• Title/Summary/Keyword: stroke order

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Research trends on prevention of heat stroke using clothing: Focusing on practical research in Japan (의복을 활용한 열중증 예방 대책에 관한 연구 동향 조사: 일본의 실용 지향적 연구를 중심으로)

  • Son, Su-Young
    • Human Ecology Research
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    • v.56 no.5
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    • pp.473-491
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    • 2018
  • This study identifies Japanese study content on heat stroke prevention measures using clothes, provides basic data for quantitative wearing assessment studies, presents a developmental direction for those, and helps invigorate further research. Studies were collected concerning clothing-based heat stroke measures in order to analyze the following factors: current status of heat stroke by industry and working environment, heat stroke and body cooling method, clothing microclimate and air circulation in a hot environment, hot environments and wearable sensors, and heat stress reduction and skin exposure. The current WBGT standard does not consider the diversity of wearing clothes according to the working environment. Therefore, it is preferable to add a correction value in consideration of design, materials, and ventilation to prevent heat strokes. For the heat stroke and body cooling method, wearing water-perfused clothing is effective to reduce heat stress and maintain exercise ability. Changing the material and design of clothing or wearing air-conditioned clothing can improve ventilation and the clothing microclimate. However, further evaluation is needed on the effectiveness of air-conditioned clothing as a heat stroke prevention product. The measurement method using a wearable sensor can provide real-time data on the body response due to working in a hot environment. Therefore, it is an effective alarm for heat stroke. Skin exposure area and heat dissipation efficiency should be considered to prevent heat stroke. Reducing the covering area by exposing the head, neck, and limbs, and wearing breathable material can prevent heat stroke from increased body temperature.

Clinical Feasibility of Wearable Robot Orthosis on Gait and Balance Ability for Stroke Rehabilitation: A Case Study

  • Shin, Young-Il;Yang, Seong-Hwa;Kim, Jin-Young
    • The Journal of Korean Physical Therapy
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    • v.27 no.2
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    • pp.124-127
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    • 2015
  • Purpose: The emphasis on gait rehabilitation after stroke depends on training support through the lower limbs, balance of body mass over the changing base of support. However, muscle weakness, lack of control of lower limb, and poor balance can interfere with training after stroke. For this case study report, a wearable robot orthosis was applied to stroke patients in order to verify its actual applicability on balance and gait ability in the clinical field. Methods: Two stroke patients participated in the training using the wearable robot orthosis. Wearable robot orthosis provides patient-initiated active assistance contraction during training. Training includes weight shift training, standing up and sitting down, ground walking, and stair up and down Training was applied a total of 20 times, five times a week for 4 weeks, for 30 minutes a day. Gait ability was determined by Stance phase symmetry profile, Swing phase symmetry profile, and velocity using the GAITRite system. Balance ability was measured using the Biodex balance system. Results: Subjects 1, 2 showed improved gait and balance ability with mean individual improvement of 72.4% for velocity, 19.4% for stance phase symmetry profile, 9.6% for swing phase symmetry profile, and 13.6% for balance ability. Conclusion: Training utilizing a wearable robot orthosis can be useful for improvement of the gait and balance ability of stroke patients.

Factors Affecting Fear of Falling in Stroke Patients (뇌졸중으로 요양병원에 입원한 환자의 낙상에 대한 두려움 영향요인)

  • Jeong, Hee-Sook;Lee, Eun-Nam;Kim, Sam-Sook
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.215-226
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    • 2011
  • Purpose: This study aims to investigate the fear of falling of stroke patients and identify factors affecting the fear of falling. Method: For basic data, structured questionnaires were used for 137 stroke patients in hospitals in B city sampled for this study from June to August, 2010. Results: A multiple regression analysis used to identify variables affecting the fear of falling of stroke patients indicates that the most affecting variable was activities of daily living (${\beta}$=-.558), followed by self-efficacy of falling (${\beta}$=-.223), primary caregiver (${\beta}$=-.118), perception of health (${\beta}$=-.128) and drunken status (${\beta}$=-.108). Total variance explained by activities of daily living, self-efficacy of falling, the primary caregiver, perception of health and drunken status was 81.2% (F=70.845, $R^2$=.812). Conclusion: As discussed above, the factors significantly affecting the fear of falling in stroke patients were activities of daily living and self-efficacy of falling. Therefore, in order to reduce fear of falling of stroke patients and prevent falling, it is suggested that programs should be developed that will improve self-efficacy of falling and daily living activities.

Verification and Analysis of the Influence of Hangul Stroke Elements by Character Size for Font Similarity (글꼴 유사도 판단을 위한 한글 형태소의 글자 크기별 영향력 검증 및 분석)

  • Yoon, Ji-Ae;Song, Yoo-Jeong;Jeon, Ja-Yeon;Ahn, Byung-Hak;Lim, Soon-Bum
    • Journal of Korea Multimedia Society
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    • v.25 no.8
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    • pp.1059-1068
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    • 2022
  • Recently, research using image-based deep learning is being conducted to determine similar fonts or recommend fonts. In order to increase the accuracy in judging the similarity of Hangul fonts, a previous study was conducted to calculate the similarity according to the combination of stroke elements. In this study, we tried to solve this problem by designing an integrated model that reflects the weights for each stroke element. By comparing the results of the user's font similarity calculation conducted in the previous study and the weighted model, it was confirmed that there was no difference in the ranking of the influence of the stroke elements. However, as a result of comparison by letter sizes, it was confirmed that there was a difference in the ranking of the influence of stroke elements. Accordingly, we proposed a weighted model set separately for each font size.

Vibration Control on the Diesel Power Plant by the Phase Adjustment of Paralled Engines' X-Mode Vibration; (병렬 엔진의 X형 진동 위상 조정에 의한 디젤 발전 플랜트 진동 제어)

  • 이돈출;김의간;전효중
    • Journal of KSNVE
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    • v.6 no.6
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    • pp.701-708
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    • 1996
  • Diesel power plants are frequently used as a power supplier on the island and the isolated places where electric power is required. The heat efficiency of the low speed 2 stroke diesel engines is higher than those of 4 stroke diesel engines or other heat engines and further its mobility and durability is also better than other engines. They can be also easily repaired and maintained. With these advantages, demand for the use of the low speed 2 stroke diesel engine as a power source is increasing. However, there are some disadvantages with these diesel engines such as the bigger vibrating excitation forces generated by higher combustion pressure in cylinder and by the inertia force of the reciprocating parts. Further, engine vibrations are transfered into their adjacent buildings and manufacturing factories and eventually produces local vibrations. In order to reduce X-mode vibration of engine body, several methods have been introduced in the recent researches. In this paper, accordingly, a new vibrationcontrol method applying a synchrophaser and a top bracing between two diesel engines is adopted in order to reduce these structural vibrations of diesel power plant. It was experimentally verified that the structural vibrations were greatly reduced by the phase adjustment for the 6th order X-mode vibration with the synchrophaser and the top bracing.

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A Study on Stroke Based Rendering Using Painting Media Profile (페인팅 매체 프로파일을 이용한 스트로크 기반 렌더링에 관한 연구)

  • Seo, Sang-Hyun;Yoon, Kyung-Hyun
    • Journal of Korea Multimedia Society
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    • v.12 no.11
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    • pp.1640-1651
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    • 2009
  • In this paper we introduce a new approach to stroke based rendering using brush stroke profile. Our proposed method, based on image retrieval method, is a simple but flexible and scalable method to create various painting styles, for which scalable database constructed with the collection of real stroke data is used. Input image is reproduced with combinations of brush stoke in the database, when a search process to determinate appropriate brush stroke and a judgment process to decide whether to draw the retrieved brush stroke on the canvas or not are presented. In addition, this paper suggests a new brush stroke model and a depiction technique in order to utilize effective height information which allows natural texture depiction, or good visual effect, without carrying out physical simulation. Our method is able to create diverse variations of painting by controling various user parameters. It also provides scalable framework that can produce various painting styles with different artistic media by changing the stroke combinations of stroke database.

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Study on the Development of Home Care Nursing Intervention Protocol for Stroke Patients (뇌졸중 환자의 가정간호중재 프로토콜 개발)

  • Yoo Ji-Soo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.122-136
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    • 2000
  • Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen. 4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation/impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.

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Hyperlipidemia as a predictor of physical functioning for stroke

  • Sim, Jae-hong;Hwang, Sujin;Song, Chiang-soon
    • Physical Therapy Rehabilitation Science
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    • v.7 no.2
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    • pp.88-93
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    • 2018
  • Objective: Elevated cholesterol levels contribute to changes of the arterial endothelial permeability. Hyperlipidemia promotes atherosclerosis and is associated with an increased risk of stroke incidence. The purpose of this study was to investigate the effects of having a history of hyperlipidemia prior to a stroke incidence on postural balance, anticipatory dynamic postural control, gait endurance and gait performance in individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Fifty-two adults who were diagnosed with stroke 6 months ago or more were enrolled in this study. They were divided into two different groups according to hyperlipidemia history before stroke. All participants were assessed with the Activities-specific into Balance Confidence (ABC) scale, Berg Balance scale (BBS), Dynamic Gait Index (DGI), Timed Up and Go test (TUG), and the 6-minute walk test (6MWT). An independent t-test was used to analyze the difference between the hyperlipidemia group and non-hyperlipidemia group. Results: After analysis, the BBS, TUG, and 6MWT scores were significantly different between the hyperlipidemia and non-hyperlipidemia group, but not the ABC and DGI scores. Conclusions: The results of this study show that having a history of hyperlipidemia before stroke affects static and dynamic postural balance performance, anticipatory dynamic postural balance, and gait endurance in individuals with chronic hemiparetic stroke. Based on the results of this study, we also suggest treatment for hyperlipidemia should be implemented throughout the therapeutic interventions, such as pharmacological or exercise programs, in order to restore the physical function of stroke survivors.

The Effects of Repeated Passive Movement of Different Velocities on Knee Joint Position Sense in Patients With Post-Stroke Hemiplegia

  • Jo, Su-Jin;Choi, Jong-Duk
    • Physical Therapy Korea
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    • v.19 no.3
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    • pp.98-104
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    • 2012
  • The aim of this study was to examine the effects of repeated passive movement (RPM) of different velocities on the improvement of knee joint position sense (JPS) in post-stroke patients with hemiplegia, thereby investigate the possibility of clinical application in the initial stage of rehabilitation for patients with post-stroke hemiplegia. Thirteen hemiplegic patients participated in this study. For the subjects' knee JPS tests, a passive angle reproduction test and an active angle reproduction test were performed prior to and after the intervention, which involved 30 repetitions of passive full-range-of-motion flexion and extension exercise of the knee joints at randomized degrees of $0^{\circ}/s$, $45^{\circ}/s$, and $90^{\circ}/s$. Paired t-test analysis was done in order to compare changes in the pre- and post-intervention knee JPS. One-way repeated analysis of variance was used in order to compare changes in JPS after intervention at three different movement velocities. The level of significance was set at .05. The result was that the subjects' post-intervention knee JPS significantly improved after the RPM exercise at a $45^{\circ}/s$ and a $90^{\circ}/s$ relative to the RPM exercise $0^{\circ}/s$ (p<.05). JPS changes with RPM intervention at the rapid velocity of $90^{\circ}/s$ were most increased, suggesting the most effective enhancement in knee JPS is with intervention at the velocity (p<.05). Therefore, RPM intervention at a half or higher velocity improved stroke patients' knee JPS. During the initial stage of rehabilitation for patients with post-stroke hemiplegia, the efficient application of the RPM exercise at a half or higher velocity will be possible.

The Effect of Medio-lateral Balance to Head Rotation in Stroke Patient (뇌졸중 환자의 머리회전 각도가 내.외측 균형에 미치는 영향)

  • Lee, Kwan-Sub;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.334-339
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    • 2012
  • Purpose: This study was conducted in order to compare the ability to control postural sway during perturbation when stroke patients received postural sway induced by head rotation. Methods: This study included 15 stroke patients and 15 healthy adults. Each group was measured by 3D motion analysis for determination of the angle of the neck in static position and by balance performance monitor for estimation of swaying angle in both neutral posture and head rotation position. These results were then analyzed in order to compare the healthy control group and the stroke patients group. Results: In both static posture ($60.7{\pm}4.81$) and dynamic posture ($51.46{\pm}6.87$, $70.8{\pm}6.55$), significant decreases were observed in the angle of head rotation of the patient group, compared to the healthy group (p<0.05), and significant decreases were observed in the sway angle of the patient group when in the neutral position ($3.62{\pm}7$, $24{\pm}0.60$) and head rotation ($3.04{\pm}0.80$, $51.46{\pm}6.87$), compared to the healthy group (p<0.05). Conclusion: According to these findings, patients with stroke tend to restrict the ROM of head rotation and swaying angle in dynamic posture and maintain their posture instability using limitation of head movement relative to the trunk and sway angle of area which is larger than that of affected side in unaffected side.