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Relationships between Gross Motor Capacity and Neuromusculoskeletal Function in Children with Cerebral Palsy after Short-Term Intensive Therapy

  • Kim, Ki-Jeon
    • The Journal of Korean Physical Therapy
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    • v.30 no.3
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    • pp.90-95
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    • 2018
  • Purpose: To investigate the relationship between gross motor capacity and neuromuscular function in children with cerebral palsy (CP) through a short-term intensive intervention. Methods: Twenty-four children younger than 6 years of age (17 boys, 7 girls, mean $age{\pm}standard$ deviation, $42.71{\pm}14.43months$) who were diagnosed with CP underwent short-term intensive treatment for 8 weeks. An evaluation of gross motor function capacity using the gross motor function measure (GMFM-66 and GMFM-88) was performed to measure muscle strength, selective motor control (SMC), and spasticity, factors related to neuromusculoskeletal function. Changes in spasticity, strength, range of motion, selective motor function, and exercise intensity scores were evaluated in terms of the gross motor function classification system (GMFCS) and ages. Results: The GMFM-88 and GMFM-66 scores significantly increased, by $4.32{\pm}4.04$ and $2.41{\pm}1.51%$, respectively, following the 8-week intervention. The change in the GMFM-66 score did not reflect a statistically significant difference in the GMFCS level. However, there was a statistically significant difference in the GMFM-88 score change in individuals at GMFCS Level III, the strength and spasticity of subjects at GMFCS Levels I-II did not significantly differ (p<0.05). The changes in the GMFM-66 scores for strength, SMC, range of motion (ROM), and spasticity significantly differed according to age (p<0.05) in children aged 36 months and older. Overall, there was a statistically significant difference in strength, SMC, and spasticity (p<0.05) before and after intensive short-term treatment. Conclusion: The 8-week short-term intensive care intervention improved the motor function score of study participants, emphasizing the need for early intervention and additional research in this area.

Result of Surgical Treatment of Stage IIIB Lung Cancer (제3D 병기 폐암의 수술성적)

  • 홍기표
    • Journal of Chest Surgery
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    • v.33 no.2
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    • pp.173-178
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    • 2000
  • Background: Though the surgical treatment of stage IIIB lung cancer is not generalized due to low complete remission rate high morbidity and mortality there are several reports on the improvement of long term survival after preoperative and postoperative adjuvant therapy. In this study we analyzed the prognostic factors affecting long term survival after surgical treatment of stage IIIB lung cancer Material and method: We analyzed the long term survival for age pathology invaded mediastinal organ n stage type of operation complete or incomplete resection and adjuvant therapy through a retrospective review of patients underwent surgical treatment. Result: From 1990 to 1998 56 patients(51/male 5/female0 with stage IIIB lung cancer were trated surgically. Forty two patients underwent radical resection and morbidity and mortality were 17% 12% respectively. The survival rate for overall patients and the radical resection group were 9% 12% respectively. In the radical resection group excluding explothoracotomy only(n=14) and the surgical mortality patients(n=5) the age the type of operation celly type resectability and N stage had no influence on the long term survival. The survival rate of radical resection group was significantly better than that of the explothoracotomy only group(p=0.04) The long term survival rate of postoperative combination therapy group was significantly better than chemotherapy or radiotherapy alone(p=0.04) Conclsion: Age type after surgical treatment of stage IIIB lung cancer. We conclude that combined modality of adjuvant treatment after radical resection of stage IIIB lung cancer seems to offer better long term survival in selective patients. The numbers of patients involved was small. Nevertheless these preliminary findings indicate questions that will need to be experienced further in larger studies.

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Physiological Changes with Age by the Chronic Administration of Korean Red Ginseng in Spraque-Dawley Rats

  • Lim, Heung-Bin;Sohn, Hyung-Ok;Lee, Dong-Wook
    • Korean Journal of Medicinal Crop Science
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    • v.13 no.5
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    • pp.242-248
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    • 2005
  • The present study was designed to elucidate the physiological changes with age by chronic administration of red ginseng. All rats were reared in the conventional system. Ginseng treated rats were continously supplied with ginseng water extracts together water from 6 weeks of age to the age 24 months. Rats did not show any discernible signs or the rejection symptoms by red ginseng water extracts. A long-term administration of red ginseng extracts did not cause any physiological changes in the gain of body and organs weight, food intake and general properties of urine. However, red ginseng caused to decrease the level of serum cholesterol, glucose and TBARS, and it attenuated effectively the age-dependent decline of LDH activity. Other biochemical parameters measured from blood and general properties of urine were not significantly changed. These results suggest that long-term administration of red ginseng to rat does not cause any clear physiological changes in appearance and urine, and it retards age-related deteriorations in some biochemical parameters such as LDL-cholesterol, glucose and LDH in serum.

Prevalence of child malnutrition in agro-pastoral households in Afar Regional State of Ethiopia

  • Fentaw, Rabia;Bogale, Ayalneh;Abebaw, Degnet
    • Nutrition Research and Practice
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    • v.7 no.2
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    • pp.122-131
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    • 2013
  • Based on data generated from 180 randomly selected households with children age under five years old in Aysaita district of Afar region of Ethiopia, this study explored prevalence of malnutrition and scrutinized household characteristics, maternal characteristics, specifics of the child and economic variables associated with child malnutrition. The height-for-age Z-scores (HAZ), weight-for-height Z-scores (WHZ) and weight-for-age Z-scores (WAZ) were used to measure the extent of stunting, wasting and underweight, respectively. The results revealed that prevalence of long term nutritional imbalance and malnutrition status indicator (i.e. stunting) was 67.8%. The short term measure (wasting) was found to be 12.8% and underweight was found to be 46.1%. Moreover, children in households which are headed by women, and characterized by more dependency ratio, less access to assets, health services and institutions are more likely to be undernourished.

The Influence of Covert Narcissism and Self Control on the Daily Stresses of School-age Boys and Girls (학령기 남녀 아동의 일상적 생활 스트레스에 미치는 내현적 자기애적 성향과 자기통제의 영향)

  • Min, Ha Young
    • Korean Journal of Child Studies
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    • v.34 no.4
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    • pp.53-64
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    • 2013
  • The purpose of this study was to investigate the influence of covert narcissism and self control on the daily stresses encountered by school-age boys and girls. The subjects were 517 children who attended in elementary schools in Daegu and Gyeongbuk Province. Self reporting questionnaires were used to investigate covert narcissism, self control and daily stresses. The data thus collected were analyzed by means of Pearson's correlation, multiple regression, using SPSS Win 19.0. The results are as follows. (1) In term of daily stresses, the regression findings indicated the main effect of covert narcissism and self control. Daily stresses increased as school-age boys' and girls' covert narcissism increased or their self control decreased. (2) Covert narcissism influenced more on daily stresses than self control did for both boys and girls. (3) There were significant interactions between school-age girls' covert narcissism and self control in term of daily stresses.

A Comparison Study on the Effects of Fashion Emotional and Relationship Experience on Long-Term Relationship Orientation of Middle and Old Aged Women (중.노년층 여성이 경험하는 패션 감성.관계체험이 장기적 관계지향성에 미치는 효과 비교 연구)

  • Seo, Eun-Kyoung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.9
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    • pp.1407-1417
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    • 2008
  • This study intended to compare the effects of fashion emotional and relationship experience of middle and old aged women on their long-term relationship orientation. The survey was conducted in September and October in 2006 on 579 middle old aged women whose age varied from 40 to 70 years old, who lived in Seoul and the metropolitan area and had experienced fashion shopping. The SPSS 12.0 was used to do an analysis of frequency, an exploratory factor analysis, and a multi-regression analysis and Lisrel 8.14 was applied to make a path analysis. The result of this study was as follows: Comparing the two age groups, the most important fact was that fashion related experience had more affective on long-term relationship orientation for old aged than middle aged women. Secondly, the effects of fashion emotional experience of middle and old aged women affected the long-term relationship orientation were the same. This analysis suggested that intensive marketing strategy effort of emotional experience for middle aged women and relational experience for old aged women should be more effective in fashion market.

A Study on the Status of Drug Use among Elderly Residents in Long-Term Care Facility (장기요양기관 입원 노인의 약물 사용 현황 및 관련 요인)

  • Jeon, Mi Yang;Lee, Yong Sook;Lim, Jeong Ok;Seol, Ju Yeong;Kim, Ju Yeong;Kim, Yeon
    • Journal of Korean Biological Nursing Science
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    • v.16 no.3
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    • pp.244-250
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    • 2014
  • Purpose: The purpose of this study was to investigate medication and related factors including: gender, age, duration of hospitalization, MMSE, and ADL in elderly who were hospitalized in long-term care facilities. Methods: A total of 282 elderly people who were hospitalized for more than a month were asked to fill in a structured questionnaire which was used to collect data regarding their gender, age, duration of hospitalization, MMSE, ADL, and medication. Results: The average number of drugs per patient was 7.50. Subjects taking 6-7 medications were the highest ranking (23.7%). According to multiple regression analysis, the most significant factor relating to the number of drugs prescribed for each subject were the ages of the subjects (p=.007). Conclusion: We found that the number of prescribed drugs taken by those who were hospitalized were related to age. A tailored strategy is needed to decrease the number of drugs according to age and to control the medicines prescribed to the elderly who are hospitalized in long-term care facilities.

Projecting Public Expenditures for Long-Term Care in Korea (노인장기요양보험 급여비용의 중장기 추계)

  • Yun, Hee-Suk;Kwon, Hyung-Joon
    • Health Policy and Management
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    • v.20 no.1
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    • pp.37-63
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    • 2010
  • Public expenditures on long-term care are a matter of concern for Korea as in many other countries. The expenditure is expected to accelerate and to put pressure on public budgets, adding to that arising from insufficient retirement schemes and other forms of social spending. This study tried to foresee how much health care spending could increase in the future considering demographic and non-demographic factors as the drivers of expenditure. Previous projections of future long-term expenditure were mainly based on a given relation between spending and age structure. However, although demographic factors will surely put upward pressure on long-term care costs, other non-demographic factors, such as labor cost increase and availability of informal care, should be taken into account as well. Also, the possibility of dynamic link between health status and longevity gains needs to be considered. The model in this study is cell-base and consists of three main parts. The first part estimated the numbers of elderly people with different levels of health status by age group, gender, household type. The second part estimated the levels of long-term care services required, by attaching a probability of receiving long-term care services to each cell using from the sample from current year. The third part of the model estimated long-term care expenditure, along the demographic and non-demographic factors' change in various scenarios. Public spending on long-term care could rise from the current level of 0.2~0.3% of GDP to around 0.44~2.30% by 2040.

Factors Affecting Awareness of Long Term Care Insurance: An Exploratory Study (노인장기요양보험인지도에 영향을 미치는 요인에 대한 탐색적 연구)

  • Won, Seojin;Kim, Hyemee
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.229-236
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    • 2019
  • This is an exploratory study examining factors associated with awareness of the National Long Term Care Insurance in Korea. The researchers also examined the differences in factors based on their age, between the middle-aged group(45-64 years of age) and the elderly group(65 years and older). The 6th wave of Korean Longitudinal Study of Ageing(KLoSA) was used for secondary data analysis. Results indicated that for the middle-aged, gender, volunteer participation, ADL, IADL, and depression were related to their awareness of the long term care insurance. However, for the elderly, social capital factors were significantly related to their awareness of the insurance. Age and depression were also significant factors associated with the awareness level of the long term care insurance among the elderly. Based on the findings, implications for social welfare policy are discussed.

Experimental Verification of Age-adjusted Effective Modulus Method to Long-Term Behavior Estimation of Prestressed Composite Girders (재령보정 유효계수방법에 의한 프리스트레스트 합성거더의 장기거동 실험 검증)

  • Bae, Doo-Byong;Oh, Chang-Kook;Choi, Sok-Hwan
    • Journal of Korean Society of Steel Construction
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    • v.24 no.5
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    • pp.571-582
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    • 2012
  • Prestressed composite girders provide efficient composite action by applying prestress to the sub-encasing concrete. In this study, an enhanced prestressed composite girder with forms suspended from the steel girder is utilized. Long-term behavior of the prestressed composite girder is estimated using age-adjusted effective modulus method, which is verified experimentally using measurements obtained from an in-service bridge. Then, parametric study is carried out to investigate the influences caused by ambient temperature, humidity, prestressing and concrete casting date.