• 제목/요약/키워드: recovery of family function

검색결과 31건 처리시간 0.024초

한방재활치료를 받은 뇌졸중 환자가 지각한 가족지지와 기능회복에 관한 연구 (Study on the Relationship between Family Support and Functional Recovery in Cerebrovascular Accident Patients with Rehabilitation Treatment of Oriental Medicine)

  • 김광주;이향련
    • 동서간호학연구지
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    • 제2권1호
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    • pp.22-36
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    • 1997
  • Functional recovery of cerebrovascular accident (CVA) patients were studied by examining functional independence measure (FIM) to evaluate the functional state of the patients at admission to and at discharge from the hospital and its relationship with the family support. Study subjects consisted of 129 CVA patients, who were admitted and received rehabilitation treatment at K Medical Center of Oriental Medicine from August 3 to December 18, 1997. The results were as follows: 1) Total FIM score was $72.37{\pm}25.16$ at admission and $101.67{\pm}22.13$ at discharge. The difference of average score was 29.30, which was statistically significant by paired t-test. 2) The largest difference between FIM scores at admission and at clischarge was observed in items of walking and wheel-chair riding, and the smallest clifference in items of social interaction. 3) The recovery was faster with motor function than with cognitive function, because the difference of FIM scores at admission and at discharge was much larger with motor function. 4) Recovery was better in groups under age 49 than in groups above age 70. Functional recorvery was prominent especially in groups with normal sensory state and speech functions, and groups without urinary incontinence. Recovery was less significantly in patients with paraplegic patients hospitalized longer than 2 months, patients with family all the time, and patients with CVA over 11 days. 5) We could not find any relationship between functional recovery and family support. FIM scores were lower in groups of old age(r=-0.325), long stayed in hospital (r=-0.426), and long period of time after the onset of disease(r= -0.339) with a reciprocal correlation between FIM scores and these parameters. 6) Stepwise multiple regression analysis was done to evaluate factors to affect the recovery from CVA. FIM score at admission could explain 51.2 % of the functional recovery. Important factors were periods of hospitalization, state of sensory function, age, and education (listed in decreasing order of importance). In total, they could explain 64.89% of the functional recovery. These results indicate that functional recovery of CVA patients, who were admitted to oriental medicine hospital for rehabilitation treatment, could be estimated by measuring FIM scores. Recovery was significantly better at discharge from the hospital than at admission and motor function recovery rate was much faster than that of cognitive function. 2. Recommendation Based on these results, we recommend following further studies. 1) Comparative study of recovery of motor function and of sensory function would be necessary by measuring FIM scores once a week to evaluate the recovery of CVA patients. 2) It would be interesting to see whether there is any difference of functional recovery between patients treated with either western medicine or oriental medicine. 3) Psychological factors affecting the recovery of CVA patients need to be studied.

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소방공무원의 임파워먼트와 가족기능이 우울에 미치는 영향 (Effects of Empowerment and Family Function on the Depression of Firefighters)

  • 최희철
    • 한국화재소방학회논문지
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    • 제32권1호
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    • pp.116-121
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    • 2018
  • 본 연구는 소방공무원의 임파워먼트와 가족기능 수준이 우울에 미치는 영향을 알아봄으로써 소방공무원의 우울에 관한 예방 차원의 실천 방안을 마련하는데 도움을 주고자 하였다. 이를 위하여 경기지역 소방공무원 351명을 대상으로 유의표집 방식으로 조사하였다. 조사결과, 소방공무원의 우울에 임파워먼트와 가족기능이 모두 유의미한 영향을 미치는 것으로 나타났다. 본 연구결과를 토대로, 소방공무원의 정신건강 예방을 위해 내적 대처자원으로서 각 개인의 임파워먼트를 적용해 볼 수 있는 가능성을 보여주었다는 점과 소방공무원 가정의 가족기능을 강화하기 위한 다양한 대안이 필요하며, 가족의 건강성 회복을 이끌어내기 위해 예방차원의 효과적인 '일과 삶의 균형' 정책의 적극적 도입과 지원을 제안하였다.

Cupping Therapy Combined with Rehabilitation for the Treatment of Radial Palsy: a Case Report

  • Benli, Ali Ramazan;Senay, Demir Yazici;Koroglu, Mustafa;Mutlu, Tansel;Erturhan, Selman;Ogun, Muhammet Nur;Sunay, Didem
    • Journal of Acupuncture Research
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    • 제35권1호
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    • pp.1-3
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    • 2018
  • This case report demonstrates the beneficial effects of cupping therapy (CT) in a 35-year-old man who is diagnosed with a fracture of the radial shaft due to a motorcycle accident. One year after the treatment started, pseudoarthrosis developed in the radius and an autogenous iliac bone graft was performed. However, extension dysfunction in the wrist became evident. After another 6 months of physical therapy and rehabilitation, no improvements were observed. Therefore, CT and adjunctive electrostimulation were performed, after 30 days of treatment, marked recovery of muscle function and full wrist extension were observed, as determined by electromyography and a grade 5/5 on the Medical Research Council power of wrist extension scale. The results in this case study suggest that CT in conjunction with adjunctive electrostimulation, may accelerate functional recovery from postoperative radial palsy, and provide a useful alternative treatment in this situation.

Loss of hsp70.1 Decreases Functional Motor Recovery after Spinal Cord Injury in Mice

  • Kim, Hyun-Jeong;Jung, Ji-In;Kim, Young-Kyung;Lee, Jae-Seon;Yoon, Young-Wook;Kim, June-Sun
    • The Korean Journal of Physiology and Pharmacology
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    • 제14권3호
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    • pp.157-161
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    • 2010
  • Heat shock proteins (HSPs) are specifically induced by various forms of stress. Hsp70.1, a member of the hsp70 family is known to play an important role in cytoprotection from stressful insults. However, the functional role of Hsp70 in motor function after spinal cord injury (SCI) is still unclear. To study the role of hsp70.1 in motor recovery following SCI, we assessed locomotor function in hsp70.1 knockout (KO) mice and their wild-type (WT) mice via the Basso, Beattie and Bresnahan (BBB) locomotor rating scale, before and after spinal hemisection at T13 level. We also examined lesion size in the spinal cord using Luxol fast blue/cresyl violet staining. One day after injury, KO and WT mice showed no significant difference in the motor function due to complete paralysis following spinal hemisection. However, when it compared to WT mice, KO mice had significantly delayed and decreased functional outcomes from 4 days up to 21 days after SCI. KO mice also showed significantly greater lesion size in the spinal cord than WT mice showed at 21 days after spinal hemisection. These results suggest that Hsp70 has a protective effect against traumatic SCI and the manipulation of the hsp70.1 gene may help improve the recovery of motor function, thereby enhancing neuroprotection after SCI.

만성정신분열병 환자를 위한 회복지향의 통합재활프로그램의 효과 (Effects on Recovery Oriented Integrated Rehabilitation Program for Chronic Schizophrenic Patients)

  • 봉은주;시영화;박명숙;배경희;정미진;양미화;김송자
    • 한국콘텐츠학회논문지
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    • 제12권1호
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    • pp.416-429
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    • 2012
  • 본 연구는 회복지향의 통합재활프로그램이 만성정신분열병 환자의 증상, 인지 사회적 기능, 재활동기, 정신건강회복수준에 미치는 효과를 검증하고자 시도되었다. 이 프로그램은 인지분화, 정서관리, 직업재활, 가족교육으로 구성된 4개의 소프로그램과 함께 동기강화프로그램이 포함되어 있다. 연구대상은 지방소재의 일개 국립병원에 입원한 정신신분열증 환자로, 실험군 18명과 대조군 16명으로 구성된 비동등성 대조군 전후시차 설계를 사용하였다. 수집된 자료는 SPSS 12.0을 이용하여 통계 분석하였다. 프로그램의 효과를 검증한 결과, 인지 사회적 기능에 별다른 효과를 나타내지 못했으나, 재활동기수준(유지단계에서 p=.027)과 정신건강회복수준(p=.039)에서만 실험군과 대조군에서 유의한 차이를 나타내어 제한적인 효과를 나타내었다. 입원세팅에서 단기간의 회복지향의 통합재활프로그램은 증상감소나 기능향상보다는 재활 동기나 정신건강회복수준을 향상시키는데 보다 효과적으로 활용될 수 있는 가능성이 있는 것으로 보인다. 임상세팅에서 보다 회복지향적인 서비스를 제공하기 위한 노력이 필요하다.

위기가족지원 서비스 운영 실태에 관한 연구 -건강가정지원센터의 가족역량강화사업을 중심으로- (A Study on the Public Services for Families in Crisis - focused on the Family empowerment program at the Healthy Families Support Center -)

  • 정지영;박정윤;고선강;이희윤
    • 가족자원경영과 정책
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    • 제19권3호
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    • pp.101-119
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    • 2015
  • The purpose of this study is to evaluate the current performance of the public services for families in crisis by analyzing the family empowerment service in Healthy Families Support centers. We analyzed performance data of the family empowerment service provided by 25 Healthy Families Support Centers from 2011 to 2013. The results are as follows; First, the number of families in crisis which received public services from the family empowerment service by the Healthy Family Support Centers in 2013 were less than the number in 2011, but increased from 2012. Second, according to the types of crisis, school violence was the most service needed family crisis in 2011, and it was suicide in 2012 and 2013. Third, in the specific services in emergency support for families and family function recovery program, Psychological and emotional support services were the most offered services during 3 years. Accordingly, efficiency of the programs and services in terms of budget is higher than that of any other services. Fourth, analysing the evaluation results of amily empowerment services in 2014, we found that its network is still heavily weighted in certain side by the lack of the utilization and the foundation of the network.

Recovery-Key Attacks against TMN-family Framework for Mobile Wireless Networks

  • Phuc, Tran Song Dat;Shin, Yong-Hyeon;Lee, Changhoon
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제15권6호
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    • pp.2148-2167
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    • 2021
  • The proliferation of the Internet of Things (IoT) technologies and applications, especially the rapid rise in the use of mobile devices, from individuals to organizations, has led to the fundamental role of secure wireless networks in all aspects of services that presented with many opportunities and challenges. To ensure the CIA (confidentiality, integrity and accessibility) security model of the networks security and high efficiency of performance results in various resource-constrained applications and environments of the IoT platform, DDO-(data-driven operation) based constructions have been introduced as a primitive design that meet the demand of high speed encryption systems. Among of them, the TMN-family ciphers which were proposed by Tuan P.M., Do Thi B., etc., in 2016, are entirely suitable approaches for various communication applications of wireless mobile networks (WMNs) and advanced wireless sensor networks (WSNs) with high flexibility, applicability and mobility shown in two different algorithm selections, TMN64 and TMN128. The two ciphers provide strong security against known cryptanalysis, such as linear attacks and differential attacks. In this study, we demonstrate new probability results on the security of the two TMN construction versions - TMN64 and TMN128, by proposing efficient related-key recovery attacks. The high probability characteristics (DCs) are constructed under the related-key differential properties on a full number of function rounds of TMN64 and TMN128, as 10-rounds and 12-rounds, respectively. Hence, the amplified boomerang attacks can be applied to break these two ciphers with appropriate complexity of data and time consumptions. The work is expected to be extended and improved with the latest BCT technique for better cryptanalytic results in further research.

법무보호대상자의 진로자본 회복과정에 관한 연구 (A Study on the Recovery Process of Career Capital for Rehabilitation Protection Recipient)

  • 박혜경;한순옥;박시연
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.400-413
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    • 2017
  • 출소 후 건전한 사회복귀를 위해서는 법무보호대상자(이하 보호대상자)들은 반드시 진로자본을 회복해야 하는 과제를 안고 있다. 그들의 진로적응 실패는 개인은 물론 사회안전망에 불안을 가중시킬 수 있기 때문에 진로자본 회복에 대한 연구는 매우 중요하다. 본 연구를 위해 한국법무보호복지공단에서 지원을 받고 있는 보호대상자 10명에 대해 심층 인터뷰를 진행하였다. 질적 내용분석 방법으로 보호대상자들의 진로자본 손상에 따른 어려움과 그 어려움을 극복하기 위한 노력, 극복하는데 도움이 된 요인, 직업생활에 적응하기 위한 요건 등 진로 주제를 심도 있게 분석하였다. 분석 결과 보호대상자들은 수감생활로 진로자본 손상을 경험하며, 사회적 자기에 대한 부정적인 개념, 사회적 낙인의 두려움, 자기에 대한 평가절하가 진로자본 회복과정에서 자신감 결여와 소극적인 태도로 나타났다. 또한 부정적 평가에 대한 두려움 등이 사회적 관계를 더욱 어렵게 하는 요인이었다. 한편, 진로자본 회복과정에서 사회적 지지는 긍정적인 영향을 미친 것으로 나타났다. 특히 배우자, 고용주, 가족, 친구들의 정서적 지지가 가장 큰 도움이 된 것으로 분석되었다. 직업적응을 위한 노력으로 진로에 대한 적극적이고 주도적인 태도와 긍정적인 자세가 중요하며 가족관계, 사회적 관계에서의 긍정적인 평가와 인정, 진로 성공경험 등이 일에 대한 자신감 상승으로 나타났다. 종합하면 진로자본 회복과정에서 역기능적 신념은 부정적인 영향을 미치고, 사회적 지지는 긍정적으로 영향을 미치는 것으로 분석되었다.

오류 주입 공격을 이용한 HMAC에 대한 키 복구 공격 (A Key Recovery Attack on HMAC using Fault Injection Attack)

  • 정기태;이유섭;성재철;홍석희
    • 정보보호학회논문지
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    • 제21권5호
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    • pp.27-33
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    • 2011
  • FDTC'05와 CISC-W'10에서는 오류 주입을 통하여 타깃 알고리즘의 라운드 수를 감소시킴으로써 AES와 Triple-DES의 비밀키를 각각 찾을 수 있음을 보였다. 본 논문에서는 이 공격 아이디어를 HMAC에 적용하여 비밀키를 복구할 수 있음을 보인다. 본 논문에서 제안하는 공격은 MD 계열의 해쉬 함수가 사용된 HMAC에 적용 가능하며, 매우 적은 계산 복잡도로 비밀키를 복구할 수 있다. 특히, HMAC-SHA-2에 대한 공격 결과는 HMAC-SHA-2에 대한 첫 번째 키 복구 공격 결과이다.

사전 원심성 운동이 운동 유발 근 손상에 미치는 효과 (Effects of Pre-eccentric Exercise on Exercise Induced Muscle Damage)

  • 김병주;임영은;윤세원;박승규;김태열
    • The Journal of Korean Physical Therapy
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    • 제20권1호
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    • pp.1-9
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    • 2008
  • Purpose: This study examined the effects of pre-eccentric exercise to the quadriceps for the prevention of delayed onset muscle soreness (DOMS) and recovery of muscular function, depending on the training intensities. Methods: Subjects were divided into one of three groups that control group, a low intensity eccentric exercise group (LIEE group) and a high intensity eccentric exercise group (HIEE group). Subjects who underwent pre-eccentric exercise undertook exercise at an intensity of 25% and 75% of maximal voluntary contractions, respectively. After undertaking pre-eccentric exercise for eight weeks, eccentric exercise was applied again to induce DOMS. Measurements were conducted to examine pain and muscular function changes before, immediately after, after the induction of DOMS, and at the first, third, fifth and seventh days after the induction of DOMS. Results: Subjects who underwent pre-eccentric exercise showed a significant difference from the control group for the changes in the visual analogue scale (VAS) pain threshold, pressure pain threshold and muscle thickness by isometric contraction from measuring DOMS, and in particular, pain threshold by isometric contraction had remarkable effect in the LIEE group of subjects. For the change of the root mean square values using mechanomyography (MMG) as the measurement of muscular function recovery, subjects who had undertaken pre-eccentric exercise group showed a significant difference as compared to the control group. Conclusion: Pre-eccentric exercise was very effective in preventing and recovering delayed onset muscle soreness and was helpful to prevent and recover from decreased muscular function. The difference based on the intensity of exercise was not great, but it was more effective in the low intensity eccentric exercise group of subjects. Therefore, it can be considered that pre-eccentric exercise has a high application value as a physical therapy intervention for prevention and rehabilitation of sports injuries.

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