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A Study on the Status of Utilization of Health Care Institution by Geriatric Patients -Focus on the Utilization of Physical Therapy- (노인환자 보건의료기관 이용실태 분석)

  • Lee, Jong-Sub;Song, Myung-Soo
    • Journal of agricultural medicine and community health
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    • v.22 no.2
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    • pp.277-293
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    • 1997
  • This study was conducted to provide basic materials required to enforce and develop welfare policies, as well as the health system, for the aged, by surveying the status of health care utilized by the daily increasing old population and the importance of receiving physical therapy. Data that need in this research was gathered from over ages of 65, during the period from Jan 4, 1996 to Jan 31, using the inquiries previously made by geriatric researchers and through literatures investigator by this writer. The data were analyzed by $X^2$, Z-test, Likert scale. The findings were as follows : 1) General characteristics of subjects. People in the age group between 65 and 69 were 55.6% and the highest number, while male were 37% and female 63%. Analysis of income group disclosed 60.6% whose monthly income, including the pocket money given by children, was less than 200,000 won. 91.1% of the elderly people surveyed owned houses; only 36.4% live with spouses; while 15.6% live alone. 2) Characteristics with respect to utilization of health care institution. 56% of the total medical institutions used by the elderly people were clinics and the rates of chronic disease and musculoskeletal disease were 73.2%. 3) Characteristics with respect to approach of health care institution. 45.1% of the respondent stated it took 20 minutes to arrive at hospital, and bus accounted for 48.6% of all transportation means used to go to hospital. 4) Degree of cognition with respect to the rights of geriatric patients. (1) There is no financial support from the government for geriatric patients(71.4%). (2) Government financial support is needed for geriatric patients(95.3%). (3) Have never been regionally surveyed or called upon for interviews with respect to treatment desire and problems relating to geriatric patients(87.2%). (4) Health and medical policies for geriatric patients must be established rapidly(98.4). (5) Expansion and construction of specialized medical facilities for geriatric patients such as elderly hospital and medical center are needed(90.2%). (6) Government's welfare policies for the elderly people is insufficient(82.0%) 5) Degree of cognition on importance of physical therapy with respect to geriatric patient. (1) Physical therapy is considered most effective in treating geriatric patients(82.9%). (2) Physical therapists specializing in only elderly people must be need of separately(76.2%). (3) It is desirable for medical specialists to visit geriatric patients at home to provide physical therapy(82.9%). (4) Hospitals specializing in physical therapy for geriatric patient are required(85.6%). Based on the result for this research, the following suggestions are presented to facilitate the utilization of health care institution for the welfare of geriatric patients. Medical facilities such as elderly hospital and geriatric patient's medical center specializing in elderly people must be constructed as early as possible; and home-visiting physical therapist system must be important to treat chronic geriatric patients; our government must establish policies to provide the old ages with means for the health care and curing chronic diseases, and carry out the plans of reasonable distribution and effective untilization of medical resources.

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Characteristics of Flower of Plus Tree Clones of Pinus koraiensis S. et Z. (잣나무 수형목(秀型木) clone의 개화특성(開花特性))

  • Han, Sang Sup;Lee, Sang Boong
    • Journal of Korean Society of Forest Science
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    • v.79 no.3
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    • pp.290-301
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    • 1990
  • The 167 plus tree clones of Pinus koraiensis in clone bank planted in 1983 were investigated for time of flowering, rate of flowering, and number of flowering from 1986 to 1989. The results were as follows : 1) There were clones in the minority which do not cross in natural pollination between earlest flowering female clones and latest shedding male clones. 2) The rate of male flowering appeared less than rate of female flowering and received influence of genetic more than rate of female flowering. 3) The numbers of flowering in female and male flower were affected by small number of clones. 4) The flowering number for female strobili was not related to the flowering number of male flower. The 42 clones among 167 clone had not male flower. 5) The flowering number of 167clones were classified three groups in female flower and four groups in male flower by L.S.D 5% test. 6) The clones with abundant female and male flower were selected based on the component analysis. 7) As Based on flowering rate and number of female, the juvenile phase of plus tree clones appeared to be until four years after grafting ; the transition period appeared to be from five to seven years after grafting ; the adult phase appeared to begin from eight years after grafting, 8) The grafted trees of Pinus koraiensis appeared early flowerring about six years compared with seedling trees.

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Development of Korean Adult Patients Delirium Screening Tool (한국형 성인 환자 섬망 선별 도구 개발)

  • Jeong, Hye Won;Moon, Sun Hee;Choi, Myoung Lee;Lee, Jung A;Ahn, Shin Hye;Jeon, Ji Hye;You, Ji Na;Kim, Hee Jin;Byeon, Ji Eun;Kim, Sook Young;Sung, In Suk
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.2
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    • pp.198-209
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    • 2023
  • Purpose: The purpose of this study was to develop a Korean Adult Patients Delirium Screening Tool (K-APDS) for those admitted to general wards, and to verify its reliability and validity. Methods: For the development of the tool, 12 items were derived through the results of literature review and focus group interviews with general ward nurses, and the content validity was confirmed by experts. To verify the reliability and validity of the developed tool, 317 adult patients who were admitted to general wards of three tertiary general hospitals from October to November 2022 were evaluated by the attending nurse and data were collected. Results: After factor analysis for construct validity verification, two factors were extracted, which explained 60.1% of the total variance. After the validation of the control group, the difference in the delirium incidence scores calculated using the K-APDS between the delirium group and non-delirium group was very significant (Z=-10.82, p<.001). To verify the criterion validity, K-APDS, Delirium Observation Screening, and Pearson's correlation coefficient were checked and found to be .94 (p<.001). The predictive validity test reported that the sensitivity was 91.1%, specificity was 82.4%, positive predictive value was 52.6%, and negative predictive value was 97.8%. The reliability of K-APDS was found to be high with Cronbach's ⍺=.91. Conclusion: K-APDS can screen for delirium with 2 or more points, excellent validity and reliability have been verified. Therefore, this tool could be applied immediately in the clinical field, and will contribute to the early detection of delirium, enabling rapid interventions.

A STUDY ON THE POLYMERIZATION SHRINKAGE OF COMPOSITE RESIN ACCORDING TO VARIOUS LIGHT-CURING METHODS (광조사 방법에 따른 복합레진의 중합수축에 관한 연구)

  • Kwon, Oh-Jin;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.1
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    • pp.102-109
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    • 2003
  • The purpose of this study was to evaluate the linear polymerization shrinkage(%) and microhardness of composite resin(Z-100, 3M, USA) according to 2-step light curing method. Conventional light curing unit(Curing Light 2500, 3M USA) and 2-step light curing unit(Elipar Highlight, ESPE, Germany) were used as light source. The strain gauge method was used for determination of polymerization shrinkage(%). Samples were divided by 3 groups according to light curing methods (Group I : $450mW/cm^2$, 40sec, Group II : $650mW/cm^2$, 40sec, Group III : $150mW/cm^2$, 10sec & $650mW/cm^2$, 30sec). Preparations of acrylic molds were followed by filling and curing. Strain gauges attached to each sample were connected to a strainmeter. Measurements were recorded at each second for the total of 10 minutes including the periods of light application. And microhardness of each group after 24hours from light irradiation were measured. Obtained data were analyzed statistically using Ore-way ANOVA and/or Scheffe test. The results of the present study can be summarized as follows: 1. Composite resin in acrylic molds showed the initial expansion at the early phase of polymerization. This was followed by the contraction with the rapid increase in volume during the first 60 seconds and gradually diminished as curing process continued. 2. The lowest linear polymerization shrinkage(%) was found in group III followed by group I, II during the measuring periods. 3. Group III using 2-step curing method showed statistically significant reduction of linear polymerization shrinkage(%) compared with group I, II at 1 minute and 10 minutes from light irradiation(p<0.05). 4. The microhardness values of each group not revealed significant difference.

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EFFECT OF SOFT-START CURING ON THE CONTRACTION STRESS OF COMPOSITE RESIN RESTORATION POLYMERIZED WITH LED AND PLASMA CURING UNIT (LED와 플라즈마 광원의 완속기시 광중합 방식이 복합레진의 수축응력에 미치는 영향)

  • Chung, Yang-Seok;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.623-631
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    • 2007
  • Effect of Soft-start curing on the contraction stress of composite resin restoration polymerized with LED and plasma curing unit The purpose of this study was to evaluate the influence of soft-start light curing on contraction stress and hardness of composite resin. Composite resin (Filtek $Z-250^{TM}$, 3M ESPE, USA) was cured using the one-step continuous curing method with three difference light sources ; conventional halogen light ($XL3000^{TM}$, 3M ESPE, USA) cure for 40 seconds at $400 mw/cm^2$, LED light (Elipar Freelight $2^{TM}$, 3M-ESPE, USA) cure for 20 seconds at $800\;mW/cm^2$ a and plasma arc light ($Flipo^{TM}$, LOKKI, France) cure for 12 seconds at $1300 mW/cm^2$. For the soft-start curing method ; LED light (Elipar Freelight $2^{TM}$, 3M-ESPE, USA) cure exponential increase with 5 seconds followed by 17 seconds at $800\;mW/cm^2$ and plasma arc light ($Flipo^{TM}$, LOKKI, France) cure 2 seconds light exposure at $650\;mW/cm^2$ followed by 11 seconds at $1300\;mW/cm^2$. The strain guage method was used for determination of polymerization contraction. Measurements were recorded at each 2 second for the total of 800 seconds including the periods of light application. Obtained data were analyzed statically using Repeated measures ANOVA, One way ANOVA, and Tukey test. The results of present study can be summarized as follows: 1. Composite resin restoration showed transient expansion just after irradiation of curing light. Contraction stress was increased rapidly at the early phase of polymerization and reduced slowly as time elapsed (P<0.05). 2. Contraction stress was not revealed significant difference between Halogen curing light groups and LED and Plasma Light curing with soft-start group (P>0.05). 3. LED and Plasma Light curing with soft-start showed lower contraction stress than the one-step continuous light curing (P<0.05).

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