Purpose: This study was conducted to investigate the level of health behaviors, perceived health status, emotional and cognitive conditions and depression of the elderly residence in homeless shelters, and to identify related factors on their depression. Method: This was a descriptive study using a questionnaire. Geriatric Depression Scale (GDS-15) was used for examining depression, and other questionnaire were adopted and modified from the customized visiting health care service. Result: The 41 subjects displayed mild depression ($5.34{\pm}3.33$). The majority were non-smokers (73.2%) and non-drinkers (85%), and 81.1% of the subjects did light activities with 74.4 % performing regular exercise more than once per week. Perceived health status was above average in 70.7%, and feeling stress (70.7%), suicidal thoughts (12.2%) and abnomal KDSQ-C (29.3%) were shown in emotional and cognitive conditions. Depression had a significant relationship with regular exercise (t=3.61, p=.001), perceived health status (t=3.47, p=.041) and suicidal thoughts (t=2.85, p=.007). Conclusion: It is necessary to increase shelters for the elderly homeless and construct the system for examining not only their physical health but also their psychological problems, and to ensure long- term care recognizing their unique characteristics and needs, and their increasing number.
Park, Yu-Kyeong;Lee, Cho In;Lee, Jung Hee;Lee, Hyun-Jong;Lee, Yun-kyu;Seo, Jung-Chul;Kim, Jae Soo
Journal of Acupuncture Research
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v.36
no.4
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pp.197-203
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2019
The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.
The purpose of this study was to provide the basic data for developing a program for effective education about GDM(Gestational Diabetes Mellitus) by investigating the knowledge and learning needs of pregnant women about GDM. The subjects were 192 pregnant women who visited obstetrical clinics for prenatal care. The data were collected from October, 1998 to December, 1999, using a 50-item questionnaire(knowledge ; 30 items, learning needs ; 20 items), and analyzed by SAS program for t-test, ANOVA, Ducan test, and Pearson correlation coefficients. The results were as follows. 1. The knowledge level about GDM 1) Pregnant women had very little knowledge(total means ; 15.1 of 30.0) about GDM. 2) Pregnant women more than 30 years old, pregnant women from Seoul, and pregnant women who had more than a bachelor's degree were more knowledgeable about GDM. 3) Pregnant women who didn't experience spontaneous abortions, pregnant women who had DM(Diabetes Mellitus) patients in their families, and pregnant women who received education about DM were more knowledgeable about GDM. 4) Pregnant women knew very well that GDM women have more maternal and fetal complications than normal pregnant women. Although they were knowledgeable about the importance and ways of controlling blood glucose level, they knew very little about the causes, symptoms, or management of hypoglycemia. 2. The learning needs about GDM 1) Pregnant women had high learning needs (total means ; 85.0 of 100.0) about GDM. 2) The learning needs of pregnant women who had more than a bachelor's degree and pregnant women who earned less than two million won in monthly income were higher than that of other groups. 3) Pregnant women had high learning needs about the health of their baby and themselves, but their learning needs related to weight control and exercise-things that play important roles in controlling blood glucose level-were relatively low. As a result of the above findings, a systemic and individualized program is required for pregnant women and GDM patients, In addition to that, further studies that investigate the effects of education and retention of learning obtained by education are required in the near future.
Background : Recently, cardiopulmonary exercise testing (CPX) has become a popular diagnostic method for differentiating the main cause of exertional dyspnea or exercise limitation. We evaluated the difference in the CPX results according to interpretative algorithms and the methals of exercise in Korea. Method : Sixty-six patients with chronic lung disease and 48 adults with dyspneic symptoms, but with no abnormalities in a spirometry performed symptom limited CPX, were included in this study. The results were interpreted using both Wasserman's(WA) and Eschenbacher's algorithm (EA), and a comparison between both algorithms was made. Thirty-three healthy medical students performed the CPX with a cycle ergometer and treadmill. The results were interpreted with EA and the concurrence in interpretations was evaluated accord ing to the methods of exercise. Results : 1. In patients with chronic lung disease, the overall concordance rate between the two algorithms was 63.6%. The concordance rates waw 69.8% in patients with obstructive, 25.0% in those with restrictive, and 66.7% in those with mixed pulmonary insufficiency. In patients with dyspneic symptoms but normal findings in resting spirometry, the concordance rate was 60.4%. 2. In healthy medical students, in results inter preted with EA, the concordance rate between the cycle ergometer and treadmill exercise was 25.0%. Conclusion : Both interpretative algorithms and methods of exercise may affect the CPX results. In using CPX as a diagnostic test for the causes of dyspnea in the Korean population. the interpretative algorithms and method of exercise need to be standardized, and a predictive $VO_2$max equation needs to be established.
Purpose: The aim of this study was to investigate the nurses' educational needs for the infertility care. Methods: The 194 participants in this study were nurses in charge of infertility health services in 5 infertility hospitals and 1 public health center. Data were collected using a self-report questionnaire including education for disease and symptom of infertility, education for daily life of infertile patients and supporting and counselling for infertility patients. Results: Nurses had an average score 3.52 for the need of education for disease and symptom of infertility, 3.36 for the need of education for daily life of infertile patients and 3.32 for the need of supporting and counselling for intertility patients. Among the each subcategories, 'Infertility treatment procedure and intervention', 'Exercise' and 'How to form a supportive relationship with your spouse' showed the highest average of nurses' educational needs for the infertility care counselling programs item for the infertility patients. Conclusion: In order to effectively conduct infertility care for the infertility patients, it is necessary for nurses in charge of infertility health services to understand clear concept and objective of it.
Purpose: The purpose of this study was to figure out emotional labor, healthy lifestyle, needs for health services of flight attendants and the relationships among needs for health services according to various characteristics of flight attendants. Methods: The participants of this study were 140 flight attendants who work on major and low cost airlines. Data were collected through a questionnaire from 2017 .Jan.~2017. Feb. Data were subsequently analyzed using the SPSS 21 Program. Results: The score of emotional labor was 3.76 surface acting was 3.75 and deep acting was 3.77. The average of healthy lifestyle was 2.41, and the highest was 3.13 of personal relationship and the lowest was 1.91 of eating habits. There is a positive correlation between emotional labor-deep acting and healthy lifestyle. Flight attendants demand health services for physical exercise, stress and emotional labor management, healthy eating habits, emergency treatment, prevention of fatigue, cancer screening, sexual harassment prevention, sex education and etc. Conclusion: These results show that flight attendants need to various interventions for improving healthy lifestyle and reducing emotional labor. It is necessary to develop customized health promotion program suited to their job and general characteristics.
The purpose of this study is to the examine sense of community of the residents living in an apartment complex and the relevant features of the community facilities provided in the complex, such as actual facility conditions, needs and satisfaction. Five apartment complexes constructed after 2000, each containing more than 500 units were selected for this case study. The actual conditions of the community facilities regulated by current laws were inspected. Those facilities were the administration office, gym, multi-purpose room, sauna and shower room, indoor and outdoor children's play-grounds, study room, etc. 37 residents were interviewed to access their needs and level of and satisfaction with the provided community facilities. Based on the results, we suggest that basic community facilities for exercise, child care and children's recresion need to be provided regardless of the apartment complex size. The respondents revealed a medium level of sense of community, which was psychologically limited to their apartment complex. Indoor and outdoor children's play-grounds had great potential to encourage social interaction between the residents. The findings point to a need for improvement of the current relevant regulations with the perspectives of flexibility and application in terms of space size and mandatory types.
The statistics of industrial accident reported by ministry of Employment and Labor denoted a significant increase of musculoskeletal disorders(MSDs) after 1993, and showed the higher incident rate by 71.3% over the overall worker's disorders. Also, it was expected that Korean society will become the post-aged society in 2026 with 20.8% of elderly who is over 65 years old. The reports suggest possible problems caused by the older worker known to have reduced working ability than the young counterparts. On this basis, the goal of this study was to investigate the relationship between MSDs symptoms and work ability in the shipbuilding industry. To achieve this goal, this study distributed a questionnaire for total 1,244 shipbuilding employers, and used 910 employers' reports which revealed validity for this study. The questionnaire included the MSDs symptoms report developed by the Korean Occupational Safety and Health Association(KOSHA) and the work ability index(WAI) developed by Finnish Institute of Occupational Health(FIOH). Results showed no relationship between MSDs symptoms and age, years of work and exercise. Also, the work ability was increased until 44 years old, but it was decreased after that time because of the reduced physical capacity. Meanwhile, the years of work and exercise have positive correlation with work ability. However, the results revealed significant relationships between WAI and age, years of work, task characteristics and exercise. All together, the MSDs symptoms have a close relationship with the work ability in that the work ability of workers with the MSDs symptoms was reduced. This study may suggest the needs of more efforts and attention on the MSDs prevention to increase the work ability.
The realities of Climate change and its untold implications on the livelihood of man are no longer new worldwide. In attempts to subdue the negative implications of Climate change scenario globally, several measures have being suggested and being put in place. One of such measures is urban reforestation especially in the developing nations where forest resources have extremely and uncontrollably exploited. Most of cities in developing nations are almost devoid of regularly maintained trees for whatever purpose. Thus, the enormous roles which urban tree performs are lacked in most cities. In order to subdue excessive heat in cities arising from exposure of urban land areas urban reforestation exercise needs to be embarked upon. The investigation was carried out through desk studies and review of relevant publications to examine what it entails to have a sustainable reforestation programme in cities. The study revealed that several factors need to be taken into consideration if sustainable urban reforestation will be achieved, especially in developing countries. These factors include urban soil nutrients status investigation, appropriate tree type study, public perception about the tree types, relevant legal instrument to achieve successful reforestation exercise in cities among others were found to be salient to this exercise. Urban reforestation has enormous potentials to subdue Climate change consequences, including urban renewal if adequate provision is made for its sustainability, especially in developing countries. To ensure this is realized it is recommended that relevant ministry/agency could be put in charge for the maintaining, cutting and replanting of urban tree and all that are involved in urban tree sustainability.
Miso S. Park;Chan-young Kim;In-woo Choi;In-cheol Chae;Wangjung Hur;SangSoo Park;Horyong Yoo
The Journal of Internal Korean Medicine
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v.44
no.1
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pp.1-11
/
2023
Objective: There are currently no disease-modifying medications or definite long-term sustainable interventions for patients with Parkinson's disease (PD), indicating an unmet treatment need. Our goal was to create a long-term sustainable intervention for PD patients that can be used in Korean medicine clinics. Methods: The Meridian Activation Remedy System (MARS) was created to stimulate a patient's 12 meridians and sinew channels using a combination of acupoint stimulation and exercise. The acupoints and motions used in MARS were selected through literature studies and expert advice. The methodologies were refined using observational and case studies. With slow and fast movements, the MARS intervention was intended to activate both slow- and fast-twitch muscle fibers. Intradermal acupuncture and motion that shift the center of gravity were employed to enhance the patient's balance and proprioception. In addition, the intervention included alternating movement exercises to address the complex cognitive decline commonly occurring in PD patients. Results: The following acupoints were chosen for the MARS intervention: bilateral Hegu (LI4), Houxi (SI3), Waiguan (TE5), Neiguan (PC6), Zhongchong (PC9), Yuji (LU10), Zusanli (ST36), Yanglingquan (GB34), Taichong (LR3), Kunlun (BL60), and Taixi (KI3). We also developed actions that can stimulate the body's 12 meridians. Conclusion: We developed the MARS intervention, which combines acupuncture and exercise, to address the unmet therapeutic needs of PD patients. We hope that with additional research, the MARS intervention can be set as an effective therapeutic program for PD patients.
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