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Factors Influencing Physical Activity after Discharge from Hospital for Total Hip Arthroplasty Patients

  • Ju Young Kim;Mi Yang Jeon
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.535-545
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    • 2022
  • Objective: This study was conducted to identify predictive factors of physical activity in total hip arthroplasty patients, and to provide basic data for the developing physical activity promotion program for total hip arthroplasty patients. Design: Descriptive correlational research. Methods: Data were collected from August 2017 to May 2018. Surveys were distributed to 60 patients in a G university hospital located at J city, Gyeongsangnam-do. Data were analyzed by frequency, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, multiple regression analysis using SPSS 24 Win program. Results: The variables affecting the 4-week physical activity after discharge were age (β=.07), residence after discharge (β=-.22), cerebrovascular disease (β=-.13), mental and behavioural disease (β=-.11), taking antibiotic (β=-.26), walking ability (β=.41), nutritional status (β=.25), depression (β=.05). The eight variables accounted for 39.4% in the 4-week physical activity (F=4.49 p=.001). The variables affecting the 8-week physical activity after discharge were age (β=.06), waking ability (β=.34), nutritional status (β=.20), exercise self-efficacy (β=.05), depression (β=-.05). The six variables accounted for 28.0% in the 8-week physical activity (F=4.58, p<.001). Conclusions: The walking ability in discharge important to improve the physical activity, there is a need to develop an program to improve walking ability before discharge, in total hip arthroplasty. There is a need to develop a physical activity program to consistently participate in a community.

A Study on the Spatial Strength and Cluster Analysis at the Unit Watershed for the Management of Total Maximum Daily Loads (다변량통계분석을 이용한 수질오염총량관리 단위유역별 오염물질 배출특성 분석 - 한강수계를 중심으로 -)

  • Choi, Ok Youn;Kim, Ki Hoon;Han, Ihn Sup
    • Journal of Korean Society on Water Environment
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    • v.31 no.6
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    • pp.700-714
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    • 2015
  • The characteristic of the water quality and pollutant discharge was analyzed at the units watershed of the total amount management in Han-river basin, and after classified in a similar area by multivariate statistical analysis, the main trend such as the water quality trend and pollutant discharge characteristic were analyzed. As a result of this study, the density of the pollutant at the unit watershed is not necessarily identified as discharge density, and the primary management watershed and targeted substances were analyzed depending on the operating status of the environmental infrastructure in watershed and the main pollution factor and discharge path per pollutants. As a result of cluster analysis, watersheds were classified into four groups according to discharge characteristics. It will be used when selecting target area of primary management that is appropriate to the characteristics of each river and establishing efficient water quality improvement plans.

A Prediction Model for Functional Recovery After Stroke (뇌졸중 환자의 기능회복에 대한 예측모델)

  • Won, Jong-Im;Lee, Mi-Young
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.59-67
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    • 2010
  • Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = $76.12+.62{\times}$(admission FIM total score)-$.38{\times}(age)-.15{\times}$(onset-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.

Development of a new system for measurement of total effluent load of water quality

  • Keiji, Takase;Akira, Ogura
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.221-221
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    • 2015
  • Sustainable use of water resource and conservation of water quality are essential problems in the world. Especially, problems of water quality are serious one for human health as well as ecological system of all creatures on the earth. Recently, the importance of total effluent load as well as the concentrations of pollutant materials has been recognized not only for the conservation of water quality but also for sustainable water use in watersheds. However, the measurement or estimation of total effluent load from non-point source area such as farm lands or forests may be more difficult because both of concentration and discharge of the water are greatly changed depending on various factors especially metrological conditions such as rainfall, while the measurement from a point source area may be easy because the concentration of pollutant materials and amount of discharge water are relatively steady. Therefore, the total effluent load from a non-point source is often estimated by statistical relationships between concentration and discharge, which is called as L-Q equation. However, a lot of work and time are required to collect and analyze water samples and to get the accurate relationship or regressive equation. So, we proposed a new system for direct measurement of total effluent load of water quality from non-point source areas to solve the problem. In this system, the overflow depth at a hydraulic weir is measured with a pressure gage every hourly interval to calculate the amount of hourly discharge at first. Then, the operating time of a small electric pump to collect an amount of water which is proportional to the discharge is calculated to intake the water into a storage tank. The stored water is taken out a few days later in a case of storm event or several weeks later in a case of non-rainfall event and the concentrations of water quality such as total nitrogen and phosphorous are analyzed in a laboratory. Finally, total load of the water quality can be calculated by multiplying the concentration by the total volume of discharge. The system was installed in a small experimental forestry watershed to check the performance and know the total load of water quality from the forest. It was found that the system to collect a proportional amount of water to actual discharge operated perfectly and a total load of water quality was analyzed accurately. As the result, it was expected that the system will be very available to know the total load from a non-point source area.

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Monitoring of Outlet Discharge and Water Quality from a Small Agricultural Reservoir (소규모 농업용 저수지의 통관 방류량 및 수질 측정)

  • Choi, Jin-Kyu;Son, Jae-Gwon;Koo, Ja-Woong;Yoon, Kwang-Sik;Kim, Young-Ju
    • Journal of Korean Society of Rural Planning
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    • v.6 no.2 s.12
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    • pp.73-81
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    • 2000
  • This study was carried out to measure the amount of outlet discharge and analyse the water quality from an agricultural reservoir. Joongpyong reservoir was selected as the monitoring site. Daily discharge was determined by measured water level data of delivery canal and the stage-discharge relation curve. The measured water discharge through culvert outlet of Joongpyong reservoir was 593,200m3 which was equivalent to irrigation depth 1,186mm during irrigation period in 1999. And water samples were taken from the surface water of reservoir and delivery canal, periodically. Temporal variation of water quality constituents such as water temperature, pH, EC, total nitrogen, total phosphorus were investigated. The result showed that pH was ranged 6.9 7.8, total nitrogen 1.39 4.11mg/L, total phosphorus 0.007 0.036 mg/L, respectively.

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Application of CE-QUAL-W2 [v3.2] to Andong Reservoir: Part II: Simulations of Chlorophyll a and Total Phosphorus Dynamics

  • Ram, Bhattarai Prasid;Kim, Yoon-Hee;Kim, Bom-Chul;Heo, Woo-Myung
    • Korean Journal of Ecology and Environment
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    • v.41 no.4
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    • pp.472-484
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    • 2008
  • The calibrated Andong Reservoir hydro-dynamic module (PART I) of the 2-dimensional hydrodynamic and water quality model, CE-QUAL-W2 [v3.2], was applied to examine the dynamics of total phosphorus, and chlorophyll $\alpha$ concentration within Andong Reservoir. The modeling effort was supported with the data collected in the field for a five year period. In general, the model achieved a good accuracy throughout the calibration period for both chlorophyll ${\alpha}$ and total phosphorus concentration. The greatest deviation in algal concentration occurred on $10^{th}$ October, starting at the layer just beneath the surface layer and extending up to the depth of 35 m. This deviation is principally attributed to the effect of temperature on the algal growth rate. Also, on the same date, the model over-predicts hypolimnion and epilimnion total phosphorus concentration but under-predicts the high concentrated plume in the metalimnion. The large amount of upwelling of finer suspended solid particles, and re-suspension of the sediments laden with phosphorus, are thought to have caused high concentration in the epilimnion and hypolimnion, respectively. Nevertheless, the model well reproduced the seasonal dynamics of both chlorophyll a and total phosphorus concentration. Also, the model tracked the interflow of high phosphorus concentration plume brought by the turbid discharge during the Asian summer monsoon season. Two different hypothetical discharge scenarios (discharge from epilimnetic, and hypolimnetic layers) were analyzed to understand the response of total phosphorus interflow plume on the basis of differential discharge gate location. The simulated results showed that the hypolimnetic discharge gate operation ($103{\sim}113\;m$) was the most effective reservoir structural control method in quickly discharging the total phosphorus plume (decrease of in-reservoir concentration by 219% than present level).

Evaluation of Applicability for Nonpoint Discharge Coefficient using Watershed Model (유역모형을 이용한 비점배출계수 적용성 평가)

  • Lee, Eun Jeong;Kim, Tae Geun
    • Journal of Environmental Impact Assessment
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    • v.21 no.3
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    • pp.339-352
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    • 2012
  • Total maximum daily load have been implemented and indicated that nonpoint discharge coeffients in flow duration curve were 0.50 of Normal flow duration ($Q_{185}$) and 0.15 of low flow duration($Q_{275}$). By using SWAT, nonpoint discharge coefficients are studied with the conditions of the instream flow and the rainfall in two study areas. The nonpoint discharge coefficient average of BOD and TP for normal flows duration in 3 years are 0.32~0.36 and 0.28~0.31. For the low flow duration, the nonpoint discharge coefficient avergae of BOD and TP were 0.10~0.12 and 0.10~0.11. These are lower than the coefficients of total maximum load regulation. There are big differences between one of regulation and one of SWAT for the normal flow duration. With the consideration of rainfall condition, the nonpoint discharge coefficient of flood flow duration are influenced on the amount of rainfalls. However, the nonpoint discharge coefficients of normal flow duration and low flow duration are not effected by the rainfall condition. Since the spatial distribution and geomorphological characteristics could be considered with SWAT, the estimation of nonpoint discharge coefficient in watershed model is better method than the use of the recommended number in the regulation.

Hydraulic Experiments on the Measuring Equipments of Ronoff and Soil Loss (유출수 및 유실토량 측정장치에 관한 수리시험)

  • 유한열
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.10 no.1
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    • pp.1377-1387
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    • 1968
  • In order to measure runoff and soil losses produced in a small test plot during rainfall, it is usually insufficient to use a tank only, necessitating the combined use of a main tank and a subsidiary tank. Accordingly. exact measurement largely depends on how to connect those two measuring tanks. The main purpose of this thesis is to improve the connecting parts of two measuring tanks so as to assure exact measurement of runoff and soil losses. In this experiment, two types of main tank, i. e. A-type and B-type, were used. A-type is a square tank having a flume at its end. At the flume, ten apertures are provided by using metal columns so as to be able to catch one tenth of total muddy flow discharging at the end of the flume, One tenth of total flow is led to the subsidiary tank through a slot sampler fixed to an aperture. B-type differes in that its flume does not have apertures and slot sampler is fixed directly to the end of the flume, other features being the same as those of A-type. Discharge volumes were measured by using weighing tanks and compared. The effect of baffle screen provided in the flume was also observed in connection with exact measurements. In order to keep main tank and its flume in a horizontal position, bolts and nuts mechanism was used. Vertical and horizontal screens were provided in the main to prevent coarse sands coming into the flume. The conclusion derived through this experiment is as follows: (1) The discharge through slot sampler at each aperture is almost the same for A-type. However, it is slightly more than one tenth of total discharge volume. (2) In case that baffle screen is provided in the flume of A-type tank, the discharge volume of slot sampler is less than that of the same type without screen. (3) For B-type tank, slot sampler discharge increases as slot sampler nears toward the center of flume. (4) When baffle screen is provided in the flume of B-type, slot sampler discharge is less than that of the same type without screen, and this phenomenon is more apparent as compared with A-type. (5) In case that the slot width of slot sampler for B-type is one inch, slot sampler discharge exceeds one tenth of total discharge volume. (6) When the slot width for B-type is 15/16 inch and slot sampler is fixed 3/8 inch apart from either flume wall, slot sampler discharge is approximately equal to one tenth of total discharge volume.

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Necessity of Strengthening Small-Scale Wastewater Discharge Facilities Management (소규모 폐수배출시설 관리 강화의 필요성)

  • Park, Jae Hong;Rhew, Doug Hee
    • Journal of Korean Society on Water Environment
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    • v.34 no.2
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    • pp.226-233
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    • 2018
  • Small-scale wastewater discharge facilities account for 98% of all workplaces, but in the generation and emission of major pollutants, they account for 27.5 % and 23.5 %, respectively. Since the proportion of the emission load of the small-scale workplace is not large, the national environmental policy has been established mainly around large-scale wastewater discharge facilities. However, in the case of specific hazardous substances in water, the amount of the discharge load of the small-scale wastewater discharge facility was 2.4 times higher than that of the generation load. Certain types of specific hazardous substances in water, which have a higher discharge load than large-scale wastewater discharge facilities, account for 24 ~ 32 %. There are also cases in which the discharge load from a small-scale discharge facility is more than four times higher, depending on the specific kind of water pollutant. As a result of inspections, the violation rate of the small-scale wastewater discharge facility among the total violations by facilities is 93.9 ~ 97.5 %. As a result, the ecotoxicity value of small-scale wastewater discharge facilities was high in most industries, and there was a fluctuation in the measured value. This indicates that the ecological integrity of the water system can be largely influenced by small-scale wastewater discharge facilities. Therefore, it is necessary to expand the environmental management of small-scale wastewater discharge facilities, and in some cases, the effect of the improvement in quality may be more significant than in the management of large-scale wastewater discharge facilities.

Influence of River Discharge Fluctuation and Tributary Mixing on Water Quality of Geum River, Korea (유량변화와 지류유입에 따른 금강의 수질 변화)

  • Shim, Moo Joon;Lee, Soo Hyung
    • Journal of Korean Society on Water Environment
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    • v.31 no.3
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    • pp.313-318
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    • 2015
  • To study the influence of changes in river discharge on water quality of the main stem of the Geum River, we investigated variation of inflow load from tributaries with river discharge. We also studied the mixing behavior of pollutants during mixing of waters of the main stem and Gap Stream. For this study, we collected water quality data such as suspended solids (SS), biochemical oxygen demand (BOD), chemical oxygen demand (COD), total organic carbon (TOC), total nitrogen (TN) and total phosphorus (TP) representing pre-monsoon, monsoon, and post-monsoon events of 2013 from a website of Water Information System. Based on inflow load, the Gap and Miho streams may be ones of tributaries which may largely influence water quality of main stem in upper river region. The Suksung and Nonsan Streams seemed to further affect water quality downstream. Results of modified EMMA indicated SS and TP may have another source(besides Gap Stream) at pre-monsoon, monsoon, and post-monsoon period. In contrast, TN and organic matter (BOD, COD, TOC) were conservative at pre-monsoon and post-monsoon. However, when river discharge increased, these pollutants may also came from unspecified non-point sources. Therefore, we need to attempt to find non-point sources for the pollutants in the main channel of upper Geum River region.