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The Effect of Hand and Finger Exercise on Grip Strength and Pinch Pressure in Elderly Women (손과 손가락 근관절운동이 노년기 여성의 악력과 잡기력에 미치는 영향)

  • Kim, Jong-Im;Kim, Hyun-Li;Kim, Sun-Ae
    • Journal of muscle and joint health
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    • v.9 no.1
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    • pp.18-27
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    • 2002
  • Introduction : Exercise has been suggested as an important nursing strategy in which to help elderly maintain functional performance and to enhanced quality of life. Most of exercise study has been reported on fitness exercise such as walking, swimming, dance etc for health of elderly. There have been few reports about exercise on the promotion of small and fine movement of elderly. The purpose of this pilot study was to determine an effect of 6 weeks hand and finger exercise in home to improve hand muscle strength such as grip strength and finger pinch pressure. Materials and Methods Design: This pilot study was used one group pre and post-test design. Sample: Twelve elderly women above 60 years of age or older living in community were selected by convenient sampling. Procedure: Signed informed consent was obtained prior to participate in this study. The authors met elderly and taught hand and finger exercise, daily a week for 6 weeks, within 30 minutes per session. But exercise frequency and strength were not same. Instruments: Left and right grip strength were measured by Bulb Dynamometer(made in USA) and left and right pinch pressure were measured by Baseline Hydraulic Pinch Gauge(made in USA). Data analysis: Discriptive data analyses were performed on all variables. Wilcoxon matched-pairs Signed-Ranks test were used to find difference of grip strength and pinch pressure between pre and post exercise using SPSS 10.0 for Window. Results: Samples age ranged from 60 to 73, Mean age was 65.3. All were women. Ten elderly were diagnosed osteoarthritis and one had DM. After six weeks hand and finger exercise, Left and right grip strength were higher than those of before exercise(Z=-2.667, P<0.01 ; Z=-3.065, p<0.01). And left pinch pressure after hand and linger exercise were higher than that of before pinch pressure (Z=-2.315, p<0.05). But Right pinch pressure was not shown significant change(Z=-1.099, p>0.05). Conclusions: Although this study was limited by the sample size and design, the findings provide some important implications for community based exercise nursing intervention. Short term (six weeks) exercise of hand and linger is shown to be useful as nursing intervention to maintain routine daily activities such as eating, writing, grip something for elderly.

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A study on practice behavior of toothbrushing in preschool children by observing survey (미취학 아동의 잇솔질 실천 행동에 관한 관찰조사 연구)

  • Lee, Ji-Young
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.6
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    • pp.1129-1139
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    • 2010
  • Objectives : The purpose of this study was to examine the toothbrushing practice behavior of preschool children by observing children's actual toothbrushing behavior and further to offer basic data available for being reflected in direction and goal establishment of the systematic and organized oral health education in consideration of individual characteristic. Methods : It targeted 225 preschool children from May 6, 2010 to June 8, and analyzed by having the survey results of totally 208 people, except 17 who are noncooperative with the observation survey. As for the collected materials, it carried out frequency analysis and $x^2$-test in order to grasp subjects' general characteristics and toothbrushing practice behaviors and to examine correlation, by using SPSS 12.0 for window. Results : 1. A grasp of toothbrush was indicated 47.1% for "proper" and 52.9% for "improper." The position of holding a toothbrush was indicated to be the highest with 59.6% for "the center in grip." 2. Toothpaste amount was indicated to be 49.0% for" tip in toothbrush, "followed by 38.9% for "half in toothbrush" and 12% for "every side of toothbrush" in order. Significant difference was shown according to age($x^2$=19.125. p<.05). 3. Average toothbrushing time per once was surveyed to be $106{\pm}56$ seconds. 4. As for a toothbrushing method by region, the labial and the baccal surface were indicated to be horizontal scrub with 63% and fones method 11.5%. Significant difference was shown according to gender($x^2$=10.275. p<.05). The anterior lingual surface wasn't washed with 72.6%. Significant difference was shown according to appearance of education($x^2$=6.056. p<.05). 5. A case of requiring exchange because of being widened toothbrush was indicated to be 59.2%. The toothbrush replacement in the highest ratio was needed in kindergarten teachers. Conclusions : The actual toothbrushing practice attitude of preschool children was surveyed to be not right as a whole such as toothbrushing time, toothbrushing method, toothpaste amount, and replacement of toothbrush. Accordingly, the oral health education will need to be performed in order for a change into positive attitude and for improvement in practice level. In addition, it is considered to be likely necessary for development in substantial oral health educational program available for enhancing knowledge level of oral health care in mothers and kindergarten teachers.

Usefulness Evaluation of HRCT using Reconstruction in Chest CT (흉부CT 검사 시 HRCT 영상 재구성의 유용성)

  • Park, Sung-Min;Kim, Keung-Sik;Kang, Seong-Min;Yoo, Beong-Gyu;Lee, Ki-Bae
    • Korean Journal of Digital Imaging in Medicine
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    • v.17 no.1
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    • pp.13-18
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    • 2015
  • Purpose : Skip the repetitive HRCT axial scan in order to reduce the exposure of patients during chest HRCT scan, Helical Scan Data into a reconstructed image, and exposure of the patient change and visually evaluate the usefulness of the HRCT images. Materials and method : Patients were enrolled in the survey are 50 people who underwent chest CT scans of patients who presented to the hospital from January 2015 to March 2015. 50 people surveyed 22 people men and 28 people women people showed an average distribution of 30 to 80 years age was 48 years. 50 patients to Somatom Sensation 64 ch (Siemens) model with 120 kVp tube voltage to a reference mAs tube current to mAs (Care dose, Siemens) as a whole, including the lungs and the chest CT scan was performed. Scan upon each patient CARE dose 4D (Automatic exposure control, Siemens Medical Solution Erlangen, Germany) was to maintain the proper radiation dose scan every cross-section through a device that automatically adjusts the tube current of. CT scan is the rotation time of the Tube slice collimation, slice width 0.6 mm, pitch factor was made under the terms of 1.4. CT scan obtained after the raw data (raw data) to the upper surface of the axial images and coronal images for each slice thickness 1 mm, 5 mm intervals in the high spatial frequency calculation method (hight spatial resolution algorithm, B60 sharp) was the use of the lung window center -500 HU, windows were reconstructed into images in the interval -1000 HU to see. Result : 1. Measure the total value of DLP 50 patients who proceed to chest CT group A (Helical Scan after scan performed with HRCT) and group B (Helical Scan after the HR image reconstruction to the original data) compared with the group divided, analysis As a result of the age, but show little difference for each age group it had a decreased average dose of about 9%. 2. A Radiation read the results of the two Radiologist and a doctor upper lobe and middle lobe of the lung takes effect the visual evaluation is not a big difference between the two images both, depending on the age of the patient, especially if the blood vessels of the lower lobe (A: 3.4, B: 4.6) and bronchi(A: 3.8, B4.7) image shake caused by breathing in anxiety (blurring lead) to the original data (raw data) showed that the reconstructed image is been more useful in diagnostic terms. Conclusion : Scan was confirmed a continuous, rapid motion video to get Helical scan is much lower lobe lung reduction in visual blurring, Helical scan data to not repeat the examination by obtaining HRCT images reorganization reduced the exposure of the patient.

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Design and Analysis of Korean Lunar Orbiter Mission using Direct Transfer Trajectory (직접 전이궤적을 이용한 한국형 달 궤도선 임무설계 및 분석)

  • Choi, Su-Jin;Song, Young-Joo;Bae, Jonghee;Kim, Eunhyeuk;Ju, Gwanghyeok
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.41 no.12
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    • pp.950-958
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    • 2013
  • The Lunar orbiter is expected to be inserted into a ~300km low Earth orbit using Korea Space Launch Vehicle-II(KSLV-II). After the states are successfully determined with obtained tracking data, the Trans Lunar Injection(TLI) burn has to be done at appropriate epoch to send the lunar orbiter to the Moon. In this study, we describe in detail the mission scenario of the Korean lunar orbiter from the launch at NARO Space Center to lunar orbit insertion(LOI) stage following direct transfer trajectory. We investigate the launch window including launch azimuth, delta-V profile according to TLI and LOI burn positions. We also depict the visibility conditions of ground stations and solar eclipse duration to understand the characteristics of the direct transfer trajectory. This paper can be also helpful not only for overall understanding of ${\Delta}V$ trend by changing TOF and coasting time but for selecting launch epoch and control parameters to decrease fuel consumption.

Thermal Stability Enhancement of Nickel Monosilicides by Addition of Pt and Ir (Pt와 Ir 첨가에 의한 니켈모노실리사이드의 고온 안정화)

  • Yoon, Ki-Jeong;Song, Oh-Sung
    • Journal of the Microelectronics and Packaging Society
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    • v.13 no.4
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    • pp.27-36
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    • 2006
  • We fabricated thermally evaporated 10 nm-Ni/(poly)Si, 10 nm-Ni/l nm-Ir/(poly)Si and 10 nm-Ni/l nm-Pt/(poly)Si films to investigate the thermal stability of nickel monosilicides at the elevated temperatures by rapid annealing them at the temperatures of $300{\sim}1200^{\circ}C$ for 40 seconds. Silicides of 50 nm-thick were formed on top of both the single crystal silicon actives and the polycrystalline silicon gates. A four-point tester was used to examine sheet resistance. A scanning electron microscope and field ion beam were employed for thickness and microstructure evolution characterization. An X-ray diffractometer and an Auger depth profiler were used for phase and composition analysis, respectively. Nickel silicides with platinum have no effect on widening the NiSi stabilization temperature region. Nickel silicides with iridium farmed on single crystal silicon showed a low resistance up to $1200^{\circ}C$ while the ones formed on polycrystalline silicon substrate showed low resistance up to $850^{\circ}C$. The grain boundary diffusion and agglomeration of silicides lowered the NiSi stable temperature with polycrystalline silicon substrates. Our result implies that our newly proposed Ir added NiSi process may widen the thermal process window for nano CMOS process.

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Experimental Study on Interaction of Water Sprayed Curtain on Hot Surface of a Window Glass and its Effects on Glass Surface Temperature in Room Fires (구획화재 시 국부복사열에 노출된 유리면의 수막접촉에 따른 급냉파열특성 관한 실험적 연구)

  • 박형주;지남용
    • Fire Science and Engineering
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    • v.17 no.4
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    • pp.124-130
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    • 2003
  • This research focuses on analysis of a interaction fracture of various glasses due to contact of water sprayed curtain on hot glass surface with high temperature produced from convective heat source near glass wall. A large scaled experimental test was done in order to find the range of the glass surface temperature to be able to cause the breakage of the glasses when water droplets reach on the hot surface. This paper shows the allowable temperature of the glass surface for prevention of the cooling down breakage before water curtain droplets contact the surface. Allowable Temperature if $250^{\circ}C$ for the tempered glass but general glass is very relatively low. Therefore if the water curtain spray system was adequately activated by a thermal detector installed below ceiling adjacent glass wall with water curtain nozzle system, all hot glass would not break out by cooling water droplet's contact on the hot surface due to convective heat released by adjacent fire source near the glass wall.

The Effects of Stretching and Recreation Exercise Included Health Education on Physical Flexibility and Health Behavior Compliance of Elderly Women (건강운동 프로그램이 여성노인의 신체 유연성 및 건강행위 이행에 미치는 효과)

  • Won, Jeong-Sook;Hyun, Kyung-Sun;Han, Sang-Sook;Kim, Won-Ock;Kim, Kwuy-Bun;Lee, Myung-Hee
    • Journal of East-West Nursing Research
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    • v.10 no.1
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    • pp.75-85
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    • 2004
  • The purpose of this study was to examine the effects of the stretching and recreation exercise including health education on physical flexibility and health behavior compliance of women in elderly. Subjects included 28 women elderly who were residents of H Dong, Dondae moon-Gu, Seoul. The treatment intervention was applied during total 8 weeks as 5 times/week for stretching exercise with 2 times/weeks for health education. Data collection were from February to April, 2004. SPSS Window program was used by aims of this study for data analysis. The results were as following: 1. 75 old age above (39.3%) was the most of age in subjects. None education (42.9%) was the most of subjects in this study. Perceived health state was the most as 71.4% in moderate and good health state. 2. Physical flexibility of both shoulder(right z=-4.301, p=,000)(left z=-4.306), both arm(right z=-3.623, p=.0001)(left z=4.111, p=.0001), heel on both ankle(right z=-3.472, p=.0001) (left z=956, p=.0001), both before food(right z=-4.205, p=.0001)left(z=4.191, p=.0001) and both knee(right z=-4.118, p=.0001)(left z=4.082, p=.0001) was increased after 8 weeks more than before stretching and recreation exercise including health education were done. 3. Health behavior compliance(z=-4.073, p=.0001) was significantly on the effect. Therefore, it is confirmed that stretching exercise included health education is an effective nursing intervention for physical, mental, and psychological health management in elderly. Accordingly, authors are proposing that variously effective health management exercise programs must be developed for elderly, at the same time, the application and following up on the programs will be more important in the future.

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A Real-time H.264 to MPEG-2 Transcoding for Ship to Shore Communication (선박-육지간 통신을 위한 실시간 H.264 to MPEG-2 트랜스코딩)

  • Son, Nam-Rye;Jeong, Min-A;Lee, Seong-Ro
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.48 no.1
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    • pp.90-102
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    • 2011
  • Recently, the grade of users using wireless communication services which transmits and re-transmits to the signal via the broadcasting satellite have a variety. However the ships not preparing of H.264 standard devices should not received the realtime data because the broadcasting stations have transmitted the compressed video data through the satellite communication. Therefore this paper proposes H.264 to MPEG-2 transcoding for the ships using MPEG-2 devices. Proposed method improves a speed and object quality in H.264 to MPEG-2 transcoding by analysis features of macroblock modes in H.264. In the Intra mode of P-frame, it proposes new method by computing coincidence proportion after comparing of Intra mode methods of H.264 and MPEG-2. In the Inter mode, it proposes a PMV(predictive motion vector) considering movement of motion vectors in H.264 decoder. we reuses a PMV directly as like the final MV in MPEG-2 encoder and refinements the MV after coincidence ratio comparing of variable motion vectors of H.264 and these of MPEG-2. The experimental results from proposed method show a considerable reduction in processing time, as much as 70% and 67% respectively, with a small objective quality reduction in PSNR.

A Study on the Occurrences and Preventive Strategies of Accident in Children (초등학생의 안전사고 실태 및 예방전략에 관한 조사 연구)

  • Bae Jeong-Yi
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.435-448
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    • 2002
  • Accidents are important causes of death and disability in children. They also have enormous financial implications. Young children become an victim of accidents easily because of their physical fragileness and their coping behavior being vulnerable to any actions taken by accidents. Once they have a accident, the children whose not fully developed, suffer from devastating long-term after-effects. Lee, Lee, Kang and Han(1995) reported that ninety percent of accidents can be prevented. But there is no national system to manage, evaluate and analyse the information about child accidents, even though it is necessary for accident prevention policies and health promotion of the general public. The purpose of the study was to determine how often children have accidents and define the accident prevention strategies in children. The investigator conducted a descriptive study by performing the surveys, interviews, and workshops for the 2,458 young children, 10 teachers, and 1,494 parents. The data collection for the study began on September 2000 and completed on April 20, 2001. The analysis of the data was done with Window SPSS 10.0 for descriptive statistics. Among those children, 1,298 children(52.8%) injured from accidents. The children who had accident answered that they injured from traffic accident(27.3%), inside the home(26.3%), on the playground(17.0%), during playtime(13.6%), in the school(5.9%) and food poisoning(7.1%). To define accident prevention strategies for the school children, the parents and the teachers who had a special interest in this topic formed a special task force under the guidance of the investigator. The team was charged to prepare the basis of content materials by identifying the problems, setting standards for the program, prioritizing the process, and selecting the methods of implementation and evaluation. Eight issues and concerns identified by the team were: 1)allowing young children to learn undesirable habits and behaviors that would bother others without knowing; 2) not guarding young children from car accident; 3)unattended accident at playground; 4) considering home places safe; 5)unattended accident at school. These issues were found to be coinciding with the actual child accident cases occurred recent years in Korea. Greater efforts are required to reduce unnecessary deaths and disability from childhood accidents. This study gave a very useful and important data to prepare accident prevention educational program and to prepare accident prevention strategies.

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Effects of Stretching Exercise Included Health Education on Physical Health Index, Self-reported Symptoms, and Self-efficacy of Exercise in Elderly (건강교육을 포함한 신장운동이 노인의 생리적인 지표와 자가증상 보고 및 운동 자기효능에 미치는 효과)

  • Kim, Kwuy-Bun;Han, Sang-Sook;Won, Jeoung-Sook;Kim, Won-Ok;Hyun, Kyung-Sun
    • Journal of East-West Nursing Research
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    • v.9 no.1
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    • pp.25-34
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    • 2004
  • This was one experimental study, conducted to identify the effects of stretching exercise included health education on physical health index, self-reported symptoms, and self-efficacy of exercise in Elderly. Subjects included 28 women elderly who were residents of H Dong, Dondae moon-Gu, Seoul. The treatment intervention was applied during total 8 weeks as 5 times/week for stretching exercise with 2 times/weeks for health education. Data collection were from February to April, 2004. SPSS Window program was used by aims of this study for data analysis. The results were as following: 1. 75 old age above (39.3%) was the most of age in subjects. None education (42.9%) was the most of subjects in this study. Perceived health state was the most as 71.4% in moderate and good health state. 2. Stretching exercise included health education, significantly effected on the total Cholesterol, HDL-cholesterol, triglyceride (p=.009*; p=.043*; p=.006*). However, the body fat weight was no significantly on the effect of stretching exercise included health education (p=.991). Also, stretching exercise included health education, significantly effected on total self-reported symptoms (p=.001*) with joint pain, joint rigidity, fatigue, indigestion, elimination disorder, and sleep disturbance. However, indigestion (p=.129) was no significantly on the effect of stretching exercise included health education. Self efficacy of exercise (p=.000*) was significantly on the effect. As according to this results, physical health index (total Cholesterol, HDL-cholesterol, triglyceride) and self-reported symptoms (joint pain, joint rigidity, fatigue, elimination disorder, and sleep disturbance) were reduced through stretching exercise included health education. Self efficacy was improved by this exercise program. Therefore, it is confirmed that stretching exercise included health education is an effective nursing intervention for physical, mental, and psychological health management in elderly. Accordingly, authors are proposing that variously effective health management exercise programs must be developed for elderly, at the same time, the application and following up on the programs will be more important in the future.

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