• Title/Summary/Keyword: 무작위 실험연구

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Convergence Effects of Proprioceptive Neuromuscular Facilitation on Dynamic Balance in Chronic Stroke : A Meta-Analysis (고유수용성신경근촉진법이 만성 뇌졸중 환자의 동적 균형에 미치는 융복합적 효과: 메타분석)

  • Park, Se-Ju;Lee, So-In;Jung, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.275-284
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    • 2021
  • The study attempted to systematically and comprehensively analyze individual studies in which proprioceptive neuromuscular facilitation (PNF) was performed with chronic stroke patients. Selection criteria included type of participants (stroke patients), intervention (PNF), comparison (intervention group or non-intervention group), outcomes (effect on dynamic balance), and study design (randomized controlled trial). We searched seven literature databases, and selected 17 papers that met our selection criteria. For meta-analysis, effect size of each individual study was extracted using the R project for Statistical computing version 4.0.3. Rob 2.0 tool, developed by the Cochrane group, was used to evaluate the quality of each individual study. The overall effect size PNF with dynamic balance was 0.59 (95% CI=0.41-1.77), which was significantly different than the median effect size (p<0.05). The sub-group for dynamic balance was analyzed, for effect sizes of BBS (0.50), TUG (0.78), and FRT (0.51). Thus, PNF intervention has a positive impact on improve of dynamic balance by chronic stroke patients.

The Third-Person Effects of Online Hate Comments (혐오성 댓글의 제3자 효과 댓글의 속성과 이용자의 성향을 중심으로)

  • Cho, Yoon Yong;Im, Yung Ho;Heo, Yun Cheol
    • Korean journal of communication and information
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    • v.79
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    • pp.165-195
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    • 2016
  • This paper aims to examine the third-person effect(TPE) of hate comments on online news, and analyze how the issue-relevant audience factors as well as the characteristics of the online message have influence on the TPE. More specifically, based on the distinction between hateful and logical comments regarding the issue of illegal immigration, the authors have conducted an online experiment that compares how the message-related features, i.e., ways of expressing the ideas, lead to the difference in TPE. Analysis was also conducted with regards to how political orientation and discriminatory predisposition to immigrants among the audiences, have different impacts on the TPE. The 479 participants in the experiments were randomly assigned to experimental group(exposed to hate comments) or control group(exposed to logical comments). The results reveal that the TPE of hate comments is higher than that of logical message. The same message proved to be more effective for news users with liberal orientation and discriminatory predisposition. The significance of this paper lies in that it has examined the effect of online hate comments in a rigorous experimental setting. Also the research further elaborated on the audience-related variables, for which the previous studies tended to focus those on the general psychological level rather than relate them more specifically to the issues.

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Effect of Death Education Program on Attitude to DNR, Fatigue, Quality of Sleep of Generic Care Worker (죽음준비교육이 요양보호사의 DNR에 대한 태도, 피로, 수면의 질에 미치는 효과)

  • Kim, Seon-Rye;Oh, Chung-Uk;Park, Yoon-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.647-654
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    • 2016
  • The aim of this study was to investigate the effects of death education on the attitude toward DNR, fatigue, and quality of sleep for generic care worker. This study followed a nonequivalent control group and a non-synchronized design. This study was performed in a visiting generic care service institution in J city, Chung-Cheong province, Korea between February 15 to May 30, 2016. The study included 43 participants who agreed to participate in this study. They were randomly divided into two groups: 21 participants in the experimental group and 22 in the control group. Participants in the experimental group received death education 2 hours per day, once a week, for a duration of greater than 8 weeks. The effect of treatment was measured using a structured questionnaire on the attitude toward DNR, fatigue, and quality of sleep before and after 8 weeks of intervention. Data were analyzed using t-, chi-square, Fisher Exact- and paired t-tests. The experimental group showed a significantly increased attitude toward DNR (p=0.001) and quality of sleep (P<0.001), whereas significantly decreased attitude toward fatigue (p=0.030) than the control group after 8 weeks of intervention. The death education program was shown to be an effective nursing intervention for generic care workers. Therefore, we can consider the possibility of incorporating death education in the nursing program.

The Effects of Convergent Stimulation on tDCS during Mirror Therapy to Improve the Muscle Strength and Gait Ability in Chronic Stroke Patients (만성 뇌졸중 환자에서 거울 치료 시 tDCS의 융합 자극이 다리근력 및 보행능력에 미치는 효과)

  • Lee, Seung-Tae;Kim, Kyung-Yoon
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.51-59
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    • 2020
  • The purpose of this study was to investigate the improvement of muscle strength and gait ability of paralyzed lower extremity through convergent stimulation of tDCS(transcranial direct current stimulation) during mirror therapy with resistance exercise in chronic stroke patients. 12 patients with stroke were randomly assigned and divided into groupI(n=6) and groupII(n=6). GroupI provided NDT(neurodevelopmental treatment) and mirror therapy with sham tDCS, and groupII provided NDT and mirror therapy with tDCS. Each convergent stimulation was conducted 5 times a week, 30 minutes per session for a total of 4 weeks. All evaluation was conducted before intervention and performed after 4 weeks. Lower extremity strength showed a significant improvement in groupII compared to groupI(p<.05), and in comparison between groups by variance, significant difference in the quadriceps(p<.01) and tibialis anterior(p<.01). Gait ability showed a significant improvement in both groupI(p<.05) and groupII(p<.05), and significant difference in comparison between groups by variance(p<.01). In conclusion, mirror therapy with tDCS convergent stimulation had a positive improvement effect on paralyzed lower extremity to strength and gait ability through the overlapping interaction.

Effect of a 12-Week Combined Exercise Program on Cardiovascular Function and Electrocardiogram Based ST Segment, QRS in Obese Middle-Aged Women (12주 복합운동 프로그램이 비만 중년여성의 심혈관계 기능과 심전도 기반의 ST 분절, QRS군에 미치는 영향)

  • Jeong-Hee Yun;Ki-Wook Jo;Chang-Hwan Kim
    • Journal of the Korean Applied Science and Technology
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    • v.41 no.3
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    • pp.705-720
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    • 2024
  • This study randomly assigned 24 middle-aged women to determine the effect of a 12-week combined exercise program on cardiovascular function and electrocardiogram-based ST segment and QRS in obese middle-aged women. Analysis of the results was conducted to verify differences within groups and between periods and groups. In terms of cardiovascular function, myocardial oxygen consumption showed a significant decrease in the experimental group during the resting phase and the highest intensity phase during exercise, and an interaction between group and period at rest was also observed. The heart rate recovery rate showed a significant decrease in the experimental group at 2 minutes of recovery, while in the control group, on the contrary, a significant increase was observed. The experimental group showed a significant decrease in systolic blood pressure, and an interaction between group and period was also observed. There was no change in diastolic blood pressure in both the experimental and control groups, and there was a statistically significant decrease in pulse pressure only in the experimental group at the 3-minute recovery stage. In the case of the electrocardiogram, the QRS height in the experimental group showed a significant increase in most cases at rest and at 3, 6, and 9 minutes during the recovery period, while there was no significant difference in the QRS period in both the experimental and control groups, and the ST segment height was significantly increased at rest in the experimental group. appeared to have increased. Therefore, summarizing the results of this study, it is believed that the 12-week combined exercise program has a positive effect in improving cardiovascular function, ventricular contractility in electrocardiograms, and myocardial ischemia in obese middle-aged women.

Achieving Health Equity Through Health Promotion (건강증진사업의 효율성과 형평성: 건강증진을 통한 건강 형평성 제고)

  • Moskowitz, Joel M.
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.91-119
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    • 2005
  • 오타와 헌장에 따르면 건강증진은 건강형평성을 성취하는 것이다. 건강격차를 감소시키고, 모든 사람들이 건강잠재력을 달성할 수 있도록 동등한 기회와 자원이 제공되어야 한다. 또한 각 개인들은 자신의 건강에 대한 결정요인들에 대한 통제능력을 가져야 한다. 미국의 조기사망은 40%가 행동양식에 의하여, 30%가 유전적인 문제로, 15%가 사회적 환경에 의하여, 10%는 의료적 치료의 부족으로, 그리고 5%는 환경위해 물질에 대한 노출로 발생한다. 건강불평등을 발설시키는 사회적 요인으로는 경제적 요인을 들 수 있다. 이러한 요인으로 야기되는 건강불평등의 문제를 해결하여 건강형평성을 달성하기 위해서는 절대적 목표들과 평등관련 목표들이 모두 필요하다. 건강형평성은 인구집단의 건강과 함께 향상되는 것으로 나은 건강상태에 있는 사람들의 건강을 악화시키면서 건강형평성을 달성하는 것은 아니다. 각자의 관심이 형평성을 어떻게 규정하는가에 영향을 미친다. 혜택을 받은 사람들은 성과/투입의 정의를 선호하며, 소외계층은 똑같은 성과 또는 요구에 기반한 정의를 선호한다. Healthy People 2010은 미국의 국가적 예방체계를 의미하며, 가장 중요하며 예방 가능한 건강위협들을 파악하고 이러한 위협들을 감소하기 위한 목적들이 설정되어 있다. 궁극적인 목적은 건강한 삶의 질적인 면과 양적인 측면을 향상시키는 것이며, 건강불평등을 제거하는 것이다. 그러나 미국이 유럽의 국가들에 비해서 사회 프로그램에 대한 투자가 적은 이유는 재분배는 소수인종만을 위한 것이라는 믿음과, 우리는 개방되고 공정한 사회에 살고 있기 때문에 가난하다는 것은 가난한 사람들 자신들의 잘못으로 인한 것이라는 믿음 그리고 재분배를 방지하는 정치체계 때문이다. 국가기관인 CDC의 예방연구센터(Prevention Research Centers)는 지역사회 파트너들과 함께 건강증진, 질병예방, 그리고 질병과 상해로 인한 합병증을 관리하게 위한 효과적인 예방 전략을 개발하고 있다. 예방연구센터의 프로그램들은 지역사회 기반 참여연구와 소외된 계층에 중점을 두며, 다학제 간 접근방법을 활용하고, 교육기관, 공공보건기관 그리고 지역사회의 파트너들 간의 네트웍을 형성을 통한 협력관계를 강조하고 있다. 지역사회 위원회가 구성되어 있으며, 또한 근거중심 프로그램을 개발하고 있다. 이들은 건강 결정요인에 관한 연구, 형성적 연구, 개입 프로그램 및 프로그램의 확산에 관한 연구를 진행한다. UC Berkeley의 가족/지역사회 보건센터(Center for Family & Community Health)는 1993년에 설립되었다. 사업의 대상이 되는 주요 지역사회는 한국교민사회이며, 한국교민사회 자문위원회(Korean Community Advisory Board, KCAB)가 구성되어 있다. 1993년부터 2003년까지는 'Health is Strength' 사업이 시범연구사업으로 진행되었는데, 그 내용은 유방암과 자궁경부암 검진 프로그램이었다. 2003년부터 2009년까지 진행될 'Quitting is Winning'이라는 두 번째 시범연구사업은 남성들의 금연에 중점을 둔 사업이다. 'Health is Strength'는 아시아 보건서비스 및 한국교민사회 자문위원회가 함께 협력하여 진행된 사업으로, 주요 목표는 18세 이상 여성의 자궁암 조기 검진(Pap test)과 자가 유방검진 실천을 증가시키는 것이며, 50세 이상여성의 유방 임상검사와 유방 X선촬영 비율을 증가시키는 것이었다. 한 지역의 카운티에 거주하는 한국 여성들은 4년간의 개입프로그램의 대상이 되었으며, 이들을 대상으로 횡단적인 전화조사를 3번(사전, 중간, 사후)실시하였다. 개입 프로그램은 교회에서 워크샵 개최, Tell-A-Friend Form 작성하기, 포스터 및 책자 발행, 신문광고 등과 함께 자궁암 조기 검진(Pap test)과 유방 X선 촬영권을 무료로 제공하는 것으로 구성되었다. 'Quitting is Winning'은 지역사회 기반 참여 연구모형으로 한국교민사회 자문위원회는 흡연을 1순위의 사업으로 선정하였고, 근거에 기반한 금연 프로그램에 대한 연구들을 검토하여, 기존의 보편적 방법이 아닌 인터넷을 활용하는 프로그램을 진행하는 것으로 결정되었다. 이는 무작위 임상실험으로 연구대상으로 미국에 거주하는 한국인 남성흡연자 2300명을 모집하였다. 이들의 1/2은 실험군인 인터넷 프로그램 집단에, 또 다른 1/2은 대조군인 인쇄책자 집단에 무작위 할당되었다. 12개월 동안 11번의 진단이 인터넷을 통하여 진행되었으며, 참여와 참여유지에 대한 금전적인 보상이 제공되었다.

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EVALUATION OF SERUM LEVELS OF SYSTEMIC STATUS IN ORAL AND MAXILLOFACIAL SURGERY PATIENTS (구강악안면 수술을 받은 환자들에서의 전신영양평가)

  • Kim, Uk-Kyu;Kim, Yong-Deok;Byun, June-Ho;Shin, Sang-Hun;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.5
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    • pp.301-314
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    • 2003
  • The purposes of this retrospective study were to assess the change of serum parameters in oral and maxillofacial surgery patients after operation and to determine what laboratory parameters on treatment periods were associated with the recovery of systemic condition. For purposes of assessing systemic nutritional status, several serum parameters were chosen. The sample patients were randomsubjects extracted from three category patient groups- oral cancer, odontogenic abscess, facial bone fracture based on treated patients at department of oral and maxillofacial surgery in Pusan National University Hospital from September 1, 1998, to September 1, 2002. Each groups were consisted with 10 patients. Each patient chart was examined and blood sample parameters were reviewed with clinical signs, symptoms and vital sign at preoperative day, postoperative 1 day, postoperative 1 week. Several parameters were analyzed statistically for extraction of mean values and differences between the periods groups. The findings of serum parameters of cancer, abscess and fracture groups were as follows: 1. In cancer patients, Hb, MCV, albumin, cholesterol, LDH, AST, ALT, neutrophil, platelet, leukocyte, Na, K, Cl, BUN, creatinine were analyzed. Values of Hb, albumin, AST, neutrophil, leukocyte, Cl showed significantly differences according to periods. 2. In abscess patients, CRP, ESR, leukocyte, body temperature, neutrophil were analyzed. Values of CRP, leukocyte, body temperature, neutrophil showed significanlty differences according to periods. 3. In fracture patients, same parameters with cancer patient's were chosen. Values of platelet, Cl only showed significantly differences according to periods. 4. In cancer patients, data regarding correlation was analyzed statistically as Pearson's value. A positive correlation was found between Hb and albumin, K, Na(P<0.05). A positive correlation was also found between neutrophil and leukocyte(P<0.05). Positive correlations were found between cholesterol and ALT, LDH and platelet, creatinine both, Platelet and BUN, Na and K(P<0.01). 5. In abscess patients, Peason's correlation values were analyzed on parameters. A positive correlation was found only between CRP and neutrophil(P<0.05). 6. In fracture patients, The correlations of parameters also were statistically analyzed. Positive correlations were found between MCV and K, albumin and LDH, AST and three parameters of creatinine, Na, Cl, K and neutrophil, neutrophil and three parameters of leukocyte, BUN, K(P<0.05). Positive correlations were found between LDH and AST, ALT and AST, creatinine both(P<0.01). This retrospective clinical study showed the CRP levels only on abscess patients may be useful in determination of clinical infected status, but the levels of other parameters on cancer, fracture patients did not showed significant values as diagnostic aids for clinical status.

The Effect of Depending on Variations of Speed in Backward Walking on Lower Extremities Muscle (속도변화에 따른 후방보행 훈련이 하지 근육에 미치는 영향)

  • Cho, Sung-Hyoun;Kim, Shin-Gyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2199-2205
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    • 2012
  • The purpose of this study was to find out the effects of depending on variations of speed in backward walking on lower extremities muscle. For this study, 30 members were randomly divided into three groups; groupI(n=10, forward walking: 5km/h), groupII(n=10, backward walking: 5km/h), groupIII(n=10, backward walking: 2.5km/h). This exercise was performed to 30 minutes 4 times a week for 4 weeks. This study was measured before the exercise and after 4 weeks. The result of this study are as follows. The muscle activity of rectus femoRIS was higher in backward walking group(p<.01) than in forward walking group and it was the highest at groupII(p<.001). The quadriceps muscle strength of thigh was higher in backward walking group(p<.01) than in forward walking group and it was the highest at groupII(p<.001). From these results, backward walking training was effective on muscle activity, strength of thigh muscle. Although fast speed backward walking was most effective, low speed backward walking that compare with forward walking was effective.

Effects of Fidget Spinner Training Targeted on Hand Function and Handwriting Legibility of Elementary Lower Grades (초등학교 저학년 아동을 대상으로 한 피젯 스피너 훈련이 손 기능과 글씨쓰기 명료도에 미치는 영향)

  • Jang, Woo-Hyuk;Won, Chang-Youn;Eo, Seok-Jin;Seo, Chang-Hoon;Lee, Dong-Hyung
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.43-55
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of fidget spinner training on the hand function and handwriting legibility of lower grade elementary school studens. Methods : This study randomly assigned a study group of 12 children and control group of 12 children from 24 children in grade 1 and 2 (ages 7 through 8), whose are dominantly right handed. The study used was a pre-post process. The intervention was conducted only on the study group twice a week for 5 weeks and for 40 minutes per session, for a total of ten sessions. The measuring instruments used to compare the hand functions and handwriting legibility were the Jebsen-Taylor Hand Function Test, Grip Strength Test, and Legibility Test. The data analysis used a Wilcoxon signed rank, Mann-Whitney U and Chi-Square cross analysis. Results : The fidget spinner training showed significant improvement in the study group's hand function(grip strength and handwriting legibility) and a significant difference was shown between the control and study groups. Conclusion : This study confirmed the value and utility of a fidget spinner as a tool for improving the hand function and handwriting legibility of elementary school students in lower grades. Future studies are expected to verify the effectiveness of the fidget spinner training based on the present study.

Effects of Aroma Therapy on EEG and Academic Stress (아로마 요법이 학업 스트레스와 뇌파에 미치는 영향)

  • Kim, Woo-Jong;Kwon, Mi-Hwa;Kwon, Myung-Hwa;Kim, Jin-gu
    • Science of Emotion and Sensibility
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    • v.18 no.1
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    • pp.95-102
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    • 2015
  • The purpose of this study was to investigate the effects of aroma oil on EEG and academic stress. Twenty four male middle school students whose mean age 15 years participated in this experiment. They were assigned into one of two experimental conditions :(1) treatment group and control group. Lee Bo-young's Academic stress level test was used to measure the level of the stress. WEEG-8 Channel(Laxtha Inc) was used to measure the EEG. Four different areas(Fp1, Fp2, F3, F4) related to stress were tested based on the international 10-20 System. The task was to complete the stress test, to inhale the aroma in a comfortable chair for 3 minutes and to complete the stress test, again. The results of this study indicated that aroma inhalation reduced students' academic stress. In addition, alpha wave was increased by inhaling the aroma. The findings of the present study suggested that aromatherapy become a potential tool to reduce the level of stress.