• Title/Summary/Keyword: physical check-up

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Physical Activity and Prevalence of Rheumatoid Arthritis in Korean Adults with Prediabetes in the 2009-2013 National Health Cohort Study (당뇨병전기 성인의 신체운동과 류마티스 발생률)

  • Sin, Hye Yeon
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.4
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    • pp.278-285
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    • 2019
  • Background: Rheumatoid arthritis is highly prevalent in overweight patients with type 2 diabetes mellitus and can be reduced by physical activity via altered proinflammatory parameters. However, the association between the frequency of physical activity and the prevalence of rheumatoid arthritis in prediabetic patients remains unclear and was evaluated in this study. Methods: Utilizing the Korean National Health Insurance Sharing Service database, 58,391 adults, who met the research criteria and underwent a general medical check-up between 2009 and 2013, were selected for this study. To analyze the data, a logistic regression with a proc survey logistic procedure was used. Results: The study revealed that the cumulative rheumatoid arthritis prevalence was lower in prediabetic patients compared to that in the control group (OR, 0.64; 95% CI, 0.483-0.840; p=0.001). More frequent physical activity (≥3 days/week) was significantly associated with a reduced rheumatoid arthritis prevalence in both groups (OR, 0.28; 95% CI, 0.039-0.521; p=0.044 vs. OR, 0.15; 95% CI, 0.063-0.237; p=0.007). Additionally, a 3.8-fold higher risk of rheumatoid arthritis development was observed in prediabetic adults with less frequent baseline physical activity (≤2 days/week). Overall, in prediabetes, the prevalence of rheumatoid arthritis was associated with the frequency of physical activity and not with the fasting plasma glucose levels. Conclusion: More frequent physical activity is associated with a low risk of developing rheumatoid arthritis in prediabetic patients. Thus, further studies are needed to confirm the clinical outcomes of frequent physical activity in rheumatoid arthritis prevention and control.

Pediatric Orbital Medial Wall Trapdoor Fracture with Normal Computed Tomography Findings

  • Lee, Hyun Rok;Jung, Gyu Yong;Lee, Dong Lark;Shin, Hea Kyeong
    • Archives of Craniofacial Surgery
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    • v.18 no.2
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    • pp.128-131
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    • 2017
  • With advances in diagnostic technology, radiologic diagnostic methods have been used more frequently, and physical examination may be neglected. The authors report a case of pediatric medial orbital trapdoor fracture in which the surgery was delayed because computed tomography (CT) findings did not indicate bone displacement, incarceration of rectus muscle, or soft tissue herniation. A healthy 6-year-old boy was admitted to the emergency room for right eyebrow laceration. We could not check eyeball movement or diplopia, because the patient was irritable. Thus, we performed facial CT under sedation, but there was normal CT finding. Seven days later, the patient visited our hospital due to persistent nausea and dizziness. We were able to perform a physical examination this time. Lateral gaze of right eye was limited. CT still did not show any findings suggestive of fracture, but we decided to perform exploratory surgery. We performed exploration, and found no bone displacement, but discovered entrapped soft tissue. We returned the soft tissue to its original position. The patient fully recovered six weeks later. To enable early detection and treatment, thorough physical examination and CT reading are especially needed when the patient shows poor compliance, and frequent follow-up observations are also necessary.

The Analysis of Physical and Chemistry Properties on the Reclaimed Area for Replantation - A Case Study on the YOULCHON 1'st Industrial Complex - (임해매립지 녹화를 위한 토양의 물리·화학적 특성 분석 - 율촌제1산업단지를 중심으로 -)

  • Jun, Hyung-Soon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.14 no.6
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    • pp.87-95
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    • 2011
  • This study investigates Youl Chon Industrial Complex 1 by dividing into three regions : the drainage site, the area inside the complex, and the seaside. Then each region was subdivided into three areas resulting in a total of nine areas for soil sampling and analysis. After analyzing the physical and chemical properties of the soil, all nine area's pH and EC readings indicated that the soil condition is not suitable for vegetation growth (according to the previous study, the pH level was 5.8 and EC was 2.0dS/m). Therefore, for Youl Chon Industrial Complex 1 to become green, the neutralization and reduction of pH and EC level is needed; first, vegetation through dredging soil, and second, introduction of halophytes is suggested. This study finds out that vertical changes in physical and chemical properties of soils in reclaimed sites are very variable and the result depends on surrounding environments, so it suggested the basic data for building vegetation or reclaimed sites. However, the additional study aiming at various reclaimed sites is required as this study was conducted only to limited areas, and this study has left monitoring analysis as the follow-up task to check the relations between a plant community and soils.

Evaluation of Thermal Comfort during Sleeping in Summer - Part I : On Results of Questionnaire Before and After Sleep - (여름철 수면시 온열쾌적감 평가 - 제1보 : 수면 전후 설문에 관하여 -)

  • Kim Dong-Gyu;Kum Jong-Soo
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.17 no.5
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    • pp.404-409
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    • 2005
  • This study is to investigate effects of thermal conditions on sleep. Five female university students participated in the sleep experiment. Three temperature levels (22, 26, and $30^{\circ}C$) were given, and relative humidity was maintained to $50\%$. When as subject arrived in the chamber at 9 o'clock in the evening, questionnaire was given to check physical and psychological conditions. After checking conditions, subjects went to bed till 07 : 30 in the morning. Body movement was checked during sleeping. After sleep in the chamber, questionnaire was given to the subject in order to check sleep quality. Subjects evaluated sleep quality by themselves by answering the time they fall asleep and wake up, frequency of wake during sleep, causes of each waking, and feeling after sleep. Sleep quality was rated with 7-point scale. At $30^{\circ}C$ condition, body movement was significantly higher than of other thermal conditions. The best sleep quality was obtained at the $26^{\circ}C$ condition, while the worst sleep was taken at the $30^{\circ}C$ condition.

Impact of Physical Environment of Exhibition on the Experiences and Visitors' Satisfaction (전시회의 물리적 환경이 체험 및 참관객의 만족도에 미치는 영향)

  • Choi, Sook-Hee;Jeon, In-Oh
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.313-337
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    • 2012
  • Recently, according to the being activated exhibition, it has been focused on the participants in order to enhance its interest and satisfaction. Consequently it is set up the model of research and the hypotheses based on the leading study of the physical environment of the exhibition and experience This study would like to analyze how the physical environments of the exhibition are effected on the factor of the experience and the participants' satisfaction. It also would like to check the factor of the experience to promote the participants' call and provide the useful information for the exhibitors to raise the participants' satisfaction. Being set the physical environment of the exhibition(layout accessibility, Facility aesthetics, facility cleanliness, convenience, comfort, human services) as a independent variable and fix the factor of experience (sense, feel, think, act and relate) as a parameter, the participants' satisfaction is identified. As a result of the research, the factor of experience is affected by the physical environment of the exhibition and the participants' satisfaction is affected by the factor of the experience. Therefore, the exhibitors have to consider the physical environments of the exhibition and the factor of experience for making the participants' satisfaction high when they hold the exhibitions.

The Study of Health Concept and Health Behaviors in School Children (학령기 아동의 건강에 대한 의미와 건강행위 탐색)

  • Kim, Sung-Hee;Lee, Ja-Hyung
    • Korean Parent-Child Health Journal
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    • v.9 no.1
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    • pp.72-82
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    • 2006
  • Purpose: To analyze the health concept and health behaviors in school children through the interview on study groups. To obtain the subjective data for health concept and health behaviors in school children. Methods: This study is a qualitative study applied the interview of study groups. Participants are 12 people and two groups- each of them is 3 males and females, which are $6^{th}$grade of elementary schools located in Seoul city and Kyung-gi Province. The interviews were conducted twice on November in 2005. Results: 83 items are significantly related in health concept for school children. The results are the following; 1) the significant health concept for school children is 15 items and there are 5 areas- strength, comfort, action, compatibility and normal life. 2) the actual health behaviors are 23 items and there are 8 areas-exercising, associating, mentally resting, laughing, releasing stress, well sleeping, well eating and receivingcheck-up. 3) the needed and the wanted health behaviors are 45 items and there are 12 areas-well eating, well cleaning, exercising, playing, comforting, resting, staying in familiar environment, receiving regular check-up, abstaining, associating, enjoying hobbies, and forming environment & facilities. Conclusion: For health concepts, school children consider significantly not only physical activities but also social and mental activities and environment. They also want exercising, abstaining, eating well, checking-up, enjoying hobbies, forming environment & facilities with various activities.

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A Methodological Approach on the Evaluation of Patient Satisfaction: Focused on the Importance Performance Analysis(IPA) (환자만족도 평가에 대한 방법론적 접근: IPA기법을 중심으로)

  • Park, Jae-San
    • Health Policy and Management
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    • v.18 no.3
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    • pp.1-17
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    • 2008
  • The measurement and management of patient satisfaction has become one of the key issues in the last two decades. Hospitals must thoroughly understand the needs of their customers and design products and health services that meet and exceed their expectations. The importance-performance analysis(IPA) is a widely used analytical technique that yields strategies for managing customer satisfaction in a variety of applications. IP A is a two-dimensional grid based on customer-perceived importance of quality attributes and attribute performance. Depending on the interplay of these two dimensions, four strategies can be derived. The aim of this study is to develop the management strategies for improving patient satisfaction in university hospitals using the I-P analysis. The attributes on inpatient service quality in 4 university hospitals was investigated using the Martilla and James(l977)' s a mean adjusted I-P grid where the axes of the grid cross at the average rating point of all items. The patient satisfaction questionnaires were completed by 600 hospital inpatients. The main statistical methods are path analysis and IPA with SPSS 12.0 and AMOS 4.0 statistical softwares. The two attributes, physician and medical service, administrative staff kindness attributes position in first quadrant(Keep Up the Good domain). The nurse and nursing service attributes position in second quadrant(Possible Overkill domain). The two attributes, convenience of check-in service, facilities and physical environment position in third quadrant(Low Priority domain). Finally the quality of inpatient service(food etc.) attributes position in fourth quadrant(Concentrate Here domain). These findings show various implications on the development of strategies in university hospitals in the future. It was determined that quality of inpatient service(food etc.) need to concentrate more on investments. These investments include a taste, price, proper provision of food service and quick response of pain management. A low priority was given to investment in streamlining the check-in process of inpatient and hospital facilities and physical environment in the long run.

The Effect of Ankle Balance Taping on Gait and Balance in Stroke Patients

  • Kyoung-Won Kim;Ki Bum Jung;Dong-Ho Kim;Yongwoo Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.123-129
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    • 2023
  • Objective: Kinesio tape has been applied to the ankle to improve balance and gait. Stroke patients show abnormal gait patterns due to foot drop. This study aimed to determine the effects of ankle balance taping which to support the ankle joint on balance and gait in patients with chronic stroke. Design: A randomized controlled trial. Methods: Twenty-four chronic stroke patients were selected and randomized into experimental group (n=12) and control group (n=12). The experimental group applied kinesio taping three times a week for three weeks, and the control group applied placebo taping for the same amount of time. To evaluate the effectiveness of the treatment, the subjects' walking ability, static balance, and dynamic balance were assessed before and after the experiment. Gait speed and spatiotemporal gait ability were measured to examine walking ability, postural sway velocity and velocity moment for static balance, and Timed-Up and Go test and Berg Balance Scale were conducted to check dynamic balance. Results: The experimental group showed a significant increase in walking ability, static balance, and dynamic balance in the within-group pre-post difference (p<0.05). In the between-group comparison, the experimental group had a significant difference in walking ability than the control group (p<0.05). Conclusions: Ankle balance taping can help improve gait, and this study can be used as a basis for future studies of ankle balance taping.

Cryogenic Thermal Cycling Test on IGRINS cross-disperser VPH Grating

  • Jeong, Hyeon-Ju;Lim, Ju-Hee;Lee, Sung-Hoo;Deen, Casey;Pak, Soo-Jong;Yuk, In-Soo;Jaffe, Daniel T.
    • The Bulletin of The Korean Astronomical Society
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    • v.36 no.2
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    • pp.156-156
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    • 2011
  • VPH (Volume Phase Hologram) grating is one of the transmission gratings and is known as its remarkable efficiency (>90%). It has two different densities of gelatins causing interference patterns. The VPH grating is favored in many astronomical instruments these days and also IGRINS, which is up coming near infrared high-resolution spectroscope expected to see the first light next year, uses the VPH grating as its cross-disperser. The infrared astronomical instruments operate at cryogenic temperature (~100K) in order to cut down thermal noise and the optical components of IGIRNS will be operated at 130K. The VPH grating is sandwiched in between fused silica or glass and glued together using optical adhesive. IGRINS is expected to go through 50 times of thermal cycling in 10 years including the performance test and this research is to check whether the physical characteristic such as the adhesion or dichromatic gelatin does not break and change from the several cryogenic thermal cycling. The two identical test gratings provided from Kaiser Optical System, Inc. are used in this test. One VPH grating is cooled down to 100K for 2 hours with maximum dT/dt = 5 and warmed up to the room temperature and another grating is kept stored in the room temperature and used as a control sample. In order to check the change, we inspected the grating with eyes and checked its efficiency and transmission at the room temperature every 10 cycling. From the 40 times of cryogenic temperature cool down cycling, the VPH grating showed no signs of change within the error compared to the control sample. We concluded the VPH grating is durable through several cryogenic thermal cycling.

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Health Problem of the Middle-Aged Women (종합 건강검진 과정에서 나타난 일부 중년기 여성의 건강문제)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.258-270
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    • 1999
  • This study was carried out to offer the basic data for more qualitative lives of the middle-aged women through their health maintenance and control. So, the researcher reviewed and analyzed the health problems of the middle-aged women, the differences of main symptoms in each subject, positive ratcs in screening tests, the difference of screening tests with age and the correlation of obesity and blood pressure with screening tests. All subjects were 218 women(40-59years) who had a check-up at a comprehensive health check-up center in K University Hospital in Seoul from July 1, 1998 to August 31. 1998. Questionaires were developed to get subjects, general characteristics. main symptoms, medical examination and diagnosed disease by the researcher referring through the questionaires of comprehensive health check-up center and the medical recorders were used as a tool of study. The researcher analyzed the data with SPSS PC+ ; the distribution of the subjects, general characteristics and main symptoms with percentage : the difference between main symptoms and screening tests with X$^2$-test, ANOVA. The results are as follows. 1) Among the age distribution, most were 40-45 years old and unemployed. 2) The most common complaints were indigestion in digestive system, cough in respiratory system, heart beat in cardiovascular system, general sweat in endocrine system. edema in urinary system, easy bruise in hematologic system, backache in musculoskeletal system, headache in psychoneurologic system, lochia in gynecology, itch in dermatology system, eye ball pain in visual system and tinnitus in auditory system. 3) In main symptoms according to age, the 40-45 age group had a higher rate of complaints in digestive system and gynecology than other age group ; the 46-49 age group in endocrine system. 4) The main symptoms according to diagnosis had no difference statistically. 5) The screening tests which showed high rates of abnormality were mammography(the highest), abdominal ultrasonography, upper gastrointestinal series/gastrofiberscopy, PFT. In all age group the highest rate of abnormality was seen in mammography. 6) In screening tests according to age. the 46-49 age group showed higher positive rates of pap smear, blood sugar test, urine test than any other age group ; the 50-55 age group showerd higher positive rates of obesity, BP, chest X-ray, abdominal ultrasonography, ESR, SGOT, CRP and urine micro. 7) In correlation of obesity with screening test, the obesity group showed higher positive rates of blood pressure, chest X-ray, abdominal ultrasonography, HCT and CRP than the normal weight group. 8) In correlation of blood pressure with screening test, the hypertension group showed higher positive rate of obesity, chest X-ray, abdominal ultrasonography, pap smear and blood sugar than the normal blood pressure group. In conculusion, the middle-aged women have various physical symptoms and affected by age. The obesity and BP have an important effect on the health of the middle aged women. Therefore, this study is considered significant as data for qualitative lives of the middle-aged women playing an important part of family health care by catching of their health problem complaints for prevention of disease and promotion of health.

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