• 제목/요약/키워드: mobility index

검색결과 224건 처리시간 0.023초

흡수성 차폐막을 이용한 조직유도재생술의 임상적 효과 (Clinical comparison of resorbable and nonresorbable Barrier in guided tissue regeneration of human intrabony defects)

  • 허인식;권영혁;이만섭;박준봉;허익
    • Journal of Periodontal and Implant Science
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    • 제29권1호
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    • pp.193-207
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    • 1999
  • The purpose of this study was to compare the clinical results of guided tissue regeneration(GTR) using a resorbable barrier manufactured from an copolymer of polylactic acid (PLA) and polylaetic-glycolic acid(PLGA) with those of nonresorbable ePTFE barrier. Thirty two patients(25 to 59 years old) with one radiographically evident intrabony lesion of probing depth ${\geq}$6mm participated in a 6-month controlled clinical trial. The subjects were randomly divided into three independent groups. The first group(n=8) received a ePTFE barrier. The second group (n=12) received a resorbable PLA/PLGA barrier. The third group (n=12) received a resorbable PLA/PLGA barrier combined with an alloplastic bone graft. Plaque index (PI), gingival index(GI), probing depth(PD), gingival recession, clinical attachment level(CAL), and tooth mobility were recorded prior to surgery and at 3, 6 months postsurgery, Statistical tests used to analyze these data included independent t-test, paired t-test, one-way ANOVA. The results were as follows : 1. Probing depth was significantly reduced in all groups at 3, 6 months postsurgery and there were not significant differences between groups. 2. Clinical attachment level was significantly increased in all groups at 3, 6 months postsurgery and there were not significant differences between groups. 3. There were not significant differences in probing depth, clinical attachment level, gingival recession, tooth mobility between second group (PLA/PLGA barrier) and third group (PLA/PLGA barrier combined with alloplastic bone graft) 4. Tooth mobility was not significantly increased in all groups at 3, 6 months postsurgery and there were not significant differences between groups. In conclusion, PLA/PLGA resorbable barrier has similar clinical potential to eP'IFE barrier in GTR procedure of intrabony pockets under the present protocol.

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인적자본과 기술진보불균등성에 관한 실증분석 (The Empirical Study on the Human Capital and Technology Progress Inequality)

  • 조상섭;양영석;조병선
    • 기술혁신학회지
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    • 제12권3호
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    • pp.457-470
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    • 2009
  • 본 연구는 세계 84개 국가를 대상으로 인적자본형성수준과 기술진보에 대한 인과관계를 추적였다. 실증분석결과는 크게 세 가지로 요약할 수 있다. 첫째, 1980에 비하여 2000년도에 소득분배불균등성은 상대적으로 증가되었다. 둘째, 역시 84개 국가를 대상으로 한 기술진보수준에 대한 불평등성도 증가하였으나, 인적자본형성수준에 대한 불평등도는 감소하였다. 마지막으로 인적자본현성수준에 따른 세계국가의 기술진보불균등도에 대한 이동성측면을 보면, 1980년도에서 1990년도에는 인적자본형성이 높은 집단일수록 기술진보수준불균등정도는 개선되고 있었으며, 1990년에서 2000년도까지의 실증분석결과는 동일한 결과를 나타냈다. 그러나 전 동기(1980-1990)보다는 후반기(1990-2000)에 개선정도는 낮았다. 이러한 실증분석결과로 볼 때, 인적자본형성을 통하여 기술진보를 이룩한다는 기존 연구결과는 전반적으로 뒷받침되고 있으나, 그 개선정도가 낮아지고 있기 때문에, 지속적 경제발전 및 기술진보를 위하여 인적자본이 기술진보에 미치는 전달메커니즘의 효율성을 제고할 수 있는 정책방향전환이 요구된다.

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직업성 만성요통에 대한 능동적 운동프로그램의 효과 (The Efficacy of Active Exercise Programs for Work-Related Chronic Low Back Pain)

  • 허진강
    • 대한물리치료과학회지
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    • 제11권3호
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    • pp.38-48
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    • 2004
  • The purpose of present study is to examine the relative efficacy of active exercise programs for work-related chronic low back pain and to figure out how much they affect mechanical stability of lumbar. Subjects are 43 employees with work-related chronic low hack pain, and they were randomly divided into two groups with general physiotherapy groups and thoracic exercise groups for increasing thoracic mobility. Active exercise programs were done 3 times a week, for 6 months, and the subjects were tested for Pain intensity(VAS), the Oswestry Disability Index, Maximal stretching with both hands in the overhead direction and the lumbar region angle of inclination. All subjects were reassessed with same measurement with Pre-study and 6 months after study After applying active exercise programs, pain intensity didn't show any significant difference between two groups. The Oswestry Disability Index showed significant difference between two groups and thoracic exercise groups decreased significantly compare to general physiotherapy group(p<0.05). Maximal stretching with both hands in the overhead direction showed significant difference between two groups and thoracic exercise group increased significantly more than general physiotherapy groups(p<0.05). The lumbar region angle of inclination showed significant difference between two groups and thoracic exercise group decreased significantly more than general physiotherapy groups (p<0.05). According to the results above, exercise for increasing thoracic mobility has an effect on lumbar stability. For the work-related chronic lower hack pain workers, it is far more effective for lumbar stabilization than general physiotherapy.

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뇌졸중 환자의 재활참여가 기능회복에 미치는 영향 (Impact of Patients' Level of Participation in Rehabilitation on Functional Outcome in Patients With Stroke)

  • 원종임
    • 한국전문물리치료학회지
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    • 제27권1호
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    • pp.63-69
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    • 2020
  • Background: Stroke recovery is a long and complex process. Successful stroke recovery seems to be strongly associated with patients' high motivation and committed participation. Patients' motivation is a key determinant of successful rehabilitation outcomes, but it is difficult in defining and measuring. Patients' participation is defined as the degree or extent to which subjects take part in rehabilitation activities and can be measured by observable behavior. Objects: The purpose of this study was to investigate the impact of patients' level of participation in rehabilitation on functional outcomes in patients with stroke. Methods: Forty post-stroke inpatients participated in this study. The level of rehabilitation participation was measured by the Hopkins Rehabilitation Engagement Rating Scale (HRERS). Other measures used for the evaluation were the Rivermead Mobility Index (RMI) and Korean version of the Modified Barthel Index (K-MBI). Overall measurements were made at early intervention and late intervention. Spearman correlation and multiple regression were used to measure the relationships between HRERS, RMI, and K-MBI. Results: The correlation found between HRERS total scores at early intervention and RMI total scores of late intervention was above moderate (r = 0.607, p < 0.01). RMI total scores at early intervention (p < 0.000), HRERS total scores at early intervention (p < 0.001), and disease duration (p < 0.003) were significant predictors of RMI total scores at late intervention. Conclusion: The level of participation at early intervention was associated with improvement in mobility. The level of mobility at early intervention, disease duration, and patients' participation at early intervention were important determinants of functional outcome. These findings suggest that patients' participation should be encouraged in order to achieve successful stroke recovery.

Improvement in periodontal healing after periodontal surgery supported by nutritional supplement drinks

  • Lee, Jaeri;Park, Jung-Chul;Jung, Ui-Won;Choi, Seong-Ho;Cho, Kyoo-Sung;Park, Yoo-Kyoung;Kim, Chang-Sung
    • Journal of Periodontal and Implant Science
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    • 제44권3호
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    • pp.109-117
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    • 2014
  • Purpose: The aim of this study was to determine the effects of nutritional supplements on periodontal health and tooth mobility after surgery. Methods: Patients were randomly assigned to an intervention group who consumed nutritional supplement drinks for 8 weeks, while the placebo group did not receive any such supplements. The gingival index (GI) and tooth mobility were measured at baseline and at 1, 4, and 8 weeks. In addition, the oral health impact profile-14 and anthropometric measurements along with loss of appetite and dietary intake were assessed at baseline and 8 weeks. Results: At 1 week, GI values were reduced in the intervention group (P<0.05), and tooth mobility had increased, but to a lesser extent in the intervention group (P<0.05). At 8 weeks, the intakes of protein, vitamins A and B1, and niacin were increased in the intervention group. Conclusions: These results demonstrate that nutritional supplementation improves early periodontal healing after surgery.

풍화토와 점성토 위주의 토석류 거동과 유동특성 (Debris Flow Mobility: A Comparison of Weathered Soils and Clay-rich Soils)

  • 정승원
    • 한국지반공학회논문집
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    • 제29권1호
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    • pp.23-27
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    • 2013
  • 기후변화에 따른 토석류 발생과 그로 인한 피해가 세계적으로 증가 추세에 있다. 토석류 연구는 역학적 관점에서 파괴 후(post-failure) 거동에 해당하며 지반강도와 유동특성을 분석함으로써 특성화할 수 있다. 본 연구는 국내의 토석류 발생지역인 상주(화강암 풍화토), 인제(편마암 풍화토), 포항(이암 및 셰일) 지역을 대상으로 지반의 물성-전단강도 상관관계와 토석류의 유동특성을 평가하였다. 본 연구지역을 대상으로 스웨덴 낙하 콘(Swedish Fall cone) 시험장치를 이용하여 지반의 물성 및 지반강도 사이에 일정한 상관관계가 있음을 밝혔다. 실험결과에 따르면, 인제, 상주, 포항지역에서 채취된 시료에 대해 액성지수(IL)와 비배수 전단강도($C_{ur}$) 사이에 $C_{ur}=(1.2/I_L)^{3.3}$의 관계식이 성립한다. 토석류 흐름을 지배하는 항복응력은 재성형 비배수 전단강도에 상응하는 것으로 간주하고, Bingham 모델과 액성지수-항복응력 관계식을 이용하여 토석류의 유동성을 조사하였다. 유동해석은 국내 풍화토와 낮은 활성점토를 구분하여 적용하였다. 이때 액성지수는 액성한계를 기준으로 $I_L=1$, 1.5, 3.0으로 구분하여 비교분석하였다. 동일한 액성지수($I_L=1$)에 대해, 토석류의 발생 5분 경과 후 최대 이동거리는 250m에 다다른다. 액성지수가 3으로 증가 될 경우, 토석류의 이동거리를 5분까지 살펴본 결과, 국내 풍화토는 낮은 활성점토에 비해 2배 이상 큰 유동성이 있음을 알 수 있었다. 본 유동성 평가기술은 토석류 피해저감기술 전략수립에 활용할 수 있을 것으로 기대된다.

노년기로의 이행에 따른 소득불평등 변화와 소득이동성 (Changes in Income Inequality and Income Mobility Associated with a Transition to Old Age)

  • 이원진
    • 한국사회복지학
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    • 제64권2호
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    • pp.185-212
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    • 2012
  • 본 연구는 한국노동패널 2차, 7차, 12차 자료를 활용하여 노년기로의 이행에 따른 소득불평등의 변화와 소득이동성을 분석하였다. 분석 결과는 다음과 같이 요약된다. 첫째, 비노년기에서 노년기로 이행할 때 소득불평등 수준이 증가하는 것으로 나타났다. 둘째, 비노년기에서 노년기로 이행하는 시기에 소득순위의 변동이 크게 나타나고, 노년기로의 이행이 이루어진 이후 노년후기로 갈수록 소득순위가 고착화되는 경향이 나타났다. 셋째, 노년기로 이행할 때 소득불평등 수준을 증가시키고 소득순위의 변동을 야기하는 가장 큰 요인은 근로소득의 감소이다. 이러한 분석 결과는 노년기로 이행할 때 근로소득의 감소가 소득불안정성을 야기한다는 사실을 의미한다.

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뇌성마비 아동에서 노력성 폐활량에 영향을 미치는 요인 분석에 관한 연구 (Predictive Factors Affected to Forced Vital Capacity in Children with Cerebral Palsy)

  • 남기석;이혜영
    • The Journal of Korean Physical Therapy
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    • 제25권4호
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    • pp.204-209
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    • 2013
  • Purpose: Children with cerebral palsy generally have a high incidence of respiratory problem, resulted from poor coughing, airway clearance problem, respiratory muscle weakness, kyphoscoliosis and so forth. The purpose of this study is to investigate the possible factors that can be affected to forced vital capacity (FVC) in children with cerebral palsy. Methods: Total thirty six children with diplegic and hemiplegic cerebral palsy were recruited in this study. They were evaluated by general demographic data (i.e., age, gender, body mass index (BMI)) and variables related to respiratory functions (i.e., chest mobility, waist mobility, maximal phonation time, and maximum inspiratory/expiratory pressure (MIP/MEP)). The correlation between forced vital capacity and the rested variables were analyzed, and multiple regression with stepwise method was conducted to predict respiratory function, in terms of FVC as the dependent variable, and demographic and other respiratory variables as the independent variable. Results: FVC showed a significant correlation with waist mobility (r=0.59, p<0.01), maximal phonation time (r=0.48, p<0.05), MIP (r=0.73, p<0.01), and MEP (r=0.60, p<0.01). In addition, the multiple regression analysis model indicated that FVC could be predicted by the assessment of each waist mobility and MIP. Conclusion: These finding suggest that respiratory function is related to body size and respiratory muscle strength, and that BMI, waist mobility, and MIP can be predictable factors to affected respiratory function in term of FVC.

Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand

  • Nawarat, Jiraphat;Chaipinyo, Kanda
    • Journal of Preventive Medicine and Public Health
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    • 제55권4호
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    • pp.334-341
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    • 2022
  • Objectives: This study was conducted to develop the Mobility to Participation Assessment Scale for Stroke (MPASS) and assess its content validity, internal consistency, inter-rater and intra-rater reliability, and convergent validity in people with stroke living in the community. Methods: The MPASS was developed using published data on mobility-related activity and participation timing in elderly individuals, and then reviewed by community physical therapists. Content validity was established by reaching a consensus of experienced physical therapists in a focus group. The MPASS was scored for 32 participants with stroke (mean age 61.75±4.92 years) by 3 individual testers. Reliability was examined using the intraclass correlation coefficient (ICC), internal consistency using the Cronbach alpha coefficient (α), and convergent validity using the Pearson correlation coefficient (r) to compare the MPASS to the Modified Rivermead Mobility Index as a referent test of mobility. Results: The MPASS consists of 8 items, and its scoring system provides information on the ability of people with stroke to reach a movement level enabling them to live in society, including interactions with other people and safe living in the community. The interrater and intra-rater reliability were excellent (ICC, 0.948; 95% confidence interval [CI], 0.893 to 0.982 and ICC, 0.967; 95% CI, 0.933 to 0.989, respectively). Internal consistency was good (α=0.877). The convergent validity was moderate (r=0.646; p<0.001). Conclusions: The newly developed MPASS showed acceptable construct validity and high reliability. The MPASS is suitable for use in people with stroke, especially those who have been discharged and live in the community with the ability to initiate sitting.

감염병 대응 개인보호복의 동작성 및 열적 쾌적성: 보호 수준 및 여성 착용자 체격의 영향 (Mobility and Thermal Comfort Assessment of Personal Protective Equipment for Female Healthcare Workers: Impact of Protective Levels and Body Mass Index )

  • 김도희;전영민;이호준;강경리;이초은;이주영
    • 한국의류산업학회지
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    • 제26권1호
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    • pp.123-136
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    • 2024
  • This study aimed to assess the mobility and thermal comfort of personal protective equipment (PPE) among female healthcare workers, taking into account wearers' physique and PPE protection levels. A total of 16 participants (age: 26.3 ± 8.3 y, height: 161.5 ± 7.3 cm, body weight: 57.1 ± 11.0 kg, BMI: 21.9 ± 3.6), representing diverse body types, underwent four PPE conditions: L (Low_Plastic gown ensemble), M (Medium_Tyvek 400), H (High_Tyvek 800J with Powered Air Purifying Respirator [PAPR]), and E (Extremely high_Tychem 2000 with PAPR, Bib apron, and Chemical-resistant gloves). The mobility protocol consisted of 10 different tasks in addition to donning and doffing. The 10 tasks were repeated twice at an air temperature of 24.3 ± 0.1℃, 59±4%RH. Findings revealed a disproportionate relationship between PPE protection and wearer discomfort. Significant differences in clothing microclimate and total sweat rate were observed between the lowest (L) and highest (E) protection levels (p < 0.01), while distinctions among medium levels were inconclusive. Subjective evaluations favored conditions H and L over M and E (p < 0.05), indicating reduced heat, and humidity, increased comfort, and lower exertion. Instances of mobility discomfort, specially in the small body type group, underscored the need for a suitable PPE size system for Korean adult female medical workers. Furthermore, enhancements in gloves, shoe cover, and PAPR hood designs are essential for improving ease of movement and preventing hindrance.