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      • KCI등재

        치매노인을 위한 운동프로그램이 보행능력에 미치는 영향

        이인실,이근희,김승준,김병조,배성수,Lee, In-Sil,Lee, Keun-Heui,Kim, Seung-Joon,Kim, Byung-Jo,Bae, Sung-Soo 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

        The purpose of this study is to investigate the effects of the practice exercising and cycling on the gait abilities of dementia elderly patients. Forty forty elderly patients with dementia were participants. Participants were divided into three groups as A, B, and C, Group A was a standard group which had been treated with electric treatment, hot pack, and exercise. The second group B had been treated with cycling added to the treatments of group A. Finally, treatments of group C were arranged by subtraction of exercise from those of group A. The test was a 'timed up and go test' used for measuring the rates of the gait ability through four months. The gait ability of each group was measured after each month. The results of this study are as following: 1. After first month, the averages of changes in gait ability of group C, A and B were -1.69, -1.67, and -1.13 seconds respectively. That means that dementia control was achieved significantly in group A and B (p<0.05)whereas it was not in group C. 2. The averages after two months were -4.00 seconds for group C, -2.60 seconds for group A, and -1.56 seconds for B, respectively. All groups acquired significant effects in treating dementia (p<0.05). 3. After three months, -6.38, -3.00 and -2.31 seconds were average values of group C, A and B respectively. Same as results after two months, there were significant effects in all groups (p<0.05). 4. After four months, the averages of changes in gait ability of three groups were -8.00. -3.93 and -3.00 seconds for group C, A and B respectively. In the all patients treated analysis, treatments showed significant results (p<0.05). 5. Compared with each other through four months. three groups testing the timed up and go test showed more efficient in maintaining gait ability, in order of group B. A, and C

      • 공적자금 운영 및 관리 문제점과 개선 과제

        이인실(In Sil Lee) 한국재정학회(구 한국재정·공공경제학회) 2007 공공경제 Vol.12 No.2

          초기 공적자금 지원 권한 및 책임의 소재가 불분명해 원칙이 지켜지지 못했으며 정치적 논리가 개입되면서 편법적으로 공적자금이 지출되었다. 49조원의 우발채무를 명시적인 직접 채무로 전환해 재정에서 부담하는 공적자금 상환대책이 확정되어 시행 5년째임에도 불구하고 공적자금 상환은 정책 우선순위에서 밀려 있다. 공적자금관련 재정지출을 위해 예산도 줄이고 필요에 따라서는 세금을 더 징수하여 미래세대에 부담을 경감해야 주어야 한다. 국가 재정의 감시 및 결정자로서 국회는 공적자금과 관련하여 행정부, 공적자금관리위원회, 공적자금투입기관에 대한 더욱 엄격한 감시 기능을 수행해야 한다. 최소비용의 원칙이 적용될 수 있도록 공적자금 투입 이전에 정리방식별로 그 비용을 과학적으로 추정하여 비교하는 작업이 선행되어야 한다.   Public fund management is reviewed and evaluated in terms of its financing, providing, collecting and redemption. At earlier stage of manipulating the 1997 financial crisis, it is not clear what kinds of supporting principles of public funds should be followed and which government authorities should powers and responsibilities in financial restructuring. As political reasoning adopted an expedient expenditures, principles of cost minimization have been blurred. 49 trillion Korean won of public funds transformed from unintended government debts to determinate government obligations. Public funds are planned to be amortized starting from 2003 for 25 years. However the amortization plan has struck a snag from the very beginning year. For reducing the future generation"s burden, public fund redemption need to be kept to the schedule. As a supervisory organization of fiscal expenditures, the National Assembly has to observe the public fund management strictly.

      • KCI등재
      • KCI등재

        작업치료과 학생들의 임상 실습 만족도 조사

        이인실 ( In Sil Lee ),이윤미 ( Yoon Mi Lee ),장철 ( Chel Jang ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.1

        Purpose : This study was designed to investigate the satisfaction of clinical practice for in the occupational therapy department and to provide the basic materials for improvement the curriculum of clinical practice. Method : This research period was from May 10. 2012 to May 31. 2012. And the subject of was were belonging to occupational therapy department who finished clinical practice. Results :: The research result is as following. As for the satisfaction of the clinical practice, the average point was 3.16 for 5, which was regular satisfaction. The satisfaction of clinical practice content point was 3.47 for 5. In detail, the item of ``clinical practice made us a new experience in relation to curriculum at college`` scored 4.01, the highest. By contrast, the internal conflict during the clinical practice scored 2.63. In detail, the answer "I didn`t feel sorry for failing this training" scored 2.4, which scored lowest. Conclusions :: As the result of this research, students have feel the clinical training is the significant process for being a occupational therapist, and they also have satisfy what they experienced. And we can also tell that some of them have trouble because of the gap between the theory and clinical practice. To improve these problems, students should have confidences by preparing their clinical practice and external voluntary. Furthermore, for better clinical practice, we hope that the study on preparations for clinical practice will continue.

      • KCI등재

        재활승마가 지적 장애 아동의 사회성 향상에 미치는 영향

        이인실 ( Lee In Sil ),강옥득 ( Kang Ok Deuk ) 대구대학교 특수교육재활과학연구소 2014 특수교육재활과학연구 Vol.53 No.1

        본 연구는 지적 장애 아동들에게 승마운동 프로그램이 사회성 향상에 미치는 영향을 알아보기 위한 목적으로 수행 되었다. 연구 대상자는 지적 장애 진단을 받은 장애아동 45명을 대상으로 재활승마그룹, 승마기기 그룹, 대조군 그룹으로 15명씩 무작위 분류되었으며, 주 2회(회당 30분), 8주 동안 실시하였다. 사회성숙도의 평가척도는 자조(Self-help), 이동(Locomotion), 작업(Occupation), 의사소통(Communication), 자기관리(Self direction), 사회화(Socialization)등 6개 영역으로 프로그램 실시 전과 후에 측정하여 분석되었다. 통계처리는 SPSS win 17.0 프로그램을 이용하여 이원배치 분산분석(Two-way ANOVA)을 실시하였다. 프로그램 실시 후의 결과는 프로그램 실시 전에 비해 대부분의 영역에서 사회적응력 향상에 효과가 있는 것으로 나타났다. 특히, 재활승마 그룹은 자조, 이동의 2개 영역에서 유의한 차이가 있었고(p < 0.01), 작업, 의사소통, 자기관리, 사회화의 4개 영역 모두에서 유의한 결과를 나타냈다(p < 0.001). 이러한 결과는 승마운동프로그램이 지적장애아동의 사회성 향상에 효과적인 것을 의미하는 것이며, 지적장애아동들을 위한 승마프로그램 운영에 도움이 될 것으로 사료된다. The purpose of this study was to examine the effects of Social Maturity Scale for children with intellectual disabilities. The participants of 45 children with intellectual disabilities were assigned randomly into hippotherapy (n =15), horseback-riding machine (n =15) and control (n =15) groups. Three groups were performed with program for 30 minutes, twice a week for 8 weeks. Social Maturity Scale were analyzed for Self-help, Locomotion, Occupation, Communication, Self-direction, and Socialization in three groups before and after treatments. The data collected were analyzed by the SPSS 17.0 Win through the Two-way ANOVA. After 8 weeks, the results was effective on Social Maturity Scale in all groups compared with before. Specially, Self-help and Locomotion of hippotherapy group showed significant differences compared to other groups after intervention (p <0.01). Moreover, Occupation, Communication, Self-direction and Socialization showed significant differences (p < 0.001). These finding suggests that hippotherapy program should be beneficial effectiveness in improving the Social Maturity Scale for children with intellectual disabilities. In addition, the data will help hippotherapy program for the children.

      • SCOPUSKCI등재
      • KCI등재

        슬관절 전치환술 환자의 슬관절 신전근 및 굴곡근에 대한 등속성운동검사

        이근희,이현옥,이인실,서현규,김승준,배성수,Lee, Keun-Heui,Lee, Hyun-Ok,Lee, In-Sil,Seo, Hyun-Kyu,Kim, Seung-Joon,Bae, Sung-Soo 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

        The twenty one individuals with total knee replacement who were admitted to Kang-Dong Hospital for comprehensive physical therapy were studied in order to demonstrate the effectiveness of an isokinetic test program using the Cybex 6000 machine. The subjects were divided into three groups with the isometric exercise group receiving isometric exercise, the isokinetic eccentric exercise group, and isokinetic concentric exercise group receivind isokinetic exercise(eccentric, concentric) to knee flexors and extensors muscles for a six weeks' period using the Cybex 6000. The results are follow: 1. The extensors were increased significantly at all groups after 6 weeks training(p<.05). The flexors were increased significantly at isokinetic eccentric and isokinetic concentric group but no significantly differences at isometric group(p>.05) 2. At the effect of extensors and flexors after 6 weeks training. higher to 30$^{\circ}$ /sec of isokinetic concentric exercise, lower to 120$^{\circ}$ /sec of isometric exercise. 3. The peak torque was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups. 4. The total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups. 5. The ratio of peak torque to body weight were more increased significantly in the flexors and extensors of the isikinetic conccentric exercise among three groups. 6. The average power was more increased significantly in the flexors and extensors of the isikinetic conccentric exercise among three groups. 7. The average R.O.M in the pre-exercise and post-exercise was not different significantly in all three groups. According to the above results, In the muscle strength recovery for total knee replacement patients, isokinetic concentric exercise group was significantly greater than the isokinetic eccentric and isometric exercise groups after a six weeks training.

      • KCI등재후보

        급성 신우신염의 진단을 위한 영상 검사의 유용성

        한혜정,김지희,이인실,이혜선,Han, Hye-Jung,Kim, Ji-Hee,Lee, In-Sil,Lee, Hye-Sun 대한소아신장학회 2007 Childhood kidney diseases Vol.11 No.2

        Purpose : It is difficult to diagnose acute pyelonephritis(APN) in young children, because of their nonspecific symptoms. The younger the age, the higher the risk of renal scars after APN, which can be prevented by early diagnosis and treatment. We compare the significance of renal imaging studies by age for diagnosis of APN in febrile urinary tract infection(UTI) in children. Methods : Fifty-three hospitalized children(34 patients under age 2 and 19 patients over age 2) with febrile UTI and who had undergone dimercaptosuccinic acid(DMSA) scan, renal ultra sonography(RUS) and voiding cystourethrography(VCUG) during the acute stage were re-viewed. We compared the renal imaging studies between the different age groups. Results : The DMSA scan showed cortical defects in 23.5% of patients under age 2, which was significantly lower than 63.2% of patents over age 2(P<0.05). The renal cortical defects on DMSA scan were associated only with a high peripheral leukocyte count, but not with fever duration, erythrocyte sedimentation rate(ESR), and C-reactive protein(CRP). And there was no correlation between the DMSA scan, VCUG or RUS findings. Conclusions : The DMSA scan is not sensitive for diagnosis of APN in children less than 2 years of age and the findings cannot predict the presence of vesicoureteral reflux(VUR). VCUG may be necessary for proper management in this age group. 목 적 : 소아의 급성 신우신염은 어릴수록 증상이 비특이적이어서 진단이 어렵고 신반흔이 발생할 위험이 높으나, 조기 진단 및 적절한 치료로써 신반흔의 유병률을 줄일 수 있다. 소아의 발열성요로 감염 환아에서 급성 신우신염의 조기 진단을 위한 요로계 영상 검사를 비교함으로써, 연령별 유용성에 대해 살펴보고자 하였다. 방 법 : 발열성 요로 감염으로 진단받고, 급성기에 DMSA 스캔과 신초음파 및 배뇨중 방광 요도조영술을 시행했던 총 53명(2세 미만 34명, 2세 이상 19명)을 대상으로 하여, 두 연령군 사이에 영상검사의 민감도 및 그 연관성을 관찰하였다. 결 과 : DMSA 스캔의 신피질 결손율은 2세 미만에서 23.5%로서, 2세 이상의 63.2%에 비해 유의하게 낮았다(P<0.05). DMSA 스캔의 신피질결손은 말초 혈액 백혈구 증가와 연관이 있을 뿐, 발열 기간, ESR, CRP와는 연관이 없었고, 신초음파 이상소견 및 방광 요관 역류 유무와도 유의한 연관성 이 없었다. 결 론 : 2세 미만에서는 DMSA 스캔의 민감도가 낮아서 급성 신우신염의 진단에 어려움이 있고, DMSA 스캔만으로 방광 요관 역류의 유무를 예측할 수 없으므로 배뇨성 방광 요도 조영술을 함께 시행하는 것이 필요할 것으로 사료된다.

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