• 한국지역사회생활과학회지
• /
• 제22권3호
• /
• pp.455-469
• /
• 2011

The purpose of this study was to find out how follow-up activities of reading picture books influenced infants' language and socio-emotional development. Subjects of this study were 27 2-year-old infants at public day care centers in Busan. After implementing follow-up activities of reading picture books for 8 weeks, this study tried to investigate changes in infants' language and socio-emotional development. Results of this study are as follows. First, follow-up activities of reading pictures have brought positive impacts on infants' language ability. Results indicate a positive influence on infants' expressive and acceptive language ability. Second, follow up activities have also enhanced infants' socio-emotional development. Sepcifically, they have been effective in improving infants' low-level socio-emotional development such as 'internal control', 'peer interaction', and 'achievement motivation'. It is expected that the follow-up activities developed by this research would help to enhance infants' language development and socio-emotional development.

• 한국병원경영학회지
• /
• 제7권2호
• /
• pp.99-123
• /
• 2002

This study was conducted to determine whether follow-up management is carried out continuously following CQI activity and to analyze the factors behind the success and failure of follow-up management. Past presentations from 1994-1999 of CQI coordinators and lecturers from various institutions who presented at The Korean Society of Quality Assurance in Health Care(KoSQA) on the conditions of follow-up management in each institution were analyzed. The results of this study were as follows; Since the number of subjects on CQI increased each year at symposiums, this has expanded to all medical institutions. Although medical institutions usually conduct 11-20 subjects on CQI per year, there were many such occasions where more than 31 subjects were conducted. Moreover, institutions with less than 800 beds have come up with more projects than those with more than 800 beds, thus 23.3% of these institutions had at least 1 person involved in 4 projects. This had created an overload of responsibilities for specific persons' involvement, prompting them to incline toward formalities in their work rather than substantial activities. Among the projects presented at the symposiums, 51.7% demonstrated that follow-up management could be carried out. In particular, 55.3% of the projects from provincial regions could carry out follow-up management compared to 48.8% in Seoul. Moreover, it was demonstrated that 80% of the projects from institutions with 600-799 beds carried out follow-up management most effectively. With regards to previous presentations, the older they were, it was found that follow-up management could not be effectively carried out. Some institutions that responded that follow-up management was carried out effectively in their institutions were found to have conducted follow-up management without any inspection strategies or the appropriate tools. CQI activities were executed and terminated with no consistency and team members had no real concern for it. The most important factors that contribute to an effective follow-up management are the need for concern and interest from the directors of the hospitals, from the relevant departments and team members in addition to the role of the supervising department, follow-up management through management of target goals, consistency in tasks along with communication between all team members. The biggest problems were perceived to be overload of work due to accumulation of proposed projects in addition to lack of awareness pertaining to follow-up management. CQI is beneficial for all staff for the improvement of the mind and business administration and thus it is believed to be desirable. To carry out follow-up management effectively, leadership, analysis and application of information, follow-up management and planning, as well as quality management are perceived to be essential, on the other hand, the results showed a significant difference. To prevent CQI activities from becoming just an activity, the basic system should be reconstructed and augmented based on the problems derived from the results of this study. Moreover, we hope this study will be used as reference material that would encourage the administration of follow-up management after CQI activities in most hospitals. Furthermore, various studies on follow-up management should be conducted for CQI activities in the future.

• 지역사회간호학회지
• /
• 제30권2호
• /
• pp.243-255
• /
• 2019

Purpose: The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy. Methods: A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using $x^2$ test and t-test. Results: In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group. Conclusion: These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

• 한방재활의학과학회지
• /
• 제21권2호
• /
• pp.253-263
• /
• 2011

Objectives : To analyze the therapeutic outcomes of back pain modalities in patients with disc herniation according to the change of magnetic imaging(MRI) at one year after conservative treatment. Methods : Clinical outcomes of 35 patients diagnosed with lumbar disc herniation by MRI examination, treated conservatively, were analyzed according to MRI follow-up change; improved, unchanged, worsened. Patients underwent MRI examination at baseline and after 24 week of treatment. After 1 year, we followed up 30 patients. The patients' clinical outcomes were assessed at baseline, 24 week, 1 year by visual analogue scale(VAS), oswestry disability index (ODI), and analyzed by each of it's correlation. Results : 1. VAS of sciatica and ODI of disability of daily activities showed significant decrease in patients after 1 year follow up(p<0.05). 2. VAS(low back pain and sciatica) and ODI of disability of daily activities showed significant decrease in "improved" group and VAS(sciatica) and ODI showed significant decrease in "unchanged" group. "worsened" group showed no statistic significance(p<0.05). 3. The 1 year follow-up of VAS(low back pain and sciatica) and ODI change showed relationship with MRI follow-up change(p<0.05). Conclusions : This study suggests that "improved" groups compared to "unchanged" and "worsened" group on MRI follow-up in patients with lumbar disc herniation were more effective at 1 year after conservative treatment. MRI follow-up change affect clinical changes in patients with lumbar disc herniation after 1 year.

• PNF and Movement
• /
• 제5권2호
• /
• pp.11-19
• /
• 2007

Purpose : The purpose of this study was to investigate the effect of mat activities in PNF on improvement of balance performance in stroke patients. Methods : Included 12 persons with stroke who were living in the community. They participated in exercise class for 60minutes duration three times a week for 6 weeks. Mat activities in PNF program was modified PNF patterns and techniques on various posture. Balance indexes were measured at pre-treatment, post-treatment and follow-up by K.A.T.3000. Results : Balance index scores had larger improvements after 6 weekends of treatment(p<.05) than pre-treatment, also follow-up test(p<.05). Conclusion : The result of this study showed that PNF mat activities intervention can improve balance performance in disabled persons after stroke.

• 대한토목학회논문집
• /
• 제29권2D호
• /
• pp.235-244
• /
• 2009

최근 건설공사에서 설계VE 업무의 중요도는 더욱 증대되고 있으며, 일상적인 관리활동으로 도입되고 있다. 건설공사에서 설계VE는 기본설계와 실시설계 두 번에 걸쳐 진행된다. 설계VE의 효과를 높이기 위해서는 발주자 및 사용자 요구사항과 설계의 라이프 사이클 측면에서 기본설계와 실시설계 VE 결과를 상호 연계할 필요가 있다. 본 연구에서는 설계VE 업무를 효율적으로 수행하기 위한 연속적 설계VE 프로세스를 제시한다. 제시된 모델에서는 Follow-up(후속조치) 활동을 강조하여 VE 성과 분석 중심의 업무모델을 수립했다. 제시된 모델을 설계VE 실무사례에 적용하여 효율성을 검증했다. 실제 VE 업무에 적용한 결과 첫째, 발주자 및 사용자 요구사항을 체계적 반영할 수 있었으며; 둘째, VE 제안내용의 반영계획 수립을 통한 발주자 의사결정을 지원하고; 셋째, 설계업무 인터페이스를 강화하며; 넷째, 반영결과 추적을 할 수 있었다. 이러한 효과를 고려할 때 본 연구에서 제시한 설계VE 업무모델은 설계의 라이프사이클에서 설계VE 결과를 추적하고 업무분석을 체계화하는데 기여할 것으로 기대된다.

• 대한족부족관절학회지
• /
• 제23권3호
• /
• pp.91-99
• /
• 2019

Purpose: This retrospective study reports the intermediate-term clinical outcomes including the practical function in daily and sports activities after total ankle arthroplasty for end-stage rheumatoid arthritis, as well as the effects of modification of perioperative anti-rheumatic medications. Materials and Methods: Twelve patients were followed for a minimum of 2 years after total ankle replacement for end-stage rheumatoid arthritis. Perioperative anti-rheumatic medications in all patients were modified based on a specific guideline. Clinical evaluations consisted of American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM) scores. Periodic radiographic evaluation was conducted to detect changes in ankle alignment and postoperative complications. Results: Mean AOFAS, FAOS, and FAAM scores improved significantly from 37.5 to 81.2, 39.1 to 72.4, and 33.8 to 64.0 points at final follow-up, respectively (p<0.001). Functional outcomes in daily and sports activities at final follow-up were found to be 76.5 and 55.8 points for the FAOS and 70.5 and 57.5 points for the FAAM, respectively. As early postoperative complications, there was one case of local wound necrosis, one case of medial malleolar fracture, and one case of deep peroneal nerve injury. Radiological evaluation revealed two cases of asymptomatic heterotopic ossification and one case of progressive arthritis in the talonavicular joint. Reoperation was performed in only one patient (8.3%) with a medial soft tissue impingement at a mean of 35.6 months follow-up. Conclusion: Total ankle arthroplasty appears to be an effective surgical option for end-stage rheumatoid arthritis. Practical functions in daily and sports activities were significantly improved at intermediate-term follow-up. Modification of perioperative anti-rheumatic medications can be one of the solutions to reduce the postoperative complication rate.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제11권2호
• /
• pp.186-197
• /
• 2000

연구목적：자폐장애는 예후가 가장 좋지 않은 소아정신장애 중의 하나이나, 최근에는 과거의 연구들보다는 다소 나은 예후가 보고되기도 한다. 본 연구는 자폐장애 환자들의 증상을 중심으로 비교적 단기 경과를 탐색하고자 하였다. 방 법：DSM-III-R 진단기준의 50명 자폐장애 환자들($1{\sim}13$세)을 $4{\sim}7년(6.4{\pm}1.1년)$ 후 추적 평가하여 증상의 변화유무와 사용한 치료방법, 나이, 성별, 지능, 신체증상에 따른 자폐증상의 변화를 분석하였다. DSM-III-R의 진단 기준을 A(Social interaction, A1${\sim}$A5), B(Communication, B1${\sim}$B6), C(Activities and interests, C1${\sim}$C5)로 분류하여 비교하였다. 결 과：추적 평가시가 초기평가시에 비하여 전체적으로 뿐만 아니라, A, B, C 각각의 영역에서도 유의하게 증상의 수가 줄었다. 50% 이상 감소한 증상들로는 A1, A2, A3 증상, B1, B2, B3, B4, B5 증상, C1, C3 증상이었다. 의사소통 영역이 초기 평가시나 추적시에 가장 낮은 빈도를 보였다. 나이가 많은 군과 특수교육군에서 의사소통 능력이 더 나았으나, 성별, 지능, 신체증상에 따른 증상의 변화는 통계적으로 유의하지 않았다. 결 론：자폐장애가 청소년기까지는 시간이 지남에 따라 전반적으로 증상의 호전을 보였다. 향후 성인을 포함한 장기 추적연구가 필요할 것이며, 적극적인 조기 발견과 조기 치료적 중재를 시행하여야 할 것이다.

• Annals of Clinical Neurophysiology
• /
• 제21권1호
• /
• pp.30-35
• /
• 2019

Background: Postural tachycardia syndrome (POTS) refers to the presence of orthostatic intolerance symptoms associated with a heart rate increment of greater than 30 beats/min, usually up to 120 beats/min, on head-up tilt test. Symptoms related to POTS are usually light-headedness, palpitations and tremor, but syncope can also occur. The pathophysiology of POTS is heterogeneous and its prognosis is uncertain. Methods: We prospectively evaluated patients who met the criteria for POTS, at baseline and follow-up, using composite autonomic symptom scores and autonomic tests to assess the autonomic function. We compared the clinical and autonomic test results between baseline and follow-up. Results: Sixty-eight patients met the inclusion criteria for POTS and forty-five patients were ultimately followed up for at least 1 year after baseline. The patients were predominantly young females (84%), with a mean age of 21 years. Most patients showed improved orthostatic symptoms and more than a quarter of patients had no longer met the criteria for POTS at follow-up. Conclusions: Most patients had a benign outcome in that they could resume their daily activities without great limitations. Our results demonstrated a relatively favorable prognosis in most patients with POTS.

• 성인간호학회지
• /
• 제27권6호
• /
• pp.656-664
• /
• 2015

Purpose: The purposes of this study were to identify the rate of reversion from mild cognitive impairment (MCI) to normal cognition (NC) among the community-dwelling elderly and to determine if there were differences in cognitive function, leisure activities, and exercises between the group with MCI-maintained and the group with reversion to NC. Methods: This study utilized a longitudinal descriptive comparative design. A total of 346 subjects over age 65 was recruited from public health center at baseline. Finally 152 elderly were enrolled at 1 year follow-up. Data were collected through MoCA-K, K-MMSE, KDSQ-C5 and questionnaires on leisure activities and exercises. Data were analyzed by IBM SPSS Statistics 21.0 using descriptive statistics, $x^2$ test, and t-test. Results: The rate of reversion from MCI to NC among the subjects was 44.1%. At baseline, the group with MCI-maintained had lower cognitive function than the group with reversion to NC. At 1 year follow-up, the group with reversion to NC had higher subjective cognitive function than the group with MCI-maintained. Regarding leisure activities, there were differences between the groups at baseline and 1 year follow-up. Conclusion: It is suggested that age, education year, subjective cognitive function, and leisure activities should be considered at planning a nursing intervention for MCI.