared with before and after exercise. The behavior quickness of the old by muscle enforcement program was not increased. This means that the old needs much time for exercise sense training because of the regression of cognition sense. 6. In the effect of posture balance, the whole grades were effective from 1272.69 before excercise to 476.92 after exercise(P<0.01). Especially right balance 657.65 was lowered to 208.57 after exercise most effectively(P<0.01). Rear balance 776.34 before exercise was lowered to 136.65 after exercise. The results of measurement were significant(P<0.05).

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파킨슨 환자의 활동 개선을 위한 PNF 개념을 이용한 물리치료 사례보고 (Case Report of Physical Therapy using Proprioceptive Neuromuscular Facilitation for Activity Improvement in a Patient with Parkinson's Disease)

  • 신재욱;김좌준
    • PNF and Movement
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    • 제14권3호
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    • pp.219-229
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    • 2016
  • Purpose: Patients with Parkinson's disease suffer many restrictions in daily life. This case report investigated how intervention with proprioceptive neuromuscular facilitation (PNF)-based physical therapy can affect the activities of Parkinson's patients. Methods: The subject was a 67-year-old female patient diagnosed with Parkinson's disease 3 years ago. Since the last five months, overall activities have become difficult for her, and she finally visited a hospital to take outpatient physical therapy because of the gait difficulties she suffered. The patient's medical history, system review, body structure and function, and activities were evaluated. The patient had difficulties in activities such as lying down, sitting, standing, maintaining a standing position, and walking. The PNF-based intervention was used for treating the impairments and improving the activities. The intervention was performed for 30 min a day, three times a week, for eight weeks. The qualifier of the international classification of functioning, disability, and health was used to measure the result, and the measurement was conducted before and after the intervention for eight weeks. Results: According to the result, the scores for maintaining a standing position, moving around within the home, and going to the toilet improved to "no problem" from "moderate problem." The scores for shifting the body's center of gravity, walking short distances, and washing oneself improved from "moderate problem" to "mild problem." The scores for sitting and standing improved to "no problem" and "mild problem" from "complete problem." The scores for preparing meals and doing housework improved from "severe problems" to "mild problem" or "moderate problem." The scores for walking long distances, moving around outside the home and other buildings, and using transportation did not show significant changes. Conclusion: Intervention with PNF-based physical therapy improved the activity of patients with Parkinson's disease, thus proving its effectiveness. The case report suggested that a therapist can use PNF as a physical therapy intervention for patients with Parkinson's who suffered restrictions in daily activities.

노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향: 우울감의 매개효과 중심 (The Effect of the Elderly's Ability to Perform Daily Activities on Life Satisfaction: Focusing on Mediating Effect of Depression)

  • 윤미라;이미애
    • 산업융합연구
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    • 제20권10호
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    • pp.187-196
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    • 2022
  • 본 연구의 목적은 노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향 관계에서 우울의 매개효과를 검증하는 것이다. 연구대상은 노인실태조사(2020) 자료의 10,097명이며, 자료분석은 SPSS 25.0 프로그램을 이용하였다. 노인의 일상생활 동작수행을 일상생활 불편과 동작수행 어려움으로 구분하여 분석한 주요 연구결과는 다음과 같다. 첫째, 노인의 일상생활 동작수행 불편과 동작수행 어려움이 삶의 만족도에 미치는 영향은 유의미한 것을 확인하였다. 둘째, 노인의 일상생활 불편과 동작수행 어려움이 우울에 미치는 영향은 통계적 유의수준으로 나타났다. 셋째, 우울이 삶의 만족도에 미치는 영향은 통계적으로 유의미하게 파악하였다. 넷째, 노인의 일상생활 불편과 동작수행 어려움이 삶의 만족도에 미치는 영향 관계에서 우울의 부분매개효과를 검증하였다. 이러한 결과는 노인의 삶의 만족도 향상을 위해서 일상생활 불편과 동작수행 어려움, 우울 감소시켜야 하는 것을 규명하였다. 이를 통해 노인의 삶의 만족도를 높이기 위한 논의를 제시하였다.