• 제목/요약/키워드: impairment

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경두개 직류 전기 자극과 병행한 배 드로우인 방법이 만성 뇌졸중 환자의 균형 능력과 몸통 기능에 미치는 영향 (Effects of Abdominal Draw-In Maneuver Combined with Transcranial Direct Current Stimulation on Balance Ability and Trunk Function in Chronic Stroke Patients)

  • 이양진
    • 대한통합의학회지
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    • 제11권2호
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    • pp.101-108
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    • 2023
  • Purpose : To investigate effects of transcranial directed current stimulus (tDCS) combined with abdominal draw-in maneuver (ADIM) on balance ability and trunk impairment scale of chronic stroke patients. Methods : Twenty-six chronic stroke patients were recruited and twenty-four participated after excluding two patients who met the exclusion criteria. After screening tests, they were randomized through excel program into an experimental group (n = 12) to apply a tDCS combined with ADIM and a control group (n = 12) to apply a sham tDCS with ADIM. The intervention lasted three times a week for six weeks. To compare tDCS intervention effects, trunk impairment scale and balance ability were measured. Comparisons between experimental and control groups were statistically processed using an independent t-test and comparisons within groups were statistically processed using a paired t-test. Results : The experimental group showed significant increases of pre- and post-intervention medial lateral velocity, anterior posterior velocity and area of balance ability, and trunk impairment scale (p<.05). The control group showed significant increases in pre- and post-intervention medial lateral velocity of balance ability and trunk impairment scale (p< .05). The experimental group showed significant increases of medial lateral velocity of balance ability and trunk impairment scale compared to the control group (p<.05). Conclusion : Results of this study suggest that tDCS combined with ADIM for chronic stroke patients can be effective in improving medial lateral velocity of balance ability and trunk impairment scale. Thus, tDCS can be used as an effective treatment protocol for trunk rehabilitation of chronic stroke patients.

자본잠식 수입자에 대한 무역보험 신용평가 개선방안 연구 (A Study on Improvement of Trade Credit Insurance Rating for Capital Impaired Foreign Buyers)

  • 김경철
    • 무역학회지
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    • 제48권3호
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    • pp.89-106
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    • 2023
  • 본 연구는 자본잠식 상태의 우량 해외바이어에 대한 신용평가 개선방안을 고찰하였다. 미국을 대표하는 우량기업 중 당기순익을 시현하면서도 오히려 자본이 감소하는 특수한 상황의 기업이 적지 않은 바, 해외기업 사례연구를 실시하여 자본잠식 발생원인을 심층 분석하였다. 자본잠식 유형을 발생원인에 따라 영업손실 누적에 의한 적자형 자본잠식과 자사주 매입 등 주주환원 정책에 의한 흑자형 자본잠식으로 구분하였다. 본 연구는 무역보험공사가 자본잠식 해외바이어에 대해 일률적으로 무역보험 이용제한 대상인 G등급으로 평가하는 현행 신용등급 평가방식의 개선 필요성을 지적하며, 흑자형 자본잠식 기업에 대한 신용평가를 형식적 심사에서 실질적 심사로 개선할 것을 제안하였다. 수입자 신용등급이 적정 수준 대비 하향 평가될 경우 무역보험 제공이 제한되어 수출자 지원이 위축될 우려가 있는 바, 본 연구 결과가 무역보험 신용평가 개선에 활용되어 적극적 무역보험지원에 기여하길 기대한다.

간호사의 가정간호를 위한 교육요구 분석 (A study on educational need of nurses for home care)

  • 문정순
    • 한국보건간호학회지
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    • 제5권2호
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    • pp.5-25
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    • 1991
  • This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

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노인의 인지 기능 수준에 따른 삶의 만족도 영향 요인 비교 (A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level)

  • 황라일;임지영;이영희
    • 대한간호학회지
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    • 제39권5호
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    • pp.622-631
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    • 2009
  • Purpose: This study was conducted to analyze the factors that influence the life satisfaction of the elderly according to their cognitive impairment level. Methods: This study was conducted by dividing 3,012 elderly residents of a regional community into three groups based on the scores of the Korean version of the Mini-Mental State Examination: a normal group without any cognitive impairment, a suspicious group with a mild level of cognitive impairment, and a high risk group with a high level of cognitive impairment. Researchers made phone calls, house calls, and personal visits to health centers and shelters for the elderly to gather the information required for this study. Results: The results of this study revealed that social relationships, depression, and activities of daily living had a significant impact on life satisfaction for the normal group, while social relationships and depression had a high impact on life satisfaction for the suspicious group, and social relationships had high impact on the life satisfaction of the high risk group. Conclusion: Based on the results of this study, we suggest that programs that promote development of the social relationship networks of the elderly should be established to promote their life satisfaction.

요통기간에 따른 손상, 장애, 심리적 요인들의 상관성 비교 (Comparison of the Relationship Between Impairment, Disability and Psychological Factors According to the Difference of Duration of Low Back Pain)

  • 원종임
    • 한국전문물리치료학회지
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    • 제18권3호
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    • pp.76-84
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    • 2011
  • The purpose of this study was to investigate the correlations between pain intensity, physical impairments, disability, and psychological factors according to the difference in duration of low back pain. This study was a cross-sectional survey of 102 participants with low back pain, divided into two groups equal in number: The first group consisted of patients with acute and subacute low back pain, while the second group consisted of patients suffering from chronic low back pain. The results showed that gender, age, pain intensity, physical impairment, disability and Fear-Avoidance Beliefs (FABs) for work activities were not significantly different between two groups. FABs for physical activities of the first group were significantly more prevalent than in the second group. More than moderate correlations were found between pain intensity, physical impairment, and disability in the first group. Less than moderate correlations were found between pain intensity, physical impairment, disability, FABs, and depression in the second group. These findings suggest that we must consider psychological factors in the treatment of patients with chronic low back pain. Regression analyses revealed that pain intensity and FABs for work activities significantly contributed to the prediction of disability in the first group. Also, pain intensity and FABs for physical activities significantly contributed to the prediction of disability in the second group. Pain intensity was most important predictor of disability in two groups.

거대 점 오염원의 플룸에 의한 시정 장애 효과 연구 (A Study on Visibility Impairment Impact of the Plume from a Vast Point Source)

  • 배주현;김유근
    • 한국대기환경학회지
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    • 제15권5호
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    • pp.599-611
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    • 1999
  • Now that the plume of point source was suspected to have strong impact on visibility impairment in Pusan, we evaluated visibility impairment impact of the pulme from Pusan Thermo Electric Power Plant in Pusan. Level-1 and-2 analyses were carried out using VISCREEN(Visual Impact Screen model). The emission rates for this Pusan Thermo Electric Power Plant was projected to be 116g/s of nitrogen oxides(as $NO_2$). The source fails the level-1 test with a Plume perceptibility(ΔE) of 30, nearly 15 times the screeing threshold. To characterize worstcase meteorological conditions for level-2 screening, we obtained meteorological data from Mar., 1996 to Feb., 1997 of Pusan Thermo Electric Power Plant. The source fails the level-2 test with a ΔE of 17, nearly 8.5 times the screening threshold. These analyses indicated that adverse visibility impairment could not be ruled out. Therefore a Level-3 analysis was performed using PLUVUE II(Plume Visibility model). As a result, maximum reduction of visual range for 0900LST in winter was 0.9%. Visual impact of the plume from vast point source was judged to be considerable in terms of background visibility of urban area.

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좌골신경 손상에 대한 한약물 치료효과에 대한 실험논문 분석 - 국내외 한의계 연구를 중심으로 - (Effects of the Herbal Medicine in Animal Models for Treatment of Sciatic Nerve Impairment: A Review of Animal Study Reports)

  • 이치호;이재은;최영준;이은정;오민석
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.9-21
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    • 2016
  • Objectives This study is to review the effect of herbal medicine on treatment of sciatic nerve injury induced animal models reported in domestic & foreign journals. Methods 5 electronic databases (Pubmed, CAJ, RISS, Oasis, Koreantk) were searched with term as sciatic nerve injury, and animal study reports on sciatic nerve impairment with herbal medicine treatment were extracted. Results 31 articles were reviewd. All studies used SD rat. 26 studies used crush injury at the sciatic nerve using haemostatic forcep and 5 studies used sciatic nerve transection. 15 studies used single herb extract and 16 studies used complex herb medicine. Angelica gigantis radix was the most frequently used herb. Each study showed significant changes of improvement indicators from sciatic nerve impairment. Conclusions Various herb medicine are expected to have positive effects on sciatic nerve impairment.

언어발달지체아동의 문법형태소 사용 특성 (The Use of Grammatical Morphemes of Korean Children with Language Impairment)

  • 김수영;배소영
    • 음성과학
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    • 제9권4호
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    • pp.77-91
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    • 2002
  • This study investigated the use of grammatical morphemes (substantive morphemes and connective endings) of Korean speaking children with and without language impairment (LI). Participants were two children (ages 5;11 and 6;2) with SLI (specific language impairment), two LD (language delay) children (ages 6;3 and 6;5) with 70-84 range on a performance-IQ test, and two children (ages 5;7 and 6;1) with ND (normal development). Spontaneous language samples were elicited by play activities and story generation. A total of 8,059 (M=I,343, ranged 966-1,659) intelligible and nonimitative utterances were analyzed by the KCLA 2.0 (Korean Computerized Language Analysis 2.0) program for substantive morphemes and connective endings. The findings of this study were as follows; (1) The Korean speaking children with LI including SLI demonstrated less uses of grammatical morphemes than ND children. (2) Few differences were found between LI and ND children in the use of the grammatical morpheme types. (3) LI children produced significantly higher percentage of grammatical morpheme errors in spontaneous speech than ND children. (4) Few differences were found between SLI and LD children in degrees of the use and the error of grammatical morphemes.

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The Effect of Swiss Ball Program on Lower Extremity Function of Elderly with Mild Cognitive Impairment

  • Lee, Yu Jin;Park, Jae Young;Park, Hyun Jeong;Shin, Hee Joon;Choi, Duk Kyu;Shin, Hyung Soo
    • 국제물리치료학회지
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    • 제5권1호
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    • pp.691-695
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    • 2014
  • The purpose of this study was to determine the effects of swiss ball program training on lower extremity function of old elderly with mild cognitive impairment. The subjects were 30 mild cognitive impairment eldrly people aged between 65 and 80, who were divided into the swiss ball program training group(n=15) and the control group(n=15). The swiss ball program training group engaged in a 50-minute exercise session using. Lower extremity function scale of the two groups were measured before and after the intervention. The results are as follows. According to the swiss ball program training conducted to examine the effects of the training on lower extremity function, Moreover, the two groups showed significant differences in lower extremity function. These results indicate that virtual reality training is effective in improving lower extremity function. To conclusion, swiss ball program was found to have a positive effect on elderly lower extremity function. Swiss ball program training can be proposed as a form of fall prevention exercise for the mild cognitive impairment. Swiss ball program may be helpful to reduce the incidence of dementia and behavioral complications.