• Title/Summary/Keyword: 무작위 실험연구

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The Effectiveness of Smoking Cessation Program in Adults: Systematic Review of Randomized Controlled Trials (성인 흡연자의 금연 프로그램 효과: 무작위대조군 실험연구의 체계적 문헌고찰)

  • Park, Seong-Hi;Hwang, Jeong-Hae;Choi, Yun-Kyoung;Kang, Chang-Bum
    • Korean Journal of Health Education and Promotion
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    • v.29 no.3
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    • pp.1-14
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    • 2012
  • Objectives: The purpose of this study was to determine if smoking cessation programs (SCPs) are effective for adults through a systematic review of the results of such programs in large randomized controlled trials (RCTs). Methods: The PICO (Patient, Intervention, Comparator, Outcome) strategy was established, 1,160 literature from domestic and foreign electronic databases was reviewed, and 22 references were selected based on the inclusion and exclusion criteria. The quality of each reference was evaluated using the Scottish Intercollegiate Guidelines Network tool, and meta-analysis was carried out. Results: The SCPs were significantly effective for adult smokers. Smoking cessation counseling, education, and smoking cessation medications such as nicotine patch were more effective than the other interventions. However, the results showed short-term effects (within six months), and differences were observed among the SCPs. For the outcome measures for SCPs, the abstinence rate of seven days was mainly used, but differences were identified between the CO level and the cotinine-verified abstinence rate of smoking cessation. Conclusions: For a smoking cessation program for adult smokers, the strength of the evidence of the program's effectiveness in RCTs that provide the identified intervention strategies should be considered.

Review of Nursing Intervention Studies on Cancer Patients Receiving Chemotherapy with Stomatitis in South Korea (항암화학요법을 받는 암환자의 구내염 관련 간호중재연구 고찰)

  • Bae, Jin-Hyun
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.263-270
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    • 2018
  • The purpose of this study was to review the current domestic research trends for published Nursing Intervention Studies on Cancer Patients Receiving Chemotherapy with Stomatitis. As a result of searching for 'chemo chemotherapy', 'stomatitis' and 'oral cavity' Of 23 studies. 13(56.6%) studies used a most commonly study design were nonequivalent control group non-synchronized design. But randomized control group pre-post design was only 2(8.7%). The most commonly used tool for measuring stomatitis was Oral Assessment Guide, which was used in 11(47.9%) studies. 19(82.6%) studies used a single intervention such as gargling. 13(56.5%) studies had positive effects on stomatitis. Based on the results of this study, that can provide basic data for developmental direction of stomatitis related nursing research in cancer patients and this research can be applied to research in the same field.

Effects of Floss Band on Ankle Joint functional Range of Motion and gait ability (발목관절에 플로스밴드 적용이 기능적 관절가동범위와 보행능력에 미치는 영향)

  • Moon, Byoung-Hyoun;Kim, Ji-Won
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.419-425
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    • 2021
  • The objective of this study is to verify the effects of the application of flossband to the ankles of healthy adults on the functional range of ankle and walking ability. Total 20 people participated in the experiment, and through the randomization, one foot was set up as experimental side while the other foot was set up as control side. To analyze the two factors(before/after intervention/experimental side and control side), the two way-repeated ANOVA was conducted. The significance level was set up as 0.05. In the results of this study, compared to the control side, the experimental side showed significant increase in WBLT and heel strike(p=.05). In the test before/after intervention, the experimental side showed significant increase in WBLT, heel strike, and toe off(p=.05). The control side showed significant increase in toe off(p=.05). Thus, the application of floss band on ankle joint performed in this study would be helpful for improving the functional range and walking ability in the sports & rehabilitation field.

Effectiveness of Motion-Based Virtual Reality Training(Joystim) on Cognitive Function and Activities of Daily Living in Patients with Stroke (체감형 가상현실 훈련(Joystim)이 뇌졸중 환자의 인지기능과 일상생활활동에 미치는 효과)

  • Yang, No-Yul;Park, Hee-Su;Yoon, Tae-Hyung;Moon, Jong-Hoon
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.12 no.1
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    • pp.10-19
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    • 2018
  • The present study was to investigated the effects of motion-based virtual reality training on cognitive function and activities of daily living in patients with stroke. This study was participated in forty one patients with acute stroke. All subjects were randomly assigned into either the experimental group(n=20) or the control group(n=21). The both groups received the conventional occupational therapy during 30 min a day, 5 a week, 4 a weeks. Additionally, experimental group performed motion-based virtual reality training on each session during 30 min/day, and control group conducted conventional occupational therapy on each session during 30 min/day. The outcome measures were the LOTCA(Loewenstein Occupational Therapy Cognitive Assessment), TMT(Trail Making Test), VM(Visual Memory), K-MBI(Korean Modified Barthel Index). In comparison of change score of cognitive function, the experimental group showed a significantly greater improvements in attention and visual working memory than the control group(p<.05). As a result for change score of activities of daily living, the experimental group showed a significant greater improvement in self care than the control group(p<.05). Our findings suggest that motion-based virtual reality training may have a effects of the improvements of cognitive function and activities of daily living than conventional therapy in patients with acute stroke.

성스테로이드 호르몬과 해산 태생 경골어류의 성분화

  • Gwon, Jun-Yeong;Han, Hyeong-Gyun;Im, Han-Gyu;Kim, Dae-Jung;Lee, Chan-Hui;Gwon, Hyeok-Chu
    • Proceedings of the Korean Aquaculture Society Conference
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    • 2004.05a
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    • pp.355-355
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    • 2004
  • 난생 경골어류의 성분화는 내인성 및 외인성 성스테로이드 호르몬의 영향을 받는 것으로 알려져 있지만, 해산 태생 경골어류의 성분화 과정에서 성스테로이드 호르몬의 작용은 아직 명확하게 밝혀져 있지 않다. 본 연구에서는 유용 양식어종의 하나인 해산 태생어류 조피볼락 Sebastes schlegeli를 대상으로 이 종의 성분화에 미치는 성스테로이드 호르몬의 영향을 조사하였다. 실험에 사용한 조피볼락은 출산후 일령 45일 전후의 성이 미분화한 개체들이었다. 실험어는 3개 실험군으로 나누어 (각각 3반복), 1개월간 각각 estradiol-l7${\beta}$ 또는 methyltestosterone을 처리하였고, 하나의 실험군은 호르몬 처리를 하지 않았다 처리기간 동안에는 각 실험군으로부터 무작위 sampling을 실시하여, 호르몬 처리에 따른 체내 성스테로이드 호르몬 변화를 조사하였으며, 각 실험군의생식소 분화과정을 조직학적으로 조사하였다. 성스테로이드 호르몬은 diethylether로 추출한후, rndioirmmunoassay 방법 (RIA)으로 분석하였다. 실험결과 대조구의 실험어는 1:1의 자연성비에 부합하는 성분화 결과를 나타내었지만, estradiol-17${\beta}$ 처리구는 자성화, methyltestosterone 처리구는 웅성화하는 경향을 나타내었으며, 이러한 성분화 shift는 외부에서 투여한 호르몬이 실재 내부호르몬양의 변화를 초래하여 이루어졌음이 RIA 분석에 의해 부분적으로 확인되었다. 본 연구의 결과는 해산 태생 경골어류의 성분화 역시 성스테로이 드호르몬의 작용에 의하여 매개 또는 조절되어진다는 사실을 제시한다. 하지만 태생어류에서 이 호르몬의 실질적 작용 메카니즘 및 명확한 작용시기에 대해서는 보다 많은 연구가 요구되어 진다.을 설계하는 것이 가능하였다.적(最適) 온도(溫度)는 $30^{\circ}C$, avicelase와 ${\beta}-glucosidase$의 최적(最適) pH는 5.0, CMCase는 pH 5.5 이었으며, 균사(菌絲) 생육(生育)은 pH 5.0에서 양호(良好)하였다. 배양(培養) 기간(期間)은 avicelase가 8일(日), CMCase가 10일(日), ${\beta}-glucosidase$는 16 일간(日間) 배양(培養)하였을 때 최대치(最大値)를 보였고, 균사(菌絲) 생육(生育)은 12일(日) 배양(培養)했을 때 가장 양호(良好)하였다.가한 반면, 중국인들은 고소한 향의 강도, 고소한 향의 기호도, 전체적인 맛에서 뚜렷하게 일본참기름을 우수하게 평가하였다.s의 항체(抗體)로 반응(反應)시킨 후 protein-A gold(15 nm)로 표식(標識)시킨 바 제일 바깥 상층(上層)의 keratinocyte에 있어서 세포막표면(細胞膜表面)을 따라 표식(標識)되어 세포막항원(細胞膜抗元)을 나타내었으며, 이와 같은 소견(所見)으로 미루어 정상피부(正常皮膚) 중층편평상피세포(重層扁平上皮細胞)에서도 동일(同一)한 소견(所見)을 관찰(觀察)할 수 있다고 본다.al remnants, Resorption of fetus로 관찰된 것이다. Fetal death는 수정후 $14{\sim}18$일까지의 사망으로써 Maceration of fetus로 관찰되는 것이다. 통계학적 분석은 각 Group의 착상 을과 자궁 내 사망 율을 산출할 때에는 각 임신마우스에 따라 발생빈도가 크게 다르기 때문에 통계처리에는 Non parametric 검정인 Kluskal Wallis 검정을 사용하여 분석하였다. 또한 개체 Level 영향인 착상을, 태아사망,

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Effects of Nursing Skills Practice using VR(Virtual Reality) on Competency and Confidence in Nursing Skills, Learning Self-efficacy, and Satisfaction of Nursing Students (VR(Virtual Reality)을 활용한 술기실습이 간호대학생의 간호술 수행자신감, 학습자기효능감, 수행능력, 실습만족도에 미치는 효과)

  • Ha, Young-Ok;Kwon, Soo-Jin;Kim, Jui;Song, Jung-Hee
    • Journal of Industrial Convergence
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    • v.20 no.4
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    • pp.47-55
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    • 2022
  • The study was conducted to identify the effectiveness of nursing skills practice using VR(Virtual Reality) on competency and confidence in nursing skills, learning self-efficacy, and satisfaction of nursing students. This study used a randomized controlled trial design. The 35 patients in the experimental group took nursing skills practice using VR and The 35 patients in the control group took fundamental nursing skills practice. The data were conducted on confidence in nursing skills, learning self-efficacy, satisfaction, and nursing skills' competency. The collected data were analyzed using the SPSS WIN 23.0 program. As a result of the study, there were no significant differences between the experimental and control groups in competency and confidence in nursing skills, learning self-efficacy, and satisfaction. However, confidence in nursing skills and learning self-efficacy increased after practice in both groups. The results indicate that nursing skills practice using VR was effective in improving nursing skills.

Latent causal inference using the propensity score from latent class regression model (잠재범주회귀모형의 성향점수를 이용한 잠재변수의 원인적 영향력 추론 연구)

  • Lee, Misol;Chung, Hwan
    • The Korean Journal of Applied Statistics
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    • v.30 no.5
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    • pp.615-632
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    • 2017
  • Unlike randomized trial, statistical strategies for inferring the unbiased causal relationship are required in the observational studies. The matching with the propensity score is one of the most popular methods to control the confounders in order to evaluate the effect of the treatment on the outcome variable. Recently, new methods for the causal inference in latent class analysis (LCA) have been proposed to estimate the average causal effect (ACE) of the treatment on the latent discrete variable. They have focused on the application study for the real dataset to estimate the ACE in LCA. In practice, however, the true values of the ACE are not known, and it is difficult to evaluate the performance of the estimated the ACE. In this study, we propose a method to generate a synthetic data using the propensity score in the framework of LCA, where treatment and outcome variables are latent. We then propose a new method for estimating the ACE in LCA and evaluate its performance via simulation studies. Furthermore we present an empirical analysis based on data form the 'National Longitudinal Study of Adolescents Health,' where puberty as a latent treatment and substance use as a latent outcome variable.

The Effects of Simulation-based Delivery Nursing Practice on Proactivity of Problem-solving, Clinical Performance and Team Efficacy in Nursing College Students (시뮬레이션기반 분만간호 실습이 간호대학생의 문제해결의 적극성, 임상수행능력, 팀효능감에 미치는 효과)

  • Eun Hee Seo
    • Journal of Industrial Convergence
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    • v.21 no.8
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    • pp.129-136
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    • 2023
  • The purpose of this study was to test the effects of simulation-based delivery nursing practice on proactivity of problem-solving, clinical Performance and team efficacy in nursing college students. This study conducted with a quasi-experimental one group pretest-posttest design. The subjects of the study were those who participated in the pretest-posttest survey among third graders in nursing who took a simulation-based delivery nursing practice class at S university in D city, and finally, data from 78 students who completed the survey were analyzed. Data collection was conducted from August 30, 2022 to October 28, 2022, and data were analyzed using SPSS 27.0 program. The findings suggest that simulation-based delivery nursing practice had a positive effect by significantly increasing on problem-solving proactivity, clinical performance ability, and team efficacy. However, There are limitations in generalizing the study results. therefore based on a sufficient number of samples, the effects should be verified through randomized controlled pre-and post-test and, To determine whether the effects are consistent, it will be necessary to follow up in the long term.

The Effects on the Pulmonary Function of 20's Females Proprioceptive Neuromuscular Facilitation Respiration Pattern Convergence Exercise by Sitting Position (앉은 자세각도에 따른 PNF를 융합한 호흡운동이 20대 여대생의 폐활량에 대한 비교)

  • Seo, Kyo-Chul;Park, Seung-Hwan;Cho, Mi-Suk
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.95-101
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    • 2019
  • The purpose of this study was to determine whether PNF respiratory convergence exercise increases the pulmonary function of normal adults by $45^{\circ}$ leaning sitting position. Twenty normal adults in their 20s were randomly assigned to an experimental group (n=10) or control group (n=10). Over the course of four weeks, the experimental group participated in PNF respiration exercises by $45^{\circ}$ leaning position for 30 minutes three per week. And the control group participated in PNF respiration exercises by supine position for 30 minutes three times per week. Subjects were assessed pre-test and post-test by measurement of pulmonary function. Our findings show that the experimental group had significant improvements in expiratoy reserve volume and vital capacity, maximal voluntary volume. In this study, the experimental group showed greater improvement in pulmonary function than the control group, which indicates that the PNF respiratory exercise by $45^{\circ}$ leaning sitting position is effective at increasing the pulmonary function of normal adults.

The Effects of Telerehabilitation Based Occupational Therapy on Executive Function, Activities of Daily Living, and Occupation Performance of People With Stroke (원격재활 기반 작업치료가 뇌졸중 환자의 실행기능, 일상생활수행, 작업수행에 미치는 영향)

  • Park, Seong-Sun;Kim, Su-kyung;Yoo, Doo-Han;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.115-127
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    • 2021
  • Objective : The purpose of this study was to investigate the effect of telerehabilitation on executive function, activities of daily living, instrumental activities of daily living, and occupational performance in stroke patients. Methods : The participants of this study were 30 outpatients with stroke residing in community. Both groups underwent the intervention 3 times a week for a total of 18 sessions. For the experimental group telerehabilitation was administered at home to only fifteen participants in the experimental group schedule, and it was supervised by the caregiver. Fifteen people in the control group underwent only the traditional occupational therapy. Executive function and instrumental activities of daily living were evaluated using the Korean version of the Executive Function Performance Test (EFPT-K). The basic daily activities of living were assessed using the Modified Barthel Index (MBI). The Canadian Occupational Performance Measure (COPM) was used to evaluate the client-centered occupational performance. Results : After the intervention, the experimental and control groups showed improvements in executive function, instrumental activities of daily living and occupational performance. Occupational performance improved more significantly in the experimental group than in the control group. Conclusion : Telerehabilitation and occupational therapy positively affect executive function, instrumental activities of daily living and occupational performance of patients with stroke. We suggest that telerehabilitation combined with occupational therapy is more effective in improving the occupational performance of stroke patients.