• 제목/요약/키워드: 10 Years Longitudinal Study

검색결과 408건 처리시간 0.023초

The effects of low-level laser therapy in patients with wrist pain: is this Mickey Mouse science?

  • Petrofsky, Jerrold S.;Chung, Wendy;De Fazio, Lesley;Harris, Holly;Laymon, Michael;Lee, Haneul
    • Physical Therapy Rehabilitation Science
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    • 제3권1호
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    • pp.1-6
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    • 2014
  • Objective: Low level laser treatment (LLLT) is widely used in physical therapy practice. It is combined with physical therapy or LLLT alone. The purpose of this study is to evaluate the effectiveness of LLLT on patients' perception of general wrist pain. Design: Longitudinal study. Methods: Forty-eight subjects with wrist pain who were in the age range of 18-70 years old were examined. The subjects were asked, via an interview and a visual analog scale, to grade their wrist pain. They were asked to rotate their wrists through full range of motion and the angle at which any pain occurred was assessed. Each subject was then exposed to one of the following: 1) treatment with an infrared laser with the power turned off (placebo), 2) treatment with an infrared therapeutic laser, 3) treatment with a red therapeutic laser, 4) treatment with an ultraviolet laser, 5) treatment with a blue laser, 6) treatment with a Mickey Mouse flashlight. The duration of the treatment was 3 sessions in 3 days. Results: The results of the experiments showed that while pain was reduced both immediately after and the next day after laser therapy (p<0.05), there was no significant difference between the laser groups and the placebo group. However, the Mickey Mouse flashlight treatment groups had a greater range of motion than the laser groups (p<0.05). Conclusions: While pain was reduced in all laser groups, it was probably a placebo effect. The Mickey Mouse flashlight group probably received benefit from the heat of the flashlight.

65세 이상 노인과 65세 미만 성인의 고혈압 위험요인 (Risk factors for hypertension in elderly people aged 65 and over, and adults under age 65)

  • 김가영
    • 한국산학기술학회논문지
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    • 제20권1호
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    • pp.162-169
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    • 2019
  • 본 연구는 65세 미만 성인과 65세 이상 노인에서 고혈압 위험요인을 파악하기 위한 서술적 조사연구이다. 6차 고령화 연구패널조사를 활용하여 6,152명의 연구대상자를 분석하였으며, 수집된 자료는 SPSS 23을 이용하여 카이검정과 로지스틱 회귀분석을 시행하였다. 고혈압 유병률에 영향을 미치는 위험요인에 대한 로지스틱 회귀분석 결과는 65세 미만 성인과 65세 이상 노인 둘 다에서, 주관적 건강상태, 당뇨병 유무, 심장질환 유무, BMI에 따른 비만정도가 위험요인으로 나타났고, 65세 미만에서는 만성폐질환, 소화기계 질환, 음주가, 65세 이상에서는 거주지역, 관절염 및 류마티스 질환, 흡연, 인지기능 정도가 고혈압에 영향을 미치는 위험요인으로 나타났다. 우리나라는 급속한 고령화 현상으로 인해 체계적이고 정책적인 만성질환관리가 절실하다. 특히, 나이에 따라 꾸준히 증가하는 고혈압에 대한 효과적인 관리를 위해 연령대에 따른 위험요인을 분석하는 것은 중요하다. 따라서 개인적 노후준비 뿐만 아니라 전반적인 사회복지수준 향상 및 노인복지대책을 통해 질병에 대한 관리가 필요하다.

영아의 언어발달 영향요인에 관한 종단 분석 (A Longitudinal Analysis of Factors Affecting Language Development in Infants)

  • 김민석;호운운;왕문혜
    • 한국콘텐츠학회논문지
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    • 제19권3호
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    • pp.457-465
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    • 2019
  • 본 연구는 영아의 언어발달에 영향을 주는 요인을 확인하기 위하여 한국아동패널 1차년도(2008년)부터 3차년도(2010년)까지 3개년도의 패널 데이터를 구성하여 패널분석을 실시하였다. 설문 참여 영아 2,150명을 분석 대상으로 하였고, 한국아동패널에서 제공하는 K-ASQ 검사의 의사소통 점수를 활용하여 영아의 언어발달 정도를 측정하였다. 또한 선행연구를 통해 도출한 영아의 언어발달 영향요인들을 모형에 투입하였으며, 가구 및 부모 특성에 주목하여 영아의 언어발달 영향 요인을 확인하였다. 분석 결과, 하우스만 검정을 통해 패널의 개체 특성 오차항을 고정한 고정효과모형이 적합한 것으로 나타났고, 영아의 인지발달 수준이 높아질수록, 부모의 긍정적인 양육행동이 많아질수록 영아의 언어발달 수준이 높아지는 것으로 확인되었다. 이를 통해 언어발달에 영향을 미치는 가구 및 부모 특성에 대한 결론 및 제언을 첨언하였다.

직장여성의 연도별 출산 계획 변화 및 관련요인 분석 (An Analysis of Factors associated with Annual Trends in Childbirth Plans by Female Workers)

  • 이지선;정혜선
    • 지역사회간호학회지
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    • 제30권3호
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    • pp.357-367
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    • 2019
  • Purpose: The aim of this study is to identify factors of Korean female workers' childbirth plans and to establish measures to improve the childbirth plan. Methods: Study subjects were selected part in the 1st, 3rd, and 5th year surveys of the Korean Longitudinal Panel Survey of Women and Families. The selection criteria were as follows: women who had a spouse; were salaried workers currently employed for the last one month; belonged to a childbearing age; and had less than 3 children. Logistic regression analysis was conducted to investigate factors associated with childbirth plans. Results: Childbirth plans by female workers decreased each year. The analysis of associated factors revealed that age, number of children were associated factors in all years. In addition, education, satisfaction about dividing household chores with the husband, and satisfaction about working environment were associated with the lack of planning for childbirth in female workers in the 1st survey year. Satisfaction about dividing household chores with the husband, family-work conflict, and satisfaction about the potential for personal development were associated factors in the 3rd survey year. Finally, family-work conflict, satisfaction about employment stability, and satisfaction about job task at work were associated factors in the 5th survey year. Conclusion: It is important to know the measures focusing on the lack of planning for childbirth, and hence these factors can be improved by assessing in general, family, and occupational characteristics. Additionally, employer policies regarding women employees who are pregnant or have children at home need to be reviewed.

중학교에서 고3까지의 자아존중감, 진로정체감, 학습활동과 삶의 만족도 관계연구: 4년간의 변화를 중심으로 (Adolescent Self-esteem, Career Identity, School Learning Activity and Life Satisfaction Change: From Middle School to High School)

  • 김선아
    • 한국산학기술학회논문지
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    • 제19권12호
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    • pp.507-514
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    • 2018
  • 본 연구는 잠재성장모형(LGM) 분석을 활용하여 후기 청소년기 삶의 만족도의 변화모형을 도출하고 자아존중감, 진로정체감과 학습활동, 성별, 가구소득이 청소년들의 삶의 만족도 변화에 미치는 영향을 연구하여 후기 청소년들의 삶의 만족도를 향상시키는 방안의 기초자료로 활용하고자 한다. 연구대상들은 한국청소년패널조사(KYCPS)의 중1 패널 3차년부터 6차년도 자료를 활용했다. 연구분석 결과, 첫째, 중학교 3학년에서 고등학교 3학년까지의 삶의 만족도 변화모형은 감소하다가 다시 증가하는 2차 함수가 가장 적합한 모형으로 도출되었으며 초기치와 변화율 모두에 개인별 차가 유의미하게 있는 것으로 나타났다. 둘째, 청소년 삶의 만족도변화에 영향을 주는 시간의존적인 독립변수로는 학습활동이 모든 학년마다 정적으로 유의미한 영향을 주는 것으로 드러났다. 셋째, 청소년들의 삶의 만족도변화에 영향을 미치는 시간독립적인 독립변수들로는 성별과 자아존중감이 초기치가 유의미한 것으로 나타났다. 자아존중감은 1차변화율과 2차 변화율에도 지속적으로 유의미한 영향을 미쳤다. 연구결과에 따른 후기청소년 삶의 만족도에 대한 개입과 함께 실천적 함의에 대한 제안과 과제가 제시되었다.

Assessment of causality between climate variables and production for whole crop maize using structural equation modeling

  • Kim, Moonju;Sung, Kyungil
    • Journal of Animal Science and Technology
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    • 제63권2호
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    • pp.339-353
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    • 2021
  • This study aimed to assess the causality of different climate variables on the production of whole crop maize (Zea mays L.; WCM) in the central inland region of the Korea. Furthermore, the effect of these climate variables was also determined by looking at direct and indirect pathways during the stages before and after silking. The WCM metadata (n = 640) were collected from the Rural Development Administration's reports of new variety adaptability from 1985-2011 (27 years). The climate data was collected based on year and location from the Korean Meteorology Administration's weather information system. Causality, in this study, was defined by various cause-and-effect relationships between climatic factors, such as temperature, rainfall amount, sunshine duration, wind speed and relative humidity in the seeding to silking stage and the silking to harvesting stage. All climate variables except wind speed were different before and after the silking stage, which indicates the silking occurred during the period when the Korean season changed from spring to summer. Therefore, the structure of causality was constructed by taking account of the climate variables that were divided by the silking stage. In particular, the indirect effect of rainfall through the appropriate temperature range was different before and after the silking stage. The damage caused by heat-humidity was having effect before the silking stage while the damage caused by night-heat was not affecting WCM production. There was a large variation in soil surface temperature and rainfall before and after the silking stage. Over 350 mm of rainfall affected dry matter yield (DMY) when soil surface temperatures were less than 22℃ before the silking stage. Over 900 mm of rainfall also affected DMY when soil surface temperatures were over 27℃ after the silking stage. For the longitudinal effects of soil surface temperature and rainfall amount, less than 22℃ soil surface temperature and over 300 mm of rainfall before the silking stage affected yield through over 26℃ soil surface temperature and less than 900 mm rainfall after the silking stage, respectively.

청소년 우울 증상의 변화 궤적에 따른 잠재계층유형 및 영향요인 (Latent Classes of Depressive Symptom Trajectories of Adolescents and Determinants of Classes)

  • 김은주
    • 지역사회간호학회지
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    • 제33권3호
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    • pp.299-311
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    • 2022
  • Purpose: Untreated depression in adolescents affects their entire life. It is important to detect and intervene early depression in adolescence considering the characteristics of adolescent's depressive symptoms accompanied by internalization and externalization. The aim of this study was to identify latent classes of depressive symptom trajectories of adolescents and determinants of classes in Korea. Methods: The three time-point (2018~2020) data derived from the Korean Children and Youth Panel Survey 2018 were used (N=2,325). Latent Growth Curve Modeling (LGCM) was conducted to explore the depressive symptom trajectories in all adolescents, and Latent Class Growth Modeling (LCGM) was conducted to identify each latent class. Multinomial logistic regression analysis was performed to confirm the determinants of each latent class. Results: The LGCM results showed that there was no statistically significant change in all adolescents' depressive symptoms for 3 years. However, the LCGM results showed that four latent classes showing different trajectories were distinguished: 1) Low-stable (intercept=14.39, non-significant slope), 2) moderate-increasing (intercept=19.62, significantly increasing slope), 3) high-stable (intercept=26.30, non-significant slope), and 4) high-rapidly decreasing (intercept=26.34, significantly rapidly decreasing slope). The multinomial logistic regression analysis showed that the significant determinants (i.e., gender, self-esteem, aggression, somatization, peer relationship) of each latent class were different. Conclusion: When screening adolescent's depression, it is necessary to monitor not only direct depression symptoms but also self-esteem, aggression, somatization symptoms, and peer relationships. The findings of this study may be valuable for nurses and policy makers to develop mental health programs for adolescents.

혈액투석과 근감소증의 연관성에 관한 문헌고찰 (Association of Hemodialysis and Sarcopenia : A systematic review)

  • 최경욱;이화경;김수아;오윤재
    • 대한통합의학회지
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    • 제11권3호
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    • pp.185-194
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    • 2023
  • Purpose : This study aimed to investigate the relationship between the characteristics of hemodialysis patients and the occurrence of sarcopenia through a comprehensive literature review. Methods : A systematic literature search was conducted to identify eligible studies in the Cochrane library, PubMed and Embase. In this review, we included all papers published since the initiative's inception and summarized results as of december 2022. Studies that investigated association between sarcopenia diagnosis and hemodialysis patients (aged≥18 years) were included. Ultimately, 16 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa scale. Results : Fourteen of the sixteen studies (88 %) reported that significant association between sarcopenia diagnosis and hemodialysis patients. However, two studies reported no association between sarcopenia diagnosis and hemodialysis patients. As a factor statistically related to sarcopenia in hemodialysis patients, Mortality (6 studies, 38 %), age (5 studies, 31 %), body composition (4 studies, 25 %), physical activity (2 studies, 13 %), diabetes (2 studies, 13 %), cardiovascular abnormalities (1 studies, 6 %), nutritional status (3 studies, 19 %), and gender (3 studies, 19 %). Conclusion : Our findings highlight the necessity of developing a physical therapy program that accurately reflects the health status of hemodialysis patients. To further investigate the association between the diagnosis of sarcopenia and hemodialysis patients, it is recommended to conduct large-scale longitudinal studies using standardized diagnostic criteria and evaluation methods, as well as analyze potential risk factors. Consequently, this study emphasizes the importance and potential of developing physical therapy programs that effectively address the health consequences associated with hemodialysis. The significance of this research lies in its ability to provide valuable insights and lay the foundation for future studies focused on developing preventive and therapeutic interventions targeting muscle wasting syndrome resulting from hemodialysis.

Association Between Infants Anthropometric Outcomes With Maternal AHEI-P and DII Scores

  • Zahra Roumi;Abolghassem Djazayery;Seyed Ali Keshavarz
    • Clinical Nutrition Research
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    • 제12권2호
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    • pp.116-125
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    • 2023
  • The present study sought to examine the association between an infant's anthropometric outcomes with maternal Dietary Inflammatory Index (DII) and Alternate Healthy Eating Index for Pregnancy (AHEI-P) scores during the third trimester of pregnancy. This prospective cohort study was applying 130 pregnant women, at the pregnancy training center in west Tehran, Iran (November 2020 to July 2021). The maternal dietary intake, and body mass index (BMI), and social economic level were evaluated. The data about birth weight, birth height, head circumference, and, gestational age at birth were extracted from each child's health records. The ultimate sample included 122 (93.8%) pairs of women/newborn children. The participants, mean age was 28.13 ± 4.66 years with gestational age between 28 to 40 weeks and the mean of BMI was 24.62 ± 3.51. Our outcomes, after adjustment for confounding factors, suggested that those newborn infants in the highest quartile of maternal DII score had a significantly lower weight (p < 0.001) and height (p = 0.05), in comparison to those in the lowest quartile, but not head circumference (p = 0.18). Moreover, after adjustment for confounding factors, results suggested that those newborn infants in the First quartile of maternal AHEI-P score had a significantly lower weight (p = 0.018) and, in comparison to those in the higher quartile. It appears that newborn infants with lower maternal DII and higher AHEI-P scores may have a better anthropometric outcome. Further longitudinal and in-depth qualitative and quantitative studies, with a longer-term follow-up, is warranted to support the integrity of our outcomes.

사상체질 진단설문지(KS-15)를 이용한 외형, 성정, 병증의 추적관찰 및 체질값 변화 연구 : 5년 추적 (A Study of Changes in Body Shape, Temperament, Symptoms and Sasang Constitutional Values Using the Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) : 5 Year Follow Up)

  • 정경식;서복남;김윤영;장은수
    • 사상체질의학회지
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    • 제36권2호
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    • pp.1-11
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    • 2024
  • Objectives The purpose of this study was to compare between baseline and follow up data after 5 years about the change of Sasang constitutional value. Methods Cohort data of educational personnel in D University was used. Korean Sasang Constitutional Diagnostic Questionnaire was used to compare Sasang value including body shape, temperament, and pathological symptoms in baseline with those of follow up. Paired t test, chi-square test, correlation analysis and cohen's kappa coefficient was used. Results Total 150 subjects participated in this analysis. Taeeumin, Soeumin and Soyangin was 71, 46 and 33 respectively. Height decreased in follow-up, and weight increased, accordingly body mass index increased(p<.05). The score of nocturia was significantly increased, and the temperature of drinking water was significantly decreased. The consistency rate of the Sasang constitutional values in KS-15 between baseline and follow up was 76%, and the kappa value was 0.607. Compared to the expert's diagnosis, the agreement rate was 66.7% in baseline and 69.3% in follow up. Conclusion As times goes by, Sasang Constitutional phenotype, such as body mass index, nocturia, and temperature of drinking water, and accordingly, the predicted value of Sasang constitution may be changed. Those who use Sasang constitutional type and therapy in clinics should consider these factors.